WM Mueller & Sons IncBidder: ,
A v- e-'' l / r "d" o#i -5 :Tne-
Address: loGc-r k / i` e p i : 1 a �30k -,2q C
Telephone No.: TYa ?-
City, State, Zip: ,/n„M &4 /!/ 5-E3 3 (
Fax No.: 752 — I-/k 7"„39q y
--� ADDENDUM NO.2
PROPOSAL FORM
2016 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT N0, 16 -03
WSB PROJECT NO. 2925 -09
Opening Time: 10:00 a.m.
Opening Date: Thursday, April 14, 2016
City of Shorewood
5755 Country Club Road
Shorewood, MN 55331
Dear Council Members:
1. The following proposal is made for furnishing and installing all labor and materials necessary for the 2016
Mill and Overlay Improvement Project and Appurtenant Work for the City of Shorewood, 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.
3. PROPOSED SCHEDULE: The Bidder agrees to perform all work described in the specifications and shown
on the plans for the following unit prices:
ADDENDUM NO. 2 - 2016 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 16 -03.
WSB PROJECT NUMBER. 2925 -09
No. Mat. No. Item Units Quantity Unit Price Total Price
SCIIEDUIX A. - SURFACE IMPROVEMENTS
1 2021.501 MOBILIZATION LS
2 2104.501
REMOVE BITUMINOUS CURB
L F
3 2104.505
REMOVE CONCRETE DRIVEWAY
S Y
=
PAVEMENT
80
4 2104.505
REMOVE BITUMINOUS DRIVEWAY
S Y
70
PAVEMENT
®, °—°
5 2104.505
REMOVE BITUMINOUS PAVEMENT
S Y
6 2104.509
REMOVE CASTING
EACH
7 2104.511
SAWING CONCRETE PAVEMENT (FULL
L F
200
DEPTH)
3S
8 2104.513
SAWING BITUMINOUS PAVEMENT (FULL
L F
38
DEPTH)
10
9 2104.601
REMOVE & REPLACE CONCRETE CURB &
L F
10
GUTTER
3.
10 2104.602
SALVAGE AND REINSTALL MAIL BOX
EACH
11 2105.523
COMMON BORROW (LV)
C Y
12 2105.603 MINOR GRADING S Y
13 2123.610 STREET SWEEPER (WITH PICKUP BROOM) HOUR
14 2231.501 BITUMINOUS PATCHING MIXTURE TON
15 2232.501 MILL BITUMINOUS SURFACE S Y
16 2331.501, JOINT ADHESIVE -MASTIC L F
17 2357.502
BITUMINOUS MATERIAL FOR TACK COAT
GAL
18 2360.501
TYPE SP 9.5 WEARING COURSE MIX (2,B)
TON
19 2360.503 TYPE SP 9.5 WEARING COURSE MIX (2,B) S Y
3.0 THICK
E
120
$
� ��
10
$_
=
$ �j csa
80
$
t Qo
$ v')
70
$
®, °—°
$ 840 as
2
$
o�
$ ®a
20
$
$
$ k('n0
200
$
3S
$
910
$
38
$ 3S,035 o®
10
$
,255 ®g
$ Z 550 �o
10
$
3.
$ .S® a
70
$
��
$
10
$
jle�
$__/
10
$�..5
$ 9 50 °®
9000
$
a 17
$/r (0/0
9100
$
77
$ 7 ® ®7 S
1310
$
3
$
2030
$
5S 70
$ t 310-71 ao
9-S
L� co
No. :Plat. No.
Item
ADDENDUM NO. 2 - 2016 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPUR'T'ENANT WORK
CITY OF SHOREWOOD, MN PROJECT N0, 16 -03.
