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RES 2012-1410 - Bid from Dostals Construction Company Inc for Ford birth site wall caps Parks, Recreation & , 111W f E C E$` .�'C. Public Property Department { �f� Omaha/Douglas Civic Center Z �f 1 ft?1Y a 1819 Farnam Street,Suite 701 Omaha,Nebraska 68183-0701 AAoR �ti' F , (402)444-5900 +4TLt)PEBRV FAX(402)444-4921 City of Omaha _-„ 4 a :f a e Jim Suttle,Mayor October 23, 2012 • Honorable President and Members of the City Council, Transmitted herewith is a BID TABULATION and a RESOLUTION authorizing the Purchasing Agent to issue a Purchase Order to Dostals Construction Company, Inc., to furnish all labor, materials, and equipment necessary to construct the Ford Birth Site Wall Caps, 3212 Woolworth Avenue, in the total amount of $45,400.00, for the Parks, Recreation, and Public Property Department. Dostals Construction Company, Inc. submitted the lowest and best bid. The following bids were received on September 12, 2012: CONTRACTOR BID DOSTALS CONSTRUCTION CO.,INC. $45,400.00 (LOWEST BID) LawnSmith& Company $49,170.00 Masonry Construction, Inc. $53,313.00 DC Masonry,Inc. $65,480.00 Dostals Construction Company, Inc. has on file a current Annual Contract Compliance Report Form (CC-1). As is City policy, the Human Relations Director will review the contractor to ensure compliance with the Contract Compliance Ordinance. Finance Department is authorized to pay the Funds in the total amount of$45,400.00 to Dostals Construction Company, Inc. from the 2010 Parks and Recreation Bond Fund No. 13355 and Organization No. 117317, Parks and Cultures Bonds. The Parks, Recreation and Public Property Department recommends the acceptance of the bid from Dostals Construction Company, Inc. being the lowest and best bid received, and requests your consideration and approval of this Resolution. n' i•g3;a , .kksikskgs—P2. 9. 9' P o 9 z ' E 1• ,3, n 3 og3• o Sggs Leg�gs • .o. qq // F. 3 '• - 1 e P i 2 _ o. a. 3 �. V4°S°$3 Sdoa; 3 JO34u s •E L27 ns S ° . ? !' 1 a3•n.�g 3m . ° N. 31 83L433 010 D I ., =34nrg_ ,-• pttuum _ N Sri gaRig ov 111 3 E a 3 5 ieN. ; a S a F v o n 9 0 " _ a .. 5' a s;II -I !1b - i"' a„'1 as a tea; 8330 4 S ; ;1 at m N D 2. 4a°?EBB:'°'=lo g = - SS6:i A SEt a: 1° •sSd' 34Eoa ; s 9 4 a :0 $' =gym /�� 3 a 6e 5mg2:- -9`$o E £ o ins 7,9 W 11Pa$as 32 $ ' •s ° 41sCb ,.'g?l.zassgE 1 ; 9 e, �-Q) •o m Rig P. �z�z3o a°�g . 8 .- 11 a xa °oab° ° 3 i 99 7 14710 West Dodge Road,Suite 100 402.496.2498 P ill t LAMP RYNEARSON Omaha,Nebras a68154-2027 402.496.27301E I� o P. I. MINOR I & ASSOCIATES .LRA-Inc.cam B i PLATi w AKSARBEN VILLAGE REPEAT 13 (Lots 1 and 2) li OMAHA, DOUGLAS COUNTY, NEBRASKA /A OFFICER/MEMBER EXCLUDED?(Mandatory In NH) WCNE0560028661 1/20/2012 1/20/2013 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Omaha ... r ' ( Planning Department AUTHORIZED REPRESENTATIVE 1819 Farnam Street Suite # 1100 Omaha, NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address Page -2- Honorable President and Members of the City Council, Respectfully submitted, TXV ok Be , ng Director Date Parks, Recreation and Public Property Department Approved as to Funding: Approved: LthA io Pam Spaccarotella Date Human Rights and Relations Date Finance Director Referred to City Council for Consideration: W GUAn - 1--CO rk4A'D /0 l ! ZI1 2_ Mayor's Office/Title Date p:1699tmb 14 day of k( by Tt6kNiT 1 a "-p�2- (Printed Name and Title), on behalf of the company. G IETIQ NQTASY,�t1 of Mirada IRINAIJiIATI4 WS .. *Conn.Ego.Joiy 11,201e L:\Engineering\0112049\ADMIN\Short Form Subdivision Aksarben Village Replat 13.doc Rev. 4/30/2012 • SECTION 00300 AGREEMENT This AGREEMENT made and entered into in quadruplicate, as of this 'aay of 40/ , 2012 by and between the City of Omaha, a Municipal Corporation in Douglas County, Nebraska, party of the first part and hereinafter called "OWNER", and Dostals Construction Co., Inc. with principal place of business at: 13680 S. 2200 St.,Gretna, NE 68028; hereinafter called"CONTRACTOR": WHEREAS, said Contractor did, under date of September 12, 2012, submit a proposal to construct as outlined in the proposal "Ford Birthsite Wall Caps" for the City of Omaha, for the sum of Forty Five Thousand and Four Hundred Dollars and No Cents ($ 45,400.00), to be constructed by the Contractor in accordance with drawings and specifications for same prepared for Owner,which drawings and specifications have been filed with the City of Omaha. WHEREAS,the aforesaidor_ proposal of Contractor was accepted by Resolution No. /9//J adopted L2 c:240!Z„ by the City Council of the City of Omaha: NOW, THEREFORE, in consideration of the following mutual agreements and covenants, it is understood and agreed by and between the parties hereto that: a. The above referred to plans, specifications and addenda, are expressly made a part hereof the same as though fully set forth herein. b. The Resolution of Owner ordering or authorizing the construction of the aforesaid "Ford Birthsite Wall Caps", the notice inviting contractors to bid as published, the instruction to bidders, the proposal of Contractor, the bid bond of Contractor, the performance, payment and maintenance bond of Contractor, the general conditions and all proceedings by the governing body of the Owner relating to said "Ford Birthsite Wall Caps" are a part of this Contract by reference thereto the same as though each had been fully set out and attached hereto. c. Said construction shall be on the property owned by the City of Omaha, commonly known as, or referred to as Ford Birthsite,3202 Woolworth Ave, Omaha, Nebraska, in Douglas County, Nebraska. d. The Contractor agrees to furnish all tools, labor, mechanics for labor, equipment and materials to construct in a good substantial and workmanlike manner, Contractor's part of said "Ford Birthsite Wall Caps" in accordance with the aforesaid plans, specifications and addenda, and agrees to do so for the sum of$45;400.00. e. Owner agrees to pay Contractor said amount of $45,400.00, in accordance with the provisions of the aforesaid specifications,addenda and proposal of the Contractor accepted by Owner. f. All provisions of aforesaid plans,specifications and addenda shall be strictly complied with and conformed to by Contractor, the same as if re-written herein, and no substitution or change in said plans, specifications and addenda shall be made except upon written consent or written direction (the form of either of which shall be a viritten "Change Order') of Owner and Owner's Architect, Pat Slaven, ASLA, Park Planner II, Park Planning Division, City of Omaha Parks, Recreation & Public Property, 1819 "Ford Birthsite Wall Caps" Agreement 00300.1 -Inc.cam B i PLATi w AKSARBEN VILLAGE REPEAT 13 (Lots 1 and 2) li OMAHA, DOUGLAS COUNTY, NEBRASKA /A OFFICER/MEMBER EXCLUDED?