BID – PROJECT #900647 PAGE 1 of 4

CITY OF EUGENE

BID

JUNE 16, 2026, 2:00 P.M. PROJECT #900647

BID #14

TO THE CITY ENGINEER BIDDER:___________________

EUGENE, OREGON

The undersigned Bidder declares:

That Bidder has carefully examined and incorporates in this Bid, by this reference all documents included in the Contract Documents and Specifications for this job which includes but is not limited to the Plans, City Standard

Specifications and Standard Drawings, Supplemental Specifications and Special Provisions, and City of Eugene

Amendments #1, #2, #3 and #4, Addenda, Bid Schedule, Prevailing Wage Rates, Contract Form, and Bond Form for

2026 SAFE ROUTES TO SCHOOL:

AWBREY PARK ELEMENTARY PEDESTRIAN ACCESS PROJECT

PUBLIC IMPROVEMENT PROJECT

That Bidder has made an examination of the site of the proposed work and has made such investigations as are necessary to determine the character of the material and the conditions to be encountered, independently of the indication on the plans; and that if the Bid is accepted, Bidder will contract with the City of Eugene as provided in the

Solicitation Document, will to the extent of this Bid, provide the necessary machinery, tools, apparatus, and other means of construction, and will furnish all material and labor as specified, or called for by the Plans or necessary to complete the work in the manner specified and in accordance with the requirements of the Engineer.

The undersigned also agrees that Bidder will commence work and will have the project completed as specified in the Special Provisions and that Bidder will pay as liquidated damages to the City for any delay as specified in the Special Provisions.

BIDDER INFORMATION:

A. Bonds

A Bid guaranty is not required for this project.

The name and business address of the surety company which will furnish the required performance and payment bonds is:

(Name of Surety Company) (Number and Street address) (City / State / Zip)

BID – PROJECT #900647 PAGE 2 of 4

B. Registration

Except for a Bidder on a Federal-Aid project, the Bidder shall have a valid Certificate of Registration with the Construction Contractor Board/State Landscape Contractors Board in order to submit a Bid or offer to undertake any Construction Work in the State of Oregon and shall furnish the Bidder’s registration number and expiration date below. (ORS 279C.365(1)(k), ORS 701.021, ORS 701.026 and ORS 671.530). On a Federal-Aid project, see

00130.40 regarding registration requirements.

REGISTRATION NO. ____________________ EXPIRATION DATE __________________

The undersigned Bidder agrees that all subcontractors performing work on the public improvement Contract will be registered with the Construction Contractors Board or licensed by the State Landscape Contractor’s Board before the subcontractors commence work under the Contract. (ORS 701.021, ORS 701.026 and ORS 671.530).

C. Experience

The information on this form may be utilized by the Agency to consider whether a Bidder has met the standards of responsibility set forth in ORS279C.375.

Current Contracts in Force/Previous Experience – minimum of three required of similar nature with public sector work.

Contract #1

Location (city/state)

Owners Name

Type of Work

% Completed

Estimated Completion Date

Contract #2

Location (city/state)

Owners Name

Type of Work

Contract #3

Location (city/state)

Owners Name

Type of Work

CERTIFICATIONS

Bidder also agrees and certifies to the following:

BID – PROJECT #900647 PAGE 3 of 4

A. Non-Involvement in Any Debarment and Suspension – The Bidder, its owners, directors, principals, and officers:

a. Are not 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 Bid been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense 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 government entity

(Federal, State, or local) with commission of any of the offenses enumerated in the preceding paragraph of this Certification; and

d. Have not within a three-year period preceding this Bid had one or more public transactions (Federal, State, or local) terminated for cause or default.

Where the prospective primary participant is unable to certify to any of the statements in this Certification, the prospective primary participant shall attach an explanation to this Bid.

List exceptions in writing on one or more pages, as necessary, with the heading, “Certification Exceptions, Bid Insert,” and attach all pages to this Bid Certification. For each exception noted, indicate to whom the exception applies, initiating agency, and date(s) of action.

