APPENDIX A BID FORM ITB #201433

(1)

APPENDIX A

BID FORM ITB #201433

(a) The Contractor shall fill out the table below of rates that will be charged for work completed under this Contract. This Bid Table shall be included within the proposal submitted to the City. (b) There is no guarantee regarding the amount of work that will be completed under this contract. (c) Any items not listed or described in the Bid Table will be negotiated between the City and the

Contractor at the time of need. Once a negotiated price is established, it will be used for the remainder of the contract.

F.O.B. Destination (Placement anywhere within the City of Winchester or City owned facilities):

The City is requesting delivered and placed per ton rates to furnish all labor, equipment, materials, transportation and traffic control, and these rates shall be binding upon award. Any bidder who enters a $0.00 per ton rate or leaves it blank shall be considered non-responsive.

PRICE SCHEDULE A—Asphalt Placement

Monday—Friday, 6:00 am—8:00 pm

Asphalt Mix Estimated

Type of Placement Unit Cost ($/Ton) Total Cost($)

Type Quantity

~o

SM-9.SAL Final Surface Course 10,000 tons Leveling (“scratch”)

Course [Prior to

SM-9.5AL 4,000 tons ~

5

3cç9

qoo,

Placement of Final Surface_Course]

BM-25.OA Base Course 1,000 tons

.St~

‘~

3,

SZDO.

(2)

PRICE SCHEDULE B—Asphalt Placement

Night Paving or Weekends Monday—Friday, 8:00 pm—6:00 am

Saturday—Sunday, Anytime (both am and pm)

Type Quantity

SM-9.SAL Final Surface Course 3,000 tons

‘

~9 7

i4

9

ç~

Leveling (“scratch”)

Course [Prior to 1,000 tons

~?9t ~J~SZ~

~‘~‘

SM -9 .5AL

~, TOTAL-PRICE SCHEDULE B (Nights and Weekends)

‘3(c’J,

~

PRICE SCHEDULE C—Asphalt Planing (Milling)

Note: Prices shall include hauling asphalt millings to City Yards (301 E. Cork Street) and placed in a pile for future use by the City.

Estimated

Item Unit Cost ($/sq. yd.) Total Cost

($)

Quantity 30,000 sq. yds.

Asphalt Pavement Planing (Milling) (Up to 2-inch

s.c

/O~

c-c~o.

depth removal) 10,000 sq. yds.

(2-inchto4-

:3 ~

Asphalt Pavement Planing (Milling) inch depth removal)

~.(,

TOTAL-PRICE SCHEDULE C (Asphalt Planing)

/

L_J’3

~

BID SUMMARY—ASPHALT PLACEMENT

TOTAL-PRICESCHEDULEA

‘~Q

TOTAL- PRICE SCHEDULE B (Nights and Weekends)

~f

~

/ c~(

3,

coo

.

a~

TOTALFORALL(A+B÷C)

j~77~2.oo

—

(3)

OPTIONAL-PRICE SCHEDULE D—Asphalt Materials Only

(Prices shall be for City to pick up material at the contractor’s plant)

Note: Providing pricing for this schedule is optional. The City may award separate contracts for asphalt placement and asphalt materials.

Estimated

Item . Unit Cost ($/ton) Total Cost ($)

Quantity

Hot Mix Asphalt: SM-9.5AL 1,000 tons ,

5a(.)

-Hot Mix Asphalt: BM-25.0A 400 tons ~ U,

(~

00

•

TOTAL-PRICE SCHEDULE D (Asphalt Materials Only)

/

00

(o~D

Qi.jO~~~

‘~—~~‘z

Specify Location of Contractor’s Asphalt Plant:

C.

Ie~_j’.6CG,OJC~~

~

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COMPANY NAME:

LLI- L.

C

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ô~i

ADDRESS:

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P,k~ S~h

J~Ics~,

(P~o.i~

TELEPHONE NUMBER:

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-

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E-MAIL ADDRESS:

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~+~;

~ - C~—O vY~

NAME AND TITLE:

(~ \S~P~~

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DATE:

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SIGNATURE: ~

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Bysigning thisbidsheet, bic~ier ac~kdov~.A(ecJ~ies that he completely understandsallspecifications and the General and Special conditidns. Failureto c~ompletely fillout the BidForm (bothpages) willresult in a non-responsive bid.

(4)

APPENDIX A

BID FORM ITB #201433

(a) The Contractor shall fill out the table below of rates that will be charged for work completed under this Contract. This Bid Table shall be included within the proposal submitted to the City. (b) There is no guarantee regarding the amount of work that will be completed under this contract. (c) Any items not listed or described in the Bid Table will be negotiated between the City and the

F.O.B. Destination (Placement anywhere within the City of Winchester or City owned facilities):

The City is requesting delivered and placed per ton rates to furnish all labor, equipment, materials, transportation and traffic control, and these rates shall be binding upon award. Any bidder who enters a $0.00 per ton rate or leaves it blank shall be considered non-responsive.

PRICE SCHEDULE A—Asphalt Placement

Monday—Friday, 6:00 am—8:00 pm

Type Quantity

SM-9.5AL Final Surface Course 10,000 tons

~

1≤

~(~8I ~,SO1L ~

Leveling (“scratch”) Course [Prior to

SM-9.5AL 4,000 tons

~

1$

BM-25.OA Base Course 1,000 tons

~‘(~,9

°° L~IE 000

TOTAL-PRICESCHEDULEA

‘~J~ O~1~j

~

(5)

PRICE SCHEDULE B —Asphalt Placement Night Paving or Weekends Monday—Friday, 8:00 pm—6:00 am

Asphalt Mix Estimated I

Type Quantity

$7~

,‘~S

~ 2l~ ~

Leveling (“scratch”) Course [Priorto

SM-9.5AL 1,000 tons S

Placement of Final

7~4~~5

~7’1~

~5O ~

Surface_Course]

TOTAL- PRICE SCHEDULE B (Nights and Weekends) $

Item Estimad Unit Cost ($/sq. yd.) Total Cost($)

30,000 sq. yds.

