Grooms Rd _ Lapp Rd Signal Upgrade_Final_Project Manual.pdf

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Attached to
CR 91 (Grooms Road) / Lapp Road Traffic Signal Upgrade
Solicitation number
25-PWGLSU-8
Issued by
Saratoga County, New York

About this file

This document is a project manual for a state and local contract opportunity issued by Saratoga County, New York for a traffic signal upgrade project at the intersection of CR 91 (Grooms Road) and Lapp Road in the Town of Clifton Park. The project involves upgrading traffic signal equipment, including installing a 360-degree camera video detection system, removing existing traffic signal equipment, and implementing a NEMA TS2 Type A2 controller with bus priority capabilities. Sealed bids will be received until 11:00 a.m. on Thursday, November 6, 2025, at the Saratoga County Department of Central Services, with a public bid opening immediately following. The project is covered under specification #25-PWGLSU-8, with a planned completion date of May 31, 2026.

The contract includes specific technical requirements for traffic signal equipment, with detailed specifications for camera systems, controllers, and installation procedures. Bidders must provide a bid security of at least 5% of their bid amount and will be required to deliver a performance and completion bond equal to 100% of the accepted bid. The project will be subject to New York State prevailing wage rates, and contractors must comply with various state and local regulations, including non-discrimination requirements, Iran Divestment Act compliance, and sexual harassment prevention policies. The total project scope involves multiple line items with specific technical requirements, including video detection systems, signal cable installation, traffic signal modules, and a new traffic signal controller with bus priority capabilities.

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PROJECT MANUAL

for

CR 91 (Grooms Road)/Lapp Road Traffic Signal Upgrade in

Town of Clifton Park

County Bid # 25-PWGLSU-8

SARATOGA COUNTY DEPARTMENT OF PUBLIC WORKS

3654 GALWAY ROAD

BALLSTON SPA, NEW YORK 12020

TELEPHONE: 518-885-2235

CHAD M. COOKE, P.E. GREG N. BALL

COMMISSIONER DEPUTY COMMISSIONER

CREIGHTON MANNING ENGINEERING, PLLC

2 WINNERS CIRCLE

ALBANY, NY 12205

CM PROJECT #R250583.00

OCTOBER 2025

(This page intentionally left blank)

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County.

TABLE OF CONTENTS (or DOCUMENT CHECKLIST) (Rev. 4/18/19)

Invitation to Bidders ...................................................................................................................................... I-1

Information to Bidders ............................................................................................................................. ITB-1

Form of Bid ................................................................................................................................................. FB-1

Bid Bond ..................................................................................................................................................... BB-1

Non-Collusive Bidding Certification ..................................................................................................... NCB-1

Certification of Compliance with Iran Divestment Act .......................................................................... IDA-1

Sexual Harassment Certification .............................................................................................................. SH-1

Contractor Reference Sheet .................................................................................................................. CRS-1

Contractor Qualification Statement ..................................................................................................... CQS- 1

Vendor Information Sheet ....................................................................................................................... VIS- 1

Corporate Bid Resolution ...................................................................................................................... CBR-1

Owner/Contractor Agreement................................................................................................................ OCA-1

Indemnity and Insurance Agreement ....................................................................................................... IIA-1

Acknowledgement of Contractor ............................................................................................................. AC-1

Acknowledgement of Officer of Saratoga County Executing Contract ............................................ ASC-1

Performance Bond ..................................................................................................................................... PB-1

Payment Bond .......................................................................................................................................... PYB-1

Prevailing Wage Rates ...........................................................................................................................PWR-1

Saratoga County Document A201 General Conditions ......................................................................... GC-1

Special Notes ............................................................................................................................................. SN-1

Special Specifications ............................................................................................................................... SS-1

Technical Specifications (including drawings and attachments) ............................ See Plan Cover Sheet

PAGE I-1 OF 1

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 04/06/22)

INVITATION TO BIDDERS

Notice is hereby given that sealed bids will be received until, 11:00 a.m., Thursday, 11/6/2025, at the Saratoga County Department of Central Services, 50 West High Street, Ballston Spa, New York, 12020 at which time bids will be publicly opened and read aloud for CR 91 (Grooms Road)/Lapp Road Traffic Signal Upgrade, in Town of Clifton Park covered by specification #25-PWGLSU-8.

A pre-bid conference will not be held.

Bid documents may be only be obtained from The Empire State Bid System beginning on Thursday, 10/16/2025 at no cost from the following website:

https://www.bidnetdirect.com/new-york/saratoga-county

Each bidder must deposit with his bid, a bid security in the amount of not less than five percent (5%) of his bid, in the form and subject to the conditions provided in the Information to Bidders.

