CTR079191 Contractor Response.pdf
PDF 2 MB Posted
- Attached to
- AZ|CTR079191
- Contract number
- CTR079191
- Issued by
- Arizona
About this file
Contract Summary
This is an awarded contract executed by the State of Arizona Department of Transportation (ADOT) for emergency repair services on US Route 60. The prime contractor is Ames Construction, Inc., located at 8333 East Hartford Drive, Scottsdale, Arizona 85255, represented by Chris Kane, Senior Vice President. The contract was awarded and executed on November 6, 2025, under Contract No. CTR079191. Ames Construction holds Arizona Contractor License No. 074995 A and will oversee daily operations through key personnel including Project Manager Zachary Taylor, Superintendent Brian Thompson, Foreman Charles Lewis, and Engineer Joel Kockummen.
Ames Construction will utilize six subcontractors for specialized work: Stodghill Trucking, Inc. for trucking and hauling services; Howe Precast Concrete Barrier, Inc. for temporary barriers; Pavement Marking, LLC for striping; Southwest Barricades, LLC for traffic control; Professional Police Services, Inc. for off-duty law enforcement; and Cactus Transport II, LLC dba Cactus Asphalt for paving services. The contractor has certified compliance with Build America, Buy America (BABA) Act requirements, domestic materials and products regulations, federal anti-discrimination laws, non-collusion standards, and state-specific requirements regarding forced labor and boycott prohibitions. The contractor is not exempt from forced labor and Israel boycott requirements based on the non-checked exemption box on the certification forms.
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CONTRACT SIGNATURE PAGE
Contract No: CTR079191 Page 1 of 1
Rev. 08/2025
Contract Signature Page
The Undersigned hereby agrees to perform in compliance with all terms, conditions, specifications in the Contract.
Contractor Company Name Signature of Person Authorized to Sign Contract Date
Address Printed Name and Title
City, State, Zip Contact Name and Title
☐ By checking this box, Offeror is certifying that it is exempt from the requirements regarding the forced labor of ethnic Uyghurs and boycott of Israel because of one of the following: Contractor is a Sole proprietorship, has fewer than ten (10) employees;
or is a non-profit organization.
Contact Email Address Contact Phone Number
CERTIFICATION: By signature in the above, Offeror certifies that it:
1. Will not discriminate against any employee or applicant for employment in violation of any Federal anti-discrimination laws, rules, regulations or executive orders, [Arizona] State Executive Orders 2023-09, 2023-01, 2009-09 or A.R.S. §§ 41-1461 through 41-1465;
2. Has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the Contract; failure to provide a valid signature affirming the stipulations required by this clause may void the Contract;
3. Has not signed the Contract with a false statement, which will void the Contract and may subject Contractor to legal penalties under law;
4. Complies with A.R.S. § 18-132 when offering electronics or information technology products, services, or maintenance;
5. Did not and will not involve collusion or other anti-competitive practices; and
6. Is not debarred from, or otherwise prohibited from, participating in any contract awarded by any federal entity, or state or local government.
7. Does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with
A.R.S. § 35-393 et seq. (Unless exempt)
8. Does not participate in the use of forced labor of ethnic Uyghurs as described in A.R.S. § 35-394. (Unless exempt)
CONTRACT EXECUTION BY PROCUREMENT AUTHORITY
The Contractor is now bound to sell the Materials or Services listed in the attached Contract, including all terms, conditions and specifications as stated herein.
The Contract shall henceforth be referred to as Contract No.
The effective date of the Contract is
The Contractor is cautioned not to commence any billable work or to provide any Material or Service under this Contract until Contractor receives an Order or written notice to proceed.
State of Arizona Awarded this day of 20
[Procurement Officer Name] [Procurement Officer Title] Procurement officer signature
Ames Construction, Inc.
