A PROJECT OF THE

PEORIA PARK DISTRICT

PEORIA, ILLINOIS

NETWORK CABLING

RIVERPLEX RECREATION & WELLNESS CENTER

600 NE WATER STREET

PROJECT # 26-012

June 30, 2026

PROJECT MANUAL

PACKAGE #_______

PROJECT MANUAL INCLUDING SPECIFICATIONS FOR:

OWNER: PLEASURE DRIVEWAY AND PARK DISTRICT OF PEORIA,

TRUSTEES: ROBERT L. JOHNSON, SR., PRESIDENT

MARK SLOVER

STEVE MONTEZ

RON SILVER

JOYCE HARANT

REAGAN LESLIE HILL

ALEX SIERRA

PROJECT MANAGER: TAMMY JOHNSON

PLANNING, DESIGN & CONSTRUCTION DIVISION

BRADLEY PARK EQUIPMENT SERVICE

1314 N. PARK ROAD

PEORIA, ILLINOIS 61604

TELEPHONE: (309) 686-3386

ADMINISTRATIVE STAFF: EMILY CAHILL, EXECUTIVE DIRECTOR

MATT FREEMAN, SUPERINTENDENT OF PARKS

KARRIE ROSS, SUPERINTENDENT OF FINANCE

AND ADMINISTRATIVE SERVICES

BECKY FREDRICKSON, SUPERINTENDENT OF PLANNING,

DESIGN AND CONSTRUCTION

SHALESSE PIE, SUPERINTENDENT OF HUMAN

RESOURCES

SCOTT LOFTUS, SUPERINTENDENT OF RECREATION

Address all communications regarding this work to the Project Manager listed above.

ADVERTISEMENT FOR BIDS

Sealed bids will be received by the Peoria Park District, Peoria, Illinois, hereinafter known as the Owner, for the following project:

NETWORK CABLING

RIVERPLEX RECREATION & WELLNESS CENTER

It is the intent of the Owner to receive Base Bids for the project listed above.

Sealed bids will be received until Tuesday, July 14, 2026 at 1:00 pm prevailing time, by the Owner, at the Peoria Park District Administrative Office, 1125 W. Lake Ave., Peoria, Illinois 61614. (The Board Room clock shall be the official time keeping device in respect to the bid submission deadline.)

An electronic file including Bid Documents is available at www.peoriaparks-planning.org at no charge. Bid Documents, including Plans, Specifications and Interpretations for this project may be obtained at the Planning, Design & Construction Department, Bradley Park Equipment Service, 1314 N. Park Road, Peoria, IL 61604. Telephone (309) 686- 3386. A non-refundable plan deposit of Two Hundred Dollars ($200) will be charged for each printed set of Bid Documents.

A list of planholders can be obtained upon request. This information will be available up to twenty-four (24) hours prior to the scheduled bid opening time. After that deadline, no information pertaining to the project will be given.

A 10% Bid Bond is required, and is to be included with the Bid Proposal. The successful Bidder will be required to furnish a 100% Performance Bond and a 100% Labor and Materials Payment Bond within ten (10) days of formal Award of Contract.

The general prevailing rate of wage for the Peoria area shall be paid for each craft or type of worker needed to execute this contract or perform this work as required by the State of Illinois Department of Labor. Additionally, it is required that provisions of the Illinois Preference Act, the Illinois Drug Free Workplace Act, and the Substance Abuse Prevention on Public Works Act must be adhered to. Bidders are also advised that contract documents for this project include the non-discrimination, equal opportunity and affirmative action provisions in the Human Rights Act and rules and regulations of the Department of Human Rights. The Peoria Park District is an AA/EEO organization and encourages participation by minority and female-owned firms.

The Peoria Park District reserves the right to reject any or all bids, waive technical deficiencies, informalities or irregularities or rebid any project.

