ASPHALT CRACK SEAL 2019.pdf

Royal Oak School District

Request for Proposal April 24, 2019

The Royal Oak School District (also referred to the District or ROSD in these documents) will accept sealed bids for:

Asphalt Crack Seal 2019 as described in the attached specifications. There will be no pre-bid conference for this project.

Sealed bids are due no later than 11:00AM Tuesday May 7, 2019.

. Bid documents are available online by going to the District’s web site, www.royaloakschools.org and clicking on District/Departments/Finance and Current Bids. Bidders are encouraged to visit the site.

Sealed bids should be submitted to Ms. Kathy Abela, Royal Oak School District, 800 Devillen, Royal Oak, MI 48073. Bids are to be submitted no later than 11:00AM Tuesday May 7, 2019. The District will not consider or accept a bid received after the date and time specified for bid submission. Bids will be publicly opened immediately following the close of receiving bids. No oral, email, telephonic or telegraphic proposals shall be considered.

The Board of Education reserves the right to accept or reject any or all bids in whole or in part; or, for reasons of establishing uniformity, delivery time or preference, to award the contract to other than the low bidder.

The contents of RFP and Bidder’s (also referred to as Contractor in these documents) Proposal will become contractual obligations, if a contract ensues. Failure of the Bidder to accept these obligations will result in cancellation of the award. Award of a contract by the District is subject to the Contractor executing a Contract, which shall incorporate the contents of this RFP and the Contractor’s Proposal and final approval if the same by the District’s legal counsel.

In compliance with MCL 380.1267, the bid shall be accompanied by a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the board, or the superintendent of the school district. The bid shall also be accompanied by a sworn and notarized statement disclosing whether the bidder is an Iran Linked Business in compliance with PA 517 of 2012. The Board shall not accept a bid that does not include these sworn and notarized disclosure statements.

Certified check or Bid Bond must accompany each proposal by an approved surety company in an amount not less than 5% of the proposal amount. All bids shall be firm for at least sixty (60) days from the date of opening of bids. Length of time required for completion shall be specified in the bid.

All bids submitted must meet or exceed all specifications herein.

Bids are to be submitted on our Bid Proposal Form, signed by the bidder, in a sealed envelope clearly marked. Two (2) copies of the Bid Proposal Form should be addressed to the attention of:

Ms. Kathy Abela Royal Oak School District 800 Devillen Royal Oak, MI 48073

“2019 Asphalt Crack Seal- BID” http://www.royaloakschools.org/

ROYAL OAK SCHOOLS Business Office Page 2 2019 Asphalt Crack Seal– Bid

INSTRUCTIONS TO BIDDERS

GENERAL CONDITIONS:

1. Proposal/Intent

Furnish materials and labor to provide all materials and installation associated with the attached drawings and specifications.

Use of Manufacturers’ numbers and other requirements set forth in Specifications are not intended to preclude use of any other approved manufacturer’s products or procedures which may be equivalent, solely as determined by the Owner, but are given for the purpose of establishing standards for design, function and quality of materials, construction and workmanship.

2. Types of Proposals

Lump sum proposals for each site as identified on the proposal form. It is the Districts intent to award to one bidder.

3. Receipt of Bids

Bids will be received at Royal Oak School District Administration Building located at 800 Devillen, Royal Oak MI at 11:00 AM Tuesday May 7, 2019. Bids will be publicly opened at this time. The District will not consider or accept a bid received after the date and time specified for bid submission. No oral, telephonic or telegraphic proposals shall be considered.

4. Bidders’ Qualifications

Bidders shall be able to demonstrate the following:

Shall be reputable, recognized organization with at least five (5) years successful experience on work of this type and scope, of equal or better quality than this project.

The District, as part of the bidder’s qualifications, can include as part of the criteria for determining which vendor to recommend to the Board, information on whether the vendor or the owner is a taxpayer in the District (local vendor consideration). The bid form has a place for the bidder to indicate if they fall within this criterion. If necessary, the District will ask for information documenting this bidder’s status after the bid opening.