Simultaneously with his executed contract, the successful bidder must deliver to the County of Saratoga an executed performance and completion bond in a form meeting the County's approval, in an amount not less than 100% of the accepted bid as security for the faithful performance and completion of this contract, and also a separate bond guaranteeing prompt payment of monies due to all persons supplying the contractors or subcontractors with labor and materials employed and used in carrying out the contract, and having as surety on the bonds such surety companies as are approved or acceptable to the County of Saratoga.

Saratoga County, through its Purchasing Department, reserves the right to reject any or all bids. All work shall be subject to equal opportunity in employment, State wage rates and all other requirements in accordance with applicable law.

John T. Warmt Director Department of Central Services Saratoga County https://www.bidnetdirect.com/new-york/saratoga-county

PAGE ITB-1 OF 4

NOTICE - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 12/14/18)

INFORMATION TO BIDDERS

1. Receipt and Opening of Bids:

The County of Saratoga (herein called the “Owner”) invites bids on the form attached hereto. All blanks must be appropriately filled in. Bids will be received by the Owner at the Office of Central Services, 50 West High Street, Ballston Spa, New York 12020, until 11:00 a.m., Thursday, 11/6/2025, and then at said office publicly opened and read aloud. The envelope containing the bids must be sealed and addressed to the Owner at the address in the Invitation to Bidders, and designated as bid for:

The Owner may consider informal any bid not prepared and submitted in accordance with the provisions hereof and may waive any informalities or reject any and all bids. Any bid may be withdrawn prior to the above scheduled time for the opening of bids or authorized postponement thereof. Any bid received after the time and date specified shall not be considered.

2. Preparation of Bid:

A. The following is a list of documents that must be completed and returned with the bid package:

Form of Bid 5% Bid Security (Bid Bond or Certified Check) Non-Collusive Bidding Certificate Certification of Compliance with the Iran Divestment Act Sexual Harassment Certification Corporate Bid Resolution Contractor Reference Sheet Contractor’s Qualification Statement Indemnity and Insurance Agreement

PLEASE DO NOT SUBMIT THE ENTIRE PROJECT MANUAL WITH YOUR BID.

B. All blank spaces in the bid must be filled in, and, except as otherwise expressly provided in the

Bidding Documents, no other change is to be made in the phraseology of the bid or in the items mentioned therein.

C. Bids that are illegible or that contain omissions, alterations, additions, or items not called for in the

Bidding Documents may be rejected as informal. In the event any Bidder modifies, limits, or restricts all or any part of the bid in a manner other than that expressly provided for in the Bidding Documents, that bid will be rejected as informal.

D. If the bid is made by a corporation, the names and places of residence for the president, secretary, and treasurer shall be given. If by a joint venture, the names and addresses of the members of the joint venture shall be given. If by an individual, that person’s name and place of residence shall be given.

E. Saratoga County may consider informal any bid not prepared and submitted in accordance with the provisions hereof and accompanied by a bid security in the proper form and may waive any informalities or reject any and all bids. Any bid may be considered informal which does not contain prices in words and figures in all of the spaces provided. In case any price shown in words and its equivalent shown in figures do not agree, the written words shall be binding upon the Bidder. Any bid may be withdrawn prior to the above scheduled time for the opening of bid or authorized postponement thereof.

PAGE ITB-2 OF 4

NOTICE - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 12/14/18)

3. Subcontractors:

The bidder is specifically advised that any person, firm, or other party to whom it is proposed to award a subcontract under this contract must be acceptable to Saratoga County.

4. Qualifications of Bidder:

Saratoga County may make such investigations as deemed necessary to determine the ability of the bidder to perform the work, and the bidder shall furnish all such information and data for this purpose as requested. Saratoga County reserves the right to reject any bid if the evidence submitted by, or investigation of, such bidder fails to satisfy the County that such bidder is properly qualified to carry out the obligations of the contract and to complete the work contemplated therein. Conditional bids will not be acceptable. All prospective bidders shall have completed projects of this nature and size previously, within similar time constraints. All prospective bidders shall furnish Saratoga County with a listing of no less than three (3) previous similar project successfully completed.

5. Liquidated Damages for Failure to Enter into Contract:

The successful bidder, upon his failure or refusal to execute and deliver the contract and bonds required within 10 days after he has received notice of the acceptance of his bid, shall forfeit to Saratoga County, as liquidated damages for such failure or refusal, the security deposited with his bid.

6. Time of Completion:

Bidder must agree to commence work on a date to be specified in a written “Notice to Proceed” of the owner and to fully complete the project as proposed by 5/31/2026.

Liquidated Damages - The bidder must also agree to liquidated damages in the amount of $1000.00 per calendar day beyond the completion date of 5/31/2026. If the shortage or availability of material prevents completion, the time may be extended at the option and consent of the Owner.

7. Conditions of Work:

Each bidder must inform himself fully of the conditions relating to construction of the project and the employment of labor thereon. Failure to do so will not relieve successful bidder of his obligation to furnish all materials and labor necessary to carry out the provisions of his contract. Insofar as possible, the contractor, in carrying out his work, must employ such methods or means as will not cause any interruption of or interference with the work of any other contractor.

