6982AF25B000004 IFB ND NP THRO 204(1) Buck Hill Road.pdf

INVITATION FOR BID

SOLICITATION NUMBER: 6982AF25B000004

SOLICITATION TYPE: FULL & OPEN COMPETITION (with HUBZone Price

Preference)

PROJECT NUMBER: ND NP THRO 204(1)

PROJECT NAME: BUCK HILL 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 ND NP THRO 204(1)

LOCATION THEODORE ROOSEVELT NATIONAL PARK

COUNTY BILLINGS

STATE

LENGTH

TYPE OF IMPROVEMENT

NORTH DAKOTA

SCHEDULE A: .72 MILES

ROADWAY REHABILITATION, PARKING

LOT EXPANSION, SUBEXCAVATION,

GUARDRAIL REPLACEMENT,

DRAINAGE IMPROVEMENTS, SIGNING

AND PAVEMENT MARKINGS AND

PULLOUT CONSTRUCTION

TABLE OF CONTENTS

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

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

Basis for Award and Bid Schedule .................................................................................... A-6

Solicitation Provisions ......................................................................................................... B-9

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

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

Division 100 ..........................................................................................................................E-1 Division 150 ....................................................................................................................... E-20 Division 200 ....................................................................................................................... E-36 Division 300 ....................................................................................................................... E-41 Division 400 ....................................................................................................................... E-46 Division 500 ....................................................................................................................... E-48 Division 600 ....................................................................................................................... E-50 Division 700 ....................................................................................................................... E-73

APPENDICES

Appendix A ................................................................................................................. Fire Plan Appendix B .................................................................... Small Business Subcontracting Plan

PROJECT OVERVIEW

Buck Hill Road, also known as Route 204, is located in Billings County within Theodore Roosevelt (THRO) National Park (NP) in the southeast portion of the park near the South Unit, Medora, ND. The route is located in mountainous terrain at approximate elevation of 2,500 to 2,800 feet. It begins at the intersection of Buck Hill Road and South Unit Scenic Loop Road. The route then proceeds southeasterly for approximately ¾ of a mile and ascends approximately 300 feet vertically to the Buck Hill Overlook parking area. The route is located entirely within Theodore Roosevelt NP. There is one (1) base schedule and no options.

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).

Bids and shall be submitted in sealed envelopes or packages:

(1) addressed to the office specified in the solicitation, and

(2) showing the time and date specified for receipt, the solicitation number, and the name and address of the bidder.

Bidders using commercial carrier services shall ensure that the bid is addressed and marked on the outermost envelope or wrapper as prescribed above when delivered to the office specified in the solicitation.

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-5

• Bid Schedule Pages A-6 through A-12

• Completed an applicable Authority to Bind certificate, pages A-13 through A-17

• Buy American Act & Hazardous Materials, Pages A-18 through A-20

• Bid Guarantee (RFO Clause 52.228-1), Pages B-1 through B-4. 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.

• HUBZone small business concerns electing to waive the evaluation preference, complete RFO Clause 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns, Section C of the IFB.

https://www.gsa.gov/forms-library/bid-bond

A-ii

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 48 CFR, Chapter 1, Federal Acquisition Regulation (FAR), Revolutionary FAR Overhaul (RFO), Department of Transportation Acquisition Regulation (TAR), 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, RFO and TAR provisions and clauses in this IFB are incorporated by reference or full text. FAR, RFO and TAR provisions and clauses incorporated by reference can be accessed on the Internet at https://www.acquisition.gov/content/regulations, https://www.acquisition.gov/far-overhaul/far-part-deviation-guide and https://www.acquisition.gov/tar.

Notice of SAM Registration – Offerors or quoters are required to have an active Federal Government contracts registration in the System for Award Management (SAM) when they submit an offer or quotation, and at the time of award. Failure to be fully registered prior to submission of a bid may require award to the next successful registered offeror. See RFO Subpart 4.203-1(b).

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.

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

https://sam.gov/ https://flh.fhwa.dot.gov/resources/specs/ https://www.acquisition.gov/content/regulations https://www.acquisition.gov/far-overhaul/far-part-deviation-guide https://www.acquisition.gov/far-overhaul/far-part-deviation-guide https://www.acquisition.gov/tar http://www.sam.gov/

A-iii

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 2025 and has complied with the reporting requirements.

• My firm did not have a qualifying Federal Contract in 2025 and is therefore exempt from the reporting requirements.

This Solicitation Contains a Price Evaluation Factor - The Government will apply a factor of 10% to the price of all offers except HUBZone small business concerns that have not waived the evaluation preference and otherwise successful offers from small business concerns. See RFO Clause 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns.

