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Contract 29749
04-09-0001 : 17 RCVD . CITY SECRETARY CITY SECRETARY -11w/ CD ITRACl NO. SPECIFICATIONS C ' (DING CO: AND CONSTkI ..Yli �uwy CONTRACT DOCUMENTS CLIENT 4y.-1 7 q FOR TAXIWAY H PAVEMENT REPAIR AT ALLIANCE AIRPORT FOR THE CITY OF FORT WORTH, TEXAS FAA Grant Number: GR76 - 055218812010 File Number: M - 221 D.O.E. Number: 4005 MIKE MONCRIEF, MAYOR GARY W. JACKSON, CITY MANAGER MICHAEL FEELEY, ACTING DIRECTOR, DEPARTMENT OF AVIATION A. DOUGLAS RADEMAKER, P.E., ENGINEERING DIRECTOR PREPARED BY: Carter.-:Burgess CARTER & BURGESS, INC. ENGINEERS •,PLANNER$ • SURVEYORS 777 MAIN STREET FORT WORTH, TEXAS 76102 C&B NO. 011853.001 ~ 11It E F•rF,l'�ttt "F Y J. 1 •t`t':• 7•• . 57818 �CESI@o•QRlGINAL 0� < N .• 1' � %+r,r , N A;L .l:ati'�tin\�10 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 3/23/2004 DATE: Tuesday, March 23, 2004 LOG NAME: 30SITECONCRETE REFERENCE NO.: **C-20001 SUBJECT: Authorization of Contract with Site Concrete, Inc. for Pavement Repair of Taxiway "H" at Alliance Airport RECOMMENDATION: It is recommended that the City Council authorize the City Manager to execute a contract with Site Concrete, Inc. for pavement repair of Taxiway "H" at Alliance Airport in the amount of$182,450. DISCUSSION: On September 17, 2002 (M&C G-13737), the City Council authorized the City Manager to apply for and accept a grant from the Federal Aviation Administration (FAA) in the amount of $245,122 to fund the design and repair of Taxiway "H" at Alliance Airport. The work was authorized subject to the availability and acceptance of the FAA grant. Existing land credits that remain from the original land donation for Alliance Airport in the amount of $20,272 will be utilized for the City's ten-percent in-kind local match requirement. Alliance Air Services will be responsible for the administration and inspection of the construction contract. All invoices will be reviewed by the Engineering Department for payment by the Aviation Department. The project was advertised for bid on November 13 and 20, 2003. On December 18, 2003, the following bids were received: Bidders Amount Site Concrete, Inc. $182,450.00 Gibson &Associates, Inc. $194,417.80 The low bidder, Site Concrete, Inc. is in compliance with the City's MWBE Ordinance by committing to 19% MWBE participation. The City's goal on this project is 15%. This project is located in COUNCIL DISTRICT 2. FISCAL INFORMATIONXERTIFICATION: The Finance Director certifies that funds are available in the current capital budget, as appropriated, of the Airport Grants Fund. TO Fund/Account/Centers FROM Fund/Account/Centers GR14 539120 055218794010 $182.450.00 Submitted for City Manager's Office b3c. Marc Ott (8476) Originating Department Head: A. Douglas Rademaker (6157) Additional Information Contact: A. Douglas Rademaker (6157) t �noT-rr.nni.rnn�r� Pane. ? of DEC. 16. 2003 4:32PM 817-735-6148 N0. 7689 P. 2/5 ADDENDUM NO. 1 To +� SPECIFICATIONS AND CONTRACT DOCUMENTS FOR City of Fort worth,Taxiway H Pavement Repair At Alllancs Airport FAA Grant Number: GR76-055218812010 D.O.E. No.4005 Bids Receipt Date:Thursday, December 18,2003 Addendum Issue Date: December 16,2003 To: Prospective Bidders and Plan Holders This Addendum No. 1 forms a part of the Contract Documents referenced below and modifies the Original Contract Document and Plans. Acknowledge receipt of this Addendum in the space provided below,In the proposal page, and acknowledge receipt on the outer envelope of your bid. Failure to acknowledge could subject the bidder to disqualification.The plans and contract documents shall be modified as follows: CONSTRUCTION CONTRACT DOCUMENTS(SPE,"GIFICATIONS) A. Comprehensive Notice to Bidders, Page NB-3,second paragraph,first sentence. Correct the"17 percent of the dollar value"to 15 percent of the dollar value". B. Proposal.replace P-8 and P-9 dated 2003 with the attached sheets P-8A and P-9A dated 12-16- 2003. C. Technical Specifications, SP-12-401 Page 6,401-3.4 TEST SECTION,first paragraph, second sentence. Correct the"test section 80 long and 20 wide placed in two lanes"TO"test section 40 feet long and 35 feet wide placed in a minimum of two lanes" CONSTRUCTION PLANS A. Sheet 3,SUMMARY OF QUANTITIES, Item number 29, Correct the Base Total Quantity 0240" TO"480". Item number 30, Correct the Base Total Quantity"120"TO"380". Item number 31, Correct the Base Total Quantity"120"TO"380". B. Sheet 6, EROSION AND TRAFFIC CONTROL DETAILS, Detail 3 Correct the"TOP MOUNTED AMBER FLASHING LIGHT"TO"TOP MOUNTED RED FLASHING LIGHT",and"BASE— MOUNTED AMBER FLASHING LIGHT"TO`BASE—MOUNTED RED FLASHING LIGHT" CLARIFICATIONS The following addresses contractor's questions. A. Question: Sheet 6, Detail 1-Can the lights on the timber barricades be amber instead of red? The'detail for the lighted cones shows the lights to be amber,which are much easier to get. Answer.The lights on both cones and barricades shall be red. This is per Advisory Circular 150/5370-2E. S. Question: Sheet 6, Detail 1 -Can the barricades be made of 12"x12"timbers? Do they have to be anchored to the pavement? Answer: No, see the specifications for barricades. No,the barricades do not have to be anchored to the pavement. ADDENDUM NO. 1 Page 1 of 2 011853 �� � December 16,2003 V J I � I DEC. 16. 2003 4:32PM 817-735-6148 M7689—P. 3/5 C. Question: Would a thicker pavement section be considered Instead of using the 8"CTB? Answer: No, the pavement section shall be as shown in the plans. D. Question: What is the circuit lockout procedure? Answer.Any time a contractor needs to"lock our'a circuit,the contractor is required to notify Alliance Air.As long as the lock out does not interfere with the operation of the airport he/she shall be permitted to lock it out. 1.The vault shall stay locked continuously. 2. Contractors shall be escorted by Alliance personnel to the vault 3. Alliance personnel shall physically lock out the appropriate circuit. 4.When contractor completes work at the end of the day he/she shall notify Alliance personnel so they can escort the contractor to the vault and return the circuit to the on position. 5. Contractor shall stay on site until airport operations personnel completes an airport inspection. E. Question: How many wires and circuits are in the existing conduits to be removed&replaced? Answer: The taxiway edge lights consist of one conduit with one wire on each side of the taxiway. The Centerline lighting has two conduits with two wires. The centerline lights are circuited such that every other light is on the same circuit. F. Question:We need to know how the existing circuit is wired in order to provide a temporary circuit. Answer.The circuit is a standard airfield lighting series circuit. G. Question: The quantity for the wire seems to be short,as when the wire is cut the new wire will have to be pulled from light to light, instead of just the limits of excavation/removal. Answer: The quantity of wire is short,the approximate Base Total Quantity value should be as follows: Item 29.480 LF, Item 30. 380 LF, Item 31. 380 LF, All other provisions of the plans, general contract documents and specifications for this project,which are not expressly amended herein, shall remain in force. A signed copy of this Addendum No. 1 should be included in the sealed envelope at the time of the bid submittal. Failure to acknowledge the receipt of this Addendum No. 1 could cause the subject bidder to be considered"NON-RESPONSIVE", resulting in disqualification. ADDENDUM NO, 1 ACKNOWLEDGEMENT: By: f\ Qe1 1-,yyr A. Douglas Rademaker, P.E. Tide: M: ; fti c �-T��r ;Mpanaer. ConsuItIng irector, ept of Engineer' Address:�Q�y ocr t31on 'GraNaLP�au;e. so Telephone: (4_.__�a%)313-o233 . Services ADDENDUM NO. 1 Page 2 of 2 011853 December 16,2003 SPECIFICATIONS AND CONTRACT DOCUMENTS FOR TAXIWAY H PAVEMENT REPAIR AT ALLIANCE AIRPORT FOR THE CITY OF FORT WORTH, TEXAS FAA Grant Number: GR76 - 055218812010 File Number: M - 221 D.O.E. Number: 4005 MIKE MONCRIEF, MAYOR GARY W. JACKSON, CITY MANAGER MICHAEL FEELEY, ACTING DIRECTOR, DEPARTMENT OF AVIATION A. DOUGLAS RADEMAKER, P.E., ENGINEERING DIRECTOR PREPARED BY: Carter.-Burgess CARTER & BURGESS, INC. ENGINEERS •.PLANNERS • SURVEYORS 777 MAIN STREET FORT WORTH, TEXAS 76102 C&B NO. 011853.001 ~ Zt�tii T Fxgdtt�t .. *jrr ..................................r r JEFFREY J. TONER r r :.......57818.....:,Q. ttltisc'�kAl �N. O Q'J� • ti.V►titi 1O� _J Alliance Airport Taxiway H Pavement Repair INDEX OF CONTRACT DOCUMENTS AND SPECIFICATIONS NOTICE TO BIDDERS SPECIAL INSTRUCTIONS TO BIDDERS DISADVANTAGE BUSINESS ENTERPRISE SPECIFICATIONS WAGE RATE DETERMINATION PROPOSAL VENDOR COMPLIANCE TO STATE LAW CERTIFICATE OF INSURANCE CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW EQUIPMENT SCHEDULE EXPERIENCE RECORD BONDS CONTRACT PART I - SPECIAL PROVISIONS PART II —WAGE, LABOR, EEO AND SAFETY REQUIREMENTS PART III —GENERAL PROVISIONS PART IV—TECHNICAL SPECIFICATIONS NOTICE TO BIDDERS Sealed proposals for the following: FOR: TAXIWAY H PAVEMENT REPAIR AT ALLIANCE AIRPORT FAA Grant Number: GR76-055218812010 FILE NO.: M -221 DOE#: 4005 Addressed to Mr. Gary W. Jackson, City Manager of the City of Fort Worth, Texas will be received at the Purchasing Office until 1:30 PM, December 18,2003 and then publicly opened and read aloud at 2:00 PM in the Council Chambers. Plans,Specifications and Contract Documents for this project may be obtained at the Office of the Department of Engineering, Municipal Office Building, 1000 Throckmorton Street, Fort Worth, Texas. Plan sets may be picked up at The Department of Engineering for a non-refundable fee in the amount of thirty dollars ($30.00). Bid security is required in accordance with the Special Instruction to Bidders. This project will include, but not be limited to, the following estimated quantities: 333 SY of 14" Jointed Portland Cement Concrete Paving,72 SY of 14"Reinforced Jointed Portland Cement Concrete Paving,310 SY of Asphalt Base and Surface Course, and 320 Cy of Drainage Base Course. A pre-bid conference will be held on December 10,2003 at 2:00 p.m.at 2221 Alliance Blvd., Suite 100, Fort Worth, Texas 76177. Bidders are responsible for obtaining all Addenda to the contract documents and acknowledging receipt of the Addenda by initialing the appropriate spaces on the PROPOSAL form. Bids that do not acknowledge receipt of all Addenda may be rejected as being nonresponsive. Information regarding the status of Addenda may be obtained by contacting the Department of Engineering at 817-871-7910. For additional information, contact Gopal Sahu at(817)871-7949 or Andrew McCoy at(817) 735-6065. GARY W. JACKSON GLORIA PEARSON CITY MANAGER CITY SECRETARY A. Douglas Rademaker, P.E. Director epartment of E ing By: ck Trice, P.E. anager, Engineering Services Advertising Dates: November 13, 2003 November 20, 2003 01185301.00a.doc NB-1 COMPREHENSIVE NOTICE TO BIDDERS Sealed proposals for the following: TAXIWAY H PAVEMENT REPAIR ALLIANCE AIRPORT FOR: FAA GRANT NUMBER GR76 - 055218812010 D.O.E. NO.:4005 FILE NO.: M -221 Addressed to Mr. Gary W. Jackson, City Manager of the City of Fort Worth,Texas,will