Local Public Agency Formal Contract Proposal

Page 1 of 6 BLR 12200 (Rev. 01/19/23)Completed06/18/26

Proposal Submitted By:

Contractor's Name

Contractor's Address City State Zip Code

STATE OF ILLINOIS

Local Public Agency

Eppards Point Road District

County

Livingston

Section Number

26-08000-00-AB

Route(s) (Street/Road Name)

TR 157 (1400N Rd)

Type of Funds

Local

Proposal Only Proposal and Plans Proposal only, plans are separate

Submitted/Approved For Local Public Agency:

Note: All proposal documents, including Proposal Guaranty Checks or Proposal Bid Bonds, should be stapled together to prevent loss when bids are processed.

COVER SHEET

For a County and Road District Project

Submitted/Approved

Submitted/Approved

Highway Commissioner Signature & Date

County Engineer/Superintendent of Highways Signature & Date

For a Municipal Project

Submitted/Approved/Passed

Official Title

Signature & Date

Department of Transportation

Released for bid based on limited review

Regional Engineer Signature & Date

Digitally signed by Nikki Galloway Date: 2026.06.17 14:52:46 -05'00'

Digitally signed by Clay Metcalf Date: 2026.06.17 14:53:48 -05'00'

BLR 12200 (Rev. 01/19/23)Page 2 of 6Completed06/17/26

Route(s) (Street/Road Name)

TR 157 (1400N Rd)

Section Number

26-08000-00-AB

County

Livingston

Local Public Agency

Eppards Point Road District

NOTICE TO BIDDERS

Sealed proposals for the project described below will be received at the office of Name of Office

The County Engineer

Address

Livingston County (1705 S. Manlove Street, Pontiac, IL 61764) until Time

10:00 AM on Date

7/2/2026 .

Sealed proposals will be opened and read publicly at the office of Name of Office

The County Engineer

Address

Livingston County (1705 S. Manlove Street, Pontiac, IL 61764) at Time

10:00 AM on Date

7/2/2026 .

DESCRIPTION OF WORK

Location

1334E, 1400N - 4.0 miles S of Pontiac

Project Length

0.076 Miles

Proposed Improvement

Replace existing concrete box culvert with precast concrete box culvert

1. Plans and proposal forms will be available in the office of

Online at https://www.livingstoncountyil.gov/department/highway/bidding_lettings.php or The Livingston County Engineer, 1705 South Manlove Street, Pontiac, IL 61764

2. Prequalification

If checked, the 2 apparent as read low bidders must file within 24 hours after the letting an "Affidavit of Availability" (Form BC 57) in triplicate, showing all uncompleted contracts awarded to them and all low bids pending award for Federal, State, County, Municipal and private work. One original shall be filed with the Awarding Authority and two originals with the IDOT District Office.

3. The Awarding Authority reserves the right to waive technicalities and to reject any or all proposals as provided in BLRS Special Provision for Bidding Requirements and Conditions for Contract Proposals.

4. The following BLR Forms shall be returned by the bidder to the Awarding Authority:

a. Local Public Agency Formal Contract Proposal (BLR 12200)

b. Schedule of Prices (BLR 12201)

c. Proposal Bid Bond (BLR 12230) (if applicable)

d. Apprenticeship or Training Program Certification (BLR 12325) (do not use for project with Federal funds.)

e. Affidavit of Illinois Business Office (BLR 12326) (do not use for project with Federal funds)

5. The quantities appearing in the bid schedule are approximate and are prepared for the comparison of bids. Payment to the Contractor will be made only for the actual quantities of work performed and accepted or materials furnished according to the contract. The scheduled quantities of work to be done and materials to be furnished may be increased, decreased or omitted as hereinafter provided.

6. Submission of a bid shall be conclusive assurance and warranty the bidder has examined the plans and understands all requirements for the performance of work. The bidder will be responsible for all errors in the proposal resulting from failure or neglect to conduct an in depth examination. The Awarding Authority will, in no case, be responsible for any costs, expenses, losses or changes in anticipated profits resulting from such failure or neglect of the bidder.

7. The bidder shall take no advantage of any error or omission in the proposal and advertised contract.

8. If a special envelope is supplied by the Awarding Authority, each proposal should be submitted in that envelope furnished by the Awarding Agency and the blank spaces on the envelope shall be filled in correctly to clearly indicate its contents. When an envelope other than the special one furnished by the Awarding Authority is used, it shall be marked to clearly indicate its contents. When sent by mail, the sealed proposal shall be addressed to the Awarding Authority at the address and in care of the official in whose office the bids are to be received. All proposals shall be filed prior to the time and at the place specified in the Notice to Bidders. Proposals received after the time specified will be returned to the bidder unopened.

