PROJECT MANUAL BID FORMS. Runway 17L-35R Complex Pavement and Lighting Rehabilitation CONTRACT NO Issued for Bid October 28, 2014

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1 PROJECT MANUAL Runway 17L-35R Complex Pavement and Lighting Rehabilitation CONTRACT NO BID FORMS Issued for Bid October 28, 2014 CITY & COUNTY OF DENVER DEPARTMENT OF AVIATION

2 DENVER INTERNATIONAL AIRPORT BID FORMS CONTRACT NAME: Contract No.: Bid Letter BIDDER Manager of Aviation City and County of Denver Business Management Services (Procurement) Office Airport Office Building, Room 8810 Denver International Airport 8500 Peña Boulevard Denver, Colorado This letter is in response to the Notice of Invitation for Bids first published on October 23, 2014, for Contract No , Denver International Airport, Runway 17L-35R Complex Pavement and Lighting Rehabilitation. This contract is for: Rehabilitate the pavement in the Runway 17L-35R Complex, by removing and replacing concrete slabs in the Runway and Taxiways P, P6, P7, and ED. Replace lighting fixtures, bases and conduit that have been removed with the pavement. The undersigned Bidder declares that it has carefully examined the location of the proposed work and has carefully read and examined all of the Contract Documents which include, but are not limited to, the Contract Drawings, Technical Specifications, Construction Contract General Conditions, Special Conditions, Instruction to Bidders, and EEO provisions, and hereby proposes to furnish all labor, materials, equipment, tools, transportation and services, and to discharge all duties and obligations necessary and required to perform and complete the Work as required in the Contract Documents which are provided herewith and by this reference made a part hereof for the prices shown in the bid forms and totaled below: Total Contract Bid Amount: Dollars and Cents ($ ). The undersigned acknowledges receipt, understanding and full consideration of the following addenda to the Contract Documents: Addenda Nos.: The undersigned agrees that this bid is a firm offer to the City to perform and complete the Contract described above which cannot be withdrawn for one hundred twenty (120) calendar 34

3 days after the bids are opened or until after a contract for the work described in these bid documents is fully executed by the City, whichever date is earlier. The undersigned Bidder hereby agrees to appear at Denver International Airport, Business Management Services Office, Room 8810, Airport Office Building, at any time within five (5) working days from the date of a written notice from the Manager to do so, mailed, ed, or faxed to the business address of Bidder and at that time the Bidder shall: (1) deliver an executed Contract which conforms with this bid; (2) furnish the required performance and payment bonds in the sum of the Total Contract Bid Amount shown above, executed by a surety company acceptable to the Manager; and (3) furnish the required insurance documents. Enclosed herewith is a bid guarantee, as defined in the Instructions to Bidders, in the amount of which bid guarantee the undersigned Bidder agrees is to be paid to and become the property of the City as liquidated damages should the bid be considered to be the best by the City and the undersigned Bidder notified that it is the apparent low bidder and it fails to enter into contract in the form prescribed and to furnish the required performance and payment bonds and evidences of insurance within five (5) working days as stipulated above. Attached and incorporated herein are the proposed Schedule of Prices and Quantities and Bid Data Forms. All of the forms must be completed. Bidder acknowledges that the City may incorporate, at its option, any or all of the data submitted by the Bidder into a contract arising out of this Bid. The undersigned Bidder acknowledges the right of the City to waive informalities in the bids, to reject any or all bids submitted, and to re-advertise for bids. The undersigned certifies that it has examined and is fully familiar with all of the provisions of the Contract Documents and is satisfied that they are accurate; that it has carefully checked all words and figures and all statements made in these Bid forms; and that it has satisfied itself with respect to the actual site conditions and the nature and location of the Work, the general and local conditions which may be encountered in the performance of the Work, and other matters which in any way affect the Work or the cost thereof. [CERTIFICATION AND SIGNATURE ON FOLLOWING PAGES] 35

4 This bid is submitted upon the declaration that neither, I (we), nor, to the best of my (our) knowledge, none of the members of my (our) firm or company have either directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this bid. Dated this day of,. BUSINESS ADDRESS OF BIDDER: City, State, Zip Code: Telephone Number of Bidder: Fax Number of Bidder: ( ) ( ) Address: Social Security or Employer Id. No. of Bidder: SIGNATURE OF BIDDER: If a Corporation: Attest: (Corporate Seal) Secretary PRINT NAME OF CORPORATION: a Corporation By: President If a Limited Liability Company: PRINT NAME OF LIMITED LIABILITY COMPANY: Organized in the State of By: Manager [signature blocks for partnerships, limited partnerships and joint ventures are on following pages] 36

5 If a Partnership: PRINT NAME OF PARTNERSHIP: By: General Partner If an Individual:, doing business as Signature: (Signature blocks for joint ventures are on the next page) 37

6 If a Joint Venture, signature of all Joint Venture partners is required: PRINT NAME OF JOINT VENTURE: Joint Venture Partner -- Name of Firm: Corporation ( ) or Partnership ( ) Joint Venture Partner -- Name of Firm: Corporation ( ) or Partnership ( ) By: Signature Title: Required for a corporation: ATTEST: (Corporate Seal) Secretary Joint Venture Partner Name of Firm: Corporation ( ) or Partnership ( ) By: Signature Title: Required for a corporation: ATTEST: (Corporate Seal) Secretary Joint Venture Partner Name of Firm: Corporation ( ) or Partnership ( ) By: Signature Title: Required for a corporation: ATTEST: (Corporate Seal) Secretary By: Signature Title: Required for a corporation: ATTEST: (Corporate Seal) Secretary 38

