Bid Notice-Grading_ Bridge _ Surfacing. US-160 - Comanche County.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

STATE PROJECT NUMBER: U160-017 KA 6196-01

CALL ORDER NUMBER: 650

PROPOSAL NUMBER: 526116505

LETTING DATE 11/18/2026

COUNTY: COMANCHE

FUND TYPE: STATE

PRATTKDOT CONSTRUCTION OFFICE:

PROJECT DESCRIPTION

GRADING, BRIDGE AND SURFACING. US-160: BEG 0.16 MI W OF

US-160/US-183/K-1 JCT N TO E 4TH ST IN CM CO. LGTH IS 5.20 MI.

STATE TIED TO KA 6876-01.

RESTRICTED DAYS

(295)

TOTAL CONTRACT DAYS

(335)

TIED TO: 526116515 KA 6876-01

MARCH 01, 2027

JUNE 07, 2027

Earliest Start Date:

Latest Start Date:

4:34:30PM10/20/2026 @

Letting 11/18/2026 Kansas Department of Transportation Project No. U160-017 KA 6196-01 Contract No. 526116505

U160-017 KA 6196-01 U160-017 KA 6196-01

CONTRACT PROPOSAL

DOT Form No. 202 Rev. 02/19

Contract ID: 526116505

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.:

U160-017 KA 6196-01 / U160-017 KA 6196-01

The general scope, location and net length are:

GRADING, BRIDGE AND SURFACING. US-160: BEG 0.16 MI W OF

US-160/US-183/K-1 JCT N TO E 4TH ST IN CM CO. LGTH IS 5.20 MI.

STATE TIED TO KA 6876-01.

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.gov and choosing the following selections: "Doing Business", "Highway Contractors", "Contractor Resources and "Specifications".

5.Contractors shall use the Bidx.com website to complete and submit the bid form. Project bid forms are available on Bid

Express' website at http://www.bidx.com.

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.

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 _295_ Restricted Days and shall complete the work within the total Contract Working Days of _335_.

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

Contractor: Check: Page 1

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 Bidx bid form 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 Bidx bid form, electronically signs the Proposal where required on DOT Form 202, and submits the completed Bidx bid form 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.

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 Bidx bid form. Some or all of these apply to the Project as indicated in the Special Provision List. The Contractor shall complete these provisions within the Bidx bid form 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 Bidx bid form.

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 STATE. 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.

Contractor: Check: Page 2

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.

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

Contractor: Check: Page 3

KANSAS DEPARTMENT OF TRANSPORTATION

SPECIAL PROVISION LIST

PAGE:

DATE:

10/17/26

STATE PROJECT NO: U160-017 KA 6196-01 STATE CONTRACT NO: 526116505

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: COMANCHE5

GRADING, BRIDGE AND SURFACING. US-160: BEG 0.16 MI W OF

US-160/US-183/K-1 JCT N TO E 4TH ST IN CM CO. LGTH IS 5.20 MI. STATE TIED TO

KA 6876-01.

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-PRICE ADJUSTMENT FOR FUEL10-10-00-R09

REQUIRED CONTRACT PROVISION-PRICE ADJUSTMENT FOR ASPHALT06-01-06-R01

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

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

MINIMUM WAGE RATE (CN,CM,ED,EK,GO,GL,ME,MT,NS,PL,RA,RH,SM,ST & WH

COUNTIES)

