HomeMy WebLinkAbout5.3 Motion to accept joint bid results for crack sealing4/10/2019 BoardDocs® Pro
Agenda Item Details
Meeting Apr 03, 2019 - REGULAR MEETING OF THE MOUNT PROSPECT VILLAGE BOARD - 7:00 p.m.
- REVISED
Category S. CONSENT AGENDA
Subject 5.3 Motion to accept joint bid results for crack sealing in an amount not to exceed $65,820.
Access Public
Type Action (Consent)
Preferred Date Apr 03, 2019
Absolute Date Apr 03, 2019
Fiscal Impact Yes
Dollar Amount 65,820.00
Budgeted Yes
Budget Source Motor Fuel Tax Fund and General Fund
Recommended Action Award a three (3) year contract with two (2) annual extensions for crack sealing to the
lowest responsive bidder, Patriot Pavement of Des Plaines, Illinois in an amount not to
exceed $65,820 in 2019. Expenditures in subsequent years will be at the contract rates, but
limited to funds appropriated in the budget.
Public Content
As part of our annual preventative street maintenance program, streets that have been paved within the last five to
six years are chosen for crack sealing repair. Typically within five to six years, the pavement develops transverse and
longitudinal cracks, which permits water to get under the pavement and weaken the base thus causing additional
pavement failures. In order to prevent further deterioration, the cracks are sealed in turn extending the life of the
street for an additional ten to fifteen years.
The contract being considered this year is a joint bid through the efforts of the Municipal Partnering Initiative (MPI).
MPI is a collective of Cook County, Lake County, and DuPage County municipalities that have successful leveraged
bulk purchasing and workload sharing to reduce the cost of many municipal services. The bid is similarly structured to
the MPI bids that the Village has previously participated in.
The length of this bid is for three (3) years with the option of two (2) annual extensions beyond the termination date
by mutual, written agreement. This type of contract will subsequently result in more favorable pricing for the
municipalities. Payment for the work performed under this contract is made directly to the contractor. No liability is
established between the Village of Mount Prospect and the other participating agencies.
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The MPI project will include over 1.6 million pounds of sealant in 2019, encompassing crack sealing projects for the
villages of Arlington Heights, Glenview, Kenilworth, Northbrook, Skokie, Mount Prospect and the cities of Evanston
and Rolling Meadows. The contract is administered by the Village of Arlington Heights.
The invitation to bid was published by Arlington Heights, the lead municipality for this contract. The bid opening was
held on Tuesday, March 12, 2019 at 11 a.m. at 33 S. Arlington Heights Road, Arlington Heights, Illinois. Three (3)
contractors were present for the bid opening. Additionally, all three submitted a bid bond in the amount of 5% of the
total bid as required in the bid proposal. Each bid was checked for accuracy. All bidders correctly signed their bids and
bid bonds. Below is the summary of the bids:
Bidder
Crack
Sealant Crack
Sealant Crack Sealant
2019 (p/Ib)
2020 (p/Ib)
2021 (p/Ib)
Patriot Pavement, Des
$1.15
$1.19
$1.21
Plaines, IL
................................................................................................................................................................................................................................................................................................................................................................................................
Denier Inc. Joliet, IL$1.255
.S.KC.................West
..........................................................................................................................................................................................................................................................................
$1.29
$1.33
Construction
$1.35
$1.41
$1.45
Dundee, IL
The three (3) year average price of $1.183 per pound submitted by Patriot Pavement represents a 1/2% increase
over the 2016-2018 three year average price of $1.177. Pricing in years 2022 and 2023 will be equivalent to 2021
pricing.
Patriot Pavement has previously performed this work for the Village and all work was performed satisfactorily.
References were supplied as required and work checked. All references indicated that Patriot Pavement have
satisfactorily performed projects of this scale and cope in an acceptable manner.