8. Addenda and Interpretations:

No interpretations of the meaning of the specifications or other pre-bid documents will be made to any bidder orally. Every request for such interpretation should be in writing addressed to:

Creighton Manning Engineering, PLLC

ATTN: Dan Karkotsky 2 Winners Circle

Albany, NY 12205

Or via email:

dkarkotsky@cmellp.com

Any oral discussions between the bidder and Saratoga County are to be considered informal and not binding. Any supplemental instructions will be in the form of written addenda. Failure of any bidder to receive any such addendum or interpretation shall not relieve such bidder from any obligation under his bid as submitted. All addendum, so issued, shall become part of the contract documents.

mailto:dkarkotsky@cmellp.com

PAGE ITB-3 OF 4

NOTICE - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 12/14/18)

9. Security for Faithful Performance:

Simultaneously, with his delivery of the executed contract, the contractor shall furnish a surety bond or bonds as security for faithful performance of this contract and for the payment of all persons performing labor on the project under this contract and furnishing materials in connection with project under this contract, as specified in the General Conditions included herein. The surety on such bonds shall be a duly authorized surety company satisfactory to Saratoga County.

10. Power of Attorney:

Attorneys-in-fact who sign bid bonds or contract bonds must file, with each bond, a certified and effectively dated copy of their power of attorney.

11. Notice of Special Conditions:

Attention is particularly called to those parts of the contract documents and specifications which deal with the following:

Insurance Requirements Wage Rates Contractor Experience Contract Requirements Special Conditions Supplemental Conditions

12. Laws and Regulations:

Bidders attention is directed to the fact that all applicable State laws, municipal ordinances, and the rules and regulations of all authorities having jurisdiction over construction of the project shall apply to the contract throughout, and they will be deemed to be included in the contract the same as though herein written out in full.

13. Obligation of Bidder:

At the time of the opening of bids, each bidder will be presumed to have inspected the site and to have read and to be thoroughly familiar with the plans and contract documents (including all addenda). The failure or omission of any bidder to examine any form, instrument, or document shall in no way relieve any bidder from any obligation in respect to his bid.

14. Sales and Compensating Use Tax Exemption for Materials Sold to Owner:

Saratoga County is exempt from payment of sales and compensating use taxes of the State of New York and of cities and counties on all supplies and materials sold to the County pursuant to this contract.

15. Proof of Title to Materials Sold to Owner:

The contractor, or subcontractor, at the request of Saratoga County, shall furnish to the County such bills of sale and other instruments as may be required by it, properly executed, acknowledged, and delivered, assuring to it title to such supplies and materials free of encumbrances. The contractor, or subcontractor, shall mark or otherwise identify all such supplies and materials as the property of the Owner. All subcontractor agreements shall provide for resale of such supplies and materials prior to and separated and apart from the incorporation of such supplies and materials into the permanent construction.

PAGE ITB-4 OF 4

NOTICE - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 12/14/18)

16. Required Certificates:

The contractor and his subcontractors and material men are required to obtain all necessary exemption certificates from Saratoga County and to furnish a resale certificate to all persons, firms, or corporations from which they purchased the supplies and materials in performance of the work under the contract.

17. Non-Collusive Bidding Certificate

All contractors bidding under the provisions of the specifications are subject to the provisions of section 103 of the General Municipal Law of New York. A signed non-collusive certification is required to be submitted with each bid in the form specified with the bid documents.

18. Bid Cannot be Based Upon Assumptions:

The contractor further agrees that its bid proposal is not based upon the assumption that any specifications, traffic restrictions, scheduling or phasing/staging requirements will be waived; that an extension of Contract Completion Date will be granted; a labor dispensation will be granted; that a substitution of non-approved products, alternative or claimed functional equivalents for Specified Construction Materials and Methods will be allowed; or that any Value Engineering Proposals will be approved.

PAGE FB-1 OF 5

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

FORM OF BID

SPECIFICATION #25-PWGLSU-8

Date:_______________________________

Bid of ____________________________________________________ (hereinafter called "Bidder") organized and existing under the laws of the State of _________________________________________________ doing business as ___________________________________________________________________________

To the County of Saratoga, Ballston Spa, New York (hereinafter called "Owner").

The Bidder, in compliance with your invitation for bids for CR 91 (Grooms Road)/Lapp Road Traffic Signal Upgrade, and having examined specifications with related documents and the site of the proposed project, hereby proposes to furnish all labor, materials, and supplies, and to complete the project in a timely manner in accordance with the Contract Documents;

and at the prices stated below. These prices are to cover all expenses incurred in performing the work required under the Contract Documents, of which this bid is a part.

Bidder agrees to perform all work described in these specifications as stated in the following. The bidder agrees to furnish all labor, equipment, and material necessary for CR 91 (Grooms Road)/Lapp Road Traffic Signal Upgrade based on these specifications #25-PWGLSU-8 and a review of the site.

