Pearson Bros, Inc.WSB
Bu/ldinmalegacy - your legacy,
Transmittal
To: CitvofShorewood
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C}TYO R�XVOODI 477 Temperance Street
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St. Paul, mwssuu
Tel: 651-286-8450
Fax: 651-286-8488
Date: June 27,2016
5755 Country Club Road Re: 2O16 Crack Fill & Seal Coat Project
Shorewood, K4NSS331 3hnrevvond/Victoria/MinnetrisLa
ATTN: ]eanPunchyshyun Location: Shorewood, MN
Project No.: 2925-08
We are sending to you:
FIShop Drawings
Prints
Z Attached F] separately
F] specifications El Contracts
Correspondence E] Other:
11 By Messenger
E] Report
Document Description
Original Bid Proposals and their envelopes
The above are:
Shop drawings as checked E]For your use
No exceptions taken E]For your approval
R Rejected E]For your distribution
Revise and resubmit []For your processing
Note markings ZFor your records
E] For your information
E] For your review
E] As you requested
El For signature
E] Other
cc:
By: Karla Pederson, Administrative Assistant
Tele: 651-286-8450
Equal Opportunity Employer
K:\02925-080\Admin\Constructi on Ad min\TRANS Bids-envelopes to CtV062716.docx
Bidder: r®s
Address: 11 D "7 C1 LaM 0 &L4- Ave-
Telephone No.: -7&3 -3 q %--&&
City, State, Zip: Lia t 55,:;M
Fax No.: -7
PROPOSAL FORM
2016 CRACK FILL & SEAL COAT PROJECT
CITIES OF SHOREWOOD, MN; VICTORIA, MN; and MINNETRISTA, MN
WSB PROJECT NOS. 2925 -08, 2168 -11, and 2121 -73
Opening Time: 10:00 AM
Opening Date: Thursday, April 28, 2016
City of Shorewood
5755 Country Club Road
Shorewood, MN 55331
Dear Council Members:
I . The following proposal is made for furnishing and installing all labor and materials necessary for the 2016 Crack
Fill & Seal Coat Project for the Cities of Shorewood, Minnesota; Victoria, Minnesota; and Minnetrista,
Minnesota.
2. The undersigned certifies that the Contract Documents listed in the Instructions to Bidders have been carefully
examined, and that the site of the work has been personally inspected. The undersigned declares that the amount
and nature of the work to be done is understood, and that at no time will misunderstanding of the Contract
Documents be pleaded. On the basis of the Contract Documents, the undersigned proposes to furnish all
necessary apparatus and other means of construction, to do all the work and furnish all the materials in the
manner specified, and to accept as full compensation therefore the sum of the various products obtained by
multiplying each unit price herein bid for the work or materials, by quantities thereof actually incorporated in the
completed project, as determined by the Engineer. The undersigned understands that the quantities mentioned
herein are approximate only, and are subject to increase or decrease, and hereby proposes to perform all work as
either increased or decreased, in accordance with the provisions of the specification, at the unit prices bid in the
following proposal schedule, unless such schedule designates lump sum bids.
PROPOSED SCHEDULE: The Bidder agrees to perform all work described in the specifications and shown on
the plans for the following unit prices:
Page 1 K: \02925- 0801Admin\Speck7. Proposal Form First Page -Last Page
No. Mat. No. Item
SCHEDULE A - CITY OF SHOREWOOD
1 2021.501 MOBILIZATION
2 2356.505 BITUMINOUS MATERIAL FOR SEAL COAT
(CRS -2P)
3 2356.604 SEAL COAT AGGREGATE FA -2 CLASS A
(GRANITE)
Total SCHEDULE A - CITY OF SHOREWOOD
SCHEDULE B - CITY OF VICTORIA
4 2021.501 MOBILIZATION
5 2355.502 BITUMINOUS MATERIAL FOR FOG SEAL
6 2356.505 BITUMINOUS MATERIAL FOR SEAL COAT
(CRS -2P)
7 2356.604 SEAL COAT AGGREGATE CLASS A (TRAP
ROCK)
Total SCHEDULE B - CITY OF VICTORIA
2016 CRACK FILL & SEAL COAT PROJECT
CITIES OF SHOREWOOD, VICTORIA AND MINNETRISTA
WSB PROJECT NUMBER. 2925 -08
Units Quantity Unit Price Total Price
LS 1 $ $� odo, oU $ 'T' 000, 4 0
GAL 36100 $ o .60 $ 3 ?60, 00
S 138600 $ $ 93/ 160, 00
$ Sa 0;L0r00
LS I $ Y 000.00 $ 6"060.00
GAL 50 $ 'S0 0 0 $ y'd 0, 0 0
GAL 13800 $ 0,60 $-3-5'1990, 00
S Y 53100 $_.3 3 $ 3 9 -7 6 3, 00
$ 3 0�
SCHEDULE C - CITY OF MINNETRISTA ROADWAYS
8 2021.501 MOBILIZATION LS 1 $ 0 U 0, 0o $_ B d 0, 0 0
