city of bossier city intersection improvements wemple rd and old brownlee rd P26-06 BidDocs.pdf

CITY OF BOSSIER CITY

Intersection Improvements at Wemple Rd. & Old Brownlee Rd.

Paving & Drainage Plans

BID NO. P26-06

OPEN: August 18, 2026

INDEX

Intersection Improvements at

Wemple Rd. & Old Brownlee Rd.

Bid #P26- 06

Section A – Legal Notice to Bidders A-1

Section B – Instructions to Bidders B-1 – B-4

Section C – Bid Form/Bid Bond C-1 – C-9

Section D – Contract Agreement/Affidavit/ D-1 – D-6 Resolution of Board of Directors/ Designation of Construction contractor as Agent

Governmental Entity and Exemption Certificate And Attestation of Felony Conviction Statement with

E-Verify of Employees

Section E – Performance/Payment E -1 – E-2

Section F – General Conditions F-1 – F-15

Section G – Standard Terms G-1 – G-3

Section H – Plan Set 62 Pages

Section I – Smart Grid Specifications 22 Pages

LEGAL NOTICE TO BIDDERS

BID #P26-06 – Intersection Improvements at Wemple Rd. & Old Brownlee Rd.

SEALED BIDS, electronic or paper, addressed to the Purchasing Department of the City of Bossier City, at 620 Benton Road, Bossier City, Louisiana, 71111 will be received until 2:30 p.m., Tuesday, August 18, 2026 for Bid #P26-06 Intersection Improvements at Wemple Rd. & Old Brownlee Rd., with a project estimate of $948,638.00. The bids will then be publicly opened and read aloud in the Council Chambers at 3:00 p.m.

In accordance with the Louisiana Public Bid Law, RS:38:2212 Act No. 590, 2008, contractors (Contractor Classification – Highway, Street and Bridge Construction) shall be provided the option to submit bids for Public Work projects through either a secure electronic interactive system or by submitting a paper bid. Use www.bidnetdirect.com to submit an electronic bid.

Specifications, Plans, and Contract Documents may be obtained from Coyle Engineering Co., Inc., 3925 Benton Road, Bossier City, LA 71111 for $400.00 payable to Coyle Engineering. This is not mandatory and is optional to the contractor.

There will be a Mandatory Pre-Bid Meeting held Thursday August 6, 2026 at 11:00 a.m. in the Bossier City Engineer’s Conference Room, 620 Benton Road, 2nd Floor, Bossier City, LA 71111.

All prospective bidders shall be present at the beginning of the pre-bid conference and shall remain in attendance for the duration of the pre-bid conference. Any prospective bidder who fails to attend the conference or remain for the duration shall be prohibited from submitting a bid for the project.

Advertisements will be in the Bossier Tribune on July 22, 2026, July 29, 2026, and August 5, 2026.

Bids shall be submitted on the official Bid Form furnished with the bid package and those submitted otherwise will not be considered or accepted. Although any addenda issued will be transmitted to all prime bidders who request bid documents, it shall be the Bidder’s responsibility to make inquiry as to any Addenda issued in accordance with LA 38:2212. C(2)(a). Each proposal must be accompanied by a bid security, which may be a certified check, cashier’s check, or bid bond, for an amount not less than 5% of the amount of the bid, made payable to the City of Bossier City, Louisiana. An acceptable performance/payment bond equal to 100% of the contract price along with a maintenance bond equal to 10% of the contract price will be required of the successful bidder.

Only the lowest responsive bidder will be required to submit the Attestation Form (Felony Conviction Statement and E-Verify) within ten days after the bid opening.

The successful bidder will agree to commence work under this contract on or before a date to be specified in the Notice to Proceed and fully complete the project within 120 Calendar days. Bidder will pay as liquidated damages, the sum of $500.00 for each consecutive day thereafter.

On any bids submitted in the amount of $50,000 or more, the Contractor shall be licensed under Louisiana Revised Statutes 37:2150-2163 and show his license number on the bid and on the envelope in which it is submitted. Any Subs being Electrical, Mechanical, or Plumbing (plumbers bidding Mechanical work) shall be licensed under Louisiana Revised Statute 37:2156 for bids submitted in the amount of $10,000 or more.

The City of Bossier City reserves the right to reject any/or all bids in accordance with R.S. 38:2214.

ANGELA WILLIAMSON

DIRECTOR OF FINANCE

CITY OF BOSSIER CITY, LOUISIANA

A-1 http://www.bidnetdirect.com/

1.0 BID FORMS

1.1 All bids must be submitted on the form provided with this copy of the contract documents. All bids must be typed or legibly written in ink, with all prices given in words and figures. No alterations in bids or in the printed forms will be permitted by erasures or interlineations. Each bid shall be enclosed in a sealed envelope, addressed to the Purchasing Agent of the City of Bossier City, Louisiana, and identified on the outside of the envelope with the name of submitter, address, contractor’s license number if required, and bid name/number of the project as indicated on the plans.

1.2 Bids shall be strictly in accordance with the prescribed form. Any modifications thereof or deviations therefrom may be considered as sufficient cause for rejection.