9. Permission will be given to a bidder to withdraw a proposal if the bidder makes the request in writing or in person before the time for opening proposals.

BLR 12200 (Rev. 01/19/23)Page 3 of 6Completed06/17/26

TR 157 (1400N Rd)

Section Number

26-08000-00-AB

County

Livingston

Local Public Agency

Eppards Point Road District

PROPOSAL

1. Proposal of Contractor's Name

Contractor's Address

2. The plans for the proposed work are those prepared bythe Livingston County Highway Department and approved by the Department of Transportation on .

3. The specifications referred to herein are those prepared by the Department of Transportation and designated as "Standard Specifications for Road and Bridge Construction" and the " Supplemental Specifications and Recurring Special Provisions" thereto, adopted and in effect on the date of invitation for bids.

4. The undersigned agrees to accept, as part of the contract, the applicable Special Provisions indicated on the "Check Sheet for

Recurring Special Provisions" contained in this proposal.

5. The undersigned agrees to complete the work within 10 working days or by is granted in accordance with the specifications.

6. The successful bidder at the time of execution of the contract will be required to deposit a contract bond for the full amount of the award. When a contract bond is not required, the proposal guaranty check will be held in lieu thereof. If this proposal is accepted and the undersigned fails to execute a contract and contract bond as required, it is hereby agreed that the Bid Bond of check shall be forfeited to the Awarding Authority.

7. Each pay item should have a unit price and a total price. If no total price is shown or if there is a discrepancy between the products of the unit price multiplied by the quantity, the unit price shall govern. If a unit price is omitted, the total price will be divided by the quantity in order to establish a unit price. A bid may be declared unacceptable if neither a unit price nor a total price is shown.

8. The undersigned submits herewith the schedule of prices on BLR 12201 covering the work to be performed under this contract.

9. The undersigned further agrees that if awarded the contract for the sections contained in the combinations on BLR 12201, the work shall be in accordance with the requirements of each individual proposal for the multiple bid specified in the Schedule for Multiple Bids below.

10. A proposal guaranty in the proper amount, as specified in BLRS Special Provision for Bidding Requirements and Conditions for unless additional time

Contract Proposals, will be required. Bid Bonds will be allowed as a proposal guaranty. Accompanying this proposal is either a bid bond, if allowed, on Department form BLR 12230 or a proposal guaranty check, complying with the specifications, made payable to: County Treasurer of Livingston County .

The amount of the check is ( ).

Attach Cashier's Check or Certified Check Here

In the event that one proposal guaranty check is intended to cover two or more bid proposals, the amount must be equal to the sum of the proposal guaranties which would be required for each individual bid proposal. If the proposal guaranty check is placed in another bid proposal, state below where it may be found.

The proposal guaranty check will be found in the bid proposal for: Section Number .

BLR 12200 (Rev. 01/19/23)Page 4 of 6Completed06/17/26

TR 157 (1400N Rd)

Section Number

26-08000-00-AB

County

Livingston

Local Public Agency

Eppards Point Road District

CONTRACTOR CERTIFICATIONS

The certifications hereinafter made by the bidder are each a material representation of fact upon which reliance is placed should the Department enter into the contract with the bidder.

1. Debt Delinquency. The bidder or contractor or subcontractor, respectively, certifies that it is not delinquent in the payment of any tax administered by the Department of Revenue unless the individual or other entity is contesting, in accordance with the procedure established by the appropriate Revenue Act, its liability for the tax or the amount of the tax. Making a false statement voids the contract and allows the Department to recover all amounts paid to the individual or entity under the contract in a civil action.

2. Bid-Rigging or Bid Rotating. The bidder or contractor or subcontractor, respectively, certifies that it is not barred from contracting with the Department by reason of a violation of either 720 ILCS 5/33E-3 or 720 ILCS 5/33E-4.

A violation of section 33E-3 would be represented by a conviction of the crime of bid-rigging which, in addition to Class 3 felony sentencing, provides that any person convicted of this offense, or any similar offense of any state or the United States which contains the same elements as this offense shall be barred for 5 years from the date of conviction from contracting with any unit of State or local government. No corporation shall be barred from contracting with any unit of State or local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to contract that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent on behalf of the corporation.

A violation of Section 33E-4 would be represented by a conviction of the crime of bid-rotating which, in addition to Class 2 felony sentencing, provides that any person convicted of this offense or any similar offense of any state or the United States which contains the same elements as this offense shall be permanently barred from contracting with any unit of State of Local government. No corporation shall be barred from contracting with any unit of State or Local government as a result of a conviction under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation and: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to contract and that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high managerial agent on behalf of the corporation.

