835747curbCpeake.pdf

If City Hall is officially closed to the public due to inclement weather conditions or other unforeseen events, bids and proposals will be due at the same time advertised on the next regular business day, and bid openings will be rescheduled to such time and date.

BID PROPOSAL AND CONTRACT DOCUMENTS

Construction of New Sidewalk with Pedestrian Facilities on Poindexter

Street I-464 Overpass

CITY AC #18-17-44230

STATE PROJECT # 0464-131-933, C501; UPC # 121886

FEDERAL PROJECT: FHWA 534, DATA NO. 44028

VDOT DISTRICT: HAMPTON ROADS

CITY OF CHESAPEAKE, VIRGINIA

DEPARTMENT OF PUBLIC WORKS

INVITATION FOR BID # 27-032-2647

Where did you view this solicitation?

[ ] OpenGov [ ] eVA [ ] Other__________________

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COVER

TABLE OF CONTENTS

TABLE OF CONTENTS [Pages 2-3] Notice of Advertisement [Pages 4-5] Pre-Bid Question Form [Pages 6]

BID PROPOSAL [Pages 7-30] Bid Form Certification Regarding Debarment Non Collusion Affidavit Certification of Compliance with Immigration Laws and Regulations Litigation Disclosure Form Virginia State Corporation Commission Registration Information Form Proposal Guaranty (VDOT FORM C-24 Modified City of Chesapeake Obligee) Subcontractors/ Supplier Solicitation and Utilization Form (VDOT FORM C-48) DBE Policy Statement DBE Good Faith Efforts Documentation (VDOT FORM C-49) Bidder Statement Federally Funded Projects (VDOT FORM C-104) Bidder Certification Federally Funded Projects (VDOT FORM C-105) Minimum DBE Requirements (VDOT FORM C-111)

CONTRACT AGREEMENT (REQUIRED FORM UPON INTENT TO AWARD) [Pages 31-46] Agreement Additional Insurance Requirements Certificate of Insurance Performance Bond (SUPERSEDES VDOT FORM C-18A) Payment Bond (SUPERSEDES VDOT FORM C-18A) Safety Certification Form Certification of Binding Agreement with Disadvantaged Business Enterprise Firms (VDOT FORM C-112)

STATE (VDOT) GUIDELINES FOR FEDERAL FUNDS (NFO/FO) [Pages 47-202] cn100-000051-05 - VDOT Supplemental Specifications (SSs), Special Provisions (SPs) and Special

Provision Copied Notes (SPCNs) [Modified 11-1-16 by City of Chesapeake] cn103-000120-01 - SECTION 103.02—AWARD OF CONTRACT cn103-000220-00 - SECTION 103.02—AWARD OF CONTRACT cn105-000140-00 - SECTION 105.14—MAINTENANCE DURING CONSTRUCTION cn221-000100-00 - SECTION 221.02—DETAIL REQUIREMENTS

SP0F0-000100-00 - PREDETERMINED MINIMUM WAGE RATES

SP0F0-000130-02 - FHWA 1273, REQUIRED CONTRACT PROVISIONS, FEDERAL-AID

CONSTRUCTION CONTRACTS

SP0F0-000150-01 - NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE

EQUAL EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246)

SQ105-000611-01 –Section 105.06—SUBCONTRACTING (FEDERAL FUNDED PROJECTS)

SP107-001510-04 - DBE REQUIREMENTS

SP102-000120-00 - NON-DISCRIMINATION IN EMPLOYMENT AND CONTRACTING PRACTICES

SP102-000510-02 - USE OF DOMESTIC MATERIAL

cq107-000130-00 - DRUG FREE WORK PLACE

SP107-000120-00 - ELECTRONIC SUBMISSION OF PAYROLLS AND

DBE SUBCONTRACTOR PAYMENT FOR FEDERALLY FUNDED PROJECTS

SP107-003000-01 - BUILD AMERICA, BUY AMERICA ACT REQUIREMENTS FOR

CONSTRUCTION MATERIALS

SP109-000100-05 - ASPHALT MATERIAL PRICE ADJUSTMENT

SQ107-001620-00 - PREVAILING WAGE RATES

SS109-002020-01 - SECTION 109—MEASUREMENT AND PAYMENT

SS211-002020-03 - SECTION 211 – ASPHALT CONCRETE

https://outsidevdot.cov.virginia.gov/P0JQP/_layouts/WordViewer.aspx?id=/P0JQP/2016_Standard_Specifications/cn100-000051-00.docx

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SS220-002020-01 - SECTION 220 – CONCRETE CURING MATERIALS

SS223-002020-02 - SECTION 223 – STEEL REINFORCEMENT

SS234-002020-01 - SECTION 234 – GLASS BEADS AND RETROREFLECTIVE OPTICS

SS235-002020-01 - SECTION 235 – RETROREFLECTORS

SS236-002020-01 - SECTION 236 WOOD PRODUCTS

SS246-002020-02 - SECTION 246 – PAVEMENT MARKING

SS305-002020-02 - SECTION 305 – SUBGRADE AND SHOULDERS

SS308-002020-01 - SECTION 308 – SUBBASE COURSE

SS309-002020-01 - SECTION 309 – AGGREGATE BASE COURSE

SS315-002020-05 - SECTION 315 – ASPHALT CONCRETE PLACEMENT

SS318-002020-01 - SECTION 318 – PAVEMENT INTERLAYERS

SS321-002020-02 - SECTION 321 – TRENCH WIDENING

SS407-002020-02 - SECTION 407 – STEEL AND OTHER METAL STRUCTURES

SS411-002020-01 - SECTION 411 – PROTECTIVE COATING OF METAL IN STRUCTURES

SS512-002020-03 - SECTION 512 – MAINTAINING TRAFFIC

SS704-002020-02 - SECTION 704 – PAVEMENT MARKINGS AND MARKERS

STATE (VDOT) COPIED NOTES, SPECIAL PROVISIONS, AND SUPPLEMENTAL SECTIONS TO

MODIFY THE 2020 ROAD AND BRIDGE SPECIFICATION [P 203]

2022 Supplement to the 2020 VDOT Road and Bridge Specification updated Jan 10, 2022 applies to this project. The 2020 VDOT Road and Bridge Specification and 2022 Supplement can be found at the following state web link: http://www.virginiadot.org/business/const/spec-default.asp.

