HomeMy WebLinkAboutRES.2486.10-05-2009 BILL NO. 09-159 RESOLUTION NO. :j�t'�t(✓'
A RESOLUTION AUTHORIZING THE CITY MANAGER TO
EXECUTE AN AGREEMENT WITH NIP KELLEY
EQUIPMENT COMPANY, INC. , FOR THE FOUNTAIN
STREET PHASE II IMPROVEMENT PROJECT, IN 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 Nip Kelley Equipment Company, Inc . , for the
Fountain Street Phase II Improvement Project, in the City of
Cape Girardeau, Missouri . A copy of said Agreement is attached
to this Resolution and made a part hereof .
PASSED AND ADOPTED THIS ��� DAY OF ��.�j�'�' , 20 (..�'/ .
_. �������/
Jay . Knudtson, Mayor
ATTEST: .
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Q� GIRA�'��t'
G4` '�G
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ay L. Conrad, City e k , �
E' �' O
v ~ " �
�THE IINTON �'�
3EAL �
CITY OF CAPE GIR�4RDEAU
Fountain Street Phase ll
SECTION 00511 - STANDARD FORM OF AGREEMENT
BETWEEN OWNER AND CONTRACTOR
ON THE BASIS Of A STiPULATED PRICE
THIS AGREEMENT is dated as of the a ( day of � r� 1 in the year
2010 by and between the City of Cape Girardeau, Missouri hereinafter called OWNER)
and t�ip Kelley Equipment co(hereinafter cailed CONTRACTOR).
OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set
forth, agree as follows:
ArticFe 1. WORK.
CONTRACTOR shall complete all Work as specified or indicated in fhe Confiract
Documents. The Work is generally described as follows:
The work to be performed under these Contract Documents consists of...
The 1,250 foot extension of the existing Fountain Street from Morgan Oak
Street to William Street. The project will include construction of a round-a-
bout at the intersection of Morgan Oak Street and Fountain Sfreet.
Construcfion will include placement of fill material, installation of catch basins
and storm sewer piping, installation of concrete pavement and brick pavers
on the street and sidewalks, construction of a detention basin, and
installation of decorative light poles and alf necessary appurtenances
associated with this project according to the Contract Documents forthe City
of Cape Girardeau.
Article 2. ENGINEER.
The City Engineer or his designee is to act as OWNER'S representative, assume all duties
and responsibilities and have the rights and authority assigned to ENGINEER in the
Contract Documents in connection with completion of the Work in accordance with the
Contract Documents.
Article 3. CONTRACT TIMES.
3.1 The work will be substantially completed within two hundred ten (210) calendar after
the date when the Contract Times commence to run as provided in paragraph 2.3 of the
General Conditions, and completed and ready for final payment in accordance with
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paragraph 14.13 of the General Conditions within two hundred fortv(240) calendar days
after the date when the Contract Times commence to run.
3.2 Liquidated Damages. OWNER and CONTRACTOR recognize that time is of the
essence of this Agreement and that OWNER 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 Article 12 of the General Conditions. They also recognize the
delays, expense and difficulties involved in proving the actual loss suffered by OWNER if
the Work is not competed on time. Accordingly, instead of requiring any such proof,
OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as a
penalty) CONTRACTOR shall pay OWNER One thousand one hundred dollars
1 100 for each day that expires after the time specified in paragraph 3.1 for Substantial
Completion until the Work is substantially complete. After Substantial Completion, if
CONTRACTOR shall neglect, refuse or fail to complete the remaining Work within the time
specified in paragraph 3.1 for completion and readiness for�nal payment or any proper
extension thereof granted by OWNER, CONTRACTOR shall pay OWNER One thousand
one hundred dollars ($1,100) for each day that expires after the time specified in
paragraph 3.1 for completion and readiness for final payment.
Article 4. CONTRACT PRICE.
OWNER shall pay CONTRACTOR for completion of the Work in accordance with the
Contract Documents an amount in current funds equal to the sum of the amounts
determined pursuant to paragraphs 4.1 and 4.2 below:
4.2 for all Unit Price Work, an amount equal to the sum of the established unit price for
each separately identified item of Unit Price Work times the estimated quantity of that item
as indicated in the bidding documents.
One million fourteen tho sand
TOTAL OF ALL UNIT PRICES: seventv-seven dollars 68�� oo ($ 1,014,077.68)
As provided in paragraph 11.9 of the General Conditions estimated quantities are not
guaranteed, and determinations of actual quantities and classification are to be made by
ENGINEER as provided in paragraph 9.10 of the General Conditions. Unit prices have
been computed as provided in paragraph 11.9.2 of the General Conditions.
Article 5. PAYMENT PROCEDURES.
CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the
General Conditions. Applications for Payment will be processed by ENGINEER as
provided in the General Conditions.
5.1 Progress payments; Refainage. OWNER 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 the 10th day of each month during construction
as provided in paragraphs 5.1.1 and 5.1.2 below. All such payments will be measured by
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the schedule of values established in paragraph 2.9 of the General Conditions(and in the
case of Unit Price Work based on the number of units completed)or, in the event there is
no schedule of values, as provided in the General Requirements.
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 ENGINEER shall determine, or OWNER may
withhold, in accordance with paragraph 14.7 of the General Conditions.
90% of Work completed (with the balance being retainage). If Work has
been 50%completed as determined by ENGINEER, and if the characterand
progress of the Work have been satisfactory to OWNER and ENGINEER,
OWNER, on recommendation of ENGINEER, may determine that as long as
the character and progress of the Work remain satisfactory to them, there
will be no additional retainage on account of Work completed, in which case,
the remaining progress payments prior to Substantial Completion will be an
amount equal to 100% of the Work completed.
90% (with the balance being retainage) of materials and equipment not
incorporated in the Work(but delivered, suitably stored and accompanied by
documentations satisfactory to OWNER as provided in paragraph 14.2 of the
General Conditions). .
5.1.2 Upon Substantial Completion, in an amount sufficient to increase total payments to
CONTRACTOR to 95%of the Contract Price(with the balance being retainage), less such
amounts as ENGINEER shall determine, or OWNER may withhold, in accordance with
paragraph 14.7 of the General Conditions.
5.2 Final Payment. Upon final completion and acceptance of the Work in accordance with
paragraph 14.13 of the General Conditions, OWNER shall pay the remainder of the
Contract Price as recommended by ENGINEER as provided in said paragraph 14.13.
Article 6. INTEREST.
All moneys not paid when due as provided in Article 14 of the General Conditions shall
bear interest at the maximum rate allowed by law at the place of the Project.
Article 7. CONTRACTOR'S REPRESENTATIONS.
In order to induce OWNER to enter into the Agreement, CONTRACTOR makes the
following representations:
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".
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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, perfiormance 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 in the Supplementary Conditions as
provided in paragraph 4.2.1 of the General Conditions. CONTRACTOR accepts the
determination set forth in paragraph SC-4.2 of the Supplementary Conditions of the extent
of the "technical data" contained in such reports and drawings upon which CONTRACTOR
is entitled to rely as provided in paragraph 4.2 of the General conditions. CONTRACTOR
acknowledges that such reports and drawings are not Contract Documents and may not be
complete for CONTRACTOR'S purposes. CONTRACTOR acknowledges that OWNER
and ENGINEER do 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 or which relate to any aspect of the means, methods, techniques, sequences and
procedures 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 OWNER
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 observation 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.
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7.8 Second tier subcontracting will not be permitted on the project. It will be the
responsibility of the contractor to insure that subcontractors do not subcontract any portion
of the work.
� Article 8. CONTRACT DOCUMENTS.
The Contract Documents which comprise the entire agreement befinreen OWNER and
CONTRACTOR concerning the Work consist of the following:
8.1 This Agreement (pages A-1 to A-7 inclusive).
8.2 Exhibits to this Agreement (pages BF- 1 to BF- 9 , inclusive).
8.3 Performance, Payment, and other Bonds, identified as exhibits and consisting of
pages.
8.4 Notice to Proceed.
8.5 General Conditions (pages 1 to 55, inclusive). EJCDC No. 1910-8 1990 Edition
8.6 Supplementary Conditions (pages SC-1 to SC- 5 , inclusive).
8.7 Specifications bearing the title Fountain Street Phase II
8.8 Drawings — Sheet 1 to Sheet 32.
8.9 Addenda numbers_to _, inclusive.
8.10 CONTRACTOR'S Bid (pages BF- 1 to BF- 9 , inclusive).
8.11 Pursuant to 285.530 R.S. Mo, the contractor must affirm its enrollment and
participation in a federal work authorization program with respect to the employees
proposed to work in connection with the services requested herein by 1) submitting a
completed, notarized copy of AFFIDAVIT OF WORK AUTHORIZATION and 2) providing
documentation affirming the bidder's enrollment and participation in a federal work
authorization program with respect to the employees proposed to work in connection with
the senrices requested herein.
8.12 Documentation submitted by CONTRACTOR prior to Notice of Award (pages_to
, inclusive).
8.13 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 pursuant to paragraphs
3.5 and 3.6 of the General Conditions.
A-5
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 Article 8. The
Contract Documents may only be amended, modified or supplemented as provided in
paragraphs 3.5 and 3.6 of the General Conditions.
Article 9. MISCELLANEOUS.
9.1 Terms used in this Agreement which are defined in Article 1 of the General Conditions
will have the meanings indicated in the General Conditions.
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 Contract Documents.
9.3 OWNER and CONTRACTOR each binds itself, its partners, 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 OWNER 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 Pursuant to 292.675, R.S. Mo, the contractor is informed that all contractors or
subcontractors doing work on this project to provide, and require its on-site employees to
complete, a ten (10) hour course in construction safety and health approved by the
Occupational Safety and Health Administration ("OSHA")or similar program approved by
the Missouri Department of Labor and Industrial Relations which is at least as stringent as
an approved OSHA program. The training must be completed within sixty(60)days of the
date work on the project commences. On-site employees found on the worksite without
documentation of the required training shall have twenty (20) days to produce such
documentation.
9.6 The General Contractor shall provide to the City of Cape Girardeau City Engineer's
Office weekly certified payrolls from the General Contractor and all Subcontractors during
the course of the project. These must be provided on a weekly basis; if no work was done,
then a payroll stating "No Work Done" must be submitted.
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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 �A��1 a l , 20 �� (which is,��,,,j
Effective Date of the Agreement). "",��t�,`'`'.;`g
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OWNER City of Cape Girardeau CONTRACTO �ip Kel ley Equ��[t�G Cq.� ��a.�
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Scott Me it Mana er i� ��21 � = r�•v f�. ° „
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By: By: ?,., :1' �1 ��,•
. .. �ri��rn�N�9��y��`` .
CORPORAT EAL [C, ATE AL]
� ��
Attest Attest
Address for giving notices Address for giving notices
401 Independence Street 41 N. Sprigg street
Cape Girardeau, MO 63703 Cape Girardeau, Mo 53701
(If OWNER is a public body, attach License No.
evidence of authority to sign and
resolution or other documents Agent for service of process:
autb � 'on of Agreement.
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%�4.cs,�' �,,T \�rJ, (If CONTRACTOR is corporation,
-`=%,-4� ��' attach evidence of authority to sign.)
