DTFH6815B00020_IFB.pdf

INVITATION FOR BID

SOLICITATION NUMBER: DTFH6815B00020

SOLICITATION TYPE: TOTAL SMALL BUSINESS SET-ASIDE

PROJECT NUMBER: CA FLAP CR36(1)

PROJECT NAME: HAMMONTON-SMARTSVILLE ROAD

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-14 English 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/construction/construction e-mail: CFLContracts@dot.gov

PROJECT CA FLAP CR36(1)

HAMMONTON-SMARTSVILLE ROAD

PROJECT STATIONING SCHEDULE A: 92+00 to 143+00 OPTION X: 143+00 to 148+78.80 143+00 to 3+40.00

LOCATION BEALE AIR FORCE BASE

YUBA RIVER / SIERRA NEVADA MOUNTAINS

RANGE

COUNTY YUBA

STATE CALIFORNIA

LENGTH SCHEDULE A: 0.97 MILES

OPTION X: 0.14 MILES

TABLE OF CONTENTS

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

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

Basis for Award & Bid Schedule Instructions ..................................................................... A-4

Partnering .............................................................................................................................. A-5

Bid Schedule ........................................................................................................................ A-6

Solicitation Provisions ...........................................................................................................B-1

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

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

Division 100 ........................................................................................................................... E-2 Division 150 ......................................................................................................................... E-21 Division 200 ......................................................................................................................... E-31 Division 300 ......................................................................................................................... E-38 Division 400 ......................................................................................................................... E-39 Division 500 .......................................................................................................................... N/A Division 600 ......................................................................................................................... E-41 Division 700 ......................................................................................................................... E-50

Appendices Appendix A ......................................................................................................................... Plans Appendix B ...................................................... Section 401 Water Quality Certification Permit Appendix C .................................................................. Clean Water Action Section 404 Permit Appendix D ................................................................... Requirements for Rural Fire Protection

SPECIAL CONTRACT REQUIREMENTS (SCRs)

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

NOTICE TO BIDDERS

A-i

THIS SOLICITATION HAS BEEN SET-ASIDE FOR SMALL BUSINESS

CONCERNS. BIDS RECEIVED FROM FIRMS OTHER THAN

CERTIFIED SMALL BUSINESSES WILL NOT BE CONSIDERED.

• In order to submit an offer on a Small Business Concern (SBC) Set-aside, the SBC, together with its affiliates, must be small under the size standard corresponding to the NAICS code assigned to the contract, 237310.

• A firm must be a qualified SBC both at the time of its initial offer and at the time of award in order to be eligible for a SBC contract.

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:

Submit the following documents with your Bid Package–

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

• Bid Schedule including Buy American Act & Hazardous Materials.

• Bid Guarantee (see FAR Clause 52.228-1), Pages B-1 and B-2.

• Completed VETS 4212, Page A-ii; Bidders’ Information, Pages B-3 through B-6; Reps and Certs, Page B-8 through B-12 and Certification Regarding Responsibility Matters (FAR 52.209-5), Pages B-12 and B-15.

Bidders should retain all other pages for their information. Bids should be submitted in a sealed envelope 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-14 US Customary Units (FP-14).

The FP-14 was utilized for the design of this project. Hard copies of the FP-14 will not be provided to bidders. The FP-14 is available electronically at http://flh.fhwa.dot.gov/resources/pse/standard/ or may be purchased by contacting Bob Rosenblatt at ARC Western, telephone number 303-785- 2520 or email bob.rosenblatt@e-arc.com. No hard copies of the FP-14 will be provided to the awarded Prime Contractor.

Applicable FAR provisions and clauses in this IFB are incorporated by reference or full text. FAR http://www.fbo.gov/ http://flh.fhwa.dot.gov/resources/pse/standard/ mailto:bob.rosenblatt@e-arc.com

A-ii 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(c). 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.

Vets 4212 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 2015 and has complied with the reporting requirements.

• My firm did not have a qualifying Federal Contract in 2015 and is therefore exempt from the reporting requirements

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

102.03 of the FP-14.

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.

https://www.acquisition.gov/far/ http://www.sam.gov/ http://www.sam.gov/ http://www.dol.gov/vets/programs/fcp/main.htm http://osdbuweb.dot.gov/

A-iii

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).

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON DECEMBER 8, 2015

Questions 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. 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.