1.3 Bids carrying riders or qualifications to the bid as submitted may be rejected as irregular.

2.0 BID GUARANTEE

2.1 Each bid shall, as a guarantee of good faith on the part of the bidder, be accompanied by either a cashier’s check or a certified check drawn on an acceptable bank, or an acceptable bidder’s bond with an authorized surety company in an amount of not less than 5% of the total bid.

2.2 The bid guarantee shall be made payable with conditions to the City of Bossier City, Louisiana and the amount of the check or bond may be retained by and forfeited to said City of Bossier City, Louisiana, hereinafter referred to as Owner, as liquidated damage if such bid is accepted and the contract is awarded, and the bidder fails to enter into a contract in the form prescribed, with legally responsible sureties, within ten days after such award is made by the Owner.

3.0 SIGNATURE OF BIDDERS

3.1 Each bid must be signed in ink by the bidder with his full name, title and address of bidder, and name of firm or joint venture. A bid submitted by, or on behalf of a corporation must be signed in the name of such corporation by an official authorized to bind the corporation. Bidders shall include Corporate Resolution or written evidence of the authority of the person signing the bid. Failure to do so may result in the rejection of the bid.

4.0 ONLY ONE BID

4.1 No bidder may submit more than one bid. Two bids under different names will not be received from one firm or association.

5.0 RESPONSIBILITY OF AGENT

5.1 Any person signing a bid as the agent of another, or of others, may be required to submit satisfactory evidence of authority to do so. (See 3.1, above)

5.2 The title of the person executing the bid or contract will be clearly indicated beneath his signature.

6.0 QUALIFICATIONS OF BIDDERS

6.1 Bidders may be required to submit satisfactory evidence that they have a practical knowledge and experience in the particular work bid upon, and that they have the necessary financial resources to complete the proposed work.

Inexperience in the type or size of the job bid upon shall be sufficient cause for rejection of the bid. The opinion of the Engineer in this regard shall be final. In determining the lowest responsible bid, the following elements will be

B-4 considered: Whether the bidder involved maintains a permanent place of business, has adequate plant equipment to do the work properly and expeditiously, has a suitable financial status to meet obligations incidental to the work, and has appropriate technical experience.

6.2 Each bidder may be required to show that former work performed by him has been handled in such manner that there are not just or proper claims pending against such work. No bidder will be acceptable if he is engaged in other work which impairs his ability to finance this contract or provide proper equipment for the proper execution of same. Each bidder shall demonstrate his ability by meeting all requirements herein stipulated.

6.3 The lowest responsive bidder will be required to submit the Attestation Form (Felony Conviction Statement and E- Verify) within 10 days after the bid opening. Bidder shall submit a completed and signed Felony Conviction Statement to attest that he has not been convicted of, or has not entered a plea of guilty or nolo contendere to any of the crimes or equivalent federal crimes listed in Subsection B of LA R.S. 38:2227. A copy of the Attestation Affidavit for use is included in the Bid Package. This form also includes the E-Verify, LA R.S. 38.2212.10 Verification of Employees and LA. R.S. 23.1726(B) Certification Regarding Unpaid Workers Compensation Insurance. The Attestation form can be mailed, faxed, or e-mailed.

7.0 LOCAL CONDITIONS AFFECTING WORK

7.1 Each bidder shall visit the site of the work and thoroughly and fully inform himself relative to construction hazards and procedure, labor, and all other conditions and factors, local and otherwise, which would affect the prosecution and completion of the work and the cost thereof, including the arrangement and conditions of existing structures or pipelines affecting or which are affected by the proposed work, sub-surface conditions affecting excavating work, the procedure necessary for maintenance or uninterrupted operation and the prosecution of the work, the availability and cost of labor, and facilities for transportation, handling and storage of materials and equipment. It must be understood and agreed that all such factors have been properly investigated and considered in the preparation of every proposal submitted, as there will be no subsequent financial adjustment to any contract awarded thereunder which is based on the lack of such prior information or its effect on the cost of the work.

7.2 The Contractor to whom the work is awarded shall conduct his work in strict conformance with state and parish laws and City ordinances relative to labor, sanitary requirements and traffic safety regulations.

8.0 TAXES

8.1 Bids shall not include sales/use tax. When Form R-1020 from Louisiana Department of Revenue is properly executed by both the contractor and the governmental entity, it shall serve as evidence of the sales tax exempt status that has been conferred onto the contractor. This designation of agency shall be effective for purchases of component construction materials, taxable services and leases and rental of tangible personal property.

9.0 INTERPRETATION OF CONTRACT DOCUMENTS

9.1 No oral interpretation will be made to any bidder as to the meaning of the contract documents or any part thereof.

Every request for such interpretation shall be made in writing to the City of Bossier City, City Engineer, P.O. Box 5337, Bossier City, Louisiana, 71171-5337. Any inquiry received five days or more prior to the date fixed for the opening of bids will be given consideration. Every interpretation made to a bidder will be in the form of an addendum to the contract document and when issued will be on file in the City’s Purchasing Department at least five days before bids are opened.

