Bid Notice-Grading and Surfacing - Kingman_ KS.pdf

Dwight D. Eisenhower State Office Building 700 S.W. Harrison Street Topeka, KS 66603-3745

Phone: 785-296-3576 Hearing Impaired - 711 publicinfo@ksdot.org http://www.ksdot.org

Bureau of Construction and Materials

FEDERAL PROJECT NUMBER: ACNHP-A645(201)

STATE PROJECT NUMBER: U054-048 KA 6452-01

CALL ORDER NUMBER: 251

PROPOSAL NUMBER: 526072515

LETTING DATE 07/22/2026

COUNTY: KINGMAN

FUND TYPE: FEDERAL

PRATTKDOT CONSTRUCTION OFFICE:

PROJECT DESCRIPTION

GRADING AND SURFACING. US-54/US-400: FR BROADWAY ST TO

K-14 IN THE CITY OF KINGMAN IN KM CO. LGTH IS 0.213 MI.

RESTRICTED DAYS

(90)

TOTAL CONTRACT DAYS

(120)

MARCH 15, 2027

Earliest Start Date:

Latest Start Date:

9:46:59AM6/16/2026 @

Letting 07/22/2026 Kansas Department of Transportation Project No. U054-048 KA 6452-01

Contract No. 526072515

U054-048 KA 6452-01 ACNHP-A645(201)

CONTRACT PROPOSAL

DOT Form No. 202 Rev. 02/19

Contract ID: 526072515

1. The Secretary of Transportation of the State of Kansas [Secretary] will accept only electronic internet proposals from prequalified contractors for construction, improvement, reconstruction, or maintenance work in the State of Kansas, said work known as Project No.:

U054-048 KA 6452-01 / ACNHP-A645(201)

The general scope, location and net length are:

GRADING AND SURFACING. US-54/US-400: FR BROADWAY ST TO

K-14 IN THE CITY OF KINGMAN IN KM CO. LGTH IS 0.213 MI.

2. This is the Proposal of

[Contractor] to complete the Project for the amount set out in the accompanying Unit

Prices List.

3. The Contractor makes the following ties and riders as part of its Proposal in addition to state ties, if any:

4. Contractors and other interested entities may examine the Bidding Proposal Form/

Contract Documents (see paragraph 11 below) at the County Clerk's Office in the County in which the Project is located and at the Kansas Department of Transportation [KODT] Bureau of Construction and Materials, Eisenhower State Office Building, 700 SW Harrison, Topeka, Kansas 66603. Contractors may examine and print the Bidding Proposal Form/Contract

Documents by using KDOT's website at http://www.ksdot.gov and choosing the following selections: "Doing Business", "Highway Contractors" and "Highway Letting Information",and using the links provided in the Project information for this project. KDOT will not print and mail paper copies of Proposal Forms. Contractors shall notify KDOT of their intent to bid as a prime contractor by identifying themselves as a Bid Holder on the website above.

Contractors shall furnish this notice no later than 5:00 P.M. on the Monday preceding the scheduled Letting Date. For a fee, Contractors and other interested entities may order paper copies of the KDOT Standard Specifications for State Road and Bridge Construction, 2015 Edition, [Standard Specifications] by using KDOT's website of http://www.ksdot.org and choosing the following selections: "Doing Business", "Highway Contractors", "Contractor Resources and "Specifications".

5. Contractors shall use the AASHTO's Project Bids software in combination with the electronic bidding system file created for the Project with Project Bids software [EBSX file] to generate an electronic internet proposal. The Project Bids software and Project

EBSX file are available on Bid Express' website at http://ui.bidx.com.

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6. Contractors shall only use the Project Bids software to create a proposal and submit an electronic internet proposal to KDOT using the Bid Express website at http:// ui.bidx.com.

7. The KDOT Bureau of Construction and Materials will only accept electronic internet proposals on-line using Bid Express until 1:00 P.M. Local Time on the Letting Date. KDOT will open and read these proposals at the Eisenhower State Office Building, 700 SW

Harrison, Topeka, Kansas 66603 at 3:00 P.M. Local Time on the Letting Date. Bids are read on a conference call at 785-414-8630. The conference ID is 856 616 050#.

8. The Contractor shall execute a contract for the proposed work within ten (10) business days after notice of the award of the contract.

9. The contractor shall complete work to open the project to unrestricted traffic within

_90_ Restricted Days and shall complete the work within the total Contract Working Days of _120_.

10. The Contractor shall complete the Project according to the plans, Standard

Specifications, provisions identified in the Special Provision List and all other

Contract Documents identified in Standard Specifications subsection 101.3

11. The undersigned declares that the Contractor has carefully examined the Bidding

Proposal Form for the Project. The Contractor understands the following:

A. The Bidding Proposal Form consists of the following documents: the Project EBSX files on the Bid Express website (which includes DOT Form 202, required contract provisions, and the Unit Prices List), special provision list, project special provisions, special provisions, Standard Specifications, plans, exploratory work documents, any additional contract information, any addenda, all questions and answers posted on the Bid Express website, and any amendments the Secretary provides for the Project. The Contractor can obtain these documents at KDOT's website (see paragraph 4).

