5JD Building 65/66 Parking Lot Overlay

Amounts shall be indicated in both words and figures. In case of discrepancy, the amount indicated in
words shall govern.
BID PACKAGES:
BP 01
Description: All material, labor, and equipment associated with all work shown on the contract documents
complete, including the plans and specifications
Bidder proposes and agrees to perform all work as described in the Construction Documents for the sum
of:
Dollars
($___________________________).
UNIT PRICES:
Description: The following schedule of Items shall be completed as part of the Bid Form and for use in
project adjustments during construction. Unit price shall be representative of installation per unit and not
adjusted based on discrepancy of quantity take-offs. Unit prices provided will be used as basis of cost for
change orders for adjustment in quantity. Quantities in this schedule are provided for basis of scope and
on-site measurement of quantities will not occur unless there is a change in scope of work. Items
required for project completion but not listed in this schedule are considered incidental to their respective
items and within reason are considered incidental for project adjustments during construction.
ITEM ITEM APPROX.
DESCRIPTION UNIT UNIT PRICE
NO. CODE QUANTITY
1 2010-D-3 TOPSOIL, OFF-SITE CY 22 $
2 2010-E EXCAVATION, CLASS 10 CY 330 $
3 2010-G SUBGRADE PREPARATION SY 790 $
4 2010-J SUBBASE, 12 INCHES SY 790 $
5 2010-J SUBBASE, 4 INCHES SY 16 $
6 4010-999-A SANITARY SEWER CLEANOUT ADJUSTMENT, MINOR EA 1 $
7 6010-E MANHOLE ADJUSTMENT, SANITARY, MINOR EA 1 $
8 7010-A PAVEMENT, PCC, 4 INCH, C4-WR-C20 SY 30 $
9 7020-A PAVEMENT, ASPHALT, ST, BASE, 3/4 INCH, PG 58-28S TON 121 $
10 7020-A PAVEMENT, ASPHALT, ST, SURFACE, 1/2 INCH, PG 58-28S TON 92 $
11 7030-999-A REMOVE AND REPLACE FRONT ENTRANCE RAMP LS 1 $
12 7040-H PAVEMENT REMOVAL SY 890 $
13 8020-B PAINTED PAVEMENT MARKINGS, SOLVENT/WATERBORNE STA 7 $
14 8020-G PAINTED SYMBOLS AND LEGENDS, WATERBORNE OR SOLVENT EA 3 $
15 8040-A TRAFFIC SIGNS, ADA EA 1 $
16 8040-D PERFORATED SQUARE STEEL TUBE POSTS LF 10 $
17 8040-G PERFORATED SQUARE STEEL TUBE POSTS ANCHORS, EA 1
$
BREAKAWAY, 2 INCH
PROJECT 9528.00 BID FORM 00 4116 - 2

18 8040-I REMOVE SIGNS EA 2 $
19 9010-B HYDRAULIC SEEDING, SEEDING, FERTILIZING, AND MULCHING, AC 0.1
$
TYPE 1 - PERMANENT LAWN
20 9030-999-A ROCK MULCH, RIVER ROCK, 4 INCH DEPTH TON 15 $
21 9030-999-B WEED-BARRIER FABRIC, WOVEN, 5 OZ/SY SY 47 $
22 9040-F-1 WATTLE, COMPOST/MULCH SOCK LF 300 $
23 9040-F-2 WATTLE, REMOVAL LF 300 $
24 11010-A CONSTRUCTION SURVEY LS 1 $
25 11020-A MOBILIZATION LS 1 $
Bidder hereby certifies that:
1. This bid is genuine and is not made in the interest of or on behalf of any undisclosed person, firm
or corporation;
2. Bidder has not directly or indirectly induced or solicited any other bidder to put in 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 any advantage over any other bidder or over the
Owner.
3. Bidder hereby certifies that the Bidder is registered with the Iowa Labor Commissioner as a
Contractor as required by Chapter 91C, Code of Iowa.
4. Bidder agrees to comply with all Federal and State Affirmative Action/Equal Employment
Opportunity requirements concerning fair employment and will not discriminate between or
among them by reason of race, color, religion, sex, national origin or physical handicap.
5. All construction under this Contract shall conform to the requirements of the Iowa State Building
Code.
6. Bidder agrees that this bid shall remain valid and shall not be withdrawn for a period of thirty (30)
calendar days after the date for receipt of bids.
7. Bidder agrees that if written notice of acceptance of this bid is mailed, emailed, or delivered to the
undersigned within thirty (30) days after the date in which bids are due, or at any time thereafter
before it is withdrawn, the undersigned will sign and return the Contract Agreement, prepared in
accord with the Bidding Documents and this bid as accepted; and will also provide proof of
insurance coverage and required surety bonds.
8. Bidder understands that the Owner reserves the right to reject any and all bids, and to waive
irregularities or informalities and enter into a contract for the work, as the Owner deems to be in
the best interest of the State.
9. Bidder understands that the Owner reserves the right to accept any, or no, Alternate Bid, if
requested, and that the Alternate Bids may be considered in any order or combination, and the
low Bidder shall be determined on the basis of the sum of the base bid and any Alternate(s)
accepted.
Subcontractors:
The Trade Contractor must identify all Subcontractors and Suppliers within 48 hours of the published date
and time for which bids must be submitted, in accordance with Iowa Code Section 8A311, as amended by
House File 646 in 2011. Subcontractors and suppliers may not be changed without the approval of the
Owner. Requests for changing a Subcontractor or supplier must identify the reason for the proposed
change, the name of the new Subcontractor or supplier, and the change in the subcontractor or supplier
price as a result of the change. Any reduction in subcontractor or supplier price as a result of the change,
if the change is approved by the Owner, shall be deducted from the Trade Contract Price via a deductive
Change Order. Any such changes, if approved by the Owner, which result in an increase in the Trade
Contract Price shall be borne by the Trade Contractor.
Enforcement of Reciprocal Resident Bidder Preference, per Iowa Code 73A.21.
All bidders shall either check the box next to "Resident Bidder" or check the box next to
"Nonresident Bidder" and by doing so and signing thereafter certifies and attests to the same. All
PROJECT 9528.00 BID FORM 00 4116 - 3