CITY OF CHESAPEAKE MODIFICATIONS [Pages 204-235] City Modifications supersede the 2022 Supplement to the 2020 VDOT Road and Bridge Specifications as well as the 2020 VDOT Road and Bridge Specifications.

DIVISION I SECTION 102 – BIDDING REQUIREMENTS AND CONDITIONS

DIVISION I SECTION 103 – AWARD AND EXECUTION OF CONTRACTS

DIVISION I SECTION 105 – CONTROL OF WORK

DIVISION I SECTION 106 – CONTROL OF MATERIAL

DIVISION I SECTION 107 – LEGAL RESPONSIBILITIES

DIVISION I SECTION 108 – PROSECUTION AND PROGRESS OF WORK

DIVISION I ADDITIONAL – TAXES

DIVISION III SECTION 303 – EARTHWORK

DIVISION III SECTION 310 – TACK COAT

DIVISION III SECTION 311 – PRIME COAT

DIVISION III SECTION 312 – SEAL COAT

DIVISION III SECTION 314 – PENETRATION SURFACE COURSES

DIVISION III SECTION 315 – ASPHALT CONCRETE PAVEMENT

DIVISION V SECTION 502 – INCIDENTAL CONCRETE ITEMS

DIVISION V SECTION 510 – RELOCATING OR MODIFYING EXISTING

MISCELLANEOUS ITEMS

DIVISION V SECTION 512 – MAINTAINING TRAFFIC

DIVISION V SECTION 517 – CONTRACTOR CONSTRUCTION SURVEYING

DIVISION VII SECTION 704 - PAVEMENT MARKINGS AND MARKERS

SUPPLEMENTAL SPECIFICATION FOR LIGHTING [P 236-237]

SUPPLEMENTAL SPECIFICATION FOR REMOVE EXISTING CONDUCTOR CABLE [P 238]

APPENDIX OF ADDITIONAL BID AND CONTRACT DOCUMENT [Pages 239+Attachments]

DRAFT QUALITY ASSURANCE PLAN

APPROVED CONSTUCTION PLANS (51 sheets, 24"x 36”) [under separate cover] http://www.virginiadot.org/business/const/spec-default.asp

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NOTICE OF ADVERTISEMENT: IFB 27-032-2647

PROJECT: CONSTRUCTION OF NEW SIDEWALK WITH PEDESTRIAN FACILITIES ON

POINDEXTER STREET I-464 OVERPASS

STATE PROJECT #0464-131-933, C501; UPC # 121866

FEDERAL PROJECT: FHWA 534 DATA NO. 44028

CITY AC #18-17-44230

LOCATION: City of Chesapeake, Virginia DATE: July 30, 2026

The project was developed under UPC 121866, State Project Number 0464-131-933, C501, Federal Project: FHWA 534, DATA NO. 44028.

The Work under this Project consists of the construction of a new 5-ft.-wide sidewalk with pedestrian facilities along the south side of Poindexter Street at the I-464 overpass. The new sidewalk will connect on the west end to the existing sidewalk at the signal for the South Norfolk Jordan Bridge and will connect on the east end to the existing sidewalk at the intersection of Poindexter Street and Bainbridge Boulevard. This project will also include the installation of new pedestrian railing on the bridge over I-464 and the installation of new streetlights along the project limits.

The City of Chesapeake has transitioned to a new E-Procurement solution (OpenGov) for publishing solicitations and receiving vendor responses. Bid responses are to be submitted electronically exclusively via the City of Chesapeake OpenGov Procurement Portal https://procurement.opengov.com/portal/cityofchesapeakeva.

All bids must be submitted electronically via OpenGov E-Procurement website. Bids submitted by any other method will not be accepted.

The City of Chesapeake will receive bids for the above-named project until 2:00 PM local time on Tuesday, September 22, 2026. Bids must be submitted electronically via the City’s OpenGov E-Procurement website https://procurement.opengov.com/portal/cityofchesapeakeva/projects/288566. Any responses received after the specified time and date will not be considered. Offerors shall upload the ENTIRE SIGNED AND COMPLETED BID ON THE OPENGOV E-PROCUREMENTWEBSITE LOCATED here https://procurement.opengov.com/portal/cityofchesapeakeva/projects/288566.

Submitted Bids will be opened virtually via Zoom and bid tabs available at a later time online via the City’s Purchasing Division OpenGov E-Procurement website. The Zoom link for the bid will be sent through an OpenGov notification prior to the bid opening.

Bid Documents may be examined at the Department of Public Works, City of Chesapeake, located at 306 Cedar Road between the hours of 8 a.m. and 5 p.m.

Questions regarding this solicitation must be submitted in writing through the OpenGov E-Procurement Question/Answer Tab via the City’s OpenGov E-Procurement portal by 5:00 p.m., Thursday, August 20, 2026.

Refer to City of Chesapeake website at https://www.cityofchesapeake.net/941/Current-Solicitations or the City of Chesapeake OpenGov Procurement Portal.https://procurement.opengov.com/portal/cityofchesapeakeva. for more information. It shall be the responsibility of the prospective bidder to monitor the City’s website for published addenda and to have all addenda signed by an authorized representative of the company. All fully executed addenda must be returned to the city along with the signed bid.