KS20260130

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

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

POLICY AGAINST SEXUAL HARASSMENT03-01-18

INFORMATION TO CONTRACTORS (STATUS OF UTILITIES)15-01002

REQUIRED CONTRACT PROVISIONS KS FUNDED CONST CONTRACTS15-01003

WORKING DAYS AND LIQUIDATED DAMAGES15-01006-R02

FUEL ADJUSTMENT15-01008-R02

ASPHALT PRICE ADJUSTMENT15-01009-R01

ENVIRONMENTAL CONCERNS - MIGRATORY BIRD TREATY ACT15-01011-R06

PROSECUTION AND PROGRESS15-01016-R04

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

ASPHALT SURFACING AND ASPHALT RECYCLING EQUIPMENT15-01501

REMOVAL OF EXISTING STRUCTURES15-02001

STRUCTURAL CONCRETE15-04002-R01

GENERAL CONCRETE15-04005-R04

ASPHALT PAVEMENT SMOOTHNESS15-06006-R01

HOT MIX ASPHALT (HMA)-COMMERCIAL GRADE15-06010-R02

CONCRETE STRUCTURE CONSTRUCTION15-07011-R01

TAPERED PAVEMENT EDGE15-08004-R01

DITCH LINING15-08005

PERMANENT SIGNING15-08010-R02

PAGE:

DATE:

10/17/26

STATE PROJECT NO: U160-017 KA 6196-01 STATE CONTRACT NO: 526116505

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: COMANCHE5

GRADING, BRIDGE AND SURFACING. US-160: BEG 0.16 MI W OF

US-160/US-183/K-1 JCT N TO E 4TH ST IN CM CO. LGTH IS 5.20 MI. STATE TIED TO

KA 6876-01.

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.

PAVEMENT WIDENING, SHOULDERING AND PAVEMENT EDGE WEDGE15-08011-R02

CONCRETE SAFETY BARRIER15-08014

CONTRACTOR CONSTRUCTION STAKING15-08015

MAINTENANCE AND RESTORATION OF HAUL ROADS15-08018

WORK ZONE TRAFFIC CONTROL & SAFETY15-08019-R04

PIPE AND END SECTIONS15-08022-R01

FIELD OFFICE AND LABORATORY15-08023-R01

WORK ZONE TRAFFIC CONTROL AND SAFETY (WORKERS PRESENT SIGNS)15-08029-R01

STORMWATER POLLUTION MANAGEMENT15-09002-R05

MULCHING15-09003-R02

TEMPORARY EROSION AND SEDIMENT CONTROL/SEEDING15-09004-R03

MULCHING15-09006-R01

STONE FOR RIPRAP, DITCH LINING AND OTHER MISCELLANEOUS USES15-11001-R04

AGGREGATE FOR HMA15-11002-R01

AGGS FOR CONCRETE NOT PLACED ON GRADE15-11003-R04

AGGREGATES FOR BACKFILL15-11009-R03

GENERAL REQUIREMENT DIVISION 120015-12001-R01

PERFORMANCE GRADED ASPHALT BINDER15-12002-R01

AIR-ENTRAINING ADMIXTURES FOR CONCRETE15-14001-R01

SHEET MATERIALS FOR CURING CONCRETE15-14002

LIQUID MEMBRANE FORMING COMPOUNDS15-14003

STEEL SIGN POSTS15-16002-R03

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

MATERIALS FOR FENCING15-16004

STEEL FASTENERS15-16007-R02

PORTABLE CHANGEABLE MESSAGE SIGNS15-17001-R01

RELEASE COMPOUND FOR ASPHALT MIXES15-17004-R05

FIBROUS REINFORCEMENT FOR CONCRETE15-17006-R02

GEOSYNTHETICS15-17007-R04

USES OF PIPE15-19005-R04

CMP AND END SECTIONS15-19006-R01

PORTLAND CEMENT AND BLENDED HYDRAULIC CEMENT15-20001-R02

HYDRATED LIME15-20002

FLYASH FOR USE IN CONCRETE15-20004-R01

PAGE:

DATE:

10/17/26

STATE PROJECT NO: U160-017 KA 6196-01 STATE CONTRACT NO: 526116505

FEDERAL PROJ NO.

PRIMARY DISTRICT:

DESCRIPTION:

PRIMARY COUNTY: COMANCHE5

GRADING, BRIDGE AND SURFACING. US-160: BEG 0.16 MI W OF

US-160/US-183/K-1 JCT N TO E 4TH ST IN CM CO. LGTH IS 5.20 MI. STATE TIED TO

KA 6876-01.

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.

