RES 2007-0901 - PO to CYC Construction Inc for new playground at Miller Park Playground •
,(#''r•(q9 'yam.. } \,,(j F- fr•1
eQ 4'4.�,� Parks, Recreation&
�.� `� 's� Public Property Department
iar7:°w►r�' • 07 Ji:. • I F' . 1 ' . �.,+ •
WT:te,(1P t Omaha/Douglas Civic Center
� 4.ti*:rt'ee�,e '= m•
1819 Faam Street,Suite 701
w- CITY 0 L ,,A Omaha,Nebraska 68183-0701
4r'D FE805 ^V1 I ,.ELS �_ (402)444-5900
OMf•1HA, hRASKA FAX(402)444-4921
City of Omaha
24 2007 • Steven Scarpello
Mike Fahey,Mayor July r � Director
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 CYC Construction, Inc., to furnish all labor, materials and
equipment necessary for the construction of a new playground and related site improvements for
Miller Park Playground, 2707 Redick Avenue, Omaha, Nebraska, for the Parks, Recreation and •
Public Property Department. This work.shall include but not be limited to the grading of the site,
installation of new concrete pavement, providing and installation of new play equipment, and
seeding.
The following bids were received on June 27, 2007:
VENDOR BID
CYC CONSTRUCTION, INC. $126,141.18
ALTERNATE NO. 1-NEW PICNIC TABLES $ 2,722.11
ALTERNATE NO. 2-NEW BENCHES $ . 1,641.27
ALTERNATE NO. 3-NEW TRASH RECEPTACLES $ 964.14 •
TOTAL $131,468.70
LawnSmith&Co.,Inc. $133,572:00
Alternate No. 1-New Picnic Tables $ 3,280.00 •
• Alternate No. 2-New Benches $ 1,662.00
Alternate No. 3-New Trash Receptacles $ 1,132.00
Total $139,646.00
Midwest Paving $135,422.60
Alternate No. 1-New Picnic Tables $ 2,822.56 •
Alternate No. 2-New Benches $ 1,626.04 •
• Alternate No. 3-New Trash.Receptacles $ 1.,0111.26
Total $140,882.66
Dostals Construction $138,030.00
Alternate No. 1-New Picnic Tables $ 2,741.00
Alternate No. 2-New Benches $ 1,516.00 •
Alternate No. 3-New Trash Receptacles $ . 860.00
Total $143,147:00
•
Honorable President
and Members of the City Council
Page 2
Silver Ridge Construction $143,573.00
Alternate No. 1-New Picnic Tables $ 8,604.00
Alternate No. 2-New Benches $ 5,126.40
Alternate No. 3-New Trash Receptacles $ 2,164.80
Total $159,468.20
The Finance Department is authorized to pay the cost of this project in the total amount of
$131,468.70 from 2000 Parks & Recreation Bond Fund No. 13352, Organization No. 131621
Recreation and Culture Bond, and Activity/Project No. 0186, Miller Park — Neighborhood Park
Rehabilitation.
The Scott Foundation will reimburse the City of Omaha $50,000.00 and Miller Park/Minne Lusa
Neighborhood Association will reimburse the City of Omaha$5,327.52 of this project amount.
The contractor has on file a current Annual Contract Compliance Report Foiiii (CC-1). As is City
policy,the Human Relations Director will review the contractor to ensure compliance.
The Parks, Recreation and Public Property Department recommends the acceptance of the bid from
CYC Construction, Inc. being the lowest and best bid received, and requests your consideration and
approval of this Resolution.
