LCQ_Runway_5-23_Bid_Package_9_21_2021_(1).pdf

City of Lake City

Lake City Gateway Airport (LCQ)

RUNWAY 5-23 PAVEMENT REHABILITATION

City Bid No. ITB-001-2022

FDOT FIN PROJECT NO. FM#431310-1

November 2021

PREPARED BY:

PASSERO ASSOCIATES, LLC

4730 Casa Cola Way – Suite 200

St. Augustine, FL 32095

PA PROJECT NO. 20070044.0021

THIS PAGE INTENTIONALLY LEFT BLANK

TABLE OF CONTENTS

PART 1

ADVERTISEMENT / NOTICE TO BID ATB -4

BID DOCUMENTS BID-5 to BID-26 CONTRACT AGREEMENT CA-27 to CA-40 SUPPLEMENTAL FORMS SF-41 to SF-46

PART 2

FAA Advisory Circular/150-5370-2G

PART 3

GENERAL PROVISIONS

Section 10 - Definition of Terms Section 20 - Proposal Requirements and Conditions Section 30 - Award and Execution of Contract Section 40 - Scope of Work Section 50 - Control of Work Section 60 - Control of Materials Section 70 - Legal Relations and Responsibility to Public Section 80 - Execution and Progress Section 90 - Measurement and Payment

PART 4

TECHNICAL SPECIFICATIONS

Item Number Description

Item C-100 - Contractor Quality Control Program (CQCP) Item C-105 - Mobilization Item C-106 - Maintenance and Protection of Traffic Item C-108 - Project Survey, Stakeout and Records Drawings Item P-101 - Preparation/Removal of Existing Pavements Item P-409 - Superpave Asphalt Pavement Surface Course Item P-603 - Emulsified Asphalt Spray Tack Coat Item P-605 - Joint Sealants for Pavements Item P-610 - Concrete for Miscellaneous Structures Item P-620 - Runway and Taxiway Marking Item P-623 - Emulsified Asphalt Spray Seal Coat

PLANS

Drawing Number Title

G1-1 Cover Sheet G1-2 Index of Sheets and Quantities G1-3 Safety, Security Notes and General Notes G1-4 Project Layout Plan G2-1 Construction Safety & Phasing Plan (CSPP) C1-1 to C1-5 Demolition Plan C2-1 Typical Section C2-2 Pavement Details C3-1 to C3-4 Grading Plan C4-1 to C4-5 Pavement Marking and Sealant Plan C4-6 Pavement Marking Details

END OF TABLE OF CONTENTS

https://www.faa.gov/documentLibrary/media/Advisory_Circular/150-5370-2G.pdf

ADVERTISEMENT/NOTICE TO BIDDERS

FOR

RUNWAY 5-23 PAVEMENT REHABILITATION

AT THE LAKE CITY GATEWAY AIRPORT, LAKE CITY, FLORIDA

ITB-001-2022

The City of Lake City will be accepting bids electronically for the RUNWAY 5-23 PAVEMENT REHABILITATION project at the Lake City Gateway Airport on our e-Procurement site:

https://secure.procurenow.com/portal/lcfla/projects/12251 until Thursday, December 16, 2021 @ 2:00 P.M. EDT and be opened and read aloud via Zoom Meeting https://us02web.zoom.us/j/81565412791 THE PROJECT INCLUDES BITUMINOUS PAVEMENT MILLING AND OVERLAY OF THE 4,000 LF X 75 FEET WIDE RUNWAY 5-23, SELECTIVE REHABILITATION OF THE EXISTING BITUMINOUS SHOULDER PAVEMENT, SEALING AND REMARKING

OF THE RUNWAY 5-23 BLAST PADS.

Each bid must be accompanied by a certified check or bid bond, in the amount of five percent (5%) of the total maximum bid price (combination of base bid or alternate bid plus add-on items) for the contract in the form and subject to the conditions provided in the Preparation of Proposal.

A complete set of Bid Documents, consisting of the General Provisions, Technical Specifications, Bid, Agreement and Contract Drawings, will be available on Monday, November 15, 2021 and may be obtained from https://secure.procurenow.com/portal/lcfla/projects/12251.

A pre-bid meeting will be held at the Lake City Gateway Airport, 3524 E. US Hwy 90, Lake City, FL 32055 on Tuesday, November 30, 2021 @ 10:00AM EDT.

Technical questions shall be submitted on https://secure.procurenow.com/portal/lcfla/projects/12251 and must be received by the close of business on Monday, December 6, 2021. An addendum will be issued by the close of the business day on Thursday, December 9, 2021.

The requirements of 49 CFR part 26 apply to this contract. It is the policy of the City of Lake City to practice nondiscrimination based on race, color, sex, or national origin in the award or performance of this contract. The Owner encourages participation by all firms qualifying under this solicitation regardless of business size or ownership.

