DTFH6817B00018_IFB.pdf

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CO FTNP COLM 10(3), Rim Rock Drive
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DTFH6817B00018
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INVITATION FOR BID

SOLICITATION NUMBER:

SOLICITATION TYPE:

PROJECT NUMBER:

PROJECT NAME:

DTFH6817B00018

FULL AND OPEN COMPETITION (UNRESTRICTED)

CO FTNP COLM 10(3)

RIM ROCK DRIVE

BID OPENING DATE:

See Page A-1, 13A

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

Federal Highway Projects, FP-14 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 C

LOCATION

COUNTY

STATE C

LENGTH SCHEDULE A:

TYPE OF IMPROVEMENT

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

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

Division 100 .....................................................................................................................E- Division 150 ...................................................................................................................E- Division 200 ...................................................................................................................E- Division 300 ...................................................................................................................E- 6 Division 400 ...................................................................................................................E-

Division 600 ...................................................................................................................E- Division 700 ...................................................................................................................E-

APPENDIX

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 s

NOTICE TO BIDDERS

A-i

ELECTRONIC BIDS WILL NOT BE ACCEPTED. Submit a printed copy of your bid to the address listed on the SF-1442 (Page A-1, 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

If applicable, indication of interest in formal Partnering, Page A-5

Bid Schedule including Buy American Act & Hazardous Materials, Pages A-6 through A-18

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; Rep s and Cert s, Certification Regarding Responsibility Matters (FAR 52.209-5), Pages B-8 .

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.

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 https://flh.fhwa.dot.gov/resources/specs/ or may be purchased by contacting Bob Rosenblatt at ARC Western, telephone number 303-785-2520 or email bob.rosenblatt@e-arc.com. Hard copies of the FP-14 will not be provided to the awarded Prime Contractor.

Applicable FAR provisions and clauses in this IFB are incorporated by reference or full text. FAR provisions and clauses incorporated by reference can be accessed on the Internet at http://farsite.hill.af.mil/vffara.htm.

A-ii

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 201 and has complied with the reporting requirements.

My firm did not have a qualifying Federal Contract in 201 and is therefore exempt from the reporting requirements

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

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

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

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

A-iii

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

102.03 of the FP-14. 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 OCTOBER 20, 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

II. POST AWARD INFORMATION

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

A-iv

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.

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 C 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-14.

A-1

SOLICITATION, OFFER

AND AWARD

(Construction, Alteration or Repair)

1. SOLICITATION NO.

DTFH681 B000

2. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

3. DATE ISSUED

/ 8/201

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.

C

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:

, 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, 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, U.S. CUSTOMARY UNITS

7. SUBCONTRACTING PLAN (IF APPLICABLE)

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. (hour) local time on /31/201 (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 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

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

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

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

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

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

Item 19: ACKNOWLEDGMENT OF AMENDMENTS: FAILURE TO

ACKNOWLEDGE AMENDMENTS, IN I EM 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-14.

ESTIMATED

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

A-4

Bid Schedule Instructions BIDDERS, PLEASE NOTE: This Bid Proposal is comprised of 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 each schedule or option.

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

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

A-5 Basis for Award

PARTNERING

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

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

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

Participation in a formal Partnering meeting is voluntary. Costs of implementing and maintaining the partnership would be agreed to by both parties as described in Subsection 103.05 Partnering of the FP-14. Costs of partnering would be in addition to the contract award amount.

