DTFH6817B00008_Buchanan_Road_IFB.pdf

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CA FLAP 460507(1), Buchanan Road Federal contract opportunity
Solicitation number
DTFH6817B00008
Issued by
Department of Transportation Federal Highway Administration

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Bid_Opening_Summary_One_Schedule.pdf PDF
DTFH6817B00008_Questions_and_Answers_8-28-17.pdf PDF
Amendment_A002.pdf PDF
DTFH6817B00008_8-18-17_Questions_and_Answers.pdf PDF
Amendment_A001.pdf PDF
Buchanan_CADD_files.zip ZIP file
Buchanan_Plans.pdf PDF
Cross_Sections.pdf PDF
2012-08-13_Buchanan_Road_Final_Hydraulics_Report.pdf PDF
2012-09-12_Buchanan_Road_Geotechnical_Report.pdf PDF
2017-03-30_Final_Pavement_Report_Buchanan_Rd_and_Fish_Hatchery_Rd_update.pdf PDF
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INVITATION FOR BID

SOLICITATION NUMBER: DTFH6817B00008

SOLICITATION TYPE: FULL AND OPEN COMPETITION (UNRESTRICTED)

PROJECT NUMBER: CA FLAP 460507(1)

PROJECT NAME: BUCHANAN ROAD

BID OPENING DATE:

See Page A-1, Item 13A

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

Federal Highway Projects, FP-03 US Customary Units

ISSUING OFFICE:

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 360

LAKEWOOD, CO 80228

Web site: http://www.fbo.gov E-mail: CFLContracts@dot.gov

PROJECT CA FLAP 460507(1)

LOCATION STANISLAUS NATIONAL FOREST

COUNTY TUOLUMNE COUNTY

STATE CALIFORNIA

LENGTH SCHEDULE A: 2.543 MILES

TYPE OF IMPROVEMENT ROADWAY RECONSTRUCTION,

ASPHALT SURFACING, AGGREGATE

BASE, RETAINING WALLS, DRAINAGE,

AND BRIDGE REPLACEMENT

TABLE OF CONTENTS

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

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

Basis for Award and Bid Schedule ................................................................................ A-5

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

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

Construction Wage Rate Requirement ............................................................................ D-1

Division 100 ..................................................................................................................... E-2 Division 150 ................................................................................................................... E-27 Division 200 ................................................................................................................... E-56 Division 300 ................................................................................................................... E-81 Division 400 ................................................................................................................... E-82 Division 500 ................................................................................................................. E-113 Division 600 ................................................................................................................. E-132 Division 700 ................................................................................................................. E-145

APPENDICES

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

Appendix B .......................................................................................................... 401 Permit

Appendix C .......................................................................................................... 404 Permit

Appendix D ................................................................................................... NPDES Permit

Appendix E ......................................................................................... Encroachment Permit

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

SPECIAL CONTRACT REQUIREMENTS (SCRs)

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

NOTICE TO BIDDERS

A-i

ATTENTION LARGE BUSINESSES: A SUBCONTRACTING PLAN SHOULD BE

SUBMITTED WITH YOUR BID. SEE APPENDIX FOR SAMPLE PLAN.

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

Submit the following documents with your Bid Package–

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

Indication of interest in formal Partnering, Page A-5

Bid Schedule including Buy American Act & Hazardous Materials, Pages A-6 through A-14

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

Completed the VETS-4212 declaration, Page A-ii; Bidders’ Information, Pages B-3 through B-6.

Annual Representations and Certifications (FAR Provision 52.204-8) and Certification Regarding Responsibility Matters (FAR Provision 52.209-5).

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

If you are a long business, did you submit your subcontracting plan? See Appendix for sample.

Bidders should retain all other pages for their information. Bids should be submitted in a sealed enveloped and include the Contractor’s Name, Solicitation Number and the Project Number/Name.

I. PRE-BID INFORMATION

It is the responsibility of the bidder to verify that this solicitation document, including the plans, are complete as listed in the table of contents and the index to sheets. Plan sheets can be found at http://www.fbo.gov and viewed by individual sections, downloaded by individual sections, or the entire plan set downloaded in a zip file. Physical data relevant to this solicitation may also be viewed or downloaded at the above site.

