L26_116268.pdf

ORDER NO.: L26

CONTRACT ID. NO.: C0000116268C01

Form C-6a

Rev. 3-22-05

CNSP (F) 1-9-06

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

BID PROPOSAL AND CONTRACT

ROUTE NUMBER: 81

FHWA NUMBER: NHPP-081-3(216)

PROJECT NUMBER: 0081-085-858, C501, B603-604, D601-602

COUNTY: SHENANDOAH

DISTRICT: STAUNTON

DESCRIPTION: ROAD WIDENING

FROM: SB - MM 294.8

TO: SB - MM 300.2

DATE BID SUBMITTED: 10:00 A.M., WEDNESDAY, AUGUST 28, 2024

Form C-118 Rev. 2-1-24

COMMONWEALTH OF VIRGINIA

NOTICE TO BIDDERS

As a matter of information, the bidder’s attention is directed to the points noted herein. Every point enumerated below is fully covered by proposal documents that describe them in detail. Bidders should check their proposal against all requirements, as strict compliance with all provisions is mandatory.

1. Bids shall be filed electronically through Bidx (https://bidx.com/site/home) at the times designated in the Notice of Advertisement for Bids. For information see (https://cabb.virginiadot.org/)

2. Unless otherwise specified or permitted in the proposal, prices shall be submitted on all items shown in the proposal.

3. Proposals conditioned by proposed alternates, other than those specified or permitted, or by reserving the right to accept or reject an award or to enter into a contract pursuant to an award will not be considered.

4. A bid total shall be shown in each space provided.

5. Bid bonds shall conform to Section 102.07. The bid bond number shall be placed in the appropriate space in your electronic bid. As an alternative you may complete the bottom line of the Form C-24. This form may be mailed or faxed but must be received prior to the opening of the bids.

6. Joint venture proposals shall show the Firm Name of each party and shall be signed by an authorized representative of each Firm. A letter shall be filed with the prequalification office describing responsibility of each firm and the amount of maximum capacity pledge by each firm of a joint venture.

https://bidx.com/site/home http://cabb.virginiadot.org/

Form C-24 Rev. 7-6-05

PROPOSAL GUARANTY

KNOW ALL MEN BY THESE PRESENTS, THAT WE As principal, and Surety, are held and firmly bound unto the Commonwealth of Virginia as obligee, in the amount of FIVE PERCENT OF THE DOLLAR VALUE OF THE

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

SIGNED, sealed and dated this Day of , WHEREAS, the above said principal is herewith submitting its proposal for:

PROJECT NUMBER: 0081-085-858, C501, B603-604, D601-602

NOW, THEREFORE, the condition of the above obligee is such, that if the aforesaid principal shall be awarded the contract upon said proposal and shall within the time specified in the Specifications after the notice of such award enter into a contract and give bond for the faithful performance of the contract, then this obligation shall be null and void; otherwise to remain in full force and effect and the principal and surety will pay unto the obligee the difference in money between the amount of the bid of the said principal and the amount for which the obligee may legally contract with another party to perform the said work if the latter amount be in excess of the former; but in no event shall the liability exceed the penal sum hereof.

(Principal*) (Surety Company)

By: By:

(Officer, Partner or Owner) (Seal) (Attorney-in-Fact**) (Seal)

(Principal*) (Address)

(Officer, Partner or Owner) (Seal) (Surety Company)

(Principal*) (Attorney-in-Fact**) (Seal)

(Officer, Partner or Owner) (Seal) (Address)

*Note: If the principal is a joint venture, each party thereof must be named and execution made by same hereon. If there is more than one surety to the bid bond, each surety must be named and execution shall be made by same hereon.

Electronic Bid Only: In lieu of completing the above section of the Contract Performance Bond, the Principal shall file an Electronic Bid Bond when bidding electronically. By signing below the Principal is ensuring the identified electronic bid bond has been executed and the Principal and Surety are firmly bound unto the Commonwealth of Virginia under the same conditions of the bid bond as shown above.

Electronic Bid Bond ID# Company/Bidder Name Signature and Title

**Attach copy of Power of Attorney

Form C-48 Rev. 06-10-24

ORDER NO.: L26

CONTRACT ID. NO.: C0000116268C01

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION,

AND VENDOR SURVEY FORM (ALL VENDORS)

PROJECT NO. CONTRACT I.D. NO.

FHWA NO. DATE SUBMITTED

All vendors submitting a bid as a Prime Contractor shall complete and submit with their bids the following information as requested for (1) Subcontractor/Supplier Solicitation, and Utilization, and (2) for Vendor Survey.

The vendor certifies this form accurately represents its solicitation and utilization or non-utilization, as indicated, of the firms listed below for performance of work on this contract. The vendor also certifies he/she has had direct contact with the named firms regarding participation on this project.

Vendor Signature:

Vendor ID No. Title:

Vendor’s Address: ____________________________________

City: __________________

State: __________________ Zip Code: _________

SUBCONTRACTOR/SUPPLIER SOLICITATION AND UTILIZATION (ALL)

VENDOR

NUMBER NAME OF SUBCONTRACTOR/SUPPLIER

TELEPHONE

NUMBER

DBE OR

NON-DBE

UTILIZED

(Y/N)

NOTE: ATTACH ADDITIONAL PAGES, IF NECESSARY.

BIDDER MUST SIGN EACH ADDITIONAL SHEET TO CERTIFY ITS CONTENT AND COMPLETION OF FORM.

FEDERAL LAW REQUIRES ALL VENDORS SUBMITTING BIDS OR OFFERS PROVIDE THE INFORMATION REQUESTED

IN THIS FORM.

C0000116268C010081-085-858, C501, B603-604, D601-602

NHPP-081-3(216)

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

VENDOR SURVEY

WHEN SUBMITTING A BID OR OFFER AS A PRIME CONTRACTOR, THE BIDDER MUST SUBMIT A VENDOR

SURVEY FOR THEMSELVES AND A VENDOR SURVEY FOR EACH SUBCONTRACTOR AND SUPPLIER

LISTED ABOVE.

VENDOR’S FULL LEGAL NAME: ________________________________________

VENDOR ID NO.: __________________

ADDRESS: ____________________________________

CITY: ____________________________________

STATE: _______________ ZIP CODE: _________

VENDOR’S YEARS IN BUSINESS: _____________

VENDOR’S STATUS: _____ DBE _____ NON-DBE

[DBE means a small business that is certified as a Disadvantaged Business Enterprise by the Virginia Department of Small Business & Supplier Diversity or the Metropolitan Washington Airports Authority.]

GENDER OF VENDOR’S MAJORITY OWNER: ____ MALE ____ FEMALE ____ OTHER

ETHNICITY OF VENDOR’S MAJORITY OWNER: ____ White

(Defined in 49 CFR 26.5) ____ Black or African American

____ Hispanic American

____ Asian-Pacific American

____ Subcontinent Asian American

____ Native American, incl. Alaskan or Hawaiian

____ Other: ____________________________

VENDOR’S ANNUAL GROSS RECEIPTS: ____ Less than $1 million ____ $ 1 - 5 million ____ $ 5 - 10 million ____ $ 10 - 15 million ____ $ 15 - 20 million ____ $ 20 - 25 million ____ $ 25 - 30 million ____ $ 30 - 40 million ____ $ 40 - 50 million ____ $ 50 - 100 million ____ More than $100 million

THE UNDERSIGNED, ON BEHALF OF VENDOR IDENTIFIED ABOVE, ACKNOWLEDGES AND CERTIFIES THAT THIS FORM ACCURATELY STATES THE INFORMATION CONTAINED HEREIN TO THE BEST OF VENDOR’S KNOWLEDGE.