information requested must be provided. Seek out the advice of an attorney if you have questions.
"Resident Bidder" means a person or entity authorized to transact business in of the State of Iowa
and having a place of business for transacting business within the State of Iowa at which it is conducting
and has conducted business for at least three years prior to the date of the first advertisement for the
public improvement. Note, however, that if a nonresident bidder's state or foreign country has a more
stringent definition of a resident bidder, the more stringent definition is applicable as to bidders from that
state or foreign country.
Resident Bidder
Name of Resident Bidder: ___________________________
By: _____________________________________
Authorized Agent and Signatory of Resident Bidder
OR:
Nonresident Bidder
Name of Nonresident Bidder: ___________________________
Name of State or Foreign Country of Nonresident Bidder: ___________________________
Particularly identify and describe any preference, labor preference, or any other type of preferential
treatment, in effect in the nonresident bidder's state or foreign country at the time of this bid:
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________
NOTICE: Nonresident Bidders domiciled in a state or country with a resident labor force preference shall
make and keep, for a period of not less than three years, accurate records of all workers employed on the
public improvement. The records shall include each worker's name, address, telephone number when
available, social security number, trade classification, and the starting ending time of employment.
By: ________________________________________
Authorized Agent and Signatory of Nonresident Bidder
REQUIRED: Bid Form shall be signed by an officer of the company with authority to bind in a
contract. Notice of acceptance of this bid, or request for additional information by the Department of
Administrative Services, may be addressed to the undersigned at the address set forth below:
Legal Name of Firm: ____________________________________________________________
Date: _________________________________________________
Signature of Bidder: ____________________________________________________
Title: ______________________________________________________
Typed Name of Signatory: _____________________________________________________
Email: _______________________________________
PROJECT 9528.00 BID FORM 00 4116 - 4

Business Address:
_____________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Telephone Number: ____________________ Fax Number: ____________________
Federal Tax Identification Number: ____________________
Iowa Contractor Registration Number: _________________________
Bidder Safety Manager Name:_______________________________
For an out-of-state Bidder, Bidder certifies that the Resident Preference given by the State or
Foreign Country of Bidder's residence, _________________________, is _______ %.
END OF SECTION
PROJECT 9528.00 BID FORM 00 4116 - 5