This project shall be constructed in accordance with: the Virginia Department of Transportation Road and Bridge Specifications, dated 2020, update per 2022 supplement; and the Virginia Department of https://procurement.opengov.com/portal/cityofchesapeakeva https://www.cityofchesapeake.net/941/Current-Solicitations https://procurement.opengov.com/portal/cityofchesapeakeva

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Transportation Road and Bridge Standards, dated 2016; the 2011 Virginia Work Area Protection Manual, with Revision 2.1 dated November 1, 2020; the 2009 edition of the MUTCD with Revisions dated July 2022; and Supplemental Specifications, Special Provisions and Special Provision Copied Notes in this contract; Chesapeake Public Facilities Manual and Hampton Roads Reginal Construction Standards as they are referenced in the bid items table.

Bid Security in the amount of five percent (5%) of the Bid shall be submitted with each Bid.

Contractor registration in accordance with Title 2.2 Chapter 43, Code of Virginia is required.

The Bidder shall provide the following notation upon award of the contract:

"Licensed Virginia Contractor No.

" (issued to contractor by DPOR)

"State Corporation Commission Registration No. "

(issued to contractor by the SCC)

This project is administered by the City of Chesapeake through the Urban Construction Initiative program. Contractors and Subcontractors are required to be prequalified in accordance with VDOT Road and Bridge Specifications, Section 102.01, including applicable supplemental specifications and special provisions.

Withdrawal of Bids due to error shall be subject to and in accordance with Section 54-63(5) of the Chesapeake City Code and the Contract Documents.

The Owner reserves the right to reject any and all Bids and to waive any minor non-substantive errors in the Bid.

The City of Chesapeake does not discriminate in the solicitation or awarding of contracts on the basis of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state or federal law. VDOT recommends a Disadvantaged Business Enterprise goal of Zero percent (0%).

By: City of Chesapeake Department of Public Works.

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EXAMPLE PRE-BID QUESTION FORM

DATE:

NAME:

COMPANY:

SPECIFICATION SECTION PARAGRAPH

Questions regarding this solicitation must be submitted through the OpenGov E- Procurement Question/Answer Tab via the City’s OpenGov E-Procurement portal by 5:00 p.m., Thursday, August 20, 2026.

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BID PROPOSAL

Bid Form

Certification Regarding Debarment

Non-Collusion Affidavit

Certification of Compliance with Immigration Laws and Regulations

Litigation Disclosure Form

State Corporation Commission Identification Number

Proposal Guaranty (VDOT FORM C-24 Modified City of Chesapeake Obligee)

Subcontractors/ Supplier Solicitation and Utilization Form – omit answers to questions regarding gender and ethnicity (VDOT FORM C-48)

DBE Policy Statement

DBE Good Faith Efforts Documentation (VDOT FORM C-49)

Bidder Statement Federally Funded Projects (VDOT FORM C-104)

Bidder Certification Federally Funded Projects (VDOT FORM C-105)

Minimum DBE Requirements (VDOT FORM C-111)

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BID FORM IFB 27-032-2647

Bids Due: 2:00 p.m., Tuesday, September 22, 2026

Contract time limit 460 Calendar Days

Performance Bond: 100% Payment Bond: 100%

Bid Security: 5%

To: Department of Public Works

306 Cedar Road

Chesapeake, Virginia

A. BID PROPOSAL

In compliance with the Contract Documents, titled Poindexter Street Sidewalk, STATE PROJECT

#0464-131-933,C501; UPC # 121886 FEDERAL PROJECT: FHWA 534 DATA NO. 44028 and all addenda issued to date all of which are part of this Bid, the undersigned hereby proposes to furnish all items including materials, supervision, labor, and equipment in strict accordance with, said Contract

Documents, for the total base sum of:

SEE NEXT PAGE

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CONSTRUCTION OF NEW SIDEWALK WITH

PEDESTRIAN FACILITIES ON POINDEXTER

STREET I-464 OVERPASS

IFB 27-032-2647

CITY AC # 18-17-44230

STATE PROJECT # 0464-131-993, C501; UPC # 121866 FEDERAL PROJECT:

FHWA 534 DATA NO. 44028

SUBMIT PRICING WITHIN THE OPENGOV PLATFORM, DO NOT SUBMIT

PRICING ON THIS FORM

NO. Spec Source ITEM QTY. UNIT. UNIT PRICE IN Figures

TOTAL ITEM PRICE IN

FIGURES

ROADWAY

1 513 MOBILIZATION 1 LS

2 517 CONSTRUCTION SURVEYING (CONSTR.) 1 LS

3 301 CLEARING AND GRUBBING 1 LS

4 515 FLEXIBLE PAVEMENT PLANING 0"-2" 2,489 SY

5 508 DEMOLITION OF PAVEMENT 400 SY

6 510 REMOVE COMB. CURB AND GUTTER 80 LF

7 510 REMOVE EXIST. CURB 340 LF

8 315 ASPHALT CONCRETE TY. SM - 9.5D 347 TON

9 315 ASPHALT CONCRETE TY. BM-25.0A 57 TON

10 308 AGGR. BASE MATL. TY. I NO. 21B 145 TON

11 303 REGULAR EXCAVATION 165.74 CY

12 305 BORROW EXCAVATION 327.11 CY

13 303 GEOTEXTILE FABRIC 212.00 SY

14 502 CURB CG-2 480.00 LF

15 502 CURB CG-3 216.00 LF

16 502 COMB. CURB & GUTTER CG‐6 37.00 LF

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17 504 CG-12 DETECTABLE WARNING SURFACE 14.45 SY

