Invitation to Bid B27-PW-103011-500862.pdf
PDF 11 MB Posted
- Attached to
- PD Property Evidence Room Expansion Project
- Solicitation number
- B27-PW-103011-500862
- Issued by
- Maricopa County, Arizona
About this file
Summary
This is an Invitation to Bid (ITB) document issued by Lake Havasu City, Arizona for the PD Property Evidence Room Expansion Project (B27-PW-103011-500862). The project involves constructing a new single-story 295 square foot addition approximately 16 feet 4 inches in height to the existing Police Department building located at 2360 McCulloch Boulevard, Lake Havasu City, Arizona 86403, along with associated modifications to connect the addition to the existing structure including a new door opening for access from the existing evidence room. A non-mandatory pre-bid meeting will be held on October 8, 2026 at 10:00 a.m. Arizona Time at the Lake Havasu City Police Department Training Room. The bid due date is October 21, 2026 at 3:00 p.m. Arizona Time, with bids to be opened and read publicly in Room 109 of Lake Havasu City Hall. Written questions must be submitted by October 12, 2026 at 3:00 p.m. Arizona Time to purchasing@lhcaz.gov with a copy to capitalprograms@lhcaz.gov. The project completion date is 150 calendar days after the Notice to Proceed. Bidders must possess a minimum Class A Arizona Contractor's License and all subcontractors performing more than 0.50 percent of the contract work must be listed.
Bid security in the amount of 10 percent of the bid is required in the form of a certified check, cashier's check, or bid bond valid for at least 90 days after bid opening. Upon contract award, the contractor must furnish a 100 percent Performance Bond and 100 percent Payment Bond. Liquidated damages for delay range from $210 to $1,780 per calendar day depending on the original contract amount. The contractor must maintain Commercial General Liability insurance with a general aggregate limit of $4,000,000, Business Automobile Liability with a combined single limit of $1,000,000, and Workers' Compensation coverage at statutory limits. The contractor is required to indemnify and hold harmless Lake Havasu City from all claims arising from the contractor's performance. Bid documents are available on the City's website at www.lhcaz.gov, through DemandStar at www.demandstar.com, and at multiple plan rooms throughout Arizona and neighboring states. E-bids are accepted through DemandStar's network, with paper bids continuing to be accepted at the City Clerk's Office.
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Text version
REVISED 6/2/2022
LAKE HAVASU CITY
INVITATION TO BID
CONTRACT DOCUMENTS
AND
TECHNICAL SPECIFICATIONS
PD Property Evidence Room Expansion
Project
B27-PW-103011-500862
CONTRACT DOCUMENTS
VOLUME 1
TABLE OF CONTENTS
DIVISION I – BID AND CONTRACT DOCUMENTS
SECTION 00020 - NOTICE INVITING BIDS
SECTION 00040 - INTENT TO BID NOTIFICATION
SECTION 00100 - INFORMATION FOR BIDDERS
SECTION 00300 - BID PROPOSAL
SECTION 00310 - BID SCHEDULE
SECTION 00400 - ARIZONA STATUTORY BID BOND
SECTION 00420 - BIDDER’S STATEMENT OF QUALIFICATIONS
SECTION 00430 - AFFIDAVIT OF CONTRACTOR CERTIFYING
NO COLLUSION IN BIDDING
SECTION 00450 - HAZARD COMMUNICATION PROGRAM
SECTION 00460 - EMPLOYMENT ELIGIBILITY VERIFICATION FORM
SECTION 00500 - AGREEMENT
SECTION 00500A - INDEMNIFICATION & INSURANCE REQUIREMENTS
SECTION 00500B - CONTRACTOR CLAIM HANDLING PROCEDURE
SECTION 00510 - ARIZONA STATUTORY PERFORMANCE BOND
SECTION 00520 - ARIZONA STATUTORY PAYMENT BOND
SECTION 00670 - NOTICE OF AWARD
SECTION 00680 - NOTICE TO PROCEED
SECTION 00685 - CERTIFICATE OF SUBSTANTIAL COMPLETION
SECTION 00690 - CERTIFICATION OF COMPLETION
DIVISION II – GENERAL CONDITIONS
SECTION 00700 - GENERAL CONDITIONS
DIVISION III – SPECIAL PROVISIONS
SECTION 00800 - SPECIAL PROVISIONS
DIVISION IV – TECHNICAL SPECIFICATIONS
The following specifications are contained within this Invitation For Bids:
LHC 1210 - MEASUREMENT AND PAYMENT
DIVISION V – CONSULTANT ENGINEER’S
TECHNICAL SPECIFICATIONS
SECTION 01 – GENERAL REQUIREMENTS
01 11 00 - Summary of Work 01 12 16 - Work Sequence 01 14 19 - Contractor’s Use of Premises 01 24 13 - Value Engineering Procedures 01 25 00 - Substitutions 01 26 13 - Contractor's Requests for Information / Interpretation 01 29 00 - Payment Procedures 01 29 73 - Schedule of Values 01 29 76 - Application for Payment 01 31 13 - Project Coordination 01 31 19 - Project Meetings 01 32 16 - Progress Schedule 01 33 00 - Submittal Procedures 01 33 23 - Shop Drawings, Product Data, and Samples 01 42 00 - References 01 45 00 - Quality Control 01 45 29 - Testing and Laboratory Services 01 50 00 - Temporary Facilities and Controls 01 57 00 - Temporary Water Pollution, Erosion, and Sedimentation Control 01 60 00 - Material and Equipment 01 73 00 - Execution Requirements 01 73 29 - Cutting and Patching 01 74 00 - Cleaning 01 77 00 - Closeout Procedures
SECTION 02 – EXISTING CONDITIONS
02 41 00 - Demolition 02 41 19 - Selective Demolition
SECTION 03 – CONCRETE
03 11 00 - Concrete Forming 03 20 00 - Concrete Reinforcement 03 30 00 - Cast-in-Place Concrete
SECTION 04 – MASONRY
04 01 20 - Unit Masonry Cleaning 04 05 15 - Mortar and Masonry Grout 04 05 19 - Masonry Reinforcement 04 05 23 - Masonry Accessories 04 05 26 - CMU Integral Water Repellent 04 22 00 - Concrete Masonry Units
SECTION 05 – METALS
05 10 00 - Structural Metal Framing 05 41 00 - Structural Metal Stud Framing
SECTION 07 – THERMAL AND MOISTURE PROTECTION
07 21 00 - Building Insulation 07 54 23 - Thermoplastic Polyolenfin Roofing 07 60 00 - Sheet Metal Flashing and Trim 07 92 00 - Joint Sealers
SECTION 08 – OPENINGS
