ITB 1077 Shelter Building Roofs Specifications 2025.pdf

CITY OF MADISON HEIGHTS

PURCHASING DEPARTMENT

300 WEST 13 MILE ROAD

MADISON HEIGHTS, MICHIGAN, 48071

(248) 583-0828

INVITATION TO BID #MH-1077

ITEM: 2025 Park Shelter Building Roofs

DEADLINE: Thursday, April 10th 2025, before 11:00 a.m.

Proposals will be accepted by the City Clerk’s Office at 300 West 13 Mile Road, Madison Heights, Michigan, 48071 until 4/10/25 at 11:00 a.m. (EST). Proposals will be opened at 11:05 am (EST).

The City of Madison Heights is a Participating Agency in the Michigan Inter-Governmental Trade Network (MITN). Interested vendors are encouraged to register with MITN at www.MITN.info to view specifications for this and all of our open bids.

Tracee Miller HR Director/Purchasing Coordinator

City of Madison Heights

(248) 583-0828

ITB# MH-1077 (2025 Shelter Building Roofs)

City of Madison Heights 300 West 13 Mile Road

Madison Heights, Michigan, 48071

ITB #MH-1077 – 2025 Park Shelter Building Roofs

BID SPECIFICATIONS

Removal and Replacement of the Roof at (3) Locations in the City of Madison Heights

I. SUMMARY OF THE WORK:

a. The work, in general terms, shall consist of furnishing all labor, materials, related equipment, tools and supervision necessary for the Removal and Replacement of the Roof at each City of Madison Heights location as herein specified. There are 3 locations total.

b. Each bidder shall specify the years the building will be guaranteed; this includes all materials and labor. Shall include a minimum ten (10) year warranty against any leakages due to workmanship.

c. GAF Timberline HDZ shingles must be used. The color will be determined by the City prior to the commencement of the project.

d. The experience in identical work is required and the bidders shall submit at least three (3) locations, listing names of owners, addresses, and telephone numbers, where similar work has been completed in the past two years. Also provide photographs of actual sites.

e. Claims, disputes, or any matters in question between the contractor and owner relating to the execution or progress of the owner relating to the interpretation of the contract documents shall be referred to the owner for a decision within a reasonable time.

f. Installer’s Field Supervision: Maintain a full-time Supervisor/Foreman on job site during all phases of roofing work while roofing work is in progress; which shall include maintaining proper supervision of workmen.

g. A copy of the Contract Documents shall be in the possession of the Supervisor/Foreman and on the roof at all times.

h. Wind resistance minimum: ASTM D3161 Class D when the test assembly passes a test velocity of 90 MPH and Class F when the test assembly passes a test velocity of 110 MPH. UL 997, “Wind Resistance of Prepared Roof Covering Materials,” provides a similar test method and the same shingle wind-uplift resistance classifications.

Wind Speed UL997 of ASTM D3161 ASTM D7158

60 MPH Class A --

90 MPH Class D Class D

110 MPH Class F --

120 MPH -- Class G

150 MPH -- Class H

II. DESCRIPTION OF WORK

a. The roofs shall be stripped of the existing shingles and brushed away completely of debris. Dumpsters shall be removed within 1 week after the completion on the project. Upon removal of existing shingles, the roof shall be examined by both contractor and owner to ensure the roof deck is not damaged or in need of replacement.

ITB# MH-1077 (2025 – Park Shelter Building Roofs)

III. SPECIAL PROVISIONS

a. COMPLETION DATE

i. The contractor awarded the project shall complete the work within (30) days from notice to proceed and/or completed by the date of 5/31/25 unless alternative arrangements are made between the contractor and the City.

b. MOISTURE PROTECTION ASPHALT SHINGLE ORGANIC/FIBERGLASS MAT

i. GENERAL: The contractor shall furnish all labor, materials, tools, equipment and supervision to properly install the asphalt roofing shingles to all surfaces designated for shingles on the drawings.

ii. PRODUCT:

1. The asphalt shingle shall be a standard, self-sealing, 3-dimensional shingle and provide a minimum manufacturer's prorated warranty as per earlier stated in the specifications. The shingles shall be installed with large head, galvanized roofing nails as per the manufacturer's instructions.

