PROPOSAL FOR IMPROVEMENTS TO OGDEN - HINCKLEY AIRPORT OGDEN, UTAH AIP PROJECT NO

Transcription

1 PROPOSAL FOR IMPROVEMENTS TO OGDEN - HINCKLEY AIRPORT OGDEN, UTAH AIP PROJECT NO MAIL TO: Ogden City Corporation Purchasing Department 549 Washington Boulevard, Suite 510 Ogden, Utah DELIVER TO: Ogden City Corporation Purchasing Department 549 Washington Boulevard, Suite 510 Ogden, Utah The undersigned bidder, having become familiar with the local conditions affecting the cost of the work the Contract Documents, the Invitation for Bids, Instruction to Bidders, Bid Conditions,, Statement of Qualifications, Anticipated Subcontracts, Form of Guaranty, Notice of Award, Contract Agreement, Performance Payment Bond, Notice to Proceed, Wage Rates, General Provisions, Special Provisions, Operations Plan & Operational Safety, Technical Specifications prepared by Airport Development Group, Inc., proposes agrees to furnish all superintendence, labor, materials, tools, water, power, transportation, other means of construction necessary to complete in all respects the improvements to Ogden - Hinckley Airport, Ogden, Utah, all in accordance with the Contract Documents at the prices stated. The work involved includes the following: Schedule I Rehabilitate Taxiway A (Overlay) Schedule II Rehabilitate Taxiway B (Mill Overlay) Schedule III Reconstruct (Relocate) Taxiway C Schedule IV Reconstruct & Partial Relocation Taxiway D Schedule V Rehabilitate Taxiway E (Mill Overlay) III-1

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3 Schedule I Rehabilitate Taxiway A (Overlay) Item No. GP-150 P-101a P-101b P-101c P-101d Description Price Administrative Mobilization (Max. 5% of bid) at the unit ($ ) per lump sum. Cold Milling Transitions (2" x 2') at the unit Cold Milling Surface (1.5") at the unit price of Cold Milling Asphalt Removal at the unit Crack Sealing at the unit ($ ) per ton. Unit Estimated Quantity L.S. 1 S.Y. 2,840 S.Y. 6,403 S.Y. 3,121 Ton 4 Estimated Cost P-152a P-152b P-152c P-152d P-154 Unclassified Excavation at the unit ($ ) per cubic yard. Geotextile Fabric (Class I) at the unit price of Place Rotomillings on Shoulders at the unit Grade Service Roads at the unit ($ ) per lump sum. Subbase Course at the unit ($ ) per cubic yard. C.Y. 8,800 S.Y. 4,675 S.Y. 6,622 L.S. 1 C.Y. 649 III-3

4 Item No. P-209 P-401a P-401b P-603 P-620a P-620b P-620c P-620d D-701a D-701b D-705a Schedule I Cont d Rehabilitate Taxiway A (Overlay) Description Estimated Price Unit Quantity Crushed Aggrgate Base Course (6") at the unit S.Y. 4,675 Bituminous Paving Course at the unit price of ($ ) per ton. Bituminous Material at the unit ($ ) per ton. Bituminous Tack Coat at the unit ($ ) per gallon. Runway Taxiway Painting - Reflectorized at the unit Runway Taxiway Painting - Nonreflectorized at the unit Preformed Thermoplastic Markings at the unit Paint Obliteration at the unit 24" RCP at the unit ($ ) per linear foot. 24" RCP F.E.S. at the unit Side Drains at the unit ($ ) per linear foot. Ton 11,460 Ton 745 Gal. 3,211 S.F. 12,605 S.F. 28,129 S.F. 1,967 S.F. 2,545 L.F. 120 Ea. 1 L.F. 550 Estimated Cost III-4

