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T A B L E O F C O N T E N T S

I. ADVERTISEMENT FOR BIDS………………………………………………………………………………………………………….BD-3

II. INSTRUCTIONS FOR BIDDERS………………………………………………………………………………………………………BD-4

III. BID SHEET ............................................................................................................................................................................... BD-8

IV. CDBG-DR FORMS

EQUAL OPPORTUNITY GUIDELINES FOR CONSTRUCTION CONTRACTORS .............................................................. BD-10

SAM.GOV REGISTRATION.................................................................................................................................................. BD-12 EXECUTED SECTION 3 POLICY ......................................................................................................................................... BD-13

*STATEMENT OF BIDDERS’S QUALIFICATIONS ................................................................................................................ BD-14 *CONFLICT OF INTEREST QUESTIONNAIRE ..................................................................................................................... BD-16 *NON-COLLUSION AFFIDAVIT OF PRIME BIDDER ............................................................................................................ BD-18 *BID BOND ............................................................................................................................................................................. BD-19 CERTIFICATE AS TO CORPORATE PRINCIPAL ................................................................................................................ BD-20 *CONTRACTOR’S CERTIFICATION OF RECOVERED MATERIAL .................................................................................... BD-21 *CERTIFICATION OF BIDDER REGARDING CIVIL RIGHTS LAWS AND REGULATIONS………………………………..…BD-22 *CONTRACTOR’S LOCAL OPPORTUNITY PLAN ............................................................................................................. BD-23 *PROPOSED CONTRACTS BREAKDOWN AND ESTIMATED PROJECT WORKFORCE BREAKDOWN ........................ BD-24

*CONTRACTOR CERTIFICATION OF EFFORTS TO FULLY COMPLY WITH EMPLOYMENT AND TRAINING PROVISION OF SECTION 3 ............................................................................................................................................... BD-25 *CERTIFICATION REGARDING LOBBYING ......................................................................................................................... BD-26 *DISCLOSURE OF LOBBYING ACTIVITIES AND INSTRUCTIONS ..................................................................................... BD-28 CONSTRUCTION CONTRACT .............................................................................................................................................. BD-31 GENERAL CONDITIONS PART 1 .......................................................................................................................................... BD-33 MINORITY/FEMALE GOALS ................................................................................................................................................. BD-54 FEDERAL LABOR STANDARDS PROVISIONS (HUD 4010 LANGUAGE) ......................................................................... BD-56 TITLE 29- LABOR .................................................................................................................................................................. BD-61 CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS ....................................................... BD-66

PROJECT SPECIFIC DAVIS-BACON WAGE DECISION……………………….………………………………...……………… BD-70

GLO SIGNAGE REQUIREMENTS ......................................................................................................................................... BD-74 SECTION 504 CERTIFICATION ............................................................................................................................................ BD-75 CHILD SUPPORT STATEMENT FOR NEGOTIATED CONTRACTS AND GRANTS ........................................................... BD-76 PAYMENT BOND .................................................................................................................................................................. BD-77 PERFORMANCE BOND ........................................................................................................................................................ BD-79 CERTIFICATE OF LIABILITY INSURANCE .......................................................................................................................... BD-81 CERTIFICATE OF INTERESTED PARTIES FORM 1295 AND INSTRUCTIONS ................................................................. BD-83 SECTION 3 CLAUSE .............................................................................................................................................................. BD-84

HUD EXAMPLES OF EFFORTS TO OFFER TRAINING AND EMPLOYMENT OPPORTUNITIES FOR

SECTION 3 RESIDENTS ....................................................................................................................................................... BD-86 GLO NEW HIRES SECTION 3 MONTHLY COMPLIANCE REPORT .................................................................................... BD-88 CDBG-DR SECTION 3 BROCHURE INFO SHEET ............................................................................................................... BD-90 GLO ASSURANCES FOR CONSTRUCTION PROGRAMS .................................................................................................. BD-91 GLO GENERAL AFFIRMATIONS .......................................................................................................................................... BD-93 ATTORNEY’S REVIEW CERTIFICATION ........................................................................................................................... BD-100 CONTRACTOR’S FINAL PAYMENT AFFIDAVIT ............................................................................................................... BD-101

VI. AFFIRMATION ..................................................................................................................................................................... BD-102 VII. RESOLUTION ...................................................................................................................................................................... BD-104 VIII. CERTIFICATE OF CORPORATE RESOLUTION ................................................................................................................ BD-105

IX. INDEMNITY AGREEMENT .................................................................................................................................................. BD-106 X. SPECIAL CONDITIONS ........................................................................................................................................................... SC-1 XI. TECHNICAL SPECIFICATIONS ............................................................................................................................................... TS-1

Items with a “*” shall be completed by all bidders.