Printed Full Legal Name of Person Signing for Vendor

Signature: ____________________________________________

Form C-7 Rev. 2-2-24

SHEET 1

TERMS OF THE PROPOSAL\CONTRACT

SUBMITTED: 10:00 A.M., WEDNESDAY, AUGUST 28, 2024

PROJECT NUMBER: 0081-085-858, C501, B603-604, D601-602

ROUTE NUMBER: 81

FHWA NUMBER: NHPP-081-3(216)

DESCRIPTION: ROAD WIDENING

FROM: SB - MM 294.8

TO: SB - MM 300.2

DISTRICT: STAUNTON COUNTY: SHENANDOAH

I/we declare that no other person, firm or corporation is interested in this proposal; that I/we have carefully examined the plans, job specifications, current Road and Bridge specifications, and all other documents pertaining thereto and thoroughly understand the contents thereof; that I/we meet the prequalification requirements for bidding on this proposal;

that I/we understand that the plans and current Road and Bridge specifications, are a part of this proposal; that all of the quantities shown herewith are a part of this proposal; that all the quantities shown herewith are approximate only; that I/we have examined the location of the proposed work and source of supply of materials; and that I/we agree to bind myself/ourselves upon award by the Commonwealth under this proposal to a contract with necessary surety bond to start work according to project specifications, and to complete all work in accordance with the plans, job specifications and current Road and Bridge Specifications within the time limit set forth in the contract.

COMPLETION DATE: October 20, 2028

BID TOTAL $

Attached is a bond conforming to the requirements of the current Road and Bridge Specifications, it being understood that such bond is to be forfeited as liquidated damages if, upon acceptance of the terms of this proposal, I/we fail to execute the contract and furnish bond as provided in the current Road and Bridge Specifications.

(Names of Individual(S),Firm(S) Or Corporation)

Street Address City State Zip Code Vendor#/Fin#

Print Name Signature Title

In consideration of the commitments made as shown herein, the Commonwealth of Virginia by The Commonwealth Transportation Commissioner agrees to pay for all items of work performed and materials furnished at the unit price(s) and under the conditions set forth in this proposal, in witnessed by the affixing of the name below.

Contract Execution Date By

CHIEF ENGINEER

VIRGINIA DEPARTMENT OF TRANSPORTATION

Virginia Department of Transportation 07/09/2024Date Printed:

Schedule of Items Page: 2

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0010 105SP20-0002

PERMANENT SWM FACILITY

AS-BUILT DOCUMENTATION

PERMANENT SWM FACILITY

AS-BUILT SURVEY

DOCUMENTATION

LUMP SUM _________._____LUMP SUM

ATTD, 105

0020 108SP20-0001

BASELINE PROGRESS

SCHEDULE

LUMP SUM _________._____LUMP SUM

ATTD

0030 108SP20-0002

PROGRESS SCHEDULE

UPDATES

EA

46.000

ATTD

0040 301SD20-0001

CLEARING AND GRUBBING LUMP SUM _________._____LUMP SUM

0050 302SD20-0002

BEDDING MATL. AGGR. NO.

TON

80.000

ATTD

0060 302SD20-0004

CONCRETE CLASS A4 BOX

CULVERT

CY

65.800

0070 302SD20-0005

REINF. STEEL LB

150,562.000

302, 406

0080 302SD20-0013

ENDWALL EW-12 EA

20.000

0090 302SD20-0018

12" PIPE LF

190.000

0100 302SD20-0027

15" STORM SEWER PIPE LF

125.000

0110 302SD20-0028

18" PIPE LF

174.000

0120 302SD20-0030

18" CONC. PIPE LF

30.000

Schedule of Items Page: 3

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0130 302SD20-0032

18" STORM SEWER PIPE LF

92.000

0140 302SD20-0037

24" PIPE LF

122.000

0150 302SD20-0039

24" CONC. PIPE LF

173.000

0160 302SD20-0041

24" STORM SEWER PIPE LF

818.000

0170 302SD20-0047

30" PIPE LF

117.000

0180 302SD20-0048

30" JACKED & BORED PIPE LF

90.000

0190 302SD20-0049

30" CONC. PIPE LF

107.000

0200 302SD20-0051

30" STORM SEWER PIPE LF

650.000

0210 302SD20-0059

36" CONC. PIPE LF

56.000

0220 302SD20-0061

36" STORM SEWER PIPE LF

188.000

0230 302SD20-0066

42" STORM SEWER PIPE LF

14.000

0240 302SD20-0198

15" END SECTION ES-1 OR 2 EA

4.000

0250 302SD20-0200

18" END SECTION ES-1 OR 2 EA

6.000

0260 302SD20-0205

24" END SECTION ES-1 EA

1.000

0270 302SD20-0208

30" END SECTION ES-1 OR 2 EA

2.000

Schedule of Items Page: 4

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0280 302SD20-0446

DROP INLET DI-5 EA

6.000

0290 302SD20-0447

DROP INLET DI-7 EA

2.000

0300 302SD20-0448

DROP INLET DI-7A EA

7.000

0310 302SD20-0449

DROP INLET DI-7B EA

1.000

0320 302SD20-0655

DROP INLET DI-13 TY.I EA

1.000

0330 302SD20-0656

DROP INLET DI-13 TY.II EA

2.000

0340 302SD20-0661

MANHOLE MH-2 LF

16.000

0350 302SD20-0662

MANHOLE MH-1 OR 2 LF

71.000

0360 302SD20-0663

FRAME & COVER MH-1 EA

9.000

0370 302SD20-0670

TEMP. DIVE. CHANNEL

LINING CL. A

SY

419.000

0380 302SD20-0671

TEMP. DIVE. CHANNEL

LINING CL. B

SY

139.000

0390 302SD20-0672

TEMP. DIVE. CHANNEL

EXCAVATION

CY

355.000

0400 302SD20-0673

STORMWATER

MAN.DRAIN.STR.SWM-1

LF

29.000

Schedule of Items Page: 5

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0410 302SD20-0683

TEMP. SEDIMENT RISER PIPE

48"

LF

4.900

0420 302SD20-0688

TEMP. SEDIMENT RISER PIPE

30"

LF

2.500

0430 302SX20-0013

PIPE REHABILITATION (36",

METHOD B, CATEGORY B,

FOLD AND FORM)

LF

142.000

ATTD, 302

0440 302SX20-0022

DRAINAGE PERMANENT

CONCRETE CHECK DAM

EA

1.000

ATTD, 302

0450 302SX20-0022

DRAINAGE PERMANENT

ROCK CHECK DAM

EA

3.000

ATTD, 302

0460 303SD20-0001

REGULAR EXCAVATION CY

101,247.000

0470 303SD20-0017

MINOR STR. EXCAV. BOX

CULVERT

CY

44.000

0480 303SD20-0018

SLOPE DRAIN EA

11.000

0490 303SD20-0019

EROSION CONTROL MULCH SY

3,471.000

0500 303SD20-0021

TEMPORARY DIVERSION

DIKE

LF

11,955.000

0510 303SD20-0022

CHECK DAM ROCK TY. I EA

168.000

0520 303SD20-0023

CHECK DAM ROCK TY. II EA

263.000

0530 303SD20-0028

DEWATERING BASIN EC-8 EA

36.000

Schedule of Items Page: 6

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0540 303SD20-0029

SILTATION CONTROL

EXCAVATION

CY

10,122.000

0550 303SD20-0030

INLET PROTECTION TYPE A EA

20.000

0560 303SD20-0031

INLET PROTECTION TYPE B EA

2.000

0570 303SD20-0033

TEMP. SILT FENCE TYPE B LF

10,551.000

0580 303SD20-0034

TEMP. SILT FENCE TYPE A LF

19,233.000

0590 303SD20-0035

TEMP. SEDIMENT BASIN

EXCAVATION

CY

3,862.000

0600 303SX20-0006

BORROW EXCAVATION MIN.

