IFB.pdf

INVITATION FOR BID

SOLICITATION NUMBER: DTFH68-10-B-00020

SOLICITATION TYPE: FULL AND OPEN COMPETITION (UNRESTRICTED)

PROJECT NUMBER: ND RRP CLSA 12(2)

PROJECT NAME: AUTO TOUR ROUTE

BID OPENING DATE:

See Page A-1, Block 13A

This solicitation cites

Standard Specifications for Construction of Roads and Bridges On Federal Highway Projects, FP-03 U.S. Customary Units

ISSUING OFFICE:

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 360

LAKEWOOD, CO 80228

Web site: www.cflhd.gov/procurement/construction E-mail: CFLContracts@fhwa.dot.gov

PROJECT AUTO TOUR ROUTE

LOCATION J. CLARK SALYER

NATIONAL WILDLIFE REFUGE

COUNTY McHENRY

STATE NORTH DAKOTA

LENGTH SCHEDULE A = 0.461 MILES

SCHEDULE B = 0.597 MILES

SCHEDULE C = 0.659 MILES

TYPE OF IMPROVEMENT BRIDGE CONSTRUCTION, BRIDGE

RELOCATION AND LOW WATER

CROSSING CONSTRUCTION

TABLE OF CONTENTS

Notice to Bidders .............................................................................................................A-i to A-iii

Solicitation, Offer, and Award ......................................................................................... A-1 to A-3

Basis for Award and Bid Schedule ............................................................................... A-4 to A-21

Solicitation Provisions ................................................................................................... B-1 to B-15

Contract Clauses ............................................................................................................ C-1 to C-25

Davis Bacon Wage Determination ................................................................................... D-1 to D-5

Division 100 .................................................................................................................... E-1 to E-19

Division 150 .................................................................................................................. E-19 to E-31

Division 200 .................................................................................................................. E-31 to E-34

Division 300 ............................................................................................................................... E-34

Division 400 ...................................................................................................................... See FP-03

Division 500 .................................................................................................................. E-34 to E-42

Division 600 .................................................................................................................. E-42 to E-47

Division 700 .................................................................................................................. E-47 to E-53

APPENDIX

401/404 Notice of Intent (Application).......................................................................... Appendix A

SPECIAL CONTRACT REQUIREMENTS (SCRs)

The following Special Contract Requirements amend and supplement the Standard Specification for Construction of Roads and Bridges on Federal Highway Projects

NOTICE TO BIDDERS

A-i

ELECTRONIC BIDS WILL NOT BE ACCEPTED. Submit a printed copy of your bid to the address listed on the SF-1442 (Page A-1, Block 8). Please submit the following with your bid:

Pages A-1 and A-2 (SF-1442, Solicitation, Offer & Award) Pages A-5 through A-21 Pages B-1 through B-9, Fill-In FAR provisions If applicable, HUBZone small business concerns electing to waive the evaluation preference, complete 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns, starting on Page C-10

Bidders should retain all other pages for their information.

Bids should be submitted in a sealed enveloped and include the Contractor’s Name, Solicitation Number and the Project Number/Name.

I. PRE-BID INFORMATION

It is the responsibility of the bidder to verify that this solicitation document, including the plans, are complete as listed in the table of contents and the index to sheets. Plan sheets can be found at http://www.cflhd.gov/procurement/construction/advertised-projects.cfm and viewed by individual sections, downloaded by individual sections, or the entire plan set downloaded in a zip file.

Physical data relevant to this solicitation may also be viewed or downloaded at the above site.

This solicitation and subsequent contract are governed by the Federal Acquisition Regulations (FAR), agency supplemental regulations, and the Standard Specifications for Construction of Roads and Bridges on Federal Highway Projects, FP-03 US Customary Units (FP-03).

The FP-03 was utilized for the design of this project. Hard copies of the FP-03 will not be provided to bidders. The FP-03 is available electronically at http://www.cflhd.gov/design/, or may be purchased for $25.53 each by contacting Bob Rosenblatt at Mercury LDO, telephone number 303-210-8639 or email brosenblatt@mercury-ldo.com. Limited numbers of hard copies of the FP-03 will be provided to the awarded Prime Contractor.

Applicable FAR provisions and clauses in this IFB are incorporated by reference or full text.

FAR provisions and clauses incorporated by reference can be accessed on the Internet at https://www.acquisition.gov/far/ .

Notice of CCR Registration – you must register in the Central Contract Registration (CCR) prior to award of a contract resulting from this solicitation. Failure to register prior to contract award may require award to the next successful registered offeror. See FAR Subpart 4.1103(c). Register online at www.ccr.gov or call toll free: 888-227-2423.

Representations and Certifications – This solicitation is issued under NAICS 237310 – Highway, Street & Bridge Construction with a small business size standard of $33.5 million. If your average annual gross receipts for the past 3 years are above $33.5 million, you are a large business for this solicitation. If they are below $33.5 million you are a small business. Please complete the certification listed in paragraph (b) of FAR Provision 52.204-8 Annual Representation and

A-ii

Certifications on Page B-1. Your small business information is pulled into the Online Representations and Certifications Application (ORCA) website from the Central Contractor Registration (CCR). Please include NAICS 237310 in your CCR. Before submitting bids, please ensure you have completed your annual representations and certifications electronically at the ORCA website at http://orca.bpn.gov.

