IDOT Cooperative Agreement for Primary Roads_White St. HMA ProjectTHE CITY OF
Dui
Masterpiece on the Mississippi
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
Dubuque
band
AI -America City
r
2007 • 2012 • 2013
SUBJECT: White Street HMA Resurfacing with Milling Project, from 11th to 21st Street
Iowa DOT Agreement No. 2014-16-271
Iowa DOT Project No. NHSN-52-2 (132)--2R-31
DATE: March 10, 2014
City Engineer Gus Psihoyos recommends City Council approval of the Iowa Department
of Transportation Cooperative Agreement for Primary Road Project for the White Street
HMA Resurfacing with Milling Project, from 11th to 21st Street.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
",'I144 ,,,,,,
Mic ael C. Van Milligen
MCVM:jh
Attachment
cc: Barry Lindahl, City Attorney
Cindy Steinhauser, Assistant City Manager
Teri Goodmann, Assistant City Manager
Gus Psihoyos, City Engineer
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
FROM: Gus Psihoyos, City Engineer
Dubuque
A!I•AmericaCity
11II1
2007 • 2012 • 2013
SUBJECT: White Street HMA Resurfacing with Milling Project, from 11th to 21st Street
Iowa DOT Agreement No. 2014-16-271
Iowa DOT Project No. NHSN-52-2 (132)-2R-31
DATE: March 7, 2014
INTRODUCTION
The enclosed resolution authorizes the Mayor to execute the Iowa Department of
Transportation (Iowa DOT) Cooperative Agreement for Primary Road Project for the
White Street HMA Resurfacing with Milling Project, from 11th to 21St Street.
BACKGROUND
Through the cooperative agreement, the Iowa DOT will be responsible for the eligible
construction costs associated with pavement rehabilitation for the center 24 feet (12 feet
in each direction from roadway centerline) and 50% of the costs associated with the
pedestrian access curb ramps at all the intersection quadrants on U.S. 52 (White
Street). The City will be responsible for the costs associated with pavement
rehabilitation of the parking lanes and the costs for curb and sidewalk replacement,
underground utility work, 50% of the costs associated with the pedestrian access curb
ramps at all the intersection quadrants on U.S. 52 (White Street) and landscape
restoration. All other associated costs, such as engineering design, contract
administration, construction engineering and inspection will be funded solely with City
funding.
DISCUSSION
The White Street HMA Resurfacing Project, from 11th to 21st Street, is a joint partnership
project between the City and the Iowa Department of Transportation (Iowa DOT). The
pavement rehabilitation project on White Street will provide for the following
improvements:
• Pavement milling on U.S. 52 (White Street) between 11th and 21st Street.
• Transverse and longitudinal joint repair as needed.
• Pavement sub -base repair and patching as needed.
• Hot mix asphalt (HMA) resurfacing of both thru lanes and parking areas.
• Spot curb, driveway, and sidewalk replacement.
• Storm sewer intake reconstruction.
• Installation of ADA pedestrian access curb ramps (37 total).
• Water main improvements.
• Traffic signal improvements at 14th 17th and 21st
.
RECOMMENDATION
I recommend that the City Council adopt the enclosed resolution and authorize the
Mayor to sign the Iowa Department of Transportation Cooperative Agreement for
Primary Road Project (Agreement No. 2014-16-271) for the White Street HMA
Resurfacing Project, from 11th to 21st Street.
BUDGET IMPACT
The preliminary estimate of probable cost for the White Street HMA Resurfacing
Project, from 11th to 21st Street, is as follows:
Cost Estimate
Construction Cost $1,038,776.27
Pre -Purchased Traffic Signal Equipment 60,101.00
Contingency 103,877.63
Administration, Design, Construction Engineering & Inspection 103,877.63
Project Cost Estimate $1,306,632.53
The anticipated project funding summary is as follows:
CIP No. Fund Description
3602483 Iowa DOT Funding
3602483 Hwy 52 - White Street Pavement Rehabilitation
7201081 Catch Basin Replacement
7101335 Sanitary Manhole Replacement
3001615 Pre -purchased Traffic Signal Equipment - Mastarms
3602442 Pre -purchased Traffic Signal Equipment - Cabinets
3001615 Traffic Signal Intersection Reconstruction
7401405 Water Main Replacement
Total Project Funding
ACTION TO BE TAKEN
Fund Amount
$ 451,692.82
475,976.89
38,787.42
11,387.20
14,384.00
45,717.00
199,464.61
69,222.59
$ 1.306,632.53
I respectfully request that the City Council adopt the attached resolution and authorize
the Mayor to sign the Iowa Department of Transportation Cooperative Agreement for
Primary Road Project (Agreement No. 2014-16-271) for the White Street HMA
Resurfacing Project, from 11th to 21st Street.
Prepared by: Robert Schiesl, Assistant City Engineer
cc: Jim Schnoebelen, Iowa DOT Jenny Larson, Budget Director
Art Gourley, Iowa DOT Greg Doeden, Civil Engineer
RESOLUTION NO. 75-14
RESOLUTION APPROVING THE IOWA DEPARTMENT OF TRANSPORTATION
COOPERATIVE AGREEMENT FOR PRIMARY ROAD PROJECT (AGREEMENT NO.
2014-16-271) FOR THE. WHITE STREET HMA RESURFACING WITH MILLING
PROJECT, FROM 11TH TO 21ST STREET
Whereas, the City of Dubuque is proceeding with the White Street HMA
Resurfacing with Milling Project, from 11th to 21st Street.
