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WA0601-BD080806 (2) BID Q-0808-0 1 Project No. WA06-01 THE.CITY.OF corrELL ~~~. ex ~ q 1\ /) . \ I'> ~ BID Q-0808-01 Water Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICATIONS AND CONFLICT OF INTEREST FORM) TWO COPIES MUST BE RETURNED TO THE PURCHASING DEPARTMENT NO LATER THAN TUESDAY, AUGUsr 5,2008 AT 2:00 P.M CITY OFCOPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL. TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 PVC water line with connection to existing water lines on each end. All ductile iron fittings necessary shall be included in the lump sum bid amount. This work will include installation of 4 - 1" services by other than open cut. These services shall include placement of a new meter setter and meter can provided by the contractor. The contractor will also be expected to set a new meter, however the city will supply the meter. The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut, plugged, and abandoned in place once the new services are completed. A new 2" irrigation service will be installed in Hunterwood Park including the meter setter, installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street, sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. Where native vegetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. Where seed is used, the project will not be closed out, and final payment will not be made until vegetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer, then under the storm sewer. The site can be accessed from CoppeD Road to Cooper Lane to Anderson Ave. For this project, the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Governments, the City of Coppell Standard Construction Details (Ord. #2006-112), and Appendix 'c' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 40 CITYOFCOPPELL. PlIRCHASINGDEPARTMENT. 255 PARKWAY BOULEVARD . COPPELL.TEXAS 75019 BID Q-0808-01 Project No. W A06-01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. Lump Sum Amount: ~ 4-2. S60 , 0<1 - Communications concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The terms used in this Bid which are defined in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quantities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities will be adjusted accordingly. SUBMITTED ON I:~~o; .A I/K.... /'1 ' .;-' " ;- ? CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Company Information Company Name: ,-.1M -li: U!1VI1't7J ~"'S T1lUG710 AI ~..L.,.I: ... Address:J~// L.#p,r ~" , ~.I , ;:~AA 7X , 7S{)7~ Phone Number: 772- 4-2-3- /3/3 E-mail Address: 172- 423, ?/M-7 ~IVI ~M...,v ~ @ &wMJ1NCtJA/.J/l2.UQTO~. un" Fax Number: Contact Person: CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOU LEV ARD . COPPELL. TEXAS 75019 8 ID Q-0808-0 1 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Dale Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. 1 A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. Name1: doz.;:e.. : local governmantal antlly. 2 o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed Questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed Questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. j/~ 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. ;{/rv-- Adopted 11102(2005 CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL. TEXAS 75019 BID Q-0808-0 1 Project No. WA06-01 FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. This section, item 5 including subparts A, 8, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No 8 Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes 0 No C. Is the filer of this questionnaire affiliated with a corporation or other business enti~.that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes 0 No D. Describe each affiliation or business relationship. 6 '-- ~ - Signature clM5erson doing business with th~ental entity ~ J'ijo P / Date Adopted 11/02/2005 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL. TEXAS 75019 BID Q-0808-01 Project No. WA06-01 "rHE.CITY.OF (:OPPELL 1\ s BID Q-0808-01 'Water Line Installation HUlIlterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COPY OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICATIONS AND CONFLICT OF INTEREST FORM) TWO COPIES MUST BE RETURNED TO THE PURCHASING DEPARTMENT NO LATER TIIAN TUESDAY, AUGUST 5, 2008 AT 2:00 PM - CITY OF COPPELL . PURCHASING DEPARTMENT . 255 P ARKW A Y BOULEY ARD . COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 PVC water line with connection to existing water lines on each end. All ductile iron fittings necessary SIlUllll be included in the lump sum bid amount. This work will include installation of 4 - ll' services by other than open cut. These services shall include placement of a new meter setter and meter can provided by the contractor. The contractor will also be expectedl tiO set a new meter, however the city will supply the meter. The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut, plugg(~d., and abandoned in place once the new services are completed. A new 2" irrigation service will be installed in Hunterwood Park including the meter setter, installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street, sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the originall:ondition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. Where native vegetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. \Vhere seed is used, the project will not be closed out, and final payment will not be made until vegetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer, then under the storm sew€:r. The site can be accessed from Coppell Road to Cooper Lane to Anderson Ave. For this project, the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, :as prepared by the North Central Texas Council of Governments, the City of Coppell Standard Construction Details (Ord. #2006-112), and Appendix 'c' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Sp(~ciific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 40 CITY OF COPPELL . PURCHASING DEPARTMENT . 