In addition, all addenda will be mailed to each person holding contract documents, but it shall be the bidder’s responsibility to make inquiry as to the addenda issued. All such addenda shall become part of the contract documents and all bidders shall be bound by such addenda, whether or not received by the bidders.

10. WITHDRAWAL OF BID

B-5

10.1 Bids may be withdrawn by the bidder at any time prior to the bid opening deadline. Bids containing patently obvious, unintentional, and substantial mechanical, clerical, or mathematical errors, or errors of unintentional omission of a substantial quantity of work, labor, material, or services made directly in the compilation of the bid, may be withdrawn by the contractor if clear and convincing sworn, written evidence of such errors is furnished to the public entity within forty-eight hours of the bid opening excluding Saturdays, Sundays, and legal holidays.( LA R.S.38:2214C). Under no circumstances will any bid be accepted or opened if it is received after date and time it is due but instead will be returned unopened to the bidder.

11.0 ACCEPTANCE AND REJECTION OF BIDS

11.1 The Owner reserves the right to accept the bid which, in its judgment, is the lowest responsive bid on and for the work covered by the proposal and to reject any and all bids for just cause as provided for by LA R.S. 38:2214.

12.0 WAGES

12.1 It is the intent of the City of Bossier City that all workers on City public works contracts be properly skilled in their respective trades and that they be paid wages which fairly reflect labor costs in the Bossier City/Bossier Parish area.

To reduce the administrative burden and expense of entering into a contract with the City of Bossier and to allow wages to be paid which accurately represent equilibrium levels in the local area, the provisions of the Davis Bacon Act are not applicable to this City funded project.

13.0 BOSSIER CITY COUNCIL RESOLUTION #15 OF 1984 is shown below for information and consideration:

A RESOLUTION SUPPORTING THE PREFERENCE OF BOSSIER PARISH CONTRACTORS AND/OR

LABORERS ON ALL CONTRACTS WITH THE CITY OF BOSSIER CITY

WHEREAS, the Bossier City Council has adopted an Ordinance to amend Section 23A-2(b), of the Procurement Code, to delete the requirements of complying with the provisions of Louisiana Revised Statute 38:2301 which pertains to the payment of prevailing wages for public works contracts, and;

WHEREAS, the Bossier City Council desires that locally generated funds expended on contracts in addition to improving the facilities in this area will add to the employment and aid the local economy, through the enactment of this Resolution;

NOW, THEREFORE,

SECTION I: BE IT RESOLVED by the City Council of the City of Bossier City, that Primary Contractors awarded contracts with the City of Bossier City shall give preference to Bossier City skilled craftsman and laborers in performing said contracts.

SECTION II: BE IT FURTHER RESOLVED that a copy of this Resolution shall be included in every construction bid package offered by the City of Bossier City.

This Resolution, having been submitted to a vote and declared adopted on motion of Mrs. Miller and seconded by Mr. Carpenter, on this 3rd day of July, 1984, by the following vote, shall be in full force and effect from and after its adoption:

AYES: Mr. Carpenter, Mr. Mercer, Mr. Provenza, Mrs. Bennett, Mrs. Miller, Mr. Maddox

NAYS: None

ABSENT: Mr. Wojecki

B-6

ABSTAIN: None

/s/A.L. Maddox, Vice President /s/Jewel Lewis, City Clerk

B-7

LOUISIANA UNIFORM PUBLIC WORK BID FORM

TO: City of Bossier Office of the Purchasing Agent 2nd Floor, Municipal Building 620 Benton Road Bossier City, LA 71111

BID FOR: Intersection Improvements at Wemple Rd. & Old Brownlee Rd.

Bid #P26- 06 Calendar Days – 120 Days Liquidated Damages - $ 500/ day Plans – $ 400

The undersigned bidder hereby declares and represents that she/he; a) has carefully examined and understands the Bidding Documents, b) has not received, relied on, or based his bid on any verbal instructions contrary to the Bidding Documents or any addenda, c) has personally inspected and is familiar with the project site, and hereby proposes to provide all labor, materials, tools, appliances and facilities as required to perform, in a workmanlike manner, all work and services for the construction and completion of the referenced project, all in strict accordance with the Bidding Documents prepared by:

Coyle Engineering Co., Inc. and dated: March, 2026

Bidders must acknowledge all addenda. The Bidder acknowledges receipt of the following ADDENDA: (Enter the number the Designer has assigned to each of the addenda that the Bidder is acknowledging)

TOTAL BASE BID: For all work required by the Bidding Documents (including any and all unit prices designated “Base Bid” but not alternates) the sum of:

Dollars ($ )

ALTERNATES: For any and all work required by the Bidding Documents for Alternates including any and all unit prices designated as alternates in the unit price description.