Whereas, White Street is located on US Highway 52 and is under the jurisdiction
of the Iowa Department of Transportation.
Whereas, the White Street HMA Resurfacing with Milling Project, from 11th to
21st Street, will involve the: milling; transverse and longitudinal joint repair; pavement
sub -base repair and patching; HMA resurfacing of both thru lanes and parking areas;
spot curb, driveway, and sidewalk replacement; storm sewer intake reconstruction;
installation of ADA pedestrian ramps; water main improvements; and traffic signal
improvements.
Whereas, the Iowa Department of Transportation (Iowa DOT) has authorized the
use of State funds for eligible construction costs for the White Street HMA Resurfacing
with Milling Project, from 11th to 21st Street.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF DUBUQUE, IOWA:
Section 1. That said Iowa DOT Cooperative Agreement for Primary Road
Project (Agreement 2014-16-271) between the City of Dubuque and the Iowa
Department of Transportation be hereby approved for the White Street HMA
Resurfacing with Milling Project, from 11th to 21st Street.
Section 2. That the Mayor be authorized and directed to execute two copies of
Iowa DOT Cooperative Agreement for Primary Road Project (Agreement 2014-16-271)
for the White Street HMA Resurfacing with Milling Project, from 11th to 21st Street.
Passed, approved and adopted this 17th day of March, 2014.
Attest:
Kevi S. Firnstahl, CM , City Clerk
Roy D. Buol, Mayor
SMARTER 1 SIMPLER 1 CUSTOMER DRIVEN WWW'IOWaCIOt.gOV
March 10, 2014
District 6 Office 1 Highway Division
5455 Kirkwood Blvd. SW, Cedar Rapids, IA 52404
Phone: (319) 364-0235 1 Fax (319) 364-9614 1 Email: jim.schnoebelen@dot.iowa.gov
REF: NHSN-052-2(132)-2R-31
Dubuque County
City of Dubuque
Agreement 2014-16-271
Mr. Robert D. Schiesl, P. E., Assistant City Engineer REVISED
City of Dubuque
City Hall – 50 West 13th Street
Dubuque, Iowa 52001
SUBJECT: Agreement 2014-16-271 FINAL (HMA Resurfacing with Milling on US 52
in Dubuque.)
Dear Mr. Schiesl:
Attached are two (2) copies of an agreement between the City of Dubuque and the Iowa
Department of Transportation for the above referenced project. The project involves Hot
Mix Asphalt (HMA) resurfacing with milling on US 52 (White Street/2e Street) between
11th Street (MP 47.54) and Central Avenue (MP 48.17). The project provides for milling,
patching and HMA resurfacing of both thru lanes and parking areas as well as spot curb,
driveway and sidewalk replacement; intake reconstruction; and installation of pedestrian
ramps.
Please secure the necessary approvals and signatures of the appropriate City of Dubuque
officials and return both signed copies of the agreement to this office for further processing.
An original of the fully executed agreement will be forwarded to the City of Dubuque after
final signature by our department.
If you have any questions concerning this agreement, please contact me at the above listed
phone number.
Sincerely,
pmeiRScleaa,
James. R. Schnoebelen, P. E.
District 6 Engineer
JRS/sjb
Enclosures (2)Agreement 2014-16-271 REVISED
QIowADoT
SMARTER 1 SIMPLER 1 CUSTOMER DRIVEN
March 31, 2014
www.iowadot.gov
District 6 Office 1 Highway Division
5455 Kirkwood Blvd. SW, Cedar Rapids, IA 52404
Phone: (319) 364-0235 I Fax (319) 364-9614 I Email: jim.schnoebelen@dot.iowa.gov
The Honorable Mayor Roy D. Buol
City of Dubuque
50 West 13th Street
Dubuque, Iowa 52001
REF: NHSN-052-2(132)-2R-31
Dubuque County
City of Dubuque
Agreement 2014-16-271
SUBJECT: Agreement 2014-16-271 FULLY EXECUTED (HMA Resurfacing with
Milling on US 52 in Dubuque.)
Dear Mayor Buol:
Attached is your original of the fully executed agreement between the City of Dubuque and
the Iowa Department of Transportation for the above referenced project. The project
involves Hot Mix Asphalt (IHMA) resurfacing with milling on US 52 (White Street/21d
Street) between 11a' Street (MP 47.54) and Central Avenue (MP 48.17). The project
provides for milling, patching and HMA resurfacing of both thru lanes and parking areas as
well as spot curb, driveway and sidewalk replacement; intake reconstruction; and installation
of pedestrian ramps.
Thank you for your cooperation in the processing of this agreement.
Sincerely,
Sincerely,
9.. ??..2124a,
James. R. Schnoebelen, P. E.
