PIN 6755.56 Phase 1 Add-04 2022-12-06[6352].pdf

PIN 6755.56 Phase 1 Add-04 2022-12-06.docx Page 1 of 1

ADDENDUM #4

PIN 675556, D040494

E. HUGHES ST./CR 26 BRIDGE OVER GENESEE RIVER

PHASE 1 – BRIDGE REMOVAL

BIN 3330740

TOWN & VILLAGE OF BELFAST, ALLEGANY COUNTY, NEW YORK

BIDS DUE ON DECEMBER 8, 2022, AT 3:00 P.M. (UNCHANGED)

1. REPLACE Contract Plan Sheets 2, 14, 15 and 26, WITH the revised Contract Plan Sheets

2R1, 14R1, 15R1 and 26R1.

This change revises item 580.01 – Removal of Structural Concrete to item 580.04 – Removal of Concrete Approach Slab.

2. REPLACE Itemized Base Proposal pages 17 through 20 of the Contract Proposal Book WITH pages 17-A4 through 20-A4.

This change revises item 580.01 – Removal of Structural Concrete to item 580.04 – Removal of Concrete Approach Slab.

This addendum and associated files are available for download from the DropBox link below:

https://www.dropbox.com/scl/fo/oidk77yol3wx5uuvdesxx/h?dl=0&rlkey=eyc3bjz2ihkt7vaygukd2dn3q

NOTE TO ALL BIDDERS: Be sure to include page 22 of the Contract Proposal to acknowledge receipt of all addendums (Addendums 1 thru 4) when submitting your bid.

Please contact Stephen Gauthier, PE if you have any questions.

Issued By: Stephen L. Gauthier, PE, Project Manager LaBella Associates, DPC ph: 585-295-6657 | email: sgauthier@labellapc.com

Date Issued: December 6, 2022

END OF ADDENDUM #4

Department of Public Works

County Office Building

7 Court Street

Belmont, New York 14813

Phone: 585-268-9230 https://www.dropbox.com/scl/fo/oidk77yol3wx5uuvdesxx/h?dl=0&rlkey=eyc3bjz2ihkt7vaygukd2dn3q mailto:sgauthier@labellapc.com

BRIDGES CULVERTSPIN

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SHALL STAMP THE DOCUMENT AND INCLUDE THE NOTATION "ALTERED BY" FOLLOWED BY THEIR SIGNATURE, THE DATE OF SUCH ALTERATION, AND A SPECIFIC DESCRIPTION OF THE ALTERATION.

TO ALTER AN ITEM IN ANY WAY. IF AN ITEM BEARING THE STAMP OF A LICENSED PROFESSIONAL IS ALTERED, THE ALTERING ENGINEER, ARCHITECT, LANDSCAPE ARCHITECT, OR LAND SURVEYOR

IT IS A VIOLATION OF LAW FOR ANY PERSON, UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, ARCHITECT, LANDSCAPE ARCHITECT, OR LAND SURVEYOR, CONTRACT NUMBER

DRAWING NO.

SHEET NO.

REGION:

D040494

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3330740

Powered by partnership.

LaBella

6755.56

CR 26, HUGHES STREET

OVER GENESEE RIVER

ALLEGANY COUNTY

TOWN OF BELFAST

BRIDGE REMOVAL

OF PUBLIC WORKS

ALLEGANY COUNTY DEPARTMENT

TOTAL NUMBER OF SHEETS INDEX

DESCRIPTION DRAWING NUMBER

NUMBER

SHEET

ITEM NO. DESCRIPTION UNIT ESTIMATED FINAL

ESTIMATE OF QUANTITIES

GENERAL NOTES

HYDRAULIC NOTES

REMOVAL NOTES

REMOVAL NOTES

AND GENERAL NOTES

INDEX, ESTIMATE OF QUANTITIES

1974 CR 26 RECORD PLANS - MODIFIED TO OUTLINE BRIDGE REMOVAL

PROJECT ROW PLAN

CAUSEWAY ELEVATION AND SECTIONS

CONCEPTUAL CAUSEWAY GENERAL PLAN

INDEX, ESTIMATE OF QUANTITIES AND GENERAL NOTES

TITLE SHEET

6 TO 29

THEIR AGENT.