SILICA FUME15-20005

SLAG CEMENT FOR USE IN CONCRETE AND MORTAR15-20006

SEEDS15-21001

MULCH TACKING SLURRY15-21002

PAVEMENT MARKING PAINT15-22004-R02

IMAGE SYSTEMS15-22005-R03

RETROREFLECTIVE SHEETING15-22006-R01

ROLL-UP SIGNS15-22011

RAISED PAVEMENT MARKERS15-22015

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, antitrust 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:

Contractor: Check: Page 4

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:

Contractor: Check: Page 5

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:

Contractor: Check: Page 6

REQUIRED CONTRACT PROVISION - 10-10-00-R09 (Rev. 01/20)

PRICE ADJUSTMENT FOR FUEL

The Contractor may accept or reject the application of Special Provision 15-01008 (latest revision) "Price Adjustment for Fuel". Any items listed on Special Provision 15-01008 (latest revision) that are included in this project are eligible for the fuel price adjustment unless otherwise stated in the contract documents.

Answer 'Accept' if you accept this provision. Answer 'Reject' if you reject this provision and the provision will not be part of the contract.

◯ Accept ◯ Reject

If the Contractor accepts 15-01008 (latest revision), the Contractor shall mark the checkboxes below for the eligible items/sections listed in Special Provision 15-01008 (latest revision). Then they should indicate their desire for the specific fuel price adjustment by selecting the 'Yes' or 'No' option.

◯ Road Items (Earthwork)

◯ Concrete Surfacing Items

◯ Asphalt Surfacing Items

Contractor: Check: Page 7

REQUIRED CONTRACT PROVISION - 06-01-06-R01 (Rev. 03/15)

PRICE ADJUSTMENT FOR ASPHALT MATERIAL

The Contractor may accept or reject the application of Special Provision 15-01009 (latest revision) "Price Adjustment for Asphalt Material."

Answer 'Accept' if you accept this provision. Answer 'Reject' if you reject this provision and the provision will not be part of the contract.

◯ Accept ◯ Reject

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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: Check: Page 9

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 012340 1.000 CUYD $40.000 $40.00

FOUNDATION STABILIZATION (SET PRICE) /

4 025168 1.000 CUYD $60.000 $60.00

GRANULAR BACKFILL (WINGWALLS) (SET PRICE) /

5 025323 1.000 LS

MOBILIZATION /

6 025200 1.000 LS

REMOVAL OF EXISTING STRUCTURES /

7 020001 1.000 LS $4,000.000 $4,000.00

MAINTENANCE AND RESTORATION OF HAUL ROADS (SET PRICE) /

8 071554 1.000 CUYD $225.000 $225.00

CONCRETE FOR SEAL COURSE (SET PRICE) /

9 070580 1.000 HOUR $30.000 $30.00

FLAGGER (SET PRICE) /

Section 01 Total 4,355.00

Section 02

ROAD ITEMS

10 060359 1.000 LS

CLEANING EXISTING STRUCTURE /

11 012341 164.000 CUYD

FOUNDATION STABILIZATION /

12 025186 84.000 CUYD

GRANULAR BACKFILL (WINGWALLS) /

13 071021 396.000 SQYD

BRIDGE BACKWALL PROTECTION SYSTEM /

14 011792 10000.000 CUYD

TRANSPORTING SALVAGEABLE MATERIAL /

15 025361 1.000 LS

CLEARING AND GRUBBING /

16 012411 174372.000 CUYD

COMMON EXCAVATION (RURAL LARGE) /

17 012415 8687.000 CUYD

COMMON EXCAVATION (CONTRACTOR FURNISHED) /

18 012420 427.000 CUYD

ROCK EXCAVATION /

19 012317 25444.000 CUYD

COMPACTION OF EARTHWORK (TYPE A) (MR-5-5) /

20 012319 16762.000 CUYD

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

21 010114 1.000 MGAL $40.000 $40.00

WATER (GRADING) (SET PRICE) /

22 030189 309054.000 SQYD

SALVAGED TOPSOIL /

23 012083 169.400 CUYD

CONCRETE (GRADE 4.0) (RCB) /

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24 011899 62.800 CUYD

CONCRETE (GRADE 4.0) (AE) (RCB) /

25 025100 6090.000 LBS.