District 6 Engineer
JRS/sjb n
Enclosures (1)Agreement 2014-16-271 a`�
cc: Deanne Popp, Local Systems -Ames Er n
Kevin Galloway, Finance - Ames c co
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March 2010
IOWA DEPARTMENT OF TRANSPORTATION
Cooperative Agreement
For Primary Road Project
County Dubuque
City Dubuque
Project No. NHSN-052-2(132)--2R-31
Iowa DOT
Agreement No. 2014-16-271
Staff Action No. S-2014-0641
This Agreement, is entered into by and between the Iowa Department of Transportation, hereinafter
designated the "DOT", and the city of Dubuque, Iowa, a Local Public Agency, hereafter designated the
"LPA" in accordance with Iowa Code Chapters 28E, 306, 306A and 313.4 as applicable;
The LPA proposes to establish or make improvements to U.S. 52 within Dubuque County, Iowa; and
The LPA and the DOT are willing to jointly participate in said project, in the manner hereinafter provided;
and
This Agreement reflects the current concept of this project which is subject to modification by mutual
agreement between the LPA and the DOT; and
Therefore, it is agreed as follows:
1. Project Information
a. The LPA shall be the lead local governmental agency for carrying out the provisions of this
agreement.
b. All notices required under this agreement shall be made in writing to the DOT's and/or the LPA's
contact person. The DOT's contact person shall be the Assistant District Engineer or their designee.
The LPA's contact person shall be the City Engineer.
c. The LPA shall be responsible for the development and completion of the following described primary
highway project:
Hot Mix Asphalt (HMA) resurfacing with milling on U.S. 52 (White Street/21st Street) between 11th
Street (MP 47.54) and Central Avenue (MP 48.17). The project provides for milling, patching and
HMA resurfacing of both thru lanes and parking areas as well as spot curb, driveway and
sidewalk replacement; intake reconstruction; and installation of pedestrian ramps.
2. Project Costs
a. The LPA will bear all costs except those allocated to the DOT under other terms of this Agreement.
b. The total cost of construction is estimated at $1,142,653.89. The DOT shall contribute an estimated
$451,692.82 toward the project costs which represents the costs associated with pavement
rehabilitation for the center 24 feet (12 feet in each direction from roadway centerline) and the costs
associated with pedestrian ramps for pedestrian crossing of U.S. 52. See Exhibit A for project costs
and Exhibit B for project location. The LPA will be responsible for the costs outside the center 24 feet
including for pedestrian ramps for pedestrian crossing the side streets.
2014-16-271 _Dubuque 1
March 2010
c. Reimbursement from the DOT to the LPA for costs allocated to the DOT is contingent on approval of
the project by the Iowa Transportation Commission to be included in the 2015-2019 Five Year
Program. For an approved project, funds would be available for reimbursement of costs allocated to
the DOT on July 1, 2014 and thereafter.
3. Environmental, Right -of -Way, Permits and Other Requirements
a. The LPA shall be responsible for obtaining any necessary permits from the DOT, such as the Right to
Occupy and/or Perform Work Within the Right -of -Way, Permit of Access, Utility Accommodation,
Right to Install and Maintain Traffic Control Devices, or other construction permits required for the
project prior to the start of construction. Neither the approval of funding nor the signing of this
Agreement shall be construed as approval of any required permit from the DOT.
b. The LPA shall obtain all project permits and / or approvals, when necessary, from the Iowa
Department of Cultural Affairs (State Historical Society of Iowa; State Historic Preservation Officer),
Iowa Department of Natural Resources, U.S. Coast Guard, U.S. Army Corps of Engineers, or other
State or Federal agencies as may be required.
c. If there is a railroad crossing within or near the project work area, the LPA shall obtain the necessary
approvals or agreements from the railroad to allow the proposed work to be completed on or around
the railroad crossing and / or right-of-way.
d. If the project requires utility relocations, subject to the approval of and without expense to the DOT,
the LPA agrees to perform or cause to be performed all relocations, alterations, adjustments or
removals of existing utility facilities, including but not limited to power, telephone lines, fiber optics
lines, natural gas pipelines, water mains and hydrants, curb boxes, utility accesses, storm water
intakes, sanitary sewers, and related poles, installations and appurtenances, whether privately or
publicly owned, and all parking meters, traffic signals and other facilities or obstructions which are
located within the limits of an established street or alley and which will interfere with construction of
the project and the clear zone. All utility relocations shall be accomplished in accordance with the
DOT's Utility Accommodation Policy, as set forth in 761 Iowa Administrative Code, Chapter 115.
e. If the LPA has completed a Flood Insurance Study (FIS) for an area which is affected by the
proposed Primary Highway project and the FIS is modified, amended or revised in an area affected
by the project after the date of this Agreement, the LPA shall promptly provide notice of the
modification, amendment or revision to the DOT. if the LPA does not have a detailed Flood Insurance
Study (FIS) for an area which is affected by the proposed Primary Highway project and the LPA does
adopt an FIS in an area affected by the project after the date of this Agreement, the LPA shall
promptly provide notice of the FIS to the DOT.
4. Project Design
a. The LPA or its consultant shall be responsible for the design of all proposed improvements.
b. The project plans, specifications and engineer's cost estimate shall be prepared and certified by a
Professional Engineer licensed to practice in the State of Iowa.
c. All proposed highway or street improvements shall be designed using good engineering judgment
and the American Association of State Highway and Transportation Officials (AASHTO) "Policy on
Geometric Design of Highways and Streets", (latest edition).
2014-18-271_Dubuque _ 2
March 2010
d. The project design shall comply with the "Manual on Uniform Traffic Control Devices for Streets and
Highways", by the Federal Highway Administration, as adopted by DOT, as per 761 Iowa
Administrative Code, Chapter 130.