This Solicitation Contains a Price Evaluation Factor - The Government will apply a factor of 10% to an apparent low bid submitted by a large business when we also receive a bid from a certified HUBZone small business concern. The 10% factor does not apply to apparent low bids submitted by small businesses. See FAR Clause 52.219-4 Notice of price evaluation preference for HUBZone small business concerns.

In the event this full and open competition results in a contract award to a qualified HUBZone SBC after a price evaluation preference, FAR Clause 52.236-1, Performance of Work by the Contractor does not apply.

§126.700 of the Code of Federal Regulations (Title 13, Part 126, Subpart G), stated below, will replace the performance of work requirements stated in the above mentioned FAR clause.

A qualified HUBZone SBC receiving a contract under this solicitation for general construction must spend at least 50% of the cost of the contract incurred for personnel on its own employees or employees of other qualified HUBZone SBCs. This requirement may be met by expending at least 50% of the cost of the contract incurred for personnel on its employees or it may subcontract at least 35% of the cost of the contract performance incurred for personnel to one or more qualified HUBZone SBCs. A qualified HUBZone SBC prime contractor may not, however, subcontract more than 50% of the cost of the contract incurred for personnel to non-qualified HUBZone SBCs.

Bid Guarantee – Follow the requirements of FAR Clause 52.228-1 Bid Guarantee and Subpart

102.03 of the FP-03.

ATTENTION: Minority, Women-owned, and Disadvantaged Business Enterprises (DBEs). The Department of Transportation (DOT), offers working capital financing and bonding assistance for transportation related contracts. DOT's Bonding Assistance Program (BAP) offers bid, performance and payment bonds on contracts up to $1,000,000. DOT's Short-Term Lending Program (STLP) offers lines of credit to finance accounts receivable. Maximum line of credit is $500,000 with interest at the prime rate. For further information, call (800) 532-1169. Internet address:

http://osdbuweb.dot.gov.

The Contractor is fully responsible to verify that all data is correct when an offer is submitted.

Failure to properly update your data may cause the offer to be rejected.

Request for Technical Information – Questions relative to the plans and SCRs for this solicitation will only be accepted in writing (see Block 9 on Page A-3).

A-iii

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL

NOT BE ACCEPTED AFTER 4 P.M. ON JUNE 1, 2010.

Questions can be submitted to CFLContracts@fhwa.dot.gov. Questions and answers will be posted at http://www.cflhd.gov/procurement/construction/advertised-projects.cfm

Modifications to Bids - Bids may be modified or withdrawn by facsimile or telegraphic notice, if such notice is received prior to the time specified for receipt of bids. The Government will not be responsible for ANY failure attributable to the transmission or receipt of telegraphic or facsimile data. See FAR Provision 52.214-5, Submission of Bids.

FAX Number to submit modifications to bids for this project is (701)-250-4395 .

II. Post Award Information.

Subcontracting - FAR Clause 52.219-8, Utilization of Small Business Concerns states that Prime Contractors afford small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns the maximum practicable opportunity to participate in performing contracts let by any Federal agency.

FAR Clause 52.219-9, Small Business Subcontracting Plan, Alternate I, requires that the large business concern who is the successful low bidder on a Federal project with an anticipated award amount exceeding $1 million, is required to submit a subcontracting plan prior to contract award.

The subcontracting plan expresses goals in terms of percentages of total planned subcontracting dollars for the use of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business concerns as subcontractors. To view and download a sample plan for subcontracting requirements, visit http://www.cflhd.gov/procurement/construction/reference-links.cfm. If the apparent successful low bidder fails to submit an acceptable subcontracting plan acceptable to the CO within 7 days of bid opening, that bidder may be ineligible for award of the contract.

Prime Contractors, who are large businesses, are encouraged to post sources sought notices at the Small Business Administration’s Subcontracting Network (SUB-NET) http://web.sba.gov/subnet/ so that small businesses can identify opportunities in their areas of expertise. The use of SUB-Net fulfills the requirements set forth in Federal Acquisition Regulation (FAR) 5.206, Notice of Subcontracting Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts.

A list of currently known business concerns owned and controlled by socially and economically disadvantaged individuals and/or women-owned small business concerns that have indicated an interest in participating in highway construction is available at http://www.ccr.gov

Insurance requirements - See Subsection 107.05 of the FP-03.

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH68-10-B-00020

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

05/05/2010

PAGE OF PAGES

IMPORTANT - THE "OFFER SECTION ON THE REVERSE MUST BE FULLY COMPLETED BY OFFEROR.

4. CONTRACT NO.

5. REQUISITION/PURCHASE REQUEST NO. 6. PROJECT NO.

ND RRP CLSA 12(2), AUTO TOUR ROUTE –

J. CLARK SALYER NWR

7. ISSUED BY:

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CODE: 69050001 8. ADDRESS OFFER TO:

FEDERAL HIGHWAY ADMINISTRATION

NORTH DAKOTA DIVISION OFFICE

ATTN: BID OPENING OFFICER

1471 INTERSTATE LOOP

BISMARCK, NORTH DAKOTA 58503-0567

9. FOR INFORMATION CALL

SEE PAGE A-3

A. NAME:

SEE PAGE A-3

B. TELEPHONE NO. (Include area code)

SEE PAGE A-3

SOLICITATION

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder."

