TOWN OF LITCHFIELD
CONTRACTOR’S CHECK LIST
PROJECT: ROADWAY RECONSTRUCTION CAMPVILLE ROAD
PROJECT NO._073-0198
******************************************************************************
The following forms are required for submittal for the above referenced bid and shall be submitted
with the bid proposal pages by the time and date specified. This checklist is provided for the
Bidder’s use and shall not be required for submittal.
The following forms shall be submitted in duplicate.
FORM DESCRIPTION
1. BID PROPOSAL PAGES
2. BID BOND
3. CERTIFICATE AS TO CORPORATE PRINCIPAL
4. FORM OF SURETY GUARANTY
5. NON-COLLUSION AFFIDAVIT OF PRIME BIDDER/PROPOSER
6. STATEMENT OF BIDDER’S QUALIFICATIONS
7. TOWN OF LITCHFIELD NON-DISCRIMINATION CERTIFICATION
8. TOWN OF LITCHFIELD HOLD HARMLESS AND SUPPLEMENTAL
AGREEMENT
9. CONTRACTOR’S WAGE CERTIFICATION FORM
10. CERTIFICATE OF COMPLIANCE WITH C.G.S. SECTION 31-57B
11. AFFIRMATIVE ACTION PROGRAM CERTIFICATION
BID
TOWN OF LITCHFIELD, CONNECTICUT
ROADWAY RECONSTRUCTION
CAMPVILLE ROAD
PROJECT NO. 073-0198
Bid Submitted by:
Company Name
Street Address
City, State and Zip Code
()
Telephone #
Contact
(
)____________________
Fax #
Denise Raap
First Selectman
101 Russell Street
Litchfield, Connecticut 06759
Dear Ms. Raap:
The undersigned, having familiarized themselves with the existing conditions of the Project area
affecting the cost of the work and with the Contract Documents (which includes Advertisement
For Bids, Bid Form, Bid Bond, Instructions to Bidders, Non-Collusion Affidavit, Addenda,
General Conditions, Special Conditions, Technical Specifications, Drawings as listed in the
Schedule of Drawings and Form of Surety Bond or Bonds as prepared by the Town of Litchfield
and on file at the Public Works' Office, 101 Russell Street, Litchfield Connecticut 06759,
hereby proposes to furnish all machinery, tools, appurtenances, equipment and services,
including utility and transportation services required to construct and complete the work, all in
accordance with the above listed Documents and submits, herewith, in conformity with the Project
Manual and subsequent addenda, the following bid:
P-1
BID PROPOSAL
ROADWAY RECONSTRUCTION
CAMPVILLE ROAD
PROJECT NO. 073-0198
LITCHFIELD, CONNECTICUT
,7(01R
$
%ULHI'HVFULSWLRQ8QLWRU/XPS6XP
%LGLQERWKZRUGVDQGILJXUHV
&/($5,1*$1'*58%%,1*
7+(/80368035,&(2)
'2//$56$1'
$
($57+(;&$9$7,21
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
52&.(;&$9$7,21
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
&87%,780,1286&21&5(7(3$9(0(17
7+(35,&(3(5/,1($5)2272)
'2//$56$1'
)250$7,212)68%*5$'(
7+(35,&(3(5648$5(<$5'2)
'2//$56$1'
*5$18/$5),//
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
6(',0(17$7,21&21752/6<67(0
7+(35,&(3(5/,1($5)2272)
'2//$56$1'
6(',0(17$7,21&21752/6<67(0$7&$7&+%$6,1
7+(35,&(3(5($&+2)
'2//$56$1'
352&(66('$**5(*$7(%$6(
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
&(176
&(176
&(176
&(176
&(176
&(176
&(176
&(176
&(176
(VW
4XDQWLW\
([W7RWDO
LQ)LJXUHV
P-2
BID PROPOSAL
ROADWAY RECONSTRUCTION
CAMPVILLE ROAD
PROJECT NO. 073-0198
LITCHFIELD, CONNECTICUT
,7(01R
%ULHI'HVFULSWLRQ8QLWRU/XPS6XP
%LGLQERWKZRUGVDQGILJXUHV
352&(66('$**5(*$7(
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
&(176
+0$6
7+(35,&(3(57212)
'2//$56$1'
&(176
-2,17$1'&5$&.6($/,1*2)%,780,1286&21&5(7(3$9(0(17
7+(35,&(3(5/,1($5)2272)
'2//$56$1'
&(176
12175$&.,1*$63+$/77$&.&2$7
7+(35,&(3(5*$//212)
'2//$56$1'
&(176
0$7(5,$/75$16)(59(+,&/(
7+(35,&(3(57212)
'2//$56$1'
&(176
$
$63+$/7$'-8670(17&267
7+((67,0$7('35,&(2)
6,;7((17+286$1'1,1(+81'5('
'2//$56$1' 12
&(176
5(6(77<3(&&$7&+%$6,1
7+(35,&(3(5($&+2)
'2//$56$1'
&(176
5(6(77<3(&&$7&+%$6,1'28%/(*5$7(7<3(
7+(35,&(3(5($&+2)
'2//$56$1'
&(176
7<3(&&$7&+%$6,1723
7+(35,&(3(5($&+2)
'2//$56$1'
&(176
(VW
4XDQWLW\
([W7RWDO
LQ)LJXUHV
(67
P-3
BID PROPOSAL
ROADWAY RECONSTRUCTION
CAMPVILLE ROAD
PROJECT NO. 073-0198
LITCHFIELD, CONNECTICUT
,7(01R
%ULHI'HVFULSWLRQ8QLWRU/XPS6XP
%LGLQERWKZRUGVDQGILJXUHV
67$1'$5'5,35$3
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
02',),('5,35$3
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
&586+('6721(
7+(35,&(3(5&8%,&<$5'2)
'2//$56$1'
%,780,1286&21&5(7(/,3&85%
7+(35,&(3(5/,1($52)
'2//$56$1'
5%7(50,1$/6(&7,21
7+(35,&(3(5($&+2)
'2//$56$1'
0(7$/%($05$,/5%0$6+
7+(35,&(3(5/,1($5)2272)
'2//$56$1'
5(029(0(7$/%($05$,/
7+(35,&(3(5/,1($5)2272)
'2//$56$1'
&21&5(7(6,'(:$/.
7+(35,&(3(5648$5()2272)
'2//$56$1'
%,780,1286&21&5(7('5,9(:$<
7+(35,&(3(5648$5(<$5'2)
'2//$56$1'
&(176
&(176
&(176
&(176
&(176
&(176
&(176
&(176
&(176
(VW
4XDQWLW\
([W7RWDO
LQ)LJXUHV
P-4
This page summarizes the opportunity, including an overview and a preview of the attached documents.