Bid Notice-Grading _ Bridge - Wallace County.pdf
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- Attached to
- Grading & Bridge - Wallace County State and local contract opportunity
- Solicitation number
- 526092353
- Issued by
- Kansas
About this file
Bid Notice Summary
This is a bid notice for a grading and bridge construction project issued by the Kansas Department of Transportation (KDOT). The project involves grading and construction of a bridge over Ladder Creek located 3.5 miles south and 3.0 miles east of Weskan in Wallace County, Kansas, with a total project length of 0.151 miles. The work includes common items such as field office and laboratory setup, mobilization, traffic control, and road items including clearing and grubbing, common excavation (1,397 cubic yards), compaction of earthwork (894 cubic yards), entrance pipe installation, guardrail installation (100 linear feet), bridge construction at station 437+80 with reinforcing steel (74,830 pounds), steel piles (1,220 linear feet of HP10X42), and seeding items. Electronic proposals must be submitted through Bid Express by 1:00 p.m. local time on the letting date of September 16, 2026, with bids to be opened and read at 3:00 p.m. the same day at the Eisenhower State Office Building in Topeka, Kansas. The contractor must execute the contract within ten business days of award and complete the work within 120 total contract working days, with 90 restricted days to open the project to unrestricted traffic.
The project is federally funded through the Federal Aid Highway Program and requires all contractors to obtain a current Kansas Department of Revenue Tax Clearance Certificate prior to contract award. Prequalified contractors must submit their intent to bid by 5:00 p.m. on the Monday preceding the letting date. Required contract provisions include noncollusion and debarment certification, financial prequalification amounts, limitations on use of federal funds for lobbying, and affirmative action and equal employment opportunity compliance. The bid documents, including the Unit Prices List and special provisions totaling 47 items, are available electronically on KDOT's website and the Bid Express platform. All contract documents, Standard Specifications (2015 Edition), plans, and exploratory work documents are incorporated by reference into the proposal, and the contractor waives the right to claim misunderstanding of the proposal or project scope by electronically signing the proposal.
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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: BRO-C536(201)
STATE PROJECT NUMBER: 100 C 5362-01
CALL ORDER NUMBER: 235
PROPOSAL NUMBER: 526092353
LETTING DATE 09/16/2026
COUNTY: WALLACE
FUND TYPE: FEDERAL
OAKLEYKDOT CONSTRUCTION OFFICE:
PROJECT DESCRIPTION
GRADING AND BRIDGE. BR OVER LADDER CREEK LOC 3.5 MI S AND
3.0 MI E OF WESKAN IN WA CO. LGTH IS 0.151 MI.
RESTRICTED DAYS
(90)
TOTAL CONTRACT DAYS
(120)
JULY 12, 2027
Earliest Start Date:
Latest Start Date:
9:45:23AM8/19/2026 @
Letting 09/16/2026 Kansas Department of Transportation Project No. 100 C 5362-01
Contract No. 526092353
100 C 5362-01 BRO-C536(201)
CONTRACT PROPOSAL
DOT Form No. 202 Rev. 02/19
Contract ID: 526092353
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.:
100 C 5362-01 / BRO-C536(201)
The general scope, location and net length are:
GRADING AND BRIDGE. BR OVER LADDER CREEK LOC 3.5 MI S AND
3.0 MI E OF WESKAN IN WA CO. LGTH IS 0.151 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. 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:
08/12/26
STATE PROJECT NO: 100 C 5362-01 STATE CONTRACT NO: 526092353
FEDERAL PROJ NO.
PRIMARY DISTRICT:
DESCRIPTION:
PRIMARY COUNTY: WALLACE3
GRADING AND BRIDGE. BR OVER LADDER CREEK LOC 3.5 MI S AND 3.0 MI E OF
WESKAN IN WA CO. LGTH IS 0.151 MI.
