DTFH6816B00010.pdf

INVITATION FOR BID

SOLICITATION NUMBER: DTFH6816B00010

SOLICITATION TYPE: TOTAL SMALL BUSINESS SET-ASIDE

PROJECT NUMBER: AZ FTNP SAGU 12(1)

PROJECT NAME: KINNEY ROAD REHABILITATION

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 AZ FLAP SAGU 12(1)

LOCATION SAGUARO NATIONAL PARK

COUNTY PIMA COUNTY

STATE ARIZONA

LENGTH SCHEDULE A: 2.8 MILES

OPTIONS V AND W: 0.03 MILES EACH

OPTION X: 0.07 MILES

OPTION Y: 0.12 MILES

TABLE OF CONTENTS

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

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

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

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

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

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

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

Division 100 ........................................................................................................................... E-4 Division 150 ......................................................................................................................... E-22 Division 200 ......................................................................................................................... E-35 Division 300 ......................................................................................................................... E-39 Division 400 ......................................................................................................................... E-41 Division 500 ................................................................................................................. see FP-14 Division 600 ......................................................................................................................... E-44 Division 700 ......................................................................................................................... E-50

Appendix Appendix A ......................................................................................................... 404/401 Permit Appendix B……………………………………………………………………………Fire Plan

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

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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-7 and Certification Regarding Responsibility Matters (FAR 52.209-5), Pages B-8 and B-9.

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-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.

http://www.fbo.gov/ http://flh.fhwa.dot.gov/resources/pse/standard/ mailto:bob.rosenblatt@e-arc.com

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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(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 Certification. 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 MAY 24, 2016

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 regular mail, electronic commerce (email) or facsimile, 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 electronic commerce (email) 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) 963-336

Email Address to submit modifications to bids for this project is cflcontracts@dot.gov

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

A-iv

Subcontracting Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts.

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

Insurance requirements - See Subsection 107.05 of the FP-14.

http://www.ccr.gov/

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH6816B00010

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

04/29/2016

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.

AZ FTNP SAGU 12(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:

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS DIVISION

ATTN: Agnes Rysz

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 BLM 1840(1), BUTTE CREEK BRIDGE, 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 06/03/2016 (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

FEDERAL HIGHWAY ADMINISTRATION

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 :

• Hydraulic 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 $3,000,000.

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: Before preparing the bid, carefully read the Solicitation Provisions.

This Bid Proposal is comprised of one schedule and four options, as follows:

Schedule A – Kinney Road Rehabilitation, Pulverizing, Hot Asphalt, Concrete Paving, Option V and W – Access Road Rehabilitation, Pulverizing, Hot Asphalt, Concrete Paving, Parking Improvements and Drainage

Option X and Y - Access Road Rehabilitation, Pulverizing, Hot Asphalt, Concrete Paving, Parking Improvements and Drainage

• 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 line provided at the end of each Schedule/Option and the summary page at the end of the bid schedule.

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.

Evaluation Factors for Award

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

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 120 days after contract award, per FAR clause 52.217-7, Option for Increased Quantity- Separately Priced Line Item (MAR 1989).

A-5

GOVERNMENT LABORATORY

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 Page A-6 in Schedule A (and subsequently in Option V, W, X and Y) bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory. As part of Schedule A and Options V, W, X and Y, the price for this alternative item will be included in the "Schedule A/V/W/X/Y Total" lines on Pages A-10, A-12, A-13, A-15 and A-17 of the Bid Schedule and, therefore, included in the evaluation for award.

Bidders must also provide a stand-alone price for Schedule A (page A-10), Option V (page A-12), Option W (page A-13), Option X (page A-15) and Option Y (page A-17) 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.