5 Item No. D-705b L-107a L-107b L-107c L-108a L-108b L-108c L-108d L-108e L-110a Schedule I Cont d Rehabilitate Taxiway A (Overlay) Description Estimated Price Unit Quantity Side Drain Inspection Ports at the unit Ea. 1 Construct L-107 Internally Lighted LED Wind Cone at the unit L.S. 1 ($ ) per lum sum. Construct Segmented Circle with Pattern Indicators at the unit L.S. 1 ($ ) per lump sum. Remove Existing L-807 Wind Cone Segmented Circle at the unit L.S. 1 ($ ) per lump sum. Cable 1/C #8, 5kV, L-824C at the unit price of L.F. 20,000 ($ ) per linear foot. Counterpoise System, #6 Solid w/ Ground at the unit L.F. 4,500 ($ ) per linear foot. Cable 1/C #8, 600V, THHN at the unit L.F. 17,000 ($ ) per linear foot. Cable 1/C #10, 600V, THHN, Green Ground at the unit L.F. 7,000 ($ ) per linear foot. Temporary Lighting at the unit L.S. 1 ($ ) per linear foot. One-Way, Two-Inch PVC Duct (Direct Buried) at the unit L.F. 3,400 ($ ) per linear foot. Estimated Cost III-5

6 Item No. L-110b L-110d L-110d L-125a L-125d L-125e L-125f L-125g Schedule I Cont d Rehabilitate Taxiway A (Overlay) Description Estimated Price Unit Quantity Two-Way, Two-Inch HDPE Duct (Bored) at the unit L.F. 50 ($ ) per linear foot. Non-Metallic Junction Box at the unit price of Ea. 8 Remove Electrical Manhole at the unit L.S. 1 ($ ) per lump sum. Install Elevated Taxiway Edge Light - Base Mount at the unit Install Relocated LED Lighted Guidance Sign - Complete at the unit Remove Edge Light - Base Mount at the unit Remove Guidance Sign - Complete at the unit Construct Vehicle Service Road Stop Sign at the unit Ea. 94 Ea. 1 Ea. 75 Ea. 1 Ea. 6 Estimated Cost TOTAL ESTIMATED COST - SCHEDULE I: $ III-6

7 Item No. GP-150 P-101a P-101b P-152c P-401a P-401b P-603 P-620a P-620b P-620c Schedule II Rehabilitate Taxiway "B" (Mill Overlay) Description Price Unit Administrative Mobilization (Max. 5% of bid) at the unit ($ ) per lump sum. Cold Milling Transitions (2" x 2') at the unit ($ ) per square yard Cold Milling Surface (1.5") at the unit ($ ) per square yard Place Rotomillings on Shoulders at the unit ($ ) per square yard Bituminous Paving Course at the unit ($ ) per ton. Bituminous Material at the unit ($ ) per ton. Bituminous Tack Coat at the unit ($ ) per gallon.. Runway Taxiway Painting - Reflectorized at the unit Runway Taxiway Painting - Nonreflectorized at the unit Preformed Thermoplastic Markings at the unit Estimated Quantity L.S. 1 S.Y. 122 S.Y. 11,241 S.Y. 4,248 Ton 1,874 Ton 122 Gal. 562 S.F. 985 S.F. 1,778 S.F. 642 Estimated Cost TOTAL ESTIMATED COST - SCHEDULE II: $ III-7

8 Schedule III Reconstruct (Relocate) Taxiway C Item No. GP-150 P-101a P-101d P-152a P-152b P-152c P-154 P-156 P-209 P-401a P-401b Description Price Administrative Mobilization (Max. 5% of bid) at the unit ($ ) per lump sum. Cold Milling Transitions (2" x 2') at the unit Cold Milling Asphalt Removal at the unit price of Unclassified Excavation at the unit ($ ) per cubic yard. Geotextile Fabric (Class I) at the unit Place Rotomillings on Shoulders at the unit Subbase Course at the unit ($ ) per cubic yard. Erosion Control at the unit ($ ) per lump sum Crushed Aggrgate Base Course (6") at the unit Bituminous Paving Course at the unit ($ ) per ton. Bituminous Material at the unit ($ ) per ton. Unit Estimated Quantity L.S. 1 S.Y. 300 S.Y. 6,778 C.Y. 11,890 S.Y. 14,832 S.Y. 7,704 C.Y. 3,217 L.S. 1 S.Y. 14,832 Ton 4,958 Ton 322 Estimated Cost III-8