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

The FP-03 was utilized for the design of this project. Paper copies of the FP-03 will not be provided

A-ii to bidders or the awarded Prime Contractor. The FP-03 is available electronically at https://flh.fhwa.dot.gov/resources/specs/ . A single paper copy can be obtained from the Research & Technology Distribution Center (RTPDC) by email report.center@dot.gov .

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 http://farsite.hill.af.mil/vffara.htm.

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. The System for Award Management (SAM) is the Official U.S. Government system that consolidated the capabilities of CCR/FedReg, ORCA, and EPLS. Please include NAICS 237310 in 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 2016 and has complied with the reporting requirements.

My firm did not have a qualifying Federal Contract in 2016 and is therefore exempt from the reporting requirements

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

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

A qualified HUBZone SBC receiving a contract under this solicitation for general construction must:

A-iii

(i) At least 15 percent of the cost of contract performance to be incurred for personnel will be spent on the prime contractor’s employees;

(ii) At least 50 percent of the cost of the contract performance to be incurred for personnel will be spent on the prime contractor’s employees or on a combination of the prime contractor’s employees and employees of HUBZone small business concern subcontractors;

(iii) No more than 50 percent of the cost of contract performance to be incurred for personnel will be subcontracted to concerns that are not HUBZone small business concerns;

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

102.03 of the FP-03. Bid bonds must be originals and have original signatures and corporate seals.

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

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

http://osdbuweb.dot.gov.

Accuracy and Completeness of Bid- The Contractor is fully responsible to verify that all data is correct when an offer is submitted. Failure to properly update your data may cause the offer to be rejected.

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

TECHNICAL QUESTIONS REGARDING THIS SOLICITATION WILL NOT BE

ACCEPTED AFTER 4 P.M. ON AUGUST 25, 2017

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) 963-3360

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

A-iv

II. POST AWARD INFORMATION

CFLHD will no longer be providing paper copies of the conformed contract to the Awarded Prime Contractor.

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. 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. We are requesting the you submit your subcontracting plan with your bid to expedite the award process.

Prime Contractors, who are large businesses, are encouraged to post sources sought notices at the Small Business Administration’s Subcontracting Network (SUB-NET) http://web.sba.gov/subnet/ so that small businesses can identify opportunities in their areas of expertise. The use of SUB-Net fulfills the requirements set forth in Federal Acquisition Regulation (FAR) 5.206, Notice of Subcontracting Opportunities, for contractors and subcontractors to post notices and thereby increase competition for subcontracts. A list of currently known business concerns owned and controlled by socially and economically disadvantaged individuals and/or women-owned small business concerns that have indicated an interest in participating in highway construction is available at http://www.sam.gov. See Appendix E for Sample Small Business Subcontracting Plan.

NOTE:

Consider the following FHWA small business goals in development of Subcontracting plans and efforts:

FHWA Small Business Goals (As of FY 2017) Business Size Goal (%)

SB 50.0%

SDB 5.0%

HUBZone 3.0%

WOSB 5.0%

SDVOSB 3.0%

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

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH6817B00008

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

8/2/17

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 460507(1)

7. ISSUED BY:

CENTRAL FEDERAL LANDS DIVISION

12300 WEST DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CODE: 69050001 8. ADDRESS OFFER TO:

Jeremiah Rogers, Contract Specialist Federal Highway Administration Central Federal Lands Division Office 12300 W. Dakota Avenue Lakewood, CO 80228

9. FOR INFORMATION CALL

SEE PAGE A-3

A. NAME:

SEE PAGE A-3

B. TELEPHONE NO. (Include area code)

SEE PAGE A-3

SOLICITATION

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

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

ROADWAY CONSTRUCTION PROJECT IN STRICT ACCORDANCE WITH:

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

2. DEPARTMENT OF LABOR, CONSTRUCTION WAGE RATE REQUIREMENT RATES

3. SPECIAL CONTRACT REQUIREMENTS

4. PLANS

5. BID SCHEDULE

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

PROJECTS, FP-03, U.S. CUSTOMARY UNITS

7. SUBCONTRACTING PLAN (IF APPLICABLE)

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

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

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

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

12B. CALENDAR DAYS

13. ADDITIONAL SOLICITATION REQUIREMENTS:

A. Sealed offers in original and 0 copies to perform the work required are due at the place specified in Item 8. by 2:00 p.m. (hour) local time on 9/1/2017 (date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

