NOTICE_OF_AWARD,_NOTICE_TO_PROCEED,_AND_OTHER_FORMS.pdf

PART 4 - NOTICE OF AWARD, NOTICE TO PROCEED, AND OTHER FORMS

CITY OF CHEYENNE, WYOMING

CITY OF CHEYENNE

BID ACCEPTANCE FORM

BID NUMBER: (BIDNUMBER)

DATE:

TO:

To Whom It May Concern:

The City of Cheyenne, having duly considered the proposals submitted on ___/____/____ for the construction of “(PROJECTNAME)”, as outlined in these Contract Documents, and it appearing that your Proposal for performing the work outlined is fair, equitable, and in the City’s best interest, the bid items are hereby accepted at the bid prices contained therein.

In accordance with the terms of these Contract Documents, you are required to execute the formal Agreement and furnish the required Performance and Payment Bonds within thirty (30) calendar days from and including the date of this notice.

In addition, you are required to furnish at the same time a copy of Certificate of Insurance evidencing compliance with the requirements for insurance stated in the Bidding Documents, including unemployment insurance, and a copy of your Worker’s Compensation Certificate.

The Bid Guarantee submitted with your Proposal will be retained until the Agreement has been executed and the required Performance and Payment Bonds have been furnished and approved. In event that you should fail to execute the contract and furnish the Performance and

Payment Bonds within the time limit specified, the said bid security will be retained as liquidated damages and not as penalty for the delay and extra work caused thereby.

By_____________________________________

Purchasing Manager

NOTICE TO PROCEED FORM

BID NUMBER:

DATE:

TO:

You are hereby authorized to proceed on this date, _______________ with the construction of

“(PROJECTNAME)” as set forth in detail in the Contract Documents. No work may be done at the site prior to the date stated above.

By__________________________

Purchasing Manager

The Contractor is required to return an acknowledged copy of this Notice to the City.

Acknowledged:

Contractor:

By [Printed Name]:

By: [Signature]:

Title:

Date:

CITY OF CHEYENNE CONTRACTOR’S

CERTIFICATION OF COMPLETION FORM

DATE:

PROJECT:

JOB NUMBER:

CONTRACT NUMBER:

OWNER:

FROM:

This is to certify that I, ______________________________, am an authorized official of

________________________________________________, working in the capacity of

________________________, and have been properly authorized by said firm or corporation to sign the following statements pertaining to the subject contract:

I know of my own personal knowledge, and do hereby certify, that the work of the contract described above has been performed, and materials used and installed in every particular, in accordance with, and in conformity to, the contract drawings and specifications.

The contract work is now complete in all parts and requirements, and ready for your final inspection.

I understand that neither the determination by the Engineer/Architect that the work is complete, nor the acceptance thereof by the Owner, shall operate as a bar to claim against the Contractor under the terms of the guarantee provisions of the Contract Documents.

BY:_____________________________________

TITLE:___________________________________

FOR:____________________________________

CONSENT OF SURETY FOR FINAL

PAYMENT FORM

PROJECT NAME:

LOCATION:

PROJECT NUMBER:

TYPE OF CONTRACT:

AMOUNT OF CONTRACT:

In accordance with the provisions of the above-named contract between the Owner and the Contractor, the following named surety:

On the Payment Bond of the following named Contractor:

hereby approves of final payment to the Contractor, and further agrees that said final payment to the

Contractor shall not relieve the Surety Company named herein of any of its obligations to the following named Owner as set forth in said Surety company’s bond:

IN WITNESS WHEREOF, the Surety Company has hereunto set its hand and seal this _________ day of ________________________, ______.

(Name of Surety Company)

(Signature of Authorized Representative)

(Affix corporate seal here)

Title __________________________________________

FINAL WAIVER OF LIEN

FORM

(Instructions at bottom of form)

TO ALL WHOM IT MAY CONCERN:

WHEREAS, the undersigned has been employed by

A.

to furnish labor and materials for

B.

work, under a contract

C.

for the improvement of the premises described as

D.

in the City of Cheyenne, Laramie County, Wyoming, of which the City of Cheyenne is the Owner.

NOW, THEREFORE, this ____ day of ______________, _____, for and in consideration of the sum of

E.

dollars, paid simultaneously herewith, the receipt whereof is hereby acknowledged by the undersigned, the undersigned does hereby waive and release any lien rights to, or claim of lien with respect to and on said above-described premises, and the improvements thereon, and on the monies or other considerations due or to become due from the owner, on account of labor, services, material, fixture, apparatus or machinery heretofore or which may hereafter be furnished by the undersigned to or for the above described premises by virtue of said contract.

(F)___________________________________ (SEAL)

(Name of sole ownership, corporation or partnership)

(Signature of Authorized Representative)

TITLE: ________________________________

INSTRUCTIONS FOR FINAL WAIVER:

A. Person or firm with whom you agreed to furnish either labor, or services, or materials, or both.

B. Fill in nature and extent of work; strike the word labor or the word materials if not in your contract.

C. If you have more than one contract on the same premises, describe the contract by number if available, date and extent of work.