B. The special provision list identifies all required contract provisions, project special provisions and special provisions that apply to the Project.

C. The Bidding Proposal form becomes the Contractor's Proposal after the Contractor completes the EBSX file, electronically signs the Proposal where required on DOT Form

202, and submits the completed EBSX file documents and bid bond to KDOT using Bid

Express. The special provision list, project special provisions, special provisions, Standard Specifications, plans, exploratory work documents, any additional contract information, all questions and answers posted on the Bid Express website, and any addenda are incorporated by reference into the Proposal. These documents are part of the

Contractor's Proposal.

D. In electronically signing this Proposal, the Contractor waives the right to claim that the Contractor misunderstood the contents of the Proposal or the procurement process.

12. The Contractor has inspected the actual location of the work. The Contractor has determined the availability of materials. The Contractor has evaluated all quantities and conditions. In electronically signing this Proposal, the Contractor waives the right to claim that the Contractor misunderstood the scope of the work.

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13. SPECIAL PROVISIONS REQUIRING INFORMATION. The following Required Contract Provisions

(I-XVII) require the Contractor to furnish information. The current versions of these provisions are contained in the Project EBSX file. Some or all of these apply to the

Project as indicated in the Special Provision List. The Contractor shall complete these provisions within the EBSX file. When these documents are required, the Secretary will reject proposals that fail to contain completed Provisions I, II, III, or IV in the EBSX file, and may reject proposals that fail to contain completed Provisions V, VI, VII, VIII, IX, X, XI, XII, XIII, XIV, XV, XVI, or XVII in the EBSX file.

I. 08-10-66 Certification-Noncollusion & History of Debarment

II. 04-30-82 Certification-Financial Prequalification Amount

III. 04-26-90 Declaration-Limitations on Use of Federal Funds for Lobbying

IV. 08-04-92 Certification-Contractual Services with a Current Legislator or a Current Legislator's Firm

V. 10-10-00 Price Adjustment for Fuel

VI. 06-01-06 Price Adjustment for Asphalt

VII. 08-31-09 Price Adjustment for Emulsified Asphalt

VIII. 08-08-01 Furnishing and Planting Plant Materials Unit Cost

IX. 05-18-07 Repair (Structures) Unit Cost

X. 11-15-17 Electric Lighting System Unit Cost

XI. 04-06-09 ITS Unit Cost

XII. 08-17-16 Water System Unit Cost

XIII. 06-19-19 Sanitary Sewer System Unit Cost

XIV. 01-01-18 Smart Work Zone System Unit Cost

XV. 08-12-24 CORS Unit Cost

XVI. 04-06-26 Federal Restrictions on Foreign Drones

XVII. 01-01-11 Kansas Department of Revenue Tax Clearance Certificate

14. The funding source for this Project is FEDERAL/STATE/CITY. On Projects involving City or County funds, the Secretary acts as the Agent of the City or County and as the administrator of federal or state funds. Each governmental entity's responsibilities are described in a contract between the entities which is available on request.

15. FEDERAL AID DOCUMENTS INCLUDED IN PROPOSAL. If the Project is supported in whole or in part by Federal funds, the latest revisions of the following provisions (I - IV) also apply to the Project. These documents are not included in the Project EBSX file but are accessible on KDOT's website and incorporated by reference into the proposal like other provisions and the exploratory work documents.

I. 11-03-80 Affirmative Action For EEO

II. 11-15-96 Affirmative Action & EEO Policies

III. 09-06-94 U.S. DOT Fraud Hotline

IV. FHWA-1273 Federal-Aid Required Contract Provisions

16. The Secretary reserves the right to reject any and all proposals and to waive any or all technicalities.

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17. SIGNATURE SECTION:

A. Electronic Internet Proposal

The person submitting the electronic internet Proposal, on the Contractor's behalf, shall be the person whose digital identification is used to submit this Proposal. That person shall complete paragraphs B and C. The person whose digital identification is used to electronically sign this Proposal binds the Contractor to this Proposal and binds the named individual to the certification in paragraph B.

B. Certification

I CERTIFY THAT I AM AUTHORIZED TO REPRESENT THE CONTRACTOR IN PREPARING AND PRESENTING

THIS PROPOSAL. I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING (INCLUDING BUT NOT

LIMITED TO THE INFORMATION CONTAINED IN THE SPECICIAL PROVISIONS REFERENCED IN PARAGRAPH

13) IS TRUE AND CORRECT.

EXECUTED ON

C. Signature

Number of company or joint venture:

Name of company or joint venture:

Name of person signing:

Title of the person signing:

Signature: Electronic Internet Proposal

RELEASED FOR CONSTRUCTION:

Date:____________________________________

Chief of Construction and Materials

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KANSAS DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISION LIST

PAGE:

DATE:

06/12/26

STATE PROJECT NO: U054-048 KA 6452-01 STATE CONTRACT NO: 526072515

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: KINGMAN5

GRADING AND SURFACING. US-54/US-400: FR BROADWAY ST TO K-14 IN THE

CITY OF KINGMAN IN KM CO. LGTH IS 0.213 MI.

