DTFH6814B00023.pdf

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INVITATION FOR BID

SOLICITATION NUMBER: DTFH6814B00023

PROJECT NUMBER: WY FLAP 23-154(1)

PROJECT NAME: FREMONT LAKE ROAD

BID OPENING DATE:

See Page A-1, Item 13A

This solicitation cites Standard Specifications for Construction of Roads and Bridges on

Federal Highway Projects, FP-03 US 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: http://www.fbo.gov E-mail: CFLContracts@dot.gov mailto:CFLContracts@dot.gov

PROJECT WY FLAP 23-154(1)

LOCATION BRIDGER-TETON NATIONAL FOREST

COUNTY SUBLETTE

STATE WYOMING

LENGTH SCHEDULE A: 6.93 MILES

OPTION X: CAMPGROUND/SPURS

OPTION Y: PARKING AREAS

TYPE OF IMPROVEMENT ROAD RECONSTRUCTION, GRADING,

DRAINAGE, AND ASPHALT PAVEMENT

TABLE OF CONTENTS

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

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

Basis for Award and Bid Schedule ................................................................................ A-6

Solicitation Provisions .....................................................................................................B-7

Contract Clauses ..............................................................................................................C-1

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

Division 100 ..................................................................................................................... E-1 Division 150 ................................................................................................................... E-39 Division 200 ................................................................................................................... E-68 Division 300 ................................................................................................................... E-84 Division 400 ................................................................................................................... E-89 Division 500 ................................................................................................................. E-118 Division 600 ................................................................................................................. E-135 Division 700 ................................................................................................................. E-162

APPENDICES

Appendix A ............................................................................................................. Fire Plan

Appendix B .........................................................................................................Utility Data

Appendix C ............................................................................................... WYPDES Permit

Appendix D .......................................................................................................... 401 Permit

Appendix E .......................................................................................................... 404 Permit

Appendix F............................................................................... Sample Subcontracting Plan

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

NOTE TO LARGE BUSINESSES:

Due to the compressed schedule for award of this project following the bid opening, large businesses are required to submit their completed subcontracting plan with their bid. Failure to submit a subcontracting plan may deem your bid non-responsive.

A sample of a subcontracting plan is included as Appendix F in this solicitation.

• Prior to development of this subcontracting plan, please read FAR Clause 52.219-

9 – Small Business Subcontracting Plan (APR 2008).

• It is the Prime Contractor’s responsibility to ensure that all small business concerns included in this subcontracting plan are eligible. The System for Award Management (SAM) is the only source for certification of Small Disadvantaged Business and HUBZone Small Business concerns.

• Prime Contractors are encouraged to post sources sought notices for subcontracting opportunities on http://web.sba.gov/subnet/ Small businesses can review this web site to 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.

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

Submit the following documents with your Bid Package–

• SF-1442, Solicitation, Offer & Award, Pages A-1 and A-2

• Indication of interest in formal Partnering, Page A-5

• Bid Schedule including Buy American Act & Hazardous Materials, Pages A-6 through A-17

• Bid Guarantee (see FAR Clause 52.228-1), Pages B-1 and B-2. Bid bonds must be originals with original signatures and corporate seals. Photocopies and Faxed copies are NOT acceptable and will make your bid non-responsive.

• Completed VETS 100, Page A-iii; Bidders’ Information, Pages B-3 through B-6; Reps and Certs, Page B-7 and Certification Regarding Responsibility Matters (FAR 52.209-5), Pages B-8 and B-9.

• HUBZone small business concerns electing to waive the evaluation preference, complete 52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns, Section C.

• Subcontracting Plan (if applicable) http://web.sba.gov/subnet/

A-ii

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.fbo.gov 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://flh.fhwa.dot.gov/resources/pse/specs/fp- 03.htm or may be purchased by contacting Bob Rosenblatt at ARC Western, telephone number 303- 785-2520 or email bob.rosenblatt@e-arc.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 SAM Registration – you must register in the System for Award Management (SAM – replaced 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©. Register online at www.sam.gov.

Representations and Certifications – This solicitation is issued under NAICS 237310 – Highway, Street & Bridge Construction with a small business size standard of $36.5 million. If your average annual gross receipts for the past 3 years are above $36.5 million, you are a large business for this solicitation. If they are below $36.5 million you are a small business. Please complete the certification listed in paragraph (b) of FAR Provision 52.204-8 Annual Representation and Certifications on Page B-7. Your small business information is pulled into the Online Representations and Certifications Application (ORCA) website from the System for Award Management (SAM). Please include NAICS 237310 in your SAM. Before submitting bids, please ensure you have completed your annual representations and certifications electronically at the SAM website at www.sam.gov.

http://www.fbo.gov/ http://flh.fhwa.dot.gov/resources/pse/specs/fp-03.htm http://flh.fhwa.dot.gov/resources/pse/specs/fp-03.htm mailto:bob.rosenblatt@e-arc.com https://www.acquisition.gov/far/ http://www.sam.gov/

A-iii

Vets100 Reporting: - The Contractor must complete the report if required. See reporting requirements at: www.dol.gov/vets/programs/fcp/main.htm.