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ADVERTISEMENT FOR BIDS

Jackson County will receive bids for Paving Improvements for Jackson County – Precinct 3 - CDBG-DR - GLO CONTRACT NO. 24-074-010-F150 until 2:00 P.M. on Thursday August 13th, 2026 at the Jackson County Auditor’s Office, 411 N. Wells Street, Room 201, Edna, TX 77957. Bids must be addressed to:

Rebecca Smiley, County Auditor. The bids will be publicly opened and read aloud at 2:00 P.M. on Thursday August 13th, 2026 at the Jackson County Auditor’s Office.

Bids are invited for several items of work as follows:

1. Rehabilitate Existing Roads with Cement Treating Existing/New Flexbase, Prime, and Seal Coat.

Bid/Contract Documents, including Drawings and Technical Specifications are on file at the office of the Engineer (CivilCorp, LLC) located at 4611 E Airline Rd, Victoria, TX 77904.

Copies of the Bid/Contract Documents may be obtained by depositing $50 with the County or Engineer for each set of documents obtained. A PDF of the plans and bid documents may also be attained by calling the Engineer at 361-570-7500 or emailing at rjanak@civilcorp.us. Prospective bidders are encouraged to obtain all required bid documents by downloading them for no charge at www.civcastusa.com (account setup required).

A bid bond in the amount of 5 percent of the bid issued by an acceptable surety shall be submitted with each bid. A certified check or bank draft payable to Jackson County or negotiable U.S. Government Bonds (as par value) may be submitted in lieu of the Bid Bond.

The project to be constructed will be financed with assistance from the General Land Office (GLO) under the U.S. Department of Housing and Urban Development Community Development Block Grant - Disaster Recovery (CDBG-DR) program and is subject to all applicable Federal and State laws and regulations.

Attention is called to the fact that not less than, the federally determined prevailing Davis-Bacon and Related Acts wage rate, as issued by the Department of Labor and contained in the contract documents, must be paid on this project. In addition, the successful bidder must ensure that employees and applicants for employment are not discriminated against because of race, color, religion, sex, sexual orientation, gender identity, or national origin. Adherence to Jackson County’s Section 3 Policy is required for contracts and subcontracts in excess of $100,000.00.

All contractors and subcontractors must be cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor. Minority Business Enterprises, Small Business Enterprises, Women Business Enterprises, Section 3 Businesses, and labor surplus area firms are encouraged to submit bids.

Jackson County reserves the right to reject any or all bids or to waive any informalities in the bidding. Bids may be held by Jackson County for a period not to exceed 60 days from the date of the bid opening for the purpose of reviewing the bids and investigating the bidder’s qualifications prior to the contract award.

Rebecca Smiley, County Auditor July 29 and August 5, 2026

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INSTRUCTIONS TO BIDDERS FOR CONSTRUCTION

The project to be constructed will be financed with assistance from the General Land Office (GLO) under the U.S. Department of Housing and Urban Development Community Development Block Grant - Disaster Recovery (CDBG-DR) program and is subject to all applicable Federal and State laws and regulations.

Jackson County is the subrecipient of the grant funding and is hereby referred to as “County”.

1. Use of Separate Bid Forms

These contract documents include a complete set of bid and contract forms which are for the convenience of the bidders and are not to be detached from the contract document, completed or executed.

2. Interpretations or Addenda

No oral interpretations will be made to any bidder. Each request for clarification shall be made in writing to the County or engineer no less than seven (7) days prior to the bid opening. Each interpretation made will be in the form of an Addendum to the contract documents and will be distributed to all parties holding contract documents no less than seven (7) days prior to the bid opening. It is, however, the bidder's responsibility to make inquiry as to any addenda issued. All such addenda shall become part of the contract documents and all bidders shall be bound by such addenda, whether or not received by the bidders.

If an addendum to the bid package is necessary, it must be distributed to each potential bidder. The distribution of an addendum shall be verified either by statements of receipt or registered/certified mail receipts, which shall be included in the public works construction file. The addendum shall allow adequate time for consideration in bid preparation (usually at least one week). If adequate time is not available, the bid opening date must be extended and the County must republish the invitation for bids containing the place, time, and date for the new bid opening. Note that any change to the original bid opening date will require republication of the invitation for bids at least once in a locally published newspaper. The republished notice will include the place, time and date for the new bid opening and must be published at least seven days prior to the new bid opening date.