8333 East Hartford Drive
Scottsdale, AZ 85255
Chris Kane - Sr. Vice President
11/06/2025
Zachary Taylor - Project Manager
ZacharyTaylor@amesco.com 602-739-1590
1 Rev. 11/2024
No. Subcontractor Name Representative Name Title/Role Phyiscal Address Telephone
Number Email Address Classification of Work License
Number(s) Licensing Agency APP Supplier
Number 1.
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Bidder/Offeror WILL subcontract portions of work to subcontractors.
Identify all subcontractors. There shall be no change of subcontractor(s) identified on this Attachment without prior written approval from the Procurement Officer.
License No.: Any applicable license, permit, registration or certification number required by law to perform services indicated. APP No. : The Arizona Procurement Portal (APP) eProcurement System supplier number.
ATTACHMENT 2
LIST OF SUBCONTRACTORS
CTR079191
Emergency Repiars US 60
Bidder/Offeror WILL NOT subcontract portions of work to subcontractors. All work will be carried out by the bidder/offerors own personnel.
Select one of the boxes below:
Stodghill Trucking, Inc. Dee Dee Stodghill President P.O. Box 981, Pine, AZ 85544 928-476-3554 tracy@stodghilltrucking.com Trucking/Hauling
Howe Precast Concrete Barrier, Inc. Justin Franks President 7825 East Paloma Ave., Mesa, AZ 85212 480-988-2073 jfranks@howeprecast.com Temporary Barrier
Pavement Marking, LLC Shannon Warner General Manager 1001 S. 54th Ave., Phoenix, AZ 85043 480-598-0872 contracts@pmiaz.com Striping
Southwest Barricades, LLC Kris Smith General Manager 22425 N. 16th St. Suite 1, Phoenix, AZ 85024 602-788-2222 kris@swbarricades.com Traffic Control
Professional Police Services, Inc. Ryan Leyba Vice President of Operations P.O. Box 73497, Phoenix, AZ 85050 602-692-9015 ryan@professionalpoliceservices.com Off-Duty Law Enforcement
Cactus Transport II, LLC dba Cactus Asphalt Nicole Edmonds Contracts Coordinator 8211 W Sherman St., Tolleson, AZ 85353 623-907-2800 contractscoordinator@cactusasphalt.com Paving Services
11100 AZ Utracs NA
10515 AZ Utracs IV0000003147
280635 A-14 AZ ROC IV0000000974
241648 KE AZ ROC IV0000004897
10896 AZ Utracs IV0000003560
194430 A AZ ROC IV0000000407
X
ATTACHMENT 3
ADOT CONFIDENTIALITY AND TRADE SECRETS
Solicitation No: CTR079191 Available online at https://app.az.gov
Rev 03/2025
All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract.
Recognizing there may be materials included in a solicitation response that is proprietary or a trade secret, a process is set out in A.A.C. R2-7-103 (attached) that will allow qualifying materials to be designated as confidential and excluded from disclosure. For purposes of this process the definition of “trade secret” will be the same as that set out in A.A.C. R2-7-101(52).
This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination as to whether any of the materials submitted as part of the solicitation response should be designated confidential because the material is proprietary or a trade secret and therefore not subject to disclosure.
All offerors must select one of the following:
My response does not contain proprietary or trade secret information. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.
My response does contain trade secret information because it contains information that:
1. Is a formula, pattern, compilation, program, device, method, technique or process, AND
2. Derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use; AND
3. Is the subject of efforts by myself or my organization that are reasonable under the circumstances to maintain its secrecy.
Please note that failure to attach an explanation may result in a determination that the information does not meet the statutory trade secret definition. All information that does not meet the definition of trade secret as defined by A.A.C. R2-7-101(52) will become public in accordance with A.A.C. R2-7-C317. The State reserves the right to make its own determination of Proposer’s trade secret materials through a written determination in accordance with A.A.C. R2-7-103.
If the State agrees with the proposer’s designation of trade secret or confidentiality and the determination is challenged, the undersigned hereby agrees to cooperate and support the defense of the determination with all interested parties, including legal counsel or other necessary assistance.