5. Warranty

Contractor shall warranty materials and installation of all components for a period of 18 months from date of acceptance by the owner of job completion.

6. Project Meeting

Pre-job conference to be scheduled within five (5) days after award, to be determined by Patrick Murphy, Operations Manager at (248) 321-7462.

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7. Work Schedule

Project Start: Not before June 17, 2019 except on weekends.

Completion: Not after July 31, 2019 Work Hours: Monday through Saturday 7AM to 7PM

Failure to close out the punch list within thirty (30) days of the project’s end shall result in a penalty of $500 per day.

8. Clean-up and Disposal

The Contractor shall be responsible to clean-up all debris and dispose of it off-site. This MUST BE DONE DAILY. If the District has to clean up after contractors, there will be a $500 per event fee in addition to disposal costs.

9. Damage Repair

A survey of the site will be conducted, and documented by the contractor, to determine current site conditions. The contractor shall be responsible to repair any damage to the site, which occurs during this project.

Contractors and their Sub Contractors shall park their work vehicles in the area(s) designated for parking. Contractors and their Sub Contractors shall not park or drive on sidewalks or grassy areas. There will be a $500 fee assessed for any vehicles that are documented to be parking on sidewalks or grassy areas.

10. Submittal of Bid

Before submitting a bid, bidders shall carefully read all of the specifications in order to avoid omission or duplications. To ensure a complete project, bidders shall visit the premises, verify site conditions and conditions under which work under the contract must be conducted. Submission of a bid signifies that the bidder has visited the project premises, has made examinations and verifications and is fully conversant with all conditions under which the work is to be performed. No claims for additional compensation will be considered or paid to the successful bidder, due to said successful bidder’s failure to be so informed.

Any exceptions to the terms and conditions contained in this RFP or the form Contract attached to this RFP, if there is one attached, or any other special considerations or conditions requested or required by the bidder MUST be specifically enumerated by the bidder and be submitted as part of its Proposal, together with an explanation as to the reason such terms and conditions of this RFP or form of Contact cannot be met by, or in the bidder’s opinion should not be applicable to, the bidder. The bidder shall be required and expected to meet the specification and the requirements as set forth in this RFP and the form of Contract in their entirety, except to the extent exceptions or special considerations or conditions are expressly set forth in the bidder’s Proposal and those exceptions or special considerations or conditions are expressly accepted by the District.

Bids shall be submitted in duplicate on forms provided by the District and shall be delivered in a sealed, opaque envelope clearly marked as to the contents to the attention of:

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Ms. Kathy Abela Royal Oak School District 800 Devillen Royal Oak, MI 48073 – 2019 Asphalt Crack Seal- BID

11. Familial Relationship

All bidders must provide familial disclosure in compliance with MCL 380.1267 and attach this information to the bid. The bid shall be accompanied by a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the board or the superintendent of the school district. The District shall not accept a bid that does not include this sworn and notarized disclosure statement.

12. Iran Economics Sanctions Act

Each bid must be accompanied by a sworn and notarized statement certifying that the Contractor is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, PA 516 of 201.

13. Withdrawal of Bids

Any bidder may withdraw his bid at any time prior to the scheduled time for receipt of bids. No proposals may be withdrawn for at least sixty (60) days after the scheduled closing time of the bid.

14. Firm Prices

Prices and notations must be typed or in ink. No erasures are permitted.

Mistakes may be crossed out and corrections entered and initialed, in ink, by the person signing the proposal.

In the event of discrepancy between the unit price and the extension, the UNIT PRICE SHALL GOVERN. The price inserted must be net including all freight, discounts, rebates, and allowances.

16. Delivery/Installation

Time of delivery is part of the consideration. It is understood that the bidder agrees to deliver prepaid to the schools, specified from the resulting contract, all items. All cost of delivery, drayage, freight, packing, unpacking, and setup are to be included in the prices bid.

The Contractor is responsible for removing from the project all waste materials and rubbish resulting from his operations and installation including all packing cartons and debris. Removal is to occur on a daily basis.