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

A-iv

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-14.

http://www.ccr.gov/

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH6815B00020

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

11/17/15

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.

CA FLAP CR36(1)

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:

ATTN: MEGAN MAVIS, CONTRACT SPECIALIST

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE, SUITE 167

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:

CONSTRUCTION OF CA FLAP CR36(1) HAMMONTON-SMARTSVILLE ROAD, 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, FP-14

See Subsection 104.04 of the FP-14 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. Denver local time on 12/17/2015 (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(d)

X

A-2

GPO: 1985 0 - 469-796 STANDARD FORM 1442 BACK (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 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)(5)

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 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 facsimile to 720-963-3360.

FOR PHYSICAL DATA: The following data is available electronically at www.fbo.gov :

• Geotechnical and Pavement Design Report

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-14.

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-14.

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO ACKNOWLEDGE

AMENDMENTS 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.

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

FP-14.

ESTIMATED PRICE: The price range of project work is between $2,000,000 and $4,000,000.

mailto:CFLContracts@dot.gov mailto:CFLContracts@dot.gov http://www.fbo.gov/ http://www.fbo.gov/ http://www.cflhd.gov/contracting/construction/AdvertisedProjects.cfm

A-4

Bid Schedule Instructions

BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of one schedule and one option.

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 alternative Contractor Testing pay items for EACH SCHEDULE.

Bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory for each schedule. The price for this item will be included in the Construction Cost Total for each schedule and all totals on the Bid Summary, page A-12, A-16 and A-17, therefore, included in the evaluation for award.

Bidders must also provide a stand alone price on the last page of each schedule for the alternative item, Contractor Testing using a Government-furnished field laboratory, at the end of each bid schedule. 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 and Option X. 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 (JULY 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-14. 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.

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

A0001 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

A0011 15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

0.97 MILE $____________ $____________

A0021 15214-2000 SURVEY AND STAKING, RETAINING WALL

ALL LPSM $___LPSM_____ $____________

A0031 15215-3000 SURVEY AND STAKING, DRAINAGE STRUCTURE

4 EACH $____________ $____________

A0041 15215-5000 SURVEY AND STAKING, BOX CULVERT

1 EACH $____________ $____________

A0051 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

1.930 MILE $____________ $____________

A0061 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

A0071 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

A0081 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

A0091 15705-0100 SOIL EROSION CONTROL, SILT FENCE

3,700 LNFT $____________ $____________

A0101 15705-1400 SOIL EROSION CONTROL, FIBER ROLL

240 LNFT $____________ $____________

A0111 15706-0200 SOIL EROSION CONTROL, CHECK DAM

28 EACH $____________ $____________

A0121 15706-1600 SOIL EROSION CONTROL, STABILIZED CONSTRUCTION EXIT

1 EACH $____________ $____________

A0131 15802-0000 WATERING FOR DUST CONTROL

ALL LPSM $___LPSM_____ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

Project Name:Hammonton-Smartsville Road

A-6

A0141 20103-0000 CLEARING AND GRUBBING

16,700 SQYD $____________ $____________

A0151 20220-1000 REMOVAL, INDIVIDUAL TREE

8 EACH $____________ $____________

A0161 20301-0200 REMOVAL OF BOULDER

9 EACH $____________ $____________

A0171 20301-0700 REMOVAL OF DELINEATOR

11 EACH $____________ $____________

A0181 20301-1200 REMOVAL OF HEADWALL

2 EACH $____________ $____________

A0191 20301-1900 REMOVAL OF PIPE CULVERT

4 EACH $____________ $____________

A0201 20301-2400 REMOVAL OF SIGN

15 EACH $____________ $____________

A0211 20301-3600 REMOVAL OF RAISED PAVEMENT MARKER

240 EACH $____________ $____________

A0221 20302-0700 REMOVAL OF FENCE

400 LNFT $____________ $____________

A0231 20302-1200 REMOVAL OF GUARDRAIL

254 LNFT $____________ $____________

A0241 20303-1600 REMOVAL OF PAVEMENT, ASPHALT (7-INCH SUBBASE)