7 SCHEDULE OF PRICES AND QUANTITIES The Schedule of Prices and Quantities which apply to this contract are contained in the pages immediately following this page. These pages are not included in the page numbering of this contract document. 39

8 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO Part 1 - Schedule of Prices and Quantities SCHEDULE I: RUNWAY 17L-35R PAVEMENT REHABILITATION (INCLUDING CONNECTOR TAXIWAYS UP TO HOLD LINES) (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension a Mobilization at the lump sum of ($ ) per lump sum. 1 LS a Maintain Lighted X's at the lump sum of ($ ) per lump sum. 1 LS a Haul Route Monitor at the unit price of ($ ) per hour. 6,500 HR b Gate Guard at the unit price of ($ ) per hour. 2,800 HR c Gate Guard Shack (Temporary) at the lump sum of ($ ) per lump sum. 1 LS d Traffic Control at the lump sum of ($ ) per lump sum. 1 LS P-150a Remove Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 2,523 SY P-150b P-150c P-150d Remove Concrete Pavement - 17" Non-Reinforced at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement Full Depth at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement 3-Inch Depth By Cold Milling at the unit price of ($ ) per square yard. 94,618 SY 2,547 SY 746 SY

9 SCHEDULE I: RUNWAY 17L-35R PAVEMENT REHABILITATION (INCLUDING CONNECTOR TAXIWAYS UP TO HOLD LINES) (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension P-150e Demolish L-868 Base Can at the unit price of ($ ) per each. 529 EA P-150f Demolish Base Can In Shoulder, Remove Light Fixture at the unit price of ($ ) per each. 10 EA P-150g P-161a Remove Concrete Curing Compound at the unit price of ($ ) per square foot. Bondbreaker Fabric at the unit price of ($ ) per square yard. 87,480 SF 97,141 SY P-161b P-161c Geotextile Fabric at the unit price of ($ ) per square yard. Stress-Absorbing Fabric at the unit price of ($ ) per square yard. 2,547 SY 746 SY P-401a Bituminous Surface Course (3-Inch) at the unit price of ($ ) per ton. 556 TON P-401b Bituminous Base Course (7-Inch) at the unit price of ($ ) per ton. 1,003 TON P-403a Asphalt Treated Permeable Base (5-7 Inches) at the unit price of ($ ) per square yard. 2,547 SY P-501a P-501b Portland Cement Concrete Pavement - 17" Non-Reinforced - High Production at the unit price of ($ ) per square yard. Portland Cement Concrete Pavement - 17" Non-Reinforced - Low Production at the unit price of ($ ) per square yard. 82,104 SY 12,514 SY

10 SCHEDULE I: RUNWAY 17L-35R PAVEMENT REHABILITATION (INCLUDING CONNECTOR TAXIWAYS UP TO HOLD LINES) (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension P-501c Portland Cement Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 2,523 SY P-501d Concrete Grooving at the unit price of ($ ) per square yard. 90,320 SY P-501e Concrete Block Out at the unit price of ($ ) per each. 1 EA P-610a Cement Treated Base Repair at the unit price of ($ ) per square yard. 2,920 SY L-125r Remove and Reinstall Light Fixture, Install Temporary Plywood Cover at the unit price of ($ ) per each. 238 EA L-125s Procure and Install New 22" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 492 EA L-125t Procure and Install New 26" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 37 EA L-125u Procure and Install New L-867B Base Can In Shoulder Pavement, Reinstall Light Fixture (Complete) at the unit price of ($ ) per each. 10 EA

11 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO Part 1 - Schedule of Prices and Quantities SCHEDULE II: TAXIWAY "ED" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension a Mobilization at the lump sum of ($ ) per lump sum. 1 LS P-150a Remove Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 2,638 SY P-150b P-150c P-150e Remove Concrete Pavement - 17" Non-Reinforced at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement Full Depth at the unit price of ($ ) per square yard. Demolish L-868 Base Can at the unit price of ($ ) per each. 39,960 SY 4,910 SY 146 EA P-150f Demolish Base Can In Shoulder, Remove Light Fixture at the unit price of ($ ) per each. 2 EA P-150g P-161a P-161b Remove Concrete Curing Compound at the unit price of ($ ) per square foot. Bondbreaker Fabric at the unit price of ($ ) per square yard. Geotextile Fabric at the unit price of ($ ) per square yard. 28,350 SF 42,598 SY 4,910 SY P-401a Bituminous Surface Course (3-Inch) at the unit price of ($ ) per ton. 829 TON

12 SCHEDULE II: TAXIWAY "ED" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension P-401b Bituminous Base Course (7-Inch) at the unit price of ($ ) per ton. 1,933 TON P-403a P-501a P-501c Asphalt Treated Permeable Base (5-7 Inches) at the unit price of ($ ) per square yard. Portland Cement Concrete Pavement - 17" Non-Reinforced - High Production at the unit price of ($ ) per square yard. Portland Cement Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 4,910 SY 39,960 SY 2,638 SY P-501d P-610a Concrete Grooving at the unit price of ($ ) per square yard. Cement Treated Base Repair at the unit price of ($ ) per square yard. 4,500 SY 1,280 SY L-125r Remove and Reinstall Light Fixture, Install Temporary Plywood Cover at the unit price of ($ ) per each. 1 EA L-125s Procure and Install New 22" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 123 EA L-125t Procure and Install New 26" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 23 EA L-125u Procure and Install New L-867B Base Can In Shoulder Pavement, Reinstall Light Fixture (Complete) at the unit price of ($ ) per each. 2 EA