5. Bid Letting
a. The LPA shall submit the plans, specifications, and all other contract documents for review and
approval prior to letting by the LPA. The project may be submitted for letting in phases, in the order of
preference as detemiined by the LPA. The DOT shall review said submittal(s) recognizing the LPA's
development schedule and shall, after satisfactory review, authorize in writing the LPA to proceed
with implementation of the project.
b. For portions of the project let to bid, the LPA shall conduct the project bid letting in compliance with
applicable laws, ordinances, and administrative rules. The LPA shall advertise for bidders, make a
good faith effort to get at least three (3) bidders, hold a public letting and award contracts for the
project work. DOT concurrence in the award must be obtained prior to the award. The LPA shall
provide the DOT file copies of project letting documents within five (5) days after letting.
c. The LPA shall include in their Notice to Bidders that Sales Tax Exemption Certificates will be issued,
as provided for by Iowa Code section 423.3, subsection 80. The LPA shall be responsible for
obtaining the sales tax exemption certificates through the Iowa Department of Revenue and Finance.
The LPA shall issue these certificates to the successful bidder and any subcontractors to enable them
to purchase qualifying materials for the project free of sales tax.
6. Construction & Maintenance
a. The LPA shall be responsible for the daily inspection of the project, including the compilation of a
daily log of materials, equipment, and labor used on the project.
b. The LPA shall comply with the procedures and responsibilities for materials testing and construction
inspection according to DOT's Materials Instructional Memorandums (I.M.'s) and the Construction
Manual. If requested, the DOT may be able to perform some testing services. If performed, the DOT
will bill the LPA for testing services according to its normal policy.
a. The work on this project shall be in accordance with the approved plans and specifications. Any
substantial modification of these plans and specifications must be approved by the DOT prior to the
modification being put into effect.
b. The LPA, in cooperation with the DOT, will take whatever steps may be required with respect to
alteration of the grade lines of the new highway facilities constructed under the project in accordance
with Iowa Code section 364.15. The DOT and LPA will work together to minimize potential impacts to
properties that may occur as a result of the project.
c. Subject to the provisions hereof, the LPA in accordance with 761 Iowa Administrative Code sections
150.3(1)c and 150.4(2) will remove or cause to be removed all encroachments or obstructions in the
existing primary highway right of way. The LPA will also prevent the erection and/or placement of any
structure or obstruction on said right of way or any additional right of way which is acquired for this
project including but not limited to private signs, buildings, pumps, and parking areas.
d. With the exception of service connections no new or future utility occupancy of project right-of-way,
nor any future relocations of or alterations to existing utilities within said right-of-way (except service
connections), will be permitted or undertaken by the LPA without the prior written approval of the
2014-16-271 Dubuque 3
March 2010
DOT. All work will be performed in accordance with the Utility Accommodation Policy and other
applicable requirements of the DOT.
e. General Parking Requirements:
i. On primary highways at signalized intersections, parking will be prohibited a distance of 20 feet in
advance of the near sidewalk or traffic -control signal and a distance of 20 feet beyond the far
sidewalk. At non -signalized intersections, parking will be prohibited 55 feet in advance of the near
sidewalk and 22 feet beyond the far sidewalk.
ii. On minor side streets controlled with stop signs, with two through lanes and two parking lanes
(parallel: or diagonal), parking will be prohibited a distance of 35 feet in advance of the near
sidewalk or stop sign and a distance of 35 feet beyond the far sidewalk. On minor side streets
controlled with stop signs, with four through lanes and two parallel or diagonal parking lanes,
parking will be prohibited a distance of 35 feet in advance of the near sidewalk or stop sign and a
distance of 20 feet beyond the far sidewalk.
iii. On minor side streets with traffic control signals, with two through lanes and two parallel parking
lanes, parking will be prohibited a distance of 20 feet in advance of the near sidewalk or traffic
signal and a distance of 35 feet beyond the far sidewalk. On minor side streets with four through
lanes and parallel or diagonal parking lanes, parking will be prohibited a distance of 20 feet in
advance of the near sidewalk or traffic signal and a distance of 20 feet beyond the far sidewalk.
iv. If not already covered by an existing ordinance, the parking restrictions listed above will be
outlined in a new ordinance which will be enacted by the LPA. The new ordinance would go into
effect no later than such time as the project is completed and opened to through traffic.
f. Upon completion of the project, no changes in the physical features thereof will be undertaken or
permitted without the prior written approval of the DOT.
After the project construction is complete and prior to final acceptance of the project by the DOT, the
LPA shall fumish three sets of "as -built" plans to the DOT's contact person.
g.
h. Future maintenance of the primary highway within the project area will be carried out in accordance
with the terms and conditions contained in 761 Iowa Administrative, Code Chapter 150.
7. Traffic Control
a. U.S. 52 through -traffic will be maintained during the construction.
b. Traffic control devices, signing, or pavement markings installed within the limits of this project shall
conform to the "Manual on Uniform Traffic Control Devices for Streets and Highways" as per 761
Iowa Administrative Code, Chapter 130. The safety of the general public shall be assured through the
use of proper protective measures and devices such as fences, barricades, signs, flood lighting, and
warning lights as necessary.