Respectfully submitted, Approved:
jo -7 7 6 67
Steven Scarpello,D. ector Date Gail Kinsey horn n Date
Parks,Recreation and Human Rights and Relations Director
Public Property Department
Approved as to Funding: Referred to City Council for Consideration:
- 0
Carol A. Ebdon /roil Date ayor's Office Date
Finance Director 4-Yb
P:\PRPP\17450ma£doc
72:00
Alternate No. 1-New Picnic Tables $ 3,280.00 •
• Alternate No. 2-New Benches $ 1,662.00
Alternate No. 3-New Trash Receptacles $ 1,132.00
Total $139,646.00
Midwest Paving $135,422.60
Alternate No. 1-New Picnic Tables $ 2,822.56 •
Alternate No. 2-New Benches $ 1,626.04 •
• Alternate No. 3-New Trash.Receptacles $ 1.,0111.26
Total $140,882.66
Dostals Construction $138,030.00
Alternate No. 1-New Picnic Tables $ 2,741.00
Alternate No. 2-New Benches $ 1,516.00 •
Alternate No. 3-New Trash Receptacles $ . 860.00
Total $143,147:00
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ks,Recreation and Human Rights and Relations Director
Public Property Department
Approved as to Funding: Referred to City Council for Consideration:
- 0
Carol A. Ebdon /roil Date ayor's Office Date
Finance Director 4-Yb
P:\PRPP\17450ma£doc
72:00
Alternate No. 1-New Picnic Tables $ 3,280.00 •
• Alternate No. 2-New Benches $ 1,662.00
Alternate No. 3-New Trash Receptacles $ 1,132.00
Total $139,646.00
Midwest Paving $135,422.60
Alternate No. 1-New Picnic Tables $ 2,822.56 •
Alternate No. 2-New Benches $ 1,626.04 •
• Alternate No. 3-New Trash.Receptacles $ 1.,0111.26
Total $140,882.66
Dostals Construction $138,030.00
Alternate No. 1-New Picnic Tables $ 2,741.00
Alternate No. 2-New Benches $ 1,516.00 •
Alternate No. 3-New Trash Receptacles $ . 860.00
Total $143,147:00
Blue aid Form(Fev.06-2006)
Proje`1s,$2O,t 00 and Over
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
=ROM: P.M. Burke Published: 6 June 2007
Asst. Douglas County Purchasing Agent
902 Omaha-Douglas Civic Center NOT AN ORDER Page 1 of 7 Pages
1819 Farnam Street
Omaha, Nebraska 68183-0902
BID BOND OR CERTIFIED CHECK REQUIRED IN THE
AMOUNT OF 5% IF THE TOTAL AMOUNT
FOR THE ITEMS OFFERED IS $20,000 OR MORE
Bid Closing Date:
11:00 A.M. 27 June 2007
MPORTANT
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 closing date and time 6.When submitting bid on items listed,bidder may on a separate sheet,make suggestions
indicated,in sealed envelope marked BID ON:MILLER PARK PLAYGROUND. covering reduction in costs wherever this is possible through redesign,change.of material
As evidence of good faith a bid bond or certified check must be submitted with bid. or utilization of standard items or quantity change.
FAILURE TO DO SO IS CAUSE FOR REJECTION 7. If you do not desire to bid,return sheets with reasons for declining. Failure to do so will
3.Right is reserved to accept or reject any or all bids in their entirety and the bidders shall indicate your desire to be removed from our mailing list. If you desire a copy of tabulation
have the right to appeal any decision to the City Council. Right is also reserved to accept check( ].
or reject any part of your bid unless otherwise indicated by you. PLEASE DO NOT CALL FOR THIS INFORMATION.
I.If Federal Excise Tax applies,show amount of same and deduct. Exemption certificates
will 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)listed 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)
he specifications and drawings prepared by the Park Planning Division, Omaha Parks, Recreation & Public Property Dept. for the Miller Park Playground
and that the bidder has made all the examinations and investigations required by said documents.
3IDDER ACKNOWLEDGES RECEIPT OF ADDENDA NO , ,THROUGH r,
t 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
xoceed 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
'ark 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.
Jn the foregoing, understand that the bidder hereby offers and proposes tb furnish all labor, all materials and all else whatsoever necessary to construct and
properly finish all the work in connection with"Miller Park Playground,2707 Redick Avenue, Omaha, Nebraska" in accordance with the provisions of this
proposal and contract documents to the
satisfaction of the City of Omaha Parks,
Recreation and Public Property Department for
the lump sum of:
3ASE BID: 0..A-.
tyht. 1Q>
Vote Refer age 2 of 7 for Alternates&Completion Date, page3 of 7 for Testing Allowance and page 4 7 for Unit Prices. Contractor must complete forms
'Exhibit A",page 5 of 6 and"Exhibit B",page 6 of 6 and submit them with their bid. Refer any questions regarding the Bid or Contract Documents directly to the
'ark Planning Division at 402-444-5900 or as noted in the Contract Documents.
MI Contractors can obtain a current City of Omaha "Certified Protected Business Enterprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
6iuc Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 2 of 7 Pages
The bidder hereby states that the above total cost to the City of Omaha includes all 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 "MILLER PARK PLAYGROUND" Dated 5 June 2007 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 sec:et
understanding with anyone with respect to any provisions contained in this proposal.