Alternatives
1. Accept Municipal Partnering Initiative joint bid results for pavement crack sealing.
2. Action at discretion of Village Board.
Staff Recommendation
Staff recommends accepting the Municipal Partnering Initiative joint bid results for pavement crack sealing and award
a three (3) year contract to Patriot Pavement of Des Plaines, Illinois in an amount not to exceed $65,820 in 2019.
Staff also requests Village Board authorization to extend the contract up to two annual extensions (years 2022 and
2023) provided Municipal Partnering Initiative collectively elects to do so.
Crack Sealing Services 2019.pdf (3,769 KB) 20190312_CrackSeaiingBid_Resuits.pdf (1,012 KB)
Administrative Content
Executive Content
All items under Consent Agenda are considered routine by the Village Board and will be enacted by one motion. There
will be no separate discussion of those items unless a Board member or member from the audience so requests, in
which the item will be removed from the Consent Agenda and considered in its sequence on the agenda.
Motion & Voting
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Accept the monthly financial report for February 2019
Motion by Colleen Saccotelli, second by William Grossi.
Final Resolution: Motion Carries
Yea: William Grossi, Eleni Hatzis, Paul Hoefert, Richard Rogers, Colleen Saccotelli, Michael Zadel
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INVITATION FOR BIDS
BID DOCUMENTS AND SPECIFICATIONS
CRACK SEALING SERVICES
FOR THE MUNICIPALITIES OF:
Arlington Heights, Evanston, Glenview, Kenilworth, Mount Prospect,
Northbrook, Roiling Meadows, and Skokie
PROPOSAL
R- - ! CHECK ^ BOND)
DATE AND TiME DUE:
PERSON:CONTACT
RiQLA
VILLAGE OF ARLINGTON HEIGHTS
33 SOUTH ARLINGTON HEIGHTS ROAD
ARLINGTON HEIGHTS, ILLINOIS 60005
847.368.5000
Arlington Heights, IL 60005 until 11:00 a.m. on March 12, 2019 and then at said office publicly opened and read aloud for
the following:
REQUEST FOR BID* CRACK SEALING SERVICES FOR THE MUNICIPALITIES OF:
Arlington Heights, Evanston, Glenview, Kenilworth, Mount Prospect, Northbrook, Rolling Meadows, and Skokie.
Scope of work includes: routing of asphalt and concrete pavement cracks, cleaning of routed cracks, provision of crack
sealant compound, and installation of the compound within routed and cleaned cracks, to be performed throughout the
Municipalities.
Plans, specifications and bid forms may be obtained at Village of Arlington Heights, Finance Department, 33 S. Arlington
Heights Rd, Arlington Heights, IL 60005
hts
for not less than five percent (5%) of the first year total bid price.
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et seq. and Employment of Illinois Works on Public Works Act (30 ILCS 570/0.01).
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be disqualified and returned to the bidder.
thereof, to waive any irrequianties or
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pi.pontents f this solicitation and agree to furnish at the prices shown any or all of the Items above, subject tool'
request for additional compensation, By signing this bid docurnonL the bl[dder More cariffies that they are not oarroo vrorn dimung orl ME ....... -ye6W.
The undersigned hereby cor daes that they have read and understand the contents of this solicitation and agree to furnish at the prices shown any or all of the items above, subject to all
Instructions„ conditions, specifications and attachments hereto, Failure to have reed all the provisions of this solicitation shall not be cause to atter any resulting contract or to accept any
request for addiRlonal compansatiom By signing thls bid document, the bidder hereby certifies that they are not barred from bidding on this contract as a result of a violation of either Section
33E•3 or 33E•4 of the Illinois Criminal Code of 1951, as amended.
