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RES 2010-1275 - PO to Deery American and Logan Contractors Supply for Crafco sealant i OMAHA•eyE. 4;o� .4.,� RECEIVED Public Works Department • (•A�`.I�vik Omaha/Douglas Qvic Center A t`ie,A r�« ^ 1819 Famam Street,Suite 601 o® , C November.2, 2010 i 0 OCT 22 FM 2 t46 Nebraska 68183 0601 /A ro (402)444 5220 o .t _ _, , Fax(402)444-5248 �*zoFEso' V, 1 '{ vE ...,i,L City of Omaha O 4\; i';C.C:I \ Mt t Robert G.Stubbe,P.E. Jim Suttle,Mayor Public Works Director Honorable President and Members of the,City Council, Transmitted herewith is a Bid Tabulation and a Resolution authorizing the Purchasing Agent to issue Purchase Orders to Deery American as primary supplier and to Logan Contractors Supply as secondary supplier on the bid for the purchase of an estimated 125,000 pounds of Crafco Sealant to be utilized by the Street Maintenance Division. The following bids were received on October 6, 2010. A detailed bid tabulation is attached. Contractor Total Bid Deery American $51,000.00 (Primary Supplier) Logan Contractors Supply $60,000.00 (Secondary Supplier) A copy of the bid documents is on file and available for inspection and review in the City Clerk's office. These contractors have a current Contract Compliance Report Form (CC-1) on file. As is City policy, the Human Rights and Relations Department will review the contractors to ensure compliance with the Contract Compliance Ordinance. The Finance Department is authorized to pay the cost of the purchase of an estimated 125,000 pounds of Crafco Sealant from the Street and Highway Allocation Fund 12131, Pavement Maintenance Organization 116158, year 2010 expenditures. The Public Works Department recommends the acceptance of the bids from Deery American and Logan Contractors Supply in the amounts of $51,000.00 and 60,000.00, respectively, and requests your consideration and approval of this Resolution. Respectfully submitted, Referred City Council for Consideration: ,' -(0 Z c oc-�2v(c� Ro ert G. Stubbe, P.E. Date May 's ffice Date Public Works Director Approved as to Funding: Approved: r' atify5,-0---- fo—/9-iO /6 Ili Pam Spaccarotella Date Human Rights and Relations Date Finance Director Department l51710scp . . • ? !I . ?? •:-..:-.: ':PO:BOX‘.1.277'9: . : -.. . -, i .i I . • • •• .1 i. . . . • ... . . . . ....•. . :.., •• • . ... • i/. • :: ..101.4A. A'i-'NE ri•68;-. -7- , 'Ai-j . y. . ''''. ::;:.•- .. i•.. ::-; •:. : . -• ? :i 1 - -- " - • ''.'t-,2.-cg,..:2-- I, ••::: ';: :-•• • - ?? 1 I 2 - - - :: .- iiiiii.iii h _ • 111 11.1..: I I ill illi i:' '''''''' •-• . '••• / I . - '' - "-i' s: III 1 :1 f• i---. .-:-.-: ,.- . " ? '1 . t. . ? . . IS DULY LICENSED TO ENGAGE IN THE ACTIVITIES A6ANDICATE0'ABOVE, IN . l? ACCOROANCE WITH CHAPTER 60, ARTICLE 14 R.R.S 1943, AS AMENDED, • li i ,i SUBjECItp.THE LIMITATIONS IMPOSED BY LAW DURING THE CALENDAR I ,I • ?- YEAR OF 2.010:• : •• .....,. • • . .. . / i' •• - • . • • , . • . . . •. -. • . , ' i 1 i • ... .. • . . . . • . . i • ..,--\*DUSTRyl%41. . ' , . . '. • . , 4 es ,,,,,,,,se0 It , . . ., ). : ........S.??4, I •••e:k tt , . • ? ' :t4. I ; 4: STATE OF ".. 10/ ... Vt•Apj • 4,1,. ,L• • • . . . 1 .1i' .• .. • • 1 ecS1 NEBRASKA; cr,c3,1 . . . . .. .. ? . .. . • • i : t ItS.eze• • 0• .. " . i . ' '''. •• 1 ' -G. ..• 4 *me 64,: :. .. .. EECUTIVE DIRECTOR 1•!' • .... . • • u() .•'• ''' '-'1, § (1 4:. •• . ' • • • • 1 . : 1 . . .':.:. '.- 11%<%. -.‘....