B. An offer guarantee is is not required.

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

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

NSN 7540-01-155-3212 1442-102 STANDARD FORM 1442 (REV. 4-85)

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

X

X

X

X

X

A-2

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

OFFEROR (Must be fully completed by offeror)

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

15. TELEPHONE NO. (Include area code)

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

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)( )

26. ADMINISTERED BY CODE:

27. PAYMENT WILL BE MADE BY

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

12300 W. DAKOTA AVENUE, SUITE 167

LAKEWOOD, COLORADO 80228

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

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

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

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

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award.

No further contractual document is necessary.

30A. NAME AND TITLE OF CONTRACTOR OR PERSON

AUTHORIZED TO SIGN (Type or print)

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

30B. SIGNATURE

30C. DATE 31B. UNITED STATES OF AMERICA

BY

31C. AWARD

DATE

A-3

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

Item 9: FOR GENERAL INFORMATION: E-mail us at CFLContracts@dot.gov.

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

FOR PHYSICAL DATA: The following data is available electronically with this solicitation at:

Geotech Report

Pavements Memorandum

Hydraulic Report

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

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

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

Item 13B: BID BOND AMOUNT: See FAR Provision 52.228-1 Bid Guarantee

(Provisions begin on Page B-1) and Subsection 102.03 Bid Guarantee of the FP-03. All bid guarantees must have original signatures with original corporate seals.

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

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

DESIGNATED DATE AND HOUR SPECIFIED IN THE SOLICITATION

MAY RESULT IN REJECTION OF YOUR BID. If amendments are issued, they will be posted to www.fbo.gov.

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

FP-03.

ESTIMATED

PRICE: The price range of the project work is between $15 and $20 million.

A-4

Bid Schedule Instructions

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

Pay Item 15401-0000, Contractor testing

Bidders must also provide a price on the alternative Contractor Testing pay item.

Bidders must provide a price for Contractor Testing using a Contractor-furnished field laboratory in the bid schedule. The price for this item will be included in the Construction Cost Total and, therefore, included in the evaluation for award.

Bidders must also provide a price on the last page of the 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.

Both items include contractor testing. The one in the schedule assumes you will use your own testing laboratory. The alternative bid item. at the end of the bid schedule, is ALSO to provide contractor testing, however this item will use the CFLHD provided laboratory. See section 154.

The Government retains the discretion to award a contract which includes either of the alternative Contractor Testing items at the respective bid price.

A-5

Basis for Award

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

Accordingly, award of contract, if made, will be made to the lowest responsive, responsible bidder, if funds are available.