9 Item No. P-603 P-620a P-620b P-620c P-620d D-701a D-705a D-705b D-751a D-751b L-108a Schedule III Cont d Reconstruct (Relocate) Taxiway C Description Estimated Price Unit Quantity Bituminous Tack Coat at the unit S.F. 1,036 Runway Taxiway Painting - Reflectorized at the unit Gal. 2,465 ($ ) per gallon. Runway Taxiway Painting - Nonreflectorized at the unit S.F. 4,640 Preformed Thermoplastic Markings at the unit S.F. 641 Paint Obliteration at the unit S.F " RCP at the unit S.F. 312 Side Drains at the unit L.F. 2,040 ($ ) per linear foot. Side Drain Inspection Ports at the unit L.F. 2 ($ ) per linear foot. New Concrete Inlets Boxes at the unit Ea. 1 Modify Concrete Inlets at the unit Ea. 2 Cable 1/C #8, 5kV, L-824C at the unit L.F. 5,500 ($ ) per linear foot. Estimated Cost III-9

10 Item No. L-108b L-110a L-110b L-110c L-125a L-125b L-125d L-125e L-125f Schedule III Cont d Reconstruct (Relocate) Taxiway C Description Estimated Price Unit Quantity Counterpoise System, #6 Solid w/ Grounds at the unit L.F. 5,000 ($ ) per linear foot. One-Way, Two-Inch PVC Duct (Direct Buried) at the unit L.F. 5,000 ($ ) per linear foot. Two-Way, Two-Inch HDPE Duct (Bored) at the unit L.F. 370 ($ ) per linear foot. Non-Metallic Junction Box at the unit ($ ) per each Install Elevated Taxiway Edge Light - Base Mount at the unit Install Elevated Runway Edge Light - Base Mount at the unit Install Relocated LED Lighted Guidance Sign - Complete at the unit Remove Edge Light - Base Mount at the unit Remove Guidance Sign - Complete at the unit Ea. 2 Ea. 68 Ea. 10 Ea. 8 Ea. 42 Ea. 1 Estimated Cost TOTAL ESTIMATED COST - SCHEDULE III: $ III-10

11 Item No. GP-150 P-101a P-101d P-152a P-152b P-152c P-154 P-156 P-209 P-401a P-401b Schedule IV Reconstruct & Partial Relocation Taxiway D Description Price Unit Administrative Mobilization (Max. 5% of bid) at the unit ($ ) per lump sum. Cold Milling Transitions (2" x 2') at the unit Cold Milling Asphalt Removal at the unit price of Unclassified Excavation at the unit ($ ) per cubic yard. Geotextile Fabric (Class I) at the unit Place Rotomillings on Shoulders at the unit Subbase Course at the unit ($ ) per cubic yard. Erosion Control at the unit ($ ) per lump sum. Crushed Aggrgate Base Course (6") at the unit Bituminous Paving Course at the unit ($ ) per ton. Bituminous Material at the unit ($ ) per ton. Estimated Quantity L.S. 1 S.Y. 376 S.Y. 25,498 C.Y. 25,040 S.Y. 23,049 S.Y. 28,780 C.Y. 5,499 L.S. 1 S.Y. 23,049 Ton 6,729 Ton 437 Estimated Cost III-11

12 Item No. P-603 P-620a P-620b P-620c P-620d D-701a D-701c D-705a D-705b D-751a D-751b Schedule IV Cont d Reconstruct & Partial Relocation Taxiway D Description Price Bituminous Tack Coat at the unit ($ ) per gallon. Runway Taxiway Painting - Reflectorized at the unit Runway Taxiway Painting - Nonreflectorized at the unit Preformed Thermoplastic Markings at the unit Paint Obliteration at the unit 24" RCP at the unit ($ ) per linear foot. 18" RCP at the unit ($ ) per linear foot. Side Drains at the unit ($ ) per linear foot. Side Drain Inspection Ports at the unit New Concrete Inlets Boxes at the unit Modify Concrete Inlets at the unit Unit Estimated Quantity Gal. 1,435 S.F. 2,903 S.F. 5,516 S.F. 641 S.F. 600 L.F. 120 L.F. 72 L.F. 3,060 Ea. 2 Ea. 2 Ea. 3 Estimated Cost III-12