PLEASURE DRIVEWAY AND PARK DISTRICT

OF PEORIA, ILLINOIS

BY: ROBERT L. JOHNSON, SR., President

BY: ALICIA WOODWORTH, Secretary

TABLE OF CONTENTS

TITLE PAGE(S) 1-2

INVITATION TO BID 3

TABLE OF CONTENTS 4

BIDDING DOCUMENTS:

- SUPPLEMENTARY INSTRUCTIONS TO BIDDERS 5-8

- BID FORM(S) 10-12

- SUBCONTRACTORS LIST 13

- CERTIFICATION OF COMPLIANCE OF LISTED PROVISIONS AND LAWS 14

- W-9 15-20

- SEXUAL HARASSMENT POLICY STATEMENT 21

- SAMPLE ADDENDUM FORM 22

CONTRACT DOCUMENTS:

- AGREEMENT BETWEEN OWNER AND CONTRACTOR 23-27

- PERFORMANCE BOND 28-29

- LABOR & MATERIALS PAYMENT BOND 30-31

- CONTRACTOR'S AFFIDAVIT 32

- LIEN WAIVER FORMS 33-36

- SUPPLEMENTAL GENERAL CONDITIONS 37-53

PROJECT SPECIFICATIONS:

GENERAL REQUIREMENTS:

DIVISION 010000: GENERAL REQUIREMENTS 54-65

DESIGN PROGRAM 66-67

EXHIBITS:

ATTACHMENT A - INSURANCE REQUIREMENTS 5 PAGES

ATTACHMENT B – SOLICITATION & HIRING FOR QUALIFYING

CONSTRUCTION CONTRACTS POLICY & FORMS 21 PAGES

ATTACHMENT C – DIRECTORY OF MINORITY & WOMEN OWNED

BUSINESS ENTERPRISES 5 PAGES

ATTACHMENT D – PREVAILING WAGES FOR PEORIA COUNTY –

ILLINOIS DEPARTMENT OF LABOR 6 PAGES

DRAWINGS:

COVER

FLOOR PLAN

END OF TABLE OF CONTENTS

NETWORK CABLING – RIVERPLEX RECREATION & WELLNESS CENTER – PROJECT MANUAL

SUPPLEMENTARY INSTRUCTIONS TO BIDDERS

1. INSTRUCTIONS TO BIDDERS

A. "Instructions to Bidders", AIA Document A701, 2018 Editions, published by the American Institute of Architects, including revisions adopted before date of this Project Manual, is hereby made part of these specifications with same force and effect as though set forth in full.

B. The following modifies, changes, deletes from or adds to the Instructions to Bidders (AIA Document A701, 2018 Edition). Where any Article of the Instructions to Bidders is modified or any Paragraph, Subparagraph or Clause thereof is modified or deleted by these Supplementary Conditions, the unaltered provisions of that Article, Paragraph, Subparagraph or Clause shall remain in effect.

C. Parenthesis ( ) indicates the appropriate section and Subparagraph of the Instructions to Bidders which each paragraph of the Supplementary Instructions to Bidders modifies or refers to.

2. PROJECT DESCRIPTION

A. The Project description generally is as follows:

1. BASE BID: Insta llation of new Cat6 and Cat6A cabling infrastructure throughout the facility, including one new network rack and eleven new 24-port patch panels. *ALL NEW CABLING WORK MUST BE COMPLETED BETWEEN AUGUST

16, 2026 AND AUGUST 29, 2026 BETWEEN THE HOURS OF 8:00PM AND 5:00AM ONLY.*

2. ADD ALTERNATE #1: Provide complete demo of all old cabling back to point of origin after cutover has taken place.

B. PRE-BID MEETING :

1. A pre-bid meeting will be held at the RiverPlex Recreation and Wellness Center at 600 NE Water Street in Peoria, Illinois on

Monday, July 6, 2026 at 9:00 am.

