FULTON COUNTY, OHIO 703 Aggregate THURSDAY DECEMBER 4, :00 A.M.

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FULTON COUNTY, OHIO 703 Aggregate THURSDAY DECEMBER 4, 2014 10:00 A.M. Company Name Contact Person Email Address Street Address City, State Zip Code Phone Fax To be considered a valid bidder, you must either pick up plans and proposal at our office and be added to the bidders list or fax this registration form to us prior to the bid opening to be added to the bidders list. Subcontractors and suppliers are encouraged but not required to register as a plan holder. Fax completed form to the Fulton County Engineer s Office 419-335-1091. Bid documents obtained from the internet shall be submitted by the bidder bound and in its entirety.

PROPOSAL AND CONTRACT FOR 2015 AGGREGATE BIDS DEPARTMENT OF HIGHWAYS FULTON COUNTY, OHIO FULTON COUNTY COMMISSIONERS Paul Barnaby Perry Rupp Bill Rufenacht FULTON COUNTY ENGINEER Frank T. Onweller, P.E., P.S. BID OPENING: December 4, 2014 10:01 A.M. LOCATION: FULTON COUNTY COMMISSIONER'S OFFICE 152 S. Fulton Street, Suite #270, Wauseon, Ohio 43567 SUBMITTED BY: (BY BIDDER) STREET POST OFFICE STATE ZIP CODE 2015 STONE

LEGAL NOTICE The Fulton County Commissioners will receive bids for various Construction Materials to be used in Fulton County highway projects and maintenance programs during the 2015 calendar year. BIDS WILL BE RECEIVED UNTIL 10:00 A.M. on Thursday, December 4, 2014, at the Fulton County Commissioners office, 152 S. Fulton Street, Suite 270, Wauseon, Ohio. Bids will be opened according to the following schedule: PROPOSAL AND CONTRACTS: A. 703 Aggregate. Bid opening at 10:01 A.M. B. 706 Reinforced Concrete Pipe. Bid opening at 10:06 A.M. Bidders may submit bids for any or all of the Proposals, however bids for each Proposal must be submitted in a separate sealed envelope, with the name of the Bidder and the name of the Proposal written on the outside of the envelope. Proposals and Specifications may be obtained or examined at the office of Frank T. Onweller, Fulton County Engineer, 9120-14, Wauseon, Ohio. This legal notice may also be viewed by logging on to www.fultoncountyoh.com/engineer.htm and clicking on the bids link. By a unanimous vote of the Board of Fulton County Commissioners, all of the requirements of Section 153.54 of the Revised Code have been waived for these bids. The Board of County Commissioners of Fulton County reserves the right to reject any and all bids. Paul Barnaby Perry Rupp Bill Rufenacht FULTON COUNTY COMMISSIONERS Teri S. Suarez, Clerk Publish: Nov. 18, 2014

NOTICE TO BIDDERS PROPOSAL It is the purpose of this Proposal to obtain unit price bids for 703 AGGREGATE to be used in 2015 Fulton County Highway Construction and Maintenance Programs. Proposals may be obtained or examined at the office of Frank T. Onweller, Fulton County Engineer, 9120-14, Wauseon, Ohio. By a unanimous vote of the Board of Fulton County Commissioners, all of the requirements of Section 153.54 of the Revised Code have been waived for these bids. The bidders are requested to submit unit price bids on all gradations commonly manufactured and/or made available for purchase f.o.b. their respective quarries, and/or unit price bids for material & trucking for delivery to Fulton County. Factors which will determine ultimate purchases by Fulton County are; unit bid prices, terms of purchase, location of project, availability of gradation, type of material desired for a particular application, quality of product, type of surface desired. If available, prices are requested for washed #8 stone and 25A (Michigan) stone. Aggregate for projects that require large quantities will be priced at the time of construction by price quotations requested from the bidders.

SPECIFICATIONS The Standard Specifications of the State of Ohio, Department of Transportation dated January 1, 2013, including supplemental specifications. BID FORM Bids shall be made by attachments hereto by the bidder in whatever form he chooses, conditioned that it shall be submitted in ink, typed or printed form and include any and all terms of purchase. The bid shall be filed in a sealed envelope at or before the time mentioned in the advertisement and at the location mentioned in the advertisement. The bids received shall be opened and tabulated at the time stated in the notice. Each bid shall contain the full name of each person or company submitting the bid. NOTE: The bidder should sign the Contract Forms and return the Non-Collusion, Personal Property Tax, Non-Discrimination, and No Findings For Recovery Affidavits as part of the bid. Bidders should fill in all lines marked " * ". The Board of County Commissioners of Fulton County reserves the right to reject any and all bids.

CONTRACT NO. This Contract, made this day of A.D. 20 between the BOARD OF FULTON COUNTY COMMISSIONERS hereinafter called Board and (Bidding Company Name & Address) hereinafter called Supplier. WITNESSETH: That for and in consideration of unit bid prices contained herein, and used as a basis of payment to be made by the Board, Supplier agrees to furnish all materials as bid herein, according to the specifications and conditions stated to the satisfaction and acceptance of the Board during the 2015 calendar year. The supplier further covenants and agrees that the following papers shall be an essential and binding part of this Contract: Proposal, Specifications, Non-collusion Affidavit, copy of Legal Advertisement, Bid Form and Contract. In consideration of the premises the Board on the basis of the unit prices contained herein agrees to pay to the Supplier the appropriate sum according to the terms described on the Proposal. IN WITNESS WHEREOF, the parties have hereunto affixed their names. BOARD OF COMMISSIONERS BY Attest: SUPPLIER *Co. Name Address Contract approved as to form: BY Agent/Title By Fulton County Prosecutor Date

PERSONAL PROPERTY TAX AFFIDAVIT State of ) ) ss. County of ) Before me, a Notary Public, in and for said county, personally appeared*, CONTRACTOR (s) who being duly sworn deposes and says that at the time the bid was submitted he owed * in delinquent personal property taxes, and (Amount) * in penalties and interest as shown on the (Amount) general tax list of personal property for Fulton County, Ohio. * CONTRACTOR By* *Sworn to before me and signed in my presence this day of, 20. * Notary Public My Commission Expires: 20.

State of ) ) ss. County of ) NON- COLLUSION AFFIDAVIT (This affidavit must be executed for the bid to be considered) I, *, (Name of party signing affidavit) (Title) being duly sworn, do depose and say: that *, (Insert name of Individual, Co-partnership, or Corporation) its agent, officers or employees have not 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 proposal. * (Signature) * (Title) *Sworn to and subscribed before me this day of, 20. * Notary Public My Commission Expires: 20.

NON-DISCRIMINATION AFFIDAVIT STATE OF ss COUNTY OF * being first duly sworn, deposes and says that he/she is Name * of * the party Title Company that made the foregoing proposal or bid; that such party does not and shall not discriminate against any employee or applicant for employment because of race, creed, sex, disability or military status as defined in section 4112.01 of the Ohio Revised Code, or color as is described and prohibited by Section 153.59 and/or 125.111 of the Ohio Revised Code. Furthermore, if awarded the contract under this proposal or bid, said party shall indemnify and hold harmless the Fulton County Board of Commissioners for any violations of Section 153.59 or 125.111 of the Ohio Revised Code made by any contractor, subcontractor or any person who works on behalf of the party relating to the ensuing contract. * Signature Affiant Company Address City/State/Zip Code Sworn to and subscribed before me this day of, 20. (Seal) My Commission Expires: Date

NO FINDINGS FOR RECOVERY AFFIDAVIT (O.R.C. Section 9.24) (This affidavit must be executed for the bid to be considered) THIS FORM MUST BE COMPLETED IN ITS ENTIRETY AND NOTARIZED I,, (NAME) (TITLE) (NAME OF COMPANY) affirm that at the time that I submitted the bid for to the Board of Fulton County Commissioners on (BID TITLE) (DATE) that (NAME OF COMPANY) HAS / HAS NO (CIRCLE ONE) unresolved finding for recovery from the State Auditor per Ohio Revised Code 9.24. (If there is a unresolved finding for recovery from the State Auditor, please complete the following section ) The amount of unresolved finding for recovery due the State Auditor is (AMOUNT) and unpaid penalties and interest are. (AMOUNT) (SIGNATURE) (COMPANY) (DATE) Sworn to and subscribed before me this day of, 20. Notary Public County, Ohio. (SEAL) My Commission Expires