6982AF24B000005 NM FTBL 2004(2) Wild Rivers Road.pdf

INVITATION FOR BID

SOLICITATION NUMBER:

SOLICITATION TYPE:

PROJECT NUMBER:

PROJECT NAME:

6982AF24B000005

HUBZone SET-ASIDE

NM FTBL 2004(2)

WILD RIVERS ROAD

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: https://highways.dot.gov/federal-lands E-mail: CFLContracts@dot.gov https://highways.dot.gov/federal-lands mailto:CFLContracts@dot.gov

PROJECT NM FTBL 2004(2)

LOCATION WILD RIVERS RECREATION AREA

COUNTY TAOS

STATE NEW MEXICO

LENGTH SCHEDULE A: 2.81 MILES

OPTION X: 0.43 MILES

TYPE OF IMPROVEMENT ROADWAY RESTORATION,

RESURFACING AND REHABILITATION

(3R) ROADWAY RECONSTRUCTION (4R),

CULVERT REPLACEMENT

TABLE OF CONTENTS

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

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

Basis for Award and Bid Schedule ................................................................................ A-5

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

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

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

Division 100 ..................................................................................................................... E-1 Division 150 ................................................................................................................... E-21 Division 200 ................................................................................................................... E-37 Division 300 ................................................................................................................... E-42 Division 400 ................................................................................................................... E-43 Division 500 ..........................................................................................................See FP- 14 Division 600 ................................................................................................................... E-55 Division 700 ................................................................................................................... E-64

APPENDICES

Appendix A ............................................................. Water Quality Report (401/404 Permit)

Appendix B ............................................................................................................ Fire Plan

PROJECT OVERVIEW

The Wild Rivers is located within the Wild Rivers Recreation Area, a portion of the Rio Grande del Norte National Monument. It begins about 26 miles north of Taos, NM near the town of Cerro, NM, where NM state highway 378 dead-ends into the Byway. The Wild Rivers is a 12.5-mile two-lane paved road that offers access points for recreational biking and mountain biking on 3 designated trails, sightseeing, camping / picnicking, fishing, and hiking on 10 designated trails.

The access road is used for school visitations, architectural surveys, geology education services, horseback riding, and fishing tour guides.

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

NOTICE TO BIDDERS

A-i

I. PRE-BID INFORMATION

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

• Indication of interest in formal Partnering, Page A-6

• Bid Schedule Pages A-7 through A-17

• Completed an applicable Authority to Bind certificate, pages A-18 through A-22

• Buy American Act & Hazardous Materials, Pages A-23 through A-24

• 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.

o Digital copies may be downloaded at https://www.gsa.gov/forms-library/bid-bond

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

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

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 https://sam.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.

Applicable FAR/TAR provisions and clauses in this IFB are incorporated by reference or full text.

https://www.gsa.gov/forms-library/bid-bond https://sam.gov/ https://flh.fhwa.dot.gov/resources/specs/

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FAR provisions and clauses incorporated by reference can be accessed on the Internet at https://www.acquisition.gov/content/regulations.

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.

“System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in DOT solicitations.

Examples include:

• 52.222-25, Affirmative Action Compliance, and

• 52.212-3(d), Offeror Representations and Certifications—Commercial Products and Commercial Services.

• 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals— Representation, and Page 3 of 28

• 52.212-3(t), Offeror Representations and Certifications—Commercial Products and Commercial Services.

Contracting officers will not need to consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”

Representations and Certifications – This solicitation is issued under NAICS 237310 – Highway, Street & Bridge Construction with a small business size standard of $45 million. If your average annual gross receipts for the past 5 years are above $45 million, you are a large business for this solicitation. If they are below $45 million you are a small business. Before submitting bids, you must ensure you have completed your annual representations and certifications electronically at the SAM website at www.sam.gov. Include NAICS 237310 in your SAM profile.

Vets-4212 Reporting: - The Contractor must complete the report if required. See reporting requirements at: https://www.dol.gov/agencies/vets/programs/vets4212

• My firm had a qualifying Federal Contract in 2024 and has complied with the reporting requirements.

• My firm did not have a qualifying Federal Contract in 2024 and is therefore exempt from the reporting requirements.

https://www.acquisition.gov/content/regulations http://www.sam.gov/ http://www.sam.gov/ https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dol.gov%2Fagencies%2Fvets%2Fprograms%2Fvets4212&data=05%7C01%7Cryan.d.phillips%40dot.gov%7C09d955a274d74e8474dc08dbc51eeb3d%7Cc4cd245b44f04395a1aa3848d258f78b%7C0%7C0%7C638320508951679944%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=gIALto4XEaeYAJrJxNNxKww0nAj0lFMpA2G36Z3hVxc%3D&reserved=0

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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.