Authorized Signature: Company Annie:
TypedlPrinted Name: Date: .......................................... ,w-,
Title: Telephone Number:
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17. BIDDER QUALIFICATIONS AND EVALUATION CRITERIA
The Bidders must be qualified Contractors and demonstrate the capability to provide services required in accordance
with the bid specifications. This would include:
A. Bid pricing
B. Compliance with specifications
C. Previous Municipality Experience
D. Submittal compliance
E. References
F. Not currently suspended from participation in any Local, State or Federal Projects
18, AFFIDAVITS
The following affidavits included in these contract documents must be executed and submitted with the bid:
A) References
B) Disqualification of Certain Bidders
C) Affidavit/Anti-collision
D) Conflict of Interest Form
E) Tax Compliance
F) Identification of Subcontractors
G) Current Suspensions (please use Participation Affidavit provided herein)
%SUBCONTRACTORS
If any Bidder submitting a bid intends on subcontracting out all or any portion of the engagement, that fact, and t
(u—se additional sheets if necessary)
uest from the Contractor
and a written approval from the Village of Arlington Heights is required.
Notwithstanding written consent to subcontract approved by the Municipalities, the Contractor shall perform with the
Contractor's own organization, work amounting to not less than fifty (50%) percent of the total contract cost, and with
materials purchased or produced by the Contractor.
The subcontracting, if any, shall be done by the Contractor in accordance with applicable Article 108.01 of the IDOT
Standard Specifications.
Failure to identify subcontractors could result in disquacation.
20. SILENCE OF SPECIFICATIONS
The apparent silence of specifications as to any detail or apparent omission from it as detailed description concerning
any portion shall be interpreted as meaning that only the best commercial material or practice shall prevail and that only
items of the best material or workmanship to used.
21. UNBALANCED BIDS
Any bid which is materially unbalanced as to prices for the Base Bid and/or Optional Bid Items may be rejected. An
unbalanced bid is one which is based on the prices significantly less than the cost for some work and/or prices which
are significantly overstated for other work.
i1g, �j IN 1jjzwtT;14 IliV,"ilble and regonSive
bidder and will decide wheiner any or Mani
determined by the Municipalities.
4renu faftirn�--a;14t
pavement, years two (2) and three (3), the Municipalities reserve the right to reject such bid at the discretion of the
Village of Arlington Heights.
22. OMISSIONSIHIDDEN CONDITIONS
The drawings and specifications are intended to include all work and materials necessary for completion of the work.
Any incidental item of material, labor, or detail required for the proper execution and completion of the work and omitted
from either the drawings or specifications or both, but obviously required by governing codes, federal or state laws, local
regulations, trade practices, operational functions, and good workmanship, shall be provided as a part of the contract
required by the Municipalities including, but not limited to:
100% performance and payment bonds for the project awarded award by other Municipalities
Certificate of insurance naming each additional Municipality as an additional insured
Certified payrolls to each additional Municipality for work performed
28, INSURANCE
The Contractor shall maintain for the duration of the contract, including warranty period, insurance purchased from a
company or companies lawfully authorized to do business in the state of Illinois and having a rating of at least A -minus
and a class size of at least X as rated by A.M. Best Ratings. Such insurance as will protect the Contractor from claims
set forth below which may arise out of or result from the Contractor's operations under the contract and for which the
Contractor may be legally liable, whether such operations be by the Contractor or by a Subcontractor or by anyone
directly or indirectly employed by any of them, or by anyone for whose acts any of them may be liable:
28.1 Workers' Compensation Insurance covering all liability of the Contractor arising under the Workers'
Compensation Act and Occupational Diseases Act; limits of liability not less than statutory requirements.
28.2 Employers Liability covering all liability of contractor as employer, with limits not less than: $1,000,000 per injury
— per occurrence; $500,000 per disease — per employee; and $1,000,000 per disease — policy limit.