PAGE FB-2 OF 5

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

FORM OF BID

BIDDER’S NAME: ________________________________________________________

Addenda Acknowledgement: Addendum No. Date Received

BASE BID .........................................………….......................$_________________________

TOTAL WRITTEN AMOUNT: ___________________________________________________

The bidder understands that the Owner reserves the right to reject any or all bids and to waive any informalities.

The bidder agrees that his bid shall be valid and may not be withdrawn for a period of 45 days after scheduled closing time for receiving bids.

The bid security attached in the sum of $__________________________ (in figures)

_________________________________________________________________________________________(in words) is to become the property of the Owner in the event that contract and bond are not executed within the time set forth, as liquidated damages for the delay and additional expense to the County caused thereby.

Respectfully submitted: SIGNATURE_____________________________________________

NAME & TITLE_____________________________________________

(Seal if bid is by a corporation) COMPANY_____________________________________________

ADDRESS_____________________________________________

FEIN _____________________________________________

TELEPHONE_____________________________________________

DATE________________________ FAX_____________________________________________

EMAIL ADDRESS ____________________________________________

CR 91 (GROOMS ROAD)/LAPP ROAD SIGNAL UPGRADE Saratoga County Department of Public Works

#25-PWGLSU-8

Brought Forward $_____________.___

ITEM ITEM UNIT PRICE TOTAL

NUMBER DESCRIPTION QTY UNIT UNIT PRICE IN WORDS (NUMERALS) (NUMERALS)

619.01 BASIC WORK ZONE TRAFFIC CONTROL 1 LS ________________________________ Dollars

Cents

680.05010007

360 DEGREE CAMERA VIDEO DETECTION

SYSTEM

1 EACH ________________________________ Dollars

Cents

680.730514 SIGNAL CABLE 5 CONDUCTORS, 14 AWG 530 LF ________________________________ Dollars

Cents

680.79000001 REMOVE TRAFFIC SIGNAL EQUIPMENT 1 LS ________________________________ Dollars

Cents

680.810301

TRAFFIC SIGNAL MODULE - 8 INCH, RED BALL,

LED

4 EACH ________________________________ Dollars

Cents

680.810303

TRAFFIC SIGNAL MODULE - 8 INCH, YELLOW

BALL, LED

4 EACH ________________________________ Dollars

Cents

Page Total $__________________

Carry Forward $ __________________

Brought Forward $_____________.___

ITEM ITEM UNIT PRICE TOTAL

NUMBER DESCRIPTION QTY UNIT UNIT PRICE IN WORDS (NUMERALS) (NUMERALS)

680.810305

TRAFFIC SIGNAL MODULE - 8 INCH, GREEN

BALL, LED

4 EACH ________________________________ Dollars

Cents

680.810701

TRAFFIC SIGNAL SECTION - POLYCARBONATE,

TYPE I, 8 INCH

12 EACH ________________________________ Dollars

Cents

680.8111 TRAFFIC SIGNAL BRACKET ASSEMBLY - 1 WAY 4 EACH ________________________________ Dollars

Cents

680.93200101

NEMA TS2 TYPE A2 CONTROLLER - BUS

PRIORITY CAPABILITY

1 EACH ________________________________ Dollars

Cents

697.03 FIELD CHANGE PAYMENT 5000 DC FIXED PRICE: SEE SPECIFICATION Dollars

Cents

$ 1.00 $ 5000.00

SUBTOTAL BASE BID _________________

Dollars

Cents

Brought Forward $_____________.___

ITEM ITEM UNIT PRICE TOTAL

NUMBER DESCRIPTION QTY UNIT UNIT PRICE IN WORDS (NUMERALS) (NUMERALS)

699.040001 MOBILIZATION 1 LS ________________________________ Dollars

Cents

TOTAL BASE BID _________________

Dollars

Cents

PAGE BB-1 OF 1

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 08/2/19)

BID BOND

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

________________________________________________________________________________________as Principal, _________________________________________________________________________ and as Surety, are hereby held and firmly bound unto the County of Saratoga as owner in the penal sum of __________________________________for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns. Signed, this __________ day of _____________________________20________.

The condition of the above is such that whereas the Principal has submitted to the ________________________________ a Certain Bid, attached hereto and hereby made a part hereof to enter in a contract in writing, to

NOW, THEREFORE,

(a) If said Bid shall be rejected, or in the alternate,

(b) If said Bid shall be accepted and the Principal shall execute and deliver a contract in the form of contract attached hereto (properly completed in accordance with said Bid) and shall furnish a bond for his faithful performance of said contract, and for the payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the agreement created of said Bid, then this obligation shall be void, otherwise the same shall remain in force and effect; it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated.

