AMENDMENT_NO._0001_W912P619B0017_VILLAGE_OF_CRESTWOOD_IL_SEC_219_PROJECT.pdf

W81G6690354395

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

SUBJECT: REVISIONS TO VARIOUS AREAS OF THE SOLICITATION; RE: INVITATION FOR BIDS NO. W912P619B0017, "CRESTWOOD WATER

MAIN IMPROVEMENTS, CRESTWOOD, IL"

SEE THE FOLLOWING PAGES

1. CONTRACT ID CODE PAGE OF PAGES

1 41

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 24-Aug-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W912P619B0017

X 9B. DATED (SEE ITEM 11)

07-Aug-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

24-Aug-2019

CODE

U.S. ARMY ENGINEER DISTRICT, CHICAGO

231 SOUTH LASALLE STREET SUITE 1500

CHICAGO IL 60604-1437

W912P6 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W912P619B0017

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

AMENDMENT PARTICULARS

A. BID OPENING DATE AND TIME:

The Bid Opening Date remains the same at September 12, 2019 at 4:00pm Central time contingent upon receipt of the IEPA WATER MAIN CONSTRUCTION Permit. The USACE anticipates receipt of said Permit by August 30, 2019; thus, the contingency statement (Page 1, Block 10 of the Solicitation document) now reads as follows:

IMPORTANT --CONTINGENCY STATEMENT: The Bid Opening is contingent upon the USACE- Chicago District receiving the IEPA water main construction permit for this project. Once received, the Chicago District will issue an Amendment advising bidders that the permit has been furnished. Said permit is anticipated by August 30, 2019. If said permit is not furnished to the Chicago District prior to the date scheduled to open bids, bids cannot be accepted and the bid opening date will be extended via an Amendment.

B. SUBMISSION OF BIDS: Detailed information regarding the submission of bids is located at section 00 22 13 of the Solicitation document – See “IMPORTANT BID NOTES.”

C. ACKNOWLEDGMENT OF AMENDMENT: Bidders shall acknowledge a copy of this particular Amendment and provide the acknowledged copy along with their Bid.

D. AMENDED BID SCHEDULE :

The government is providing a revised bid schedule (Section 00 10 00 – Solicitation Contract Form).

Therefore, Bidders shall remove and replace the previously issued respective Section with the Revised Section 00 10 00 enclosed hereunder. Bidders shall provide their prices on the Revised Bidding Schedule.

THE FOLLOWING REVISIONS WERE MADE TO THE BID SCHEDULE:

(1) SUBCLIN 0001AH

The unit of measure has changed to linear feet (LF)

(2) SUBCLIN 0001AX

The line item title has changed to: HMA Pavement and Removal

E. PREAWARD SURVEY QUESTIONAIRRE FORM:

By way of this Amendment, the government is PROVIDING a Pre-Award Survey form to be completed by the Bidder and submitted along with all other items called out in the Solicitation (Refer to Solicitation Section 00 22 13 – Supplementary Instructions to Bidders, as specifically described at Paragraph 3. “SUBMISSION OF BIDS”). The information will aid in surveying the business in accordance with the responsibility requirements set forth by the Federal Acquisition Regulation, Subpart 9. The preaward survey will not be conducted for each bidder, only the winning bidder.

F. POINT OF CONTACT: The Point of Contact (POC) for this Amendment is Annette Lakes at 312-846- 5368; email: annette.h.lakes@usace.army.mil.

(The aforementioned Revised Bid Schedule follows)

REVISED BID SCHEDULE

AMENDMENT 0001

Section 00 10 00 - Solicitation

DISTINCTION OF LINE ITEMS

The below Bid Schedule contains a combination of Firm Fixed Price (FFP) and cost reimbursable line items. Although “FFP” is shown in the description of the cost reimbursable line items, it is not to be construed as a Firm Fixed Price line item. In this case, the FFP represents the Contract Type, which is firm fixed price. Therefore, the contractor will be reimbursed as stated within the extended description of the cost reimbursable line items.

