Koerner Road Resufacing - Plan Holders List

PEORIA COUNTY HIGHWAY DEPARTMENT
BID REGISTRATION FORM
Koerner Road Mill and Overlay Project
PROJECT DESCRIPTION: ______________________________________
Registration is encouraged but not required. Bids will be accepted from non-registered vendors;
however, failure to register with the Peoria County Highway Department waives the right to
receive direct notification of addenda and other information released regarding the bid.
Please add our firm name and information to the registered vendors list for above named bid. I
understand any questions I may have regarding this bid must be submitted to the Peoria County
Highway Department for dissemination to all registered bidders.
COMPANY NAME: _______________________________________________________
ADDRESS: _____________________________________________________________
CITY: __________________________________ STATE: ___________ ZIP:__________
CONTACT NAME: _______________________________________________________
PHONE: ____________________________ FAX: ______________________________
EMAIL: _________________________________________________________________
Please check the appropriate box below indicating the method by which you would like to receive the bid
documents. You may download the bid from the County website at:
https://www.peoriacounty.gov/397/Bid-Lettings
Downloaded documents Mail documents Will pick up documents at Highway Dept.
Please mail, fax or email this form to: Peoria County Highway Department
6915 W. Plank Road
Peoria, IL 61604
Fax: 309-697-6446
Email: pchighway@peoriacounty.org

Local Public Agency
Formal Contract Proposal
COVER SHEET
Proposal Submitted By:
Contractor's Name
Contractor's Address City State Zip Code
STATE OF ILLINOIS
Local Public Agency County Section Number
Peoria County Peoria 25-00083-00-RS
Route(s) (Street/Road Name) Type of Funds
Koerner Road Local
Proposal Only Proposal and Plans Proposal only, plans are separate
Submitted/Approved
For Local Public Agency:
For a County and Road District Project For a Municipal Project
Submitted/Approved Submitted/Approved/Passed
Highway Commissioner Signature & Date Signature & Date
Official Title
Submitted/Approved
County Engineer/Superintendent of Highways Signature & Date
Amy Benecke Digitally signed by Amy Benecke
McLaren Department of Transportation
McLaren
Date: 2026.09.08 06:43:36 -05'00'
Released for bid based on limited review
Regional Engineer Signature & Date
Note: All proposal documents, including Proposal Guaranty Checks or Proposal Bid Bonds, should be stapled together to prevent loss
when bids are processed.
Completed09/08/26 Page 1 of 6 BLR 12200 (Rev. 01/19/23)