8. Payments and Reimbursements
a. The LPA shall be responsible for making initial payments for all project costs incurred in the
development and construction of the project. After payments have been made, the LPA may submit
to the DOT periodic itemized claims for reimbursement for eligible project activities. Reimbursement
claims shall include certification by a Professional Engineer licensed to practice in the State of Iowa
2014-16-271 Dubuque 4
March 2010
that all eligible project activities for which reimbursement is requested have been paid in full and
completed in substantial compliance with the terms of this agreement.
b. The DOT shall reimburse the LPA for properly documented and certified claims for eligible project
activity costs. The DOT may withhold up to 5% of the Federal and / or State share of construction
costs, either by state warrant or by crediting other accounts from which payment may have been
initially made. If upon final audit, the DOT determines the LPA has been overpaid, the LPA shall
reimburse the overpaid amount to the DOT. After the final audit or review is complete and after the
LPA has provided all required paperwork, the DOT will release the Federal or State funds withheld.
c. Upon completion of the project, a Professional Engineer licensed to practice in the State of Iowa shall
certify in writing to the DOT that the project activities were completed in substantial compliance with
the plans and specifications set out in this agreement. Final reimbursement of State and / or Federal
funds shall be made only after the DOT accepts the project as complete.
9. General Provisions
a. The LPA shall maintain records, documents, and other evidence in support of the work performed
under the terms of this agreement. All accounting practices applied and all records maintained will be
in accordance with generally accepted accounting principles and procedures. Documentation shall be
made available for inspection and audit by authorized representatives of the DOT and / or the Federal
Highway Administration (FHWA), or their designees at all reasonable times. . The LPA shall provide
copies of said records and documents to the DOT upon request. The LPA shall also require its
contractors to permit authorized representatives of the DOT and / or the FHWA to inspect all work
materials, records, and any other data with regard to agreement related costs, revenues and
operating sources. Such documents shall be retained for at least 3 years from the date of FHWA
approval of the final amendment / modification to the project in the FHWA's Fiscal Management
Information System (FMIS). Upon receipt of such approval by FHWA, the DOT will notify the LPA of
the record retention date.
b. In accordance with Iowa Code Chapter 216, the LPA shall not discriminate against any person on the
basis of race, color, creed, age, sex, sexual orientation, gender identity, national origin, religion,
pregnancy, or disability.
C. The LPA shall use positive efforts to solicit proposals or bids from and to utilize Targeted Small
Business (TSB) enterprises as consultants or contractors and ensure that the consultants or
contractors make positive efforts to utilize these enterprises as subconsultants, subcontractors,
suppliers or participants in the work covered by this agreement. Efforts shall be made and
documented in accordance with Exhibit C which is attached hereto and by this reference incorporated
into this agreement.
d. The LPA agrees to indemnify, defend and hold the DOT harmless from any action or liability arising
out of the design, construction, maintenance, placement of traffic control devices, inspection, or use
of this project. This agreement to indemnify, defend and hold harmless applies to all aspects of the
DOT's application review and approval process, plan and construction reviews, and funding
participation.
e. If any part of this agreement is found to be void and unenforceable then the remaining provisions of
this agreement shall remain in effect.
f. This agreement is not assignable without the prior written consent of the DOT.
g. It is the intent of both (all) parties that no third party beneficiaries be created by this Agreement.
201416-271_Dubuque 5
March 2010
h. In case of dispute concerning the terms of this agreement, the parties shall submit the matter to
arbitration pursuant to Iowa Code Chapter 679A. Either party has the right to submit the matter to
arbitration after ten (10) days notice to the other party of their intent to seek arbitration. The written
notice must include a precise statement of the disputed question. The DOT and the LPA agree to be
bound by the decision of the appointed arbitrator. Neither party may seek any remedy with the State
or Federal courts absent exhaustion of the provisions of this paragraph for arbitration.
i.. This Agreement may be executed in (two) counterparts, each of which so executed will be deemed to
be an original.
This Agreement, as well as the unaffected provisions of any previous agreement(s), addendum(s),
and/or amendment(s); represents the entire Agreement between the LPA and DOT regarding this
project. All previously executed agreements will remain in effect except as amended herein. Any
subsequent change or modification to the terms of this Agreement will be in the form of a duly
executed amendment to this document.
1•
2014-16-271_Dubuque 6
March 2010
IN WITNESS WHEREOF, each of the parties hereto has executed Agreement No. 2014-16-271 as of the
date shown opposite its signature below.
CITY OF DUBUQUE:
By: Q L/64 Date "AV'? / , 20/
Title: Mayo J
I, , 7//7' 6 .4' 4 , certify that I am the Clerk of the City, and that
, who signed said Agreement for and on behalf of the City was duly authorized to execute the same on
IOWA DEPARTMENT OF TRANSPORTATION:
By: ryrrrta.A 1�-ry ° '.% " Date 3 /2.0 , 20 H .
mes R. Schnoebelen
District Engineer
District 6
201416-271_Dubuque
March 2010
ENGINEERS ESTIMATE
PROJECT NAME: VJryM° Street EWA Resurfacog V,dh LIMN
From (115 Strcef to 21st Street
Project No. NHS(952-2(132F-2R-31
City of Dubuque -Engineering Division
Project Cost Estimate
BID ITEM DESCRIPTION
ROADWAY ITEMS
0010 2101-0850002 - Clearing and Onbbng
0020 21058425005- Topsail, Furnish & Spread
0030 2212-0475095 - Cleaning and Preparation of Base
0040 2212.5070310. Patch. Ful -Depth Repair
0050 2212-5075001 - Hot 6801 Asphan Surface Patches
0060 2214.5145160- Pavement Scarification
0070 2303-0000100 - HRIA Commercial bas 1 Includes Asphalt Binder). As Per Plan
0080 2303.0002380 - FAVI Is lerlayer Base, 3/8 IN.