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EXHIBIT A
CITY OF CAPE GIRARDEAU
Fountain Street Phase lI
SECTION 00390 - BID FORM
(EJCDC 1910-18) (1990)
PROJECT IDENTIFICATION::`The improvement consists of
a 1,250 foot extension of the existing Fountain Street from Morgan Oak Street to
William Street. The project will include construction of a round-a-bout at the intersection of
Morgan Oak Street and Fountain Street. Construction will include placement of fill material,
installation of catch basins and storm sewer piping, installation of concrete pavement and
brick pavers on the street and sidewalks, construction of a detention basin, and installation
of decorative light poles
and all other appurtenances as specified �in the bid documents for the City of Cape
Girardeau, Missouri.
THIS BID IS SUBMITTED TO: CITY OF CAPE GIRARDEAU, MO
401 INDEPENDENCE STREET
CAPE GIRARDEAU, MO 63703
1. The undersigned BIDDER proposes and agrees, if the Bid is accepted, to enter into an
agreement with OWNER in the form included in the Contract Documents to perForm and
fumish 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.
2. BIDDER accep#s 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 ninety 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 days after the date of OWNER'S 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:
B F-1
Addenda, receipt of all which is hereby acknowledged: �ListAddenda byAddendum Numberand Date) .
Addendum #1 March 1 , .2010
Addendum #2 March 4 , 2010
(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 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 in the Supplementary Conditions as
provided in paragraph 4.2.1 of the General Conditions. BIDDER accepts the determination
set forth in paragraph SC-4.2 of the Supplementary Conditions of the extent of the
"technical data" contained in such reports and drawings upon which BIDDER is entitled to -
rely as provided in paragraph 4.2 of the General Conditions. BIDDER acknowledges that
such reports and drawings are not Contract Documents and may not be complete for
BIDDER'S purposes. BIDDER acknowledges that OWNER and 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 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
fumishing 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 considerthat any additional
examinations, investigations, explorations, tests, studies or data are necessary for the
determination of this Bid#or perFormance and fumishing 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 Owner and
others 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. ;
i
�
BF-2
(g) BIDDER has given 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, and 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, organi�ation 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, �rm or corporation to refrain from bidding; and BIDDER
has not sought by collusion to obtain for itsetf any advantage over any other Bidder or over
OWNER.
(i) Pursuant to 285.530 RSMo, the bidder must affirm its enrollment and participation in
a federal work authorization program with respect to the employees proposed to work in
connection with the services requested herein by
• submitting a completed, notarized copy of AFFIDAVIT OF WORK
AUTHORIZATION and
• providing documentation affirming the bidder's enrollment and participation in a
federal work authorization program with respect to the employees proposed to work
in connection with the services requested herein. _
� http://www,uscis.qov/portal/site/uscis
Q) Bidders are informed that the Project is subject to the requirements of Section
292.675, R.S. Mo, which requires all contractors or subcontractors doing work on the
Project to provide, and require its on-site employees to complete, a ten (10)hour course in
construction safety and health approved by the Occupational Safety and Health
Administration("OSHA")or similar prograrn approved bythe Missouri Department of Labor
and Industrial Relations which is at least as stringent as an approved OSHA program. The
training must be completed within sixty (60) days of the date work on the Project
commences. On-site employees found on the worksite without documentation of the
required training shall have finrenty(20) days to produce such documentation.
(k) Second tier subcontracting will not be permitted on the project. It will be the
responsibility of the contractor to insure that subcontractors do not subcontract any portion
of the work
4. BIDDER will complete the Work in accordance with the Contract Documents for the
following price(s)
BF-3
UNIT PRICE BID
NO ITEM UNIT EST. UNIT PRICE TOTAL
QTy, EST. PRICE
1. Removal of Existing Improvements LS 1 $��(��, � � $ a a, I L���s�
2. Mobilization ; LS 1 $ g', Q(��,� $ �+�DD. �
3. Excavation CY 3,400 $ �.'�`� $ �J, � ��. �
4. Embankment CY 21,600 $ �.1°� $ � 0�. � ��
�`�-' �(�, � 5s, a L �� �
5. 8"Concrete Street Pavement SY 1,364 $ $ � ,
6. 6"Type 1 Base for Concrete Street SY 1,364 $ a� $ L{;��(�.��
Pavement - -
7. Street Pavers SY 4,767 $ �q.�� $ ��'7���5,�� �
8. 10"Type 1 Base for Street Pavers SY 4,767 $ 5 5, $ �: a,T ��0,�
9. Concrete Truck Aprons SY 715 � �o� 5 5 � 3�.� � -rj�8' °�s
10. 6"Type 1 Base for Truck Aprons SY 715 $ `�9 $ oZ J�j(J�O �s
� �
11. Sidewalk Pavers SY 1,346 � �i�.�� $ ��� �J��•��
12. 6"Type 1 Base for Sidewalk Pavers SY 1,346 $ 7, �5 $ �, �l�3, �� �
13. 4"Concrete Sidewaik SY 170 $ a7,`�� $ � '�3�4 a a
�..
14. 4"Type 1 Base for Concrete SY 170 $ �. '�� $ / ��. ��
Sidewalk p J
15. Conc�ete Curb and Gutter LF 5,010 $ o� �•s� $ C(��,�t5,
�. `� � �' �7�.�°S
16. 6-5/8°Type 1 Base for Concrete SY 1,115 $ $ �
Curb and Gutter
17. 12"Reinforced Concrete Pipe(RCP) LF 138 $ ��" $ o`�, C��3 5�--
(Class III) �� �� i�
18. 15"Reinforced Concrete Pipe(RCP) LF 114 $ � $ �� �g�,
(Class III)
19. 18"Reinforced Concrete Pipe(RCP) LF 338 $ a�, �� $ �, g G��,3�
(Class III)
BF-4 �
20. 21"Reinforced Concrete Pipe(RCP) LF 110 �� ��_ � ���3 I g�
(Class Iil)
21. 24"Reinforced Concrete Pipe(RCP) LF 257 $ ��, �a $ C�3�(�. �a
(Class 11�
22. 42"Reinforced Concrete Pipe(RCP) LF 10 ���, �3
(Class I� � $ �� ��� 3v
23. 48"Reinforced Concrete Pipe(RCP) LF 375 � Q �� $��,�,� a L�7 S�
(Class 11� Z
24. 24"Concrete Flared End Section ,� EA 1 $ (�t�G� � � IDL�� ��
(FES)
25. 48"Concrete Flared End Section EA 1 $ )��� ��° � �t�g'� � �°
(FES)
26. 36"X 36"Curb Iniets EA 5 � f 3J��• �� � r"' �j 3�
27. 36"X 48"Curb Inlets EA 3 $ l 5 i�3� a� � ��(���(.��
28. 36"X 42"Curb Inlet EA 1 $ )5�� �5 � j�j�5 `S
29. 36"X 36"Area Inlets Eq 2 $ )3�, �� $_ a�D(9�P-3�
30. . 36"X 36°Junction Boxes EA 2 g ��55.� ���j �(� ��
31. 66"X 66"Junction Box Eq � � ��/-�g�57 � �a,�g 5�
32. Truncated Domes(2'X 2') EA 44 � �j�', �� � D��ja.�
33. Valve Cover Adjustment E,o, 4 $ �9 �� $ a'�'7 �g
34. Sanitary Manhole Adjustment EA 5 � j D�t �� � C'j �j� � 5
35. Electrical Box Adjustment EA 1 $ f(p�� 5� $ �(�%� 'S�
36. Traffic Cont�ol �s � $ �� �,�'S � ��a� �S
37. Electronic Message Boards EA 2 � (�9� 8�' � �g )�'�j,�g
38. Temporary Erosion Control LS 1 $ ��3 U� �3 ��-�r� (7a a 3
39. Seeding&Mulching LS , � a a5 v� � �aa� `T'
40. Sodding SY 3,151 � /.� 3 a" $ f�� /_'�, 3�
lfJ
41. Top Soil CY 176 $ 1(�: �s $ � 9(�. ��
BF-5
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42. Decorative Barrier Fence LF 350 $ S�"�5 $ ��,. .
43. Street Lights EA 12 $ 7 9 3c�:a� $ �5r ��J,��
44. Electrical Work LS 1 $ ����,SD,`� $ 1 l,3 5��_
45. Detention Basin LS 1 $ � � 9 � $ �ol, � �a. g� -
' I cI�
46. Signage � LS 1 $�y��� $ v����
3 �9
47. Existing Paver Removal LS 1 $ �J ��3 �� $ ��� • _
48. Extra Pavers LS 1 $ ��•u� $ / J�� ��
TOTAL BID FOR ALL UNIT PRiCES S �
� �� � I i � ��� �� ' � V , -
�
� -�'��r-����1 , , .
t�n �, f � �l ��vc�.��� � .
v �� S ,- ,e�2 S�eVe� - S,e U� �.
��'�`� - r�Gl (Written figure) �
(Total bid amount is to be shown in both words and figures. In case of discrepancy, the
amount shown in words will govern. In case of error in extension, the unit and lump sum
prices under each Pay Item will be considered correct, and these sums when properly
extended, shall constitute the Bid.)
Unit Prices have been computed in accordance with paragraph 11.9.2 of the General
Conditions.
BIDDER acknowledges that quantities are not guaranteed and final payment will be based
on actual quantities determined as provided in the Contract Documents.
5. BIDDER agrees that the Work will be substantially complete within two hundred ten
davs (210) calendar days after the date when the Contract Times commences to run as
provided in paragraph 2.3 of the General Conditions, and completed and ready for final
payment in accordance with paragraph 14.13 of the General Conditions within two hundred .
fortv davs(240)calendar days after the date when the Contract Times commences to run.
�
BIDDER accepts the provisions of the Agreement as to liquidated damages in the event of �
failure to complete the Work within the times specified in the Agreement.
i
i
6. The following documents are attached to and made a condition of this Bid: ;
i
�
B F-6
(a) Required Bid Security in the form of bid bond or cashiers check.
(b) Required BIDDER'S Qualification Statement with supporting data.
(c) Any Addenda issued.
, (d) Exhibit Affidavit of Work Authorization
(e) The E-Verify Program for Unemployment Verification Memorandum of
Understanding
(f) Forms indicated on page 00351-1
7. Cornmunications concerning this Bid shall be addressed to:
Name v; ,,�-P KA� � A�,
Address 41 N. Sprigg St. , Cape Girardea �, MO h"�7�L
(a) Performance and Payment Bonding Company �
Name Merchants Bonding Company
Address 2100 Fleur Drive, Des Moines, IA 50321
Agent\Power of Attomey Name (if used)__�nna 1 rl WA cnha
Address 22 Avocado Tree Cir. , St. Peters, MO 63376
8. Terms used in the Bid which are defined in the General conditions or Instructions will
have the meanings indicated in the General Conditions or Instructions.
SUBMITTED on March 8 � 20 10
State Contractor License No. o o� 0 5�5
IF BIDDER is:
An Individual
BY (SEAL)
(Individual's Name)
doing business as
Business address:
BF-7
Phone No.:
A Partnership
By (SEAL)
(Firm Name)
(General Partner) �
Business address:
Phone No.:
A Corporation
gy Nip Kelley Equipment Co. , INc. (SEAL)
(Corporation Name) �
`, �,,,,,���,,,,,,,,,,�:_ . :
�''� `���� � �''�' (State of Incorporatio
_,�Q►''.�`�� ••� ` Vince xel ley (SEAL)
_ ��� , �� �' G �� (Name of Person A o ze ign)
, �,
� ���} � :i=�" ���� :R'& ��" President -
o,c,.� � ,`� ��,�
a ,�, ,�;,.,.�� t. (Title)
� S.!
`- '�� �(�Cot-��rate Seal
,
'�:,�{�l��r �j,T�����."��°
rA,�fest
( cretary) Frank MYers
Business address: 4� N. Spriqq st.