BRO-C536(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-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
MINIMUM WAGE RATE (WALLACE COUNTY)KS20260126
REQUIRED CONTRACT PROVISION-NDAA 889 TELECOMM PROHIBITION12-17-20
REQUIRED CONTRACT PROVISION-TAX CLEARANCE CERTIFICATE01-01-11-R01
NOTICE TO CONTRACTORS (USDOT HOTLINE)09-06-94-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
GENERAL CONCRETE15-04005-R04
STRUCTURAL METALS FABRICATION15-07004-R02
QUALIFICATION OF FIELD WELDERS15-07005-R02
CONCRETE STRUCTURE CONSTRUCTION15-07011-R01
PILING15-07017
FALSEWORK AND FORM CONSTRUCTION15-07018
PERMANENT SIGNING15-08010-R02
WORK ZONE TRAFFIC CONTROL & SAFETY15-08019-R04
PIPE AND END SECTIONS15-08022-R01
PAGE:
DATE:
08/12/26
STATE PROJECT NO: 100 C 5362-01 STATE CONTRACT NO: 526092353
FEDERAL PROJ NO.
PRIMARY DISTRICT:
DESCRIPTION:
PRIMARY COUNTY: WALLACE3
GRADING AND BRIDGE. BR OVER LADDER CREEK LOC 3.5 MI S AND 3.0 MI E OF
WESKAN IN WA CO. LGTH IS 0.151 MI.
BRO-C536(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.
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
STONE FOR RIPRAP, DITCH LINING AND OTHER MISCELLANEOUS USES15-11001-R04
AGGS FOR CONCRETE NOT PLACED ON GRADE15-11003-R04
AGGREGATES FOR BACKFILL15-11009-R03
AIR-ENTRAINING ADMIXTURES FOR CONCRETE15-14001-R01
SHEET MATERIALS FOR CURING CONCRETE15-14002
LIQUID MEMBRANE FORMING COMPOUNDS15-14003
STRUCTURAL STEEL TUBING15-16001-R01
STEEL SIGN POSTS15-16002-R03
STRUCTURAL STEEL15-16005-R01
STEEL FASTENERS15-16007-R02
STEEL PLATE GUARDRAIL AND PROPRIETARY END TERMINALS15-16008-R01
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
SILICA FUME15-20005
SLAG CEMENT FOR USE IN CONCRETE AND MORTAR15-20006
SEEDS15-21001
MULCH TACKING SLURRY15-21002
IMAGE SYSTEMS15-22005-R03
RETROREFLECTIVE SHEETING15-22006-R01
ROLL-UP SIGNS15-22011
WOOD POSTS15-23001-R03
FIELD HANDLING AND PRESERVATIVE TREATMENT OF WOOD PRODUCTS15-23003-R02
PART V15-25001-R07
MATERIALS CERTIFICATIONS15-26001-R13
CONTRACTOR FURNISHED PDA15-PS0002-R2
PAGE:
DATE:
08/12/26
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 - 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.
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Line Number Item Number Quantity Unit Unit Price Extension Price
Section 01
COMMON ITEMS
1 025602 1.000 EACH
FIELD OFFICE AND LABORATORY (TYPE C) /
2 012340 1.000 CUYD $60.000 $60.00
FOUNDATION STABILIZATION (SET PRICE) /
3 025323 1.000 LS
MOBILIZATION /
4 025200 1.000 LS
REMOVAL OF EXISTING STRUCTURES /
5 071554 1.000 CUYD $225.000 $225.00
CONCRETE FOR SEAL COURSE (SET PRICE) /
6 040707 1.000 LS
CURING ENVIRONMENT /
7 025324 1.000 LS
TRAFFIC CONTROL /
8 070580 1.000 HOUR $30.000 $30.00
FLAGGER (SET PRICE) /
Section 01 Total $315.00
Section 02
ROAD ITEMS
9 025361 1.000 LS
CLEARING AND GRUBBING /
10 012410 1397.000 CUYD
COMMON EXCAVATION (RURAL SMALL) /
11 012332 894.000 CUYD
COMPACTION OF EARTHWORK (TYPE B) (MR-90) /
12 010114 1.000 MGAL $40.000 $40.00
WATER (GRADING) (SET PRICE) /
13 054600 4.000 EACH
END SECTION ( 24") /
14 050775 72.000 LNFT
ENTRANCE PIPE ( 24") /
15 023447 100.000 LNFT
GUARDRAIL, STEEL PLATE /
16 014177 4.000 EACH
SIGNING OBJECT MARKER (TYPE 3) /
17 011590 1.000 CUYD $50.000 $50.00
TEMPORARY SURFACING MATERIAL (AGGREGATE) (SET PRICE) /
Section 02 Total $90.00
Section 03 AA1
GUARDRAIL END TERMINAL (SRT)
18 023448 4.000 EACH
GUARDRAIL END TERMINAL (SRT) /
Contractor: Page 11 Check: A8A00FB698
Section 03 Total
Section 04 AA2
GUARDRAIL END TERMINAL (FLEAT)
19 023410 4.000 EACH
GUARDRAIL END TERMINAL (FLEAT) /
Section 04 Total
Section 05
TEMP PRJ WTR POL CTL-SOIL EROSION
20 072222 225.000 LBS.