The City of Lake City, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 (78 Stat. 252, 42 USC §§ 2000d to 2000d-4) and the Regulations, hereby notifies all bidders or offerors that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award.

The right is reserved to waive any informalities in the bid and to reject all bids.

ATB-4

https://secure.procurenow.com/portal/lcfla/projects/12251 https://us02web.zoom.us/j/81565412791

BID-5

BID

FOR ALL WORK INCLUDED IN

RUNWAY 5-23 PAVEMENT REHABILITATION

AT THE LAKE CITY GATEWAY AIRPORT

LAKE CITY, FLORIDA

TO: City of Lake City Procurement Department, City Hall 205 N. Marion Avenue, Lake City, FL 32055

The undersigned, as bidder, hereby declares that he has examined the site of the work and informed himself fully in regard to all conditions pertaining to the place where the work is to be done; that he has examined the Plans and Specifications for the work and Contractual Documents relative thereto and has read all Special Provisions furnished prior to the opening of bids; that he has satisfied himself relative to the work to be performed.

The bidder proposes and agrees, if this Proposal is accepted, to contract in the form of contract specified with the City of Lake City to furnish all necessary materials, equipment, machinery, tools, apparatus, means of transportation and labor necessary to complete the construction of the:

Project Description: THE PROJECT INCLUDES BITUMINOUS PAVEMENT MILLING AND OVERLAY OF THE 4,000 LF X 75 FEET WIDE RUNWAY 5-23, SELECTIVE REHABILITATION OF THE EXISTING

BITUMINOUS SHOULDER PAVEMENT, SEALING AND REMARKING OF THE RUNWAY 5-23 BLAST

PADS.

It is agreed that the description under each item, being briefly stated, implies, although it does not mention, all incidentals and that the prices stated are intended to cover all such work, materials, and incidentals as constitute bidder's obligations as described in the Specifications and any details not specifically mentioned, but evidently included in the Contract shall be compensated for in the item which most logically includes it.

Submission of Bid Bids shall be submitted electronically on the e-procurement site www.Procurenow.com at the specified time and date for receipt of bids. The e-procurement system will not allow the receipt of late bids.

http://www.procurenow.com/

BID-6

NOTE: PLEASE USE ELECTRONIC FORM LOCATED IN THE BID UNDER PRICING

BID FORMS

BASE BID - RUNWAY 5-23 PAVEMENT REHABILITATION

PAY

ITEM

NO.

DESCRIPTION QUANTITY UNIT UNIT

PRICE TOTAL

C-100 Contractor Quality Control Program and Testing 1 LS $ -

C-105 Mobilization 1 LS $ -

C-106- 4.1

Maintenance and Protection of Traffic 1 LS $ -

C-108- 8.1

Project Survey, Stakeout, and Record Drawings 1 LS $ -

P-

101.5.1 Pavement Sawcutting 7,100 LF $ -

P-101-

5.2 Cold Milling 27,300 SY $ -

P-101- 5.4

Removal and Reinstallation of Elevated Light Fixtures and Airfield Signage

1 LS $ -

P-409- 5.1

FDOT SP - 12.5 Fine Asphalt Surface Course 3,600 TON $ -

P-409- 5.2

FDOT SP - 9.5 Fine Asphalt Levelling Course 100 TON $ -

P-603-

5.1 Emulsified Asphalt Tack Coat 3,100 GAL $ -

P-620-

5.1 Pavement Marking Removal 11,500 SF $ -

P-620-

5.2 Initial Pavement Marking, Yellow 7,000 SF $ -

P-620-

5.3 Initial Pavement Marking, White 31,000 SF $ -

P-620- 5.4

Permanent Pavement Marking, Yellow 7,000 SF $ -

P-620- 5.5

Permanent Pavement Marking, White 31,000 SF $ -

P-620- 5.6

Permanent Pavement Marking, Black 11,600 SF $ -

Subtotal - Base Bid $ -

BID-7

BID ADDITIVE ALTERNATE 1A: RUNWAY 5-23 SHOULDER PAVEMENT REHABILITATION

PAY ITEM

NO. DESCRIPTION QUANTITY UNIT UNIT

PRICE TOTAL

C-100-4.1 Contractor Quality Control Program and Testing 1 LS $ -

C-108-8.1 Project Survey, Stakeout, and Record Drawings 1 LS $ -

P-101.5.1 Pavement Sawcutting 2,190 LF $ -

P-101-5.2 Cold Milling 21,700 SY $ -

P-409-5.1 FDOT SP - 12.5 Fine Asphalt Surface Course 1,400 TN $ -

P-603-5.1 Emulsified Asphalt Tack Coat 2,400 GAL $ -

P-620-5.2 Initial Pavement Marking, Yellow 3,995 SF $ -

P-620-5.4 Permanent Pavement Marking, Yellow 3,995 SF $ -

P-620-5.6 Permanent Pavement Marking, Black 1,500 SF $ -

Subtotal - Bid Additive Alternate 1A $ -

NOTE: If work associated with Bid Additive Alternate 1 is awarded, only Bid Additive Alternate 1A OR Bid Additive Alternate 1B will be awarded, not both.