ALTERNATES:
On the foregoing, understand that the bidder hereby offers and proposes to furnish all labor, all materials and all else whatsoever necessary to
construct and properly finish all the work in connection with each add alternate for the "Koch Tennis Center Shelter, 12440 West Maple Road,
Omaha, Nebraska" in accordance with the provisions of this proposal and contract documents to the satisfaction of the City of Omaha Parks,
Recreation and Public Property Department:
ADD ALTERNATE/NO.1: Provide and install� three(3)6'long,direct burial picnic tables for the lump sum of.
(f�s :—u 1 c�L� �a�:4-��.---tk--tX e �.0 -� ! t t t1 00 (s 2 a 12, ‘k )
ADD ALTERNATE NO.2: Provide and install three(3)6'long,direct burial benches for the lump sum of.
Z. t
ADD ALTERNATE NO.3: Provide and install two(2)surface mounted trash receptacles with lids for the lump sum of.
, - • _,,Q,T« (L..,0 ,S_ `` t C ($ ck,`i, i L(
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 construction will be completed on or before 15 November 2007.
SIGN ALL COPIES Firm C`(C., L
By 1
Title -Q.c;0r:
that it is the intention of the
'ark 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.
Jn the foregoing, understand that the bidder hereby offers and proposes tb furnish all labor, all materials and all else whatsoever necessary to construct and
properly finish all the work in connection with"Miller Park Playground,2707 Redick Avenue, Omaha, Nebraska" in accordance with the provisions of this
proposal and contract documents to the
satisfaction of the City of Omaha Parks,
Recreation and Public Property Department for
the lump sum of:
3ASE BID: 0..A-.
tyht. 1Q>
Vote Refer age 2 of 7 for Alternates&Completion Date, page3 of 7 for Testing Allowance and page 4 7 for Unit Prices. Contractor must complete forms
'Exhibit A",page 5 of 6 and"Exhibit B",page 6 of 6 and submit them with their bid. Refer any questions regarding the Bid or Contract Documents directly to the
'ark Planning Division at 402-444-5900 or as noted in the Contract Documents.
MI Contractors can obtain a current City of Omaha "Certified Protected Business Enterprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
Blue'Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 3 of 7 Pages
BID BOND:
In accordance with the requirements for bidding and instructions to bidders,there is deposited herewith a bid bond or a certified check payable to the
order of the City of Omaha,in the sum of: G/0
($ ), 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 listed on
the current edition of Circular 570 of the United States Dept.of the Treasury.
PERFORMANCE BOND:
Refer to Specification Section 00200, "Instructions To Bidders", Part 2.10, "Bond Submission" and Section 00400, "Performance, Payment
Maintenance Bond"requirements.
INSURANCE REQUIREMENTS:
Refer to Specification Section 00500, "General Conditions of the Contract for Construction", Part 2.15, "Contractor's Insurance" for insurance
requirements.
TESTING ALLOWANCE:
Contractor shall include as part of his base bid an allowance of seven hundred fifty dollars ($750.00) for testing services during the course of the
project. Refer to Specification Section 01210, "Allowances"for additional information.
1
SIGN ALL COPIES Firm C 0 :,,)
By
Title �02ES r
:
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 construction will be completed on or before 15 November 2007.
SIGN ALL COPIES Firm C`(C., L
By 1
Title -Q.c;0r:
that it is the intention of the
'ark 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.
Jn the foregoing, understand that the bidder hereby offers and proposes tb furnish all labor, all materials and all else whatsoever necessary to construct and
properly finish all the work in connection with"Miller Park Playground,2707 Redick Avenue, Omaha, Nebraska" in accordance with the provisions of this
proposal and contract documents to the
satisfaction of the City of Omaha Parks,
Recreation and Public Property Department for
the lump sum of:
3ASE BID: 0..A-.
tyht. 1Q>
Vote Refer age 2 of 7 for Alternates&Completion Date, page3 of 7 for Testing Allowance and page 4 7 for Unit Prices. Contractor must complete forms
'Exhibit A",page 5 of 6 and"Exhibit B",page 6 of 6 and submit them with their bid. Refer any questions regarding the Bid or Contract Documents directly to the
'ark Planning Division at 402-444-5900 or as noted in the Contract Documents.
MI Contractors can obtain a current City of Omaha "Certified Protected Business Enterprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
Blue Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 4 of 7 Pages
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 detaii(s)on the Contract Drawings and�..
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. 5-1/2" Fiber-Reinforced Concrete Walk Pavement-Section 02527 $ '6 /S.F.