Alternate No. 1 (Owner to provide description of alternate and state whether add or deduct) for the lump sum of:

N/A Dollars ($ N/A )

Alternate No. 2 (Owner to provide description of alternate and state whether add or deduct) for the lump sum of:

N/A Dollars ($ N/A )

Alternate No. 3 (Owner to provide description of alternate and state whether add or deduct) for the lump sum of:

N/A Dollars ($ N/A )

NAME OF BIDDER:

ADDRESS OF BIDDER:

LOUISIANA CONTRACTOR’S LICENSE NUMBER:

NAME OF AUTHORIZED SIGNATORY OF BIDDER:

TITLE OF AUTHORIZED SIGNATORY OF BIDDER:

SIGNATURE OF AUTHORIZED SIGNATORY OF BIDDER **:

DATE:

THE FOLLOWING ITEMS ARE TO BE INCLUDED WITH THE SUBMISSION OF THIS LOUISIANA UNIFORM PUBLIC

WORK BID FORM:

* The Unit Price Form shall be used if the contract includes unit prices. Otherwise it is not required and need not be included with the form. The number of unit prices that may be included is not limited and additional sheets may be included if needed.

** A CORPORATE RESOLUTION OR WRITTEN EVIDENCE of the authority of the person signing the bid for the public work as prescribed by LA R.S. 38:2212(B)(5).

BID SECURITY in the form of a bid bond, certified check or cashier’s check as prescribed by LA R.S. 38:2218.(A) is attached to and made a part of this bid.

C-8

LOUISIANA UNIFORM PUBLIC WORK BID FORM

TO: City of Bossier Office of the Purchasing Agent 2nd Floor, Municipal Building 620 Benton Road Bossier City, LA 71111

BID FOR: Intersection Improvements at Wemple Rd. & Old Brownlee Rd.

Bid #P26- 06 Calendar Days – 120 Days Liquidated Damages - $500 / day Plans – $400.00

UNIT PRICES: This form shall be used for any and all work required by the Bidding Documents and described as unit prices.

Amounts shall be stated in figures and only in figures.

DESCRIPTION: Base Bid or Alt.# Clearing & Grubbing REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

201-01-00100 1 LUMP SUM

DESCRIPTION: Base Bid or Alt.# Removal of Riprap (Salvage) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-00020 36 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Removal of Asphalt Drives REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-02000 101 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Removal of Asphalt Pavement REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-02020 289 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Removal of Concrete Catch Basin REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-06060 7 EACH

DESCRIPTION: Base Bid or Alt.# Removal of Concrete Combination Curb & Gutter REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-06080 552 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Removal of Pipe (Side Drain) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-32120 176 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Removal of Pipe (Storm Drain) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-32140 122 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Removal of Portland Cement Concrete Pavement REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-32500 161 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Removal of Signs & Supports (Salvage Signs) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-02-38240 6 EACH

DESCRIPTION: Base Bid or Alt.# Relocation of Sign REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

202-03-38000 6 EACH

DESCRIPTION: Base Bid or Alt.# General Excavation REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

203-01-00100 115 CUBIC YARDS

DESCRIPTION: Base Bid or Alt.# Embankment REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

203-03-00100 1,305 CUBIC YARDS

DESCRIPTION: Base Bid or Alt.# Temporary Sediment Check Dams (Hay) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

204-05-00100 14 EACH

DESCRIPTION: Base Bid or Alt.# Temporary Sediment Check Dams (Stone) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

204-05-00200 2 EACH

DESCRIPTION: Base Bid or Alt.# Temporary Silt Fencing REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

204-06-00100 250 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Class II Base Course (12" Thick) (Crushed Stone) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

302-02-12020 1,940 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Asphaltic Concrete (4” Thick) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

502-03-00200 317 TON

DESCRIPTION: Base Bid or Alt.# Portland Cement Concrete Pavement (8" Thick) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

601-01-00100 101 SQUARE YARDS

DESCRIPTION: Base Bid or Alt.# Storm Drain Pipe (15" RCP/RPVCP/CPPPDW) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

701-03-01004 6 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Storm Drain Pipe (18" RCP/RPVCP) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

701-03-01022 31 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Storm Drain Pipe (24" RCP/RPVCP/CPPPDW) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

701-03-01044 537 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Storm Drain Pipe (42" RCP/RPVCP) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

701-03-01092 37 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Concrete Collar

701-15-00100 2 EACH

DESCRIPTION: Base Bid or Alt.# Manhole (R-CB-11 MOD) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-02-00300 1 EACH

DESCRIPTION: Base Bid or Alt.# Manhole (MH14-9) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-02-00909 3 EACH

DESCRIPTION: Base Bid or Alt.# Catch Basins (CB-01) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-03-00100 3 EACH

DESCRIPTION: Base Bid or Alt.# Catch Basins (CB-06) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-03-00500 6 EACH

DESCRIPTION: Base Bid or Alt.# Catch Basins (CB-07) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-03-00600 1 EACH

DESCRIPTION: Base Bid or Alt.# Catch Basins (CB-08) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-03-00700 1 EACH

DESCRIPTION: Base Bid or Alt.# Cross Drain End Treatment (1 Barrell, 36" RCP) (Custom) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-05-01040 1 EACH

DESCRIPTION: Base Bid or Alt.# Side Drain End Treatment (1 Barrell, 18" RCP/PP) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