In the event this full and open competition results in a contract award to a qualified HUBZone SBC after a price evaluation preference, RFO Clause 52.219-14, Limitations on Subcontracting will apply.

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

102.03 of the FP-14. Bid bonds must be the 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).

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

A-iv

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON OCTOBER 22, 2026

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 RFO 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

II. POST AWARD INFORMATION

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

Subcontracting – RFO 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.

RFO Clause 52.219-9, Small Business Subcontracting Plan, Alternate I, requires that the large business concern who is the successful low bidder on a Federal project with an anticipated award amount exceeding $2.0 million, is required to submit a subcontracting plan prior to contract award.

The subcontracting plan expresses goals in terms of percentages of total planned subcontracting dollars for the use of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small-disadvantaged business, and women-owned small business concerns as subcontractors. If the apparent successful low bidder fails to submit an acceptable subcontracting plan acceptable to the CO within 7 days of request of the CO, that bidder may be ineligible for award of the contract. (Prime and subcontracting | U.S. Small Business Administration) mailto:CFLContracts@dot.gov https://sam.gov/ https://www.sba.gov/federal-contracting/contracting-guide/prime-subcontracting#subcontracting https://www.sba.gov/federal-contracting/contracting-guide/prime-subcontracting#subcontracting

A-v

Prime Contractors, who are large businesses, are encouraged to post sources sought notices at the Small Business Administration’s Subcontracting Network (SUB-NET) https://subnet.sba.gov/client/dsp_Landing.cfm so that small businesses can identify opportunities in their areas of expertise. The use of SUB-Net fulfills the requirements set forth in Revolutionary Federal Acquisition Regulation Overhaul (RFO) 5.303, Announcement of contract awards, for contractors and subcontractors to post notices and thereby increase competition for subcontracts.

A list of currently known business concerns owned and controlled by socially and economically disadvantaged individual and/or women-owned small business concerns that have indicated an interest in participating in highway construction is available at DOT Subcontracting Directory | US Department of Transportation.

See Appendix B for Sample Small Business Subcontracting Plan.

NOTE:

• Consider the following FHWA small business goals in development of Subcontracting plans and efforts:

FHWA Small Business Subcontracting Goals (As of FY 2026) Business Size Goal (%)

SB 43.02%

SDB 5.0%

HUBZone 3.0%

WOSB 5.0%

SDVOSB 5.0%

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

Masterworks - Contractors shall use the Government’s web-based system Masterworks 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 Masterworks. The virtual training sessions will be either a video presentation or live training as determined 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 Masterworks.

See Subsection 104.04.

https://subnet.sba.gov/client/dsp_Landing.cfm https://www.transportation.gov/osdbu/procurement-assistance/dot-subcontracting-directory https://www.transportation.gov/osdbu/procurement-assistance/dot-subcontracting-directory

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

6982AF25B000004

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

10/01/2026

PAGE OF

PAGES

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

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

HFLCEO260227PR

6. PROJECT NO.

ND NP THRO 204(1)

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:

Kelly Palmer, Contract Officer 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. 48 CFR, CHAPTER 1, FEDERAL ACQUISITION REGULATION (FAR), REVOLUTIONARY FAR OVERHAUL (RFO)

AND THE DEPARTMENT OF TRANSPORTATION ACQUISITION REGULATION (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.

7. SUBCONTRACTING PLAN.

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. *See Page A-3

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 11/03/2026 (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 60 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. 3204(a)( ) □ 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: The Contractor shall be required to (a) commence work under this contract within 10 calendar days after the date the Contractor receives the notice to proceed, (b) prosecute the work diligently, and (c) complete the entire work ready for use not later than See SCR Section 108.01, subject to such extensions as may be authorized. The time stated for completion shall include final cleanup of the premises.

Item 12A: PERFORMANCE AND PAYMENT BONDS: See RFO 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 RFO 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.

A-3 mailto:CFLContracts@dot.gov mailto:CFLContracts@dot.gov https://sam.gov/

Bid Schedule Instructions

BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of one (1) schedule. 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.

Pay Item 15401-0000, Contractor testing

Bidders must provide prices on alternative Contractor Testing pay items for EACH SCHEDULE.

Bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory for each schedule. The price for this item will be included in the Construction Cost Total for each schedule and all totals on the Bid Summary, page A-15 and A-25, therefore included in the evaluation for award.

Bidders must also provide a stand-alone price on the last page of each schedule for the alternative item, Contractor Testing, using a Government-furnished field laboratory, at the end of each bid schedule. This price will not be factored into the evaluation for award.

