BID PROPOSAL PACKET DKX REROOF IFB 02_04_2025.pdf

II. BID PROPOSAL PACKET

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Metropolitan Knoxville Airport Authority Knoxville Downtown Island Airport (DKX)

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-1

BID PROPOSAL FORM AND PRICE

(Failure to furnish all requested data will be cause for considering Bidder non-responsive and may render this Bid Proposal invalid on that basis.)

PROPOSAL FOR: Knoxville Downtown Island Airport 2701 Spence Place Knoxville, TN 37920.

Reroof Museum Hangar and Reroof of Maintenance Building

SEPARATE BID ITEM NO. 1: REROOF MUSEUM HANGAR

SEPARATE BID ITEM NO. 2: REROOF OF MAINTENANCE BUILDING

OWNER: METROPOLITAN KNOXVILLE AIRPORT AUTHORITY

2055 Alcoa Highway, Suite I Alcoa, Tennessee 37701

BID SUBMTTAL: See Advertisement for Bids for submittal procedures and requirements

SUBMITTED BY:

Bidder's Name

Address

City, State and Zip Code

Telephone No. Email Address

PRICE SUMMARY

CONTRACTOR’S NAME:

Sum of Separate Bid Items No. 1 and No. 2 (in words) dollars.

(in figures ) $

1. The undersigned, hereinafter called Bidder, in compliance with the "Advertisement for Bids," accepting all of the terms and conditions of the "Instructions to Bidders," including without limitation, those dealing with the disposition of Bid Security; proposes and agrees, if awarded the Contract, to enter into an Agreement with the Owner in the form of Agreement included in the Contract Documents, to furnish all materials, equipment, REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-2

machinery, tools, apparatus, means of transportation and labor necessary to complete the work to be performed under this Contract within the Contract Time indicated in this Proposal, in full and complete accordance with the shown, noted, described and reasonably intended requirements of the Contract Documents, to the full and entire satisfaction of the Owner, for the amounts contained in the Price.

2. The Bid Proposal will remain open one hundred eighty (180) calendar days from the date of the bid opening; provided however, that this time may be extended as agreed to between the Bidder and the Owner. If awarded a contract, Bidder will sign the Agreement and submit the Contract Surety, Insurance certificates, and all other documents required by the Contract Documents within 15 days after the date indicated in Owner's Intent-to-Award.

3. In submitting this Bid, Bidder represents that:

(a) Bidder has become thoroughly familiar with the terms and conditions of the proposed Contract Documents accepting the same as sufficient to indicate and convey understanding of all the conditions and requirements under the Contract, which will be executed for the Work.

(b) Bidder has examined the site and locality where the Work is to be performed, the legal requirements (federal, state, and local laws, ordinances, rules and regulations) and the conditions affecting cost, progress or performance of the Work and has made such independent investigations as Bidder deems necessary.

(c) Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization or corporation; Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; Bidder has not solicited or induced any person, firm or corporation to refrain from bidding; and Bidder has not sought by collusion to obtain for himself any advantage over any other Bidder or over Owner.

(d) That no commissioner of the Owner or other officers or employees of said Owner is interested directly or indirectly in the Bid or in any portion of the Bid nor in the Contract or any part of the Contract which may be awarded the undersigned based on such Bid.

(e) It is a condition of this Bid and any subsequent contract entered into pursuant to this Bid, and it shall be made a condition of each subcontract entered into pursuant to the prime contract that the Contractor and any Subcontractor shall not require any laborer or mechanic employed in performance of the contract to work in surroundings or under working conditions which are unsatisfactory, hazardous, or dangerous to his/her health or safety, as determined under Construction Safety and

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-3

Health Standards, Title 29, CFR, Part 1518 36FR7340, promulgated by the U.S.

Secretary of Labor, in accordance with Section 107 of the Contract Work Hours and Safety Standards Act, 83, Stat. 96; that it is a further condition of this Bid that he/she shall be solely responsible for the enforcement of such Construction and Health Standards, and that he definitely understands that the Owner and his authorized representatives will not assume any liability resulting from his/her failure to police and enforce all such standards.

(f) The description for each Work item, being briefly stated, implies, although it does not mention, all incidentals and that the prices submitted by the Bidder will be considered by the Owner to cover all such work, equipment costs, and incidentals as constitute Bidder's obligations as described in the Contract Documents.

(g) The Prices bid includes all applicable taxes and fees. Proposals/Bids shall also include appropriate provisions for price escalation for materials and labors including but not limited to increase in federal, state, or local sales taxes and income or FICA taxes.

4. Contract Time: Bidder agrees that:

(b) The Contractor will commence work with an adequate force, equipment and materials at the time stated in the Notice-to-Proceed (NTP) issued by the Owner to the Contractor, which will establish the Contract Time, and substantially complete all Work in accordance with the Contract Documents. The NTP shall be issued to the Contractor no later than (5) five days after final execution of Contracts by the parties, unless a different timeframe is mutually agreed to by the parties. The Contractor has (10) days after the issuance of a NTP to begin Work on-site.

Bid Proposal Contract Time – Separate Bid Item No. 1: Reroof Museum Hangar

120 consecutive calendar days from the date stated in said NTP to begin the Contract Time to achieve Substantial Completion.

Bid Proposal Contract Time – Separate Bid Item No. 2: Reroof Maintenance Building

120 consecutive calendar days from the date stated in said NTP to begin the Contract Time to achieve Substantial Completion.