3. CODES AND PERMITS

A. COSTS ASSOCIATED WITH REGULATORY COMPLIANCE. All Work performed in connection with this Project shall be in compliance with the requirements of all applicable local, state, and federal laws, regulations, and rules, as well as the requirements of the Construction Documents. The Bid Price shall reflect all costs of compliance to those requirements, whether or not specifically stated in the Construction Documents or specific sections of the Project Manual.

B. PERMITS/FEES. Work shall not commence until all required building (and/or other) permits have been secured by the Contractor and copies of these permits submitted to the Owner's Representative. Cost of permits is to be included in the Bid Price.

4. BID GUARANTY

The bid must be accompanied by a Bid Guaranty which shall not be less than 10% of the amount of the Bid. At the option of the Bidder, the 10% Guaranty may be a Certified Check, Cashier's Check, or a Bid Bond. The Bid Bond shall be secured by a Guaranty or a Surety Company acceptable to the Owner. No bid will be considered unless it is accompanied by the required Guaranty. Funds must be made payable to the order of the Owner. Cash deposits will not be accepted. The Bid Guaranty shall ensure the execution of the Agreement and the furnishing of the Surety Bond or Bonds by the successful Bidder, all as required by the Contract Documents.

5. AWARD OF CONTRACT/REJECTION OF BIDS:

The Contracts will be awarded on the basis of Paragraph 5.3 of the Instructions to Bidders and Paragraph 16 of the Supplementary Instructions to Bidders. The Bidders to whom the awards are made will be notified at the earliest possible date. The Owner, however, reserves the right to reject any and all Bids, to accept any combination of base bids and alternates and to waive any technical deficiencies, informalities, or irregularities in Bids received whenever such rejection or waiver is in its interest.

No bid shall be withdrawn for a period of sixty (60) days after the opening of bids without the consent of the Owner. The failure of the Bidder to submit a Bid Bond, Certified Check or Cashier's Check in the full amount to cover all proposals bid upon shall be sufficient cause for rejection of his bid. The award will be made contingent upon submittal and evaluation of Contractor's Qualification Statement if requested, Bonds, Certificate of Insurance, Contractor Certifications, including Certification of Compliance of Listed Provisions and Laws, Peoria Park District Certificate of Equal Employment Opportunity Compliance for Contractors and Vendors, Workforce Profile, Company Ownership Certification, Minority/Women Owned Contact Sheet, Contractor/Subcontractor Workforce Plan, etc.

6. EXECUTION OF AGREEMENT:

Following the award and within ten (10) days after the prescribed forms are prepared and presented for signature by the Owner's Representative, the successful Bidder shall execute and return to the Owner's Representative the Agreement in the form included in the Contract Documents in such number of copies as the Owner may require. The Owner’s Representative will provide Notice to Proceed after all bonds and any other required documents have been received by the Park District.

7. PERFORMANCE BOND/LABOR AND MATERIAL PAYMENT BOND & INSURANCE

A. BONDS REQUIRED. Having satisfied all conditions of award as set forth elsewhere in these Documents, the successful Bidder shall, within ten (10) calendar days after award of contract, furnish Surety Bonds in penal sums, each not less than the amount of the Contract as awarded as security for the faithful performance of the Contract (Performance Bond), and for the payment (Labor and Materials

Payment Bond) of all persons, firms or corporations to whom the Contractor may become legally indebted for labor, materials, tools, equipment or services employed or used by him in performing the work.

B. FORM OF BONDS. Such bonds shall be in the same form as the samples included in the Project Manual and shall bear the same date as or a date subsequent to that of the Agreement. The current Power of Attorney for the person who signs for any Surety Company shall be attached to such Bonds. Bonds shall be signed by a Guaranty or Surety Company acceptable to the Owner.

C. COST OF PERFORMANCE BOND/LABOR AND MATERIAL PAYMENT BOND. All costs for the Performance Bond/Labor and Material Payment Bond shall be included in the submitted Bid Price.

D. INSURANCE. Insurance requirements for this project are addressed both in the Supplementary General Conditions and in

“Attachment A.6”, in the “Exhibits” section of this Project Manual.

a) In respect to the property (“builders risk”) insurance coverages referenced in the Supplementary General Conditions: the successful Bidder will not be required to provide such coverages as the work of the Project will be accomplished by one general/prime contractor(s).