be received at the City of Fort Worth until 1:30 P.M., December 18, 2003 and then publicly open and read aloud at 2:00 P.M. Contract Documents, including Plans and Specifications for this project, may be obtained at the office of the Transportation and Public works Department of the City of Fort Worth, 1000 Throckmorton Street, Fort Worth,Texas 76102. A non-refundable fee of thirty dollars ($30.00)is required for the first set of documents and additional sets may be purchased at the non- refundable basis for thirty dollars ($30.00) per set. All bidders will be required to comply with provision 5159a of"Vernon's Civil Statutes"of the State of Texas with respect to payment of prevailing wage rates and City Ordinance No. 7400(Fort Worth City Code Sections 13-A-21 through 13-A-29), prohibiting discrimination in employment practices. Bid security is required in Accordance with Paragraph 1 of the Special Instructions to Bidders. In general, the work consists of the following: Replacement of existing concrete and asphalt pavement on portion of Taxiway H. Removal and reinstallation of existing taxiway electrical ducts. Installation of under drain system to address water seepage under the pavement. The City reserves the right to reject any and/or all Bids and waive any and/or all formalities. AWARD OF CONTRACT: No bid may be withdrawn until the expiration of forty-nine(49)days from the date bids are opened. The award of contract, if made, will be within forty-nine (49)days after the opening of bids, but in no case will the award be made until the responsibility of the bidder to whom it is proposed to award the contract has been verified. Bidders are responsible for obtaining all addenda to the contract documents and acknowledging receipt of the addenda by initialing the appropriate spaces on the PROPOSAL form. Bids that do no acknowledge receipt of all addenda may be rejected as being non-responsive. Information regarding that status of addenda may be obtained by contacting the Department of Engineering (817) 871-7910. A pre-bid conference will be held for this project on December 10, 2003 at 2:00 P.M. at the Alliance Airport Offices, 2221 Alliance Boulevard, Suite 100, Fort Worth, Texas. Bidders are encouraged to submit the required DBE documentation with their bid. However, it is not a mandatory requirement. The Bidder (Proposer) must supply all the information required by the instructions to Bidders and the bid must be submitted on a form which substantially complies with the form provided by the City of Fort Worth. 01185301.00a.doc NB-2 The successful bidder will be required to furnish a Performance Bond and Payment Bond, each in the full amount of the contract price,executed by a surety company or surety companies authorized to execute surety bonds under and in accordance with the laws of the State of Texas. _ All bidders and proposers shall make good faith efforts, as defined in Appendix A of 49 CFR Part 23, regulations of the Office of the Secretary of Transportation, to subcontract 17 percent of the dollar value of the prime contract to small business concerns owned and controlled by socially and economically disadvantaged individuals (DBEs). In the event that the bidder for this solicitation qualifies as a DBE, the contract goal shall be deemed to have been met. Individuals who are rebuttable presumed to be socially and economically disadvantaged include women, Blacks, Hispanics, Native Americans,Asian-Pacific Americans and Asian-Indian Americans. The apparent successful bidder(proposer)will be required to submit information concerning the DBE's that will participate in this contract. The information will include the name and address for each DBE, a description of the work to be performed by each named firm, and the dollar value of the contract (subcontract). If the bidder fails to achieve the contract goal as stated herein, it will be required to provide documentation demonstrating that it made good faith efforts in attempting to do so. A bid that fails to meet these requirements will be considered nonresponsive. For additional information, contact Gopal Sahu, P.E. at(817)871-7949 or Andrew McCoy at(817) 735-6065. GARY W. JACKSON GLORIA PEARSON CITY MANAGER CITY SECRETARY Department of Engineering A. _Dougl s Rademaker, Direct iJ R' k Trice, F.E. Manager, Engineering Services Advertisement Dates: November 13, 2003 November 20, 2003 Fort Worth, Texas 01185301.00a.doc N13-3 Notice to Bidders Buy American - Steel and Manufactured Products for Construction Contracts (January 1991) 1. The Aviation Safety and Capacity Expansion Act of 1990 provides that preference be given to steel and manufactured products produced in the United States when funds are expended pursuant to a grant issued under the Airport Improvement Program. The following terms apply: A. Steel and Manufactured Products. As used in this clause, steel and manufactured products include (1) steel produced in the United States or (2) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds 60 percent of the cost of all its components and final assembly has taken place in the United States. Components of foreign origin of the same class or kind as the products referred to in subparagraphs (II)(A) or(B) shall be treated as domestic. B. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. C. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. II. The successful bidder will be required to assure that only domestic steel and manufactured products will be used by the Contractor, Subcontractors, Materialmen,and Suppliers in the performance of this contract, except those- A. that the U.S. Department of Transportation has determined, under the Aviation Safety and Capacity Expansion Act of 1990, are not produced in the United States in sufficient and reasonable available quantities and of a satisfactory quality; B. that the U.S. Department of Transportation has determined, under the Aviation Safety and Capacity Expansion Act of 1990, that domestic preference would be inconsistent with the public interest; or C. that inclusion of domestic material will increase the cost of the overall project contract by more than 25 percent. 01185301.00a.doc NB-4 Alliance Airport Taxiway H Pavement Repair SPECIAL INSTRUCTIONS TO BIDDERS SPECIAL INSTRUCTION TO BIDDERS 1. BID SECURITY: Cashier's check or an acceptable bidder's bond payable to the City of Fort Worth, in an amount of not less than five (5%) per cent of the total of the bid submitted must accompany the bid, and is subject to forfeit in the event the successful bidder fails to execute the contract documents within ten (10) days after the contract has been awarded. To be an acceptable surety on the bond, (1) the name of the surety shall be included on the current U.S. Treasury, or (2) the surety must have capital and surplus equal to ten times the limit of the bond. The surety must be licensed to do business in the state of Texas. The amount of the bond shall not exceed the amount shown on the treasury list or one-tenth (1/10) the total capital and surplus. 2. PAYMENT BOND AND PERFORMANCE BOND: The successful bidder entering into a contract for the work will be required to give the City surety in a sum equal to the amount of the contract awarded. In this connection,the successful bidder shall be required to furnish a performance bond and a payment bond, both in a sum equal to the amount of the contract awarded. The form of the bond shall be as herein provided and the surety shall be acceptable to the City. All bonds furnished hereunder shall meet the requirements of Chapter 2253, Texas Government Code. In order for a surety to be acceptable to the City, the surety must (1) hold a certificate of authority from the Untied States secretary of the treasury to quality as a surety on obligations permitted or required under federal law; or (2) have obtained reinsurance for any liability in excess of$100,000 from a reinsurer that is authorized and admitted as a reinsurer in the state of Texas and is the holder of a certificate of authority from the Untied States secretary of the treasury to qualify as a surety on obligations permitted or required under federal law. Satisfactory proof of any such reinsurance shall be provided to the City upon request. The City, in its sole discretion, will determine the adequacy of the proof required herein. The City will accept no sureties who are in default or delinquent on any bonds or who have an interest in any litigation against the City. Should any surety on the contract be determined unsatisfactory at any time by the City, notice will be given to the contractor to that effect and the contractor shall immediately provide a new surety satisfactory to the City. I� If the contract amount is in excess of$25,000, a Payment Bond shall be executed, in the amount of the contract, solely for the protection of all claimants supplying labor and materials in the prosecution of the work. If the contract amount is in excess of $100,000, a Performance Bond shall be executed, in the amount of the contract conditioned on the faithful performance of the work in accordance with the plans, specifications, and contract documents. Said bond shall solely be for the protection of the City of Fort Worth. 3. LIQUIDATED DAMAGES: The Contractor's attention is called to Part 1, Item 8, paragraph 8.6, of the "General Provisions"of the Standard Specifications L Construction of the City of Fort Worth, Texas, concerning liquidal ed damages for late completion of projects. � 01185301.00a.doc IB-1 4. AMBIGUITY: In case of ambiguity or lack of clearness in stating prices in the proposal, the City reserves the right to adopt the most advantageous construction thereof to the City or to reject the proposal. 5. EMPLOYMENT: All bidders will be required to comply with City Ordinance No. 7278 as amended by City Ordinance No. 7400 (Fort Worth City Code Section 13-A-21 through 13-a-29) prohibiting discrimination in employment practices. 6. WAGE RATES: The Bidder also agrees to pay not less than the"Prevailing Wage Rates for Highway Construction"as established by the City of Fort Worth and not less than the wage rates stated in General Wage Decision No. TX020045. 7. FINANCIAL STATEMENT: A current certified financial statement may be required by the Department of Engineering if required for use by the CITY OF FORT WORTH in determining the successful bidder. This statement, if required, is to be prepared by an independent Public Accountant holding a valid permit issued by an appropriate State Licensing Agency. 8. INSURANCE: Within ten (10) days of receipt of notice of award of contract, the Contractor must provide, along with executed contract documents and appropriate bonds, proof of insurance for Worker's Compensation and Comprehensive General Liability (Bodily Injury-$250,000 each person, $500,000 each occurrence; Property Damage - $300,000 each occurrence). The City reserves the right to request any other insurance coverages as may be required by each individual project. 