B I D S C H E D U L E Schedule A

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

15101-0000

Line A0020 ALL LPSM $

15206-0000

Line A0040 0.300 MILE $ $

15210-3000

Line A0060 2.700 MILE $ $

15215-1000

Line A0080 1 EACH $ $

15215-3000

Line A0100 4 EACH $ $

15215-7000

Line A0120 6 EACH $ $

15216-2000

Line A0140 0.500 MILE $ $

15301-0000

Line A0160 ALL LPSM $

15401-0000

Line A0180 ALL LPSM $

15501-0000

Line A0200 ALL LPSM $

15705-1400

Line A0220 880 LNFT $ $

15706-1100

Line A0240 5 EACH $ $

15706-1900

Line A0260 100 EACH $ $

15802-0000

Line A0280 ALL LPSM $

20206-0000

Line A0300 2,600 SQYD $ $

20301-1200

Line A0320 1 EACH $ $

20301-1900

Line A0340 10 EACH $ $

MOBILIZATION

SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, APPROACH ROAD

SURVEY AND STAKING, DRAINAGE STRUCTURE

SURVEY AND STAKING, PARKING AREA

SOIL EROSION CONTROL, LOG DAM

WATERING FOR DUST CONTROL

SELECTIVE CLEARING AND GRUBBING

SURVEY AND STAKING, GRADE FINISHING STAKES

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, FIBER ROLL

SOIL EROSION CONTROL, INLET PROTECTION TYPE A

REMOVAL OF HEADWALL

REMOVAL OF PIPE CULVERT

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Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

20301-2300

Line A0360 50 EACH $ $

20301-2400

Line A0380 25 EACH $ $

20301-3400

Line A0400 18 EACH $ $

20401-0000

Line A0420 1,200 CUYD $ $

20430-1000

Line A0440 550 LNFT $ $

20441-0000

Line A0460 175 CUYD $ $

20443-0000

Line A0480 40 LNFT $ $

21101-1000

Line A0500 1,300 SQYD $ $

25101-2200

Line A0520 1,050 CUYD $ $

25101-2300

Line A0540 400 CUYD $ $

25110-2300

Line A0560 20 CUYD $ $

25125-0000

Line A0580 10 EACH $ $

30201-2000

Line A0600 550 CUYD $ $

30202-2000

Line A0620 120 TON $ $

30402-5300

Line A0640 38,000 SQYD $ $

40105-3000

Line A0660 60 TON $ $

40301-0100

Line A0680 6,100 TON $ $

ROADWAY AGGREGATE, METHOD 2

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ANTISTRIP ADDITIVE, TYPE 3

REMOVAL OF SIGN

REMOVAL OF WHEELSTOP

ROADWAY EXCAVATION

ROADWAY OBLITERATION, METHOD 1

PLACED RIPRAP, METHOD B, CLASS 2

PLACED RIPRAP, METHOD B, CLASS 3

GROUTED RIPRAP, METHOD B, CLASS 3

BOULDER

ROADWAY AGGREGATE, METHOD 2 (recycled pulverized asphalt)

SHOULDER, EXCAVATION

WASTE

BERMS

REMOVAL OF SIGN/MARKER

ASPHALT CONCRETE PAVEMENT, TYPE 1

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Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

41101-1000

Line A0700 45 TON $ $

41105-0000

Line A0720 55 TON $ $

41201-0000

Line A0740 16 TON $ $

41801-1000

Line A0760 15 SQYD $ $

41801-2000

Line A0780 180 SQYD $ $

50101-0600

Line A0800 125 SQYD $ $

50101-0800

Line A0820 1,150 SQYD $ $

55401-1000

Line A0840 8,400 LB $ $

60101-0000

Line A0860 110 CUYD $ $

60103-1920

Line A0880 1 EACH $ $

60201-0800

Line A0900 45 LNFT $ $

60201-1400

Line A0920 90 LNFT $ $

60202-0400

Line A0940 25 LNFT $ $

60202-1200

Line A0960 85 LNFT $ $

60210-0800

Line A0980 2 EACH $ $

60211-0800

Line A1000 3 EACH $ $

60704-0000

Line A1020 10 EACH $ $

TACK COAT

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 1

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2

MINOR CONCRETE PAVEMENT, REINFORCED, 6-INCH DEPTH

MINOR CONCRETE PAVEMENT, REINFORCED, 8-INCH DEPTH

REINFORCING STEEL

PRIME COAT, METHOD 1

BLOTTER

END SECTION FOR 24-INCH PIPE CULVERT

END SECTION FOR 24-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

CLEANING CULVERT IN PLACE

CONCRETE

CONCRETE, HEADWALL FOR 24-INCH EQUIVALENT DIAMETER PIPE CULVERT

24-INCH PIPE CULVERT

60-INCH PIPE CULVERT

24-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

72-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

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Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