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

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

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

s

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

Project No: CO CO FTNP COLM10(3)

Name: Rim Rock Drive CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000

Line A0020 ALL LPSM $

15201-0000

Line A0040 ALL LPSM $

15301-0000

Line A0060 ALL LPSM $

15401-0000

Line A0080 ALL LPSM $

15501-0000

Line A0100 ALL LPSM $

15705-1400

Line A0120 420 LNFT $ $

15706-1000

Line A0140 6 EACH $ $

15802-0000

Line A0160 ALL LPSM $

20301-0700

Line A0180 200 EACH $ $

20301-1900

Line A0200 1 EACH $ $

20301-2400

Line A0220 30 EACH $ $

20302-0400

Line A0240 3,000 LNFT $ $

20302-1200

Line A0260 4,850 LNFT $ $

20303-1600

Line A0280 4,970 SQYD $ $

20402-0000

Line A0300 1,270 CUYD $ $

20410-0000

Line A0320 5,100 CUYD $ $

20420-0000

Line A0340 4,000 CUYD $ $

MOBILIZATION

CONSTRUCTION SURVEY AND STAKING

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, FIBER ROLL

REMOVAL OF GUARDRAIL

REMOVAL OF PAVEMENT, ASPHALT

SUBEXCAVATION

SOIL EROSION CONTROL, INLET PROTECTION

WATERING FOR DUST CONTROL

REMOVAL OF DELINEATOR

REMOVAL OF PIPE CULVERT

REMOVAL OF SIGN

REMOVAL OF CURB, ASPHALT

SELECT BORROW

EMBANKMENT CONSTRUCTION

Schedule Total: ________________________

Submitted by: _________________________

Project No: CO CO FTNP COLM10(3)

Name: Rim Rock Drive CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

20720-0100

Line A0360 1,275 SQYD $ $

20720-0200

Line A0380 3,600 SQYD $ $

25101-0200

Line A0400 160 CUYD $ $

30202-2000

Line A0420 1,300 TON $ $

30302-1000

Line A0440 50 LNFT $ $

30401-5300

Line A0460 3.064 MILE $ $

40101-5600

Line A0480 8,100 TON $ $

40105-3000

Line A0500 85 TON $ $

40301-0200

Line A0520 530 TON $ $

40601-0000

Line A0540 20 TON $ $

41102-1000

Line A0560 51,700 SQYD $ $

41105-0000

Line A0580 72 TON $ $

41201-0000

Line A0600 25 TON $ $

60103-0180

Line A0620 1 EACH $ $

60201-1000

Line A0640 80 LNFT $ $

60210-1000

Line A0660 1 EACH $ $

60901-0400

Line A0680 3,000 LNFT $ $

CONCRETE, HEADWALL FOR 36-INCH PIPE CULVERT

36-INCH PIPE CULVERT

END SECTION FOR 36-INCH PIPE CULVERT

REINFORCEMENT GEOSYNTHETIC, TYPE 2

PLACED RIPRAP, METHOD A, CLASS 2

ROADWAY AGGREGATE, METHOD 2

ANTISTRIP ADDITIVE, TYPE 3

ASPHALT CONCRETE PAVEMENT, TYPE 2

FOG SEAL

PRIME COAT, METHOD 1

BLOTTER

TACK COAT

DITCH RECONDITIONING

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

REINFORCEMENT GEOSYNTHETIC, TYPE 1

CURB, CONCRETE, 6-INCH DEPTH

Project No: CO CO FTNP COLM10(3)