9. ADDITIONAL INSURANCE REQUIREMENTS: a. The City, its officers, employees and servants shall be endorsed as an additional insured on Contractor's insurance policies excepting employer's liability insurance coverage under Contractor's workers' compensation insurance policy. b. Certificates of insurance shall be delivered to the City of Fort Worth, contract administrator in the respective department as specified in the bid documents, 1000 Throckmorton Street, Fort Worth, TX 76102, prior to commencement of work on the contracted project. c. Any failure on part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirements specified herein. d. Each insurance policy shall be endorsed to provide the City a minimum thirty days notice of cancellation, non-renewal, and/or material change in policy terms or coverage. A ten days notice shall be acceptable in the event of non-payment of premium. e. Insurers must be authorized to do business in the State of Texas and have a current A.M. Best rating of A: VII or equivalent measure of financial strength and solvency. f. Deductible limits, or self-funded retention limits, on each policy must not exceed $10,000.00 per occurrence unless otherwise approved by the City. 01185301.00a.doc IB-2 g. Other than worker's compensation insurance, in lieu of traditional insurance, City may consider alternative coverage or risk treatment measures through insurance pools or risk retention groups. The City must approve in writing any alternative coverage. h. Workers' compensation insurance policy(s) covering employees employed on the project shall be endorsed with a waiver of subrogation providing rights of recovery in favor of the City. i. City shall not be responsible for the direct payment of insurance premium costs for contractor's insurance. j. Contractor's insurance policies shall each be endorsed to provide that such insurance is primary protection and any self-funded or commercial coverage maintained by City shall not be called upon to contribute to loss recovery. k. In the course of the project, Contractor shall report, in a timely manner, to City's officially designated contract administrator any known loss occurrence which could give rise to a liability claim or lawsuit or which could result in a property loss. I. Contractor's liability shall not be limited to the specified amounts of insurance required herein. m. Upon the request of City, Contractor shall provide complete copies of all insurance policies required by these contract documents. 10. NONRESIDENT BIDDERS: Pursuant to Article 601g, Texas Revised Civil Statutes, the City of Fort Worth will not award this contract to a non resident bidder unless the nonresident's bid is lower than the lowest bid submitted by a responsible Texas resident bidder by the same amount that a Texas resident bidder would be required to underbid a nonresident bidder to obtain a comparable contract in the state in which the nonresident's principal place of business is located. "Nonresident bidder" means a bidder whose principal place of business is not in this state, but excludes a contractor whose ultimate parent company or majority owner has its principal place of business in this state. `Texas resident bidder" means a bidder whose principal place of business is in this state, and includes a contractor whose ultimate parent company or majority owner has its principal place of business in this state. This provision does not apply if this contract involves federal funds. The appropriate blanks of the Proposal must be filled out by all non resident bidders in order for its bid to meet specifications. The failure of a nonresident contractor to do so will automatically disqualify that bidder. 11. DISADVANTAGED BUSINESS ENTERPRISES: In accord with City of Fort Worth Ordinance No. 13471, as amended by Ordinance 13781, the City of Fort Worth has goals for the participation of disadvantaged business enterprises in City contracts. A copy of the Ordinance can be obtained from the office of the City Secretary. In addition, 01185301.00a.doc IB-3 the bidder shall submit the DBE UTILIZATION FORM, PRIME CONTRACTOR WAIVER FORM and/or the GOOD FAITH EFFORT FORM ("Documentation") as appropriate. The Documentation must be received no later than 5:00 p.m., five (5) City business days after the bid opening date. The bidder shall obtain a receipt from the appropriate employee of the managing department to whom delivery was made. Such receipt shall be evidence that the Documentation was received by the City. Failure to comply shall render the bid non-responsive. Upon request, Contractor agrees to provide to owner complete and accurate information regarding actual work performed by Disadvantaged Business Enterprise (DBE) on the contract and payment therefore. Contractor further agrees to permit an audit and/or examination of any books, records or files in its possession that will substantiate the actual work performed by a DBE. The misrepresentation of facts (other than a negligent misrepresentation) and/or the commission of fraud by the Contractor will be grounds for termination of the contract and/or initiation action under appropriate federal, state or local laws or ordinances relating to false statement; further, any such misrepresentation (other than a negligent misrepresentation) and/or commission of fraud will result in the Contractor being determined to be irresponsible and barred from participation in City work for a period of time of not less than three (3) years. 12. AWARD OF CONTRACT: Contract will be awarded to the lowest responsive bidder. - The City reserves the right to reject any and/or all bids and waive any and/or all irregularities. No bid may be withdrawn until the expiration of forty-nine (49) days from the date the DBE UTILIZATION FORM, PRIME CONTRACTOR WAIVER FORM and/or the GOOD FAITH EFFORT FORM ("Documentation") as appropriate is received by the City. The award of contract, if made, will be within forty-nine (49) days after this documentation is received, but in no case will the award be made until the responsibility _ of the bidder to whom it is proposed to award the contract has been verified. 13. PAYMENT: The Contractor will receive full payment (minus 5% retainage) from the City for all work for each pay period. Payment of the remaining amount shall be made with the final payment, and upon acceptance of the project. 14. ADDENDA: Bidders are responsible for obtaining all addenda to the contract documents prior to the bid receipt time and acknowledging them at the time of bid receipt. Information regarding the status of addenda may be obtained by contacting the Department of Engineering Construction Division at (817) 871-7910. Bids that so not -- acknowledge all applicable addenda may be rejected as non-responsive. 15. CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW: .. A. Workers Compensation Insurance Coverage a. Definitions: Certain of coverage ("certificate"). A copy of a certificate of insurance, a certificate of authority to self-insure issued by the commission, or a coverage agreement (TWCC- 81, TWCC-82, TWCC-83, or TWCC-84), showing statutory worker's compensation insurance coverage for the person's or entity's employees providing services on a project, for the duration of the project. P0 01185301.00a.doc IB-4 Duration of the project-includes the time from the beginning of the work on the project until the contractor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the project ("subcontractor" in §406.096)-includes all " persons or entities performing all or part of the services the contractor has undertaken to perform on the project, regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees. This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, or delivering equipment or materials, or providing labor, transportation, or toner services related to a project. "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. b. The contractor shall provided coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011 (44) or all employees of the contractor providing services on the project, for the duration of the project. c. The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. d. If the coverage period shown on the contractor's current certificate of coverage ends during the duration of the project, the contractor must, prior to the end of the coverage period, file a new certificate of coverage with the governmental entity showing that coverage has been extended. e. The contractor shall obtain from each person providing services on a project, and provide to the governmental entity: (1) a certificate of coverage, prior to that person beginning work on the project, so the governmental entity will have on file certificates of coverage showing coverage for all persons providing services on the project; and (2) no later than seven days after receipt by the contractor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project. f. The contractor shall retain all required certificates of coverage for the duration of the l project and for one year thereafter g. The contractor shall notify the governmental entity in writing by certified mail or personal delivery, within ten (10) days after the contractor knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project. �T h. The contractor shall post on each project site a notice, in the text, form and manner prescribed by the Texas Worker's Compensation Commission, informing all persons 01185301.00a.doc IB-5 _ providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. i. The contractor shall contractually require each person with whom it contracts to provide services on a project, to: (1) provide coverage, based on proper reporting on classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas labor Code, Section 401.011 (44) for all of its employees providing services on the project, for the duration of the project; (2) provide to the contractor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project; (3) provide the contractor, prior to the end of the coverage period, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project; (4) obtain from each other person with whom it contracts, and provide to the contractor: (a) a certificate of coverage, prior to the other person beginning work on the project; and (b) a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project; (5) retain all required certificates of coverage on file for the duration of the project and for one year thereafter. (6) notify the governmental entity in wiring by certified mail or personal delivery, within ten (10) days after the person knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project; and (7) contractually require each person with whom it contracts, to perform as required by paragraphs (1) - (7), with the certificates of coverage to be provided to the person for whom they are providing services. j. By signing this contract or providing or causing to be provided a certificate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by worker's compensation coverage for the duration of the project, that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate insurance carrier or, in the case of a self insured, with the commission's Division of Self-Insurance Regulation. Providing false or misleading information may subject the contractor to administrative, criminal, civil penalties or other civil actions. 