SECTION 00300 BID FORM MALLARD COVE WATER MAIN IMPROVEMENTS BID NO. 1415- 04 CITY OF ATLANTIC BEACH, FLORIDA SUBMITTED BY: DATE: The undersigned, as Bidder, hereby declares that the only person or persons interested in the proposal as Principals is, or are named herein and that no other person that is herein mentioned has any interest in this proposal or in the contract to be entered into; that this proposal is made without connection with any other person, company, or parties making a bid or proposal; and that it is in all respects fair and in good faith, without collusion or fraud. The Bidder further declares that he has examined the site of the work and informed himself fully in regard to all conditions pertaining to the places where the work is to be performed; that he has examined the plans and specifications for the work and contract documents relative thereto, that he has read all special provisions furnished prior to the opening of bids, and that he has satisfied himself relative to the work to be performed. The Bidder proposes and agrees, if this proposal is accepted, to contract with the Owner in the form of contract specified, to furnish all necessary materials, equipment, machinery, tools, apparatus, means of transportation and labor necessary to complete the contract in full and complete it in accordance with the shown, noted, described and reasonable intended requirements of the plans and specifications and contract documents to the full satisfaction of the contract with the Owner with a definite understanding that no money will be allowed for extra work except as set forth in the attached General Conditions and contract documents, as follows: BID SCHEDULE Bids are to be on a unit price basis and are to include all labor, materials, equipment and incidentals necessary to perform the work as indicated in the contract documents. The work included in the Bid Schedule is intended to represent a complete and finished project. BID UNIT NO. DESCRIPTION UNIT COST LS xxxxxxx 1 LS xxxxxxx 1 LS xxxxxxx 1 LS xxxxxxx 1 QUANTITY TOTAL COST GENERAL: 1.) Mobilization/ Demobization 2.) Demolition— Fence, Pipe, 3.) Maintenance 4.) of etc. Traffic Turbidity Barriers/ Sediment& Erosion Control _$ ROADWAYS, PARKING AND SIDEWALKS: 00300 —Page 1 of 7 2/ 24/ 15 5.) Milling Asphalt ( 1" thk. avg.) $ 2, 060 SF $ 2, 060 $ LF $ 200 $ 8.) 8" Tee EA $ 2 $ 9.) 8"— 90° Bend EA $ 2 $ 10.) 8"— 45° Bend EA $ 4 $ 11.) EA $ 4 $ LF $ 178 of Existing 6.) Asphaltic Concrete 7.) Case X Type II ( 1- 1/ 2" thk. avg.) Repair Overlay Temporary Pavement SF $ POTABLE WATER DISTRIBUTION SYSTEM: 8" Gate Valve, Box & Cover 12.) Open Cut- 8" PVC Water Line ( DR- 18) 13.) Directional Drill - 8" FPVC 14.) Transfer Existing 15.) Misc. Valves SRA- 1- 1 LF $ 176 Water Svc to New Water Main EA $ 2 Fittings ( 15% LS and under of Item 12 xxxxxxx $ $ $ 1 TOTAL BID ( Sum of Items 1 through 15): $ Total Bid — SUM OF ITEMS 1 THROUGH 14: Figures) Written) The City may, at its sole discretion, choose to award, reject, cancel or rebid this project, whichever in the sole discretion of the City, is in the best interest of the City. The Bidder further proposes and agrees to commence work under his contract on a date to be specified in the Notice to Proceed and shall complete all work thereunder within the time schedule in the Agreement. Addendum Receipt: Bidders shall acknowledge below the receipt of all addenda, if any, to plans and specifications. ADDENDUM NO. DATED ADDENDUM NO. DATED ADDENDUM NO. DATED ADDENDUM NO. DATED Bidders shall submit the supplemental information listed in the attached " Section 00299 - Documents with the Bid. Failure to include ALL of the properly executed documents Requirements Checklist" listed in the " Documents Requirements Checklist" with the Bid will be cause for rejection of Bid. LIST OF MAJOR SUBCONTRACTORS The Bidder expressly agrees that: 1. If awarded a Contract as a result of this Proposal, the major Subcontractors used in the prosecution of the work will be those listed below. 00300 — Page 2 of 7 2/ 24/ 15 2. The following list includes all Subcontractors who will perform work in the amount of approximately $ 10, 000 or more on this Contract. 3. The Subcontractors listed below are financially responsible and are qualified to perform the work required. Category Name of Subcontractor Address AN INDIVIDUAL By Seal) Signature) Print Name) doing business as: Business Address: Phone No: Fax No: A PARTNERSHIP Seal) Firm Name) General Partner/ Signature) Print Name) Business Address: Phone No: Fax No: remainder of this page intentionally blank) 00300 — Page 3 of 7 2/ 24/ 15 A CORPORATION Seal) Corporation Name) State of Incorporation) By Signature of Person Authorized to Sign) Print Name) Title) Corporate Seal) Attest Secretary) Business Address: Phone No: Fax No: A JOINT VENTURE Business Name) By: Signature) Print Name) Address) By: Signature) Print Name) Address) Each joint venturer must sign. The manner of signing for each individual, partnership and corporation that is a party to the joint venture should be in the manner indicated above). The full names; business addresses; business and emergency telephone numbers of persons and firms interested in the foregoing bid, as principals, are as follows: If Corporation, President, Secretary, and Treasurer Identification) 00300 — Page 4 of 7 2/ 24/ 15