The Government retains the discretion to award a contract which includes either of the alternative Contractor Testing items at the respective bid price.

Basis for Award

To be eligible for contract award, the offeror shall submit prices for each item necessary to complete all contract work in Schedule A.

Accordingly, award of contract, if made, will be made to the lowest responsive, responsible bidder, if funds are available.

A-4

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-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. 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. 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

Bid Schedule Project: ND NP THRO 204(1), BUCK HILL ROAD A-6

Schedule : A

Schedule Type : Base

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

A0100 15101-0000

MOBILIZATION

ALL LPSM

A0120 15214-3000

SURVEY AND STAKING,

PARKING AREA

ALL LPSM

A0140 15215-3000

SURVEY AND STAKING,

DRAINAGE STRUCTURE

9.000 EACH

A0160 15225-0000

SLOPE, REFERENCE,

AND CLEARING AND

GRUBBING CONTROL 0.720 MILE

A0180 15236-2000

SURVEY CONTROL,

GRADE FINISHING

1.440 MILE

A0200 15301-0000

CONTRACTOR QUALITY

CONTROL

ALL LPSM

A0220 15401-0000

CONTRACTOR TESTING CONTRACTOR-

FURNISHED

LABORATORY ALL LPSM

A0240 15501-0000

CONSTRUCTION

SCHEDULE

ALL LPSM

A0260 15701-0000

SOIL EROSION

CONTROL

ALL LPSM

A0280 15720-0000

STORM WATER

POLLUTION

PREVENTION PLAN ALL LPSM

A0300 15802-0000

WATERING FOR DUST

CONTROL

ALL LPSM

A0320 20101-0000

CLEARING AND

GRUBBING

9.000 ACRE

A0340 20301-0100

REMOVAL OF BOLLARD

22.000 EACH

A0360 20301-0500

REMOVAL OF CATCH

BASIN

2.000 EACH

Contract Quantity Pay Items

No Contract Quantity Pay Items

BID SCHEDULE

Project No : ND NP THRO 204(1)

Project Name : BUCK HILL ROAD

Project: ND NP THRO 204(1), BUCK HILL ROAD A-7

A0380 20301-1800

REMOVAL OF

MONUMENT

1.000 EACH

A0400 20301-1900

REMOVAL OF PIPE

CULVERT

8.000 EACH

A0420 20301-2400

REMOVAL OF SIGN

8.000 EACH

A0440 20301-3000

REMOVAL OF TRASH

RECEPTACLE

2.000 EACH

A0460 20302-0300

REMOVAL OF CURB

AND GUTTER,

CONCRETE 820.000 LNFT

A0480 20302-0400

REMOVAL OF CURB,

ASPHALT

50.000 LNFT

A0500 20302-1200

REMOVAL OF

GUARDRAIL

1,750.000 LNFT

A0520 20303-1200

REMOVAL OF PAVED

WATERWAY, ASPHALT

30.000 SQYD

A0540 20303-3000

REMOVAL OF

SIDEWALK, ASPHALT

400.000 SQYD

A0560 20402-0000

SUBEXCAVATION

200.000 CUYD

A0580 20402-0000

SUBEXCAVATION (10 FEET)

10,000.000 CUYD

A0600 20420-0000

EMBANKMENT

CONSTRUCTION

3,050.000 CUYD

A0620 20425-1000

DITCH, EXCAVATION

50.000 LNFT

A0640 21101-1000

ROADWAY

OBLITERATION,

METHOD 1 600.000 SQYD

A0660 25101-0200

PLACED RIPRAP,

METHOD A, CLASS 2

115.000 CUYD

A0680 25306-1000

REVETMENT MAT,

ARTICULATED

CONCRETE BLOCK 670.000 SQYD

A0700 30202-2000

ROADWAY

AGGREGATE, METHOD

(IMPORTED)

4,150.000 TON

A0720 30402-5300

FULL DEPTH

RECLAMATION,

METHOD 2, 6-INCH

DEPTH

14,000.000 SQYD

Project: ND NP THRO 204(1), BUCK HILL ROAD A-8

A0740 40301-0100

ASPHALT CONCRETE

PAVEMENT, TYPE 1

3,000.000 TON

A0760 40601-0000

FOG SEAL

7.000 TON

A0780 41102-1000

PRIME COAT, METHOD

18,630.000 SQYD

A0800 41105-0000

BLOTTER

21.000 TON

A0820 41201-0000

TACK COAT

7.000 TON

A0840 50101-0600

MINOR CONCRETE

PAVEMENT,

REINFORCED, 6-INCH

DEPTH

(SEQUOIA SAND

COLORED)