702-06-01000 1 EACH

DESCRIPTION: Base Bid or Alt.# Curb Ramp REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

706-04-00110 1 EACH

DESCRIPTION: Base Bid or Alt.# Concrete Curb (Barrier) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

707-01-00100 98 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Combination Concrete Curb & Gutter REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

707-03-00100 1,146 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Temporary Signs and Barricades REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

713-01-00100 1 LUMP SUM

DESCRIPTION: Base Bid or Alt.# Mulch (Vegetative)

716-01-00100 1.2 TON

DESCRIPTION: Base Bid or Alt.# Seeding REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

717-01-00100 15 POUNDS

DESCRIPTION: Base Bid or Alt.# Fertilizer REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

718-01-00100 580 POUNDS

DESCRIPTION: Base Bid or Alt.# Mobilization REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

727-01-00100 1 LUMP SUM

DESCRIPTION: Base Bid or Alt.# Sign (Type A) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

729-01-00100 3.75 SQUARE FEET

DESCRIPTION: Base Bid or Alt.# Sign (Type A) (Furnish and Install) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

729-01-00102 11 EACH

DESCRIPTION: Base Bid or Alt.# Mounting of Sign (Type A) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

729-01-00200 6 EACH

DESCRIPTION: Base Bid or Alt.# Object Marker Assembly (Type 3) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

729-16-00300 2 EACH

DESCRIPTION: Base Bid or Alt.# Reflectorized Raised Pavement Markers REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

731-02-00100 215 EACH

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (4" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-01-01000 4,415 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (6" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-01-01020 122 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (8" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-01-01040 216 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (12" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-01-02060 322 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (24" Width)

732-01-02080 345 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (Dotted Line) (4" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-03-02010 471 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Striping (Dotted Line) (8" Width) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-03-02030 192 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Legend & Symbols (Straight & Right Turn Arrow) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-04-01020 4 EACH

DESCRIPTION: Base Bid or Alt.# Plastic Pavement Legend & Symbols (Arrow Left Turn) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-04-01080 4 EACH

DESCRIPTION: Base Bid or Alt.# Removal of Existing Markings REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

732-05-00100 0.8 MILES

DESCRIPTION: Base Bid or Alt.# Trenching and Backfilling REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-01-00100 200 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Jacking or Boring for Conduit REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-03-00100 300 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Signal Pole (Pedestal Pole) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-04-00001 1 EACH

DESCRIPTION: Base Bid or Alt.# Signal Pole (Single Mast, 25ft) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-04-10250 1 EACH

DESCRIPTION: Base Bid or Alt.# Signal Pole (Single Mast, 35ft) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-04-10350 1 EACH

DESCRIPTION: Base Bid or Alt.# Signal Pole (Single Mast, 40ft) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-04-10400 2 EACH

DESCRIPTION: Base Bid or Alt.# Singal Heads (3 Section, 12 inch LED Lens, R, Y, G)

736-05-30000 8 EACH

DESCRIPTION: Base Bid or Alt.# Signal Heads (4 Section, 12 inch LED Lens, LT. R, LT. Y, FLT. Y, LT. G) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-05-41200 2 EACH

DESCRIPTION: Base Bid or Alt.# Signal Service REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-06-00100 1 EACH

DESCRIPTION: Base Bid or Alt.# Signal Controller (980 ATC, Type 2)(Furnish & Install) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-08-00102 1 EACH

DESCRIPTION: Base Bid or Alt.# Underground Junction Box (Type F) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-10-00300 3 EACH

DESCRIPTION: Base Bid or Alt.# Underground Junction Box (Type G) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-10-00400 1 EACH

DESCRIPTION: Base Bid or Alt.# Conduit (2" HDPE, Schedule 80) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-11-00200 150 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Conduit (3" HDPE, Schedule 80) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-11-00300 400 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Conductor (2c, #14 awg) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-12-02014 800 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Conductor (3c, 6 gauge / #6 awg) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-12-03006 50 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Conductor (6c, #14 awg) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-12-06014 900 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Conductor (10c, #14 awg) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-12-10014 1,100 LINEAR FEET

DESCRIPTION: Base Bid or Alt.# Signal Support (Foundation, 24 inch Minimum Diameter) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-15-02400 1 EACH

DESCRIPTION: Base Bid or Alt.# Signal Support (Foundation, 36 inch Minimum Diameter)

736-15-03600 4 EACH

DESCRIPTION: Base Bid or Alt.# LED Pedestrian Countdown Signal Head REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

736-21-00000 4 EACH

DESCRIPTION: Base Bid or Alt.# Construction Layout REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

740-01-00100 1 LUMP SUM

DESCRIPTION: Base Bid or Alt.# Utility Oversight and Coordination REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

740-02-00100 1 LUMP SUM

DESCRIPTION: Base Bid or Alt.# Fire Hydrant (Salvage & Relocate) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

741-24-00100 1 EACH

DESCRIPTION: Base Bid or Alt.# Adjust Water Valve Box REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