2. Material for underlayment of shingle shall be non- perforated, 30 lbs. per 100 sq. ft.

asphalt saturated felt, 36 or 32 inches in width conforming to A.S.T.M. designation D 226-68. A synthetic underlayment meeting or exceeding asphalt felt specifications may also be used.

3. The color of the shingle shall be selected by the owner or his authorized representative. A minimum of 2 squares of shingles shall be included for attic stock.

iii. EXECUTION:

1. Surface to be covered with asphalt shingling shall be smooth and free from defects of every description, all such surfaces, shall be dry and clean from dirt, rubbish, and other foreign materials before the roofing is started. All projecting nails shall be set flush to the roofing sheathing. The building shall be protected from inclement weather throughout the entirety of the project.

2. The roofing shall be installed in strict accordance with the manufacturer's instructions in the conventional manner.

3. Flashings shall be installed where called for on the approved drawings and shall be a minimum of 0.017” aluminum material.

4. The roofing shingles shall be applied with large head galvanized roofing nails, the number and location of the nails to be as governed by the manufacturer's directions.

5. Roof vents and other openings in the roof shall be properly installed in a such a manner to prevent leakage.

c. ROOF SYSTEM INSTALLATION: ASPHALT SHINGLE SYSTEM

i. Install peel and stick self-adhering ice and water membrane at gutter/eaves 24 inches past the interior of heated air space. Install 18 inches peel and stick self-adhering ice and water membrane centered in all valley locations.

ii. Install manufacturer approved DMP edge under ice and water membrane.

iii. Install 30# asphalt organic non-perforated underlayment ply stacked in place. Synthetic underlayment may also be used.

iv. Install manufacturer approved metal drip edge at rake edges over 30# felt underlayment

v. Install approved 3-dimensional shingle (Timberline HDZ, Color TBD).

vi. Install manufacturer approved ridge vent system.

vii. Provide inspection of all soffit vents for proper operations.

viii. Install all required step flashing for roof system.

d. FINISHES

i. SCOPE

1. Provide all labor, materials, equipment to flash all exterior exposed wood surfaces.

ii. GENERAL

1. Any wood exposed to the elements shall be properly flashed

iii. PRODUCT

1. Flashings shall be a minimum of 0.017” aluminum material.

iv. APPLICATION

1. Material shall be placed to protect wood materials from moisture and weather effects. .

e. DELIVERY, STORAGE AND HANDLING

i. Deliver products to site with seals and labels intact, in manufacturer’s original containers, dry and undamaged.

ii. Store and handle roofing materials in a dry, well-ventilated, weather-tight place to prevent moisture exposure. Store rolls of felt and other sheet materials on pallets or other raised surface.

Stand all roll materials on end. Cover the roll goods with a canvas tarpaulin or other breathable material (not polyethylene).

iii. Do not leave unused materials on the roof overnight or when roofing work is not in progress unless protected from weather and other moisture sources.

iv. Secure all material and equipment on the job site.

f. CONSTRUCTION WASTE MANAGEMENT

i. All waste products generated during roofing procedures must be properly secured in an on-site dumpster or otherwise removed from the site daily. Comply with requirements of authorities having jurisdiction.

g. JOB SITES

i. All 3 locations will be furnished with electrical power (120v).

ii. Weekday work hours: Monday – Friday 7:00am to 7:00pm

iii. Weekend Work: If needed and approved in advance by the City; weekend work will be allowed.

Saturday hours will be 7:00am to 7:00pm.

iv. Locations (3)

1. Rosies Park – Shelter Building (1111 E. Farnum Ave., Madison Heights, MI 48071)

2. Huffman Park – Shelter Building (400 W. Cowan Ave., Madison Heights, MI 48071)

3. Civic Center Park – Pavilion C (360 W. 13 Mile Rd., Madison Heights, MI 48071)

h. SCOPE OF WORK:

The intent of these specifications is to describe the Removal and Replacement of the Roof at three (3), City of Madison Heights Park Shelter Buildings and shall include the following:

1. Tear off existing shingles.

2. Shingle with a minimum thirty (30) year warranty shingle.

3. Replace metal flashing at base.

4. A ten (10) year warranty against any leakages due to workmanship.

UNIT PRICES:

Unit prices prevail. The City of Madison Heights Purchasing Department will correct all mathematical errors.