08 11 13 - Steel Doors and Frames 08 71 00 - Finish Hardware
SECTION 09 – FINISHES
09 22 16 - Non-Structural Metal Framing 09 29 00 - Gypsum Board 09 51 00 - Acoustical Ceiling 09 65 13 - Rubber Base 09 65 16 - Luxury Vinyl Tile 09 65 19 - Resilient Tile Flooring 09 91 00 - Painting
SECTION 10 – SPECIALITIES
10 44 00 - Fire Protection Specialties
SECTION 21 – FIRE SUPPRESSION
21 12 00 - Fire-Suppression Standpipes 21 13 13 - Wet-Pipe Sprinkler Systems
SECTION 23 – HEATING VENTILATING AND AIR CONDITIONING (HVAC)
23 00 10 - Basic Mechanical Requirements 23 05 00 - Common Work Results for HVAC 23 05 13 - Common Motor Requirements 23 05 29 - Hangers and Supports 23 07 00 - Mechanical Insulation 23 07 19 - Piping Insulation 23 08 00 - Commissioning of HVAC Systems 23 31 13 - Metal Ductwork 23 42 33 - Cleanroom Filtration 23 81 26 - Split-System Ductless Air Conditioners
SECTION 26 – ELECTRICAL
26 05 00 - Common Work Results for Electrical 26 05 19 - Low-Voltage Electrical Power Conductors and Cables 26 05 29 - Hangers and Supports for Electrical Systems 26 05 33 - Raceway and Boxes for Electrical Systems 26 05 53 - Identification for Electrical Systems 26 05 72 - Overcurrent Protective Device Short-Circuit Study 26 08 00 - Commissioning of Electrical Systems 26 27 26 - Wiring Devices 26 28 13 - Fuses 26 28 16 - Enclosed Switches
SECTION 28 – ELECTRONIC SAFETY AND SECURITY
28 05 00 - Common Work Results for Electronic Safety and Security 28 31 11 - Digital, Addressable Fire-Alarm System
SECTION 31 – EARTHWORK
31 00 00 - Earthwork 31 31 00 - Soil Treatment
END OF TABLE OF CONTENTS
Revised 7/24/25 00020-1
SECTION 00020
NOTICE INVITING BIDS
Lake Havasu City
PROJECT NO.: B27-PW-103011-500862
PROJECT NAME: PD Property Evidence Room Expansion Project
PRE-BID MEETING: A NON-MANDATORY Pre-Bid Meeting will be held at Lake
Havasu City Police Department, 2360 McCulloch Blvd N, Lake Havasu City, AZ 86403, PD Training Room at 10:00 a.m., Arizona Time, on Thursday, October 08, 2026.
BID DUE DATE: October 21, 2026
BID DUE TIME: 3:00 p.m., ARIZONA TIME
PROJECT DESCRIPTION:
This project consists of a new single story 295 SF addition approximately 16’-4” in height to the existing Police Department building at 2360 McCulloch Blvd in Lake Havasu City, Arizona 86403, along with associated modifications required to connect the addition to the existing structure including a new door opening for access to the addition from the existing evidence room.
QUESTIONS: All questions that arise relating to this solicitation shall be directed in writing to purchasing@lhcaz.gov with a copy to capitalprograms@lhcaz.gov. To be considered, written inquiries shall be received at the above-referenced email address by October 12, 2026, 3:00 p.m. Arizona Time. Inquiries received will then be answered in an Addendum.
Sealed bids for the project specified will be received by the City Clerk's Office, 2330 N.
McCulloch Boulevard, Lake Havasu City, Arizona, 86403 until the time and date stated. Bids received by the correct time and date will be opened and read aloud immediately thereafter in Room 109 of Lake Havasu City Hall. Public openings may be attended virtually by accessing the following video conferencing system:
To join the meeting on a computer or mobile phone:
https://tinyurl.com/3f94b2ww Meeting ID: 270 366 031 956 Passcode: jcVbxK
Join with a video conferencing device 160264325@teams.bjn.vc Video Conference ID: 112 219 692 0 mailto:purchasing@lhcaz.gov mailto:capitalprograms@lhcaz.gov https://tinyurl.com/3f94b2ww mailto:160264325@teams.bjn.vc
Revised 7/24/25 00020-2
Bids must be clearly addressed to the City Clerk's Office, 2330 McCulloch Blvd. N, Lake Havasu City, Arizona, 86403, and received no later than the exact time and date indicated above. Late bids will not be considered under any circumstances.
Bids must be submitted in a sealed envelope with the Project Number and the bidder's name and address clearly indicated on the envelope. All bids must be completed in ink or typewritten on a form to be obtained from the specifications and a complete Invitation for Bid returned along with the offer no later than the time and date cited above.
Bidders interested in taking advantage of the streamlined e-Bid and e-Bond process shall submit their bids electronically via the City’s DemandStar Network at https://www.demandstar.com/app/buyers/bids/550577/details. Paper bids and paper bid bonds will continue to be accepted. Bidders submitting e-Bids will be required to scan and enclose their paper bid bond/cashier’s check with their electronic bid submission. The apparent low bidder shall submit their original bid bond/cashier’s check within three (3) business days following the Bid opening.
Bid documents and specifications are available on Lake Havasu City’s website at www.lhcaz.gov or on DemandStar at www.demandstar.com. For documents obtained outside of DemandStar please contact purchasing@lhcaz.gov to be added to the planholders’ list.
BONDS:
Bid Bond: 10% Labor and Material Bond: 100% Faithful Performance Bond: 100%
Project Completion Date: 150 calendar days after Notice to Proceed.
Lake Havasu City reserves the right to accept or reject any or all bids or any part thereof and waive informalities deemed in the best interest of the City.
Pursuant to the Americans with Disabilities Act (ADA), Lake Havasu City endeavors to ensure the accessibility of all of its programs, facilities and services to all persons with disabilities. If you need an accommodation for this meeting, please contact the City Clerk's office at (928) 453-4142 at least 24 hours prior to the meeting so that an accommodation may be arranged.