5. Liquidated Damages: Bidder agrees to pay to the Owner the sum of Five Hundred and 00/100 dollars ($500.00) for each consecutive calendar day past the establish Contract Time substantial completion date for each Separate Bid Item. See Section “80 Execution and Progress”, Paragraph “80-08 Failure to Complete on Time – Liquidated Damages” of the

GENERAL PROVISIONS.

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-4

6. Price: See attached Pricing at the end of the Bid Proposal Form.

7. Execution of Contract: Bidder agrees that:

In case of failure on his/her part to execute the said Contract and Bonds within 15 days after the date indicated in the "Intent-to-Award", the check or bid bond accompanying this Bid, and the money payable thereon, shall be paid to the OWNER as liquidated damages for such failure; otherwise, the Bid Bond or check accompanying this Bid shall be returned to the undersigned.

8. Required Bid Submittal Documentation: In addition to the Bid Proposal and Price, the following documents indicated shall be submitted and made a part of this Bid:

(a) Bid Proposal Form and Price (BF-1 to BF-7)

(b) Required Attachments to Bid Proposal Form and Price

i. Bid Bond – Attachment No. 1 (BF-9 to BF-10)

ii. Form of Non-collusion Affidavit – Attachment No. 2 (BF-11)

iii. Equal Opportunity Report Statement – Attachment No. 3 (BF-13)

iv. DBE Objectives and Policy Statement – Attachment No. 4 (BF-15)

v. DBE Program Bid Conditions – Attachment No. 5 (BF-17 to BF-33)

vi. Buy American Certificate - Attachment No. 6 (BF-35)

vii. Certification of Nonsegregated Facilities – Attachment No. 7 (BF-37)

viii. Identification of Principals – Attachment No. 8 (BF-39)

ix. Subcontractor Solicitation Information – Attachment No. 9 (BF-41)

x. Drug Free Workplace Affidavit – Attachment No. 10 (BF-43)

xi. Statement of Compliance Certificate Illegal Immigrants

Attachment No. 11 (BF-45)

xii. Certification Against all Debarment and Suspension Debarment

Attachment No. 12 (BF-47)

xiii. Contractor Licenses – Attachment No. 13 (BF-49)

9. Name and business address (mailing and street) of Bidder to which all formal Notices shall be sent:

10. The terms used in this Bid which are defined in the General Provisions of the Construction Contract included as a part of the Contract Documents have the meanings assigned to them in the General Provisions.

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-5

11. Bidder hereby acknowledges receipt of the following addenda:

Addendum No. Date Initial & Date

12. The Bidder shall state on the line below, if a corporation or limited liability company, the name of state in which organized and the date of said organization.

(State)

Signed this __________ day of ________________________________, 2025

(Contractor)

Attest: By:___________________________ (Signature of individual, partner or officer signing the Bid)

License Number: ______________________________

NOTE: 1. If Contractor is a Corporation, Secretary should attest and seal.

2. If Contractor is a Partnership, all partners shall execute the Bid (add spaces as required).

3. If the Contractor is a Limited Liability Company, Secretary should attest.

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-6

PRICE

Bidder agrees to perform all the Work described in the Bid Proposal Documents and/or and Contracts Documents, related documents, and all cost for improvements proposed with submission of Bid Proposal for the Prices INDICATED FOR EACH SEPARATE BID ITEMS BELOW, if awarded:

SEPARATE BID ITEM NO. 1: REROOF MUSEUM HANGAR

________________________________________________Dollars ($ ____________________) (Words) (Figures)

Amount shall be in both words and figures. In case of discrepancy, the amount shown in words shall govern.

SEPARATE BID ITEM NO. 2: REROOF MAINTENANCE BUILDING

________________________________________________Dollars ($ ____________________) (Words) (Figures)

Amount shall be in both words and figures. In case of discrepancy, the amount shown in words shall govern.

If funds are available, both Separate Bid Items will be Awarded. If both Separate Bid Items are to be Awarded, the apparent low-price bidder will be determined based on the sum of both Separate Bid Item No. 1 and Separate Bid Item No. 2 and meeting all other bidding requirements.

In the event funds are not available to Award both Separate Bid Items, and funds are available to Award only one Separate Bid Items, it is the intent that Separate Bid items No. 1: Reroof Museum Hangar will be Awarded. In this case the apparent low-price bidder will be determined based on the bidder with the lowest cost price to complete the Project for Separate Bid items No.

1: Reroof Museum Hangar and meeting all other bidding requirements.

The TOTAL BID PRICE for both Separate Bid Item No. 1 and Separate Bid Item No. 2 is calculated and determined by adding together Separate Bid Items No. 1 and No. 2. Therefore, the TOTAL BID PRICE SUM is:

TOTAL BID PRICE SUM for both Separate Bid Item No. 1 and Separate Bid Item No. 2:

Add Separate Bid Item No. 1 & No. 2 Together for Total Bid Price Sum

________________________________________________Dollars ($ ____________________) (Words) (Figures)

Amount shall be in both words and figures. In case of discrepancy, the amount shown in words shall govern.

REROOF MUSEUM HANGAR AND REROOF OF MAINTENANCE BUILDING

BID PROPOSAL FORM AND PRICE BF-7

All other Work for 100-percent completion all related improvements incidental to the completion of the Work shall be included as part of Separate Bid Item No. 1 and/or Separate Bid Item No. 2.