PREVAILING WAGE PROJECT:

This is not a prevailing wage project.

MANDATORY PRE-BID MEETING:

Mandatory Pre-Bid Meeting will be held on Monday, March 31st, 2025, at 9 am at Location 1 (Rosies Park, 1111 E.

Farnum Ave, Madison Heights, MI 48071) The meeting will be held with prospective bidders to answer and/or clarify questions regarding bid specifications and site plans.

ADDITIONAL INFORMATION:

For additional information or questions concerning this project, please contact Mr. Chris Woodward, Public Works Supervisor at (248) 589-2294 or cwoodward@madison-heights.org between the hours of 7:00 a.m. to 3:00 p.m., Monday through Friday.

SITE INSPECTIONS:

All bidders should examine the site to determine the amount and scope of work to be performed as per the bid specifications. If the bidder does not make a site inspection, that bidder accepts full responsibility and risk for any errors or omissions in his/her bid proposal.

PERMITS:

All work performed must meet City and State Code. The Contractor shall obtain all applicable and required permits and arrange for inspections. Applicable permits may be obtained by going to the City of Madison Heights Community & Economic Development Department, located at City Hall. All Permit fees will be waived.

AWARD:

The evaluation and award of this bid shall be a combination of factors, including but not limited to: cost, professional competence, equipment, references, and the correlation of the bid proposal submitted to the needs of the City of Madison Heights. The City of Madison Heights reserves the right to award this bid to the lowest responsible bidder meeting specifications for each proposal; to combine proposals if deemed in the City’s best interest to do so; to reject low bids which have major deviations from specifications; to accept a higher bid which has only minor deviations, whatever is deemed to be in the City of Madison Heights’ best interest.

DOWNPAYMENTS AND PREPAYMENTS:

Any bid submitted which requires a down payment or prepayment of any kind prior to delivery of material and acceptance, as being in conformance with specifications, will not be considered for award.

DELIVERY:

All materials are to be F.O.B. delivered, freight paid, to the various work sites within the City of Madison Heights.

COMPLETION DATE:

The contractor awarded the project shall complete the work within thirty (30) days from notice to proceed and/or complete by 5/31/2025 or a mutually agreed upon date between the City and contractor.

mailto:cwoodward@madison-heights.org

I. INSTRUCTIONS TO VENDORS ITB #MH-1077:

1. PREPARATION OF PROPOSAL

A. Interested contractors are expected to examine specifications and all instructions. Failure to do so will be at the contractor’s risk.

B. Each contractor shall furnish all information required on proposal forms. Erasures or other changes must be initialed by the person signing the form.

C. If there is any doubt as to the meaning of any part of the specifications or other conditions within this request for proposal, please call (248) 583-0828 for clarification.

2. SUBMISSION OF PROPOSALS

A. One original and three (3) copies of the proposal shall be submitted in sealed envelopes and shall include the following information on the face of the envelope:

Contractor’s Name Address

ITB Number and Item

Failure to do so may result in a premature opening of, or failure to open, such proposal. All bids must be hand-delivered or mailed to:

Madison Heights City Clerk's Office

300 West 13 Mile Road Madison Heights, Michigan, 48071

B. Bidders are responsible for submitting proposals before the stated closing time. Delays in the mail will not be considered. Any proposal received after the stated deadline will be rejected.

C. In the event no bid is to be submitted, do not return the invitation. Please send a letter or postcard to the Purchasing Agent to advise whether future invitations are desired for the type of items or services covered by this invitation.

D. Any bid may be withdrawn by giving written notice to the Purchasing Agent before stated closing time. After the stated closing time, no bid may be withdrawn or canceled for a period of ninety (90) days after said closing time.