Local Public Agency County Section Number Route(s) (Street/Road Name)
Peoria County Peoria 25-00083-00-RS Koerner Road
NOTICE TO BIDDERS
Peoria County Highway Department
Sealed proposals for the project described below will be received at the office of
Name of Office
6919 W. Plank Road, Peoria, IL 61604 9:00 AM 10/13/26
until on .
Address Time Date
Peoria County Highway Department
Sealed proposals will be opened and read publicly at the office of
Name of Office
6919 W. Plank Road, Peoria, IL 61604 9:00 AM 10/13/26
at on .
Address Time Date
DESCRIPTION OF WORK
Location Project Length
Koerner Road 3.0 miles
Proposed Improvement
The proposed improvements consist of a two inch asphalt mill and overlay, temporary bridge traffic signals,
waterproofing membrane system, pavement markings, and other related work on Koerner Road from US 150 to
IL Route 8.
1. Plans and proposal forms will be available in the office of
Peoria County Highway Department, 6915 W Plank Road, Peoria, Illinois 61604
2. Prequalification
If checked, the 2 apparent as read low bidders must file within 24 hours after the letting an "Affidavit of Availability" (Form BC 57) in
triplicate, showing all uncompleted contracts awarded to them and all low bids pending award for Federal, State, County, Municipal
and private work. One original shall be filed with the Awarding Authority and two originals with the IDOT District Office.
3. The Awarding Authority reserves the right to waive technicalities and to reject any or all proposals as provided in BLRS Special
Provision for Bidding Requirements and Conditions for Contract Proposals.
4. The following BLR Forms shall be returned by the bidder to the Awarding Authority:
a. Local Public Agency Formal Contract Proposal (BLR 12200)
b. Schedule of Prices (BLR 12201)
c. Proposal Bid Bond (BLR 12230) (if applicable)
d. Apprenticeship or Training Program Certification (BLR 12325) (do not use for project with Federal funds.)
e. Affidavit of Illinois Business Office (BLR 12326) (do not use for project with Federal funds)
5. The quantities appearing in the bid schedule are approximate and are prepared for the comparison of bids. Payment to the Contractor
will be made only for the actual quantities of work performed and accepted or materials furnished according to the contract. The
scheduled quantities of work to be done and materials to be furnished may be increased, decreased or omitted as hereinafter
provided.
6. Submission of a bid shall be conclusive assurance and warranty the bidder has examined the plans and understands all requirements
for the performance of work. The bidder will be responsible for all errors in the proposal resulting from failure or neglect to conduct an
in depth examination. The Awarding Authority will, in no case, be responsible for any costs, expenses, losses or changes in
anticipated profits resulting from such failure or neglect of the bidder.
7. The bidder shall take no advantage of any error or omission in the proposal and advertised contract.
8. If a special envelope is supplied by the Awarding Authority, each proposal should be submitted in that envelope furnished by the
Awarding Agency and the blank spaces on the envelope shall be filled in correctly to clearly indicate its contents. When an envelope
other than the special one furnished by the Awarding Authority is used, it shall be marked to clearly indicate its contents. When sent
by mail, the sealed proposal shall be addressed to the Awarding Authority at the address and in care of the official in whose office the
bids are to be received. All proposals shall be filed prior to the time and at the place specified in the Notice to Bidders. Proposals
received after the time specified will be returned to the bidder unopened.
9. Permission will be given to a bidder to withdraw a proposal if the bidder makes the request in writing or in person before the time for
opening proposals.
Completed09/08/26 Page 2 of 6 BLR 12200 (Rev. 01/19/23)

Local Public Agency County Section Number Route(s) (Street/Road Name)
Peoria County Peoria 25-00083-00-RS Koerner Road
PROPOSAL
1. Proposal of
Contractor's Name
.
Contractor's Address
2. The plans for the proposed work are those prepared by
and approved by the Department of Transportation on .
3. The specifications referred to herein are those prepared by the Department of Transportation and designated as "Standard
Specifications for Road and Bridge Construction" and the " Supplemental Specifications and Recurring Special Provisions" thereto,
adopted and in effect on the date of invitation for bids.
4. The undersigned agrees to accept, as part of the contract, the applicable Special Provisions indicated on the "Check Sheet for
Recurring Special Provisions" contained in this proposal.
5. The undersigned agrees to complete the work within 30 working days or by unless additional time
is granted in accordance with the specifications.
6. The successful bidder at the time of execution of the contractwill be required to deposit a contract bond for the full amount of
the award. When a contract bond is not required, the proposal guaranty check will be held in lieu thereof. If this proposal is accepted
and the undersigned fails to execute a contract and contract bond as required, it is hereby agreed that the Bid Bond of check shall be
forfeited to the Awarding Authority.
7. Each pay item should have a unit price and a total price. If no total price is shown or if there is a discrepancy between the products of
the unit price multiplied by the quantity, the unit price shall govern. If a unit price is omitted, the total price will be divided by the
quantity in order to establish a unit price. A bid may be declared unacceptable if neither a unit price nor a total price is shown.
8. The undersigned submits herewith the schedule of prices on BLR 12201 covering the work to be performed under this contract.
9. The undersigned further agrees that if awarded the contract for the sections contained in the combinations on BLR 12201, the work
shall be in accordance with the requirements of each individual proposal for the multiple bid specified in the Schedule for Multiple Bids
below.
10. A proposal guaranty in the proper amount, as specified in BLRS Special Provision for Bidding Requirements and Conditions for
Contract Proposals, will be required. Bid Bondswill be allowed as a proposal guaranty. Accompanying this proposal is either
a bid bond, if allowed, on Department form BLR 12230 or a proposal guaranty check, complying with the specifications, made payable
to: Branden Martin Treasurer of Peoria County .
The amount of the check is ( ).
Attach Cashier's Check or Certified Check Here
In the event that one proposal guaranty check is intended to cover two or more bid proposals, the amount must be equal to the
sum of the proposal guaranties which would be required for each individual bid proposal. If the proposal guaranty check is
placed in another bid proposal, state below where it may be found.
The proposal guaranty check will be found in the bid proposal for: Section Number .
Completed09/08/26 Page 3 of 6 BLR 12200 (Rev. 01/19/23)