(Mandatory In NH) WCNE0560028661 1/20/2012 1/20/2013 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Omaha ... r ' ( Planning Department AUTHORIZED REPRESENTATIVE 1819 Farnam Street Suite # 1100 Omaha, NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address . affirmative action to ensure that applicants are employed and that employees are treated during employment without regard to their race, religion, color, sex, age, sexual orientation, gender identity, disability or national origin. The Contractor shall take all actions necessary to comply with the Americans with Disabilities Act of 1990 and Omaha Municipal Code, (Chapter 13) including, but not limited to, reasonable accommodation. As used herein,the word"treated"shall mean and include,without limitation, the following: Recruited, whether advertising or by other means; compensated; selected for training, including apprenticeship; promoted; upgraded; demoted; downgraded; transferred; laid off; and terminated. The Contractor agrees to and shall post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officers setting forth the provisions of this nondiscrimination clause. g-8. The:Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion,color,sex, age,sexual orientation,gender identity,disability or national origin as recognized under 42 USCS 12101 et seq. g-9. The Contractor shall send to each labor union or representative of workers with which they have a collective bargaining agreement or other contract or understanding a notice advising the labor union or worker's representative of the Contractor's commitments under the Equal Employment Opportunity Clause of the City and shall post copies of the notice in conspicuous places available to employees and applicants for employment. g-10. The Contractor shall furnish to the Contract Compliance Officer all Federal forms containing the information and reports required by the Federal government for Federal contracts under Federal rules and regulations, and including the information required by Sections 10-192 to 10-194, inclusive, and shall permit reasonable access to his records. Records accessible to the Contract Compliance Officer shall be those which are related to Paragraphs(7)through(13)of this subsection and only after reasonable notice is given the Contractor. The purpose for this provision is to provide for investigation to ascertain compliance with the program provided for herein. g-11. The Contractor shall take such actions with respect to any subcontractor as the City may direct as a means of enforcing the provisions of Paragraphs(7)through(13)herein,including penalties and sanctions for noncompliance; however, in the event the Contractor becomes involved in or is threatened with litigation as the result of such directions by the City, the City will enter into such litigation as necessary to protect the interests of the City and to effectuate the provisions of this division;and in the case of contracts receiving Federal assistance, the Contractor or the City may request the United States to enter into such litigation to protect the interest of the United States. g-12. The Contractor shall file and shall cause their subcontractors, if any, to file compliance reports with the Contractor in the same form and to the same extent as required by the Federal government for Federal contracts under Federal rules and regulations. Such compliance reports shall be filed with the Contract Compliance Officer. Compliance reports filed at such times as directed shall contain information as to the employment practices, policies, programs and statistics of the Contractor and their subcontractors. g-13. The Contractor shall include the provisions of Paragraphs (7) through (13) of this Section, "Equal Employment Opportunity Clause", and Section 10-193 in every subcontract or purchase order so that such provisions will be binding upon each subcontractor or vendor(refer to Specification Section 00205 for more detail). "Ford Birthsite Wall Caps" Agreement 00300-3 NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address `f k. Any subsequent agreement between the parties hereto or any matter whatsoever shall be in writing and executed by an authorized officer. I. The parties hereto acknowledge that, as of the date of the execution of this agreement, Section.10-142 of the Omaha Municipal Code provides as follows: Any amendment to contracts or purchases which taken alone increases the original bid price as awarded(a)by ten percent, if the original bid price is one hundred fifty thousand dollars($150,000) or more,or(b)by seventy-five thousand dollars($75,000)or more, shall be approved by the City Council in advance of the acceptance of any purchase in excess of such limits or the authorization of any additional work in excess of such limits. However, neither contract nor purchase amendments will be split to avoid advance approval of the City Council. The originally approved scope and primary features of a contract or purchase will not be significantly revised as a result of amendments not approved in advance by the City Council. The provisions of this Section will be quoted in all future City contracts. Nothing in this Section is intended to alter the authority of the Mayor under Section 5.16 of the City charter to approve immediate purchases. IN WITNESS WHEREOF, we the contracting parties, by our representative duly authorized agents, hereto affix our signatures and seals at Omaha, Nebraska; DOSTALS CONSTRUCTION CO., INC. CITY OF OMAHA Executed this ) (day of ,20r. Executed this ..f.d 'y of D Per20/L By: .0.',e✓ (Auth zed Sig ure) Ali uttle,Mayor 1 ,. I �. i ' = ATTEST: ØntedNarne) Title: Buster Brown,City Clerk Mae ritat— SEAL OF THE CITY Witness Signature AP D AS TO FORM: 1 S2CP3/1/2- . Assistant City Attorney "Ford Birthsite Wall Caps" Agreement 00300-5 n required by Sections 10-192 to 10-194, inclusive, and shall permit reasonable access to his records. Records accessible to the Contract Compliance Officer shall be those which are related to Paragraphs(7)through(13)of this subsection and only after reasonable notice is given the Contractor. The purpose for this provision is to provide for investigation to ascertain compliance with the program provided for herein. g-11. The Contractor shall take such actions with respect to any subcontractor as the City may direct as a means of enforcing the provisions of Paragraphs(7)through(13)herein,including penalties and sanctions for noncompliance; however, in the event the Contractor becomes involved in or is threatened with litigation as the result of such directions by the City, the City will enter into such litigation as necessary to protect the interests of the City and to effectuate the provisions of this division;and in the case of contracts receiving Federal assistance, the