H - Doc CC Proposal - Acknowledgment - Affidavit.pdf

Wor982210D Nutrient Reduction Wetland Project DOCUMENT CC Bid No. 26-13 PROPOSAL AND SCHEDULE OF PRICES

CC-1

Time and Date for Bid Submissions: 3:00 PM, 11/12/2026

BIDDER LOGIN –

https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=DASIowa

Time and Date of Bid Opening: 3:00 PM, November 12, 2026

Bid Opening TEAMS: +1 469-998-7627,,147759330#

Project Description and Location: Wor982210D Nutrient Reduction Wetland Project Section 10, Township 99 North, Range 22 West Worth County, Iowa

PROPOSAL AND SCHEDULE OF PRICES

Proposal of ____________________________________________________________________________________________ (PRINT Name of Bidder: COMPANY & CONTACT)

Located at (FULL Address)

(Telephone Number) (email)

Amount of Proposal Guarantee

Description of Work Specified Completion Date Liquidated Damages

10% of Base Bid

All Work Except Seeding

September 1, 2027

$175.00 Per Day

Seeding - Buffer Seeding – Structure

December 15, 2027 December 15, 2027 $125.00 Per Day

Seeding must be done within the respective seeding period

The undersigned hereby agrees, if awarded the contract, to execute the proposed contract and to furnish satisfactory Performance Bond in an amount not less than one hundred percent (100%) of the contract award within fourteen (14) days from the date when Notice-of-Award is received, and to provide all supervision, labor, materials, and equipment required to complete the project designated above, for the prices hereinafter set forth, in strict compliance with the Contract Documents prepared by the Division.

Further, the parties agree and acknowledge as follows:

• The amount of loss or damages likely to be incurred by Division are uncertain and said loss is incapable or very difficult to quantify and estimate;

• The amount specified for liquidated damages herein bear a reasonable relationship to, and are not plainly or grossly disproportionate to, the probable loss likely to be incurred by Division in connection with any delay on part of the Contractor;

• The amount of liquidated damages fixed herein bears a reasonable relationship to Division’s anticipated losses and/or actual losses;

• The amount of liquidated damages herein fairly approximates Division’s loss at the time of making of this Agreement;

• The amount of liquidated damages fixed herein are fair and reasonable and it approximates to the extent possible the actual loss to Division as a result of any delay on the part of Contractor; and

• Division and Contractor are sophisticated parties and negotiated this Agreement at arm’s length.

https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=DASIowa

CC-2

Now therefore, in consideration of the mutual obligations set forth herein, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:

• Contractor will commence the work after the Preconstruction Conference and by the Construction Start Date approved by Division in the Construction Progress Schedule.

• Contractor will complete the work within the specified time period identified in the contract, or as amended, or be responsible for liquidated damages per day as set forth in the above table.

• The liquidated damages may be withheld from payments made to the Contractor by the Division upon written notice that liquidated damages have begun to accrue, and such damages are in addition to other remedies available as provided for in this contract and applicable law.

A Proposal Guarantee in the amount stipulated herein is included with this proposal, to be forfeited to the Division, if the undersigned fails or refuses to execute the contract and furnish satisfactory Performance Bond, if awarded the contract.

By _______________________________________________ (Signed)

( PRINT NAME)

(Title) (Date)

In executing this proposal, Bidder acknowledges receipt of Addendum Number _____ dated ____________________

In executing this proposal, Bidder acknowledges receipt of Addendum Number _____ dated ____________________

In executing this proposal, Bidder acknowledges receipt of Addendum Number _____ dated ____________________

CC-3

THE FOLLOWING AFFIDAVIT MUST BE COMPLETED AND NOTARIZED, OR THIS BID WILL BE REJECTED

AFFIDAVIT

The signatory, being duly sworn, does depose and say that the undersigned is an authorized representative of:

(Name of Firm)

Located at ____________________________________________________________________________________ hereinafter referred to as “Bidder” and does hereby affirm to have personal knowledge that said Bidder has thoroughly examined the Contract Documents, carefully prepared the Proposal and Schedule of Prices form, and has checked the same in detail before submitting; and that said Bidder, or the agents, officers, or employees thereof, have not, either directly or indirectly, entered into any agreement, participated in any collusion or fraud, or otherwise taken any action in restraint of free competitive bidding in connection with this bid.

(Signed)

(PRINT name)

Subscribed and sworn to before me this _________ day of ________________________________, 20____

(Signed, Notary)

My Commission Expires _______________, 20______

Must include notary stamp