18 504 HYDR. CEMENT CONC. SIDEWALK 4" 674.00 SY

19 505 FIXED OBJECT ATTACH. GR-FOA-5 2 EA

20 505 GUARDRAIL GR-MGS1, 9' POST 250 LF

21 505 GUARDRAIL HEIGHT TRANSITION GR-MGS4 2 EA

22 505 REMOVE EXISTING GUARDRAIL 403.00 LF

23 504 VDOT STD HR-1, TYPE II 13.00 LF

24 302 CLASS A-3 CONCRETE MISC FOR RETAINING WALL 12.00 CY

SIGNING AND PAVEMENT MARKINGS

25 700,701, CITY MOD INSTALL, REMOVE, DISPOSE, SALVAGE, RELOCATE

SIGNS, POSTS, AND FOUNDATIONS

1 LS

704 PAVEMENT LINE MARKING 4", TYPE B CLASS I 2,620.00 LF

27 704 PAVEMENT LINE MARKING 6", TYPE B CLASS I 160.00 LF

28 704 PAVEMENT LINE MARKING 24", TYPE B CLASS I 98.00 LF

29 704 CONTRAST PAVEMENT LINE MARKING 4", TYPE B

CLASS VI

1,287.00 LF

30 704 SYMB MRKG DBL TURN ARR LT/RT TY.B CL I 2 EA

31 704 PVMT MESSAGE MARK ONLY 2 EA

EROSION AND SEDIMENT CONTROL

32 602, 603, CITY MOD TOPSOIL, FERTILIZER, SEED AND MULCH 1 LS

33 303, CITY MOD EROSION AND SEDIMENT CONTROL AND

MAINTENANCE

1 LS

TRAFFIC SIGNALIZATION

34 700, CITY MOD TRAFFIC SIGNAL 1 LS

MISC. DEMOLITION ITEMS

35 REMOVE FENCE 1 LS

MAINTENANCE OF TRAFFIC

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36 512, CITY MOD MAINTENANCE OF TRAFFIC 1 LS

DRAINAGE AND STORM WATER MANAGEMENT

37 302 Storm Sewer Pipe 15" 27 LF

38 302 DI-3B, L=14' 1 EA

39 302 DI-3B, L=12 2 EA

40 302 DI-3B MOD, L=10' 1 EA

41 302 EW-1 ENDWALL, 15" 2 EA

42 302 VDOT PG-4 FLUME 2 EA

STREET LIGHTING

43 Supp, VDOT 700 BRIDGE AND STREET LIGHTING 1 LS

BRIDGE (STA 22+60 to 26+75)

44 404 Concrete Low Shrinkage Class A4, Mod. 113.8 CY

45 504 A-3 Concrete 6” Thick (Approach) 37 SY

46 410 Railing, CPSR 2 Rails 411 LF

47 406 Corrosion Resistant Reinforcing Steel, Class II 6924 LBS

48 410 NS Pedestrian Fence 415 LF

49 512 Temp. Barrier Service Conc. Single Face 465 LF

50 420 Adhesive Based Joint Sealer, Class III 1" 12 LF

51 420 Adhesive Based Joint Sealer, Class III 2" 24 LF

52 510 NS Dismantle and Remove Portion of Structure 131-

1 LS

53 700 Bridge Conduit System 131-1876 1 LS

54 412 Environmental Protection and Health and Safety 1 LS

TOTAL BASE BID

SUBMIT PRICING

IN OPENGOV

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Bidder acknowledges that estimated quantities are not guaranteed and are solely for the purpose of comparison of Bids, and final payment for all Unit Price Bid items will be based on actual quantities provided, determined as provided in the Contract Documents. The prices quoted shall include without exception all materials, supervision, labor, equipment, appliances, clean-up, incidental items, applicable sales, use and other taxes, insurance, building permit or fees, and the Contractor's labor, overhead, profit, mobilization and other mark-ups, and in full accordance with the Contract Documents. Include allowance for waste where appropriate. All materials and manufacturers must be approved by VDoT Materials Division and must be listed on pre-approved lists.

The unit prices shall be maintained throughout the Contract Time.

* Erosion & Sedimentation Control includes all measures required by law not limited to the Virginia Erosion and Sedimentation Handbook, MS- 14 and the Nationwide Permit. Any waters of the U.S., including wetlands, that will not be impacted under this permit and that are located within 50 feet of any proposed clearing, excavation, or other construction activities must be clearly marked in the field with 4-foot-high orange fencing prior to commencing work onsite to ensure that additional stream/wetland areas are not inadvertently impacted during construction.

SUBMIT PRICING WITHIN THE OPENGOV PLATFORM, DO NOT SUBMIT PRICING ON THIS FORM

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B. ADDENDA

The undersigned acknowledges receipt of the following addenda:

Addendum No. Dated:

Addendum No. Dated:

Addendum No. Dated:

C. It is expressly agreed by us that the City of Chesapeake, Virginia, shall have the right to reject any and all Bids and to waive any minor non-substantive errors in the Bid. Award shall be based on the lowest responsive and responsible bid for Base Bid.

D. Attached is a bond conforming to the requirements of the current Road and Bridge Specifications, it being understood that such bond is to be forfeited as liquidated damages if, upon acceptance of the terms of this proposal, I/we fail to execute the contract and furnish bond as provided in the current Road and Bridge Specifications.

E. I/we declare that no other person, firm or corporation is interested in this proposal.

F. I/we have carefully examined the plans, job specifications, current Road and Bridge Specifications, and all other documents pertaining thereto and thoroughly understand the contents thereof.

G. This project is administered by the City of Chesapeake through the Urban Construction Initiative program.

Contractors and/or Subcontractors are required to be prequalified in accordance with VDOT Road and Bridge Specifications, Section 102.01.