CBR-5

CY

1,269.000

0610 303SX20-0007

EMBANKMENT STORMWATER

MANAGEMENT POND

EMBANKMENT

CY

2,967.000

0620 303SX20-0007

EMBANKMENT TEMPORARY

EMBANKMENT REMOVAL

CY

1,194.000

0630 305SX20-0006

SELECT MATERIAL NO. 10

SCREENINGS

TON

50,522.000

ATTD

0640 307SD20-0001

HYDRAULIC CEMENT TON

2,278.000

0650 308SX20-0005

COARSE AGGREGATE NO.8 TON

855.500

ATTD

0660 309SD20-0006

AGGR. MATL. NO. 21B TON

6,119.000

Schedule of Items Page: 7

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0670 312SD20-0005

COVER MATL. AGGR. NO. 78 TON

621.000

0680 315SD20-0002

ASPHALT CONCRETE TY. SM-

12.5D CONST

TON

2,666.000

0690 315SD20-0004

ASPHALT CONCRETE TY. IM-

19.0A CONST

TON

770.000

0700 315SD20-0011

ASPHALT CONCRETE TY. BM-

25.0D CONST

TON

45,347.000

0710 315SD20-0015

RUMBLE STRIP CYLINDRICAL

ASPHALT

LF

22,904.000

0720 315SD20-0016

LIQUID ASPHALT COATING

(RUMBLE STRIP)

SY

5,527.000

0730 315SD20-0018

ASPH.CONC.CURB BACKUP

MATL. CONST

TON

18.000

0740 315SX20-0011

SAW-CUT ASPH CONC FULL

DEPTH

LF

55,267.000

0750 315SX20-0013

FULL DEPTH RECLAMATION

FULL DEPTH RECLAMATION

SY

74,320.000

ATTD

0760 316SD20-0009

CONT.REINF.HYDR.CONC.

PAVE. 8"

SY

868.000

0770 316SD20-0035

CONC. CL. A4 BRIDGE APPR.

SLAB CONST.

CY

132.000

0780 316SD20-0036

REINF. STEEL BRIDGE APPR.

SLAB CONST.

LB

27,300.000

Schedule of Items Page: 8

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0790 317SD20-0003

STONE MATRIX ASPH. SMA-

12.5 64H-22

TON

13,604.000

317, 315

0800 317SD20-0005

STONE MATRIX ASPH. SMA-

19.0 64H-22

TON

9,665.000

317, 315

0810 401SD20-0001

STRUCTURE EXCAVATION

CONST.

CY

4,307.000

0820 401SD20-0002

SELECT BACKFILL

ABUTMENT ZONE

TON

3,554.000

0830 401SD20-0004

GEOCOMPOSITE WALL

DRAIN

SY

246.000

0840 401SD20-0005

PIPE UNDERDRAIN 6" CONST. LF

457.000

0850 401SD20-0007

COFFERDAM EA

3.000

0860 401SX20-0002

TEMP. CAUSEWAY STR. NO.

LUMP SUM _________._____LUMP SUM

ATTD

0870 401SX20-0004

BRIDGE SUBSTRUCTURE

MICROPILE GROUT

CY

17.100

ATTD

0880 403SD20-0006

STEEL PILES 12" LF

2,310.000

0890 403SD20-0034

PILE POINT FOR 12" STEEL

PILE

EA

94.000

0900 403SX20-0001

DYNAMIC PILE TEST END

BEARING PILES

EA

5.000

ATTD

Schedule of Items Page: 9

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

0910 403SX20-0016

PREBORING PILE 12" LF

40.000

0920 403SX20-0018

PILE MICROPILE CASING 10" LF

792.000

0930 403SX20-0018

PILE MICROPILE RE-

DRILLING

LF

96.000

0940 403SX20-0018

PILE MICROPILES, 9 5/8" LF

983.000

ATTD

0950 403SX20-0018

PILE VERIFICATION

MICROPILE

LF

34.000

0960 403SX20-0019

PILE MICROPILE LOAD TEST EA

4.000

0970 404SD20-0007

CONC. CL. A4 MOD. LTWT

LOW SHRINK., SPR. STRUCT.

CONST.

CY

1,197.400

0980 404SD20-0009

BRIDGE DECK GROOVING

CONST.

SY

4,228.000

0990 404SD20-0010

COVER DEPTH SURVEY

CONST.

SY

4,228.000

1000 404SD20-0011

CONCRETE CLASS A3,

SUBSTRUCT. CONST.

CY

1,390.400

1010 404SX20-0001

CONCRETE (CONCRETE

CLASS A3 UNREINFORCED)

CY

122.500

1020 406SD20-0005

CR REINF. STEEL CL. III SPR.

STRUCT. CONST.

LB

305,075.000

Schedule of Items Page: 10

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1030 407SD20-0007

STR.ST.PLATE GIRDER ASTM

A709 GR.50W

LUMP SUM _________._____LUMP SUM

1040 410SD20-0006

CONCRETE PARAPET 42"

CONST.

LF

1,240.000

1050 410SX20-0007

BRIDGE SUPERSTRUCTURE

TEMPORARY

SUPERSTRUCTURE

SUPPORT

LUMP SUM _________._____LUMP SUM

1060 410SX20-0011

PIER PROTECTION SYSTEM

54", CONST

LF

597.000

ATTD

1070 410SX20-0014

BRIDGE INCIDENTALS

(TEMPORARY SUPPORT OF

EXCAVATION)

STR. NO. 2009

LUMP SUM _________._____LUMP SUM

1080 410SX20-0014

BRIDGE INCIDENTALS

(TEMPORARY SUPPORT OF

EXCAVATION)

STR. NO. 2901

LUMP SUM _________._____LUMP SUM

ATTD

1090 412SD20-0013

CRACK REPAIR TYPE B LF

40.000

1100 412SD20-0017

EMBEDDED GALVANIC

ANODES

EA

264.000

1110 412SD20-0061

CONCRETE SUBSTRUCT.

SURFACE REPAIR

SY

26.000

1120 412SX20-0013

BR.SUPERSTR. WID./REPAIR

PILE EXPLORATORY

DRILLING

LUMP SUM _________._____LUMP SUM

Schedule of Items Page: 11

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1130 413SX20-0002

DISM.& REM. EX. STR.

REMOVE PORTION OF

EXIST. STR. NO. 2009

LUMP SUM _________._____LUMP SUM

1140 413SX20-0002

DISM.& REM. EX. STR. STR.

NO 2901

LUMP SUM _________._____LUMP SUM

1150 414SD20-0001

EROSION CTRL. STONE CL.

A1, EC-1

TON

3,048.000

1160 414SD20-0003

EROSION CTRL. STONE CL. I,

EC-1

TON

570.400

1170 414SD20-0005

EROSION CTRL. STONE CL.