255 P ARKW A Y BOULEVARD . COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 The lump sum bid amount shall b(~ fun compensation for aU work necesarry to successfuUy complete the project~ including labor~ materials~ tools, equipment~ and incidentals. Lump Sum Amount: $-s, ot I t1 t14 .QQ. Communications concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The terms used in this Bid which are defined in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete allY portion of this project or adjust quantities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities will be adjusted accordingly. . SUBMITTED 01\ ?>IG1D~ - CITY OF corrELL. PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Company Information CompanvName: NOV-+h 1~'XtLs. GOnhe:t1Vj i\\I\C. L1 C1 ti1 C\ \L{rVLuY ttb~ ~.II {V ;TX Phone Number: <i,\l- L-\ 30- q SUO Address: 1 \i 2-'-l Q. Fax Number: g \ I ~ 4 ;0- tit J.pl Contact Person: \\\ cd7t Li {J & ~~ 0 Y\j E-mail Address: y\~ r .e,~) o~BJr\te,x: C OV\. GDm CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ FORM For vendor or other person doiin This questionnaire is being filed in Government Code by a person dOl Ig business with local governmental entity accordance with chapter 176 of the Local ng business with the governmental entity. OFFICE USE ONLY Dale Received By law this questionnaire must be filed with the records administrator of the local government not later than the nh business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. Zl\c,,^ rvt~;\I{"VJ NOlrt\A lrxtti ~()b~ 2 o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated :ompleted questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. NA 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is 'fiI1~d AND describe the affiliation or business relationship. N/k Adopted 11/0212005 - CITY OF COPPELL . PURCHASING DEPARTMENT, 255 PARKWA Y BOULEV ARD . COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, l)r C is YES. This section, item 5 including subparts A, 8, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary A. Is the local government o~ named In 'this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes" No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local governO\lJI officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes !'-O C Is the filer of this questionnaire affiliated With a corporation or other business enti~that t~cal government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes r-- No D. Describe each affiliation or business relationship. ~/k 6 Sig"~o1~ith 't' g,kLL" "m, &/ slOg Date Adopted 11/02/2005 CITY OF COPPELL . PURCHASl:'/C DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 A&M construction utilities, Inc. 4950 Grisham Rowlett, Texas 75088 9n -463-4165 References: City of Allen 305 Century parkway Allen, Texas 75013 peggy watkins 214- 509-4633 City of Ft worth 1000 Throckmorton St. Ft Worth, Texas 76012 Jeff ogle . 817 -22 3-2266 City of princeton 306 N. Front Street princeton, Texas 75407 972-736-2550 La~~ Cities Municipal P.O. Box 355 Lake Dallas, Texas 75065 Jeff 972-877-5692 untitled page 1 . ""'" '....,. --".;.,.,.... '. '-.. _. '~'--~ .. . .o~"-'''-'''"';';:''-'i''~f,j'''i:'.''' BlD Q-0808-0 I Project No. W A06-01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. Lump Sum Amount: .:: L! l.f; 1../ 6t'i. ~ pagc. Communicatior.::; concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature BlDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property tc oe l!1COrporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The terms used in this Bid which are defined in the General Conditions of the Construction Contract included as part of ,he COlla-act Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quamities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities "'ill be adjusted accordingly. SCB.\HTTED ON ~ _. {',r-, Q' '-0 -C~,~D CITY OF COPPELL . PURCHASLlIiG DEPARTMENT. 255 PARKwAY BOULEY ARD . COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Companv Information Company Name: ('" '\ ': f -'-, \ '-, ,. ~ '\ " ! \ . '-.J. ! i . \ -. ... \ '0' . ,,-\y \ \ \..a\~ \-ruc1 \ C (\ \,,)\::\ \ ~\ ~) ~. "l\cL0\ ~-\\-) 1)( lSOE"8 ",/. . f -_~ -..... '. ~0f 1" \ S\\c\. V"Y\ Address: "q'. r D~ \~.r. ~ ::.. j', ) (0--r'S! \'L~ - U t. la5 eponel'/umber:\'. 1~ 1,-,<__/ i \ J.. 'e .. '~ - I Fax Number: 1J~f..::;A):--t! ()~ - ::) '7 -'j (0 Contact Person: k \ ('\, \ . .~~ D_;t;c~'\ao (0(' [.mail Address: . ; \ \ . ('A \\\0. \\--mn 0\ .f:) ~ a\I.Co",(J:yy).5ii (CJ,j, Or.. i {\;, y-c..~ @J C,-c. . iJ' 'j CITYOFCOPPELL' PURCHASING DEPARTMENT . 255PARKWAYBOULEVARD. COPPELL-TEXAS 75019 BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Date Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the ~-3rson becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor: Name of person doing business with local governmental entity. '. , h ~^.-~J;!