13 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO Part 1 - Schedule of Prices and Quantities SCHEDULE III: TAXIWAYS "P, P6, P7" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension a Mobilization at the lump sum of ($ ) per lump sum. 1 LS P-150a Remove Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 623 SY P-150b P-150c P-150d Remove Concrete Pavement - 17" Non-Reinforced at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement Full Depth at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement 3-Inch Depth By Cold Milling at the unit price of ($ ) per square yard. 4,374 SY 50 SY 73 SY P-150e Demolish L-868 Base Can at the unit price of ($ ) per each. 39 EA P-150g P-161a Remove Concrete Curing Compound at the unit price of ($ ) per square foot. Bondbreaker Fabric at the unit price of ($ ) per square yard. 3,690 SF 4,997 SY P-161b P-161c Geotextile Fabric at the unit price of ($ ) per square yard. Stress-Absorbing Fabric at the unit price of ($ ) per square yard. 50 SY 73 SY

14 SCHEDULE III: TAXIWAYS "P, P6, P7" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension P-401a Bituminous Surface Course (3-Inch) at the unit price of ($ ) per ton. 21 TON P-401b Bituminous Base Course (7-Inch) at the unit price of ($ ) per ton. 20 TON P-403a P-501b Asphalt Treated Permeable Base (5-7 Inches) at the unit price of ($ ) per square yard. Portland Cement Concrete Pavement - 17" Non-Reinforced - Low Production at the unit price of ($ ) per square yard. 50 SY 4,374 SY P-501c Portland Cement Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 623 SY P-610a Cement Treated Base Repair at the unit price of ($ ) per square yard. 150 SY L-125r Remove and Reinstall Light Fixture, Install Temporary Plywood Cover at the unit price of ($ ) per each. 40 EA L-125s Procure and Install New 22" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 36 EA L-125t Procure and Install New 26" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 3 EA

15 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO Part 1 - Schedule of Prices and Quantities SCHEDULE IV: TAXIWAYS "P, P2, P3, P4, P9" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension a Mobilization at the lump sum of ($ ) per lump sum. 1 LS P-150a Remove Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 1,025 SY P-150b P-150c Remove Concrete Pavement - 17" Non-Reinforced at the unit price of ($ ) per square yard. Remove Bituminous Shoulder Pavement Full Depth at the unit price of ($ ) per square yard. 5,475 SY 186 SY P-150d Remove Bituminous Shoulder Pavement 3-Inch Depth By Cold Milling at the unit price of ($ ) per square yard. 261 SY P-150e Demolish L-868 Base Can at the unit price of ($ ) per each. 43 EA P-150g P-161a P-161b Remove Concrete Curing Compound at the unit price of ($ ) per square foot. Bondbreaker Fabric at the unit price of ($ ) per square yard. Geotextile Fabric at the unit price of ($ ) per square yard. 2,340 SF 6,500 SY 186 SY P-161c Stress-Absorbing Fabric at the unit price of ($ ) per square yard. 261 SY

16 SCHEDULE IV: TAXIWAYS "P, P2, P3, P4, P9" PAVEMENT REHABILITATION (FEDERAL) Item No. Description and Price Quantity Unit Unit Price Extension P-401a Bituminous Surface Course (3-Inch) at the unit price of ($ ) per ton. 76 TON P-401b Bituminous Base Course (7-Inch) at the unit price of ($ ) per ton. 73 TON P-403a P-501b Asphalt Treated Permeable Base (5-7 Inches) at the unit price of ($ ) per square yard. Portland Cement Concrete Pavement - 17" Non-Reinforced - Low Production at the unit price of ($ ) per square yard. 186 SY 5,475 SY P-501c Portland Cement Concrete Pavement - 17" Reinforced at the unit price of ($ ) per square yard. 1,025 SY P-610a Cement Treated Base Repair at the unit price of ($ ) per square yard. 200 SY L-125r L-125s Remove and Reinstall Light Fixture, Install Temporary Plywood Cover at the unit price of ($ ) per each. Procure and Install New 22" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 49 EA 25 EA L-125t Procure and Install New 26" Deep L-868B Light Base (Complete) at the unit price of ($ ) per each. 18 EA

17 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO SCHEDULE V: SPALL REPAIR AND ACCESS ROADS (NON-FEDERAL) Part 1 - Schedule of Prices and Quantities Item No. Description and Price Quantity Unit Unit Price Extension a Mobilization at the lump sum of ($ ) per lump sum. 1 LS P-152a Subgrade Preparation at the unit price of ($ ) per square yard. 290 SY P-401c Bituminous Access Road (4-Inch) at the unit price of ($ ) per ton. 60 TON P-501f Spall Repair at the unit price of ($ ) per square foot. 7,180 SF