Indicate the TOTAL BID PRICE SUM in the PRICE SUMMARY of the Bid Proposal Form on Page BF-1.

Bidder understands that the Owner reserves the right to reject any or all bids and to waive any informality in the pricing.

No submitted bids may be withdrawn, and all bids shall remain open and valid after receipt of bids for a period of one hundred eighty (180) consecutive calendar days.

Required with BID PROPOSAL FORM is the bid guaranty on the BID BOND form submitted to the Owner in the amount of:

_____________________________________________DOLLARS ($___________________USD)

(Words) (Figures)

AND in accordance with the requirements of the Instructions to Bidders, which Bid Bond is subject to the conditions and provisions thereof.

END BID PROPOSAL FORM AND PRICE

MCGHEE TYSON AIRPORT TERMINAL APRON EXPANSION

ALCOA, TENNESSEE ISSUED FOR BID – SEPTEMBER 30, 2022

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BID BOND BF-9

BID BOND

KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned

__________________________________________________________________ as Principal, and

______________________________________________________________ as Surety, are hereby held and firmly bound unto ________________________________ OWNER in the penal sum of for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors, and assigns.

Signed, this ____________ day of _________________, 20___.

The conditions of the above obligation is such that whereas the Principal has submitted to the Metropolitan Knoxville Airport Authority a certain BID, attached hereto and hereby made a part hereof to enter into a Contract in writing for the Terminal Apron Expansion project at McGhee Tyson Airport.

NOW THEREFORE,

(a) If said Bid shall be rejected, or in the alternate,

(b) If said Bid shall be accepted and the Principal shall execute and deliver a Contract in the

Form of Agreement attached hereto (properly completed in accordance with said Bid) and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created by the acceptance of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated.

The Surety, for value received, hereby stipulates and agrees that obligations of said Surety and its Bonds shall be in no way impaired or affected by any extension of the time within which the Owner may accept such BID; and said Surety does hereby waive notice of any such extension.

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Text Box Building at Knoxville Downtown Island Airport.

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Text Box Re-roof Museum Hangar and Re-roof Maintenance

Text Box Attachment No. 1

Text Box Attachment No. 1

BID BON BF-10

IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above.

______________________________ (L.S.)

Principal

Surety

By: ___________________________

(SEAL)

(1) Bond must be signed or countersigned by the Surety's proper Tennessee Resident

Agent. Date of Power-of-Attorney shall be same date as date of Bond.

(2) If Partnership, all partners shall execute Bond.

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Attachment No. 1

FORM NONCOLLUSION AFFIDAVI BF-11

FORM OF NONCOLLUSION AFFIDAVIT

STATE OF _______________________)

) SS.

COUNTY OF ______________________)

________________________________________________________________ being first duly sworn, deposes and says that he is

_______________________________________________________________ (Sole owner, a partner, president, secretary, etc.)

of ______________________________________________________________ the party making the foregoing Proposal or BID that such BID is genuine and not collusive or sham; that said BIDDER has not colluded, conspired, connived, or agreed, directly or indirectly, with any BIDDER or person, to put in a sham BID, or that such other person shall refrain from bidding, and has not in any manner, directly or indirectly sought by agreement or collusion, or communication or conference, with any person, to fix the Bid Price of affiant or any other BIDDER, or to fix any overhead, profit or cost element of said Bid Price, or of that of any other BIDDER, or to secure any advantage against OWNER for any person interested in the proposed Contract; and that all statements in said Proposal or Bid are true; and further, that such BIDDER has not, directly or indirectly submitted this BID, or the contents thereof, or divulged information or date relative thereto to any association or to any member or agent thereof.

(Bidder)

Sworn to and subscribed before me this _______ day of ____________, 20___.

Notary Public in and for

______________ County ____________

My Commission expires _________________________, 20___.

(SEAL)

Kalousek, John

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Text Box Attachment No. 2

Attachment No. 2

EQUAL OPPORTUNITY REPORT STATEMEN BF-13

EQUAL OPPORTUNITY REPORT STATEMENT

AS REQUIRED BY 41 CFR 60-1.7(b)

The Bidder (Proposer) shall complete the following statement by checking the appropriate blanks.

Failure to complete these blanks may be grounds for rejection of bid:

1. The Bidder (Proposer) has _____ has not _____ developed and has on file at each establishment affirmative action programs pursuant to 41 CFR 60-1.40 and 41 CFR 60-2.

2. The Bidder (Proposer) has _____ has not _____ participated in any previous contract or subcontract subject to the equal opportunity clause prescribed by Executive Order 11246, as amended.

3. The Bidder (Proposer) has _____ has not _____ filed with the Joint Reporting Committee the annual compliance report on Standard Form 100 (EEO-1 Report).

4. The Bidder (Proposer) does _____ does not _____ employ fifty (50) or more employees.

NAME OF BIDDER:

BY:

TITLE:

DATE:

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Text Box Attachment No. 3

Text Box Attachment No. 3

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DBE OBJECTIVES AND POLICY STATEMENT BF-15

THE

METROPOLITAN KNOXVILLE AIRPORT AUTHORITY

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM

IN COMPLIANCE WITH

49 CFR PART 26

Objectives and Policy Statement (26.1, 26.23)

The Metropolitan Knoxville Airport Authority (the “Authority”) has established a Disadvantaged Business Enterprise (DBE) Program in accordance with regulations of the U.S. Department of Transportation (DOT), 49 CFR Part 26, Exhibit A. The Authority has received Federal financial assistance from the Department of Transportation, and anticipates continuing to receive at least $250,000 in assistance. As a condition of receiving this assistance, the Authority has signed an assurance statement that complies with 49 CFR Part 26.