H. I/we understand that the plans and current Road and Bridge Specifications are a part of this proposal; that all of the quantities shown herewith are a part of this proposal; that all the quantities shown herewith are approximate only.

I. I/we have examined the location of the proposed work and source of supply of materials.

J. I/we agree to bind myself/ourselves upon award of the City of Chesapeake, Virginia under this proposal to a contract with necessary surety bond to start work within 30 days of notification of the contract execution or as excepted by other contract language permitted by project specifications, and to complete all work in accordance with the plans, job specifications and current Road and Bridge Specifications within the time limit set forth in the contract.

K. CONTRACTOR'S REGISTRATION

Registered Virginia Contractor Class and No.

Registration Expires

(NOTE: CONTRACTOR’S REGISTRATION NUMBER IS REQUIRED WITH AWARD OF THE PROJECT.)

L. STATE CORPORATION COMMISSION IDENTIFICATION NUMBER:

Pursuant to Code of Virginia, §2.2-4311.2 subsection B, a bidder or offeror organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 is required to include in its bid or proposal the identification number issued to it by the State Corporation Commission (SCC). Any bidder or offeror that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 or as otherwise required by law is required to include in its bid or proposal a statement describing why the bidder or offeror is not required to be so authorized.

SCC Identification Number: ________________________________

(REQUIRED)

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M. SIGNATURE

Contractor

Signed

Date

Title

NOTE: If Bidder is a corporation, write state of incorporation under signature. VENDOR/FIN#

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MAILING ADDRESS, TELEPHONE NUMBER AND EMAIL ADDRESS OF BIDDER:

IF CORPORATION, PROVIDE NAME AND MAILING ADDRESS AS REQUIRED BELOW:

PRESIDENT SECRETARY TREASURER

IF PARTNERSHIP, PROPRIETORSHIP, LIMITED LIABILITY COMPANY OR OTHER FIRM,

PROVIDE NAME AND MAILING ADDRESS OF EACH PARTNER, PROPRIETOR, OR MEMBER

OF FIRM.

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CERTIFICATION REGARDING DEBARMENT

This is to certify that this person/firm/corporation is not now debarred by the Federal Government or by the Commonwealth of Virginia or by any other state, or by any town, city, or county, from submitting Bids on contracts for construction covered by this solicitation, nor are they an agent of any person or entity that is now so debarred.

Name of Official

Title

Firm or Corporation

Date

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NON-COLLUSION AFFIDAVIT

Chesapeake, Virginia project CONSTRUCTION OF NEW SIDEWALK WITH PEDESTRIAN

FACILITIES ON POINDEXTER STREET I-464 OVERPASS

The Work under this Project consists of: the construction of a new 5-ft.-wide sidewalk with pedestrian facilities along the south side of Poindexter Street at the I-464 overpass. The new sidewalk will connect on the west end to the existing sidewalk at the signal for the South Norfolk Jordan Bridge and will connect on the east end to the existing sidewalk at the intersection of Poindexter Street and Bainbridge Boulevard. This project will also include the installation of new pedestrian railing on the bridge over I-464 and the installation of new streetlights along the project limits.

Bid Date: _______________

COMMONWEALTH OF VIRGINIA

City of Chesapeake

This day personally appeared before the undersigned, a Notary Public in and for the City and

State aforesaid, who having been first duly sworn according to law, did depose and aver as follows:

(a) That he/she is (Owner, Partner, President, etc.)

of (insert name of Bidder)

(b) That he/she is personally familiar with the Bid of

(Insert Company Name) submitted in connection with the above captioned Owner’s project.

(c) That said Bid was formulated and submitted in good faith as the true bid of said Bidder.

1. In preparation and submission of this Bid, the Bidder did not either directly or indirectly, enter into any combination or agreement with any person, firm or corporation or enter into any agreement, participate in any collusion, or otherwise take any action in the restraint of free, competitive bidding in violation of the Sherman act (15 U.S.C. Section 1) or sections 59.1-9.1 through 59.1-9.17 or sections 59.1-

68.6 through 59.1-68.8 of the Code of Virginia.

2. The undersigned Bidder hereby certifies that neither this Bid nor any claim resulting therefrom, is the result of, or affected by, any act of collusion with, or any act of another person or persons, firm or corporation engaged in the same line of business or commerce; and that no person acting for or employed by the Owner has any personal interest in this Bid.

3. The undersigned hereby further agrees that upon request of the Owner, the records and books pertaining to this Bid will be voluntarily supplied, furnished, and released to the Owner. The undersigned hereby further certifies that the Bidder has not knowingly falsified, concealed, misled, or covered up by any trick, scheme, or device a material fact in connection with this bid. The undersigned also certifies that the Bidder has not made any false, fictitious or fraudulent statements or representations or made or used any false writing or documents knowing the same to contain any

------------------------------------ 18 ------------------------------------false, fictitious or fraudulent statement or entry in connection with this Bid.

4. The undersigned further agrees that the Bidder will comply with section 2.2-4374 of the Code of Virginia, 1950, as amended, and has not bought or purchased any equipment from any person employed by the Owner as an independent contractor to furnish architectural or engineering services for this Project, nor from any partnership, association or corporation in which such architect or engineer has a pecuniary interest.

5. The undersigned fur t her a g r e e s t o i n f o r m and require compliance by the following persons and entities with this anti-collusion statement as a condition of payment: all subcontractors, consultants, subconsultants, or any person, corporation, or legal entities that provide or furnish labor, material, equipment, or Work related to this project.

6. All Covenants and Agreements made by the Contractor are made by it on behalf of the Contractor and its successors, personal representatives and assigns, the same as if they had been specifically named in each instance.

And further this deponent saith not.