E. TIME FRAMES. The successful Bidder shall, within ten (10) days after award of contract by the Board of Trustees, submit Proof of

Insurance coverages/Bonds in the form and amounts required to the Owner’s Representative. Should the Bidder be unable to provide the required Proof of Insurance(s)/Bonds within the specified ten-day period the Owner reserves the right, at its sole discretion, to withdraw its award of contract from that Bidder.

8. DEFAULT

A. The failure of the successful Bidders to execute the Agreement, supply the required Bonds or proof of required insurance coverage(s) within (ten) 10 days after award of contract, or within such extended period as the Owner may grant based upon reasons determined sufficient by the Owner, may constitute a default. In such case, award of contract will be transferred to the second lowest bidder.

9. CONTRACTOR'S QUALIFICATION STATEMENT

A. Contractor's Qualification Statement (AIA Document 305) shall be submitted by low bidder for evaluation prior to award of contract if so requested by the Owner or his representatives.

10. LIST OF SUBCONTRACTORS/PRODUCT & EQUIPMENT SUBSTITUTIONS

A. Each Bidder shall submit a "SUBCONTRACTORS LIST" proposed to be used in the execution of the Work. If there will be no subcontractors, the Bidder shall state "No Subcontractors" on this form. The completed form is due with the Bid Proposal.

1) Identify the trade name, address, telephone number, and category of work of each subcontractor.

2) Failure to submit the "Subcontractors List" with the Bid Proposal may result in the rejection of the Bid.

3) Delete Subparagraphs (6.3.1.1) from AIA A701.

B. The Bidder, by submission of a signed bid form, agrees to install all products and equipment by brand name or names specified in the

Technical Specifications sections of this Project Manual. "Or equal" substitutions will be allowed only if approved in writing prior to the bid opening and listed in the "Substitutions" section of the Bid Form.

11. CONTRACT ADMINISTRATION FORMS/COSTS OF FORMS

A. REQUIRED FORMS. The following AIA forms will be used (AIA forms will be supplied by the Owner if requested, and charged to the Contractor at cost) in the administration of the project:

1) AIA Document A310: "Bid Bond", February 1970 edition

2) AIA Document A305: "Contractor's Qualification Statement", 1986 edition

3) AIA Document G702: "Application and Certificate of Payment", May 1992 edition

4) AIA Document G703: "Continuation Sheet", May 1992 edition

B. OTHER FORMS. Other contract administration forms (to be provided by the Owner unless otherwise noted) required for use in the

Project are:

1) Subcontractors List

2) Contractor's Affidavit

3) Performance Bond

4) Labor and Material Payment Bond

5) Lien Waiver Forms

6) Certified Payroll Form Please Note: Illinois State Law has changed. As a Contractor on a public works project, Contractor must submit certified payroll directly to the Illinois Department of Labor. See details at https://www2.illinois.gov/idol/laws-rules/conmed/pages/prevailing-wage-portal.aspx

The first time submitting certified payroll to this site requires additional set-up time and specialized forms that must be used.

After submitting certified payroll directly to the Illinois Department of Labor, Contractor will receive a PDF proof of submittal. A copy of this PDF proof of submittal is required with pay applications to Owner.

7) Insurance Forms: As required in Attachment A (at end of Project Manual) (will not be provided by Owner)

8) Agreement Between Owner and Contractor

Examples of these forms are included in the Project Manual.

12. CONSTRUCTION TIME AND LIQUIDATED DAMAGES CLAUSE:

PROJECT COMPLETION. The Agreement will include the following paragraph(s) or language substantially the same, regarding construction time and liquidated damages:

1) LIQUIDATED DAMAGES: Owner and Contractor recognize that time is of the essence of this Agreement and that

Owner will suffer financial loss if the Work is not Substantially Complete within the time specified below, plus any extensions thereof allowed in accordance with Article 8 of the General Conditions. They also recognize the delays, expense and difficulties involved in proving in a legal or arbitration proceeding the actual loss suffered by Owner if the Work is not completed on time.