CONTRACT FORM - BID SCHEDULE

THE BELOW BID SCHEDULE SHALL BE USED BY BIDDERS TO SUBMIT

THEIR BID PRICES (TO INCLUDE ENTERING UNIT PRICES, EXTENDED

PRICES AND OVERALL BID PRICE)

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

BASE WORK - LOCATION: WEST PLAYFIELD

FFP

WEST PLAYFIELD WATER MAIN REPLACEMENT (Refer to Plan SHEET C- 101 through SHEET C-108)

This is a Parent Line Item linking Sub-items 0001AA through 0001BM under this Bid Schedule. This Line Item is integral and sets forth the primary work related directly to the respective Sub-items; therefore, the sub-items shall be separately priced at their individual Sub-item Number , which if awarded, will be executed at the quantities, prices and or amounts established therein to satisfy the contract requirements.

Furthermore, this Parent line item shall not be scheduled separately for delivery or priced for payment purposes. Accordingly, delivery, shipment and pricing, all apply to the quantities delineated at the sub-item level.

PURCHASE REQUEST NUMBER: W81G6690354395

NET AMT

0001AA 1 Job

TRAFFIC CONTROL & PROTECTION

FFP

0001AB 1 Job

CONTRACTOR VIDEO DATA OF EXISTING

FFP

CONDITIONS

0001AC 1 Job

MOBILIZATION (BASE WORK)

FFP

Under this line item, the contractor is required to perform mobilization activities.

The contractor will be compensated for the totality of its activities needed to mobilize its equipment and labor force to the project site.

Payment Provisions: The Government will pay all costs for the mobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment determined by the Contracting Officer of the actual costs, which is not subject to appeal.

0001AD 1 Job

DEMOBILIZATION (BASE WORK)

FFP

Under this line item, the contractor is required to perform demobilization activities.

The contractor will be compensated for the totality of its activities needed to demobilize its equipment and labor force from the project site.

Payment Provisions: The Government will pay all costs for the demobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment determined by the Contracting Officer of the actual costs, which is not subject to

0001AE 1 Job

CONSTRUCTION STAKING AND LAYOUT

0001AF 1 Lot

PERFORMANCE & PAYMENT BOND (BASE WORK)

FFP

THIS IS A COST REIMBURSABLE LINE ITEM FOR BOND COVERAGE

FOR LINE

ITEMS 0001AA THROUGH 0001BK.

The Government will reimburse the Contractor for the actual cost of acceptable bonds upon receiving evidence of payment (i.e. paid invoice) from the bonding company or agency, not to exceed the total amount of this contract line item. The Government will not pay more than the amount bid for this item. If the actual bond costs are less than the line item amount, the contract will be modified to adjust the line item accordingly. Adjustment(s) to the line item will also be made for any revisions associated with contract price changes.

0001AG 1,885 Foot

D.I. WATERMAIN, OPEN-CUT, 6"

FFP

W/POLYWRAP & TRACER WIRE W/ TRENCH BACKFILL

0001AH 1,207 Foot

D.I. WATERMAIN, OPEN-CUT, 8-INCH

FFP

0001AJ 6 Each

FIRE HYDRANT ASSEMBLY WITH AUX.

FFP

VALVE & BOX, 6"

0001AK 8 Each

GATE VALUE WITH VALVE BOX, 6 INCH

0001AL 2 Each

GATE VALUE WITH VALVE BOX, 8 INCH

0001AM 83 Each

CONNECT EXISTING WATER SERVICE, 3/4"

0001AN 354 Linear

Foot

WATER SERVICE PIPE, OPEN-CUT, 3/4"

0001AP 640 Foot

WATER SERVICE PIPE, INSTALLED

FFP

VIA HDD, 3/4 INCH

0001AQ 27 Each

COMPLETE REMOVAL &

FFP

REPLACEMENT OF CURB STOP AND CURB BOX

0001AR 7 Each

PRIVATE LIGHT POST REMOVAL

FFP

& REINSTALLATION

0001AS 1,990 Square

CONCRETE SIDEWALK REMOVAL & REPLACEMENT

0001AT 113 Square

Yard

CONCRETE DRIVEWAY REMOVAL & REPLACEMENT

0001AU 210 Square

HMA DRIVEWAY REMOVAL AND REPLACEMENT

0001AV 130 Foot

COMBINATON CURB AND GUTTER

FFP

REMOVAL & REPLACEMENT

0001AW 32 Square

DETECTABLE WARNING

0001AX 83 Square

HMA PAVEMENT REMOVAL & REPLACEMENT

0001AY 10 Unit

TREE REMOVAL (6 TO 15 UNITS DIAMETER)