3. Bribery. The bidder or contractor or subcontractor, respectively, certifies that, it has not been convicted of bribery or attempting to bribe an officer or employee of the State of Illinois or any unit of local government, nor has the firm made an admission of guilt of such conduct which is a matter or record, nor has an official, agent, or employee of the firm committed bribery or attempted bribery on behalf of the firm and pursuant to the direction or authorization of a responsible official of the firm.

4. Interim Suspension or Suspension. The bidder or contractor or subcontractor, respectively, certifies that it is not currently under a suspension as defined in Subpart I of Title 44 Subtitle A Chapter III Part 6 of the Illinois Administrative code. Furthermore, if suspended prior to completion of this work, the contract or contracts executed for the completion of this work may be canceled.

BLR 12200 (Rev. 01/19/23)Page 5 of 6Completed06/17/26

TR 157 (1400N Rd)

Section Number

26-08000-00-AB

County

Livingston

Local Public Agency

Eppards Point Road District

SIGNATURES

(If an individual)

Business Address

City State Zip Code

(If a partnership) Firm Name

Title

Business Address

City State Zip Code

Insert the Names and Addresses of all Partners

(If a corporation) Corporate Name

Title

Business Address

City State Zip Code

Insert Names of Officers President

Bidder Signature & Date

Signature & Date

BLR 12200 (Rev. 01/19/23)Page 6 of 6Completed06/17/26

Secretary

Treasurer

Attest:

Secretary

Schedule of Prices

Page 1 of 1 BLR 12201 (Rev. 05/07/21)Printed 06/17/26

Contractor's Name

Contractor's Address City State Zip Code

Local Public Agency

Eppards Point Road District

County

Livingston

Section Number

26-08000-00-AB

Route(s) (Street/Road Name)

TR 157 (1400N Rd)

Schedule for Multiple Bids

Combination Letter Section Included in Combinations Total

Schedule for Single Bid (For complete information covering these items, see plans and specifications.)

Item Number Items Unit Quantity Unit Price Total

20200100 EARTH EXCAVATION CU YD 5

20400800 FURNISHED EXCAVATION CU YD 20

20900110 POROUS GRAN BACKFILL CU YD 299

35100100 AGG BASE CSE A TON 145

40600275 BIT MATLS PR CT POUND 1179

40600290 BIT MATLS TACK CT POUND 405

40603080 HMA BC IL-19.0 N50 TON 126

40604000 HMA SC IL-9.5FG C N50 TON 75

50100100 REM EXIST STRUCT EACH 1

54001001 BOX CUL END SEC C1 EACH 2

54010802 PCBC 8X2 FOOT 28

X2501000 SEEDING CL 2 SPL ACRE 0.2

X4401198 HMA SURF REM VAR DP SQ YD 384

X5810103 MEMB WTRPRF SYS B STR SQ YD 39

Bidder's Total Proposal

1. Each pay item should have a unit price and a total price.

2. If no total price is shown or if there is a discrepancy between the product of the unit price multiplied by the quantity, the unit price shall govern.

3. If a unit price is omitted, the total price will be divided by the quantity in order to establish a unit price.

4. A bid may be declared unacceptable if neither a unit price or total price is shown.

Proposal Bid Bond

Page 1 of 2 BLR 12230 (Rev. 01/19/23)Completed06/17/26

WE, as PRINCIPAL, and as SURETY, are held jointly, severally and firmly bound unto the above Local Public Agency (hereafter referred to as "LPA") in the penal sum of 5% of the total bid price, or for the amount specified in the proposal documents in effect on the date of invitation for bids, whichever is the lesser sum. We bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly pay to the LPA this sum under the conditions of this instrument.

WHEREAS THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH that, the said PRINCIPAL is submitting a written proposal to the LPA acting through its awarding authority for the construction of the work designated as the above section.

THEREFORE if the proposal is accepted and a contract awarded to the PRINCIPAL by the LPA for the above designated section and the PRINCIPAL shall within fifteen (15) days after award enter into a formal contract, furnish surety guaranteeing the faithful performance of the work, and furnish evidence of the required insurance coverage, all as provided in the "Standard Specifications for Road and Bridge Construction" and applicable Supplemental Specifications, then this obligation shall become void; otherwise it shall remain in full force and effect.

IN THE EVENT the LPA determines the PRINCIPAL has failed to enter into a formal contract in compliance with any requirements set forth in the preceding paragraph, then the LPA acting through its awarding authority shall immediately be entitled to recover the full penal sum set out above, together with all court costs, all attorney fees, and any other expense of recovery.