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).

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON APRIL 23, 2025

Consolidate all questions on a single word document and submit NLT the deadline to submit technical questions.

Questions can be submitted to CFLContracts@dot.gov. Questions and answers will be posted at https://sam.gov

Modifications to Bids - Bids may be modified or withdrawn by regular mail, electronic commerce (email), 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).

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.

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

FAR 36.211 requires a description of the Federal Highway Administration’s (FHWA) procedures that apply to definitization of equitable adjustments for change orders under construction contracts.

It also requires that FWHA furnish data on the agency’s past performance, for the prior 3 fiscal years, regarding the time required to definitize equitable adjustments for change orders under

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Change orders as defined in FAR 2.101 are changes to the contract work pursuant to FAR 52.243-4, Changes.

There are no agency-specific additional policies and procedures that exist at this time.

The table below contains data regarding the definitization of equitable adjustments for change orders under construction contracts by fiscal year (FY).

Time to definitize after receipt of an adequate change order definitization proposal under construction contracts

Number of change order proposals definitized under construction contracts

FY 2022 FY 2023 FY 2024

0 to 30 days 0 0 0 31 to 60 days 1 0 1 61 to 90 days 0 0 0 91 to 180 days 2 1 4 181 to 365 days 0 1 2 366 or more days 2 0 0 After completion of contract performance via a contract modification addressing all undefinitized equitable adjustments received during contract performance

0 0 0

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).

https://www.acquisition.gov/far/part-52#FAR_52_243_4 https://www.acquisition.gov/far/part-52#FAR_52_243_4

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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 https://highways.dot.gov/federal-lands/estimates/eebacs-guide

New Mexico Gross Receipts and Compensating Tax Act – Contractors are responsible to understand the tax laws associated with the New Mexico gross receipts tax, pursuant to the Gross Receipts and Compensating Tax Act of New Mexico.

https://highways.dot.gov/federal-lands/estimates/eebacs-guide

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

6982AF24B000005

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

03/31/2025

PAGE OF

PAGES

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

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

HFLCEO250104PR

6. PROJECT NO.

NM FTBL 2004(2)

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:

Laura Vallejos, 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 05/01/25 (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.

STANDARD FORM 1442 (REV. 12/2022)

Prescribed by GSA

FAR (48 CFR) 53.236-1(d)

X

X

X

X

X

A-1

STANDARD FORM 1442 (REV. 12/2022) BACK

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)

UEI.

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

□ 10 U.S.C. 2304(c)( ) □ 41 U.S.C. 3304(a)( )

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-2

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 .

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 https://sam.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 $5,000,000 and $10,000,000.

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Bid Schedule Instructions

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

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Basis for Award

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

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).

Issuance of this solicitation does not guarantee that an award will be made. Any resulting awards are subject to the availability of funding and the discretion of the awarding entity, including cancellation or amendment based on a determination of change in agency needs.

A-5

Partnering

A Partnership recognizes the Government and the Contractor are both responsible and can affect the successful completion of this project. Partnering is a vehicle to ensure the partnership has structure and quality. It recognizes the strengths of each party and uses those strengths to identify and achieve shared goals. One of the primary objectives of Partnering is to facilitate the resolution of disputes in a timely, professional, and non-adversarial manner with the outcome focused on achieving those shared goals.

CFLHD supports the concepts and tenets of Partnering and as such is encouraging the Contractors and it’s subcontractors to establish a Partnering relationship on this project.

A formal Partnering meeting can help facilitate this relationship by helping do document the parties’ common purpose and goals, and ensuring alignment. The goals are mutually agreed upon and address effective and efficient performance within the scope of the contract.

Participation in a formal Partnering meeting is voluntary. Costs of implementing and maintaining the partnership would be agreed to by both parties as described in Subsection 103.05 Partnering of the FP-14. Costs of partnering would be in addition to the contract award amount.

Please indicate your desire to participate in a formal partnering meeting on this project.

(___) We would like to participate in a formal partnering meeting.

(___) We do not want to participate in a formal partnering meeting.