Cape Girardeau, MO 63701
Phone No.: 573-334-0553
Date of Qualification to do business is January 1 974
A Joint Venture
By (SEAL)
(Name)
(Address)
BY (SEAL)
(Name)
(Address) �
'BF-8
Phone Number and Address for receipt of official communications:
(Each joint venturer 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.)
BREAKDOWN OF WORK FORCE (Requirea):
The prime contractor must perform with its own organization, contract work amounting
to not less than 30% of the total original contract price. A prime contractor must have a
fully responsive contractor questionnaire on file with the MHTC at least seven (7) days
prior to the bid opening date.
BIDDER hereby states that he will perform the following items of work directly without
employment of subcontractors: �
,i�
�03,�� Gerdan Slipformin - Curb & Gutter
� Kluesner Construction - Concrete Curb & Gutter
��ti
�� Cotner Electric - Electrical Work
�� Drivestone Paving - Pavers
Big River Resources - Fencing/Landscaping
� Road Runner Services - Traffic Control
It is anticipated that the following subcontractors will be employed for work on this project:
All subcontractors listed have been found to be in good standing with the Missouri
Secretary of State.
SUBCONTRACTORS:
No Subcontractor may further subcontract any of his work.
(Name of Company) (Type of Work)
`� Our Scop� of work is all work not directly listed on subcontractor
work.
BF-9
.
City of Cape Girardeau
Development Services Department
_ relxr�um i�rid u��in,f�r._+ Engineering Division
PO Box 617, Cape Girardeau, Missouri 63702-0617
' Phone (573) 339-6327 Fax (573) 339-6303
e
FOUNTAIN STREET PHASE II (RE-BID)
ADDENDUM #1
A. Project Manual
The following revisions have been made to the above named Contract Documents:
l. REPLACE Wage Rates section with Wage Rates attached to this Addendum.
B. Drawings None
C. Question/Answer/Clarification
The following are items included in the question and answer session during the Pre-
bid Meeting;
1. uestion: Is there a line item for Clearing and Grubbing? Answer: No;
"Removal of Existing Improvements" includes clearing and grubbing work.
Clarification: Contractor should visit the job site to determine the required
site work.
2. uestion: How do I know that my DBE effort will be enough? Answer: The
MoDOT requirement is 6%. All DBE's must be listed on the MoDOT
MRCC directory. For questions about the DBE program, the Civil Rights
Division of MoDOT at(573) 751-7801. CDBG goal is a "goal". For questions
about the CDBG goal contact Betty LeSeure, Department of Economic
Development at (573) 751-4146
Also attached is a copy of the list of attendees from the Pre-Bid meeting on February 24, 2010.
This adden m must be signed and attached to your Bid Documents.
Date � ����
Addendum#1 (Re-Bid) Page 1 of 1 3/I/2010
GiAR-�4;2010 11�26 CITY OF CAPE GIRARDEAU 573 651 0860 P.01
�. �
�,' � 441Independence
Cape Crirardeau,MO 63703
PHONE: 573-339-6327
FA,X: 573 339-6303
���
'�'o: j�(;,� l��e,j(��ui�. From: �?avid'V�Litaker
Fax: 33�'-otjL�a�S Pages: 3
Phoue: Datc: March 4,2010
Re: Addendum No.2 to P1ans&S�ec�cahons for the Fountaii�n Street Re-bid
• Comments:
**Remember to acknowledge receipd of this Addendum on Page �4F-2,
A.bDEND�TMNp. 2 of the bid form**
The following is the Anti-Lobbying Certification and instructions which weze i�aadverterttly
left out of the Fountaiu Street Spec book as referenced on page 00351-1
This addendum�.�be sent out by maiL
Please actrnowledg leceipt of this fax by signing on th�e li�ne below and faxin,g this one s6eet
back to tbis o#�ice,
�3-�/o
BIDDER
Section 3 Plan Format �-
If award is received,tvip xellev EQuipm�ree6� �n�ent the following specific affirmative
action steps directed at increasing the utilization of lower income residents and businesses within
Cape Girardeau County. �
A. To ascertain from the locality',s CDBG program official the exact boundaries of the Section 3
covered project area and where advantageous, seek the assistance of local officials in preparing
and impiementing the affirmative action plan.
B• To attempt to recruit from within the city the necessary number of lower income residents
through: Local advertising media, signs placed at the proposed site for the project, and
community organizations and public or private institutions operating within or serving the
project area such as Service Employment and Redevelopmenf (SER), Opportunities
Industrialization Center(OIC), Urbari League, Concentrated Employment Program,
Hometown Plan, or the U.S. Employment S�ervice.
C. To maintain a list of all lower income area residents who have applied either on their own or
on referral from any source, and to employ such persons, if otherwise eligible and if a vacancy
exists.
*D• To insert the Section 3 Contract Provisions clause in all subcontracts over$100,000, to obtain
Tables A and B from said subcontractors, and to obtain all documentation for completion of
Tables C and D prior to final payment.
E• To formally contact unions, subcontractors and trade associations to secure their cooperation
for this program.
F• To ensure that all appropriate project area business concerns are notified of pending
subcontracival opportunities.
G. To maintain records, including copies of conespondence, memoranda, etc., which document
; that all of the above affirmative action steps have been taken.
�
H• To appoint or recruit an executive official of the company or agency as Equal Opportunity
Officer to coordinate the implementation of this Section 3 plan.
*Loans, grants, contracts and subsidies for less than$100,000 will be exempt.
This form to be submitted with Bid:
MIN4RITY AND WOMEN'S BUSINESS ENTERPRISE UTILIZATION WORKSHEET
Grant Applicant __ Citv of ane �; ra,-�Aa„
Project Number Fountain Street Phase II
Contractor/Engineer �1P Kelley Equipment Co. , INc.
Address, City, State, andZip 41 N. Spriqq St , Cape Girardea , Mo h'��n�
Contact Person_ vi n c e Ke 11 e y Telephone No_5��_��4_n�s z
Amount of Contract_ �����_,_��BE Percenta e:
I/D�� 0�� g a 2 VJ�BE Percentage: � �
l� 8
1. MBE xx Subcontractor suppl ier c-F � P�t-,-; ,. � ,-t � ���5�R �E
Address, City, State, Zip �03 Sun Valley Dr. FArmin ton MO Contact
Person Jim Garcilaso
Amount of
Subcontract 7 0, 0 0 0. 0 0 x 6 0 0 = Tax ID Number Scope Of Work_
$42, 000 .00
�. Electrical supplier
2• �E Subcontractor Road Runner Safetv Services
�E XX Address, City, State, Zip p•�. Box 552, Jackson, MO 63755
Contact Person Marv Sheoard
Amount of Subcontract 21 , 6 0 0 . 0 0 Tax ID Number 4 3-1 8 0 6 0 3 7
Scope Of Work Tr==iC �ontrol
3• �E Subcontractor Suppler Road Runner Safetv S�rvice
WBE xx Address, City, State, Zip p-�• Box 552, ,7ackson, n+io 63755
Contact Person Mary Shepard
, Amount of Subcontract � , 4 2 0. 6 5 x 6 0 0 = Tax ID Number 4 3-1 8 0 6 0 3 7
Scope Of Work siqnaqe •
;
� ``• �E Subcontractor
�E Address, Ciry, State, Zip
Contact Person
Amount of Subcontract Tax ID Number
Scope Of Work
CERTIFICATION OF BIDDER REGA.RDING SECTION 3
AND SEGREGATED FACILITIES
Nip Kelley Equipment o. , In� Fountain Street Phase II
Name ofPrime Contractor Project Name &Number
The undersigned hereby certifies that
,.
(a) Section 3 provisions are included in the Contract
(b) A written Section 3 plan was prepared and submitted as part of the bid proceedings (if bid
equals or exceeds$100,000).
(c) No segregated facilities will be maintained.
Name
Vince Kelley President
Name&Ti e of Signer(Print or Type)
_ � ��/f�
Sign e Date
CERTIFICATION OF BIDDER REGARDxNG E tIAL ElYIpLOyMENT OPPORTUNITY
INSTRUCTiONS
This certification is required pursuant to Executive Order 11246 (30 F. R. 12319-25). 'The
implementing rules and regulations provide that any bidder or prospective contractor, or an of their
proposed subcontractors, shall state as an inihal part of the bid or negotiations of the contr t whether
it has participated in anyprevious contract or subcontract subject to the equal opportunity clause: and
if so, whether it has filed a11 compliance reports due under applicable mstructions.
, ,
Where the certification indicates that the bidder has not filed a compliance report due under a
instructions, such bidder shall be required to submit a compliance report within seven calendarp ac sble
after bid opening, INo�contract shall be awarded unless such report is submitted. y
CERTIFICATION BY BIDDER
NIp Kelley EQuipment Co. , Inc. 41 1V,
Sprigg St. , Cape Girardeau, MO
N`41��'�q�DRESS. OF BIDDER (Include�IP Code) �
1• Bidder has participated in a previous contract or subcontract subject to the Equai Opportuui
Clause. �,
�YES ONO
2• Compliance reports were required to be filed in connection with such contract or subcontract.
�S ONO
3• Bidder has filed all compliance reports due under applicable instructions.
�YES ❑NO -
4• Have you ever been or are you being considered for sanction due to violation of Executive Ord
11246, as amended? er
❑ YES �p
N`�ME AND TTLE OF SIGNER (Please type)
Vince ell , President �
SIGNA a �`"���
DATE
Table A
BIDDER'S PROPOSED SECTION 3 CONTRACTS/SUBCONTRACTS __
Type of Contract Total No. Estimated Total Estimated No.of Estimated Dollar
(Business of Dollar Amount Contracts to Section 3 Amount to Section 3
Profession Businesses Businesses
General on
Pavers �
1
Traffic Cont ol 1 � �
Curb & Gutte 1 1
Section 3 Business Concern Nip Kelley Equipment Co
A business concern which is located in or Company `�—��
owned.in substantial part(at least 51%)by
persons residing in the same non-metropolitan Fountain Street PHase II
county as the project. Project Name
Project Number
—,I a n u���e�_
Person Complehng Form
03-08-10
Date
z
I. To list on Table A, information related to proposed subcontracts to be awarded to Section 3
businesses. --
J. To list on Table B, all projected workforce needs for all phases of this project by occupation,
trade, skill level and number of positions.
K. If successful bidder, to submit prior to final payment, Tables C and D to city/county grantees
which includes all applicable hirees and subcontractors utilized on this project.
As officers and representatives of �iP Kelley Eauipment c�� � INr. ,
(Name of Bidder)
we, the undersigned, have read and fully agree to this Affirniative Action Plan, and become a party to
the full im lementation of this program.
Si ture �
President 03-08-10
Title Date
Signature �
Title Date �
�
Table B
BIDDER'S SECTION 3 ESTIMATED NEW HIRES �
Job Category Estimated Total No. of Positions No. of
Positions Occupied by Positions Not Filled w�th�Section be
Needed for Permanent Occupied Residents
Pro'ect Em lo ees
Officer/Supervisars 2 2
Professionals
.
Technical
Hsq Sales/Rental
Office/Clerical 2 2 �
Service Workers
Others
TRADE:
Journeymen 3
3 .�
Helpers
Apprentices
Trainees
Others
TRADE:
� Journeymen 8 6
2 2
Helpers 3 2
1 �
Apprentices
Trainees
Others
Section 3 Resident
Individual residing within the non-rnetropolitan Com an Inc.
county in which the Section 3 covered project. p y
is located and whose income d'oes not exceed Fountain Street PHase II
80% of the higher of the median income,adjusted Project Name
by family size, for the county of residence or the
non-metropolitan area of the state.