~' Frr"rcA:e / i\ -it".l~ n-.y\c,tn)~t\C() !) ~ " \ +: ~ "~.:::.n\..... I ~ ' . , o Check this box if you are filing an update to a previously filed questionnaire. 2 (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate,) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. i._ - f",--O}'-.J t --- 4 l'iame each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. ~, ,-.. ~}\.....' L.--' Adopted 11102/2005 CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOL'LEVARD . COrrELL, TEXAS 75019 - BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity FORM CIQ 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. This section, Item 5 Including subparts A, B. C & 0, must be completed for each officer with whom the filer has affiliation or other relationship Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes 0 No C. Is the filer of this questionnaire affiliated with a corporation or other business enti!y"that the locaf government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes 0 No D. Describe each affiliation or business relationship. 6 r-- .p ~.,.L //; /'~;<"'/_'-~-~' ;'<'r7f~' .,,- .-~. 'S;;;-,atClre of Derson aoing businesS"'"with the governmental entity .::::'/ .t- _ -),'~.r .;:'/ ~ Date Adopted 11/02/2005 CITY (H' COPPELL . Pt'RCHASING DEP ART'\1ENT . 255 P ARKW A Y BOULEV ARD . COPPELL. TEXAS 750] 9 Project No. W A06-01 BID Q-0808-01 THE.CITY.OF -~ COPPELL 4L~~ ~ "^, *- (,-, ?" - ........ BID Q-0808-01 \Vater Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECTFICA TIONS AND CONFLICT OF INTEREST FORM) T\VO COPIES MUST BE RETURNED TO THE PURCHASING DEPAR'fl\1E.~ NO LATER THAN TUESDAY, AUGUST 5, 2008 AT 2:00 PM. CITY OF COPPELL . PlJRCHASI:'iC; DEPARTME:'iT . 255 PARKWAY BOULEVARD. COPPElL. TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 pve water line with connection to existing water lines on each end. All ductile iron fittings necessary shaH be included in the Jump sum bid amount. This work will include installation of 4 - 1" services by other than open cut. These services shall include placement of a flew meter setter and meter can provided by the contractor. The contractor will also be expected to set a new meter, however the city will supply the meter. The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut~ plugged. and abandoned in place once the new services are completed. A new 2" irrigation service ",:ill be installed in Hunterwood Park including the meter setter, installation of the meter, the double check. meter cans, and all other items depicted in standard detail 4155. Street. sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. LJpon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. \Vhere native \'egetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. Where seed is used, the project will not be closed out~ and final payment ,,,'ilI not be made until vegetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer. then under the storm sewer. The site can be accessed from CoppeH Road to Cooper Lane to Anderson Ave. For this project. the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Governments, the City of Coppelt Standard Construction Details (Ord. #2006-112), and Appendix 'C' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Onl. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 40 ~./ ul'L,J j vP <3/510% CITY OF COPPELL '. PlIRCH!\SINf; DEPARTMENT. 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 P<ojecl No. WAO~:~ ~ BID Q.0808.01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor. materials, tools. equipment, and incidentals. Lump Sum Amount: & 51 5'00 Communications concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is ex.empt from State Limited Sales and Use Tax. on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The temlS used in tllls Bid \vbjeh are deflned in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quantities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contrad quantities will be adjusted accordingly. SUBMITTED ON 11rr+ 5'.2tog 2t 8m Q-0808-01 Project No. W A06-01 Company Information ComPilnvN,ulle~.___a.bL,rn) (~hc-fl,-" ~LlI~S/ .l:?-6 ,.\ ddress: ItJ7 JJdLdJbLZ~~ -M_zirt!'~.' ~....,~; .~_~?~ '20 ) Phone Number: _'2!iI!.~? - //7+ Contact Person: q'l~~gff-- //75 M<'JY1., . &Y 9.ebf2.2, iJ,lsF>V we!- J tpJ (;) I.tJI J/1/7 C!~S.;; u ch /I?'? ...Vo/ 4ehrA- @ u) 1/ rtn1 CtJ-ns7r?t ~ IPV. c-::;. L (/ Fax Number_ ~mail Address: Q~k) ilJ~) g'/6A~ CITY OF CoprELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-0 1 Project ~o. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire IS being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. OFFICE USE ONLY Dale Received By law this questionnaire must be med with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local I Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. h+- I I a Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and I not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) j 3 \ Name each employee or contractor of the locai governmental entity who makes recommendations to a local ! government officer of the governmentat entity with respect to expenditures of money AND describe the 1 affiliation or business relationship. 