ACNHP-A645(201)

PROVISION NO. DESCRIPTION

NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.

OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED

PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE

RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.

REQUIRED CONTRACT PROVISION-NONCOLLUSION / HISTORY-DEBARMENT08-10-66-R05

REQUIRED CONTRACT PROVISION-FINANCIAL PREQUALIFICATION04-30-82-R07

REQUIRED CONTRACT PROVISION-CONTRACTUAL SERVICES-LEGISLATOR08-04-92-R03

REQUIRED CONTRACT PROVISION-LIMITS OF FED FUNDS FOR LOBBYING04-26-90-R05

REQUIRED CONTRACT PROVISION-FEDERAL RESTRICTIONS ON FOREIGN DRONES04-06-26

REQUIRED CONTRACT PROVISION-NOTICE FOR AFFIRMATIVE ACTION11-03-80-R09

REQUIRED CONTRACT PROVISION-EEO REQUIREMENT11-15-96-R06

REQUIRED CONTRACT PROVISION - BOYCOTT OF ISRAEL PROHIBITED07-01-17-R1

REQUIRED CONTRACT PROVISION-NDAA 889 TELECOMM PROHIBITION12-17-20

MINIMUM WAGE RATE (KINGMAN COUNTY)KS20260092

NOTICE TO CONTRACTORS (USDOT HOTLINE)09-06-94-R01

REQUIRED CONTRACT PROVISION-TAX CLEARANCE CERTIFICATE01-01-11-R01

REQUIRED CONTRACT PROVISION-FEDERAL-AID CONSTRUCTION CONTRACTSFHWA-1273

POLICY AGAINST SEXUAL HARASSMENT03-01-18

ERRATA SHEET FOR STD SPEC BOOK FOR RD & BR CONST, 2015 ED15-ER-1-R23

INFORMATION TO CONTRACTORS (STATUS OF UTILITIES)15-01002

SALES TAX EXEMPTION15-01004

ENVIRONMENTAL CONCERNS - MIGRATORY BIRD TREATY ACT15-01011-R06

PROSECUTION AND PROGRESS15-01016-R04

CONTROL OF MATERIALS15-01018-R01

CONTROL OF WORK15-01019-R02

BIDDING REQUIREMENTS AND CONDITIONS15-01021-R03

SCOPE OF WORK15-01022-R04

BIDDING REQUIREMENTS AND CONDITIONS15-01023

AWARD AND EXECUTION OF CONTRACT15-01024

REMOVAL OF EXISTING STRUCTURES15-02001

STRUCTURAL CONCRETE15-04002-R01

ON GRADE CONCRETE15-04003

GENERAL CONCRETE15-04005-R04

PORTLAND CEMENT CONCRETE PAVEMENT (NON-QC/QA)15-05002-R01

PERMANENT SIGNING15-08010-R02

CONTRACTOR CONSTRUCTION STAKING15-08015

FLOWABLE FILL15-08017

WORK ZONE TRAFFIC CONTROL AND SAFETY15-08019-R03

DURABLE PAVEMENT MARKING15-08020-R02

PAGE:

DATE:

06/12/26

STATE PROJECT NO: U054-048 KA 6452-01 STATE CONTRACT NO: 526072515

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: KINGMAN5

GRADING AND SURFACING. US-54/US-400: FR BROADWAY ST TO K-14 IN THE

CITY OF KINGMAN IN KM CO. LGTH IS 0.213 MI.

ACNHP-A645(201)

PROVISION NO. DESCRIPTION

NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.

OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED

PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE

RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.

PIPE AND END SECTIONS15-08022-R01

FIELD OFFICE AND LABORATORY15-08023-R01

WORK ZONE TRAFFIC CONTROL AND SAFETY (WORKERS PRESENT SIGNS)15-08029

STORMWATER POLLUTION MANAGEMENT15-09002-R05

MULCHING15-09003-R02

TEMPORARY EROSION AND SEDIMENT CONTROL/SEEDING15-09004-R03

MULCHING15-09006-R01

AGGS FOR CONCRETE NOT PLACED ON GRADE15-11003-R04

AGGREGATE FOR ON GRADE15-11004-R03

AGGREGATES FOR BACKFILL15-11009-R03

MASONARY BRICK15-13001-R01

PAVING BRICKS for SOLID INTERLOCKING PAVING15-13002

AIR-ENTRAINING ADMIXTURES FOR CONCRETE15-14001-R01

SHEET MATERIALS FOR CURING CONCRETE15-14002

LIQUID MEMBRANE FORMING COMPOUNDS15-14003

HOT JOINT SEALING COMPOUND15-15001-R01

PREFORMED EXPANSION JOINT FILLER FOR CONCRETE15-15002

COLD APPLIED CHEMICALLY CURED JOINT SEALANT15-15004

STEEL SIGN POSTS15-16002-R03

STEEL WIRE & WELDED WIRE FABRIC FOR CONCRETE REINFORCEMENT15-16003-R01

MATERIALS FOR FENCING15-16004

STEEL FASTENERS15-16007-R02

FIBROUS REINFORCEMENT FOR CONCRETE15-17006-R02

GEOSYNTHETICS15-17007-R04

DETECTABLE WARNING SURFACE PANEL15-17011-R01

USES OF PIPE15-19005-R04

PORTLAND CEMENT AND BLENDED HYDRAULIC CEMENT15-20001-R02

HYDRATED LIME15-20002

FLYASH FOR USE IN CONCRETE15-20004-R01

SILICA FUME15-20005

SLAG CEMENT FOR USE IN CONCRETE AND MORTAR15-20006

SEEDS15-21001

MULTI - COMPONENT LIQUID PAVEMENT MARKING MATERIAL15-22003-R02

PAVEMENT MARKING PAINT15-22004-R02

IMAGE SYSTEMS15-22005-R03

PAGE:

DATE:

06/12/26

STATE PROJECT NO: U054-048 KA 6452-01 STATE CONTRACT NO: 526072515

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: KINGMAN5

GRADING AND SURFACING. US-54/US-400: FR BROADWAY ST TO K-14 IN THE

CITY OF KINGMAN IN KM CO. LGTH IS 0.213 MI.

ACNHP-A645(201)

PROVISION NO. DESCRIPTION

NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.

OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED

PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE

RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.

RETROREFLECTIVE SHEETING15-22006-R01

ROLL-UP SIGNS15-22011

TEMPORARY PAVEMENT MARKING TAPE15-22016

WOOD POSTS15-23001-R03

FIELD HANDLING AND PRESERVATIVE TREATMENT OF WOOD PRODUCTS15-23003-R02

PART V15-25001-R07

MATERIALS CERTIFICATIONS15-26001-R13

END OF SPECIAL PROVISION LIST

REQUIRED CONTRACT PROVISION - 08-10-66-R05 (Rev. 07/05)

CERTIFICATION - NONCOLLUSION AND HISTORY OF DEBARMENT

K.A.R. 36-30-4, 49 C.F.R. 29.335, 23 U.S.C. 112(c), 49 U.S.C. 322

Complete the exceptions below if applicable. The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies the necessary signature for this

Certificate.

NONCOLLUSION

I certify that the Contractor submitting this bid has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection with the submitted bid.

HISTORY OF DEBARMENT

I certify that, except as noted below, the Contractor submitting this bid and any person associated with this Contractor in the capacitiy of owner, partner, director, officer, principal, investigator, project director, manager, auditor, or any position involving the administration of federal funds:

1. Are not currently suspended, debarred, voluntarily excluded or disqualified from bidding by any federal or state agency;

2. Have not been suspended, debarred, voluntarily excluded or disqualified from bidding by any federal or state agency within the past three years;

3. Do not have a proposed debarment pending;

4. Within the past three years, have not been convicted or had a civil judgment rendered against them by a court of competent jurisdiction in any matter involving fraud, anti-trust violations, theft, official misconduct, or other offenses indicating a lack of business integrity or business honesty; and

5. Are not currently indicted or otherwise criminally or civilly charged by a federal, state, or local government with fraud, anti-trust violations, theft, official misconduct, or other offenses indicating a lack of business integrity or business honesty; and

6. Have not had one or more federal, state, or local government contracts terminated for cause or default within the past three years.

Answer 'Yes' if there are exceptions to the above described circumstances. Answer 'No' if there are no exceptions.

Yes No

The exceptions, if any, are:

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REQUIRED CONTRACT PROVISION - 04-30-82-R07 (Rev. 01/11)

CERTIFICATION - FINANCIAL PREQUALIFICATION AMOUNT

Select the appropriate response below to indicate whether this Proposal exceeds the

Contractor's financial prequalification amount. The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies the necessary signature for this Certificate.

I understand that I may be required to identify the outstanding contract and subcontract work of my firm, association or corporation on DOT Form 284 prior to an award of contract. Unless I obtain approval, I understand that the Secretary may reject this

Proposal if the dollar value of work on this Contract combined with unearned amounts on our unfinished contract and subcontract work exceeds our prequalification amount.

I certify that the amount of this Proposal plus the total unearned amount of other contracts with the Kansas Department of Transportation plus the unearned amount of all other contracts in this state or other states exceeds does not exceed the financial prequalification amount of our firm, association or corporation. I also certify that our firm, association or corporation has the financial ability to do the work.

If this Proposal exceeds the financial prequalification amount, I certify that I obtained approval to submit this bid from the KDOT representative I have listed below. (Prior approval to exceed the prequalification limit may be made by telephone or personal contact).

KDOT Approval Granted by:

KDOT Approval Date:

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REQUIRED CONTRACT PROVISION - 08-04-92-R03 (Rev. 07/05)

CERTIFICATION - CONTRACTUAL SERVICES WITH A CURRENT

LEGISLATOR OR A CURRENT LEGISLATOR'S FIRM

Select the appropriate response below to indicate whether this contract is with a legislator or a firm in which a legislator is a member. The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies the necessary signature for this Certificate.