Name: Rim Rock Drive CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

61701-4350

Line A0700 62 LNFT $ $

61701-5100

Line A0720 355 LNFT $ $

61701-5150

Line A0740 3,740 LNFT $ $

61702-0400

Line A0760 1 EACH $ $

61702-1500

Line A0780 30 EACH $ $

62201-0200

Line A0800 60 HOUR $ $

62201-0550

Line A0820 60 HOUR $ $

62201-0950

Line A0840 30 HOUR $ $

62201-2850

Line A0860 60 HOUR $ $

62201-3350

Line A0880 20 HOUR $ $

62301-0000

Line A0900 60 HOUR $ $

62302-1000

Line A0920 40 HOUR $ $

62302-1100

Line A0940 40 HOUR $ $

62405-0400

Line A0960 315 SQYD $ $

63301-0000

Line A0980 22 EACH $ $

63309-0000

Line A1000 345 EACH $ $

63401-0700

Line A1020 145,800 LNFT $ $

GUARDRAIL SYSTEM MGS, TYPE 4, CLASS B WOOD POSTS

TERMINAL SECTION, TYPE G4-CRT

TERMINAL SECTION, TYPE MGS TANGENT

DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

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

WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

GUARDRAIL SYSTEM CRG, TYPE 4, CLASS B

GUARDRAIL SYSTEM MGS, TYPE 4, CLASS B STEEL POSTS

SIGN SYSTEM

DELINEATOR

PAVEMENT MARKINGS, TYPE D, SOLID

MOTOR GRADER, 12 FOOT MINIMUM BLADE

HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

GENERAL LABOR

SPECIAL LABOR, HIRED TECHNICAL SERVICES

SPECIAL LABOR, HIRED SURVEY SERVICES

PLACING CONSERVED TOPSOIL, 6-INCH DEPTH

Project No: CO CO FTNP COLM10(3)

Name: Rim Rock Drive CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63401-0800