WSB PROJECT NUMBER. 2925 -09
Units Quantity Unit Price Total Price
20
2360.601
BITUMINOUS SPILLWAY
EACH
1
$
00 (o $,,
(o
21
2503.602
CHIMNEY SEALS (EXTERNAL)
EACH
24
$^
/G5
$, 3, 96
22
2504.602
ADJUST GATE VALVE
EACH
5
$
o
..2; ®`a 6
$ /,/oo
23
2506.516
CASTING ASSEMBLY
EACH
2
$
115-0 `
$ ?00 ®®
24
2506.522
ADJUST FRAME & RING CASTING
EACH
12
$
580
$_V
25
2506.522
ADJUST FRAME & RING CASTING (STORM)
EACH
8
$
$ 00
26
2506.602
ADJUST FRAME & RING CASTING (SPECIAL)
EACH
12
$�
j 35°
27
2511.501
RANDOM RIPRAP CLASS II
C Y
0.5
$
28
2531.501
CONCRETE CURB & GUTTER DESIGN B618
L F
140
$
(A 7-5 ®�
29
2531.507
"6 "" CONCRETE DRIVEWAY PAVEMENT"
S Y
10
$
®�
$ 9
30
2535.501
BITUMINOUS CURB
L F
120
$
1�
$_� 1,68c)
31
2557.602
REPAIR DOG FENCE
EACH
5
$
`s®s
$ 7SO 00
32
2563.601
TRAFFIC CONTROL
LS
1
$
t 00&2
$_i;
33
2573.530
STORM DRAIN INLET PROTECTION
EACH
9
$
8.5'2
00
$ 765
34
2575.505
SODDING TYPE LAWN
S Y
500
$�
o�
// _ _
®c�
$
Total SCHEDULE A. - SURFACE IMPROVEMENTS
$
GRAND TOTAL BID
$ a , 577
3
ADDENDUM NO. 2 - 2016 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPURTENANT WORK
CITY OF SI IOREWOOD, MN PROJECT NO. 16 -03
WSB PROJECT NO, 2925 -09
4. RESPONSIBLE CONTRACTOR: The provisions of Minn. Stat. 160.285 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 Bid. 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 (1 Q) 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:
10 Addendum No. _I Dated c6 8 1 to _ Addendum No. _ Dated
Addendum No. _� l
Dated `i //lta Addendum No. A r _ Dated
Signed — If any Addenda are req. -red 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 Proposal Form.
11. If a corporation, what is the state of incorporation?
12. If a partnership, state full name of all co- partners.
DE r1 r
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), or an officer or employee of the bidding corporation having authority to sign on its
behalf (if the bidder is a corporation).
(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
Firm Name
My commission expires: d , 20
..ar' wuwl
ROBYNNE LONE SCHOENBAUER
Notary Public- Minnesota
My Commission Expires Jan. 31, 2020
Bidder's E.I. Number:
(Number used on employer's quarterly federal tax return, U.S. Treasury Department Form 941):
q1
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 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 16.03
WSB PROJECT NO. 2529.09
ADDENDUM NO. 2 - AFFIDAVIT
ADDENDUM NO. 2
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: ! / L/ l/,-�
Contractor:
The---
By
(dease'Drint name)
Signature
(ple sign name
Its Se- Gv-5- 1
2016 MILL AND OVERLAY IMPROVEMENT PROJECT ADDENDUM NO. 2 - INITIAL VERIFICATION
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 16 -03
WSB PROJECT NO. 2629 -09
♦ 0
M 11 5!7t+TC 6k&a
sj"tres `i4 F-mT-
Attach Additional Sheets if Necessary
Contractor:
a
Signature
Its
2016 MILL AND OVERLAY IMPROVEMENT PROJECT ADDENDUM NO. 2 - SUBCONTRACTOR LIST
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO, 16-03
WSB PROJECT NO. 2529.09
SUPPLEMENTAL 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 of Minn. Stat. § 16C.285, subd. 3, the
Responsible Contractor statute.
Pursuant to Stat. § 16C.285, subd. 3(7), my company has obtained from all
subcontractors and motor carriers with which it will have a direct contractual relationship a signed
statement under oath by an owner or officer verifying that they meet all of the minimum criteria in
subdivision 3 prior to execution of a construction contract with each subcontractor or motor
carrier.
The undersigned agrees that, if it retains additional subcontractors on the project after
submitting its verification of compliance, it shall obtain verifications of compliance from each
additional subcontractor with which it has a direct contractual relationship and shall submit a
supplemental verification confirming compliance with Minn. Stat. § 16C.285, subd. 3(7), within 14
days of retaining the additional subcontractors.
Upon request, the undersigned shall submit to the contracting authority copies of the
signed verifications of Compliance from all subcontractors of any tier and all motor carriers
providing for -hire transportation of materials, equipment, or supplies for a project.
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.
Date: J`I r 11- i ° I U
2016 MILL AND OVERLAY IMPROVEMENT PROJECT SUPPLEMENTAL VERIFICATION
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 16 -03
WSB PROJECT NO. 2529 -09