0001AZ 13 Each

TREE PROTECTION

0001BA 14 Each

INLET FILTER BASKET

0001BB 1 Each

NON-PRESSURE CONNECTION TO EXISTING

FFP

WATER MAIN, 8"X8"

0001BC 2 Each

PRESSURE CONNECTION

FFP

TO EXISTING WATER MAIN, 6"X6"

0001BD 13 Each

VALVE BOX REMOVAL

0001BE 7 Each

FIRE HYDRANT REMOVAL

0001BF 3 Each

CAP ABANDON EXISTING WATER MAIN

0001BG 882 Foot

SANITARY SEWER LATERAL

FFP

PIPE REPLACEMENT TO PVC WAER MAIN QUALITY, 6"

0001BH .57 Acre

PARKWAY RESTORATION - 4" TOP SOIL,

FFP

SEED & BLANKET

0001BJ 42 Foot

STORM SEWER PIPE REPLACEMENT TO PVC

FFP

WATER MAIN QUALITY, 8"

0001BK 42 Foot

WATER MAIN QUALITY CASING PIPE, 12"

OPTION OPTION 1 ITEMS -LOCATION: WEST PLAYFIELD

FFP

OPTION 1 BID ITEMS:

WEST PLAYFIELD WATER MAIN REPLACEMENT (Refer to Plan SHEET C- 111 through SHEET C-113)

This is a Parent Line Item linking Sub-items 0002AA through 0002BD under this Bid Schedule. This Line Item is integral and sets forth the primary work related directly to the respective Sub-items; therefore, the sub-items shall be separately priced at their individual Sub-item Number, which if awarded, will be executed at the quantities, prices and or amounts established therein to satisfy the contract requirements.

Furthermore, this Parent line item shall not be scheduled separately for delivery or priced for payment purposes. Accordingly, delivery, shipment and pricing, all

0002AA 1 Job

OPTION TRAFFIC CONTROL & PROTECTION

0002AB 1 Job

OPTION CONTRACTOR VIDEO DATA OF EXISTING

FFP

CONDITIONS

0002AC 1 Job

OPTION MOBILIZATION (OPTION 1 ITEMS)

FFP

Under this line item, the contractor is required to perform mobilization activities.

The contractor will be compensated for the totality of its activities needed to mobilize its equipment and labor force to the project site.

Payment Provisions: The Government will pay all costs for the mobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment determined by the Contracting Officer of the actual costs, which is not subject to

0002AD 1 Job

OPTION DEMOBILIZATION (OPTION 1 ITEMS)

FFP

Under this line item, the contractor is required to perform demobilization activities.

The contractor will be compensated for the totality of its activities needed to demobilize its equipment and labor force from the project site.

Payment Provisions: The Government will pay all costs for the demobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment

0002AE 1 Job

OPTION CONSTRUCTION STAKING AND LAYOUT

0002AF 1 Lot

OPTION PERFORMANCE & PAYMENT BOND (OPTION 1)

FFP

THIS IS A COST REIMBURSABLE LINE ITEM FOR BOND COVERAGE

FOR OPTION 1 ITEMS 0002AA THROUGH 0002AE AND 0002AG

THROUGH 0002BD.

The Government will reimburse the Contractor for the actual cost of acceptable bonds upon receiving evidence of payment (i.e. paid invoice) from the bonding company or agency, not to exceed the total amount of this contract line item. The Government will not pay more than the amount bid for this item. If the actual bond costs are less than the line item amount, the contract will be modified to adjust the line item accordingly. Adjustment(s) to the line item will also be made for any

0002AG 927 Foot

OPTION D.I. WATERMAIN, OPEN-CUT, 6"

FFP

0002AH 4 Each

OPTION FIRE HYDRANT ASSEMBLY

FFP

WITH AUX. VALVE & BOX, 6"