Partnering

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

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

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

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

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

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

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

B I D S C H E D U L E Schedule A Account: ALL

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000 Line A0100 ALL LPSM $

15206-0000 Line A0150 100.560 STA $ $

15210-3000 Line A0200 32.000 STA $ $

15214-1000 Line A0250 ALL LPSM $

15214-2000 Line A0300 ALL LPSM $

15215-1000 Line A0350 22 EACH $ $

15215-3000 Line A0400 52 EACH $ $

15215-7000 Line A0450 1 EACH $ $

15216-2000 Line A0500 201.120 STA $ $

15301-0000 Line A0550 ALL LPSM $

15401-0000 Line A0600 ALL LPSM $

15501-0000 Line A0650 ALL LPSM $

15703-2000 Line A0700 6.0 ACRE $ $

15705-0100 Line A0750 8,700 LNFT $ $

15705-1500 Line A0800 13,500 LNFT $ $

15706-0200 Line A0850 270 EACH $ $

15706-1000 Line A0900 5 EACH $ $

15802-0000 Line A0950 ALL LPSM $

20101-0000 Line A1000 21.0 ACRE $ $

Schedule Total: ________________________

Submitted by: _________________________

SOIL EROSION CONTROL, CHECK DAM

SOIL EROSION CONTROL, INLET PROTECTION

WATERING FOR DUST CONTROL

MOBILIZATION

SLOPE, REFERENCE, AND CLEARING AND GRUBBING STAKE

CENTERLINE, VERIFICATION AND STAKING

SURVEY AND STAKING, BRIDGE

SURVEY AND STAKING, RETAINING WALL

SURVEY AND STAKING, APPROACH ROAD

CLEARING AND GRUBBING

SOIL EROSION CONTROL, TEMPORARY TURF ESTABLISHMENT

SOIL EROSION CONTROL, SILT FENCE

SOIL EROSION CONTROL, SEDIMENT WATTLE

SURVEY AND STAKING, DRAINAGE STRUCTURE

SURVEY AND STAKING, PARKING AREA

SURVEY AND STAKING, GRADE FINISHING STAKES

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING (using a Contractor furnished laboratory)

CONSTRUCTION SCHEDULE

Jeremiah.Rogers Typewritten Text A-6

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

20304-1000 Line A1050 ALL LPSM $

20401-0000 Line A1100 107,000 CUYD $ $

20402-0000 Line A1150 1,000 CUYD $ $

20420-0000 Line A1200 13,000 CUYD $ $

20441-0000 Line A1250 78,000 CUYD $ $

20708-0000 Line A1300 23,000 SQYD $ $

20801-0000 Line A1350 104 CUYD (CQ) $ $

20810-0000 Line A1400 ALL LPSM $

20820-0000 Line A1450 ALL LPSM $

21101-1000 Line A1500 1,300 SQYD $ $

25101-2000 Line A1550 110 CUYD $ $

25101-3000 Line A1600 20 CUYD $ $

25125-0000 Line A1650 30 EACH $ $

25205-0000 Line A1700 120 CUYD $ $

25501-0000 Line A1750 18,000 SQFT $ $

25801-0100 Line A1800 15 SQFT $ $

25801-0200 Line A1850 104 SQFT $ $

25801-0300 Line A1900 214 SQFT $ $

25801-0400 Line A1950 99 SQFT $ $

REINFORCED CONCRETE RETAINING WALL, 8 FEET

REINFORCED CONCRETE RETAINING WALL, 10 FEET

MECHANICALLY STABILIZED EARTH WALL

REINFORCED CONCRETE RETAINING WALL, 4 FEET

REINFORCED CONCRETE RETAINING WALL, 6 FEET

DEWATERING

ROADWAY OBLITERATION, METHOD 1

PLACED RIPRAP, CLASS 2

SUBEXCAVATION

EMBANKMENT CONSTRUCTION (RSS)

WASTE

PLACED RIPRAP, CLASS 3

BOULDER

ROCK BUTTRESS

REMOVAL OF STRUCTURES AND OBSTRUCTIONS

ROADWAY EXCAVATION

GEOSYNTHETIC REINFORCEMENT

STRUCTURE EXCAVATION

SHORING AND BRACING

Jeremiah.Rogers

A-7

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

25801-0500 Line A2000 623 SQFT $ $

25801-0600 Line A2050 321 SQFT $ $

25801-0800 Line A2100 218 SQFT $ $

25801-1000 Line A2150 281 SQFT $ $

30101-0000 Line A2200 14,000 TON $ $

30302-1000 Line A2250 1,600 LNFT $ $

30306-4000 Line A2300 9,100 SQYD $ $

30503-0000 Line A2350 650 CUYD $ $

30802-2000 Line A2400 110 TON $ $

40101-5600 Line A2450 9,000 TON $ $

40105-3000 Line A2500 88 TON $ $

40920-0000 Line A2550 20 TON $ $

41103-0000 Line A2600 41,400 SQYD $ $

41105-0000 Line A2650 60 TON $ $

41201-0000 Line A2700 20 TON $ $

55201-0200 Line A2750 460 CUYD (CQ) $ $

55302-3200 Line A2800 670 LNFT $ $

55401-1000 Line A2850 60,850 LB (CQ) $ $

55401-2000 Line A2900 78,590 LB (CQ) $ $

PRECAST, PRESTRESSED CONCRETE GIRDERS

REINFORCING STEEL

REINFORCING STEEL, EPOXY COATED

ANTISTRIP ADDITIVE, TYPE 3

FOG SEAL

PRIME COAT

BLOTTER

TACK COAT

STRUCTURAL CONCRETE, CLASS A (AE)