B. The undersigned Bidder acknowledges that the amount of damages City might suffer by reason of a failure to complete the project by the completion date noted above would be difficult or impossible to compute, and therefore agrees that the stipulated amount of liquidated damages set forth in 00180.85 for such delay is a fair and reasonable measure of damages, and therefore Bidder agrees that it will not contest such sum as being other than a true measure of damages in the event of a failure to complete the project by the stipulated completion date.

C. The provisions of ORS 279C.800 to 279C.870 pertaining to prevailing wage rates shall be complied with;

D. Where asbestos abatement is required the abatement shall be done by Department of Environmental Quality certified workers and the abatement shall be performed in conformity with DEQ and OSHA regulations and other standards related to work place safety

E. Bidder is ____ is not ____ a Resident Oregon Bidder, as defined by ORS 279A.120. "Resident Bidder" means a Bidder that has paid unemployment taxes or income taxes in this state during the 12-calendar months immediately preceding submission of the bid, has a business address in this state, and has stated in the bid whether the Bidder is a "Resident Bidder;"

F. Bidder shall comply with and cause its subcontractors to comply with all applicable provisions of federal, state and local statutes, ordinances, rules and regulations

BID – PROJECT #900647 PAGE 4 of 4

The following forms must be also completed, signed and returned with the Bidder’s submission package:

✓ Affidavit of Noncollusion

✓ Certificate of Bidder/Contractor Employee Drug Testing Program

✓ Certificate of Non-Discrimination in Sub-Contracting

✓ Certificate of Compliance with Oregon Tax Laws

✓ Certification of Workers’ Compensation Coverage

✓ Conflict of Interest (COI) Disclosure

✓ Bid Schedule

✓ Acknowledged Addenda (if any issued)

The First-Tier Subcontractor Disclosure Form must be completed, signed and returned within two (2) hours of the Bid Closing:

The Agency may consider any Bid that does not include the mandatory submission forms identified in this section, filled out completely and appropriately endorsed, to be non-responsive. The Agency reserves the right to waive minor informalities and irregularities in determining the responsiveness of individual Bids. Non-responsive

Bids shall not be considered for award.

The full name and residence of all parties and persons interested in this bid as principals are as follows:

NAME RESIDENCE

Submitted by: _______________________________________________________________________

Name of Bidder _______________________________________________________________________

Signature of Authorized Agent ____________________________________________________________

Title _______________________________________________________________________

Business Address of Bidder _______________________________________________________________

Phone ______________________________________________________________________

Email

Date ______________________________________________________________________

FIRST-TIER SUBCONTRACTOR DISCLOSURE STATEMENT

Project Title: 2026 Safe Routes to School: Awbrey Park Elementary Pedestrian Access

Project

Project No. 900647

Bid Closing: Date: June 16, 2026 Time: 2:00 p.m.

Disclosure Deadline: Within two working hours of the bid closing date and time.

Submit the form by:

• An attachment to the Bid using the OregonBuys website (see 00110.05(e)), at the time designated for receipt of Bids;

• Email transmission to the email address Eugene.PWE.Bidding@eugene-or.gov; or

• Fax transmission to 541-682-8410.

Bidders are required to submit a first tier subcontractor disclosure form, substantially as described in ORS 279C.370, within two working hours of the Bid Closing date and time.

BIDDER INFORMATION

Bidder’s Name: ________________________________________________

Contact Person: ________________________________________________

Bidder’s Telephone Number: _________________________________________

List below the Name, Dollar Value, and Category of Work that will be performed by each subcontractor that will be furnishing labor, or labor and materials. Enter “NONE” if there are no subcontractors that need to be disclosed (IF NEEDED, ATTACH ADDITIONAL SHEETS).

Name/Address Dollar Value Category of Work

1) ______________________ _________________________ _______________________

2) ______________________ _________________________ _______________________

3) ______________________ _________________________ _______________________

Name/Address Dollar Value Category of Work

4) ______________________ _________________________ _______________________

5) ______________________ _________________________ _______________________

6) ______________________ _________________________ _______________________

7) ______________________ _________________________ _______________________

8) ______________________ _________________________ _______________________

The above listed first-tier subcontractor(s) will provide labor or labor and materials with a Dollar

Value equal to or greater than:

a) 5% of the total Base Bid amount less deductive alternates, if any, or $15,000, whichever is larger. If the Dollar Value is less than $15,000 do not list the subcontractor above; or

b) $350,000 regardless of the percentage of the total contract price.