A-6

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:NM FTBL 2004(2)

Project Name:Wild Rivers Road

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

A1000 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A1010 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

13 EACH $____________ $____________

A1020 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

5.624 MILE $____________ $____________

A1030 15225-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING CONTROL

2.812 MILE $____________ $____________

A1040 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A1050 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

A1060 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A1070 15701-0000 SOIL EROSION CONTROL

ALL LPSM $___LPSM_____ $____________

A1080 15720-0000 STORM WATER POLLUTION PREVENTION PLAN

ALL LPSM $___LPSM_____ $____________

A1090 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

A1100 20101-0000 CLEARING AND GRUBBING

17.4 ACRE $____________ $____________

A1110 20220-1000 REMOVAL, INDIVIDUAL TREE

10 EACH $____________ $____________

A1120 20301-1900 REMOVAL OF PIPE CULVERT

7 EACH $____________ $____________

A1130 20301-2000 REMOVAL OF PIPE END SECTION

12 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:NM FTBL 2004(2)

A-8

A1140 20301-2300 REMOVAL OF SIGN/MARKER

13 EACH $____________ $____________

A1150 20402-0000 SUBEXCAVATION

1,000 CUYD $____________ $____________

A1160 20420-0000 EMBANKMENT CONSTRUCTION

8,000 CUYD $____________ $____________

A1170 25101-0200 PLACED RIPRAP, METHOD A, CLASS 2

290 CUYD $____________ $____________

A1180 30101-0000 AGGREGATE BASE

12,240 TON $____________ $____________

A1200 30302-1000 DITCH RECONDITIONING

110 LNFT $____________ $____________

A1210 30401-5500 FULL DEPTH RECLAMATION, METHOD 2, 8-INCH DEPTH

2.821 MILE $____________ $____________

A1230 40101-5600 ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH

NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

9,700 TON $____________ $____________

A1240 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

97 TON $____________ $____________

A1260 40601-0000 FOG SEAL

13 TON $____________ $____________

A1270 41102-1000 PRIME COAT, METHOD 1

58,980 SQYD $____________ $____________

A1280 41105-0000 BLOTTER

87 TON $____________ $____________

A1290 41201-0000 TACK COAT

26 TON $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:NM FTBL 2004(2)

A-9

A1300 60201-0800 24-INCH PIPE CULVERT

210 LNFT $____________ $____________

A1310 60202-0200 18-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

680 LNFT $____________ $____________

A1320 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT

6 EACH $____________ $____________

A1330 60211-0600 END SECTION FOR 18-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL

PIPE CULVERT

20 EACH $____________ $____________

A1340 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

A1350 62201-0850 WHEEL LOADER, 1 CUBIC YARD MINIMUM RATED CAPACITY

40 HOUR $____________ $____________

A1360 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

40 HOUR $____________ $____________

A1370 62201-3350 HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

A1380 62301-0000 GENERAL LABOR

40 HOUR $____________ $____________

A1390 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

40 HOUR $____________ $____________

A1400 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

20 HOUR $____________ $____________

A1410 62405-0100 PLACING CONSERVED TOPSOIL, 2-INCH DEPTH

37,450 SQYD $____________ $____________

A1420 62510-1000 SEEDING, DRY METHOD

11.0 ACRE $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:NM FTBL 2004(2)

A-10

A1430 62515-1000 MULCHING, DRY METHOD

11.0 ACRE $____________ $____________

A1440 62901-0700 ROLLED EROSION CONTROL PRODUCT, TYPE 2.C

830 SQYD $____________ $____________

A1450 62901-1100 ROLLED EROSION CONTROL PRODUCT, TYPE 4

15,850 SQYD $____________ $____________

A1460 62901-1200 ROLLED EROSION CONTROL PRODUCT, TYPE 5.A

1,230 SQYD $____________ $____________

A1470 63301-0000 SIGN SYSTEM

9 EACH $____________ $____________

A1480 63308-0000 OBJECT MARKER

26 EACH $____________ $____________

A1490 63309-0000 DELINEATOR

150 EACH $____________ $____________

A1500 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID (WHITE)

61,870 LNFT $____________ $____________

A1510 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID (YELLOW)

61,510 LNFT $____________ $____________

A1520 63405-0850 PAVEMENT MARKINGS, TYPE B, ACCESSIBILITY SYMBOL

8 EACH $____________ $____________

A1530 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

A1540 63503-1000 TEMPORARY TRAFFIC CONTROL, PLASTIC FENCE (Protective fence)