28.3 Comprehensive General Liabilfty in a broad form on an occurrence basis, to include but not be limited to,
coverage for the following where exposure exists; Premises/Operations, Contractual Liability,
Products/Completed Operations for 2 years following final payment, Independent Contractor's coverage to
respond to claims for damages because of bodily injury, sickness or disease, or death of any person other than
the Contractor's employees as well as claims for damages insured by usual personal injury liability coverage
which are sustained (1) by a person as a result of an offense directly or indirectly related to employment of such
person by the contractor, or (2) by another person and claims for damages, other than to the Work itself, because
of injury to or destruction of tangible property, including loss of use there from; Broad Form Property Damage
Endorsement; Railroad exclusions shall be deleted if any part of the project is within 50 feet of any railroad track
General Aggregate Limit $ 2,000,000
Each Occurrence Limit $1,000,000
28.4 Automobile Liability Insurance shall be maintained to respond to claims for damages because of bodily injury,
death of a person or property damage arising out of ownership, maintenance or use of a motor vehicle, This policy
shall be written to cover any auto whether owned, leased, hired, or borrowed.
Each Occurrence Limit $ 2,R0110off
28.5 Umbrella Excess Liability
Special coverage shall be as follows ..................... $2,000,000 over primary insurani
All underlying coverage needs to be included in the Umbrella or Excess Liability policy. Any exclusions
exceptions must be noted on the certificate of insurance. I
29.5.2 To provide separate endorsements: to name each Munici onarinI
appear, and; to provide thirty (30) days notice, in writing, of cancellation or material change.
29.5.3 The Contractor's insurance shall be primary in the event of a claim.
M-0.4 �,Z X,�Jo4z* the above
required insurance, prior to commencement of this Contract and thereafter with certificates evidencing
renewals or replacements of said policies of insurance at least thirty (30) days prior to the expiration of
cancellation of any such policies.
I I beeir endorsed as an "additional insure*A
I .111T. tffl&V&11I
lo wnicn an alan e7ception nas Men
of resolution of such dispute, appeal, litigation, claim or exception.
i. negotiated prime contractors;
negotiated change orders or contract amendments in excess of $25,000 affecting the price of any formally
advertised, competitively awarded, fixed price contract; and
Ji. subcontracts or purchase orders under any contract other than a formally advertised, competitively awarded,
fixed price contract.
G) This right of access will generally not be exercised with respect to a prime contract, subcontract, or purchase order
awarded after effective price competition. In any event, the right of access shall be exercised under any type of
contract or subcontract:
i. with respect to records pertaining directly to contract performance, excluding any financial records of the
contractor; and
ii. if there is any indication that fraud, gross abuse, or corrupt practices may be involved.
11,
CONSTRUCTION CONTRACTS
10
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In the employment and use of labor, the Contractor and any subcontractor of the Contractor shall conform to all illin
Constitutional and statutory requirements including, but not limited to, the following: I
1.1 Illinois Constitution, Article 1, Section 17, which provides: "All persons shall have the right to be free from
discrimination on the basis of race, color, creed, national ancestry and sex in the hiring and promotion
practices of any employer or in the sale or rental of property."
1.2 Illinois Constitution, Article 1, Section 18, which provides: "The equal protection of the laws shall not be
denied or abridged on account of sex by the state of its units of local government and school districts."
1.3 The Public Works Employment Discrimination Act, 775 ILCS 10/i, provides in substance that no person
may be refused or denied employment by reason of unlawful discrimination, nor may any person be
subjected to unlawful discrimination in any manner in connection with contracting for or performance of any
work or service of "any kind by, for, on behalf of, or for the benefit of the State, or of any department, bureau,
commission, board or other political subdivision or agency thereof."
1.4 Contractor shall comply with the Illinois Human Rights Act, 775 ILCS 5/1-101 et seq., as amended and any
rules and regulations promulgated in accordance therewith, including, but not limited to the Equal
Employment Opportunity Clause, Illinois Administrative Code, Title 44, Part 750 (Appendix A), which is
incorporated herein by reference. Furthermore, the Contractor shall comply with the Public Works
Employment Discrimination Act, 775 ILCS `10/0.01 et seq., as amended.
