Pavement Replacement SW 7th St to SW 8th Ave from SW Cambridge Ave to SW Orleans St 841099.06

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

Bidders Name:

DOCUMENT 330
BID FORM

TO: The City of Topeka, Kansas
Contracts & Procurement Division
215 S.E. 7th St., Room 60
Topeka, Kansas 66603

Project No. and Description: _841099.06 - Southwest 7" Street to Southwest 8" Avenue from
Southwest Cambridge Avenue to Southwest Orleans Street

1. The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an agreement
with Owner in the form included in the contract Documents to perform and furnish all Work as
specified or indicated in the Contract Documents for the Contract Price and within the Contract
Time indicated in this Bid and in accordance with the other terms and conditions of the Contract
Documents.

2. Bidder accepts all of the terms and conditions of the Invitation to Bid and Instructions to
Bidders, including without limitation those dealing with the disposition of Bid security. This Bid
will remain subject to acceptance for sixty (60) days after the day of Bid opening. Bidder will sign
and submit the Agreement with the Bonds and other documents required by the Bidding
Requirements within ten days after receipt of the award of contract and Contract Documents from
the Owner.

3. In submitting this Bid, Bidder represents, as more fully set forth in the Agreement, that:

a. Bidder has examined copies of all the bidding Documents and of the following Addenda
(receipt of all which is hereby acknowledged):

Date Number

b. Bidder has familiarized itself with the nature and extent of the Contract Documents,
Work, site, locality, and all local conditions and Laws and Regulations that in any manner
may affect cost, progress, performance or furnishing of the Work.

c. Bidder has studied carefully all reports and drawings of subsurface conditions and
drawings of physical conditions which are identified in the Supplementary Conditions as
provided in paragraph 4.2 of the General Conditions, and accepts the determination set forth

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

in the Supplementary Conditions (if applicable) of the extent of the technical data contained
in such reports and drawings upon which Bidder is entitled to rely.

d. Bidder has obtained and carefully studied (or assumes responsibility for obtaining and
carefully studying) all such examinations, investigations, explorations, tests and studies (in
addition to or to supplement these referred to in (c) above) which pertain to the subsurface or
physical conditions at the site or otherwise may affect the cost, progress, performance or
furnishing of the Work as Bidder considers necessary for the performance or furnishing of
the Work at the Contract Price, within the Contract Time and in accordance with the other
terms and conditions of the Contract Documents, including specifically the provisions of
paragraph 4.2 of the General Conditions; and no additional examinations, investigations,
explorations, tests, reports or similar information or data are or will be required by Bidder for
such purposes.

e. Bidder has reviewed and checked all information and data shown or indicated on the
Contract Documents with respect to existing Underground Facilities at or contiguous to the
site and assumes responsibility for the accurate location of said Underground Facilities. No
additional examinations, investigations, explorations, tests, reports or similar information or
data in respect of said Underground Facilities are or will be required by Bidder in order to
perform and furnish the Work at the Contract Price, within the Contract Time and in
accordance with the other terms and conditions of the Contract Documents, including
specifically the provisions of paragraph 4.3 of the General Conditions.

f. Bidder has correlated the results of all such observations, examinations, investigations,
explorations, tests, reports and studies with the terms and conditions of the Contract
Documents.

g. Bidder has given Engineer (either the Design Engineer or the City Engineer as defined in
Article 2 of the Agreement) written notice of all conflicts, errors or discrepancies that it has
discovered in the Contract Documents and the written resolution thereof by Engineer is
acceptable to Bidder.

h. This Bid is genuine and not made in the interest of or on behalf of any undisclosed person,
firm or corporation and is not submitted in conformity with any agreement or rules of any
group, association, organization or corporation; Bidder has not directly or indirectly induced
or solicited any other Bidder to submit a false or sham Bid; Bidder has not solicited or
induced any person, firm or corporation to refrain from bidding; and Bidder has not sought
by collusion to obtain for itself any advantage over any other bidder or over Owner.

OS/IS/18,

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

Project No. and Description: __841099.06 Southwest 7" Street to Southwest 8" Avenue from
Southwest Cambridge Avenue to Southwest Orleans Street

4. Bidder will complete the Work for the following price(s):

841099.06
Ttem Unit
No. Description Quantit Unit Price Extension
1 Mobilization 1 L.S.
2__| Temporary Traffic Control i LS.
3 | Pavement Removal 293 Sq.Yd.
4 | 2" Cold Milling 4746 Sq. Yd.
5 _| 2" Asphaltic Concrete Pavement 4746 Sq. Yd.
6 | 6" Concrete Driveway 205 Sq. Ft.
7 | Curb and Gutter (Type I) 444 Ln. Ft.
8 Aggregate Base - AB-3 (6) 148 Sq. Yd.
9 | ADA Ramp I Ea.
10 _| Full Depth Concrete Repair 293 Sq. Yd.
Sub Total: | $
TOTAL BID... $

5. Quantities are estimated. Final payment will be based on actual quantities unless otherwise

stated in the Contract Documents.

6. Bidder agrees that the Work will be substantially complete in accordance with the time
requirements given in the Agreement and General Conditions.

7. Bidder accepts the provisions of the Agreement for Liquidated Damages in the event of failure to
complete the work on time.
8. The following documents are attached to and made a condition of this Bid:

a. Required Bid Security in the form of a certified or bank check or a bid bond in accordance
with the provisions of the Instructions to Bidders.

b. List of Subcontractors; Costs and Suppliers.

9. The terms used in this Bid which are defined in the General Conditions included as part of the
Contract Documents have the meanings assigned to them in the General Conditions.

OS/IS/18,

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

SUBMITTED on ,20
a(n)
Name of Bidder (individual, partnership, corporation)
Address of Bidder
Telephone Number
By: ; (Corporate Seal)

Authorized Person

Title

OS/IS/18,

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

Project Number: 841099.06
Contractor's Name:

List of Subcontractors; Costs

The Bidder is required to identify each Subcontractor and the Subcontractor's cost. Do not list
alternate subcontractors for the same work. The Contractor shall list only one subcontractor for each
such portion of Work as is defined by the Contractor in his bid. Contractor shall not substitute any
person as subcontractor in the place of a subcontractor listed below, except as provided in Document
100.

The Bidder understands that if Bidder fails to specify a subcontractor for any portion of the Work to
be performed under the contract or specifies more than one subcontractor for the same portion of the
Work, Bidder shall be deemed to have agreed that Bidder is fully qualified to perform that portion
and cannot sublet or subcontract that portion of the Work, except as provided in Document 100.

Subcontractor:

Amount: ($ )
(words)

Subcontractor:

Amount: ($ )
(words)

Subcontractor:

Amount: ($ )
(words)

Subcontractor:

Amount: ($ )
(words)

Subcontractor:

Amount: ($ )
(words)

Subcontractor:

Amount: ($ )
(words)

OS/IS/18,

Docusign Envelope ID: 09417658-6217-46DC-8928-3790E52C647D

Project Number: 841099.06
Contractor's Name:

List of Suppliers (cont.)

Each Supplier performing more than, % of the Total Bid shall also be furnished. . Do not list
alternate suppliers for the same work.

Supplier
Name:
Material:

Supplier
Name:

Material:

Supplier
Name:
Material:

Supplier
Name:
Material:

Supplier
Name:

Material:

Supplier
Name:
Material:

Supplier
Name:
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Supplier
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Material:

Supplier
Name:
Material:

OS/IS/18,