2) Accordingly, instead of requiring any such proof, Owner and Contractor agree that as Liquidated Damages for delay

(but not as a penalty) Contractor shall pay Owner TWO HUNDRED AND FIFTY DOLLARS ($250.00) for each calendar day that expires after Fifty-Four (54) calendar days from Notice of Award until Substantial Completion is attained. The work is tentatively scheduled to begin on July 23, 2026 and be at Substantial Completion by September

15, 2026. *ALL NEW CABLING WORK MUST BE COMPLETED BETWEEN AUGUST 16, 2026 AND

AUGUST 29, 2026 BETWEEN THE HOURS OF 8:00PM AND 5:00AM ONLY.*

3) After Substantial Completion, if Contractor shall neglect, refuse, or fail to complete the remaining Work necessary to achieve Final Completion within Fourteen (14) calendar days or any proper extension thereof granted by Owner, Contractor shall pay Owner TWO HUNDRED AND FIFTY DOLLARS ($250.00) dollars for each day that expires after the time specified.

4) Owner and Contractor agree that the per day liquidated damage amounts set forth in subparagraphs "2" and "3" of this section constitute a reasonable forecast of the financial losses, actual costs and increased expenses the Owner may incur as a result of delayed Substantial or Final Completion of the Project.

13. PROJECT MANUAL/PLANS & SITE VISITATION

A. A set of Bid Documents may be examined, at no charge, at the office of the Owner’s Representative.

B. PLAN DEPOSIT. An electronic file including Bid Documents is available at www.peoriaparks-planning.org at no charge. A printed set of Bid Documents, including Plans, Specifications and Interpretations for this project may be obtained at the Planning, Design & Construction Department, Bradley Park Equipment Service, 1314 N. Park Road, Peoria, IL 61604. Telephone (309)686-3386. A non-refundable plan deposit of Two Hundred ($200.00) will be charged for each printed set of Bid Documents.

C. FAMILIARITY WITH BID DOCUMENTS & SITE VISITATION. Bidders, by submission of their Bids, represent that they have visited the site to acquaint themselves with the local conditions in which the Work is to occur, and that they are familiar with all the requirements of the Project, as defined in the Project Manual and the Plan(s).

14. OTHER MODIFICATIONS TO AIA-701/OTHER CONDITIONS

A. Add the following sentence to (4.1.7): "Bidder shall submit two (2) completed copies of Bid Form and retain one (1) copy for his files."

B. Delete (4.2.1)

C. Delete Section (6.2) - "Owner's Financial Capability"

D. In reference to (7.2.1), the Peoria Park District reserves the right of final approval of bonding companies. Replace the first Sentence with “The Bidder shall deliver the required bonds to the Owner not later than ten days following the date of execution of the Contract.”

E. Delete paragraph (7.1.3).

15. EQUAL EMPLOYMENT OPPORTUNITY/SEXUAL HARASSMENT

A. It is a goal of the Peoria Park District to encourage participation of minorities and women on Peoria Park District construction projects through contracts and workforce. Good Faith Effort must be made to encourage the use of minority and women owned businesses as sub-contractors and suppliers on the project.

On all bids $50,000.00 and over, see requirements listed in Attachment B “Solicitation and Hiring for Qualifying Construction Contracts & Forms”.

On all bids less than $50,000.00, complete and submit the following listed forms (provided in Attachment B) with the Bid.

Failure to submit the forms may result in rejection of the bid.