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS:

CONSTRUCTION OF {PROJECT NUMBER AND NAME}, IN STRICT ACCORDANCE WITH:

1. FEDERAL ACQUISITION AND TRANSPORATION ACQUISITION REGULATIONS (FAR & TAR)

2. DEPARTMENT OF LABOR, DAVIS BACON MINIMUM WAGE RATES

3. SPECIAL CONTRACT REQUIREMENTS

4. PLANS

5. BID SCHEDULE

6. STANDARD SPECIFICATIONS FOR CONSTRUCTION OF ROADS AND BRIDGES ON FEDERAL HIGHWAY

PROJECTS

7. SUBCONTRACTING PLAN (IF APPLICABLE)

See Subsection 104.04 of the FP-03 for governing order of precedence

11. The Contractor shall begin performance within 10 calendar days and complete it within * calendar days after receiving award notice to proceed. The performance period is mandatory negotiable. *Refer to Subsection 108.01 as amended in the Special Contract Requirements.

12A. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES," indicate within how many calendar days after award in Item 12B.) YES NO

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8. by 2:00 p.m. (hour) local time on 06/04/10 (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is is not required.

C. All offers are subject to the (1) work requirements and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

D. Offers providing less than 60 calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

NSN 7540-01-155-3212 1442-101 STANDARD FORM 1442 (REV. 4-85)

Prescribed by GSA FAR (48 CFR) 53-236-1(e)

X

X

X

X

X

A-2

GPO: 1985 0 - 469-796 STANDARD FORM 1442 PAGE 2 (REV. 4-85)

OFFEROR (Must be fully completed by offeror)

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code)

15. TELEPHONE NO. (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14)

CODE FACILITY CODE

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted by the Government in writing with calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement stated in Item 13D. Failure to insert any number means the offeror accepts the minimum in Item 13D.)

AMOUNTS

SEE INDIVIDUAL BID SCHEDULE(S)

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation - give number and date of each)

AMENDMENT NO.

DATE

20A. NAME AND TITLE OF PERSON AUTHORIZED

TO SIGN OFFER (Type or print)

20B. SIGNATURE

20C. OFFER DATE

AWARD (To be completed by Government)

21. ITEMS ACCEPTED:

22. AMOUNT

23. ACCOUNTING AND APPROPRIATION DATA

24. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 27

(4 copies unless otherwise specified)

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO

□ 15 U.S.C. 637( ) □ 41 U.S.C. 253(c)( )

26. ADMINISTERED BY CODE:

27. PAYMENT WILL BE MADE BY

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return copies to issuing office.)

Contractor agrees to furnish and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by

(a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

29. AWARD (Contractor is not required to sign this document.)

Your offer on this solicitation is hereby accepted as to the items listed.

This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON

AUTHORIZED TO SIGN (Type or print)

31A. NAME OF CONTRACTING OFFICER (Type or print)

30B. SIGNATURE

30C. DATE 31B. UNITED STATES OF AMERICA

BY

31C. AWARD DATE

A-3

Block 8: LOCATION OF PUBLIC BID OPENING: Offers must be received by designated date and time as stated in Block 13A.

Block 9: FOR GENERAL INFORMATION: Call 720-963-3090 or e-mail us at

CFLContracts@dot.gov.

FOR TECHNICAL INFORMATION (plans and specifications): Questions must be submitted in writing by e-mail at CFLContracts@dot.gov or by fax to 720-963-3360.

FOR PHYSICAL DATA: The following data is available electronically at http://www.cflhd.gov/contracting/construction/AdvertisedProjects.cfm:

Geotechnical Report: Final Geotech Design Report, #ND-RX-0012-09-01 Earthwork Summary: XSData Grading Summary

Block 11: COMPLETION DATE: Work shall be completed on or before the date specified in Subsection 108.04 of the SCRs.

Block 12A: PERFORMANCE AND PAYMENT BONDS: See FAR Clause 52.228-15

Performance and Payment Bonds-Construction (Clauses begin on Page C-1) and Subsection 102.06 of the FP-03.

Block 13B: BID BOND AMOUNT: See FAR Provision 52.228-1 Bid Guarantee (Provisions begin on Page B-1) and Subsection 102.03 Bid Guarantee of the FP-03.

Block 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

ACKNOWLEDGE AMENDMENTS IN BLOCK 19 OF THE SF1442 BY THE

DESIGNATED DATE AND HOUR SPECIFIED IN THE SOLICITATION MAY

RESULT IN REJECTION OF YOUR BID. If amendments are issued, they will be posted to www.fbo.gov and/or http://www.cflhd.gov/contracting/construction/AdvertisedProjects.cfm.

Block 24: SUBMITTING INVOICES: See Subsection 109.08 Progress Payments of the

FP-03.

ESTIMATED

PRICE: The price range of the project work is between 1.5 million and 3.5 million.

A-4

Bid Schedule Instructions

BIDDERS, PLEASE NOTE: Before preparing the bid, carefully read the Solicitation Provisions.

This Bid Proposal is comprised of two schedules as follows:

Schedule A: Bridge Construction, Bridge Relocation and 4 Low Water Crossings Schedule B: Bridge Construction, Bridge Relocation and 6 Low Water Crossings Schedule C: Bridge Construction, Bridge Relocation and 7 Low Water Crossings

• Insert a numeric unit bid price for each pay item for which a quantity appears in the bid schedule.