SHALL BE STOCKPILED IN THE SOUTHEAST QUADRANT OF THE BRIDGE IN THE GRAVEL PARKING AREA AS DIRECTED BY THE COUNTY OR

HEAVY STONE FILL USED IN THE CONSTRUCTION OF THE TEMPORARY CAUSEWAY SHALL BECOME THE PROPERTY OF ALLEGANY COUNTY AND 2.

ALL EXCAVATED AREAS TO PREVENT EROSION AND LOSS OF SOILS UNTIL THE CONSTRUCTION OF THE REPLACEMENT BRIDGE COMMENCES.

TO ITS PRE-CONSTRUCTION CONDITIONS, TO THE GREATEST EXTENT PRACTICABLE. EROSION CONTROL PRODUCTS SHALL BE INSTALLED AT

UPON COMPLETION OF THE BRIDGE REMOVAL OPERATIONS, THE CONTRACTOR SHALL RESTORE THE SITE, RIVERBED, AND AFFECTED AREAS 1.

PROTECTIVE DEVICES SHALL BE INCLUDED IN THE UNIT PRICE BID USING THE APPROPRIATE ITEMS IN THE CONTRACT.

THE COST OF FURNISHING, INSTALLING, MAINTAINING, REMOVING AND DISPOSING OF ALL PLATFORMS, NETS, SCREENS OR OTHER 9.

AT NO COST TO THE STATE.

ALL MATERIAL FALLING ON THE AREA BELOW AND ADJACENT TO THE BRIDGE SHALL BE REMOVED AND DISPOSED OF BY THE CONTRACTOR 8.

SHALL BE STOPPED UNTIL ADEQUATE PROTECTION IS PROVIDED.

PROTECTIVE DEVICES SHALL BE USED TO CATCH THE MATERIAL. IF ADEQUATE PROTECTIVE DEVICES ARE NOT BEING EMPLOYED, THE WORK

THE BRIDGE EXCEPT WHERE THE PLANS SPECIFICALLY PERMIT THE DROPPING OF MATERIAL. PLATFORMS, NETS, SCREENS OR OTHER

DURING REMOVAL OPERATIONS, THE CONTRACTOR SHALL NOT DROP WASTE CONCRETE, DEBRIS, AND OTHER MATERIAL TO THE AREA BELOW 7.

ENGINEER FOURTEEN (14) DAYS PRIOR TO BEGINNING THE DEMOLITION.

MATERIALS. A REMOVAL PLAN, SEALED BY A REGISTERED NEW YORK STATE PROFESSIONAL ENGINEER, SHALL BE SUBMITTED TO THE

202-3.01 - GENERAL AND SAFETY REQUIREMENTS, OF THE NYSDOT STANDARD SPECIFICATIONS - CONSTRUCTION AND yPROVISIONS OF

CONTRACTOR SHALL PREPARE A SUPERSTRUCTURE REMOVAL PLAN ON THIS BASIS. THE SUPERSTRUCTURE REMOVAL PLAN SHALL MEET THE

CONTRACTOR IS HEREBY GIVEN NOTICE THAT NO EQUIPMENT OR PERSONNEL IS PERMITTED ON THE BRIDGE DECK AT ANY TIME. THE

DUE TO THE UNSAFE EXISTING CONDITION OF THE BRIDGE SUPERSTRUCTURE SPECIFICALLY THE INSTABILITY OF THE WEST ABUTMENT, THE 6.

BARRIERS AND FENCING SHALL BE INCLUDED IN THE VARIOUS BID ITEMS.

BARIERS AND FENCING ARRANGE FOR THE COUNTY TO RETRIEVE THESE ITEMS. THE COSTS ASSOCIATED WITH REMOVING AND STORING

BARRIERS AND FENCING SHALL REMAIN THE PROTERTY OF ALLEGANY COUNTY AND THE CONTRACTOR SHALL REMOVE AND STORE THE

THE ALLEGANY COUNTY DPW HAS INSTALLED BARRIERS AND FENCING TO PREVENT THE PUBLIC FROM ACCESSING THE BRIDGE. THE 5.

EXISTING SUPERSTRUCTURE SHALL BE REMOVED UNDER ITEM 202.120001 - REMOVING EXISTING SUPERSTRUCTURES.4.

SUBSTRUCTURES.

EXISTING SUBSTRUCTURES SHALL BE REMOVED WITHIN THE PAY LIMITS SHOWN IN THE PLANS UNDER ITEM 202.19 - REMOVAL OF 3.