2,150 SQYD $____________ $____________

A0251 20303-2200 REMOVAL OF PAVEMENT, ASPHALT, 6-INCH DEPTH

2,150 SQYD $____________ $____________

A0261 20401-0000 ROADWAY EXCAVATION

4,400 CUYD $____________ $____________

A0271 20402-0000 SUBEXCAVATION

1,700 CUYD $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

A-7

A0281 20441-0000 WASTE

1,601 CUYD $____________ $____________

A0291 25101-2200 PLACED RIPRAP, METHOD B, CLASS 2

35 CUYD $____________ $____________

A0301 25120-2200 RIPRAP DITCH, METHOD B, CLASS 2

140 LNFT $____________ $____________

A0311 25501-0000 MECHANICALLY STABILIZED EARTH WALL

1,584 SQFT $____________ $____________

A0321 25701-0200 CONTRACTOR FURNISHED MECHANICALLY STABILIZED EARTH WALL

DESIGN

ALL LPSM $___LPSM_____ $____________

A0331 25901-0000 SOIL NAIL

700 LNFT $____________ $____________

A0341 25902-0000 SOIL NAIL RETAINING WALL

1,375 SQFT $____________ $____________

A0351 25903-0000 VERIFICATION TEST NAIL

2 EACH $____________ $____________

A0371 30101-2000 AGGREGATE BASE GRADING D

6,750 TON $____________ $____________

A0381 30402-5300 FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

14,550 SQYD $____________ $____________

A0401 40101-5600 ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH

NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

6,265 TON $____________ $____________

A0411 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

60 TON $____________ $____________

A0431 40601-0000 FOG SEAL

9 TON $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

A-8

A0441 41102-1000 PRIME COAT, METHOD 1

22,670 SQYD $____________ $____________

A0451 41105-0000 BLOTTER

31 TON $____________ $____________

A0461 41201-0000 TACK COAT

9 TON $____________ $____________

A0471 60201-0800 24-INCH PIPE CULVERT

275 LNFT $____________ $____________

A0481 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT

7 EACH $____________ $____________

A0491 60220-0350 4 FEET SPAN, 4 FEET RISE PRECAST REINFORCED CONCRETE BOX CULVERT

24 LNFT $____________ $____________

A0501 60404-0000 CATCH BASIN

1 EACH $____________ $____________

A0511 60409-0200 INLET TOP, METAL FRAME AND GRATE, FLH TYPE B

1 EACH $____________ $____________

A0521 60704-0000 CLEANING CULVERT IN PLACE

1 EACH $____________ $____________

A0531 60901-2300 CURB, ASPHALT, 6-INCH DEPTH

3,350 LNFT $____________ $____________

A0541 60908-1000 PAVED DITCH, ASPHALT

750 SQYD $____________ $____________

A0551 61701-4550 GUARDRAIL SYSTEM MGS, TYPE 2, CLASS A WOOD POSTS

550.00 LNFT $____________ $____________

A0561 61702-1500 TERMINAL SECTION, TYPE MGS TANGENT

3 EACH $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

A-9

A0571 61702-1600 TERMINAL SECTION, TYPE MGS FLARED

3 EACH $____________ $____________

A0581 61901-0100 FENCE, WOVEN WIRE

100 LNFT $____________ $____________

A0591 62201-0200 DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

30 HOUR $____________ $____________

A0601 62201-0550 BACKHOE LOADER, 6 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET,