• Multiply the unit price by the quantity for each pay item and show the amount bid.

When the words “Lump Sum” appear as a unit bid price, insert an amount for each lump sum pay item.

• Total all amounts bid for each pay item in each Schedule and show the Construction

Cost Total on line provided; Page A-5, A-9 and A-15.

Evaluation Factors for Award

To be eligible for award of contract, the bidder shall submit prices for each item in Schedule A, Schedule B and Schedule C necessary to complete all contract work.

Evaluation for award of a contract will consist of Schedule C. If sufficient funds are not available to award Schedule C, then the Bid Item Totals for Schedule B will be evaluated. If sufficient funds are not available to award Schedule B, then the Bid Item Totals for Schedule A will be evaluated.

Only one Bid Schedule will be awarded as a result of this solicitation. Accordingly, contract award will be made to the lowest responsible bidder conforming to the solicitation, provided funds are available.

SCHEDULE A

ND RRP CLSA 12 (2)

Auto Tour Route

J. Clark Salyer Wildlife Refuge

Project: ND RRP CLSA 12(2)

AUTO TOUR ROUTE

The quantities for the following items of work are Contract Quantities (see FP-96, Subsection 109.02): 20801-0000, 55201-0200, 55401-2000, 55601-0800, 61707-0000

A- 5

Bid Schedule A

Pay Item No.

Estimated Quantity Unit Bid Price Amount Bid

15101-0000 MOBILIZATION

ALL Lump Sum $___________________

15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

6.53

STA $_______________ $___________________

15214-1000 SURVEY AND STAKING, BRIDGE

ALL Lump Sum $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

EACH $_______________ $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE (LOW WATER

CROSSING)

EACH $_______________ $___________________

15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

6.53

STA $_______________ $___________________

15401-0000 CONTRACTOR TESTING

ALL Lump Sum $___________________

15501-0000 CONSTRUCTION SCHEDULE

ALL Lump Sum $___________________

15705-0100 SOIL EROSION CONTROL, SILT FENCE

5,000

LNFT $_______________ $___________________

15705-1400 SOIL EROSION CONTROL, SEDIMENT LOG

LNFT $_______________ $___________________

Project: ND RRP CLSA 12(2)

Bid Schedule A

Pay Item No.

Estimated Quantity Unit Bid Price Amount Bid

A- 6

15705-2000 SOIL EROSION CONTROL, TURBIDITY BARRIER (FLOATING SILT

CURTAIN)

LNFT $_______________ $___________________

15801-0000 WATERING FOR DUST CONTROL

MGAL $_______________ $___________________

20101-0000 CLEARING AND GRUBBING

0.7

ACRE $_______________ $___________________

20301-2400 REMOVAL OF SIGN

EACH $_______________ $___________________

20304-2000 REMOVAL OF BRIDGE

ALL Lump Sum $___________________

20401-0000 ROADWAY EXCAVATION

1,920

CUYD $_______________ $___________________

20441-0000 WASTE

1,160

CUYD $_______________ $___________________

20801-0000 STRUCTURE EXCAVATION

CUYD $_______________ $___________________

25101-3000 PLACED RIPRAP, CLASS 3

CUYD $_______________ $___________________

25302-1000 GABIONS, GALVANIZED OR ALUMINIZED COATED

CUYD $_______________ $___________________

25305-1000 REVET MATTRESS, GALVANIZED OR ALUMINIZED COATED

SQYD $_______________ $___________________

30802-2000 ROADWAY AGGREGATE, METHOD 2

1,600

TON $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 7

50102-0900 PLAIN RIGID PAVEMENT, 8-INCH DEPTH, TYPE C

SMOOTHNESSROUGHNESS

4,100

SQYD $_______________ $___________________

55101-1700 STEEL H-PILES 12 X 84, IN PLACE

1,070

LNFT $_______________ $___________________

55116-0000 SPLICE (Steel H-piles 12 x 84)

EACH $_______________ $___________________

55201-0200 STRUCTURAL CONCRETE, CLASS A (AE)

CUYD $_______________ $___________________

55302-1700 PRECAST, PRESTRESSED CONCRETE BULB TEE GIRDERS, 54"