BID-8

BID ADDITIVE ALTERNATE 1B: RUNWAY 5-23 SHOULDER PAVEMENT SEALANT

NO. DESCRIPTION QUANTITY UNIT UNIT

PRICE TOTAL

P-620-5.1 Pavement Marking Removal 4,200 SF $ -

P-620-5.2 Initial Pavement Marking, Yellow 4,200 SF $ -

P-620-5.4 Permanent Pavement Marking, Yellow 4,200 SF $ -

P-620-5.6 Permanent Pavement Marking, Black 1,300 SF $ -

P-623-8.1 Seal Coat 21,500 SY $ -

Subtotal - Bid Additive Alternate 1B $ -

NOTE: If work associated with Bid Additive Alternate 1 is awarded, only Bid Additive Alternate 1A OR Bid Additive Alternate 1B will be awarded, not both.

BID ADDITIVE 2: RUNWAY 5-23 OVERRUN CRACK ROUTING AND SEAL COAT

NO. DESCRIPTION QUANTITY UNIT UNIT

PRICE TOTAL

P-101-5.3 Joint and Crack Repair 6,530 LF $ -

P-620-5.1 Pavement Marking Removal 6,000 SF $ -

P-620-5.2 Initial Pavement Marking, Yellow 2,400 SF $ -

P-620-5.4 Permanent Pavement Marking, Yellow 2,400 SF $ -

P-620-5.6 Permanent Pavement Marking, Black 1,000 SF $ -

P-626-5.1 Emulsified Asphalt Slurry Seal Coat 13,000 SY $ -

Subtotal - Bid Additive 2 $ -

BID-9

BID ADDITIVE 3: REMOVE BITUMINOUS MATERIAL/MILLINGS

NO. DESCRIPTION QUANTITY UNIT UNIT

PRICE TOTAL

P-101-5.6 Removal of Additional Millings 1 LS $ -

Subtotal - Bid Additive 3 $ -

TOTAL BASE BID $ -

TOTAL BASE BID + BID ADDITIVE ALTERNATE 1A $ -

TOTAL BASE BID + BID ADDITIVE ALTERNATE 1B $ -

TOTAL BASE BID + BID ADDITIVE 2 $ -

TOTAL BASE BID + BID ADDITIVE 3 $ -

TOTAL BASE BID + BID ADDITIVE ALTERNATE 1A + BID ADDITIVE 2 $ -

TOTAL BASE BID + BID ADDITIVE ALTERNATE 1A + BID ADDITIVE 2 + BID ADDITIVE

3 $ -

TOTAL BASE BID + ADDITIVE BID ALTERNATE 1B + BID ADDITIVE 2 $ -

TOTAL BASE BID + BID ADDITIVE ALTERNATE 1B + BID ADDITIVE 2 + BID ADDITIVE

3 $ -

TOTAL BASE BID + BID ADDITIVE 2 + BID ADDITIVE 3 $ -

NOTE: It is the Owner's intention to award the Base Bid plus any combination of Additive Alternates that are in the Owner's best interest and within the allocated funding for the project.

BID-10

The quantities for bid items listed in the pricing section of the bid are estimated quantities only for the purpose of comparing bids. Any difference between these estimated quantities and actual quantities required for construction shall not be taken as a basis for claims by the Contractor for extra compensation. Compensation will be based upon the unit prices and actual construction quantities.

Upon receipt of written notice of the acceptance of this bid, bidder will execute the formal Contract attached within 15 days and deliver a Surety Bond or Bonds as required by Section 30- 05 of the General Provisions. The bidder further proposes and agrees hereby to commence construction with an adequate work force, plant, and equipment on the date stated in the written notice to proceed and will progress therewith to its completion within the number of calendar days stated under Section 80-08, of the General Provisions in accordance with this Contract and Specifications. The bid bond or certified check in the amount of five percent (5%) of this bid shall become the property of the Owner in the event the Contract and bond are not executed within the time above set forth, as liquidated damages for the delay and additional expense to the Owner caused thereby.

Attached hereto is a: (check whichever applies)

_____ Certified Check on the Bank of ______________________________

OR

_____ Bid bond, representing my 5% Proposal Guaranty as required Section 20-10 of the General Provisions

SIGNATURE:

IN WITNESS WHEREOF, the parties to this present have hereunto set their hands and seals the day and year first above written: The Contractor by such duly authorized officers or individuals as may be required by law.