• My firm had a qualifying Federal Contract in 2014 and has complied with the reporting requirements.

• My firm did not have a qualifying Federal Contract in 2014 and is therefore exempt from the reporting requirements

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. Bid bonds must be originals and have original signatures and corporate seals.

Photocopied and faxed copies of bonds will be rejected and cause your bid to be non-responsive.

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.

http://www.dol.gov/vets/programs/fcp/main.htm http://osdbuweb.dot.gov/

A-iv

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

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON MAY 6, 2015

A non-mandatory contractor site visit was held on September 25, 2014 with six contractors in attendance. Questions and answers were required to be submitted in writing. No contractors submitted questions and therefore nothing will be posted with the solicitation.

Questions for this solicitation can be submitted to CFLContracts@dot.gov. Questions and answers will be posted at http://www.fbo.gov

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.

For all modifications, we STRONGLY ENCOURAGE you to resubmit the entire bid schedule with a unit price and amount for every bid item, and a Schedule Total. See FAR Provision 52.214-5, Submission of Bids. Modifications which make the bid ambiguous, indefinite, or uncertain as to any essential requirement of the contract will cause the bid to be rejected as nonresponsive.

FAX Number to submit modifications to bids for this project is (720) 963-3360

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/contracting/construction/ReferenceLinks.cfm.

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 mailto:CFLContracts@dot.gov http://www.fbo.gov/ http://www.cflhd.gov/contracting/construction/ReferenceLinks.cfm http://web.sba.gov/subnet/

A-v

Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts. If the apparent successful low bidder fails to submit an acceptable subcontracting plan with their bid package, that bidder may be ineligible for award of the contract.

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.sam.gov

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

EEBACS - Contractors shall use the Government’s web-based system, Engineer’s Estimating, Bidding, Award, and Construction System (EEBACS), to prepare all “Inspector’s Daily Record of Construction Operations” (Contractors Daily Reports) and measurement notes (pay notes).

The Contractor shall be required to attend a training session on the use of EEBACS. The training session will require up to 4 hours. No more than 3 Contractor staff may attend the training unless approved by the CO. The Contractor shall be responsible for training additional staff.

The Contractor shall be required to submit a user account form to gain access to the EEBACS system. See Subsection 108.01.

A user guide, “EEBACS for Construction Contractors”, is available. An electronic version can be found at http://flh.fhwa.dot.gov/resources/pse/estimate/guide.htm http://flh.fhwa.dot.gov/resources/pse/estimate/guide.htm

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH6814B00023

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

04/14/2015 IMPORTANT - THE "OFFER SECTION ON THE REVERSE MUST BE FULLY COMPLETED BY OFFEROR.

4. CONTRACT NO.

5. REQUISITION/PURCHASE REQUEST NO.

CFL14HFPM342

6. PROJECT NO.

WY FLAP 23-154(1)

FREMONT LAKE ROAD

7. ISSUED BY:

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE

LAKEWOOD, COLORADO 80228

CODE: 69050001 8. ADDRESS OFFER TO:

JOE WILSON, CONTRACT SPECIALIST

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE

LAKEWOOD, COLORADO 80228

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:

ROADWAY CONSTRUCTION PROJECT 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 5/13/15 (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 1442-102 STANDARD FORM 1442 (REV. 4-85)

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

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)

DUNS NO.

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 ITEM 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

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

Item 9: FOR GENERAL INFORMATION: 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 with this solicitation at:

• Pavement and Structure Foundation Technical Memorandum

• Hydraulics Memorandum

• Skyline Drive Gravel Pit Exploration Report

Item 11: COMPLETION DATE: Work shall be completed on or before the date specified in Subsection 108.01 of the SCRs.

Item 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.

Item 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. All bid guarantees must have original signatures with original corporate seals.

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

ACKNOWLEDGE AMENDMENTS, IN ITEM 19 OF THE SF-1442, 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.

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

FP-03.