RECORD PLANS FOR THIS STRUCTURE ARE AVAILABLE AT THE ALLEGANY COUNTY DEPARTMENT OF PUBLIC WORKS OFFICE.2.

ITS AGENT.

BRIDGE REMOVAL ACTIVITIES, THE CONTRACTOR SHALL CAREFULLY REMOVE THE BIN PLATE AND TURN IT OVER TO ALLEGANY COUNTY OR

THE STRUCTURE HAS A BRIDGE IDENTIFICATION NUMBER (B.I.N.) PLATE ATTACHED TO THE SOUTHWEST ABUTMENT WINGWALL. PRIOR TO 1.

CONSTRUCTION SEASON FOR MORE THAN 25% OF THE TIME. IT IS AN OBSERVED ELEVATION RATHER THAN A COMPUTED ONE.

LOW WATER IS ESTIMATED TO BE 1,250.0. LOW WATER IS DEFINED AS THE NORMAL LOW WATER ELEVATION PREVALENT DURING ONE 3.

ELEVATION AND IT IS USUALLY AN OBSERVED ELEVATION RATHER THAN A COMPUTED ONE.

ENCOUNTERED DURING ONE CONSTRUCTION SEASON (EXCLUDING MAJOR FLOODS). IT IS ALWAYS LESS THAN THE ORDINARY HIGH-WATER

ORDINARY WATER IS ESTIMATED TO BE 1,251.4. ORDINARY WATER IS DEFINED AS THE HIGHEST SURFACE WATER ELEVATION LIKELY TO BE 2.

MEAN ANNUAL FLOOD, WHICH IS THE FLOOD THAT HAS A RECURRENCE INTERVAL OF 2.33 YEARS.

ORDINARY HIGH- WATER IS ESTIMATED TO BE 1,262.0. ORDINARY HIGH-WATER IS DEFINED AS THE WATER SURFACE ELEVATION FOR THE 1.

HIGH VOLTAGE ELECTRICAL LINES ARE IN PROXIMITY TO THIS BRIDGE.5.

PERMISSION FROM THE ENGINEER BEFORE PROCEEDING.

MATERIALS, THE CONTRACTOR SHALL IMMEDIATELY STOP WORK AND NOTIFY THE ENGINEER. THE CONTRACTOR SHALL OBTAIN WRITTEN

CONTRACT THAT THESE MATERIALS ARE NOT TO BE DISTURBED IN ANY WAY. SHOULD THE CONTRACTOR DISTURB OR ENCOUNTER ANY SUCH

NOT REQUIRE THE DISTURBANCE, DESTRUCTION OR REMOVAL OF ANY OF THESE MATERIALS. IT IS THE EXPRESS INTENT OF THIS

NO KNOWN ASBESTOS CONTAINING MATERIALS ARE BELIEVED TO EXIST AND/OR THE WORK TO BE PERFORMED UNDER THIS CONTRACT DOES 4.

ALL SHOP DRAWINGS FOR THIS PROJECT SHALL BE PREPARED IN U.S. CUSTOMARY UNITS.3.

DETAILS FOR WHICH NO SCALE IS SHOWN ARE DRAWN PROPORTIONALLY AND ARE FULLY DIMENSIONED.

DETAILS ON THE DRAWINGS LABELED AS "NOT TO SCALE" ARE INTENTIONALLY DRAWN NOT TO SCALE FOR VISUAL CLARITY. ALL OTHER 2.

OF SEPTEMBER 1, 2022.

CONSTRUCTION SPECIFICATIONS: NYSDOT STANDARD SPECIFICATIONS - CONSTRUCTION AND MATERIALS WITH ALL PROVISIONS IN EFFECT AS 1.

RP-1 THRU RP-24

ROW-1

ST-2

ST-1

IND-1

COVER

699.040001

698.05

697.03

637.34

637.11

625.01

620.05

620.03

619.17010009

619.01

617.11000024

617.10000024

617.01020024

614.060502

614.060401

614.060301

614.060201

614.060101

603.051410

580.04

570.100001

570.090001

553.04010109

209.190301

209.13

206.01

203.03

203.02

202.19

202.120001

201.06

LS

DC

DC

DC

MNTH

LS

CY

CY

LF

LS

LS

CY

SF

EA

EA

EA

EA

EA

LF

SF

LS

LS

LS

SY

LF

CY

CY

CY

CY

LS

LS

MOBILIZATION (4% MAX.)