It is the policy of the Authority to ensure that DBEs, as defined in CFR 49 Part 26, have an equal opportunity to receive and participate in DOT- assisted contracts. It is also our policy:

To ensure nondiscrimination in the award and administration of DOT assisted contracts;

To create a level playing field on which DBEs can compete fairly for DOT assisted contracts;

To ensure that the DBE Program is narrowly tailored in accordance with applicable law;

To ensure that only firms that fully meet 49 CFR Part 26 eligibility standards are permitted to participate as DBEs;

To help remove barriers to the participation of DBEs in DOT assisted contracts; and To assist with the development of firms that can compete for DOT contracts with the aspiration that they can successfully compete in the market place outside the DBE Program.

Alan Jones, the Authority’s Manager of Administration, has been designated as the DBE Liaison Officer. In that capacity, Mr. Jones is the DBE program is accorded the same priority as compliance with all other legal obligations agreed upon by the Authority in its financial assistance agreements with the Department of Transportation.

The Authority has disseminated this policy statement to the nine members of the Authority’s Board of Commissioners, and all the components of our organization. The Authority has distributed this statement to DBE and non-DBE business communities that perform work for us on DOT- assisted contracts. A copy of this policy statement is enclosed in all bid and contract documents for federally assisted projects.

Chair Date Board of Commissioners

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Highlight Alan Jones, Text Box Attachment No. 4

Text Box Attachment No. 4

Text Box The Authority's Manager of Administration has been designated as the DBE Liaison Officer. In that

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Text Box capacity, the Authority is

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DBE PROGRAM BF-17

MCGHEE TYSON AIRPORT

Metropolitan Knoxville Airport Authority Terminal Apron Expansion

DISADVANTAGED BUSINESS ENTERPRISE PROGRAM

BID CONDITIONS

The following bid conditions apply to this Department of Transportation (DOT) assisted contract.

Submission of a bid/proposal by a prospective Contractor shall constitute full acceptance of these bid conditions.

(1) DEFINITION – Disadvantaged Business Enterprise (DBE) as used in this Contract shall have the same meaning as defined in Paragraph 23.62 of Subpart D to 49 CFR Part 26.

(2) POLICY - It is the policy of DOT that DBE’s as defined in 49 CFR Part 26 shall have the maximum opportunity to participate in the performance of contracts and subcontracts financed in whole or in part with federal funds. The Runway 5L-23R Reconstruction – NAVAIDs Installation will be funded through the Federal Aviation Administration.

Therefore, the DBE requirements of 49 CFR Part 26 applies to this contract.

(3) DBE OBLIGATION – The Contractor agrees to ensure that disadvantaged business enterprises as defined in 49 CFR Part 26 have the maximum opportunity to participate in the performance of contracts and subcontracts financed in whole or in part with federal funds, and through other funding sources specified by the Metropolitan Knoxville Airport Authority.

In this regard, all Contractors shall take all necessary and reasonable steps in accordance with 49 CFR Part 26 to ensure that DBE’s have the maximum opportunity to compete for and perform contracts. Contractors shall not discriminate on the basis of race, color, national origin, disability or sex in the award and performance of DOT assisted contracts, or other contracts defined by the Owner.

(4) COMPLIANCE - All bidders, potential Contractors, or subcontractors for this DOT assisted contract are hereby notified that failure to carry out the DOT policy, the Airport Authority policy, and the DBE obligation, as set forth above, shall constitute a breach of contract which may result in termination of the contract or such other remedy as deemed appropriate by the Owner.

(5) SUBCONTRACT CLAUSE – All bidders and potential Contractors hereby assure that they will include the above clauses in all subcontracts which offer further subcontracting opportunities.

Kalousek, John Rectangle

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Text Box Attachment No. 5

Attachment No. 5

DBE PROGRAM BF-18

(6) RACE-CONSCIOUS – Measure or program is one that is focused specifically on assisting only DBE’s, including women-owned DBE’s (as defined in 49 CFR Part 26.5).

(7) RACE-NEUTRAL – Measure or program is one that is, or can be, used to assist all small businesses. For the purposes of this part, race-neutral includes gender-neutrality (as defined in 49 CFR Part 26.5).

(8) CONTRACT AWARD - Bidders are hereby advised that meeting DBE subcontract goals or making an acceptable good faith effort to meet such goals are conditions of being awarded a DOT assisted contract or other contract defined by the Owner.

The Owner proposes to award the contract to the lowest responsive and responsible bidder submitting a reasonable bid provided the bidder has met the goals for DBE participation or, if failing to meet the goals, the bidder has made an acceptable good faith effort to meet the established goals for the DBE participation. Bidder is advised that the Owner reserves the right to reject any or all bids submitted, and to award or refrain from awarding a contract for the work, whichever is deemed to be in the Owner’s best interest.

(9) DBE PARTICIPATION GOAL - The attainment of goals established for this contract are to be measured as a percentage of the total dollar value of specific portions of the contract. The application of the DBE goal is required for all of the work associated with this project.