24-INCH WIDTH

30 HOUR $____________ $____________

A0611 62201-0950 WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

30 HOUR $____________ $____________

A0621 62201-2850 MOTOR GRADER, 12 FOOT MINIMUM BLADE

30 HOUR $____________ $____________

A0631 62201-3350 HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

40 HOUR $____________ $____________

A0641 62301-0000 GENERAL LABOR

40 HOUR $____________ $____________

A0651 62302-1000 SPECIAL LABOR, HIRED TECHNICAL SERVICES

40 HOUR $____________ $____________

A0661 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

40 HOUR $____________ $____________

A0671 62511-2000 SEEDING, HYDRAULIC METHOD

5,500 SQYD $____________ $____________

A0681 62516-2000 MULCHING, HYDRAULIC METHOD

5,500 SQYD $____________ $____________

A0691 62520-0000 FERTILIZER

1.10 ACRE $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

A-10

A0701 62901-0700 ROLLED EROSION CONTROL PRODUCT, TYPE 2.C

2,600 SQYD $____________ $____________

A0711 63301-0000 SIGN SYSTEM

15 EACH $____________ $____________

A0721 63308-5000 OBJECT MARKER, TYPE CALTRANS TYPE P

12 EACH $____________ $____________

A0731 63309-0000 DELINEATOR

40 EACH $____________ $____________

A0741 63401-1500 PAVEMENT MARKINGS, TYPE H, SOLID

23,750 LNFT $____________ $____________

A0751 63405-0050 PAVEMENT MARKINGS, SYMBOLS

6 EACH $____________ $____________

A0761 63406-0400 RAISED PAVEMENT MARKER, PLOWABLE, BI-DIRECTIONAL REFLECTIVE

500 EACH $____________ $____________

A0771 63502-0600 TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

2 EACH $____________ $____________

A0781 63502-1050 TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

100 EACH $____________ $____________

A0791 63502-1300 TEMPORARY TRAFFIC CONTROL, DRUM

100 EACH $____________ $____________

A0801 63502-1400 TEMPORARY TRAFFIC CONTROL, VERTICAL PANEL

20 EACH $____________ $____________

A0811 63502-1600 TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE B

4 EACH $____________ $____________

A0821 63502-2000 TEMPORARY TRAFFIC CONTROL, PORTABLE CHANGEABLE MESSAGE SIGN

3 EACH $____________ $____________

A0831 63504-1000 TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

350.00 SQFT $____________ $____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

A-11

A0841 63505-1000 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

1.94 MILE $____________ $____________

A0851 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

1,200 HOUR $____________ $____________

A0861 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR

400 HOUR $____________ $____________

A0871 64620-0400 REMOVE AND RESET MAILBOX

1 EACH $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:A Schedule Type:Base

Project No:CA FLAP CR36(1)

Project Name:Hammonton-Smartsville Road

A-12 megan.mavis Typewritten Text Schedule A Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________ *See Page A-4 of this Solicitation for an explanation of how to bid this item.