Publication Dates: TODAY’S NEWS HEARLD - September 23rd & 30th, 2026
ARIZONA BUSINESS GAZETTE - September 24th and October 1st, 2026
** END OF SECTION **
https://www.demandstar.com/app/buyers/bids/550577/details http://www.lhcaz.gov/ http://www.demandstar.com/
Revised 11/07/2023 00040-1
SECTION 00040
INTENT TO BID NOTIFICATION
ITB NO.: B27-PW-103011-500862
ITB TITLE: PD Property Evidence Room Expansion Project
CLOSING DATE & TIME: October 21, 2026, at 3:00 PM, Arizona Time
LETTER OF INTENT TO BID SUBMITTAL
This is notification that it is our present intent to submit a bid in response to the above referenced ITB. Please add our company to your planholders list.
The individual to whom all information regarding this ITB should be transmitted is:
Company Name:
Contact Name:
Street Address:
City, State, & Zip:
Phone Number: Fax Number:
E-Mail Address:
Submit this Letter of Intent by the deadline for requests for clarification and protests, which must be physically received by October 12, 2026 at 3:00 p.m., Arizona Time.
Clarification/Protest/Question/Letter of Intent to Bid ITB No.: B27-PW-103011-500862 Lake Havasu City Administrative Services Department, Procurement
Email to: purchasing@lhcaz.gov
Updated 8/18/25 00100-2
SECTION 00100
INFORMATION FOR BIDDERS
1. RECEIPT AND OPENING OF BIDS
The City of Lake Havasu City, Arizona, (hereinafter called the "Owner") invites Bids on the form attached hereto. All blanks must be appropriately filled in. The Bidder shall also complete and submit a form listing proposed subcontractors as enclosed herein. Any subcontractors proposed to be used on the project but not listed on this form shall not be considered when evaluating the Contractor’s qualifications and ability to perform the work.
Bids for PD Property Evidence Room Expansion Project, Project No. B27-PW- 103011-500862 shall be received by the City Clerk's office, 2330 N. McCulloch Boulevard, Lake Havasu City, Arizona 86403 no later than 3:00 P.M., Arizona Time, October 21, 2026, where said Bids will be publicly opened and virtually read aloud immediately thereafter in the Room 109 of Lake Havasu City Hall.
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. No Bidder may withdraw a Bid within ninety (90) days after the actual date of the opening thereof.
Bidders interested in taking advantage of the streamlined e-Bid and e-Bond process shall submit their bids electronically via the City’s DemandStar Network at https://www.demandstar.com/app/buyers/bids/550577/details. Paper bids and paper bid bonds will continue to be accepted.
Bidders submitting e-Bids will be required to scan and enclose their paper bid bond/cashier’s check with their electronic bid submission. The apparent low bidder shall submit their original bid bond/cashier’s check within three (3) business days following the Bid opening.
2. PREPARATION OF BID
Each Bid must be submitted on the prescribed Form. Each Document must be submitted with an original signature of the Bidder, as well as all witnesses indicated therein. All blank spaces for Bid prices must be filled in, in ink or typewritten, in both words and figures.
Each Bid must be submitted in a sealed envelope bearing on the outside the name of the Bidder, the Bidder's address, and the name and number of the project for which the Bid is submitted. If forwarded by mail, the sealed envelope containing the Bid must be enclosed in another envelope addressed as specified in the Bid form.
3. FACSIMILE BIDS OR MODIFICATIONS
No facsimile ("FAX") Bids or bid modifications will be accepted. Any modifications to the Bid shall be made by an authorized representative of the bidding company in person.
https://www.demandstar.com/app/buyers/bids/550577/details
00100-3
4. QUALIFICATIONS OF BIDDER
The Owner may make such investigations as he deems necessary to determine the qualifications of and the ability of the Bidder to perform the Work, and the Bidder shall furnish the Owner such information and data for this purpose as the Owner may request.
The Owner may request that the Bidder provide a list of key people for the project with their related work experience.
The Owner reserves the right to reject any Bid if the evidence submitted by or investigation of such Bidder fails to satisfy the Owner that such Bidder is properly qualified to carry out the obligations of the Contract and to complete the work contemplated therein in a timely manner. Conditional Bids will not be accepted.
All Bidders and listed subcontractors must be valid Arizona Licensed Contractors at the time of Bidding, approved by the Arizona State Registrar of Contractors to do the type and amount of work specified in these documents. In accordance with the Arizona State Registrar of Contractors, the Bidder must possess a minimum of a Class A Arizona Contractor’s License to perform the type and amount of work specified in these documents.
Failure of any bidder to possess all contractors’ licenses as listed in the bid packet, at the time of bidding, shall result in the bid being considered non-responsive and not in substantial compliance, and any such bid shall not be considered. Refer to Section 00420, page 3, item 13.
5. ARITHMETIC DISCREPANCIES IN THE BID
A. For the purpose of the evaluation of Bids, the following will be utilized in resolving arithmetic discrepancies found on the face of the Bid Schedule as submitted by Bidders:
1. Obviously misplaced decimal points will be corrected;
2. In case of discrepancy between unit price and extended price, the unit price will govern;
3. Apparent errors in extension of unit prices will be corrected;
4. Apparent errors in addition of lump sums and extended prices will be corrected; and
5. In case of discrepancy between words and figures in unit prices, the amount shown in words shall govern.
B. For the purpose of Bid evaluation, the Owner will evaluate the bids on the basis of the unit prices, extensions, and totals arrived at by resolution of arithmetic discrepancies as provided above.
6. INCOMPLETE BIDS
Failure to submit a Bid on all items in the Schedule will result in an incomplete Bid and the Bid may be rejected. UNIT OR LUMP SUM PRICES MUST BE SHOWN FOR EACH BID
ITEM WITHIN THE SCHEDULE.
00100-4
NOTE: FAILURE TO INDICATE UNIT OR LUMP SUM PRICES IN THE
APPROPRIATE COLUMN, WITH THE EXTENSION OF THE PRICES IN THE FAR
RIGHT COLUMN, WILL CAUSE THE BID TO BE “NON-RESPONSIVE”.
All forms indicated in the Bid Proposal, Section 00300, must be completely filled out, executed, and submitted with the Bid. Failure to do so will render the bid “non-responsive” and the bid will not be accepted.