II, EC-1

TON

30.000

1180 414SD20-0057

DRY RIPRAP CL.II 38" TON

3,184.000

1190 415SD20-0004

CONC. SLAB SLOPE

PROTECTION 4"

SY

944.000

1200 419SX20-0006

DECK DRAINAGE SYSTEM

DECK DRAINAGE

LUMP SUM _________._____LUMP SUM

ATTD

1210 430SX20-0001

NBIS ACCESS, UNDER

BRIDGE STR. NO. 2009

DAY

2.000

1220 430SX20-0001

NBIS ACCESS, UNDER

BRIDGE STR. NO. 2901

DAY

2.000

1230 431SD20-0001

EPOXY OVERLAY CONST SY

626.000

1240 501SD20-0001

UNDERDRAIN UD-1 LF

20,491.000

Schedule of Items Page: 12

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1250 501SD20-0002

UNDERDRAIN UD-2 LF

1,152.000

1260 501SD20-0006

CROSSDRAIN CD-1 LF

604.000

1270 501SD20-0007

CROSSDRAIN CD-2 LF

162.000

1280 501SD20-0009

OUTLET PIPE LF

5,372.000

1290 502SD20-0003

PAVED DITCH PG-2A SY

277.000

1300 502SD20-0004

PAVED DITCH PG-5 SY

219.000

1310 502SD20-0020

CURB, ASPHALT MC-3B LF

451.000

1320 502SD20-0036

MEDIAN BARRIER MB-7D LF

1,156.000

1330 504SD20-0001

CONCRETE CLASS A3 MISC. CY

132.000

302, 504

1340 504SD20-0005

GEOTEXTILE DRAINAGE

FABRIC

SY

1,343.000

1350 505SD20-0011

GUARDRAIL GR-MGS1 LF

21,157.000

1360 505SD20-0017

GUARDRAIL TERMINAL GR-

MGS2

EA

19.000

1370 505SD20-0018

GUARDRAIL END

ANCHORAGE GR-MGS3

EA

17.000

1380 505SD20-0019

GUARDRAIL HEIGHT

TRANSITION GR-MGS4

EA

17.000

Schedule of Items Page: 13

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1390 505SD20-0045

FIXED OBJECT ATTACH. GR-

FOA-1 TY. I

EA

2.000

1400 505SD20-0053

FIXED OBJECT ATTACH. GR-

FOA-2 TY. I

EA

8.000

1410 505SD20-0054

FIXED OBJECT ATTACH. GR-

FOA-2 TY. II

EA

4.000

1420 505SD20-0055

FIXED OBJECT ATTACH. GR-

FOA-5

EA

7.000

1430 505SD20-0073

REMOVE EXISTING

GUARDRAIL

LF

18,737.000

1440 507SD20-0002

FENCE FE-W2 LF

714.000

1450 507SD20-0003

LINE BRACE UNIT FE-W1 OR

FE-W2

EA

53.000

1460 507SD20-0004

CORNER BRACE UNIT FE-W1

OR FE-W2

EA

12.000

1470 507SD20-0027

HIGH VISIBILITY FENCE, 4

FEET

LF

675.000

1480 507SD20-0032

PEDESTRIAN FENCE 8' LF

437.000

1490 508SD20-0001

OBSCURING ROADWAY UNIT

28.000

1500 508SD20-0004

DEMO. OF PAVEMENT

FLEXIBLE

SY

35,761.000

Schedule of Items Page: 14

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1510 510SX20-0016

REMOVE EXIST. FENCE

BARBED & WOVEN WIRE

LF

899.000

1520 510SX20-0040

REMOVE EXIST. BARRIER

WALL

EA

4.000

ATTD

1530 511SD20-0001

ALLAYING DUST HR

800.000

1540 512SD20-0003

TRAFFIC BARRIER SERVICE

MB-11A

LF

73,500.000

1550 512SD20-0007

IMPACT ATTEN.SER. TY. 1 TL-

3, >=40 MPH

EA

21.000

1560 512SD20-0013

TYPE 3 BARRICADE 8' EA

27.000

1570 512SD20-0014

TEMPORARY SIGN SF

3,064.000

1580 512SD20-0015

AGGREGATE MATERIAL NO.

25 OR 26

TON

496.000

1590 512SD20-0023

TRUCK MOUNTED

ATTENUATOR

HR

1,900.000

1600 512SD20-0024

GROUP 2 CHANNELIZING

DEVICES

DAY

60,500.000

1610 512SD20-0025

PORT.CHANGEABLE MESS.

SIGN

HR

1,000.000

1620 512SD20-0026

ELECTRONIC ARROW BOARD HR

1,900.000

Schedule of Items Page: 15

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1630 512SD20-0042

ERADICATE LINEAR PVMT

MRKG

LF

32,861.000

1640 512SD20-0042

ERADICATE LINEAR PVMT

MRKG

LF

38,474.000

1650 512SX20-0019

TRAFFIC CONTROL TRUCKS

ENTERING HIGHWAY

SYSTEM

EA

6.000

ATTD

1660 512SX20-0040

POLICE PATROL UNIFORM

FLAGGERS

HR

500.000

ATTD

1670 513SD20-0001

MOBILIZATION LUMP SUM _________._____LUMP SUM

1680 514SD20-0001

FIELD OFFICE TY.I MO

48.000

1690 515SD20-0004

FLEXIBLE PAVE.PLANING 0"-

2"

SY

74,670.000

1700 515SD20-0015

FLEXIBLE PAVEMENT

PLANING ABOVE 4"

SY

13,548.000

1710 517SD20-0001

CONSTRUCTION SURVEYING

CONSTR.

LUMP SUM _________._____LUMP SUM

1720 519SD20-0001

SOUND WALL COLOR

COATING

SY

10,934.000

1730 519SD20-0005

SOUND BARRIER WALL

ABSORPTIVE

SF

98,400.000

1740 522SX20-0004

ASBESTOS REMOVAL STR.

NO. 2009

LUMP SUM _________._____LUMP SUM

Schedule of Items Page: 16

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1750 522SX20-0004

ASBESTOS REMOVAL STR.

NO. 2901

LUMP SUM _________._____LUMP SUM

ATTD

1760 523SP20-0002

STORM WATER

MANAGEMENT LOW

PERMEABILITY LINER

SY

3,798.000

ATTD

1770 523SP20-0003

STORM WATER MGT.

BIORETENTION SOIL

MIXTURE

CY

767.000

ATTD

1780 602SX20-0006

TOPSOIL 3" TOPSOIL CLASS

B

CY

9,841.000

1790 603SD20-0002

TEMPORARY SEED LB

4,940.000

1800 603SD20-0003

REGULAR SEED LB

6,816.000

1810 603SD20-0004

OVERSEEDING LB

5,452.000

1820 603SD20-0007

HYDRAULIC EROSION

CONTROL PRODUCT TYPE 1

SY

1,815.000

1830 603SD20-0008

HYDRAULIC EROSION

CONTROL PRODUCT TYPE 2

SY

67,760.000

1840 603SD20-0009

HYDRAULIC EROSION

CONTROL PRODUCT TYPE 3

SY

318,956.000

1850 603SD20-0011

SEDIMENT RETENTION ROLL

18" MIN

LF

5,684.000

1860 603SD20-0014

FERTILIZER NITROGEN - N LB

2,964.000

Schedule of Items Page: 17

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1870 603SD20-0015

FERTILIZER PHOSPHOROUS

- P

LB

2,223.000

1880 603SD20-0016

FERTILIZER POTASSIUM - K LB

2,223.000

1890 603SD20-0017

LIME TON

185.000

1900 606SD20-0001

ROLLED EROSION CTRL

PRODUCT EC-2 TYPE 1

SY

42,223.000

1910 606SD20-0002

ROLLED EROSION CTRL

PRODUCT EC-2 TYPE 2

SY

5,872.000

1920 606SD20-0003

ROLLED EROSION CTRL

PRODUCT EC-2 TYPE 3

SY

433.000

1930 606SD20-0004

ROLLED EROSION CTRL

PRODUCT EC-2 TYPE 4

SY

3,386.000

1940 606SD20-0005

ROLLED EROSION CTRL

PRODUCT EC-3 TYPE 1

SY

4,342.000

1950 606SD20-0006

ROLLED EROSION CTRL

PRODUCT EC-3 TYPE 2

SY

116.000

1960 608SD20-0001

MOWING HR

400.000

1970 610SD20-0001

GABIONS CY

56.000

1980 700SD20-0003

REMOVE EXISTING 1 POST

SIGN STRUCTURE

EA

50.000

Schedule of Items Page: 18

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

1990 700SD20-0004

REMOVE EXISTING 2 POST

SIGN STRUCTURE

EA

4.000

2000 700SD20-0013

RELOCATE EX. 2 POST GRND

MOUNT SGN PANEL

EA

3.000

2010 700SD20-0018

VA SIGN POST W4 X 13 LF

142.000

2020 700SD20-0019

VA SIGN POST W6 X 12 LF

42.000

2030 700SD20-0020

VIA SIGN POST W10 X 12 LF

48.000

2040 700SD20-0021

VIA SIGN POST W12 X 14 LF

63.000

2050 700SD20-0025

VIA SIGN POST W14 X 26 LF

31.500

2060 700SD20-0027

VIA SIGN POST W16 X 31 LF

31.500

2070 700SD20-0028

VIA SIGN POST W18 X 35 LF

70.500

2080 700SD20-0034

SIGN POST STP-1, 2", 14

GAUGE

LF

130.000

2090 700SD20-0038

CONC. FOUND. STP-1, TY. A EA

15.000

2100 700SD20-0046

CONC. FOUND. SSP-VA, 1'9"