LNFT $_______________ $___________________

55401-2000 REINFORCING STEEL, EPOXY COATED

32,700

LB $_______________ $___________________

55601-0800 BRIDGE RAILING, CONCRETE, NEW JERSEY SAFETY SHAPE

LNFT $_______________ $___________________

56401-1000 BEARING DEVICE, ELASTOMERIC

EACH $_______________ $___________________

60201-0600 18-INCH PIPE CULVERT

LNFT $_______________ $___________________

60210-0600 END SECTION FOR 18-INCH PIPE CULVERT

EACH $_______________ $___________________

60915-1000 WHEELSTOP, CONCRETE

EACH $_______________ $___________________

61501-0100 SIDEWALK, CONCRETE

SQYD $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 8

61701-1250 GUARDRAIL SYSTEM G4, TYPE 2, CLASS A WOOD POSTS

LNFT $_______________ $___________________

61702-1200 TERMINAL SECTION, TYPE LST

EACH $_______________ $___________________

61707-0000 STRUCTURE TRANSITION RAILING

LNFT $_______________ $___________________

61801-0000 CONCRETE BARRIER

3,740

LNFT $_______________ $___________________

62201-0050 DUMP TRUCK, 5 CUBIC YARD MINIMUM CAPACITY

HOUR $_______________ $___________________

62201-0350 BACKHOE

HOUR $_______________ $___________________

62201-0900 WHEEL LOADER, 2 CUBIC YARD MINIMUM RATED CAPACITY

HOUR $_______________ $___________________

62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

HOUR $_______________ $___________________

62201-3100 HYDRAULIC EXCAVATOR, 3.0 CUBIC YARD MINIMUM CAPACITY ,

165HP MINIMUM FLYWHEEL POWER

HOUR $_______________ $___________________

62301-0000 GENERAL LABOR

HOUR $_______________ $___________________

62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

HOUR $_______________ $___________________

62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

HOUR $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 9

62407-0000 PLACING CONSERVED TOPSOIL

CUYD $_______________ $___________________

62511-2000 SEEDING, HYDRAULIC METHOD

4,800

SQYD $_______________ $___________________

62516-2000 MULCHING, HYDRAULIC METHOD

4,800

SQYD $_______________ $___________________

63301-0000 SIGN SYSTEM

EACH $_______________ $___________________

63308-3000 OBJECT MARKER, TYPE 3

EACH $_______________ $___________________

63502-1500 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE A

EACH $_______________ $___________________

63503-0300 TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

LNFT $_______________ $___________________

63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

SQFT $_______________ $___________________

64630-1000 ROADSIDE DEVELOPMENT (Pedestrian rail and stairs) ALL Lump Sum $___________________

$_____________________TOTAL

Submitted by:

Name of Bidder

Project: ND RRP CLSA 12(2)

SCHEDULE B

A- 10

Bid Schedule B

Pay Item No.

Estimated Quantity Unit Bid Price Amount Bid

15101-0000 MOBILIZATION

ALL Lump Sum $___________________

15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

6.53

STA $_______________ $___________________

15214-1000 SURVEY AND STAKING, BRIDGE

ALL Lump Sum $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

EACH $_______________ $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE (LOW WATER

CROSSING)

EACH $_______________ $___________________

15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

6.53

STA $_______________ $___________________

15401-0000 CONTRACTOR TESTING

ALL Lump Sum $___________________

15501-0000 CONSTRUCTION SCHEDULE

ALL Lump Sum $___________________

15705-0100 SOIL EROSION CONTROL, SILT FENCE

6,500

LNFT $_______________ $___________________

15705-1400 SOIL EROSION CONTROL, SEDIMENT LOG

LNFT $_______________ $___________________

15705-2000 SOIL EROSION CONTROL, TURBIDITY BARRIER (FLOATING SILT

CURTAIN)

Project: ND RRP CLSA 12(2)

AUTO TOUR ROUTE

Bid Schedule B

The quantities for the following items of work are Contract Quantities (see FP-96, Subsection 109.02): 20801-0000, 55201-0200, 55401-2000, 55601-0800, 61707-0000

Estimated Quantity Unit Bid Price Amount Bid

A- 11

LNFT $_______________ $___________________

15801-0000 WATERING FOR DUST CONTROL

MGAL $_______________ $___________________

20101-0000 CLEARING AND GRUBBING

0.7

ACRE $_______________ $___________________

20301-2400 REMOVAL OF SIGN

EACH $_______________ $___________________

20304-2000 REMOVAL OF BRIDGE

ALL Lump Sum $___________________

20401-0000 ROADWAY EXCAVATION

2,420

CUYD $_______________ $___________________

20441-0000 WASTE

1,960

CUYD $_______________ $___________________

20801-0000 STRUCTURE EXCAVATION

CUYD $_______________ $___________________

25101-3000 PLACED RIPRAP, CLASS 3

CUYD $_______________ $___________________

25302-1000 GABIONS, GALVANIZED OR ALUMINIZED COATED

CUYD $_______________ $___________________

25305-1000 REVET MATTRESS, GALVANIZED OR ALUMINIZED COATED

SQYD $_______________ $___________________

30802-2000 ROADWAY AGGREGATE, METHOD 2

2,000

TON $_______________ $___________________

50102-0900 PLAIN RIGID PAVEMENT, 8-INCH DEPTH, TYPE C

SMOOTHNESSROUGHNESS

Project: ND RRP CLSA 12(2)

Bid Schedule B

Estimated Quantity Unit Bid Price Amount Bid

A- 12

5,700

SQYD $_______________ $___________________

55101-1700 STEEL H-PILES 12 X 84, IN PLACE

1,070

LNFT $_______________ $___________________

55116-0000 SPLICE S (STEEL H-PILES 12 X 84)

EACH $_______________ $___________________

55201-0200 STRUCTURAL CONCRETE, CLASS A (AE)

CUYD $_______________ $___________________

55302-1700 PRECAST, PRESTRESSED CONCRETE BULB TEE GIRDERS, 54"