AGGREGATE BASE

DITCH RECONDITIONING

PULVERIZING, 8-INCH DEPTH

AGGREGATE-TOPSOIL COURSE

ROADWAY AGGREGATE, METHOD 2

SUPERPAVE PAVEMENT, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

REINFORCED CONCRETE RETAINING WALL, 12 FEET

REINFORCED CONCRETE RETAINING WALL, 14 FEET

REINFORCED CONCRETE RETAINING WALL, 16 FEET

REINFORCED CONCRETE RETAINING WALL, 18 FEET

Jeremiah.Rogers

A-8

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

55601-0900 Line A2950 609 LNFT (CQ) $ $

56401-1000 Line A3000 24 EACH $ $

56501-0300 Line A3050 250 LNFT $ $

56501-0300 Line A3100 24 LNFT $ $

56501-0600 Line A3150 35 LNFT $ $

60103-0000 Line A3200 7 EACH $ $

60103-0000 Line A3250 22 EACH $ $

60201-0600 Line A3300 500 LNFT $ $

60201-0800 Line A3350 2,350 LNFT $ $

60201-0900 Line A3400 190 LNFT $ $

60201-1000 Line A3450 170 LNFT $ $

60201-1100 Line A3500 140 LNFT $ $

60210-0600 Line A3550 7 EACH $ $

60210-0800 Line A3600 18 EACH $ $

60210-0900 Line A3650 2 EACH $ $

60210-1000 Line A3700 1 EACH $ $

60210-1100 Line A3750 1 EACH $ $

60212-0800 Line A3800 4 EACH $ $

60212-1000 Line A3850 1 EACH $ $

END SECTION FOR 36-INCH PIPE CULVERT

END SECTION FOR 42-INCH PIPE CULVERT

ELBOW, 24-INCH

ELBOW, 36-INCH

30-INCH PIPE CULVERT

36-INCH PIPE CULVERT

42-INCH PIPE CULVERT

END SECTION FOR 18-INCH PIPE CULVERT

END SECTION FOR 24-INCH PIPE CULVERT

END SECTION FOR 30-INCH PIPE CULVERT

DRILLED SHAFTS, 30-INCH DIAMETER (ROCK SOCKET)

DRILLED SHAFTS, 48-INCH DIAMETER (ROCK SOCKET)

CONCRETE, HEADWALL (CALTRANS TYPE "L")

CONCRETE, HEADWALL

18-INCH PIPE CULVERT

24-INCH PIPE CULVERT

BRIDGE RAILING, STEEL (WYDOT TL-3)

BEARING DEVICE, ELASTOMERIC

DRILLED SHAFTS, 30-INCH DIAMETER

Jeremiah.Rogers

A-9

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

60403-0700 Line A3900 3 EACH $ $

60403-0700 Line A3950 2 EACH $ $

60501-0000 Line A4000 2,360 LNFT $ $

60601-0000 Line A4050 32 EACH $ $

60601-0000 Line A4100 3 EACH $ $

60602-0700 Line A4150 122 EACH $ $

60602-0800 Line A4200 16 EACH $ $

60602-0900 Line A4250 11 EACH $ $

60602-1000 Line A4300 10 EACH $ $

60901-2300 Line A4350 5,200 LNFT $ $

60915-1000 Line A4400 6 EACH $ $

61701-1200 Line A4450 70 LNFT $ $

61701-4100 Line A4500 150 LNFT $ $

61701-4500 Line A4550 8,800 LNFT $ $

61702-0400 Line A4600 3 EACH $ $

61702-0800 Line A4650 1 EACH $ $

61702-1200 Line A4700 3 EACH $ $

61702-1500 Line A4750 1 EACH $ $

61707-0000 Line A4800 34.5 LNFT (CQ) $ $

TERMINAL SECTION, TYPE G4-CRT

TERMINAL SECTION TYPE TANGENT

TERMINAL SECTION, TYPE LST

TERMINAL SECTION, TYPE MGS TANGENT

STRUCTURE TRANSITION RAILING

PIPE ANCHOR ASSEMBLY, 42-INCH

CURB, ASPHALT, 6-INCH DEPTH

WHEELSTOP, CONCRETE

GUARDRAIL SYSTEM G4, TYPE 2, CLASS A STEEL POSTS

GUARDRAIL SYSTEM CRG, TYPE 2, CLASS A

GUARDRAIL SYSTEM MGS, TYPE 2, CLASS A STEEL POSTS

STANDARD UNDERDRAIN SYSTEM

SPILLWAY ASSEMBLY (WITH PIPE CULVERT)