Contractor or the City may request the United States to enter into such litigation to protect the interest of the United States. g-12. The Contractor shall file and shall cause their subcontractors, if any, to file compliance reports with the Contractor in the same form and to the same extent as required by the Federal government for Federal contracts under Federal rules and regulations. Such compliance reports shall be filed with the Contract Compliance Officer. Compliance reports filed at such times as directed shall contain information as to the employment practices, policies, programs and statistics of the Contractor and their subcontractors. g-13. The Contractor shall include the provisions of Paragraphs (7) through (13) of this Section, "Equal Employment Opportunity Clause", and Section 10-193 in every subcontract or purchase order so that such provisions will be binding upon each subcontractor or vendor(refer to Specification Section 00205 for more detail). "Ford Birthsite Wall Caps" Agreement 00300-3 NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address ORIGINAL BOND Bo}dloy$U. 059:7,732: • SECTION 00400 PERFORMANCE,PAYMENT AND MAINTENANCE BOND D0gt4s. Const4'uc.ti op, Company Ixic ,13680 KNOW ALL MEN BY THESE PRESENTS: That 230 .r Gt , r A is NE 68028 1l3ifer�na�•c.o a1 Fi�a�l�;�� �, hereinafter called Omaha,Nebraska,hereinafter called the Principal,and insurance c �mnanY the Surety, are held and firmly bound unto the City of Omaha, a Nlunicipal'uorporation in Douglas County, Nebraska, • hereinafter called the Owner,in the penal sum of Fore T 3otisand' Fn„r Alin d•reja {$45,,400 R 00. lawful money of the United Stales of America,to bepa tbihe QinTEFior the payment whereof the Principal and Surety hold themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these present. WHEREAS,the Principal has,by means of a written Contract dated the day of ,2012, entered into a Contract with the Owner for the performance by the Principal, as Contractor,of wadi Caps located atp a „_.__€, atl in Omaha, Douglas County,Nebraska,for the City of Omaha,in accordance with the plans and specifications prepared for Owner,which Contract is made a part hereof by reference thereto the same as though fully set forth herein: NOW THEREFORE,the conditions of this obligation are such that: FIRST: If the Principal shall faithfully perform the Contract on his part, shall satisfy all claims and demands incurred for the same,shelf fully indemnify and save harmless the Owner from all cost and damage which said Owner may suffer by reason of failure so to do,and shall fully reimburse and repay said Owner all outlay and expense which said Owner may incur in making good arty such default;and, SECOND: The Principal shall indemnify and save harmless the City of Omaha, its officers, employees, and agents from all claims, suits or actions of every kind and character or on account of any injuries or damages received or sustained by any party or parties by or from the acts of,the said Contractor or its servants, agents and subcontractors, in performing under said Contract, or by or in consequence of any negligence in guarding the same or any improper material used in its construction, or by or on account of any act or omission of said Contractor or its . servants,agents and subcontractors;and,also from all claims of damage for infringement of any patent in Miffing said Contract]and THIRD: The Principal and Surety on this bond hereby agree to pay all persons, firms or corporations having Contracts directly with the Principal or with submntrxtors all just claims due them for the payment of all laborers and mechanics for labor which shall be performed,for the payment of all materials and equipmentfumished, and for the payment and equipment rental which is actually used or rented in the performance of the Contractor on account of which this bond is given, when the same are not satisfied out of the portion of the Contract price which the Owner may retain unti completion of the construction;and, FOURTH: The Principal shall guarantee all materials,workmanship, and the successful operation of all equipment and apparatus installed by him for a period of two(2) years from the date of substantial completion of the whole work,and shall guarantee to repair or replace,at his own expense, any part of the structures or apparatus which may show defect during the time, provided that such defect is, in the opinion of the Park Planner or City's Representative,due to imperfect material or workmanship,and not to careless and improper use: Then this obligation shall be null and void;otherwise,it shall remain in full force and.effect. FORD BIRTHSITE—PRECAST WALL CAPS Performance,Payment And Maintenance Bond 0040a-1 Page 1/3 of Bond tractor or vendor(refer to Specification Section 00205 for more detail). "Ford Birthsite Wall Caps" Agreement 00300-3 NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address Any Surety on this bond shall be deemed aril held, any Contract to the contrary notwithstanding, to consent without notice: 1. To any extension of time to the Principal in which to perform the Contract 2- To any change in the plans,specifications or Contract,when such change does not involve an increase of more than twenty percent (20%) of the total Contract price, and shah then be released only as to such excess increase. . 3. That no provision of this bond or of any other contract shall be valid which limits to less than five(5)years • from time of acceptance of the work to sue on this bond for defects in workmanship or material not discovered or known to the obligee at the time such work was accepted, SIGNED AND SEALED the :i au-T, day of 2012 in the present of: DOSTAL,S: CONS CTIO ' .COMBA 1 .INC • Contractor(F blame) ltjtholUh/:;lgy Title COUNTER SIGNED: /2 INTERNATIONA FIDET,,ITM TNSURANcR .COMPANY Resident Agent Robert'T . .Ca fie . Surety RQ S I2%4 / ..:7—...._ 0 .7%D7' !bWI2 SY City Attorney, Attorney-in-Fact Robert_ T. :Cirone' • • • FORD BIRTFfSITE PRECAST WALL CAPS Performance, Payment And Maintenance Bond 1 00400-2 Page '273 ..pf Bond: . part, shall satisfy all claims and demands incurred for the same,shelf fully indemnify and save harmless the Owner from all cost and damage which said Owner may suffer by reason of failure so to do,and shall fully reimburse and repay said Owner all outlay and expense which said Owner may incur in making good arty such default;and, SECOND: The Principal shall indemnify and save harmless the City of Omaha, its officers, employees, and agents from all claims, suits or actions of every kind and character or on account of any injuries or damages received or sustained by any party or parties by or from the acts of,the said Contractor or its servants, agents and subcontractors, in performing under said Contract, or