13 Item No. L-108a L-108b L-110a L-110b L-110c L-125a L-125b L-125d L-125e L-125f Schedule IV Cont d Reconstruct & Partial Relocation Taxiway D Description Price Cable 1/C #8, 5kV, L-824C at the unit Counterpoise System, #6 Solid w/ Grounds at the unit ($ ) per linear foot.. One-Way, Two-Inch PVC Duct (Direct Buried) at the unit ($ ) per linear foot.. Two-Way, Two-Inch HDPE Duct (Bored) at the unit ($ ) per linear foot.. Non-Metallic Junction Box at the unit ($ ) per linear foot.. Install Elevated Taxiway Edge Light - Base Mount at the unit Install Elevated Runway Edge Light - Base Mount at the unit Install Relocated LED Lighted Guidance Sign - Complete at the unit Remove Edge Light - Base Mount at the unit Remove Guidance Sign - Complete at the unit Unit Estimated Quantity Ea. 11,000 L.F. 7,800 L.F. 7,800 L.F. 370 L.F. 2 Ea. 86 Ea. 8 Ea. 1 Ea. 66 Ea. 1 Estimated Cost TOTAL ESTIMATED COST SCHEDULE IV: $ III-13

14 Item No. GP-150 P-101a P-101b P-152c P-401a P-401b P-603 P-620a P-620b P-620c Schedule V Rehabilitate Taxiway E (Mill Overlay) Description Price Unit Administrative Mobilization (Max. 5% of bid) at the unit ($ ) per lump sum. Cold Milling Transitions (2" x 2') at the unit Cold Milling Surface (1.5") at the unit Place Rotomillings on Shoulders at the unit Bituminous Paving Course at the unit ($ ) per ton. Bituminous Material at the unit ($ ) per ton. Bituminous Tack Coat at the unit ($ ) per gallon. Runway Taxiway Painting Reflectorized at the unit Runway Taxiway Painting - Nonreflectorized at the unit Preformed Thermoplastic Markings at the unit Estimated Quantity L.S. 1 S.Y. 40 S.Y. 6,829 S.Y. 2,574 Ton 1,138 Ton 74 Gal. 341 S.F. 1,150 S.F. 2,094 S.F. 321 Estimated Cost TOTAL ESTIMATED COST SCHEDULE V: $ TOTAL ESTIMATED COST SCHEDULES I thru V: $ III-14

15 Items To Be Paid Under Item GP-105 Mobilization Work Items Description Quantity Total III-15

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17 The undersigned understs that the previous quantities of work to be done are approximate only, are intended principally to serve as a guide in evaluating the bids. I (we) acknowledge receipt of the following Addendum(s) Since time is of the essence of this contract, the undersigned further agrees the work embraced in this contract shall be completed within the specified number of working days as designated by paragraph No , 10-47, 80-07, of the General Provisions or as amended herein. Guaranty in the sum of in the form of is submitted herewith in accordance with the Instructions to Bidders. The undersigned agrees that this proposal may not be withdrawn for a period of 90 days from the opening thereof. In submitting this, it is understood that the right is reserved by the Sponsor to waive any informality in, or to reject, any or all bids. Signature of Bidder Firm Name Business Address By Title Date (Authorized Officer) Contractor to type or print the following information: State licensed to do business in Firm Name Phone Number Address Check whether Corporation Individual Partnership Incorporated in the State of (If partnership, give name address of each partner; If corporation, give name, title, business address of President, Secretary, Treasurer.) III-17