Kansas Law, K.S.A. 46-239(c), requires this agency to report all contracts entered into with any legislator or any member of a firm of which a legislator is a member, under which the legislator or member of the firm is to perform services for this agency for compensation. The Contractor certifies that:

This Contract is is not with a legislator or a firm in which a legislator is a member. That Legislator is:

Name:

Address:

City State Zip:

Business Telephone:

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REQUIRED CONTRACT PROVISION- 04-26-90-R05 (Rev. 07/13)

DECLARATION

LIMITATIONS ON USE OF FEDERAL FUNDS FOR LOBBYING

PURSUANT TO 31 U.S.C. 1352

The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies the necessary signature for this Certificate.

DEFINITIONS:

1. Designated Entity: an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress.

2. Federal Grant: an award of financial assistance by the Federal government. (Federal

Aid Highway Program is considered a grant program.)

3. Influencing (or attempt): making, with the intent to influence, any communication to or appearance before any designated entity in connection with the making of a Federal contract or Federal grant.

4. Person: an individual, corporation, company, association, authority, firm, partnership, society, State or local government.

5. Recipient: all contractors, subcontractors, subgrantees, at any tier, and other persons receiving funds in connection with a Federal grant.

EXPLANATION:

As of December 23, 1989, 31 U.S.C. section 1352 limits the use of appropriated Federal funds to influence Federal contracting. Under this law, recipients of Federal grants shall not use appropriated funds to pay any person for influencing or attempting to influence a designated entity in connection with the making of a Federal grant or the extension, continuation, renewal, amendment or modification of a Federal grant. These restrictions apply to contracts and grants exceeding $100,000.00. Federal law requires submission of this declaration. If a recipient fails to file the declaration or amend a declaration, the recipient shall be subject to a civil penalty of not less than

$10,000.00 and not more than $100,000.00 for each failure. If the recipient uses appropriated Federal funds to influence or to attempt to influence a designated entity contrary to this provision, the recipient shall be subject to a civil penalty of not less than $10,000.00 and not more than $100,000.00 for each such payment.

CERTIFICATIONS:

I certify that the Contractor recipient (including its owners, partners, directors, officers, or principals) has not paid and will not pay federally appropriated funds to any person for influencing or attempting to influence a designated entity in connection with the making of a Federal grant, or the extension, continuation, renewal, amendment or modification of a Federal grant.

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Answer 'Yes' if a person registered under the Lobbying Disclosure Act of 1995

(Registrant) has made lobbying contacts on the Contractor recipient's behalf with respect to this contract. Answer 'No' if no Registrant has lobbied on the Contractor recipient's behalf with respect to this contract.

Yes No

The Registrants, if any, are:

I certify that the Contractor recipient will report payments made to a person for influencing or attempting to influence a designated entity, that come from funds other than appropriated Federal funds. The Contractor recipient shall report such payments on

Form LLL "DISCLOSURE FORM TO REPORT LOBBYING" according to the instructions and may obtain Form LLL from the KDOT Bureau of Construction and Materials.

I certify that, if information contained in this DECLARATION changes, the Contractor recipient will amend the DECLARATION within 30 days of the change(s).

I certify that the Contractor recipient will provide to and require subcontractors to sign a like DECLARATION, if the subcontract work exceeds $100,000.00.

The Contractor recipient understands that this declaration is a material representation of fact and the Secretary will have relied upon this declaration in entering into a contract with the Contractor recipient.

NOTE: This Reporting requirement does not apply to payments made to the recipient's regular employees and contracts, subcontracts, and grants less than $100,000.00.

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REQUIRED CONTRACT PROVISION - 08-17-16-R03 (Rev. 03/26)

WATER SYSTEM UNIT COST

Prior to award, the contractor shall submit a spreadsheet for the Unit Costs. A spreadsheet template is available on KDOT’s website - https://www.ksdot.gov/doing-business/highway-contractors/contractor-resources - under "Other Resources". The completed spreadsheet shall be submitted to the Letting Engineer no later than noon on the Friday after letting day. Once approved, the spreadsheet will be placed on KDOT’s

Exploratory Site and incorporated into the contract by reference.

For this Project, the Water System will comply with Section 913. All work shall comply with the local entity's (Owner) specifications for Water System, except where superseded

(partially or entirely) by Section 913 or the details and notes included in the plans.

Contact the Owner for a copy of their specifications.

The Contractor will submit a unit cost for each individual water system items the contract requires. Even though the bid item is a lump sum price, the Engineer will adjust the lump sum price by any increase or decrease in the quantities indicated in the Summary of Quantities shown in the plans. To calculate the adjustment, the Engineer will determine the overrun or underrun quantity for each water system item listed in the contract. The Engineer will multiply any overrun or underrun quantity by the unit cost the Contractor provided below. The Engineer will increase the lump sum price by the cost of any overruns and decrease the lump sum price by the cost of any underruns.

The Engineer will only negotiate or receive new prices on water system items if they were not identified in the original Summary of Quantities. Standard fittings are not quantified separately and are considered subsidiary to all other water system bid items. The sum of the unit costs multiplied by the items listed in the *Summary of

Quantities shall equal the Water System lump sum price submitted in this proposal, or the unit cost submittal will be rejected. Contractor will then be required to resubmit unit costs that meet this requirement for the bid to be accepted.