2. Playground Monolithic Concrete Curbing -Section 02527 $ lb. - Z /L.F.
3. Concrete Playground Curb-Section 02527 $ 1'[• 31
4. 2-1/2"Thick Resilient Surfacing with Concrete Base-Section 02795 $ . y Z- /S.F.
5. 4"Thick Resilient Surfacing with Concrete Base- Section 02795 $ l 5. b /S.F.
6. Sand Play Surfacing (Sand Only)-Section 02791 $ "Z Z. IC.Y.
7. 6' Long Direct Burial Bench- Section 02568 $ 1i:,1, i?:. /EA.
8. 6' Long, Direct-Burial Picnic Table-Section 02569 $ 0 14, ckta /EA.
9. 23 Gallon, Surface Mounted Trash Receptacle- Section 02570 $ '- i 1 v /EA.
10. 4" PPT- Section 02720 $ ti, o`\ IL.F.
11. 4" Dia. PVC Pipe-Section 02720 $ 3 2- LAC' /L.F.
12. Seeding (only)- Section 02936 $ . 9 /S.F.
13. Hydromulching (only) - Section 02936 $ , /S.F.
CITY PBE/DBE GOAL:
The City of Omaha shall set specific goals for all contracts over$200,000 to assist it in meeting its overall PBE/DBE goals set forth
above. The City of Omaha has established a PBE/DBE goal of ZERO PERCENT (0%)of the dollar amount of the bid (Bid Total) for
this contract(if said contract is anticipated to be over$200,000). Bidders shall make every good faith effort to meet said goal.
SIGN ALL COPIES Firm CYC ter:, (;.1/4)c•l co J
By_ 1
Title
m C`(C., L
By 1
Title -Q.c;0r:
that it is the intention of the
'ark 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.
Jn the foregoing, understand that the bidder hereby offers and proposes tb furnish all labor, all materials and all else whatsoever necessary to construct and
properly finish all the work in connection with"Miller Park Playground,2707 Redick Avenue, Omaha, Nebraska" in accordance with the provisions of this
proposal and contract documents to the
satisfaction of the City of Omaha Parks,
Recreation and Public Property Department for
the lump sum of:
3ASE BID: 0..A-.
tyht. 1Q>
Vote Refer age 2 of 7 for Alternates&Completion Date, page3 of 7 for Testing Allowance and page 4 7 for Unit Prices. Contractor must complete forms
'Exhibit A",page 5 of 6 and"Exhibit B",page 6 of 6 and submit them with their bid. Refer any questions regarding the Bid or Contract Documents directly to the
'ark Planning Division at 402-444-5900 or as noted in the Contract Documents.
MI Contractors can obtain a current City of Omaha "Certified Protected Business Enterprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
blue Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGL4S COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 5 of 7 Pages
PROTECTED AND DISADVANTAGED BUSINESS ENTERPRISE PROGRAMS:
Who Qualifies as a Protected/Disadvantaged Business Enterprise?
The term"Protected Business Enterprises"(PBE) is defined to be a business at least 51 percent of which is owned,controlled,and actively managed
by protected class members(Black,Hispanic,Asian,or Pacific Islander,American Indian or Alaskan Native or Female).
The term "Disadvantaged Business Enterprise" (DBE) is defined to be a small business that has been in existence for at least one year and has
annual gross receipts of$150,000 or less.A DEE may include, but not limited to a business owned by a Protected class, but such business must
meet two or other conditions set forth in the City of Omaha Contract Compliance Ordinance, Section 10-191,
M (1)through(5).
What are the benefits of becoming certified as a PBEIDBE?
Certification as a PBE or DBE provides greater exposure for work opportunities on City of Omaha projects. The names of all certified PBE/DBE'S
appear in the PBE/DBE directory, which is disseminated to local government agencies, contractors and to the public. City of Omaha contractors will
use the PBE/DBE directory as a basic resource for soliciting Minority/Women/Small Business participation on City of Omaha Projects. The City of
Omaha shall make every good-faith effort to award City contracts and City-assisted construction contracts to Disadvantaged Business Enterprises in
amounts no less than 10% of the dollar volume of the applicable contracts awarded by the city. Other benefits include the authority, (but not a
requirement), of the City Council to award a contract to a DBE that is not the lowest bidder. A contract or subcontract can be awarded to a DBE if
determined by the City to be an acceptable cost higher than a competing lower bid except for specially assessed Projects. A DBE company may be
awarded the contract over the lowest bidder as long as the cost differential does not exceed 3%.