18 BUY AMERICAN CERTIFICATE JAN (1991) (All Contracts) By submitting a bid/proposal under this solicitation, except for those items listed by the offeror below or on a separate clearly identified attachment to this bid/proposal, the offeror certifies that steel each manufactured product, is produced in the United States (as defined in the clause Buy American - Steel Manufactured Products or Buy American Steel Manufactured Products for Construction Contracts) that components of unknown origin are considered to have been produced or manufactured outside the United States. Offerors may obtain from Airport Development Group, Inc., lists of articles, materials, supplies excepted from this provision. PRODUCT COUNTRY OF ORIGIN REPORT TO JOINT REPORTING COMMITTEE A bidder must indicate whether he has previously had a contract subject to the equal opportunity clause, whether he has filed all report forms required in such contract, if not, a compliance report (Stard Form (SF) 100) must be submitted with his bid. Any Contractor having a Federal or Federally assisted contract of $50,000 or more 50 or more employees is required to file annual compliance reports on Stard Form 100 (EEO-1) with the Joint Reporting Committee in accordance with the instructions provided with the form. The Contractor will provide a copy of such a report to the contracting agency within 30 days after the award of a contract if he has not submitted a complete compliance report within 12 months preceding the date of the award. The Contractor shall require its subcontractors to file an SF 100 within 30 days after award of the subcontract if (1) it is not exempt from the provisions of these regulations in accordance with , (2) has 50 or more employees, (3) is a first tier subcontractor, (4) has a subcontract amounting to $50,000 or more. Subcontractors below the first tier which perform construction work at the site of construction shall be required to file such a report if (1) it is not exempt from the provisions of these regulations in accordance with , (2) has 50 or more employees, (3) has a subcontract amounting to $50,000 or more. The SF-100 is available at the following address: Joint Reporting Committee Phone: P.O. Box 1480 (703) Arlington, Virginia (703) III-18

19 CERTIFICATION TO BE SUBMITTED BY FEDERALLY-ASSISTED CONSTRUCTION CONTRACTORS AND THEIR SUBCONTRACTORS (APPLICABLE TO FEDERALLY-ASSISTED CONSTRUCTION CONTRACTS AND RELATED SUBCONTRACTS EXCEEDING $10,000 WHICH ARE NOT EXEMPT FROM THE EQUAL OPPORTUNITY CLAUSE) CERTIFICATION OF NONSEGREGATED FACILITIES (All Contracts Greater Than $10,000) The Federally-assisted construction contractor certifies that he will not maintain or provide, for his employees, any segregated facilities at any of his establishments that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The Federallyassisted construction contractor certifies that he will not maintain or provide, for his employees, segregated facilities at any of his establishments that he will not permit his employees to perform their services at any location under his control where segregated facilities are maintained. The Federally-assisted construction contractor agrees that a breach of this certification is a violation of the Equal Opportunity Clause in his contract. As used in this certification, the term segregated facilities means any waiting rooms, work areas, restrooms, washrooms, restaurants other eating areas, timeclocks, locker rooms other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, housing facilities provided for employees which are segregated on a basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The Federally-assisted construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he 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 that he will retain such certifications in his files. LOBBYING AND INFLUENCING FEDERAL EMPLOYEES (a) No Federal appropriated funds shall be paid, by or on behalf of the contractor, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the making of any Federal grant the amendment modification of any federal grant. (b) If any funds other that Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with any Federal grant, the contractor shall complete submit Stard Form-LLL, "Disclosure of Lobby Activities," in accordance with its instructions. REQUIRED EQUAL OPPORTUNITY STATEMENTS "The Bidder shall complete the following statements by checking the appropriate boxes. The Bidder must have properly completed these statements to be considered an eligible Bidder. The Bidder has has not participated in a previous contract subject to this equal opportunity clause prescribed by Executive Order 10925, or Executive Order 11114, or Executive Order The Bidder has has not submitted all compliance reports in connection with any such contract due under the applicable filing requirements; that representations indicating submission of required compliance reports signed by proposed subcontractors will be obtained prior to award of subcontracts. If the Bidder has participated in a previous contract subject to the equal opportunity clause has not submitted compliance reports due under applicable filing requirements, the Bidder shall submit a compliance report on Stard Form 100, "Employee Information Report EEO-1" prior to the award of the contract. III-19

20 Also in reference to disadvantaged Business Enterprises (DBE) "the Bidder or Proposer shall submit a Disadvantaged Business Utilization Commitment with the bid or proposal." This includes all good faith efforts which are necessary when the low bidder or proposer cannot meet the established contract goals. BIDDER'S NAME ADDRESS INTERNAL REVENUE SERVICE EMPLOYER IDENTIFICATION NUMBER Name Title of Signer Signature Date Note: The penalty for making false statements in offers is prescribed in 18 U.S.C III-20