18 DENVER INTERNATIONAL AIRPORT RUNWAY 17L-35R COMPLEX PAVEMENT AND LIGHTING REHABILITATION CONTRACT NO Part 2 - Schedule of Prices and Quantities Item No. Description and Price Quantity Unit Unit Price Extension SCHEDULE A: REPLACE RUNWAY 17L-35R LIGHTING, REPLACE PARALLEL TAXIWAY "P" AND CONNECTOR TAXIWAY CENTERLINE LIGHTING (FEDERAL) 01505a Mobilization at the lump sum of 1 LS ($ ) per lump sum a Cover Elevated Edge Lights at the unit price of 8 EA ($ ) per each b Cover Panel on Guidance Sign at the unit price of 4 EA ($ ) per each c Install Tie Back at the unit price of 2 EA ($ ) per each. L-108a Install Cable, 1/C #8, 7 Strand, 5000V, L-824, Type C at the unit price of 106,000 LF ($ ) per linear foot. L-110a Install Conduit 1-Way, 2-Inch PVC (CLSM) at the unit price of 70 LF ($ ) per linear foot. L-110b Install Conduit 1-Way, 2-Inch PVC (CE) at the unit price of 120 LF ($ ) per linear foot. L-125a Procure L-850A(L) Runway Centerline Light at the unit price of 239 EA ($ ) per each. L-125b Procure L-850B(L) Runway Touchdown Zone Light at the unit price of 180 EA ($ ) per each. L-125c Procure L-850C Runway Edge Light at the unit price of 5 EA ($ ) per each. L-125d Remove and Install L-850A(L) Runway Centerline Light at the unit price of 239 EA ($ ) per each. L-125e Remove and Install L-850B(L) Runway Touchdown Zone Light at the unit price of 180 EA ($ ) per each.

19 L-125f Remove and Install L-850C Runway Edge Light at the unit price of 5 EA ($ ) per each. L-125g Remove and Reinstall L-852C Unidirectional Taxiway Centerline Light at the unit price of 5 EA ($ ) per each. L-125h Remove and Reinstall L-852C Bidirectional Taxiway Centerline Light at the unit price of 137 EA ($ ) per each. L-125i Remove and Reinstall L-852D Unidirectional Taxiway Centerline Light at the unit price of 181 EA ($ ) per each. L-125j Remove and Reinstall L-852D Bidirectional Taxiway Centerline Light at the unit price of 71 EA ($ ) per each. L-125k Remove and Reinstall L-852GS 2-Circuit Runway Stop Bar/Guard Light at the unit price of 21 EA ($ ) per each. L-125l Remove and Reinstall L-862 Runway Edge Light at the unit price of 2 EA ($ ) per each. L-125m Remove and Reinstall L-861T Taxiway Edge Light at the unit price of 2 EA ($ ) per each. L-125n Remove and Reinstall Coverplate at the unit price of 86 EA ($ ) per each. L-125o Procure and Install L-868, Size A, Base Can at the unit price of 15 EA ($ ) per each. L-125p Install Fixture ID Marker at the unit price of 925 EA ($ ) per each. L-125q Drill Out Existing Bolt and Rethread Existing Bolt Hole at the unit price of 117 EA ($ ) per each. L-127a Remove and Install Internally Lighted L-806(L) Supplemental Wind Cone and Foundation at the unit price of 2 EA ($ ) per each. L-131a Remove and Install Pavement Sensor at the unit price of 5 EA ($ ) per each.

20 L-140a Photometric Testing for Runway 17L-35R Complex Light Fixtures at the lump sum of 1 LS ($ ) per lump sum Ca Remove and Reinstall Brite III Remote Unit, Dual Channel at the unit price of 21 EA ($ ) per each. SCHEDULE B: REPLACE HOMERUN CABLE (FEDERAL) L-108a Install Cable, 1/C #8, 7 Strand, 5000V, L-824, Type C at the unit price of 345,000 LF ($ ) per linear foot. L-108b Install Cable, 1/C #8 Green Insulated Ground at the unit price of 21,000 LF ($ ) per linear foot. SCHEDULE C: PROCURE AND INSTALL ACTIVE PAVEMENT SENSOR EQUIPMENT AND INFRASTRUCTURE (NON-FEDERAL) 01505a Mobilization at the lump sum of 1 LS ($ ) per lump sum. L-127b Remove and Install L-806(L) ARFF #3 Wind Cone and Foundation at the lump sum of 1 LS ($ ) per lump sum. L-132a Install Active Pavement Sensor System at the lump sum of 1 LS ($ ) per lump sum.

21 DENVER INTERNATIONAL AIRPORT Contract No Bid Data Forms Bidder shall submit its Bid Data in accordance with the format shown on each of the following Bid Data Forms. Bidder shall prepare and use as many sheets as are necessary to provide the information required. Bidder shall ensure that each page of its Bid Data is completed and properly identified with the Bid Data form name, Bidder's name, and page number. 40

22 Page 1 of 3 DENVER INTERNATIONAL AIRPORT Contract No Bid Data Forms INFORMATION ABOUT CONTRACTOR 1. Name of Bidder/Contractor: 2. Type of business entity: NOTE: If bidder is a partnership or joint venture, give full names of all partners or joint venturers. Bid must be signed by all joint venturers. If bidder is a limited liability company, bid must be signed by authorized manager (may be signed by membermanager if LLC is organized to allow management by members). 3. Prequalified by City and County of Denver as Construction Contractor : Categories: Monetary Limit: 4. Address of Contractor: Telephone: Fax: Address: 5. Established where and when: 6. Contractor s Banks: 7. Principal Officers of Contractor (managers and members if LLC): 41

23 Name: Title: Name: Title: Name: Title: Name: Title: 8. Bidder s/contractor s City and County of Denver Contractor License if it has obtained one: License No.: Class: A contractor license is required prior to start of construction but not prior to bid submittal. 9. Bidder s/contractor s state of incorporation (state of organization if an LLC or partnership): 10. Bidder s Surety: 11. Surety s State of Incorporation: 12. Address of Contractor in other areas (if different from No. 4): 13. Name and address of person to receive payments: 14. If the Bidder/Contractor is a joint venture, it shall attach a certified copy of the joint venture agreement. The joint venture agreement will not be included as a Contract Document. 42