If your business is not certified with the City of Omaha and you are interested in becoming certified as a Protected andlor Disadvantaged
Business Enterprise please contact the Human Relations Department at 402-444-5055. The PBEIDBE applications, Contract Compliance
Report Form CC-1 and a current PBEIDBE City of Omaha certified directory are located on the City of Omaha website,www.ci.omaha.ne.us.
Click on departments.Click on Human Relations.
PROTECTED AND/OR DISADVANTAGED BUSINESS CHECKLIST:
ITEMS LISTED BELOW MUST BE SUBMITTED WITH BID
o 1. Exhibit A - completed 'Protected andlor Disadvantaged Business Disclosure Participation Form". All PBE/DBE Subcontractors
submitted on Exhibit A must be certified with the City of Omaha Human Relations Department prior to the time of the bid opening. A current list
is available on the City of Omaha's web site, www.ci.omaha.ne.us/Departments/Human Relations or can be requested through the Human
Relations Department at 402-444-5055.
❑ 2. Verification in writing from each PBEIDBE Subcontractor showing that the PBE/DBE Subcontractor has agreed to perform the work
identified on Exhibit A, "Protected and/or Disadvantaged Business Disclosure Participation Form". Telephonic verifications will not be
accepted.
❑ 3. For projects under$200,000.00 in construction costs,there is no PBEIDBE goal established. The Bidder is still required to fill out Exhibit"A"
and Exhibit "B" and turn them in with their bid. Contact the City of Omaha Human Relations Department (402-444-5055) regarding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
t3lue'Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 6 of 7 Pages
EXHIBIT "A"
PROTECTED ANDIOR DISADVANTAGED BUSINESS DISCLOSURE PARTICIPATION FORM
THIS FORM MUST BE SUBMITTED WITH THE BID
In the performance of this contract,the contractor proposes and agrees to make good faith efforts to contract with eligible City of Omaha certified PBE and/or DBEs.
Should the below listed PBE and/or DBE subcontractor be determined to be unable to perform successfully or is not performing satisfactorily, the Contractor shall
obtain orior approval from the Human Relations Department Director or a desionee, for substitution of the below listed subcontractor with a City of Omaha certified
PBE and/or DBE. In submitting this form,the Bidder is certifying that it has contacted City of Omaha Human Relations Department prior to bid opening regarding this
project and has afforded subcontractors participating in the program the opportunity to submit bids on this project.
Type of work and Projected commencement I•
I
contract item or parts and completion date of
Name of PBE and/or thereof to be performed work 'Agreed price with
DBE Address PBEJDBEs Percentage(%)
Totals
'Dollar value of each PBE/DBE agreement must be listed in the'Agreed Price"column;total in this column must equal the PBE/DBE goals..
CERTIFICATION
The Undersigned/Contractor certifies to the City of Omaha that the utilization goals will be met either by goal achievement or good faith effort as documented. The
Undersigned/Contractor certifies that he/she has read, understands, and agrees to be bound by PBE/DBE Participation Contract Specifications, including the
accompanying Exhibits, regarding PBE/DBE, 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 PBE/DBE Participation Contract Specifications and that said statements and
representations are true and correct to the best of his/her knowledge and belief. The undersigned will enter into formal agreement(s) with Protected and/or
Disadvantaged business enterprise(s)(which are otherwise deemed by the City of Omaha to be technically responsible to perform the work)listed in the PBE/DBE
Specifications at the price(s)set forth in Exhibit A conditioned upon execution of a contract by the undersigned with the City of Omaha. The Undersigned/Contractor
agrees that if any of the PBE/DBE Specification representations are made by the bidder knowing them to be false,or if there is a failure by the successful bidder(i.e.
the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without prior approval of the Director of the Human
Relations Department, such action shall constitute a material breach of the contract, entitling the City of Omaha to reject the contractors bid or to terminate the
Contract for default. The right to so terminate shall be in addition to, and not in lieu of,any other rights or remedies the City of Omaha may have for other defaults
under the Contract,under City of Omaha's Contract Compliance Ordinance or otherwise. Additionally,the Undersigned/Contractor will be subject to the terms of any
future Contract Awards.
Signature
Title I 1 i Neuf 1 Date of Signing ('°L
Firm or Corporate Name l__.1"C— (L..T, e►" *1-1-;C
Address `3`�2 F. ' €e f C-%-tA r4#\ �t Telephone Number 4c
arding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
t3lue•Bid Form(Rev.06-2006)
Projects Over$20,000
DOUGLAS COUNTY
REQUEST FOR BID AND BID SHEET
ON: CITY OF OMAHA MILLER PARK PLAYGROUND
NOT AN ORDER
Page 7 of 7 Pages
EXHIBIT "B"
CONTRACTOR EMPLOYMENT DATA
BIDDERS ARE REQUIRED TO SUBMIT THE FOLLOWING WORK FORCE DATA WITH EACH BID
(Protected Class is defined as Black, Hispanic, Asian and Pacific Islander, American Indian or Alaskan Native, Female.)