01185301.00a.doc IB-6 k. The contractor's failure to comply with any of these provisions is a breach of contract by the contractor does not remedy the breach within ten days after receipt of notice of breach from the governmental entity. B. The contractor shall post a notice on each project site informing all persons providing services on the project that they are required to be covered, and stating how a person may verify current coverage and report failure to provide coverage. This notice does not satisfy other posting requirements imposed by the Texas Worker's Compensation Act or other Texas Worker's Compensation Commission rules. This notice must be printed with a title in at least 30 point bold type and text in at least 19 point normal type, and shall be in both English and Spanish and any other language common to the worker population. The text for the notices shall be the following text, without any additional words or changes: "REQUIRED WORKER'S COMPENSATION COVERAGE" The.law requires that each person working on this site or providing services related to this construction project must be covered by worker' compensation insurance. This includes persons providing, hauling or delivering equipment or materials, or providing labor or transportation or other service related to the project, regardless of the identity of their employer or status as an employee". Call the Texas Worker's Compensation Commission at 512-440-3789 to receive information on the legal requirement for coverage, to verify whether your employer has provided the required coverage, or to report an employer's failure to provide coverage". 16. NON DISCRIMINATION: The contractor shall not discriminate against any person or persons because of sex, race, religion, color, or national origin and shall comply with the provisions of City Ordinance 7278, as amended by City Ordinance 7400 (Fort Worth City Code Sections 13A-21 through 13A-29), prohibiting discrimination in employment practices. 17. AGE DISCRIMINATION: In accordance with the policy ("Policy") of the Executive Branch of the federal government, contractor covenants that neither it nor any of its officers, members, agents, or employees, will engage in performing this contract, shall, in connection with the employment, advancement or discharge of employees or in connection with the terms, conditions or privileges of their employment, discriminate against person because of their age except on the basis of a bona fide occupational qualification, retirement plan or statutory requirement. 18. Contractor further covenants that neither it nor its officers, members, agents, or employees, or person acting on their behalf, shall specify, in solicitations or advertisements for employees to work on this Contract, a maximum age limit for such employment unless the specified maximum age limit is based upon a bona fide occupational qualification, retirement plan or statutory requirement. 19. Contractor warrants it will fully comply with the Policy and will defend, indemnify and hold City harmless against any and all claims or allegations asserted by third parties 01185301.00a.doc IB-7 against City arising out of Contractor's alleged failure to comply with the above referenced Policy concerning age discrimination in the performance of this Contract. 20. DISCRIMINATION DUE TO DISABILITY: in accordance with the provisions of the Americans with Disabilities Act of 1990 ("ADA"), Contractor warrants that it will not unlawfully discriminate on the basis of disability in the provision of services to the general public, nor in the availability, terms and/or conditions of employment for applicants for employment with, or current employees of Contractor. Contractor warrants it will fully comply with ADA's provisions and any other applicable federal state and local laws concerning disability and will defend indemnify and hold City harmless against any claims or allegations asserted by third parties against City arising out of Contractor's alleged failure to comply with the above-referenced laws concerning disability discrimination in the performance of this Contract. 01185301.00a.doc IB-8 REQUIRED CONTRACT PROVISIONS The following clauses are placed in every DOT assisted contract and subcontract: A. Non Discrimination Assurance During the performance of this contract, the contractor or subcontractor agrees that it will not discriminate on the basis of race, color, national origin or sex in the performance of this contrsnt. The contractor shall carry out the applicable requirements of 49 PCFR Part 26 in the award and administration of DOT assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this contract, which may result in the termination of this contract or such other remedy as the City of Fort Worth deems appropriate. The Contractor understands that it is required to insert the substance in this clause in all subcontracts and purchase orders. B. Prompt Payment The prime contractor agrees to pay each subcontractor under this prime contract for satisfactory performance of its contract no later than ten (10) [calendar] days from receipt of each payment the prime contractor receives from the City of Fort Worth. The prime contractor agrees further to release retainage payments (if applicable) to each subcontractor within ten (10) [calendar] days after the subcontractor's work is satisfactory completed and final payment has been made to the subcontractor. Any delay or postponement of payment from the above referenced time frame may occur only for good cause following written approval of the City of Fort Worth 01185301.00a.doc IB-9 Alliance Airport Taxiway H Pavement Repair DISADVANTAGE BUSINESS ENTERPRISE SPECIFICATIONS FORT WORTH City of Fort Worth Disadvantaged Business Enterprise Specifications SPECIAL INSTRUCTIONS FOR BIDDERS APPLICATION OF POLICY If the total dollar value of the contract is $25,000 or more,the DBE goal is applicable. If the total dollar value of the contract is less than$25,000,the DBE goal is not applicable. POLICY STATEMENT It is the policy of the City of Fort Worth to ensure the full and equitable participation by Disadvantage Business Enterprises (DBE) in the procurement of all goods and services to the City on a contractual basis. The objective of the Policy is to increase the use of DBE firms to a level comparable to the availability of DBEs that provide goods and services directly or indirectly to the City. All requirements and regulations stated in the City's current Disadvantage Business Enterprise Program apply to this bid. DBE PROJECT GOALS The Citys DBE goal on this project is 15%of the base bid value of the contract. COMPLIANCE TO BID SPECIFICATIONS On City contracts of $25,000 or more, bidders are required to comply with the intent of the City's DBE program by either of the following: 1. Meet or exceed the above stated DBE goal,or; 2. Good Faith Effort documentation,or; 3. Waiver documentation,or; 4. Joint Venture. SUBMITTAL OF REQUIRED DOCUMENTATION The applicable documents must be received by the Managing Department, within the following times allocated, in order for the entire bid to be considered responsive to the specifications. 1. Subcontractor Utilization Form, if received by 5:00 p.m.,f ive(5)C ity b usiness d ays a fter t he b id goal is met or exceeded: opening date, exclusive of the bid opening date. 2. Good Faith Effort and Subcontractor received by 5:00 p.m., f ive(5)C ity b usiness d ays a fter t he b id Utilization Form, if participation is opening date, exclusive of the bid opening date. less than statedgoal: 3. Good Faith Effort Form, if no received by 5:00 p.m.,f ive(5)C ity b usiness d ays a fter t he b id participation: opening date, exclusive of the bid opening date. 4. Prime Contractor Waiver Form: received by 5:00 p.m.,f ive(5)C ity b usiness d ays a fter t he b id opening date, exclusive of the bid opening date. 5. Joint Venture Form, if goal is met or received by 5:00 p.m., f ive(5)C ity b usiness d ays a fter t he b id exceeded: opening date, exclusive of the bid opening date. FAILURE TO COMPLY WITH THE CITY'S DBE PROGRAM, WILL RESULT IN THE BID BEING CONSIDERED NON-RESPONSIVE TO SPECIFICATIONS Any questions, please contact the M/WBE Office at(817)871-6104. 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WWU ATTACHMENT IC Page 1 of 3 FORT WORTH City of Fort Worth Disadvantage Business Enterprise w GOOD FAITH EFFORT Prime Company Name Bid Date Project Name Project Number If you have failed to secure DBE participation and you have subcontracting and/or supplier opportunities or if your DBE participation is less than the City's project goal,you must complete this form. If the bidder's method of compliance with the DBE goal is based upon demonstration of a "good faith effort", the bidder will have the burden of correctly and accurately preparing and submitting the documentation required by the City. Compliance with each item, 1 thru 6 below, shall satisfy the Good Faith Effort requirement absent proof of fraud, intentional and/or knowing misrepresentation the facts or intentional discrimination by the bidder. Failure to complete this form, in its entirety with supporting documentation, and received by the Managing Department on or before 5:00 p.m.five(5)City business days after bid opening,exclusive of bid opening date,will result in the bid being considered non-responsive to bid specifications. 1.) Please list each and every subcontracting and/or supplier opportunity (DO NOT LIST NAMES OF FIRMS) which will be used in the completion of this project, regardless of whether it is to be provided by a DBE or non-DBE. On Combined Projects, list each subcontracting and or supplier opportunity through the 2"d tier. (Use additional sheets, if necessary) List of: Subcontracting Opportunities List of: Supplier Opportunities 0— rJIMAI ATTACHMENT 1C Page 2of3 2.) Obtain a current(not more than three(3)months old from the bid open date) list of DBE subcontractors and/or suppliers from the Citys M/W BE Office. Yes Date of Listing No 3.) Did you solicit bids from DBE firms,within the subcontracting and/or supplier areas previously listed, at least ten calendar days prior to bid opening by mail, exclusive of the day the bids are opened? Yes If yes, attach DBE mail listing to include name of firm and address and a dated No copy of letter mailed. 4.) Did you solicit bids from DBE firms,within the subcontracting and/or supplier areas previously listed, at least ten calendar days prior to bid opening by telephone, exclusive of the day the bids are opened? Yes If yes, attach list to include name of DBE firm, ep rson contacted, No phone number and date and time of contact. NOTE: A facsimile may be used to comply with either 3 or 4, but may not be used for both. If a facsimile is used, attach the fax confirmation, which is to provide DBE name, date, time, fax number and documentation faxed. NOTE: If the list of DBEs for a particular subcontracting/supplier opportunity is ten or less, the bidder must contact the entire list to be in compliance with questions 3 and 4. If the list of DBEs for a particular subcontracting/supplier opportunity is ten or more, the bidder must contact at least two-thirds of the list within such area of opportunity, but not less than ten to be in compliance with questions 3 and 4. 