7. BID SECURITY
Each Bid must be accompanied by certified check, cashier's check, or a Bid Bond prepared on the form attached hereto or on a similar form acceptable to the Owner, duly executed by the Bidder as principal and having as surety thereon a surety company approved by the Owner, in the amount of ten percent (10%) of the Bid. Bid Bonds shall be valid for at least ninety (90) days after the date of the receipt of Bids. Such cash, check or Bid Bond will be returned to all except the three (3) lowest Bidders within fifteen (15) business days after the opening of Bids. The remaining checks, or Bid Bonds will be returned promptly after the Owner and the accepted Bidder have executed the Contract, or if no award has been made within ninety (90) days after the date of the opening of Bids, upon demand of the Bidder at any time thereafter, so long as he has not been notified of the acceptance of his Bid.
8. LIQUIDATED DAMAGES FOR FAILURE TO ENTER INTO CONTRACT
The successful Bidder, upon his failure or refusal to execute and deliver the Contract, Bonds, and certificates required within ten (10) calendar days from the date of the Notice of Award, shall forfeit to the Owner, as liquidated damages for such failure or refusal, the difference between his bid and the amount of the contract actually entered into with another party should he not enter into a contract at the bid price and provide the required payment and performance bonds and certificates of insurance. Liquidated damages for failure to enter into the contract shall not exceed the amount of the Bid Bond.
9. SECURITY FOR FAITHFUL PERFORMANCE AND PAYMENT
Simultaneously with his delivery of the executed Contract, the Bidder shall furnish on the forms provided herein, in 100% of the amount of this Contract, 1) a surety bond as security for faithful performance of this Contract, and 2) a surety bond as security for the payment of all persons performing labor on the project under this Contract and persons furnishing materials in connection with this Contract, and 3) a listing of all subcontractors who will be performing or providing more than one-half percent (0.50%) of the contract work, as specified in the General Conditions included herein. The surety on such bond or bonds shall be a duly authorized surety company satisfactory to the Owner, listed on the Treasury Department's most current list (Circular 570 as amended), and authorized to transact business in the State of Arizona.
10. POWER OF ATTORNEY
Attorneys-in-fact who sign Bid Bonds or Contract bonds must file with each bond a certified
00100-5 and effectively dated copy of their power-of-attorney.
11. LAWS AND REGULATIONS
The Bidder's attention is directed to the fact that all applicable Federal Laws, 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.
12. METHOD OF AWARD
A. The City will award the Contract on the basis of the Bid or Bids most advantageous to the City. In determining whether a Bid is most advantageous, in addition to price, the City may consider the following:
1. The ability, capacity, and skill of the Bidder to perform the Contract or provide the service indicated;
2. Whether the Bidder can perform the Contract or provide the service promptly, and within the time specified without delay or interference;
3. The character, integrity, reputation, judgment, experience, and efficiency of the Bidder;
4. The quality of performance on previous contracts;
5. The previous compliance with laws and ordinances by the Bidder;
6. The financial responsibility of the Bidder to perform under the Contract or provide the service;
7. The limitations of any license the Bidder may be required to possess;
8. The quality, availability, and adaptability of the product or service;
9. The ability of the Bidder to provide future maintenance and/or service;
10. The number and scope of any conditions attached to the Bid; and;
11. The life cycle, maintenance, and performance of the equipment or product being offered.
13. OBLIGATION OF THE 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, if applicable). The failure or omission of the Bidder to examine any form, instrument or document, or site changes due to natural causes, shall in no way relieve any Bidder from any obligation in respect to his Bid. Site changes due to natural causes prior to Bid opening shall not be cause for Bid alteration or withdrawal.
14. TIME OF COMPLETION AND LIQUIDATED DAMAGES
00100-6
The Bidder must agree to commence work on or before a date to be specified in a written "Notice to Proceed" from the Owner, and to complete the work within 150 calendar days of the date of the Notice to Proceed.
The Bidder further agrees to pay as liquidated damages, the sum indicated in the following Schedule of Liquidated Damages for each consecutive calendar day thereafter, plus any additional costs incurred by the Engineer as provided in Section 17 of the General Conditions, that the Contract remains incomplete. For the purposes of determining the Liquidated Damages for the project, the Original Contract Amount shall be that which is included in the Contract between the Owner and the Contractor for the project.
SCHEDULE OF LIQUIDATED DAMAGES
Original Contract Amount
Daily Charges
From More Than
To and Including
Calendar Day or Fixed Rate
25,000
25,000
50,000
50,000
100,000
100,000
500,000
500,000
1,000,000
1,000,000
2,000,000
From More Than
To and Including
Calendar Day or Fixed Rate
2,000,000
5,000,000
1,070
5,000,000
10,000,000
1,420
10,000,000
---0---
1,780
15. CONDITIONS OF WORK
Each Bidder must inform himself fully of the conditions relating to the construction of the project and the employment of labor thereon. Failure to do so will not relieve a successful Bidder of his obligation to furnish all material 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.
16. ADDENDA AND INTERPRETATIONS
All questions that arise relating to this solicitation shall be directed in writing to:
purchasing@lhcaz.gov with a copy to CapitalPrograms@lhcaz.gov.
mailto:CapitalPrograms@lhcaz.gov
00100-7
Administrative Services Department, Procurement Division Lake Havasu City 2330 McCulloch Blvd. North Lake Havasu City, AZ 86403
To be considered, written inquiries shall be received by the above-referenced contact by October 12, 2026, 3:00 p.m. Arizona Time. Inquiries received will then be answered in an Addendum. Any and all such interpretations and any supplemental instructions will be in the form of written Addenda to the Specifications which, if issued, will be available to all prospective Bidders, not later than five (5) calendar days prior to the date fixed for the opening of Bids. Failure of any Bidder to incorporate any such Addendum or interpretation shall not relieve such Bidder from any obligation under his/her Bid as submitted. All Addenda so issued shall become part of the Contract documents.
No informal contact initiated by offerors on this solicitation will be allowed with members of City staff from the date of distribution of this solicitation until after the closing date and time for the submissions of quotations. All questions or issues related to this solicitation shall be submitted in writing.
17. CONFLICT OF INTEREST
Pursuant to A.R.S. Section 38-511, this Contract is subject to cancellation by Buyer if any person significantly involved initiating, negotiating, securing, drafting or creating the Contract on behalf of Lake Havasu City is, at any time while the Contract is in effect, an employee of any other party to the Contract in any capacity or a consultant to any other party of the Contract with respect to the subject matter of the Contract.