275 LNFT $____________ $____________

A1550 63701-0000 FIELD OFFICE (Government furnished)

1 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:NM FTBL 2004(2)

A-11

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:NM FTBL 2004(2)

A-12

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

X1000 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X1010 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

2 EACH $____________ $____________

X1020 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

0.933 MILE $____________ $____________

X1030 15225-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING CONTROL

0.467 MILE $____________ $____________

X1040 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

X1050 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

X1060 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

X1070 15701-0000 SOIL EROSION CONTROL

ALL LPSM $___LPSM_____ $____________

X1080 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

X1090 20101-0000 CLEARING AND GRUBBING

3.8 ACRE $____________ $____________

X1100 20220-1000 REMOVAL, INDIVIDUAL TREE

5 EACH $____________ $____________

X1110 20301-1900 REMOVAL OF PIPE CULVERT

2 EACH $____________ $____________

X1120 20301-2000 REMOVAL OF PIPE END SECTION

4 EACH $____________ $____________

X1130 20301-2300 REMOVAL OF SIGN/MARKER

7 EACH $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:NM FTBL 2004(2)

A-13

X1140 20420-0000 EMBANKMENT CONSTRUCTION

13,420 CUYD $____________ $____________

X1150 25101-0200 PLACED RIPRAP, METHOD A, CLASS 2

25 CUYD $____________ $____________

X1160 25101-0400 PLACED RIPRAP, METHOD A, CLASS 4

95 CUYD $____________ $____________

X1170 30101-0000 AGGREGATE BASE

4,730 TON $____________ $____________

X1190 30302-1000 DITCH RECONDITIONING

110 LNFT $____________ $____________

X1200 40101-5600 ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH

NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

1,650 TON $____________ $____________

X1220 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

17 TON $____________ $____________

X1240 40601-0000 FOG SEAL

3 TON $____________ $____________

X1250 41102-1000 PRIME COAT, METHOD 1

9,850 SQYD $____________ $____________

X1260 41105-0000 BLOTTER

13 TON $____________ $____________

X1270 41201-0000 TACK COAT

5 TON $____________ $____________

X1280 60201-0800 24-INCH PIPE CULVERT

140 LNFT $____________ $____________

X1290 60201-1200 48-INCH PIPE CULVERT

100 LNFT $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:NM FTBL 2004(2)

A-14

X1300 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT

2 EACH $____________ $____________

X1310 60210-1200 END SECTION FOR 48-INCH PIPE CULVERT

2 EACH $____________ $____________

X1320 62201-0250 DUMP TRUCK, 10 CUBIC YARD MINIMUM CAPACITY

10 HOUR $____________ $____________

X1330 62201-0850 WHEEL LOADER, 1 CUBIC YARD MINIMUM RATED CAPACITY

10 HOUR $____________ $____________

X1340 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

10 HOUR $____________ $____________

X1350 62201-3350 HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

10 HOUR $____________ $____________

X1360 62301-0000 GENERAL LABOR

10 HOUR $____________ $____________

X1370 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

20 HOUR $____________ $____________

X1380 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

20 HOUR $____________ $____________

X1390 62405-0100 PLACING CONSERVED TOPSOIL, 2-INCH DEPTH

10,770 SQYD $____________ $____________

X1400 62510-1000 SEEDING, DRY METHOD

2.8 ACRE $____________ $____________

X1410 62515-1000 MULCHING, DRY METHOD

2.8 ACRE $____________ $____________

X1420 62901-0700 ROLLED EROSION CONTROL PRODUCT, TYPE 2.C

580 SQYD $____________ $____________

X1430 62901-1200 ROLLED EROSION CONTROL PRODUCT, TYPE 5.A

2,100 SQYD $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:NM FTBL 2004(2)

A-15

X1440 63301-0000 SIGN SYSTEM

8 EACH $____________ $____________

X1450 63308-0000 OBJECT MARKER

4 EACH $____________ $____________

X1460 63309-0000 DELINEATOR

27 EACH $____________ $____________

X1470 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID (YELLOW)

9,050 LNFT $____________ $____________

X1480 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID (WHITE)

9,200 LNFT $____________ $____________

X1490 63405-0850 PAVEMENT MARKINGS, TYPE B, ACCESSIBILITY SYMBOL

6 EACH $____________ $____________

X1500 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

X1510 63503-1000 TEMPORARY TRAFFIC CONTROL, PLASTIC FENCE (Protective fence)

240 LNFT $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:NM FTBL 2004(2)

A-16

Bid Schedule Summary

Schedule Bid Total

Schedule A - Base

Schedule X - Option

Total - Schedules

Submitted By: ________________________________

Bid Schedule

Project No:NM FTBL 2004(2)

A-17

INSTRUCTIONS: When the offeror/principal is a corporation, include this certification with your offer/bid.