The Surety, for value received, hereby stipulated agrees that the obligations of said Surety and its bond shall be in no way impaired or affected by an extension of the time within which the Owner may accept said Bid; and said Surety does hereby waive notice of any such extensions.

IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals, and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set for above.

_______________________________________(L. S) ___________________________________________ Principal Surety

By:_____________________________________ By: _________________________________________

IMPORTANT - Surety companies executing bonds must be authorized to transact business in the State of New York.

PAGE NCB-1 OF 1

NON-COLLUSIVE BIDDING CERTIFICATION

Section 103-d of the General Municipal Law

(a) By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and, in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief:

(1) The prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor;

(2) Unless otherwise required by Law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidderand will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor, and

(3) No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit or not to submit a bid for the purpose of restricting competition.”

I hereby affirm under the penalties of perjury that the foregoing statements are true.

Dated: _____________, 20___.

Signature Title

STATE OF )

) ss.:

COUNTY OF )

Subscribed to and sworn before me this ____ day of _____________, 20 ___ by _______________________ (name of signer).

Notary Public

PAGE IDA-1 OF 1

CERTIFICATION OF COMPLIANCE WITH IRAN DIVESTMENT ACT

Pursuant to General Municipal Law §103-g, which generally prohibits the County of Saratoga from entering into contracts with persons engaged in investment activities in the energy sector of Iran, the bidder/proposer submits the following certification:

[Please Check One]

BIDDER’S CERTIFICATION

By submission of this bid or proposal, each bidder/proposer and each person signing on behalf of any bidder/proposer certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief, that each bidder/proposer is not on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law.

I am unable to certify that my name and the name of the bidder/proposer does not appear on the list created pursuant to paragraph (b) of subdivision 3 of Section 165-a of the State Finance Law. I have attached a signed statement setting forth in detail why I cannot so certify.

) ss.:

COUNTY OF )

The undersigned, being duly sworn, says (a) I am duly authorized to execute this Certification and (b) I hereby certify, under penalty of perjury, that the forgoing Certification is in all respects true and accurate.

Signature

Printed Name

Title

Subscribed and sworn to before me this ____ day of __________________, 20___.

CERTIFICATION OF COMPLIANCE FOR THE

PREVENTION OF SEXUAL HARASSMENT

Pursuant to State Finance Law §139-l of the State of New York, effective January 1, 2019, where competitive bidding is required for certain public contracts, every bid must contain the following statement affirming that the bidder has implemented a written policy addressing sexual harassment prevention and that the bidder provides annual sexual harassment prevention training, which statement must be signed by the bidder and affirmed by such bidder under the penalty of perjury:

[Please Check One]

BIDDER’S CERTIFICATION

By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that the bidder has and has implemented a written policy addressing sexual harassment prevention in the workplace and provides annual sexual harassment prevention training to all of its employees. Such policy shall, at a minimum, meet the requirements of section two hundred one-g of the labor law.

I am unable to certify that I, or my employer, have implemented a written policy addressing sexual harassment prevention in the workplace. The reason(s) why neither I nor my employer can make such certification is/are: _____________________________

COUNTY OF ) ss:

The undersigned, being duly sworn, says: (a) I am duly authorized to execute this Certification and (b) I hereby certify, under penalty of perjury, that the forgoing Certification is in all respects true and accurate.

Signature

Printed Name

Title

Subscribed and sworn to before me this ____ day of __________________, 20___.

PAGE SH-1 OF 1

PAGE CRS-1 OF 1

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

CONTRACTOR REFERENCE SHEET

All bidders must complete this form providing three (3) references of past performance. References should involve projects and or service situations of similar size and scope to this bid. References must have had dealings with the bidder within the last 36 months. The County reserves the right to contact any or all of the references supplied for an evaluation of past performance in order to establish the responsibility of the bidder before the actual award of this bid and/or contract.

BIDDER’S NAME: ___________________________________________________

REFERENCE NAME: ___________________________________________________

ADDRESS: ___________________________________________________

TELEPHONE: ___________________________________________________

CONTACT PERSON: ___________________________________________________

PAGE CQS-1 OF 5

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

CONTRACTOR QUALIFICATION STATEMENT

The undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.

SUBMITTED TO: ____________________________________________________________

ADDRESS: ____________________________________________________________

SUBMITTED BY: ____________________________________________________________

NAME: ____________________________________________________________

ADDRESS: ____________________________________________________________

PRINCIPAL OFFICE: ____________________________________________________________

Corporation []

Partnership []

Individual []

Joint Venture []

Other []

NAME OF PROJECT (if applicable): _______________________________________________________

TYPE OF WORK (file separate form for each Classification of Work):