60901-1000

Line A1040 195 LNFT $ $

60901-1300

Line A1060 200 LNFT $ $

60915-1000

Line A1080 15 EACH $ $

61505-1000

Line A1100 1 EACH $ $

61801-0000

Line A1120 1,000 LNFT $ $

62201-0100

Line A1140 20 HOUR $ $

62201-0550

Line A1160 20 HOUR $ $

62201-0850

Line A1180 20 HOUR $ $

62201-3000

Line A1200 30 HOUR $ $

62302-1100

Line A1220 40 HOUR $ $

62405-0300

Line A1240 260 SQYD $ $

63301-0000

Line A1260 25 EACH $ $

63308-2000

Line A1280 55 EACH $ $

63308-3000

Line A1300 10 EACH $ $

63401-0300

Line A1320 60,600 LNFT $ $

63401-0400

Line A1340 100 LNFT $ $

63502-0600

Line A1360 4 EACH $ $

CURB, CONCRETE, 12-INCH DEPTH

CURB, CONCRETE, 15-INCH DEPTH

WHEELSTOP, CONCRETE

SPECIAL LABOR, HIRED SURVEY SERVICES

PLACING CONSERVED TOPSOIL, 4-INCH DEPTH

SIGN SYSTEM

OBJECT MARKER, TYPE 2

OBJECT MARKER, TYPE 3

PAVEMENT MARKINGS, TYPE B, SOLID

ACCESSIBILITY RAMP, CONCRETE

CONCRETE BARRIER

DUMP TRUCK, 6 CUBIC YARD MINIMUM CAPACITY

BACKHOE LOADER, 6 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET, 24-INCH WIDTH

WHEEL LOADER, 1 CUBIC YARD MINIMUM RATED CAPACITY

HYDRAULIC EXCAVATOR

PAVEMENT MARKINGS, TYPE B, BROKEN

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

A-9

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

63502-1050

Line A1380 120 EACH $ $

63502-1300

Line A1400 120 EACH $ $

63502-2000

Line A1420 2 EACH $ $

63504-1000

Line A1440 275 SQFT $ $

63505-1000

Line A1460 12.0 MILE $ $

63506-0500

Line A1480 2,300 HOUR $ $

63507-0600

Line A1500 50 DAY $ $

63602-6000

Line A1520 1 EACH $ $

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

TEMPORARY TRAFFIC CONTROL, FLAGGER

TEMPORARY TRAFFIC CONTROL, PILOT CAR

SYSTEM INSTALLATION, TRAFFIC DETECTOR SYSTEM

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, PORTABLE CHANGEABLE MESSAGE SIGN

TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

A-10

Submitted by:_______________________ Schedule A Total:_____________________

Schedule A Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________ *See Page A-5 of this Solicitation for an explanation of how to bid this item.