2.0 The Veterans Preference Act, 330 ILCS 55/1, provides: "in the employment and appointment to fill positions in the
construction, addition to, or alteration of all public works undertaken or contracted for by the State, or any of its
political subdivisions thereof, preference shall be given to persons who have been members of the Armed Forces
If the United States ... in times of hostilities with a foreign country—"
3.0 The Servicemen's Employment Tenure Act, as amended. 330 ILCS 60/2, "safeguarding the employment and the
rights and privileges inhering in the employment contract, of servicemen."
4.0 The Prevailing Wage Act, 820 ILCS 130/0.01 et seq., provides: "it is the policy of the State of Illinois that a wage
of no less than the general prevailing hourly rate as paid for work of a similar character in the locality in which the
work is performed, shall be paid to all laborers, workers and mechanics employed by or on behalf of any and all
public bodies engaged in public works." The current Schedule of Prevailing Wages for Cook County and/or Lake
County must be prominently posted at the project site by the Contractor.
4.1 The Prevailing Wage Act, 820 ILCS 130/4, provides: "All bid specifications shall list the specified rates to
all laborers, workers and mechanics in the locality for each craft or type of worker or mechanic needed to
execute the contract. If the Department of Labor revises the prevailing rate of hourly wages to be paid by
the public body, the revised rate shall apply to such contract, and the public body shall be responsible to
notify the Contractor and each subcontractor of the revised rate."
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4.1.1 The Village shall notify the Contractor of any revised rates as determined by the Department of Labor
and as received by the Village. It shall be the responsibility and liability of the Contractor to promptly
notify each and every subcontractor of said revised rates.
4.1.2 Unless otherwise speced in the Contract Documents, the Contractor shall assume all risks and
responsibility for any changes to the prevailing hourly wage that occur during the Contract Time. A
revision to the prevailing rate of hourly wages shall not be cause for any adjustment in the Contract
Sum.
4.2 The Prevailing Wage Act, 820 ILCS 130/5 provides that the Contractor and each Sub Contractor shall,
"submit monthly, in person, by mail or electronically a certified payroll to the public body in charge of the
project."
4,21 The Contractor shall submit to the Village by the tenth day, monthly, a certified payroll list including
all workers, laborers and mechanics employed by the Contractor and each of the Sub Contractors.
4.2.2 The certified payroll records shall include each worker's name, address, telephone number, social
security number, classification, number of hours worked each day, the hourly wage and starting and
ending times each day.
4.2.3 Included with the payroll records, the Contractor and each Sub Contractor shall attest, in writing, to
the veracity and accuracy of the records and that the hourly rate paid is not less than the general
prevailing wages required.
5,0 The Child Labor Law, as amended, 820 ILCS 205/1, which provides'. "No minor under 16 years of age—at any time
shall be employed, permitted or suffered to work in any gainful occupation—in any type of construction work within
this state."
The Contractor will include verbatim or by reference the provisions contained herein in every subcontract it awards under
such
subcontractor. The Contractor will be liable for compliance with these provisions by such subcontractors.
accurate record of names, occupations and actual
kA1.KJR1 MOFMITMTO III
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i Re current 0�- 714 - "1 .•1 .
http://www.state.il.us/agency/idol/rates/rates.HTM
1E
TECHNICAL TERMS AND CONDITIONS JAN
1. SCOPE OF WORK
The Village of Arlington Heights requests bids for roadway crack sealing services, which will include routing of asphalt
and concrete pavement cracks, cleaning of routed cracks, provision of crack sealant compound, and installation of the
compound within routed and cleaned cracks, to be performed throughout the Municipalities participating in this bid. The
successful bidder ("Contractor") will provide crack sealing services (i.e., crack routing, crack cleaning, and crack filling)
per the Illinois Department of Transportation (IDOT) specifications offered in sections 451 and 452 of its "Standard
Specifications for Road and Bridge Construction (Adopted January 1, 2016 or the latest edition available) and
Supplemental Specifications and Recurring Special Provisions (Adopted January 1, 2019 or the latest edition
available)."