SPILLWAY ASSEMBLY (WITH DOWN DRAIN)

PIPE ANCHOR ASSEMBLY, 24-INCH

PIPE ANCHOR ASSEMBLY, 30-INCH

PIPE ANCHOR ASSEMBLY, 36-INCH

INLET, CALTRANS (GO)

INLET, CALTRANS (GMP)

Jeremiah.Rogers

A-10

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

61901-0000 Line A4850 820 LNFT $ $

61920-2000 Line A4900 1 EACH $ $

62201-0200 Line A4950 40 HOUR $ $

62201-0450 Line A5000 40 HOUR $ $

62201-2850 Line A5050 40 HOUR $ $

62201-3000 Line A5100 40 HOUR $ $

62202-1000 Line A5150 ALL LPSM $

62301-0000 Line A5200 80 HOUR $ $

62302-0100 Line A5250 40 HOUR $ $

62302-1000 Line A5300 300 HOUR $ $

62302-1100 Line A5350 170 HOUR $ $

62407-0000 Line A5400 1,300 CUYD $ $

62510-2000 Line A5450 6.0 ACRE $ $

62515-3000 Line A5500 6.0 ACRE $ $

62901-1500 Line A5550 1,600 SQYD $ $

63301-0000 Line A5600 16 EACH $ $

63308-4000 Line A5650 43 EACH $ $

63316-1000 Line A5700 6 EACH $ $

63404-0400 Line A5750 170 GAL $ $

MULCHING, HYDRAULIC METHOD, BONDED FIBER MATRIX

ROLLED EROSION CONTROL PRODUCT, TYPE 5.D

SIGN SYSTEM

OBJECT MARKER, TYPE CALTRANS TYPE L

REMOVE AND RESET SIGN

PAVEMENT MARKINGS, TYPE D

GENERAL LABOR

SPECIAL LABOR, SLOPE SCALING

SPECIAL LABOR, HIRED TECHNICAL SERVICES

SPECIAL LABOR, HIRED SURVEY SERVICES

PLACING CONSERVED TOPSOIL

SEEDING, HYDRAULIC METHOD

REMOVE AND RESET GATE

DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

BACKHOE LOADER, 4 CUBIC FOOT MINIMUM RATED CAPACITY BUCKET, 18-INCH WIDTH

MOTOR GRADER, 12 FOOT MINIMUM BLADE

HYDRAULIC EXCAVATOR

MATERIALS TRANSFER VEHICLE

FENCE

Jeremiah.Rogers

A-11

Project No: CA FLAP 460507(1)

Name: Buchanan Road CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63501-2000 Line A5800 ALL LPSM $