by or in consequence of any negligence in guarding the same or any improper material used in its construction, or by or on account of any act or omission of said Contractor or its . servants,agents and subcontractors;and,also from all claims of damage for infringement of any patent in Miffing said Contract]and THIRD: The Principal and Surety on this bond hereby agree to pay all persons, firms or corporations having Contracts directly with the Principal or with submntrxtors all just claims due them for the payment of all laborers and mechanics for labor which shall be performed,for the payment of all materials and equipmentfumished, and for the payment and equipment rental which is actually used or rented in the performance of the Contractor on account of which this bond is given, when the same are not satisfied out of the portion of the Contract price which the Owner may retain unti completion of the construction;and, FOURTH: The Principal shall guarantee all materials,workmanship, and the successful operation of all equipment and apparatus installed by him for a period of two(2) years from the date of substantial completion of the whole work,and shall guarantee to repair or replace,at his own expense, any part of the structures or apparatus which may show defect during the time, provided that such defect is, in the opinion of the Park Planner or City's Representative,due to imperfect material or workmanship,and not to careless and improper use: Then this obligation shall be null and void;otherwise,it shall remain in full force and.effect. FORD BIRTHSITE—PRECAST WALL CAPS Performance,Payment And Maintenance Bond 0040a-1 Page 1/3 of Bond tractor or vendor(refer to Specification Section 00205 for more detail). "Ford Birthsite Wall Caps" Agreement 00300-3 NE 68183 �� Ray Sluyter/WES2 .. ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD tle: CFO/Asst.Corp. Secy. 'Phone: 8 0 0-9 3 4-3 3 2 Fax: 2 6 2-94 7-3 3 5 5 award Address: 7800 100th St. , Pleasant Prairie, WI 53158 Street/P.O.Box City State Zip Email Address: SBest@RehrigPacific.com Spencer Best, Sales Rep Cell : 262-945-3241 e Ptcsrse,r r Phone(goz.3 V193- iv;a. Fax (*a) fU-5 ft.6 111 Address 38 Z•I ^r . /0 8rfiSr. t)w+A4Ar1- .n1$ 68/C y Street/P.O.Box City Slate Zip IIE-Mail Address Tet{973)624 7200 POWER OF ATTORNEY. INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY ONE NEWARK CENTER,20TH FLOOR.NEWARK, NEW.JERSEY 07102-5207 KNOW ALL MEN BY THESE PRESENTS: That INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and existing under the laws of the State of Pennsylvania,having their principal office in the City of Newark,New Jersey,do hereby constitute and appoint ROBERT T. CIRONE, JACOB J. BUSS, JAMES M. KING Lincoln, NE. 4 —_ their true and lawful attorney(s)-in-fact to execute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof, which are or may be allowed,required or,permitted by law,statute rule,regulation,contract or otherwise, and the execution of such instrument(s) in pursuance of these presents,shall be as binding upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed and may be revoked, pursuant to and by authority of the By-Laws of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY and is granted under and by authority of the followingresolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 20th day of July,2010 and by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the 15th day of August,2000: "RESOLVED that (1)the President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of, Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney,and to execute on behalf of the Corporation and affix the Corporation's seal thereto,bonds,undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and(2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians,agents for acceptance of process,and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and (3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking, recognizance contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seals when so used whether heretofore or hereafter being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed." IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY have each executed and attested these presents on this 12th day of March,2012. ITY 0, Ctsvgtrr STATE OF NEW JERSEY ,��a s� � CO�r County of Essex -43 44‘,....37*4.....„..L...t"' M �+tst� � � � 1�3$ 4r jE , ..,,,_- * ROBERT W.MINSTER Jr..roVi � A"rnSyLYP,� (International Fidece esidnsuranief ce0 Company) Officer and President(Allegheny Casualty Company) On this 12th day of March 2012, before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn, said he is the therein described and authorized officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY; that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. IN TESTIMONY WHEREOF, I have hereunto set my hand affixed my Official Seal, ,,�`����,,,„,,,,���, at the City of Newark,New Jersey the day and year first above written. r E. *G,.+O f A41-%.eel s (74.- ) Z./la/gel? s _ JO Z 061 �` A NOTARY PUBLIC OF NEW JERSEY '.,9 k:. rig '`• 0 My Commission Expires Mar.27,2014 ,/,,,,,R(WI 0"k CERTIFICATION I,the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • , ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `..� 5/22/2012 - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS•CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mary__ Kent NAME: UNICO Group /acNNo Extl (402)434-7200 (aC.Nol:(402)434-7272 4435 0 Street E-MAIL mkent@unico rou cornADDRESS: g p' INSURER(S)AFFORDING COVERAGE NAIC# • Lincoln NE 68510 INSURERA:Peerless Indemnity Insurance 18333 INSURED • INSURERB:The Midwestern Indemnity Co. 23515 Dostals Construction Co. , Inc. INSURERcBawkeye-Security Insurance 36919 Dostals Construction Leasing Services Inc INSURER D Acuity 14184 13680 S. 220th Street INSURERE: Gretna NE 68028-4930 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP w LIMITS LTRINSR vD POLICY NUMBER (MM/DD/YYYYI (MMIDD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE X OCCUR CBP8638686 4/9/2012 4/9/2013 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE�l LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 7 POLICY I x JF [7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B. ALL OWNED SCHEDULED BA8634687 4/9/2012 4/9/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) Uninsured motorist BI-single $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 `. EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 RETENTION DED $ X 10,000 CU8638086 4/9/2012 4/9/2013 $ D WORKERS COMPENSATION .1,- WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE Y N N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 7C39734 4/9/2012 4/9/2013 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project: UNO Bioretention Garden City of Omaha is listed as