The DBE goal for this project as awarded, regardless of the bid elements included is:

The achievement of the DBE goals shall address two categories as outlined in 49 CFR Part 26:

1. Race Conscious – Minimum participation requirement: 8.9%

2. Race Neutral – Balance of participation goal: 0.0%

Total Participation: 8.9%

RACE CONSCIOUS – Measure or program is one that is focused specifically on assisting only DBE’s, including women-owned DBE’s (as defined in 49 CFR Part 26.5).

RACE NEUTRAL – Measure or program is one that is, or can be, used to assist all small businesses. For the purposes of this part, race-neutral includes gender-neutrality (as defined in 49 CFR Part 26.5).

The determination of the proposed DBE participation for the project shall be made as follows:

Highlight 6.8%

Highlight nt: 8.9%

Highlight nt: 8.9%

Highlight ent: 8.9%

Highlight 8.9%

Highlight

Highlight

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Text Box Attachment No. 5

Highlight ent: 8.9%

Highlight

Highlight

Highlight CFR Pa

Highlight ent: 8.9%

Highlight 8.9%

Highlight ent: 8.9%

Highlight in 49 CFR

Highlight : 8.9%

Highlight ement: 8.9%

Highlight Race Conscious – Minimum participation requirement: 8.9%

Highlight Total Participation: 8.9%

DBE PROGRAM BF-19

Total DBE Amount Bid Total Bid Amount

(10) AVAILABLE DBE’S – The Metropolitan Knoxville Airport Authority is a member of the Tennessee Uniform Certification Program (TNUCP). The Metropolitan Knoxville Airport Authority continues to certify DBE construction contractors, suppliers, and manufacturers, and relies solely on the certified list of DBE companies as prepared by the Tennessee Department of Transportation. The internet link to this document is: http:

www.tdot.state.tn.us/dbedirectinternet/Vendor.aspx

(Note: pop-up blocker must be disabled to view report)

Bidders are encouraged to contact the Metropolitan Knoxville Airport Authority in their pursuit of locating DBE’s for the work. At the Bidder’s request, the Metropolitan Knoxville Airport Authority will provide a list of DBE contractors who are currently certified with the

TNUCP.

Credit toward the DBE goal will not be counted unless the companies to be used to satisfy the goal is (are) certified as a DBE by the TNUCP prior to the bid date.

(11) CATEGORIES FOR OBTAINING DBE PARTICIPATION – DBE participation can be achieved from any combination of the following categories. Note the percentage amount paid to the DBE company that will be allowed for credit toward DBE participation:

● Subcontractor 100%

● Manufacturer 100%

● Supplier 60%

(12) CONTRACTOR’S REQUIRED SUBMISSION – The Owner requires the submission of the following information with the bid. Certain other DBE information may also be required.

http://www.tdot.state.tn.us/dbedirectinternet/Vendor.aspx

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DBE PROGRAM BF-21

DISADVANTAGED BUSINESS ENTERPRISE (DBE)

PROGRAM SPECIFICATIONS

Exhibit 1

BASE BID SCHEDULE

DBE PARTICIPATION SCHEDULE

FORM A (2 pages)

(1) DBE Name of Firm: DOT/TYPE:

□ *Minority □ Women □ Other Address: Telephone:

Owner/Contact Name(s): Email Address:

□ Contractor □ Subcontractor

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks to be used at Post Bid Meeting).

Area of Work to be performed:

DBE Bid Amount:

DBE Goal Percentage:

(2) DBE Name of Firm: DOT/TYPE:

□ *Minority □ Women □ Other

Address: Telephone:

Owner/Contact Name(s): Email Address:

□ Contractor □ Subcontractor

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks to be used at Post Bid Meeting).

Area of Work to be performed:

DBE Bid Amount:

DBE Goal Percentage:

(3) DBE Name of Firm: DOT/TYPE:

□ *Minority □ Women □ Other

Address: Telephone:

Owner/Contact Name(s): Email Address:

□ Contractor □ Subcontractor

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks to be used at Post Bid Meeting).

Area of Work to be performed:

DBE Bid Amount:

DBE Goal Percentage:

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DBE PROGRAM BF-22

(4) DBE Name of Firm:

DOT/TYPE:

Address:

Telephone:

Owner/Contact Name(s):

Email Address:

□ Contractor □ Subcontractor

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks to be used at Post Bid Meeting).

Area of Work to be performed:

DBE Bid Amount:

DBE Goal Percentage:

(5) DBE Name of Firm:

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks

DBE Goal Percentage:

(6) DBE Name of Firm:

□ Manufacturer □ Consultant

□ Dealer/Supplier

□ Hauler – Number of DBE Owned Trucks ______

(Must provide VIN Numbers for DBE owned trucks

DBE Goal Percentage:

*(Black, Hispanic, Asian American, American Indian and other Economically Disadvantaged)

The undersigned will enter formal agreements with subcontractors or suppliers names in this document, if awarded a contract by Owner. Failure to do so may constitute a breach of contract, with the Owner.

Bidders Signature:______________________________________________________ Date:__________________

Print Name:____________________________________________________________ Title:__________________

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DBE PROGRAM BF-23

DISADVANTAGED BUSINESS ENTERPRISE (DBE)

PROGRAM SPECIFICATIONS

Exhibit 2

BASE BID SCHEDULE

UTILIZATION STATEMENT

Form B

The undersigned bidder has satisfied the requirements of the bid specification in the following manner. (Please mark the appropriate box).