24 15. The Bidder/Contractor shall identify all applicable labor agreements (if any) to be used in the performance of the Work: 43

25 Bidder DENVER INTERNATIONAL AIRPORT Contract No Bid Data Forms LIST OF PROPOSED SUBCONTRACTORS WHICH ARE NOT DBE SUBCONTRACTORS Bidder shall list below the name, business address, work assignment and dollar value of each subcontractor that is not a DBE subcontractor which will perform work or labor or provide services to the Bidder relating to this contract in an amount greater than one and one-half percent of the Bidder's total bid. Only one subcontractor for each portion of the work shall be listed. Any proposed subcontractors to be utilized by the Bidder that are certified as a Small Business Enterprise shall also be listed on the List of Proposed Subcontractors attached to these Bid Forms. If the bidder does not identify a subcontractor to perform portions of the work which could be subcontracted on this form or the List of Proposed DBE Subcontractors, the Bidder, if it is awarded the contract, agrees not to subcontract such portions that exceed one and one half percent of the total bid amount until the Contractor has advised the Deputy Manager of Aviation - Maintenance and Airport Infrastructure Management ( Deputy Manager ) in writing of the reasons why the subcontractor was not listed in the bid and complied with the requirements of General Condition 502. If the bidder is awarded the contract and does not enter into a subcontract with a subcontractor listed below or on the List of Proposed DBE Subcontractors, the Contractor agrees not to subcontract any of the work assignment identified for that subcontractor until the Contractor has advised the Deputy Manager in writing of the reasons why a different subcontractor is being used and has obtained approval of the Deputy Manager of the substitution. This requirement does not affect the applicability of 502. Subcontractor NAME: ADDRESS: PHONE: Work Assignment Subcontract Dollar Value 44

26 Subcontractor NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: NAME: ADDRESS: PHONE: Work Assignment Subcontract Dollar Value (This page can be duplicated if additional sheets are required.) 45

27 CITY AND COUNTY OF DENVER DEPARTMENT OF AVIATION List of Proposed Disadvantaged Business Enterprise Bidders, Subcontractors, Suppliers (Manufacturers) or Brokers The undersigned bidder proposes to utilize the following Disadvantaged Business Enterprise (DBE) for the project. All listed firms are CURRENTLY certified by the City and County of Denver. Only bona fide commissions may be counted for Brokers. Please copy and attach this page to list additional DBE firms for this project. Check Box If Applicable: Subcontractor or Supplier (Manufacturer) or Broker Business Name: Address: Type of Service: Contact Person: Dollar Amount: $ Percent of Project % Check One Box: Subcontractor or Supplier (Manufacturer) or Broker Business Name: Address: Type of Service: Contact Person: Dollar Amount: $ Percent of Project % Check One Box: Subcontractor or Supplier (Manufacturer) or Broker Business Name Address Type of Service 46

28 Contact Person Dollar Amount $ Percent of Project % The undersigned Bidder hereby certifies that the aforementioned subcontractors, suppliers, manufacturers and brokers have full knowledge that their names have been offered as subcontractors, suppliers, manufacturers and brokers for the work, and the Bidder further certifies that the dollar amount of work to be performed by the aforementioned DBEs was furnished to the Bidder prior to the bid opening. The undersigned Bidder agrees that within five (5) working days after the bid opening, it shall submit to the City a "DBE Letter of Intent" which as been completed and executed by each of its DBE subcontractors, suppliers, and brokers on the form contained in the Contract Documents. The undersigned Bidder acknowledges the right of the City to reject any or all bids submitted to waive informalities in bids and to re-advertise this project for bids. The undersigned certifies that it has carefully checked all words and figures and all statements made in these Bid Forms. This bid is submitted upon the declaration that neither, I (we), nor, to the best of (our) knowledge none of the members of my (our) firm or company have either directly or indirectly entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this bid. Business Address of Bidder: City, State, Zip Code: Telephone Number of Bidder: Social Security or Employer Id. No. of Bidder: Name and location relative thereto, please refer to Name: Title: Address: 47

29 The undersigned acknowledges receipt, understanding, and full consideration of the following addenda to the Contract Documents: Addenda Numbers Date SIGNATURE DATE 48

30 COMMITMENT TO DISADVANTAGED BUSINESS ENTERPRISE PARTICIPATION Contract No BID DATA FORMS THE UNDERSIGNED HAS SATISFIED THE REQUIREMENTS OF INSTRUCTIONS TO BIDDERS, IB-23 IN THE FOLLOWING MANNER (Please check appropriate space): The Bidder is committed to a minimum of % DBE utilization for this contract. The Bidder understands that it must submit Letters of Intent for each DBE listed in the Bid Forms within five working days after bid opening. The Bidder is unable to meet the contract goal of 22% DBE but is committed to meet at a minimum % DBE participation on this contract. The Bidder understands that it must submit a detailed statement and documentation of good faith efforts it made prior to bid opening in its attempts made to meet the DBE contract goals and a Letter of Intent for each DBE listed in the Bid Forms within five working days after bid opening. Bidder: (Name of Firm) By: (Signature) (Title) Address: 49