1. “Peoria Park District Certificate of Equal Employment Opportunity Compliance for Contractors and Vendors” Form

2. “Workforce Profile” Form

3. “Company Ownership Certification” Form

B. Effective July 1, 1993, every party to a public contract and every party bidding on public contracts is required to have a written

"Sexual Harassment Policy". The Sexual Harassment Policy must contain:

1) A definition of sexual harassment under state law;

2) A description of sexual harassment utilizing examples;

3) A formalized complaint procedure;

4) A statement of victim's rights;

5) Directions on how to contact the Illinois Department of Human Rights - Illinois companies. Out-of-State companies must include directions on how to contact the enforcement agency within their state. Companies that issue a standard policy for all business locations must prepare an addendum providing directions on how to contact the appropriate enforcement agency.

6) A recitation that there cannot be any retaliation against employees who elect to file charges.

Recommendation: Your "Sexual Harassment Policy" should be drafted in language easy to understand and any revisions should be reviewed by legal counsel. A copy of your policy should be posted in a prominent and accessible location to assure all employees will be notified of the company's position.

In order to conduct business with the Peoria Park District, you must have a written "Sexual Harassment Policy" that conforms to the Act.

FAILURE TO DO SO WILL DISQUALIFY YOU AS AN ELIGIBLE VENDOR.

16. BID SUBMISSION

A. DATE, TIME & PLACE OF RECEIVING BIDS. Bids will be received until the date and time listed in the "Advertisement for

Bids", at which time they will be publicly opened, read aloud and recorded. The Bid Opening will be held at the place listed in the "Advertisement for Bids".

B. REQUIRED ITEMS. The following items must be included as part of the "BID":

1) Two (2) signed copies of the BID FORM. (Retain the third copy for your files.)

2) The SUBCONTRACTORS LIST. (Submit form and state "No Subcontractors" on the form, if none will be used.)

3) The PEORIA PARK DISTRICT CERTIFICATE OF EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE

FOR CONTRACTORS AND VENDORS form.

4) The WORKFORCE PROFILE form.

5) The COMPANY OWNERSHIP CERTIFICATION form.

6) The CERTIFICATION OF COMPLIANCE OF THE LISTED PROVISIONS AND LAWS form.

7) Completed W-9.

8) The BID GUARANTY.

9) If the bid is over $50,000.00, the MINORITY/WOMEN OWNED CONTACT SHEET form.

10) If the bid is over $50,000.00, the CONTRACTOR/SUBCONTRACTOR WORKFORCE PLAN form.

C. BID SUBMISSION. The "BID" shall be enclosed in envelopes (outer and inner), both of which shall be sealed and clearly labeled with the following information, in order to prevent premature opening of the bid:

- "PROPOSAL"

- NAME OF PROJECT

- NAME OF BIDDER

- DATE/TIME OF BID OPENING

END OF SUPPLEMENTARY INSTRUCTIONS TO BIDDERS

Bid From: ______________________________________ PROJECT NO. #26-012

BID FOR: NETWORK CABLING

LOCATION: RIVERPLEX

BID FORM

BID TO: PEORIA PARK DISTRICT

UNDERSIGNED:

1. Acknowledges receipt of:

A. Project Manual and Drawings for:

B. Addenda: No. ______ through No. ______

2. Has examined facility and the bid documents and shall be responsible for performing work specifically required of him by all parts of bidding documents including specifications for entire project, even though such work may be included as related requirements specified in other divisions or sections.

3. And agrees to enter into and execute Contract with Owner, if awarded on basis of this bid, and to:

A. Furnish Bonds and Insurance required by the Bidding & Contract Documents.

B. Accomplish work in accord with Contract.

C. Complete work within specified Contract time.

4. CONTRACT TIME: Contractor agrees to Substantially Complete ALL WORK as required by the Contract

Documents per the Supplementary General Conditions and Supplementary Instructions to Bidders.

