06 A-F-Bid - Jamar City of Pads, Texas
Pads Santa Fe-Ffisco Depot Rehabilitation lu_ly_ 10, 2001
DOCUMENT 00200 - PART A
BID FORM
Proposal of:.
(Bidder strike out inapplicable terms)
TO: City of paris (hereinafter called Own ).
The undersigned, in compliance with your Advertisement for Bids for the TRANSPORTATION ENHANCEMENT
PROJECT - REHABILITATION OF TH]E PARIS DEPOT, submits the following Bid.
Base Bid Amount: Bidder proposed to ~onstmct this project (TRANSPORTATION . sum of:
I. ENHANCF2vlENT PROJECT - REHABILITATION OF THE PARIS DEPOT) for thc stipulated
Dollars
Contract 1
($ ........... ). Dollars
Contract 2
($ ........... ) Dollars
Contract 3
($ ........... )
Contract 4 ~--n..-~--h-u-nd--r.-~d---nin~---~-.-h~-u--s-a--n-d--~..~.~-x-h-g~~g~£~ar~
($109,625-00) Dollars
Contract 5
($ ) Dollars
Contract 6
($ )
Roofing Work conStitutes "Work done by others" and is not part of thc scope of work for the above contracts.
2. Addenda: Bidder acknowledges receipt of the following Addenda:
Dated
No.
Dated
No.
I~ Check here if none. made
3. Five Percent ( 5% ) Bid Security: A Bid Security in the amount of $~B r 481 . 2B
payable to the CITY OF PARIS is attached, or an optional Bid Bond is attached.
STATE OF TEXAS, cOUNTY OF LAMAR
In the event of the award of a contract to the undersigned, the undersigned will furnish, labor and material payment
bonds in the full amount of the Contract Sum, to secure proper compliance with the terms and provisions of the
contract, and to insure and guarantee the work until final completion and acceptance- and to guarantee payment of all
lawful claims for labor performed and materials furnished in the fulfillment of the con,act.
The Owner, acting through its Construction Manager, will certify Substantial Completion, Final Completion shall
be certified by TxDOT.
The undersigned certifies that . .,, ,_ ,.~.~ ...a or. .nhmitted as correct and final, und
1) the prices contained within this Bid have been caremuy cnec,.;
ccurac of the cerfificati°ns c°ntained herein and made by signlng tiffs Bid' and
2~ that he affirms the troth and .ai Y .............. reement, r~arficipated in uny collusion, or
i that the bidder has not, either direcdy or indirectly, entereu
otherwise taken any action in restraint of free competitive bidding in connection with the contract for this project.
Document 00200- Pa~ A
Page 1-2
Paris Santa Fe-Frisco Depot Rehabilitation
City of Pads, Texas
July 10, 2001
Jamar Contractors Print Plrm Name Print Plrm Name
~ S~natnm and Title S~-~ature and Title
Before me, the undersigned authority a Notary Public on this day personally appeared
RECEIVED
(oZ)th s'~s: ~ he ~s qualified and authorized to make this affidavit for and on beh~l~ MANAGER
PARIS, TEXAS
Contractor(si. of Lamar .County lies). Texas and Is
fully eogalzant of the facts herein set out mad affirms to the truth mad aeeurae7 of the
eer~eaUons made herein by the signing the proposal above.
ii) (2) ~
Print Firm Name Print ~ Name
Signature Signature
Owner
Title Title Title
2335 South church
AddressParis, Texas ~ Address
Complete Item 1 for single venture, through Item 2 for double venture, and through Item 3 for
triple venture. NOTE: Signatures to comply with provisions of the Instructions to Bidders.
Subscribed and sworn to before me by the said (1)
19-1
this
witness ,~r{~d,, and seal
of office.
($)
NO~ p, ,hlk~ In arid for
Document 00200- Part A
Page 2-2
RECEIV'ED
AUG 2 8 2001
CITY MANAGER
PARIS, TEXAS
DOCUMENT 00200 - Part B
Contract 4 - Bid breakdown Form
This bid form shall be attached to Document 00200, Part A Bid Form, to be considered responsive for
Contract 4.
1. Contract 4 - Mechanical
2. Scope of work-Bid items
a. Plumbing
b. Toilet accessories
c. HVAC 1. Base ....... Chiller system
2. Alternate ....... Split system
Spec. Estimated Total
Section Quantity
Reference
i.S. ~7.755
l.s. 388
l.s. Inot bid
1.s. 161,482
d Bid Amount - Contract 4 109,625
* Per Cky of Paris codes
** List toilet accessories included:
Grab bars
toilet tissue disp
paler towel disp
soap disp
Note: All blanks must show a value or the bid will be considered non-responsive.
Contract#
Firm/CompanY Name
BUSINES$ 0 WNEP~HIP
Section 231.006, Family Code, requires the Department to colleat tho nameS and social security number of
individuals owning 25% or more of the.business entity awarded this contract.
l. In thc space$ below please provide the names and social security number of individuals owning 25% or
· moro of tho busineSs
.. NAME
Bart gamar
SOCIAL SECUR/TY NUMBEK
.449-02-291 4
2. Please cheek the box below if no individual owns 23% or more of the busineSs.
[ ] No individual owns 25% or more of the busineSs.