DIA. X 4'6" DEEP

EA

11.000

2110 700SD20-0047

CONC. FOUND. SSP-VA, 2'6"

DIA. X 6' DEEP

EA

3.000

Schedule of Items Page: 19

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

2120 700SD20-0048

CONC. FOUND. SSP-VIA, 2'3"

DIA. X 4'6" DEEP

EA

4.000

2130 700SD20-0049

CONC. FOUND. SSP-VIA, 3'

DIA. X 7' DEEP

EA

6.000

2140 700SD20-0051

CONC. FOUND. SSP-VIA, 3'6"

DIA. X 9' DEEP

EA

2.000

2150 700SD20-0054

CONC. FOUND. SSP-VIA, 4'

DIA. X 12' DEEP

EA

2.000

2160 700SD20-0056

CONC. FOUND. O/H SIGN

STRUCTURE

CY

80.000

2170 700SD20-0199

TEST BORE EA

4.000

2180 700SX20-0003

SIGN STRUCTURE,

OVERHEAD CANT. -

LOCATION 0901

EA

1.000

2190 700SX20-0003

SIGN STRUCTURE,

OVERHEAD CANT. -

LOCATION 1101

EA

1.000

2200 700SX20-0003

SIGN STRUCTURE,

OVERHEAD CANT. -

LOCATION 1401

EA

1.000

2210 700SX20-0003

SIGN STRUCTURE,

OVERHEAD CANT. -

LOCATION 1801

EA

1.000

2220 700SX20-0019

TRAFFIC SIGN U CHANNEL

SIGN POST

LF

276.000

Schedule of Items Page: 20

Proposal ID: C0000116268C01 0081-085-858, C501, B603-604 Order No.: L26

Oversight/State Project No.:

Federal Project No.: NHPP-081-3(216)

Contractor:

0001 REGULAR BID ITEMSSECTION:

Cat Alt Set ID: Cat Alt Mbr ID:

Bid AmountUnit Price Approximate Quantity and

UnitsDescription Item ID

Proposal Line

Number Dollars Cents Dollars Cents Spec No.

2230 700SX20-0021

TRAFFIC SIGN PORTABLE

CHANGEABLE MESSAGE

SIGN

EA

4.000

2240 701SD20-0001

SIGN PANEL SF

1,317.250

2250 704SD20-0027

TYPE B CLASS VI PVMT LINE

MRKG 6"

LF

105,079.000

2260 704SD20-0029

TYPE B CLASS VI PVMT LINE

MRKG 12"

LF

2,714.000

2270 704SD20-0031

TYPE B CLASS VI CONTRAST

PVMT LINE MRKG 6"

LF

1,575.000

2280 704SD20-0032

INLAID PAVEMENT MARKER

ASPHALT

EA

2,096.000

ATTD

2290 704SD20-0033

INLAID PAVEMENT MARKER

CONCRETE

EA

17.000

ATTD

2300 704SD20-0060

SYMB MRKG LANE

REDUCTION ARR TY B CL II

EA

4.000

2310 704SD20-0113

TYPE A CLASS I PVMT LINE

MRKG 6"

LF

1,111,926.000

2320 704SD20-0114

TYPE A CLASS I PVMT LINE

MRKG 8"

LF

246,996.000

Section: 0001 _________._____Total:

Total Bid: _________._____

Page

Bid Items Eligible For Fuel Adjustment

C0000116268C01 L26

Contract ID:

Order No.:

Instructions: This form shall be completed in accordance with the Special Provision for Optional Adjustment for Fuel. If you choose to have Fuel Adjustment applied to any of the items listed below, write the word "Yes" in the "OPTION" column beside the item. The form must be signed, dated, and submitted to the Contract Engineer within the timeframe required in the Special Provision.

FORM C-21B

Rev 12-21-05

0001 REGULAR BID ITEMSSECTION:

ltem Description Fuel Factor gal/unit Option Item

Number

_______BEDDING MATL. AGGR. NO. 57 0.400302SD20-0002

_______CONCRETE CLASS A4 BOX CULVERT 1.892302SD20-0004

_______TEMP. DIVE. CHANNEL EXCAVATION 0.290302SD20-0672

_______REGULAR EXCAVATION 0.290303SD20-0001

_______MINOR STR. EXCAV. BOX CULVERT 0.290303SD20-0017

_______SILTATION CONTROL EXCAVATION 0.290303SD20-0029

_______EMBANKMENT TEMPORARY EMBANKMENT REMOVAL 0.290303SX20-0007

_______EMBANKMENT STORMWATER MANAGEMENT POND

EMBANKMENT

0.290303SX20-0007

_______HYDRAULIC CEMENT 0.200307SD20-0001

_______AGGR. MATL. NO. 21B 0.600309SD20-0006

_______COVER MATL. AGGR. NO. 78 0.600312SD20-0005

_______ASPHALT CONCRETE TY. SM-12.5D CONST 3.500315SD20-0002

_______ASPHALT CONCRETE TY. IM-19.0A CONST 3.500315SD20-0004

_______ASPHALT CONCRETE TY. BM-25.0D CONST 3.500315SD20-0011

_______CONT.REINF.HYDR.CONC.PAVE. 8" 0.950316SD20-0009

_______STONE MATRIX ASPH. SMA-12.5 64H-22 4.000317SD20-0003

_______STONE MATRIX ASPH. SMA-19.0 64H-22 4.000317SD20-0005

_______STRUCTURE EXCAVATION CONST. 0.290401SD20-0001

_______CONC. CL. A4 MOD. LTWT LOW SHRINK., SPR. STRUCT.

CONST.

1.892404SD20-0007

_______CONCRETE CLASS A3, SUBSTRUCT. CONST. 1.892404SD20-0011

_______EROSION CTRL. STONE CL. A1, EC-1 0.600414SD20-0001

_______EROSION CTRL. STONE CL. I, EC-1 0.600414SD20-0003

_______EROSION CTRL. STONE CL. II, EC-1 0.600414SD20-0005

_______CONCRETE CLASS A3 MISC. 1.892504SD20-0001

_______DEMO. OF PAVEMENT FLEXIBLE 0.200508SD20-0004

_______AGGREGATE MATERIAL NO. 25 OR 26 0.600512SD20-0015

_______FLEXIBLE PAVE.PLANING 0"-2" 0.071515SD20-0004

Date:

Signature:

(Firm or Corporation)

(Vendor No.)

Bid Items Eligible For Steel Price Adjustment

C0000116268C01 L26

Contract ID:

Order No.:

Instructions: This form shall be completed in accordance with the Special Provision. If you choose to have Steel Price Adjustment applied to any of the items listed below, write the word "Yes" in the "OPTION" column beside the item. The form must be signed, dated, and submitted to the Contract Engineer within the timeframe required in the Special Provision.