Totai Employees Protected Class Males Protected Class Females
l American I American
Total Total Asian or Indian or Asian or Indian or
Work Protected Pacific Alaskan Pacific Alaskan
Date Force Class Black Hispanic Islander Native Black Hispanic Islander Native White
0/11 1 ) 9\ 2- -
*Refer any questions regarding the BID or SPECIFICATIONS directly to the Purchasing Department(402)444-5400 or as shown
on bid. 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 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 should be directed to the Human Relations Department at (402)/114-5055.
(PLEASE PRINT LEGIBLY OR TYPE)
Firm's Name: l � I c C ry C a.l 71-�C
(Date of Signing) e
Signature: 1C�;, :a. c� b -
(Print Name) (Title) (Signature)
l achievement or good faith effort as documented. The
Undersigned/Contractor certifies that he/she has read, understands, and agrees to be bound by PBE/DBE Participation Contract Specifications, including the
accompanying Exhibits, regarding PBE/DBE, 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 PBE/DBE Participation Contract Specifications and that said statements and
representations are true and correct to the best of his/her knowledge and belief. The undersigned will enter into formal agreement(s) with Protected and/or
Disadvantaged business enterprise(s)(which are otherwise deemed by the City of Omaha to be technically responsible to perform the work)listed in the PBE/DBE
Specifications at the price(s)set forth in Exhibit A conditioned upon execution of a contract by the undersigned with the City of Omaha. The Undersigned/Contractor
agrees that if any of the PBE/DBE Specification representations are made by the bidder knowing them to be false,or if there is a failure by the successful bidder(i.e.
the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without prior approval of the Director of the Human
Relations Department, such action shall constitute a material breach of the contract, entitling the City of Omaha to reject the contractors bid or to terminate the
Contract for default. The right to so terminate shall be in addition to, and not in lieu of,any other rights or remedies the City of Omaha may have for other defaults
under the Contract,under City of Omaha's Contract Compliance Ordinance or otherwise. Additionally,the Undersigned/Contractor will be subject to the terms of any
future Contract Awards.
Signature
Title I 1 i Neuf 1 Date of Signing ('°L
Firm or Corporate Name l__.1"C— (L..T, e►" *1-1-;C
Address `3`�2 F. ' €e f C-%-tA r4#\ �t Telephone Number 4c
arding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
DOUGLAS COUNTY
PURCHASING DEPARTMENT
1819 FARNAM STREET
902 Civic CENTER
OMAHA NEER 68183
PHONE (402) 444-7155 FAX: (402) 444-4992
20 June 2007
NOTICE TO BIDDERS:
REQUEST FOR BID
ON
MILLER PARK PLAYGROUND
Miller Park Playground
2707 Redick Avenue, Omaha, Nebraska
Closing Date: 27 June 2007, 11:00 A.M.
ADDENDUM NO. 1:
Modifications to the original specifications and drawings, dated June 2007 as per the attached eight(8)
pages.
ACKNOWLEDGE RECEIPT OF THIS ADDENDUM BY SIGNING BELOW AND RETURNING THIS
ADDENDUM COVER SHEET WITH YOUR BID.