18. NO COLLUSION
The bidder will be required to complete, notarize and submit as part of this bid package the "No Collusion Affidavit" form, as attached herein. Failure of the bidder to submit a properly executed affidavit may be grounds for rejection of the bid.
19. EMPLOYMENT ELIGIBILITY VERIFICATION
The bidder will be required to complete, notarize and submit as part of this bid package the "Employer Verification of Employment Eligibility" form, as attached herein. Failure of the bidder to submit a properly executed verification of eligibility form may be grounds for rejection of the bid.
20. EXAMINATION OF THE PLANS AND SPECIFICATIONS
Each Bid shall be made in accordance with the Plans and Specifications which may be examined at the following locations:
A. Lake Havasu City, 2330 N. McCulloch Boulevard, Lake Havasu City, AZ 86403, 928.855.2116
B. Dodge Data & Analytics, 3315 Central Avenue, Hot Springs, AR, 71913, 00100-8
871.375.2946, FAX 501.625.3544, www.construction.com, dodge.bidding@construction.com
C. Colorado River Building Industry Association, 2182 McCulloch Blvd, Suite 3, Lake
Havasu City AZ 86403, 928.453.7755, FAX 928.453.3175, www.crbia.org, frontdesk@criba.org
D. Northern AZ Home Builders, 1500 E. Cedar Avenue, Suite 86, Flagstaff AZ 86004, 928.779.3071, FAX 928.779.4211, www.nazba.org, info@nazba.org
E. Performance Graphics Blueprinting, 4140 Lynn Drive, Suite 107, Fort Mohave, AZ, 86426, 928.763.6860, FAX 928.763.6835, prints@pgblueprinting.net
F. Construction Market Data, 30 Technology Parkway South, Suite 500, Norcross, GA
30092-2912, 800.876.4045, FAX 800.303.8629, www.cmdgroup.com, projects@cmdgroup.com
G. ISqFt, 3301 N 24th Street, Phoenix, AZ, 85016, 800.364.2059, FAX 800.792.7508, www.isqft.com, arizonaplanroom@isqft.com
H. Integrated Digital Technologies, LLC, 4633 E Broadway Blvd., Tucson, AZ 85711, PO Box 13086, Tucson AZ,85732, 520.319.0988, FAX, 520.319.1430,www.contractorsplanroom.com, content@idtplans.com
I. Yuma/Southwest Contractors Association, 350 W. 16th Street, Suite 207, Yuma, AZ
85364, Phone: 928-539-9035, Fax: 928-539-9036, www.yswca.com, plans@yswca.com
J.
Arizona Builders Exchange, 1700 N. McClintock Drive, Tempe, AZ, 85281,
(480) 227-2620, www.azbex.com, rkettenhofen@azbex.com
K. Construction Reports.com, 4110 N Scottsdale Road, Suite 335, Scottsdale, AZ, 85251, 480.994.0020, FAX 480.994.0030, www.constructionreports.com, jess@constructionreports.com
L. Construction Reporter, 1609 2nd Street NW, Albuquerque, NM, 87102, 505.243.9793, FAX 505.242.4758, www.constructionreporter.com, jane@constructionreporter.com
M. PlanRoom Central at A&E Reprographics, 1030 Sandretto Drive, Suite F, Prescott, AZ, 86305, 928.442.9116, www.a-erepro.com, planroom1@a-erepro.com
N. Shirley’s Plan Service, 425 S. Plumer Ave, Tucson, AZ, 85719, 520.791.7436, FAX
520.882.9208, www.shirleysplanservice.com, bids@shirleysplanservice.com
O. Construction Notebook Nevada, 3131 Meade Ave, Suite B, Las Vegas, NV, 89102-
7885, 702.876.8660, FAX 702.876.5683, www.constructionnotebook.com http://www.construction.com/ mailto:dodge.bidding@construction.com http://www.crbia.org/ mailto:frontdesk@criba.org http://www.nazba.org/ mailto:info@nazba.org mailto:prints@pgblueprinting.net http://www.cmdgroup.com/ mailto:projects@cmdgroup.com http://www.isqft.com/ mailto:arizonaplanroom@isqft.com http://www.contractorsplanroom.com/ mailto:content@idtplans.com http://www.yswca.com/ mailto:plans@yswca.com http://www.azbex.com/ mailto:rkettenhofen@azbex.com http://www.constructionreports.com/ mailto:jess@constructionreports.com http://www.constructionreporter.com/ mailto:jane@constructionreporter.com http://www.a-erepro.com/ mailto:planroom1@a-erepro.com http://www.shirleysplanservice.com/ mailto:bids@shirleysplanservice.com http://www.constructionnotebook.com/
00100-9
P. The Blue Book Building & Construction Network, Jefferson Valley, NY 10535, 800.431.2584, www.thebluebook.com, info@thebluebook.com, tdizon@mail.thebluebook.com
Q. Integrated Marketing Systems (IMS), 945 Hornblend Street, Suite G, San Diego, CA
92109, 888.467.3151, FAX 858.490.8811, www.imsinfo.com , ims@imsinfo.com http://www.thebluebook.com/ mailto:info@thebluebook.com mailto:tdizon@mail.thebluebook.com http://www.imsinfo.com/ mailto:ims@imsinfo.com
REV 10-27-21
00300-1
SECTION 00300
BID PROPOSAL
Lake Havasu City, Arizona
The undersigned, as bidder, declares that we have received and examined the documents entitled "PD Property Evidence Room Expansion Project, Project No. B27-PW-103011-500862" and will contract with the Owner, on the form of Contract provided herewith, to do everything required for the fulfillment of the contract for the construction of the PD Property Evidence Room Expansion Project, Project No. B27-PW-103011-500862 at the prices and on the terms and conditions herein contained.
We agree that the Contract Documents include Volumes I and II of the Contract Documents as well as the referenced documents.
We agree that the following shall form a part of this proposal and are included herein as our submittal:
Enclosed
Section Title 00300 Bid Proposal ___ 00310 Bid Schedule ___ 00400 Arizona Statutory Bid Bond ___ 00420 Bidder’s Statement of Qualifications ___ 00430 Affidavit of Contractor Certifying
That There Was No Collusion In Bidding For Contract ___
00450 Hazard Communication Program ___ 00460 Employment Eligibility Verification ___
We acknowledge that addenda numbers _____ through _____ have been received and have been examined as part of the Contract Documents.