11 tJ Ne./ 1 4 I Name each local government officer who appoints or employs local government officers of the governmental ! I entity for which this questionnaire is tiled AND describe the affiliation or business relationship. " (r, iflp /AJ ,,-,' ! '---_ Adopted 1 if02!200~ v1;~OPI'E~~ [~{SING DEPARTMENT' 255 P....RKWAy BOULEVARD. COPPELL, TEXAS 75019 BID Q-0808-01 Project No. WA06-01 CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity ,fir I FORM CIQ I \ 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. This section, item 5 including subparts A. S, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIG as necessary. A. Is the local government officer named ,n this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No B Is the filer of the questtonnalre receiving or likely to receive taxable income from or at the direction of the local govern~~t officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes \.d' No C. Is the filer of this questionnaire affilialed with a corporation or other business enti!Y.that theloc<!l government officer serv'es as an officer or director, or holds an ownersr,ip of 10 percen' or more') U Yes ~No D. Describe each affiliation or business relationship. 6 r-\ / :.1.a,.j 'trl-Rhv tI f },' \ Signature of person doing bUSiness with the governmental entity -$/slfi~-- Adopted 1 'li02i2005 CITY OF COf'I'ELL . I'l'RCHASl"C DEI'ARD'lEYl . 155 P"RKWA Y BOCLEVARD . COPPELL, 'fEXAS 75019 Wilson Contractor Services, LLC 107 S. Bell Avenue, Suite Three Denton, Tx 76201 Office: 940-Z43-1174/Fax: 940-898-1175 ~ y!~yy~ wi Iso nconstructio n. 0 r B Wilson Contractor Services. LLC was founded in 1953 by Bill Wilson and placed on record by Articles of Organization as a limited liability company under filing number 07091133-22 as of June 12, 2001. Tarrant County Downtown Tre_nchinQ anciJ3.QrinQ Proiect ...: i -.... ---- p . ("uf!'H lui' il,oH President Vice President SecretarylTreasurer We take pride in offering ... .:. Outstanding quality .:. Safety-conscious .:. Knowledgeable .:. - E nvi ronmentally- friend Iy .:. Wilson Contractor Services, llC is bonded by Suretec Insurance Company through PCL Contract Bondina Aoency of Dallas, Texas. .:. Suretec is a treasury-listed surety company with an A M. Best ratino of A- Excellent. PCl specializes in bonding for contractors in North Texas. ... service to the water, storm sewer, and sanitary sewer systems installation industry. .:. Industry required insurance coverage is brilliantly serviced through Indeoendent Insurance Grouo, an affiliate of PCL Contract Bondina Aaency. Please read on for a list of our cUffent and oast oroiects. Page 1 Revised April 17 , 2008 Wilson Contractor Services, LLC 107 S. Bell Avenue, Suite Three Denton, Tx 76201 Office: 940-243-1174 /Fax: 940-898-1175 ~ '!!.':!!.w" wils.E..lJconstruction.org CURRENT PROJECTS FM 2499 Utilities Relocation-- -Citv of Hif!hland Village Description: Installation of 16-lnch, 12-lnch, and 8-lnch waterline, including valves and other appurtenances. In addition, 12-lnch, and 8-lnch sewer line along with manholes and other appurtenances. Portions of the water lines will include encasement in steel casing pipe installed by open cut and portions of the proposed sewer lines will be included in steel casing pipe by boring and jacking. Portions of existing sewer lines will be encased in concrete encasement Consulting Engineer: $405.460 City of Highland Village 1000 Highland Village Road, Highland Village, 75077 Michael Burge. BW2 Engineers. 1919 Shiloh Road, Suite 500-L.B. 27. Garland, Texas 75042 972-864-8200 Phone; 972-864-8220 Fax Contract Amount: Owner: 2V-Inch Water Line--Carroll Avenue at Southlake Blvd 112-Inch Water Line-Dove Blvd at SH 114 Description: Furnish and install 20..lnch ductile iron restrained joint pipe, connection at two stations, dry bore 'W' thick 36" diameter welded steel casing including 20" diameter (CL51) poly-wrapped ductile iron restrained joint pipe. Furnish and install fire hydrants. Remove and dispose of existing parking lot pavement, then furnish and install 4" thick compacted Type D HMAC on 6" thick compacted Type A, Grade 1 crushed stone road base. Provide and implement traffic control, erosion control, and trench safety for project. Furnish and install full block Bermuda sod in areas disturbed by construction activity. Consulting Engineer: $259.695 City of Southlake 1400 Main Street, South lake, TX 76092 David Mayes P.E. Cheatham & Assoc; 2233 Avenue J, Suite 107, Arlington, TX 76006 Phone: 817-548-0696/ Fax: 817-265-8532 cheatham-associates. com Contract Amount: Owner: 1 V-Inch Water Line From Robinson Road Pump Station to FM 156 12-Inch Water Line Description: Furnish and install approximately 1,929 LF of lO-lnch AVWVA C900 DR-18 PVC Water Line by open cut, including 275 LF of lO-lnch AVWVA C900 DR-18 PVC Water Line by bore utilizing a 16-lnch 0.375- Inch thick steel sleeve, gate valves, fire hydrants and connections to the existing water distribution system. Contract Amount: Owner: $133.772 Town of Ponder 425 Shaffner Street, Ponder, TX 76259 Michael Anderson, E.I.T. Belcheff & Associates, Inc. 8870 Davis Boulevard, Fort Worth, TX 76180 817-421-4891 Consulting Engineer: Page 2 Revised April 17 , 2008 -~~_~~! soncoQ.st ructlon. o~~g COMPLETED PROJECTS VALLEY RIDGE NE 30" WATER LINE - LEWISVILLE, TX Description: 4,400 LF of 30-inch waterline from Valley Ridge Boulevard at SH 121 Business to College Street at the railroad tracks near Railroad Street, including bore under SH 121. Contract Amount: $1.383.174 Owner: Jeff Kelly, P.E, City of Lewisville, 151 W. Church Street, Lewisville, TX 75057 (972) 219- 3458 Phone; (972) 219-3487 Fax Consulting Engineer: J.R. Baddakar, P.E., Freese & Nichols, 1701 N. Market St., Suite 500, Dallas, TX 75202 (214) 920-2500. PHASE