0090 2303-0041500- PIMA (3.000.000 ESAL), Base Course, 1/2 - IN Mk
0100 2303-0043500 - HATA (3.000,000 ESAL), Surface Course, 1/2 - IN. Mx, NO ERIC REO
0110 2303-0246428 - Asphalt Binder. PG 64-28
0120 2303.0246434 - Asphdt Bader. PG 64-34
0130 2303-6911000-MR%A Pavement Samples
0140 2510.6745850- Removal of Pavement
0150 2511.6745900 - Removal of Skievsk
0160 2511-7626004-Skfewek,PCC,4-IN.
0170 2511.7526006- Sidexek, PCC.6•IN,
0180 2511.7628101 - Detectable Warnings
0190 2512-1725256- Curb and Golfer, P.C. Concrete. 2.5 FT.
0200 25152475006 • DrNeway, P.C. Concrete. 6 IN.
0210 2515-6745600 - Removal of Paved Driveway
0220 2527.9263109 - Parted Pavement Marking. Waterborne or Solder& - Based
0230 2527.9263137 - Parted Symbols and Legends, Waterborne or Solvers • Based
0240 2528.8445110 - Tra)Iac Cortrol
0250 25288445113 • naggers
0260 2533-4900005 - IAobizaflnn
0270 2601-2639010 - Soldng
0280 2601-2643110 - Watering for Sod. Special 04th Contrd or Slope Protection
0290 2602.0000312 - Perimeter and Slope Sedmeri Contra Device. 12114. DIA.
0300 2602-0000350- Removal of Perimeter and Slope Sedm art control [MACS
0310 2010-108-1-0 - Subbase, Granular Subbase - Gradation 12a
0320 2010-1084-0 - Subbase, Coarse Aggregate Subbase - 3' Breaker
0330 2599-9999005 - Water Valve Endure. Adpafinert
0340 2599.9399005- Epoxy Coaled Defamed Tie Bar. 5/8 -Inch 24'
0350 2599.9999009 - Galvanized, 1 12'-2. Outside Dia. Steel R1Irg f Black Powder Coating )
0360 25949999009- PCC Bader Curb, 6' Wide
0370 25949999009- Satre. FdI-Deplh. Concrete & HMA/Concrete Composte Pavement
0380 25949999009 - IA14g Transverse Jdrts
0390 25949999009- IAarq Lonadudrml Joints
0400 25949999009 - Steel Riding. Remove
0410 2599-9999010- Safety Wedge Cut
0420 25949999010 - Meng Mobllzetion
0430 25949999014 - Concrete Steps, Remove
0440 9080108-A-0 - Concrete Steps. Type A
0460 2599-9999014 - Remove & Replace Pavers
0460 2599-9999014 - Remove & Replace Segmented Block Retairing Wall
0470 25949999014- Wooden Step wlh Wooden Rea
0480 2599-9999014- Canada Retaking Well
0490 25949999014- Water Prooing
0600 25949999020 - MIA Joint Repair. 3' Depth ( Max. )
ESTIMATE
QUANTnY
(STATE)
ESTIMATE
COST
(STATE)
ESTIMATE
QUANTITY
(CITY)
ESTIMATE
COST
(CITY)
ESTIMATE
COMITY
(TOTAL)
ESTIMATE
INT COST
EXHIBIT A
ESTIMATE
COST
UNIT $ - 160.8 $ 5.660.16 160.8 $ 35.20 $ 5,660.16
CY 7.13 $ 392.15 10.76 $ 591.80 17.89 5 55.00 5 983.95
MILE 0.62 5 579.70 $ - 0.62 $ 936.00 $ 579.70
SY 220 $ 12.540.00 850 $ 48.450.00 1.070 5 57.00 $ 60.990.00
TON 20.5 $ 7,892.50 14.5 $ 5,582.50 35 $ 385.50 $ 13,475.00
SY 8,800 $ 35.200.00 6,890 $ 27,560.00 16.690 $ 4.00 $ 62,760.00
TON 50 9 4,90000 50 $ 4.900.00 100 $ 98.00 $ 9.600.00
TON 530 $ 24.380.00 330 $ 15,160.00 860 $ 46,60 $ 39,560,00
TON 765 $ 34.04250 685 $ 30,482.50 1,450 $ 44.50 $ 64.525.00
TON 765 5 34,425.00 600 5 27,000.00 1,365 5 45.00 $ 61,425.00
TON 91.8 $ 56,457.00 77.1 $ 471416.50 166.90 5 615.00 $ 103,873.50
TON 47.7 $ 31,887.45 29.7 _58_5___4415 77.40 $ 668.50 $ 51.741.90
LS 1 5 2,750.00 5 - $ 2,750.00 $ 2,750.00
SY 352.0 $ 2.640.00 352.0 $ 2.640.00 704 $ 7.50 $ 5.280.00