0002AJ 2 Each

OPTION GATE VALVE WITH VALVE BOX, 6-INCH

0002AK 28 Each

OPTION CONNECT EXISTING WATER SERVICE, 3/4"

0002AL 265 Foot

OPTION WATER SERVICE PIPE, OPEN-CUT, 3/4 INCH

0002AM 15 Each

OPTION COMPLETE REMOVAL & REPLACEMENT OF

FFP

CURB STOP AND CURB BOX

0002AN 2,000 Square

OPTION CONCRETE SIDEWALK REMOVAL

AND REPLACEMENT

0002AP 6 Square

OPTION HMA DRIVEWAY REMOVAL

AND REPLACEMENT

0002AQ 100 Foot

OPTION COMBINATION CURB & GUTTER

FFP

REMOVAL AND REPLACEMENT

0002AR 32 Square

OPTION DETECTABLE WARNING

0002AS 215 Square

OPTION HMA PAVEMENT REMOVAL & REPLACEMENT

0002AT 20 Unit

OPTION TREE REMOVAL (6 TO 15 UNITS DIAMETER)

0002AU 2 Each

OPTION TREE PROTECTION

0002AV 11 Each

OPTION INLET FILTER BASKET

0002AW 1 Each

OPTION PRESSURE CONNECTION TO EXISTING

FFP

WATER MAIN, 6" X 6"

0002AX 5 Each

OPTION VALVE BOX REMOVAL

0002AY 4 Each

OPTION FIRE HYDRANT REMOVAL

0002AZ 2 Each

OPTION CAP ABANDON EXISTING WATER MAIN

0002BA 294 Foot

OPTION SANITARY SEWER LATERAL PIPE REPLACEMENT

FFP

TO PVC WATER MAIN QUALITY, 6"

0002BB 22 Foot

OPTION STORM SEWER PIPE REPLACEMENT

FFP

TO PVC WATER MAIN QUALITY, 12"

0002BC 150 Foot

OPTION WATER MAIN QUALITY CASING PIPE, 12"

0002BD .17 Acre

OPTION PARKWAY RESTORATION - 4" TOP SOIL, SEED

FFP

& BLANKET

OPTION OPTION 2 ITEMS- LOCATION: WEST PLAYFIELD

FFP

OPTION 2 BID ITEMS:

WEST PLAYFIELD WATER MAIN REPLACEMENT (Refer to Plan SHEET C- 109 through SHEET C-110)

This is a Parent Line Item linking Sub-items 0003AA through 0003AX under this Bid Schedule. This Line Item is integral and sets forth the primary work related directly to the respective Sub-items; therefore, the sub-items shall be separately priced at their individual Sub-item Number, which if awarded, will be executed at the quantities, prices and or amounts established therein to satisfy the contract requirements.

Furthermore, this Parent line item shall not be scheduled separately for delivery or priced for payment purposes. Accordingly, delivery, shipment and pricing, all

0003AA 1 Job

OPTION TRAFFIC CONTROL & PROTECTION

0003AB 1 Job

OPTION CONTRACTOR VIDEO DATA OF

EXISTING CONDITIONS

0003AC 1 Job

OPTION MOBILIZATION (OPTION 2 ITEMS)

FFP

Under this line item, the contractor is required to perform mobilization activities.

The contractor will be compensated for the totality of its activities needed to mobilize its equipment and labor force to the project site.

Payment Provisions: The Government will pay all costs for the mobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment

0003AD 1 Job

OPTION DEMOBILIZATION (OPTION 2 ITEMS)

FFP

Under this line item, the contractor is required to perform demobilization activities.

The contractor will be compensated for the totality of its activities needed to demobilize its equipment and labor force from the project site.