150.000 SQYD

A0860 60101-0000

CONCRETE (TOE WALLS)

10.000 CUYD

A0880 60201-0800

24-INCH PIPE CULVERT (THICK WALLED, FUSE

WELDED HDPE)

550.000 LNFT

A0900 60210-0800

END SECTION FOR 24-

INCH PIPE CULVERT

(FUSE WELDED HDPE)

3.000 EACH

A0920 60404-0000

CATCH BASIN (NDDOT TYPE 2,

DOUBLE)

1.000 EACH

A0940 60404-1000

CATCH BASIN, FLH

TYPE 1

3.000 EACH

A0960 60409-0000

INLET TOP, METAL

FRAME AND GRATE

(NDDOT STYLE D,

DOUBLE)

1.000 EACH

A0980 60409-0200

INLET TOP, METAL

FRAME AND GRATE,

FLH TYPE B 3.000 EACH

A1000 60602-0700

PIPE ANCHOR

ASSEMBLY, 24-INCH

3.000 EACH

A1020 60801-0500

PAVED WATERWAY,

TYPE 5

40.000 SQYD

A1040 60901-2300

CURB, ASPHALT, 6-

INCH DEPTH

820.000 LNFT

A1060 60902-1000

CURB AND GUTTER,

CONCRETE, 12-INCH

DEPTH

(ONYX COLORED)

4,300.000 LNFT

A1080 60902-1000

CURB AND GUTTER,

CONCRETE, 12-INCH

DEPTH

(SEQUOIA SAND

COLORED, CATCH

CURB) 505.000 LNFT

Project: ND NP THRO 204(1), BUCK HILL ROAD A-9

A1100 60902-1000

CURB AND GUTTER,

CONCRETE, 12-INCH

DEPTH

(SEQUOIA SAND

COLORED, SPILL CURB)

325.000 LNFT

A1120 60908-1000

PAVED DITCH,

ASPHALT

1,100.000 SQYD

A1140 61501-0100

SIDEWALK, CONCRETE (SEQUOIA SAND

COLORED)

650.000 SQYD

A1160 61505-1000

ACCESSIBILITY RAMP,

CONCRETE

(SEQUOIA SAND

COLORED)

1.000 EACH

A1180 61701-4500

GUARDRAIL SYSTEM

MGS, TYPE 2, CLASS A

STEEL POSTS

(STAINED)

1,600.000 LNFT

A1200 61702-1500

TERMINAL SECTION,

TYPE MGS TANGENT

(STAINED)

6.000 EACH

A1220 61702-1600

TERMINAL SECTION,

TYPE MGS FLARED

(STAINED)

2.000 EACH

A1240 62201-0250

DUMP TRUCK, 10 CUBIC

YARD MINIMUM

CAPACITY 20.000 HOUR

A1260 62201-0550

BACKHOE LOADER, 6

CUBIC FOOT MINIMUM

RATED CAPACITY

BUCKET, 24-INCH

WIDTH

20.000 HOUR

A1280 62201-0950

WHEEL LOADER, 3

CUBIC YARD MINIMUM

RATED CAPACITY 20.000 HOUR

A1300 62201-2850

MOTOR GRADER, 12

FOOT MINIMUM BLADE

20.000 HOUR

A1320 62201-3350

HYDRAULIC

EXCAVATOR, 1 CUBIC

YARD MINIMUM

CAPACITY

20.000 HOUR

A1340 62301-0000

GENERAL LABOR

20.000 HOUR

A1360 62302-1000

SPECIAL LABOR, HIRED

TECHNICAL SERVICES

20.000 HOUR

A1380 62302-1100

SPECIAL LABOR, HIRED

SURVEY SERVICES

20.000 HOUR

A1400 62303-1000

SPECIAL LABOR, HIRED

TECHNICAL SERVICES

(PALEONTOLOGIST

MONITOR)

ALL LPSM

A1420 62405-0000

PLACING CONSERVED

TOPSOIL

(7-INCH DEPTH)

6,000.000 SQYD

A1440 62510-2000

SEEDING, HYDRAULIC

METHOD

2.700 ACRE

Project: ND NP THRO 204(1), BUCK HILL ROAD A-10

A1460 62515-2000

MULCHING, HYDRAULIC

METHOD

2.700 ACRE

A1480 62901-0700

ROLLED EROSION

CONTROL PRODUCT,

TYPE 2.C 6,000.000 SQYD

A1500 63301-0000

SIGN SYSTEM

14.000 EACH

A1520 63301-0000

SIGN SYSTEM (5" X 8", POST ONLY,

STAINED)