Option V

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

15101-0000

Line V0020 ALL LPSM $

15210-3000

Line V0040 0.200 MILE $ $

15215-7000

Line V0060 1 EACH $ $

15301-0000

Line V0080 ALL LPSM $

15401-0000

Line V0100 ALL LPSM $

15501-0000

Line V0120 ALL LPSM $

15701-0000

Line V0140 ALL LPSM $

15802-0000

Line V0160 ALL LPSM $

20301-2400

Line V0180 2 EACH $ $

30202-2000

Line V0200 20 TON $ $

30402-5300

Line V0220 5,300 SQYD $ $

40105-3000

Line V0240 10 TON $ $

40301-0100

Line V0260 900 TON $ $

41101-1000

Line V0280 7 TON $ $

41105-0000

Line V0300 8 TON $ $

41201-0000

Line V0320 3 TON $ $

50101-2600

Line V0340 100 SQYD $ $

MOBILIZATION

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, PARKING AREA

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

ASPHALT CONCRETE PAVEMENT, TYPE 1

PRIME COAT, METHOD 1

BLOTTER

SOIL EROSION CONTROL

WATERING FOR DUST CONTROL

REMOVAL OF SIGN

ROADWAY AGGREGATE, METHOD 2

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ANTISTRIP ADDITIVE, TYPE 3

TACK COAT

MINOR CONCRETE PAVEMENT, PLAIN, 6-INCH DEPTH

A-11

Option V

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

60405-0000

Line V0360 2 EACH $ $

63301-0000

Line V0380 2 EACH $ $

63401-0300

Line V0400 2,600 LNFT $ $

63405-0050

Line V0420 9 EACH $ $

63406-0000

Line V0440 2 EACH $ $

63502-1050

Line V0460 20 EACH $ $

63502-1300

Line V0480 20 EACH $ $

63506-0500

Line V0500 16 HOUR $ $

SIGN SYSTEM

PAVEMENT MARKINGS, TYPE B, SOLID

PAVEMENT MARKINGS, SYMBOLS

TEMPORARY TRAFFIC CONTROL, FLAGGER

RAISED PAVEMENT MARKER

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

TEMPORARY TRAFFIC CONTROL, DRUM

MANHOLE ADJUSTMENT

A-12

Submitted by:_______________________ Option V Total: _____________________

Option V Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________

Option W

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

15101-0000

Line W0020 ALL LPSM $

15210-3000

Line W0040 0.200 MILE $ $

15215-7000

Line W0060 1 EACH $ $

15301-0000

Line W0080 ALL LPSM $

15401-0000

Line W0100 ALL LPSM $

15501-0000

Line W0120 ALL LPSM $

15701-0000

Line W0140 ALL LPSM $

15802-0000

Line W0160 ALL LPSM $

20301-2400

Line W0180 2 EACH $ $

40901-2000

Line W0200 5,250 SQYD $ $

41401-2000

Line W0220 2,650 LNFT $ $

63301-0000

Line W0240 2 EACH $ $

63401-0300

Line W0260 2,600 LNFT $ $

63405-0050

Line W0280 9 EACH $ $

63406-0000

Line W0300 2 EACH $ $

63502-1050

Line W0320 20 EACH $ $

63502-1300

Line W0340 20 EACH $ $

MOBILIZATION

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, PARKING AREA

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

PAVEMENT MARKINGS, TYPE B, SOLID

PAVEMENT MARKINGS, SYMBOLS

RAISED PAVEMENT MARKER

SOIL EROSION CONTROL

WATERING FOR DUST CONTROL

REMOVAL OF SIGN

MICRO SURFACING, TYPE 2

CRACKS, CLEANING AND SEALING

SIGN SYSTEM

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

TEMPORARY TRAFFIC CONTROL, DRUM

A-13

Option W Total: _____________________

*See Page A-5 of this Solicitation for an explanation of

Submitted by:_______________________ Option W Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________ how to bid this item.