E. The bidder shall specify a unit price for each item listed. Unit price will prevail on all items.

F. TERMS

All bids to be tax exempt, State of Michigan #B386025685.

All pricing to be FOB destination 801 Ajax Drive, Madison Heights, Michigan, 48071

Please direct any questions to the Purchasing Department at

(248) 583-0828, Monday through Friday, from 8:00 AM to 4:30 PM (EST)

Please note that we are closed for lunch between 11:30am and 12:30pm

II. CONSIDERATION OF PROPOSALS ITB #MH-1077:

A. Proposals submitted on bid form are understood to be according to specified data.

In cases where an item is requested by a manufacturer's name, trade name, catalog number, or reference, it is understood that the bidder proposes to furnish the item so identified or an item of equal quality and value.

Reference to any of the above is intended to be descriptive but not restrictive and only indicates articles that will not be satisfactory. Bids of "equal" quality and value will be considered, provided that the bidder states in his/her proposal exactly what he/she proposes to furnish, including illustration or other descriptive matter which will clearly indicate the character of the article covered by such proposal.

B. The Purchasing Agent hereby reserves the right to approve as an equal, or reject as not being an equal, any article proposed which contains major or minor variations from specification requirements but which may comply substantially therewith.

C. The City of Madison Heights reserves the right, in its sole discretion, to reject any/or all bids, to waive any irregularities and technical defects contained therein, to award the bid in its entirety, in part or not at all and/or to determine which bid is the lowest and/or best to enter into a Contract, as it may deem to be in the best interest of the City.

D. NON-IRAN LINKED BUSINESS.

Under Michigan Public Act No. 517 of 2012, as amended, an Iran linked business as defined therein is not eligible to contract with the City of Madison Heights and shall not submit a bid. By signing the bid documents it is hereby certified and agreed on behalf of the signatory and the company submitting this proposal the following: (1) that the signatory is duly authorized to legally bind the company submitting this proposal; and (2) that the company submitting this proposal is not an “Iran linked business,” as that term is defined in Section 2(e) of the Iran Economic Sanctions Act, being Michigan Public Act No. 517 of 2012; and (3) that the signatory and the company submitting this proposal will immediately comply with any further certifications or information submissions requested by the City in this regard.

E. NON-DISCRIMINATION CLAUSE

In the performance of a contract or purchase order, the contractor agrees not to discriminate against any employee or applicant for employment, with respect to their hire, tenure, terms conditions or privileges of employment, or any matter directly or indirectly related to employment, because of race, color, religion, national origin, ancestry, age, sex, height, weight, marital status, physical or mental handicap or disability. The contractor further agrees that every subcontract entered into for the performance of any contract or purchase order resulting herefrom will contain a provision requiring non-discrimination in employment, as herein specified, binding upon each subcontractor. This covenant is required pursuant to Title VI of the Civil Rights Act of 1964 42 U.S.C., as well as the Elliot Larsen Civil Rights Act, 1976 Public Act 453, as amended, MCL 37.2201, et seq, and the Michigan Handicapper’s Civil Rights Act, 1976 Public Act 220, as amended, MCL 37.1101, et seq, and any breach thereof may be regarded as a material breach of the contract or purchase order.

F. The Contractor / Company acknowledges and agrees that the City, with the written approval of the Contractor / Company, may extend this Contract for new projects or additional work of a similar nature at the same unit prices as set out by Contractor / Company for this Contract, by execution of a change order. Any work to be performed under a change order of this contract is subject to all the requirements contained herein. The Contractor / Company shall provide all insurance certificates and performance bonds for the required coverage for the new work to be performed for any change order extending this contract. A change order extending this Contact, as set out herein, shall be in compliance with Section 2-249 (c)(1) of the City’s purchasing ordinance.

III. INSURANCE REQUIREMENTS ITB #MH-1077:

The contractor, or any of their subcontractors, shall not commence work under this contract until they have obtained the insurance required under this paragraph, and shall keep such insurance in force during the entire life of this contract. All coverage shall be with insurance companies licensed and admitted to do business in the State of Michigan and acceptable to the City of Madison Heights. The requirements below should not be interpreted to limit the liability of the Contractor.