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

X0001 15101-0000 MOBILIZATION

ALL LPSM $___LPSM_____ $____________

X0011 15206-0000 SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

0.140 MILE $____________ $____________

X0021 15215-5000 SURVEY AND STAKING, BOX CULVERT

1 EACH $____________ $____________

X0031 15216-2000 SURVEY AND STAKING, GRADE FINISHING STAKES

0.280 MILE $____________ $____________

X0041 15301-0000 CONTRACTOR QUALITY CONTROL

ALL LPSM $___LPSM_____ $____________

X0051 15401-0000 CONTRACTOR TESTING

ALL LPSM $___LPSM_____ $____________

X0061 15501-0000 CONSTRUCTION SCHEDULE

ALL LPSM $___LPSM_____ $____________

X0071 15702-1000 SOIL EROSION CONTROL, TEMPORARY DIVERSION CHANNEL

ALL LPSM $___LPSM_____ $____________

X0081 15705-0100 SOIL EROSION CONTROL, SILT FENCE

600 LNFT $____________ $____________

X0091 15705-1400 SOIL EROSION CONTROL, FIBER ROLL

135 LNFT $____________ $____________

X0101 20103-0000 CLEARING AND GRUBBING

2,100 SQYD $____________ $____________

X0111 20301-0400 REMOVAL OF BRIDGE

1 EACH $____________ $____________

X0121 20301-1900 REMOVAL OF PIPE CULVERT

1 EACH $____________ $____________

X0131 20301-2400 REMOVAL OF SIGN

7 EACH $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:CA FLAP CR36(1)

A-13

X0141 20301-3600 REMOVAL OF RAISED PAVEMENT MARKER

50 EACH $____________ $____________

X0151 20401-0000 ROADWAY EXCAVATION

1,180 CUYD $____________ $____________

X0161 20441-0000 WASTE

840 CUYD $____________ $____________

X0171 21101-1000 ROADWAY OBLITERATION, METHOD 1

200 SQYD $____________ $____________

X0181 25101-2200 PLACED RIPRAP, METHOD B, CLASS 2

5 CUYD $____________ $____________

X0191 25101-2300 PLACED RIPRAP, METHOD B, CLASS 3

25 CUYD $____________ $____________

X0201 30101-2000 AGGREGATE BASE GRADING D

1,800 TON $____________ $____________

X0221 30402-5300 FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

1,800 SQYD $____________ $____________

X0241 40101-5600 ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH

NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

1,050 TON $____________ $____________

X0251 40105-3000 ANTISTRIP ADDITIVE, TYPE 3

11 TON $____________ $____________

X0271 40601-0000 FOG SEAL

2 TON $____________ $____________

X0281 41102-1000 PRIME COAT, METHOD 1

3,700 SQYD $____________ $____________

X0291 41105-0000 BLOTTER

5 TON $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:CA FLAP CR36(1)

A-14

X0301 41201-0000 TACK COAT

2 TON $____________ $____________

X0311 60103-0000 CONCRETE, HEADWALL

2 EACH $____________ $____________

X0321 60201-0800 24-INCH PIPE CULVERT

85 LNFT $____________ $____________

X0331 60210-0800 END SECTION FOR 24-INCH PIPE CULVERT

2 EACH $____________ $____________

X0341 60220-3970 12 FEET SPAN, 5 FEET RISE, PRECAST REINFORCED CONCRETE BOX

CULVERT

58 LNFT $____________ $____________

X0351 60901-2300 CURB, ASPHALT, 6-INCH DEPTH

55 LNFT $____________ $____________

X0361 60902-1000 CURB AND GUTTER, CONCRETE, 12-INCH DEPTH

33 LNFT $____________ $____________

X0371 60908-1000 PAVED DITCH, ASPHALT

15 SQYD $____________ $____________

X0381 61701-4550 GUARDRAIL SYSTEM MGS, TYPE 2, CLASS A WOOD POSTS

50.00 LNFT $____________ $____________

X0391 61702-1500 TERMINAL SECTION, TYPE MGS TANGENT

3 EACH $____________ $____________

X0401 61702-1600 TERMINAL SECTION, TYPE MGS FLARED

1 EACH $____________ $____________

X0411 62302-1100 SPECIAL LABOR, HIRED SURVEY SERVICES

10 HOUR $____________ $____________

X0421 62511-2000 SEEDING, HYDRAULIC METHOD

1,000 SQYD $____________ $____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:CA FLAP CR36(1)

A-15

X0431 62516-2000 MULCHING, HYDRAULIC METHOD

1,000 SQYD $____________ $____________

X0441 62520-0000 FERTILIZER

0.20 ACRE $____________ $____________

X0451 63301-0000 SIGN SYSTEM

6 EACH $____________ $____________

X0461 63308-5000 OBJECT MARKER, TYPE CALTRANS TYPE P

4 EACH $____________ $____________

X0471 63309-0000 DELINEATOR

10 EACH $____________ $____________

X0481 63401-1500 PAVEMENT MARKINGS, TYPE H, SOLID

4,500 LNFT $____________ $____________

X0491 63405-0050 PAVEMENT MARKINGS, SYMBOLS

2 EACH $____________ $____________

X0501 63406-0400 RAISED PAVEMENT MARKER, PLOWABLE, BI-DIRECTIONAL REFLECTIVE

70 EACH $____________ $____________

X0511 63505-1000 TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

0.28 MILE $____________ $____________

X0521 63506-0500 TEMPORARY TRAFFIC CONTROL, FLAGGER

450 HOUR $____________ $____________

X0531 63506-0600 TEMPORARY TRAFFIC CONTROL, PILOT CAR

200 HOUR $____________ $____________

Submitted by:____________________________________ Schedule Total:____________

Bid Schedule Schedule:X Schedule Type:Options

Project No:CA FLAP CR36(1)

Project Name:Hammonton-Smartsville Road

A-16 megan.mavis Typewritten Text Schedule X Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________ *See Page A-4 of this Solicitation for an explanation of how to bid this item.

Bid Schedule Summary

Schedule Bid Total

Schedule A - Base(Page A - 1)

Schedule X - Option(Page A - 8)

Total - Schedules

Submitted By: ________________________________

Bid Schedule

Project No:CA FLAP CR36(1)

A-17

A-18

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

UNDER TRADE AGREEMENTS

It is understood and agreed that the materials and components listed in Subpart 25.1 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-19

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.

DTFH6815B00020

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

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

CORPORATE SURETY(IES) (Continued)

SURETY B

SURETY C

SURETY D

SURETY E

SURETY F

SURETY G

B-3

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S QUALIFICATIONS

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 Email Address

* Necessary for Government reporting purposes only County

To obtain a Dun & Street number, call 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:

Name

Percent of Business Owned

Years of Business Experience

(Include Individuals who have signatory / obligating authority on behalf of the agency)

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?