5.) Did you provide plans and specifications to potential DBEs or information regarding the location of plans and specifications in order to assist the DBEs? Yes No 6.) Submit documentation if DBE quotes were rejected. The documentation submitted should be in the forms of an affidavit, include a detailed explanation of why the DBE was rejected and any supporting documentation the bidder wishes to be considered by the City. In the event of a bona fide dispute concerning quotes, the bidder will provide for confidential in-camera access to a inspection of any relevant documentation by City personnel. Please use additional sheets, if necessary, and attach. Company Name Telephone Contact Person Scope of Work Reason for Rejection ATTACHMENT 1C Page 3 of 3 ADDITIONAL INFORMATION: Please provide additional information you feel will further explain your good and honest efforts to obtain DBE participation on this project. The bidder further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed on this contract, the payment thereof and any proposed changes to the original arrangements submitted with this bid. The bidder also agrees to allow an audit and/or examination of any books, records and files h eld b y t heir c ompany t hat w ill substantiate the actual work performed on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure to comply with this ordinance and creates a material breach of contract may result in a determination of an irresponsible offeror and barred from participating in City work for a period of time not less than one (1) year. The undersigned certifies that the information provided and the DBE(s) listed was/were contacted in good faith. It is understood that any DBE(s) listed in Attachment 1C will be contacted and the reasons for not using them will be verified by the City's BE Office. Authorized Signature Printed Signature Title Contact Name and Title(if different) Company Name Phone Number Fax Number Address Email Address City/State/Zip Date ATTACHMENT 1B Page 1 of 1 City of Fort Worth Disadvantage Business Enterprise Specifications Prime Contractor Waiver Prime Company Name Project Name Bid Opening Date Project Number If both answers to this form are YES, do not complete ATTACHMENT 1C(Good Faith Effort Form). All questions on this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is NO, then you must complete ATTACHMENT 1C. This form is only applicable if both answers are yes. Failure to complete this form in its entirety and be received by the Managing Department on or before 5:00 p.m., five (5) City business days after bid opening, exclusive of the bid opening date, will result in the bid being considered non-responsive to bid specifications. Will you perform this entire contract without subcontractors? Yes No If yes, please provide a detailed explanation that proves based on the size and scope of this project, this is your normal business practice and provide an operational profile of your business. Will you perform this entire contract without suppliers? Yes No If yes, please provide a detailed explanation that proves based on the size and scope of this project, this is your normal business practice and provide an inventory profile of your business. The bidder further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including DBE(s) on this contract, the payment therefore and any proposed changes to the original DBE(s) arrangements submitted with this bid. The bidder also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed by the DBE(s) on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure to comply with this ordinance creates a material breach of contract may result in a determination of an irresponsible offeror and barred from participating in City work for a period of time not less than one(1) year. Authorized Signature Printed Signature Title Contact Name (if different) Company Name Phone Number Fax Number Address Email Address City/State/Zip Date Rev.5/30/03 Joint Venture Page 1 of 3 CITY OF FORT WORTH JOINT VENTURE ELIGIBILITY FORM All questions must be answered;use"NA"if applicable- Name of City project: A joint venture forth must be completed on each project RFP/Bid/Purchasing Number: 1.Joint venture information: Joint Venture Name Joint Venture Address (7f applicable) Telephone: Facsimile: E-mail address: Cellular: Identify the firms that comprise the joint venture: Please attach extra sheets if additional space is required to provide detailed explanations of work to be performed by each firm comprising the joint venture DBE firmNon-DBE firm name Tname: Business Address: Business Address: City,State,Zip: City,State,Zip: Telephone Facsimile E-mail Telephone Facsimile Cellular Cellular Certification Status: E-mail address Name of Certifying Agency: 2. Scope of work performed by the Joint Venture: Describe the scope of work of the DBE: Describe the scope of work of the non-DBE: Joint Venture Page 2 of 3 3.What is the percentage of DBE participation on this joint venture that you wish to be counted toward meeting the project goal? 4.Attach a copy of the joint venture agreement. 5.List components of ownership of joint venture: (Do not complete if this information is described in joint venture agreement) Profit and loss sharing: 4W Capital contributions,including equipment: Other applicable ownership interests: 6.Identify by name,race,sex and firm those individuals(with titles)who are responsible for the day-to-day management and decision making of the joint venture: Financial decisions (to include Account Payable and Receivable): Management decisions: a. Estimating ----------------------------------------------- b. Marketing and Sales ----------------------------------------------- c. Hiring and Firing of management personnel ----------------------------------------------- d. Purchasing of major equipment and/or supplies Supervision of field operations The City's Disadvantage Business Enterprise Office will review your joint venture submission and will have final approval of the DBE percentage applied toward the goal for the project listed on this form. NOTE: From and after the date of project award, if any of the participants, the individually defined scopes of work or the dollar amounts/percentages change from the originally approved information, then the participants must inform the City's DBE Office immediately for approval. Any unjustified change or deletion shall be a t material breach of contract and may result in debarment in accord with the procedures outlined in the City's DBE Program. l�SvC��U LI 4 n Joint Venture Page 3 of 3 AFFIDAVIT The undersigned affirms that the foregoing statements are true and correct and include all material information necessary to identify and explain the terms and operation of the joint venture. Furthermore, the undersigned shall agree to provide t o t he j oint venture t he stated scope of work, decision-making responsibilities and payments herein. The City also reserves the right to request any additional information deemed necessary to determine if the joint venture is eligible. Failure to cooperate and/or provide requested information within the time specified is grounds for termination of the eligibility process. The undersigned agree to permit audits, interviews with owners and examination of the books,records and files of the joint venture by any authorized representatives of the City of Fort Worth. Failure to comply with this provision shall result in the termination of any contract which may be awarded under the provisions of this joint venture's a ligibility a nd in ay i nitiate a ction u nder F ederal, S tate a nd/or L ocal 1 aws/ordinances c oncerning f alse statements or willful misrepresentation of facts. -------- — -- ------- — ------------ — Name of DBE firm Name of non-DBE firm Printed Name of Owner Printed Name of Owner Signature of Owner Signature of Owner Printed Name of Owner Printed Name of Owner Signature of Owner Signature of Owner Title Title Date Date Notarization State of County of On this day of , 20 , before me appeared and to me personally known and who, being duly sworn, did execute the foregoing affidavit and did state that they were properly authorized to execute this affidavit and did so as their free act and deed. �7 Notary Public Print Name Notary Public Signature Commission Expires (seal) Alliance Airport Taxiway H Pavement Repair WAGE RATE DETERMINATION WAIS Document Retrieval Page 1 of 3 GENERAL DECISION: TX20030045 TX45 Date: June 13, 2003 General Decision Number: TX20030045 Superseded General Decision No. TX020045 State: TEXAS Construction Type: HEAVY HIGHWAY County(ies) : COLLIN GRAYSON ROCKWALL DALLAS JOHNSON TARRANT DENTON KAUFMAN WICHITA ELLIS PARKER HEAVY AND HIGHWAY CONSTRUCTION PROJECTS IN WICHITA COUNTY ONLY. HIGHWAY CONSTRUCTION PROJECTS ONLY FOR REMAINING COUNTIES Modification Number Publication Date 0 06/13/2003 COUNTY(ies) : COLLIN GRAYSON ROCKWALL DALLAS JOHNSON TARRANT DENTON KAUFMAN WICHITA ELLIS PARKER SUTX2043A 03/26/1998 Rates Fringes AIR TOOL OPERATOR $ 9.00 ASPHALT RAKER 9.55 ASPHALT SHOVELER 8.80 BATCHING PLANT WEIGHER 11.51 CARPENTER 10.30 CONCRETE FINISHER-PAVING 10.50 CONCRETE FINISHER-STRUCTURES 9.83 CONCRETE RUBBER 8.84 ELECTRICIAN 15.37 FLAGGER 7.55 FORM BUILDER-STRUCTURES 9.82 FORM LINER-PAVING & CURB 9.00 FORM SETTER-PAVING & CURB 9.24 FORM SETTER-STRUCTURES 9.09 LABORER-COMMON 7.32 LABORER-UTILITY 8.94 MECHANIC 12.68 OILER 10.17 SERVICER 9.41 PAINTER-STRUCTURES 11.00 PIPE LAYER 8.98 BLASTER 11.50 ,.W. ASPHALT DISTRIBUTOR OPERATOR 10.29 ASPHALT PAVING MACHINE 10.30 BROOM OR SWEEPER OPERATOR 8.72 http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=Davi s-Bacon&docid=TX200... 10/27/2003 WAIS Document Retrieval Page 2 of 3 BULLDOZER 10.74 CONCRETE CURING MACHINE 9.25 CONCRETE FINISHING MACHINE 11.13 CONCRETE PAVING JOINT MACHINE 10.42 CONCRETE PAVING JOINT SEALER 9.00 CONCRETE PAVING SAW 10.39 CONCRETE PAVING SPREADER 10.50 SLIPFORM MACHINE OPERATOR 9.92 CRANE, CLAMSHELL, BACKHOE, DERRICK, DRAGLINE, SHOVEL 11.04 FOUNDATION DRILL OPERATOR CRAWLER MOUNTED 10.00 FOUNDATION DRILL OPERATOR TRUCK MOUNTED 11.83 FRONT END LOADER 9.96 MILLING MACHINE OPERATOR 8.62 MIXER 10.30 MOTOR GRADER OPERATOR FINE GRADE 11.97 MOTOR GRADE OPERATOR 10.96 PAVEMENT MARKING MACHINE 7.32 ROLLER, STEEL WHEEL PLANT-MIX PAVEMENTS 9.06 ROLLER, STEEL WHEEL OTHER FLATWHEEL OR TAMPING 8.59 ROLLER, PNEUMATIC, SELF-PROPELLED 8.48 SCRAPER 9.63 TRACTOR-CRAWLER TYPE 10.58 TRACTOR-PNEUMATIC 9.15 TRAVELING MIXER 8.83 WAGON-DRILL, BORING MACHINE 12.00 REINFORCING STEEL SETTER PAVING 13.21 REINFORCING STEEL SETTER STRUCTURES 13.31 STEEL WORKER-STRUCTURAL 14.80 SPREADER BOX OPERATOR 10.00 WORK ZONE BARRICADE 7.32 TRUCK DRIVER-SINGLE AXLE LIGHT 8.965 TRUCK DRIVER-SINGLE AXLE HEAVY 9.02 TRUCK DRIVER-TANDEM AXLE SEMI TRAILER 8.77 TRUCK DRIVER-LOWBOY/FLOAT 10.44 TRUCK DRIVER-TRANSIT MIX 9.47 TRUCK DRIVER-WINCH 9.00 VIBRATOR OPERATOR-HAND TYPE 7.32 WELDER 11.57 ---------------------------------------------------------------- Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29 CFR 5.5 (a) (1) (ii) ) . ---------------------------------------------------------------- In the listing above, the "SU" designation means that rates listed under that identifier do not reflect collectively bargained wage and fringe benefit rates. Other designations indicate unions whose rates have been determined to be http://fi webgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=Davis-Bacon&docid=TX200... 