Name of Company/Bidder

Title (Owner, Partner, President)

Subscribed and sworn to before me this day of , 20___

He/She is personally known to me or has produced as identification.

My commission expires: , 20

Notary Public

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CERTIFICATION OF COMPLIANCE WITH IMMIGRATION

LAWS AND REGULATIONS

Section 54-72.2 of the Chesapeake City Code requires that any person or entity doing business with the City of Chesapeake, including its boards and commissions, shall include a sworn certification by the contractor or vendor of compliance with all federal immigration laws and regulations. These laws include the Federal Immigration Reform and Control Act, which makes it unlawful for a person or other entity to hire, recruit or refer for a fee for employment in the United States, an alien knowing the alien is unauthorized, and Section 40.1-11.1 of the Code of Virginia, which makes it unlawful for any employer to knowingly employ an alien who cannot provide documents indicating that he or she is legally eligible for employment in the United States. The state law, in particular, places an affirmative duty on employers to ensure that aliens have proof of eligibility for employment.

Accordingly this certification shall be completed and attached to all contracts and agreements for goods and services made by the City of Chesapeake or any of its boards and commissions. Failure to attach a completed certification shall render the contract or agreement void. A copy of the fully executed certification may be attached if an original certification is on file with Procurement for the current fiscal year.

Type or print legibly when completing this form.

1. Legal Name of Contractor:

(Note: This is your name as reported to the IRS. This should match your Social Security card or Federal ID Number.)

2. Type of Business Entity:

A. Sole proprietorship (Provide full name and address of owner):

B. Limited Partnership (Provide full name and address of all partners):

C. General Partnership (Provide full name and address of all partners):

D. Limited Liability Company (Provide full name and address of all managing members):

E. Corporation (Provide full name and address of all officers):

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3. Doing Business As:

If Applicable (Note: This is the name that appears on your invoices but is not used as your reporting name.)

4. Name and Position of Person Completing this Certificate:

5. Physical Business Address:

6. Primary Correspondence Address (If different from physical address):

7. Number of Employees:

8. Are all Employees Who Work in the United States Eligible for Employment in the United States?

YES: NO:

Under penalties of perjury, I declare on behalf of the contractor/vendor listed above that to the best of my knowledge and based upon reasonable inquiry, each and every one of the contractor’s/vendor’s employees who work in the United States are eligible for employment in the United States as required by the Federal Immigration Reform and Control Act of 1986 and Section 40.1-11.1 of the Code of

Virginia. I further declare on behalf of the contractor/vendor that it shall use due care and diligence to ensure that all employees hired in the future who will work in the United States will be eligible for employment in the United States. I affirm that the information provided herein is true, correct, and complete.

------------------------------------ 21 ------------------------------------

Sworn this day of _, 202__ on behalf of as evidenced by the following signature and seal:

Name of Contractor/Vendor:

Printed Name of Signatory:

Signature:

Date:

STATE OF _____________________:

CITY/COUNTY OF_______________, to-wit:

The foregoing instrument was acknowledged before me this day of , 202__, by_________________________. He/She □ is personally known to me or □ or has produced

____________________________________________ as identification.

Registration No.:

My commission expires:

------------------------------------ 22 ------------------------------------

LITIGATION DISCLOSURE FORM

Respond to each of the questions below by checking the appropriate box. Failure to fully and truthfully disclose the information required by this Litigation Disclosure Form may result in the disqualification of your bid or proposal from consideration or termination of the contract once awarded. For purposes of this disclosure form, “you” means the individual or entity in whose name the bid or proposal is submitted.

1. Have you or any principal, officer or director of your company, or any individual who will be assigned to work under any contract awarded pursuant to this solicitation, been convicted of a felony, or a misdemeanor involving moral turpitude, during the last ten (10) years?

Yes □ No □

2. Have you or any principal, officer or director of your company, or any individual who will be assigned to work under any contract awarded pursuant to this solicitation, been terminated from any work being performed for the City of Chesapeake or any other governmental entity in the Commonwealth of Virginia during the last ten (10) years?

Yes □ No □

3. Have you or any principal, officer or director of your company, or any individual who will be assigned to work under any contract awarded pursuant to this solicitation, been involved in any claim or litigation with the City of Chesapeake or any other governmental entity in the Commonwealth of Virginia during the last seven (7) years?

Yes □ No □

4. Has any parent company or wholly owned subsidiary of your company been involved in any claim or litigation with the City of Chesapeake or any other governmental entity in the Commonwealth of Virginia during the last seven (7)?

Yes □ No □

If you answered “Yes” to any of the above questions, please state the name(s) of the person(s), the nature, and the status and/or outcome of the conviction, termination, claim or litigation, as applicable. Any such information should be provided on a separate page attached to this form and submitted with your bid or proposal.

------------------------------------ 23 ------------------------------------

VIRGINIA STATE CORPORATION COMMISSION (SCC)

REGISTRATION INFORMATION FORM

AUTHORIZATION TO CONDUCT BUSINESS IN THE COMMONWEALTH: A contractor organized as a stock or non-stock corporation, limited liability company, business trust, or limited partnership or registered as a registered limited liability partnership shall be authorized to transact business in the Commonwealth as a domestic or foreign business entity if so required by Title 13.1 or Title 50 of the Code of Virginia or as otherwise required by law. Any business entity described above that enters into a contract with a public body pursuant to the Virginia Public Procurement Act shall not allow its existence to lapse or its certificate of authority or registration to transact business in the Commonwealth, if so required under Title

13.1 or Title 50, to be revoked or cancelled at any time during the term of the contract. A public body may void any contract with a business entity if the business entity fails to remain in compliance with the provisions of this section.