The Secretary may reject this Proposal if the Contractor fails to complete this Required

Contract Provision before noon on Friday after letting day.

CONTRACTOR MUST ACKNOWLEDGE Yes

*Refer to the Plans for the ID #

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REQUIRED CONTRACT PROVISION - 04-06-26

CERTIFICATION OF COMPANY NOT CURRENTLY ENGAGED IN THE PROCUREMENT OR

USE OF PROHIBITED FOREIGN UNMANNED AERIAL SYSTEMS

Effective December 22, 2025, the American Security Drone Act of 2023 (ASDA) and OMB

Memorandum M-26-02 strictly prohibits the use of federal funds for unmanned aerial systems (UAS) manufactured by covered foreign entities including any aircraft, flight controller, camera, or ground control station supplied by a manufacturer that is based in, or subject to the control of, a foreign adversary country, specifically the People’s

Republic of China. This prohibition restricts the use of drones from these countries on any federal-aid project even if the drone related costs are billed separately or not at all. Any use of these covered drones including operation, maintenance or data processing on federal aid projects is prohibited.

The Contractor agrees that the procurement and/or use of any drone (UAS) to complete any primary or supporting tasks within the scope of this Contract, as well as any subcontracts, will comply with the following directives:

• National Defense Authorization Act (NDAA) – American Security Drone Act of 2023

(ASDA, Pub. L. No. 118-31).

• Office of Management and Budget Memorandum M-26-02 – Restrictions on using federal funds to purchase or operate prohibited foreign UAS.

• Federal Acquisition Regulation Clause 52.240-1 – Prohibition on Unmanned Aircraft

Systems Manufactured or Assembled by American Security Drone Act-Covered

Foreign Entities.

If Contractor has violated, misrepresented, or otherwise fails to comply with this certification document as determined by KDOT, KDOT may terminate this Contract according to Section 108.11 of the State Specifications for State Road and Bridge Construction

(2015 Edition).

By signing the below, Contractor acknowledges and agrees to comply with the provisions of this policy.

CONTRACTOR

Signature, Title

Date

*4/6/26 C&M (JVN)

April-2026 Letting

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REQUIRED CONTRACT PROVISION - 01-01-11-R01 (01-01-11-R01)

TAX CLEARANCE CERTIFICATE

Answer 'Yes' if the Contractor has a current Tax Clearance Certificate. Answer 'No' if the Contractor does not have a current Tax Clearance Certificate.

Yes No

Insert the Tax Clearance Confirmation Number if available at the time of bidding:

Contractors shall have a current Tax Clearance Certificate from the Kansas Department of

Revenue [KDOR] at the time of contract award. The Tax Clearance process is a tax account review by KDOR to determine that the Contractor's account is compliant with Kansas tax laws administered by the Director of Taxation. The Secretary will reject the Contractor's

Proposal as non-responsive if the Contractor does not have a current Tax Clearance

Certificate at the time of the contract award.

To obtain a Tax Clearance Certificate, the Contractor shall complete and submit to KDOR an Application for Tax Clearance obtained from KDOR's website at http:// www.ksrevenue.org/taxclearance.htm. The Application Form can be completed and submitted on-line, by mail, or by fax. After the Contractor submits the Application, KDOR will provide the Contractor a Transaction ID number. The Contractor shall use the Transaction

ID number to retrieve the Tax Clearance Certificate. Decisions on on-line applications are generally available the following business day.

After the Contractor obtains the Tax Clearance Certificate, the Contractor shall insert on this Required Contract Provision the Confirmation Number contained in the Certificate or the Contractor shall submit a copy of the Tax Clearance Certificate to the KDOT Bureau of Construction and Materials by hand delivery, mail, e-mail or fax. Before awarding a contract, the Bureau of Construction and Materials will authenticate the Certificate through the Confirmation Number inserted on this Required Contract Provision or contained on the Certificate submitted.

If the Contractor is unable to retrieve the Tax Clearance Certificate or if KDOR denies the Contractor's Application for Tax Clearance, the Contractor shall call KDOR's Special

Projects Team at 785-296-3199 to determine why KDOR failed to issue the certificate.

Tax Clearance Certificates are valid for 90 days after issue. To renew a clearance, submit a new Tax Clearance Application. Information pertaining to a Tax Clearance is subject to change for various reasons, including a state tax audit, federal tax audit, agent actions, hearings, and other legal actions. The Tax Clearance Certificate is not

"clearance" for all types of taxes the State of Kansas may assess.

Subcontractors also shall have a current Tax Clearance Certificate from KDOR before the

Secrtary approves them for subcontract work. The Contractor shall submit to the KDOT

Field Office the Subcontractor's Tax Clearance Certificate with KDOT Form 259, Request for Approval of Subcontractor.