(SEAL)

COMPANY (Print Full Name)

(SECRETARY) (Bidder Signature) / (Title)

_________________________ ADDRESS: __________________________________

(WITNESS)

PHONE:

BID-11

NOTE: If Contractor is a corporation, Secretary should attest

BID-12

NON-COLLUSION BIDDING CERTIFICATION

By submission of this bid, the bidder and each person signing on behalf of the bidder certifies, subject to the terms of Section 103-d of the General Municipal Law, as amended, and under penalty of perjury, that to the best of its knowledge and belief:

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

(b) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly being disclosed by the bidder prior to the opening, directly or indirectly, to any other bidder or to any competitor; and

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

(d) The person signing this bid or proposal certifies that he has fully informed himself regarding the accuracy of the statements contained in this certification, and under the penalties of perjury affirms the truth hereof, such penalties being applicable to the bidder as well as to the person signing in its behalf.

Signature ____________________________________________

Title ________________________________________________

STATE OF FLORIDA

COUNTY OF

On this __________ day of ____________, 20___, before me personally appeared

_____________________________, to me known, who being by me duly sworn, did depose and say that he resides at ___________________________________________________________________, Florida: that he is the ______________________ of _______________________, the corporation described in and which executed the within instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of said corporation.

Notary Public

BID-13

THIS FORM SHALL BE COMPLETED BY ALL BIDDERS AND SHALL ACCOMPANY ALL PROPOSALS

The Bidder (Proposer) shall complete the following statement by checking the appropriate boxes:

The Bidder (Proposer) [ ] has [ ]has not participated in a previous Contract subject to the Equal Opportunity clause prescribed by Executive Order 10925, or Executive Order 11114 or Executive Order 11246.

The Bidder (Proposer) [ ] has [ ]has not submitted all compliance reports in connection with any such Contract due under the applicable filing requirements; and that representations indicating submission of required compliance reports signed by proposed Subcontractors will be obtained prior to award of Subcontracts.

If the Bidder (Proposer) has participated in a previous Contract subject to the Equal Opportunity clause and has not submitted compliance reports under applicable filing requirements, the Bidder (Proposer) shall submit a compliance report on standard Form 100, "Employee Information Report EEO-1" prior to the award of Contract.

Standard Form 100 is normally furnished employees annually, based on a mailing list currently maintained by the Joint Reporting Committee. In the event a Contractor has not received the form, he may obtain it by writing to the following address:

Joint Reporting Committee Post Office box 2236 Norfolk, VA 20501

BID-14

STATEMENT OF SURETY'S INTENT

TO: City of Lake City

We Have Reviewed the Bid of ____________________________________________________________ (Contractor)

Of ______________________________________________________________________________________ (Address)

For: ____________________________________________________________________________________ (Project)

Bids for Which Will be Received on: ______________________________________________________ (Bid Opening Date) and wish to advise that should this Bid of the Contractor be accepted and the Contract awarded to him, it is our present intention to become surety on the performance bond and labor and material bond required by the Contract.

Any arrangement for the bonds required by the Contract is a matter between the Contractor and ourselves and we assure no liability to you or third parties if for any reason we do not execute the requisite bonds.

We are duly authorized to do business in the State of Florida.

Surety Contact Person Name (print): ____________________________________________

Contact Person Telephone Number: ____________________________________________

ATTEST: _________________________________________________________

Surety's Authorized Signature(s)

Attach Power of Attorney

(Corporate seal, if any. If no seal, write "No Seal" across this place and sign.)

(This Form OR Surety’s Form Must be Complete and Submitted with the Bid)

BID-15

NOTE: ADDENDA RECEIPT WILL BE ELECTRONICALLY ACKNOWLEDGED IN THE E-PROCUREMENT SYSTEM

CONFLICT OF INTEREST STATEMENT

This sworn statement is submitted with Bid, Proposal or Contract for_______________________________ This sworn statement is submitted by (entity) ________________________ whose business address is _____________________________________ and (if applicable) Federal Employer Identification Number (FEIN) is _____________________( If a Sole Proprietor and you have no FEIN, include the last four (4) digits of your Social Security Number: ____________.)

My name is and my relationship to the entity named above is

1. The above named entity is submitting a Proposal for the City of Lake City.

2. The Affiant has made diligent inquiry and provides the information contained in the Affidavit based upon his/her own knowledge.

3. The Affiant states that only one submittal for the above proposal is being submitted and that the above named entity has no financial interest in other entities submitting proposals for the same project.

4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity’s submittal for the above proposal. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project.

5. Neither the entity not its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency.

6. Neither the entity nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project.

7. I certify that no member of the entity’s ownership or management is presently applying for an employee position or actively seeking an elected position with the City of Lake City.

8. I certify that no member of the entity’s ownership or management, or staff has a vested interest in any aspect of the City of Lake City.

9. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Lake City.