Two -18" WATER LINE EXTENSION -ARGYLE, TX Description: 18,100 LF of 18" C905 PVC including fire hydrants, air releases, and gate valves. Contract Amount: $929,000 Owner: Upper Trinity Regional Water District, 900 N. Kealy, Lewisville, TX 75067 Contact: Rick Fretwell (Inspector) (972) 529-7937 Phone Consulting Engineer: Biggs and Matthews Inc., 2500 Brook Street, Wichita Falls, TX 76301; (940) 766-0156 Phone TARRANT COUNTY COURTHOUSE WEST ELEVATION RESTORATION - PHASE II BORING AND TRENCHING Description: Desian-Build Construction of underground utility boring and direct trench placement of underground utilities, new manholes, and a new underground precast concrete vault between Tarrant County Courthouse Building and Tarrant County Administration Building Contract Amount: $829,465 Owner: Tarrant County, 100 East Weatherford Street, Suite 303, Fort Worth, Texas 76102 Consulting Engineer: Gretchen Gause, Project Manager for Arthur Weinman Architects, 550 Bailey Avenue, Suite 332, Fort Worth, Texas 76107.817-737-0977. Fax: 817-737-2203 20" UTILITY RELOCATIONS - STATE HIGHWAY 114 - SOUTHLAKE. TX Description: 3,269 LF of 20" B-303 concrete pressure pipe, bar wrapped steel cylinder type AWWA C303-95, 4,250 LF of 12" DR18 PVC, 841 LF of 12" C900 DR14 PVC, 165 LF of 8" C900 DR18 PVC including butterfly valves, gate valves, air release valves, with vaults, fire hydrants, 4' diameter manholes an d158 LF of 15" CL51 ductile iron sanitary sewer pipe. Contract Amount: $823,275 Owner: City of Southlake, 1400 Main Street Suite 270, Southlake, TX 76092 Consulting Engineer: Cheatham & Associates, 1250 Copeland Road Suite 900, Arlington, TX 76011 David E. Mayes Director of Engineering Services; (817) 548-0696 Phone Page 3 Revised ApriL 17, 2008 Project No. W A06-01 BID Q-0808-01 THE.CiTY.OF COPPElL l>f- /' ) "- . 9-1-1-{A-- I ' l A. 5 BID Q-0808-0 1 'Vater Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICATIONS AND CONFLICT OF INTEREST FORM) TWO COPIES MUST BE RETURNED TO THE PURCHASING DEPARTMENT NOLATERTHAN TUESDAY, AUGUST 5,2008 AT 2:00PM. CITY OF COPPELL . PCRCHASl:'<G DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL. TEXAS 75019 BlD Q-0808-0 1 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 PVC water line with connection to existing water lines on each end. All ductile iron fittings necessary shall be included in the lump sum bid amount. This work wiII include installation of 4 - 1" services by other than open cut. These services shall include placement of a new meter setter and meter can provided by the contractor. The contractor wiII also be expected to set a new meter, however the city wiII supply the meter. The services wiII then be tied into the existing house service behind the meter. The existing 4" water line wiII be cut, plugged, and abandoned in place once the new services are completed. A new 2" irrigation service wiII be installed in Hunterwood Park including the meter setter, installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street, sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. Where native vegetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. Where seed is used, the project will not be closed out, and final payment will not be made until vegetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer. then under the storm sewer. The site can be accessed from Coppell Road to Cooper Lane to Anderson Ave. For this project, the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Governments, the City of Coppell Standard Construction Details (Ord. #2006-112), and Appendix 'C' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the \Vork: 40 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD . COPPELl., TEXAS 75019 BID Q-0808-01 Project No. W A06-01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. it UJ u"ir- ~ ~A-'Jt/ll I,'), Lump Sum Amount: FDrh.j- I91xth.cublVv:\ n.HU: hUMrtcl6rv-evd+- HY'{ '.Cloltctrb *' IfrD Cfi\J6 Communications concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The terms used in this Bid which are defmed in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quantities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities will be adjusted accordingly. SUBMITTED ON ~ - 5 -' o~ b ~tCf-- r C1TYOFCOPPELL. PURCHASING DEPARTMENT . 2SSPARKWAYBOULEVARD. COPPELL,TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Company Information Company Name: /l . Or (1)1-D {)v' /\ ' . C'[I}i trIlchli' fJ, I~Lr: -/" ./ Address: X."'.i '~j~. "',' , . n v i I, i ~ ~;f , I I , V.o(../; #: Jd I raft . v//6 Phone Number: l~\ 1') ;( 44 - ,300 g Fax Number: { \;; --I '.. \. 0 1 I j "'A i U-f _ '1'(- j j i I" ( . ) 0-' Lf Contact Person: f' C' 1- iO r.!rt'':YI (71 VU) E-mail Address: ". ,: t f ~A_ I ~ CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Date Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes awar~ of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. 0r 10fn!fd l/lm1tra.f~A1 t\!J: LL C 2 J o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a). Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. . I ;\ \ r'/'c 0 I \: V L I^-, 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. f\\ 0/\ 1\ J' . J" ,Il i.' , ;J~;'-" Adopted 11/0212005 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 ~ BID Q-0808-01 Project No. W A06-01 FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, S, or C is YES. This section, item 5 including subparts A, B, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. A. Is the local government off~r named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes ~ No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local go,en'l!l"nt office' named In this secllon AND the taxable Income Is not from the local go'emmenta! enllly? 