____________General Construction ____________HVAC

____________Plumbing ____________Electrical

____________Other __________________ (please specify)

1. ORGANIZATION:

1.1 How many years has your organization been in business as a contractor?

1.2 How many years has your organization been in business under its present business name?

1.2.1 Under what other or former names has your organization operated?

PAGE CQS-2 OF 5

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

1.3 If your organization is a corporation, answer the following:

1.3.1 Date of Incorporation:

1.3.2 State of Incorporation:

1.3.3 President’s Name:

1.3.4 Vice-President’s Name(s):

1.3.5 Secretary’s Name:

1.3.6 Treasurer’s Name:

1.4 If your organization is a partnership, answer the following:

1.4.1 Date of Organization:

1.4.2 Type of Partnership (if applicable):

1.4.3 Name(s) of General Partner(s):

1.5 If your organization is individually owned, answer the following:

1.5.1 Date of Organization:

1.5.2 Name of Owner:

1.6 If the form of your organization is other than those listed above, describe it and name the principals:

2. LICENSING:

2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable.

2.2 List jurisdictions in which your organization’s partnership or trade name is filed.

PAGE CQS-3 OF 5

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

3. EXPERIENCE:

3.1 List the categories of work that your organization normally performs with its own forces.

3.2 Claims and Suits - (if the answer to any of the questions below is yes, please attach details):

3.2.1 Has your organization ever failed to complete any work awarded to it?

3.2.2 Are there any judgements, claims, arbitration proceedings, or suits pending or outstanding against your organization or its officers?

3.2.3 Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five (5) years?

3.3 Within the last five (5) years has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (if answer is yes, please attach details)

3.4 On a separate sheet, list major construction projects your organization has in progress giving the name of the project, owner, architect, contract amount, percent complete, and scheduled completion date.

3.4.1 State total worth of work in progress and under contract.

3.5 On a separate sheet, list the major projects your organization has completed in the last five (5) years, giving the name of project, owner, architect, contract amount, date of completion, and percentage of the cost of the work performed with your own forces.

3.5.1 State average annual amount of construction work performed during the past five (5) years:

3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization.

4. REFERENCES:

4.1 Trade References:

PAGE CQS-4 OF 5

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

4.2 Bank References:

4.3 Surety:

4.3.1 Name of bonding company:

4.3.2 Name and address of agent:

5. FINANCING:

5.1 Financial Statement:

5.1.1 Attach a financial statement, preferably audited, including your organization’s latest balance sheet and income statement showing the following items:

Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, materials inventory, and prepaid expenses);

Net Fixed Assets;

Other Assets;

Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries, and accrued payroll taxes);

Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings).

5.1.2 Name and address of firm preparing attached financial statement, and date thereof:

5.1.3 Is the attached financial statement for the identical organization named on page one?

If not, explain the relationship and financial responsibility of the organization whose financial statement if provided (e.g., partner-subsidiary).

5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction?

PAGE CQS-5 OF 5

Notice – This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

6. SIGNATURE:

6.1 Dated _____________________ this __________________ day of ___________________________

Name of Organization: _______________________________________________________________

By: ____________________________________________

Title: ____________________________________________

6.2 ____________________________________________________being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading.

Subscribed and sworn before me this _____________________ day of _________________________

Notary Public: _________________________________________

My Commission Expires: _________________________________

VENDOR INFORMATION

FOR THE COUNTY OF SARATOGA

Please complete the following information which is necessary in order for Saratoga County to track vendor applicant information and the County’s purchasing process.

Business Name

Address

Business Type (Sole Proprietorship, Corporation, LLC, etc.)

Is your business a Disadvantaged Business Enterprise (DBE)? Yes No

Is your business a Minority and Women-Owned Business Enterprise (MWBE)? Yes No

Does your business have a small business status? Yes No

Any other business status, please provide information: __________________________________________

Provide the name of the Certifying Entity (ties):_______________________________________________________

Have you conducted business with the County before? Yes No

If the answer to the above question is NO, please provide your Federal ID Number and attach a copy of your W-9

Form. FEIN # :_____________________

How did you discover this Bid opportunity?

Do you use the Empire State Municipal Purchasing Group Website (BidNet)? Yes No

If Yes, do you find it useful (explain) or if No, why?

Completing the above information does not change your chances of being awarded a contract. The information collected will NOT be sold and will not be used to contact you.

Thank you.

Vendor Information

PAGE VIS-1 OF 1

PAGE CBR-1 OF 1

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 11/8/06)

CORPORATE BID RESOLUTION

For Corporate Bidders Only

RESOLVED, that________________________________________________ be authorized to sign and submit (individual) the bid or proposal of this corporation for the following project(s):

and to include in such bid or proposal, the certificate as to non-collusion required by section 103-d of the General Municipal Law as the act and deed of such Corporation, and for any inaccuracies or misstatements in such certificates this corporate bidder shall be liable under the penalties of perjury.

The foregoing is a true and correct copy of the resolution adopted by ____________________________________ (corporation) at a meeting of its Board of Directors held on the __________ day of ______________________, _________ and is still in full force and effect on this __________ day of ______________________, ________.