Line A1040 2,440 LNFT $ $

63405-1650

Line A1060 1 EACH $ $

63501-1000

Line A1080 ALL LPSM $

63502-0700

Line A1100 90 EACH $ $

63502-1300

Line A1120 40 EACH $ $

63503-0300

Line A1140 20 LNFT $ $

63503-0400

Line A1160 70 LNFT $ $

63504-1000

Line A1180 400 SQFT $ $

63505-1000

Line A1200 3.361 MILE $ $

63506-0500

Line A1220 3,000 HOUR $ $

63506-0600

Line A1240 1,500 HOUR $ $

63602-6020

Line A1260 2 EACH $ $

PAVEMENT MARKINGS, TYPE D, BROKEN

PAVEMENT MARKINGS, TYPE D, ACCESSIBILITY SYMBOL

TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

TEMPORARY TRAFFIC CONTROL, FLAGGER

TEMPORARY TRAFFIC CONTROL, PILOT CAR

SYSTEM INSTALLATION, TRAFFIC DETECTOR WIRE LOOP

TEMPORARY TRAFFIC CONTROL, CONE

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, BARRICADE TYPE 3

TEMPORARY TRAFFIC CONTROL, CONCRETE BARRIER

TEMPORARY TRAFFIC CONTROL, CONSTRUCTION SIGN

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

Option X Account: ALL

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000

Line X0020 ALL LPSM $

15201-0000

Line X0040 ALL LPSM $

15301-0000

Line X0060 ALL LPSM $

15401-0000

Line X0080 ALL LPSM $

15501-0000

Line X0100 ALL LPSM $

15705-1400

Line X0120 110 LNFT $ $

15802-0000

Line X0140 ALL LPSM $

20301-1900

Line X0160 2 EACH $ $

20301-2400

Line X0180 20 EACH $ $

20303-1600

Line X0200 215 SQYD $ $

25101-0200

Line X0220 18 CUYD $ $

30202-2000

Line X0240 60 TON $ $

30401-5300

Line X0260 0.710 MILE $ $

40101-5600

Line X0280 1,620 TON $ $

40105-3000

Line X0300 20 TON $ $

40601-0000

Line X0320 5 TON $ $

41102-1000

Line X0340 10,200 SQYD $ $

MOBILIZATION

CONSTRUCTION SURVEY AND STAKING

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, FIBER ROLL

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

ANTISTRIP ADDITIVE, TYPE 3

WATERING FOR DUST CONTROL

REMOVAL OF PIPE CULVERT

REMOVAL OF SIGN

REMOVAL OF PAVEMENT, ASPHALT

PLACED RIPRAP, METHOD A, CLASS 2

ROADWAY AGGREGATE, METHOD 2

FOG SEAL

PRIME COAT, METHOD 1

Schedule Total: ________________________

Submitted by: _________________________

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

41105-0000

Line X0360 14 TON $ $

41201-0000

Line X0380 5 TON $ $

50101-1000

Line X0400 210 SQYD $ $

60201-0600

Line X0420 45 LNFT $ $

60201-1000

Line X0440 100 LNFT $ $

60210-0600

Line X0460 2 EACH $ $

60210-1000

Line X0480 2 EACH $ $

60212-1000

Line X0500 1 EACH $ $

62201-0200

Line X0520 20 HOUR $ $

62201-0550

Line X0540 20 HOUR $ $

62201-0950

Line X0560 10 HOUR $ $

62201-2850

Line X0580 10 HOUR $ $

62201-3350

Line X0600 10 HOUR $ $

62301-0000

Line X0620 20 HOUR $ $

62302-1000

Line X0640 10 HOUR $ $

62302-1100

Line X0660 10 HOUR $ $

63301-0000

Line X0680 20 EACH $ $

GENERAL LABOR

SPECIAL LABOR, HIRED TECHNICAL SERVICES

SPECIAL LABOR, HIRED SURVEY SERVICES

TACK COAT

MINOR CONCRETE PAVEMENT, REINFORCED, 10-INCH DEPTH

18-INCH PIPE CULVERT

ELBOW, 36-INCH

DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

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

WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

MOTOR GRADER, 12 FOOT MINIMUM BLADE

HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

36-INCH PIPE CULVERT

END SECTION FOR 18-INCH PIPE CULVERT

END SECTION FOR 36-INCH PIPE CULVERT

BLOTTER

SIGN SYSTEM

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63313-0000

Line X0700 220 LNFT $ $

63401-0700

Line X0720 30,000 LNFT $ $

63401-0800

Line X0740 730 LNFT $ $

63501-1000

Line X0760 ALL LPSM $

63502-0700

Line X0780 20 EACH $ $

63502-1300

Line X0800 6 EACH $ $

63505-1000

Line X0820 0.71 MILE $ $

63506-0500

Line X0840 530 HOUR $ $

63506-0600

Line X0860 250 HOUR $ $

PAVEMENT MARKINGS, TYPE D, BROKEN

TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

TEMPORARY TRAFFIC CONTROL, CONE

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

TEMPORARY TRAFFIC CONTROL, FLAGGER

RUMBLE STRIP

PAVEMENT MARKINGS, TYPE D, SOLID

TEMPORARY TRAFFIC CONTROL, PILOT CAR

Option Y Account: ALL

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

15101-0000

Line Y0020 ALL LPSM $

15201-0000

Line Y0040 ALL LPSM $

15301-0000

Line Y0060 ALL LPSM $

15401-0000

Line Y0080 ALL LPSM $

15501-0000

Line Y0100 ALL LPSM $

15705-1400

Line Y0120 55 LNFT $ $

15802-0000

Line Y0140 ALL LPSM $

20301-0700

Line Y0160 15 EACH $ $

20301-2400

Line Y0180 10 EACH $ $

20302-0400

Line Y0200 360 LNFT $ $

25101-0200

Line Y0220 10 CUYD $ $

30202-2000

Line Y0240 120 TON $ $

30401-5300

Line Y0260 0.725 MILE $ $

40101-5600

Line Y0280 2,190 TON $ $

40105-3000

Line Y0300 22 TON $ $

40601-0000

Line Y0320 5 TON $ $

41102-1000

Line Y0340 10,600 SQYD $ $

41105-0000

Schedule Total: ________________________

Submitted by: _________________________

FOG SEAL

PRIME COAT, METHOD 1

BLOTTER

MOBILIZATION

CONSTRUCTION SURVEY AND STAKING

CONTRACTOR QUALITY CONTROL

CONTRACTOR TESTING

CONSTRUCTION SCHEDULE

SOIL EROSION CONTROL, FIBER ROLL

FULL DEPTH RECLAMATION, METHOD 2, 6-INCH DEPTH

ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH OR 3/4-INCH NOMINAL MAXIMUM SIZE AGGREGATE, 0.3 TO <3 MILLION ESAL