FAILURE TO SUBMIT THIS FORM BY THE DISCLOSURE DEADLINE WILL RESULT IN

A BID SUBMITTED BECOMING NON-RESPONSIVE, AND SUCH BIDS SHALL NOT BE

CONSIDERED FOR AWARD.

AFFIDAVIT OF NONCOLLUSION

TO: CITY OF EUGENE, A MUNICIPAL CORPORATION OF THE STATE OF OREGON

STATE OF OREGON )

) SS

COUNTY OF LANE )

(Bidder's Firm Name)

I, the undersigned, as (sole owner) (a partner) (officer of the foregoing corporation) (agent of the above bidder), being first duly sworn on oath, depose and say:

That the attached bid has been arrived at by the bidder, independently, and has been submitted without collusion with, and without any agreement, understanding or planned course of action with, any other contractor, bidder, or vendor on materials, supplies, equipment or services, described in the invitation to bid, designed to limit independent bidding or competition.

The contents of the bid herein presented and made have not been communicated by the bidder or (his) (their) or (its) employees or agents to any person not an employee or agent of the bidder or its surety on any bond furnished with the bid, and will not be communicated to any such person prior to the official opening of the bid.

I have fully informed myself regarding the accuracy of the foregoing statements, and the same are made by me based on my personal information.

I have read and understood the Book of Contract Documents and the Specifications for the attached Bid.

Signature _________________________________

Title _________________________________

Subscribed and sworn before me this __________ day of ____________________________, 20_______.

My commission expires: ______________________ ________________________________________ Notary Public for Oregon

Form #P-07

Certificate of Bidder/Contractor Employee Drug Testing Program

ORS 279C.505(2)

BIDDER’S NAME:

ORS 279C.505(2) provides that every public improvement contract contain a condition that the contractor shall demonstrate that an employee drug testing program is in place. The City’s award of the contract (the “Contract”) for which this certificate is required is conditioned, in part, upon the bidder’s demonstration of compliance with the provisions of ORS 279C.505. If the bidder named above (the “Bidder”) is awarded the Contract, this certificate shall become a part of, and shall constitute a continuing representation and warranty under, the Contract.

To induce the City of Eugene to award the Contract to the Bidder, the undersigned, as the duly authorized representative of the Bidder, hereby represents and warrants, on behalf of the Bidder:

1) That Bidder has and enforces, and at all times during the term of the Contract will have and enforce, a written employee drug testing policy that, at a minimum:

a) Requires pre-employment drug testing;

b) Requires drug testing of an employee when the Bidder has reasonable cause to believe the employee is under the influence of drugs;

c) Requires compliance with the Oregon Department of Transportation Commercial Drivers License drug testing regulations.

2) A copy of the Bidder’s current written employee drug testing policy will be available for inspection by the City at any time upon the City’s request.

3) The Bidder/Contractor understands and agrees that its representations and warranties herein will become a continuing part of the Contract and that breach of any of the foregoing will be sufficient grounds for disbarment under ORS 279C.130.

The City of Eugene shall not be liable, either directly or indirectly, in any dispute arising out of the substance or procedure of Contractor’s drug testing program. Nothing in this drug testing provision shall be construed as requiring Contractor to violate any legal, including constitutional, rights or any employee, including but not limited to, selection of which employees to test and the manner of such testing. The City shall not be liable for Contractor’s negligence in establishing or implementing, failure to establish or implement a drug testing policy, or for any damage or injury caused by Contractor’s employees acting under the influence of drugs while performing work covered by this contract. These are Bidder/Contractor’s sole responsibilities.

In Witness Whereof, the Bidder has caused this document to be executed by its duly authorized representative on the date shown below.