Signature Date:

STATE OF ______________________

COUNTY OF ____________________

PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/her signature at the space provided above on this ___ day of ________________, 20___, and is personally known to me, or has provided ______________________ as identification.

_______________________________ My Commission expires:___________________

BID-16

DRUG-FREE WORK PLACE CERTIFICATE

IDENTICAL TIE BIDS – Pursuant to Section 287.087, Florida Statutes, preference shall be given to businesses with Drug- Free Work Place Programs. Whenever two or more bids which are equal with respect to price, quality, and service are received for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a Drug- Free Work Place Program shall be given preference in the award process. Established procedures for processing tie bids will be followed if none of the tied vendors have a Drug-Free Work Place Program. In order to have a Drug-Free Work Place Program, a business shall:

1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.

2) Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a Drug- Free Work Place, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.

3) Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).

4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the Unite States or any state, for a violation occurring in the work place no later than five

(5) days after such conviction.

5) Impose a sanction on or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community, by an employee who is convicted.

6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.

AS THE PERSON AUTHORIZED TO SIGN THE STATEMENT, I CERTIFY THAT THIS FIRM COMPLIES FULLY WITH

THE ABOVE REQUIREMENTS.

BID-17

STATEMENT UNDER SECTION 287.133(1)(g), FLORIDA STATUTES, ON PUBLIC ENTITY CRIME

(1of 2)

This form must be signed in the presence of a notary public or other officer authorized to administer oaths.

1. This sworn statement is submitted with Bid or Contract for

2. This sworn statement is submitted by (entity) whose business address is and (if applicable) Federal Employer Identification Number (FEIN) is If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: .)

3. My name is and my relationship to the entity named above Is

4. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g). Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or any agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation.

5. I understand that "convicted" or "conviction" as defined in paragraph 287.133(1)(b), Florida Statutes, means finding of guilt or a conviction of a public entity crime with or without an adjudication of guilt, in any Federal or state trial court of records relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere.

6. I understand that an "affiliate" as defined in Section 287.133(1)(a), Florida Statutes, means:

a. A predecessor or successor of a person convicted of a public entity crime; or

b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The City of Lake City ownership by one of shares constituting a controlling income among persons when not for fair interest in another person, or a pooling of equipment or income among persons when not for fair market value under a length agreement, shall be a prima facie case that one person controls another person. A person who was knowingly convicted of a public entity crime, in Florida during the preceding 36 months shall be considered an affiliate.

7. I understand that a "person" as defined in Section 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of the state or of the United States with the legal power to enter into a binding contract for provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity.

BID-18

8. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Please indicate which statement applies)

Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989.

SWORN STATEMENT UNDER SECTION 287.133(1)(g), FLORIDA STATUTES, ON PUBLIC ENTITY CRIME

(2 of 2)

The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. (Please attach a copy of the final order.)

The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in public interest to remove the person or affiliate from the convicted vendor list.

(Please attach a copy of the final order.)

The person or affiliate has not been placed on the convicted vendor list.

(Please describe any action taken by, or pending with, the Department of General Services.)

(Signature)

Date: ___________________

STATE OF ________________________

COUNTY OF

PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/her signature at the space provided above on this day of , 20___, and is personally known to me, or has provided as identification.

Notary Public

My Commission expires:

BID-19

CERTIFICATION OF OFFERER/BIDDER REGARDING

TAX DELINQUENCY AND FELONY CONVICTIONS

The Bidder must complete the following two certification statements. The Bidder must indicate its current status as it relates to tax delinquency and felony conviction by inserting a checkmark () in the space following the applicable response. The Bidder agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification in all lower tier subcontracts.

Certifications

The Bidder represents that it is ( ) is not ( ) a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

The Bidder represents that it is ( ) is not ( ) a corporation that was convicted of a criminal violation under any Federal law within the preceding 24 months.

Note

If a Bidder responds in the affirmative to either of the above representations, the Bidder is ineligible to receive an award unless the Owner has received notification from the agency suspension and debarment official (SDO) that the SDO has considered suspension or debarment and determined that further action is not required to protect the Government’s interests. The Bidder therefore must provide information to the Owner about its tax liability or conviction to the Owner, who will then notify the FAA Airports District Office, which will then notify the agency’s SDO to facilitate completion of the required considerations before award decisions are made.

Term Definitions

Felony conviction: Felony conviction means a conviction within the preceding twenty-four

(24) months of a felony criminal violation under any Federal law and includes conviction of an offense defined in a section of the U.S. code that specifically classifies the offense as a felony and conviction of an offense that is classified as a felony under 18 U.S.C. § 3559.

Tax Delinquency: A tax delinquency is any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted, or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability.

BIDDER’S SIGNATURE

BID-20

SUBCONTRACTORS AND SUPPLIERS

Bidders shall submit general work sections expected to be subcontracted at time of bid. Low bidder shall submit expected subcontractor and supplier list within 48 hours after bid opening.