LNFT $_______________ $___________________

55401-2000 REINFORCING STEEL, EPOXY COATED

32,700

LB $_______________ $___________________

55601-0800 BRIDGE RAILING, CONCRETE, NEW JERSEY SAFETY SHAPE

LNFT $_______________ $___________________

56401-1000 BEARING DEVICE, ELASTOMERIC

EACH $_______________ $___________________

60201-0600 18-INCH PIPE CULVERT

LNFT $_______________ $___________________

60210-0600 END SECTION FOR 18-INCH PIPE CULVERT

EACH $_______________ $___________________

60915-1000 WHEELSTOP, CONCRETE

EACH $_______________ $___________________

61501-0100 SIDEWALK, CONCRETE

SQYD $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 13

61701-1250 GUARDRAIL SYSTEM G4, TYPE 2, CLASS A WOOD POSTS

LNFT $_______________ $___________________

61702-1200 TERMINAL SECTION, TYPE LST

EACH $_______________ $___________________

61707-0000 STRUCTURE TRANSITION RAILING

LNFT $_______________ $___________________

61801-0000 CONCRETE BARRIER

5,250

LNFT $_______________ $___________________

62201-0050 DUMP TRUCK, 5 CUBIC YARD MINIMUM CAPACITY

HOUR $_______________ $___________________

62201-0350 BACKHOE

HOUR $_______________ $___________________

62201-0900 WHEEL LOADER, 2 CUBIC YARD MINIMUM RATED CAPACITY

HOUR $_______________ $___________________

62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

HOUR $_______________ $___________________

62201-3100 HYDRAULIC EXCAVATOR, 3.0 CUBIC YARD MINIMUM CAPACITY ,

165HP MINIMUM FLYWHEEL POWER

HOUR $_______________ $___________________

62301-0000 GENERAL LABOR

HOUR $_______________ $___________________

62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

HOUR $_______________ $___________________

62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

HOUR $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 14

62407-0000 PLACING CONSERVED TOPSOIL

CUYD $_______________ $___________________

62511-2000 SEEDING, HYDRAULIC METHOD

5,900

SQYD $_______________ $___________________

62516-2000 MULCHING, HYDRAULIC METHOD

5,900

SQYD $_______________ $___________________

63301-0000 SIGN SYSTEM

EACH $_______________ $___________________

63308-3000 OBJECT MARKER, TYPE 3

EACH $_______________ $___________________

63502-1500 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE A

EACH $_______________ $___________________

63503-0300 TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

LNFT $_______________ $___________________

63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

SQFT $_______________ $___________________

64630-1000 ROADSIDE DEVELOPMENT (PEDESTRIAN RAIL AND STAIRS)

ALL Lump Sum $___________________

$_____________________TOTAL

Submitted by:

Name of Bidder

Project: ND RRP CLSA 12(2)

SCHEDULE C

The quantities for the following items of work are Contract Quantities (see FP-96, Subsection 109.02): 20801-0000, 55201-0200, 55401-2000, 55601-0800, 61707-0000

A- 15

Bid Schedule C

Pay Item No.

Estimated Quantity Unit Bid Price Amount Bid

15101-0000 MOBILIZATION

ALL Lump Sum $___________________

15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

6.53

STA $_______________ $___________________

15214-1000 SURVEY AND STAKING, BRIDGE

ALL Lump Sum $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

EACH $_______________ $___________________

15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE (LOW WATER

CROSSING)

EACH $_______________ $___________________

15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

6.53

STA $_______________ $___________________

15401-0000 CONTRACTOR TESTING

ALL Lump Sum $___________________

15501-0000 CONSTRUCTION SCHEDULE

ALL Lump Sum $___________________

15705-0100 SOIL EROSION CONTROL, SILT FENCE

7,200

LNFT $_______________ $___________________

15705-1400 SOIL EROSION CONTROL, SEDIMENT LOG

LNFT $_______________ $___________________

Project: ND RRP CLSA 12(2)

Bid Schedule C

Estimated Quantity Unit Bid Price Amount Bid

A- 16

15705-2000 SOIL EROSION CONTROL, TURBIDITY BARRIER (FLOATING SILT

CURTAIN)

LNFT $_______________ $___________________

15801-0000 WATERING FOR DUST CONTROL

MGAL $_______________ $___________________

20101-0000 CLEARING AND GRUBBING

0.7

ACRE $_______________ $___________________

20301-2400 REMOVAL OF SIGN

EACH $_______________ $___________________

20304-2000 REMOVAL OF BRIDGE

ALL Lump Sum $___________________

20401-0000 ROADWAY EXCAVATION

2,650

CUYD $_______________ $___________________

20441-0000 WASTE

2,310

CUYD $_______________ $___________________

20801-0000 STRUCTURE EXCAVATION

CUYD $_______________ $___________________

25101-3000 PLACED RIPRAP, CLASS 3

CUYD $_______________ $___________________

25302-1000 GABIONS, GALVANIZED OR ALUMINIZED COATED

1,030

CUYD $_______________ $___________________

25305-1000 REVET MATTRESS, GALVANIZED OR ALUMINIZED COATED

1,030

SQYD $_______________ $___________________

30802-2000 ROADWAY AGGREGATE, METHOD 2

2,100

TON $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 17

50102-0900 PLAIN RIGID PAVEMENT, 8-INCH DEPTH, TYPE C

SMOOTHNESSROUGHNESS

6,500

SQYD $_______________ $___________________

55101-1700 STEEL H-PILES 12 X 84, IN PLACE

1,070

LNFT $_______________ $___________________

55116-0000 SPLICE (STEEL H-PILES 12 X 84)

EACH $_______________ $___________________

55201-0200 STRUCTURAL CONCRETE, CLASS A (AE)

CUYD $_______________ $___________________

55302-1700 PRECAST, PRESTRESSED CONCRETE BULB TEE GIRDERS, 54"