31 Office of Economic Development Division of Small Business Opportunity Compliance Unit DIA Peña Blvd., AOB, Suite 7810 Denver, CO Phone: (303) / Fax: (303) LETTER OF INTENT (LOI) All lines must be completed or marked N/A for Not Applicable. Submit the attached completed checklist with this letter. Project No.: Project Name: A. The Following Section Is To Be Completed by the Bidder/Consultant This Letter of Intent Must be Signed by the Bidder/Consultant and M/WBE, SBE or DBE Name of Bidder/Consultant: Phone: Contact Person: Fax: Address: City: State: Zip: B. The Following Section is To Be Completed by the M/WBE, SBE or DBE, at any Tier This Letter of Intent Must be Signed by the M/WBE, SBE or DBE and Bidder/Consultant Name of Certified Firm: Phone: Contact Person: Fax: Address: City: State: Zip: Please check the designation which applies to MBE/WBE ( ) SBE ( ) DBE ( ) the certified firm. Indirect Utilization: If this M/WBE, SBE or DBE is not a direct first tier subcontractor/subconsultant, supplier or broker to the Bidder/Consultant, please indicate the name of the subcontractor/subconsultant, supplier or broker which is utilizing the participation of this firm: A Copy of the M/WBE, SBE or DBE Letter of Certification must be Attached Identify the scope of the work to be performed or supply item that will be provided by the M/WBE/SBE/DBE. On unit price bids only, identify which bid line items the M/WBE/SBE/DBEs scope of work or supply corresponds to. Subcontractor/Subconsultant ( ) Supplier ( ) Broker ( ) Bidder intends to utilize the aforementioned M/WBE, SBE or DBE for the Work/Supply described above. The cost of the work and percentage of the total subcontractor M/WBE, SBE or DBE bid amount is: $ % Consultant intends to utilize the aforementioned M/WBE, SBE or DBE for % the Work/Supply described above. The percentage of the work of the total subconsultant M/WBE, SBE or DBE will perform is: If the fee amount of the work to be performed is requested, the fee amount, is: Bidder/Consultant s Signature: Title: M/WBE, SBE or DBE Firm s Signature: Title: If the above named Bidder/Consultant is not determined to be the successful Bidder/Consultant, this Letter of Intent shall be null and void. COMP-FRM-012 Revised 3/10/2010 $ Date: Date: 50

32 Letter of Intent (LOI) Checklist All lines must be completed or marked N/A for Not Applicable Submit the attached completed checklist with this letter. Completed Project Number & Project Name Section A: Name of Bidder/Consultant, Contact Person, Address, City, State, Zip, Phone, Section B: Name of Certified Firm, Contact Person, Address, City, State, Zip, Phone, Designation checked for MBE/WBE, SBE or DBE Indirect Utilization: Name of subcontractor/subconsultant, supplier or broker is indicated if using the participation of a 2nd tier subcontractor/subconsultant, supplier or broker. Scope of work performed or item supplied by M/WBE, SBE or DBE Line items performed, if line-item bid. Copy of M/WBE, SBE or DBE Letter of Certification Attached Designation checked for Subcontractor/Subconsultant, Supplier or Broker If project is a hard bid Bidder has indicated dollar amount for value of work going to Subcontractor/ Subconsultant, Supplier or Broker Bidder has indicated percentage for value of work going to Subcontractor/ Subconsultant, Supplier or Broker If project is an RFP/RFQ Consultant has indicated percentage for value of work going to Subcontractor/ Subconsultant, Supplier or Broker Name & contact name for MWBE. Fee amount if fee amount of work to be performed is requested. Bidder/Consultant s Signature, Title & Date M/WBE, SBE or DBE Firm s Signature, Title and Date The complete and accurate information that is required for the Letter of Intent is based on the following sections of the Ordinance: Section and Section Failure to complete this information on the Letter of Intent (LOI) may automatically deem a bid or proposal non-responsive. 51

33 INCLUSIVENESS IN CITY SOLICITATIONS Using the attached form, entitled "Diversity and Inclusiveness in City Solicitations Information Request Form", please state whether you have a diversity and inclusiveness program for employment and retention, procurement and supply chain activities, or customer service and provide the additional information requested on the form. The information provided on the Diversity and Inclusiveness in City Solicitations Information Request Form will provide an opportunity for City contractors/consultants to describe their own diversity and inclusiveness practices. Contractors/consultants are not expected to conduct intrusive examinations of its employees, managers, or business partners in order to describe diversity and inclusiveness measures. Rather, the City simply seeks a description of the contractor/consultant's current practices, if any. Diversity and Inclusiveness information provided by City contractors/consultants in response to City solicitations for services or goods will be collated, analyzed, and made available in reports consistent with City Executive Order No However, no personally identifiable information provided by or obtained from contractors/consultants will be in such reports. The Diversity And Inclusiveness In City Solicitations Form pages immediately following this page are not included in the page numbering of this contract document. 52

34 Office of Economic Development Office of the Director 201 W. Colfax Ave. Dept. 208 Denver, CO p: f: Diversity and Inclusiveness* in City Solicitations Information Request Form Type in your response, print out, sign and date; or print out and complete manually. Please print legibly. Denver Executive Order No. 101 establishes strategies between the City and private industry to use diversity and inclusiveness promote economic development in the City and County of Denver and to encourage more businesses to compete for City contracts and procurements. The Executive Order requires, among other things, the collection of certain information regarding the practices of the City s contractors and consultants toward diversity and inclusiveness and encourages/requires City agencies to include diversity and inclusiveness policies in selection criteria where legally permitted in solicitations for City services or goods. Answer each item below. Missing or incomplete responses will be recorded as no or none. A proposal or response to a solicitation by a contractor/consultant that does not include this completed form shall be deemed non-responsive and rejected. Project Name: BID / RFP No.: Name of Contractor/Consultant Address: Business Phone No.: Business Facsimile No.: OED Executive Order No. 101 Diversity and Inclusiveness in City Solicitations Information Request Form Rev. 12/16/