Signature:

Printed Name:__________________________ Title:

Date:

August 2024

CERTIFICATE OF NON-DISCRIMINATION IN

SUB-CONTRACTING

By signature of the authorized representative of the bidder/proposer, it is hereby certified that I/we have not discriminated and will not discriminate, in violation of subsection (1) of ORS 279A.110 against a disadvantaged business enterprise, a minority-owned business, a woman-owned business, a business that a service-disabled veteran owns or an emerging small business in awarding a subcontract.

Contractor Registration Number Name of Contractor (Print)

Date Signature, Member of Firm or Officer of Corporation

Title

Updated 8-2024

CERTIFICATE OF COMPLIANCE WITH OREGON TAX LAWS

By signature of the authorized Bidder, the undersigned hereby certifies under penalty of perjury that the undersigned is authorized to act on behalf of Bidder, that the undersigned has authority and knowledge regarding Bidder’s payment of taxes, and that Bidder is, to the best of the undersigned’s knowledge, not in violation of any Oregon Tax Laws. For purposes of this certification, “Oregon Tax Laws” means a state tax imposed by ORS 320.005 to 320.150 (Amusement Device Taxes), ORS 403.200 to 403.250 (Tax for Emergency Communications), and ORS Chapters 118 (Inheritance Tax), 314 (Income Tax), 316 (Personal Income Tax), 317 (Corporation Excise Tax), 318 (Corporation Income Tax), 321 (Timber and Forestland Tax), and 323 (Cigarettes And Tobacco Products Tax), and any local taxes administered by the Department of Revenue under ORS 305.620.

Contractor Registration Number Name of Contractor (Print)

Date Signature, Member of Firm or Officer of Corporation

Title

CERTIFICATION OF WORKERS’ COMPENSATION COVERAGE

The Contractor, for the purposes of this Contract, hereby certifies that it is currently providing Oregon Workers’ Compensation coverage for all its employees and will maintain coverage throughout the course of the project through one of the following methods:

1. “Carrier-Insured Employer” (State Accident Insurance Fund Corp. or other authorized insurer)

Insurance Company Name ___________________________________

ID/Policy Number___________________________________________

2. “Self-Insured Employer” (Certified by the Workers’ Compensation Division)

ID number as assigned by the Workers’ Compensation Division________________________________

3. I am an independent contractor and will perform all work under this contract without the assistance of others.

In the event of cancellation or change in the information above, Contractor certifies that it will immediately notify the Agency of said cancellation or change and will obtain alternate coverage.

Dated_________________20___

(Contractor’s Signature)

REMINDER - ADDITIONAL INFORMATION NEEDED

Has your insurance carrier filed with Oregon Workers’ Compensation Division a guaranty contract as proof of coverage for your employees working in Oregon?

For filing information, contact the Workers’ Compensation Division at Labor and Industries Building:

Salem, OR 97310; Phone (503) 947-7810.

EUGENE CONFLICT OF INTEREST (COI) DISCLOSURE FORM

Public Improvement Procurements

ORS279C and Eugene Purchasing Regulations Division 49

City of Eugene Public Works Engineering

Project Title

City of Eugene Project No.:

Bid Closing:

Firms proposing to enter into a Contract with the City of Eugene must be in conformance with the City of Eugene Conflict of Interest Guidelines. The COI Guidelines are available at the City of Eugene Standard Specifications for Construction webpage.

Bidders are required to submit the COI Disclosure Form to the Agency as part of their bid.

This COI Disclosure Form must be signed in ink by a principal of the Firm to certify that it is correct. A Firm’s certification that this disclosure form is correct includes the disclosure by its Associates and Subcontractors.

My signature certifies that as disclosure on or attached to the present form:

(a) The Firm’s disclosures are complete, accurate, and not misleading.

(b) The Firm has provided the City of Eugene COI Guidelines to all Associates and Subcontractors (if any) and the present form includes or has attached any required COI disclosures from those sources.

I hereby certify that I am authorized to sign this COI Disclosure Form as a Representative for the Firm identified below:

Bidder Firm’s Legal Name:

Contact Person:

Bidder’s Telephone:

Signature:

Date:

Read questions 1 – 7 on page 2.