3. Inspection of Site

Each bidder should visit the site of the proposed work and should become acquainted with the existing conditions and facilities, the difficulties and restrictions pertaining to the performance of the contract. The bidder should thoroughly examine and become familiar with the drawings, technical specifications and all other contract documents. The contractor by the execution of the contract shall in no way be relieved of any obligation under it due to failure to receive or examine any form or legal document or to visit the site or the conditions existing at the site. The County will be justified in rejecting any claim based on lack of inspection of the site prior to the bid.

4. Alternate bid items

No alternate bids or bid items will be considered unless they are specifically requested by the technical specifications.

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5. Bids

a. All bids must be submitted on the forms provided and are subject to all requirements of the Contract Documents, including the Drawings.

b. All bids must be regular in every respect and no interlineation, excisions or special conditions may be made or included by the bidder.

c. Bid documents, including but not limited to the bid, the bid bond(s), the contractor’s certifications, Certification of Bidder Regarding Civil Rights Laws and Regulations, Certification of Efforts to comply with Section 3, Local Opportunity Plan, Conflict of Interest Questionnaire, Non-collusion Affidavit of Prime Bidder, Certification Regarding Lobbying and Disclosure of Lobbying Activities, Proposed Contract Breakdown, Certificate of Recovered Materials, and the Statement of the Bidder’s Qualifications, shall be sealed in an envelope and clearly labeled with the words "Bid Documents”, the project’s contract number, name of bidder and the date and time of bid opening.

d. The County may consider as irregular any bid on which there is an alteration of or departure from the bid form and, at its option, may reject any irregular bid.

e. If a contract is awarded, it will be awarded to a responsible bidder on the basis of the lowest/best bid and the selected alternate bid items, if any. The contract will require the completion of the work in accordance with the contract documents.

6. Bid Modifications Prior to Bid Opening

a. Any bidder may modify its bid by submitting a modification or supplemental bid at any time prior to the scheduled closing time for receipt of bids, provided such modification or supplemental bid is received by the County prior to the closing time. The modification or supplemental bid should not reveal the original bid price but should provide only the addition, subtractions or other modifications to the original bid so that the final prices or terms will not be known by the County until the sealed bid is open.

7. Bid Bond

a. A bid bond in the amount of 5% of the bid issued by an acceptable surety shall be submitted with each bid [for contracts greater than $100,000]. A certified check or bank draft payable to the County or negotiable U.S. Government Bonds (as par value) may be submitted in lieu of the Bid Bond.

b. The bid bond or its comparable, will be returned to the bidder as soon as practical after the opening of the bids.

8. Statement of Bidders Qualifications

Each bidder shall submit on the form furnished for that purpose a statement of the bidder's qualifications.

The County shall have the right to take such steps as it deems necessary to determine the ability of the bidder to perform its obligations under the contract, and the bidder shall furnish the County all such information and data for this purpose as it may request. The right is reserved to reject any bid where an

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investigation of the available data does not satisfy the County that the bidder is qualified to carry out properly the terms of the contract.

9. Unit Price

The unit price for each of the several items in the bid shall include its pro rata share of overhead so that the sum of the products obtained by multiplying the quantity shown for each item by the unit price bid represents the total bid. Any bid not conforming to this requirement may be rejected as informal. Special attention is drawn to this condition, as the unit prices will be used to determine the amount of any change orders resulting from an increase or decrease in quantities.

10. Corrections:

Erasures or other corrections in the bid must be noted over the signature of the bidder.

11. Time for Receiving Bids

Bids received prior to the advertised hour of opening shall be kept securely sealed. The officer appointed to open the bids shall decide when the specified time has arrived and no bid received thereafter will be considered; except that when a bid arrives by mail after the time fixed for opening, but before the reading of all other bids is completed, and it is shown to the satisfaction of the County that the late arrival of the bid was solely due to delay in the mail for which the bidder was not responsible, such bid will be received and considered.

12. Opening of Bids

The County shall, at the time and place fixed for the opening of bids, open each bid and publicly read it aloud, irrespective of any irregularities therein. Bidders and other interested individuals may be present.

13. Withdrawal of Bids

Bidder may withdraw the bid before the time fixed for the opening of bids, by communicating its purpose in writing to the County. Upon receipt of such notice, the unopened bid will be returned to the bidder. The bid guaranty of any bidder withdrawing his bid will be returned promptly.

14. Award of Contract/Rejection of Bids

a. The contract will be awarded to the responsive, responsible Bidder submitting the lowest/best bid. The bidder selected will be notified at the earliest possible date. The County reserves the right to reject any or all bids and to waive any informality in bids received where such rejection or waiver is in its interest.

b. The County reserves the right to consider as unqualified to do the work any bidder who does not habitually perform with his own forces the major portions of the work involved in construction of the improvements embraced in this contract.

15. Execution of Agreement/Performance and Payment Bonds

a. Performance Bonds - Requires all prime contractors which enter into a formal contract in

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excess of $100,000 with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to obtain a Performance Bond in the amount of the contract before commencing with work

b. Payment Bonds- Requires all prime contractors which enter into a formal contract with the State, a county, or a municipality; a department, board, or agency of the state, a county, or a municipality; and a school district or a subdivision thereof, to furnish to the governmental entity a payment bond in the amount of the contract. The payment bond must be filed within 30 days from the date of the Notice of Award:

Municipalities: If the contract is in excess of $50,000, a payment bond is required.

Counties: If the contract is in excess of $25,000, a payment bond is required.

c. The failure of the successful bidder to execute the agreement and supply the required bonds within thirty (30) days from the date of the notice of award-or within such extended period as the County may grant, shall constitute a default and the County may, at its option either award the contract to the next lowest responsible bidder, or re-advertise for bids. In either case, the County may charge against the bidder the difference between the amount of the bid, and the amount for which a contract is subsequently executed irrespective of whether this difference exceeds the amount of the bid bond. If a more favorable bid is received through re-advertisement, the defaulting bidder shall have no claim against the County for a refund.

16. Wages and Salaries

Attention is particularly called to the requirement of paying not less than the prevailing Davis Bacon Related Acts (DBRA) wage rates specified in the Contract Documents. These rates are minimums to be paid during the life of the contract. It is therefore the responsibility of the Bidder to inform themselves as to local labor conditions.

17. Equal Employment Opportunity

Attention is called to the requirements for ensuring that employees and applicants for employment are not discriminated against because of race, color, religion, sex, sexual orientation, gender identity, or national origin, and other civil rights requirements.

18. Certification Regarding Lobbying

Contractors who apply or bid for an award of $100,000 or more shall provide the required certification that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer of employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 USC § 1352.

19. System for Award Management (SAM)

All contractors and subcontractors must be searched on www.sam.gov and cleared (not suspended or debarred) prior to any formal action authorizing the award of a contract to the contractor.

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BID SHEET FOR

Paving Improvements for Jackson County - Precinct 3

CDBG-DR - GLO 24-074-010-F150 to Provide Labor, Equipment, and Materials

Bid Sheet shall be attached to and shall be part of the complete Contract Documents. Item number references TxDOT Specification to be used.

BASE BID – 1st STREET

ITEM # DESCRIPTION EST.

QUANTITY UNIT UNIT PRICE AMOUNT BID (QTY.X

UNIT PRICE)

247 Flex Base (Ty A)(Gr 1-2)(Rdwy Del) 157 CY $ $

275 Scarify and Cement Treat Exist/New Flex Base (6”)(Complete in Place)(Includes Cement) 2430 SY $ $

310 Prime Oil (RC-250) 455 GAL $ $

316 Asphalt (AC-15P) 1659 GAL $ $

316 Aggregate (Ty E)(Gr 5) 19 CY $ $

316 Aggregate (Ty PE)(Gr 3)(SAC-B) 23 CY $ $

432 Aggregate (Ty PE)(Gr 4)(SAC-B) 21 CY $ $

500 Mobilization 1 LS $ $

502 Barricades, Signs and Traffic Handling 1 LS $ $

506 Temporary Sediment Control Fence, Complete in Place 100 LF $ $

TOTAL $

GRAND TOTAL BASE BID IN WORDS:

___________________________________________________________________________________Dollars and __________________________Cents.