9 2356.505 BITUMINOUS MATERIAL FOR SEAL COAT GAL 6700 $ 2,60 $
(CRS -2P)
10 2356.604 SEAL COAT AGGREGATE FA -2 CLASS A S Y 25700 $ (0 0 $ / 4/ aZ 0, 0 0
(GRANITE)
11 2331.619 ROUT AND SEAL BITUMINOUS RD STA 86 $ / rc)' 0 b $ ®a, 90 0 , 0 0
PAVEMENT CRACKS ®�
Total SCHEDULE C - CITY OF MINNETRISTA ROADWAYS $ 5-017 q 00 00
Page 2
2016 CRACK FILL & SEAL COAT PROJECT
CITIES OF SHOREWOOD, VICTORIA AND MINNETRISTA
WSB PROJECT NUMBER. 2925 -08
No. Mat. No. Item Units Quantity Unit Price Total Price
SCHEDULE D - CITY OF MINNETRISTA TRAILS
12 2021.501 MOBILIZATION LS
13 2355.502 BITUMINOUS MATERIAL FOR FOG SEAL GAL
14 2331.619 ROUT AND SEAL BITUMINOUS LF
PAVEMENT CRACKS
Total SCHEDULE D - CITY OF MINNETRISTA TRAILS
CITY OF SHOREWOOD TOTAL BID (SCHEDULE A)
CITY OF VICTORIA TOTAL BID (SCHEDULE B)
1 $ a, 000, w $ 01 4006,66
2100 $ 5,00 $ /® j00.00
2500 $ J,20 $ Jrj SO4, 06
CITY OF MINNETRISTA TOTAL BID (SCHEDULE C + D)
GRAND TOTAL BID (SCHEDULE A + B + C + D)
Page 3
• �' it
2016 CRACK FILL & SEAL COAT PROJECT
CITIES OF SHOREWOOD, MN; VICTORIA, MN; and MINNETRISTA, MN
WSB PROJECT NOS. 2925 -08, 2168-11, and 2121 -73
4 RESPONSIBLE CONTRACTOR: The provisions of Minn. Stat. 16C.285 are imposed as a requirement of this
contract. All bidders and persons or companies providing a response /submission to the Advertisement for
Bids /RFP of the Owner shall comply with the provisions of the statute.
a. Any prime contractor or subcontractor that does not meet the minimum criteria established for a "responsible
contractor" as defined in Minn. Stat. § 16C.285, subd. 3, or fails to verify that it meets those criteria is not a
responsible contractor and is not eligible to be awarded a construction contract for the Project or to perform work
on the Project.
b. A responding contractor shall submit to the Owner a signed statement under oath by an owner or officer
verifying compliance with each of the minimum criteria in clauses (1) -(6) of Minn. Stat. § 16C.285, subd. 3, at the
time that it responds to this solicitation document. A responding contractor must also submit a list of first -tier
subcontractors it intends to retain on the project, at the time that it responds to this solicitation document.
c. Prior to being awarded a contract, the apparent successful prime contractor must submit a supplemental
verification under oath confirming that all subcontractors and motor carriers meet the minimum criteria of Minn.
Stat. § 16C.285, subd. 3. The apparent successful prime contractor has an ongoing duty to submit supplemental
verification forms for each additional subcontractor retained for the project.
d. A false statement under oath verifying compliance with any of the minimum criteria shall make the prime
contractor or subcontractor that makes the false statement ineligible to be awarded a construction project and may
result in termination of a contract awarded to a prime contractor or subcontractor that submits a false statement.
5. The basis of award of the Contract will be on the Total Base Bid phis accepted or denied Alternate as deemed to
be appropriate by the City of Excelsior. The Cities reserve the right to reject any or all bids. The award of Contract
will be made within 60 calendar days after opening of proposals to the lowest responsible bidder of the Total Bid
plus any accepted or denied Alternate. The Owner reserves the right to delete any item prior to final contract.
6. The undersigned further proposes to execute the Contract Agreement and to furnish satisfactory bond within
ten (10) days after notice of the award of contract has been received. The undersigned further proposes to begin
work as specified, to complete the work on or before date specified, and to maintain at all times performance and
payment bonds, approved by the Owner, in an amount equal to the total bid.
7. Accompanying this proposal is the Bid Security, in the amount of five percent (5 %), required to be furnished by
the Contract Documents, the same being subject to forfeiture in the event of default by the undersigned.
8. In submitting this proposal, it is understood that the right reserved by the Owner to reject any or all proposals and
to waive informalities.