Pursuant to Code of Virginia, §2.2-4311.2 subsection B, a bidder or offeror organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 is required to include in its bid or proposal the identification number issued to it by the State Corporation Commission (SCC). Any bidder or offeror that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 or as otherwise required by law must indicate by selecting one of the following reasons why the bidder or offeror is not required to be so authorized:

is a corporation or other business entity with the following SCC identification number: _________________

OR-

is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust -

OR-

is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the bidder in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from bidder’s out-of-state location) -

OR-

is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned bidder’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

OR-

If the business entity has not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (The City of Chesapeake reserves the right to determine in its sole discretion whether to allow such waiver).

------------------------------------ 24 ------------------------------------

Form C-24 Rev. 7-6-05

CITY OF CHESAPEAKE

PROPOSAL GUARANTY

KNOW ALL MEN BY THESE PRESENTS, THAT WE As principal, and Surety, are held and firmly bound unto the

Commonwealth of Virginia City of Chesapeake as obligee, in the amount of FIVE PERCENT OF THE

DOLLAR VALUE OF THE BID, lawful money of the United States of America, for the payment of which, well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally and firmly by these presents.

SIGNED, sealed and dated this Day of , 20

WHEREAS, the above-said principal is herewith submitting its proposal for:

PROJECT NUMBER: IFB 27-032-2647

NOW, THEREFORE, the condition of the above obligee is such, that if the aforesaid principal shall be awarded the contract upon said proposal and shall within the time specified in the Specifications after the notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void; otherwise to remain in full force and effect and the principal and surety will pay unto the obligee the difference in money between the amount of the bid of the said principal and the amount for which the obligee may legally contract with another party to perform the said work if the latter amount be in excess of the former; but in no event shall the liability exceed the penal sum hereof.

(Principal*) (Surety Company)

By: By:

(Officer, Partner or Owner) (Seal) (Attorney-in-Fact**) (Seal)

(Principal*) (Address)

(Officer, Partner or Owner) (Seal) (Surety Company)

(Principal*) (Attorney-in-Fact**) (Seal)

(Officer, Partner or Owner) (Seal) (Address)

*Note: If the principal is a joint venture, each party thereof must be named and execution made by same hereon. If there is more than one surety to the bid bond, each surety must be named and execution shall be made by same hereon.

**Attach copy of Power of Attorney

------------------------------------ 25 ------------------------------------

Form C-48 Rev. 2-23-11

CITY OF CHESAPEAKE

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION FORM

(ALL BIDDERS)

PROJECT NO. CONTRACT I.D. NO. 27-032-2647

FHWA NO. DATE SUBMITTED

All bidders, including DBEs bidding a s Prime Contractors, shall complete an d submit the following information as requested in this form within ten (10) business days after the opening of bids.

The bidder certifies this form accurately represents its solicitation and utilization or non-utilization, as indicated, of the firms listed below for performance of work on this contract. The bidder also certifies he/she has had direct contact with the named firms regarding participation on this project.

BIDDER SIGNATURE

TITLE

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION (ALL)

VENDOR

NUMBER

NAME OF SUBCONTRACTOR/SUPPLIER

TELEPHONE

NUMBER

DBE OR

NON-DBE

UTILIZED

(Y/N)

NOTE: ATTACH ADDITIONAL PAGES, IF NECESSARY.

BIDDER MUST SIGN EACH ADDITIONAL SHEET TO CERTIFY ITS CONTENT AND COMPLETION OF FORM.

------------------------------------ 26 ------------------------------------

DBE POLICY STATEMENT

It is the policy of the Virginia Department of Transportation that Disadvantaged Business Enterprises

(DBE) as defined in 49 CFR Part 26 must have the maximum opportunity to participate in the performance of federally funded contracts. A list of DBE firms certified by the SBSD and MWAA is maintained on SBSD’s website (http://www.SBSD.virginia.gov) under the DBE Directory of Certified

Vendors. Contractors/consultants are encouraged to take all necessary and reasonable steps to ensure that DBE firms have the maximum opportunity to compete for and perform services on contract, including participation in any subsequent supplement contracts. If the contractor/consultant intends to subcontract a portion of the services on the project, the contractor/consultant is encouraged to seek out and consider DBEs as potential Sub-contractors/sub-consultants. The contractor/Sub-contractor is encouraged to contact DBEs to solicit their interest, capability and qualifications. Any agreement between a contractor/consultant and a DBE whereby the DBE promises not to provide services to other contractors/consultants is prohibited.

The DBE contract goal for this procurement is 0%

If portions of the services are subcontracted to DBE, the following needs to be submitted with the bid:

Written documents of the prime’s commitment to the DBE to subcontract a portion of the services, a description of the services to be performed and the percent of participation. (See Section 17.3.4 for required forms)

Written confirmation from the DBE that is participating, including a description of the services to be performed and the percent of participation. (See Section 17.3.4 for required forms)

LAP Manual Civil Rights Requirements 17-16 February 2018 http://www.sbsd.virginia.gov/

------------------------------------ 27 ------------------------------------

PROJECT:

FHWA:

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

Form C-104 Rev. 7-13-05

This form must be completed, signed and returned with bid; and failure to do so may result in the rejection of your bid. THE CONTRACTOR SHALL AFFIRM THE FOLLOWIN G STATEMENT EITHER BY SIGNING

THE AFFIDAVIT AND HAVING IT NOTARIZED OR BY SIGNING THE UNSWORN DECLARATION

UNDER PENALTY OF PERJURY U NDER THE LAWS OF THE UNITED STATES. A SEP ARATE FORM

MUST BE SUBMITTED BY EACH PRINCIPAL OF A JOINT VENTURE BID.