Payment Provisions: The Government will pay all costs for the demobilization of all of the Contractor's plant and equipment at the lump sum price for this item. The Contracting Officer may require the contractor to furnish cost data to justify its bid price for this item if the Contracting Officer deems there is no reasonable relationship to the cost of the work in this contract. Failure to justify the line item price to the satisfaction of the Contracting Officer will result in payment

0003AE 1 Job

OPTION CONSTRUCTION STAKING AND LAYOUT

0003AF 1 Lot

OPTION PERFORMANCE & PAYMENT BOND (OPTION 2 )

FFP

THIS IS A COST REIMBURSABLE LINE ITEM FOR BOND COVERAGE

FOR OPTION 2 ITEMS 0003AA THROUGH 0003AE AND 0003AG

THROUGH 0003AX

The Government will reimburse the Contractor for the actual cost of acceptable bonds upon receiving evidence of payment (i.e. paid invoice) from the bonding company or agency, not to exceed the total amount of this contract line item. The Government will not pay more than the amount bid for this item. If the actual bond costs are less than the line item amount, the contract will be modified to adjust the line item accordingly. Adjustment(s) to the line item will also be made for any

0003AG 785 Foot

OPTION D.I. WATERMAIN, OPEN-CUT, 6"

0003AH 3 Each

OPTION FIRE HYDRANT ASSEMBLY WITH AUX

VALVE & BOX 6"

0003AJ 21 Each

OPTION CONNECT EXISTING WATER SERVICE, 3/4"

0003AK 150 Foot

OPTION WATER SERVICE PIPE, OPEN-CUT, 3/4"

0003AL 7 Each

OPTION COMPLETE REMOVAL & REPLACEMENT

OF CURB STOP & CURB BOX

0003AM 1 Each

OPTION PRIVATE LIGHT POST REMOVAL

& REINSTALLATION

0003AN 25 Square

OPTION CONCRETE SIDEWALK REMOVAL

& REPLACEMENT

0003AP 12 Square

OPTION CONCRETE DRIVEWAY REMOVAL

0003AQ 90 Square

OPTION HMA DRIVEWAY REMOVAL

0003AR 5 Each

OPTION TREE PROTECTION

0003AS 2 Each

OPTION INLET FILTER BASKET

0003AT 4 Each

OPTION VALVE BOX REMOVAL

0003AU 3 Each

OPTION FIRE HYDRANT REMOVAL

0003AV 2 Each

OPTION CAP ABANDON EXISTING WATER MAIN

0003AW 231 Foot

OPTION SANITARY SEWER LATERAL PIPE

REPLACEMENT TO PVC WATER MAIN QUALITY, 6"

0003AX .14 Acre

OPTION PARKWAY RESTORATION - 4" TOP SOIL,

SEED & BLANKET

SUMMATION OF PRICES:

BASE WORK (ITEMS 0001AA THROUGH 0001BK): $_____________________

OPTION 1 BID ITEMS (ITEMS 0002AA THROUGH 0002BD): $____________________

OPTION 2 BID ITEMS (ITEMS 0003AA THROUGH 0003AX): $____________________

TOTAL OVERALL BID PRICE (ITEMS 0001AA THROUGH 0001BK; ITEMS 0002AA

THROUGH 0002BD, AND ITEMS AND 0003AA THROUGH 0003AX:

END OF REVISED BID SCHEDULE VIA AMENDMENT NO. 0001

PREAWARD SURVEY QUESTIONAIRRE

(RE: Subparts 9.104-1 and 9.105-1 of the Federal Acquisition Regulation)

CONTRACTOR:

SOLICITATION NUMBER (INVITATION FOR BIDS NO. W912P619B0017, VILLAGE

OF CRESTWOOD, IL WATER MAIN IMPROVEMENTS PROJECT

Please complete the below form to assist in the completion of a Pre-award Survey:

1. Month and Year started in business:

2. Year and State Incorporated:

3. Key Personnel:

President/Owner :

5. Surety:

Agency:

Agent:

Address, City & State:

Telephone#:

6. Insurance Company:

Agency:

Vice President/Partner:

Secretary/Treasurer:

4. Number of Full-Time Employees:

Agent:

7. Financial Institution Information:

Name of Bank:

Contact Person:

8. References: Provide the names and contact information of three references. Information obtained from references will be used to determine if you have been diligent in the following areas: a) Quality of Work; b) Timely Performance; c) Effectiveness of Management; d) Compliance with Safety Standards; and e) Compliance with Labor Standards.

9. Does your company have any ongoing projects that may cause a problem with completing or beginning performance of the subject project?

END OF FORM

END OF AMENDMENT NO. 0001