10/27/2003 WAIS Document Retrieval Page 3 of 3 prevailing. WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be. * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2. ) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations Wage and Hour Division U. S. Department of Labor 200 Constitution Avenue, N. W. Washington, D. C. 20210 2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7) . Write to: Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N. W. Washington, D. C. 20210 The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc. ) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board) . Write to: Administrative Review Board U. S. Department of Labor 200 Constitution Avenue, N. W. Washington, D. C. 20210 4 .) All decisions by the Administrative Review Board are final. END OF GENERAL DECISION http://f webgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=Davis-Bacon&docid=TX200... 10/27/2003 PROPOSAL TO: Mr. Gary W. Jackson City Manager Fort Worth, Texas FOR: TAXIWAY H PAVEMENT REPAIR FAA GRANT No. GR76 - 055218812010 FILE No. M -221 DOE M 4005 Pursuant to the foregoing "Notice to Bidders", the undersigned has thoroughly examined the plans, specifications and the site, understands the amount of work to be done, and hereby proposes to do all the work and furnish all labor, equipment, and materials necessary to complete all the work as provided in the plans and specifications, and subject to the inspection and approval of the Department of Engineering Director of the City of Fort Worth. Upon acceptance of this proposal by the City Council, the bidder is bound to execute a contract and furnish Performance and Payment Bond approved by the City of Fort Worth for performing and completing said work within the time stated and for the following sums, to-wit: i` 01185301.00a.doc P-1 Unit Price Pay Items BASE BID ME F !AY 1 .I � UN SP C . 0 .S 1 18 EA Furnish Lighted Cones (SS-G-300) at Th/le- Kurt DOLLARS and CENTS $ 36D' $ J`i Y00" 2 1 LS Lighted Cone Installation (SS-G- 300) at 0_4'-'_ #wore '' &ne- DOLLARS and Aink,& -F VE CENTS $ 5�(•tib $ 5©/ •9 S 3 51 EA Furnish, Install & Remove Barricades (SS-G-300) f-� at ✓E xz"'�Y DOLLARS and CENTS $ 5W00 60$ ,L5/5� 4 405 SY Demolition of 14" Concrete Pavement(SS-G-700) at TL 3r +-, - ,1/c DOLLARS and CENTS $ 35'0D $ q, /75 '00 75 •00 5 310 SY Demolition of Asphalt Pavement (SS-G-700) atPP✓lr �— DOLLARS and CENTS $ 1 5 $ C+B No_011853 P-2 2003 Unit Price Pay Items °E, FPAY 1EEMWITM:UI N1 T M ..: EMUAN �=77 _ N;W_ I `PRfCE IN WO DS'a i F aRtrs O ID } 6 80 LF 6" Perforated PVC Pipe (SP-D-701) at / f�J►��1 DOLLARS and CENTS $ $ CID 7 190 LF 6" PVC Pipe (SP-D-701) at DOLLARS z cv vO and CENTS $ J6 $ �. . 8 4 EA Cleanout (SP-D-701) F. at S;)( T DOLLARS r ► � � ,op and CENTS $ 9 7 CY Filter Material (SP-D-701) at 1/ 7 DOLLARS and CENTS $ 0 $ al©' 10 56 SY Filtration Geotextile (SP-D-701) at T� DOLLARS of v� and CENTS $ $ C+B No. 011853 P-3 2003 Unit Price Pay Items qx �� f ME PiTEMR i NI Efllt: 'NI - BID PtICIE" INaIIORD >,. T ICE, 0 y'!!S- x.ein..t$.W. .N 5 .}+ dkl8. J. + r;:.$+o db G v R ',.N•n.{..� 4 -431c 'f Y'.' >f; 11 2 EA 6" Concrete Headwall (SP-D-701) at Sesevi-" rd DOLLARS and CENTS $ $ 12 1 LS Mobilization (SS-P-140) at e� TI-W517-7-0 fi-70 reo� DOLLARS and CENTS $ 3eD $ �/301D 13 341 CY Excavation (SP-P-152) at 5eye44eew DOLLARS and CENTS $ C�"7 14 84 CY Select Fill (SP-P-152) h:'e e DOLLARS and CENTS $ 33 $ 15 140 EA Hay Bales (SP-P-156) at FRE'P`'\- DOLLARS and CENTS $ OV •�Q'ti r•d. 4'i q U C+B No.011853 P-4 2003 Unit Price Pay Items 1 6 AMSFPlTIEM; � BID PRICEkIN�QtD,�S ;' .; ,RJC C1 [ TB D :` .� ,.D . "a 16 320 CY 24" Drainage Base Course (SS-P- 200) at 1 - ,, - F-ye DOLLARS � crO and CENTS $ 35 17 431 SY 8" Cement Treated Base Course (SS-P-304) at `;,Y I-ePtl - DOLLARS and CENTS $ A $ 64816 � 18 310 SY 2"Type D Asphalt Surface Course (SP-P-401) at �� DOLLARS and F CENTS $ S-0 $ los" � 19 310 SY 4" Type D A phalt Base Course (SP P-401) at �— DOLLARS and CENTS $ 11 $ -3� l� 00 C+B No. 011853 P-5 2003 Unit Price Pay Items ` M F SPAiTM1111Tti` I._" SK M WN ..; 20 310 SY Maximum Bonus at 6.00% of All Asphalt Surface Course (SP-P-401) at 0r1 DOLLARS as and CENTS $ o c1D $ For bidding purposes only, the Bidder is required to bid this item as follows: The bonus unit price shall be calculated as 6% of the unit price bid for item 18, 2" Type D Asphalt Surface Course (SP-P-401) 21 333 SY 14"Jointed Portland Cement Concrete Pavement(SP-P-501) ati DOLLARS and CENTS $ tY 22 333 SY Maximum Bonus at 6.00% of 14" JPC Concrete Surface Course (SP- P-501) at r ✓£ - DOLLARS and / �� CENTS $ 5' D $ �" 628.628. For bidding purposes only, the Bidder is required to bid this item as follows: The bonus unit price shall be calculated as 6% of the unit price bid for item 21, 14" JPC (SP-P- 501) C+B No-011853 P-6 2003 Unit Price Pay Items AME SEM T 1 ,x . T . . �UANT1 UN[ `} ` BSD rP�tICE [d Y11ODYq I E T 23 72 SY 14" Reinforced Jointed Portland Cement Concrete Pavement (SP-P- 501) C at JeM ^ -F;✓E DOLLARS and CENTS $ 00 $ 5i co 24 72 SY Maximum Bonus at 6.00% of 14" RJPC Concrete Surface Course (SP P-501) at hwr DOLLARS and CENTS $ For bidding purposes only, the Bidder is required to bid this item as follows: The bonus unit price shall be calculated as 6% of the unit price bid for item 23, 14" RJPC (SP-P- 501) 25 155 GAL Bituminous Prime Coat (P-602) at_ I - -F;✓ DOLLARS and CENTS 8 7Y C+B No. 011853 P-7 2003 DEC. 16. 2003 4 32PM 817-735-6148 -NO. 1689-P. 4/, Unit Price Pay Items .... �.. - e4kr, ITE14, VIA � q. •,AWOF � '��r.,, P r 1 NtITY, .UA1fT, t.� 'SIDPIRICE'�Id:V1r4 03 -�'�; �.;:�#'IMC AMOUNT wt) 26 47 GAL Bituminous Tack Coat(P-603) ate' — Fv� —� DOLLARS CID and CENTS $ $ J, 17 27 280 SF Runway and Taxiway Markings(SP- P-620) lat. Fcu.)r wkn_ DOLLARS and CENTS $ $ 3 9 Z0 28 45 SY Sodding (SP-T-904) DOLLARS ff •� CID CENTS $ !O $ 29 480 LF No. 8, 5Kv, L-824C Cable, installed in duct or conduit(SS-L-108) at �C?,iJ�%✓�_ DOLLARS and CENTS $ $ 5� 30 380 LF No.6 Stranded BSDC counterpoise with ground rods and connectors (SS-L-108) at r' DOLLARS P and r t CENTS $ 17 $ Addendum 1 C+9 No.011853 P-BA 12-16}2003 DEC. 16. 2003 4:32PM 817-735-6148 N0, 7689 Pa 5/5 Unit Price Pay Items Nr 0AMEAVRPA�YJT R U 31 380 LF Concrete Encased I W-2" Sch.40 PVC, DEB, Including Trench Backfill (SP-L-110) at ni I A DOLLARS and CENTS $ $ gov 32 1 LS Temporary Conduit/Cabling to Maintain Existing Lighting(SP-L- 110) 0"' DOLLARS and CENTS $ cg Sv BASE BID: ITEMS I THROUGH 32= $ Addendum 1 C+S No.011853 P-9A 12-16-2003 The Bidder shall write out each bid in words on the lines provided below. Total Bid OM r -6 -Twp oor kwanne Ei` b In case of a discrepancy the amount shown in words shall govern. STATEMENT OF MATERIALS AND OTHER CHARGES s MATERIAL INCORPORATED INTO THE PROJECT: $ ALL OTHER CHARGES: $ 109, Do � 'TOTAL: $ '/s o•60 'This total must agree with the total figure shown in the Proposal for the Total Bid. For purposes of complying with the Texas Tax Code, the Contractor agrees that the charges for any material incorporated into the project in the excess of the estimated quantity provided for here in will be no less than the invoice price for such material to the Contractor. Complete the following statements by checking the appropriate space. The Bidder(Proposer) has has not participated in a previous contract subject to the Equal Opportunity Clause prescribed by Executive Order 109225, or Executive Order 11114, or Executive Order 11246. The Bidder (Proposer) has has not submitted all compliance reports in connection with any such contract due under the applicable filing requirements; and that representations indicating submission of required compliance reports signed by proposed subcontractors will be obtained prior to award of subcontracts. If the Bidder (Proposer) has participated in a previous contract subject to the Equal Opportunity Clause and has not submitted compliance reports due under applicable filing requirements, the Bidder(Proposer) shall submit a compliance report on Standard form 100"Employee Information Report EEO — 1" prior to the award of this contract. Standard form 100 is normally furnished to contractors annually, based on a mailing list currently maintained by the Joint Reporting Committee. In the event a contractor has - not received the form, he may obtain it by writing to the Joint Reporting Committee, 1800 G Street, Washington, DC, 20506. The Bidder assures that its employees and applicants for employment and those of any labor organization, subcontractor or employment agency is either furnishing or referring employee applicants to the undersigned are not discriminated against as prohibited of the terms of City Ordinance No. 7278, as amended by City Ordinance No. 7400 (Fort Worth City Code Sections 13-A-21 through 13-A-29), prohibiting discrimination in employment practices. Bidder hereby agrees to commence work under this contract on or before a date to be specified in a written "Notice to Proceed" and to fully complete the project within 60 calendar days. Bidder further agrees to pay liquidated damages in the sum of$500 for each consecutive calendar day to complete the work beyond the allotted time or as extended by an approved Change Order. 