-.: •-• • *- • : • • • . • , . • - II 1 - . . . I ;.. ...4 -• : _ . . . . . . , . • . . • 009611 • 1 I ' — - THIS LICENSE MUST BE PROMINENTLY DISPLAYED ,,,,:i.,...:::--. ...-...„.......-. 4;4,4„.::„...•,,ir.,-,..)-...;:4,.-..-.---::-.;,„-,-..,:;......,,:,..,.....„;..-.,,,,,,,..4-,,...,.......,;•....:,,?0:::•;:7:4:.•;,-,•=4..-,-;;,,,,,,:,,,,,,,,,,,,,.. .-÷,r.;-.i.i.':”.. • , . : I •• 1O 10 -- O y 7 .n N� 1p M O 1p 7 N O 00 10 M Cr," 1 7• N -- N W -0 (U F •` ,C vl N v, V7 V1 V1 V) 7 7 7 V• . en en en en N N N CO 0 a W EA. . 69 4` N ,Ina.+ N . U E"y "d ct O w 0) 0 0 03 'O g N O N co C O O WO M 4 .f.to NR bD L ▪ G. p N H co C 0 0 -- N en 7 v, 1O N� 00 01 O N en v, 10 N 00 01 CD -- U y 0• Os,+..0*- L N N N N N N N N N N Men • C 0 7 Nu I. 0 E o 0 0 0 0 00 0 o O o 0 0 0 00 0 0 0 0 0 0 [� ... 0 o W V N N N N N •N N N N N N N N N N N N N N N N N 0 a y en W 0 F ' N 0A M A 3 --N CO 4 - F- w a_ i w a. I- w z2 m a I-- w . • • U Z E Ma 3 o w ° v o 4 s , O 11� Z U w^ o ~r W ' r = a. 4 , �, c 11)- -Jiff a E a c3 CQ C Q• Ai m t _ 0 7. IL i 0 N u1i o >4 V Z Q II • • C Z 7.5 NU N• a Otu as U o • y m O in RS LL 2 0 =▪ ZW CO L s. O O 0 .2 o 0 U 3- C y O U m d $ C O TS 0 a I- a lized by the Street Maintenance Division. The following bids were received on October 6, 2010. A detailed bid tabulation is attached. Contractor Total Bid Deery American $51,000.00 (Primary Supplier) Logan Contractors Supply $60,000.00 (Secondary Supplier) A copy of the bid documents is on file and available for inspection and review in the City Clerk's office. These contractors have a current Contract Compliance Report Form (CC-1) on file. As is City policy, the Human Rights and Relations Department will review the contractors to ensure compliance with the Contract Compliance Ordinance. The Finance Department is authorized to pay the cost of the purchase of an estimated 125,000 pounds of Crafco Sealant from the Street and Highway Allocation Fund 12131, Pavement Maintenance Organization 116158, year 2010 expenditures. The Public Works Department recommends the acceptance of the bids from Deery American and Logan Contractors Supply in the amounts of $51,000.00 and 60,000.00, respectively, and requests your consideration and approval of this Resolution. Respectfully submitted, Referred City Council for Consideration: ,' -(0 Z c oc-�2v(c� Ro ert G. Stubbe, P.E. Date May 's ffice Date Public Works Director Approved as to Funding: Approved: r' atify5,-0---- fo—/9-iO /6 Ili Pam Spaccarotella Date Human Rights and Relations Date Finance Director Department l51710scp . . • ? !I . ?? •:-..:-.: ':PO:BOX‘.1.277'9: . : -.. . -, i .i I . • • •• .1 i. . . . • ... . . . . ....•. . :.., •• • . ... • i/. • :: ..101.4A. A'i-'NE ri•68;-. -7- , 'Ai-j . y. . ''''. ::;:.•- .. i•.. ::-; •:. : . -• ? :i 1 - -- " - • ''.'t-,2.-cg,..:2-- I, ••::: ';: :-•• • - ?? 1 I 2 - - - :: .- iiiiii.iii h _ • 111 11.1..: I I ill illi i:' '''''''' •-• . '••• / I . - '' - "-i' s: III 1 :1 f• i---. .-:-.-: ,.- . " ? '1 . t. . ? . . IS DULY LICENSED TO ENGAGE IN THE ACTIVITIES A6ANDICATE0'ABOVE, IN . l? ACCOROANCE WITH CHAPTER 60, ARTICLE 14 R.R.S 1943, AS AMENDED, • li i ,i SUBjECItp.THE LIMITATIONS IMPOSED BY LAW DURING THE CALENDAR I ,I • ?- YEAR OF 2.010:• : •• .....,. • • . .. . / i' •• - • . • • , . • . . . •. -. • . , ' i 1 i • ... .. • . . . . • . . i • ..,--\*DUSTRyl%41. . ' , . . '. • . , 4 es ,,,,,,,,se0 It , . . ., ). : ........S.??4, I •••e:k tt , . • ? ' :t4. I ; 4: STATE OF ".. 