741-35-00100 4 EACH

DESCRIPTION: Base Bid or Alt.# TS-2 Traffic Signal Cabinet (Ground Mounted) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

NS-736-00130 1 EACH

DESCRIPTION: Base Bid or Alt.# 2-Wire Accessible Pedestrian Pushbutton Detectors REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

NS-736-00135 4 EACH

DESCRIPTION: Base Bid or Alt.# 2-Wire Accessible Pedestrian Pushbutton Cabinet Control REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

NS-736-00136 1 EACH

DESCRIPTION: Base Bid or Alt.# Local Ethernet Switch, Furnish & Install REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

NS-ITS-09080 1 EACH

DESCRIPTION: Base Bid or Alt.# CAT5e Cable (1,000') REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS-3-CAT5 1 EACH

DESCRIPTION: Base Bid or Alt.# Advance Detection Camera (AC3, CAT5e) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS-3-SMA 2 EACH

DESCRIPTION: Base Bid or Alt.# Bell Camera Kit, CAT5e

GS-3-SMK 2 EACH

DESCRIPTION: Base Bid or Alt.# Cable Bracket 84" (2.13m)

GS-3-CBL 4 EACH

DESCRIPTION: Base Bid or Alt.# GS3 System REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS3-SYS 1 EACH

DESCRIPTION: Base Bid or Alt.# Performance Plus (includes Streams, VRU) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS-3-PFM+ 1 EACH

DESCRIPTION: Base Bid or Alt.# Stopline Detection Camera, Fiber (SC3-F) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS-3-SMS-F 1 EACH

DESCRIPTION: Base Bid or Alt.# TS2 Cable REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS-3-TS2 1 EACH

DESCRIPTION: Base Bid or Alt.# TS2 Module GS3 REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

GS3-TS2-OPT 1 EACH

DESCRIPTION: Base Bid or Alt.# Slotted Drain Pipe (12”CMP w/ Riser) REF. NO. QUANTITY: UNIT OF MEASURE: UNIT PRICE UNIT PRICE EXTENSION (Quantity times Unit Price)

S-001 200 LINEAR FEET

All quantities are estimated. The contractor will be paid based upon actual quantities as verified by the Owner and Engineer.

CITY OF BOSSIER CITY BID FORM

BID BOND

(For a paper bid, one original required of all Bidders with Power of Attorney attached. For an electronic bid, an electronic bid bond or a paper bond will still be accepted if received before the bid opening)

Date:

KNOW ALL MEN BY THESE PRESENTS:

That of , as Principal, and , as Surety, are held and firmly bound unto the City of Bossier in the full and just sum of five (5%) percent of the total amount of this bid, including all alternates, lawful money of the United States, for payment of which sum, well and truly be made, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally firmly by these presents.

Surety represents that it is listed on the current U. S. Department of the Treasury Financial Management Service list of approved bonding companies as approved for an amount equal to or greater that the amount for which it obligates itself in this instrument or that it is a Louisiana domiciled insurance company with at least an A - rating in the latest printing of the A. M. Best's Key Rating Guide. If surety qualifies by virtue of its Best's listing, the Bond amount may not exceed ten percent of policyholders' surplus as shown in the latest A. M. Best's Key Rating Guide.

Surety further represents that it is licensed to do business in the State of Louisiana and that this Bond is signed by surety's agent or attorney-in-fact. This Bid Bond is accompanied by appropriate power of attorney.

THE CONDITION OF THIS OBLIGATION IS SUCH that, whereas said Principal is herewith submitting its bid to the Obligee on a Contract for:

NOW, THEREFORE, if the said Contract be awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing and give a good and sufficient bond to secure the performance of the terms and conditions of the Contract with surety acceptable to the Obligee, then this obligation shall be void; otherwise this obligation shall become due and payable.

PRINCIPAL (BIDDER) SURETY

BY: BY:

AUTHORIZED OFFICER-OWNER-PARTNER AGENT OR ATTORNEY-IN-FACT (SEAL)

This contract Agreement, made and entered into this day of 20 , by and between

The City of Bossier City, Louisiana, acting through its Mayor thereunto duly authorized to do so, Party of the First Part and hereinafter called the OWNER and of the Second Part and hereinafter called the CONTRACTOR.

WITNESSETH: That, in consideration for the payment to be made to the CONTRACTOR and of the mutual agreements herein contained; the Parties to the presents hereby agree, the OWNER for itself and its successors, and the CONTRACTOR for itself, himself, or themselves, or its, his, or their successors and assigns or its, his, or their executors and administrators, as follows:

ARTICLE I. The CONTRACTOR shall furnish all tools, equipment, supplies, superintendence, transportation, and other construction accessories, services and facilities, furnish all material supplies and equipment specified and required to be incorporated in and form a permanent part of the completed work;

provide and perform all necessary labor; and in a good, substantial, and workmanlike manner and in full accordance with the provisions of the Proposal, General Conditions, Detailed Specifications, and Special Conditions and in full conformity with Contract Plans and Specifications all of which are a part of this contract, for the Project of: P26-06 – Intersection Improvements at Wemple Rd. & Old Brownlee Rd.-

ARTICLE II. That the OWNER shall pay to the CONTRACTOR for the performance of the work embraced in this contract, and the CONTRACTOR will accept as full compensation therefor, the sum (subject to adjustments by change orders as provided by the contract and quantities reconciliation) of:

($ ) for all work included in the contract and designated in the foregoing ARTICLE I, payment to be made in the manner described in the General Conditions section of this contract.