Contractor: Page 12 Check: A432ADF2B0

Line Number Item Number Quantity Unit Unit Price Extension Price

Section 01

COMMON ITEMS

1 020100 1.000 LS

CONTRACTOR CONSTRUCTION STAKING /

2 025600 1.000 EACH

FIELD OFFICE AND LABORATORY (TYPE A) /

3 025323 1.000 LS

MOBILIZATION /

4 025200 1.000 LS

REMOVAL OF EXISTING STRUCTURES /

5 012340 1.000 CUYD $40.000 $40.00

FOUNDATION STABILIZATION (SET PRICE) /

6 070580 1.000 HOUR $30.000 $30.00

FLAGGER (SET PRICE) /

Section 01 Total $70.00

Section 02

ROAD ITEMS

7 025361 1.000 LS

CLEARING AND GRUBBING /

8 012412 1366.000 CUYD

COMMON EXCAVATION (URB) /

9 012420 1981.000 CUYD

ROCK EXCAVATION /

10 012318 120.000 CUYD

COMPACTION OF EARTHWORK (TYPE AA) (MR-0-5) /

11 010114 1.000 MGAL $40.000 $40.00

WATER (GRADING) (SET PRICE) /

12 071055 5.000 CUYD

FLOWABLE FILL (LOW STRENGTH) /

13 012780 3.000 EACH

ADJUSTMENT OF MANHOLES /

14 070644 1.000 EACH

ADJUSTMENT OF VALVE BOX (WATER) /

15 012842 5.000 EACH

INLET (TYPE 22 CURB) /

16 071177 1.000 EACH

INLET (GUTTER) (MODIFIED) (SPECIAL) /

17 070211 3.000 EACH

INLET (TYPE II CURB) /

18 013063 2.000 EACH

MANHOLE (REINFORCED CONCRETE) /

19 070996 1.000 EACH

MANHOLE (REINFORCED CONCRETE) (SPECIAL) /

20 056101 95.000 LNFT

STORM SEWER (15") (RCP) /

21 056251 31.000 LNFT

STORM SEWER (18") (RCP) /

Contractor: Page 13 Check: A432ADF2B0

22 056551 4.000 LNFT

STORM SEWER (24") (RCP) /

23 056851 550.000 LNFT

STORM SEWER (30") (RCP) /

24 057151 40.000 LNFT

STORM SEWER (36") (RCP) /

25 058701 18.000 LNFT

STORM SEWER ( 3.0 SQ.FT.) (RCPHE) /

26 058901 314.000 LNFT

STORM SEWER ( 7.0 SQ.FT.) (RCPHE) /

27 055101 1.000 EACH

END SECTION ( 3.0 SQ.FT.) (RCHE) /

28 025029 215.000 SQYD

SIDEWALK CONSTRUCTION ( 5") (AE) /

29 025041 35.000 SQYD

SIDEWALK CONSTRUCTION ( 6") (AE) /

30 022625 87.000 SQYD

SIDEWALK RAMP /

31 030127 1.000 LS

WATER SYSTEM / NON PART

Section 02 Total $40.00

Section 03

TEMP PRJ WTR POL CTL-SOIL EROSION

32 072223 1.500 LBS.

TEMPORARY FERTILIZER (16-20- 0) /

33 030537 3.000 LBS.