IN TESTIMONY WHEREOF, the said PRINCIPAL and the said SURETY have caused this instrument to be signed by their respective officers this Day of Month and Year

Principal

Company Name

Signature & Date

Company Name

Signature & Date

By: By:

Title Title

(If Principal is a joint venture of two or more contractors, the company names, and authorized signatures of each contractor must be affixed.)

Surety Name of Surety

COUNTY OF

I , a Notary Public in and for said county do hereby certify that

(Insert names of individuals signing on behalf of PRINCIPAL & SURETY) who are each personally known to me to be the same persons whose names are subscribed to the foregoing instrument on behalf of PRINCIPAL and SURETY, appeared before me this day in person and acknowledged respectively, that they signed and delivered said instruments as their free and voluntary act for the uses and purposes therein set forth.

Given under my hand and notarial seal this day of Month and Year

Date commission expires

(SEAL, if required by the LPA)

Local Public Agency

Eppards Point Road District

County

Livingston

Section Number

26-08000-00-AB

By:

Day

STATE OF IL

Signature of Attorney-in-Fact Signature & Date

Notary Public Signature & Date

Page 2 of 2 BLR 12230 (Rev. 01/19/23)

Eppards Point Road District

County

Livingston

Section Number

26-08000-00-AB

Completed06/17/26

ELECTRONIC BID BOND

Electronic bid bond is allowed (box must be checked by LPA if electronic bid bond is allowed)

The Principal may submit an electronic bid bond, in lieu of completing the above section of the Proposal Bid Bond Form. By providing an electronic bid bond ID code and signing below, the Principal is ensuring the identified electronic bid bond has been executed and the Principal and Surety are firmly bound unto the LPA under the conditions of the bid bond as shown above. (If PRINCIPAL is a joint venture of two or more contractors, an electronic bid bond ID code, company/Bidder name title and date must be affixed for each contractor in the venture.)

Electronic Bid Bond ID Code Company/Bidder Name

Title

Apprenticeship and Training Program Certification

Page 1 of 1 BLR 12325 (Rev. 01/19/23)Completed06/17/26

Local Public Agency

Eppards Point Road District County

Livingston Street Name/Road Name

TR 157 (1400N Rd) Section Number

26-08000-00-AB

All contractors are required to complete the following certification

For this contract proposal or for all bidding groups in this deliver and install proposal.

For the following deliver and install bidding groups in this material proposal.

Illinois Department of Transportation policy, adopted in accordance with the provisions of the Illinois Highway Code, requires this contract to be awarded to the lowest responsive and responsible bidder. The award decision is subject to approval by the Department. In addition to all other responsibility factors, this contract or deliver and install proposal requires all bidders and all bidder's subcontractors to disclose participation in apprenticeship or training programs that are (1) approved by and registered with the United States Department of Labor's Bureau of Apprenticeship and Training, and (2) applicable to the work of the above indicated proposals or groups. Therefore, all bidders are required to complete the following certification:

1. Except as provided in paragraph 4 below, the undersigned bidder certifies that it is a participant, either as an individual or as part of a group program, in an approved apprenticeship or training program applicable to each type of work or craft that the bidder will perform with its own employees.

2. The undersigned bidder further certifies, for work to be performed by subcontract, that each of its subcontractors either (A) is, at the time of such bid, participating in an approved, applicable apprenticeship or training program; or (B) will, prior to commencement of performance of work pursuant to this contract, establish participation in an approved apprenticeship or training program applicable to the work of the subcontract.

3. The undersigned bidder, by inclusion in the list in the space below, certifies the official name of each program sponsor holding the Certificate of Registration for all of the types of work or crafts in which the bidder is a participant and that will be performed with the bidder's employees. Types of work or craft that will be subcontracted shall be included and listed as subcontract work. The list shall also indicate any type of work or craft job category for which there is no applicable apprenticeship or training program available.

4. Except for any work identified above, if any bidder or subcontractor shall perform all or part of the work of the contract or deliver and install proposal solely by individual owners, partners or members and not by employees to whom the payment of prevailing rates of wages would be required, check the following box, and identify the owner/operator workforces and positions of ownership.

The requirements of this certification and disclosure are a material part of the contract, and the contractor shall require this certification provision to be included in all approved subcontracts. The bidder is responsible for making a complete report and shall make certain that each type of work or craft job category that will be utilized on the project is accounted for and listed. The Department at any time before or afterward may require the production of a copy of each applicable Certificate of Registration issued by the United States Department of Labor evidencing such participation by the contractor and any or all of its subcontractors. In order to fulfill the participation requirement, it shall not be necessary that any applicable program sponsor be currently taking or that it will take applications for apprenticeship, training or employment during the performance of the work of this contract or deliver and install proposal.