REINFORCING STEEL (GRADE 60) /

26 025103 21940.000 LBS.

REINFORCING STEEL (GRADE 60) (EPOXY COATED) /

27 050701 38.000 LNFT

CROSS ROAD PIPE ( 24") (RCP) /

28 053800 62.000 LNFT

CROSS ROAD PIPE (14.0 SQ.FT.) /

29 054601 2.000 EACH

END SECTION ( 24") (RC) /

30 054600 14.000 EACH

END SECTION ( 24") /

31 054650 2.000 EACH

END SECTION ( 30") /

32 055025 2.000 EACH

END SECTION ( 1.5 SQ.FT.) /

33 055100 8.000 EACH

END SECTION ( 3.0 SQ.FT.) /

34 055175 4.000 EACH

END SECTION ( 6.0 SQ.FT.) /

35 055200 2.000 EACH

END SECTION ( 7.0 SQ.FT.) /

36 055325 4.000 EACH

END SECTION (14.0 SQ.FT.) /

37 050775 464.000 LNFT

ENTRANCE PIPE ( 24") /

38 050975 92.000 LNFT

ENTRANCE PIPE ( 30") /

39 052675 46.000 LNFT

ENTRANCE PIPE ( 1.5 SQ.FT.) /

40 052975 210.000 LNFT

ENTRANCE PIPE ( 3.0 SQ.FT.) /

41 053275 88.000 LNFT

ENTRANCE PIPE ( 6.0 SQ.FT.) /

42 053375 42.000 LNFT

ENTRANCE PIPE ( 7.0 SQ.FT.) /

43 053875 42.000 LNFT

ENTRANCE PIPE (14.0 SQ.FT.) /

44 012750 2376.000 SQYD

CONCRETE DITCH LINING /

45 080418 191.000 TON

AGGREGATE DITCH LINING ( 4") /

46 011590 1.000 CUYD $50.000 $50.00

TEMPORARY SURFACING MATERIAL (AGGREGATE) (SET PRICE) /

47 070296 1.000 EACH $150.000 $150.00

MAILBOX INSTALLATION (SET PRICE) /

48 030700 10.400 PMPS

MOWING /

49 072144 141.000 EACH

RIGHT-OF-WAY SURVEY MONUMENT /

Section 02 Total 240.00

Contractor: Check: Page 11

Section 03

TEMP PRJ WTR POL CTL-SOIL EROSION.

50 072222 8637.000 LBS.

TEMPORARY FERTILIZER (15-30-15) /

51 065001 5871.800 LBS.

TEMPORARY SEED (MIX) /

52 030537 355.500 LBS.

SOIL EROSION MIX /

53 072285 8462.000 SQYD

EROSION CONTROL (CLASS 1) (TYPE C) /

54 072287 5694.000 SQYD

EROSION CONTROL (CLASS 2) (TYPE E) /

55 072288 1304.000 SQYD

EROSION CONTROL (CLASS 2) (TYPE F) /

56 071291 1.000 CUYD $50.000 $50.00

SEDIMENT REMOVAL (SET PRICE) /

57 072400 1.000 LNFT $2.000 $2.00

TEMPORARY BERM (SET PRICE) /

58 070207 58.000 TON

TEMPORARY DITCH CHECK (ROCK) /

59 070828 5130.000 LNFT

FILTER SOCK (12") /

60 072411 500.000 SQYD

GEOTEXTILE (EROSION CONTROL) /

61 010598 2018.000 LNFT

SILT FENCE /

62 000098 1.000 LS

SWPPP DESIGN /

63 000097 67.000 EACH

SWPPP INSPECTION /

64 000103 67.000 EACH

WATER POLLUTION CONTROL MANAGER /

65 030635 73143.000 LBS.