5. BASE BIDS:

A. Base Bid:

Bidder agrees to perform all building and site work, as set forth in the Project Manual and Drawings for the sum of:

____________________________________________________ Dollars ($_______._____)

6. ALTERNATES:

Bidder agrees to perform all building and/or site work items as set forth below. The prices submitted may be accepted either at the time of Base Bid approval or up to no later than ninety (90) days after award of the Bid;

however, if not approved at the time of the award of the Base Bid, the contract times as set forth in the Project Manual and Drawings will be adjusted to compensate for the additional time taken in award of the Alternate:

A. Add Alternate #1: Provide complete demo of all old cabling back to point of origin after cutover has taken place.

____________________________________________________ Dollars ($_______._____)

7. UNIT PRICES:

A. Bidders submitting prices for the Base Bid shall submit Unit Prices for adding or deleting work. Unit Prices shall include all costs, including but not limited to preparation, labor, equipment, and materials necessary for a complete installation.

ITEM UNIT UNIT PRICE

Cat6/Cat6A Cable l. f. $__________

24-Port Patch Panel (incl. compatible keystone jacks) Ea $__________

42U 4-Post Open Frame Network Rack Ea $__________

8. PROPOSED SUBSTITUTION LIST:

Base Bid(s) and Alternates are understood to include only those product brands, items, and elements which are specified in the Bid Documents. The following is a list of substitute products, equipment or methods of construction which the Bidder proposes to furnish on this project, with difference in price being added or deducted from Base Bid(s).

Bidder understands that acceptance of any proposed substitution which has not been approved as an "equal" to the product brand, item, or element specified prior to bid opening is at Owner's option. Approval or rejection of any substitutions listed below will be indicated before executing Contract.

ITEM ADD DEDUCT

9. BIDDERS CHECKLIST:

Did you visit the site? Yes No

Is Bid Security enclosed? (If applicable) Yes No

Is Peoria Park District Certificate of Equal Employment Yes No Opportunity Compliance for Contractors enclosed?

Is Workforce Profile enclosed? Yes No

Is Company Ownership Certification enclosed? Yes No

If the bid is $50,000.00 or over, the Minority/Women Owned Yes No Contact Sheet enclosed?

If the bid is $50,000.00 or over, the Contractor/Subcontractor Yes No Workforce Plan enclosed?

Is Subcontractors List enclosed? Yes No

Is Certification of Compliance of the Listed Yes No Provisions and Laws form enclosed?

Is a completed W-9 enclosed? Yes No

10. BIDDER INFORMATION:

NAME OF BIDDER:___________________________________________________________

ADDRESS: __________________________________________________________________

CITY, STATE, ZIP: ___________________________________________________________

TELEPHONE NO.: ___________________________________________________________

BY: _______________________________________________________________

(Signature of Authorized Official)

TITLE: ____________________________________________________________

BIDDER'S SEAL

WITNESS: _______________________________________________________________

END OF BID FORM

SUBCONTRACTORS LIST

The following tabulation of Subcontractors shall be attached and made a condition of the Bid. The Bidder expressly understands and agrees to the following provisions:

A. If awarded a Contract as a result of this Bid, the subcontractors used in the prosecution of the work will be those listed below.

B. The following list includes all subcontractors, known at the time of the Bid, who will perform work on this project.

C. The subcontractors listed below are financially responsible and are qualified to perform the work required.

D. The subcontractors listed below comply with the requirements of the Contract Documents.

E. Any substitutions in the subcontractors listed below shall be requested in writing by the Contractor and must be approved in writing by the Owner. No sub-subcontractors will be allowed unless specifically stated on the form. All pertinent financial, performance, insurance and other applicable information shall be submitted with the request for substitution(s). Owner shall respond to such requests within 14 calendar days following the submission of all necessary information to the full satisfaction of the Owner.

F. Failure to submit the list of Subcontractors as stated herein shall constitute a material variation from the Invitation to Bid; and any such Bid may be rejected by the Owner.

Subcontractor Name Telephone/Email Area of Work Minority/Women

Owned Business (Yes/No)

Dollar Amount of Contract

BIDDER: ________________________________________

END OF SUBCONTRACTORS LIST

CERTIFICATION OF COMPLIANCE

OF THE LISTED PROVISIONS AND LAWS

1) Illinois Drug Free Workplace Act of 1991

2) The Substance Abuse Prevention on Public Works Act Public Act 95-0635:

Prohibits the use of drugs and alcohol while performing work on a public works project.