Project Number
Jan Kelley
Person Completing Form
03-08-10
Date
Table C
CONTRACTOR'S SECTION 3 NEW HIRES REPORT �
Job Category Esrimated Total No.of Positions No. of No. of Positions to
Positions Occupied by Positions Not be Filled with
Needed for Permanent Occupied Section 3 Residents �
Pro'ect Em lo ees .
Officer/Supervisors . 2
Professionals � �
Technical
Hsq Sales/Rental . '
Office/Clerical
Service Workers •
Others
TRADE:
Journeymen -
Helpers
Apprentices
Trainees
Others
'I12ADE:
Journeymen 2 2
Helpers
Apprentices
Trainees
Others �
Section 3 Resident Nip Kelley Equipment Co. , Inc.
Tndividual residing within the non-metropolitan Company � �
county in which the Section 3 covered project
is located and whose income does not exceed Fountain Street PHase II
80% of the higher of the median income, adjusted Project Name
by family size, for the county of residence or the
non-metropolitan area of the state:
Project Number •
�
i
Jan Kelley ;
Person Completing Form I
,
03-08-10 ;
Date �
0
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COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM �
CONTRA,CTOR'S CERTIFICATION
CONCERNING LA.BOR STANDARDS AND PREVAILING WAGE RE UIREMENTS
To (Appropriate Recipient): Date:
City of Cape Girardeau
Project No. (if any)
c/o Project Name:
�: Fountain Street Phase II
1. The undersigned, having executed a contract with for the
construction of the above-identified project, aclrnowledges that: ,
(a) The Labor Standards provisions are included in the aforesaid contract:
(b) Conection of any infractions of the aforesaid condi�ion, including infractions by any of his
subcontractors and any lower tier subcontractors, is his responsibiliiy: �
2. He certifies that:
(a) Neither he nor any firm,partnership or associarion in which he has substantial interest is
designated as an ineligible contractor by the Comptroller General of the United States
pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR,
Part 5)or pursuant to Section 3(a) of the Davis-Bacon Act, as amended (40 U.S.C. 476a-
Z�a))•
(b) No part of the aforementioned contract has been or will be subcon#racted to any
subcontractor if each subcontractor or any firm, corporation, partnership or association in
which such subcontractor has a substantial interest is designated as an ineligible contractor
pursuant to any of the aforementioned regulatory or statutory provisions.
3. He agrees to obtain and forward to the aforementioned recipient within ten days after the execution
of any subcontract,including those executed by his subcontractors and any lower tier subcontractors,
a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements
executed by the subcontractors.
4. He certifies that:
(a) The legal name and the business address of the undersigned are:
Nip Kelley Equipment Co. , INc.
41 N. Sprigg St,
Cape Girardeau, MO 63701
(b) The undersigned is:
(1) A SINGLE PROPRIETORSHIl' (3) A CORPORATION ORGANIZED IN THE STATE OF
Missouri
�2� `°'P�T�RS�' (4) OTHER ORGAIVIZATION(Describe)
�E��TCaTLOiv B'�pRQpOSED,SUBCQNT�,Ar�UR REG�DA�tG
E U LOY11�N'F OPYORTUNI_'� _
�N.AM�OF�"RIll?.�CON3.'kACTaR • P�QJECT N�ER:
� �i o�
WSTRUCTIONS
'I'he certificafron is zequired ptu�ant to Ezecutivc Order I I246{3Q F,R. 12319�25}. Thc izaplcznentin�
zules as�d regulations pzovida tlzat any bidd�r or�rospective oontractar,or any of thcir oropased
subcontraatars,shall state as an.z�utial-part of the bid ar negntiatione of the comira.ct whether it has
pzrl.-icipated in any prcvious oontract or subcontract subject tn the eqnal oppart,.uvty elause;aud,i�'so,
whether it has filed sll coa2pliance reports due u»der appiicab]e insiructians. ,
Whet�e the cert�ca�oz�indicates#hat the subcontractor has not�iled a complianca report du�undcr -
applicable instractions,suc�subcanlractor eha�]be r�quired to eubruit a oompIiance.report befare thc
owner approves ttae aubc�ntracfi az�perrnits wprk ta begin under th��ubcontraet.
. SLTBCaNI'R�,C'�'d�'S CBRTF�SCAT7bN
. � f P r z�511�____.___` .�� P r n J�c,� �S�_� � I�itta��,
NAME ANA ADDRESS O�SUBCOIVTRACTOR(7nclude ZIP Code� p (p3-�Q3
I. Bidder has�parficipated in a prcvzous coul�act ar aubcont�aet subject to the Equal Opportzmity Cl.auee.
�s ra No
2. Compiiance reports wcr�requzred to be fited in conneo#ion arith suc�cantract or subcontract
�s Q�to
3. $idder has FIi cd alI compliance X�poys duc tmder applzcabI�iAsiruckions.
F7YES p NO
4, I�avz you ev�r been or are you bcing comsidered�o.r san,ctaon due to vialation of�xecutive Ordrr
I I246, as amcuded7 �
Gl YES �
�� l�l�n�-
iv�v,�AND T1TL.E OF SIGNER(Pfcase type) �_� .r . ...
� �-ti �3 .S �� r o
SZC�TATU.IZE DATE .
c�r� c o F ros�n �naca craR � nv�
EC ON 3,�,ND S�G�GATED FACII,�S
G " � ; �r(�-r��e�
NaTn'e of Sttb Contractar Projeot Name&Numb�r
Tt►e�ndersigned hrreby ccrtifies that
(a) Section 3.provisions are included in t�e Contraet ��
(b) A written Secavn 3 plan was prepared and submiri�d as part of the bid proceedingg(i�f bid
equals or exceeds$1Q0,000).
(�) No se�regatcd faciIiiies wil�be maintained as rcquired by Ti�Ie VI af the Civil Ri�hts A.ct of
1964.
� �n�r t�rns� e
Name&'I'itle of Signer(�rint cu-�ype �
'Si ature Qll�f1 `S o7.a�Q ___
Date l
COriZNC'UNITY bEVEL�PMENT BLOC`K G1�A1�IT P�tpGRAN,�
�TJ�CONTRAC�OR'S CERT.�'ICA'I'�QN .,
CO CERNxN'G L�gTANDARDS ANA PREVA,�L,ING RrAG�I' �QUIl2ENZENTS
'�'o(Appropriate Reci.pieni): ,r Dat�: :
�r$-�,� IO
Projcct No.(if any)
�n�rzi��'m�t�lx�s����'�Bt Q�
clo �'Proj ect Narne;
1. The imdersiBned,having�ecuted a contract with
�t (Coniractor or 9ubcon�actor)
for ��Pc{Yi�2� _ '
� (Nattue of wark) , , , -_
in thc amount of$l4S�D��� in the con�zctio� of 13�c abov�-identifi�d proj�c�,certifies
that:
(a) T'h�labor Standazds Provisions ofthe Contract Far Corx,ctruct�an are inaluded zn the
aforesaid coniraat
;
(b} Ncith.er fie nvr azry�irm,cozporation,partnershuip or assaeiation in which he has a
substaatial xnterest is designated as an ineli�blc contracYor by the Comptrolior C}oneral of
thc United States ptu�suaat Eo Secti.on S.b(b)of the Rcgul.ations of the Secretary of Labor,
�'art 5(24 Ck�t,Part 5),or pursuant ta Section 3(a)of the Davis-Bacon Act,as amended(40
LT.S_C.276a-2(a})_ .
(e) No part of tho aforementioz�ed eontraet has beer�.or will be subcontracted to any
st�bcontractor if such subcoatractor oc any firm,corporation,paz�triership or association iz� .
whicb s�cch subcontractor has a aubstantzal iatereat is deaignated as ir.eligible contr�zctor
pursuant to the aforcz,sa�d rEgulatory or staiutary prov,isions.
2. �c agrees to obtain and fnrward to the cvntractor,£or tr�ansmittat to the recigient,within tcn days after
the exeeution o£any lower subcontzact,a 8ubconhaetaz's CEc�fifica�ion Cancemzng Labqr Star�dRrds and
PrcvaiIing Wa�e Rec�uireuae�uts, eRecuted.by tl�e lower tiex suhcontracYqT,in duplicate,
{a) The wor�nan wiIj report for duty on qr abaut
(date)
3. He certifies that:
(a) The Imgal narcue aad bvsiness address vf thc undcz-signed are:
�a�i�er E�e c�ric Co�pq�y
�.o��t�o�the�n E,cp��.scvQy - �ap� ��rrr��eac� V�.a b.�-ro3
{b) The undersigned is:
(l} A S WGLE PRO�'�IETQRSX�Tp 3 A CORPORA�'!ON O�.GANfZ,ED IN'�'HE STAT,E OF-
��aR�
(Z) A PART'I��Sg� (4) UT�ORC�ANI'LATION(Descnbe)
(c)The r+amc, title and address of the owner,partne�rs az ofCcers of the�mdersigned are
1
�
� �
NAME TfTL,� ADDRESS �
.
�.� - x f4�� I
�
�
� � � � � c�ru � `� I
I
(d)The narncs and addresses of all othe�r persons,bo�h,natural aud corpozate,?�avrng a substantial
interest in the undersigttcd,and the nahue of thc interest are(if none,so state):
N'�M� �E NATURE dF�REST
l�!0 ti(.� •
(e)�'he names,addreases aud k�ade classifications of a!1 afkzer bu7lding censtz,sction cantract�ars ir�which
tkxe undc�signed has a subs�tial int�zest are(if none,eo state):
NAMB 'ITI'L� TRAX)�CI..ASSIFZGATION
�
,
[:A�//'��r ���c�Y[� �3M�Ctl�U �
�$11j]COIILT3Ctibx� T
{
B�. / / J , �
C1Jt� Jr. �d I�
(SignaU�rE) '� �� �
Dat�:
�
�
�
I
i
. ... .. . .. . ...._ _ 1•
_. ---..._ __... _ ' _.._..
I
WAR�IINC
U. �
S.Crun�naI Code,seerioa lOXQ,Title 18,U.S.C.,prnvides ui parf= "Wfioever......makcs,passes, wnites I
or publishes any s�Eatemet�lmowing the same to be false......shsll be fin�d not zuore than$5,o00 or �
iix�risoned not rnarc th�.n two yEa.cs, or more_" i'
i
I
�
i
!
03l�4t20T0 04:32 N1P KfLLY (F�l()5�3 334 2025 P.0061dd6
SLTBCQNTRACTOR G`ERTTF,iCATZON REGAR�3ING_A.�'FI�2M�TIV�,t;,CT�OI�I
�roject: �.��ir�a��Y �KE-Bth�
.rab No.
Route: �
� Count3'. �.�QD� �L�l'�eG'u , —
Certificakion�tEgardi,�g Af�ro.ative.A,c�ion and EqualOppor[uziity: Tha bidder
(praspective prime aontractor}ar�roposod subcontractar cer.tifies: �
I• Affirmgtivo�Action T'ra�• �a fi b��eveloped and has an fiie at eacb.
ofits eStiabLishments a.f�tuative action programs p'c�suant to 4I CFR Part
50�2.
2. $ vai.d orfuni Clause: 'l�sat it has panicipatcd in a pr�vious can.ttact
or subcontract subject ta tlae equa2 ap,pqr.turcity cIause set�ozth in 41 C�'R
Part G9-1.4 aud oxecutive nr.der no. 1124G.
3. liax�ce orts: That ifhas filed with the Join.t Reporting
� Comm,ittee,the Dzrectoz-of the Office ofFedera] Coatract CQmpIiance
Progra,ms a.nd his deszgnate,Or t�C Ec�tiaj$�1oym.eb.t Oppqrtunity
Co�miesion,ail reports duc u.nder the appIicable filing require�ents "
co�atained iu 41 CFR,Part 60�1.
If khe text of tb,c cer4ification above is i.ncorrcet,rhe bidder oz subconfractor makin.g the
ce.rtifZcatiom shai].cvrrect it ixlocv: �
NO�E: 'I'his oaxCi�Catiaa.applies to and mu�be c�ccuted by each biddcr(prospcc�vo prirpa
conttactor)or praposed subcoalxacbor if its proposed contcact or subco�aet o�this projeet wilt
eg�a1�z acceed S10,OpU o�fib�t eonu�actor az�eubcvrlTxactox has conira�ts or sa6ednaacts on
fcderaliy asslsted pro�ects m ar�y l�month period t�,hic�(�ay�or can rcasonabIy be cxpected to
have,an ag�egate tvtaI vetuc oxceeding g1Q,OQ0 41 CFRPart 6D-1.�(a){]). Xt is a duty and
contract ob�gatioaz of the prime oon�aetor to insu�c t3�at oach of its subeontractors,wl�,ch mect
t�.is crit�rion,exe�utes and submiq to tkto cn�mission thie cartificatiou also.
- - --___ _ ._ _. --- ------- --- �afi'1er�Lec�t_G_�m _.. _y_.—-----_. _ ._. ..
.. ._ .. ... .. ..
_ . _ --
Company
�v��1aP►.�1`�'1 ���
�at�:� �,�o�n '
�
Tii1e
k�g. 14-5
RCviacd O 1-0 I-08
03/05/2010 17:47 5733345754 BIG RIVER PAGE 03
O�to5l2did 08:02 NP K�IIY fFAX)57�93a 2025 r.UU[fWQ
cE�TrFrca►T����x r�o��►� �scr�cQ�'��t�_.__�..��s
�a�,�.� ,�IOYMENT DYp4RTU1�fiX ..
T1�OF PRiME CON'lRACTOR � pR43ECT'NUMBBR-
INST�tUCTIONS
Thc aestifioatia�ia iequirtd pcasuant ta�,xooutiv¢Otdar 11246(30 F.R. 12314-25). Tho implocx�enting
rules and regulationa provide d3at aay bidder or prospec�vo con�actor,or auy of thoir pr�posed
aubcouttsatore,a1�.11�te as an�itia3��p�rt of the bid ar negot�atzoz�e of the canm�ct whether it has
partivzpated in auy p�avious con�t or subauntract subjeat to�e equel opportunit��clause;and,if sry,
whether it i�ae filod all�ompiiance rcports due undvr applio�ble inetru�tions. ,
Wt►ern the oer�ification indicates that tha suboontrAetor has r,at flled a Cor,npliancc roport dua under
applianblc instructiori6,such subcontractor ehel[be rcquirad td subzzat s car.�plisncc reporc bczare tbc
owrter spproves the svbcont�rract ar pe�rntite wac�to begin undcu ti�e s«bcantr�ct.
. . 3UHCUNI'R�►C'TOR'S CER'I�ICATION �
r o 1 vc r c c o u,rc.c� C�r �
NA.� AND AT3D:R.FSS�P SUBCO�C1'OR(Ynclncie Z.IP Gode)
�
s ` .S(��� r�wy w. ;�c.Glt s��LM o G 3 75 �
i. Bidd�r haa participated�vt�oue con�act ar eubooutraot eubjxt to thc Equ�l Opportunity Cla�.:se.
�1'�5 q NO
2. Camptianoe reports ware requiied to bo filad in oonr�octan with such contract oc subcontact.
�YES Ci NO
3. Bidd�r bas f�cd all eampliaace repor�duc under npptiaable instnt�tivna.
�YES G NC3 _
�. }.�sv�you ever beca or ate you boin�coasidered for satiotioa dua ta violerior.of Bxeou*�ve Ordec
1].24b,as arnendod?
0 YES xS NO
� �GliLhae� �(/�cCrc�"e
rtatv�,�r�Trrt.�oF�szat��cesee zypo)
__� �,c�w`/ �� � Q
8X(}NATUItE �
03/05/2010 17:47 5733345754 BIG RI�ER PAGE 02
09/Q51Z010 09:04 NP ICELLY (FAX�S/���+4 Nts r.��a,wv
RTYFI A'ITQN O PROF n��B�ONTi��`QR���
5�S'�T�.471Y�AND SEGIt�GATEA FACu.�TT�g ..
�1 �1V�r �SdurccS �.c�p .ti'�'��n S�e��' f�as�' a"`
Na�oL$ub�OA�I2atqr Project Name&Nurnber
Thc tmdcrsigned hesesby acrti$es thgt
(a) Section 3 p[ovlsi�s nrc includod ist thC Contru0t �
(b} A writtan Sactinn 3 plan wss p�pared aad euhmittad as parc of thc bid p�qceedings(if bid
equals or exceeds�100,Q00).
(c) No aegresgatcd fHcilitie�vv�-Il be maimkainad ea requi�d by Title VI of the Cisn1 Rights Aet of
1964.
. AA �/
� • M►tG►�er /�'`C�Y�C � ���'CilG�CY1� - .
�iame&Ti'�3e of Signer(I'rint or Type)
C- �I� _�!�� � s 1 m
�signaturc Desc
03/05/2010 17:47 5733345754 BIG RIVER PAGE 04
p31OS12�10 d9:09 NP KELLY
iFAl(�573 334 20�5 r.uw�wa
r��rnvrrv n�VVl?t cl1rMFNT'qi.c'1!'K(iRANT PROGRAM
�
qc�carrTR,A,�T4g`s ��rca?cz� .
C'SZsrR.����rn'*LA�30R ST�,����A�ND PRFVAii T'�F(�WAGE RE(3 ' �s
Ta CAPIn'opriaio ltecipient): - -- --- - --- -Datc�
Proiect No.{ifany)
���n+G,� s�-r��- ���5��r
�io project Nasnc: -
�, The�mdersigned,heving executod a cantraat with ____
(Contrector or Suboontractoz)
for
(I�lai�ue oEwor�c)
in the asoant of S in tho aonstnwtion of tf�e abovc•ickaxifiad pr7joct,ecrtifica
that:
(a) The labor 5tandards Proviaions af tbe Cantract For Construction:�re inciuded in the
aforesaid contract.
(b) Neithcc he nar any fu'm,aorporation,permerahip or assoeiatinn in which hc has a
substantist inioiest ia de�ignated ae an ineligi'bl�conbraotar by the Coraptrvl:er Gcneral of
thc Unixd States pur9uant to Seerian 5.6(h}of the Aaguletiars of tE►e Secxetary of�,abor,
Part 5(29 GE'f�Fa:t 5�,orpursuant to Seotion 3(a)of�}se Davis-Baeor.Act,as amcrided{GO
U.S.C.27Ga�2(a)).
(c) No part of the aforementioncd oonttia.ct has beetl or wtll be subcontracted ta any
sub Jontractor if such subcontraaiar or auy�rm,corporation,partnershfp or association in
which suah auboontruotor has a sub8ta�tial inbazest i�designetca ss inaligible contreotar
purauant t4 the aforeeaid regut,atory ar statutory pravisions.
�. �ie ag;aes to obCain end forward to the vontr�ctor,Eor transmittal to thc recipien�,withizi ten days eftet
the cxecution of r�ny lower aubconta'ac;a Subeon�actor's Cerqfieation Gancerning Larar St�.-�dards anc
Preveitiug R'age Rcqnirezzzcnts,executcd by�t lov��cr 4er aubcontractor,i,-�duplicute.
(aj The workman xr,ll report far duty an or ebaut
(date)
3. He cert�fles that: F ------
(a) Thc le$a,l namc and busineas ucidrCss af the unde�signed arc:
(b) The undcrsigncd is_
(i) A SINGLE PR�P1zi�rOR3� 3} coRPOl2ATI4N ORG�.�i2Ez�Il�T�r1�sTA.T�aF
- n�,(..�wQ f�._._ _
{2�A f'ARTN�,RST$' (4� OTHEIt 4RGANIZA'IION (besar�x)
(cj Tb;e nazrn,title aad addrees of the owner.partnar5 or affivera af tkc undersigned are �
f
�3/05/2010 17:47 5733345754 ' BIG RIVER PAGE 05
.. tfA�573 334 tOZ5 P.OQarov6
03la512010 O�:Oa NP KEU.Y
�v,a� 'rrrr.$ An�zt�ss ,
,
�
_ --.----^
(d}The Us.rnos and e�cldresses af all othtr pareocu,botb n4tiaal�a.d�°rAc'c��`}havisxg a suhskanti� �
iniarest u;thG cmdtcsi$n�d,�d the naivcc of the intere8t arn(if nona.so?tate): !
I
NAI� 1 TT�'I.� NAxURE OF sr �
�ha+� c C•4.i� S/d�r+ �`� °' "� ;
� th f G 1 l y. I
/� 4
. ;
I
(e)The ttam�,eddressoe snd trada claseifieatione of sIl othrt huildiuB constructiou eontraGtors►tt which ;
the undersignad has s subetanr a!inborast�re(if nono,ao state):
N.AME TTI'�g '1'FZAI3�CLA,SSIFICATION �
�
-- j
i
�
�
�
,
� � p
Z✓' Cs �il✓�tS Ldj' �
� �$ubC011tfa,t."�OT��--�_ j
�
'/� ' � i
�Y: P. �1�1 ��_ 3 5~/0 ,
<sigrsan,�e} Dace: �
i
�
;
��� �
U.S.GYimu►al Codt.acction 1010,Titla 18,U.S,C.,providos in per� "Whoevez•••••.mulces,Passas,writea
or publiahts ariy ekatament,la�owing the�anae tG be falst,...,.ehall be fined not more thau 55,04c}ar
impa�isoned not mnre tban two yaars,or t�re"
03/65/2010 17:47 5733345754 BIG RIUER PAGE 01
Q3/OStZ010 09:05 NP K�LI.Y tFAX)573 93a zvra r,�°"'�'a
1
l
SUBCONT�2AC'T4�t CE,RTIFZCATION R�GARDYNG AFFtR11�.ATlVE ACTIOI�i
Projac� - ---
Job Nd,
Route: _._._
Couaty: ---- - - _�...��
Certi£oabon Regarding Ax'fu-rnarive Action aud Equal Qpponvuity: The bidder
(prospective prime cau�rautor)or propascd aubcontractor�ertiftes:
i. �ative Aci�oa �za�t: That�t has dovalnped azzd has oz� �le�t each
of its cstablishmnrrts affirmative action p�v�ams pursuant to 4 T CFR�art
60-2.
2• �.g�a2�p�z'tLuu�y Cfausss: That it has psrticipatcsd i1�a provious canhact
or subcontract subject to the equal opporttmit�clausc set furtlx in d1 uFR
1'art 69-1.4 az�d e�cocutive nr�r no. !124G.
3. ���ce Rcoorts: Tk�.a.t it has,filad with the Joint Raporti.ng
Committee.the DireCtBt'of th0 Offiae of�'adpta]Contract[',vtt�pliai]Ge
�rngrau:e and his deszgnate,or tbo Equal Bmplayment dppoxtr�n:ty
CommiasioQ,ail z�eporte due under the applioabla f�ing requirc,me.nts
co�tained in 4l CFR Part 60-1.
Lf tha te7ct of the ecctitficati�n above ie inootreet,r�e bidcter or subeontractor matdng W,e
certification sha]]eorrect it betow:
NOTE: 'I'his ce,-tificalipn�pp]ies W uud wuat be exac;nted Ny each bidder(prospectivc pruuc
conaa.etor)or pcopo�ed yubcontrnctvc if ita peopoeed canMct or subcpntrect oc this project will
equsl or ca,oead$30,0(}f}or that Con[tactAr or eubcontractar hae conhacte pX aubcontr�cta on
fcd�stty asaietod pcoje�ts m�y 1 z-month perlod w�tich bQve or can reasonably bc expeceod to
ltsvc,an aggregato m�al valna aacaedittg 31Q,pQ0 41 C�RPert 50-1.5{axl). Tt is n duty and
contrect obLgatiau of t3�e prirne wn�aatnr tp insuxe t8at eech of ita sabcaatt�tetors,wEuch mee[
t�is criterio�,exocuttia aud eubmits to the oo�nisaioct WiA cnrr�Scation also. -
� ,
��1 Py� I�rSa�,�vzr� ��y v,,�,
Compan.y / ..._
�y: � � � �l�
Date; _� 5 /U� / �h�_
Titte -
Fig. 10—5
t�•:�a o�-o:-os
e3/05/2010 15:37 5732047862 PAGE 06
trRnlolJ tl�4 idU25 P.Op2lOQ$
Y
1\ �} f��
t.t
�.1�,� c ��T4R � ..
7- f �RO1�CT � E�
�'sTxUCTtorrs � r `�'�'•p��.�L-�
'Z'he aerLi�cae�on ia requircd p��t to F.a�ecutive
n�les and re p Ordcr 112qfi(30 F.R, l�319.25). �'he imp�erncntiz�g
gulatiuns provide t�ar any biddar a,r x0 CCttve coritsB4tOx,oc asny of thc�r groposad
subGotttractors,ehali st�1e as att iuitial-part of thc bid vr negotiatio�s ofthe coafract whether it has
Participated in anY previaus contract or subcarztract eubject tp the usl o
w����it��j��co�pI��nce xeports due undtr applicable inatructians����clause;and, if so,
Whare the�erix.�catian iric�ioates that the subcontractor has not Sled a cornpiiance report due under
applicab.te ir�struotia�s1 s�(�����ctor ehalI b�reqvired t4 anbmit s couiplisnc�rep�ri befare th�
o�mex aPP��s ttae subcontract or pe�its woz�k to begin undcr the subconrract.
COI+T�Kq 'S CER ICAT[C)_ —"'..—
NA�ANIj AD�RESS OF SUBCONI�ACTOR(inclttdc�IP odci `�"'�`
a �
1. $icfder ltas partieipated in a prrviaas contraat or subcaritract subject to the Equal Qp�ortunity Clause.
�XES 0 Np
2. Corn�Iieacc ceports werc requi.re bd 4d e filed in o�mn�etion witb sueh eontraet or ssbcantraet.
�I'�S D NO
3. $idder has fZled alE co�liat�.ce reports due tuader app�icablo instructions, �
�YES Q IJO
4. Ha�ve you ever bceu or are you beir��considered for sa�o�ion due to violation of Executi�•e Ordcr
�I246,as amcnded?
a�s �No
NAME AND'Z'I7'LE OF SIQNSR(Please )
�
sr�rr �z`v ��� 3/ `
� �
03/05/2010 15:37 5732047862 PAGE 04
�� r�Ja,a a�a tu,CS p.QETSlp06
�
C T a I
��QN 3 _ sEGItF��T.�D� .I''r'Ttr �ING
� S�-,��. � � S�.
Nau�tif Sub C;oniractar �$��'
Project Neme&Nu�tbtr
"Ihe undersigncd hateby ccrtifies thar
(s} Sectiun 3 grvvis,ona�.e;,��luded 'm the.Contract ,
�) A tvrittc�t 3ection 3 pj�� was ptepazed attd subtni(ted as part of ih�bid pt'o�eec�gs(if bed
ec�uaIs or dxceadg S10U,Qb0).
1�) Na sc�regetxd�cilih�s wi[I be���a�Fequired by�Tit,e V1 of rbe Civii Rig�ts Act oE
1964.
� ��S��
Name�Title f SiFmer( t or Type) �—� ,.__ _
�sl�a�,� ����-C'�.��U�d
Datc
03/05/2010 15:37 5732047862 PAGE 07
trs�1�����4 tOZ5 P.�D3100C
b p LO p ,
�CO�T,�4T��'���.�R�A TIQ.L
CQNC�R�vrN��AHO���$ ,trA�I,IN�VG!AGE R�Q Tr �, c
— ���
To(Apprp�riate Recipien:): �
r�atP•
� � — �/� ^
ProjcctNo.(ifariy) �
d0
Pruject Nama:�oor+rnain '�': Qs,�f+s�
i• Tho uitdersigncd,havi�,,,g exe�uted a contract witb�j� /�F//F�4�"����� /)
fUr �/�I��C'/� ��Q� (Cantractor ar Subconhactor) �y/��,
(���hue of work)
�n the aiaount of$ in the cous�u�Eion of ti�e a�ov�..�d�mh�e�projeet,certifies
t�:at:
(�) �'he�sbor 5tt:uciards Pro�Zsions oC thc Contract�oX Constn,��hozt ar�inciudet!in thc
aforesaid cdntza�t_
(b) Neither he nor azt_y firru,aorporation,partnnrship o:assoeianon in which�e has a
su(�stantial inte;-est is designated ss an i.n�Ilgible cv�,tractor hy the Com�stroller General of
the Lrnited Staies pursva�2t tv Section S.G(b)uf the Regulations o�'the Secretary of�,abor,
�'�'S(29 C'�`R,Qart S),or pursw'�n�to 3ectiota 3(�)of thc Davis-Bacvn Act,e�amendcd(40
U.S.C.276a-2�a?).
(c) �10 pgrt of the aforemQntioned coqiract has been or wi11}�c sabcon�s;.ted to anv
subcoqtractar if such subcon�actor or auy fir�ti,cuzporation,gazfinexship or assooiation ir.
w•ttich such subcontractor has e eubstentlal izttez�st is designated as it:eligible contractor
p�rsuant to the a�oresaid r�gulatnry or atatutarv provieion s.
2• $c�gne��to�btain stzd foru�ard to ti�e contractor,far trans�ttal to thc recipient, u�i�hin ten days afesr
:hc oxeoution o#auy fawer subcontraet,a Subeontraetor's Ce�ification Corsecming Labor S�andards and
�rcv�iling Wago Requ+xeuaents,�ceauted by the Iowec tier subcontzaetor,in�,uplieatc_
(a) 'xhe workmen will report Cor duty on oz about /Ve�-i�_�_ T��Q� ,q�
(dete)
3. He ecriifies that: ^'
(e) 'The lc�ul name und busi�css address f the u�ndersigned arc:
�oAp �iJnW�K• SA�'f5/��Rt�l L�.ES, (�JC
—PQ�'",�a�K.sson,7 MO �375"S�
(6) The undersigned ia:
{1) A STNGLE PECOPRIETURSHIP (3) .A COR�.'OR1�TlaN ORaANIZBD IN TI�STATE OF
m ���Rr
(2) A F'ARTNER6H]P (4) O�t oRC3ANI2ATI�N(Dasoribe)
(c)The narne,title and addrees of thc own�r,partr�cre or of�cers qf The undersi�ed ar�
03/05/2610 15:37 5732047862 PAGE 05
�� Mn�aia aa4�4ut5 P.404l006
N�ME �,�
A.DD SS �
/ - �r�' �.2.2 .SOn/�C
.���
---�� �.-�,�a�z.G.s�o;��-!
;:
(d)"�'he na,t�es�,d addressas of a11 bttzex persous,both natura�czaa corpvrace,havji;$a substentiRl '
utterGst ir1 the uz�dersigried, and the nature of thc inrerest ara(if none,so state): �
Np.LVlE TITLE NATURE OF IN'tF,R�ST I
_ 3
r
--��..�. - -- �
_...-- • ._—.� �
i
r
{c)Thc names,addresses end trade claasi�icarion8 of ei!other building constructiar_contraators in whi�h �
the underaigrtcd has e�ebstaatiai inter�t are{if n.one, so state): r
NAME TI'�"�,5 TRA.DE CLASSIFZ�ATION
�
-- ^. ^ - _ �
�
�
f
T �
T 1
(� r i
�r���1 / V�I�V 1�.�,5 1/�L'.
(Subcorzt�actor) �
. �V f
BY:
i
(Si atiu'e) Date: •
t
i
�N1�S�
U.S. Crimanal C,'ude,sec�on IOIU,Title 18.,U.S.C.,provides in p�rt: "Whoever......mak�,passes,u��riies +
or publishes any st�te�nettt,knowirzg*he same tp be falst......shali be finod not maz�tha�,�5,00���
unprisoned not mare than tvra y�ars, or moze."
PAGE 03
0�/05/2010 15:37 5732047862 ,} »R��r J J�L�� r.�,�
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SUBCOIV',C'RACTO$C�RTIF,[CATtON��q�!'vG�,,��arrv�acrt
ON
Ptojeet: �f� — ��
do6 No. l
Rpute: ��' • � I
Couuty; �
CCrtIficAt1OA�2gg���,�-�a�vC Achon A[ta ua1 +
(prospective prime coutractor)or P�Pa$ed � �'�°Ttunity; The bidder �
subconiractor eertifies: i
I. �tive c:aon Prvsrran,
----...--.�� Thet it bas dc��ejc�ped and has an file ai oacr
o£its estab:.iah�ents af��maUve action pmgrauas p'ursuant to 41 CFR�art
60��.
2. �q�ai-¢�d a �n-itv,Cl �se. That st has participated in a�pre�•ioas wnccact
or subr���subjoet co the eq�t Qpp���,r��auac set farth in 4 i C'�R
�'art 69-1.4 and cxect�tive ord�r no_ I 1?�,
-�• �lianGe enorts• T'hat it has filod with the Joint Rgpartiug
Couunittee, t}it]a��t�tor of the Q�ce of T'edera! Contract Camplia.��e
Pragram;aud his dcsignatc, or�ta Eqt�al Employmont Uppernanit}�
Cammission,a�l r�ports due undcr We a{aplieable filing raquuemants �
contained m 41 C'FI�Part 60-1.
If tho text aFthe certificat;oA ahova is iz�eorrr,at,t�e bidder or su�coniractor makin.g the
certificaiion shati caxrect it beloK-:
-- ---�.Y
NdT`�: This certificahon apptias to and nauei ba cxeeute�i by eacL bid.dar(prospective psin�
coutracror)or proposcd subconttaalor if ite ptoQosed cantraet or subco�trace on thie prnject uvif�
�qual ar exceed SlQ,QoQ ar th�t coutractor ot subcouhac�or has conu-ac:s or subcanuaets on
f��1Y�s�projxts in any 12-montl�pecipd w�e&}�a��or c�,��ea&onabiy be ex��aczed to
11aVC.a�sg&re�8ta�p�dl v�lk�tXccedi[�S1Q,0�04i CFR PBrt 6f)-1.�(a}{1). Iris a dury and
conOact o�ligation vf the�rime con�actcyr co ims�u�that each of irs subcvutrecrors,xhich moer
this cxitarion,aaecutes end submirs to thc commiasion this cerc�£' ccatlan also.
�
Ca arly
sy:
Date: 1��� � � �D/v -------_
, �1kIP
Fig, 10-5 I
���eed oi-ol-0e �
MAR-5-�010 14:05 FROM:CERDAN 573 339 0678 T0:3342025 P:2�6
o3�a►rzo�a oa:�a r�p�v �Am��4 zoQs P.00¢raas
��._C���-� o � o ,� �
rrr�o����oza�,.c�ro� • �t(�7� r�
i�i.� Rel�,ey Equipment Co. Foun��-aQxf'St��tt��� �T
INSTR.UG'�ONS
Thc aecti5cafaon i,c required purr,v�nt tp p,�couf�ve Qrd�11246(30�,R ].7.319-25). Tha ixnplcmenting
rulea culd regulations provido th4t n�y biddcr or pxospective con�eator,rn any of�ear pxnposad
��On��O������s��-part o.�the bid or negaifat�ona of th,e con�t whet�her it hap
pm-ticipabed�aTMy prcvious conh-acx or gubcontract sabj�cc ta��e o�ua�ogportu�uity clsuae;and,if so,
wliakher it hos filed a11 compIiar�ae re�ort�duc cuader a�pli�qbla ipAtrucbians. •
W6cre the o � •
erti�aticaa indicat�e�that We�booatraetor has uot Slcd s co:�tp`liane�report due under
spPheable inetxvctians�suc�subcantr�ctor shnli bc requfred xo pubmit a aac�pliance rcporf hefare 1�ie
owtaer approves t#�a subcanh-act or perrnits work to be�ttnder the euboontrac�
SUBCC7N'�'RACT4R'S L�'ERTfF'TCATION
N111v�E A.NU AI�ARSS�S QF SUBCC7NS'RACI'OR(�uc]ude ZI.�'Code)
I,�,��ormin �nc.
1. Bidder itas palficipaxal iz��prcvious eontxact ar subcantract subjeat to t�c Equa.t OPP��ity Clauee.
�11'ES �NO .
2. CoFnplisnce repor'�wcre r'cc�uited kv bc i'iled in cont�ec�iorr with suoh coztkruct ar subcontrect.
Gd'YE,S Ca NO
3. Bidder has'fited a11 corapIiaz�cc repcm�due under applieabla in�nictions,
�YES Q�irJ
4. H:►v�3rou cvor becn ar are you being oont�fde�d�or eanotion dae ta viala�an of IIxeoutivc Ordcr
11246,ae psncttded?
0 XES �Nn
NANI�ANll T.t'�LE OP SJGNE�t(P(eaAe typc}
Mar G. �z�fskell 3/5/2Q1 Q
SIGNATURE ���
MAR-5-2010 14:06 FR�I:GERDAN 573 339 0676 T0:3342025 P:5�6
03l041Z010 04:41 NtP Kk7..LY ¢AX�S?3 384 2425 P.005f008
C,�RTL'�`TCAT,�pN UF P Qpncrr�D�UBCQ�j'��,E�����.���
��_�.��.��L'FA �S
G�rdan S�.ipform�.�ng, Ync. Founta�.n S�. Phase TI
Nau1c of Sub Coutractor Prajeat Nttme&�amber
T�]C UA�CI$t�i1E�k1CI�Ily aCItL�Cf'i�1Qt
(a) 8ectiaa 3.pz�visions sre incladed in tha Cont�at �•
(b) A w�iGtan Sec�io�3 pliu�,wt�s prepared and suhmitted as part nf ttte lrid procoedings(if bid
cqnals ar c�cceds��00,000).
(c) Na 4egregxted faciliti�wIll bcs mairrtaitted as requine�i hy Title VI of flie Civil�tights Act of
196a.
M�ry G. Dxiskell
Name&Title o�'Signer(Prant ac�'ype) '
....�1j �,u,,� ��„1�,,�,_ � 3/5/2 p 1 0
.s��-.a�._r �� .
MAR-5-2010 14:05 FR�I:GERDAN 573 339 6678 T0:3342025 P:3�6
03l04ta010 Q�R�dO f+t�'ICEt,i,Y (F1�S���ZS P.44S1t�16
� , D�VTLU `��'�-+�CK G�?�,.�CL'�R(7(�AM
�
�.C�,C O ' ��$�.�Q�
CO ' G L�AI3��4 G �
� Ta(Appriopciake Recipic:nt}: p��.
3/5/241Q
� Roject�Ta.���Y)
�'ounta�.n St. Phase ZZ
do Project Nama:
1. The vndersigp,ed,havtta��xecutqd a eonttract with Nip Ke 11�x Egu9.pm�n�. Co, .
(Contrnctnc ar acibcontracmc}
for r��rh �nc7
(NA�0�Wark) �
. in titc amoun.t of$ in the aonatzuction of.the above-�dentified projcct,cectifies
�a�
(a} The labor Stxn.dards pmviojplle of tbe Cantraet For Cons�vction are included in d�e
atore�aid cantrac�
(b) Neithcn c�nor nny fmn,corpora.t�o�.,p�ervhip or assaoiation ira which he has a
substantiat interest is dcsignaUed�9 an ineli�t'b1e oontractar by the Carnptroller Gencrui of
the Ux�itcd 8t�iteA pursu�nt bo Seation 5,6(b)p£the Ragulatiops of the Scczetary of I,abnr,
Pflt�t S (�CFR,�'att S),or pureunnt to 5oction 3{a)of thc I7avis»$acon Ack�ns emcnded(4Q
U.S.G.27Ga�z(a)). ,
(c} No part of thc afvremetitioned oontrnct hus he�n or wil�be gubcont�.ct�d b any
auhc�l�ctor if�t.tch subcontractpr or�y firna,corporatian,partaorehip ar�saciation in
which such subcontracto�has a sab�tnntisl rnt�cst ts designated ne inc11$ible con�actor
pt�saant m the�fbresaid repulatdry oc s�xtufioty proviaionR.
2. H�c a�rrees tA obtaf�and forword tio the con,lx'�ctat,for transmittal to the reCinien�,witl,i�n ten days afficr
the�xecuqon of mny Iower subcon�act,a Subaontracto�'s Ce�toation ConceILlln��ubor Star�dRrds and
Prcvailfng Wa,�e RcquiremcRt$,executed by the 2owcr tier suboontractor,in duplicats.
(�} 'I�c wm'krnan will tcport�or duty on or abau#
. (ct��)
3. He cettifiag i3iat: �
(e) 'I'he 1n�.1 namo;ind business addreas of t�e ta�dereigncd cue:
�erdan Slipfo�m�.ng, �nc.
P.O. Rox 715
Cc1pe Girardeau, MQ 63702-0715
(b) The umdcrsigncd ia:
(a) A SXNQI.��'RO�'.RZEE'X'OR,.SI� (3) .A CORpORAT�ON ORG�IN TkI�STA'�b�'
Missouri
��paRrrr�Rs� (4) aTHSIt dRGAN'I'LATI�N(De�ari��
(c)'�'hc nRma,tit]e and dddrGas o�t�e owner�p�rtnccs Qr o;F�ice�of$xc�mdecxigned arc
MAR-5-2010 14:06 FROM:GERDAN 573 339 0678 T0:3342025 P:4�6
03l04(2d1 a OA:4t NIP K�t,I,Y (FA�5,73 394 Zf]2S P.Q04100�
�
�
i
NAME 'ITI7,E AU73.R�SS �
�--M�xY �' Dri fi P> > Presid�nt p,P ;�ox 77 5 C�ne _Gir. MQT �
�
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t
. �
i
Ed)Thc names and addresse.v of all othcr p�ans,botl�na�and corpors.te+havin�a euhst�ntiel 1
intenesk in khe undccsi�ed,and the naturc of the int�crest nre(if nonc,�a fitn,te): �
. f
�� TITLE NATURE Q�1NTEREST (�
�N/A �
{e)Thc names,�ddre��cs a�zd tradc alassi�catians uf ail other huitding oanstniakian con#ractora in whfch
the under�igrtcd hes a sub5tnntial intcrest�(if aionc,so st�tc):
NAME TTTf.E �'�tAD�CI,A.SSIFICA�4N
N/�1
_ Gerdan Slipfo�rm�.n.g, rnc.
(SuUcontractor)
IIY: ., � �1��,c.Q�,,,`_ 3/5/2 01 0
Signaturc) DAUUe:
t
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1
,
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wA�ra j
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U.S.Ct�minal Codc,sactipn I010,7''ttle l8,U.S.C.,providos in pnr� "�'Vhoov�t__....rnek�.�,passe�,�vrites }
or puistishes any etatcmcn�knowmg the sanae to bc false......Bh&11 bC�II1�Cl AOt tI7AtC tb8ri�5,000 or
isaprisoned not mare tJ�an twa ycars,or more."
�
�
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�
M(aR-5-2010 14:06 FROM:GERDAN 573 339 0678 T0:3342025 P:6�6
03t04f2�10 p4:42 �IP KELLY (FkXy57��34 2025 P.Q0614Q6
SUBCt�NTRACTOR CERT�FiCATIUN REGA�RDXNG AFFIItn�A,T�E ACTION �
Pro,�ec�: Founta�.n St. Phase YI �
Job No. �
Roate: ;
" Copnty: Cape Ci.�'axc �au ;
Cerkification Regardin�A�rwative Action and.�qual Qpportumty; 7'be bxdder i
(prospcctive p�ue cob.�ractar}or pcopo�cd subco�tctnr cezti�cs: �
t� :�t�l�ctian g�tn; 'That it�.as deve]opcd and has at�file at ea.ch �
o�.its Bqkablishmc�its�ff.�rma�ive actio.n prograuys pursuant to 41 CFR Part
60-2, �
2' �� � rlunx�_-=�Clause: �at it I�as partici�atdd�i�a previoue coahact
or subcontract subject ln tho equaT o�sporl,�mity c�Ause aet fc�rth i�41 C,�[t
Part 69�1.A�attd executivc�zd�r no. 11246.
3. � o i ancc eportsj Thak it laas filed with the J'oint�,epuztin�;
CO���fi�,the,Uirector o;f the O#ficc of Fede,ral Contraat Camplianca
�'rog�r�ns and hia des�igaate,or xha Eqaa1 Ern�loy�ent�ppartunitY
Coznmiesion, aII repnrts due uncier the apglicable fi)ing requ.irernenk� -
cant�ained in�I C�'R�'art 6Q-1.
If tbc text of thc ccrt�cario� above is incomeo��e bidder or�ubcontzar,tor mal�ing thc
crnrtifcativn shail aorz�eet it below: ,
NO'�: Thu aGtti.fication applies co nad u�ust be cxncutsd by cxch'Giddec(ptoepectivc pr(xn�
contractar)or proposed sabcont�setar if ita praposed co�traet�r sut,coritrnet on thiA�Sro,jeee wi1!
e�nal or e�cood�I0,000 or tLat cantrncbur ar eabooa�actor has commck�or subcon�ts an
fecierally a�sisted prajcctv 'u�nny l�-�met#�Pciiod whicb havc or ann�eaAonably bo ea�pncted to
lmve,an aE�P,uts tokal v�lue a�cceediug�10,Q00 41 C',FRP�ut 60..1.5(axl). Zt iF a d�ty snd
conk�tct dblig�ttozt af Ax primc con.�[actor tn ut�o that oach o£fts Aubcontraotom,wh{ah mcet
this cri.terian,exacutos nnd submits ho thc oommisaioa khis�extificatioa alsa.
Gerc7an S1�p�Eoxm�.ng, Tnc. '
Campc�ty
B��pa.��lAl�.�
. t n---
���
D�.I:e: ,�, �,/Zp� p Pres�dent
Title
F�g. ]Q�S
ttr.v+s�a oi-o��t
_ ht�-05-2010 13:05 From:KLUESNER CONST
O�lOAl2010 Q4;51 NIR K�LLY (FAl()579 88a zOZy t'.Uu[luutt
G
NAML� OF P CON�RACTOR PR.Q:CEC�'NUMB�,t•
, �
" S'�I-G p c:�g
�s�xucrTa�vs
Thd ccrti.ficatian is required.pur8unnt to axecutiva Order 1.I246(30 F,R. 12319-25). Thc implomcnting
�'ulos and rogul�tioris pravi.da�Iznt uny bidddr or proep�C4vc cantractQr, �
subcact#rnctars,shafl etate as nrt initir�l.pa�tq�'!ho bid arncgoti�tiens ofthe contract hct�er�ithas
Fa�'l7cipatcd In any provioue conlract ar subeonu�act aubject t0 the eq���] oppQrtmj�y ol�usc; and,i�so,
whciiier it hae filcd a)1 compliance rcports duo under app(ieabla instruct3ona.
,
Where�lhe cciti�ieaiiun i�dicatcs that the avbcontracto�'hns not�iled� comp�iance repart due undcr
applicable utstruohoQs�such bvbcontractar slaup bo rcquired to submit u eamplinncc report before thc
uun�cr nppravcs ti��suUcan�-aot or permits wor&to begin i�nder the subeontruc�
��� CON'I7.t.�1.CT�R'S CER�FICATION
N�t1NA ADD�SS(��SU$C(?NTRACTOi�(Inc�]udc ZII'Cade) �� 7S
1. .�idc��r has pfu�tjoipat4d in a previous cvntrpct or subconp�ct sub'ect to the
J I�ual Oppo��ty Clausa.
��s c,rto
2. Cr�mJ�liance rcparts warq x�uircd tv be�i.led in connection wit���z,ch contrnot or subcontruct,
�?�s �ND
3. Bidda hns filcci o11 oompli�nce rr.,porte due under u�p]icablc inatru�tio�ns,
�� oNa
4� ��'o You aver tx�n or ara you baing coneidored�'ar eanction dun to violat�on o;f�xccutivG prder
(lZa6,as amcndcd7
0 XBS �NO
� � u�sn.e w,� _
NAM�ANA Tl'1�OF STGNER(Paa�sc type) c��•c � Ca n,cr ���.5
A� � � 5� .Z,o r o
AA'�
MAR-05-2010 13:07 From:KLUESNER CONST
- VJlVRlI�V/V YA.MS fVf nL�4F�f \I NA,JfY YY't LVf,Y I �vvYevvv
���7''.XON .2�' t2n OS �SLTBCUN'x'�l.C'�OKRTGARDIN�
S�,�T'XOl�i� t�P$E��l�'�xt��'�'���'����5 .
� i e✓ �o�n,Gr���s � �uu,��u.��. S�F�ec.�- s�C� f�ob3o8
Nwnc of Sub Cantxracl;or ^ �'roj oct Nainc 8t Numbcr
The undc�i�ned hereby oertifias that
(a) S�atioa 3 provisiprts are included in tht Cnntract `
(b) A writtet�Scclian 3 plan was prepured and submitked cts part aftho bid praccedmgs(if b9d
equ�ls or excac�s�100,Q00).
(c) No segregated£�ci]itic�will be rnaintAined asrequirod by"�'itlo'V7.o£tl�e Civil Itighta Aot of
19G4.
o �l�P�s2e ` re �c,c�,�- -� ��e �er re.�-ef
Name�Tit1a af 3igncr(I'rint ar Typo) � -
� �b,��,. S��.o►o
SiQnt�ture Anlv �
MAR-05-2010 13:05 From:KLUESNER CONST
03t04l20�0 44:52 NIP KELI.Y (F,47Q57�9�4 2b25 P,40.91006
C GbC P
��BGONTRt�S',t,�rj�� C.'1rR ._, .ATTt1N
�1Y�'sR ��.4�� 5��.��5 �]' VALL'�N'G�W�.�..��'QT,j�:tFM�N'�'�
To �a.�r.� 5� ��U
{APpropnate Rec�praqt): Dato:
' ' S',�G � oe o
Yrojcct No.(if any)
�U K.. � L'G
�O Projocx Namc:
I, Thc�mdersi�n�cd,huving executed�eontract with K � dt,c.�e.��'
(Ca�tracmr�3uhcontroctar)
for � �-u,� c, •
sa (N'alvre ofwork) `
in tlie amo�rat o�'����5'p, ...� � �t]lC Conskructinn of thc AbbVe-idenkifiai!project,acrti.fiies
that:
(n) 17�c I.abor Standurds rrovisions of the Contr;�ct�or Construction are inaiudcd in the
af.nreauid oontracK_
(b) Ncither ho uoc any Eirm,c�rpor�tior�,purl•nerehip or nssociatipn in whiah he hae u
subs�ntial interast is designatad as an incligiblc contructvr by the Compp�aticr Qcncr�l�F
ihe Unicod Statea gursuant ta Seotion S,6(li)of tt�e Rc�,ulalions af thc Sccretary of Labor,
Pnrt S(29 CFR,Parc 5),qr putsuant to Scction 3(n)oP thc Duvis-$acon Aot, ns nm�ndcd(44
U.S.C. 2�6a-2(a.))-
(a} 7��p�:of thc afarementic�rted eontract hae been or wi11 be eubcontr�actcd to any
subcontroci,or if such subcantr�pcxpr or any Frn7�o4rporatipn,pEu'CnCrship or pssociatipn in
wlucl�a�zch suhcontcactor hae a aubetankial intorest ie dcsignated ae ineligiblc contrac#ar
pursunnt ta the aCoresxid ragutatory or statutory provi�iana.
2. ITo agrees to ohtain aad forward to tt,e contzAat4r,.for trun�mitcal to tli�rocipient, wichin ten duys after
llu exccution of any lo�ver subcontruct,n Su'bcontcuotor'y Ccrti�ica�on Concarnin� L.ubor Stnndards und
Prevailing W�gc R.equiratnents,cxecatcd by l�e lpwcr tier subcontruatar,in cluplicutc,
(u) The workmuz wil!report.Cnr dury dn ax ubout_ a2�(O
��a� �. �„_
3, r�c otrNfics Ciwt;
(a) Thc Ic$at aamt and busi�ess addresa of the uuder�igned arc:
h�u�wer ��iKS'��'ticf4K �N4•
��, Bo7t q,s~
K(.�tPl �p \P� 7S~g
(U) The uttdorsigttcd is:
(1 j A SUUIGI,�PRO�XtCCs'�ORSI�P (3) A C4RPORATI4N URGAMZED IN THE S"C�LT�0�
��5���?r�
_�� APAR'tN�RSH[P �(7X'HER OttGftNIZA.TIQN{T)
— cscribe�
(c)The namc, hitic and address of the ownor�purt.n�rs ar offtoera of tttu undersigncd nrc
MAR-05-201�0 13:05 From:KLUESNER CONST
0310A12010 04:52 NIP KELLY (FAX)57'S 984 2U25 P.0041006
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N Tl'T'tE ADI�RESS
�J ot e t pr • .�.� �O � ��g sw-IF C:�
K j y w•� � �l csK�r tJ P�v< S`.r� ��a '-�'c�� o �
....�,�IdL]^ �'r��- SIr[s�`�r�[�$ur c . It o /�'13�. ��
` c•.� L i ♦ � �r.►�-�+.d T Y�f.O --
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{d)`C�he nA1nCS and nd(�CC35CS o�al� ptrtiGf pec80118�both natural and corpat�tta,linving a eubstantial
interesl in ttte undecsigned,and the naturc of die intcccsk arc(if none,so st�te);
NAN1� TiTGL NA.TUI�O:F�ITEREST
�-�-� —
(e)Thc names, addresac:s and trnde claAsifcations of all other building oonsm�ctiaa aantraotors in tvhich
lhe i.mdersigned has a substannai intcrest arc(ifnone,so statt):
NA:MH 'ITfI,� '[�ADL�CLASS.�ICATION
_---.�..� �Q�Q' - - i
" �
. �
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t��1�Q�/ ����t2f�
(Subcontrnotor)
�Y: �. 5 �-� i t5 I
��G � �
(Signaturo) :l7atG:
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Cl.S.Crimiaa!Code,eeation �Q10,Title I$, C�.S.C.,provides in p:u�t: "Whoevcr......,upMa�kas,pasats,wril�s I
ar publiehas rxny statement,]aiowing tho samc to be fmtee......shull be Fined not morc tban$.5,400 or
imPrisancd not moro t1�an two ycara,or mora"
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MAR-05-2010 13:07 From:KLUESNER CONST
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Project: ��w��n. 5-�r�c�-
.Tab No. �D_[o30Q� 'µ'
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Certifxcai7an Regarding AFfix�t�a�ivc Actian and,Eq,uml QppQ�iy; '�'�,e bidder
(p.rospeetive prime cont�pctor)arproposeci subcontraetor eertifies:
. �' � a� � ��O m: '1`liat it has developed and b�s op filc at eacl�
ofits establishr�ents�f,Cu-mntivc action pro�ra�ns pursuarrt to 4]. CFR purl
64-2,
2. E�c u�l Opportun�{v C] uso; T1t0.( (t�1A8 pBtklCrpaCtf�ln a pxCV1oU8 COTI(TaCL
or subcontract subjec�to thb equ�1 opportwuty clauso set forth i�41 Q4'R
�'art 69-�.4 and execuavc ondor na. I 124G.
3� �ompliAr,�ce R��; That it ht♦s�led witla tho Tointltcporti.ag
Comn�ittv�, thc Dircctar. o.f thc O�fica of Fcdera.l Cantrnct CornpJiance
Progranza ond his designAte, or tbe Equa(Bmploymant Opportunity
Corr�m.issian.al!rcparts due u�der thc Applicable filing rogu.i.rcmente �
cuntained a.n 4I CFR Part GQ-1.
If lha text oF lhe corti.f.r.caEion abova rs incorrect; khe bidder or subcor�uactor ma.king tho
c�rliFexkioii s�Q]! correct it below:
N07"F: TF�ia oar4�ication appliea ro tend mua!ba axscumd by eech bidder(pruspectivc prima
co�dactor}or prppnsed subeontrnclar if ita proposod cdntract or subcontruct aa ehio projecl wi.11
equal ar Gxceed$10,000 or that caatmetor or aiihcontraeu,n c�,s camznets Qr g,�bebnp.��UA
fod�tully aseistod projccta in any 12-mant3�per;od wliich hnve or awi rcasarptbly be oxpactcd co
��a���Q�nggregbta to1o1 vuluo oxcotding$10.000 4l CE'R pnrt 60.1.5(axl), .[t ffi a ducy uud
contract obligntion aPrhe pri�o r,orrtract�r to ins�ua tt�nt cucL of it�eubcantrnctors, whioh meac
tfrin oriterion„azoeutos mid s�,b�tits to q�Q commissioa thia cerrification alao,
��V�sner �Kc�e.�crs �
Corripany "'
By:
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l)ate: ��.5,01-0! 4 ,�
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Fig. 10--5
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