2. PROJECT DELIVERABLES I QUANTITIES
The Contractor shall route cracks, clean routed cracks, provide crack sealant compound, and install the compound
within routed and cleaned cracks at various locations throughout the Municipalities per IDOT specifications.
The contractor shall not be permitted to work in the rain or install sealant into cracks in which water is standing.
A. CRACK SEALANT ESTIMATED BUDGETS
Municipali : Year Bud et
Arlington H
Evanston
f�larn.i®uu
Kenilworth
m
M
Rolling M111elaldlows,
TOTALS:
GRAND TOTALS:
2019
2020
2021
2019
2020
2021
7n1 Q
2020
2D21
2019
2020
2021
2019
2020
2021
2019
2020
2021
2019
2020
2021
2019
2020
2021
ME
MMI
M1
M
11. PRICING
Bidders will provide pricing for this contract per pound of crack sealant to be provided (installed per the specifications
contained herein). A bidder's per -pound pricing will include all of its costs, including its costs for materials, installation
services, and the providing of advance notice about these services to residences.
Pricing per hour must be submitted for street sweeping with disposal by the Contractor and pricing per hour for street
sweeping with disposal at ■ facility.
Am Ler-ni T --R I ff -- n.
for eacti Municipality. Requests Must De 6asea upon ana incivae DocirneInTaucTroT Lne Sualtai undilge in Me U1,1301
components involved in the contract and shall not include overhead, or profit.
M
CONTRACTOR ►
Please list five (5) references for which your firm has performed similar work for municipalities as iden)
Qualifications.
City State, Zip Code°
Contact Person/
Telephone Number; �
Dates of Service/Award
Amount:
Municipality,-,,
Address:
City, St Zip State, � Code: �..,mr�. ,,,,-„-, ,
Contact Person/Telephone
Number-,
Dates of Service/Award
Amount'.
uici i
Address;
City, State, Zip Code:
ContactPerson/Telephone
Number:
Dates of Service/Award
Amount:
Municipality:
Address:
City, State, Zip Code:
Contact Person/Telephone
Number:
Dates of Service/Award
Amount:
Municipality:
Address:
City, State, Zip Code:
Contact Person/Telephone
Number:.. .
Dates of ServicelAward � �
.. �. ��........... �.,.µ
Amount:
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[DISQUALIFICATION BIDDERS
o person or business entity shall be awarded a contract or subcontract, for a stated period of time, from the date of conviction or entry
of a plea or admission of guilt, if the person or business entity,
(A) has been convicted of an act committed, within the State of Illinois or any state within the United States, of bribery or attempting
to bribe an officer or employee in the State of Illinois, or any State in the United States in that officer's oremployee's official
capacity;
(B) has been convicted of an act committed, within the State of Illinois or any state within the United States, of bid rigging or attempting
to rig bids as defined in the Sherman Anti -Trust Act and Clayton Act 15 U.S.C.;
O has been convicted of bid rigging or attempting to rig bids under the laws of the State of Illinois, or any state in the United States;
(D) has been convicted of bid rotating or attempting to rotate bids under the laws of the State of Illinois, or any state in the Unite
States;
O has been convicted of an act committed, within the State of Illinois or any state in the United States, of price-fixing or attempting
to fix prices as defined by the Sherman Anti -Trust Act and Clayton Act 15 U.S.C. Sec. l et seq.;
(F) has been convicted of price-fixing or attempting to fix prices under the laws of the State of Illinois, or any state in the United States;
O has been convicted of defrauding or attempting to defraud any unit of state or local government or school district within the State
f Illinois or in any state in the United States;
(H) has made an admission of guilt of such conduct as set forth in subsection (A) through () above which admission is a matter of
record, whether or not such person or business entity was subject to prosecution for the offense oroffenses admitted to;
(1) has entered a plea of nolo contendere to charges of bribery, price fixing, bid rigging, bid rotating, orfraud; as set forth i
subparagraphs () through () above.