01185301.00a.doc P-10 The Bidder agrees to pay not less than the"Prevailing Wage Rates for Highway Construction" as established by the City of Fort Worth and not less than the wage rates stated in General Wage Decision No. TX 20030045 And not less than the wage rates stated in General Wage Decision No. TX 20030046 Issued by the U.S. Department of Labor. The Bidder understands that the Owner reserves the right to reject any and all bids and to waive any informalities in the bidding. The Bidder agrees this bid shall be good and may not be withdrawn for a period of 30 days after the scheduled closing time for receiving bids. Within ten (10) days of receipt of the written "Notice of Award", the bidder will execute the formal contract agreement and deliver a surety bond or bonds as required under the contract documents. The bid security attached in the sum of 5'% EZ A6 Dollars ($ ) is to become the property of the City of Fort Worth in the event the contract is not executed as set forth in the contract documents as liquidated damages for the delay and additional expense caused thereby. Respectfully Submitted, By: Type or print name) Title: U>I G[ Qre612(gn± Address: 33,10 rev n1c C-road pray:VMS 7216J-0 Date: L2-1r-05 Receipt is hereby acknowledged of the following addenda: Addendum No. 1 Addendum No. 2 Addendum No. 3 Addendum No. 4 Addendum No. 5 01185301.00a.doc P-11 BUY AMERICAN CERTIFICATE (JAN 1991) By submitting a bid/proposal under this solicitation, except for those items listed by the Offer or below or on a separate and clearly identified attachment to this bid/proposal, the offer or certifies that steel and each manufactured product, is produced in the United States (as defined in the clause Buy American - Steel and Manufactured Products or Buy American - Steel and Manufactured products For Construction Contracts) and that components of unknown origin are considered to have been produced or manufactured outside the United States. Attached is a list of articles, materials, and supplies excepted from this provision. -T PRODUCT COUNTRY OF ORIGIN BAC-1 List of Supplies/Materials that the U.S. Government Has Determined Are Not Produced In the United States In Sufficient and Reasonably Available Quantities And of Sufficient Quality(Jan 1991) Diamonds, industrial, stones and abrasives Acetylene, black Emetine, bulk Agar, bulk Ergot, crude Anise Erthrityl tetranitrate Antimony, as metal or oxide Fair linen, altar Asbestos, amosite, chrysolite and Fibers of the following types: crodidolite abaca, abace, agave, coir, flax, Sananas jute, jute burlaps, palmyra and sisal Bauxite Goat and kidskins Beef, corned and canned Graphite, natural, crystalline Beef extract crucible grade Bephenium Hydroxynapthoate Handsewing needles Bismuth Hemp yarn Books, trade, text, Hog bristles for brushes technical, scientific; Hyoscine, bulk newspapers; pamphlets; Ipecac, root magazines; periodicals; Iodine, crude printed briefs and films; Kaurigum not printed in the United States Lac and for which domestic editions Leather, sheepskin, hair type are not available Lavender oil Brazil nuts, unroasted Manganese Cadmium, ores and flue dust Menthol, natural bulk Calcium cyanamide Mica Capers Microprocessor chips (brought onto a Cashew nuts construction site as separate units for Castor beans and castor oil incorporation into building systems during Chalk, English construction or repair and alteration of real Chestnuts property) Chicle Nickel, primary, in ingots, pigs, shots, Chrome ore or chromite cathodes or similar forms; nickel oxide Cinchone bark and nickel salts Cobalt, in cathodes, Nitroguanidine (also known as picrite) rondelles, or other primary Nux vomica, crude ore and metal forms Oiticica oil Cocoa beans Olive oil Coconut and coconut meat, Olives (green), pitted or unpitted, or stuffed, unsweetened, in shredded, in bulk desiccated or similarly Opium, crude prepared form Oranges, mandarin, canned Coffee, raw or green bean Petroleum, crude oil, unfinished oils, and Colchicine alkaloid, raw finished products (see definitions below) Copra Pine needle oil Cork, wood or bark and waste Platinum and related group metals, Cover glass, microscope slide refined, as sponge, powder, ingots, Cryolite, natural or cast bars Dammar gum BAC-2 7 J .. l'Jl� U SCA, List of Supplies/Materials that the U.S. Government Has Determined Are Not Produced In the - United States In Sufficient and Reasonably Available Quantities And of Sufficient Quality(Jan 1991) CONTINUED Pyrethrum flowers Swords and scabbards Quartz crystals Talc, block, steatite Quebracho Tantalum Quinidine Tapioca flour and cassava Quinine Tartar, crude; tartaric acid Rabbit fur felt and cream of tartar in bulk Radium salts, source and Tea in bulk special nuclear materials Thread, metallic (gold) Rosettes Thyme oil Rubber, crude and latex Tin in bars, blocks and pigs Rutile Triprolidine hydrochloride Santonin, crude Tungsten Secretin Vanilla beans Shellac Venom, cobra Silk, raw and unmanufactured Wax, canauba Spare and replacement parts for Woods; logs, veneer, and lumber _ equipment of foreign manufacture, of the following species: Alaskan and for which domestic parts are yellow cedar, angelique, balsa, not available ekki, greenhart, lignum vitae, Spices and herbs, bulk mahogany and teak Sugars, raw Yarn, 50 Denier rayon Petroleum terms are used as follows: "Crude Oil" means crude petroleum, as it is produced at the wellhead, and liquids (under atmospheric conditions) that have been recovered from mixtures of hydrocarbons that existed in a vaporous phase in a reservoir and that are not natural gas products. "Finished products" means any one or more of the following petroleum oils, or a mixture of combination of these oils, to be used without further processing except blending by mechanical means: (A) "Asphalt"-a solid or semi-solid cementitious material that(1)gradually liquefies when heated, (2) has bitumens as its predominating constituents, and (3) is t obtained in refining crude oil. (B) "Fuel oil' - a liquid or liquefiable petroleum product burned or lighting or for the generation of heat or power and derived directly or indirectly from crude oils, such F as kerosene, range oil, distillate fuel oils, gas oil, diesel fuel, topped crude oil or residues. (C) "Gasoline"-a refined petroleum distillate that,by its consumption,is suitable for use as a carburant in internal combustion engines. (D) "Jet fuel" - a refined petroleum distillate used to fuel jet propulsion engines. BAC-3 (E) "Liquified gases" - hydrocarbon gases recovered from natural gas or produced form petroleum refining and kept under pressure to maintain a liquid state at ambient temperatures. (F) "Lubricating oil" - a refined petroleum distillate or specially treated petroleum residue used to lessen friction between surfaces. (G) "Naphtha" - a refined petroleum distillate falling within a distillation range overlapping the higher gasoline and the lower kerosenes. (H) "Natural gas products"-liquids(under atmospheric conditions)including natural gasoline, that (1) are recovered by a process of absorption, absorption, compression, refrigeration, cycling, or a combination of these processes, form mixtures oh hydrocarbons that existed in a vaporous phase in a reservoir, and (2) when recovered and without processing in a refinery, definitions of products contained in subdivisions (B), (C), and (G) above. (1) "Residual fuel oil" - a topped crude oil or viscous residuum that, as obtained in refining or after blending with other fuel oil, meets or is the equivalent of MILSPEC Mil-F-859 for Navy Special Fuel Oil and any more viscous fuel oil, such as No. 5 or Bunker C. "Unfinished oils" means one or more of the petroleum oils listed under"Finished products" above, or a mixture or combination of these oils,that are to be further processed other than by blending by mechanical means. BAC-4 TRADE RESTRICTION CLAUSE 49 CFR PART 30 The Contractor by submission of an offer and or execution of a contract, certifies that it: a. is not owned or controlled by one or more citizens of a foreign country included in the list of countries that discriminate against U.S.firms published by the Office of the United States Trade Representative (USTR); b. has not knowingly entered into any contract or subcontract for this project with a person that is a citizen or national of a foreign country on said list,or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; c. has not procured any product or subcontracted for the supply of any product for use on the project that is produced in a foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contact shall be awarded to a Contractor of Subcontractor who is unable to certify the above. If the Contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on said list for use on the project,the Federal Aviation Administration may direct through the Owner cancellation of the contract at no cost to the Government. Further, the Contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. The Contractor may rely o the certification of a prospective Subcontractor unless it has knowledge that the certification is erroneous. The Contractor shall provide immediate written notice to the Owner if the Contractor learns that its certification or that of a Subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The Subcontractor agrees to provide written notice to the Contractor if at any time it learns that its certification has become erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance as placed when making the award. If it is later determined that the Contractor or Subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct through the Owner cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the forgoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a Contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. TRC-1 This certification concerns a matter within the jurisdiction of an agency of the United States of America and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under Title 18, United States Code, Section 1001. By: Title;!!y t Le,/Q(esiAM - r -Address: -6341014hnj Orr bu C_rand Q(;r x,Tx 7-SO-0 Date: Oa• i N TRC-2 CERTIFICATION REGARDING DEBARMENT, SUSPENSION INELIGIBILITY AND VOLUNTARY EXCLUSION 49 CFR PART 29 The Bidder certifies, by submission of this proposal or acceptance of this contract,that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause without modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the Bidder or any lower tier participant is unable to certify to this statement, it shall attach an explanation to this solicitation/proposal. By: Title: —V• «S+ 'Address: 0 Cf �1U� CZE Nratr e-Olk 7YOSo Dater g'-iO3 CERTIFICATION OF NONSEGREGATED FACILITIES 41 CFR 60-1.8 The Federally Assisted construction Contractor certifies that he does not maintain or provide,for his employees, any segregated facilities at any of his establishments and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The federally-assisted construction Contractor agrees that a breach of this certification is a violation of the Equal Opportunity Clause in this Contract. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms,and washrooms, restaurants and other eating areas,timeclocks,locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated on the basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The federally-assisted construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity Clause and that he will retain such certification in his files. By: Title: 1 ; Address: or r !