35 1. Do you have a diversity and inclusiveness program? Yes No If yes, does it address: Employment and retention? Yes No Procurement and supply chain activities? Yes No Customer service? Yes No 1a. If yes, provide a detailed narrative of your company s diversity and inclusiveness principles and programs. (This may include, for example, (i) diversity and inclusiveness employee training programs, equal opportunity policies, and the budget amount spent on an annual basis for workplace diversity; or (ii) diversity and inclusiveness training and information to improve customer service.) 1b. If yes, please attach a copy of any written materials on your diversity and inclusiveness program. Attached Not attached 1c. If yes, how does your company regularly communicate its diversity and inclusiveness policies to employees? Employee Training Pamplets Public EEO postings Other Not Applicable 1d. If you responded that you do not have a diversity and inclusiveness program, describe any plans your company may have to adopt such a program

36 2. How often do you provide training in diversity and inclusiveness principles? Monthly Annually Quarterly Not Applicable Other 2a. What percentage of the total number of employees generally participate? 0 25% 50 75% 26 50% % Not Applicable 3. State how you achieve diversity and inclusiveness in supply and procurement activities. (This may include, for example, narratives of training programs, equal opportunity policies, diversity or inclusiveness partnership programs, mentoring and outreach programs, and the amount and description of budget spent on an annual basis for procurement and supplier diversity and inclusiveness.) 4. Do you have a diversity and inclusiveness committee? Yes No 4a. If so, how often does it meet? Monthly Annually No Committee Quarterly Other 4b. If you responded that you do not have a diversity and inclusiveness committee, describe any plans your company may have to establish such a committee

37 5. Do you have a budget for diversity and inclusiveness efforts? Yes No 6. Does your company integrate diversity and inclusion competencies into executive/manager performance evaluation plans? Yes No I attest that the information represented herein is true, correct and complete, to the best of my knowledge. Signature of Person Completing Form Date Printed Name of Person Completing Form NOTE: Attach additional sheets or documentation as necessary for a complete response. * Diversity and inclusiveness program means a program that invites values, perspectives and contributions of people from diverse backgrounds, and integrates diversity into its hiring and retention policies, training opportunities, and business development methods to provide an equal opportunity for each person to participate, contribute, and succeed within the organization s workplace. Diversity encompasses a wide variety of human differences, including differences such as race, age, gender, gender identity, sexual orientation, ethnicity, physical disabilities, appearance, historically underutilized and disadvantaged persons, as well as social identities such as religion, marital status, socio-economic status, lifestyle, education, parental status, geographic background, language ability, and veteran status

38 Division of Small Business Opportunity JOINT VENTURE AFFIDAVIT "The Undersigned swear that the foregoing statements are correct and include all material information necessary to identify and explain the terms and operation of our joint venture and the intended participation by each joint venturer in the undertaking. Further, the Undersigned covenant and agree to provide the City current, complete, and accurate information regarding actual joint venture work and the payment thereof and any proposed changes in any of the joint venture arrangements and to permit the audit and examination of the books, records, and files of the joint venture, by authorized representatives of the City or Federal funding agency, if applicable. Any material misrepresentation will be grounds for terminating any contract which may be awarded and for initiating action under Federal or State laws concerning false statements." Name of Firm Signature Name Date Title (Name) appeared to me personally known, who, being first duly sworn, did execute the foregoing affidavit, and subscribe and swear to such affidavit before me, and did state that he or she was properly authorized by (Name of Firm) to execute the affidavit and did so as his or her free act and deed. Date: Notary Public State of Commission Expires County of (Seal) On this day of before me Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 52

39 Name of Firm Signature Name Date Title (Name) appeared to me personally known, who, being duly sworn, did execute the foregoing affidavit, and did state that he or she was properly authorized by (Name of Firm) to execute the affidavit and did so at his or her free act and deed. Date: Notary Public State of Commission Expires County of (Seal) On this day of before me Rev 8/2000 Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 53

40 DIVISION OF SMALL BUSINESS OPPORTUNITY JOINT VENTURE ELIGIBILITY FORM Joint Venture means an association of two (2) or more business enterprises to constitute a single business enterprise to perform a City construction or professional design and construction services contract for which purpose they combine their property, capital, efforts, skills and knowledge, and in which endeavor each joint venturer is responsible for a distinct, clearly defined portion of the work of the contract, performs a commercially useful function, and whose share in the capital contribution, control, management responsibilities, risks and profits of the joint venture are equal to its ownership interest. Joint ventures must have an agreement in writing specifying the terms and conditions of the relationships between the joint venturers and their relationship and responsibility to the contract. D.R.M.C (29). 1. Name of Joint Venture 2. Address of Joint Venture: Address City State Zip Code 3. Telephone number of joint venture:( ) 4. Identify the firms which comprise the joint venture A. Name: Address: B. Name:` Address: C. Name: Address: 1) Describe the role of the MBE/WBE in the Joint Venture: (Attach additional information if necessary) 2) Briefly describe the experience and business qualifications of each non-mbe/wbe Joint Venture. Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 54

41 (Attach additional information if necessary) 5. Name of the Joint Venture's Business: 6. Provide a copy of the signed Joint Venture Agreement 7. What is the claimed percentage of MBE/WBE ownership? % 8. Ownership of Joint Venture: (This need not be filled in if described in the joint venture agreement provided in question 6.) (a) Profit and loss sharing: (b) Capital contributions, including equipment: Other applicable ownership interests: Duration of the joint venture: From: To: 9. Control of and participation in this contract. Identify which firm and those individuals (and their titles) who are responsible for the day-to-day management and policy decision making, including but not limited to those with prime responsibility for: (a) Financial Decisions: Firm: Name: Title: (b) Management Decisions: (1) Estimating Firm: Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 55