0 Yes L.1l.. No . C. Is the filer of this questionnaire affiliated with a corporation or other business entit.Y..that the .toea I government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes Oi No ,,- \ D. Describe each affiliation or business relationship. 6 . g business with the governmental entity C\ r I' () O//)'U3 Date Adopted 11/02/2005 CITY OFCOPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD . COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 THE.CITY.OF COPPELL .~"~,' c ~ "* .,;. ,.-' .f..v- I' c._....-!! . . \) q b BID Q-0808-01 Water Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICA TIONS AND CONFLICT OF INTEREST FORM) TWO COPIES MUST BE RETURNED TO THE PURCHASING DEPARTMENT NO lATER TIIAN TUESDAY, AUGUST 5,2fm AT 2:00 P.M CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL. TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately" linear feet ofW' ~ DR-14 Class 200 PVC water line with connection to existing water lines on~"'. .All ductile iron fittings necessal1' shall be included in the lump sum bid amount. This work will include installation of 4 - 1" senices by other than opeBwt.. These senices shall include placement of a new meter setter and meter can provided by the contractor. The contractor will also be expected to set a new meter, however the city ,.~ _t1~~ 1II_81I1tiM'- The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut, plugged, and abandoned in place once the new services are completed. A new 2" irrigation senice will be installed in Hunterwood Park including the meter setter, installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street, sidewalk, and trail crossings depicted in the plans may be done by 0Ipft'I'nrt; or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as hIeek.wod. Where native vegetation is disturbed in the pam area it shall be restored by placement of sod or by seeding at the contractors discretion. \VItere Sftd <hmed, the pmjed wtll Dot be dORCl eut, and fIIIat paymentwiH ROtilJeRttKle ' lIRUI. ~~tkJn ~. d'bIbthhed. See the attached plan sheets for additional information on the scope of work. Take notice ofthe Depth ofthe crossing utilities, as the water line will need to go ONM'-..~~~-. sewer, tiIeft.1IlIeF the........ 8eW.... The site can be accessed from Coppell Road to Cooper Lane to Anderson Ave. For this project~ the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Go,'ernments, the City ofCoppell Standard Construction Details (Ord. #2006-112), and Appendix 'C' Design Criteria and Standards in the Cit)' of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all wom to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standardaW. 1tMI1MJnd. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 4a.\i CITY OF COPPELL . PFRCHASING DEPARTMENT' 255 PARKWAY BOtTLE'" ARD . COPPELL, TEXAS 75019 Bm Q-0808-01 Project No. W A06-01 The lump sum bid amoWlt shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. Lump Sum Amount: ~ ~ ~ ()Jf; ~ Commilllicatlons concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page BIDDER illlderstands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be mcorporated into the project Said taxes are not included in the Contract Price (see Instructions to Bidders). The terms used in this Bid which are dermed in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quantities as it may deem necessalJ' to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities will be adjusted accordingly. SUBMITTED ON '~/l)L,,~_ ~~ CITY OF COPPELI. . PURCHASlNGDEPARTMENT' 255 PARKWAY BOULEVARD . COPPELL,TEXAS 75019 BID Q-0808-0t Project No. W A06-0t Company Name: Address Phone Number Fax Number: Contact Person: E-maIl Address: ComDanv Information Ed fl. Wilson, XflC . :15;;~ w. Pafford. Sf;. For+ WOf'fh.7X 7(0110 , , f6l7- 9::1.3- ~ lJoo gl7 - 'J~ '3 - 1rJ;J 1./:;; Knox Ross . Kross @ edaw;l50n. com CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Dale Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. Knox Ross 2 o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. NOI1"{! 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this question naire is filed AND describe the affiliation or business relationship. NoYl e Mopted 11/0212005 CITY OF COPPELI. . PURCH ASING DEPARTMENT . 255 P ARKW A 'II BOULE'\! ARD . COPPELL. TEXAS 75019 BID Q-0808-01 Project No. W A06-01 FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. This section, item 5 including subparts A, B C & D, must be completed for each officer with whom the filer has affiliation or other relationship Attach additional pages to this Form CIQ as necessary. A Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No B Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes 0 No C. Is the filer of this questionnaire affiliated with a corporation or other business entit.r.that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes 0 No D Describe each affiliation or business relationship. 6 'r1)~ g.5-o~ Date Signature of person doing business with the govemmental entity Adopted 11/0212005 CITY OF COPPELI~ . Pl1RCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 THE.CiTY.OF COPPELL ~ ~ 5 BID Q-0808-01 \Vater Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICATIONS AND CONFLICT OF INTEREST FORM) TWO COPIES MUST BE RETURNED TO THE PURCHASING DEPARTMENT NO lATER THAN TUESDAY, AUGUST 5, 2008 AT 2:00 P.M CITY OF COPPELL . PURCHASiNG [)EPARTMENT . 