FUEL PRICE ADJUSTMENT

FIELD CHANGE PAYMENT (FCP)

OFFICE TECHNOLOGY AND SUPPLIES

ENGINEER'S FIELD OFFICE - TYPE 1

SURVEY OPERATIONS

STONE FILLING (HEAVY) - COST INCLUDED IN ITEM 553.04010109

STONE FILLING (LIGHT) - COST INCLUDED IN ITEM 553.04010109

TEMPORARY CONCRETE BARRIER (UNPINNED) TO REMAIN IN PLACE

BASIC WORK ZONE TRAFFIC CONTROL

EQUIPMENT CLEANING FOR INVASIVE PLANT SPECIES

DISPOSAL OF MATERIAL CONTAINING INVASIVE PLANT SPECIES

CONTROLLING INVASIVE PLANT SPECIES BY PULLING

TREE REMOVAL OVER 24" TO 36" AT BREAST HEIGHT - STUMPS CUT FLUSH

TREE REMOVAL OVER 18" TO 24" AT BREAST HEIGHT - STUMPS CUT FLUSH

TREE REMOVAL OVER 12" TO 18" AT BREAST HEIGHT - STUMPS CUT FLUSH

TREE REMOVAL OVER 6" TO 12" AT BREAST HEIGHT - STUMPS CUT FLUSH

TREE REMOVAL OVER 4" TO 6" DIAM. BREAST HEIGHT - STUMPS CUT FLUSH

CORRUGATED STEEL PIPE (2-2/3"X1/2" CORRUGATIONS) 24 INCH, 10 GAUGE

REMOVAL OF CONCRETE APPROACH SLAB

ENVIRONMENTAL WATERWAY PROTECTION

ENVIRONMENTAL GROUND PROTECTION

TEMPORARY CAUSEWAYS

ROLLED EROSION CONTROL PRODUCT, CLASS II TYPE C, INTERMEDIATE

SILT FENCE - TEMPORARY

STRUCTURE EXCAVATION

EMBANKMENT IN PLACE

UNCLASSIFIED EXCAVATION AND DISPOSAL

REMOVAL OF SUBSTRUCTURES

REMOVING EXISTING SUPERSTRUCTURES

CLEARING AND GRUBBING

NEC

1,000

90,700

2,000

NEC

1,700

NEC

NEC

2,000

2,240

NEC

NEC

NEC

1,040

1,050

1,040

NEC

NEC

IND-1 R1

ADDENDUM 4

SHEET 2 IN ITS ENTIRETY.

THIS SHEET SUPERSEDES

ITEM 553.04010109 - TEMPORARY

CAUSEWAYS. SEE DETAIL

EL. 1270.0 +/-

ITEM 202.19 - REMOVAL OF

SUBSTRUCTURES

ITEM 202.120001 - REMOVAL OF

EXISTING SUPERSTRUCTURES

ITEM 202.120001 - REMOVAL OF

EXISTING SUPERSTRUCTURES

ITEM 580.01 - REMOVAL OF

STRUCTURAL CONCRETE

ITEM 553.04010109 - TEMPORARY

CAUSEWAYS. REFER TO CONCEPTUAL

CAUSEWAY GENERAL PLAN, DWG. ST-1

PREPARED BY LABELLA ASSOCIATES.

OHW EL. 1251.92+/-

ITEM 202.120001 - REMOVAL OF

EXISTING SUPERSTRUCTURES

ITEM 202.19 - REMOVAL OF

SUBSTRUCTURES

AREA ANTICIPATED FOR

CONTRACTOR STAGING YARD

NOTES:

1. GIVEN THE WEST ABUTMENT EXHIBITS EVIDENCE OF DISPLACEMENT AND

INSTABILITY, THE CONTRACTOR IS HEREBY GIVEN NOTICE THAT HE WILL NOT BE

PERMITTED ON THE BRIDGE WITH DECK REMOVAL EQUIPMENT OF ANY KIND.

2. THESE CONCEPTUAL BRIDGE REMOVAL PLANS HAVE BEEN ADVANCED ASSUMING

THAT THE BRIDGE WILL BE FELLED BY DROPPING THE BRIDGE ON TO A CAUSEWAY,

AND THEN REMOVED OFF-SITE.