63502-0600 Line A5850 4 EACH $ $

63502-0700 Line A5900 100 EACH $ $

63502-1300 Line A5950 100 EACH $ $

63502-1600 Line A6000 6 EACH $ $

63502-2000 Line A6050 2 EACH $ $

63503-0400 Line A6100 1,000 LNFT $ $

63503-0500 Line A6150 2,000 LNFT $ $

63503-0700 Line A6200 42,300 LNFT $ $

63503-1000 Line A6250 2,000 LNFT $ $

63504-1000 Line A6300 875 SQFT $ $

63506-0500 Line A6350 8,500 HOUR $ $

63506-0600 Line A6400 2,000 HOUR $ $

63610-2800 Line A6450 280 LNFT (CQ) $ $

TEMPORARY TRAFFIC CONTROL, PILOT CAR

CONDUIT, 4-INCH, PVC

TEMPORARY TRAFFIC CONTROL, CONCRETE BARRIER

TEMPORARY TRAFFIC CONTROL, MOVING CONCRETE BARRIER

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

TEMPORARY TRAFFIC CONTROL, PLASTIC FENCE

TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

TEMPORARY TRAFFIC CONTROL, FLAGGER

TEMPORARY TRAFFIC CONTROL, TRAFFIC SIGNAL SYSTEM

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

TEMPORARY TRAFFIC CONTROL, CONE

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, WARNING LIGHT TYPE B

TEMPORARY TRAFFIC CONTROL, PORTABLE CHANGEABLE MESSAGE SIGN

Jeremiah.Rogers Typewritten Text A-12

Jeremiah.Rogers Typewritten Text

TOTAL: $_____________________

Jeremiah.Rogers Typewritten Text

Jeremiah.Rogers Typewritten Text Schedule A Alternate Bid Item 15401-0000, Contractor Testing (using a Government furnished lab trailer)* $_________________ *See Page A-4 of this Solicitation for an explanation of how to bid this item. This item includes testing, however it uses a Government provided trailer instead of a contractor provided trailer. See section 154.

Jeremiah.Rogers Typewritten Text

Jeremiah.Rogers Typewritten Text

Jeremiah.Rogers

A-13

BUY AMERICAN ACT- CONSTRUCTION MATERIALS

UNDER TRADE AGREEMENTS

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

NOTE TO CONTRACTOR:

The following information and any applicable supporting data is required for evaluation of requests under FAR Clause 52.225-11 Paragraph (c) & (d) and FAR Provision 52.225-12 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-14

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

Expiration Date: 7/31/19

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.

DTFH68-17-B-00008

20 PERCENT

MILLION(S)

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

OBLIGATION:

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

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

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

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

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

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

WITNESS:

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

PRINCIPAL

SIGNATURE(S)

1.

(Seal)

2.

3.

Corporate

Seal

NAMES(S) &

TITLE(S)

(Typed)

2. 3.

INDIVIDUAL SURETY(IES)

2.

(Seal)

NAME(S)

CORPORATE SURETY(IES)

NAME &

ADDRESS

STATE OF INCOPORATION LIABILITY LIMIT($)

SURETY A

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (Rev. 8/2016) Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(a)

B-2

CORPORATE SURETY(IES) (Continued)

STATE OF INC. LIABILITY LIMIT ($)

SURETY B

SURETY C

SURETY D

SURETY E

SURETY F

SURETY G

INSTRUCTIONS

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

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

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

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

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

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

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

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

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

STANDARD FORM 24 (Rev. 8/2016) BACK

B-3

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S INFORMATION

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

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

1. Name and address of business:

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

Street Home Office Congressional District (Insert District #) *

City State Zip Code

* Necessary for Government reporting purposes only

To obtain a Dun & Street number, call

County 800-333-0505.

Telephone Number (Include Area Code)

Fax Number (Include Area Code) E-mail address

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

If a Foreign entity:

Individual

Non-profit organization

Corporation

Partnership

Joint Venture

Registered in:

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

Large Business Concern

Small Disadvantaged Business Concern

Emerging Small Business

Small Business Concern

Women-Owned Small Business

SBA 8(a) Certified

HUB Zone Business Concern

Veteran Owned Business Concern

Service-Disabled Veteran-Owned Business Concern

Individual

Non-profit organization

Corporation

Partnership

Joint Venture Incorporated in:

B-4

3. If a joint venture or general partnership:

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

Principal

Business Name

Street

City State Zip Code

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

Sponsoring Partner Other Partner

Street Street

City State Zip Code City State Zip Code

4. Date organization established: _______________________

5. Name of succeeded business, if any: _________________________________________________________

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

a. General contractor years.

b. Subcontractor years.

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

Percent of Business Owned

Years of Business Experience

Name

Title Contracting

Other

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

- Present position, responsibility, and length of employment.

- Amount and type of construction experience.

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

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

B-5

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

Project Name and Contract Numbers

Owner's Name, Address, and

Contact Name and Telephone #

Scope of Work Performed

Contract Amount

Estimated

Completion Date

Name of Surety

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

B-6

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

Project Name and Contract Numbers

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

Scope of Work

Performed

Original and Final Contract Amounts

Original and Final Completion Dates

Names of On-site Project

Manager and Superintendent

Name of Surety

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

B-7

Solicitation Provisions

52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements-Representation. (JAN 2017)

(a) Definition. As used in this provision-- Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

(b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, 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 Federal department or agency authorized to receive such information.

(c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or…

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