1.000 EACH

A1540 63309-0900

DELINEATOR, TYPE

FLEXIBLE

50.000 EACH

A1560 63402-0300

PAVEMENT MARKINGS,

TYPE B, SOLID

10.500 MILE

A1580 63405-0050

PAVEMENT MARKINGS,

SYMBOLS

12.000 EACH

A1600 63405-0850

PAVEMENT MARKINGS,

TYPE B, ACCESSIBILITY

SYMBOL 3.000 EACH

A1620 63501-0000

TEMPORARY TRAFFIC

CONTROL

ALL LPSM

A1640 63701-0000

FIELD OFFICE

1.000 EACH

A1660 64603-0100

FIXTURE, TRASH

RECEPTACLE

3.000 EACH

A1680 64603-0300

FIXTURE, BENCH (STEEL)

2.000 EACH

A1700 64603-0300

FIXTURE, BENCH (STONE)

3.000 EACH

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

A0220 15401-0000 CONTRACTOR TESTING

GOVERNMENT-

FURNISHED

LABORATORY

ALL LPSM

BID ALTERNATE

Submitted By: Schedule Total:

Project: ND NP THRO 204(1), BUCK HILL ROAD A-11

Schedule Bid Total

Schedule A - Base $

Bid Total

BID SCHEDULE SUMMARY

Total-Schedule(s) and Bid Alternate (Contractor Testing - Government Furnished Laboratory)

Schedule A - Base

Project: ND NP THRO 204(1), BUCK HILL ROAD A-12

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-13

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-14

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-15

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-16

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-17

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 RFO 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 RFO Clause 52.225-11 Paragraph (c) & (d) and RFO 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-18

HAZARDOUS MATERIALS

As required by RFO 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 RFO clause and defined under the latest version of Federal Standard No. 313.

Hazardous Material Identification Number

BIOBASED PRODUCTS AND SUSTAINABLE PRODUCTS AND SERVICES

See RFO Provision 52.223-1 Biobased Product Certification and RFO 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.

A-19

• 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-20

Bid Bond (See Instructions on Page 3)

Date Bond Executed (Must Not Be Later Than Bid Opening Date)

OMB Control Number: 9000-0001 Expiration Date: 1/31/2027

Principal (Legal Name And Business Address) Type Of Organization ("X" One) Individual Partnership Joint Venture Corporation Other (Specify)

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 Number 6982AF25B000004 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 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.

Authorized For Local Reproduction STANDARD FORM 24 (REV. 10/2023) Previous Edition Is Not Usable Prescribed by GSA – FAR (48 CFR) 53.228(a)

B-1

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)

And Title(s) (Typed)

1. 2. 3.

Individual Surety(ies)

Signature(s) 1. (Seal) 2. (Seal) Name(s) (Typed)

1. 2.

Corporate Surety(ies)

Su re ty A

Name And Address

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

Su re

B

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

Su re

C

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

Su re

D

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

STANDARD FORM 24 (REV. 10/2023) PAGE 2

B-2

Su re

E

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

Su re

F

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

Su re

G

State Of Incorporation Liability Limit ($)

Corporate Seal

Signature(s) 1. 2.

Name(s) And Title(s) (Typed)

1. 2.

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).

(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.

STANDARD FORM 24 (REV. 10/2023) PAGE 3

B-3

(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.

4. 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.

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

6. In its application to negotiated contracts, the terms "bid" and "bidder" shall include

"proposal" and "offeror."

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 9000-0001. 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 (MVCB), 1800 F

Street, NW, Washington, DC 20405.

STANDARD FORM 24 (REV. 10/2023) PAGE 4

B-4

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LAND 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 RFO Provision 52.204-91

Street Employer ID Number (EIN)* *Necessary for Government reporting purposes only

City State Zip Code

County

Telephone Number (Include Area Code)

Fax Number (Include Area Code) E-mail Address

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

☐ Individual ☐ Non-Profit Organization ☐ Corporation ☐ Partnership ☐ Joint Venture ☐ Incorporated in:

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

☐ HUBZone Business Concern

☐ Veteran Owned Business Concern

☐ Service-Disabled Veteran-Owned Business Concern

3. If a Joint Venture or General Partnership:

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

B-5

Principal

Business Name

Street

City State Zip Code

b. Provide the name of the home office addresses of each of the joint venture partners; indicate which partner is the sponsoring partner. Attache 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 at:

a. General Contractor years.

b. Subcontractor years.

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

Name Title Percent of Business Owned

Years of Business Experience

Contr…