Failure to do so will result in the Owner doing so and the cost thereof shall be charged to the Contractor as a deduction in his contract price.

The Contractor shall provide an adequate number of qualified, experienced installers, in harmony with other works at the site.

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17. Bonds

Bid Bond or certified check, for an amount not less than five (5%) percent of the amount of the bid, must accompany each bid. The check or bond of each unsuccessful bidder will be returned within ten (10) days after the bid is awarded.

Failure of any accepted bidder to enter into a contract to complete the specified work may forfeiture of his bid security. Failure to submit proper bid security shall constitute rejection of bid.

Performance Bond/Payment Bond

Within fourteen (14) days after date of issuance of written notice of selection for the award of a contract, which shall be considered as the notice to proceed, the successful bidder shall enter into a contract with the Owner and shall execute and file with the Owner, the following in the amount 100% equal to full contract sum.

The Performance Bond must insure the faithful performance of all provisions of the contract and satisfactory completion of the specified work, within the time agreed upon.

The Payment Bond must insure the payment and protection of claimants supplying labor or materials to the principal contractor or his subcontractors in the prosecution of the work provided for in the contract. The successful contractor’s bond company must be listed by the State of Michigan as a licensed carrier and have an excellent or superior rating from AM Best Company.

18. Prevailing Wage

This is not a prevailing wage project.

19. Safety

Under the “General Conditions of the Contract for Construction” of the contract to be awarded, the Contractor;

a) shall be solely responsible for and have control over construction means, methods, techniques, sequences and procedures;

b) shall be responsible for initiating, maintaining, and supervising all safety precautions and programs in connection with the performance of the contract;

c) shall take reasonable precautions for safety of all persons who may be affected, including employees of the Contractor and Subcontractor; and

d) shall have an accident prevention representative at the site.

The general conditions of the contract for construction and the agreement also require that the Contractor indemnify the Owner in the event of certain claims arising out of the performance of the work.

20. Insurance Requirements

The Contractor shall protect, defend and indemnify the Owner, its officers, agents, servants, volunteers, and employees from any and all liabilities, claims, liens, demands, and costs of whatsoever kind and nature which may result in

Page 6 2019 Asphalt Crack Seal– Bid injury or death to any persons, and for any result in injury or death to any person, and for loss or damage to any property, including property owned or in the care, custody, or control of the Owner in connection with or in any way incident to or arising out of the occupancy, use, with this Agreement resulting in whole or in part from negligent acts or omissions of the Contractor, any Subcontractor, or any employee, agent or representative of the Contractor or any Subcontractor.

The Contractor shall maintain, at its expense, during the term of this contract the following insurance:

a. Worker’s Compensation Insurance with statutory limits and Employer’s Liability Insurance with a minimum limit of $1,000,000 each occurrence.

b. Comprehensive General Liability Insurance with a minimum combined single limit of $1,000,000 per occurrence, $1,000,000 aggregate, in the same amount made for bodily injury and property damage. The policy is to include products and completed operations, cross liability, broad form property damage, independent contractors, and contractual liability coverage. The policy shall be endorsed to provide sixty (60) days written notice to the District of any material change of coverage, cancellation, or non-renewal of coverage.

c. If Subcontractors are likely to be used, the Comprehensive General Liability policy shall include coverage for independent Contractors.

d. Owner’s Contractor’s Protective Policy-comprehensive in the name of the Owner, with a minimum combined single limit of $1,000,000 per occurrence in the same amount for bodily injury or property damage.

e. Automobile Liability insurance covering all owned, hired, and non-owned vehicles with personal protection insurance and property insurance to comply with the provisions of the Michigan no-fault Insurance Law, including residual liability insurance with a minimum combined single limit of $1,000,000 each occurrence of bodily injury and property damage.

f. All insurance policies shall be issued by companies licensed to do business in the State of Michigan. The companies issuing the policies must be domestic (on-shore) companies and have an A rating by AM Best.

g. The Contractor shall be responsible for payment of all deductibles contained in any insurance policy required in this contract.