10/ ... Vt•Apj • 4,1,. ,L• • • . . . 1 .1i' .• .. • • 1 ecS1 NEBRASKA; cr,c3,1 . . . . .. .. ? . .. . • • i : t ItS.eze• • 0• .. " . i . ' '''. •• 1 ' -G. ..• 4 *me 64,: :. .. .. EECUTIVE DIRECTOR 1•!' • .... . • • u() .•'• ''' '-'1, § (1 4:. •• . ' • • • • 1 . : 1 . . .':.:. '.- 11%<%. -.‘....-.: •-• • *- • : • • • . • , . • - II 1 - . . . I ;.. ...4 -• : _ . . . . . . , . • . . • 009611 • 1 I ' — - THIS LICENSE MUST BE PROMINENTLY DISPLAYED ,,,,:i.,...:::--. ...-...„.......-. 4;4,4„.::„...•,,ir.,-,..)-...;:4,.-..-.---::-.;,„-,-..,:;......,,:,..,.....„;..-.,,,,,,,..4-,,...,.......,;•....:,,?0:::•;:7:4:.•;,-,•=4..-,-;;,,,,,,:,,,,,,,,,,,,,.. .-÷,r.;-.i.i.':”.. • , . : I •• 1O 10 -- O y 7 .n N� 1p M O 1p 7 N O 00 10 M Cr," 1 7• N -- N W -0 (U F •` ,C vl N v, V7 V1 V1 V) 7 7 7 V• . en en en en N N N CO 0 a W EA. . 69 4` N ,Ina.+ N . U E"y "d ct O w 0) 0 0 03 'O g N O N co C O O WO M 4 .f.to NR bD L ▪ G. p N H co C 0 0 -- N en 7 v, 1O N� 00 01 O N en v, 10 N 00 01 CD -- U y 0• Os,+..0*- L N N N N N N N N N N Men • C 0 7 Nu I. 0 E o 0 0 0 0 00 0 o O o 0 0 0 00 0 0 0 0 0 0 [� ... 0 o W V N N N N N •N N N N N N N N N N N N N N N N N 0 a y en W 0 F ' N 0A M A 3 --N CO 4 J.T.L. DOUGLAS COUNTY REQUEST FOR BID AND BID SHEET ON: CITY OF OMAHA CRAFCO SEALANT (ASPHALT) FROM: P.M.Burke Published: September 22,2010 Page 1 Asst.Douglas County Purchasing Agent 902 Omaha-Douglas Civic Center BID BOND OR CERTIFIED CHECK REQUIRED IN THE AMOUNT$1,000.00 1819 Farnam Street BID BOND OR CERTIFIED CHECK SHALL BE MADE PAYABLE TO Omaha,Nebraska 68183-0902 "CITY OF OMAHA" NOT AN ORDER Bid Closing Time&Date: 11:00 A.M.on Wednesday,October 06,2010 IMPORTANT 1. Bid must be in the office of the CITY CLERK,LC-1,OMAHA-DOUGLAS CIVIC CENTER, 4. If Federal Excise Tax applies,show amount of same and deduct. • 1819 Farnam Street,Omaha,NE 68183-0011 by the closing date and time indicated Exemption certificates will be furnished. Do not include tax in bid. in a sealed envelope marked: BID ON:CITY OF OMAHA CRAFCO SEALANT(ASPHALT) 5. BID MUST INCLUDE ANY DELIVERY OR SHIPPING CHARGES. 2. As evidence of good faith a bid bond or certified check must be submitted with bid. 6. When submitting bid on items listed,bidder may on a separate sheet,make Bid bond or certified check shall be made payable to"City of Omaha" suggestions covering reduction in costs wherever this is possible through FAILURE TO DO SO IS CAUSE FOR REJECTION. redesign,'change of material or utilization of standard items or quantity change. 3. Right is reserved to accept or reject any or all bids in their entirety and the bidders shall 7. If you do not bid,return sheets with reason for declining. Failure to do so will indicate have the right to appeal any decision to the City Council. Right is also reserved to your desire to be removed from our mailing list.TABULATION SHEETS FOR THE BIDS accept or reject any part of your bid unless otherwise indicated by you. SUBMITTED ARE AVAILABLE ON THE DOUGLAS COUNTY WEBSITE AT www.douglascountypurchasino.orq. DO NOT CALL FOR THIS INFORMATION. Quote your lowest price,best delivery and terms,F.O.B.delivery point on the item(s)listed below: QUANTITY DESCRIPTION UNIT PRICE EXTENSION Price agreement for a period of 12 months for Crafco Sealant#516 or equal per following specifications. The recommended specifications limits for sealant when heated in accordance with ASTM D5078 to the safe heating temperature are as follows: Cone Penetration 77F (ASTM 