Business entity, as used herein, means a corporation, partnership, limited liability company trust, association, unincorporated business
or individually owned business.
By signing this document, the bidder hereby certifies that they are not barred from bidding on this contract as a result of a violation of
either Section 33E-3 or 33134 of the Illinois Criminal Code of 1961, as amended.
ature of Offeror !
of e
(Signature of Officer if the Offeror is a Corporation)
�► . . . ►
Subscribedo2019
Notary Public
., r r pror r a
113
AFFIDAVIT i O'CERTIFICATION
m , beim first duly sworn,
deposes and says that he is
(Partner rn�,ffir
ner, Etc )
(Contractor)
r u! w rr .� 4
4
against any other bidder or any F- ed in the proposed fr
The undersigned certifies that he is not barred from bidding on this contract as a result of a conviction
State laws prohibiting a -rigging or bid-rota
ame of Bidder Bidder
(Name of Partner if the Bidder
(Name of Officer if the Bidder is a • p•
Subscribed o day of
M.
Notary Public
M
, hereby certifies that
1.221 TOW-111TA01
(Name of Bidder if the Bidder is an Individual)
(Name of Partner if the Bidder is a Partnership)
(Name of Officer if the Bidder is a Corporation)
Subscribed _ • Swornday of 12019
Notary Public„ ..,
Wj I, "1 1. . nt reason for reieclion of the bid.
PEI
R-M-TWITUMNUff I=
(Partner, Officer, Owner, Etc.)
• x �
individualhproposal
contracting with the any
*f the i i f _ �- teli&§-,i?ci%cy in the—y-7yment �io: f 77.y t2x 2,fmiAisteref V .1reT9.XAeXt
delinquencyof Revenue unless the individual or entity is contesting, in accordance with tile procedures established by the appropriate
revenue act. The individual or entity making the proposal or bid understands that making a false statement regarding
w w addition,
all amounts paid to the individualor wcontract
ame of dd:, Bidder Individual)
(Name of Partnerif the BidderPartnership)
(Name of Off icer if the Bidder is a Corporation)
*ubscribed and Sworn to this,,, day of 2019
Notary Public
III V ke c(lissidered sufficient reasonod
M
Name: # Years in Business:
Address: # Years used by Contractor:
Services provided by Sub -Contractor:
#Years in Business: -
# Years used by Contractor:
Services provided by Sub -Contractor:
Years in Business:
Address: # Years used by Contractor:
Services provided by Sub -Contractor:
M
WPARTICIPATIU.,,,,,��.�
N AFFIDAVIT
.�.,. ... first duly sworn,
deposes and says, under penalties as provided in Section -109 ofthe Illinois Code of Civil Procedures, 735 ILCS S/ I
109, that he is
(Partner, Officer, Owner, Etc.
o
�� • r '-aractpr or ► ►
M113MIMEW1 IRE Now
me of Bidder Bidder 1. ►
of Partner if theBidder
► Bidder i Corporation)
►► i" IY i,.f �. oili► It, ► 0
Notary Public
FE
APPENDIX A
AGREEMENT ACCEPTANCE
CRACK SEALING SERVICES
ACCEPTANCE
The Contract/Proposal _, hereto and by this reference incorporated- . made a part
accepted by the order . day . +
11 1
This Acceptance, together with the Contract/Proposal-. hereto, constitutes the entire and .
nly agreement
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M -b kA i "g"Lgersed
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r,ver any contradictory or r or conditionscontained in any purchase order,.. acknowledgement,
inconsistentinvoice, or other standard form used by the parties in the performance of the ContractJProposal. Any such contradictory or
or . r r be deemed objected o by Owner without. of objection and shall be of
no effect nor in any circumstances binding upon Owner unless accepted by Owner in a written document plainly labeled
"Amendment to Contract/Proposal." Acceptance or rejection by Owner or any such contradictory or inconsistent terms or
conditions shall not rnstitute acceptance of any other contradictoryor inconsistentor conditions.
Title:
F