SEAL OF CORPORATION

Secretary

PAGE OCA-1 OF 2 Notice- This document may not be modified without the permission of an authorized representative of Saratoga County.

(rev. 3/19/21)

OWNER/CONTRACTOR AGREEMENT

THIS AGREEMENT, made this ________, day of ____________________, 2025 by and between the County of Saratoga, hereinafter called "Owner" and ______________________________________ doing business as a corporation located in City/Town of______________, ____________ County in the State of ____________ hereinafter called "Contractor".

WITNESSETH: That for and in consideration of the payments and agreements hereinafter mentioned, to be made and performed by the Owner, the Contractor hereby agrees with the Owner to commence and complete the project described as follows:

Hereinafter called the "project", for the sum of $______________________ under the terms as stated in the General and Special Conditions of the contract; and materials, supplies, machinery, equipment, tools, superintendence, labor, insurance and other accessories and services necessary to complete the said project in accordance with the conditions and prices stated in the Proposal, Information for Bidders, the General Conditions, Special Specifications of the contract, the Plans, which include all maps, plats, blue prints and other drawings and printed or written explanatory matter thereof, the specifications and contract documents therefore as prepared by Owner.

The Contractor hereby agrees to commence work under this contract on or before a date to be specified in written "Notice to Proceed" of the Owner and to fully complete the project in a Timely manner.

In case this contract is modified and changed by the Owner, so as to make the work less expensive to the Contractor, a proper deduction shall be made from the contract price, which deduction shall be determined by the Owner provided, however, that in the event of such changes the Contractor shall have no claim on this account for loss of anticipated profits on the work involved.

At completion of all work whatsoever required to be done, provided or performed by the Contract, Owner will inspect the work, and if he finds the work acceptable hereunder and the Contract fully performed, he shall issue and file with the Owner and with the Contractor a Certificate of Completion.

Such certificate shall state that the work provided for in this contract has been completed and is accepted by him and set forth the entire balance which is due and payable to the Contractor. Before issuance of such Certificate, the Contractor shall submit proof to the Owner that all payrolls, material bills and other indebtedness connected with the work have been paid.

PAGE OCA-2 OF 2 Notice- This document may not be modified without the permission of an authorized representative of Saratoga County.

(rev. 3/19/21)

OWNER/CONTRACTOR AGREEMENT

The acceptance by the Contractor of the Final Payment shall be, and shall function as, a general release to the Owner of all claims and of all liability whatsoever arising from or in anywise connected with the work. No payment, however, final or otherwise, shall function to release the Contractor or his sureties from any continuing obligations under this Contract or under the Bonds required hereunder.

IN WITNESSETH WHEREOF, the parties to these presents have executed this contract in four (4) counterparts, each of which shall be deemed an original, in the year and day first mentioned above.

Date: _________________________ __________________________________________ (Saratoga County, Owner)

_________________________________, Chairman Saratoga County Board of Supervisors

Pursuant to Resolution #______________________

AND

Contractor Name and Address:

Federal Tax I.D. #___________________________

Date: ___________________________ By: _______________________________________ (signature)

(printed – name & title)

APPROVED BY:

Michael J. Hartnett, County Attorney

INDEMNITY AND INSURANCE AGREEMENT

IT IS HEREBY AGREED by ______________________________________________, the CONTRACTOR, as follows:

INSURANCE

CONTRACTOR’S LIABILITY INSURANCE

The Contractor shall purchase and maintain such insurance as will protect him from all claims as set forth below, which may arise out of or result from the Contractor’s operations under the Contract, whether such operations be by himself or any subcontractor or by anyone directly or indirectly employed by any of them or by anyone for whose acts any of them may be liable:

1. claims under workmen’s compensation, disability benefit and other similar employee benefit acts;

2. claims for damages because of bodily injury, occupational sickness or disease, or death of his employees;

3. claims for damages because of bodily injury, sickness or disease, or death of any person other than his employees;

4. claims for damages insured by usual personal injury liability coverage which are sustained (1) by any person as a result of an offense directly or indirectly related to the employment of such person by the Contractor, or (2) by any other person; and

5. claims for damages because of injury to or destruction of tangible property, including loss of use resulting therefrom.

Certificates of Insurance acceptable to the County shall be filed with the County prior to commencement of the work. Saratoga County must be named and included as an additional insured under the Contractor’s general liability insurance. Proof that the County has been named as an additional insured on the Contractor’s general liability insurance must be provided in the form of an additional insured rider to said policy, or by other proof acceptable to the Saratoga County Attorney

The Contractor’s Comprehensive General Liability Insurance and Automobile Insurance shall be in an amount not less than One Million Dollars ($1,000,000) for injuries, including accidental death, to any one person and subject to the same limit for each person, and in an amount not less than One Million Dollars ($1,000,000) on account of one occurrence. The Contractor’s Property Damage Liability Insurance shall be in an amount not less than One Million Dollars ($1,000,000). The Contractor shall require his subcontractors to procure and to maintain during the life of his subcontract, Subcontractors’ Comprehensive General Liability, Automobile Liability, and Property Damage Liability Insurance of the type and in the same amounts as specified hereinabove. The Contractor’s and his subcontractors’ Liability Insurance shall include adequate protection against the following special hazards:

Bodily Injury and Property Damage – completed job operation and/or products liability at before mentioned limits with $1,000,000 for bodily injury and $1,000,000 aggregate for operations, protection, contractual and products and/or completed job operations.