MULCHING TACKING SLURRY /

66 030638 163.100 TON

MULCHING /

67 010123 1.000 MGAL $40.000 $40.00

WATER (EROSION CONTROL) (SET PRICE) /

Section 03 Total 92.00

Section 04

BR. NO. 160-17-178.29 (021)

68 011990 139.100 CUYD

CONCRETE (GRADE 4.0) (RCB BR) /

69 011960 111.300 CUYD

CONCRETE (GRADE 4.0) (AE) (RCB BR) /

70 013412 323.000 SQYD

PAVEMENT WATERPROOFING MEMBRANE /

71 071021 330.000 SQYD

BRIDGE BACKWALL PROTECTION SYSTEM /

72 025100 2020.000 LBS.

REINFORCING STEEL (GRADE 60) /

73 025103 51040.000 LBS.

REINFORCING STEEL (GRADE 60) (EPOXY COATED) /

Contractor: Check: Page 12

74 012403 318.000 CUYD

CLASS III EXCAVATION (RCB) /

75 012341 66.000 CUYD

FOUNDATION STABILIZATION /

76 025186 36.000 CUYD

GRANULAR BACKFILL (WINGWALLS) /

77 070974 21.000 CUYD

SLOPE PROTECTION (RIPRAP STONE) /

78 014477 1.000 LS

TEMPORARY SHORING /

Section 04 Total

Section 05

BR. NO. 160-17-181.70 (022)

79 011990 139.100 CUYD

CONCRETE (GRADE 4.0) (RCB BR) /

80 011960 111.300 CUYD

CONCRETE (GRADE 4.0) (AE) (RCB BR) /

81 013412 323.000 SQYD

PAVEMENT WATERPROOFING MEMBRANE /

82 071021 330.000 SQYD

BRIDGE BACKWALL PROTECTION SYSTEM /

83 025100 2020.000 LBS.

REINFORCING STEEL (GRADE 60) /

84 025103 51180.000 LBS.

REINFORCING STEEL (GRADE 60) (EPOXY COATED) /

85 012403 334.000 CUYD

CLASS III EXCAVATION (RCB) /

86 012341 66.000 CUYD

FOUNDATION STABILIZATION /

87 025186 36.000 CUYD

GRANULAR BACKFILL (WINGWALLS) /

88 070974 21.000 CUYD

SLOPE PROTECTION (RIPRAP STONE) /

89 014477 1.000 LS

TEMPORARY SHORING /

Section 05 Total

Section 06

10' TO 20' STRUCTURE ITEMS (516) (STA 354+21)

90 012341 42.000 CUYD

FOUNDATION STABILIZATION /

91 025186 54.000 CUYD

GRANULAR BACKFILL (WINGWALLS) /

92 071021 188.000 SQYD

BRIDGE BACKWALL PROTECTION SYSTEM /

93 012083 95.300 CUYD

CONCRETE (GRADE 4.0) (RCB) /

94 011899 52.600 CUYD

CONCRETE (GRADE 4.0) (AE) (RCB) /

95 025100 2140.000 LBS.

REINFORCING STEEL (GRADE 60) /

Contractor: Check: Page 13

96 025103 21720.000 LBS.