Option X

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

15101-0000

Line X0020 ALL LPSM $

15210-3000

Line X0040 0.200 MILE $ $

15215-7000

Line X0060 2 EACH $ $

15301-0000

Line X0080 ALL LPSM $

15401-0000

Line X0100 ALL LPSM $

15501-0000

Line X0120 ALL LPSM $

15701-0000

Line X0140 ALL LPSM $

15802-0000

Line X0160 ALL LPSM $

20301-2400

Line X0180 1 EACH $ $

20301-3400

Line X0200 12 EACH $ $

30402-5300

Line X0220 1,900 SQYD $ $

40105-3000

Line X0240 4 TON $ $

40301-0100

Line X0260 350 TON $ $

40901-2000

Line X0280 550 SQYD $ $

41101-1000

Line X0300 3 TON $ $

41105-0000

Line X0320 3 TON $ $

41201-0000

Line X0340 1 TON $ $

BLOTTER

TACK COAT

MOBILIZATION

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, PARKING AREA

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

ASPHALT CONCRETE PAVEMENT, TYPE 1

MICRO SURFACING, TYPE 2

PRIME COAT, METHOD 1

SOIL EROSION CONTROL

WATERING FOR DUST CONTROL

REMOVAL OF SIGN

REMOVAL OF WHEELSTOP

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ANTISTRIP ADDITIVE, TYPE 3

A-14

Option X

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

41401-2000

Line X0360 420 LNFT $ $

60405-0000

Line X0380 2 EACH $ $

60915-1000

Line X0400 12 EACH $ $

63301-0000

Line X0420 1 EACH $ $

63401-0300

Line X0440 1,100 LNFT $ $

63405-0050

Line X0460 1 EACH $ $

63406-0000

Line X0480 2 EACH $ $

63502-1050

Line X0500 25 EACH $ $

63505-1000

Line X0520 1.0 MILE $ $

63506-0500

Line X0540 70 HOUR $ $

PAVEMENT MARKINGS, TYPE B, SOLID

PAVEMENT MARKINGS, SYMBOLS

RAISED PAVEMENT MARKER

CRACKS, CLEANING AND SEALING

MANHOLE ADJUSTMENT

WHEELSTOP, CONCRETE

SIGN SYSTEM

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

TEMPORARY TRAFFIC CONTROL, FLAGGER

A-15

Submitted by:_______________________ Option X Total: _____________________

Option X Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________

Option Y

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

15101-0000

Line Y0020 ALL LPSM $

15210-3000

Line Y0040 0.300 MILE $ $

15215-7000

Line Y0060 2 EACH $ $

15301-0000

Line Y0080 ALL LPSM $

15401-0000

Line Y0100 ALL LPSM $

15501-0000

Line Y0120 ALL LPSM $

15701-0000

Line Y0140 ALL LPSM $

15802-0000

Line Y0160 ALL LPSM $

20301-3400

Line Y0180 12 EACH $ $

30402-5300

Line Y0200 1,600 SQYD $ $

40105-3000

Line Y0220 4 TON $ $

40301-0100

Line Y0240 300 TON $ $

40901-2000

Line Y0260 3,450 SQYD $ $

41101-1000

Line Y0280 3 TON $ $

41105-0000

Line Y0300 2 TON $ $

41201-0000

Line Y0320 1 TON $ $

41401-2000

Line Y0340 1,580 LNFT $ $

MOBILIZATION

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, PARKING AREA

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

MICRO SURFACING, TYPE 2

PRIME COAT, METHOD 1

BLOTTER

SOIL EROSION CONTROL

WATERING FOR DUST CONTROL

REMOVAL OF WHEELSTOP

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ANTISTRIP ADDITIVE, TYPE 3

ASPHALT CONCRETE PAVEMENT, TYPE 1

TACK COAT

CRACKS, CLEANING AND SEALING

A-16

Option Y

Project No: AZ FTNP SAGU 12(1)

Name: Kinney Road

Item No. Quantity Unit Unit Price Amount

60405-0000

Line Y0360 2 EACH $ $

60915-1000

Line Y0380 12 EACH $ $

63401-0300

Line Y0400 500 LNFT $ $

63405-0050

Line Y0420 1 EACH $ $

63406-0000

Line Y0440 3 EACH $ $

63502-1050

Line Y0460 35 EACH $ $

63505-1000

Line Y0480 1.0 MILE $ $

63506-0500

Line Y0500 70 HOUR $ $

WHEELSTOP, CONCRETE

PAVEMENT MARKINGS, TYPE B, SOLID

PAVEMENT MARKINGS, SYMBOLS

TEMPORARY TRAFFIC CONTROL, FLAGGER

RAISED PAVEMENT MARKER

TEMPORARY TRAFFIC CONTROL, TUBULAR MARKER

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

MANHOLE ADJUSTMENT

A-17

Submitted by:_______________________ Option Y Total: _____________________

Option Y Alternate Bid Item 15401-0000, Contractor Testing (Government furnished lab trailer)* $_________________ *See Page A-5 of this Solicitation for an explanation of how to bid this item.

Bid Schedule Summary

Bid Total

Schedule A- Base (A-10)_________________________________________ Schedule V - Option (A-12) ______________________________________ Schedule W- Option (A-13) ______________________________________ Schedule X - Option (A-15) ______________________________________ Schedule Y - Option (A-17) ______________________________________

TOTAL A+V+W+X+Y: _________________________________

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.

DTFH68-16-B-00010

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.

(Seal)

3.

(Seal) Corporate

Seal NAMES(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

1.

(Seal)

2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY A

SIGNATURE(S)

1. 2.

Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

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)

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY B SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY C SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY D SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY E SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY F SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT

SURETY G SIGNATURE(S)

1. 2. Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

1. 2.

B-3

FEDERAL HIGHWAY ADMINISTRATION

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.

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)

B-6

Project Name and Contract Numbers

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

Scope of Work Performed

Original and Final Contract Amounts

Original and Final Completion Dates

Names of On-site Project Manager and Superintendent

Name of Surety

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

B-7

Solicitation Provisions

52.203-98, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements-Representation (DEVIATION 2015-02)

(a) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Resolution Appropriations Act, 2015 (Pub. L. 113-235), Government agencies are not permitted to use funds appropriated (or otherwise made available) under that or any other Act for contracts with an entity that requires employees or subcontractors of such entity seeking to report fraud, waste, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a…