SY 475 $ 3.30125 605 $ 4,204.75 1,080 9 6.95 5 7.506.00
SY 340 5 10.098.00 470 $ 13,969.00 816 $ - 29.70 5 24,067.00
SY 140 $ 4.900.00 140 $ 4,900.00 280 $ 35.00 5 9,800.00
SF 340 5 7,480.00 340 $ 7,480.00 680 $ 22.00 $ 14,960.00
LF 530 5 7,950.00 660 $ 9,900.00 1.190 $ 15.00 $ 17,850.00
SY 5 25 $ 1,08250 25.00 $ 43.30 5 1,082.50
SY 5 - 26 $ 440.00 25.00 $ 17.60 $ 440.00
STA 38.10 9 2.095,50 16.65 $ 915.75 54.75 $ 55.00 S 3,011.25
EACH 2 5 187.00 5 - 2 5 93,50 $ 187.00
LS 0.40 9 7,514.00 0.60 $ 11271.00 1 $ 18,78500 $ 18,705.00
EACH 20 $ 6,600.00 $ • 20 $ 330.00 $ 6,600.00
1.6 0.40 $ 8,832.00 0.60 $ 13,248.00 1 $ 22,000.00 $ 22,000.00
SO 5.55 S 450.45 6.80 $ 67760 14.65 $ 77.00 $ 1.128.05
64341. 6.148 $ 283.14 7.744 $ 425.92 12,892 $ 55.00 $ 709.06
LF 205 5 440.75 205 $ 44075 410 $ 2.15 $ 881.50
LF 205 5 73.80 205 $ 73.80 410 S 0.36 9 147.60
TON 525 $ 8,005.00 1,770 $ 27,258.00 2.295 $ 15.40 $ 35.343,00
TON 100 $ 1.700.00 $ 100 $ 1700 5 1.700.00
EACH _ 4 $ 400.00 10 X00.00 14 $ 100.00 $ 1,400.00
EACH 655 $ 2.161,50 1.740 $ 5,742.00 2.395 $ 3.30 5 7,903.50
10 10.5 9 1,155.00 10.5 $ 1,155.00 21.00 $ 110.00 $ 2,310.00
LE 30 5 655.00 290 $ 5,365.00 320 $ 18.50 $ 5,920.00
LF 1.630 $ 5,786.50 4.350 $ 15,442.50 5.980 $ 3.55 $ 21,229.00
LF 980 5 16,170.00 305 5,032.50 1,285 16.50 21302.60
LF 1.240 $ 6,758.00 200 $ 1,090.00 1.440 $ 5.45 $ 7,848.00
LF 13 9 65.00 13 $ 65.00 26 $ 5.00 5 130.00
LS 1 5 1,500.00 $ - 1 $ 1500.00 $ 1,500.00
LS 0.60 5 990.00 0.40 5 66000 1 $ 1.65000 $ 1,650.00
SF 4 5 20.00 $ - 4 5 6.00 $ 20.00
SF 7.36 $ 1.177.60 4 $ 64000 _ 11.36 $ 160.00 $ 1.817.60
SF 37 $ 740.00 38 $ 760,00 76 $ 20.00 $ 1,600.00
SF 10.72 5 636.00 $ - 10.72 $ 50.00 $ 536.00
SF $ 4 $ 500.00 4 $ 125.00 5 500.00
SF 67 $ 3,350.00 67 $ 3,350.00 134 $ 50.00 $ 6,700.00
SF 25 $ 150.00 25 $ 15000 50 $ 6.00 $ 300.00
TON 85 $ 12,274.00 25 3,610.00 110 $ 44.40 $ 16.884.00
2014-16-271_Dubuque 8
Sub -Total (State] $ 371,895.79 f Sub•Total (City) I 5 376,156.90 1
March 2010
BID ITEM DESCRIPTION
STOOM SEWER REMS
0510 2435.0603010- mamas Adjustment. Moor
0520 2503.0114212 - Storm SWR, G•Mail. Trenched. RCP, 12 IN.
0530 2503.0114215 - Storm SWR. G -Mali. Trenched. RCP, 15IN.
0540 25030200036 - Remove Storm Sexes Pipe Less Than or Equal l0 36 IN.
0550 2510.6750600- Rem0val 0T intakes and UllfyAccesses
0560 4020.108-A-0- Concrete Collar Cannedgn - Type PC -1
0570 4020.109A-0 • Conttoto Collar Connechon • Typo PC -2
0580 2599.9999005 -Intake 101-8
0590 2599-9999005 - intake 101-8. Special
0600 2599-9599005 - Intake 101-19, Construct New Concrete Top
0610 2599-9999006- Siam Wder Cub Opentng
SANITARY SEMEN 101916
0520 24350600020 - Manhole Adestmerd. Malor
0630 60I0 -108A-0- Manhole Type, PC48'SW-303, (O046h=10'- 15')
TRAFFIC SIGNAL ITEMS
0640 2599-9999005- 3- SECTION SIGNAL HEADS LED Fi1O4 6 - 16 $ 15.000.00 16 $ 1,000.00 15.000.00
0650 2599 -9999005 -4 -SECTION SIGNAL WITH FLASHING YELLOW LED 6804 $ 1 $ 1,200.00 1 $ 1,200.00 $ 1,200.00
0660 2599.9999005 - 16' COUNT DOWN PEDS 6104 _ $ 16 $ 8.000.00 16 $ 500.00 $ 8,000.00
0670 2599-9999005 - 135 WATT LUMINAIRE 5404 5 5 $ 5.000.00 6 _ $ 1,000.00 $ 5,000.00