We certify that our proposal is genuine, and not sham or collusive, nor made in the interest or behalf of any undisclosed person, organization, or corporation, and that we have not directly or indirectly induced or solicited any other bidder to put in a sham bid, or directly or indirectly inducted or solicited any other potential bidder to refrain from bidding, and that we have not in any manner sought by collusion to secure an advantage over any other bidder.
The bidder agrees that this Bid shall be good and may not be withdrawn for a period of ninety (90) calendar days after the scheduled closing time for receiving Bids.
Upon receipt of written notice of the acceptance of this bid, Bidder shall execute the formal Contract attached within 10 days and deliver a Performance Bond, Payment Bond, and Certificates of Insurance as required by Paragraph 25 of the General Conditions and the Special Provisions.
We hereby declare that we have visited the site and have carefully examined the Contract Documents relating to the work covered by the above bid or bids.
Enclosed herewith is a certified or cashier's check or bid bond, payable to Lake Havasu City, Arizona, in the amount of ten percent (10%) of the total bid. This check or bond is submitted as a guarantee
REV 10-27-21
00300-2 that we will enter into a Contract, and furnish the required bonds in the event a contract is awarded
us. The bid security attached, without endorsement, is to become the property of Lake Havasu City, Arizona, in the event the Contract and Bonds are not executed within the time set forth, as liquidated damages for delay and additional work caused thereby.
Cooperative Use of Contract This solicitation is being prepared by the City of Lake Havasu, Arizona (“City”) for the use of the City.
While this solicitation is for the use of the City, other eligible public agencies may have an interest in utilizing the resulting contract. After an award, and with the approval of the bidder, this solicitation may be utilized by eligible public agencies. Any such usage by other entities must be in accordance with the ordinance, charter and/or procurement rules and regulations of the respective political entity.
Please indicate below your acceptance or rejection regarding such participation of other governmental entities. Your response will not be considered a bid response requirement in awarding a contract. If you do not wish to grant such access to other eligible public agencies, please so state in your bid response below. In the absence of a statement to the contrary, the City will assume that you do wish to grant access to any contract that may result from this solicitation.
Bidder hereby grants _______, or does not grant , cooperative purchase access to other eligible public agencies. We understand that Lake Havasu City, Arizona reserves the right to reject any and/or all bids, or to waive any informalities in any bid, deemed by them to be for the best interests of Lake Havasu City, Arizona.
We understand that Lake Havasu City, Arizona reserves the right to reject any and/or all bids, or to waive any informalities in any bid, deemed by them to be for the best interests of Lake Havasu City, Arizona.
Dated in _______________ this _____ day of _______________, .
Respectfully Submitted By:
By:
Title:
Name of Firm:
Address:
Phone: FAX:
Email Address:
Seal - If bid by a Corporation:
Arizona Contractor's License No.: Type:
Federal Tax ID No.:
00310-1
BID SCHEDULE
PD Property Evidence Room Expansion Project
Lake Havasu City Council Lake Havasu City 2330 N. McCulloch Boulevard Lake Havasu City, AZ 86403
The City Council:
Pursuant to request for bids to be opened October 21, 2026 at 3:00 P.M., Arizona Time, at Room 109 of Lake Havasu City Hall, for the above project, the Contractor proposes to complete work, including furnishing all labor and materials, per the Specifications and Plans at the Following prices.
This Schedule of Items and Prices shall be completed in ink or typed by the Bidding Contractor. In case of discrepancy between the word and figure amount description, the word description shall control extensions.
Prices must be entered for each item and the appropriate subtotal and total blank shall be filled out.
Bid prices shall include sales tax and all other applicable taxes and fees.
Bidder agrees to perform all the necessary work to complete the PD Property Evidence Room Expansion Project, Project No. B27-PW-103011-500862
00310-2
SECTION 310
BID SCHEDULE – PD Property Evidence Room Expansion Project B27-PW-103011-500862
ITEM
NO. DESCRIPTION
EST
QTY
UNIT OF
MEASURE
UNIT PRICE1
(Word)
UNIT PRICE
(Figure)
ITEM TOTAL2
COSTS
BASE BID
1 Division 1: General Requirements – Mobilization 1 L.S.
2 Division 2: Demolition 1 L.S.
3 Division 3: Concrete 1 L.S.
4 Division 4: Masonry 1 L.S.
5 Division 5: Metals 1 L.S.
6 Division 7: Thermal/Moisture Protection 1 L.S.
7 Division 8: Doors and Windows 1 L.S.
8 Division 9: Finishes 1 L.S.
1 The “Unit Price” column shall indicate unit or lump sum prices for each bid item and shall be indicated in written and numerical form.
2 The “Item Total Costs” column shall indicate the extension of the unit prices, which is obtained by multiplying the “Estimated Quantity” column by the “Unit Price” column.
00310-3
ITEM
NO. DESCRIPTION
EST
QTY
UNIT OF
MEASURE
UNIT PRICE
(Word)
UNIT PRICE
(Figure)
ITEM TOTAL
COSTS
9 Division 21: Fire Suppression 1 L.S.
10 Division 23: Mechanical 1 L.S.
11 Division 26: Electrical 1 L.S.
12 Division 28: Fire Alarm System 1 L.S.
13 Division 31: Earthwork 1 L.S
14 Division 32: Exterior Improvements 1 L.S
15 Force Account 1 L.S. Twenty Thousand Dollars $ 20,000 $ 20,000
BID TOTAL3 + FORCE ACCOUNT $ $
Above line items and totals shall include all work shown on the plans and specified herein, including taxes, insurance and bonding.
3 The “Bid Total” amount shall be the sum of all costs listed in the “Item Total Costs” column.
00310-4
The unit prices for PD Property Evidence Room Expansion Project, Project No. B27-PW- 103011-500862, shall include all labor, materials, water disposal, bailing, shoring, removal, disposal, overhead, profit, insurance, and all other related costs and work to cover the finished work of the several kinds called for. Changes in the Contract shall be processed in accordance with Paragraph 16 of the General Conditions.
Bidder understands that the Owner reserves the right to reject any or all Bids, or portions thereof, and to waive any informalities in the bidding.