All deductibles and Self Insured Retentions are the responsibility of the Contractor.

• Worker’s Compensation Insurance including Employers’ Liability Coverage, in accordance with all applicable statutes of the State of Michigan.

• Commercial General Liability Insurance on an “Occurrence Basis” with limits of liability not less than $1,000,000 per occurrence and aggregate. Coverage shall include the following extensions: (A) Contractual Liability; (B) Products and Completed Operations; (C) Independent Contractors Coverage; (D) Broad Form General Liability Extensions or equivalent, if not already included. A per project/contract aggregate shall be endorsed onto this policy.

• Automobile Liability including Michigan No-Fault Coverages, with limits of liability not less than $1,000,000 per occurrence, combined single limit for Bodily Injury, and Property Damage. Coverage shall include all owned vehicles, all non-owned vehicles, and all hired vehicles.

• Owners’ and Contractors’ Protective Liability: The Contractor shall procure and maintain during the life of this contract, a separate Owners’ and Contractors’ Protective Liability Policy with limits of liability not less than $1,000,000 per occurrence and aggregate. .

• Additional Insured: Commercial General Liability and Motor Vehicle Liability, as described above, shall include an endorsement stating the following shall be Additional Insureds: The City of Madison Heights, all elected and appointed officials, all employees and volunteers, all boards, commissions, and/or authorities and board members, including employees and volunteers thereof. It is understood and agreed by naming the City of Madison Heights as additional insured, coverage afforded is considered to be primary and any other insurance the City of Madison Heights may have in effect shall be considered secondary and/or excess.

• Cancellation Notice: All policies, as described above, shall include an endorsement stating that is it understood and agreed Thirty (30) days, Ten (10) days for non-payment of premium, Advance Written Notice of Cancellation, Non- Renewal, Reduction, and/or Material Change shall be sent to: City of Madison Heights, c/o Purchasing Department, 300 West 13 Mile, Madison Heights, MI 48071.

• Proof of Insurance Coverage: The Contractor shall provide the City of Madison Heights, at the time that the contracts are returned by him/her for execution, a Certificate of Insurance as well as the required endorsements. In lieu of required endorsements, if applicable, a copy of the policy sections where coverage is provided for additional insured and cancellation notice would be acceptable. Copies or certified copies of all policies mentioned above shall be furnished, if so requested.

If any of the above coverages expire during the term of this contract, the Contractor shall deliver renewal certificates and endorsements to the City of Madison Heights as least ten (10) days prior to the expiration date.

IV. SUPPLEMENTAL SPECIFICATIONS ITB #MH-1077:

ADDENDUM INFORMATION

Any questions or concerns regarding this ITB must be submitted in writing via email to:

chriswoodward@madison-heights.org, before 12:00 pm April 2, 2025.

An addendum addressing any vendor questions or concerns will be posted at www.mitn.info no later than the close of business April 3rd, 2025.

SUB CONTRACTS

The Contractor shall not sublet, assign, or transfer this contract or any portion thereof or any payment due him there under, without the written consent of the Owner. Assignment or subletting the whole or any portion of this contract shall not operate to release the Contractor or his bondsman hereunder from any of the contract obligations. If the Contractor shall cause any part of the work under this Contract to be performed by a subcontractor, the subcontractor’s officers and employees in all respects are considered employees of the Contractor, and the Contractor shall not be in any manner thereby relieved from his obligations and liability; and the work and materials furnished by the subcontractor shall be subject to the same provisions as if furnished by the Contractor.

PAYMENT INFORMATION

Payment Terms__________________________________________________________

Discount terms _____ % discount for payment within _____ days.

Signature_____________________________________ Date_________________ http://www.mitn.info/

ITB# MH-1077 (2025 Shelter Building Roofs)

V. PRICING PAGE(S):

City of Madison Heights ITB #MH-1077:

LOCATION 1:

The 1st Location is at Rosies Park (1111 E. Farnum Ave., Madison Heights, MI 48071).