SECTION 00 4116.01
NON-DISCRIMINATION CLAUSE
This Section is for informational purposes only. All information will be submitted online through
the State's IMPACS Electronic Procurement System.
PART 1 - GENERAL
All contractors, subcontractors, vendors and suppliers of goods and services doing business
with the State of Iowa and value of said business equals or exceeds $10,000 annually, agree
as stated below.
1.01 NONDISCRIMINATION CLAUSE
A. The contractor, subcontractor, vendor and supplier of goods and services will not discriminate
against an employee or applicant for employment because of race, creed, color, sex, national
origin, ancestry, religion, economic status, age, disability, political opinion, or affiliations of an
applicant or employee based upon the nature of the job occupation. The contractor,
subcontractor, vendor and supplier will develop an Affirmative Action Program to insure that
applicants are employed and that employees are treated during employment without regard to
their race, creed, color, sex, national origin, ancestry, religion, economic status, age, disability,
political opinions or affiliations. Such action shall include, but not be limited to the following:
1. Employment.
2. Upgrading.
3. Demotion or transfer.
4. Recruitment and advertising.
5. Layoff or termination.
6. Rates of pay or other forms of compensation.
7. Selection for training, including apprenticeship.
B. The contractor, subcontractor, vendor and supplier of goods and services will, in all solicitations
or advertisements for employees, state that all qualified applicants will receive consideration for
employment without regard to race, creed, color, sex, national origin, ancestry, religion,
economic status, age, disability, political opinion or affiliations.
C. The contractor, subcontractor, vendor and supplier or their collective bargaining representative
will send to each labor union or representative or workers with which they have a collective
bargaining agreement or other contract or understanding, a notice advising the said labor union
or workers' representative of the contractor's commitments under this section.
D. The contractor, subcontractor, vendor and supplier of goods and services will comply with all
published rules, regulations, directives and orders of the State of Iowa Affirmative Action
Program Contract Compliance Provisions.
E. The contractor, subcontractor, vendor and supplier of goods and services will furnish and file
compliance reports within such time and upon such forms as provided by the Equal
Employment Opportunity Officer, said forms may elicit information as to the policies,
procedures, patterns, and practices of each subcontractor as state as the contractor themselves
and said contractor, subcontractor, vendor and supplier will permit access to their employment
books, records and accounts to the State's Equal Employment Opportunity Officer, for the
purpose of investigation to ascertain compliance with this Contract and with rules regulations of
the State's Affirmative Action Program.
F. In the event of the contractor's noncompliance with the nondiscrimination clauses of this
Contract or with any of such rules, regulations and orders; this Contract may be canceled,
terminated or suspended in whole or in part and the Contractor may be declared ineligible for
further contracts in accordance with procedures authorized by the State of Iowa.
PROJECT 9528.00 NONDISCRIMINATION CLAUSE INFORMATION 00 4116.01 - 1

G. The contractor, subcontractor, vendor and supplier of goods and services will include, or
incorporate by reference, the provisions of the nondiscrimination clause in every contract,
subcontract or purchase order unless exempted by the rules, regulations or orders of the State's
Affirmative Action Program, and will provide in every subcontract or purchase order that said
provisions will be binding upon each contractor, subcontractor or seller.
H. The parties agree to comply with "Compliance with the Law; Nondiscrimination in Employment"
of the current Terms and Conditions at the award of this contract. Current Terms and Conditions
may be found on the following web site and are, by this reference, made a part of this
Agreement. https://das.iowa.gov/procurement/terms-and-conditions
I. We certify and recognize that we are morally and legally committed to nondiscrimination in
employment. Any person who applies for employment with our company will not be
discriminated against because of race, creed, color, sex, national origin, ancestry, religion,
economic status, age or disabilities, unless disabilities are based upon the nature of the job
occupation.
PART 2 - PRODUCTS - NOT USED
PART 3 - EXECUTION - NOT USED
END OF SECTION
PROJECT 9528.00 NONDISCRIMINATION CLAUSE INFORMATION 00 4116.01 - 2

SECTION 00 4116.02
TARGETED SMALL BUSINESS INFORMATION
This Section is for informational purposes only. All information will be submitted online through
the State's IMPACS Electronic Procurement System.
PART 1 - GENERAL
1.01 TARGETED SMALL BUSINESS INFORMATION
A. Subcontractor Targeted Small Business Enterprise Pre-Bid Contact Information, including
subcontractor and dollar amount to be subcontracted, is to accompany the Bid submission.
Bidders shall comply with all affirmative action/equal opportunity provisions of State and Federal
laws. The Owner seeks to provide opportunities for Targeted Small Businesses in accordance
with the provisions of Chapter 73 of the Code of Iowa.
B. Search the Targeted Small Business Directory for certified State of Iowa Targeted Small
Businesses.
PART 2 - PRODUCTS - NOT USED
PART 3 - EXECUTION - NOT USED
END OF SECTION
PROJECT 9528.00 TARGETED SMALL BUSINESS INFORMATION 00 4116.02 - 1

PROJECT 9528.00 TARGETED SMALL BUSINESS INFORMATION 00 4116.02 - 2