50-80 Resilience (ASTM D5329) 30% Minimum Softening Point (ASTM D36) 170 F (77C) Minimum Ductility 77F (25C) (ASTM D113) 30 cm Minimum Flexibiltiy (Crafco Procedure). Pass at OF (-18C) Asphalt Compatibility (ASTM Pass Bitumen Content (ASTM D4) 60% Minimum Tensile Adhesion (ASTM D5329) 500% Minimum Safe Heating Temperature 400F (204C) Recommended Pour Temperature 380F (193C) Questions regarding this bid should be directed to: Fred Thole at (402)444-4940 All bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& 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 Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any Questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: Incorporated In: Delivery(or completion) Name: Signature: calendar days following award Title: Phone: Fax: Address: Street/P.O.Box City State Zip Email Address: ,,,,,,,se0 It , . . ., ). : ........S.??4, I •••e:k tt , . • ? ' :t4. I ; 4: STATE OF ".. 10/ ... Vt•Apj • 4,1,. ,L• • • . . . 1 .1i' .• .. • • 1 ecS1 NEBRASKA; cr,c3,1 . . . . .. .. ? . .. . • • i : t ItS.eze• • 0• .. " . i . ' '''. •• 1 ' -G. ..• 4 *me 64,: :. .. .. EECUTIVE DIRECTOR 1•!' • .... . • • u() .•'• ''' '-'1, § (1 4:. •• . ' • • • • 1 . : 1 . . .':.:. '.- 11%<%. -.‘....-.: •-• • *- • : • • • . • , . • - II 1 - . . . I ;.. ...4 -• : _ . . . . . . , . • . . • 009611 • 1 I ' — - THIS LICENSE MUST BE PROMINENTLY DISPLAYED ,,,,:i.,...:::--. ...-...„.......-. 4;4,4„.::„...•,,ir.,-,..)-...;:4,.-..-.---::-.;,„-,-..,:;......,,:,..,.....„;..-.,,,,,,,..4-,,...,.......,;•....:,,?0:::•;:7:4:.•;,-,•=4..-,-;;,,,,,,:,,,,,,,,,,,,,.. .-÷,r.;-.i.i.':”.. • , . : I •• 1O 10 -- O y 7 .n N� 1p M O 1p 7 N O 00 10 M Cr," 1 7• N -- N W -0 (U F •` ,C vl N v, V7 V1 V1 V) 7 7 7 V• . en en en en N N N CO 0 a W EA. . 69 4` N ,Ina.+ N . U E"y "d ct O w 0) 0 0 03 'O g N O N co C O O WO M 4 .f.to NR bD L ▪ G. p N H co C 0 0 -- N en 7 v, 1O N� 00 01 O N en v, 10 N 00 01 CD -- U y 0• Os,+..0*- L N N N N N N N N N N Men • C 0 7 Nu I. 0 E o 0 0 0 0 00 0 o O o 0 0 0 00 0 0 0 0 0 0 [� ... 0 o W V N N N N N •N N N N N N N N N N N N N N N N N 0 a y en W 0 F ' N 0A M A 3 --N CO 4 DOUGLAS COUNTY REQUEST FOR BID ON: CITY OF OMAHA CRAFCO SEALANT (ASPHALT) NOT AN ORDER Page 2 QUANTITY DESCRIPTION UNIT PRICE EXTENSION Estimated 125,000 Crafco Sealant#516 or equal, per specifications BID/pound: $ $ Material shall be delivered as needed and requested by Street Maintenance personnel. Packaging is to be boxed at 40 pounds each. Street Maintenance personnel will request delivery palletized, 72 boxes of six layers, 12 boxes per layer. An open order will be issued for one (1) year. SIGN ALL COPIES Firm By Title CONTINUATION SHEET n IN..) cD o '0F n Cr �O P 0 CD kC O . P CDx ti '„ lam ! f 1- - ';' ;:c-i' n nth, • DOUGLAS COUNTY REQUEST FOR BID ON: CITY OF OMAHA CRAFCO SEALANT (ASPHALT) NOT AN ORDER Page 2 DESCRIPTION REQUIREMENTS FOR BID BOND The surety company issuing the bid bond or the performance bond should be licensed by the State of Nebraska and listed on the current edition of Circular 570 of the United States Department of the Treasury. A certified check, an official bank check, or cashiers check drawn on a national bank or a bank chartered under the laws of the state, payable to the city, or lawful money of the United States, or a United States Governement Bond (negotiable)are acceptable substitutes for bond requirements. You are hereby on notice that as of October 1, 2009, Contractors are