21. Compliance with School Safety Initiative Legislation

Meeting the requirements of the School Safety Initiative Legislation, being MCL 380.1230, 380.1230a, 380.1230c, 380.1230d and 380.1230g.

The Bidder acknowledges and agrees that the Bidder will have any and all of its installation personnel (including sub contractors) subjected to criminal history and background checks. Personnel that fall into this group will be working on District premises for more than one continuous week. Criminal history and

Page 7 2019 Asphalt Crack Seal– Bid background checks will be done within a year of the beginning of the project and should be completed before worked begins on this project.

The Bidder is required to provide written documentation listing all personnel who fall into the group indicated in the above paragraph. The documentation will also verify that none of the personnel have a “listed offense” as indicated below. This documentation is to be provided before the beginning of the project and updated as necessary for any additions or subtractions from the list as long as the project lasts.

The Bidder shall indemnify, defend and hold the District, its employees, Board of Education, and each member thereof, agents and consultants, harmless from and against any and all claims, counter-claims, suits, debts, demands, actions, judgments, liens, liabilities, costs, expenses, including actual attorneys fees and actual expert witness fees, arising out of or in connection with any violation of, or the Bidder’s failure to comply with the above paragraphs.

The Bidder shall be responsible for all costs and expenses associated with the above-required criminal history and background checks.

LISTED OFFENSES

1. MCL 750.145a - Accosting, enticing or soliciting child (less than 16 years of age) for immoral purposes.

2. MCL 750.145b - Accosting, enticing or soliciting childe (less than 16 years of age) immoral purposes – second or subsequent offenses.

3. MCL 750.145c - Involvement in child sexually abusive activity or material, including possession of child sexually abusive material (“child” is a person less than 18 years of age who has not been legally emancipated.)

4. MCL 750.158 - Crime against nature (i.e., sodomy and beastiality) if the victim is an individual less than 18 years of age.

5. A third of subsequent violation of any combination of the following:

a. MCL 750.167(1)(f) - indecent or obscene conduct in a public place;

b. MCL 750.335a - indecent exposure;

c. A local ordinance of a municipality substantially corresponding to a section described in (a) or (b), supra.

6. Except for juvenile disposition or adjudication, a violation of:

a. MCL 750.338 - gross indecency between males; fellatio or masturbation;

b. MCL 750.338a - gross indecency between females; oral sex;

c. MCL 750.338b - gross indecency between male and female persons;

if the victim is an individual less than 18 years of age.

7. MCL 750.349 - Kidnapping, if victim is an individual less than 18 years of age.

8. MCL 750.350 - Kidnapping; child under 14 years of age with intent to detain or conceal from child’s parent or legal guardian.

9. MCL 750.448 - Soliciting or accosting by a person 16 years of age or older, if victim is an individual less than 18 years of age.

10. MCL 750.455 - Pandering

11. MCL 750.520b - First degree criminal sexual conduct.

12. MCL 750.520c - Second degree criminal sexual conduct.

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13. MCL 750.520d - Third degree criminal sexual conduct.

14. MCL 750.520e - Fourth degree criminal sexual conduct.

15. MCL 750.520g - Assault with intent to commit criminal sexual conduct.

16. Any other violation of a law of the state or a local ordinance of municipality that by its nature constitutes a sexual offense against an individual who is less than 18 years of age.

17. MCL 750.10a - Offense by sexually delinquent person (i.e., “any person whose sexual behavior is characterized by repetitive or compulsive acts which indicate a disregard of consequences or the recognized rights of others, or by the use of force upon another person in attempting sexual relations of either a heterosexual or homosexual nature, or by the commission of sexual aggressions against children under the age of 16”).

18. An attempt or conspiracy to commit an offense described in (1) through (17).

19. An offense substantially similar to an offense described in (1) through (17) under a law of the United States, any state, or any country or any tribal or military law.

22. Termination by the District for Convenience

The District may, at any time, terminate the Contract for the District’s convenience and without cause.