ADD ALTERNATE #1 – PRAIRIE STREET

QUANTITY UNIT UNIT PRICE AMOUNT BID (QTY.X

UNIT PRICE)

247 Flex Base (Ty A)(Gr 1-2)(Rdwy Del) 35 CY $ $

275 Scarify and Cement Treat Exist/New Flex Base (6”)(Complete in Place)(Includes Cement) 547 SY $ $

310 Prime Oil (RC-250) 102 GAL $ $

316 Asphalt (AC-15P) 372 GAL $ $

316 Aggregate (Ty E)(Gr 5) 4 CY $ $

316 Aggregate (Ty PE)(Gr 3)(SAC-B) 5 CY $ $

432 Aggregate (Ty PE)(Gr 4)(SAC-B) 5 CY $ $

502 Barricades, Signs and Traffic Handling 1 LS $ $

GRAND TOTAL ADD ALTERNATE #1 IN WORDS:

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GRAND TOTAL BASE BID AND ADD ALTERNATE #1 IN WORDS:

ADD ALTERNATE #2 – 3RD STREET

QUANTITY UNIT UNIT PRICE AMOUNT BID (QTY.X

UNIT PRICE)

247 Flex Base (Ty A)(Gr 1-2)(Rdwy Del) 35 CY $ $

275 Scarify and Cement Treat Exist/New Flex Base (6”)(Complete in Place)(Includes Cement) 551 SY $ $

310 Prime Oil (RC-250) 103 GAL $ $

316 Asphalt (AC-15P) 374 GAL $ $

316 Aggregate (Ty E)(Gr 5) 4 CY $ $

316 Aggregate (Ty PE)(Gr 3)(SAC-B) 5 CY $ $

432 Aggregate (Ty PE)(Gr 4)(SAC-B) 5 CY $ $

502 Barricades, Signs and Traffic Handling 1 LS $ $

GRAND TOTAL ADD ALTERNATE #2 IN WORDS:

GRAND TOTAL BASE BID AND ADD ALTERNATE #2 IN WORDS:

GRAND TOTAL BASE BID, ADD ALTERNATE #1 AND ADD ALTERNATE #2 IN WORDS:

It is agreed that all work for the Base Bid and any Add Alternates chosen on the project is to be completed within 45 Calendar Days of the date specified in the written Notice to Proceed.

Bidder acknowledges receipt of the following addenda:

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Equal Opportunity Guidelines for Construction Contractors Note: To be included in bid packet and distributed at the preconstruction conference (optional)

1. What are the responsibilities of the offeror or bidder to ensure equal employment opportunity?

For contracts over $ 10,000, the offeror or bidder must comply with the "Equal Opportunity Clause" and the "Standard Federal Equal Opportunity Construction Contract Specifications."

2. Are construction contractors required to ensure a legal working environment for all employees?

Yes, it is the construction contractor's responsibility to provide an environment free of harassment, intimidation, and coercion to all employees and to notify all foremen and supervisors to carry out this obligation, with specific attention to minority or female individuals.

3. To alleviate developing separate facilities for men and women on all sites, can a construction contractor place all women employees on one site?

No, two or more women should be assigned to each site when possible.

4. Are construction contractors required to make special outreach efforts to Section 3 or minority and female recruitment sources?

Yes, construction contractors must establish a current list of Section 3, minority and female recruitment sources.

Notification of employment opportunities, including the availability of on-the-job training and apprenticeship programs, should be given to these sources. The efforts of the construction contractors should be kept in file.

5. Should records be maintained on the number of Section 3 residents, minority and females applying for positions with construction contractors?

Yes, records must be maintained to include a current list of names, addresses and telephone numbers of all Section 3, minority and female applicants. The documentation should also include the results of the applications submitted.

6. What happens if a woman or minority is sent to the union by the Contractor and is not referred back to the Contractor for employment?

If the unions impede the construction contractor's responsibility to provide equal employment opportunity, a written notice should be submitted to GLO.

7. What efforts are made by construction contractors to create entry-level positions for Section 3 residents, women and minorities?

Construction contractors are required to develop on-the-job training programs, or participate in training programs, especially those funded by the Department of Labor, to create positions for Section 3 residents, women and minorities and to meet employment needs.

8. Are any efforts made by the Contractor to publicize their Equal Employment Opportunity (EEO) policy?

Yes, the construction contractor is responsible for notifying unions and sources of training programs of their equal employment opportunity policy. Unions should be requested to cooperate in the effort of equal opportunity. The policy should be included in any appropriate manuals, or collective bargaining agreements.

The construction contractor is encouraged to publicize the equal employment opportunity policy in the company newspaper and annual report. The Contractor is also responsible to include the EEO policy in all media advertisement.

9. Are any in-service training programs provided for staff to update the EEO policy?

At least annually a review of the EEO policy and the affirmative action obligations are required of all personnel employees of a decision-making status. A record of the meeting including date, time, location, persons present, subject matter discussed, and disposition of the subject matter should be maintained.