STATEMENT, In preparation and submission of this bid, I, t h e firm, corporation or officers, agents or employees thereof did not, either directly or indirectly, enter into any combination or arrangement with any persons, firm or corporation or enter into any agreement, participate in any collusion, or otherwise take any action in the restraint of free, competitive bidding in violation of the Sherman Act (15 U.S.C . Section 1) or Article 1.1 or Chapter 12 of Title 18 .2 (Virginia Governmental Frauds Act), Sections 59.1-9.1 through 59.1-

9.17 or Sections 59.1-68.6 through 59.1-68.8 of the Code of Virginia.

AFFIDAVIT

The undersigned is duly authorized by the bidder to make the foregoing statement to be filed with bids submitted on behalf of the bidder for contracts to be let by the Commonwealth Transportation Board.

Signed at , this day of 202__

____________ County (City), STATE

By:

(Name of Firm) (Signature) Title (print)

STATE of COUNTY (CITY) of To-wit:

I , a Notary Public in and for the State and

County(City) aforesaid, hereby certify that this day personally appeared before me and made oath that he is duly authorized to make the above statements and that such statements are true and correct.

Subscribed and sworn to before me this day of , 20

My Commission expires Notary Public

OR

UNSWORN DECLARATION

The undersigned is duly authorized by the bidder to make the foregoing statement to be filed with bid s submitted on behalf of the bidder for contracts to be let by the Commonwealth Transportation Board.

Signed at , this day of , 202__

County (City), STATE

By:

(Name of Firm) (Signature) Title (print)

------------------------------------ 28 ------------------------------------

PROJECT:

FHWA:

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

AFFIDAVIT

Form C-105 Rev. 7-13-05

This form must be completed, signed, notarized and returned with bid; and failure to do so, may result in the rejection of your bid. A separate form must be submitted by each principal of a joint venture bid.

1. I, the firm, corporation or officers, agents or employees thereof have neither directly nor indirectly entered into any combination or arrangement with any person, firm or corporation or entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with such contract, the effect of which is to prevent competition or increase the cost of construction or maintenance of roads or bridges.

During the preceding twelve months, I (we) have been a member of the following Highway Contractor's Associations, as defined in Section 33.1-336 of the Code of Virginia (1970). (If none, so state).

NAME Location of Principal Office

2. I (we) have , have not , participated in a previous contract or subcontract subject to the equal opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that I/We have , have not , filed with the joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements.

Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor [41 CFR 60-1.7(b)(1)] and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally, only contract or subcontracts of $10,000 or under are exempt.)

Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations.

Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contract and subcontract unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor.

(Continued)

------------------------------------ 29 ------------------------------------

(Name of Firm) (Signature) Title (print)

ORDER NO.:

CONTRACT ID. NO.:

27-032-2647

Form C-105

3. The bidder certifies to the best of its knowledge and belief, that it and its principals:

(a) Are n o t presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency;

(b) Have not within a three year period preceding this proposal been convicted of or had a civil judgement rendered against them for commission of fraud or a criminal offence in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated above; and

(d) Where the bidders is unable to certify to any of the statements in this certification, the bidder shall show an explanation below.

Explanations will not necessarily result in denial of award but will be considered in determining bidder responsibility. For any explanation noted, indicate below to whom it applies, initiating agency, and dates of action. Providing false information may result in federal criminal prosecution or administration sanctions. The bidder shall provide immediate written notice to the Department if at any time the bidder learns that its certification was erroneous when submitted or has become erroneous by reason of change circumstances.

The undersigned is duly authorized by the bidder to make the foregoing statements to be filed with bids submitted on behalf of the bidder for contracts to be let by the Commonwealth Transportation Board.

Signed at , this day of , 20

County (City), STATE

STATE of COUNTY (CITY) of To-wit:

I , a Notary Public in and for the State and

County(City) aforesaid, hereby certify that this day personally appeared before me and made oath that he is duly authorized to make the above statements and that such statements are true and correct.

Subscribed and sworn to before me this day of , 20

My Commission expires

------------------------------------ 30 ------------------------------------

CONTRACT AGREEMENT

Agreement

Additional Insurance Requirements

Certificate of Insurance

Performance Bond (SUPERCEEDS VDOT FORM C-18A)

Payment Bond (SUPERCEEDS VDOT FORM C-18A)

Safety Certification Form

Certification of Binding Agreement with DBE Firms (VDOT FORM C-112)

------------------------------------ 31 ------------------------------------

AGREEMENT

This AGREEMENT dated this ____ day of 20 , by and between the City of Chesapeake, hereinafter called the Owner; and (a corporation, or an unincorporated organization organized and existing under the laws of the State/Commonwealth of or, an individual trading under the above name) hereinafter called the Contractor.

WITNESSETH: The Owner and Contractor, for the consideration stated herein, agree as follows:

A. Scope of Work

The Contractor shall perform all required work and shall provide and furnish all labor, materials, necessary tools, expendable equipment and utility and transportation service and all else required to complete the construction of the CONSTRUCTION OF NEW SIDEWALK WITH PEDESTRIAN FACILITIES ON POINDEXTER STREET I-464 OVERPASS project all in strict accordance with the Contract Documents, the terms of which are incorporated herein by reference.

It is understood and agreed that said labor, materials, tools, equipment and service shall be furnished and said work performed and completed under the direction and supervision of the Contractor and subject to the approval of the Owner or its authorized representative.

The scope of work includes the work required by the Base Bid and does not include any Additive Bid Item, unless otherwise specified in the Notice of Intent to Award.

B. Engineer

The power, duties, and responsibilities conferred hereto to the Engineer shall be construed to be those of the Owner “Municipality” (City of Chesapeake) or the Municipality’s authorized representative.

Where the terms “Department”, “Engineer” and “Contract Engineer” appear in Virginia Department of Transportation Supplemental Specifications, Special Provisions and Special Provision…