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Scope of Work This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 PVC water line with connection to existing water lines on each end. All ductile iron fittings necessary shall be included in the lump sum bid amount. This work will include installation of 4 - 1" services by other than open cut. These services shall include placement of a new meter setter and meter can provided by the contractor. The contractor will also be expected to set a new meter, however the city will supply the meter. The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut, plugged, and abandoned in place once the new services are completed. A new 2" irrigation service will be installed in Hunterwood Park including the meter setter, installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street, sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. Where sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. Where native vegetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. Where seed is used, the project will not be closed out, and final payment will not be made until vegetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer, then under the storm sewer. The site can be accessed from Coppell Road to Cooper Lane to Anderson Ave. For this project, the Standard Specifications for Public Works Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Governments, the City of Coppell Standard Construction Details (Ord. #2006-112), and Appendix 'C' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 40 CITYOFCOPPELL' PL'RCHASINGl>EPARTMENT' 255 PARKWAY ROULEVARD . COPPELL,TEXAS 75019 BID Q-0808-01 Project No. WA06-01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. 'h oc "7 ()t ()O(~ .- Lump Sum Amount: 'SeA) €-"+, 11-." ~ .;,,,,,,<J' ,,{c.[ (,.V's -.j- AJ L /<!"'<-",+'$ Communications conceming this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The tem1S used in this Bid which are defined in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell resen'es the right to delete any portion of this project or adjust quantities as it may deem necessary to stay within the City's availahlefunds. Should the City elect to delete any portion, the contract quantities will be adjusted accordingly. SUBMITTED ON <, <- 0 <;i"" 6~ :)- \.) CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 Companv lnformation Company Name: J'V\ U II...! { C ( f> ,,,,," L- UTI L.. ( T' E':; I I Al C- . Address: ? D, 15 ~ X ~j S ~ foP-To CD ~l~n~ ,T)( J G.. 12L{ Phone "lumber: 1{11- YJ-~-7106 Fax Number: ~ (I - L/- q t- - I.j 0, Contact Person: L+ (Ljl... Y '~c,JE:S . j V I <.: E e (z. ~ s { b E "I, E-mail Address: (Vl v ~ 6-- 0 n '-;> -h - I..) L +-: G n. (6.) C\.- l e:.. ck. b \::. to . c.. 'C tA"'I. - CITY OF COPPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Date Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. (\/1 G)LI {e...l PI\- L U T ( L (TI IE:. S,T N c. L_,A., R{2.. Y 7:>. ;Jc /J E '5 I \./ I c-t::. P f(--E. S i () E 1--/ T 2 o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. ,'/ I. t-i ~ f0 ". 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. ) x'" ~u ,ff "-J Adopted 11/0212005 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 BID Q-0808-01 Project No. W A06-01 FORM CIQ CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only if the answer to A, B, or C is YES. This section, item 5 including subparts A, S, C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes 0 No C. Is the filer of this questionnaire affiliated with a corporation or other business entil.Y..that the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes 0 No D. Describe each affiliation or business relationship. 6 5j.. S- - 0 '8' ith the governmental entity Date Adopted 11/02/2005 C1TYOFCOPPELL' PtJRCHASINGDEPARTMENT' 255 PARKWAY BOULEVARD . corp ELL, TEXAS 75019 / I / ; / / BID Q-0808-01 Project No. W A06-01 I THE.CiTY.OF corrELL +~'Jf l'x ~ q A..s . \ l!> BID Q-0808-0 1 'Vater Line Installation Hunterwood Park Connection C.I.P. Project W A06-01 BIDDERS PLEASE NOTE: ONE COpy OF THE FOLLOWING BID SHEETS HAVE BEEN ENCLOSED FOR YOUR CONVENIENCE (SPECIFICATIONS AND CONFLICT OF INTEREST FORM) TWO COPIES l\IUST BE RETURNED TO THE PURCHASING DEPARTMENT NO LATER TIIAN TUESDAY, AUGUST 5, 2008 AT 2:00 PM. CITY OF corPELL . PURCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 / IHn Q-0808-01 Project No. W A06-01 Scope of JVork This work shall consist of the Construction of approximately 500 linear feet of 8" DR-14 Class 200 PYC ,yater line with connection to existing water lines on each end. All ductile iron fittings necessary shall be included in the lump sum bid amount. This work will include installation of 4 - 1" services by other than open cut. These services shall include placement of a new meter setter and meter can provided by the contractor. The contractor will also be expected to set a new meter, however the city will supply the meter. The services will then be tied into the existing house service behind the meter. The existing 4" water line will be cut, plugged, and abandoned in place once the new services are completed. A new 2" irrigation service will be installed in Hunterwood Park including the meter setter. installation of the meter, the double check, meter cans, and all other