ESTIMATED

PRICE: The price range of the project work is between $5 and $8 million.

http://www.fbo.gov/

A-4

Bid Schedule Instructions

BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of two schedules. Before preparing the bid, carefully read the Solicitation Provisions and the following:

• Insert a numeric unit bid price for each pay item for which a quantity appears in the bid schedule. Unit bid prices should be quoted no more precisely than the nearest cent (2 decimal places). Unit bid prices quoted more precisely will be rounded up to the nearest cent by the Government

• 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 and show the Construction Cost Total on the space provided on the last page of each schedule or option.

• Also show the Construction Cost Total for each schedule/option as well as the combined Total of each Schedule and the Option in the spaces provided on the Bid Summary page.

NOTE: If the amount bid for a pay item is inconsistent with the product of the unit price provided by the bidder and the quantity provided by the Government, the unit price will govern and the Government will determine a corrected amount bid for the pay item by multiplying the unit price by the quantity.

Pay Item 15401-0000, Contractor Testing

Bidders must provide prices on two alternative Contractor Testing pay items in two different places in each schedule’s bid tab.

On Pages A-6 (Schedule A), A-11 (Option X) and A-13 (Option Y) bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory. As part of Schedule A, Option X and Option Y the price for this alternative item will be included in the "Schedule A Total", “Option X Total” and "Option Y Total" lines and, therefore, included in the evaluation for award.

Bidders must also provide a stand-alone price on the bottom of Pages A-10, A-12 and A-14 for the alternative item, Contractor Testing using a Government-furnished field laboratory. This price will not be factored into the evaluation for award. The Government retains the discretion to award a contract which includes either of the alternative Contractor Testing items at the respective bid price.

Evaluation Factors for Award

To be eligible for award of contract, the offeror shall submit prices for each item in Bid Schedule A, Option X and Option Y. Accordingly, contract award will be made to the lowest responsible bidder conforming to the solicitation, provided funds are available.

A-5

Per FAR provision 52.217-5, Evaluation of Options (JUL 1990), the Government will evaluate offers for award purposes by adding the total price for all options to the total price for Schedule A.

Evaluation of options will not obligate the Government to exercise the option(s). If the determination is made to exercise any of the Options, the Contracting Officer will provide the contractor with written notice no later than 60 days after contract award, per FAR clause 52.217-7, Option for Increased Quantity- Separately Priced Line Item (MAR 1989).

PARTNERING

A Partnership recognizes the Government and the Contractor are both responsible and can affect the successful completion of this project. Partnering is a vehicle to ensure the partnership has structure and quality. It recognizes the strengths of each party and uses those strengths to identify and achieve shared goals. One of the primary objectives of Partnering is to facilitate the resolution of disputes in a timely, professional, and non-adversarial manner with the outcome focused on achieving those shared goals.

CFLHD supports the concepts and tenets of Partnering and as such is encouraging the Contractors and it’s subcontractors to establish a Partnering relationship on this project.

A formal Partnering meeting can help facilitate this relationship by helping do document the parties’ common purpose and goals, and ensuring alignment. The goals are mutually agreed upon and address effective and efficient performance within the scope of the contract.

Participation in a formal Partnering meeting is voluntary. Costs of implementing and maintaining the partnership would be agreed to by both parties as described in Subsection 103.05 Partnering of the FP-03. Costs of partnering would be in addition to the contract award amount.

Please indicate your desire to participate in a formal partnering meeting on this project.

(___) We would like to participate in a formal partnering meeting.

(___) We do not want to participate in a formal partnering meeting.

A - 6

Item No. Pay Item No. Description Quantity Unit Unit Price Amount

A0001 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A0051 15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

366.1 STA $____________ $____________

A0101 15215-1000 SURVEY AND STAKING, APPROACH ROAD

10 EACH $____________ $____________

A0151 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

32 EACH $____________ $____________

A0201 15215-7000 SURVEY AND STAKING, PARKING AREA

8 EACH $____________ $____________

A0251 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

732.2 STA $____________ $____________

A0301 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A0351 15401-0000 CONTRACTOR TESTING (CONTRACTOR-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

A0401 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A0451 15702-1000 SOIL EROSION CONTROL, TEMPORARY DIVERSION CHANNEL

ALL LPSM $___LPSM_____ $____________

A0501 15705-0100 SOIL EROSION CONTROL, SILT FENCE

31,000 LNFT $____________ $____________

A0551 15706-0200 SOIL EROSION CONTROL, CHECK DAM (SEDIMENT LOG)

275 EACH $____________ $____________

A0601 15706-0200 SOIL EROSION CONTROL, CHECK DAM (RIPRAP)

110 EACH $____________ $____________

A0651 15706-1000 SOIL EROSION CONTROL, INLET PROTECTION (> 48-INCH CULVERT)

2 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:WY FLAP 23-154(1)