Provide all labor, materials, related equipment, tools and supervision necessary for the complete removal and replacement of the roof at “Location 1” as per all work herein described.

TOTAL BID PRICE WITH STANDARD SHINGLE: ___________________________________

State replacement pricing including labor for install for gutters and downspouts.

GUTTERS/DOWNSPOUT PRICING: ______________________________________________

State the number of squares required to shingle the roof.

NUMBER OF SQUARES: ______________________________________________________

Manufacturer specifications must be included in the bid packet. Shingle color TBD.

Color Sample(s) Included: ( ) Yes ( ) No (Provide color chart)

SHINGLE WARRANTY: _______________________________

METAL FLASHING COLOR OPTIONS: _________________________________________

Color Chart Included: ( ) Yes ( ) No

ALTERNATES:

PRICE ALTERNATE SHINGLE: CertainTeed Architectural shingles, dual layer, high performance, 250 lbs., per sq., max def color Palette and 40 year warranty: _______________________Total Bid Price PRICE ALTERNATE: Standing Seam (or comparable) metal roofing: _____________________Total Bid Price

PRICE FOR WOOD REPLACEMENT - 4X8 SHEET PLYWOOD:__________________________

PRICE FOR BOARD REPLACEMENT - PRICE/LINEAR FOOT:___________________________

COMPANY NAME: ______________________________________________________________________________

LOCATION 2:

The 2nd Location is at Huffman Park (400 W. Cowan Ave., Madison Heights, MI 48071).

Provide all labor, materials, related equipment, tools and supervision necessary for the complete removal and replacement of the roof at “Location 2” as per all work herein described.

TOTAL BID PRICE WITH STANDARD SHINGLE: ___________________________________

State replacement pricing including labor for install for gutters and downspouts.

GUTTERS/DOWNSPOUT PRICING: ______________________________________________

State the number of squares required to shingle the roof.

NUMBER OF SQUARES: ______________________________________________________

Manufacturer specifications must be included in the bid packet. Shingle color TBD.

Color Sample(s) Included: ( ) Yes ( ) No (Provide color chart)

SHINGLE WARRANTY: _______________________________

METAL FLASHING COLOR OPTIONS: _________________________________________

Color Chart Included: ( ) Yes ( ) No

ALTERNATES:

PRICE ALTERNATE SHINGLE: CertainTeed Architectural shingles, dual layer, high performance, 250 lbs., per sq., max def color Palette and 40 year warranty: _______________________Total Bid Price PRICE ALTERNATE: Standing Seam (or comparable) metal roofing: _____________________Total Bid Price

PRICE FOR WOOD REPLACEMENT - 4X8 SHEET PLYWOOD:__________________________

LOCATION 3:

The 3rd Location is at Civic Center Park – Pavilion “C” (360 W. 13 Mile Rd., Madison Heights, MI 48071).

Provide all labor, materials, related equipment, tools and supervision necessary for the complete removal and replacement of the roof at “Location 3” as per all work herein described.

TOTAL BID PRICE WITH STANDARD SHINGLE: ___________________________________

State replacement pricing including labor for install for gutters and downspouts.

GUTTERS/DOWNSPOUT PRICING: ______________________________________________

State the number of squares required to shingle the roof.

NUMBER OF SQUARES: ______________________________________________________

Manufacturer specifications must be included in the bid packet. Shingle color TBD.

Color Sample(s) Included: ( ) Yes ( ) No (Provide color chart)

SHINGLE WARRANTY: _______________________________

METAL FLASHING COLOR OPTIONS: _________________________________________

Color Chart Included: ( ) Yes ( ) No

ALTERNATES:

PRICE ALTERNATE SHINGLE: CertainTeed Architectural shingles, dual layer, high performance, 250 lbs., per sq., max def color Palette and 40 year warranty: _______________________Total Bid Price PRICE ALTERNATE: Standing Seam (or comparable) metal roofing: _____________________Total Bid Price