· ' · ' confidential and may be
Except aa provided by Section 231.302(d), Famtly Code, a socral se~urttynumbor ~s
dizclosed only for }~.e purpose of rezponding to a requeSt for information from an agency operating under the
provisions of parts A and D to Title IV' of the federal Social Security Act (42 USC Section 601-617 and .651-
699). -
Under section 231.006, Family Code, the Condor or i~pplicant certifies that tho individual or busineSs entity
named in this con.ct, bkl. or application is eligible to receive tho ~ceified grant, loan, or payment and
aelmowled~e~ that~chis contract may be terminated and payment may be withheld if this certification is
inaccurate.
The information must bo provided and returned with tho executed contract documents. Failure to furnish this
inform~n will result in ~e contract being decl~recl in default and forfeiture of tho propo~sal guaranty.
Bart Jaraar
Pdnt limo
If this project is a Joint Venture, all parties to the joint venture must provide n completed form.
Page 1 o[ 2
CERTIFIGA TE OF INSURANCE
FOR BUILDING PROJECTS .....
Texas Department of Transportation (TxDOT)
Pd~ to ~he beginning of wo~, the Contractor shall obtain me minimum insurance and endorsements sp~dfied. Only the TxDOT ced~ficata of insurance form ts
acceptable as proof of insurance for depar~nent o:x~b-'acts. Agents should complete the form p~3viding all requested infccma~on then either fax ~- max this form
direc~y to the address r~s ted c~ the bad( of ~his form. C<~ies of endcraemenLs ILsted below are not requlmd as attachments to His ce~fic~ta.
This Certificate of Insurance neither affirmatively nor negatively amends, extends, or alters the coverage afforded by the above
insurance policies issued by the named insurance company. Cancellation of the insurance policies shaZl not be made until THIRTY
DAYS AFTER the agent or the insurance company has sent written notice by certified mail to the contractor and the Texas Department
of Transportation.
Workers' Compensation Insurance Coverage:
Endorsed with a Waiver of Subrogation in favor of TxDOT.
Carrier Name: C.~n~-'r'~] Tn~urance ~Companies CarrierPhone#:(800) 733-2233
Address: PO ]~O~ 828 City, State, Zip:Van Wert OH 458~1
Type of Insurance Policy Number / Effective Date Expiration Date Limits of Liability:
Workers'CompensalJon ?(''7 c)4 ~'c~'~ 400 [[3~/18/00 11/18/01 NotLessThan: Statutoq~-Texas
Comprehensive General Liability Insurance:
Endorsed with TxDOT as Additional Insured and with a Waiver of Subro~ ~ation in favor of TxDOT.
Carrier Name.Centr al Insurance ComDanie s Carrier Phone #1_( 8~00~)_ 733- 2233
Address: P O Box 828 Ctty, State~Zip:Va Weft OR 4589]
Type of Insurance: Policy Number: Effective Date: Expiration Date: Limits of Liability:
Comprehensive General ~OP7928897 11/15/00 11/15/01 Not Less Than:
Liability Insurance
Bodily InjuG' $ 500,000 each occurrence
Property Damage i $100,000 each occurrence
OR $100,000 for aggregate
Commercial General OR
Liability Insurance $ 600,000 combined single limit
Comprehensive Automobile Liability Insurance:
Endorsed with TxDOT as Additional Insured and with a Waiver of Subro etlon in ~avor of TxDOT.
Carrier Name: Al'[ Am~ric~n Tn~]ll"~nc'p C~m~Ry CarrierPhone#:(R~3c)) 7~q-?~3~
Address: ~ O ~o~ 8~S City, State, Zip:~R~ ~. ~ &~Rq3
T~e of Insurance: Policy Number: Effective Date: Expiration Date: L{mits of Liability:
~mp~ehensive Automobile 9A~7928896 ~[/15/00 1[/[5/01
Uab[li~ Insu~n~ OR Texas Not Less Than:
Business Automobile Poli~ $ 250,000 each person
B~i[y ~nju~ $ 500,000 ea~ o~u~en~
Prope~ Damage $100,000 ea~ ~en~
Builders Risk:
Carrier Name: I Carrier Phone ~: ~
Address: City, State, Zip:
T~e of Insurance: Policy Number: Effective Date: Expiration Date: Limits of Liability:
100 % of Contract Amount
Builders Risk
Insured: Jamar Contrators
S[reet/Mailing Address: 2335 Soutfl church
CitylS[ate/Zip: Paris, TX '/bGbU
Phone Number: /~'ea Code ~) 0 ~ 784--0292
THIS IS TO CERTIFY to the Texas Department of Transportation acting on behalf of the State oi Texas that the insurance policies
named meet all the requirements stipulated and such policies are in full force and e[fect. If this form is sent by facsimi;e machine (fax),
the sender adopts the document received by TxDOT as a duplicate odginal and adopts the signature produced by the receiving fax
machine as lhe sender's original signature.
~.uthorized Agent name address and zip code
AuthodzedAgent's Phone Number Authorized Agent~)riginal Signature Date
CHH,D SUPPORT STATEMENT'
Under Section 231.006, Family Code, the vendor.i~r applicant certifies that the
individual or business entity named in this contract, 'bid, or application is not ineligible to
receive the specified grant, loan, or payment and acknowledges that this contract may be
terminated and payment may' be withheld if this certification is inaccurate.