□ The bidder is committed to a minimum of __________% DBE utilization on this contract.

□ The bidder, while unable to meet the DBE goal of __________, hereby commits to a minimum of __________% DBE utilization on this contract and also submits documentation, as an attachment demonstrating good faith efforts (GFE).

The undersigned hereby further assures that the information included herein is true and correct, and that the DBE firm(s) listed herein have agreed to perform a commercially useful function in the work items noted for each firm. The undersigned further understands that no changes to this statement may be made without prior approval from the Civil Right Staff of the Federal Aviation Administration.

Name of Prime Contractor:_______________________________________________________________________

Project Name:__________________________________________________________________________________

Signature:_____________________________________________________________ Date:___________________

DBE UTILIZATION SUMMARY

□ Base Bid

□ Bid Additive No. __________

□ Bid Alternate No. __________

Contract Amount DBE Amount

DBE Prime Contractor $_______________ x1.00 = $______________

DBE Subcontractor $_______________ x1.00 = $______________

DBE Dealer/Supplier $_______________ x0.60 = $______________

DBE Manufacturer $_______________ x1.00 = $______________

Total Amount DBE $ $______________

Prime Contractor Bid $______________

DBE Anticipated Goal (Total DBE $/Prime Contractor Bid x 100 = TOTAL DBE %) _______________%

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DBE PROGRAM BF-25

If the Contractor fails to meet the DBE subcontract goals established in paragraph 9 above, the following information must be submitted prior to contract award to assist the Owner in determining whether or not the contactor made acceptable good faith efforts to meet the contract goal. This information (when applicable), as well as the DBE information, should be submitted as specified in Paragraph 12 above.

Suggested guidance for use in determining if good faith efforts were made by a contractor are included in Appendix A 49 CFR Part 26, subpart 23.45(h).

A list of efforts that a contractor may make and the Owner may use in making a determination as to the acceptability of a contractor’s efforts to meet the goal as included in Appendix A 49 CFR Part 26, Subpart 23.45(h) are as follows:

a. Whether the contractor attended any pre-solicitation or pre-bid meetings that were scheduled by the recipient to inform DBE’s of contracting and subcontracting opportunities;

b. Whether the contractor advertised in general circulation, trade association, and minority-focus media concerning the subcontracting opportunities;

c. Whether the contractor provided written notice to a reasonable number of specific DBE’s that their interest in the contract was being solicited in sufficient time to allow the DBE’s to participate effectively;

d. Whether the contractor followed up initial solicitations of interest by contracting DBE’s to determine with certainty whether DBE’s were interested;

e. Whether the contractor selected portions of work to be performed by DBE’s in order to increase the likelihood of meeting the DBE goal (including, where appropriate, breaking down contracts into economically feasible unites to facilitate DBE participation);

f. Whether the contractor provided interested DBE’s with adequate information about the plans specifications, and requirements of the contract;

g. Whether the contractor negotiated in good faith with interested DBE’s, not rejecting DBE’s as unqualified without sound reasons based on a thorough investigation of their capabilities;

h. Whether the contractor made efforts to assist interested DBE’s in obtaining bonding, lines of credit, or insurance required by the recipient or contractor; and

i. Whether the contractor effectively used the services of available minority community organizations; minority contractors’ groups; local and state Federal Minority Business Assistance Offices; and other organizations that provide assistance in the recruitment and placement of DBE’s.

DBE PROGRAM BF-26

NOTE: The efforts set forth above, a – I, are merely suggested criteria and the Owner may specify that you submit information on certain other actions a contractor took to secure DBE participation in an effort to meet the goals. A contractor may also submit to the Owner other information on efforts to meet the goals.

(13) CONTRACTOR ASSURANCES –

a. The bidder hereby assures that he/she will comply with the following statement and include in all subcontracts:

The contractor, sub recipient 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 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.

b. The contractor shall utilize the specific DBEs listed to perform the work and supply the materials for which each is listed unless the contractor obtains the Owner’s written consent as provided for in 49 CFR 26.53 (f).

c. Without the Owner’s written consent as provided for under 49 CFR 26.53 (f), the contractor shall not be entitled to any payment for work or material unless it is performed or supplied by the listed DBE.

The Bidder also assures to comply with the following goals:

a. The DBE participation goal as established in Paragraph 9 above.

b. The calculated DBE participation percentage as shown in Paragraph 12, which was submitted as a condition of contract award.

Agreements between bidder/proposer and a DBE in which the DBE promises not to provide subcontracting quotations to other bidders/proposers are prohibited. The bidder shall make a good

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DBE PROGRAM BF-27

faith effort to replace a DBE subcontract that is unable to perform successfully with another DBE subcontractor. Substitution must be coordinated and approved by the Owner.

The Bidder shall establish and maintain records and submit regular reports, as required, which will identify and assess progress in achieving DBE subcontract goals and other DBE affirmative action efforts.

Name of BIDDER:_____________________________________________________________

IRS Number:______________________ By:_______________________________________

Date:_____________________________ Title:_____________________________________

END DBE PROGRAM

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DBE PROGRAM BF-29

DISADVANTAGED BUSINESS ENTERPRISE (DBE)

PROGRAM SPECIFICATIONS

Exhibit 3

BASE BID SCHEDULE

DBE CONTACT SHEET

Form C

(Multiple Copies Can Be Made)

*Prime Contractor to complete and submit along with bid/proposal or within TWO (2) business days of Bid Submission with “Good Faith Effort Documentation.”