The Bidder agrees that this Bid shall be good and may not be withdrawn for a period of ninety (90) calendar days after the scheduled closing time for receiving Bids.
Upon receipt of written notice of the acceptance of this Bid, Bidder shall execute the formal Contract attached within 10 days and deliver a Performance Bond, Payment Bond, and Certificates of Insurance as required by Paragraph 25 of the General Conditions and the Special Provisions.
The Bid security attached in the sum of $ is to become the property of the Owner in the event the Contract and Bond(s) are not executed and provided within the time above set forth, as liquidated damages for the delay and additional expense to the Owner caused thereby.
Bidder hereby acknowledges receipt of the following Addenda: ___, ___, ___.
RESPECTFULLY SUBMITTED BY:
BY: _________________________________
TITLE: _________________________________
FIRM: _________________________________
ADDRESS: _________________________________
PHONE: ______________FAX________________
EMAIL: _________________________________
Seal - if Bid by a corporation
AZ Contractor's License No:____________Type________________
00400-1
SECTION 00400
ARIZONA STATUTORY BID BOND
PURSUANT TO TITLES 28, 34 AND 41, ARIZONA REVISED STATUTES
(Penalty of this bond must not be less than 10% of the bid amount)
KNOW ALL MEN BY THESE PRESENTS:
That, _______________________________(hereinafter "Principal"), as Principal, and _________________________, (hereinafter "Surety"), a corporation organized and existing under the laws of the State of ________________, with its principal offices in the City of ____________________, holding a certificate of authority to transact surety business in Arizona issued by the Director of the Department of Insurance pursuant to Title 20, Chapter 2, Article 1, as Surety, are held and firmly bound unto Lake Havasu City, Arizona, (hereinafter "Obligee"), as Obligee, in the amount of Ten Percent (10%) of the amount of the bid of Principal, submitted by Principal to the Obligee for the work described below, for the payment of which sum, the Principal and Surety bind themselves, and their heirs, administrators, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has submitted a bid for PD Property Evidence Room Expansion Project, NOW, THEREFORE, if the Obligee shall accept the proposal of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of the proposal and give the bonds and certificates of insurance as specified in the standard specifications with good and sufficient surety for the faithful performance of the contract and for the prompt payment of labor and materials furnished in the prosecution of the contract, or in the event of the failure of the Principal to enter into the contract and give the bonds and certificates of insurance, if the Principal pays to the Obligee the difference not to exceed the penalty of the bond between the amount specified in the proposal and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by the proposal then this obligation is void. Otherwise it remains in full force and effect provided, however, that this bond is executed pursuant to the provisions of Section 34-201, Arizona Revised Statutes, and all liabilities on this bond shall be determined in accordance with the provisions of that section to the extent as if it were copied at length herein.
00400-2
Witness our hands this ___day of_____________, _____.
PRINCIPAL SEAL SURETY SEAL
By: By:
Principal Attorney-in-Fact
Its:
Principal’s Title Agency of Record
Agency Address
V.04072025 00420-3
SECTION 00420
BIDDER'S STATEMENT OF QUALIFICATIONS
The Undersigned certifies the truth and correctness of all statements and of all answers to questions made hereinafter.
SUBMITTED TO: Lake Havasu City, Arizona
2330 N. McCulloch Boulevard Lake Havasu City, AZ 86403
SUBMITTED BY: NAME: [ ] Corporation
[ ] Partnership ADDRESS: [ ] Individual
[ ] Joint Venture PRINCIPAL OFFICE: [ ] Other
(NOTE: Attach separate sheets as required)
1. How many years has your organization been in business as a Contractor?
2. How many years has your organization been in business under its present business name?
3. If a Corporation, answer the following:
Date of Incorporation:
State of Incorporation:
President:
Vice President(s):
Secretary:
Treasurer:
4. If a Partnership, answer the following:
Date of organization:
Type of Partnership:
(General/Limited/Assoc.)
Name and Address of all partners.
5. If other than a Corporation or Partnership, describe Organization and name Principals:
6. What percent of the work do you normally perform with your own forces?
List trades:
00420-4
7. Have you ever failed to complete any work awarded to you? If so, indicate when, where and why:
8. Has any Officer or Partner of your Organization ever been an Officer or Partner of another
Organization that failed to complete a construction contract? If so, state circumstances:
9. List major construction projects your Organization has under contract on this date:
Project Name
Name, Email Address & Telephone Number of Owner
Location
Contract Amount
Date
Percent
Complete
Scheduled Completion
10. List similar construction projects your Organization has completed in the past five years:
Project Name
Name, Email
Address & Telephone
Number of Owner
Location
Amount
Awarded
Completed
Percent with Own Forces
11. List the construction experience of the principal individuals in your Organization:
Individual's Name
Construction Experience -
Years
Within Your Organization
Present Position
& Years Experience
Dollar Volume Responsibility
Previous
Position & Years Experience
12. Business in Arizona: The City will not enter into contracts with Bidders (or any company(ies)) not
00420-5 granted authority to transact business, or not in good standing in the State of Arizona by the Arizona Corporation Commission, unless the Bidder asserts a statutory exemption prior to entering into a contract with the City. The Undersigned agrees to furnish, upon request by the Owner, within seven days after the Bid Opening, a current Certificate of Good Standing and Compliance, and other related documents as requested.
13. List states and categories in which your Organization is legally qualified to do business:
14. List all Arizona Contractor licenses currently held by your Organization; the status of each license;
and provide a photocopy of each license with your bid proposal.
License Class / # Status
1. _________________ _______________________________
2. _________________ _______________________________
3. _________________ _______________________________
4. _________________ _______________________________
Please attach a list of additional Arizona Contractor licenses, if any.
15. Bank References:
16. Trade References:
17. Name of Bonding and Insurance Companies and Name and Address of Agents: Maximum Bonding
Capacity
18. The Undersigned agrees to furnish, upon request by the Owner, within seven days after the Bid Opening, a current Statement of Financial Conditions, including Contractor's latest regular dated financial statement or balance sheet which must contain the following items:
Current Assets: (Cash, joint venture accounts, accounts receivable, notes receivable, accrued interest on notes, deposits, and materials and prepaid expenses), net fixed assets and other assets.
Current Liabilities: (Accounts payable, notes payable, accrued interest on notes, provision for income taxes, advances received from owners, accrued salaries, accrued payroll taxes), other liabilities, and capital (capital stock, authorized and outstanding shares par values, earned surplus).