Project Name:Fremont Lake Road

A - 7

A0701 15706-1000 SOIL EROSION CONTROL, INLET PROTECTION

64 EACH $____________ $____________

A0751 15706-1600 SOIL EROSION CONTROL, STABILIZED CONSTRUCTION ENTRANCE

6 EACH $____________ $____________

A0801 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

A0851 20101-0000 CLEARING AND GRUBBING

72.0 ACRE $____________ $____________

A0901 20304-1000 REMOVAL OF STRUCTURES AND OBSTRUCTIONS

ALL LPSM $___LPSM_____ $____________

A0951 20401-0000 ROADWAY EXCAVATION

138,500 CUYD $____________ $____________

A1001 20441-0000 WASTE

26,500 CUYD $____________ $____________

A1051 21101-1000 ROADWAY OBLITERATION, METHOD 1

910 SQYD $____________ $____________

A1101 25101-2000 PLACED RIPRAP, CLASS 2

25 CUYD $____________ $____________

A1151 30101-0000 AGGREGATE BASE

15,550 TON $____________ $____________

A1251 30305-3000 PULVERIZING, 6-INCH DEPTH

366.1 STA $____________ $____________

A1301 30606-0000 MAGNESIUM CHLORIDE

280 TON $____________ $____________

A1351 40101-5600 SUPERPAVE PAVEMENT, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE

AGGREGATE, 0.3 TO <3 MILLION ESAL

22,000 TON $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A - 8

A1451 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

221 TON $____________ $____________

A1551 40920-1000 FOG SEAL, EMULSIFIED ASPHALT GRADE CSS-1 OR CSS-1H, SS-1 OR SS-1H

50 TON $____________ $____________

A1601 41201-1000 TACK COAT GRADE CSS-1, CSS-1H, SS-1, OR SS-1H

100 TON $____________ $____________

A1651 60201-0600 18-INCH PIPE CULVERT

900 LNFT $____________ $____________

A1701 60201-1400 60-INCH PIPE CULVERT

20 LNFT $____________ $____________

A1751 60202-1100 66-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

85 LNFT $____________ $____________

A1801 60211-1500 END SECTION FOR 66-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL

PIPE CULVERT

2 EACH $____________ $____________

A1851 60704-0000 CLEANING CULVERT IN PLACE

1 EACH $____________ $____________

A1901 61701-2000 GUARDRAIL SYSTEM G4, TYPE 4, CLASS B WOOD POSTS

825 LNFT $____________ $____________

A1951 61702-0800 TERMINAL SECTION TYPE TANGENT

6 EACH $____________ $____________

A2001 61901-0600 FENCE, BARBED WIRE

90 LNFT $____________ $____________

A2051 61903-1100 CATTLE GUARD, 32 FEET

2 EACH $____________ $____________

A2101 62201-0300 DUMP TRUCK, 12 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A - 9

A2151 62201-0400 BACKHOE LOADER, 2 CUBIC F00T MINIMUM RATED CAPACITY BUCKET,

12-INCH WIDTH

40 HOUR $____________ $____________

A2201 62201-0900 WHEEL LOADER, 2 CUBIC YARD MINIMUM RATED CAPACITY

40 HOUR $____________ $____________

A2251 62201-1400 BULLDOZER, 250HP MINIMUM FLYWHEEL POWER

20 HOUR $____________ $____________

A2301 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

40 HOUR $____________ $____________

A2351 62201-3350 HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

30 HOUR $____________ $____________

A2401 62301-0000 GENERAL LABOR

80 HOUR $____________ $____________

A2451 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

80 HOUR $____________ $____________

A2501 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

80 HOUR $____________ $____________

A2551 62407-0000 PLACING CONSERVED TOPSOIL

42,500 CUYD $____________ $____________

A2601 62510-2000 SEEDING, HYDRAULIC METHOD

63.0 ACRE $____________ $____________

A2651 62515-2000 MULCHING, HYDRAULIC METHOD

63.0 ACRE $____________ $____________

A2701 63301-0000 SIGN SYSTEM

50 EACH $____________ $____________

A2751 63308-0000 OBJECT MARKER

12 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

A - 10

A2801 63309-0000 DELINEATOR

580 EACH $____________ $____________

A2851 63316-1000 REMOVE AND RESET SIGN

6 EACH $____________ $____________

A2901 63401-0300 PAVEMENT MARKINGS, TYPE B, SOLID

301,800 LNFT $____________ $____________

A2951 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

A3001 63640-0600 RELOCATE COMMUNICATION LINE

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:WY FLAP 23-154(1)