* Submit information regarding all DBE subcontractors contacted

Bid Opening Date_____/_____/_____, Time: _______________

Name of Prime Contractor:____________________________________________ Bid Number:________________ Date Contacted Name of Firm Person Contacted Telephone Number Subcontractor Response

Work Item to be Performed Price Quoted MBE (Minority) WBE (Woman)

Date Contacted Name of Firm Person Contacted Telephone Number Subcontractor Response

Work Item to be Performed Price Quoted MBE (Minority) WBE (Woman)

Date Coacted Name of Firm Person Contacted Telephone Number Subcontractor Response

Work Item to be Performed Price Quoted MBE (Minority) WBE (Woman)

Date Contacted Name of Firm Person Contacted Telephone Number Subcontractor Response

Work Item to be Performed Price Quoted MBE (Minority) WBE (Woman)

I hereby certify that the subcontractors listed above were contacted by my firm and requested to submit quotes on the above-referenced project. All interested subcontractors were negotiated with in good faith efforts.

Signed:________________________________________________ Title:_______________________________

Print Name:____________________________________________ Telephone:__________________________

DBE PROGRAM (Initial_____)

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DBE PROGRAM BF-31

DISADVANTAGED BUSINESS ENTERPRISE (DBE)

PROGRAM SPECIFICATIONS

Exhibit 4

BASE BID SCHEDULE

AFFIDAVIT OF DBE

Form D (Provide a separate sheet(s) for each DBE Contractor)

Name of DBE Contractor:_________________________________________________________________________

Project Name:__________________________________________________________________________________

Check All that Apply:

Base Bid

I hereby declare and affirm that I am an officer or person duly authorized to represent the below named firm.

I declare and affirm that I am a Disadvantaged Business Enterprise as defined in USDOT/TNDOT (49CFR, part 26) and am listed in the DBE Directory in good standing. I also declare that I am certified for the work area that we are being hired to perform. I have provided a copy of our TN Uniform Certification Program Certificate. I am a citizen of the United States.

I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct and that I am authorized, on behalf of the named firm to sign this affidavit.

__________________________________________________(DBE SIGNATURE)

_________________________(DATE)

_______________________________________________________________________________(PRINTED NAME)

STATE OF _____________________________________ COUNTY OF ____________________________________

ON THIS ______________ (DAY) OF _______________________ (MONTH), ______________(YEAR)

The person described in the foregoing affidavit acknowledges that he/she executed the same in the capacity therein stated and for the purposes therein contained.

In witness thereof, I here unto set my official seal:

Notary Public Signature

My Commission Expires

DBE PROGRAM (Initial_____)

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DBE PROGRAM BF-33

DISADVANTAGED BUSINESS ENTERPRISE (DBE)

PROGRAM SPECIFICATIONS

Exhibit 5

BASE BID SCHEDULE

INTENT TO PERFORM AS A SUBCONTRACTOR

Form E

(Provide a separate sheet(s) for each DBE Contractor)

TO:_______________________________________________________ Bid Number:________________________ (Name of Prime Contractor)

Project Name:__________________________________________________________________________________

(Check One):

An Individual A Corporation A Partnership A Joint Venture

(Check One):

Contractor Subcontractor Manufacturer Consultant Dealer/Supplier

The DBE status of the undersigned is confirmed on the Affidavit of Disadvantaged Business Enterprise.

The undersigned is prepared to perform the following described work in connection with the above- referenced project:

DBE CONTRACTED PRICE: $____________________________

The Prime Contractor has projected the following commencement date for such work, and the undersigned projects completion of such work as follows:

Project Commencement Date______________________ Project Completion Date______________________

With respect to the proposed subcontract described above, _____% of the dollar value of such subcontract will be sublet and/or awarded to NON-DBE Contractors and/or Non-DBE Suppliers.

The undersigned will enter into a formal agreement for the above work with the Contractor Subcontractor. As a DBE Contractor, I will cooperate with the certificate and monitoring process set forth by ____________________ for the referenced project.

Signature of DBE Date Name of DBE Firm

Printed Name Address

Type Title Telephone Number

DBE Program (Initial_____)

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Intentionally Left Blank

BUY AMERICA CERTIFICATION BF-35

Buy America Certification (Title 49 U.S.C. Section 50101)

PROJECT NAME: Metropolitan Knoxville Airport Authority Terminal Apron Expansion

AIRPORT NAME: McGhee Tyson Airport

AIP/BIL NUMBER: 3-47-0037-82-2022 / 3-47-0037-01-2022

This solicitation and any resulting contract are subject to the Buy America requirements of 49 U.S.C. Section 50101. The bidder certifies it and all associated subcontractors will comply with the Buy American preferences established under Title 49 U.S.C. Section 50101 as follows:

U.S.C. Section 50101 - Buying goods produced in the United States

(a) Preference. - The Secretary of Transportation may obligate an amount that may be appropriated to carry out section 106(k), 44502(a)(2), or 44509, subchapter I of chapter 471 (except section 47127), or chapter 481 (except sections 48102(e), 48106, 48107, and 48110) of this title for a project only if steel and manufactured goods used in the project are produced in the United States.

(b) Waiver. - The Secretary may waive subsection (a) of this section if the Secretary finds that -

(1) Applying subsection (a) would be inconsistent with the public interest;

(2) The steel and goods produced in the United States are not produced in a sufficient and reasonably available amount or are not of a satisfactory quality;

(3) When procuring a facility or equipment under section 44502(a)(2) or 44509, subchapter I of chapter 471 (except section 47127), or chapter 481 (except sections 48102(e), 48106, 48107, and 48110) of this title -

A. The cost of components and subcomponents produced in the United States is more than 60 percent of the cost of all components of the facility or equipment; and

B. Final assembly of the facility or equipment has occurred in the United States; or

(4) Including domestic material will increase the cost of the overall project by more than 25 percent.

(c) Labor Costs. - In this section, labor costs involved in final assembly are not included in calculating the cost of components.

Please note that approval of waivers listed under (b) (1) & (2) above, can only be approved by the FAA Office of Airports in Washington DC and approval is rare. Waivers listed under (b) (3) & (4) may be approved by FAA Regional or District Offices. A listing of Equipment and Products that have been approved and on the national waiver list may be located at:

http://www.faa.gov/airports/aip/procurement/federal_contract_provisions/media/buy_american_waiver.xls

As a matter of bid responsiveness, the bidder or offeror must complete and submit this certification with their bid proposal.

The bidder must sign and date the certification. The bidder/offeror must indicate how they propose to comply with the Buy America provision by selecting one of the following certification statements.

The bidder hereby certifies that it will comply with Title 49 U.S.C Section 50101(a) by only installing steel and manufactured products produced in the United States of America. The bidder further agrees that if chosen as the apparent low bid, it will submit documentation to the owner that demonstrate all steel and manufactured products are 100% manufactured in the United States.

The bidder hereby certifies that it cannot fully comply with the Buy America preferences of Title 49 U.S.C Section 50101(a); the bidder therefore requests a waiver per Title 49 U.S.C Section 50101(b).

The bidder further agrees that upon notification from the Owner, the bidder identified with the apparent low bid agrees to prepare and submit a waiver request and component calculation information to the owner within calendar days of the date of the notice of apparent low bid.

Bidder’s Firm Name Date

Signature

Kalousek, John Rectangle

Rectangle

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Attachment No. 6

CERTIFICATION OF NONSEGREGATED FACILITIES BF-37

SUBCONTRACTS EXCEEDING $10,000 WHICH ARE NOT

EXEMPT FROM THE EQUAL OPPORTUNITY CLAUSE

Certification of Nonsegregated Facilities

The federally assisted construction Contractor certifies that he does not maintain or provide, for his employees, any segregated facilities at any of his establishments and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction Contractor certifies that he will not maintain or provide, for his employees, segregated facilities at any of his establishments and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally assisted construction Contractor agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment area, transportation, and housing facilities provided for employees which are segregated by explicit directives or are in fact segregated on the basis or race, color, religion, or national origin because of habit, local custom, or any other reason. The federally assisted construction Contractor agrees that (except where he has obtained identical certifications from proposed Subcontractors for specific time periods) he will obtain identical certifications from proposed Subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the equal opportunity clause and that he will retain such certifications in his files.

Signature of Bidder Title

Kalousek, John Rectangle

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Text Box Attachment No. 7

Attachment No. 7

IDENTIFICATION OF PRINCIPALS BF-39

IDENTIFICATION OF PRINCIPALS

Following are the names of all persons, firms and corporations interested in the above bid as principals. If none, state that "No person or party other than the bidder is interested in this Proposal".

NAME ADDRESS

Date: Signed:

BIDDER

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Text Box Attachment No. 8

Attachment No. 8

SUBCONTRACTOR SOLICITATION BF-41

SUBCONTRACTOR SOLICITATION INFORMATION

(This page shall be submitted for each Subcontractor)

The BIDDER hereby states that he/she obtained bids or quotes from the following list of potential Subcontractors, during the development of this bid. This information is being collected to satisfy the 49 CFR, Part 26, Subtitle A, which requires recipients of Airport funds authorized by 49 U.S.C.

47101, et seq. to.

Firm Name: DBE Status: DBE Non-DBE

Area of Performance: Years in Business:

Annual Gross Receipts: Less than $500,000 $500,000-$1M $1M-2M $2M-$5M $5M-10M Greater than $10M

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Text Box Attachment No. 9

Attachment No. 9

DRUG FREE WORKPLACE AFFIDAVIT BF-43

DRUG FREE WORKPLACE AFFIDAVIT

STATE OF _____________________________

COUNTY OF___________________________

____________________________________ being first duly sworn, deposes and says as follows:

1. The undersigned is a principal officer of ___________________________ hereinafter referred to as the “Company”, and is duly authorized to execute this Affidavit on behalf of the Company.

2. The Company submits this Affidavit pursuant to T.C.A. Section 50-9-113, which requires each employer with no less than five (5) employees receiving pay who contracts with the state or any local government to provide construction services to submit an affidavit stating that such employer has a drug free workplace program that complies with Title 50, Chapter 9 of the Tennessee Code Annotated.

3. The company is in compliance with T.C.A. Section 50-9-113.

Further affiant saith not.

Principal Officer

STATE OF____________________________________________

COUNTY OF__________________________________________

Before me personally appeared _________________________________________________, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence) and who acknowledged that he/she is the _____________________ of the Company a _________________________ and that he/she, being authorized so to do, executed this affidavit for the purposes therein contained, by signing the name of the Company by…