Upon receipt of written notice from the District of such termination for the District’s convenience, the Contractor shall:

(1) Cease operations as directed by the District in the notice;

(2) Take actions necessary, or that the District may direct, for the protection and preservation of the Work; and

(3) Except for Work directed to performed prior to the effective date of termination stated in the notice, terminate all existing subcontracts and purchase orders and enter into no further Subcontracts and purchase orders.

23. Bids, Notifications, Claims and Statements shall be signed as follows:

Corporations; Signature of officials shall be accompanied by a certified copy of resolution of the Board of Directors authorizing the individual signing to bind the corporation. Affix official corporate seal.

Partnerships; Signature of official shall be accompanied by a certified copy of the Power of Attorney authorizing the individual signing to bind all partners.

24. Owner Is An Equal Opportunity Employer

The Owner is an Equal Opportunity Employer. Pursuant to the Executive Order 11246 as amended, you are advised that under the provisions of this order, Contractors and Subcontractors are obligated to take affirmative action to provide equal opportunity without regard to race, creed, color, national origin, age or sex.

25. Michigan Right to Know Law

Royal Oak School District will comply with the Michigan Right to Know Law by informing Contractors of hazardous chemicals to which they may be exposed.

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All Contractors will be required to provide Material Safety Data Sheets for any hazardous chemicals brought to the workplace. The Contractor shall comply with all applicable provisions of the Occupational Safety and Health Act for the duration of the specified work.

26. Asbestos Hazard Emergency Response Act

As required by the Environmental Protection Agency Asbestos Hazard Emergency Response Act, each school district is responsible for providing contractors with information regarding locations of known or assumed asbestos containing material prior to the Contractor entering a building under the school district’s jurisdiction. The successful bidder will be required to complete the school district’s Contractor Notification forms.

27. Notification of Assumed Lead-Containing Materials

The intent of this section is to formally notify all Contractors and Sub-Contractors applying for or bidding on work covered within this specification that, due to the age of the facilities within this District, there is the presumption that building components do contain lead-based paint pursuant to OSHA definition. The District has not conducted lead-based paint inspections. As a result, all Contractors and Sub-Contractors bidding must assume that building components do contain lead-based paint.

Furthermore, all awarded Contractors and Sub-Contractors shall be responsible to comply with all applicable Federal and Michigan State lead regulations including, but not limited to, 29 CFR Part 1926.62 of the OSHA Lead Construction Standard, (Part 603 of the Michigan State Standards). All costs associated with regulatory compliance shall be borne by the Contractor and/or Sub-Contractor.

28. General Conditions

The District reserves the right to accept or reject any or all proposals, to waive irregularities, and to accept a proposal which, in the District’s opinion, is in the District’s best interest.

The District reserves the right to declare as non-responsive, and reject, any bid which is incomplete or where material information requested in not furnished, or where indirect or incomplete answers or information is provided.

In the event, the Administration Building is closed due to unforeseen circumstances on the day Proposals are due, Proposals will be due at the same time on the next day that the District and/or the Administration Building is open.

Negligence in preparation, improper preparation, errors in, or omissions from, proposal shall not relieve a bidder from fulfillment of any and all obligations and requirements of the proposed Contract Documents.

The District expects that the awarded bidder will complete the work as outlined in the specifications for the amount bid by the bidder. Any additional costs above the amount bid and awarded, must be approved by the District in advance of any work.

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Voluntary alternates for bids are acceptable but should NOT be put in the space for the Base Bid on the Bid Response Form but on an attached sheet, clearly labeled Voluntary Alternative. Such Alternates should be described in enough detail for the District to understand the Bidder’s intent.

Owner may choose to conduct testing to verify correct products and installation.

If the materials and installation are found not to be per spec, owner will require subsequent tests to be performed by Owners testing company at contractors expense.