D. Furnish an accurate enough description of the improvement and location of the premises so that it can be distinguished from any other property.

E. Amount shown should be the amount actually received and equal to total amount of contract as adjusted.

F. If waiver is for a corporation, corporate name should be used, corporate seal affixed and title of officer signing waiver should be set forth; if waiver is for a partnership, the partnership name should be used, partner should sign and designate himself as partner.

AFFIDAVIT OF RELEASE OF LIENS

WHEREAS, the undersigned has been employed by ____________________________ to furnish labor and materials for ______________________work, under a contract _________________ for the improvement of the property described as ___________________________________________ in the city/town of _____________, County of _____________ , State of __________________ of which ___________________ ______________________ is the Owner.

NOW, THEREFORE, this _______ day of ________________, _____, the undersigned, as the

Contractor for the above-named contract pursuant to the conditions of the contract hereby certifies that to the best of his knowledge, information and belief, except as listed below, the Releases or Waivers of

Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of work, labor or services, who have or may have liens against any property of the

Owner arising in any manner out of the performance of the contract referenced above.

Exceptions: (List names of suppliers and/or subcontractors and amounts owed. If none, write “None.”)

The City will withhold the amounts listed below from final payment due the Contractor until these obligations have been satisfied.

CONTRACTOR ________________________________________ (SEAL)

(Affix corporate ________________________________________(SEAL) seal here) (Signature of Authorized Representative)

TITLE:_____________________________________

ATTACHMENTS:

1. Contractor’s Release or Waiver of Liens, conditional upon receipt of final payment.

2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers.

AFFIDAVIT OF PAYMENT

WHEREAS, the undersigned has been employed by ___________________ to furnish labor and materials for __________________________________ (work) under contract #_________ for the improvement of the property described as ________________________________________________

_____________________________ in the city/town of _____________, County of ______________, State of ____________ of which ________________________________ is the Owner.

NOW, THEREFORE, this ____ day of ______________, _____, the undersigned, as the

Contractor for the above-named Contract pursuant to the Conditions of the Contract hereby certifies that, except as listed below, he has paid in full or has otherwise satisfied all obligations for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or his property might in any way be held responsible.

EXCEPTIONS: (If none, write “None.” If required by the Owner, the Contractor shall furnish bond satisfactory to the Owner for each exception.)

ATTACHMENTS:

I. Consent of Surety to Final Payment. (Whenever Surety is involved, Consent Of Surety is required.)

II. Contractor’s Release or Waiver of Liens, conditional upon receipt of final payment.

III. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers.

IV. Contractor’s Affidavit of Release of Liens.

CONTRACTOR______________________________________(SEAL)

(Affix corporate ______________________________________(SEAL) seal here) (Signature of Authorized Representative)

TITLE: ____________________________________

CONTRACT PAYMENT REQUEST

FORM

DATE:

PROJECT:

CITY BID NUMBER:

CITY CONTRACT NUMBER:

CONTRACTOR:

CONTRACT PAYMENT

REQUEST NUMBER:

FOR WORK COMPLETED

THROUGH DATE OF:

The present status of the account for this contract is as follows:

Original Contract Amount $

Net Change by Change Orders to Date $

Current Contract Amount $

Total Completed to Date $

Less 5% Retainage $

Total Earned Less Retainage $

Less Previous Payments $

Total Payment Due $

Total Retainage Due This Period $

Contractor’s Certification:

The undersigned Contractor certifies that: (1) all previous progress payments received from the City on account of work done under the Contract referred to above have been applied to discharge Contractor’s legitimate obligations incurred in connection with work covered by prior Contract Payment Request numbered one through _____ inclusive: (2) title of all work, materials and equipment incorporated in said work or otherwise listed in or covered by this Contract Payment Request will pass to Owner at the time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by Bond acceptable to owner indemnifying Owner against such liens, security interest or encumbrance); and (3) all work covered by this Contract Payment Request is in accordance with the Contract Documents and not defective.

Date Contractor

Authorized Signature Print Name and Title

Payment of the above AMOUNT DUE THIS PAY REQUEST is recommended.

Project Manager Signature Print Name and Title

Authorization by City Representative

City Representative Signature Print Name and Title

ITEMIZED PAY REQUEST

FORM

CONTRACTOR:

PROJECT:

PAY REQUEST NUMBER:

This form must be submitted with the above pay request, or submit AIA document G702 and G703.

A B C D E F G H I J K

Work Completed

Description of Work/Material Unit Original

QTY

Contract

Unit Price

Original

Contract Price

QTY

Complete This period

Total

Complete This period

QTY

Complete from Previous

Period

Total

Complete

From Previous

Period

Total

Complete (G+I)

Balance to finish

Signature:_________________________________________ Print Name:__________________________________________