additional insureds with respects to the general liability and the insured's operations as required by contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Omaha 1819 Farnam Street Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Chad Ideus/MKENT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025/7nlnnsl n1 The.Af:[1RIl name and Innn arc,runic*ororl marke of Anewn tions of the By-Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: 1 F- W , zU 0. Z U 0, c m 0 0 0 W N i c ZU is j. co TA — OE. el- 2 -c m 0 0 E o H W d u CO U Z U_ } °t = R. oi. _`0 a ca C m 0 0 0 co • I— W o co a � U a Z c..) 0 CD v- >-- oU n a . m 0 a U C . I— W 0, co m a CO 6 a) o m c pE E I cq 1 0 0 W c O LUm e w C a) W Q O O O47 o V p m N m ") N m -v - � 0 _aS - o -63 Z O) O a, o -a C C cv W0 O dr .. ti _ m O a) w o 2t Q C CO63 °i a a L = F 0 ui a a %. _ URERB:The Midwestern Indemnity Co. 23515 Dostals Construction Co. , Inc. INSURERcBawkeye-Security Insurance 36919 Dostals Construction Leasing Services Inc INSURER D Acuity 14184 13680 S. 220th Street INSURERE: Gretna NE 68028-4930 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP w LIMITS LTRINSR vD POLICY NUMBER (MM/DD/YYYYI (MMIDD/YYYYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE X OCCUR CBP8638686 4/9/2012 4/9/2013 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE�l LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 7 POLICY I x JF [7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ B. ALL OWNED SCHEDULED BA8634687 4/9/2012 4/9/2013 AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) Uninsured motorist BI-single $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 `. EXCESS LIAB CLAIMS-MADE AGGREGATE $ 3,000,000 RETENTION DED $ X 10,000 CU8638086 4/9/2012 4/9/2013 $ D WORKERS COMPENSATION .1,- WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE Y N N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 7C39734 4/9/2012 4/9/2013 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Project: UNO Bioretention Garden City of Omaha is listed as additional insureds with respects to the general liability and the insured's operations as required by contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Omaha 1819 Farnam Street Omaha, NE 68183 AUTHORIZED REPRESENTATIVE Chad Ideus/MKENT ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025/7nlnnsl n1 The.Af:[1RIl name and Innn arc,runic*ororl marke of Anewn tions of the By-Laws of said Companies as set forth in said Power of Attorney, with the originals on file in the home office of said companies, and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • • B .am(Rev.08-2012) INITIALS DOUGLAS COUNTY • REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA-FORD BIRTHSITE WALL CAPS RETURN BIDS TO: Published:August 22,2012 CITY CLERK,LC-1 OMAHA-DOUGLAS CIVIC CENTER NOT AN ORDER Page 1 of 6 Pages 1819 Farnam Street Omaha,Nebraska 68183-0011 BID BONO OR CERTIFIED CHECK REQUIRED IN THE AMOUNT OF 5%IF THE TOTAL AMOUNT FOR THE ITEMS OFFERED IS S20,000 OR MORE. BID BOND OR CERTIFIED CHECK SHALL BE MADE PAYABLE TO"CITY OF OMAHA". Bid Opening Date: 11:00 A.M. September 12,2012 IMPORTANT 1. Bid must be in the office of the Acting CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC 5.BID MUST INCLUDE ANY DELIVERY OR SHIPPING CHARGES. CENTER.1819 Famam Street,Omaha,NE 68183-0011 by bid opening date and time 6.When submitting bid on items fisted,bidder may on a separate sheet make suggestions indicated,in seated envelope marked BID ON:FORD BIRTHSITE WALL CAPS. covering reduction In costs wherever this is possible through redesign,change of material 2.As evidence of good faith a bid bond or certified check must be submitted with bid.Bid or utilization of standard items or quantity change. Bond or certified check shall be made payable to the'City of Omaha'. FAILURE TO DO SO IS CAUSE FOR REJECTION PLEASE DO NOT CALL FOR THIS INFORMATION. 3.Right is reserved to accept or reject any or al bids in their entirety and the bidders shall have the right to appeal any decision to the City Count. Right is also reserved to accept or reject any part of your bid unless otherwise Indicated by you. 4.If Federal Excise Tax apples,show amount of same and deduct. Exemption certificates el be furnished.Do not include tax in bid. Quote your lowest price,best delivery and terms,F.O.B.delivery point on the terms(s)fisted below: This is to certify that the undersigned has read and examined (a)the advertisements, (b)the requirements for bidding and instructions to bidders and (c) the specifications and drawings prepared by the Park Planning Division for the FORD BIRTHSITE WALL CAPS and that the bidder has made all the examinations and investigations required by said doCtiments.BIDDER ACKNOWLEDGES RECEIPT OF ADDENDA NO 1 ,THROUGH I It is understood(a) that as to the contract which may be awarded upon this proposal,the Contract period will be the term beginning with the notice to proceed and ending with the acceptance of the work, the number of consecutive calendar days hereinafter agreed on;and(b)that.It is the intention of the Park Planning Division that a contract shall be awarded to the bidder regarded by the City of Omaha as having submitted the lowest and best bid,having regard for his fitness and capacity to furnish in sufficient quantities the quality of material considered by said Park Planning Division best to meet the requirements of the Park Planning Division;material purchased for this project will be State of Nebraska and City sales tax exempt. On the foregoing,understand that the bidder hereby offers and proposes to furnish alt labor,all materials and all else whatsoever necessary to construct and properly finish ail the work in connection with"Ford 8irthsite Wall Caps,3230 Woolworth ve.,Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: Bid Form(Rev.08-2012) DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA FORD BIRTHSITE WALL CAPS NOT AN ORDER Page 2 of 6 Pages The bidder hereby states that the above total cost to the City of Omaha includes at material,taxes,insurance royalties;transportation charges,use of all necessary tools and equipment, supervision, inspection and tests of materials, bond and overhead expense, all equipment furnished in accordance with the requirements of the contract documents considered severally and collectively. It is understood that the contract documents shall consist of the advertisement,the requirements for bidding and instruction to bidders,this proposal, the contract documents titled "Ford Birthsite Wall Caps' and the duly executed agreement or contract proper; that, said documents are complementary and that which is required,shown or specified by any one of these,shall be as binding as if required by all, The bidder hereby represents that the price contained in this proposal