• (R. It
John(..eMay )
Asst. Cot County urchasin Agent
Cc �.0��`• Rv_��e• tit
Name of Fmk
Sid By / I
Title
c-asA CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebraska
RESOLVED BY THE CITY COUNCIL OF THE CITY OF OMAHA:
WHEREAS, bids were received on June 27, 2007, to furnish all labor, materials,
and equipment necessary for the construction of a new playground and related site
improvements, to include but not be limited to the grading of the site, installation of a new
concrete pavement, providing and installation of new play equipment, and seeding at Miller Park
Playground, 2707 Redick Avenue, Omaha, Nebraska, for the Parks, Recreation and Public
Property Department; and,
WHEREAS, CYC Construction, Inc. submitted the lowest and best bid, within bid
specifications, attached hereto and made a part hereof, in the total amount of$131,468.70 (Base
Bid of$126,141.18 and Alternate No.1, new picnic tables, in the amount of$2,722.11, Alternate
No.2, new benches, in the amount of$1,641.27 and Alternate No.3, new trash receptacles, in the
amount of$964.14); and,
WHEREAS, the Scott Foundation will reimburse the City of Omaha $50,000.00
and Miller Park/Minne Lusa Neighborhood Association will reimburse the City of Omaha
$5,327.52 of this project amount; and,
WHEREAS, CYC Construction, 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 acceptance of this bid.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF OMAHA:
By
Councilmember
Adopted
City Clerk
Approved
Mayor
-
(Print Name) (Title) (Signature)
l achievement or good faith effort as documented. The
Undersigned/Contractor certifies that he/she has read, understands, and agrees to be bound by PBE/DBE Participation Contract Specifications, including the
accompanying Exhibits, regarding PBE/DBE, 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 PBE/DBE Participation Contract Specifications and that said statements and
representations are true and correct to the best of his/her knowledge and belief. The undersigned will enter into formal agreement(s) with Protected and/or
Disadvantaged business enterprise(s)(which are otherwise deemed by the City of Omaha to be technically responsible to perform the work)listed in the PBE/DBE
Specifications at the price(s)set forth in Exhibit A conditioned upon execution of a contract by the undersigned with the City of Omaha. The Undersigned/Contractor
agrees that if any of the PBE/DBE Specification representations are made by the bidder knowing them to be false,or if there is a failure by the successful bidder(i.e.
the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without prior approval of the Director of the Human
Relations Department, such action shall constitute a material breach of the contract, entitling the City of Omaha to reject the contractors bid or to terminate the
Contract for default. The right to so terminate shall be in addition to, and not in lieu of,any other rights or remedies the City of Omaha may have for other defaults
under the Contract,under City of Omaha's Contract Compliance Ordinance or otherwise. Additionally,the Undersigned/Contractor will be subject to the terms of any
future Contract Awards.
Signature
Title I 1 i Neuf 1 Date of Signing ('°L
Firm or Corporate Name l__.1"C— (L..T, e►" *1-1-;C
Address `3`�2 F. ' €e f C-%-tA r4#\ �t Telephone Number 4c
arding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
•
c-25k CITY OF OMAHA
LEGISLATIVE CHAMBER
Omaha,Nebraska
PAGE 2
THAT, as recommended by the Mayor, the bid in the total amount of$131,468.70
• (Base Bid of $126,141.18 and Alternate No.1, new picnic tables, in the amount of $2,722.11,
Alternate No.2, new benches, in the amount of $1,641.27 and Alternate No.3, new trash
receptacles, in the amount of $964.14) from CYC Construction, Inc., to furnish all labor,
materials, and equipment necessary for the construction of a new playground and related site
improvements, to include but not be limited to the grading of the site, installation of a new
concrete pavement, providing and installation of new play equipment, and seeding at Miller Park
Playground, 2707 Redick Avenue, Omaha, Nebraska is hereby accepted and the Purchasing
Agent is authorized to issue a purchase order in conformance herewith. Funds in this amount
shall be paid from 2000 Parks & Recreation Bond Fund No. 13352, Organization No. 131621
Recreation and Culture Bond, and Activity/Project No. 0186, Miller Park — Neighborhood Park
Rehabilitation..
FURTHER THAT, the. Scott Foundation will reimburse the City of Omaha
$50,000.00 and Miller Park/Minne Lusa Neighborhood Association will reimburse the City of
Omaha$5,327.52 of this project amount
APPROVED AS TO FORM:
TTY ATTORNEY DATE
P:\PRPP\17451 maf.doc
Cr
By
Councilmember
Adopted JUL"2 4 2007 to 0
City Clerk
Approved • ,� ?/4/�
Mayor
City Clerk
Approved
Mayor
-
(Print Name) (Title) (Signature)
l achievement or good faith effort as documented. The
Undersigned/Contractor certifies that he/she has read, understands, and agrees to be bound by PBE/DBE Participation Contract Specifications, including the
accompanying Exhibits, regarding PBE/DBE, 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 PBE/DBE Participation Contract Specifications and that said statements and
representations are true and correct to the best of his/her knowledge and belief. The undersigned will enter into formal agreement(s) with Protected and/or
Disadvantaged business enterprise(s)(which are otherwise deemed by the City of Omaha to be technically responsible to perform the work)listed in the PBE/DBE
Specifications at the price(s)set forth in Exhibit A conditioned upon execution of a contract by the undersigned with the City of Omaha. The Undersigned/Contractor
agrees that if any of the PBE/DBE Specification representations are made by the bidder knowing them to be false,or if there is a failure by the successful bidder(i.e.
the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without prior approval of the Director of the Human
Relations Department, such action shall constitute a material breach of the contract, entitling the City of Omaha to reject the contractors bid or to terminate the
Contract for default. The right to so terminate shall be in addition to, and not in lieu of,any other rights or remedies the City of Omaha may have for other defaults
under the Contract,under City of Omaha's Contract Compliance Ordinance or otherwise. Additionally,the Undersigned/Contractor will be subject to the terms of any
future Contract Awards.