required to use E-Verify to determine work eligibility of new employees who are physically performing services within the State of Nebraska. If you have any questions go to the Department of Administrative Services website at www.das.state.ne.us New Employee Work Eligibility Status(Neb. Rev. Stat. §4-108-114) The Contractor is required and hereby agrees to use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within Douglas County. A federal immigration verification system means the electronic verification of the work authorization program authorized by the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, 8 U.S.C. 1324a, known as the E-Verify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: 1. The Contractor must complete the United States Citizenship Attestation Form, available on the Department of Administrative Services website at www.das.state.ne.us. 2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the US Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements (SAVE) Program. 3. The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. §4-108. SIGN ALL COPIES Firm By Title CONTINUATION SHEET Flexibiltiy (Crafco Procedure). Pass at OF (-18C) Asphalt Compatibility (ASTM Pass Bitumen Content (ASTM D4) 60% Minimum Tensile Adhesion (ASTM D5329) 500% Minimum Safe Heating Temperature 400F (204C) Recommended Pour Temperature 380F (193C) Questions regarding this bid should be directed to: Fred Thole at (402)444-4940 All bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& 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 Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any Questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: Incorporated In: Delivery(or completion) Name: Signature: calendar days following award Title: Phone: Fax: Address: Street/P.O.Box City State Zip Email Address: ,,,,,,,se0 It , . . ., ). : ........S.??4, I •••e:k tt , . • ? ' :t4. I ; 4: STATE OF ".. 10/ ... Vt•Apj • 4,1,. ,L• • • . . . 1 .1i' .• .. • • 1 ecS1 NEBRASKA; cr,c3,1 . . . . .. .. ? . .. . • • i : t ItS.eze• • 0• .. " . i . ' '''. •• 1 ' -G. ..• 4 *me 64,: :. .. .. EECUTIVE DIRECTOR 1•!' • .... . • • u() .•'• ''' '-'1, § (1 4:. •• . ' • • • • 1 . : 1 . . .':.:. '.- 11%<%. -.‘....-.: •-• • *- • : • • • . • , . • - II 1 - . . . I ;.. ...4 -• : _ . . . . . . , . • . . • 009611 • 1 I ' — - THIS LICENSE MUST BE PROMINENTLY DISPLAYED ,,,,:i.,...:::--. ...-...„.......-. 4;4,4„.::„...•,,ir.,-,..)-...;:4,.-..-.---::-.;,„-,-..,:;......,,:,..,.....„;..-.,,,,,,,..4-,,...,.......,;•....:,,?0:::•;:7:4:.•;,-,•=4..-,-;;,,,,,,:,,,,,,,,,,,,,.. .-÷,r.;-.i.i.':”.. • , . : I •• 1O 10 -- O y 7 .n N� 1p M O 1p 7 N O 00 10 M Cr," 1 7• N -- N W -0 (U F •` ,C vl N v, V7 V1 V1 V) 7 7 7 V• . en en en en N N N CO 0 a W EA. . 69 4` N ,Ina.+ N . U E"y "d ct O w 0) 0 0 03 'O g N O N co C O O WO M 4 .f.to NR bD L ▪ G. p N H co C 0 0 -- N en 7 v, 1O N� 00 01 O N en v, 10 N 00 01 CD -- U y 0• Os,+..0*- L N N N N N N N N N N Men • C 0 7 Nu I. 0 E o 0 0 0 0 00 0 o O o 0 0 0 00 0 0 0 0 0 0 [� ... 0 o W V N N N N N •N N N N N N N N N N N N N N N N N 0 a y en W 0 F ' N 0A M A 3 --N CO 4 C-25A CITY OF OMAHA LEGISLATIVE CHAMBER Omaha,Nebraska RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: WHEREAS, bids were received on October 6, 2010 for the purchase of an estimated 125,000 pounds of Crafco Sealant to be utilized by the Street Maintenance Division; and, WHEREAS, Deery American submitted a bid of $51,000.00 and Logan Contractors Supply submitted a bid of$60,000.00 for the purchase of an estimated 125,000 pounds of Crafco Sealant. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA: THAT, as recommended by the Mayor, the Purchasing Agent be authorized to issue Purchase Orders to Deery American in the amount of $51,000.00 as primary supplier and to Logan Contractors Supply in the amount of$60,000.00 as secondary supplier for the purchase of an estimated 125,000 pounds of Crafco Sealant to be utilized by the Street Maintenance Division; and, that the Finance Department is authorized to pay this cost from the Street and Highway Allocation Fund 12131, Pavement Maintenance Organization 116158, year 2010 expenditures. 151810scp APPROVED AS TO FORM: 7-7 .,CITY ATTORNEY DATE may . t /. ,- � ,:. w By - _. G' , Councilmember Ado ted `: 2 NOV 2U,IU - 7%'"� P = City Cler 11 Approv _..- :�? AC NG yor ify Program, or an equivalent federal program designated by the United States Department of Homeland Security or other federal agency authorized to verify the work eligibility status of a newly hired employee. If the Contractor is an individual or sole proprietorship, the following applies: 1. The Contractor must complete the United States Citizenship Attestation Form, available on the Department of Administrative Services website at www.das.state.ne.us. 2. If the Contractor indicates on such attestation form that he or she is a qualified alien, the Contractor agrees to provide the US Citizenship and Immigration Services documentation required to verify the Contractor's lawful presence in the United States using the Systematic Alien Verification for Entitlements (SAVE) Program. 3. The Contractor understands and agrees that lawful presence in the United States is required and the Contractor may be disqualified or the contract terminated if such lawful presence cannot be verified as required by Neb. Rev. Stat. §4-108. SIGN ALL COPIES Firm By Title CONTINUATION SHEET Flexibiltiy (Crafco Procedure). Pass at OF (-18C) Asphalt Compatibility (ASTM Pass Bitumen Content (ASTM D4) 60% Minimum Tensile Adhesion (ASTM D5329) 500% Minimum Safe Heating Temperature 400F (204C) Recommended Pour Temperature 380F (193C) Questions regarding this bid should be directed to: Fred Thole at (402)444-4940 All bidders awarded a contract in the amount of$5,000 or more must comply with the Contract Compliance Ordinance and have on file with the Human Rights& 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 Rights& Relations Department. Any questions regarding the Contract Compliance Ordinance should be directed to the Human Rights&Relations Department at(402)444- 5055. 'Refer any Questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-7155 or as shown on bid. (PLEASE PRINT LEGIBLY OR TYPE) Payment Terms % Firm: Incorporated In: Delivery(or completion) Name: Signature: calendar days following award Title: Phone: Fax: Address: Street/P.O.Box City State Zip Email Address: ,,,,,,,se0 It , . . ., ). : ........S.??4, I •••e:k tt , . • ? ' :t4. I ; 4: STATE OF ".. 10/ ... Vt•Apj • 4,1,. ,L• • • . . . 1 .1i' .• .. • • 1 ecS1 NEBRASKA; cr,c3,1 . . . . .. .. ? . .. . • • i : t ItS.eze• • 0• .. " . i . ' '''. •• 1 ' -G. ..• 4 *me 64,: :. .. .. EECUTIVE DIRECTOR 1•!' • .... . • • u() .•'• ''' '-'1, § (1 4:. •• . ' • • • • 1 . : 1 . . .':.:. '.- 11%<%. -.‘....-.: •-• • *- • : • • • . • , . • - II 1 - . . . 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