is neither directly nor indirectly the result of any agreement or any secret understanding with anyone with respect to any provisions contained in this proposal. BID BOND: In accordance with the requirements for bidding and instructions to bidders,there is deposited herewith a bid bond or a certified check payable to the City of Omaha,in the sum of: � C `0 ($ ),which is at least five percent(5%)of the aggregate amount of the proposal. ` It is agreed that, in the event the bidder is awarded a contract based on this proposal,or a part thereof and fails or refuses to execute a written contract or fails to furnish a performance bond within ten days after the award of said contract,the sum deposited herewith shall be retained by the City of Omaha as liquidated damages and not as a penalty,as it is expressly agreed that said sum Is a fair measure of the damages which will be sustained by the City of Omaha in case of any such failure or refusal on the part of the bidder. The said sum,however,will be returned to the bidder; if and when he shall faithfully keep and perform all of the conditions set fourth in the advertisement and the requirements for bidding and instructions to bidders,and furnish an acceptable surety bond. The surety company issuing said bond shall be licensed by the State of Nebraska,and fisted on the current edition of Circular 570 of the United States Dept.of the Treasury. NOTICE: Unless the foregoing proposal is free from alterations,additions and deductions and unless the name of the bidder as signed thereto is complete and correct,in accordance with the instructions to bidders,it may be rejected as informal. COMPLETION DATE: The bidder agrees that constructio n will be completed within qD. calendar days after approval of the purchase order for the work by the Omaha City Council and receiving the"Notice to Proceed"from the Park Planner. Refer to Division 0,Section 00200,'Instructions To Bidders', Part 2.15,"Computing Completion Date'for information on how to compute the number of calendar days to complete the work. PERFORMANCE BOND: Refer to Specification Section 00200, "Instructions to Bidders", Part 2.10, 'Bond Submission" and Section 00400, 'Performance, Payment Maintenance Bond'requirements. SIGN ALL COPIES FirmWk\ L1111 t 0 a • By Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • Bid Form(Rev.08-2012) DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA FORD BIRTHSITE WALL CAPS NOT AN ORDER Page 3 of 6 Pages INSURANCE REQUIREMENTS: Refer to Specification Section 00500, "General Conditions of the Contract for Construction", Part 2.15, 'Contractor's Insurance' for insurance requirements. UNIT PRICES: C.Y. = Cubic Yard S.F. = Square Foot S.Y. = Square Yard V.F. = Vertical Foot L.F. = Linear Foot EA. = Each The undersigned further proposes and agrees that if the amount of the work required be increased or decreased,by a request of the Owner,the following supplemental Unit Prices will be the basic price in place for computing extra cost or credit. Each Unit Price shall include all equipment, tools,labor,permits,fee,etc.incidental to the completion of the work involved based on the construction details)on the Contract Drawings and all materials listed in the noted Specification Section. Unit prices will be decreased ten percent(10%)if change requested is a reduction of work. UNIT PRICE DESCRIPTION 1. Precast Wall Cap $ �8 �F 2. Precast Column Cap $ /EA • • • COPIES Finn !)6 trt./Hc � '�� O UAL, SIGN ALLo, By � Tide `0 ($ ),which is at least five percent(5%)of the aggregate amount of the proposal. ` It is agreed that, in the event the bidder is awarded a contract based on this proposal,or a part thereof and fails or refuses to execute a written contract or fails to furnish a performance bond within ten days after the award of said contract,the sum deposited herewith shall be retained by the City of Omaha as liquidated damages and not as a penalty,as it is expressly agreed that said sum Is a fair measure of the damages which will be sustained by the City of Omaha in case of any such failure or refusal on the part of the bidder. The said sum,however,will be returned to the bidder; if and when he shall faithfully keep and perform all of the conditions set fourth in the advertisement and the requirements for bidding and instructions to bidders,and furnish an acceptable surety bond. The surety company issuing said bond shall be licensed by the State of Nebraska,and fisted on the current edition of Circular 570 of the United States Dept.of the Treasury. NOTICE: Unless the foregoing proposal is free from alterations,additions and deductions and unless the name of the bidder as signed thereto is complete and correct,in accordance with the instructions to bidders,it may be rejected as informal. COMPLETION DATE: The bidder agrees that constructio n will be completed within qD. calendar days after approval of the purchase order for the work by the Omaha City Council and receiving the"Notice to Proceed"from the Park Planner. Refer to Division 0,Section 00200,'Instructions To Bidders', Part 2.15,"Computing Completion Date'for information on how to compute the number of calendar days to complete the work. PERFORMANCE BOND: Refer to Specification Section 00200, "Instructions to Bidders", Part 2.10, 'Bond Submission" and Section 00400, 'Performance, Payment Maintenance Bond'requirements. SIGN ALL COPIES FirmWk\ L1111 t 0 a • By Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • Bid Form(Rev.08-2012) DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA FORD BIRTHSITE WALL CAPS NOT AN ORDER. Page 4 of 6 Pages UTILIZATION OF SMALL AND EMERGING SMALL BUSINESSES It is the policy of the City of Omaha that Small and Emerging Small Businesses shall have the maximum practicable opportunity to participate in City of Omaha projects. Consequently,the requirements of the Small and Emerging Small Business Program ordinance apply to this solicitation. For questions on certification, including a listing of what firms are certified under the Small and Emerging Small Business Program, please see the City of Omaha website at www.ci.omaha.ne.us or contact the Human Rights and Relations Department at 444-5055. CERTIFIED GROUP(S) With regard to this solicitation, the City has determined that a sufficient number of companies exist within the following CERTIFIED GROUPS)": [ ] Tier I Emerging Small Business [ ] Tier II Emerging Small Business ( ] Tier I Small Business [ ] Tier II Small Business FIRM TO FULFILL [ ] this entire contract [ ] a portion of this contract as defined below-Furnish all labor,all materials and all else whatsoever necessary to construct and properly finish: . "Please note: in order to be considered for this solicitation, your firm must be CERTIFIED in the above-referenced category PRIOR TO the bid opening