9. In submitting this proposal, the Undersigned acknowledges receipt of and has considered the following Addenda
issued to the Contract Documents:
Addendum No. Dated Addendum No. Dated
Addendum No. Dated
Addendum No. Dated
If any Addenda are required as determined by the Engineer, it is the responsibility of the Contractor to
verify the issuance and receipt of any Addenda, and to properly acknowledge such Addenda in the
appropriate location on the P oposal Form.
Signed _ 'KI
10. If a corporation, what is the state of incorporation?
11. If a partnership, state full name of all co- partners
Official Address
1 J oi9 La m-ot` L ,41 %e IE
l-1
ado Uer., M I
Date: (-I, J� 16
Firm Name Pe a rspfj S ros. , :zaJC
By �� . �
{An Authorized Signature)
Title ie - s / Joe Alf
Page 4 KA02925- 080Wdmin \Spe \7. Proposal Form First Page -Last Page
Affidavit of Non - Collusion:
I hereby swear (or affirm) under the penalty for perjury:
(1) That I am the bidder (if the bidder is an individual), a partner in the bidder (if the bidder is a
partnership), f#1ar �mloyee of the bidding corporation having authority to sign on its
behalf (if the b dder is a corp).
(2) That the attached bid or bids have been arrived at by the bidder independently, and have been
submitted without collusion with, and without any agreement, understanding, or planned common
course of action with, any other vendor of materials, supplies, equipment or services described in
the invitation to bid, designed to limit independent bidding or competition;
(3) That the contents of the bid or bids have not been communicated by the bidder or its surety on
any bond furnished with the bid or bids, and will not be communicated to any such person prior to
the official opening of the bid or bids; and
(4) That I have fully informed myself regarding the accuracy of the statements made in this affidavit.
Signed_ CGI/t
Firm Name PX (I r"30&1 .I�rns
Subscribed and sworn to before me this
day of _ A e ( 20 It.
Notary ublic
My commission expires 20 %0
Bidder's E.I. Number:
MELISSA CATHERINE HALLICH
!',;,;; .i ..
rl NOTARY PUBLIC- MINNESOTA
j.
My Commission Expires Jan, 31, 2018
(Number used on employer's quarterly federal tax return, U.S. Treasury Department Form 941):
qI - 1-751M
Fair Trade Items:
List below each item upon which a bid is made, the price of which is affected by a resale price
maintenance or "fair trade" contract between the bidder and the person or firm supplying the item to the
bidder. (Use reverse side if necessary.)
2016 CRACK FILL & SEAL COAT PROJECT AFFIDAVIT
CITY OF SHOREWOOD, MN; CITY OF VICTORIA, MN;
CITY OF MINNETRISTA, MN;
WSB PROJECT NOS. 2925 -08, 2168 -11 and 2121 -73
INITIAL CONTRACTOR VERIFICATION OF COMPLIANCE
By signing this document I certify that I am an owner or officer of the company, and I swear
under oath that:
My company meets each of the minimum criteria in subclauses (1) — (6) of Minn. Stat. §
16C.285, subd. 3, the Responsible Contractor statute.
The undersigned understands that a failure to meet or verify compliance with the
minimum criteria established for a "responsible contractor" as defined in Minn. Stat. § 16C.285,
subd. 3, renders a bidder ineligible to be awarded a construction contract for the Project or to
perform work on the Project.
The undersigned understands that a false statement under oath verifying compliance with
any of the minimum criteria shall make the undersigned, ineligible to be awarded a construction
project and may result in termination of a contract awarded to the undersigned. A contracting
authority shall not be liable for declining to award a contract or terminating a contract based on a
reasonable determination that the contractor failed to verify compliance with the minimum criteria
or falsely stated that it meets the minimum criteria.
The undersigned understands that, if the undersigned is the apparent low bidder, the
undersigned will be required to submit a supplemental verification under oath as a condition
precedent to the execution of the contract. If the undersigned fails to provide the required
supplemental verification, it could forfeit its bid bond.
I have attached a list of all of my company's first -tier subcontractors that it intends to
retain for work on the project.
Date:
Contractor:
Pe Q.Y3C3 ht 13 r®-S. 7iyC
2016 CRACK FILL & SEAL COAT PROJECT INITIAL VERIFICATION
CITY OF SHOREWOOD, MN; CITY OF VICTORIA, MN;
CITY OF MINNETRISTA, MN;
WSB PROJECT NOS. 2925-08,2168-11 and 2121 -73
';j1lj*4ij4ij1L k j I, I [� I AIRM111
PROJECT TITLE: Z 01(.r C rac K F-i / I -+ Sea I Coa,' Prq_l ec--i-
610A
Attach Additional Sheets if Necessary
Contractor:
peo r5okj gros -, --7'/IJC- -
2016 CRACK FILL & SEAL COAT PROJECT SUBCONTRACTORS LIST
CITY OF SHOREWOOD, MN; CITY OF VICTORIA, MN;
CITY OF MINNETRISTA, MN;
WSB PROJECT NOS. 2925-08,2168-11 and 2121-73