The Contractor/Subcontractor has signed collective bargaining agreement for all of its employees that deal with the subject matter or the Contractor/Subcontractor has a prevention program that meets or exceeds the requirements of the Public Act for all employees not covered by a collective bargaining agreement.

3) Safety Compliance:

Contractor/Subcontractors will comply with any and all prevailing occupational safety and health standards. Such compliance may include a training component or require a written program of compliance.

4) Illinois Criminal Code, Illinois Compiled Statutes 720 ILCS 5/33E-3 and 5/33E-4:

Contractor/Subcontractor has not been barred from bidding on public contract as a result of bid rigging or bid rotating.

The undersigned representative of the Contractor/Vendor hereby certifies to comply with the laws and provisions listed above.

Contractor/Subcontractor

Name of Authorized Representative (type or print)

Signature of Authorized Representative

Date

Form W-9 (Rev. March 2024)

Request for Taxpayer Identification Number and Certification

Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information.

Give form to the requester. Do not send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

P ri n t o r ty p e

S ee

S p ec if ic In st ru ct io n s on p ag e

3.

1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.)

2 Business name/disregarded entity name, if different from above.

3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor C corporation S corporation Partnership Trust/estate

LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner.

Other (see instructions)

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions

4 Exemptions (codes apply only to certain entities, not individuals;

see instructions on page 3):

Exempt payee code (if any)

Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any)

(Applies to accounts maintained outside the United States.)

5 Address (number, street, and apt. or suite no.). See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number or

Employer identification number

Part II Certification

Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of

U.S. person Date

General Instructions Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification.

New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they

Cat. No. 10231X Form W-9 (Rev. 3-2024)

Form W-9 (Rev. 3-2024) Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

• Form 1099-INT (interest earned or paid).

• Form 1099-DIV (dividends, including those from stocks or mutual funds).

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds).

• Form 1099-NEC (nonemployee compensation).

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers).

• Form 1099-S (proceeds from real estate transactions).

• Form 1099-K (merchant card and third-party network transactions).

• Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition).

• Form 1099-C (canceled debt).

• Form 1099-A (acquisition or abandonment of secured property).

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued);

2. Certify that you are not subject to backup withholding; or

3. Claim exemption from backup withholding if you are a U.S. exempt payee; and

4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and

5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities.

The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status.

• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity.

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust.

• In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust.

See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

4. The type and amount of income that qualifies for the exemption from tax.

5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester;

2. You do not certify your TIN when required (see the instructions for Part II for details);

3. The IRS tells the requester that you furnished an incorrect TIN;

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or

5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under “By signing the filled-out form” above (for reportable interest and dividend accounts opened after 1983 only).

Form W-9 (Rev. 3-2024) Page 3

Certain payees and payments are exempt from backup withholding.

See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier.

What Is FATCA Reporting?

The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies.

Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific Instructions

Line 1

You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

• Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application.

• Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or “doing business as” (DBA) name on line 2.

• Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2.

• Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2.

• Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S.

federal tax purposes has a single owner that is a U.S. person, the U.S.

owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

Line 2

If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2.

Line 3a

Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a.

IF the entity/individual on line 1 is a(n) . . .

THEN check the box for . . .

• Corporation Corporation.

• Individual or

• Sole proprietorship

Individual/sole proprietor.

• LLC classified as a partnership for U.S. federal tax purposes or

• LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation

Limited liability company and enter the appropriate tax classification:

P = Partnership, C = C corporation, or S = S corporation.

• Partnership Partnership.

• Trust/estate Trust/estate.

Line 3b

Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b.

Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).

If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply.

Line 4 Exemptions

If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.

• Generally, individuals (including sole proprietors) are not exempt from backup withholding.

• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

• Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions.

• Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of…