PRICE FOR WOOD REPLACEMENT - 4X8 SHEET PLYWOOD:__________________________

COMPANY INFORMATION:

Company Name

Printed Name/Title of Person Signing Bid

Signature

Address

Phone: Fax:

Email Address:_________________________________Date:

**SUBMIT ORIGINAL PROPOSAL ALONG WITH THREE COPIES IN A SEALED ENVELOPE

MARKED ACCORDING TO SUBMITTAL GUIDELINES ALONG WITH QUALIFICATIONS

QUESTIONNAIRE AND NON-COLLUSION AFFIDAVIT TO THE CITY OF MADISON HEIGHTS

CLERK’S OFFICE BEFORE THE DEADLINE 11:00 A.M. ON APRIL 10, 2025. ALL OTHER ITEMS –

CONTRACT, LABOR & MATERIALS BOND (IF NECESSARY) – WILL BE SUBMITTED AFTER

APPROVAL OF THE CONTRACT.**

VI. Additional Extension Option - MITN:

The City of Madison Heights is a member of the Michigan Intergovernmental Trade Network (MITN) Purchasing Cooperative. If your company is awarded an item or a completed contract, the cooperative entities may wish to use this contract and will use a purchase order or contract for any or all of the item(s) awarded following minimum order/contract requirements set forth in the bid documents. Each entity will provide its own purchase order or contract and must be invoiced separately to the address on the purchase order/contract.

Currently, there are more than 100 agencies participating in the MITN Cooperative.

( ) If an award is made to ___________________________________________ (Company Name) it is agreed that the contract will be extended to members of MITN Purchasing Cooperative under the same prices, terms, and conditions.

Signature of Company Representative

~OR~

( ) Our company _________________________is NOT interested in extending this contract.

(Company Name)

Signature of Company Representative

(For more information on the MITN cooperative, including a list of participating agencies, please go to www.MITN.info.)

VII. CITY OF MADISON HEIGHTS

QUALIFICATION QUESTIONNAIRE

Failure to completely fill out this form or failure to supply adequate information could result in disqualification of bidder.

Name of Bidder: ___________________________________________________________________________

Address of Bidder: _________________________________________________________________________

Type of Business Entity: ____________________________________________________________________

(Example: Corporation, Partnership, etc.)

How Long Established: _____________________________________________________________________

Names and Addresses of All Principals of Bidder:_____________________________________________________________________

1. List all other Corporations, Partnerships, Assumed Names, and/or Businesses in which the above listed principals have an interest in any way, including but not limited to, ownership stockholder, employment, principal, officer or other business relationship.

2. List 3 current references from municipalities or public agencies familiar with the work performed by the Bidder and list the name, addresses and telephone number of a contact person.

3. List 3 current references from private or non-public sources familiar with the work performed by the Bidder and list the name, address and telephone number of a contact person.

4. List the names and address of all subcontractors the Bidder proposes to use on the project.

The undersigned verifies that the information contained herein is truthful and accurate and acknowledge that they are owners or agents of the Bidder.

Bidder’s or Authorized Representative’s Signature

Title of Signatory

Bidder’s Printed Name

Dated: ____________________________

Subscribed and sworn to before me on This ________ day of __________, 2025.

_______________________Notary Public ___________________ County, Michigan

NON-COLLUSION AFFIDAVIT

Return this completed form with your sealed bid.

______________________________________being duly sworn deposes and says:

That he/she is_____________________________________________________ (state official capacity in firm)

The party making the foregoing proposal or bid, that such bid is genuine and not collusion or sham; that said bidder has not colluded, conspired, connived, or agreed, directly or indirectly, with any bidder or person, to put in a sham bid or to refrain from bidding and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person, to fix the bid price of affiant or any other bidder, or to fix any overhead, profit, or cost element of said bid price or that of any other bidder, or to secure the advantage against the City of Madison Heights or any person interested in the proposed contract; and that all statements contained in said proposal or bid are true.

(Signature of person submitting bid)

Subscribed and sworn this ______________day of_____________, 20___ before me, a Notary Public in and for said County.

Notary Public

My Commission Expires: