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Home My WebLink AboutRES.2648.09-19-2011 _ �� BILL NO. 11 153 RESOLUTION NO. �� A RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE AN AGREEMENT WITH LAPPE CEMENT FINISHING, INC. , FOR THE VETER.ANS MEMORIAL DRIVE PHASE I PROJECT, FOR THE CITY OF CAPE GIRARDEAU, MISSOURI BE IT RESOLVED BY THE COUNCIL OF THE CITY OF CAPE GIRARDEAU, MISSOURI, AS FOLLOWS : ARTICLE 1 . The City Manager, for and on behalf of the City of Cape Girardeau, Missouri, is hereby authorized to execute an Agreement with Lappe Cement Finishing, Inc . , for the Veterans Memorial Drive Phase I Project . A copy of said Agreement is attached to this Resolution and made a part hereof . PASSED AND ADOPTED THIS / / DAY OF �, 20�. Harry E. Re iger, Mayor ATTEST: �--- 4� �`� �/, � �� G (� O '�, Gayl JL. Conrad, C ' C1 � � q � v �"�' �;1� , Q � , #'r E �.�^ � #,K_..,,4�t 1tE�"k�'- � `qEAL � � �C . � CONTRACT CITY OF CAPE GIRARDEAU VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A STANDARD FORM OF AGREEMENT BETWEEN THE CITY OF CAPE GIRARDEAU MISSOURI AND CONTRACTOR ON THE BASIS OF A STIPULATED PRICE THIS AGREEMENT is dated as of the ��'1 day of�(��pI0E.1� in the year 2011 by and between the City of Cape Girardeau, Missouri (hereinafter called THE CITY)and Lappe Cement F i n t sh i ng, I nc. (hereinafter called CONTRACTOR). THE CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows herein: Article 1. WORK. CONTRACTOR shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: for the construction of a n�w city street consisting of clearing and grubbing, roadway excavation and embankment construction, erosion control, traffic control, construction of concrete pavement(or an asphalt paving option), construction of a precast prestressed concrete bridge, concrete box culvert construction, drainage constn�ction'including concrete pipe and concrete inlets, retaining wall construction, signing, pavement striping, seeding and other associated construction items. Article 2. ENGINEER. The City of Cape Girardeau, or their designee, is to act as the CITY'S representative, assume all duties and responsibilities and have the rights and authoriry assigned to ENGINEER in connection with completion of the Work in accordance with the Contract Documents. Article 3. CONTRACT TIMES. 3.1 The work will be completed and ready for acceptance by the City within 150 WORKING DAYS as provided in Section 5, Page P-6 in the Bid Form Section, and ready for final payment within 45 CALENDAR DAYS following completion and acceptance of all Work. 3.2 Liquidated Damages. The CITY and CONTRACTOR recognize that time is of the essence of this Agreement and that the CITY will suffer financial loss if the Work is not completed within the times specified in paragraph 3.1 above, plus any extensions thereof allowed in accordance with the Standard Specifications. They also recognize the delays, expense and difficulties involved in proving the actual loss suffered by THE CITY if the Work is not competed on time. Accordingly, instead of requiring any such proof,THE CITY and CONTRACTOR agree that as liquidated damages for delay(but not as a penalty)CONTRACTOR shall pay the CITY ONE THOUSAND TWO HUNDRED TWENTY FIVE AND NO/100 DOLLARS ($1,225.00) fer each calendar day that exFi.es aft2r#he time specif�d in paragraph 3.1 above for corripletion a�d acceptance until the Work is complete. After acceptance of Work, the Contractor shall complete and present to the City of Cape Girardeau all final papers within 45 CALENDAR DAYS. Liquated damages of ONE THOUSAND AND NO/100 DOLLARS ($1,000.00)will be assessed for each calendar day that expires after the specified 45 calendar days. C- 1 y / i Article 4. CONTRACT PRICE. 4.1 The CITY shall pay CONTRACTOR for completion of the Work in accordance with the Contract Documents an amount in current funds equal to the sum of the amounts determined pursuant to paragraph 4.2 below. 4.2 For all Unit Price Work, an amount equal to the sum of the established unit price for each separately identified item of Unit Price Work times the estimated quantity of that item as indicated in the bidding documents. Two million three hundred thirty-seven TOTALOFALLUNITPRICES: thousand one dollar and 52/100 ($ 2,337,001 .52 � As provided within these Bidding Documents, the estimated quantities are not guaranteed, and determinations of actual quantities and c�assification are to be made by the City of Cape Girardeau as provided for within these Documents. Article 5. PAYMENT PROCEDURES. Measurement and Payment of Contract Quantities will be in accordance with Section 109 of the "MISSOURI STANDARD SPECIFICATION FOR HIGHWAY CONSTRUCTION",2004 EDITION INCLUDING SUPPLEMENTAL SPECIFICATIONS TO THE 2004 MISSOURI STANDARD SPECIFICATION FOR HIGHWAY CONSTRUCTION 02/01/11 except that payment will be on a monthly basis 5.1 Progress payments and Retainage. THE CITY shall make progress payments on account of the Contract Price on the basis of CONTRACTOR'S Application for Payment as recommended by ENGINEER, on or _. _ __about_th.e 1.Oth day_of_each-month-dur-ing-constr-uctior�-as provided in{�aragr-aphs-5.1.1�nd 5:'i:2-below� - - - All such payments will be measured by the schedule of values established within these documents(and in the case of Unit Price Work based on the number of units completed). 5.1.1 Prior to Substantial Completion, progress payments will be made in an amount equal to the percentage indicated below, but, in each case, less the aggregate of payments previously made and less such amounts as the City of Cape Girardeau may lawfully withhold. 100% payment for all Work completed and accepted as determined by the City of Cape Girardeau. If the character and progress of the Work is satisfactory, the City of Cape Girardeau may determine that as long as the character and progress of the Work remain satisfactory to them, there will be no retainage on the amount of Work that is completed and accepted. 5.1.2 Upon Substantial Completion, the City of Cape Girardeau may require, in writing, that a specified amount of the semifinal payment may be withheld to insure that all remaining contractual obligations are met by the Contractor in a satisfactorily manner and on a timely basis. 5.2 Final Payment. Upon final completion and acceptance of the Work, the City of Cape Girardeau shall pay the remainder of the Contract Price, and any approved Change Orders as recommended and approved by City of Cape Girardeau. Article 6. INTEREST. 6.1 All moneys not paid when due as provided within these Speci�cations shall bear interest at the maximum rate allowed by law at the place of the Project. 6.2 Upon receipt from the Contractor of all required final documents,final pavment#o t�e Centractor shall be made within 30 CALENDAR DAYS or interest will accrue on all unpaid amounts in accordance with current provisions that are contained within the State of Missouri Revised Statues. Article 7. CONTRACTOR'S REPRESENTATIONS. In order to induce the City to enter into the Agreement, CONTRACTOR makes the following representations: C -2 t ♦ _ � 7.1 CONTRACTOR has examined and carefully studied the Contract Documents (including the Addenda listed in paragraph 8)and the other related data identified in the Bidding Documents, including"technical data". 7.2 CONTRACTOR has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance and furnishing of the Work. 7.3 CONTRACTOR is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and furnishing of the Work. 7.4 CONTRACTOR has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site and all drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site(except Underground Facilities)which have been identified. CONTRACTOR accepts the determination set forth to the extent of the"technical data" contained in such reports and drawings upon which CONTRACTOR is entitled to rely as provided in the Specifications. CONTRACTOR acknowledges that such repo�ts and drawings are not Contract Documents and may not be complete for CONTRACTOR'S purposes. CONTRACTOR acknowledges that THE CITY OF CAPE GIRARDEAU or the ENGINEER does not assume responsibility for the accuracy or completeness of information and data shown or indicated in the Contract Documents with respect to Underground Facilities at or contiguous to the site. CONTRACTOR has obtained and carefully studied (or assumes responsibility for having done so)all such additional supplementary examinations, investigations, explorations, tests, studies and data concerning conditions(surface, subsurface and Underground Facilities)at or contiguous to the site or otherwise which may affect cost, progress, performance or furnishing of the Work o�which relate to any aspect of the means, methods, - . #echniques, sequences and pr-ocedures of construction to be employed by CONTRACTOR and-safety- precautions and programs incident thereto. CONTRACTOR does not consider that any additional examinations, investigations, explorations, tests, studies or data are necessary for the performance and furnishing of the Work at the Contract Price, within the Contract Times and in accordance with the other terms and conditions of the Contract Documents. 7.5 CONTRACTOR is aware of the general nature of work to be performed by the City of Cape Girardeau and others at the site that relates to the Work as indicated in the Contract Documents. 7.6 CONTRACTOR has correlated the information known to CONTRACTOR, information and obsenration obtained from visits to the site, reports and drawings identified in the Contract documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract � Documents. 7.7 CONTRACTOR has given ENGINEER written notice of all conflicts, errors, ambiguities or discrepancies that CONTRACTOR has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to CONTRACTOR, and the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performance and furnishing of the Work. Article 8. CONTRACT DOCUMENTS. The Contract Documents which comprise the entire agreement between the CITY and CONTRACTOR concerning the Work consist of the following: 8.1 This Agreement(pages C- 1 to C- 14 inclusive). 8.2 Exhibits to this Agreement(pages 1: 8.3 Performance, Payment, and other Bonds, and insurance(s)as identified as exhibits INSURANCE AND BOND DOCUMENTS and consisting of pages. 8.4 Notice to Proceed (to be issued upon Contract approval by MoDOT and the City of Cape Girardeau Missouri. C- 3 ; 8.5 Specifications are the 2004 Edition of the MISSOURI STANDARD SPECIFICATION FOR HIGHWAY CONSTRUCTION including SUPPLEMENTAL SPECIFICATIONS TO THE 2004 MISSOURI STANDARD SPECIFICATION FOR HIGHWAY CONSTRUCTION 02/01/11. 8.6 Project Drawings 79 sheets. 8.7 Addenda numbers to inclusive. 8.8 CONTRACTOR'S Bid pages P- 1 to P- 18 , ICICIUSIVE. Marked "Exh i b i t A�� 8.9 Technical Specifications, Permits, Instructions as outlined within the Index for these Documents. 8.10 Documentation submitted by CONTRACTOR prior to Notice of Award (pages inclusive). 8.11 The following which may be delivered or issued after the Effective Date of the Agreement and are not attached hereto: All Written Amendments and other documents amending, modifying or supplementing the Contract Documents. The documents listed in paragraphs 8.2 et seq.above are attached to this Agreement(except as expressly noted otherwise above). There are no Contract Documents other than those listed above in the A�ticle 8. The Contract Documents may only be amended, modified or supplemented as provided in the Project Standard Specifications. Article 9. MISCELLANEOUS. 9.1 Terms used in this Agreement which are defined within other Sections of these Documents. 9.2 No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, moneys that may become due and moneys that are due may not be assigned without such consent(except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment no assignment will release or discharge the assignor from any duty or responsibility under the Cont�act'Documents. 9.3 The C1TY OF CAPE GIRARDEAU and CONTRACTOR each binds itself, its pa�tners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect to all covenants, agreements and obligations contained in the Contract Documents. 9.4 Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon the CITY OF CAPE GIRARDEAU and CONTRACTOR, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. 9.5 The General Contractor shall provide to the City of Cape Girardeau weekly certified payrolls from the General Contractor and all Subcontractors during the course of the project including those times when no work was accomplished. These may be provided on a weekly basis or submitted monthly with each pay request. C -4 . . . � r IN WITNESS WHEREOF, OWNER and CONTRACTOR have signed the Agreement in multiple copies, One counterpart each has been delivered to CONTRACTOR and ENGINEER and two counterparts to the OWNER. All portions of the Contract Documents have been signed, initialed or identified by OWNER and CONTRACTOR or identified by ENGINEER on their behalf. This Agreement will be effective on ��Jet' I a , 2011 (which is the Effective Date of the Agreement). OWNER Cit of a e Girardeau CONTRACTOR Lappe Cement Finis, k�►c ,�E►n��: ; ,r'`�`4�;° 1JC° '' . � ' �,�;.- Scott M er na er •C =; �r .w �r - B � V' � 6 ' _ By: �' �- '` f [ PO T L [ ORP TE L] ;� ` � ` `' = , � •� . . �_. ; : _ , .. . . , , ,,;. ,,. , Attest Attest `� � � �� _ � '' Address for giving notices Address for giving notices 401 Independence Street 8064 Hiqhwav B Cape Girardeau, MO 63703 Perrvville, MO 63775 (If OWNER is a public body, attach License No. �1 evidence of authority to sign and resolution or other documents Agent for service of process: autho ' ' t�n of Agreement. � � �R� 4� '^ (If CONTRACTOR is corporation, 04`' r''� ,� �'�G ts, ��,a �, attach evidence of authority to sign.) o � "��- .� � � T� r�. ��" � ' O v .� � -r r�'�� 4 %�,�= T�c� c�ti to � * �s�R�v� * �.�;.�L �_,t�,:. C-5 � �r s � BREAKDOWN OF WORK FORCE (Required): BIDDER hereby states that he will perform the following items of work directly without employment of subcontractors: It is anticipated that the following subcontractors will be employed for work on this project: See page P-10 of contractor ' s Proposal It is anticipated that the following subcontractors will be employed for work on this project: SUBCONTRACTORS: (Name) (Type of Work) C-6 , . SPONSOR: CITY OF CAPE GIRARDEAU MISSOURI PROJECT: VETERANS MEMORIAL DRIVE CONTRACTORS AFFIDAVIT REGARDING SETTLEMENT OF CLAIMS (To be executed and filed in duplicate upon Project Completion) , 20 To CITY OF CAPE GIRARDEAU MISSOURI: This is to certify that all lawful claims for material, lubricants, fuel, coke, repairs on machinery, groceries and foodstuffs, equipment and tools consumed or used in connection with the construction of the above mentioned project,and all insurance premiums, both compensation and all other kinds of insurance on said work,ars�for dil labor performed in said work,whether by subcontractor or ctaimant in person or by his employee,agent,servant, baiiee or bailor, have been paid and discharged. Contractor _ ____. __ __ _ . _ _. ___ _ _ _ --_ _ _ . _ _._ _ _ _.___ _ _ _. _ _ ..._.._ BY: Name and Title BY: Name and Title County of: State of: Subscribed and sworn to before me on this day of , 20 , at (Location) Name of Notary Public SEAL My commission expires on C-7 . , , � AFFIDAVIT COMPLIANCE WITH THE PREVAILING WAGE LAW Before me, the undersigned Notary Public, in and for the County of , State of , personally came and appeared of (Name & Title) (Company Name) (a Corporation) (a Partnership) (a Proprietorship), and after being duly sworn did depose and say that all provisions and requirements set out in Chapter 290, Sections 290.210 through and including 290.340, Missouri Revised Statutes, pertaining to the payment of wages to workers employed on public works projects have been fully satisfied and there has been no exception to the full and complete compliance with said provisions and requirements and with Wage Determination No. or Annual Wage Orcler-Na issued by the Division of Labor Standards on project (Job No.) � (Route or location, if building construction) � County, Missouri, and completed on the day of __ _ ____ -_ _ _ _ ,2p . _ __ _ --..___ _ _ __ _ (Signafure) Subscribed and sworn to me this day of , 20 My commission expires , 20 Notary Public SEAL � c-8 � � � REQUEST FOR APPROVAL OF SUBCONTRACT Project Route County/City TO: (County/City Representative) We request County/City approval to sublet the items of work listed on the back of this form to: Subcontractor: The Subcontractor is classified: Address: Non-DBE DBE Telephone: This request complies with requirements of the Standard Specifications, Supplemental Specifications, and Special Provisions, including but not limited to: U.S. Dept. of Labor Wage rates Respectfully submitted, Required Contract Provisions (Form FHWA-1273) State Wage Rate Requirements __ _ _.__ _ _ __ _ _ _ _ _ __ _ __ __ _ ____ _ ... Non discrimination in Employment (Contractor) Equal Employment Oppo�tunity Nonsegregated Facilities gy Small Business Act Date Have you attached the necessary EEO forms (If Required)? This portion to be completed by County/City PREVIOUSLY APPROVED SUBCONTRACTORS TYPE OF WORK 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. COUNTY/CITY APPROVAL Approval -County/City Representative Date Distribution after approval: Contractor,counry�City Rep. Subcontractor Number: C—y t ; � r CONTRACTOR'S INSTRUCTIONS FOR FILLING OUT REQUEST TO SUBCONTRACT WORK Fill in Project Number, Route, County/City, County/City Representative's Name, Subcontractor's Name, Address and Telephone, Subcontractor Classification, Contractor Signature Block and Date. List items in the same order as they appear in the contract. Quantities on the request may be different than in the contract. Partial quantities are acceptable with an explanation. (Put an * by Quantity and an *with explanation listed below item descriptions.) The Unit Price on a �equest can never be more than the unit price stated in the contract(No Exceptions). The Unit Price on a request may be less than the unit price stated in the contract. (Put an * by unit price and an *with explanation listed below item descriptions.) Use the following table to determine in what column to place the subcontracted amounts: Sublet DBE Amount Allowance ---------- ------------- Without DBE ReQuirements in Projecfi _ Non-DBE sub doing work: Yes No DBE sub doing work: Yes No With DBE Repuirements in Proiect: Non-DBE sub doing work: Yes No DBE sub doing work: No Yes* *May not exceed the maximum DBE allowance in the contract. It then becomes a non-specialty item and is listed in the appropriate amount column. Fill in the column Totals, then STOP. Do not write below the double line. For subcontractors in excess of$10,000.00, submit the proposed subcontractors completed Certification Regarding Equal Opportunity and Affirmative Action in Subcontracting with this request. Does the proposed subcontractor have the proper insurance submitted? If not, the request cannot be approved. Do not write below the double line. C-10 . t PROGRESS REPORT Period from to to Project Number Percent of work complete Local Agency Working days in contract Working days charged this period Working days previously charged Working days charged to date -- _ __ _ _ _._ _ _. _ _ __ _ __ __ _ _ _ _ _ __ _ Working days remaining Narrative of work completed this period and project status: Anticipated Change Orders: Traffic Control has been reviewed and deficiencies, if any, have been corrected. Signed: C-11 ., , , � r EXHIBIT A I BID FORM CITY OF CAPE GIRARDEAU I VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A I PROJECT IDENTIFICATION: I The proposed improvements include for the construction of a new city street consisting of clearing and grubbing, roadway excavation and embankment construction, erosion control, traffic control, construction of concrete pavement(or an asphalt paving option), construction of a precast prestressed concrete - bridge, concrete box culvert construction, drainage construction including concrete pipe and concrete I inlets, retaining wall construction, signing, pavement striping, seeding and other associated construction items. and all other appurtenances as specified in the Bid Documents for the noted Project. I THIS BID IS SUBMITTED TO: CITY OF CAPE GIRARDEAU 401 INDEPENDENCE I CAPE GIRARDEAU, MISSOURI 63703 1. The undersigned BIDDER proposes and agrees, if tfie Bid is accepted, to enter into an agreement with the I City of Cape Girardeau Missouri in the form included in the Contract Documents to perform and furnish all . Work as specified or indicated in the Contract Documents for the Bid Price and within the Bid Times indicated in this Bid and in accordance with the other terms and conditions of the Contract Documents. I 2. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. This Bid will remain subject to acceptance for sixty(60)days after the day of Bid opening. BIDDER will sign and deliver the required number of counterparts of the Agreement with the Bonds and other documents required by the Bidding Requirements within fifteen (15)calendar days after receipt from the City of the Notice of Award. 3. In submitting this Bid, BIDDER represents, as more fully set forth in the Agreement, that: (a) BIDDER has examined and carefully studied the Bidding Documents and the following Addenda, receipt of all which is hereby acknowledged: (List Addenda by Addendum Number and Date) d�►� � - ��d a d e u,m �oZ - e.r� 3 t7► uw� � J— �'ect oZ l 1 (b) BIDDER has visited the site and become familiar with and is satisfied as to the general, local and site conditions that may affect cost, progress, performance and furnishing of the Work; (c) BIDDER is familiar with and is satisfied as to all federal, state and local Laws and Regulations that may affect cost, progress, performance and furnishing of the Work. (d) BIDDER has carefully studied all reports of explorations and tests of subsurface conditions at or contiguous to the site. Also alt drawings of physical conditions in or relating to existing surface or subsurface structures at or contiguous to the site (except Underground Facilities)which have been identified to the extent of the"technical data" contained in such reports and drawings upon which BIDDER is entitled to rely. BIDDER acknowledges that such reports and drawings are not Contract Documents and may not be complete for BIDDER'S purposes_ BIDDER acknowledges that the City of Cape Girardeau and the Engineer do not assume responsibility for accuracy or completeness of information and data shown or indicated in the Bidding Documents with respect to Underground Facilities at or contiguous to P -1 ' ; the site. BIDDER has obtained and carefully studied (or assumes responsibility for having done so)all such additional or supplementary examinations, investigations, explorations, tests, studies and data concerning conditions (surface, subsurface and Underground Facilities)at or contiguous to the site or otherwise which may affect cost progress, performance or furnishing of the Work or which relate to any aspect of the means, methods, techniques, sequences and procedures of construction to be employed by BIDDER and safety precautions and programs incident thereto. BIDDER does not consider that any additional examinations, investigations, explorations, tests, studies or data are necessary for the determination of this Bid for performance and furnishing of the Work in accordance with the times, price and other terms and conditions of the Contract Documents. � (e) BIDDER is aware of the general nature of Work to be performed by the City of Cape Girardeau and all others (if so indicated on the Plans)at the site that relates to Work for which this Bid is submitted as indicated in the Contract Documents. (f) BIDDER has correlated the information known to BIDDER, information and observations obtained from visits to the site, reports and drawings identified in the Contract Documents and all additional examinations, investigations, explorations, tests, studies and data with the Contract Documents. (g) BIDDER has given the Engineer written notice of all conflicts, errors, ambiguities or discrepancies that � BIDDER has discovered in the Contract Documents and the written resolution thereof by ENGINEER is acceptable to BIDDER. The BIDDER agrees that the Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performing and furnishing the Work for which this Bid is submitted. �, (h) This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group association, organization or corporation; BIDDER has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; BIDDER has not solicited or induced any person, firm or corporation to refrain from bidding; and BIDDER has not sought by collusion to obtain for itself any advantage over any other Bidder or over the CITY OF CAPE GIRARDEAU. 4. BIDDER will complete the Work in accordance with the Contract Documents for the following price(s) indicated on Pages P- 3 to P-6. 5. The Prime Contractor for this Project must perform with its own organization, contract work amounting to ; I not less that thirty(30) percent of the total contract price. 6. The Prime Contractor must have a fully responsive contractor questionnaire on file with Missouri IDepartment of Transportation (MoDOT)a minimum of seven (7)days prior to the bid opening date. 7. If the low bidder is not on MoDOT's contractor listing, the bidder cannot be awarded the Rroject. The Project will be awarded to the second low bidder who complies with all Contract requirements. I 8. DUNN NUMBER (see sheet TS- 12) o �� 3a — / 0� � :t .I ,� I P - 2 � � UNIT PRICE BID AND EXTENSIONS CITY OF CAPE GIRARDEAU VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A NO ITEM EST. UNIT UNIT TOTAL QTY. PRICE PRICE 1. GENERAL CONTRACT REQUIREMENTS, 1 LUMP SUM $ $ MOBILIZATION AND DEMOBILIZATION �� Q�,� � tJD 2. REMOVAL OF EXISTING IMPROVEMENTS t LUMP SUM $ $ � 3�•�° a9 3�.°� 3. CLEARING AND GRUBBING 18.6 ACRE $ $ I iao.°° 0 3a.°° 4. TEMPORARY EROSION CONTROL 1 LUMP SUM $ ��,pa $ a SD.� � 5. CLASS 1 ROCK EXCAVATION (BRIDGE AND 18.5 CUBIC $ $ RETAINiNG WALLS) YAROS � q� ,� � 4'a 6. CLASS 3 EXCAVATION-ROCK(STORM 90.0 CUBIC $ $ SEWERS) YARDS p� p� IOo. 00�. 7. CLASS 4 EXCAVATION-ROCK(BOX 70.0 CUBIC $ $ CULVERTS) YARDS C, .�T� / S� Q� l0 . : 8. CLASS C EXCAVATION;INCLUDING 14,500 CUBIC $ $ COMPACTING EMBANKMENT(SEE SPECS) YARDS � o.4a 151 o9a. 9. CLASS A EXCAVATION,INCLUDING 80,771 CUBIC $ $ COMPACTING EMBANKMENT(SEE SPECS) YARDS �, y� 3 8,jD,y 10. BORROW EXCAVATION 5,668 CUBIC $ $ YARDS 4,� �a pp 11. COMPACTION IN CUT 5 STATIONS $ $ , (� �0•°�° �4b�•°a 12. TYPE 2 DITCH LINER 205 CUBIC $ $ FURNISH AND PIACE YARDS 3.5,� 'l s� 13. TYPE 2 ROCK BLANKET 850 CUBIC $ $ FURNISH AND PLACE YARDS 2� � �y� � u v 14. BRIDGE APPROACH SLAB(BRIDGE) 243.1 SQUARE $ $ YARDS ��.Op 3 8 �' � 15 CONCRETE APPROACH PAVEMENT-12" 184.6 SQUARE $ $ YARO 1�,0'� aa 5a-� 16. CLASS B-1 CONCRETE -BRIDGE 146.64 CUBIC $ $ YARDS � � �.�3 �7 � �Q7 / 17. CLASS B-2 CONCRETE(BRIOGE DECK 217.0 SQUARE $ $ OVERLAYj YARDS � � a 1 Qa 1 18. REINFORCING STEEL(BRIDGE) 22,660 POUNDS $ t O $ � �`� 19. PRECAST,PRESTRESSED CONCRETE BOX 11 EACH $ $ . • BEAMS,21'DEEP x 44'LONG � / � p'a O 5 �O�UO .y,� lD 20. TYPE A GUARDRAII AND POSTS 150 LINEAL $ � $ � � _ FEET a , cJ I�V• t._. t � ' 8 O CONTINUED ON PAGE P - 4 CO RACTOR AT P - 3 � , � , � I UNIT PRICE BID AND EXTENSIONS i CITY OF CAPE GIRARDEAU VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A INO ITEM EST. UNIT UNIT TOTAL QTY. PRICE PRICE I 21. GUARDRAIL TRANSITION SECTION 4 EACH 6 FT POSTS �.6fl � p..� � 22. TYPE A CRASHWORTHY GUARDRAII 6 EACH $ g END TERMlNAL(SEE SPECIAL � PROVISIONS) ��.� �j I� pD � 23. TERMINAL END SECTIONS 2 EACH $ � (SEE SPECIAL PROVISIONS) � 00 2 o y�.�p � I �� v 24. TYPE E GUARDRAIL, POSTS, END 137.5 LINEAL $ $ (BRIDGE)S AND DELINEATORS,WHITE FEET � �L 15a.°D �� as I25 CHAIN LINK FENCE,48"HIGH 298.0 LINEAL $ $ (WALL ALONG SANDER'S PROPERTY) FEET .� 53 : d'a � 26. CONCRETE RETAINING WALL 3,020 SQUARE $ $ I (WALL ALONG SANDER'S PROPERTY) FEET 2 �.�-. �, J 03 3�(�D 7 27. 6'THICK CONCRETE DRIVEWAY 920.0 SQUARE $ $ PAVEMENT(NO BASE) YARD 3(�..�� I ��.Oa I ` 28. 10'x 8'SINGLE BARREL CONCRETE BOX 172 LINEAL $ $ CULVERT FEET 5��,� 3 �a•� 29. 8'x 8'SINGLE BARREL CONCRETE BOX 162 LINEAL $ $ I CULVERT FEET '�J' S dD a� 39 .�O � 30. FURNISH AND INSTALL 563 LINEAL $ � $ 15'CIASS III RCP FEET 5.UO �� I31. FURNISH AND lNSTALL 140 LINEAL $ $ � 18"CLASS III RCP FEET "7.J� � �� 4�0 32. FURNISH AND INSTALL 554 LINEAL $ $ I24"CL ASS III RCP FEET �3,�� ` � �.(D O 33. FURNISH AND INSTALL 99 LINEAL $ $ I 30'CLASS III RCP FEET a .� � f?Jg•� 34. FURNISH AND INSTALL 95 LINEAL $ $ 60"CLASS Iil RCP FEET I 5'"�•� 9 ' •� � 35. FURNISH AND INSTALL 4 EACH $ $ 15"CLASS III RCP FLARED END SECTION �I O•� ��,� 36. FURNISH AND INSTALL 2 EACH $ $ I 60"CLASS ill RCP FLARED END SECTION 3 D 3�•0"� �p�,Qa 37. CONNECT RCP PIPE TO BOX CULVERT 2 EACH $ $ �5�.�° I ��.eo ( 38. FURNISH AND INSTALL 5 EACH $ g 3'x 3'AREA WLET j 571.(?'O Q '1�� •D� 1 V p o� ( 2 ` v+ S . $ �� i CONTINUED ON PAGE P- 5 � CO RACTOR � DATE � � P- 4 � . ; UNIT PRICE BID AND EXTENSIONS CITY OF CAPE GIRARDEAU VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A NO ITEM EST. UNIT UNIT TOTAL QTY. PRICE PRICE 39. FURNISH AND INSTALL 5'x3'CURB INLET 8 EACH $ $ (CAPE STANDARD) p��y-�.� a a �ao.� 40. FURNISH AND INSTAIL 6'x3'CURB INLET 1 EACH $ $ (CAPE STANDARD) ?J. a�,4� CJ�•UD 41. FURNISH AND INSTALL 6'x4'CURB INLET 1 EACH $ $ (CAPE STANDARD) �D.� �� 8'O 42. FURNISH AND INSTALL 2 EACH 12°x 12" 1 LUMP $ $ ' GRATE AND 8°SDR35 PVC DRAIN AT SUM RETAINING WALL(SEE PLANS) L}�.� L}.p,� 43. FURNISH AND INSTALL SUBGRADE 331.0 LINEAL $ $ DRAIN PIPING FEET � 7J .� 44. CONCRETE ISLANDS 42.0 SQUARE $ $ � YARDS �D 3� 45. STRIPING-24"STOP BAR 22.5 LINEAL $ $ , FEET lR-� � o3.,S�Z� 46. STRIPING-4"DOUBLE YELLOW, 5,560 LINEAL $ $ SOLID FEET SS 3 b5 •� 47. STRIPING-TURN ARROW 3 EACH $ 5D.o.o $ �S�.o0 48. STRIPING-4"SINGLE WHITE 11,915 LINEAL $ $ (SOLID) FEET y 35 �„� � `I D,a5 49. STRIPING-4" DASHED WHITE 1,955 LINEAL $ $ FEET . L}a, a� • I� 50. STRIPING-24"YELLOW HASH 85 LINEAL $ p $ MARKS FEET 3 ,� 3��•O� 51. 12"DIAMETER STEEL CASING 160.0 LINEAL $ $ FEET �a.� � D•QD 52 FURNISH AND INSTALL ROAD SIGNAGE 1 LUMP $ $ S�M a�50.°� 9s�.� � 53. TEMPORARY TRAFFIC CONTROL � 1 LUMP $ $ INCLUDING BARRICADES AND SIGNAGE SUM (� a�� p g�,� � 54. TURF TYPE TALL FESCUE SODDING 650 SQUARE $ $ FEET ' ,� b �p5�•� 55. SEEDiNG INCLUDING LIME,FERTILIZER, 12.0 ACRE $ $ SEED&MULCH ' I..�"��.� '^� ��.p O'p � 56. A-3 SHOULDER TREATMENT 6,856 SQUARE $ $ YARD '� 4b �J� . ITOTAL BASE BID VETERANS MEMORIAL DRIVE_$ I (Written Amount of Bid) �. c� , -5 � s �. �,8j�► ICO CTOR DATE vv I P- 5 � � UNIT PRICE BID AND EXTENStONS CITY OF CAPE GIRARDEAU VETERANS MEMORIAL DRIVE CAPE GIRARDEAU COUNTY MISSOURI PROJECT NUMBER J010767A PCC PAVEMENT ALTERNATE SEE SPECIAL PROVISION Q. ALTERNATES FOR PAVEMENTS JSP-96-04D1 NO ITEM EST. UNIT UNIT TOTAL OTY. PRICE PRICE 1. 8'THICK PCC CONCRETE PAVEMENT 12,466 SQUARE WITHOUT CURB � $ YARD J?L.}..�9� 431 3a3. �Ob 2. 8"THICK PCC CONCRETE PAVEMENT 7,879 SQUARE WITH INTEGRAL CURB $ $ YARD 3s � p�7� 5.� 3. 4"TYPE 5 AGGREGATE BASE 27,832 SQUARE YARD $ �� $ 3• 8� a 9.aa TOTAL BASE BID PLUS PCC PAVING ALTERNATE VETERANS MEMORIAL DRIVE_�� '�j�]� (�' � �'t � • . • . rw�� o., � � � do Ila�. � 5a�i�s--- .--.�......-.��.,w�i�� aia� �.°` { � � c . $ C TRACTO DAT ASPHALT PAVING ALTERNATE /'/ SEE SPECIAL PROVISION Q. ALTERNATES FOR PAVEMENTS JSP-96-04D1 � NO ITEM EST. UNiT UNIT TOTAL PRICE TOTAL PRICE QTY. PRICE DEDUCT 1. 24" CONCRETE CURB AND 2,645 LINEAL ADDITION GUTTER � $ 2. 6' TYPE 5 AGGREGATE BASE 27,832 SQUARE $ $ 3.. PRIME YARDS 3,960 GALLON $ $ 4. 6'THICK ASPHALT BASE 19,757 SQUARE PLACE IN 2 LIFTS $ $ 5. 4' THICK ASPHALT WEARING 19,737 SQU RE SURFACE BP-10R BP-2 (pLACE YARDS $ $ IN 2 LIFTS TOTAL BASE BID PLUS ASPHALT PAVING ALTERNATE VETERANS MEMORIAL DRIVE_$ (Written Amount of Bid) IconAi cT�� ' " ��`�• ��/! OR DATE ITotal bid amount is to be shown in both words and figures. In case of discrepan y, the amount shown in words will govern. In case of error in extension, the unit price or the lump sum price under each Pay Item wili be considered correct, and these sums when properly extended, shall constitute the Bid. IUnit Prices have been computed to include all labor, equipment and material including profit and overhead. I P - 6 r BIDDER acknowledges that quantities are not guaranteed and final payment will be based on actual quantities determined as provided in the Contract Documenis. 5. BIDDER agrees that the Work will be complete and accepted by the City of Cape Girardeau in 150 WORKING DAYS. Commencement of Work is to be undertaken within 30 CALENDAR DAYS following receipt of the NOTICE TO PROCEED. Final papers are to be completed and presented for final payment in accordance with the Project Standard Specifiications within 45 CALENDAR DAYS following completion and acceptance of all Work. BIDDER accepts the provisions of the Agreement, and as listed below, pertaining to liquidated damages in the event of failure to complete the Work within the times specified within these Documents. 6. The NOTICE TO PROCEED will be issued within 30 CALENDAR DAYS following concurrence of Contract Award by the Missouri Department of Transportation. 7. Liquated damages of ONE THOUSAND TWO HUNDRED TWENTY FIVE AND NO/100 DOLLARS 1 225.00 will be assessed for each calendar day that expires after the time specified in Paragraph 5 above for completion of Work and acceptance by the City of Cape Girardeau. After acceptance of Work, the Contractor shall complete and present to the City of Cape Girardeau all final papers within 45 CALENDAR DAYS. Liquated damages of ONE THOUSAND AND R0/100 DOLLARS I$1.000.00)will be assessed for each calendar day that expires after the specified 45 Calendar Days. 8. The following documents are attached to and made a condition of this Bid: (�Required Bid Security in the form of bid bond or cashiers check. (1y� Required BIDDER'S Qualification Statement with supporting data. �Any Addenda that may be issued. 9. Communications concerning this Bid shall be addressed to: Name Q �.. Address Q��O�T 1�1 bt9� � ' P ('f�_1/� �I 2� ( '�V �3�7� Telephone Number �S� �J J��— ��j (a) Performance and Payment Bonding Company � � Name � ��'Q� �' C� T C�,ry� I Address �n U2 s� .�. • l,�iCtr a Id S��f� Sa�a7 I AgentlPower of Attorney Name (if used) IAddress ITelephone Number I 10. Terms used in the Bid are defined in the Project Standard Specifications or as indicated in the Instructions to Bidders. I P � ' SUBMITTED on ..3t, , 2p�. State Contractor License No._ �� D IF BIDDER is: An Individual: By (SEAL) (Individuai's Name) Doing business as Business address: Telephone Phone No.: A Partnership: By (SEAL) (Firm Name) E (General Partner) Business address: Telephone No.: County of: State of: Subscribed and sworn to before me on this day of , at �I (Location) I ;: Name of Notary Public I SEAL My commission expires on I I I I P - 8 f � r A Corporation: By �-o. C P.v�'� i1n�5�in � C• I (Corporation Name) /�1 i 5 Sou r � I (State of Incorporation) By and �,c�. ��{r (Name of Person Authoriz d to g ) f ' S��Fe: , r ,,. ` ,� I , 1 ,.� ; ♦ ��i/�4 �;�r� ��F � �re��d e,�� /��r F u b� E E�� '� .�;- �z \ 1 i�. y !5�.i�{� '(�:$Y1p.,. I�at� �i�. �' . (Tit ) �; ;�; �" o : `� (,�� r�� f : � : IAttest � �' ��4��,�� _ ,,t � :_ (Secretary) k��'"�.��+'�, ,��' , .,:,�� x ��. �. , '/ . ��;�� ,�� '� ,��,�. I Businessaddress: �OIQ� /-tW�l � e✓Y�l(/� 2, � �P�J�7 � ,=f� �., ,,,r •� ��' 4 ;� ' Telephone No.: ��7?J� �� " �� 5, 0 IDate of Qualification to do business is //I a I"Y'iYl �c.(�i �/7 / A Joint Venture � BY (Name) � (Address) (Corporate Seal) Attest (Secretary) 1 By (Name) (Address) I {Corporate Seal) Attest I (Secretary) Phone Number and Address for receipt of official communications: I IEach joint venture partner must sign. The manner of signing for each individual, partnership and corporation that is a party to the joint venture should be in the manner indicated above. I I P - 9 I , � BREAKDOWN OF WORK FORCE (Required): BIDDER hereby states that he will perform the following items of work directly without employment of subcontractors: , I (� � Ot�1 Y�. �2.VVl • # -�' � �r e � �- `� <..�-�-e.w, #I 1- 5 � � � �* � � �3�-�*�� +� � �5 - 5 I , ��-� � 5 �} � �5 � e.� e ,�� # � It is anticipated that the following subcontractors will be employed for work on this project: SUBCONTRACTORS: (Name) (Type of Work) �� a1"� �r i i o� � 5 �,� Gua��a,� �,�,� s� �►�n D ra P.a, Q 'n � ` ` _ a. ) a - , Z � 0 u l � Q�ctr�h �h 4�� 5e ' �e f Se 5 O51 �i k��r I I C�reT � � Q 55 B' �re.� � �d .e � . , , �� c a55 = c � �P � � � � , i � � _i I P - 10 ANTI-COLLUSION STATEMENT STATE OF MISSOURI COUNTY OF e and �.0. being first duly sworn, deposes and says that he is ��'e�i�ev�� Title of Person Signing of c�.. 2w�.e t �ni5 t v� �►'�C . Name of Bidder � that all statements made and facts set out in the proposal for the above project are true and correct; and the bidder(The person, firm, association, or corporation making said bid) has not, 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 said bid or any contract which may result from its acceptance. Affiant further certifies that bidder is not financially interested in, or financially affiliated with, any other bidder for the above project. BY Q a �,a � BY BY + SWORN to before me thi � s day of 20 �_. -_.�__.._..�n��_��,�. __�-- I �,��e_ o�� . ��'qT�oF��soulu ��Y��ty . �ptnmis�ion#08542641 �ommiuioa Expirea:April 23,za N ota ry P u b I i I o My commission expires 1 p? I I P- 11 f SUBCONTRACTOR CERTIFICATION REGARDING AFFIRMATIVE ACTION Project: Job No. Route: , County: Certification Regarding Affirmative Action and Equal Opportunity: The bidder (prospective prime contractor) or proposed subcontractor certifies: 1 . Affirmative Action Proaram• That it has developed and has on file at each of its � establishments affirmative action programs pursuant to 41 CFR Part 60-2. 2. Equal Opportunity Clause� That it has participated in a previous contract or subcontract subject to the equal opportunity clause set forth 41 CFR Part 69-1.4 and executive order no. 11246. � 3. Compliance Reports: That it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs and his designate, or the Equal Employment Opportunity City, all reports due under the applicable filing requirements contained in 41 CFR Part 60-1. If the text of the certifcation above is incorrect, the bidder or subcontractor making the certification shalf correct it below: i ; ; I NOTE: This certification applies to and must be executed by each bidder(prospective prime contractor) or proposed subcontractor if its proposed contract or subcontract on this project will equal or exceed ! $10,000.00 or that contractor or subcontractor has contracts or subcontracts on federally addicted � projects in any 12-month period which have or can reasonably be expected to have, an aggregate total ; I value exceeding$10,000.00 4141 CFR Part 60-1.5(a)(1). It is a duty and contract obligation of the prime contractor to insure that each of its subcontractors, which meet this criterion, executes and ! submits to the City this certification also. ' I Company fI BY: [ I Date: Title Revised 01-01-06 I P - 12 e CERTIFICATION REGARDING DISBARMfNT, ELIGIBILITY, INDICTMENTS, CONVICTIONS OR CIVIL JUDGMENTS The President, or other authorized official of Bidder, under penalty of perjury under the Laws of the United States, certifies that, except as noted below, the Company, or any person associated therewith in the capacity of Owner, Partner, Director, Officer, Principal Investigator, Project Director, Manager,Auditor or any position involving the administration of Federal funds: - A. is not currently under suspension, debarment, voluntary exclusion or determination of ineligibility by any Federal Agency: B. has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal Agency within the past 3 years: C. does not have a proposed debarment pending: and D. has not been indicted, convicted or had a civil judgment rendered against(it) by a Court of competent ' jurisdiction in any manner involving fraud or official misconduct within the past 3 years. (Insert Exceptions, if any) �:. e � ;: I Exceptions will not necessarily result in denial of award, but will be considered in determining Bidder ; I responsibility. For any exception noted, show below to whom it applies, initiating Agency and any dates of action. Providing, false information may result in criminal prosecution or administrative sanctions. NOTE: The above statement shall be a part of the Proposal. Singing this Proposal on the signature Iportion(s) thereof shall also constitute an endorsement and execution of the Certification. I P -93 I fXHIBiT AFFIDAVIT OF OSHA TRAINING ., I COMES NOW (Name) as (Office Held)TrQ51C1�yi� of(Company Name/Contractor) o� �5 ` C. and first being duly sworn, Ion my oath, affirm in connection with t e�contracted services related to ��Q�2,Yp,.t S �2W)@�^�Q� : Y'1�� (Project Name)for the duration of the contract, as foilows: I1. Contractor shall provide a ten (10) hour Occupational Safety and Health Administration (OSHA) ; construction safety program for all employees who will be on-site at the Project. The construction safety program shall include a course in construction safety and health that is approved by OSHA or a similar program approved by the Missouri Department of Labor and tndustrial Relations which is at least as stringent as an approved OSHA program as required by Section 292.675, RSMo. 2. Contractor shall require its on-site employees to complete a construction safety program within sixry(60) days after the date work on the Project commences, as required by Section 292.675, RSMo. 3. Contractor acknowledges and agrees that any of Contractor's employees found on the Project site without documentation of the successful completion of a construction safety program shall be required to produce such documentation within twenty(20)days, or will be subject to removal from the Project. 4. Contractor shall require all of its Subcontractors to comply with the requirements of Section 292.675, RSMo. 5. Contractor acknowledges that pursuant to Section 292.675, RSMo., Contractor shall forfeit to City as a penalty two thousand five hundred dollars ($2,500.000), plus one hundred dollars ($100.00)for each on-site employee employed by Contractor or its Subcontractor, for each calendar day, or portion thereof, such on-site employee is employed without the construction safety training required in Section 292.675, RSMo_ 6. Contractor acknowledges that violations of Section 292.675, RSMo, and imposition of the penalties described therein shall be investigated and determined by the Missouri Department of Labor and Industrial Relations. 7. Contractor acknowledges that in the event that the Missouri Department of Labor and Industrial Relaiions has determined that a violation of Section 292.675, RSMo., has occurred and that a penalty shall be assessed, the City shall withhold and retain all sums and amounts due and owing when making payments to Contractor under this Contract. FURTHER AFFIANT SAITH NOT. P - 14 1 IN AFFIRMATION THEREOF, the facts stated above are true and correct (the undersigned understands that false statements made in this filing are subject to the penalties provided in Section 575.040, RSMo.) � �.a e Ce �e -� � . � ��c . (Name orporation) By: �I�S+G�P.YI t : (Na of officer orporation and title) � �, �x� � ��k� F �- :;, ATTEST: '� �.'�`,� ' 1! n � , �� s�� . : �� ,r �. R «R•� t � �' �i�.�..e e- � �u5 S e I I I...mlJ D� e��y, :; ��.t �',�: Secretary(or other�oi i�� (SEAL OF COF3P�R/��ib�J�rl� � r-# w� c�. �. ,� t � �.1 �'`¢ � �:� e�4�.:_�� j� .� �x � . . ,� STATE OF MISSOURI ) �;p�� , ) � �`�� ss. -'e��4 ,•��'' COUNTY OF CAPE GIRARDEAU ) ' �'�� ; ' } On this�day of �L • , 20�, before me appeared , to me personally known � who, being by me duly sworn, did say tha�she is the P�e51(,{P.V1� of_�-0.DOe. 1.2v►1e,vt'� ..F�.n.i��ina,, Sr�C . a Missouri Corporation, and that the seal affixed to the foregoing instrument is the seal of said Corporation, and that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors, and acknowledged said instrument to be the free act and deed of said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in Cape Girardeau, Missouri, the day and year first above written. � Notary P�b M Commission Ex ires: � ��--~• Y P� . _ �iissAL �(�,Yn�v Notary Pubiic-Notuy Se�tl �r; l� o�a S�,�oF�sso� Porry Cou�q�y Commiseioa#08342641 MY.Commiasian Expi:es:Aprii 23,20 �. P - 15 � ► EXHIBIT AFFIDAVIT OF WORK AUTHORIZATION COMES NOW(Name) 0. as(Office Held) _ ��2.��d�t of(Company Name/Contractor) L '� � � i and first being duly sworn, on my oath, affirm as follows: 1. (Company Name/Contractor) QWl?.v�."� � � � is enrolled and wifl continue to participate in a federal work uthorization program in respect to emp oyees that will work in connection with the ` contracted services related to(Project Name} u�2 �d�l�.�[,`—Q�pr�i0. � r'l tQ. forthe duration of the _. contract in accordance with RSMo Chapter 285.530(2). 2. I also affirm that(Company Name/Contractor) _�n(�� pyy� .vt"� ��y��5�h does not and will not knowingly employ a person who is an unauthorized alien in connection with the contract services reTated to(Project Name) _ Ve�e��`� ��1'VID�c'�c�� Y'1�le- ior the duration of the contract. �. 3. Attached hereto is documentation a�rming Contractors enrollment and participation in a federal work authorization program with respect to the employees working in connection with the contracted services. FURTHER AFFIANT SAITH NOT. IN AFFIRMATION THEREOF,the facts stated above are true and correct(the undersigned understands that false � statements made in this filing are subject to the penalties provided in Section 575.040, RSMo.) � e �, -t � . , 5 � .�nC . (Nam corp ation) By' � `d P.f'1-C ( ame of offic corporation and title) s = � �a kt � . ATTEST: `�\��t;� I�,�,e};� . � � # t �,R �,t,,� ��+ : �,, ;, --•� � u5 eII La002 , yk�°�_��`�'� �,� �'�° ` Secretary(or other o ) T1` �w- ��te��{�•1 x� -`� � t;r �l r;s.�1' ��,l��+..�, ; e (� r': kl f'r jY� � �J•� y� p� ' (SEAL OF CORPORATION) ��,=r�r'�i'��"u , +��F , p cd9 ; � y, Y �. �t��l`q `�•�'v�..� STATE OF MISSOURI 1 ? b� �}� � i`a.� �.� y . / `.} ��'�Y;�iW y .'_� �SS. 4 � 3 �� COUNTY OF CAPE GIRARDEAU � ' � :,;, : � On this�day of�� 20�,before me appea;ed �A►'►D� �0. � ,to me pe,rsonallyknown who, being by me duly swom,didsay tha she is the P res�de,�.t of .} � ,�'�. .w�e.a �►n,•cl, h , a Missouri Corporation,and that e seal affixed to the foregoing instrument is t seal of said Corporation,�d that the said instrument was signed and sealed in behalf of said Corporation by authority of its Board of Directors, and acknowledged said instrument to be the free act and deed of said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal, at my office in Cape Girardeau, Missouri, the day and year first above written. Notary Publi.__ . 1r��A�,�'4��i7�- _ rrocazy r�u�•�o�y s�1 � STATE OF MISSOUZI Perry Cuunty MyCommission Expires: Commisaion#o85d2641 My Commission Expirea:Apri123,20 n r; 1 �3 a �2�, I P - 16 t � AFFIDAVIT of COMPLIANCE Section 285.530.2 State of Missouri County of�rr� Now this�day of , 2 0�,the undersigned, being first duly sworn, deposes and says: 1. I am more than 18 years of age. 2. I make this affidavit from my personal knowledge of the facts stated herein or upon information and facts available to me as a duly authorized owner, partner, corporate or LLC officer or Human Relations Director of . 4 ervt- ` � t n �vt . ( me of Corporation, LLC, sole proprietors ' or partnership) 3. I am authorized to make this idavit on behalf of . � ` t �n . (name o Corporation, LLC,sole proprietorship or artnership) ' } 4. 1 state and affirm that �-0.n�.Q. l C�e�,.'t' T1 n►Slni hA.�►�C�s enrolled and is (na of business entity, same as bove) currently participating in E-Verify, a federal work authorization program or another equivalent electronic verification of work authorization program operated by the United States Department of Homeland Security under the Immigration Reform and Control Act of 1986. 5. Further, 2Wl�Pwt G" IY115��r1 Z'VIC . does not knowingly name of business entity, same as above) Employ any person who is an unauthorized alien. 6. Further, �Ct '� 1 `5 ` has performed an electronic (na e of business entity, same as abov verification check as described above on all workers hired since January 1, 2009 or obtained documents required for completion of a federal I-9 form before it began participating in e-verify. 7.Attached to this affidavit is a true and accurate copy of this company's Memorandum of Understanding with the United States concerning the use of e-verify. I certify under penalty of perjury that the statements above are complete, true and accurate to the best of my knowledge and belief. �Q,1� e. � Authorized gent, rtner, Owner or Officer If business has a Human Relations Director or equivalent that person must sign as an affiant as well. I certify under penalty of perjury that the statements above are complete, true and accurate to the best of my kno edg nd belief. � Human Relatio s Dire tor This form is promulgated pursuant to 15CSR 60-15-.020. Use of fhis form is not required but the Attorney General has deemed this affidavit sufficient in form to safisfy the requirements of section 285.540, RSMo.,Supp. 2008. P- 17 FURTHER THE AFFIANT SAYETH NOT G`. � (Signature) On this__�__� day of in the year 20 before me �e 5 �. --�1—� , 1 i sa �-lavd�n a Notary Public in and for said State, personally appeared��,� p� me to be the person who executed the within affidavit, and acknowledged to e that e he e�xecuted the n to same for the purposes therein stated. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the County and State aforesaid, the day and year first above written. _ � --�-��"��:�... ._..... _ �1'otary Fublic-xotary§eal STATE OF MISSOURI Notary Public co�is�io#o8S43641 . My Commiasioa Expirea:Apri123,20 My Commission Expires a SEAL I I I ( P - 18 t : SUBCaNTRACTUR CERTIFICATfON REG RDIFtG AFFfRFV1ATiVE ACTfQN P�oj ct: Veterans 1VEemarial Dfive Job a.: .10f0767A1DP-15d3{03) Ra� : Cou ty: Cape Girardeau Certif�cation Regarding Affirmative tion and Equal C3ppartunity: The bidder (prospective �a�me contractor) or proposed subcontr ctor certifies: 1. A�rmative Action Pro4rarns: at it has de�eloped and has on file at each of its estat�lishments af�irmative actian pragra purs�ant Ea 41 GFR part 60-2. 2. Equal �qportunitv Clause: That it has participated in a previous contcact or subcontract subject fo the equal apportunity ause set forth in 41 CFR 60-1_4 and executive order no. 11246. 3. Comqliance Re�orts: Thai it has iled with the Joint Reporting Committee, the Director of the Office of Federal Contract Com iance Progra�ms or his designate, or the Equal Employment Oppor�unity Commission, all epo�ts due under the applicabte filing requirements contained in 41 CFR Part 60-1. If ihe text of the certifcation above is incorrect, he bidder or subcontractor m�king t�e certification shall correct it belov�r: NOTE: This ce�t�cation applies to and must be xecuted�by each bidder (prospeclive prirne cantractor) or propased subcontractor if its proposed cantrac� or subcantract on this praject will equal ar exceed $'lO,OOO.QO or hat contracto� or subcantractflr has contracts or subcontracts on federalfy-assisted p ojects in any 12-montF� periad which have, or can reasflna�ly be expected to have, an aggregate #otal value exceeding $10,OOO.QO 41 CF�t 60-1.5(a}(1}. St i� a duty nd ca�ttract obiigation cf the pr�m� contractor �o insure that each of its subcontracta s which meets this criteria executes and submits ta the commissian this c�rtificatian al a. ��i C� (1 t�r�.E-�:�.•. �' �u v- ° r'tCr�:� �;2�� Carn ny�" � �!% , � % gy: ��,��,� , C ,-r�=�---- Date: 917/2�11 ! ',c1ic=��- � — �4t)� f I II �i (�, � � __ t ; SUBCONTRACTOR C�RTIFiCATtON REGARDING AFFIRMATtVE ACTtON Praject: Veterans Memoriai Drive Job No.: J010767AlDP-1503(03) Raute: ' County: Cape Girardeau Certification Regarding Afflrmative Action and Equa( Opporfunity: The bidder (prospective prime contractor) or proposed subcontracfar certifes: 1. A�rmative Acfion Proqrams: Thaf it has developed and has on file at eacl� of its establishments affirmative action programs pursuant to 41 CFR parf 60-2. 2. Egual Opportunitv Clause:_ ThaY it has participated in a previous confract or subcontract subject to the equal opporfunity c(ause sef forth in 49 CFR 60-1.4 and executive order no. 11246. � 3. Comeliance Reports: That it has filed with the Joinf Reporting Committee, the Oirector of the O�ce of Federal Contract Compliance Programs or his designate, or fhe Equal EmpEoymenf Opportunify Commission, a!I reports due under the applicable filing requirements contained in 41 CFR Part 60-1. (f the text of the certificafion above is incorrect, the bidder or subcontractor making fhe certification shall correct it below: NOTE: This certification appfies to and must be executed by each bidder(prospective prime confractor) or proposed subcontracfor if lts proposed cont�act or subcontract on this project wi(I equal or exceed $10,000.00 or thaf contractor or subcontractor has contracts or subconfracts on federaliy-assisted projects in any 12-month period which have, or can reasonably be expected to have, an aggregafe total value exceeding $10,000.00 41 CFR 60-1.5(a)(1). It is a duty and contract obligation of fhe prime conf�actor to insure #hat each of its subcontractors which meets this criteria executes and submits to fhe commission this certlflcation also. �j �.S �en � C�. �ix - Com y Sy: �' l��t-Q-,�- Date: 9/7/2011 �G(��TC�. r�� Tftle v� v' i � iv�.v� �I-i VIII� IU� IV IVJ[I IJlJO`tf f� rc . � t ! SU�GC1NTRqCTQR C�RT1FlCATIQN REGARDl�C AF;�iRM,AT11fE A�TIt�N PrpJe�t: ��terans Memori�l priva Job No.: J(310767AIDP-1503(03) Route: County: _ Gape Gir�rdeau C�rtifiCation Ragar�ing Af�trm�tive Act(on and �qu�( dppot�unity: �"he bidd�r (prospeet�ve prime cantractor)or praposed subcontractar certife$: �. A�Ffrm�tive Actibn Pr�arams• That lt ha� dev�laped ar►d has �n fi(� at each of its establishments a€firmative action �ra�rams putsuant to�1 GFR part 60w2, 2. E ual Q arturrit �}ause: 'Chat it h�s participat�d in a �reviatts cantract or subcontract su6ject ta the equal Qpporkuni�y cl�u� set farth in �1 G�R 6Q,'i.4 artd excacutivo ord�r no. 11�46, 3. Com liance Reborts That it has f�ed with the Jaint Reporting Cammittee, the D;r�tar o�the �f"icc� �f Fedoral Contr�ct Cc,mpfiance prograrns Qr hi� d�sign�ta, ar t�� qual Empfoyment ppportuniEy Commission, al! reports due unri�r the appiicabl� filing r�quirements cantained in 41 GFR Part 60-4, If the fiext af the ee►�ificatian above is inc�rrecc, th� bidd�r Of SubG011tC�Ctor mqkifilg th� cc�rtiflcatfon shal! correct It b�1aw: NQT�: Thls cer��f,ca�lon epplies to anci must bc� axecuted by eaoh �idder(prospective prime txmtraCtar) or pra�7osed subcantractpr if its propased contract ar subcontracE on this pro�ect wiH equa! ar exceed $'I�,OOO.pQ or that concractor ar sut��antrac�or h�� c4ntr��ts ar subcflntiracts on f�d�raffy-�ssi�ted pro��cts in any ��-m�nth period afiich have, ar can reasonably be expected ta have, an aggregate tata! valu� exceeding $10,000.0� �i CFF? �Q-9.5(oj(1), It is a duty and avntract o1�ll��atia� af tho prima eontr�ctor ta tr�ure th�t eaeh af its �ubeontractnrs wh��h m�ets fhf� criteria ex�cutes and subrrtits ta chE commission this eertificatian also, ��' _��.,"�4„.�`��a'..�,��.. �om��rsy / ��- 8y; Date: 9/7/2471 C�� T�fl� v�� v�� crii 1f.JY JtJOOJIJ4L UU�VLG I.rUIVDI rf-iuL V.t � ; 5E�-07-2011 14:54 Fram:LI�PPE C�MENT 57354�7E�2� Ta�SiaESQ3TS4� P.�'� s��co��1r�uer��c�Frn�ic��a� R��mR�wt�c��a��a�iv��cY�� (�rajec� Vet��ns hA�mo�ia!Drive Jab No.: JdIQ767�tDP•35�i3(��) Rau�e: Gauniy: _�___ G�pe Qi�rd�au p,", Cr�'tif�t� R�getding AfAmtative A�tir�n �nd �qual t�p��unity: The �id�� (P�nspgctivs prim��contr�ctor)ar propo�ed subcantract�ar c�rtif�as; 1. L�f�mtat�t� a�'o� ��aat�m�� '!'h�� ik has d�tr�l�p�d �n� h�� a� fil� a# �e�ch�fi it�aa�bfii�hm�ent�a�rmativ��c�ian pr��ram� pur�u�r�k t�a 41 CFi� part 60•2. 2, �ciu� �RR�AI� �� Th�t ifi has p�r�i�ipstad in a ps�v�a� c�r�t�c� af aubcont�a� ai,bJ�ct to th$ equal �pporhrnity cl��se se� f�rttt in 41 GFf� 60-1.�4 �nd exacutive orcler tt��. 11246. 3, ��ija��g�s�o.�s; 1ff�et it haa�ed w6t� ti�� ,Jalnt Repartie�g C:ornmiitee, the Dlt�c��Qf th�� Offl�e of F�deral Ct�nl��t Compf9snc� Pt�gt�ms oc hi$ d�sign�t�, or 1�� Fqual Emplaym�nt t�ppartunfry Cammission, aN r�port� du� und�r tf�e �p�fics�bl� fllin� requit�m�nts cdni�in�al in�4� CFR P�rfi 6D�1. ff the t�axk af th� c�tti�cati�n ��ove i9 incar�sct. �he �idd�r or �u��sn�r�ctar makl�g t!�¢� certfic�tiari �hall c:�rteCC iC belrsww: � , . NGTE: Tni�s cer�tifi�atian eppllea nd and mu�t be ex�C+wt�� by each biddaP(pmsp�ae prime cantr:ickcar� ar proposed suboondac�a�if its propos�d conlract or subcantr��t an this prnject wPlt �qu�i or excee�i �10,OOtl�.Q� a� t�at cqnkrectar �r �ubconkrack�r h�s cantract� or subca�ds on iederally�s�i�ted projso#s in �ny 1�-manrh periQd w6��ich h8ve, ar c�rn re�stu�ak�ly b� �xpected ta have, �n $�greg�t� ta�l valu� �xr,�etiin� $1U,Ob0.A0 41 G�R �0-1.5(aj(1). It is a duky e�rd C�ntt�e# qbliga�C►t1 c�C the p�im� r.arzkkr�ctor t�: i��ur� that 6�ch oF its �utacantr�Gt�►� �trich m�nts th{� c�it�ri� e�acut�� 8�nd s�E�t�4i��fh�cxsmmis�ic�tMis c��f�ir�tiar��l�i. ��J.h�fFTY� 'rf.0 lJ�4� �l Gompany �� ``f�.��.�: i.. � t?ate: #3171,20�1 �C.� � ' Tltfk �� .� SUBCONTRACTOR CERTIFICATION REGARDING AFFIRMATIVE ACTION Project: Veterans Memorial Drive Job No.: J010767A/DP-1503(03) Route: County: Cape Girardeau Certification Regarding Affirmative Action and Equal Oppo�tunity: The bidder (prospective prime contractor) or proposed subcont�actor certifies: 1. Affirmative Action Proqrams: That it has developed and has on file at each of its establishments affirmative action programs pursuant to 41 CFR part 60-2. 2. Equal Opqo�tunity Clause: That it has participated in a previous contract or subcontract subject to the equal opportunity clause set forth in 41 CFR 60-1.4 and executive order no. 11246. 3. Compliance Reports: That it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs or his designate, or the Equal Employment Opportunity Commission, all reports due under the applicable filing requirements contained in 41 CFR Part 60-1. If the text of the certification above is incorrect, the bidder or subcontractor making the certification shall correct it below: NOTE: This ce�tification applies to and must be executed by each bidder (prospective prime contractor) or proposed subcontractor if its proposed contract or subcontract on this project will equal or exceed $10,000.00 or that contractor or subcontractor has contracts or subcontracts on federally-assisted projects in any 12-month period which have, or can reasonably be expected to have, an aggregate total value exceeding $10,000.00 41 CFR 60-1.5(a)(1). It is a duty and contract obligation of the prime contractor to insure that each of its subcont�actors which meets this criteria executes and submits to the commission this certification also. � 5 e e s c. Company By: ��LCa�o.,.� o-r�Ap-v—� 9/7/2011 � Date: �e�I��h� Title / : SUBCONTRACTOR CERTIFICATION REGARDING AFFIRMATIVE ACTION Project: Veterans Memoriai Drive Job No.: J010767A/DP-1503(03) Route: County: Cape Girardeau Certification Regarding Affirmative Action and Equal Opportunity: The bidder (prospective prime contractor) or proposed subcontractor certifies: 1. Affirmative Action Proqrams: That it has developed and has on file at each of its establishments affirmative action programs pursuant to 41 CFR pa�t 60-2. 2. Equal Opportunitv Clause: That it has participated in a previous contract or subcontract subject to the equal opportunity clause set forth in 41 CFR 60-1.4 and executive order no. 11246. 3. Compliance Reports: That it has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance Programs or his designate, or the Equal Employment Opportunity Commission, all reports due under the applicable filing requirements contained in 41 CFR Part 60-1. If the text of the certification above is incorrect, the bidder or subcontractor making the certification shall correct it below: NOTE: This certification applies to and must be executed by each bidder (prospective prime contractor) or proposed subcontractor if its proposed contract or subcontract on this project will equal or exceed $10,000.00 or that contractor or subcontractor has contracts or subcontracts on federally-assisted projects in any 12-mvnth period which have, or can reasonably be expected to have, an aggregate total value exceedi�g $10,000.00 41 CFR 60-1.5(a)(1). It is a duty and contract obligation of the prime contractor to insure that each of its subcontractors which meets this criteria executes and submits to the commission this ce�tification also. Wibbe rt'Seyer E.dncreter Co afiy !,. .' By: l/ Date: 9/7/2011 ��'�`-Q� Title t � . � SUBCONTRACTOR CERTIFICATION REGARDING AFFIRMATIVE ACTION Project: Veterans Memorial Drive Job No.: J010767A/OP-1503(03) Route: County: Cape Girardeau Certification Regarding A�rmative Action and Equal Opportunity: The bidder (prospective prime contractor) or proposed subcontractor certifies: 1. Affirmative Action Programs:_ That it has developed and has on file at each of its establishments affirmative action programs pursuant to 41 CFR pa�t 60-2. 2. Equal Opportunity Clause: That it has participated in a previous contract or subcontract subject to the equal oppo�tunity clause set forth in 41 CFR 60-1.4 and executive order no. 11246. 3. Compliance Reports: That it has filed with the Joint Repo�ting Committee, the Director of the Office of Federal Contract Compliance Programs or his designate, or the Equal Employment Opportunity Commission, all repo�ts due under the app(icable filing requirements contained in 41 CFR Part 60-1. If the text of the certification above is incorrect, the bidder or subcontractor making the certification shall correct it below: NOTE: This ce�tification applies to and must be executed by each bidder (prospective prime contractor) or proposed subcontractor if its proposed contract or subcontract on this project will equal or exceed $10,000.00 or that contractor or subcontractor has contracts or subcontracts on federally-assisted projects in any 12-month period which have, or can reasonably be expected to have, an aggregate total value exceeding $10,000.00 41 CFR 60-1.5(a)(1). It is a duty and contract obligation of the prime contractor to insure that each of its subcontractors which meets this criteria executes and submits to the commission this ce�tification also. Mike Light Cement Finishing, Inc. � Company ` C By. p � Date: 9/7/2011 —�:C,Q,I.��f.a��c� Title � � � T DBE Submittai Forms (6) DBE Submittal Forms: This form must be submitted by 4 p.m. three (3) business days after bid opening. (A) DBE Contract Goal: By submitting this bid, the bidder certifies that the bidder is familiar with the DBE Program Requirements in this contract. The contract DBE goal for the amount of work to be awarded is 5 % of the total federal project price. The bidder shall also complete the DBE Submittal Form in accordance with the program requirements. (B) DBE Participation: The bidder certifies that it will utilize DBE's as follows: (p % OF TOTAL FEDERAL CONTRACT NOTE: Bidder must fill in the above blank. If no percentage is specified, the bidder certifies that it agrees to, and will comply with the contract goal. If a percentage below the contract goal is specified, then the bidder must submit complete documentation of good faith efforts to meet the DBE contract goal, immediately below. (C) Certification of Good Faith Efforts to Obtain DBE Participation: By submitting its signed bid, the bidder certifies under penalty of perjury and other provisions of law, that the bidder took each of the following steps to try to obtain sufficient DBE participation to achieve the Commission's proposed DBE Contract Goal: (Attach additional sheets if necessary). lL1 - e-} `l�' e e.eeo�Qol B� �7va � 1 of 3 Jan 2010 � ! . , DBE Submittal Forms 'dentification of Participating DBEs: The information shown on this page must be completed. If this page is submitted but not signed, it will iot be cause for rejection. The apparent low and second low bidder must file this form with the CitY of Cape Girardeau Missouri by 4:00 a.m. on the third working day afier the bid opening. Fax or email transmittal is permitted. The fax number is 573)339-6303 and the email address for submittal is . The original copy must be mailed by overnight mail to the Local Public Agency the iay of the FAX or email transmittal. Coniact External Civil Rights at (573) 751-7801 for questions or assistance in completion. (Note: 3ubmittal of this form is not required if the Contract DBE Goal is 0 %) The undersigned submits the following list of DBEs to be used in accomplishing the work of this contract. The work, supplies or services, �pplicable value and percent of total federal contraci each DBE is to perform or furnish is as fol�ows: (A) �B) (�) �� E� �F� DBE Name&Address Bid Item numbers $Value of DBE of Work"' °/a Of$Value $Amount Applicable to %Of Total Contract (Or Line numbers) Applicable to DBE DBE Goal for each Amount for each item (Unit Price x Quantity of Goal" item each item in B,or Lump Sum) (100%,60%) (E/Total Contract Amount) (CxD 'SR�� SGYviCeS �� P.p .-�ox 5sa 53 �,�' � � ��°a , Da3y, �4cKsan�n^�e � bp`�� . l�3�ss Total � .� Totaltl p ap Total �.�� 4� 0 2 p°�"5 �nCC l.�. �'�'�m��. �8� s�,��ys�d�e ab,a�,aa, � �. �93,Ut, aa . �owd �3�a4,a5 ,� (�� 1�3q3. 0�°10 �. � �e$Fus,W�o ��5a "�� d Total Tot pb Total � 3 3.°z' �� 393• � 3. �i Ive,r Ea Ie �+�y,,,.#: �b• �ox 4�1 � . ad �a b'�qllon ,mo 1 � � � �g55 ��a �3�,1i3� a�b - �33(��0 Total ' Q�r ab Total L 2 '3•) Total n p J ��J O� � 41Niser Eh�+�ri ��-e,�"`� ' 7a� �ard�ell0. � 4 � � �}a� 39�.v�o � �ve. � 55 �t�0°Z� o�,�o I 5�-.Lou►S, 11tiZ� �31a5 Total a 3 D.Q'� Total � 2 �• Total �e� � � Total DBE Participation �•� 2 (a � :J .- ** Cannot exceed contract amount for given item of work. 2 of 3 Jan 2010 � � � DBE Submittal (A) (B) (C) (D) (E) (F) , �BE Name&Address Bid Item $Value of DBE of Work %Of$Value $Amount Applicable to %Of Total Contrad numbers " Applicable to DBE DBE Goal for each Amount for each item Goal`" item (Unit Price x Quantity of each item in B,or Lump (100%,60%) (C x D) (Elfotal Contract Sum) Amount Trucking Services 100% Only used if the DBE owns ie trucks or is leasing from �DBE firm 'rucking Services Only Include Fees for Trucking Services Trucks are leased from non- DBE source Brokered Services Only Include Fees for Brokered Services Totals(Page 1) 1� ��•� ' � �a a`i � � Totals(Page 2) .�-- �-----�. Totals(additional pages if needed) '--� Total DBE Participation � ��,a,p (2� I �q!_.�a � ✓`'I O l 1(J ** Cannot exceed contract amount for given item of work. � Company: L- � � i =r,c.Date:�BII � gy: , Title: �per n1 I I)Ot)� 3 of 3 Jan 2010 • /`�`�'��`�� `�C'JB . • �Y fi � #�j v u��{ � � � — �6� fa ',,Illllli r d� _ � ' `�C.�Y". t'::iinl'� TM 3-t�0.IFY IS F SEFY:CE OF UHS Company ID Number. 189854 THE E-VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION MEMORANDUM OF UNDERSTANDING ARTICLE I PURPOSE AND AUTHORITY This Memorandum of Understanding (MOU) sets forth the points of agreement between the Department of Homeland Security (DHS) and Lappe Cement Finishinq, Inc. (Employer) regarding the Employers participation in the Employment Eligibility Verification Program (E- Verify). This MOU explains ce�tain features of the E-Verify program and enumerates specific responsibilities of DHS, the Social Secu�ity Rdministration (SSA), and the Employer. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of the Employment Eligibility Verification Form (Form I-9). For covered government contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and all existing employees assigned to Federal contracts. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibilify Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). Authority for use of the E-Verify program by Federal contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as a "Federal contracto�') to verify the employment eligibility of certain employees working on Federal contracts is also found in Subpa�t 22.18 and in Executive Order 12989, as amended. ARTICLE II FUNCTIONS TO BE PERFORMED A. RESPONSIBILITIES OF SSA 1. SSA agrees to provide the Employer with available information that allows the Employer to confirm the accuracy of Social Security Numbers provided by all employees verified under this MOU and the employment authorization of U.S. citizens. 2. SSA agrees to provide to the Employer appropriate assistance with operational problems that may arise during the Employer's participation in the E-Verify program. SSA agrees to provide the Employer with names, titles, addresses, and telephone numbers of SSA representatives to be contacted during the E-Verify process. 3. SSA agrees to safeguard the information provided by the Employer through the E-Verify program procedures, and to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security Numbers and for evaluation of the E-Verify program or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). Page 1 of 13:E-Verify�r':OU for Ec�vl��^�evis�^Ga:e 1�i29%08 - � ' � • . '�-� L�Ct _ a' , ��T a ,*Ty �!�i � �t tfi� ? ��"fll � �� ' V�.�i"'v...,,,.�� y�4rsr�� -��'� M -.ERIFY IS h SERVICE CF DHS Company ID Number: 189854 To be accepted as a pa�ticipant in E-Verify, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 888-464-4218. Employer I.appe Cement Finishing, Inc. Randx Lappe : Name#Pl:eas�;7ype or Print} Title E/ectrortically Signer! 42/�i 2/2Q09 Signature'. Date Department of Homeland Security—Verification Division USCIS Verification Division Name{F�easE.7ype Ar Pcinf� Title E/ect�on�c�fly Sic,�nec/ 02/12/2009 Signature` _ Date Page 1l of 13�E-Ver'ry�i1GU f�;=mployer�REvision Da:e 10!�i08 ``:;'S'��i e.a ':i�' .,..Y',:.-:- ' {�`z� HU�a-b�-��'1"1 1 b��a L 1 I Y UF LH�t V 1 KHkL�J ��3 b'1 ��b� r.�G 1 � _ , �lt� �'� �� I��1'��1� D�velapm�nt��rvic�s Dep�rtment ° " Engin��ring �iv��i�r� P() Bax 617, C�p�Girarde�au, Missouri 6�7�2-0617 Phane (5'f3} 339-6327 Fax (573) 339-6343 August 2, 2U 11 TO A��.�. 1?�„ANH4LDERS: Subject: Addendutr�#X V�tc��as Me�norial Drive Praject No.:JU�Q767E1,/I)P-1503(Q3) �ape Girardeau,lV�issvuri Bid Date: Septeml�er$,2011 The Con#ract I)ocuments for Vet�rans Memorial Drive in the City of Ca�e Girardeau are hereby changed as fallows: 1. The Notice to Bid and Instructions to Bidders stated the mandatory pre-bid wilI be held at 10;0� .A.[v� CST, this is incorrec� The mandatory pre-bid will be held xt 10:00 Alv� CDT on A,ugust l 7, 201� at the Qsage Comm,unity Center, I625 Norkh ICiz�gsk��way, Cape Gxzardaau, Missouri 63701. 'T'his add.eadum ackz�owledgment sheet must be included ir� with yauz� bzd subrz�ittal. Ackno�vledgement of the Addendurrz zs also requx�ed ozz page BF-I a�the bid form. t�nny bid receivEd that does nat acknou�iedg� tEus addendum will be considered non-responsive and v�ill not be a valid bid. Sincerely, �� .a s�o�s�ooks, AddenduEn #I � i"t'e5i�� o� � Name ide Date TC!THL P.:=i_ r � -, . MODOT STANDARD ORAWINGS: For undergrading areas where rock is encountered in the subgrade, refer to MoDOT standard drawing 203.02 F. The contractor shall �efer to all current revisions of the MoDOT standard drawings. Below is a list of the standard drawings that vrere included in the specifications that are revised: 9. 608.30 changed to 608.30A effective date 2/9/2011 2. 696.90AM changed to 616.10AN effective date 2/1/2011 3. 703.11G changed to 703.91H effective date 4/9/2011 4. 703.14G changed to 703.93H effective date 4/9/209 9 5. 703.92G changed to 703.16 effective date 4/1/2011 6. 703.95C changed to 703.17 effective date 4/1/209 9 7. 703.378 changed to 703.37C effective date 4/1/2019 This addendum acknowledgment sheet must be included in with your bid submittal. Acknowledgement of the Addendum is also required on page BF-1 of the bid form. Any bid received that does not acknowledge this addendum will be considered non-responsive and will not be a valid bid. Sincerely, �� Scott Brooks, Addendum #2 I Il Nam , Title Date �tt'-��-�7.1 15:30 C I TY OF CAPE G I RARDEAU 5?3 651 a860 P.02 _r � Cit� t�f ��p� �i��u C�ev�fapment S�rdices De��tr��nt ` ' ' Enc�in�er�irtg �6�isia� PO B�x 617, C�p� �irardeau, li��s�ou�i �3T0�-Q617 �hoe,� ��73} 33s-s377 �ax t57S) 33s-6ao3 ��.�. September 2,2011 TO ALL PL,ANHOLDERS; Subject: Addendum #3 Veterans�Vl[e�mo�ia!I�riva Project Na.:30IQ767A/DF-1503(03) Cape Gire,rde�u, N[issauri Bid A�te: September 8,2011 Addendum #2 was issued by certified mail an Wednesd��' August 31, 20�I. The adder�dum contained 49 pages. The Contract Dacurnents for Veterans Memorial �rive in the Cit� a:f Cape Girardeau are heret�y changed as follows: J 1, Addendum 1 and 2 stated that ac�Ct�owledgrnent of th�Addendum is rec��aired�n pag f the Sid Fo�rn. The statement should be corrected to acknawledgernent af the t�.ddencium is � '' ��he bid form as stated below. 2. Addendum #2 clari�ed "Far undergr�ding areas where rock is enc�untered in the subgr��.e, re�'er to MaDO'r standard dra,wing 203,02F°', It should alsa be noted that type S a�greg�te r�il� be required as backfill. Undergrading will be considered incidental to excavation��,tivitics. 3. Pay Itezn 11. COMPACTION IN CUT. For clar�ification compaction in ctit a.r�as �vi11 b� perforrned in C�ass A m�terial axeas a�tter remaval of the raadway exc�vatior� rnaterial ro t�ie rec�uired sectian as determir�d by th�Engineer. This addendum acknawledgment sh�t must be included in with yaur bid sub�r�it�al. Acknawledgement of the Addendum is also required �n page P'-1 of#he hid form. Any bid received that does nat acknawledge this addendum will be cansidered non-�espoz�sxve and wilI not be a valic�bid. SinCereXy, ��o cott Brooks, Addendum #3 �V�s�o� f 'Z - 1 / Na e, Tit�e Date T-`;�L " , __. -d � � UNITED FIRE & CASUALTY COMPANY 118 Second Avenue SE, PO Box 73909 Cedar Rapids, Iowa 52407-3909 319-399-5700 - (A Stock Company) BID BOND KNOW ALL BY THESE PRESENTS,that we Lappe Cement Finishing, Inc. 8064 Highway B, Perryville, MO 63775 as Principal, hereinafter called the Principal, and the UNITED FIRE&CASUALTY COMPANY, a corporation duly organized under the laws of the State of IOWA, as Surety, hereinafter called the Surety, are held and firmly bound unto City of Cape Girardeau 401 Independence St., Cape Girardeau, MO 63703 as Obligee, hereinafter called the Obligee, in the sum of Five oercent of bid amount Dollars ($5%of bid amount ), for the payment of which sum well and truly to be made, the said principai and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Veteran's Memorial Drive NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a cont�act with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principai to ente� such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, othentvise to remain in full force and effect. Signed and sealed this 8th day of September ,2p 11 � ��,"" " '�`�` i . Ea�cyl��+:� � ' �� f; y. � �� c V � .,t ��*� • �• 'Y. ,,. <G ��'� R„ � ':�5 . ; La e Cement Finishin Inc. ; : � `+" '= � PP 9� � �, �^�i 4 S.C� ,� : : Y= �` cs, l . �, g ��`� a �' :�,, : s c:s` r,�'� ; � , ?;�.. . J�5�:�1�.•�� By '- (P IPAL) J .� . '``= ` ,'�� n� J / J �� ``\��' t ��1� �, r�� y,y ��l 4j�a�ti�' t -' (WI NESS) (TITLE) �� . �r,� , ',� UNITED FIRE &CASUALTY CO��MY+ ` :(Seal);� � (SURE Y) rf�'�9�� '/' � _ , ,�k� � �i ; 7 R �j?'+;'�+, - � Y , ._,�, . (WIT S) NEY-IN-FACT� ��; ` `=� , . ,,; `',`�}, , ,.�y : � `,� �-;,,i�� ,. ,��, F'"J a � � �;. CONT 0001 0899 '°,::�•.'."'' .,,+� ;� UNITE{3 F1RE 8.CAS�l�LTY COMRANIf M()M�.UF�IC�-:;G�b�1�RAPI��, f�DWA ,;. < , _ ,, - CERTIFIED COPY OF POWER OF'ATTORNEY (Uriginal on:filE at Home O�ce of Cor�pany-��e Gertificatlon) �IVOU�.A4.L MEIV.BY :TH�S�'PRESEI�'�'S, Tt��t the;UN1T�D FIRE & C�ISUALTY,:COMPAiVY, a corporat�on duiy organ'ized and exist�ng Under the}aws of the Stafs Qf lowa, and:having its prineipai office in,Cedar R2pids,State of lowa, does►nake� canstitu#e and:: �ppo��?t .GHARLES W QECKER, `�g qL<QN H :RAUS£FIBERGER, OR BEULAH r;M Yt7UNG O�t.:'JASON E2AUSEN$ERC,�R, OF CARBOM1pALE, IL, Of� TQOb A WARD,.i.QR NANCY Sl'AUSER;< OR Pf2TSCIL`L¢ .B" MUNTER,; f�F` CARE 6tRARf3EA1;#, M0 ALL INDIVTQUALCY of CARBONDALE IL its true a:nd IaWful Aft�rney�s�-in-Fact with pov7er and:authori#y hereby con�erred to sign, seal anci execute in its`'behalf`a91 lawful bonds,undertakings and other obligatory instruments of similarnature as follows: AnY and At 1 Bonds and to bind UNITED FIRE & CASUALTY COMPANY therQby as fuHy and to the same exten#as if such instrume�ts were sign�d by the duly authorized of€icers of UNITED FiRE &,CASUALTY COMPANY and' ail#he acts of said Attorney; �ur'suant ta the aufi#iority her�by�iven are hereby ratifietl�nd conf'rrmed. . < ' < TMe AuthQrity,.hereby :grs�ted,:is c�ntinuous,and sttal� remain in`;full fvrce arid effect until tevo�Ce�l.by UNITED Fif�E& C�4SUALTY COMPANY. ; ; This power af Attomey is m�de a►id executed pursuanfi to and by autfiority of the followir�g ByµLaw duly adopted by Board af '' Di�ectors of the,Company on April 18; 1973. "Art�cle V-Surety Bonds.ar��Un�lertakings" Section:;2,Appointmer�t ofi-�ttomey-in=Fact. "The Pr�sident o�any Vice P�esident, or any ottiEr o�cer of the Company rttay f�om tirrae#o tirrie appv;int by'writtea certificates attorr�eys-in-faet to:a,ct in behalf of the Cott�pany ul;:the executton of potlaies of ins�rar�ce, bo�ds, under#�kings.and other obligatory instruments of like nature. The signaYt�re;�f any aff�cei author'�zed her�by,a;[td.the Corpc�fate seal, may be affixed tiy'facsimit�;ato any power.of attorney or Special. po�rter of attarney or certi�catiorr of either au#horized hereby; such signature and':�eal, when so used, being adppted by the Cornp��y a5 the original signature of su�h officer and the original seal of the-Cbmpany, to be valid anzi binding upon t#�e Company v�nth Etie same force and effect as though manually,affxed. Such attomeys-in fact; subject to the limitations set forth in their respectiue certificafes of au�ority, shall have'full power to bind the Gompany by their signatt�re ar�d exeCution-o#any siseh instrume:nts and to attach the seal of'the Company thereto. The President or any Vice f�restdent; fhe �3oard of Directbrs�r a[�y other officer of the Gompany may.at any time revoke all power and authority previously given to any attorney-in fa�t �..•��'�""++u,, IN WITNESS 1NH�REOF, the UNITED FIRE & CASUALTY COMPANY has caused these.presents to be s�gned by ,�`�`��;�`''�'��, its�ricepresident and its corporate seal to be hereto affixed this �st day of F�bruary; 201Q 'ta' co�eoannre�°�� =�` _,_ �� UNITED F1RE &CASUALTY COMPANY =a �. S�+r� 9FA� ��c..` ''4'"4��.tem`��'`'�� BY ��..�s._.' � � St:ate of fowa, County of:Linn, ss: - Uice>President pn' 1st day of February, 2010, before me personally came Dennis J. Richmann . _ _> :to me knvwn, who b.eing by me`duty'sworn, did depose and say; that he resides in Cedar Rapids, State af lowa; that h.e is a Vice` President of the UNITED FIRE &CASUALTY COMPANY, the corporation described in and which executed the above instrument;that h..e;k.n.:.o.ws the se.al of said corporation;.that the seal af€ixed.to the said instrument is such corporate seal; that.it was so a�xed pu�suant to auth`o�ity given by the Bflard of Directors of said corporation and #hat he signed his name thereto pursuant to like ' authority,'and acknowl;edges same to be#he act and deed of said'corporation. Mary A:Jansen lowa Nq rial Seal � ?��f Comm(ssion nurrtber713273 ' My Commission Explres 10126!13 Notafy PUbIiC I, fhe undersigned officer of the UNITED FIRE 8� CASIJALTY GOMPANY, do hereby cettify that I have compared the foregoing copy ` of #he Power of Attorney and affidavit, and the copy of the Section of the by-laws of said Company as set �orth in said Power of, AttorRay, with the ORIGINALS ON FfLE IN THE HOME QFFICE OF SAID COMPANY, and thaf'the same 2re correct transcripts thereof, and of the whole of the said originals,-and that the said Power of Attomey has not been revoked and is now in fui(force and effect. �`""��"F`" In testimony whereof I have hereu to sub cribed my name and affixed the corporate seal of the said Company .��,�`1's",,�:''.. .`� '"''� �r� rntcroanr� °o�,' this �_day of S ev�-� 20 _��__.. ✓? 5�� ,- ��inQ .�p�e:� � � . �/� ' . � . � Secretary �,,,�t�,`�.`•� BPOA0019 0611 .r • � STA'TE OF 1LLII10IS } ) � COUNTY O�JACKSON ) pn S 'CQ.►u��e,r � ��l � befor� me,a Notary Public in and for said Conaty and State, r��i��y�� Jason A. Rauaenberger known to me to b�AtLo�aey-iirFa�ct of Uni�ted F��e & Casualtv Co. ibc cocpocada.a das�'bod in urd tbat cxoca�tod the wit3�in aad�oregoing instrumeut,and Imown tA me w be the pason wbo exocut�d th� sai+d ias�moaat on behalf of the said ca�pa�+�ti.on, aad (s�e duly actia►v�wbdgod to mo t�at suc�►cro:poc�tiea�ex�ocuted tbe same. IN WtTI�tES� �J�E�OR, I have �ta set my hand and a�ced my official seal, the day and year srstod in this oo�ti�ate�►bove. �t<T�7 `OFRCW.SEAL' Notsry c Pattp ��Ii�l20fS