LNFT $_______________ $___________________

55401-2000 REINFORCING STEEL, EPOXY COATED

32,700

LB $_______________ $___________________

55601-0800 BRIDGE RAILING, CONCRETE, NEW JERSEY SAFETY SHAPE

LNFT $_______________ $___________________

56401-1000 BEARING DEVICE, ELASTOMERIC

EACH $_______________ $___________________

60201-0600 18-INCH PIPE CULVERT

LNFT $_______________ $___________________

60210-0600 END SECTION FOR 18-INCH PIPE CULVERT

EACH $_______________ $___________________

60915-1000 WHEELSTOP, CONCRETE

EACH $_______________ $___________________

61501-0100 SIDEWALK, CONCRETE

SQYD $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 18

61701-1250 GUARDRAIL SYSTEM G4, TYPE 2, CLASS A WOOD POSTS

LNFT $_______________ $___________________

61702-1200 TERMINAL SECTION, TYPE LST

EACH $_______________ $___________________

61707-0000 STRUCTURE TRANSITION RAILING

LNFT $_______________ $___________________

61801-0000 CONCRETE BARRIER

5,940

LNFT $_______________ $___________________

62201-0050 DUMP TRUCK, 5 CUBIC YARD MINIMUM CAPACITY

HOUR $_______________ $___________________

62201-0350 BACKHOE

HOUR $_______________ $___________________

62201-0900 WHEEL LOADER, 2 CUBIC YARD MINIMUM RATED CAPACITY

HOUR $_______________ $___________________

62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

HOUR $_______________ $___________________

62201-3100 HYDRAULIC EXCAVATOR, 3.0 CUBIC YARD MINIMUM CAPACITY ,

165HP MINIMUM FLYWHEEL POWER

HOUR $_______________ $___________________

62301-0000 GENERAL LABOR

HOUR $_______________ $___________________

62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

HOUR $_______________ $___________________

62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

HOUR $_______________ $___________________

Project: ND RRP CLSA 12(2)

Estimated Quantity Unit Bid Price Amount Bid

A- 19

62407-0000 PLACING CONSERVED TOPSOIL

CUYD $_______________ $___________________

62511-2000 SEEDING, HYDRAULIC METHOD

6,480

SQYD $_______________ $___________________

62516-2000 MULCHING, HYDRAULIC METHOD

6,480

SQYD $_______________ $___________________

63301-0000 SIGN SYSTEM

EACH $_______________ $___________________

63308-3000 OBJECT MARKER, TYPE 3

EACH $_______________ $___________________

63502-1500 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE A

EACH $_______________ $___________________

63503-0300 TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

LNFT $_______________ $___________________

63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

SQFT $_______________ $___________________

64630-1000 ROADSIDE DEVELOPMENT (PEDESTRIAN RAIL AND STAIRS)

ALL Lump Sum $___________________

$_____________________TOTAL

Submitted by:

Name of Bidder

Project: ND RRP CLSA 12(2)

A-20

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

UNDER TRADE AGREEMENTS

It is understood and agreed that the materials and components listed in Subparts 25.1 and 25.2 of the FAR are a part of this contract and are deemed to be Domestic Construction Material for the purposes of this contract.

NOTE TO CONTRACTOR:

The following information and any applicable supporting data is required for evaluation of requests under FAR Clause 52.225-21 Paragraph (c) & (d) and FAR Provision 52.225-22 Paragraph (b).

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

Material and/or Component

Construction Material Description Unit of Measure Quantity *Cost Delivered to Job Site

Foreign Construction Material

Comparable Domestic Material

[* Include all delivery costs to the construction site and any applicable duty (whether or not a duty-free entry certificate is issued).] [Please include name, address, telephone number and contact for suppliers surveyed. Attach copy of response; if oral, attach summary. Include all applicable supporting information.]

A-21

HAZARDOUS MATERIALS

As required by FAR Clause 52.223-3, Hazardous Materials Identification and Safety Data - Alternate I, the apparent low bidder must submit prior to award a Material Safety Data Sheet (MSDS) for all hazardous materials that the bidder identifies in paragraph (b) of the FAR clause and defined under the latest version of Federal Standard No. 313.

Hazardous Material Identification Number

USE OF RECOVERED MATERIALS ON FEDERAL LANDS HIGHWAY PROJECTS

Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (RCRA) of 1976, as amended (42 U.S.C. 6901 et seq.), requires Federal, State, and local procuring agencies using appropriated Federal funds to purchase items composed of the highest percentage of recovered materials practical. Use of recovered materials is strongly encouraged on Federal Lands Highway Projects. Highway construction items covered by the Environmental Protection Agency’s Comprehensive Guidelines for Procurement of Products Containing Recovered Materials include fly ash, ground granulated blast furnace slag, traffic barricades, traffic cones, hydraulic mulch and compost for mulch.

Use of fly ash and ground granulated blast furnace slag and construction materials containing fly ash and ground granulated blast furnace slag on Federal Lands Highway Projects:

It is the policy of the United States Government that fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag shall have maximum practicable opportunity for incorporation into its construction projects.

The Contractor agrees to investigate the use of fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag to the fullest extent consistent with the efficient performance of this contract. Both the contractor and the subcontractors are urged to seek out suppliers of fly ash and ground granulated blast furnace slag, cement and concrete containing fly ash and ground granulated blast furnace slag and to solicit bids for these materials.