3. UPON COMPLETION OF THE BRIDGE REMOVAL OPERATIONS, THE CONTRACTOR

SHALL RESTORE THE SITE, RIVER BED, AND AFFECTED AREAS TO ITS

PRE-CONSTRUCTION CONDITIONS, TO THE GREATEST EXTENT PRACTICABLE.

EROSION CONTROL PRODUCTS SHALL BE INSTALLED AT ALL EXCAVATED AREAS TO

PREVENT EROSION AND LOSS OF SOILS UNTIL THE CONSTRUCTION OF THE

REPLACEMENT BRIDGE COMMENCES.

4. HEAVY STONE FILL USED IN THE CONSTRUCTION OF THE TEMPORARY CAUSEWAY

SHALL BECOME THE PROPERTY OF ALLEGANY COUNTY AND SHALL BE STOCK-PILED

IN A LOCATION(S) AS DIRECTED BY THE COUNTY OR THEIR AGENT.

TOP OF CAUSEWAY

EL. 1252.92+/-

DRAWING NO. RP-9

SHEET NO. 14

ITEM 580.04 - REMOVAL OF

CONCRETE APPROACH SLAB

ADDENDUM 4

THIS SHEET SUPERCEDES

SHEET 14 IN ITS ENTIRETY

14R1

ITEM 580.01 - REMOVAL OF

STRUCTURAL CONCRETE

DRAWING NO. RP-10

SHEET NO. 15

ITEM 580.04 - REMOVAL OF

CONCRETE APPROACH SLAB

ADDENDUM 4

THIS SHEET SUPERCEDES

SHEET 15 IN ITS ENTIRETY

15R1

ITEM 202.120001 - REMOVAL OF SUPERSTRUCTURES

ITEM 580.01 - REMOVAL OF STRUCTURAL CONCRETE

ITEM 202.19 - REMOVAL OF SUBSTRUCTURES

ITEM 202.120001 - REMOVAL OF SUPERSTRUCTURES

DRAWING NO. RP-21

SHEET NO. 26

ITEM 580.04 - REMOVAL OF CONCRETE APPROACH SLAB

ADDENDUM 4

THIS SHEET SUPERCEDES

SHEET 26 IN ITS ENTIRETY

26R1

E. HUGHES ST. / CR 26 BRIDGE OVER GENESEE RIVER ITEMIZED PROPOSAL

TOWN & VILLAGE OF BELFAST, ALLEGANY COUNTY, NY

BIN 3330740; PIN 6755.56 | D040494

UNIT QTY. DOLLARS . CTS DOLLARS . CTS

201.06 CLEARING AND GRUBBING LS 1 . .

202.120001 REMOVING EXISTING SUPERSTRUCTURES LS 1 . .

202.19 REMOVAL OF SUBSTRUCTURES CY 310 . .

203.02 UNCLASSIFIED EXCAVATION AND DISPOSAL CY 1,040 . .

203.03 EMBANKMENT IN PLACE CY 1,050 . .

206.01 STRUCTURE EXCAVATION CY 1,040 . .

209.13 SILT FENCE - TEMPORARY LF 500 . .

209.190301 ROLLED EROSION CONTROL PRODUCT, CLASS II

TYPE C, INTERMEDIATE SY 400 . .

553.04010109 TEMPORARY CAUSEWAYS LS 1 . .

570.090001 ENVIRONMENTAL GROUND PROTECTION LS 1 . .

BIDDER'S NAME: _________________________________________________________________ BALANCE TO CARRY FORWARD:

UNIT BID PRICE BID AMOUNT

ITEMIZED BASE PROPOSAL

ESTIMATED

QUANTITYITEM

NUMBER ITEM DESCRIPTION UNIT BID PRICE

(IN WORDS)

The itemized proposal shall be completed by the bidder with the unit prices written in words, and the extensions written in numerals. Sheet 1 of 4

17-A4

BIN 3330740; PIN 6755.56 | D040494

ITEMIZED BASE PROPOSAL

BALANCE BROUGHT FROWARD:

UNIT QTY. DOLLARS . CTS DOLLARS . CTS

570.100001 ENVIRONMENTAL WATERWAY PROTECTION LS 1 . .

580.04 REMOVAL OF CONCRETE APPROACH SLAB SF 2,240 . .

603.051410 CORRUGATED STEEL PIPE (2-2/3"X1/2"

CORRUGATIONS) 24 INCH, 10 GAUGE LF 65 . .