Corporate Certificate

I, (name), certify that I am the

(title), of the corporation named as the

Offeror/Principal herein;

that (name), who signed this offer and/or bid bond on behalf of (company name) is

(title) of this corporation;

that the offer was duly signed for and on behalf of said corporation by authority and scope of its governing body, and within the scope of its corporate powers.

(signature) Affix Corporate Seal

(title)

A-18

INSTRUCTIONS: When the offeror/principal is a limited liability corporation, include this certification with your offer/bid.

Limited Liability Certificate

I, (name), certify that I am the

(title), of the limited liability company named as the Offeror/Principal herein;

that (name), who signed this offer and/or bid bond on behalf of (company name) is

(title) of this company;

that the offer was duly signed for and on behalf of said company by authority and scope of its governing body, and within the scope of its powers.

(signature) Affix Company Seal

(as applicable) (title)

A-19

INSTRUCTIONS: When the offeror/principal is a partnership, include this certification with your offer/bid.

Authority to Bind Partnership

This certifies that the names and signatures of all partners are listed below, and that the person signing the proposal has the authority to actually bind the partnership pursuant to its partnership agreement. Each of the partners individually has full authority to enter into and execute contractual instruments on behalf of said partnership, except as follows:

(State “None” or describe limitations, if any)

This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting

Officer.

(Include names and signatures of all partners)

A-20

INSTRUCTIONS: When the offeror/principal is a joint venture, include this certification with your offer/bid.

Authority to Bind Joint Venture

This certifies that the person signing the proposal has the authority to actually bind the joint venture pursuant to its joint venture agreement, and that each of the named persons listed below individually has full authority to enter into and execute contractual instruments on behalf of said joint venture, except as follows:

(State “None” or describe limitations, if any)

This authority shall remain in full force and effect until such time as the revocation of authority by any cause whatsoever has been furnished in writing to and acknowledge by the Contracting

Officer.

(Include names and signatures of all applicable individuals)

A-21

INSTRUCTIONS: When the offeror/principal is a sole proprietorship, include this certification with your offer/bid.

Sole Proprietorship Requirement

An Offeror/Principal that is a sole proprietorship must submit an offer/bid and a bond signed by the sole proprietor, or by one duly authorized to sign for the sole proprietor. If the signature is by someone other than the sole proprietor, a copy of the power of attorney authorizing the individual to sign must be provided with the offer/bid.

A-22

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

UNDER TRADE AGREEMENTS

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 52.225-11 Paragraph (c) & (d) and FAR Provision 52.225-12 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-23

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

BIOBASED PRODUCTS AND SUSTAINABLE PRODUCTS AND SERVICES

See FAR Provision 52.223-1 Biobased Product Certification and 52.223-2 Reporting of Biobased Products Under Service and Construction Contracts for usage, certification, and reporting requirements.

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.

A-24

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (REV. 10/2023)

Previous edition is NOT usable Prescribed by GSA - FAR (48 CFR) 53.228(a)

BID BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB Control Number: 9000-0001

Expiration Date: 1/31/2027 Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of

1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F

Street, NW, Washington, DC 20405.

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT

OF BID

PRICE

20%

AMOUNT NOT TO EXCEED BID DATE INVITATION NUMBER

6982AF24B000005 MILLION(S)

THOUSAND(S)

HUNDRED(S)

CENTS

00 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 the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is 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

NAME(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUALSURETY(IES)

SIGNATURE(S) 1.

(Seal)

2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

SU

R

ET

Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL PARTNERSHIP JOINT VENTURE

CORPORATION OTHER (Specify)

STATE OF INCORPORATION

B-1

STANDARD FORM 24 (REV. 10/2023) BACK

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 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 limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are 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 identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When 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 capability.

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."

SU

R

ET

Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

C

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

D

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

E

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

F

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

G

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

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 Unique Entity ID (See FAR Provision 52.204-6) *

Street Employer ID Number (EIN)*

City State Zip Code

* Necessary for Government reporting purposes only.

County

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-3

3. If a joint venture or general partnership:

a. Provide the name under which the project will be…