Signature
Title I 1 i Neuf 1 Date of Signing ('°L
Firm or Corporate Name l__.1"C— (L..T, e►" *1-1-;C
Address `3`�2 F. ' €e f C-%-tA r4#\ �t Telephone Number 4c
arding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��
`1 0 �•v o8 2 'er a.,o`go ' �. � .�2°0.moa g• o L" � zcco 5• s9
= 7' CZ) n. 0" ;5. N O. CD .� �I.O � 5• O Q • •• 0" N • O� K 0
cfo
W OCDZ O O N O ,Oy O c� = = 0 0 ° oo W v ib-
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c� = c � te
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°w = . NCuc• o ?r O C' or �, m I a. pc- . o� . '< CD co < Y
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this project amount
APPROVED AS TO FORM:
TTY ATTORNEY DATE
P:\PRPP\17451 maf.doc
Cr
By
Councilmember
Adopted JUL"2 4 2007 to 0
City Clerk
Approved • ,� ?/4/�
Mayor
City Clerk
Approved
Mayor
-
(Print Name) (Title) (Signature)
l achievement or good faith effort as documented. The
Undersigned/Contractor certifies that he/she has read, understands, and agrees to be bound by PBE/DBE Participation Contract Specifications, including the
accompanying Exhibits, regarding PBE/DBE, 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 PBE/DBE Participation Contract Specifications and that said statements and
representations are true and correct to the best of his/her knowledge and belief. The undersigned will enter into formal agreement(s) with Protected and/or
Disadvantaged business enterprise(s)(which are otherwise deemed by the City of Omaha to be technically responsible to perform the work)listed in the PBE/DBE
Specifications at the price(s)set forth in Exhibit A conditioned upon execution of a contract by the undersigned with the City of Omaha. The Undersigned/Contractor
agrees that if any of the PBE/DBE Specification representations are made by the bidder knowing them to be false,or if there is a failure by the successful bidder(i.e.
the Contractor)to implement the stated agreements,intentions,objectives,goals,and comments set forth herein without prior approval of the Director of the Human
Relations Department, such action shall constitute a material breach of the contract, entitling the City of Omaha to reject the contractors bid or to terminate the
Contract for default. The right to so terminate shall be in addition to, and not in lieu of,any other rights or remedies the City of Omaha may have for other defaults
under the Contract,under City of Omaha's Contract Compliance Ordinance or otherwise. Additionally,the Undersigned/Contractor will be subject to the terms of any
future Contract Awards.
Signature
Title I 1 i Neuf 1 Date of Signing ('°L
Firm or Corporate Name l__.1"C— (L..T, e►" *1-1-;C
Address `3`�2 F. ' €e f C-%-tA r4#\ �t Telephone Number 4c
arding any
questions you might have.
❑ 4. Exhibit B — completed "Contractor Employment Data Form". Should the bidder fail to comply with the above, its bid will be
subject to rejection. In Addition please review all the specifications and bid enclosures to be certain of a complete and compliant bid.
SIGN ALL COPIES Firm C � •
Lct�
By
Title k LC St.*JE
rprise/Certified Business Enterprise (PBEIDBE)" listing from the City of Omaha website at
,vww.ci.omaha.ne.us. Click on"DEPARTMENTS"; Click on"HUMAN RELATIONS"; Click on"PBE/DBE CERTIFIED LISTINGS".
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 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 should be directed to the Human Relations Department at 402-444-5055.
(Please Print Legibly or Type) Firm °CTC., Gc�5tRtat4Th Inc Gated in '1��' v
(State)
' �.?
Name �l N�.��R.t:� A�.ie.�Signature
Title esi'Ac=ri1- Phone 402"3‘33 -ifes ax yc2-.33 -0 7oj1
Address 1,- 1,a' 0rAAKA
Street/P.O.Box City State Zip
• E-Mail Address Tt pA J. € C`oC- 1.�r�� t t4—f. cc: \��