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10. What recruitment efforts are made for Section 3 residents, minorities and women?

The construction contractor must notify, both orally and in writing, Section 3, minority and female recruitment sources one month prior to the date of acceptance for apprenticeship or other training programs.

11. Are any measures taken to encourage promotions for minorities and women?

Yes, an annual evaluation should be conducted for all minority and female personnel to encourage these employees to seek higher positions.

12. What efforts are taken to insure that personnel policies are in accordance with the EEO policy?

Personnel policies in regard to job practices, work assignments, etc. should be continually monitored to insure that the EEO policy is carried out.

13. Can women be excluded from utilizing any facilities available to men?

No, all facilities and company activities are non-segregated except for bathrooms or changing facilities to ensure privacy.

14. What efforts should be utilized to include minority and female contractors and suppliers?

Take affirmative steps to ensure that small, minority, and women owned businesses are included on all lists for contractors/service providers. Solicit these businesses when issuing RFPs and RFQs and soliciting construction bids. Divide project activities into small tasks to allow participation. Keep records of all offers to minority and female construction contractors.

15. If a construction contractor participates in a business related association that does not comply with equal opportunity affirmative action standards, does that show his/her failure to comply?

No, the construction contractor is responsible for its own compliance.

16. Can a construction contractor hire a subcontractor who has been debarred from government contracts pursuant to EEO?

No. The construction contractor must suspend, terminate or cancel its contract with any Subcontractor who is in violation of the EEO policy.

17. What effort has been taken by the construction contractor to monitor all employment to insure the company EEO policy is being carried out?

The construction contractor must designate a responsible individual to keep accurate records of all employees that includes specific information required by the government.

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PLEASE PROVIDE CONTRACTOR PROOF OF SAM.GOV REGISTRATION

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STATEMENT OF BIDDER'S QUALIFICATIONS

All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information it desires.

Date: ________________________________ Bidder (Legal Name of Firm):

Date Organized:

Name of Owner(s):

Address:

Date Incorporated Federal ID Number: ____________________________ Number of Years in contracting business under present name List all other names under which your business has operated in the last 10 years:

Work Presently Under Contract:

Contract Amount $ Completion Date

Type of work performed by your company:

Total Staff employed by Firm (Break down by Managers and Trades on separate sheet):

Have you ever failed to complete any work awarded to you? Yes No (If yes, please attach summary of details on a separate sheet. Include brief explanation of cause and resolution)

Have you ever defaulted on a contract? Yes No (If yes, please attach summary of details on a separate sheet.)

Has your organization had any disbarments or suspensions that have been imposed in the past five years or that was still in effect during the five-year period or is still in effect? Yes No

(If yes, list and explain; such list must include disbarments and suspensions of officers, principals, partners, members, and employees of your organization.)

List the projects most recently completed by your firm (include project of similar importance):

Project Amount $ Mo/Yr Completed

Major equipment available for this contract:

Are you in compliance with all applicable EEO requirements? Yes No (If no, please attach summary of details on a separate sheet.))

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Are you a Section 3 business? (see below) □ Yes □ No Section 3 Business Concerns:

a) Businesses that are 51 percent or more owned by Section 3 residents;

b) Businesses whose permanent, full-time employees include persons, at least 30 percent of whom are currently

Section 3 residents, or within three years of the date of first employment with the firm were Section 3 residents;

c) Businesses that provide evidence of a commitment to subcontract in excess of 25 percent of the dollar amount of all subcontracts to be awarded to businesses that meet the qualifications described above; or

d) Businesses located within the County’s jurisdiction that identifies themselves as Section 3 Business Concerns because they provide economic opportunities for low- and very low-income persons.

Bank References Address: __________________________________ Contact Name: _______________ County & State: _____________________Zip: ____________________Phone Number: _______________ Credit available: $

Has the firm or predecessor firm been involved in a bankruptcy or reorganization? Yes No (If yes, please attach summary of details on a separate sheet.)

List on a sheet attached hereto all judgements, claims, arbitration proceedings, or suits pending or outstanding against bidder over the last five (5) years with amount of claim and brief description.

List on a sheet attached hereto all lawsuits or requested arbitration with regard to construction contracts which bidder has initiated within the last five (5) years and brief explanation of claim and outcome.

Attach resume(s) for the principal member(s) of your organization, including the officers as well as the proposed superintendent for the project.

Signed this ______ day of _______________________, 20____.