By submitting this response, proposer agrees that the entire offer, including confidential, trade secret and proprietary information may be shared with an evaluation committee and technical advisors during the evaluation process. Proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s withholding of information based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.
Company Name Signature of Person Authorized to Sign
Address Printed Name
City State Zip Title
X
8333 E Hartford Drive
Scottsdale AZ 85255
Chris Kane
Sr. VP
ATTACHMENT 3
ADOT CONFIDENTIALITY AND TRADE SECRETS
R2-7-103. Confidential Information
A. If a person wants to assert that a person's offer, specification, or protest contains a trade secret or other proprietary information, a person shall include with the submission a statement supporting this assertion. A person shall clearly designate any trade secret and other proprietary information, using the term "confidential".
Contract terms and conditions, pricing, and information generally available to the public are not considered confidential information under this Section.
B. Until a final determination is made under subsection (C), an agency chief procurement officer shall not disclose information designated as confidential under subsection (A) except to those individuals deemed by an agency chief procurement officer to have a legitimate state interest.
C. Upon receipt of a submission, an agency chief procurement officer shall make one of the following written determinations:
1. The designated information is confidential and the agency chief procurement officer shall not disclose the information except to those individuals deemed by the agency chief procurement officer to have a legitimate state interest;
2. The designated information is not confidential; or
3. Additional information is required before a final confidentiality determination can be made.
D. If an agency chief procurement officer determines that information submitted is not confidential, a person who made the submission shall be notified in writing. The notice shall include a time period for requesting a review of the determination by the state procurement administrator.
E. An agency chief procurement officer may release information designated as confidential under subsection (A) if:
1. A request for review is not received by the state procurement administrator within the time period specified in the notice; or
2. The state procurement administrator, after review, makes a written determination that the designated information is not confidential.
ATTACHMENT 4
OFFEROR INFORMATION
Rev. 03/2025
Offeror’s Required Licenses: Identify the relevant and valid license number(s) that the Offeror holds pursuant to Arizona Revised Statutes Title 32, Chapter 10:
Offeror’s Representative(s): Identify appropriate representatives, including on-site supervisor(s) and other key personnel that will oversee daily operation of the work site(s).
Name Title/Role
Telephone
Number E-mail Address
1. Zachary Taylor Project Manager 602-739-1590 ztaylor@amesco.com
2. Brian Thompson Superintendent 602-316-7291 brianthompson@amesco.com
3. Charles Lewis Foreman 602-540-6248
4. Joel Kockummen Engineer 602-316-9977 joelkochummen@amesco.com
5.
074995 A
BECO FORM 107DBE-RD/D – Rev. 3-17-2025
Bidder Name:
Disadvantaged Business Enterprise (DBE) Regular Dealer/Distributor Contract Name/Number:
This form requires recipients to make a preliminary counting determination for each DBE listed as a regular dealer or distributor to assess its eligibility for 60 or 40 percent credit, respectively, of the cost of materials and supplies based on its demonstrated capacity and intent to perform as a regular dealer or distributor, as defined in section 26.55(e)(2)(iv)(A),(B),(C), and (3) under the contract at issue. The regulation requires the recipient's preliminary determination to be made based on the DBE’s written responses to relevant questions and its affirmation that its subsequent performance of a commercially useful function will be consistent with the preliminary counting of such participation.
DBE Name: Total Subcontract/Purchase Order Amount:
Authorized DBE Representative (Name and Title):
NAICS Code(s) Related to the Items to be Sold/Leased:
1. Will all items sold or leased be provided from the on-hand inventory at your establishment? YES NO (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here. Read and sign the affirmation below. If "NO" Continue.)
a) Are you selling bulk items (e.g., petroleum products, steel, concrete, concrete products, sand, gravel, asphalt, etc.) or items not typically stocked due to their unique characterisics (aka specialty items)?
YES NO (If "YES," Go to Question 2. If "NO" Continue.)
b) Will at least 51% of the items you are selling be provided from the inventory maintained at your establishment, and will the minor quantities of items delivered from and by other sources be of the general character as those provided from your inventory?