&U A. Date: 0•/S'-O3 VENDOR COMPLIANCE TO STATE LAW The 1985 Session of the Texas Legislature passed House Bill 620 relative to the award of contracts to nonresident bidders. This law provides that, in order to be awarded a contract as low bidder, nonresident bidders (out-of-State contractors whose corporate offices or principal place of business are outside of the State of Texas) bid projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident bidder by the same amuunt that a Texas resident bidder would be required too underbid a nonresident bidder in order to obtain a comparable contract in the State in which the nonresident's principal place of business is located. The appropriate blanks in Section A must be filled out by all out-of-State or nonresident bidders in order for your bid to meet specifications. The failure of out-of-State or nonresident contractors to do so will automatically disqualify that bidder. Resident bidders must check the box in Section B. A. Nonresident vendors in (give State), our principal place of business, are required to be percent lower than resident bidders by State law. A copy of the Statute is attached. Nonresident vendors in (give State), our principal place of business, are not required to underbid resident bidders. B. Our principal place of business or corporate offices are in the State of Texas. ZjQ BIDDER: (Please print) 3Allo v cr &1d, Signature: : Ve: ICC i City State Zip (Please print) THIS FORM MUST BE RETURNED WITH YOUR QUOTATION CONTRACTOR COMPLIANCE WITH WORKERS' COMPENSATION LAW Pursuant to V.T.C.A. Labor Code §406.96 (2000), as amended, Contractor certifies that it provides workers' compensation insurance coverage for all of its employees employed on City of Fort Worth Department of Engineering No. 4005 and City of Fort Worth Project No. GR76 - 055218812010 CONTRACTOR d' By: Title: Date: STATE OF TEXAS § COUNTY OF TARRANT § Before me, the undersigned authority, on this day personally appeared 5-m- 04ft" , known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same as the act and deed of S.ie Cwcte4e. ='�C. for the purposes and consideration therein expressed and in the capacity therein stated. Given Under My Hand and Seal of Office this Jr&day of'I)[Ce4%I , 20D3 ELIZABETH PERTAMANA Notary Public,Stete of Texas Notary 4 blic in and for the ate of Texas My Commission Expires `' August 22.2007 EQUIPMENT SCHEDULE List of Equipment owned by Bidder that is in serviceable condition and available for use: X 59t- AcZ7AccteD Portions of work Bidder proposes to sublet in case of Award of Contracts including amount and type: B1DD%ER1S LIST OF PROPOSED EQUIPMENT TYPE OF EQUIPMENT QUANTITY Caterpillar 936F Wheel Loader 4 Ford 555E Backhoe 4 Caterpillar 963E Track Loader 2 Caterpillar 416B Backhoe 2 Caterpillar 140G Motor Grader 4 Caterpillar D8N Dozer 1 Caterpillar 621 E Scraper 4 Haganator Concrete Batch Plant 1 Gomaco GP4000 Paver 1 Gomaco GHP 2800 Placer 1 EXPERIENCE RECORD List of projects your organization has successful) completed: Amount Of Contract Type of Work Date Accepted Name and Address of Owner Award SEE ptr��Ns� List of projects your organization is now engaged in completing: Amount Of Contract Type of Anticipated Name and Address of Owner Award Work Date of Completion List Surety Bonds in force on above incomplete work: Date of Contract Award Type of Work Amount of Name and Address of Bond Bond Surety TXDOT PROJECTS -2003 FM 1171 —Denton County Texas Department of Transportation 125 E, 11th Street Austin, TX 78701-2883 $8,811,678.90/Reconstruction-Paving Est. Completion Date: 09/2003 State Highway 78 -Wylie Texas Department of Transportation K 125 E, 11th Street Austin,TX 78701-2883 "^ $8,369,643.07 /Excavation-Utilities -Paving S Est. Completion Date: 3/2005 Qt, Contact: Rusty Walker(214) 226-2454 US 377/US 380 - Denton Co. 5� Texas Department of Transportation 125 E, 11th Street 3 Austin,TX 78701-2883 $13,900,000.01 Est. Completion Date: 07/2005 Contact: Noe Rodriquez (940) 390-8473 SH 66 -Rockwall Co. Traylor Bros.,Inc. P.O. Box 2319 Rockwall,TX 75087 $5,904,634.68 Est. Completion Date: 03/2004 Contact: William Duguay(972) 722-2280 1-30 -Hopkins Co. rr 6T Texas Department of Transportation 125 E, 11th Street �` G007 Austin,TX 78701-2883 $9,084,273.30o��� Est. Completion mate: 021=004 Contact: Brad Martin(903) 885-9514 s� COMPLETED TxDOT CONSTRUCTION PROJECTS Springy Valley Rd.-Richardson Texas Department of Transportation 125 E, 11`h Street Austin,TX 78701-2883 $7,370,868.00/Excavation—Utilities - Paving I-20—Dallas Texas Department of Transportation 125 E, 11t' Street Austin,TX 78701-2883 $5,651,921.00/Excavation-Utilities -Paving US Hwv. 287 -Vernon Texas Department of Transportation 125 E, 11`h Street Austin,TX 78701-2883 $5,275,800.20/Excavation-Utilities - Paving State Highway 183—Dallas Co. Texas Department of Transportation 125 E, 11`h Street Austin, TX 78701-2883 $5,450,48.1.82 MUNICIPAL PROJECT'S - 2003 Apollo Rd.-Garland City of Garland P.O.Box 469002 Garland,Texas 75046 $ 4,816,284.38 Est. Completion Date: 6/2003 Contact: Bill Heinze (972) 205-2174 Cartwright Road Improvements, Phase 2 City of Mesquite 1515 North Galloway Mesquite, Texas 75149 $ 5,438,541.28 Est. Completion Date: 7/2004 Contact: Joe Scott (972) 816-4006 Main Street, Section 3 City of Frisco 6801 Main Street Frisco, Texas 75034 $ 4,844,844.00 Est. Completion Date: 6/2004 Contact: Frank Jaromin (972) 335-5580 Exchange Parkway City of Allen 305 Century Parkway Allen, Texas 75013 $ 2,359,946.50 Est. Completion Date: 9/2003 Contact: Chris Flannigan(972) 727-7563 COMPLETED MUNICIPAL PROJECTS-2003 Lake Forest Drive Extension-McKinney City of McKinney 1550 D South College McKinney, Texas 75069 $ 3,531,297.34 Est. Completion Date: 9/2003 Contact: Brian Jones with Freese &Nichols, Inc. (972) 205-2174 Silveron Boulevard-Flower Mound Town of Flower Mound 2121 Cross Timbers Rd. Flower Mound,Texas 75028 $ 3'150,630.04 Est: Completion Date: 8/2002 Contact: Ronnie Baker(972) 874-6310 Dallas North Tollway—North & South Frontage Road-Plano City of Plano 4120 W. Plano Pkwy. (P.O. Box 860358) Plano, TX 75086 $1,782,390.00/Paving DATE(MMIDD/YY) ACORO„ CERTIFICATE OF LIABILITY INSURANCE I 03rjSr404 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied N. Amoft Cqp, Of Tx ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 12710 Colt Road, Sults 750 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DWIkNa, TX 7=1 (972)455-14W F:(D74gl 4837 INSURERS AFFORDING COVERAGE INSURED INSURER A:Zurich Anwr&m IneurrAm Co SM Conor W, bw. INSURER B:AIIIW iCan Q4W 5 Llan ft CO P. O. BOX 151489 INSURER C:OUWat AffWrbW kralranCO CO kvkrp, TOM 7S81S4488 INSURER D:Anwrlcan Zurich kuRffwm Co INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rAA TYPE OF INSURANCE POLICY NUMBER P AUCY EFFECTIVE DATE EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 OO 000 X COMMERCIAL GENERAL LIABILITY GLO2979126 (W 11/09 05/11/04 FIRE DAMAGE CMY one fire) $ 50 CLAIMS MADE [X I OCCUR MED EXP(Any one mon 5 PE ALS ADV INJURY E1 000 GENERAL AGGREGATE OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 000 POLICY5X] LOC AUTOMOBILE LIABILITY COMBINED B X ANY AUTO TAP2079127 05/11/03 05111/04 (EaB=WMSIt E LIMIT ; 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Par Pwaa+) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Por accwwt) PROPERTY DAMAGE $ (Par acckm*) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG C EXCESS UABIUTY TUU35776M 05/11/03 05/11104 X OCCUR ®CLAIMS MADE 00 000 DEDUCTIBLE RETENTION $ ; D WORKERS COMPENSATION AND WC2979125 05/11/03 05111/04 X I TORY LIMITS ER EMPLOYERS'LIABILITY E.L EACH ACCENT S1 E.L.DISEASE-EA EMPLQYEE 61 E.L.DISEASE-POLICY LIMIT 1 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VENKA ESIEXCLUSMS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS ProJWt)t: Job # 29153; TaxhM H Pavwnern RgwIr at Allimme Akport It raqukWd by wrltbn Contract & MW*d by Named h»urWd, CWr11 WM Holder In named AddRlonal kwxWd for oovw&M axoWpt Woemn' Compare tum and Provkled Wahw of Subropatlon for all oowrapWL CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _-30-_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.OUT FAILURE TO DO SO SMALL City o f Fort Worth IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINDr THE INSURER,ITS AGENTS OR 1000 Throc)morton .street REPRESENTATIVE Fort Porth, Texas 76102-6311 AUTFIORZED ENT E ACORD 2S-S(7/97) 6&6RD CORPORATION 1966 CONTRACTOR COMPLIANCE WITH WORKERS' COMPENSATION LAW Pursuant to V.T.C.A. Labor Code §406.96 (2000), as amended, Contractor certifies that it provides workers' compensation insurance coverage for all of its employees employed on City of Fort Worth Department of Engineering No.4005 and City of Fort Worth Project No. GR76- 055218812010/M-221. CONTRACTOR Site Concrete, Inc. By: ti� Name: Q S Q !d Title: '4--2GS I NEP-r- Date: 3. 2 3'/'j- STATE OF TEXAS § COUNTY OF TARRANT § Before me, the undersigned authority, on this day personally appeared -�tM S "3OQE�4, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same as the act and deed of Site Concrete, Inc. for the purposes and consideration therein expressed and in the capacity therein stated. Given Under My Hand and Seal of Office this Z5day of 14, 20 t13 (12 N t ry Public in and for the State of Texas JODIE C.COUCH MY COMMISSION EXPIRES OCOW 12.2006 PERFORMANCE BOND Bond No.SU1006763 THE STATE OF TEXAS § KNOW ALL BY THESE PRESENTS: COUNTY OF TARRANT § Arch Insurance Company and Arch Reinsurance Company That we (I) Site Concrete Inc. as Principal herein, and (2) . corporation organized under the laws of the State of(3 issourt 81kebraskind who is authorized to issue surety bonds in the State of Texas, Surety herein, are held and firmly bound unto the City of Fort Worth,a municipal corporation Located in Tarrant and Denton Counties,Texas,Obligee herein,in the sum of: ONE HUNDRLb EYGHTY-TWO THOUSAND FOUR HUNDRED FIFTY AND N0/100........................ ($182.450.00)Dollars for the payment of which sum we bind ourselves,our heirs,executors,administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,Principal has entered into a certain contract with the Obligee dated the 23rd of March.2004 a copy of which is attached hereto and made a part hereof,for the construction of: PAVEMENT REP&jR OF TAXIWAY"H" AT ALLIANCE A.IRPOTtT. NOW TMREFORE, the condition of this obligation is such, if the said Principle shall faithfully perform the work in accordance with the plans, specifications, and contract documents and shall fully indemnify and hold harmless the Obligee from all costs and damages which Obligee may suffer by reason of Principal's default; and reimburse and repay Obligee for all outlay and expense that Obligee may incur in making good such default, then this obligation shall be void;otherwise,to remain in full force and effect. a tr U t 81 Ire PROVIDED, HOWEVER, that this bond is executed pursuant to Chapter 2253 of the Texas Government Code, as amended, and all liabilities on this bond shall be determined in accordance with the provisions of such statute,to the same extent as if it were copied at length herein. IN WITNESS WHEREOF, the duly authorized representatives of the Principal and the Surety have execided this instrument. SIGNED and SEALED this 23rdof March.2004. r Site Concrete,Inc. (Principal)Secretary PRINCIP L ) BY: � Jean . Boney Title: president (SEAL) 3340 Roy Orr Blvd Grand Prairie,TX 75050 (Address) It _ Arch Insurance Company and Arch Reinsurance Company Witness as to Principal Suretv 3M0 Roy Orr Blvd., Grand Prairie,TX 75050 Address BY: ATTEST: Ir Michael B. Hill(Attorney-in-fact)(5) ( ety)Sccretary 5911 Turtle Creek Blvd., #300, Dallas, TX 75219 (Address) (SEAT.) NOTE: Tate of Bond must not be prior to date of Contract (1) Correct Name of Contractor (2) Correct name of Surety (3) State of incorporation of Surety Telephone number of surety must be stated. I In addition, an original copy of Power of p Attorney shall be attached to Bond by Attorney-in-Fact. The date of bond shall not be prior to date of �yyn Contract. t Jl lnw A �O G1 Witness as to Sui6ty 1201 Kas Dr.,Ste.B,Richardson,TX 75081 (Address)