Asphalt Pavement Planing (Milling) (Up to 2-inch ~

~

~fi(~,9

~oo°°

depth removal) 1

10,000 sq. yds.

. . .

(2-inchto4-Asphalt Pavement Planing (Milling) inch depth

~3

3L4

sy

#33~

~

°~

removal)

41)o3~

2.00. ~

BID SUMMARY

—

ASPHALT PLACEMENT

TOTAL- PRICESCHEDULEA

~~/c~q Iob~°

TOTAL-PRICE SCHEDULE B (Nights and Weekends)

.11

~Q3

~I~0

TOTAL-PRICE SCHEDULE C (Asphalt Planing) -~

/O3~ 20D

.° ~>

(6)

Item ~ Unit Cost ($/ton) Total Cost

($)

Hot Mix Asphalt: SM-9.5AL 1,000 tons

~ /5

*‘~L,Z, ISO.°°

HotMixAsphalt: BM-25.OA 400tons ~

15

ê~qc,.

O,~0

TOTAL PRICE SCHEDULE D (Asphalt Materials Only)

117

~fwe

t-4ue

Specify Location of Contractor’s Asphalt Plant:

tu ~4Lk~s1t~a v’ft

4o~L

COMPANYNAME:

5~up~c~4

,&

ADDRESS:

WI

L~r~ ~ ~~ie 2ZL~f~7

TELEPHONENIJMBER:

S~tO~

~G,23L13j

~f

1Z-L

E-MAIL ADDRESS: ,1’\~J

E354

4~-~.p~’rwy

NAME AND TITLE: ~

~

z~2

DATE:

/Zo-r~2

//

SIGNATURE:

~1’~_f:~::.:::’

J1~2f4~1__

By signing this bid sheet, bidder acknowledges that he completely understands all specifications and the General and Special conditions. Failure to completely fill out the Bid Form (both pages) will result in a non-responsive bid.

(7)

APPENDIX A

BID FORM

ITB #201433

(a) The Contractor shall fill out the table below of rates that will be charged for work completed under this Contract. This Bid Table shall be included within the proposal submitted to the City. (b) There is no guarantee regarding the amount of work that will be completed under this contract. (c) Any items not listed or described in the BidTable will be negotiated between the City and the

F.O.B.Destination (Placement anywhere within the City of Winchester orCity owned facilities):

The City is requesting delivered and placed per ton rates to furnish all labor, equipment, materials,

transportation and traffic control, and these rates shall be binding upon award. Any bidder who enters a

$0.00per ton rate or leavesit blank shall be considered non-responsive. PRICE SCHEDULE A—Asphalt Placement

Monday—Friday, 6:00am—8:00pm

Type of Placement Unit Cost ($/Ton) Total Cost

($)

Type Quantity

Sb’

gy

0

o

~

ôo~

SM-9,5AL Course [Prior to 4,000tons ~ 0 ~

Placement of Final

Surface_Course]

BM-25.OA Base Course 1,000tons • 0 C’ ~

OOC)

(8)

PRICE SCHEDULE B—Asphalt Placement Night Paving or Weekends Monday—Friday, 8:00 pm—6:00 am

Type Quantity

SM-9.5AL Final Surface Course 3,000 tons ,~ ~

~

0O 0

SM-9.5AL Course [Prior to 1,000 tons ~ ~ ,00

$

cc~

O

Placement of Final

Surface_Course]

TOTAL-PRICE SCHEDULE B (Nights and Weekends) ~

33~

/

Item ~ Unit Cost ($/sq. yd.) Total Cost

($)

30,000 sq. yds. ~

Asphalt Pavement Planing (Milling) (Up to 2-inch

1

0

o o

depth removal)

I

10,000 sq. yds.

Asphalt Pavement Planing (Milling) (2-inch to 4-

~j

~

removal)

\Q

0

BID SUMMARY—ASPHALT PLACEMENT

TOTAL-PRICE SCHEDULE A ~

1,,

c2.(QO/ 000

TOTAL-PRICE SCHEDULE B (Nights and Weekends) ~.

33~,

c~ô

o

) 03,

00 0

TOTAL FORALL(A+B+C)

~1

(9)

Estimated

Item Unit Cost ($/ton) Total Cost

($)

Quantity

Hot Mix Asphalt: SM-9,5AL 1,000 tons ~ (g~~ . 00 ~

Hot Mix Asphalt: BM-25.OA 400 tons ~

(ç~

~,.

~

,~

~

~..o o

TOTAL-PRICE SCHEDULE D (Asphalt Materials Only) ~

~,

//‘p

~~rmf5Tr~iC

t,4~cJ~:

Specify Location of Contractor’s Asphalt Plant: ~ ~

COMPANY NAME:

42.T~o~

(OAT~J CO.,

~

ADDRESS:

~3~1 l~ 0

U~ lAsJ £

04Z

-

~u LL~ S, ~,Eh&

p.C)

J

~$

TELEPHONE NUMBER:

(‘?o3)

‘~‘~

—

i;ss

E-MAIL ADDRESS:

~VF

THU

Z(J)AJ≤T. CO

~&

NAMEANDTITLE:

E~3~D

I4~AO≤O

~/i~

?s.rJc-~J--r

By signing this bid sheet, bidder acknowledges that he completely understands all specifications and the General and Special conditions. Failure to completely fill out the Bid Form (both pages) will result in a non-responsive bid.