☐I have read and complied with the COI Guidelines and the COI Disclosure Form and did not answer “Yes” to any of the questions on page 2. If this box is marked, submit page 1 with the proposal. No additional information is submitted at this time.

If the answer is “Yes” to any of the questions, submit the entire completed and signed COI Disclosure Form with the proposal.

CONFLICT OF INTEREST (COI) DISCLOSURE FORM

Answer all questions “No”, “Yes” or “N/A”. If the answer is “yes” to any question, then use the comments field to explain the response. If you are uncertain about the response to the question, answer “yes” and use the comment field to explain. Information to include in the comments field includes, but is not limited to, furnishing all relevant facts that are necessary to make the response complete, accurate, and not misleading; identifying any actions that must be taken to avoid, neutralize, or mitigate such conflicts of interest.

If the answer is “Yes” to any of the questions, submit page 2 answering all questions “No”, “Yes” or “N/A”. Provide entire form with Proposal submittal.

1. Is any Associate of the Firm a former employees of the Agency within the last two years? ☐Yes If “Yes”, complete and attach the “Relatives and Former Agency Employees – Roles and Signatures” form (Part A and/or B, as applicable).

2. Is any Associate of the Firm a Relative or Member of the Household of a current Agency employee that had or will have any involvement with this Procurement or Contract Authorization? ☐Yes If “Yes”, complete and attach the “Relatives and Former Agency Employees – Roles and Signatures” form (Part A and/or B, as applicable).

3. Does the Firm or any Associate of the Firm have an Actual, Apparent or Potential Conflict Of Interest (“Individual” or “Organizational”) with regard to any known member of an Agency Procurement evaluation or selection team?

☐No ☐Yes Comments: Click here to enter text.

4. Has the Firm or an Associate of the Firm offered to a Public Official, or is the Firm aware of any Public Official that has solicited or received, directly or indirectly, any pledge or promise of employment or other benefit based on the understanding that the Public Official’s vote, official action or judgment would be influenced thereby?

☐No ☐Yes Comments: Click here to enter text.

5. Has (or will) the Firm or an Associate of the Firm provided a direct beneficial financial interest to any person within two years after the person ceased to hold a position as a Public Official who was involved in the Procurement or Authorization for the Contract, or is the Firm aware of any such person or Public Official who has or will receive a direct beneficial financial interest within the two year period?

☐No ☐Yes Comments: Click here to enter text.

6. Is the Firm aware of any current or former Public Official that has an Actual, Apparent or Potential Conflict Of Interest with respect to the Procurement or award of this Contract or performing the work for Agency?

☐No ☐Yes Comments: Click here to enter text.

7. Have Subcontractors or other Associates furnished COI Disclosure Forms, separate from the present form, which included conflicts or potential conflicts of interest? (If “yes”, attach the disclosures.)

☐No ☐Yes ☐N/A (If no conflicts identified) Comments: Click here to enter text.

CONFLICT OF INTEREST (COI) DISCLOSURE FORM

Relatives and Former Agency Employees – Roles and Signatures

Use Part A to list each employee of the Firm that was employed by Agency within the last two years, state the job the employee performed for the Agency, the role the employee now serves for the Firm and the date the employee left Agency. Use Part B for Firm Associates with Relatives or Members of the Household working for Agency that had or will have involvement with this Procurement or Contract.

Part A: Employees that left Agency in the last two years

Employee Name/Signature Job Performed for Agency

Current Role with Firm Date left Agency

Name: ______________________

Sign:________________________

Involved with this Procurement on behalf of Agency? Yes / No (circle one)

Involved with Proposal development for this Procurement? Yes / No (circle one)

Name: ______________________

Sign:________________________

Involved with this Procurement on behalf of Agency? Yes / No (circle one)

Involved with Proposal development for this Procurement? Yes / No (circle one)

Part B: Identify Associates of the Firm that are Relatives or Members of the Household of Agency employees currently working for Agency, if the Agency employee had or will have any involvement with this Procurement of Contract.