YES NO
• (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here.
Read and sign the affirmation below.
• 1.,1.a), and 1. b) above are "NO," your performance on the whole will not satisfy the regular dealer requirements; therefore, only the value of items to be sold or leased from inventory can be counted at 60%. (Go to Question 3. to determine if the items delivered from and by othersources are eligible for Distributor credit.)
2. Will you deliver all bulk or specialty items using distribution equipment you own (or under a long-term lease) and operate? NO
• (If "YES," you have indicated that your performance will satisfy the requirements for a regular dealer of bulk items and may be counted at 60%. STOP here. Read and sign the affirmation below.)
• If "NO," your performance will not satisfy the requirements for a regular dealer of bulk items; the value of items to be sold or leased cannot be counted at 60%. (Go to Question 3.)
3. Will the written terms of your purchase order or bill of lading from a third party transfer responsibility, including risk for loss or damage, to your company at the point of origin (e.g. a manufacture's facility) ? YES2 NO3
a) Will you be using sources other than the manufacturer (or other seller) to deliver or arrange delivery of the items sold or leased ? NO3
The bidder acknowledges its responsibility for verifying the information provided by the DBE named above and ensuring that the counting of the DBE's participation is accurate. Any shortfall caused by errors in counting are the responsibility of the bidder.
Printed Name and Signature of Bidder's Authorized Representative:
YES
YES3
2 If your responses to 3 and 3.a) are "YES," you have indicated that your performance will satisfy the requirements of a distributor;
therefore, the value of items sold or leased may be counted at 40%.
3 If you responded "NO" to either 3 or 3.a), counting of your participation is limited to the reasonable cost of fees or commissions charged, including transportation charges for the delivery of materials or supplies; the cost of materials or supplies may not be counted.
I affirm that the information that I provided above is true and correct and that my company's subsequent performance of a commercially useful function will be consistent with the above responses. I further affirm that my company will independently negotiate price, order specified quantities, and pay for the items listed in the bidder's commitment. This includes my company's responsibility for the quality of such items in terms of necessary repairs, exchanges, or processing of any warranty claims for damaged or defective materials.
Printed Name and Signature of DBE Owner/Authorized Representative:
The bidder acknowledges its responsibility for verifying the information provided by the DBE named above and ensuring that the counting of the DBE's participation is accurate. Any shortfall caused by errors in counting are the responsibility of the bidder.
Printed Name and Signature of Bidder's Authorized Representative:
N/A
ADOT LOBBYING CERTIFICATE
SOLICITATION NO: CTR079191 Available online at https://app.az.gov/ Page 1 of
Rev. 03/2025
ARIZONA DEPARTMENT OF TRANSPORTATION
LOBBYING CERTIFICATION
CERTIFICATION FOR FEDERAL AID CONTRACTS
Applies to: Federal-aid contractors, and consultants, as well as lower tier sub-contractors and sub-consultants
The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000, and that all such sub recipients shall certify and disclose accordingly.
SIGNATURE DATE
TITLE
11/7/25
Senior Project Manager
Page 2 of
Rev. 03/2025
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See next page for public burden disclosure.)
1. Type of Federal Action:
2. Status of Federal Action:
3. Report type:
a. Contract
b. Grant
c. Cooperative agreement
d. Loan
e. loan guarantee
f. loan insurance
a. bid/offer/application
b. initial award
c. post-award
a. initial filing
b. material change
For Material Change Only:
year quarter date of last report
4. Name and Address of Reporting Entity:
Prime Subawardee
5. If Reporting in No. 4 is a Subawardee, Enter Name and Address of Prime:
Congressional District, if known: Congressional District, if known:
6. Federal Department Agency:
7. Federal Program Name/Description:
CDFA Number, if applicable:
8. Federal Action Number, if known:
9. Award Amount, if known:
10.a. Name and Address of Lobbying Entity (if individual, last name, first name, MI):
b. Individuals Performing Services (including address if different from No. 10a) (last name, first name, MI):
11. Amount of Payment (check all that apply):
13. Type of Payment (check all that apply):
actual planned
a. retainer
b. one-time fee
c. commission
d. contingent fee
e. deferred
f. other, specify
12. Form of Payment (check all that apply):
a. cash
b. in-kind; specify nature value
14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment indicated in Item 11:
(attach Continuation Sheet(s) SF-LLL-A, if necessary)
15. Continuations Sheet(s) SF-LLL-A attached Yes No
16, Information requested through this form is authorized by title 31 U..S.C.
section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the ties above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection.
Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Signature:
Print Name:
Title:
Telephone No.:
Date:
Federal Use Only
Authorized for Local Reproduction Standard Form - LLL
Page 3 of
Rev. 03/2025
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. This is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee", then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance
(CFDA) number for grants, cooperative agreements, bans, and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in hem 1 (e.g., Request for Proposal (RFP) number;
Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or ban award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001".
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in hem 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different from 10 (a). Enter Last Name, First Name, and Middle Initial (Ml).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.
12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment.
13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal official(s) or employee(s) contacted or the officer(s), employee(s), or Member(s) of Congress that were contacted.
15. Check whether or not a SF-LLL-A Continuation Sheet (s) is attached.
16. The certifying official shall sign and date the form, print his/her name, title, and telephone number.
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget.
Paperwork Reduction Project (0348~046), Washington, D.C. 20503.
Page 4 of
DISCLOSURE OF LOBBYING ACTIVITIES
CONTINUATION SHEET
Reporting Entity:
Page of
ECS - Form 90-3
ATTACHMENT 2
BUILD AMERICA, BUY AMERICA (BABA)
CERTIFICATION - FHWA
CERTIFICATION OF DOMESTIC CONSTRUCTION MATERIALS
A bidder or offeror must complete and submit this attachment with all offers for FHWA funded projects. Bids or offers that do not have the completed attachment shall be rejected as nonresponsive. This requirement applies to lower tier subcontractors.
Certification Requirement for Procurement of Construction Materials
The bidder or offeror hereby certifies that it will meet the certificate of compliance requirements of the Build America, Buy America (BABA) Act specified in Title IX, Subtitle A, Part 1, Sections 70901 and 70911-70918 (Pub. L. No. 117-58 §§ 70901; §§ 70911-70918) of the Infrastructure Investment and Job Act (IIJA).
Signature Date
Company Name
Title
11/06/2025
ATTACHMENT 8
BUY AMERICA CERTIFICATION - FHWA
CERTIFICATION OF DOMESTIC MATERIALS AND PRODUCTS
A bidder or offeror must complete and submit this attachment with all offers for FHWA funded projects. Bids or offers that do not have the completed attachment shall be rejected as nonresponsive. This requirement applies to lower tier subcontractors.
Certification Requirement for Procurement of Steel, Iron, or Manufactured Products
The bidder or offeror hereby certifies that it will meet the certificate of compliance requirements of 23 U.S.C 313 and the applicable regulations in 23 CFR 635.410.
Signature Date
Company Name
Title
11/06/2025
ATTACHMENT 9
NON-COLLUSION AFFIDAVIT
State of Arizona ) ) ss County of )
(Affiant) the
(Title) of
(Contractor) the persons, corporation, or company who makes the accompanying Proposal, having first been duly sworn, deposes and says:
That such Proposal is genuine and not sham or collusive, nor made in the interest or behalf of any person not herein named, and that the Bidder has not directly or indirectly induced or solicited any other Bidder to put in a sham bid, or any other person, firm, or corporation to refrain from bidding, and that the Bidder has not in any manner sought by collusion to secure for itself an advantage over any other Bidder.
(Signature)
(Title)
Subscribed and sworn to before me this
Day of , 20
Signature of Notary Public in and for the County of
State of
Sr. VP
Chris Kane
Sr. VP
6th November 25
Maricopa
Arizona
File details come from the government source that posted it. Updated .