ANTISTRIP ADDITIVE, TYPE 3

WATERING FOR DUST CONTROL

REMOVAL OF DELINEATOR

REMOVAL OF SIGN

REMOVAL OF CURB, ASPHALT

PLACED RIPRAP, METHOD A, CLASS 2

ROADWAY AGGREGATE, METHOD 2

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

Line Y0360 15 TON $ $

41201-0000

Line Y0380 5 TON $ $

60901-0400

Line Y0400 360 LNFT $ $

62201-0200

Line Y0420 10 HOUR $ $

62201-0550

Line Y0440 10 HOUR $ $

62201-0950

Line Y0460 10 HOUR $ $

62201-2850

Line Y0480 10 HOUR $ $

62201-3350

Line Y0500 10 HOUR $ $

62301-0000

Line Y0520 20 HOUR $ $

62302-1000

Line Y0540 10 HOUR $ $

62302-1100

Line Y0560 10 HOUR $ $

63301-0000

Line Y0580 18 EACH $ $

63309-0000

Line Y0600 20 EACH $ $

63401-0700

Line Y0620 32,220 LNFT $ $

63501-1000

Line Y0640 ALL LPSM $

63502-0700

Line Y0660 15 EACH $ $

63502-1300

Line Y0680 10 EACH $ $

63505-1000

Line Y0700 0.73 MILE $ $

TEMPORARY TRAFFIC CONTROL, DRUM

TEMPORARY TRAFFIC CONTROL, PAVEMENT MARKINGS

SPECIAL LABOR, HIRED SURVEY SERVICES

SIGN SYSTEM

DELINEATOR

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

WHEEL LOADER, 3 CUBIC YARD MINIMUM RATED CAPACITY

MOTOR GRADER, 12 FOOT MINIMUM BLADE

PAVEMENT MARKINGS, TYPE D, SOLID

TEMPORARY TRAFFIC CONTROL, TRAFFIC CONTROL SUPERVISOR

TEMPORARY TRAFFIC CONTROL, CONE

TACK COAT

CURB, CONCRETE, 6-INCH DEPTH

DUMP TRUCK, 8 CUBIC YARD MINIMUM CAPACITY

HYDRAULIC EXCAVATOR, 1 CUBIC YARD MINIMUM CAPACITY

GENERAL LABOR

SPECIAL LABOR, HIRED TECHNICAL SERVICES

Project No: CO CO FTNP COLM 10(3)

Name: RIM ROCK DRIVE CQ = "Contract Quantity"

Item No. Quantity Unit Unit Price Amount

Schedule Total: ________________________

Submitted by: _________________________

63506-0500

Line Y0720 630 HOUR $ $

63506-0600

Line Y0740 270 HOUR $ $

TEMPORARY TRAFFIC CONTROL, PILOT CAR

TEMPORARY TRAFFIC CONTROL, FLAGGER

A-17

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- Paragraph (c) & (d) and FAR Provision 52.225- 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-18

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.

BID BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB Control Number: 9000-0045

Expiration Date: 7/31/2019 Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 9000-0045. We estimate that it will take 25 minutes to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT

OF BID

PRICE

AMOUNT NOT TO EXCEED BID DATE INVITATION NUMBER

DTFH68-17-B-00018MILLION(S) THOUSAND(S) HUNDRED(S) CENTS

FOR (Construction, Supplies or Services)

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 the time for acceptance of the bid that the Principal may grant to the Government.

Notice to the surety(ies) of extension(s) is 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 SealNAME(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUAL SURETY(IES)

SIGNATURE(S) 1.

(Seal)

2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

SU

R

ET

Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 24 (REV. 8/2016)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL PARTNERSHIP JOINT VENTURE

OTHER (Specify)

STATE OF INCORPORATION

SU

R

ET

Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate SealSIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

C

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate SealSIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

D

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate SealSIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

E

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

F

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S) 1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

SU

R

ET

Y

G

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 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 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 limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.