Rev 12-21-08

FORM C-21C

0001 REGULAR BID ITEMSSECTION:

ltem Description Option Item

Number

_______REINF. STEEL302SD20-0005

_______REINF. STEEL BRIDGE APPR. SLAB CONST.316SD20-0036

_______STEEL PILES 12"403SD20-0006

_______CR REINF. STEEL CL. III SPR. STRUCT. CONST.406SD20-0005

_______STR.ST.PLATE GIRDER ASTM A709 GR.50W407SD20-0007

_______GUARDRAIL GR-MGS1505SD20-0011

_______GUARDRAIL TERMINAL GR-MGS2505SD20-0017

_______GUARDRAIL END ANCHORAGE GR-MGS3505SD20-0018

_______GUARDRAIL HEIGHT TRANSITION GR-MGS4505SD20-0019

_______PEDESTRIAN FENCE 8'507SD20-0032

_______VA SIGN POST W4 X 13700SD20-0018

_______VA SIGN POST W6 X 12700SD20-0019

_______VIA SIGN POST W10 X 12700SD20-0020

_______VIA SIGN POST W12 X 14700SD20-0021

_______VIA SIGN POST W14 X 26700SD20-0025

_______VIA SIGN POST W16 X 31700SD20-0027

_______VIA SIGN POST W18 X 35700SD20-0028

_______SIGN POST STP-1, 2", 14 GAUGE700SD20-0034

_______TRAFFIC SIGN PORTABLE CHANGEABLE MESSAGE SIGN700SX20-0021

Date:

Signature:

(Firm or Corporation)

(Vendor No.)

Bid Items Eligible For Asphalt Adjustment within this Project

C0000116268C01 L26

Contract ID:

Order No.:

0001 REGULAR BID ITEMSSECTION:

ltem Description Item

Number

ASPHALT CONCRETE TY. SM-12.5D CONST315SD20-0002

ASPHALT CONCRETE TY. IM-19.0A CONST315SD20-0004

ASPHALT CONCRETE TY. BM-25.0D CONST315SD20-0011

LIQUID ASPHALT COATING (RUMBLE STRIP)315SD20-0016

ASPH.CONC.CURB BACKUP MATL. CONST315SD20-0018

STONE MATRIX ASPH. SMA-12.5 64H-22317SD20-0003

STONE MATRIX ASPH. SMA-19.0 64H-22317SD20-0005

Determination of Major Items

1C0000116268C01Contract ID:

ltem Description Item

Number

SOUND BARRIER WALL ABSORPTIVE519SD20-0005

ASPHALT CONCRETE TY. BM-25.0D CONST315SD20-0011

REGULAR EXCAVATION303SD20-0001

SELECT MATERIAL NO. 10 SCREENINGS305SX20-0006

STONE MATRIX ASPH. SMA-12.5 64H-22317SD20-0003

STONE MATRIX ASPH. SMA-19.0 64H-22317SD20-0005

Form C-110 Rev. 05-06-24

DBE REGULAR DEALER/DISTRIBUTOR AFFIRMATION FORM

Bidder / Contractor Name:

Project No. 0081-085-858, C501, B603-604, D601-602

FHWA No.: NHPP-081-3(216)

Contract ID: C0000116268C01

Date Submitted:

*** INSTRUCTIONS ***

Submit this DBE Regular Dealer / Distributor Affirmation Form for each DBE listed as a regular dealer or distributor, on the Bidder’s Form C-111 within 5 days after the bid opening, along with Form C-112 - Certification of Binding Agreement. In the questions below, “you and “your” refer to the DBE.

Section 26.53(c)(1) of Title 49 Code of Federal Regulations requires the Virginia Department of Transportation to make a preliminary counting determination for each DBE listed as a regular dealer or distributor to assess its eligibility for 60 or 40 percent credit, respectively, of the cost of materials and supplies based on its demonstrated capacity and intent to perform as a regular dealer or distributor, as defined in 49 CFR § 26.55(e)(2)(iv)(A),(B),(C), and (3) under the contract at issue. The preliminary determination will be based on the DBE’s written responses to relevant questions and its affirmation that its subsequent performance of a commercially useful function will be consistent with the preliminary counting of such participation.

DBE Name:

DBE Authorized Representative:

Total Amount of DBE Subcontract / Purchase Order:

NAICS Codes Applicable to Items Sold / Leased:

1. Will all items sold or leased be provided from the on-hand inventory at your establishment?

☐ YES (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here. Read and sign the affirmation below.)

☐ NO (If "NO" Continue.)

(a) Are you selling bulk items (e.g., petroleum products, steel, concrete, concrete products, sand, gravel, asphalt, etc.) or items not typically stocked due to their unique characteristics (aka specialty items)?

☐ YES (If "YES," Go to Question 2.)

☐ NO (If "NO" Continue.)

(b) Will at least 51% of the items you are selling be provided from the inventory maintained at your establishment, and will the minor quantities of items delivered from and by other sources be of the general character as those provided from your inventory?

☐ YES (If "YES," you have indicated that your performance will satisfy the regular dealer requirements and may be counted at 60%. STOP here. Read and sign the affirmation below.

☐ NO * (*If 1,1(a), and 1(b) above are "NO," your performance on the whole will not satisfy the regular dealer requirements; therefore, only the value of items to be sold or leased from inventory can be counted at 60%. Go to Question 3, below, to determine if the items delivered from and by other sources are eligible for Distributor credit.)

2. Will you deliver all bulk or specialty items using distribution equipment you own (or under a long-term lease) and operate?

☐ YES (If "YES," you have indicated that your performance will satisfy the requirements for a regular dealer of bulk items and may be counted at 60%. STOP here. Read and sign the affirmation below.)

☐ NO (If "NO," your performance will not satisfy the requirements for a regular dealer of bulk items; the value of items to be sold or leased cannot be counted at 60%. Go to Question 3.)

3. Will the written terms of your purchase order or bill of lading from a third party transfer responsibility, including risk for loss or damage, to your company at the point of origin (e.g. a manufacture's facility)?

☐ YES ☐ NO

(a) Will you be using sources other than the manufacturer (or other seller) to deliver or arrange delivery of the items sold or leased?

☐ YES ☐NO

(If you responded "YES" to both 3 and 3(a), you have indicated that your performance will satisfy the requirements of a Distributor; therefore, the value of items sold or leased may be counted at 40%.)

(If you responded "NO" to either 3 or 3(a), your performance will not satisfy the requirements for a regular dealer and counting of your participation is limited to the reasonable cost of fees or commissions charged, including transportation charges for the delivery of materials or supplies; the cost of materials or supplies may not be counted.)

For DBE:

I affirm that the information that I provided above is true and correct and that my company's subsequent performance of a commercially useful function will be consistent with the above responses. I further affirm that my company will independently negotiate price, order specified quantities, and pay for the items listed in the Bidder's Forms C-111 and C-112. This includes my company's responsibility for the quality of such items in terms of necessary repairs, exchanges, or processing of any warranty claims for damaged or defective materials.

Printed Name of DBE Owner/Authorized Representative Signature

For Bidder:

The Bidder acknowledges its responsibility for verifying the information provided by the DBE named above and ensuring that the counting of the DBE's participation is accurate. Any shortfall in DBE participation caused by errors in counting are the responsibility of the Bidder.