Any exceptions to the terms and conditions contained in this RFP or any special considerations or conditions requested or required by the Contractor MUST be specifically enumerated by the Contractor and be submitted as part of its Proposal, together with an explanation as to the reason such terms and conditions of this RFP cannot be met by, or in the Contractor’s opinion should not be applicable to, the Contractor. The Contractor shall be required and expected to meet the specifications and the requirements as set forth in this RFP in their entirety, except to the extent exceptions or special considerations or conditions are expressly set forth in the Contractor’s Proposal and those exceptions or special considerations or conditions are expressly accepted by the District.

No responsibility shall attach to the District, or the authorized representatives of either one, for the premature opening of any proposal, which is not properly addressed and identified.

The Contract Documents, as outlined in the executed Agreement, shall imply the inclusion of the entire agreement between the parties thereto, and the Contractor shall not claim any modification thereof resulting from any representation or promise made at any time by an officer, agent or employee of the District or by any other person.

If there is an issue with subcontractor and contractor which results in a legal preceding which is not tied to the performance of ROSD or its staff, contractor to pay any time spent by ROSD.

29. Opening and Awarding of Bids

Bids will be publicly opened at the Royal Oak School District Administration Office, 1123 Lexington Boulevard, Royal Oak, MI 48073 at 11:00 AM Tuesday, May 7, 2019.

The recommendation for award will be submitted to the Board of Education at the regular Board of Education Meeting to be held on Thursday, June 11, 2019.

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2019 Asphalt Crack Seal

Specifications

Site Maps

Bid Forms

Affidavits

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1. See below and the attached documents and drawings for technical specifications.

Depending on the amount of square footage identified and the per lineal foot cost, the District may not award all the locations identified on the Bid Form.

CRACK FILLING

Route all cracks ¼” or larger with mechanical methods.

Blow cracks clean with compressed air.

Install hot rubber sealant.

See map for exact areas to address.

Some of these lots have been done previously and need additional crack sealing or the existing seal has sunk.

Do not skip cracks as the District expects all cracks in the identified areas to be addressed.

CRACK SEAL MATERIAL

Will be a hot-applied based product which is used to deal and fill cracks and joints in asphalt and Portland cement concrete pavements in moderate climates.

Shall be supplied in solid form when melted and properly applied forms an adhesive and flexible compound that resists cracking in the winter and is resistant to flow at summer temperatures.

Shall be used in highway, street and airfield pavements and is applied to pavement cracks and joints using either pressure feed melter applications

Application temperature is a free flowing, self-leveling product.

Crack sealing material shall meet all requirements of ASTM D6690

(AASHTO M 324), Type I, “Joints and Crack Sealants, Hot-applied, for

Concrete and Asphalt Pavements” (formerly ASTM D1190, AASHTO M

173) and Federal Specification SS-S-164.

Any questions please contact Patrick Murphy 248-312-7462

TECHNICAL SPECIFICATIONS:

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UPTON ELEMENTARY

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NORTHWOOD ELEMENTARY

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CHURCHILL

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ROYAL OAK

HIGH SCHOOL

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ROYAL OAK MIDDLE SCHOOL

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BID PROPOSAL FORM Company Name ________________________

The undersigned certifies that the bid contained meets or exceeds the attached specifications.

Include the bond amount separately – the District may choose not to require a Performance and Payment bond for the project.

Depending on the amount of lineal footage identified and the per lineal foot cost, the District may not award all the locations identified on the

Bid Form. Contract will be awarded to one contractor.

Area Lineal Feet Cost per Lineal

Feet

Total Cost Bond Cost

Building Churchill Adult education and School Board Office

North Lot

Royal Oak High School

Front South West Lot

Addams Elementary

North/Rear Lot

Northwood Elementary

Front Lots

Rear Receiving

Royal Oak Middle School

East Loop

East Parking Lot

West Parking Lot

Upton Elementary

North/ Rear Lot

South Loop and Parking

Total Cost

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BID PROPOSAL FORM (continued) My signature certifies that the Proposal as submitted complies with all of the terms and conditions set forth in the Request for Proposal unless specifically enumerated as an exception as part of our Proposal.

COMPANY NAME: ____________________________________________________________

ADDRESS: ___________________________________________________________________

AUTHORIZED SIGNATURE: ____________________________________________________

AUTHORIZED NAME (please print): ______________________________________________

TITLE: ________________________________________________ DATE: ________________

PHONE #: ________________________________ FAX #: _____________________________

Cell # ________________________________________________________________________

E-MAIL: _____________________________________________________________________

Bid Questions

Acknowledge receipt of Addendums: ____________________________________

Do you agree to the schedule and terms of the schedule? Yes No

Bid Bond included? Yes No

Familial Disclosure Affidavit included? Yes No

Iran Linked Business Affidavit included? Yes No

Please state your warranty: _____________________________________________

State any prompt payment terms: __________% ___________days.

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Do you conduct background checks on your employees? Yes No

Are you on the Excluded Parties List, which excludes you from receiving Federal Contracts or certain sub contracts, pursuant to the provisions of 31 U.S.C. 6101, note E.O. 12549, E.O. 12689, 48 C.F.R. 9.404? Yes No Unknown

Provide your DUNS number, if you have one: ____________________________

At least three (3) references with contact person:

Company: __________________ Contact: __________________ Phone: __________

Company: __________________ Contact: __________________ Phone:___________

Company: __________________ Contact: __________________ Phone:___________

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CONSTRUCTION BID DISCLOSURE STATEMENT – FAMILIAL RELATIONSHIP

Pursuant to MCL 380.1267, a sworn and notarized statement disclosing any familial relationship that exists between the owner or any employee of the bidder and any member of the Royal Oak School District Board or the Royal Oak School District Superintendent must be accompanied with the bid. Bids without this disclosure statement will not be accepted.

The members of the Royal Oak School District Board are: Gary Briggs, Deborah Anderson, Marty Cardamone, Jeff Brinker, Carrie Beerer, Maryanne VanHaitsma, Allison Sykes

The Royal Oak School District Superintendent is: Mary Beth Fitzpatrick

The Following are the familial relationships:

There are none.

STATE OF MICHIGAN )

) ss

COUNTY OF_____________)

The undersigned, authorized representative of bidder (insert name) __________________ does hereby acknowledge that bidder has read the foregoing disclosure statement and the statements herein contained are true.

Signature of Bidder Representative

Print Name

Title

Subscribed and sworn to before me this _____day of ___________________, Notary Public, ______________County, Michigan My commission expires: ____/____/________

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AFFIDAVIT OF COMPLIANCE – IRAN ECONOMIC SANCTIONS ACT

Michigan Public Act No. 517 of 2012

The undersigned, the owner or authorized officer of the below named contractor (the “Contractor”), pursuant to the compliance certification requirement provided in the Royal Oak School District (the “School District”) Request For Proposals For 2109 Asphalt Crack Seal Project (the “RFP”), hereby certifies, represents and warrants that the Contractor (including its officers, directors and employees) is not an “Iran linked business” within the meaning of the Iran Economic Sanctions Act, Michigan Public Act No. 517 of 2012 (the “Act”), and that in the event Contractor is awarded a contract as a result of the aforementioned RFP, the Contractor will not become an “Iran linked business” at any time during the course of performing the Work or any services under the contract.

The Contractor further acknowledges that any person who is found to have submitted a false certification is responsible for a civil penalty of not more than $250,000.00 or 2 times the amount of the contract or proposed contract for which the false certification was made, whichever is greater, the cost of the School District’s investigation, and reasonable attorney fees, in addition to the fine. Moreover, any person who submitted a false certification shall be ineligible to bid on a request for proposal for three (3) years from the date the it is determined that the person has submitted the false certification.

CONTRACTOR:

Name of Contractor

By:

Its:

Date:

STATE OF )

)ss.

COUNTY OF ____________ )

This instrument was acknowledged before me on the _____ day of ____________, 2014, by __________________________.

, Notary Public

______________ County, __________

My Commission Expires:___________

Acting in the County of :___________

8850374.1 31354/151790