Project Name:Fremont Lake Road

Joe.Wilson Typewritten Text

A0351 15401-0000 CONTRACTOR TESTING (GOVERNMENT-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

A - 11

X0001 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X0051 15215-1000 SURVEY AND STAKING, APPROACH ROAD

8 EACH $____________ $____________

X0101 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

15.0 STA $____________ $____________

X0151 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

X0201 15401-0000 CONTRACTOR TESTING (CONTRACTOR-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

X0251 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

X0301 15705-0100 SOIL EROSION CONTROL, SILT FENCE

1,050 LNFT $____________ $____________

X0351 15706-1600 SOIL EROSION CONTROL, STABILIZED CONSTRUCTION ENTRANCE

1 EACH $____________ $____________

X0401 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

X0451 30101-0000 AGGREGATE BASE

60 TON $____________ $____________

X0501 30306-2500 PULVERIZING, 5-INCH DEPTH

4,400 SQYD $____________ $____________

X0551 30606-0000 MAGNESIUM CHLORIDE

10.0 TON $____________ $____________

X0601 40101-5600 SUPERPAVE PAVEMENT, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE

AGGREGATE, 0.3 TO <3 MILLION ESAL

710 TON $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

A - 12

X0651 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

8.0 TON $____________ $____________

X0701 40920-1000 FOG SEAL, EMULSIFIED ASPHALT GRADE CSS-1 OR CSS-1H, SS-1 OR SS-1H

2.0 TON $____________ $____________

X0751 41201-1000 TACK COAT GRADE CSS-1, CSS-1H, SS-1, OR SS-1H

2.0 TON $____________ $____________

X0801 62301-0000 GENERAL LABOR

20 HOUR $____________ $____________

X0851 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

20 HOUR $____________ $____________

X0901 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

20 HOUR $____________ $____________

X0951 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:WY FLAP 23-154(1)

Project Name:Fremont Lake Road

Joe.Wilson Typewritten Text

X0201 15401-0000 CONTRACTOR TESTING (GOVERNMENT-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

Joe.Wilson Typewritten Text

A - 13

Y0001 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

Y0051 15215-7000 SURVEY AND STAKING, PARKING AREA

2 EACH $____________ $____________

Y0101 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

Y0151 15401-0000 CONTRACTOR TESTING (CONTRACTOR-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

Y0201 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

Y0251 15705-0100 SOIL EROSION CONTROL, SILT FENCE

1,050 LNFT $____________ $____________

Y0301 15706-1600 SOIL EROSION CONTROL, STABILIZED CONSTRUCTION ENTRANCE

2 EACH $____________ $____________

Y0351 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

Y0401 30101-0000 AGGREGATE BASE

50 TON $____________ $____________

Y0451 30306-2500 PULVERIZING, 5-INCH DEPTH

11,100 SQYD $____________ $____________

Y0501 30606-0000 MAGNESIUM CHLORIDE

26.0 TON $____________ $____________

Y0551 40101-5600 SUPERPAVE PAVEMENT, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE

AGGREGATE, 0.3 TO <3 MILLION ESAL

1,800 TON $____________ $____________

Y0601 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

18.0 TON $____________ $____________

Bid Schedule Schedule:Y Schedule Type:Options

A - 14

Y0651 40920-1000 FOG SEAL, EMULSIFIED ASPHALT GRADE CSS-1 OR CSS-1H, SS-1 OR SS-1H

5.0 TON $____________ $____________

Y0701 41201-1000 TACK COAT GRADE CSS-1, CSS-1H, SS-1, OR SS-1H

5.0 TON $____________ $____________

Y0751 62301-0000 GENERAL LABOR

20 HOUR $____________ $____________

Y0801 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

20 HOUR $____________ $____________

Y0851 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

20 HOUR $____________ $____________

Y0901 63501-0000 TEMPORARY TRAFFIC CONTROL

ALL LPSM $___LPSM_____ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:Y Schedule Type:Options

Project No:WY FLAP 23-154(1)

Project Name:Fremont Lake Road

Joe.Wilson Typewritten Text

Y0151 15401-0000 CONTRACTOR TESTING (GOVERNMENT-FURNISHED FIELD LABORATORY)

ALL LPSM $___LPSM_____ $____________

Joe.Wilson Typewritten Text

A - 15

Bid Schedule Summary

Schedule Bid Total

Schedule A - Base(A - 6)

Schedule X - Option(A - 11)

Schedule Y - Option(A - 13)

Total - Schedules

Submitted By: ________________________________

Bid Schedule

A-16

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 52.225-9 Paragraph (c) & (d) and FAR Provision 52.225-10 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-17

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.

DTFH6814B00023

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)

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…

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