Printed Name of Bidder Owner/Authorized Representative Signature

Form C-111

Rev. 06-10-24

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

MINIMUM DBE REQUIREMENTS

Contract ID No.: _____________________

Order No.: _____________________

* * * I N S T R U C T I O N S * * *

LIST THE DBE(S) WHO WILL PARTICIPATE IN THE CONTRACT, INDICATE THE WORK THEY WILL PERFORM, THEIR VENDOR ID AND DBE CERTIFICATION NUMBERS, AND THE DOLLAR AMOUNT OF PARTICIPATION, REDUCED AS NEEDED FOR REGULAR DEALERS (60%), DISTRIBUTORS (40%), AND BROKERS (FEES/COMMISSIONS). COUNT 100% FOR SUBCONTRACTORS AND MANUFACTURERS, AND FOR HAULERS THAT DELIVER MATERIALS AND SUPPLIES TO THE PROJECT SITE (EXCLUDING COST

OF THE MATERIALS AND SUPPLIES.

% X $ = $

DBE GOAL TOTAL CONTRACT VALUE MINIMUM DBE PARTICIPATION

DBE SUMMARY

DBE PARTICIPATION ATTAINED TOTAL: $ ____________

DBE PARTICIPATION ATTAINED PERCENTAGE: ___________%

I/WE CERTIFY THAT THE LISTED DBES WILL BE USED ON THIS CONTRACT AS STATED HEREIN AND THAT IN THE PERFORMANCE OF THE CONTRACT I/WE WILL MAKE GOOD FAITH EFFORTS TO MEET OR EXCEED THE DBE GOAL

ESTABLISHED FOR THE CONTRACT.

BY:

BIDDER'S NAME SIGNATURE DATE

Title:

NAME OF DBE

SUBCONTRACTOR

VENDOR

ID NO.

DBE

CERTIFICATION

NO.

SUBCONTRACT

VALUE

DBE USED AS

DOLLAR AMT

DBE CREDIT

SUBCONTR. (S)

MNFR. (M)

HAULER (H)

REG. DLR. (R)

DISTR. (D)

BROKER (B)

100%

100%

100%

60%

40%

Fees/Com

Project No.: _________________________________

FHWA No.: _________________________________

0081-085-858, C501, B603-604, D601-602

NHPP-081-3(216)

C0000116268C01

L26

Form C-111 Rev. 06-10-24

DBE ITEMS ENTRY

Instructions: For each DBE listed in the Summary on page 1, complete a DBE Item Entry form.

NOTE: To count toward the DBE goal, DBEs must be certified in NAICS codes applicable to kind of work they perform. A DBE's Certification number and NAICS Codes are shown in the DBE's listing in the DSBD DBE Directory at: https://directory.sbsd.virginia.gov/#/executiveExport

Full DBE Name: ______________________________________________

DBE Vendor ID No.: ___________ (DBE's number can be found on VDOT's List of Prequalified Vendors)

DBE Certification. No.: ____________________

DBE NAICS Code(s): _____________________________________________________________________

DBE Used As:

_______ Subcontractor (S) Eligible for 100% of Subcontract Value

_______ Manufacturer (M) Eligible for 100% of Subcontract Value

_______ Hauler (H) Eligible for 100% of Subcontract Value Excluding Materials

________ Regular Dealer (R) Eligible for 60%of Subcontract or PO Value

________ Distributor (D) Eligible for 40% of Subcontract or PO Value

________ Broker (B) Eligible for Fees / Commissions Only

WORK ASSIGNED TO DBE

Contract Bid Items Description Of Work QTY Unit DBE's Price Applicable

Dollar Amt

DBE Credit

DBE Credit Total: $ _______________________

BY:

BIDDER'S NAME SIGNATURE DATE

Title:

[ATTACH ADDITIONAL SHEETS AS NECESSARY, EACH OF WHICH MUST BE SIGNED AND DATED.]

ORDER NO.: L26

https://directory.sbsd.virginia.gov/#/executiveExport

Form C-112 Rev. 3-1-11

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF TRANSPORTATION

CERTIFICATION OF BINDING AGREEMENT WITH

DISADVANTAGED BUSINESS ENTERPRISE FIRMS

Project No.: 0081-085-858, C501, B603-604, D601-602

FHWA NO: NHPP-081-3(216)

This form is to be submitted in accordance with the Department’s Special Provision for Section 107.15.

It is hereby certified by the below signed Contractors that there exists a written quote, acceptable to the parties involved preliminary to a binding subcontract agreement stating the details concerning the work to be performed and the price which will be paid for the aforementioned work. This document is not intended to, nor should it be construed to, contain the entire text of the agreement between the contracting parties. This document does not take the place of, nor may it be substituted for, an official subcontracting agreement in those situations that may require such an agreement. A copy of the fully executed subcontract agreement shall be submitted to the Engineer within fourteen (14) working days after contract execution.

It is further certified that the aforementioned mutually acceptable quote and fully executed subcontract agreement represent the entire agreement between the two parties involved and that no conversations, verbal agreements, or other forms of non-written representations shall serve to add to, delete, or modify the terms as stated.

The prime Contractor further represents that the aforementioned mutually acceptable quote and fully executed subcontract agreement shall remain on file for a period of not less than one year following completion of the prime's contract with the Department or for such longer period as provisions of governing Federal or State law or regulations may require. For purposes of this form, the term Prime Contractor shall refer to any Contractor utilizing a DBE subcontractor, regardless of tier, in which they are claiming DBE credit toward the contract goal.

Contractors further jointly and severally represent that said binding agreement is for the performance of a "commercially useful function" as that term is employed in 49 C.F.R. Part 26.55 (c), (d).

TO BE SIGNED BY THE SUBCONTRACTOR TO THE PRIME CONTRACTOR, AND ANY LOWER TIER

SUBCONTRACTORS HAVING A CONTRACT WITH THE BELOW NAMED DBE FIRM

Prime Contractor:

By:

Signature Title

Date:

First Tier Subcontractor If Applicable:

Form C-112 Rev. 3-1-11

Second Tier

If Applicable:

Third Tier

If Applicable

DBE Contractor

FORMS and SCHEDULE OF ITEMS PRECEDE SPCNs, SPs and SUPPLEMENTAL SPECS.