TEMPORARY FERTILIZER (15-30-15) /
21 065001 143.000 LBS.
TEMPORARY SEED (MIX) /
22 030537 9.800 LBS.
SOIL EROSION MIX /
23 072285 225.000 SQYD
EROSION CONTROL (CLASS 1) (TYPE C) /
24 072287 599.000 SQYD
EROSION CONTROL (CLASS 2) (TYPE E) /
25 071291 1.000 CUYD $50.000 $50.00
SEDIMENT REMOVAL (SET PRICE) /
26 072400 1.000 LNFT $2.000 $2.00
TEMPORARY BERM (SET PRICE) /
27 070207 25.000 TON
TEMPORARY DITCH CHECK (ROCK) /
28 070828 200.000 LNFT
FILTER SOCK (12") /
29 072411 500.000 SQYD
GEOTEXTILE (EROSION CONTROL) /
30 000098 1.000 LS
SWPPP DESIGN /
31 000097 21.000 EACH
SWPPP INSPECTION /
32 000103 21.000 EACH
WATER POLLUTION CONTROL MANAGER /
33 030635 1755.000 LBS.
MULCHING TACKING SLURRY /
34 030638 3.900 TON
MULCHING /
35 010123 1.000 MGAL $40.000 $40.00
WATER (EROSION CONTROL) (SET PRICE) /
Section 05 Total $92.00
Section 06
BR. STA. 437+80
Contractor: Page 12 Check: A8A00FB698
36 012400 112.000 CUYD
CLASS I EXCAVATION /
37 012401 118.000 CUYD
CLASS II EXCAVATION /
38 072350 70.800 CUYD
CONCRETE (GRADE 4.0) (AE) /
39 012073 256.800 CUYD
CONCRETE (GRADE 4.0) (AE) (SW) /
40 025100 74830.000 LBS.
REINFORCING STEEL (GRADE 60) /
41 070972 186.000 CUYD
SLOPE PROTECTION (SHOT ROCK) /
42 014069 1220.000 LNFT
PILES (STEEL) (HP10X42) /
43 016332 2.000 EACH
CONTRACTOR FURNISHED PDA /
Section 06 Total
Section 07
SEEDING ITEMS
44 030344 65.000 LBS.
FERTILIZER (15-30-15) /
45 010004 63.400 LBS.
SEED (DISTRICT THREE/SIX SHOULDER MIX) /
Section 07 Total
Item Total $497.00
Contractor: Page 13 Check: A8A00FB698
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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. For purposes of this Required Contract Provision, the term subcontractors and suppliers shall have the broadest application to include manufacturers, producers, and all other entities that have a contractual instrument resulting from or associated with this Project.
12-17-20 C&M (CDB)
Jan 2021 – Letting; retroactive on earlier Federal Aid Projects with payments
FHWA-1273 – Revised June 25, 2026
CONTRACT PROVISIONS FOR
FEDERAL-AID CONSTRUCTION CONTRACTS
I. General II. Nondiscrimination III. Davis-Bacon and Related Act Provisions IV. Contract Work Hours and Safety Standards Act
Provisions V. Subletting or Assigning the Contract VI. Safety: Accident Prevention VII. False Statements Concerning Highway Projects VIII. Implementation of Clean Air Act and Federal Water
Pollution Control Act IX. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion X. Certification Regarding Use of Contract Funds for
Lobbying XI. Use of United States-Flag Vessels
ATTACHMENTS
A. Employment and Materials Preference for Appalachian Development Highway System or Appalachian Local Access Road Contracts (included in Appalachian contracts only).
I. GENERAL
1. Historically, contracting agencies using Federal-aid highway funds were required to ensure Form FHWA-1273 was physically incorporated into all contracts and subcontracts.