date of this solicitation. Pursuant to Omaha Municipal Code Section 10-203(d), the above-referenced category of bidders will be given preference in the selection of this bid. Submittals by non-certified bidders or the failure of a prime contractor to utilize a certified subcontractor in the above-designated portion of this contract shalt be deemed non-responsive and rejected. Bidders must complete Exhibit "A", titled "SMALL AND/OR EMERGING SMALL BUSINESS DISCLOSURE PARTICIPATION FORM"and submit It with their bid to be considered. SIGN ALL COPIES Firm 0(J A } L v1 By Title e returned to the bidder; if and when he shall faithfully keep and perform all of the conditions set fourth in the advertisement and the requirements for bidding and instructions to bidders,and furnish an acceptable surety bond. The surety company issuing said bond shall be licensed by the State of Nebraska,and fisted on the current edition of Circular 570 of the United States Dept.of the Treasury. NOTICE: Unless the foregoing proposal is free from alterations,additions and deductions and unless the name of the bidder as signed thereto is complete and correct,in accordance with the instructions to bidders,it may be rejected as informal. COMPLETION DATE: The bidder agrees that constructio n will be completed within qD. calendar days after approval of the purchase order for the work by the Omaha City Council and receiving the"Notice to Proceed"from the Park Planner. Refer to Division 0,Section 00200,'Instructions To Bidders', Part 2.15,"Computing Completion Date'for information on how to compute the number of calendar days to complete the work. PERFORMANCE BOND: Refer to Specification Section 00200, "Instructions to Bidders", Part 2.10, 'Bond Submission" and Section 00400, 'Performance, Payment Maintenance Bond'requirements. SIGN ALL COPIES FirmWk\ L1111 t 0 a • By Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • • Bid Form(Rev.08.2012) DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA FORD BIRTHSITE WALL CAPS NOT AN ORDER • Page 5 016 Pages EXHIBIT"A" SMALL AND/OR EMERGING SMALL BUSINESS DISCLOSURE PARTICIPATION FORM (THIS FORM MUST BE SUBMITTED WITH THE BID) In the performance of this contract.the contractor orooases and agrees to make good faith efforts to contract with elktrbie City of Omaha certified small and/or emerging small businesses.Should the below listed small or emerging small business subcontractor be determined to be unable to oedorm successfully or is not Performing satisfactorily,the contractor ;hall obtain odor aoomvai from the Public Works Department Director or a designee for substitution of the below listed subcontractor with a City LOmahe certified small or emerging smallbusines, By SubrglItting this form.the bidder is certylno that it has afforded subcontractors Participating InjhQ prattram the opoortunity to subm bids an this Proiec4. Type of work and Projected contract item or commence- .4ame of small or Address parts thereof to ment and Agreed price Percentage(%) emerging small be performed completion with SB/ESB business date of work )IJ /3610 • 6(7/YND Q . 15 6100 tyyj 2 *t5Y/70/3,n GU • Totals / DD /OO6 CERTIFICATION The undersgnedhantractor certifies that he/she has read,understands,and agrees to be bound by small and/or emerging small business participahon contract specifications,and the other terms and conditions of the Invitation for Bids. The undersigned further certifies that he/she is legally authorized by the bidder to make the statements and representations in the small and/or emerging small business participation contract specifications and that said statements and representations are true and correct to the best of hisfier knowledge and belief. The undersigned will enter into formal agreement(s)with small and/or emerging small businesses(which are otherwise deemed by the City of Omaha to be technically responsible to wham)the word)listed in the contract specifications at the prices)set forth in this Exhibit conditioned upon execution of a contract by the undersigned with the City of Omaha. The undersigned/contractor agrees that if any of the representation made regarding utilization of small and/or emerging smal business by the bidder knowing them to be false,or it there is a baihdre by the successful bidder(i.e.the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without odor approval of the Public Worts Director.such action shall constitute a material breath of the contract,entitling the City of Omaha to reject the contractor's bid or to terminate the Contract for default. The right to so terminate shall be in addition to,•'•0- in lieu of y other fights or remedies the City of Omaha may have for other(Wraiths under the Contract,under City of Omaha's Contract Compliance Ordinance or oth:, to, and: is: will be subject to the terms of any future contract awards. Signature v.} `' , Telephone Number /40, � ('1 Title V r Date of Signing er—j -Firm or Corporate Name 1 Address \t\IV �� Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: Bid Form(Rev.08-2012} DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA FORD BIRTHSITE WALL CAPS NOT AN ORDER Page 6 of 6 Pages Responsible Contractor Compliance Form RC-1 4 I. Regulations: A. Article IV,Division I of Chapter 10 of the Omaha Municipal Code thereon require: 1.That all contractors who submit a bid to City of Omaha shall designate a representative who on behalf of the Contractor, shall fill out completely a Responsible Contractor Compliance Form(RC-1). An incomplete or unsigned RC-1 form will make your bid null and void. 2. Filing this Report(please initial in the boxes below): 1+Contractor agrees that Contractor will not knowingly employ or hire an employee not lawfully authorized to perform i) Y employment in the United States and that the Contractor and all sub-contractors shall use E-Verify to determine work eligibility. , Contractor agrees that Contractor will not knowingly violate Nebraska's Misclassification of Employee law(Neb.Rev. Stat.Section 48-2901 et seq.). Contractor agrees that Contractor will not knowingly violate Nebraska's Fair Labor Standards Law(Neb.Rev.Stat.Section 73-104 et seq.). Contractor has not been convicted of any tax violations(local,State and Federal)within the last three years from the date c)- his bid is submitted. Contractor has not,upon final determination by the Occupational Safety and Health Administration,been convicted of a criminal,repeat,or willful violation of the Occupational Safety and Health Act(OSHA)or been conicted of 3(three)separate erious"OSHA violations within the past three(3)years. Contractor agrees to make a good faith effort to ensure all subcontractors employed on this project comply with the f) provisions of the Respo ible ontractor Compliance Form RC-1. Cr..