items depicted in standard detail 4155. Street. sidewalk, and trail crossings depicted in the plans may be done by open cut, or other than open cut. Pavement repair or bore shall be done in accordance with appropriate city details. Upon completion of the construction, the contractor shall be responsible for restoring disturbed areas to the original condition. \Vhere sod is disturbed adjacent to the homes in the area it shall be replaced as block sod. \Vhere native vegetation is disturbed in the park area it shall be restored by placement of sod or by seeding at the contractors discretion. Where seed is used, the project will not be closed out, and final payment will not be made until Hgetation is established. See the attached plan sheets for additional information on the scope of work. Take notice of the Depth of the crossing utilities, as the water line will need to go over the sanitary sewer, then under the storm sewer. The site can be accessed from Coppell Road to Cooper Lane to Anderson Ave. For this project, the Standard Specifications for Public \Vorks Construction - North Central Texas Fourth Edition, as prepared by the North Central Texas Council of Governments, the City of Coppell Standard Construction Details (Ord. #2006-112), and Appendix 'C' Design Criteria and Standards in the City of Coppell Subdivision Ordinance (Ord. #94-643) shall govern all work to be done, together with any additional Supplementary Conditions, Specific Project Requirements and General Notes included herein. This project requires a standard 5% bid bond. This project shall be bid as a lump sum. Number of Calendar Days to Complete the Work: 40 CITY OF COPPELL . PGRCHASING DEPARTMENT' 255 PARKWAY BOULEVARD' COPPELL, TEXAS 75019 / / /' BID Q-0808-01 Project No. W A06-01 The lump sum bid amount shall be full compensation for all work necesarry to successfully complete the project, including labor, materials, tools, equipment, and incidentals. Lump Sum Amount: J' 7i '155.@. fR'01TV rovr7!Jorlc-<::aAd !ivr hf'lr;:-;ee , ;eM ae-/J/3 Communications concerning this Bid shall be addressed to the address of BIDDER indicated on the applicable signature page. BIDDER understands that the Owner is exempt from State Limited Sales and Use Tax on tangible personal property to be incorporated into the project. Said taxes are not included in the Contract Price (see Instructions to Bidders). The tenns used in this Bid which are defined in the General Conditions of the Construction Contract included as part of the Contract Documents have the meanings assigned to them in the General Conditions. The City of Coppell reserves the right to delete any portion of this project or adjust quantities as it may deem necessary to stay within the City's available funds. Should the City elect to delete any portion, the contract quantities will be adjusted according(v. SUBMITTED ON g~5 -'/)8 /IJ,L LI /,4$ E/J6-r n-XJS t"o/}#~h~Z(J\ CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL. TEXAS 75019 / / / BID Q-0808-01 Project No. WA06-01 Company Information Company Name: CJ9ST 77:X4 s aO/J.,.. ~ ao r) nc;:J/t . jJg 8o-r &;7 S&Jfj{)(;jl)&{ 7Y 97 Z. - 287 -llg~ '7S/5'1 Address: Phone \'umber: Fax Number: 472 - 287- 6'1/9 /J1,}e Rf/clclIBS7&U era se l1go (j Sil C (}h6a / . A)e,7 Contact Person: E-mail Address: CITY OF' COPPELL . PURCHASING DEPARTMENT' 255 PARKWA Y BOULEV ARD . COPPELL, TEXAS 75019 / I / BID Q-0808-01 Project No. WA06-01 CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity This questionnaire is being filed in accordance with chapter 176 of the Local Government Code by a person doing business with the governmental entity. FORM OFFICE USE ONLY Date Received By law this questionnaire must be filed with the records administrator of the local government not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code. A person commits an offense if the person violates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. 1 Name of person doing business with local governmental entity. E~jT 7l:7~c5 eVIJ.fr;?eA'l1tl ::Z;;C. 2 o Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than September 1 of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.) 3 Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. IV (1 A/ /::- 4 Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. /t,nUVe Adopted 11/0212005 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019 / / ( BID Q-0808-01 Project No. W A06-01 CONFLICT OF INTEREST QUESTIONNAIRE Page 2 For vendor or other person doing business with local governmental entity 5 Name of local government officer with whom filer has affiliation or business relationship. (Complete this section only jf the answer to A, 8, or C is YES. FORM CIQ This section, item 5 including subparts A, B. C & D, must be completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? 0 Yes 0 No B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the local government officer named in this section AND the taxable income is not from the local governmental entity? 0 Yes 0 No C. Is the filer of this questionnaire affiliated with a corporation or other business entitLthat the local government officer serves as an officer or director, or holds an ownership of 10 percent or more? U Yes 0 No D. Describe each affiliation or business relationship. 6 Signature of person doing business with the governmental entity cf-5-~J7 Date Adopted 11/02/2005 CITY OF COPPELL . PURCHASING DEPARTMENT. 255 PARKWAY BOULEVARD. COPPELL, TEXAS 75019