REINFORCING STEEL (GRADE 60) (EPOXY COATED) /

97 014477 1.000 LS

TEMPORARY SHORING /

98 070974 36.000 CUYD

SLOPE PROTECTION (RIPRAP STONE) /

99 013412 185.000 SQYD

PAVEMENT WATERPROOFING MEMBRANE /

Section 06 Total

Section 07

ASPHALT SURFACING ITEMS

100 041003 5130.000 TON

HMA-COMMERCIAL GRADE (CLASS A) /

101 010169 3863.000 SQYD

AGGREGATE BASE (AB-3) ( 6") /

102 081050 13116.000 TON

PAVEMENT EDGE WEDGE (ROCK) /

103 010107 1.000 MGAL $40.000 $40.00

WATER (AGGREGATE BASE) (SET PRICE) /

104 025600 1.000 EACH

FIELD OFFICE AND LABORATORY (TYPE A) /

105 011478 1.000 MGAL $40.000 $40.00

WATER (EARTHWORK COMPACTION) (SET PRICE) /

106 081496 990.000 TON

SURFACING MATERIAL (AB-3) /

Section 07 Total 80.00

Section 08

FENCING ITEMS

107 070563 1455.000 LNFT

FENCE (BARBED WIRE) (TEMPORARY) /

Section 08 Total

Section 09

SIGNING ITEMS

108 025500 727.000 SQFT

SIGN (FLAT SHEET) (HIGH PERFORMANCE) /

109 026176 1244.000 LNFT

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

110 026175 10.000 LNFT

SIGN POST (2 LB/FT "U" STEEL) /

Section 09 Total

Section 10

SEEDING

111 030563 4727.500 LBS.

FERTILIZER (13-13-13) /

112 010002 2101.200 LBS.

SEED (DISTRICT TWO/FIVE SHOULDER MIX) /

Contractor: Check: Page 14

113 030344 2837.600 LBS.

FERTILIZER (15-30-15) /

114 010003 1635.000 LBS.

SEED (DISTRICT TWO/FIVE OTHER MIX) /

115 083463 365.300 LBS.

SEED (NATIVE WILDFLOWER MIX 1) /

Section 10 Total

Section 11

TRAFFIC CONTROL ITEMS

116 025331 34850.000 EADA

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

117 025332 36360.000 EADA

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

118 025376 52520.000 EADA

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

119 011492 140390.000 EADA

CHANNELIZER (PORTABLE) /

120 025343 17180.000 EADA

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

121 025337 1010.000 EADA

WORK ZONE WARNING LIGHT (RED TYPE "B" HIGH INTENSITY) /

122 025365 2020.000 EADA

PORTABLE CHANGEABLE MESSAGE SIGN /

123 070916 1038.000 STAL

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

124 013019 73580.000 LNFT

PAVEMENT MARKING REMOVAL /

125 070619 90.000 EACH

RIGID RAISED PAVEMENT MARKER (TYPE I) /

126 025308 1.000 LS

TRAFFIC SIGNAL INSTALLATION (TEMPORARY) /

127 072116 1.000 LS

TRAFFIC CONTROL (INITIAL SETUP) /

128 046038 12.000 EACH

INERTIAL BARRIER SYSTEM (TL-3) /

129 018154 30.000 EACH

REPLACEMENT MODULES (IBS) /

130 011927 2475.000 LNFT

CONCRETE SAFETY BARRIER (TYPE F3) (TEMPORARY) /

131 011929 6425.000 LNFT

CONCRETE SAFETY BARRIER (TYPE F3) (TEMPORARY - RELOCATE) /

Section 11 Total

Item Total $4,767.00

Contractor: Check: Page 15

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Company Notified to move

Work started

Percent Complete

Completion Date (est.)

Permit or Agreement #

AT&T 8/5/26 0% 12/4/26 Permit# ?

City of Coldwater 10/13/26 0% 11/6/26 Agreement # 006272011

CMS Electric 8/5/26 0% 12/4/26 Agreement # 0066622050

Haviland Telephone 8/5/26 0% 12/15/26 Agreement # 006272008

Kansas Gas Service

ONEOK

Souther Pioneer Elec.

Superior Midstream 8/6/26 0% 11/6/26 Agreement # 006262047

United Telephone Association

Alliance Ag & Grain

American Warrior

Dreiling Oil

Pickrell Drilling

Private Utilities that were handle thru

R/W.

The information provided in this document does not constitute a guarantee that utility facilities will be clear of construction. The information is gathered from both KDOT field personnel and utility company personnel. Estimated completion dates are dependent upon many variables (weather, material or product availability, r/w acquisition, etc.). The estimated completion date is an estimate.

County: Comanche Project # 160-17 KA-6196-01

15-01002 Misc.

Status of Utilities Report

Submitted: 10/21/26 Letting: 11/18/2026

No relocation necessary

No relocation necessary

No relocation necessary

No relocation necessary