21 DISADVANTAGED BUSINESS ENTERPRISE UTILIZATION: The undersigned has satisfied the requirements of the specifications in the following manner (please check the appropriate space): The bidder is committed to a minimum of % DBE utilization on this project. The bidder (if unable to meet the goal of 2.83% DBE) is committed to a minimum of utilization on this project has submitted documentation showing good faith effort. % DBE Contractor By (Signature) (Title) Address Phone Number Zip Code DBE Contractors or Subcontractors. Each contractor or subcontractor desiring to participate as a DBE must submit evidence of certification by the UDOT. At the time of bid opening, all bidders will be required to submit the names of DBE subcontractors, evidence of certification, a description of the work each is to perform, the dollar value of each proposed DBE contract. The bidder must indicate the disadvantaged business enterprise(s) proposed for utilization as part of this contract as follows: Note: Submit agency certification with this proposal for each DBE firm listed below. Name Addresses Nature of Dollar Value of Of Disadvantaged Firms Participation Participation Total Bid Amount: Total: Percentage of Disadvantaged Enterprise Participation: % If the Contractor does not meet the project goals, written evidence must be provided to show that a reasonable good faith effort was made to reach the contract DBE goals. The Sponsor shall base its judgment of the reasonable good faith effort of the Contractor to secure DBE participation on the following criteria: III-21

22 1. The Contractor shall attend a pre-bid meeting on July 11, 2018 at 1:00 p.m. local time at the Ogden Hinckley Airport, Ogden, Utah scheduled by the Sponsor to inform DBEs of subcontracting opportunities. Attended Did not attend listing. 2. The Contractor shall contact the Utah Department of Transportation for a copy of the current DBE Date contacted 3. List general circulation, trade association, minority focus media where subcontracting opportunities were advertised. Provide proof of advertising. 4. Plans, Specifications requirements of the contract were provided to the following DBEs. Attach transmittal letters or other evidence of having furnished the material to DBEs. 5. If a DBE bid was rejected, state why on the attached DBE Unavailability Certification Form. 6. List any additional data used to secure DBE participation. Record of telephone conversation is not sufficient proof of DBE contact. Provide copies of reply letters from DBEs or if no reply was obtained, attach copy of registered or certified letters. Failure to provide the above information will make the bidder non-responsive not eligible for award of the contract. C. The bidder agrees to certify that the disadvantaged firm(s) engaged to provide materials or services in the completion of this project: (a) is a bona fide disadvantaged business enterprise; (b) has executed a binding contract to provide specific materials or services for a specific dollar amount. The bidder will provide written notice to indicating the disadvantaged business enterprise(s) it intends to use in conjunction with this contract. This written notice is due at the time of bid opening. III-22

23 Certification that the disadvantaged business enterprise(s) has executed a binding contract with the bidder for materials or services should be provided to the Sponsor at the time the bidder's contract is submitted to the Sponsor. Breach of this commitment constitutes a breach of the bidder's contract, if awarded. During the period of the contract, the bidder agrees to make a good faith effort to replace a terminated DBE subcontractor with another DBE subcontractor. D. The undersigned hereby certifies that he or she has read the terms of this commitment is authorized to bind the bidder to the commitment herein set forth. Name of Authorized Officer Date: Signature of Authorized Officer III-23

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25 LETTER OF INTENT Name of Bidder s Firm: Bidder s Address: City: State Zip Name of DBE Firm: Address: City: State Zip Telephone (including area code): Description of work to be performed by DBE firm: Bidder intends to utilize the above-named minority firm for the work described above. The estimated amount of work is valued at $. If the above-named bidder is not determined to be the successful bidder, the Letter of Intent shall be null void. (Copy this page for each minority subcontractor) III-25

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27 DBE UNAVAILABILITY CERTIFICATION I,, (Name) of (Prime or General Bidder) (Title) certify that on, I contacted the following disadvantaged contractors (Date) to obtain a bid for work items to be performed on. Form of Bid Sought (i.e., Unit Price, Work Items Materials Contractor Sought Labor Only, Etc.) To the best of my knowledge belief, said contractor was unavailable (exclusive of unavailability due to lack of agreement on price) for work on this project, or unable to prepare a bid, for the following reason(s): Signature Date (Name of Contractor) bid on the above identified work on by (Date) was offered an opportunity to The above statement is a true accurate account of why I did not submit a bid on this project. (Signature of Contractor) III-27

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29 Bidders List All firms bidding or quoting on subcontracts for this DOT-assisted project are listed below. Firm Name Address Certified DBE (Y or N) Age of Firm GRS* Note: This form is not necessary if the recipient establishes a bidders list using another methodology (e.g., statistically sound survey of firms, widely disseminated request of firms to report information to the recipient, etc.) as defined in the recipient s DBE plan. *GRS Annual Gross Receipts Enter 1 for less than $1 million Enter 2 for more than $1 million, less than $5 million Enter 3 for more than $5 million, less than $10 million Enter 4 for more than $10 million, less than $15 million Enter 5 for more than $15 million. III-29

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31 STATEMENT OF QUALIFICATIONS SIMILAR PROJECTS COMPLETED Name of Project, Address, Type of Improvement, Date, Value SIMILAR PROJECTS UNDER CONTRACT Name of Project, Address, Type of Improvement, Date, Value PROPOSED EQUIPMENT TO BE USED ON PROJECT FINANCIAL STATEMENT: Attached is a copy of my latest financial statement, duly sworn to in form approved by the Sponsor, listing assets liabilities. In lieu of the financial statement, a bidder may submit evidence that he is pre-qualified with the state highway department is on the "current bidders list" for projects of this size nature. Bidder By Address IV-1 Statement of Qualifications

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33 ANTICIPATED SUBCONTRACTS Type of Work to be Sub-let Approximate Dollar Amount of Subcontract $ Probable Subcontractor Address Type of Work to be Sub-let Approximate Dollar Amount of Subcontract $ Probable Subcontractor Address Type of Work to be Sub-let Approximate Dollar Amount of Subcontract $ Probable Subcontractor Address Type of Work to be Sub-let Approximate Dollar Amount of Subcontract $ Probable Subcontractor Address Statement of Qualifications: The Contractor shall submit a statement of the subcontractor's qualifications shall obtain written permission from the Sponsor prior to the actual subletting or assignment of any portion of the contract as per Section of the general provisions. Bidder By Title V-1 Anticipated Subcontracts

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35 FORM OF PROPOSAL GUARANTY KNOW ALL MEN BY THESE PRESENT, that we the undersigned, as Principal as Surety, are hereby held firmly bound unto the Ogden City Corporation hereinafter called the "Sponsor" in the sum of ($ ) for payment of which sum, well truly to be made, we hereby jointly severally bind ourselves, our heirs, executors, administrators, successors assigns. The condition of the above obligation is such that whereas the Principal has submitted to the Sponsor a certain, attached hereto hereby made a part hereof, to enter into a contract in writing for improvements to, NOW THEREFORE, a. If said shall be rejected, or in the alternate, b. If said shall be accepted the Principal shall execute deliver a contract in Form of Agreement attached hereto shall execute deliver Contract Bond Payment Bond in the forms attached hereto, all properly completed in accordance with said. Then this obligation shall be void, otherwise the same shall remain in force effect; it being expressly understood agreed that the liability of the Surety for any all default of the Principal hereunder shall be the amount of this obligation as herein stated. The Surety, for value received stipulates agrees that the obligation of said Surety its bond shall be in no way impaired or affected by any extension of the time within which the Sponsor may accept such ; said Surety does hereby waive notice of any extension. VI-1 Form of Guaranty

36 IN WITNESS WHEREOF, the above-bounded parties have executed this instrument under their several seals this day of, 2018, the name corporate seal of each corporate party being hereto affixed these present duly signed by its undersigned representative, pursuant to authority of its governing body. Principal Attest By SEAL Surety Attest By Attorney-In-Fact SEAL (Accompany this bond with Attorney-In-Fact's authority from the Surety to execute bond, certified to include the date of the bond.) VI-2 Form of Guaranty