SUBCONTRACTOR AND SUPPLIER SERVICE OR MATERIAL PROVIDED

1. ____________________________________ ________________________________

2. ____________________________________ ________________________________

3. ____________________________________ ________________________________

4. ____________________________________ ________________________________

5. ____________________________________ ________________________________

6. ____________________________________ ________________________________

7. ____________________________________ ________________________________

8. ____________________________________ ________________________________

9. ____________________________________ _________________________________

10. ____________________________________ _________________________________

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

BID-21

CONTRACTOR'S CERTIFICATION OF ELIGIBILITY

The bidder/offeror certifies, by submission, of this proposal or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder/proposer/contractor or any lower tier participant is unable to certify to this statement, it shall attach an explanation to this solicitation/proposal.

That, the information above is true and complete to the best of my knowledge.

Name and Title (Please Print)

Signature Date

NOTE: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

BID-22

FLORIDA’S PUBLIC RECORDS LAW

The City is a public agency subject to Chapter 119, Florida Statutes. The Contractor shall comply with Florida’s public records law. Specifically, the Contractor shall:

1. Keep and maintain public records required by the public agency to perform the service.

2. Upon request from the public agency’s custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law.

3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency.

4. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency’s custodian of public records, in a format that is compatible with the information technology systems of the public agency.

IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF

CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO

PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE

CUSTODIAN OF PUBLIC RECORDS AT (386) 719-5826 OR (386) 719-

756, CITYCLERK@LCFLA.COM, CITY CLERKS OFFICE, 205 N MARION

AVE., LAKE CITY, FL, 32055.

mailto:CITYCLERK@LCFLA.COM

BID-23

STATEMENT OF BIDDER'S QUALIFICATIONS

All questions in this section must be answered. The data provided must be clear and comprehensive.

This statement must be signed and notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he / she desires in response to each question.

The Sponsor reserves the right to reject any bid proposal that is not supported by documented qualifications and recent, relevant, successful project experience from the bidder, bidder’s principal, bidder’s project manager, bidder’s construction superintendent or other related factor listed within this section.

1. Name of Bidder: ___________________________________________________

2. Permanent office address: ___________________________________________

3. Years at permanent office address: ____________________________________

4. What is the general character of work performed by your company:___________

5. How many years has the firm been engaged in the business related to this project, under present firm or trade name?

6. Are you licensed to do business as a contractor in Florida for this project?

YES No

7. Has your contractor’s license been revoked at any time in the last five years?

YES No

8. Has a surety firm completed a contract on your behalf, or paid for completion because your firm was in-default or terminated (in any way) by the project owner within the last five years?

YES No

9. At the time of submitting this form, is your firm ineligible to bid on or be awarded any local, state or federal public works contract, or perform as a subcontractor on any such public works contract?

YES No

10. At any time during the last five years, has your firm or any of its owners or officers been convicted of a crime involving the awarding of a contract of a government construction project, or the bidding or performance of a government contract?

YES No

BID-24

11. In the past five years, have you ever failed to complete any work awarded to you?

12. In the past five years, have you ever been terminated by the Owner of a project?

13. In the last five years has your firm been assessed and paid liquidated damages prior to or after completion of the project under a construction contract with either a public or private owner?

14. In the last five years has your firm been debarred, disqualified, removed or otherwise prevented from bidding on, or completing any government agency or public works project for any reason?

15. In the past five years has any claim against your firm concerning your firm’s work on a construction project been filed in court or arbitration?

16. In the past five years has your firm filed any claim against a project owner or consultant concerning work on a project or payment for a contract and filed that claim in court or arbitration?

17. In the last five years, have you sued an Owner of a project?

18. In the past five years, have you sued a Consultant (engineer, architect or other) representing the Owner of a project?

19. Identify and list all administrative, arbitration, or litigation actions, terminations, construction claims or the like (cumulatively referred to as "claims") related to issues arising from any construction contract performed within the past five (5) years for which the Bidder or its team members was a party. For each claim, identify the project, the parties to the claim, the court or jurisdiction (if applicable), the initiator of the claim and the final resolution, or if not resolved the status (attach additional sheets as needed).