614.060102 TREE REMOVAL OVER 4 INCHES TO 6 INCHES DIAM.

BREAST HEIGHT - STUMPS CUT FLUSH EA 14 . .

614.060202 TREE REMOVAL OVER 6 INCHES TO 12 INCHES AT

BREAST HEIGHT - STUMPS CUT FLUSH EA 28 . .

614.060302 TREE REMOVAL OVER 12 INCHES TO 18 INCHES AT

BREAST HEIGHT - STUMPS CUT FLUSH EA 4 . .

614.060402 TREE REMOVAL OVER 18 INCHES TO 24 INCHES AT

BREAST HEIGHT - STUMPS CUT FLUSH EA 12 . .

614.060502 TREE REMOVAL OVER 24 INCHES TO 36 INCHES AT

BREAST HEIGHT - STUMPS CUT FLUSH EA 12 . .

617.01020024 CONTROLLING INVASIVE PLANT SPECIES BY

PULLING SF 2,000 . .

617.10000024 DISPOSAL OF MATERIAL CONTAINING INVASIVE

PLANT SPECIES CY 36 . .

BIDDER'S NAME: _________________________________________________________________ BALANCE TO CARRY FORWARD: $_____________________________.______

BID AMOUNT

ITEM

NUMBER ITEM DESCRIPTION

ESTIMATED

QUANTITY UNIT BID PRICE

(IN WORDS)

UNIT BID PRICE

The itemized proposal shall be completed by the bidder with the unit prices written in words, and the extensions written in numerals. Sheet 2 of 4

18-A4

BIN 3330740; PIN 6755.56 | D040494

ITEMIZED BASE PROPOSAL

BALANCE BROUGHT FROWARD:

UNIT QTY. DOLLARS . CTS DOLLARS . CTS

617.11000024 EQUIPMENT CLEANING FOR INVASIVE PLANT

SPECIES LS 1

619.01 BASIC WORK ZONE TRAFFIC CONTROL LS 1 . .

619.17010009 TEMPORARY CONCRETE BARRIER (UNPINNED) TO

REMAIN IN PLACE LF 135 . .

620.03 STONE FILLING (LIGHT) - COST INCLUDED IN ITEM

553.04010109 CY 500 ZERO DOLLARS & ZERO CENTS . .

620.05 STONE FILLING (HEAVY) - COST INCLUDED IN ITEM

553.04010109 CY 1,700 ZERO DOLLARS & ZERO CENTS . .

625.01 SURVEY OPERATIONS LS 1 . .

637.11 ENGINEER'S FIELD OFFICE - TYPE 1 MNTH 4 . .

637.34 OFFICE TECHNOLOGY AND SUPPLIES DC 2,000 ONE DOLLAR & ZERO CENTS . .

697.03 FIELD CHANGE PAYMENT (FCP) DC 91,400 ONE DOLLAR & ZERO CENTS . .

698.05 FUEL PRICE ADJUSTMENT DC 1,000 ONE DOLLAR & ZERO CENTS . .

BIDDER'S NAME: _________________________________________________________________ BALANCE TO CARRY FORWARD:

SUBTOTAL ________________________________________________________ DOLLARS $_____________________________.______

AND ____________________________________ CENTS

BID AMOUNT

ITEM

NUMBER ITEM DESCRIPTION

ESTIMATED

QUANTITY UNIT BID PRICE

(IN WORDS)

UNIT BID PRICE

The itemized proposal shall be completed by the bidder with the unit prices written in words, and the extensions written in numerals. Sheet 3 of 4

19-A4

BIN 3330740; PIN 6755.56 | D040494

ITEMIZED BASE PROPOSAL

BALANCE BROUGHT FROWARD:

UNIT QTY. DOLLARS . CTS DOLLARS . CTS

699.040001 MOBILIZATION (4% MAX.) LS 1 . .

BIDDER'S NAME: _________________________________________________________________

TOTAL BID ________________________________________________________ DOLLARS $_____________________________.______

AND ____________________________________ CENTS

ITEM

NUMBER ITEM DESCRIPTION

ESTIMATED

QUANTITY UNIT BID PRICE

(IN WORDS)

UNIT BID PRICE BID AMOUNT

The itemized proposal shall be completed by the bidder with the unit prices written in words, and the extensions written in numerals. Sheet 4 of 4

20-A4