ARTICLE III. That the CONTRACTOR shall start on, or within the (10) days following the date of the issuance of a Notice to Proceed and the CONTRACTOR shall complete said work within

(120) Calendar Days from and after the said date of the Notice to Proceed. The contractor will have 72 hours to begin work once notified concerning a repair location by the Public Works Department. Bidder further agrees to pay as liquidated damages, the sum of $500.00 for each consecutive day thereafter.

IN WITNESS WHEREOF, the Parties hereto have executed this contract as of the date shown hereon. WITNESS: CITY OF BOSSIER CITY

PRINT NAME: Thomas H. Chandler, Mayor Date

PRINT NAME:

WITNESS:

PRINT NAME: Contractor (Company Name)

PRINT NAME: Signature, Title Date

D-1

AFFIDAVIT ATTESTING THAT PUBLIC CONTRACT

WAS NOT SECURED

THROUGH EMPLOYMENT OR PAYMENT OF SOLICITOR

Attachment 1. Contract Agreement

All architects, engineers, contractors, subcontractors, or any person, corporation, firm, association, or other organization receiving value for services rendered in connection with this contract shall execute the following affidavit:

BEFORE ME, the undersigned Notary Public, duly qualified and commissioned, came and appeared authorized representative of who does hereby state as follows, to-wit:

1) that I employed no person, corporation, firm, association, or other organization, either directly or indirectly, to secure the public contract under which he received payment, other than persons regularly employed by me whose services in connection with the construction of the public building or project or in securing the public contract in the regular course of their duties for me; and

2) that no part of the contract price received by me was paid or will be paid to any person, corporation, firm, association, or other organization for soliciting the contract, other than the payment of their normal compensation to persons regularly employed by me whose services in connection with the construction of the public building or project were in the regular course of their duties for me.

THUS DONE AND PASSED before me, Notary, on this day of

By:

Signature and Title

Notary Public

Name of Company:

Be it resolved by the Board of Directors/Members/Managers of , a corporation/limited liability company (“Company”) organized and existing under the laws of the State of and domiciled in , do hereby resolve that is hereby authorized to sign any and all contracts and/or agreements with the City of Bossier City and to do any and all things necessary to execute the contracts and/or agreements on behalf of the Company.

That I, , hereby certify that (Name) (Position of Authority) the above and forgoing resolution is a true and correct copy of a resolution of the Board of

Directors/Members of the Company which was passed at a meeting, duly called on

, at which a quorum was present. The foregoing resolution has been entered into the records of the Company, has not been rescinded or modified, and remains in full force and effect on this date.

IN WITNESS WHEREOF, the undersigned have executed this consent this day of , 20__.

WITNESSES:

Printed name: SIGNATURE

Printed name:

NOTARY PUBLIC

R-1020 (4/12)

City of Bossier City , an agency of the United Legal Name of Governmental Entity

States government, or an agency, board, commission, or instrumentality of the State of Louisiana or its political subdivisions, including parishes, municipalities and school boards, does hereby designate the following contractor as its agent for the purpose of making sales tax exempt purchases on behalf of the governmental body:

Name of Contractor

Address

City State ZIP

This designation of agency shall be effective for purchases of component construction materials, taxable services and leases and rentals of tangible personal property for the following named construction project:

This designation and acceptance of agency is effective for the period

Purchases for the named project during this period by the designated contractor shall be considered as the legal equivalent of purchases directly by the governmental body. Any materials purchased by this agent shall immediately, upon the vendor’s delivery to the agent, become the property of this government entity. This government entity, as principal, assumes direct liability to the vendor for the payment of any property, services, leases, or rentals made by this designated agent. This agreement does not void or supersede the obligations of any party created under any construction contract related to this project, including specifically any contractual obligation of the construction contractor to submit payment to the vendors of materials or services for the project.

This contractor-agent is not authorized to delegate this purchasing agency to others; separate designations of agency by this governmental entity are required for each contractor or sub-contractor who is to purchase on behalf of this governmental entity.

The undersigned hereby certify that this designation is the entirety of the agency designation agreement between them. In order for a purchase for an eligible governmental entity through a designated agent to be eligible for sales tax exemption, the designation of agency must be made, accepted, and disclosed to the vendor before or at the time of the purchase transaction.

This designation of agency form, when properly executed by both the contractor and the governmental entity, shall serve as evidence of the sales tax exempt status that has been conferred onto the contractor. No other exemption certificate form is necessary to claim exemption from sales taxes. The agency agreement evidenced by this sales tax exemption certificate must be implemented at the time of contract execution with the governmental entity. The contract between the governmental entity and his agent must contain provisions to authenticate the conferment of agency.