Bidder

Title

Address City State Zip Code

Affidavit of Illinois Business Office

Page 1 of 1 BLR 12326 (Rev. 01/20/23)Completed06/17/26

Local Public Agency

Eppards Point Road District

County

Livingston

Street Name/Road Name

TR 157 (1400N Rd)

Section Number

26-08000-00-AB

I, Name of Affiant of City of Affiant

State of Affiant being first duly sworn upon oath, state as follows:

1. That I am the Officer or Position of Bidder

2. That I have personal knowledge of the facts herein stated.

3. That, if selected under the proposal described above, Bidder

, will maintain a business office in the

State of Illinois, which will be located in County

County, Illinois.

4. That this business office will serve as the primary place of employment for any persons employed in the construction contemplated by this proposal.

5. That this Affidavit is given as a requirement of state law as provided in Section 30-22(8) of the Illinois Procurement Code.

Print Name of Affiant

Notary Public

Signed (or subscribed or attested) before me on

(name/s of person/s)

County

(SEAL) My commission expires

, authorized agent(s) of

(date) by

Bidder

State of IL

Notary Public Signature & Date

Affidavit of Availability

Page 1 of 10 BC 57 (Rev. 02/16/21)

For the Letting of 07/02/26

Printed 06/17/26

Bureau of Construction 2300 South Dirksen Parkway/Room 322 Springfield, IL 62764

Instructions: Complete this form by either typing or using black ink. "Authorization to Bid" will not be issued unless both sides of this form are completed in detail. Use additional forms as needed to list all work.

Part I. Work Under Contract List below all work you have under contract as either a prime contractor or a subcontractor. It is required to include all pending low bids not yet awarded or rejected. In a joint venture, list only that portion of the work which is the responsibility of your company. The uncompleted dollar value is to be based upon the most recent engineer's or owners estimate, and must include work subcontracted to others. If no work is contracted, show NONE.

1 2 3 4 Awards Pending

Accumulated Totals

Contract Number

Contract With

Estimated Completion Date

Total Contract Price

Uncompleted Dollar Value if Firm is the Prime Contractor Uncompleted Dollar Value if Firm is the Subcontractor

Total Value of All Work

Part II. Awards Pending and Uncompleted Work to be done with your own forces.

List below the uncompleted dollar value of work for each contract and awards pending to be completed with your own forces. All work subcontracted to others will be listed on the reverse of this form. In a joint venture, list only that portion of the work to be done by your company. If no work is contracted, show NONE.

Earthwork

Portland Cement Concrete Paving

HMA Plant Mix

HMA Paving

Clean & Seal Cracks/Joints

Aggregate Bases, Surfaces

Highway, R.R., Waterway Struc.

Drainage

Electrical

Cover and Seal Coats

Concrete Construction

Landscaping

Fencing

Guardrail

Painting

Signing

Cold Milling, Planning, Rotomilling

Demolition

Pavement Markings (Paint)

Other Construction (List)

Totals Disclosure of this information is REQUIRED to accomplish the statutory purpose as outlined in the “Illinois Procurement Code." Failure to comply will result in non-issuance of an "Authorization To Bid." This form has been approved by the State Forms Management Center.

Page 2 of 10 BC 57 (Rev. 02/16/21)Printed 06/17/26

Part III. Work Subcontracted to Others.

For each contract described in Part I, list all the work you have subcontracted to others.

1 2 3 4 Awards Pending

Subcontractor

Type of Work

Subcontract Price

Amount Uncompleted

Subcontractor

Type of Work

Subcontract Price

Amount Uncompleted

Subcontractor

Type of Work

Subcontract Price

Amount Uncompleted

Subcontractor

Type of Work

Subcontract Price

Amount Uncompleted

Subcontractor

Type of Work

Subcontract Price

Amount Uncompleted

Total Uncompleted

Notary

I, being duly sworn, do hereby declare this affidavit is a true and correct statement relating to ALL uncompleted contracts of the undersigned for Federal, State, County, City and private work, including ALL subcontract work, ALL pending low bids not yet awarded or rejected and ALL estimated completion dates.

Officer or Director

Title

Signature Date

Company

Address

City State Zip Code

(Signature of Notary Public)

Subscribed and sworn to before me this day of , My commission expires

(Notary Seal)

Add pages for additional contracts