(b) When multiple corporate sureties are 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 identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bond, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When 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 capability.

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

FEDERAL HIGHWAY ADMINISTRATION

CENTRAL FEDERAL LANDS HIGHWAY DIVISION

BIDDER'S INFORMATION

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

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

1. Name and address of business:

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

Street Home Office Congressional District (Insert District #) *

City State Zip Code

* Necessary for Government reporting purposes only

To obtain a Dun & Street number, call County 800-333-0505.

Telephone Number (Include Area Code)

Fax Number (Include Area Code)

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

If a Foreign entity:

Individual Non-profit organization Corporation

Partnership Joint Venture Registered in:

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

Large Business Concern Small Disadvantaged Business Concern Emerging Small Business

Small Business Concern Women-Owned Small Business SBA 8(a) Certified

HUB Zone Business Concern Veteran Owned Business Concern Service-Disabled Veteran-Owned Business Concern

Individual Non-profit organization Corporation

Partnership Joint Venture Incorporated in:

B-4

3. If a joint venture or general partnership:

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

Principal

Business Name

Street

City State Zip Code

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

Sponsoring Partner Other Partner

Street Street

City State Zip Code City State Zip Code

4. Date organization established: _______________________

5. Name of succeeded business, if any: _________________________________________________________

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

a. General contractor years.

b. Subcontractor years.

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

Percent of Business Owned

Years of Business Experience

Name Title Contracting Other

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

- Present position, responsibility, and length of employment.

- Amount and type of construction experience.

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

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

B-5

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

Project Name and Contract Numbers

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

Scope of Work Performed Contract Amount Estimated Completion Date

Name of Surety

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

B-6

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

Project Name and Contract Numbers

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

Scope of Work Performed

Original and Final Contract Amounts

Original and Final Completion Dates

Names of On-site Project Manager and Superintendent

Name of Surety

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

Solicitation Provisions

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

Representation.

52.204-5 -- Women-Owned Business (Other Than Small Business). (MAY 1999)

Definition. "

Representation Complete only if the offeror is a women-owned business concern and has not represented itself as a small business concern in paragraph (b)(1) of FAR 52.219-1, Small Business Program Representations, of this solicitation.

52.204-8 -- Annual Representations and Certifications. (MAY 2014)

237310.

$36.5 million or less.

52.204-7 -- System for Award Management (JUL 2013) offeror to insert changes, identifying change by clause number, title, date

52.209-5 -- Certification Regarding Responsibility Matters. (APR 2010)

52.211-6 -- Brand Name or Equal. (AUG 1999)

52.214-3 -- Amendments to Invitations for Bids. (DEC 1989)

52.214-4 -- False Statements in Bids. (APR 1984)

52.214-5 -- Submission of Bids. (MAR 1997)

52.214-6 -- Explanation to Prospective Bidders. (APR 1984)

52.214-7 -- Late Submissions, Modifications, and Withdrawals of Bids. (NOV 1999)

52.214-18 -- Preparation of Bids - Construction. (APR 1984)

52.214-19 -- Contract Award -- Sealed Bidding - Construction. (AUG 1996)

52.214-34 -- Submission of Offers in the English Language. (APR 1991)

52.214-35 -- Submission of Offers in U.S. Currency. (APR 1991)

52.216-1 -- Type of Contract. (APR 1984)

FIRM FIXED PRICE

52.217-5 Evaluation of Options (JUL 1990)

52.222-23 -- Notice of Requirement for Affirmative Action to Ensure Equal Employment Opportunity for Construction. (FEB 1999)

Goals for Minority Participation for Each Trade

Goals for Female Participation for Each Trade

. % 6.9%

Federal Register

52.222-38 -- Compliance with Veterans' Employment Reporting Requirements. (SEP

52.225-10 -- Notice of Buy American Act Requirement—Construction Materials

Definitions

Requ…

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