D-4

Intersection Improvements at Wemple Rd. & Old Brownlee Rd. P26-06 Name of Project Project No.

STATE OF

PARISH OF

ATTESTATIONS AFFIDAVIT

Before me, the undersigned notary public, duly commissioned and qualified in and for the parish and state aforesaid, personally came and appeared Affiant, who after being duly sworn, attested as follows:

LA. R.S. 38:2227 PAST CRIMINAL CONVICTIONS OF BIDDERS

A. No sole proprietor or individual partner, incorporator, director, manager, officer, organizer, or member who has a minimum of a ten percent (10%) ownership in the bidding entity named below has been convicted of, or has entered a plea of guilty or nolo contendere to any of the following state crimes or equivalent federal crimes:

(a) Public bribery (R.S. 14:118) (c) Extortion (R.S. 14:66)

(b) Corrupt influencing (R.S. 14:120) (d) Money laundering (R.S. 14:230)

B. Within the past five years from the project bid date, no sole proprietor or individual partner, incorporator, director, manager, officer, organizer, or member who has a minimum of a ten percent (10%) ownership in the bidding entity named below has been convicted of, or has entered a plea of guilty or nolo contendere to any of the following state crimes or equivalent federal crimes, during the solicitation or execution of a contract or bid awarded pursuant to the provisions of Chapter 10 of Title 38 of the Louisiana Revised Statutes:

(a) Theft (R.S. 14:67)

(b) Identity Theft

(R.S. 14:67.16)

(c) Theft of a business record (R.S.14:67.20)

(d) False accounting

(R.S. 14:70) (e)Issuing worthless checks

(R.S. 14:71)

(f) Bank fraud (R.S. 14:71.1)

(g) Forgery (R.S. 14:72)

(h) Contractors; misapplication of payments (R.S. 14:202)

(i) Malfeasance in office (R.S. 14:134)

LA. R.S. 38:2212.10 VERIFICATION OF EMPLOYEES

A. At the time of bidding, Appearer is registered and participates in a status verification system to verify that all new hires in the state of Louisiana are legal citizens of the United States or are legal aliens.

B. If awarded the contract, Appearer shall continue, during the term of the contract, to utilize a status verification system to verify the legal status of all new employees in the state of Louisiana.

C. If awarded the contract, Appearer shall require all subcontractors to submit to it a sworn affidavit verifying compliance with Paragraphs (A) and (B) of this Subsection.

Intersection Improvements at Wemple Rd. & Old Brownlee Rd. P26-06 Name of Project Project No.

LA. R.S. 23:1726(B) CERTIFICATION REGARDING UNPAID WORKERS COMPENSATION

INSURANCE

A. R.S. 23:1726 (B) prohibits any entity against whom an assessment under Part X of Chapter 11 of Title 23 of the Louisiana Revised Statutes of 1950 (Alternative Collection Procedures & Assessments) is in effect, and whose right to appeal that assessment is exhausted, from submitting a bid or proposal for or obtaining any contract pursuant to Chapter 10 of Title 38 of the Louisiana Revised Statutes of 1950 and Chapters 16 and 17 of Title 39 of the Louisiana Revised Statutes of 1950.

B. By signing this bid/proposal, Affiant certifies that no such assessment is in effect against the bidding / proposing entity.

NAME OF BIDDER NAME OF AUTHORIZED SIGNATORY OF BIDDER

DATE TITLE OF AUTHORIZED SIGNATORY OF BIDDER

SIGNATURE OF

AUTHORIZED SIGNATORY

OF BIDDER

Sworn to and subscribed before me by Affiant on the day of , 20 .

Notary Public

FAX: (318) 741-8970

E-MAIL – beauchemind@bossiercity.org mailto:beauchemind@bossiercity.org

KNOW ALL MEN BY THESE PRESENTS that of hereinafter called Principal, and hereinafter called Surety, are held and firmly bound unto the City of Bossier City, State of Louisiana, hereinafter called OWNER, in the penal sum of ($ ) in lawful money of the United States, for payment of which sum well and truly to be made, we bind ourselves, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain contract with the OWNER, dated day of , 20 , a copy of which is hereto attached and made a part hereof for the construction of: P26-06 – Intersection Improvements at Wemple Rd. & Old Brownlee Rd.

NOW, THEREFORE, if the Principal shall promptly make payment to all persons, firms, subcontractors, and corporations furnishing materials for or performing labor the prosecution of WORK provided for in such contract, and any authorized extension or modification thereof, including, but not limited to, all amounts due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such WORK, and all insurance premiums on said WORK, and for all labor, performed in such WORK whether by SUBCONTRACTOR or otherwise, then this obligation shall be void; otherwise to remain in full force and effect.

AND THEREFORE, if the Principal shall well, truly, and faithfully perform its duties, all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the OWNER, with or without notice to the Surety and during the one year guaranty period, and if he shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the OWNER from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the OWNER all outlay and expense which the OWNER may incur in making good any default, then this obligation shall be void; otherwise to remain in full force and effect.

PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the WORK to be performed thereunder or the SPECIFICATION accompanying the…