BID-25

20. Experience for Bidder (Business / Corporation): Relevant and recent experience in similar work by the Bidder is required on this project. Please provide the following information on three (3) projects completed:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, titles, and telephone numbers:

3. Dates of Completion:

21. Experience for Bidder (Principal / Owner responsible for this project): Relevant and recent experience in similar work by the Bidder’s Principal / Owner (responsible for this project) is required on this project. Please provide the following information on three (3) projects completed in the past three (3) years:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, title, and telephone numbers:

3. Dates of Completion:

22. Experience for Bidder (Business / Corporation): Relevant and recent experience in similar work by the Bidder is required on this project. Please provide the following information on three

(3) projects completed in the past three (3) years:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, title, and telephone numbers:

3. Dates of Completion:

23. Experience for Bidder (Project Manager): Relevant and recent experience in similar work is by the Bidder’s Project Manager is required on this project. Please provide the following information on three (3) projects completed in the past three (3) years:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, title, and telephone numbers:

3. Dates of Completion:

24. Experience for Bidder (Construction Superintendent): Relevant and recent experience in similar work by the Bidder’s Construction Superintendent is required on this project. Please provide the following information on three (3) projects completed in the past three (3) years:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, title, and telephone numbers:

3. Dates of Completion:

BID-26

25. A. Experience for Major Subcontractor (Any subcontractor that is completing more than 10% of the work): Relevant and recent experience in similar work by any subcontractor that is completing more than 10% of the work is required on this project. Please provide the following information on three (3) projects completed in the past three (3) years:

1. Scope (size, type of construction, dollar-value) of the projects:

2. Client's name, title, and telephone numbers:

3. Dates of Completion:

26. Primary Bank Reference: _____________________________________________

27. Bonding Capacity: Provide documentation from your surety identifying the following:

Name of bonding company / surety: ________________________________________ Name of surety agent: ___________________________________________________ Address: ______________________________________________________________ Phone: _______________________________________________________________

28. Will you, upon request, fill out a detailed financial statement and furnish any other pertinent information that may be required by the Owner?

SIGNATURES ON NEXT PAGE

BID-27

The undersigned hereby authorizes and requests any persons, firm, or corporation to furnish any information requested by the Owner, in verification of the recitals comprising this Statement of Bidder's Qualifications.

Dated at _____________________, this ________ day of __________________, 20___.

___________________________________ By: ___________________________

(Contractor)

__________________________________ Title: __________________________

_______________________________, being duly sworn deposes and says that he/she is

_____________________________________ of _____________________________and that the answers to the foregoing questions and all statements therein contained are true and correct.

SUBSCRIBED AND SWORN to before me this ______ day of __________________, 20___.

NOTARY’S SIGNATURE

NOTARY’S NAME PRNTED

NOTARY PUBLIC, STATE OF ___________________

MY COMMISSION EXPIRES:

_________________________________, 20____

BID-28

CITY OF LAKE CITY

E-VERIFY STATEMENT

Bid/Proposal Number: ________________________________________________________

Project Description: ___________________________________________________________

Vendor/Consultant acknowledges and agrees to the following:

Vendor/Consultant shall utilize the U.S. Department of Homeland Security’s E-Verify system, in accordance with the terms governing use of the system, to confirm the employment eligibility of:

1. All persons employed by the Vendor/Consultant during the term of the Contract to perform employment duties within Florida; and

2. All persons, including subcontractors, assigned by the Vendor/Consultant to perform work pursuant to the contract with the Department.

Company/Firm: ______________________________________________________________

Authorized Signature: _________________________________________________________

Title: _________________________________________________________________________

Date: ________________________________________________________________________

END OF SECTION

BID-29

BID OPENING CHECK LIST

YES

Bidder Read and Understands Advertisement and Requirements

Attended Pre-bid Meeting

Site Visit Performed

Completed Bid Forms with Bid Calculated Correctly

Bid Bond for 5% Proposal Guaranty or Attached Certified Check

Completed Bid Bond Form

Completed Non-Collusion Affidavit

Completed Conflict of Interest Statement

Completed Public Entity Crime Form

Completed Drug-Free Work-Place Certification

Completed Certification of Bidder’s Tax Delinquency & Felony Convictions

Subcontractors & Suppliers Form

Bidder Read and Understands included Florida Public Records Law

Completed Addenda Receipt Form

Completed Contractors Certification of Eligibility Form

Completed E-verify Statement Form

Completed Statement of Bidder's Qualifications Forms

Completed Bid Opening Checklist

IN WITNESS WHEREOF, BIDDER has hereunto executed this FORM this day of 20 .

(Name of BIDDER) (Signature of person signing this FORM) (Printed)

CA-30

CONTRACT AGREEMENT

THIS AGREEMENT, in four (4) duplicate originals, made and entered into this day of

____________, 20___, by and between the City of LAKE CITY, Party of the First Part, and

______________________________________________of _________________ County of

___________ State of hereinafter designated as the CONTRACTOR, Party of the

Second Part.

