Midwest Asphalt CorporationBidder:,, .. >,
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Telephone No.:
City, State, Zip:, 3 �, .,, •.
Fax No.: - �1
I'd) ADDENDUM NO. 2
PROPOSAL FORM
2016 MILL AND OVERLAY IMPROVEMENT PROJECT
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 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
20
2360.601
BITUMINOUS SPILLWAY
EACH
1
$
r
-(el
$
21
2503.602
CHIMNEY SEALS (EXTERNAL)
EACH
24
$ ho,x
$ q 50, 6u
22
2504.602
ADJUST GATE VALVE
EACH
5
$
23
2506.516
CASTING ASSEMBLY
EACH
2
$
$ Qz�
r
-�oo
24
2506.522
ADJUST FRAME & RING CASTING
EACH
12
$ cJ
$
25
2506.522
ADJUST FRAME & RING CASTING (STORM)
EACH
8
$
$ q)66
26
2506.602
ADJUST FRAME & RING CASTING (SPECIAL)
EACH
12
$
$ too,
27
2511.501
RANDOM RIPRAP CLASS 11
C Y
0.5
$ 0o ob
$
28
2531.501
CONCRETE CURB & GUTTER DESIGN B618
L F
140
$
$ o)
29
2531.507
"6.... CONCRETE DRIVEWAY PAVEMENT"
S Y
10
$ 1, 1,50, 119b
30
2535.501
BITUMINOUS CURB
L F
120
31
2557.602
REPAIR DOG FENCE
EACH
5
$
$ 5a, �X)
32
2563.601
TRAFFIC CONTROL
LS
1
$ (f)
$ 5
33
2573.530
STORM DRAIN INLET PROTECTION
EACH
9
$ IKI
$
34
2575.505
SODDING TYPE LAWN
S Y
500
$ (,-�o
$ 50'an,
Total SCHEDULE A. - SURFACE IMPROVEMENTS
GRAND TOTAL BID
(0,1 Do
$ "d,
ADDENDUM NO. 2
AFFIDAVIT AND INFORMATION REQUIRED OF BIDDERS
Affidavit of Non - Collusion:
1 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.
MATTHEW J. TIMMERS
Signe VICE PRESIDENT
Firm Name MIDWEST ASPHALT T CORP ` R TION
Bidder's E.I. Number:
(Number used on employer's quarterly federal tax return, U.S. Treasury Department Form 941):
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 ADDENDUM NO. 2 -AFFIDAVIT
AND APPURTENANT WORK
CITY OF SHOREWOOD, MN PROJECT NO. 16 -03
WSB PROJECT NO. 2529-09
AD DEAD IM AM 2
PROJECT TITLE: ell k
Attach Additional Sheets if Necessary
Signature MAIIIJEW .1 '11MMERS
VAP PFVFFWDENT
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