Signature

Printed Name and Title

Company Name

Notary Statement:

______________________________. being duly sworn, says that he/she is the _________Position/Title ____________of________________________ (Firm Name), and hereby swears that the answers to the foregoing questions and all statements therein contained are true and correct. He/she hereby authorizes and requests any person, firm, or corporation to furnish any information requested County of _____________________ in verification of the recitals comprising this Statement of Bidder's Qualifications.

Subscribed and sworn before me this _________day of __________, 20____.

Notary Public

Signature

Printed Name My Commission Expires: _______________, The penalty for making false statements is prescribed in the U. S. Criminal Code, 18 U.S.C. 1001.

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NONCOLLUSION AFFIDAVIT OF PRIME BIDDER

State of Texas )

County of )

, being first duly sworn, deposes and says that:

(1) He/She is of , the Bidder that has submitted the attached Bid;

(2) He/She is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid;

(3) Such Bid is genuine and is not a collusive or sham Bid;

(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with another Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has been submitted or to refrain from bidding in connection with such Contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix the price or prices in the attached Bid or of any other Bidder, or to fix an overhead, profit or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the (Local Public Agency) or any person interested in the proposed Contract; and

(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Signed)

Title

Subscribed and sworn to me this day of .

My commission expires

By:

Notary Public

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BID BOND

KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, as

PRINCIPAL, and , as SURETY are held and firmly bound unto

(County) hereinafter called the "Local Public Agency”, in the penal sum of

Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the Accompanying Bid, dated , for

NOW, THEREFORE, the Principal shall not withdraw said Bid within the period specified therein after the opening of the same, or, if no period be specified, within thirty (60) days after the said opening, and shall within the period specified therefor, or if no period be specified, within ten (10) days after the prescribed forms are presented to him for signature, enter into a written contract with the Local Public Agency in accordance with the Bid as accepted, and give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such contract; or in the event of the withdrawal of said Bid within the period specified, or the failure to enter into such Contract and give such bond within the time specified, if the Principal shall pay the Local Public Agency the difference between the amount specified in said Bid and the amount for which the local Public Agency may procure the required work or supplies or both, if the latter be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue.

IN WITNESS THEREOF, the above parties have executed this instrument this day of , the name and corporate seal of each corporate party being hereto affixed and these present signed by its undersigned representative, pursuant to authority of its governing body.

(SEAL)

(SEAL)

Attest: By:

Affix Corporate

Seal

Affix

Countersigned

By

* Attorney-in-Fact, State of Texas

BD-20

CERTIFICATE AS TO CORPORATE PRINCIPAL

I, , certify that I am the Secretary of the Corporation named as Principal in the bid bond; that

, who signed the said bond on behalf of the Principal was then of said corporation; that I know his/her signature, and his/her signature thereto is genuine; and that said bond was duly signed, sealed, and attested to, on behalf of said corporation by authority of its governing body.

Title:

* Power-of-attorney for person signing for Surety Company must be attached to bond.

BD-21

CONTRACTOR’S CERTIFICATION of RECOVERED MATERIAL

ACKNOWLEDGEMENT

I, ___________________(Principal’s Name) of _______________________________(Company Name)____________________, (hereinafter called “Contractor”), acknowledge the recovered material bidding requirements found in 2 CFR 200.322 that requires the Contractor to procure those items designated in the guidelines of the Environmental Protection Agency (EPA) at 40 CFR 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition.

I also acknowledge that this requirement shall apply to items purchased (1) where the Contractor purchases in excess of $10,000 of the item under this contract; or (2) where during the preceding fiscal year, the value of the quantity acquired was in excess of $10,000.

Finally, I acknowledge the attached list of recovered materials included in the bid documents.

(For up-to-date listing, please go to https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program#directory)

Printed Name and Title

Signature

Date

USE OF RECOVERED MATERIAL

Please check one:

⬜ Recovered materials are included in this bid:

Materials included___________________________ ⬜ Recovered materials are not reasonably available in a reasonable period of time.

⬜ Recovered materials fail to meet reasonable performance standards, which are determined on the basis of the guidelines of the National Institute of Standards and Technology, if applicable.

⬜ Recovered materials are only available at an unreasonable price.

Printed Name and Title

Signature

BD-22

U.S. Department of Housing and Urban Development

CERTIFICATION OF BIDDER REGARDING CIVIL RIGHTS LAWS AND REGULATIONS

INSTRUCTIONS

CERTIFICATION OF BIDDER REGARDING Executive Order 11246 and Federal Laws Requiring Federal Contractor to adopt and abide by equal employment opportunity and affirmative action in their hiring, firing, and promotion practices. This includes practices related to race, color, gender, religion, national origin, disability, and veterans’ rights.