Effective June 10, 2026, this requirement was eliminated [91 FR 25492]. Future use of Form FHWA-1273 is now optional on the part of the contracting agency using Federal-aid highway funds. FHWA continues to make Form FHWA-1273 available as a convenience to contracting agencies. Contracting agencies must continue to ensure compliance with the provisions cited in Form FHWA-1273 in accordance with the provisions regardless of the use of Form FHWA-1273.
Accordingly, the contracting agency retains the authority to determine whether the contractor must use Form FHWA-1273 to physically incorporate required contract provisions in each subcontract and in lower tier contracts. Where permitted by the contracting agency, the contractor may choose other ways to include required contract provisions in each subcontract, besides incorporating Form FHWA-1273. Contract provisions in Form FHWA-1273 are not required to be physically included in subcontracts for design services on Federal-aid design-build contracts, or in purchase orders, rental agreements and other agreements for supplies or services.
The applicable provisions of Form FHWA-1273 are incorporated by reference for work done under any purchase order, rental agreement or agreement for other services. The prime contractor or design-builder shall be responsible for compliance by any subcontractor, lower-tier subcontractor or service provider.
Contracting agencies may reference Form FHWA-1273 in solicitation-for-bids or request-for-proposals documents.
2. Subject to the applicability criteria noted in the following sections, these contract provisions shall apply to all work performed on the contract by the contractor's own organization and with the assistance of workers under the contractor's immediate superintendence and to all work performed on the contract by piecework, station work, or by subcontract.
3. A breach of any of the stipulations contained in these Required Contract Provisions may be sufficient grounds for withholding of progress payments, withholding of final payment, termination of the contract, suspension / debarment or any other action determined to be appropriate by the contracting agency and FHWA.
4. Selection of Labor: During the performance of this contract, the contractor shall not use convict labor for any purpose within the limits of a construction project on a Federal-aid highway unless it is labor performed by convicts who are on parole, supervised release, or probation. 23 U.S.C. 114(b).
The term Federal-aid highway does not include roadways functionally classified as local roads or rural minor collectors.
23 U.S.C. 101(a).
II. NONDISCRIMINATION
The contractor and all subcontractors must comply with the following policies: 29 CFR Parts 1625-1627, 23 U.S.C. 140, Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.), and related regulations including 49 CFR Parts 21, 26, and 27, including any amendments thereto.
Note: The U.S. Department of Labor has exclusive authority to determine compliance with 29 CFR Parts 1625-1627. The contracting agency and the FHWA have the authority and the responsibility to ensure compliance with 23 U.S.C. 140, Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), and Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.), and related regulations including 49 CFR Parts 21, 26, and 27, including any amendments thereto.
The provisions of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.) set forth under 28 CFR Part 35 and 29 CFR Part 1630 are incorporated by reference in this contract.
1. Assurances Required:
a. The requirements of 49 CFR Part 26, including any amendments thereto, and the State DOT’s FHWA-approved Disadvantaged Business Enterprise (DBE) program are incorporated by reference.
b. The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR part 26, including any amendments thereto, in the award and administration of DOT-assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the recipient deems appropriate, which may include, but is not limited to:
(1) Withholding monthly progress payments;
(2) Assessing sanctions;
(3) Liquidated damages; and/or
(4) Disqualifying the contractor from future bidding as non-responsible.
c. The Title VI and nondiscrimination provisions of U.S.
DOT Order 1050.2A at Appendixes A and E, including any amendments thereto, are incorporated by reference. 49 CFR Part 21.
III. DAVIS-BACON AND RELATED ACT PROVISIONS
This section is applicable to all Federal-aid construction projects exceeding $2,000 and to all related subcontracts and lower-tier subcontracts (regardless of subcontract size), in accordance with 29 CFR 5.5. The requirements apply to all projects located within the right-of-way of a roadway that is functionally classified as Federal-aid highway. 23 U.S.C. 113.
This excludes roadways functionally classified as local roads or rural minor collectors, which are exempt. 23 U.S.C. 101.
Where applicable law requires that projects be treated as a project on a Federal-aid highway, the provisions of this subpart will apply regardless of the location of the project. Examples include: Surface Transportation Block Grant Program projects funded under 23 U.S.C. 133 [excluding recreational trails projects], the Nationally Significant Freight and Highway Projects funded under 23 U.S.C. 117, and National Highway Freight Program projects funded under 23 U.S.C. 167.
The following provisions are from the U.S.
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