42 Name: Title: Firm: Name: (2) Marketing and Sales Title: (3) Hiring and firing of management personnel Firm: Name: Title: (4) Purchasing of major items or supplies Firm: Name: Title: Note: (1) An MBE/WBE performs a commercially useful function when it is responsible for execution of a distinct element of the work of the contract and carrying out its responsibilities by actually performing, managing, and supervising the work involved. To determine whether an MBE/WBE is performing a commercially useful function, the amount of work subcontracted, industry practices, and other relevant factors shall be evaluated. (2) An MBE/WBE does not perform a commercially useful function if its role is limited to that of an extra participant in a transaction, contract, or project through which funds are passed in order to obtain the appearance of MBE/WBE participation or the MBE/WBE subcontracts a greater portion of the work of a contract than would be expected on the basis of normal industry practice for the type of work involved. (3) A joint venture which includes one (1) or more MBE/WBEs is subject to the review and approval by the Director of DSBO and the participation will count toward satisfaction of the MBE/WBE goal upon confirmation of the utilization in the joint venture of joint management Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 56

43 and full integration of work forces by the joint venture partners. If there are any significant changes in this submittal, the joint venture members must immediately notify the Division of Small Business Opportunity. Contract No First Published: August 25, 2014 Taxiways P and P7 Drainage Improvements 57

44 201 W. Colfax Denver, Colorado Phone: Fax: Division of Small Business Opportunity MICHAEL HANCOCK Mayor Denver International Airport Airport Office Building Suite Pena Boulevard Denver, Colorado Phone: Fax: BIDDER S INFORMATION FORM* The City & County of Denver (CCD) has established a Disadvantaged Business Enterprise (DBE) Program in accordance with regulations of the U.S. Department of Transportation (DOT) 49 CFR Part (b) (c) requires that CCD create and maintain a bidders list consisting of information about all DBE and non-dbe firms that bid or quote on DOT-assisted contracts. This includes firms bidding on prime contracts and bidding or quoting subcontracts on DOT-assisted contracts. DSBO will safeguard from disclosure to third parties information regarded as confidential business information, consistent with Federal, State, and local law. Contractors/Consultants must complete this form and request each subcontractor/supplier/subconsultant bidding to the Prime to complete the form and return to the Prime. The Prime must submit all completed forms to DSBO with their bid/proposal. * Bidders Information Form requirement applies to all prime contractors, prime consultants, subcontractors, suppliers, sub-consultants that bid/quote on a DOT-assisted contract. Bidding as a: Contractor or Sub Contractor/Supplier/Sub-consultant Type of Work/Service: Name of Firm/Company: Address of Firm/Company: Street: City: State: Zip: Telephone: Fax: Are you certified by any governmental agency as a Disadvantaged Business Enterprise? YES NO If yes, by whom: Age of Firm/Company: Years Annual Gross Receipts of Firm/Company: $ 53

45 Date Submitted: Signature of Designated Representative of Firm/Company: 54

46 Bidder DENVER INTERNATIONAL AIRPORT Contract No Bid Data Forms EQUAL OPPORTUNITY REPORT STATEMENT Each Bidder shall complete and sign the Equal Opportunity Report Statement. A Bid may be considered unresponsive and may be rejected, in the Owner's sole discretion, if the Bidder fails to provide the fully executed Statement or fails to furnish required data. The Bidder shall also, prior to award, furnish such other pertinent information regarding its own employment policies and practices as well as those of its proposed subcontractors as the FAA, the Owner, or the Executive Vice Chairman of the President's Committee may require. The Bidder shall furnish similar Statements executed by each of its first-tier and second-tier subcontractors and shall obtain similar compliance by such subcontractors, before awarding subcontracts. No subcontract shall be awarded to any non-complying subcontractor. Equal Opportunity Report Statement as Required in 41 CFR (b) The Bidder shall complete the following statements by checking the appropriate blanks. Failure to complete these blanks may be grounds for rejection of bid: 1. The Bidder has has not developed and has on file at each establishment affirmative action programs pursuant to 41 CFR and 41 CFR The Bidder has has not participated in any previous contract or subcontract subject to the equal opportunity clause prescribed by Executive Order 11246, as amended. 3. The Bidder has has not filed with the Joint Reporting Committee the annual compliance report on Standard Form 100 (EEO-1 Report). 4. The Bidder does does not employ fifty or more employees. Dated: (Name of Bidder) By: Title: 55

47 Bidder DENVER INTERNATIONAL AIRPORT Contract No Bid Data Forms CERTIFICATION OF NON-SEGREGATED FACILITIES (Must be completed and submitted with the Bid) The Bidder certifies that it does not maintain or provide for its employees any segregated facilities at any of its establishments, and that it does not permit its employees to perform their services at any location under its control, where segregated facilities are maintained. The Bidder certifies further that it will not maintain or provide for its employees segregated facilities at any of its establishments, and that it will not permit its employees to perform their services at any location under its control, where segregated facilities are maintained. The Bidder agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, parking lots, drinking fountains, recreation or entertainment areas, transportation and housing facilities provided for employees which are segregated by explicit directive or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or any other reason. The Bidder agrees that (except where it has obtained identical certification from proposed subcontractors for specific time period) it will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the equal opportunity clause, and that it will retain such certification in its files. DATED: (Name of Bidder) By: Title: 56