Firm Associate’s Name: Name and Relationship of Relative or Member of Household Employed at Agency

Role at Agency Agency employee’s role with this procurement

(Make copies of this form as needed to list additional employees)

Line No

26.00

18.00 TN

7440050 LEVEL 2, 1/2 INCH ACP MIXTURE

2.10 TN

29.80 TN

6400025 AGGREGATE SHOULDER

6410050 3/4-0 AGGREGATE BASE

260.00 SY

3500110 SUBGRADE GEOTEXTILE

1.00 LS

3200050 REMOVE TREE

1.00 LS

2900030 CONSTRUCTION WASTE REUSE RECYLCING (CWRR) REPORT

FT

3.00 EA

2800190 INLET PROTECTION

1.00 LS

2800171 CONCRETE WASHOUT FACILITY

2800130 COMPOST FILTER SOCK

1.00 LS

2800010 EROSION CONTROL

112.00 HR

2230010 FLAGGERS

1.00 LS

2210020 TEMPORARY PEDESTRIAN WORK ZONE TRAFFIC CONTROL, COMPLETE

1.00 LS

2210010 TEMPORARY WORK ZONE TRAFFIC CONTROL, COMPLETE

1.00 LS

2100010 MOBILIZATION

Pay Item No. Description

Quantity Unit Unit Value in $ | Extended Value in $ |

Bid Advertisement Date 6/2/2026

Project Number 900647 Project Name 2026 Safe Routes to School: Awbrey Park Elementary Pedestrian Access Project

BID SCHEDULE

Printed on: 6/1/2026 Page 1 of 3

Pay Item No. Description

Quantity Unit Unit Value in $ | Extended Value in $ |

Bid Advertisement Date 6/2/2026

Project Number 900647 Project Name 2026 Safe Routes to School: Awbrey Park Elementary Pedestrian Access Project

BID SCHEDULE

1.00 EA

9050040 REMOVE AND REINSTALL EXISTING SIGNS

46.00 FT

8690020 CURB MARKINGS, METHYL METHACRYLATE

72.00 SF

8670180 PAVEMENT BAR, TYPE B-HS

1.00 EA

8670180 PAVEMENT LEGEND, TYPE B-HS: SHARED LANE MARKING

3.00 EA

8670145 PAVEMENT LEGEND, TYPE B-HS: PED MARKING

26.00 FT

8650030 THERMOPLASTIC, EXTRUDED, SURFACE, NON-PROFILED

10.00 EA

8550040 BI-DIRECTIONAL YELLOW TYPE 1AR MARKERS

6.00 EA

8550010 MONO-DIRECTIONAL WHITE TYPE 1AR MARKERS

23.30 SF

7590390 TRUNCATED DOMES ON NEW SURFACES

492.70 SF

7590150 CONCRETE WALKS, RAMP, 4 INCH THICK

32.50 EA

7590093 PRE-FABRICATED TRAFFIC SEPARATOR

101.00 FT

7590091 CONCRETE TRAFFIC SEPARATOR

72.00 FT

7590010 CONCRETE CURBS, CURB AND GUTTER

51.10 SY

7480150 6" AC PAVEMENT REPAIR

Printed on: 6/1/2026 Page 2 of 3

Pay Item No. Description

Quantity Unit Unit Value in $ | Extended Value in $ |

Bid Advertisement Date 6/2/2026

Project Number 900647 Project Name 2026 Safe Routes to School: Awbrey Park Elementary Pedestrian Access Project

BID SCHEDULE

00 00

TOTAL BID:

NO CHANGES SHALL BE MADE TO THE PAY ITEM QUANTITIES CONTAINED HEREIN. ANY CORRECTIONS TO THE

BIDDERS' ENTRIES SHALL BE MADE IN INK AND SHALL BE INITIALED BY THE BIDDER.

9900180 ADJUST JUNCTION BOX, MINOR

EA1.00

1,000.00 FA 1 1,000

11200025 IRRIGATION REPAIR/RELOCATION

10.00 FT

10500090 REMOVE AND REBUILD FENCE

1.00 LS

10350010 LAWN SEEDING

45.00 FT

10350010 TREE PROTECTION FENCING

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