WITNESSETH: That the parties hereto, each in consideration of the Agreements on the part of the other herein contained have mutually agreed and hereby mutually agree, the Party of the First Part for itself and its successors, and the Party of the Second Part for itself, himself, or themselves and its successors, his or their executors, administrators, and assigns as follows:

Article 1. DESCRIPTION. Under this Agreement and Contract the Contractor shall construct:

RUNWAY 5-23 PAVEMENT REHABILITATION

Article 2. In consideration of the payments to be made as hereinafter provided, and of the performance by the Owner of all of the matters and things to be performed by the Owner as herein provided, the Contractor agrees, at his own sole cost and expense, to perform all the labor and services and to furnish all the labor and materials, plant and equipment, necessary to complete in good, substantial workmanlike and approved manner, the work described under Article 1 hereof, within the time hereinafter specified and in accordance with the terms, conditions, and provision of this Contract and with the instructions, orders and direction of the Engineer made in accordance with this Contract.

Article 3. The Owner agrees to pay and the Contractor agrees to accept as full compensation for all work done, and materials furnished, and also for all costs and expenses incurred and loss or damages sustained by reason of the action of the elements, or growing out of the nature of the work, or from any unforeseen obstruction or difficulty encountered in the prosecution of the work, and for all risks of every description connected with the suspension or discontinuance of the work as herein specified, and for faithfully completing the work, and the whole thereof, as herein provided, and for maintaining the work in good condition until the final payment is made, the prices stipulated in the Bid hereto attached and below.

CONTRACT AMOUNT

In Words In Numerals

Base Bid $ $

Bid Additive Alternate 1A $ $

Bid Additive Alternate 1B $ $

Bid Additive 2 $ $

Bid Additive 3 $ $

CA-31

Article 4. CONTRACT DOCUMENTS. The following documents shall constitute integral parts of the Agreement, the whole to be collectively known and referred to as the Contract; Advertisement/Notice to Bidders; General Provisions; Bid Forms; Agreement;

Special Conditions; FAA AC 150/5370-2F; Technical Specifications; Drawings; and all interpretations of or addenda to the Contract Documents issued by the Owner or the Engineer with the approval of the Owner. The Table of Contents, Headings, and Titles contained herein and in said documents are solely to facilitate reference to various provisions of the Contract Documents and in no way effect, limit, or cast light on the interpretation of the provisions to which they refer.

Article 5. If the Contractor shall fail to comply with any of the terms, conditions, provisions or stipulations of this Contract, according to the true intent and meaning thereof, then the Owner may make use of any or all remedies provided in that behalf in the Contract and shall have the right and power to proceed in accordance with the provisions thereof.

Article 6. The following alterations and addenda have been made and included in this Contract before it was signed by the parties thereto:

Article 7. Insurance The Contractor is hereby advised that the insurance requirements specified in this section shall be provided.

The Contractor and each Subcontractor, at his own expense, shall procure and maintain until final acceptance by the Owner, of the work covered by the Contract, insurance for liability for damages imposed by law of the kinds and in the amounts hereinafter provided, in insurance companies authorized to do such business in the State covering all operations under the Contract whether performed by the Contractor or by Subcontractors. Before commencing the work, the Contractor and each Subcontractor shall furnish to the Owner, a certificate or certificates for each of the kinds of insurance required, issued specifically for this Contract. No endorsements of existing policies will be accepted. In addition, five (5) certificates of insurance shall be furnished satisfactory in form to the Owner showing that the Contractor and each Subcontractor has complied with this Section. The policies and certificates shall provide that the policies shall not be changed or cancelled until thirty (30) days after written notice to the Owner. Property damage insurance must in all instances include coverage for explosion, collapse, and underground operations (X C U hazards). Named insured the City of Lake City.

A. The kinds and amounts of insurance are as follows:

1. Comprehensive General Liability Insurance. Unless otherwise specifically required, each policy with limits of not less than:

Bodily Injury Liability Property Damage Liability Each Occurrence Aggregate Each Occurrence Aggregate

$1,000,000 $3,000,000 $1,000,000 $2,000,000

2. Workman’s Compensation and Disability Benefits. Policy covering the obligations of the Contractor in accordance with the provisions of Chapter 41, Laws of 1914, as amended, known as the Worker’s Compensation Law, and also by provisions of Article 9 of the Worker’s Compensation Law known as the Disability Benefits Law.

CA-32

3. Public Liability Insurance. Regular Contractor’s Public Liability Insurance providing for a limit of not less than $2,000,000. Single limit, Bodily Injury and/or Property Damage combined, for damages arising out of bodily injuries, death or property damage, including the use thereof, in any one occurrence.

4. Protective Public Liability Insurance. Subcontractor’s provide regular Contractor’s Protective Public Liability Insurance providing for a limit of not less than $3,000,000. Single limit, Bodily Injury and/or Property Damage combined, for damages arising out of bodily injuries, death or property damage, including the use thereof, in any one occurrence.

5. Automobile Liability and Property Damage Insurance. Subject to the same required level of coverage set forth in section A.1. above (Comprehensive General Liability Insurance), a policy covering the use in connection with the work covered by the Contract of all owned, not owned and hired vehicles bearing or, under the circumstances under which they are being used required by State Law to bear, license plates.

Article 8.