*CN100-000026-08 GEN. PROJ. REQUIRE., SSS/SPS/SPCNS 4-4-22 (SPCN) 1

CN103-000100-00 SECTION 103.02—AWARD OF CONTRACT 6-25-24 (SPCN) 1

CN211-000100-00 POLISHING AGGREGATE IN ASPHALT CONC. R-7-12-16 (SPCN) 2

CN245-000100-01 SECTION 245.03—TESTING & DOCUMENTATION 1-10-24 (SPCN) 3

CN315-000100-00 SEC. 315.05(C) PLACING AND FINISHING 1-18-17 (SPCN) 4

CN512-000120-00 SEC. 512—MAINTAINING TRAFFIC (IMPACT ATTEN. SER.) 7-13-16_(SPCN) 5

CN704-000200-00 INLAID PAVE. MARKER LOC. AND SPACING 8-11-21 (SPCN) 5

CQ107-000150-00 EQUAL EMPLOYMENT OPPORTUNITY 5-11-22 (SPCN) 6

*DRUG-FREE WORKPLACE 7-3-19 (SPCN) 7

CONTINUOUS PROSECUTION OF WORK R-7-12-16_(SPCN) 7

*SECTION 108.02—LIMITATIONS OF OPERATIONS (RAILWAY R/W) 9-10-18 (SPCN) 7

*SEALING RUMBLE STRIPS IN NEW PAVEMENT 8-29-19 (SPCN) 7

*SECTION 317—STONE MATRIX ASPHALT CONC. PLACEMENT 9-17-18 (SPCN) 8

PIER PROTECTION SYSTEM10-20-20 (SPCN) 8

UNIFORMED FLAGGERS R-7-12-16_(SPCN) 8

*REMOVAL OF SRPMS DURING LANE SHIFT 3-3-20 8

PROTECTION OF BAT SPECIES 1-17-18 (SPCN) 9

DECK CONCRETE PAYMENT 3-5-24 (SPCN) 9

OPTIONAL USE OF ANCHOR BOLT SLEEVES 3-5-24 (SPCN) 9

PILE CENTER OF GRAVITY CONFIRMATION 3-5-24 (SPCN) 9

SECTION 408.03(G) PLACEMENT 3-5-24 (SPCN) 10

STEEL BAR SUPPORTS 3-5-24 (SPCN) 10

TEMPORARY BARRIER SERVICE 3-5-24 (SPCN) 11

PIPE BACKFILL MATERIAL 12-9-20 (SPCN) 11

SECTION 303 – EARTHWORK 2-13-23 (SPCN) 11

EXCLUSIONARY MEASURES FOR BATS DURING BRIDGE WORK 3-29-24 (SPCN) 12

TREE REMOVAL RESTRICTION DURING BAT PUP SEASON 3-29-24 (SPCN) 12

UNDERDRAINS 3-28-24 (SPCN) 12

CN108-000411-02* EARLY COMPLETION INCENT./DISINCENT. 9-10-19 (SPCN) 13

ENVIRONMENTAL PERMIT SKETCHES 3-19-24 (SPCN) 13

PRE-BORING 3-21-24 (SPCN) 14

REMOVE PORTION OF EXISTING STRUCTURE 3-26-24 (SPCN) 14

SECTION 415.04 MEASUREMENT AND PAYMENT 3-19-24 (SPCN) 14

SUBSTRUCTURE CLASS A3 CONCRETE 5-28-24 (SPCN) 14

TEMPORARY SUPERSTRUCTURE SUPPORT 3-18-24 (SPCN) 15

TEMPORARY SUPPORT OF EXCAVATION 3-14-24 (SPCN) 15

CN518-000210-00 SEC. 518.02(A) NUMBER OF TRAINEES 7-12-16 (SPCN) 16

PROTECTION OF NESTING BIRDS 4-5-24 (SPCN) 16

STORMWATER MANAGEMENT POND EMBANKMENT 4-24-24 (SPCN) 16

COFFERDAMS USED FOR DRAINAGE STRUCTURE INSTALLATION 5-21-24 (SPCN) 17

REGULAR EXCAVATION 5-5-24 (SPCN) 17

DECK DRAINAGE SYSTEM 5-10-24 (SPCN) 17

TEMPORARY CAUSEWAY 5-10-24 (SPCN) 17

RUB PLATES AND DRIP PLATES 4-30-24 (SPCN) 17

REMOVE EXISTING BARRIER WALL 5-23-24 (SPCN) 18

PEDESTRIAN FENCE 5-10-24 (SPCN) 18

MECHANICAL SPLICES 5-10-24 (SPCN) 18

EXCAVATION AND SURPLUS MATERIAL 3-1-23 (SPCN) 18

TABLE OF CONTENTS FOR PROVISIONS

SP0F0-000100-00 PREDETERMINED MIN. WAGE RATES R-7-12-16 19

SP0F0-000130-02 FHWA 1273—REQ. PROVISIONS, FED-AID 10-3-23 25

SP0F0-000150-01 AFFIRMATIVE ACTION / EEO NOTICE 7-17-17 50

SP102-000120-00 NON-DISCRIMIN. EMPLOY. & CONTRACT. PRACTICES (EO-61) 1-10-17 56

*SP102-000510-02 USE OF DOMESTIC MATERIAL 12-19-18 57

SP105-001000-01 CRD’S FOR PERMANENT SWMF’S 2-1-18 59

SP107-000110-00 C-45–SWPPP GEN. PERMIT–CONTRACTOR CERTIFICATION R-10-27-16 61

*SP107-000120-00 ELEC. SUBMISSION OF DBE AND PAYROLLS 1-21-20 62

SP107-001510-04 DBE REQUIREMENTS 6-5-24 64

*SP107-003000-01 BUILD AMERICA, BUY AMERICA ACT ..6-8-23 86

SP108-000120-01 PROG. SCHED. FOR CAT. III PROJECTS 3-21-22 88

*SP109-000100-04 ASPHALT MATERIAL PRICE ADJUSTMENT 6-29-23 110

SP109-000110-00 OPTIONAL ADJUSTMENT FOR FUEL R-7-12-16 111

SP109-000120-01* PRICE ADJUSTMENT FOR STEEL 7-2-19 113

SP109-000130-00 ELECTRONIC WEIGH TICKETS 10-10-19 118

SP302-000120-00 JACK AND BORE 10-27-16 120

SP302-000140-01 PIPE REHABILITATION 11-7-16 125

SP303-000210-00 USE OF NUMBER 10 SCREENINGS 4-28-17 136

SP401-000100-01 CLEAR & GRUB BRIDGE APPROACHES 2-28-18 139

SP403-000100-00 DYNAMIC PILE TESTING FOR END BEARING PILES (LRFD) R-10-27-16 141

SP407-000500-00 SUPERSTRUCTURE ERECTION STABILITY 6-10-22 144

SP512-000310-00 POLICE ASSIST. FOR PAVING OPERATIONS R-7-12-16 156

*SP522-000190-00 PROTECTION OF WOOD TURTLE 6-19-19 157

SP522-000240-00 REMOVAL OF ASBESTOS FROM BRIDGE STRUCTURES 9-12-17 158

*SP700-000180-03 MODIFICATIONS TO AASHTO’S SIGN STRUCT. SPEC. 9-29-20 163

*SP704-000120-00 INLAID PAVEMENT MARKERS 8-26-19 168

SP801-000100-01 LANE CLOSE COORD (LCC)/LANE CLOSE IMPLEMENT (LCI) 9-20-17 171

SEC. 105.06—SUBCONTRACTING (FEDERAL FUNDED PROJECTS) 2-9-17_(SP) 173

SQ107-001300-00 PREVAILING WAGE RATES 10-12-2023 174

CSX – SPECIAL PROVISIONS 178

CSX - CONSTRUCTION REQUIREMENTS 185

CSX - AGREEMENT 194

CONCRETE DECK CLOSURE POUR 5-21-24 209

ITS—PORTABLE CHANGEABLE MESSAGE SIGN 8-8-12 211

MICROPILES IN KARST 3-17-16 216

TRUCKS ENTERING HIGHWAY SYSTEM 4-1-24 227

SECTION 107—LEGAL RESPONSIBILITIES 12-11-20 230

SHALE FILL 7-1-19 232

BIORETENTION BASINS 5-21-24 234

SOUND BARRIER WALLS / ARCHITECTURAL FINISHES 5-17-24 241

PILE EXPLORATORY DRILLING 3-21-24 248

SECTION 105.08 – COOPERATION WITH REGARD TO UTILITIES 3-26-24 249

RAIN GARDEN SEED MIXTURES 5-24-18 250

CONTROLLED BLASTING 10-13-20 253

STORMWATER MISCELLANEOUS 5-24-24 255

MANUFACTURED LOW PERMEABILITY GEOSYNTHETIC LINER 6-14-24 258

PROTECTION OF LOGGERHEAD SHRIKE 6-27-24 260

FULL-DEPTH RECLAMATION (FDR) OF NO. 10 SCREENINGS 5-17-24 261

SS109-002020-01 SEC. 109—MEASUREMENT AND PAYMENT 5-1-23 269

*SS220-002020-01 SEC. 220 – CONCRETE CURING MATERIALS 8-28-20 272

*SS211-002020-03 SECT 211 – ASPHALT CONCRETE 3-18-24 273

SECTION 223 – STEEL REINFORCEMENT 04/04/2023 278

*SS234-002020-01 SECTION 234 – GLASS BEADS AND RETROREFLECTIVE OPTICS 5-6-22 279

*SS235-002020-01 SECTION 235 – RETROREFLECTORS 5-6-22 280

SS236-002020-01…