--0,,.,_/2,... nature Date - By signing.I verify on behalf of the Contractor that the information above is true and correct. Filing false information carries a penalty of up to a$500 tine or six months in jail. In addition,the contractor and sub-contractors can be subject to immediate disqualification and prohibited from any future City of Omaha contract for a period of 10 years. City of Omaha. The undersigned/contractor agrees that if any of the representation made regarding utilization of small and/or emerging smal business by the bidder knowing them to be false,or it there is a baihdre by the successful bidder(i.e.the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without odor approval of the Public Worts Director.such action shall constitute a material breath of the contract,entitling the City of Omaha to reject the contractor's bid or to terminate the Contract for default. The right to so terminate shall be in addition to,•'•0- in lieu of y other fights or remedies the City of Omaha may have for other(Wraiths under the Contract,under City of Omaha's Contract Compliance Ordinance or oth:, to, and: is: will be subject to the terms of any future contract awards. Signature v.} `' , Telephone Number /40, � ('1 Title V r Date of Signing er—j -Firm or Corporate Name 1 Address \t\IV �� Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: • DOUGLAS COUNTY PURCHASING DEPARTMENT 1819 FARNAM STREET 902 CIVIC CENTER OMAHA NEBR 68183 PHONE(402)444-7155 FAX(402)444-5423 September 6,2012 NOTICE TO BIDDERS: REQUEST FOR BID ON FORD BIRTHSITE WALL CAPS 3202 Woolworth Ave., Omaha, Nebraska Bid Opening Date: September 12,2012,11:00 A.M. ADDENDUM NO.1: Modifications to the original specifications and drawings,August 22,2012 per attached one(1)page. ACKNOWLEDGE RECEIPT OF THIS ADDENDUM BY SIGNING BELOW AND RETURNING THIS ADDENDUM COVER SHEET WITH YOUR BID. Eric J.Carlson,Purchasing Agent oS I otSh'v hU Ut(- Name of Fi Signe y The .. *Conn.Ego.Joiy 11,201e L:\Engineering\0112049\ADMIN\Short Form Subdivision Aksarben Village Replat 13.doc Rev. 4/30/2012 C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: __1 c__ WHEREAS, bids were received on September 12, 2012, to furnish all;labor, materials, and equipment necessary to construct the Ford Birth Site Wall Caps, 3212 Woolworth Avenue, in the total amount of $45,400.00, for the Parks, Recreation and Public Property Department; and, WHEREAS, Dostals Construction Company, Inc. submitted the lowest and best bid, within bid specifications, attached hereto and made a part hereof, in the total amount of $45,400.00; and, WHEREAS, Dostals Construction Company, Inc. has complied with the City's Contract Compliance Ordinance No. 28885 in relation to Civil Rights -Human Relations; and, WHEREAS, the Mayor has recommended the acceptance of this bid. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, the bid in the total amount of$45,400.00, from Dostals Construction Company, Inc. to furnish all labor, materials, and equipment necessary to construct the Ford Birth Site Wall Caps, 3212 Woolworth Avenue, as the lowest and best bid received within bid specifications, attached hereto and made a part hereof, is hereby accepted. The Purchasing Agent is authorized to issue a purchase order in conformance herewith. Funds in this amount shall be paid from the 2010 Parks and Recreation Bond Fund No. 13355 and Organization No. 117317, Parks and Cultures Bonds. APPROVED AS T RM: c1` ' • ' 4/2_ ASSISTANT CITY ATTORNEY DATE p:1700tmb Y ncilmember Adopted OCT 2 01 9 O /1)0.0, L Cit Clerk /445-- Approved Mayor f the Respo ible ontractor Compliance Form RC-1. Cr..--0,,.,_/2,... nature Date - By signing.I verify on behalf of the Contractor that the information above is true and correct. Filing false information carries a penalty of up to a$500 tine or six months in jail. In addition,the contractor and sub-contractors can be subject to immediate disqualification and prohibited from any future City of Omaha contract for a period of 10 years. City of Omaha. The undersigned/contractor agrees that if any of the representation made regarding utilization of small and/or emerging smal business by the bidder knowing them to be false,or it there is a baihdre by the successful bidder(i.e.the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without odor approval of the Public Worts Director.such action shall constitute a material breath of the contract,entitling the City of Omaha to reject the contractor's bid or to terminate the Contract for default. The right to so terminate shall be in addition to,•'•0- in lieu of y other fights or remedies the City of Omaha may have for other(Wraiths under the Contract,under City of Omaha's Contract Compliance Ordinance or oth:, to, and: is: will be subject to the terms of any future contract awards. Signature v.} `' , Telephone Number /40, � ('1 Title V r Date of Signing er—j -Firm or Corporate Name 1 Address \t\IV �� Title Omaha,Nebraska"in accordance wi the provisions of this proposal and tract d ments to the satisfaction the City of Omaha Parks Reese n and Public Pr rty De ent for the I p s of BASE BID: c7 � \ v ?0-) i_at K Q W‘C5 ✓ a, r" t ) 4 (3 15; !0( .1 1 Note: Refer to page 2 of 5 for Bid Bond,Completion Date&Performance Bond and page 3 of 5 for lnsurano€Requirements,Testing Allowance,Unit Prices& Alternates(if applicable). Refer any Questions regarding the Bid or Contract Documents directly to the Park Planning Division at 402,-444.5900 of as noted in the Contract Documents. Al bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file Oh the Human Relations Department the Contract Compliance Report(Form CC-1).This report shall be in effect for 24 months from the date received by the Human Relations Department.Any questions regarding the Contract Compliance Ordinance or PBEIDEB Listings should be directed to the Human Relationsel Department at 40244444.5055. (Please Print Legibly or Type) Firm t O S iA t S eoY Ni i't LT 1 Q Vl (';() lA L . Incorpor to N/ :A a , Name Signature Title V P Phone_I . jfl Fax Address 0� _l L 1, t/�V 1t'tdVlC& • StreeUP.O.Box - City nn State (owl 1,� Zip ,E-Mail Address rIr((()` I'V t'v 1U1.+ I•f.Vkl s revoked and is now in full force and effect. IN TESTIMONY WHEREOF, I have hereunto set my hand thisl4th day of September, 2012. —4.4e:_f_____eit-ig()4,er-se - MARIA t3RANGO,Assistant Secretary Page :3f 3 of" Bond.: " AD b7 � AD 0,cn yo 5 , • ao5 'o .KCD < o" B CD 2cDm • CD pZ1 r'�iy r m' 0. m r° o , o iz � .9H. ii � CD o CD 0 CD ?• v� a bC CD b70 00 t C. N n 0 o a, r, o o- Z W O �.,.. avow oa ' - 5 � cD° AD Ccc) ( Va., o G a s a ° 0o - w a . . = N. N. ° CroD :1' ,—. 0 'F' 4 0 ,.„, 8 too gn 0 0 \ -.' ,—oc. — : o00E' cD Y O cD p -' co on '.. o 8 go FA4 CD w �' � oc< DD o I e n '. k•. G 49\ADMIN\Short Form Subdivision Aksarben Village Replat 13.doc Rev. 4/30/2012