SOIL EROSION MIX /

34 072285 36.000 SQYD

EROSION CONTROL (CLASS 1) (TYPE C) /

35 071291 1.000 CUYD $50.000 $50.00

SEDIMENT REMOVAL (SET PRICE) /

36 072400 1.000 LNFT $2.000 $2.00

TEMPORARY BERM (SET PRICE) /

37 070828 120.000 LNFT

FILTER SOCK (12") /

38 072411 500.000 SQYD

GEOTEXTILE (EROSION CONTROL) /

39 000098 1.000 LS

SWPPP DESIGN /

40 000097 24.000 EACH

SWPPP INSPECTION /

41 000103 24.000 EACH

WATER POLLUTION CONTROL MANAGER /

42 010123 1.000 MGAL $40.000 $40.00

WATER (EROSION CONTROL) (SET PRICE) /

Section 03 Total $92.00

Contractor: Page 14 Check: A432ADF2B0

Section 04

CONCRETE SURFACING ITEMS

43 061597 2289.000 LNFT

CURB AND GUTTER, COMBINED (AE) /

44 061176 23.000 LNFT

CURB, EDGE ( 6.0") (AE) /

45 070432 6061.000 SQYD

CONCRETE PAVEMENT (10" UNIFORM) (AE) (NRDJ) /

46 070446 614.000 SQYD

CONCRETE PAVEMENT ( 8" UNIFORM) (AE) (NRDJ) /

47 013541 194.000 SQYD

CONCRETE PAVEMENT ( 6" UNIFORM) (AE) /

48 010175 7552.000 SQYD

AGGREGATE BASE (AB-1) ( 6") /

49 013217 7552.000 SQYD

SEPARATION GEOTEXTILE /

50 010107 1.000 MGAL $40.000 $40.00

WATER (AGGREGATE BASE) (SET PRICE) /

Section 04 Total $40.00

Section 05

FENCING ITEMS

51 071252 21.000 LNFT

FENCE (CONSTRUCTION) (TEMPORARY) /

Section 05 Total

Section 06

SIGNING ITEMS

52 026176 85.500 LNFT

SIGN POST (4" X 6" WOOD) (FLAT SHEET SIGN) /

53 026090 87.000 LNFT

SIGN POST (1-3/4" PERFORATED SQUARE STEEL TUBE) /

54 026093 14.000 LNFT

SIGN POST (2" PERFORATED SQUARE STEEL TUBE) /

55 026089 8.000 EACH

SIGN POST FOOTING ( 1-3/4" PERFORATED SQUARE STEEL TUBE) /

56 026096 2.000 EACH

SIGN POST FOOTING ( 2" PERFORATED SQUARE STEEL TUBE) /

57 026494 1.000 LS

SIGN (REMOVE AND RESET) /

Section 06 Total

Section 07

PAVEMENT MARKING ITEMS

Contractor: Page 15 Check: A432ADF2B0

58 023140 823.000 LNFT

PAVEMENT MARKING (MULTI-COMPONENT) (WHITE) ( 6") /

59 023143 3434.000 LNFT

PAVEMENT MARKING (MULTI-COMPONENT) (YELLOW) ( 4") /

Section 07 Total

Section 08

SEEDING ITEMS

60 030148 1.000 LS

SEEDING /

Section 08 Total

Section 09

TRAFFIC CONTROL ITEMS

61 025331 11100.000 EADA

WORK ZONE SIGNS ( 0 TO 9.25 SQ.FT.) /

62 025332 6900.000 EADA

WORK ZONE SIGNS ( 9.26 TO 16.25 SQ.FT.) /

63 025376 2400.000 EADA

WORK ZONE BARRICADES (TYPE 3 - 4 TO 12 LIN. FT.) /

64 025374 900.000 EADA

WORK ZONE BARRICADES (PEDESTRIAN) /

65 011492 28200.000 EADA

CHANNELIZER (PORTABLE) /

66 025343 2700.000 EADA

WORK ZONE WARNING LIGHT (TYPE "A" LOW INTENSITY) /

67 025364 300.000 EADA

ARROW DISPLAY /

68 070916 260.000 STAL

PAVEMENT MARKING (TEMP) 4" SOLID (TYPE I) /

69 013019 5830.000 LNFT

PAVEMENT MARKING REMOVAL /

70 072116 1.000 LS

TRAFFIC CONTROL (INITIAL SETUP) /

Section 09 Total

Item Total $242.00

Contractor: Page 16 Check: A432ADF2B0

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12-17-20 Sheet 1 of 2

REQUIRED CONTRACT PROVISION

FEDERAL-AID CONTRACTS

PROHIBITION ON COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES

PURSUANT TO SECTION 889 OF THE NATIONAL DEFENSE AUTHORIZATION ACT (2019)

As of August 13, 2020, recipients and subrecipients of federal aid funds are prohibited from obligating or expending loan or grant funds to procure or obtain; extend or renew a contract to procure or obtain; or enter into a contract (or extend or renew a contract) to procure or obtain equipment, services, or systems that use Covered Telecommunications Equipment or Services as a substantial or essential component of any system, or as critical technology as part of any system. See Section 889 of Public Law 115-232 (National Defense Authorization Act 2019)(NDAA). In addition to preventing direct purchases of such Covered Telecommunications Equipment or Services, federal law prevents KDOT, LPA’s, and their Contractors from using federal aid funds to pay for Covered Telecommunications Equipment or Services that the Contractor may use on a Project. Costs for such Covered Telecommunications Equipment or Services are unallowable under 2 CFR 200.216 and 2 CFR 200.471.

The term ‘‘Covered Telecommunications Equipment or Services’’ means any of the following:

Telecommunications equipment produced by and/or telecommunications services provided by Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities).

Video surveillance equipment produced by and/or video surveillance services provided by Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities).

Telecommunications and/or video surveillance services provided by third parties that are using equipment produced by Huawei Technologies Company, ZTE Corporation, Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities) in performing such services.

Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country [defined under 889(f)(2) as “the People’s Republic of China”].

As a Contractor on a federal-aid construction contract with the Secretary of Transportation, as the principal contracting party for the State of Kansas or as the agent for a disclosed Local Public Authority (LPA), the Contractor shall not be required to provide to KDOT or the LPA Covered Telecommunications Equipment or Services in the performance of any contract, subcontract, supply contract, or other contractual instrument resulting from or associated with this Project. The Contractor will notify KDOT if the Contractor believes the Project scope requires the acquisition of any Covered Telecommunications Equipment or Services.

Current federal law does not prohibit the Contractor from using Covered Telecommunications Equipment or Services on the Project; however, the costs of Covered Telecommunications Equipment or Services are federal-aid non-participating. Thus, the Contractor shall notify KDOT or the LPA if the Contractor and/or any of its subcontractors or suppliers at any tier are using Covered Telecommunications Equipment or Services on the Project. This notice is necessary so KDOT can reimburse the Contractor with state funds, local funds, or a combination thereof rather than with federal-aid funds.

12-17-20 Sheet 2 of 2

The Contractor will ensure that this Required Contract Provision is included in all subcontracts, supply agreements, and other contractual instruments resulting from or associated with this Project, so the prohibition is made binding on all subcontractors and suppliers at any tier.