Local Public Agency County Section Number Route(s) (Street/Road Name)
Peoria County Peoria 25-00083-00-RS Koerner Road
CONTRACTOR CERTIFICATIONS
The certifications hereinafter made by the bidder are each a material representation of fact upon which reliance is placed should the
Department enter into the contract with the bidder.
1. Debt Delinquency. The bidder or contractor or subcontractor, respectively, certifies that it is not delinquent in the payment of any tax
administered by the Department of Revenue unless the individual or other entity is contesting, in accordance with the procedure
established by the appropriate Revenue Act, its liability for the tax or the amount of the tax. Making a false statement voids the
contract and allows the Department to recover all amounts paid to the individual or entity under the contract in a civil action.
2. Bid-Rigging or Bid Rotating. The bidder or contractor or subcontractor, respectively, certifies that it is not barred from contracting
with the Department by reason of a violation of either 720 ILCS 5/33E-3 or 720 ILCS 5/33E-4.
A violation of section 33E-3 would be represented by a conviction of the crime of bid-rigging which, in addition to Class 3 felony
sentencing, provides that any person convicted of this offense, or any similar offense of any state or the United States which contains
the same elements as this offense shall be barred for 5 years from the date of conviction from contracting with any unit of State or
local government. No corporation shall be barred from contracting with any unit of State or local government as a result of a conviction
under this Section of any employee or agent of such corporation if the employee so convicted is no longer employed by the
corporation: (1) it has been finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to
contract that entity finds that the commission of the offense was neither authorized, requested, commanded, nor performed by a
director, officer or a high managerial agent on behalf of the corporation.
A violation of Section 33E-4 would be represented by a conviction of the crime of bid-rotating which, in addition to Class 2 felony
sentencing, provides that any person convicted of this offense or any similar offense of any state or the United States which contains
the same elements as this offense shall be permanently barred from contracting with any unit of State of Local government. No
corporation shall be barred from contracting with any unit of State or Local government as a result of a conviction under this Section of
any employee or agent of such corporation if the employee so convicted is no longer employed by the corporation and: (1) it has been
finally adjudicated not guilty or (2) if it demonstrates to the governmental entity with which it seeks to contract and that entity finds that
the commission of the offense was neither authorized, requested, commanded, nor performed by a director, officer or a high
managerial agent on behalf of the corporation.
3. Bribery. The bidder or contractor or subcontractor, respectively, certifies that, it has not been convicted of bribery or attempting to
bribe an officer or employee of the State of Illinois or any unit of local government, nor has the firm made an admission of guilt of such
conduct which is a matter or record, nor has an official, agent, or employee of the firm committed bribery or attempted bribery on
behalf of the firm and pursuant to the direction or authorization of a responsible official of the firm.
4. Interim Suspension or Suspension. The bidder or contractor or subcontractor, respectively, certifies that it is not currently under a
suspension as defined in Subpart I of Title 44 Subtitle A Chapter III Part 6 of the Illinois Administrative code. Furthermore, if
suspended prior to completion of this work, the contract or contracts executed for the completion of this work may be canceled.
Completed09/08/26 Page 4 of 6 BLR 12200 (Rev. 01/19/23)

Local Public Agency County Section Number Route(s) (Street/Road Name)
Peoria County Peoria 25-00083-00-RS Koerner Road
SIGNATURES
(If an individual) Bidder Signature & Date
Business Address
City State Zip Code
Firm Name
(If a partnership)
Signature & Date
Title
Business Address
City State Zip Code
Insert the Names and Addresses of all Partners
Corporate Name
(If a corporation)
Signature & Date
Title
Business Address
City State Zip Code
Insert Names of Officers President
Completed09/08/26 Page 5 of 6 BLR 12200 (Rev. 01/19/23)

Secretary
Attest:
Treasurer
Secretary
Completed09/08/26 Page 6 of 6 BLR 12200 (Rev. 01/19/23)