NAME AND ADDRESS OF BIDDER (include ZIP Code)

CERTIFICATION BY BIDDER

Bidder has participated in a previous contract or subcontract subject to Civil Rights Laws and Regulations.

Yes No

The undersigned hereby certifies that:

The Provision of Local Training, Employment, and Business Opportunities clause (Section 3 provision) is included in the Contract. A written Section 3 plan (Local Opportunity Plan) was prepared and submitted as part of the bid proceedings (if bid equals or exceeds $100,000).

The Equal Opportunity clause is included in the Contract (if bid equals or exceeds $10,000).

Have you ever been or are you being considered for sanction due to violation of Executive Order 11246, as amended?

Yes No

NAME AND TITLE OF SIGNER (Please type)

SIGNATURE DATE

BD-23

CONTRACTOR'S LOCAL OPPORTUNITY PLAN

_ _______________________ agrees to implement the following specific affirmative action steps directed at increasing the utilization of lower income residents and businesses within the (County) of _________________.

A. To ascertain from the County’s CDBG program official the exact boundaries of the project area and where advantageous, seek the assistance of local officials in preparing and implementing the affirmative action plan.

B. To attempt to recruit from within the County the necessary number of lower income residents through: local advertising media, signs placed at the proposed site for the project, and community organizations and public or private institutions operating within and servicing the project area such as Service Employment and Redevelopment (SER), Opportunities Industrialization Center (OIC), Urban League, Concentrated Employment Program, Hometown Plan, or the U.S. Employment Service.

C. To maintain a list of all lower income residents who have applied either on their own or on referral from any source, and to employ such persons, if otherwise eligible and if a vacancy exists.

D. To insert this plan in all bid documents and to require all bidders on subcontracts to submit an affirmative action plan including utilization goals and the specific steps planned to accomplish these goals.

E. To ensure that subcontracts (greater than $10,000), which are typically let on a negotiated rather than a bid basis in areas other than the covered project area, are also let on a negotiated basis, whenever feasible, in a covered project area.

F. To formally contact unions, subcontractors, and trade associations to secure their cooperation in this effort.

G. To ensure that all appropriate project area business concerns are notified of pending sub-contractual opportunities.

H. To maintain records, including copies of correspondence, memoranda, etc., which document that all of the above affirmative action steps have been taken.

I. To appoint or recruit an executive official of the company or agency as Equal Opportunity Officer to coordinate the implementation of this plan.

J. To maintain records concerning the amount and number of contracts, subcontracts, and purchases which contribute to objectives.

K. To maintain records of all projected work force needs for all phases of the project by occupation, trade, skill level, and number of positions and to update these projections based on the extent to which hiring meets these Local Opportunity objectives.

As officers and representatives of ________ , we the undersigned have read and fully agree to this Plan and the County’s Section 3 Plan, and become a party to the full implementation of the program and its provisions.

Signature

Printed Name Title

BD-24

PROPOSED CONTRACTS BREAKDOWN

Type of Contracts No. of Contracts

Approx. Total Dollar Amount

Estimated No. to local Business

Estimated $ Amount Local Business

ESTIMATED PROJECT WORKFORCE BREAKDOWN

Work Classifications

Total Estimated Positions

No. of Positions Currently Filled

No. of Positions not Filled

No. of Positions to fill with LMI Residents (Section 3)

Totals

BD-25

BD-26

CERTIFICATION REGARDING LOBBYING

COMPLIANT WITH APPENDIX A TO 24 C.F.R. PART 87*

(To be submitted with each bid or offer exceeding $100,000)

Certification for Contracts, Grants, Loans, and Cooperative Agreements:

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Statement for Loan Guarantees and Loan Insurance:

The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, ‘‘Disclosure Form to Report Lobbying,’’ in accordance with its instructions.

Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

As the duly authorized representative of the Contractor, I hereby certify that the applicant will comply with the above applicable certification.

Signature of Contractor’s Authorized Official

Printed Name and Title of Contractor’s Authorized Official

BD-27

*24 C.F.R. 87 App. A, available at https://www.gpo.gov/fdsys/granule/CFR-2011-title24-vol1/CFR-2011-title24-vol1-part87-appA. Published Apr. 1, 2011. Accessed Aug. 1, 2018.

BD-28

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, County, State and zip code of the reporting entity. Include Congressional

District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.