Property Damage shall be on the broad form and shall include coverage for explosion, collapse and underground damages.

The above insurance is not, and shall not be construed as, a limitation upon CONTRACTOR’s obligation to indemnify the COUNTY.

Attorney’s Approval

All documents submitted shall be subject to the approval of the Saratoga County Attorney as to form and content.

HOLD HARMLESS

The CONTRACTOR shall, at all times, indemnify and save harmless the COUNTY from and against any and all claims and demands whatsoever, including costs, litigation expenses, counsel fees and liabilities in connection therewith arising out of injury to or death of any person whomsoever or damage to any property of any kind by whomsoever, caused in whole or in part, directly or indirectly, by the acts or omissions of the CONTRACTOR, any person employed by the CONTRACTOR, its Contractors, subcontractors, materialmen, or any person directly or indirectly employed by them or any of them, while engaged in the work hereunder. This clause shall not be construed to limit, or otherwise impair, other rights or obligations of indemnity which exist in law, or in equity, for the benefit of the

COUNTY.

IN WITNESS WHEREOF, the CONTRACTOR have set its hand this ______day of ____________________, ________.

SIGNATURE______________________________________________

NAME & TITLE______________________________________________

INSURANCE - CONTRACTOR (bid / #25-PWGLSU-8 / 11/6/2025)

PAGE IIA-1 OF 1

PAGE AC-1 OF 1

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 10/30/09)

ACKNOWLEDGMENT OF CONTRACTOR, IF CORPORATION

STATE OF NEW YORK

COUNTY OF ss:

On this ____________ day of ________________________, 20______, before me personally came and appeared

________________________________________ to me known, who being by me duly sworn, did depose and say that (s)he resides at ______________________________________________________________, that (s)he is the

_________________________________; of ________________________________ the corporation described in (Corporate title) (Legal Company Name) and which executed the foregoing instrument; that he knows the seal of said corporation; that one of the seals affixed to said instrument is such seal; that it was so affixed by order of the directors of said corporation, and that (s)he signed (his/her) name thereto by like order.

Notary Public __________________________________

ACKNOWLEDGMENT OF CONTRACTOR, IF A PARTNERSHIP

COUNTY OF ss:

On this ____________ day of ________________________, 20______, before me personally came and appeared

_______________________________________ to me known, and known to me to be one of the members of the firm of ________________________________________________, described in and who executed the foregoing instrument and (s)he acknowledged to me that (s)he executed the same as and for the act and deed of said firm.

Notary Public __________________________________

ACKNOWLEDGMENT OF CONTRACTOR, IF AN INDIVIDUAL

COUNTY OF ss:

On this ____________ day of ________________________, 20______, before me personally came and appeared

_________________________________________ to me known, and known to me to be the person described in described in and who executed the foregoing instrument and acknowledge that (s)he executed the same.

Notary Public ______________________________

PAGE ASC-1 OF 1

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 04/4/14)

ACKNOWLEDGEMENT OF OFFICER OF SARATOGA COUNTY EXECUTING CONTRACT

COUNTY OF SARATOGA

On this ________ day of ______________________, 20______, before me personally came and appeared ____________________________________________ to me known, who, being by me duly sworn, did depose and say that (s)he is the _____________________________, described in and which executed the foregoing instrument that by virtue of the authority conferred on (her/him) by law (s)he subscribed (her/his) name to the foregoing instrument and that (s)he executed the same for the purpose therein mentioned.

Notary Public _______________________________

PAGE PB-1 OF 2

Notice - This document may not be modified without the permission of an authorized representative of Saratoga County. (rev. 04/24/25)

PERFORMANCE BOND

Know all men by these presents, THAT WE, hereinafter referred to as the PRINCIPAL, and hereinafter referred to as the SURETY, are held and firmly bound to the hereinafter referred to as the OWNER, or to its successors and assigns, in the penal sum of:

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

WHEREAS, the Principal is about to enter, or has entered, into a Contract in writing with the Owner for

A copy of which Contract is annexed to and hereby made a part of this bond as though herein set forth in full.

NOW, THEREFORE, the conditions of this obligation are such that if the Principal, his or its representative or assigns, shall well and faithfully perform the said Contract and all modifications, amendments, additions, and alterations thereto that may hereafter be made, according to its terms and its true intent and meaning, and shall fully indemnify and…

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