Date of statement or balance sheet:
Name of firm preparing statement:
By:
(Agent and Capacity)
19. List of Subcontractors. In accordance with paragraph 1.0 of Instructions to Bidders, the following
00420-6 is a breakdown of all subcontractors anticipated to be used for completing this project and their approximate percentage of work to be performed.
The Bidder certifies that all Subcontractors listed are eligible to perform Work on public works projects pursuant to ARS 34-241.
Subcontractor
Description of Work
% of Total
Total % of all Subcontractor's work on project
Total % for Prime Contractor _______________
20. Dated on this day of , _________
Name of Organization:
By:
Title:
00430-1
SECTION 00430
AFFIDAVIT OF CONTRACTOR
CERTIFYING THAT THERE WAS
NO COLLUSION IN BIDDING
FOR CONTRACT
STATE OF )
) ss
CITY OF )
(NAME OF INDIVIDUAL)
BEING DULY SWORN, DEPOSES AND SAYS:
THAT HE IS___________________________________________________
(TITLE)
OF ___________________________________________________
(NAME OF BUSINESS)
THAT PURSUANT TO SECTION 34-253 OF THE ARIZONA REVISED STATUTES, HE CERTIFIES AS
FOLLOWS:
THAT NEITHER HE NOR ANYONE ASSOCIATED WITH SAID
(NAME OF BUSINESS)
HAS DIRECTLY, OR INDIRECTLY, ENTERED INTO ANY CONTRACT, PARTICIPATED IN ANY
COLLUSION OR OTHERWISE TAKEN ANY ACTION IN RESTRAINT OF FREE COMPETITIVE
BIDDING IN CONNECTION WITH THIS PROJECT.
NAME
TITLE
NAME OF BUSINESS
SUBSCRIBED AND SWORN TO BEFORE ME THIS __ DAY OF ______________, _____
MY COMMISSION EXPIRES: ____________________________
NOTARY PUBLIC: ____________________________
SECTION 00450
HAZARD COMMUNICATION PROGRAM
00450-1
HAZARD COMMUNICATION PROGRAM FOR
(Name of Company) The purpose of this program is to ensure that potential hazards and hazard control measures for chemicals used by this company are understood by company employees.
The written program is available for employee review at any time. It is located _____________________________________________________. A copy of the program will be provided to any employee or employee representative, upon request.
CONTAINER LABELING:
______________________ will verify that all containers received for use by this company will: (name/title of individual)
* be clearly labeled as to the contents, matching identification on MSDS;
* note the appropriate hazard warnings;
* List the name and address of the manufacturer.
No containers will be released for use until the above data is verified.
MATERIAL SAFETY DATA SHEETS:
Copies of MSDS's for all hazardous chemicals to which employees may be exposed will be kept ________________________ will be responsible for ensuring that:
(name/title of individual)
* MSDS's for the new chemicals are available;
* MSDS's will be available for review to all employees during each work shift;
* Copies will be available on request.
EMPLOYEE TRAINING AND INFORMATION:
Each employee will be provided the following information and training before working in areas where hazardous chemicals exist. In addition, if a new hazardous material is introduced into the workplace, affected employees will be given new information and training concerning that material.
Lake Havasu City
00450-2
A. Minimum Information Provided:
(1) All operations and locations in the work area where hazardous chemicals are present.
GENERAL INDUSTRY
A. Minimum Information Provided:
(1) The location and availability of the written hazard communication program, including list(s) of hazardous chemicals used and related material safety data sheets;
(2) The method the company will use to inform employees of potential hazards of non-routine tasks (jobs that are not routine for an individual because of infrequency, location or type.)
B. Minimum Training Provided:
(1) Methods and observations used to detect the presence or release of a hazardous chemical in the work area (such as company monitoring programs, continuous monitoring device, visual appearance, odor or to other characteristics of hazardous chemicals;
(2) The physical and health hazards of chemicals in the assigned work area;
(3) The measures to take to protect against such hazards, including specific company procedures concerning work practices, emergencies and care and use of protective equipment.
(4) Details of the company hazard communication program, including explanation of the labeling system, the material safety data sheets, and how to obtain and use the appropriate hazard information.
(OPTIONAL) Upon completion of the training, each employee will sign a form acknowledging receipt of the written hazard communication program and related training.
HAZARDOUS NON-ROUTINE TASKS: (If applicable.)
If company employees are required to do hazardous non-routine tasks, such as welding in confined spaces, or cleaning of tanks, the employer must address how the employees doing the work will be informed about the specific hazards to which they will be exposed, what personal protective equipment will be provided and who will be responsible to oversee the operation or operations. If the company does not have any hazardous non-routine tasks, line through this section and state "NO HAZARDOUS NON-
ROUTINE TASKS".
CHEMICALS IN UNLABELED PIPES: (If applicable.)
If the company has chemicals in unlabeled pipes, the company must inform the employees of the hazards associated with those chemicals. If the company does not have any chemicals in unlabeled pipes, line through this section and state "NO CHEMICALS IN UNLABELED PIPES".
INFORMING CONTRACTORS:
Providing contractors and their employees with the following information is the responsibility of ____________________________. (Name/title of individual)
00450-3
(1) Hazardous chemicals to which they may be exposed while on the job site;
(2) Measures the employees may take to lessen the possibility of exposure;
(3) Steps the company has taken to lessen the risks;
(4) Where the MSDS's are for chemicals to which they may be exposed;
(5) Procedures to follow if they are exposed.
CONTRACTORS INFORMING EMPLOYERS:
Contractors entering this workplace with hazardous materials will supply this employer with MSDS's covering those particular products the contractor may expose this company's employees to while working at this site.
LIST OF HAZARDOUS CHEMICALS IN THIS WORKPLACE
CONTRACTOR:
By: ________________________________________
Name: ________________________________________
Title: ________________________________________
Address: ______________________________________________________________
**END OF SECTION**
EMPLOYMENT ELIGIBILITY VERIFICATION & FORM
00460-1
INSTRUCTIONS FOR COMPLETION OF EMPLOYMENT ELIGIBILITY VERIFICATION FORM
WHO MUST COMPLETE THIS FORM:
In accordance with Lake Havasu City Code Chapter 3.30, Employment of Unauthorized Aliens, all contractors and subcontractors furnishing labor, time, or effort for construction…
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