Names of firms that supply fly ash and ground granulated blast furnace slag and materials containing fly ash and ground granulated blast furnace slag are available from the American Coal Ash Association and the National Slag Association.

B-1

BID BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB NO. 9000-0045

Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, D.C. 20405.

PRINCIPAL (Legal name and business address)

TYPE OF ORGANIZATION (AX@ one)

INDIVIDUAL PARTNERSHIP

JOINT VENTURE CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT OF

BID PRICE

AMOUNT NOT TO EXCEED BID DATE INVITATION NO.

ND RRP CLSA 12(2) – AUTO TOUR ROUTE

J. CLARK SALYER NWR

20 PERCENT

MILLION(S)

THOUSAND(S)

HUNDRED(S) CENTS FOR (Construction, Supplies or Services) CONSTRUCTION

OBLIGATION:

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum “jointly and severally” as well as “severally” only for the purpose of allowing a joint action or actions against any or all of

us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty

(60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

PRINCIPAL

SIGNATURE(S)

1.

(Seal)

2.

3.

Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

2. 3.

INDIVIDUAL SURETY(IES)

NAME(S)

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY A

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (Rev. 10-98) Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(a)

B-2

CORPORATE SURETY(IES) (Continued)

SURETY B

SURETY C

SURETY D

SURETY E

SURETY F

SURETY G

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated “Principal” on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., 20% of the bid price but the amount not to exceed 3,000,000.00 dollars).

4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury=s list of approved sureties and must act within the limitation listed therein. Where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed “CORPORATE SURETY(IES).” In the space designated “SURETY(IES)” on the face of the form, insert only the letter identification of the sureties.

(b) Where individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28), for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capacity.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word “Corporate Seal”;

and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms “bid” and “bidder” shall include “proposal” and “offeror.”

STANDARD FORM 24 (Rev. 10-98) BACK

B-3

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S INFORMATION

INSTRUCTIONS: Answer all questions on this form inserting "none" or "not applicable" where appropriate. If more space is required attach additional sheets. Return the signed, dated and completed form with the bid to the address shown in the invitation for bids on or before the time set for bid opening. The prospective bidder shall provide any additional information requested by the Government during evaluation of the bids.

If the prospective bidder is a joint venture or general partnership, a separate Bidder's Qualifications form shall be provided individually for each joint venture participant or partner.

1. Name and address of business:

Name DUNS Number (See FAR Provision 52.204-6)*

Street Home Office Congressional District (Insert District #) *

City State Zip Code

* Necessary for Government reporting purposes only To obtain a Dun & Street number, call County 800-333-0505.

Telephone Number (Include Area Code)

Fax Number (Include Area Code)

2. a. Type of organization (check appropriate box):

If a Foreign entity:

Individual

Non-profit organization

Corporation

Partnership

Joint Venture

Registered in:

b. Size and type of Business Concern (check appropriate boxes):

Large Business Concern

Small Disadvantaged Business Concern

Emerging Small Business

Small Business Concern

Women-Owned Small Business

SBA 8(a) Certified

HUB Zone Business Concern

Veteran Owned Business Concern

Service-Disabled Veteran-Owned Business Concern

Individual

Non-profit organization

Corporation

Partnership

Joint Venture Incorporated in:

B-4

3. If a joint venture or general partnership:

a. Provide the name under which the project will be bid, the home office address, and name of the principal who will represent the company with regard to this project if different from "1." above.

Principal

Business Name

Street

City State Zip Code

b. Provide the name and home office addresses of each of the joint venture partners; indicate which partner is the sponsoring partner. Attach a separate sheet for additional partners.

Sponsoring Partner Other Partner

Street Street

City State Zip Code City State Zip Code

4. Date organization established: _______________________

5. Name of succeeded business, if any: _________________________________________________________

6. How many years have you been in business as:

a. General contractor years.

b. Subcontractor years.

7. a. Furnish the following information concerning the owner, partners, officers and directors:

Percent of Business Owned

Years of Business Experience

Name

Title Contracting

Other

b. Attach resumes of these key personnel as well as the on-site project manager(s) and superintendent(s), and specifically identify the following:

- Present position, responsibility, and length of employment.

- Amount and type of construction experience.

- Amount and type of highway construction experience, including position, responsibility, and a brief project description of each period of employment.

- Formal education and training, professional or technical registrations or licenses.

B-5

8. a. Contracts in force. (Attach additional sheets if necessary)

Project Name and Contract Numbers

Owner's Name, Address, and

Contact Name and Telephone #

Scope of Work Performed

Contract Amount

Estimated

Completion Date

Name of Surety

b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.

B-6

9. a. List at least five of the largest jobs you have completed in the last five years which are similar in project work scope to this project. (Attach additional sheets if necessary)

Project Name and Contract Numbers

Owner's Name, Address, Contact Name and Telephone #

Scope of Work

Performed

Original and Final Contract Amounts

Original and Final Completion Dates

Names of On-site Project

Manager and Superintendent

Name of Surety

b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.

B-7

FEDERAL ACQUISITION REGULATION

SOLICITATION PROVISIONS

REPRESENTATIONS AND CERTIFICATIONS

Effective January 2005, offerors/bidders must submit Representations and Certifications online at www.bpn.gov. All offerors/bidders should submit/update this information at least annually. Refer to the Federal Acquisition Provision 52.204-8 Annual Representations and Certifications below.