0680 2599-9999005- REMOVAL EXISTING IHANDOLE EA04 5 8 $ 2.600.008 $ 350.00 S 2,800.00
0690 2599-9999005 - PROVIDE AND INSTALL MASTARM FOUNDATION 12 0' EACH $ 4 $ 14.000.00 4 $ 3500.00 $ 74.000.00
0700 2599.9999006 - INSTALL CITY PROVIDE MASTAR),IS 6804 $ 4 $ 10,000.00 4 $ 2,500.00 3 10.000.00
0710 25999999005- PROVIDE AND INSTALL FOUNDATION FOR 30 LIGHT POLE EACH 5 - 1 $ 2.250.00 1 $ 2,250.00 5 2,250.00
0720 25999999005- PROVIDE AND INSTALL 30 UGHT POLE 1(404 $ 1 $ 2,400.00 1 $ 2.400.00 $ 2.400.00
0730 2599.9999005 - PROVIDE AND INSTALL FOUNDATION FOR 16' PED POLES 6401 5 - 3 $ 6,000.00 3 $ 2.000.00 $ 6.000.00
0740 2599-9999005 - PROVIDE AND 94STALL 16' PED POLES EACH 5 3 $ 3.600.00 3 1,200.00 $ 3,600.00
0750 2599.9999005 - SKY BRACKET 3 SECTON HEAD MO6J4T EACH _ 3 - 6 $ 1.20090 6 5 200.00 $ 1.200.00
0760 2599.9999005 - SKY BRACKET 4 SECTION HEAD M0NT 6404 $ - 1 $ 225.00 1 $ 225.00 5 225.00
0770 2599.9999005- ARM SETS WITH DUAL PED 6404 $ 7 $ 1,428.00 7 $ 204.00 $ 1.428.00
0780 25999999005- PROVIDE AND INSTALL TRAFFIC CABINET FOUNDATION 6104 $ - 3 5 9,000.00 3 5 3,000.00 , $ 9,000.00
0790 2599.9999005 • INSTALL CITY PROVIDE TRAFFIC CABINET EACH $ - 3 $ 4,500.00 3 $ 1,500.00 $ 4,500.00
0800 25999999005- PROVIDE AND INSTALL FIBER VAULT,SQUARE FALH A_ • _ _ 2 $ 6.400.00 2 $ 3,200.00 5 6.400.00
0810 2599.9999009- 12C MSA TRAFRC IMRE LF 5 585 $ 1.462.50 585 9 2.501,462.50
0820 2599-9999009 - 7 C MSA TRAFFIC WIRE IF 5 • 100 $ 200.00 100 $ 2.03 6 200.00
0830 2699-9999009- 6 AWG GROUND GREEN PRO TRACE IW-CCS-PE30 IF 5 - 585 $ 1,765.00 586 $ 3.00 $ 1,765.00
0840 25999999009. 3C LUMNAIRE WIRE LF 5 510 $ 1,326.00 510 5 2.60 $ 1,326.00
0850 2599-9999005 - CORE DRILL FIBER VAULT OR H NOHOLE EACH 5 - 43 $ 4 515,00 43 5 105.00 $ 4.615.00
0660 25999999005- PRECAST HANDHOLE WITH LID MARKED 'TRAFFIC SIGNALS' EACH 5 7 $ 11,900.00 7 __U,00.0__0 $ 11,900.00
0870 25999999010 - RMVL OF TRAFFIC SIGNAUZATON (WHITE d 14TH AND WHTE & 20TH) LS 5 1 $ 9900.00 1 $ 9,000.00 $ 9.000,00
0900 25999999009 - CONDUT, HDPE. PUSHED 2' LF $ 350 $ 6.950.00 350 $ 17.00 5 5,950.00
0690 2599-9999009 - CONDUIT. HDPE. PLISFED 4' LF 5 500 $ 12500.00 500 $ 25.00 $ 12,500.00
0900 2599-9999009- CONDUT, HDPE, 4-1-110' DUCT CONDUITS, PUSHED t F $ 130 $ 3,640.00 130 $ 29.00 $ 3,640.00
0910 25999999009-CONOIJT, RIGID PVC, TRENCHEDY LF $ - 160 $ 1,600.00 160 $ 10.00 $ 1.600.00
0920 25999999009- CONDUIT.RIGID PVC, TRENCHED 4' LI $ 35 $ 560.00 36 5 16.00 $ 560.00
0930 25999998005- MOSTARM STREET SIGNS 42 - WHTE ST, 1- 14TH ST, 1- 20TH 5T) EACH _ $ 4 $ 1,200.00 4 5 300.00 $ 1,200.00
0910 2599.9999005 - SKY BRACKET MASTARM SIGN MOUNT EAU4 -3- 4 1,600.00 4 $ 400.00 $ 1,600.60
0950 2599.9999005 - R10 -3E PEDESTRIAN CROSSINGS EACH 5 - 162.560.00 16 $ 160.00 $ 2,560.00
0960 2599999900$- LEFT TURN YIELD ON FLSHING YELLOW SIGN EACH 5 1 $ 160.00 1 $ 160.00 $ 160.00
0970 25949999005- SKY BRACKET SIGN MOUNT LEFT TURN YIELD EACH $ - 1 $ 200.00 1 $ 200.00 $ 200.00
0980 2599.9999005 - PROVIDE AND INSTALL BBS FOUNDATION EACH 5 1 $ 3900.00 1 S 3.000.00 $ 3.000.00
0990 25949999005- INSTALL CITY PROVIDED BBS EACH $ - 1 $ 1,500.00 1 5 1,500.00 $ 1,500.00
INT
ESTMATE
QUANTITY
(STATE)
ESTIMATE
COST
ISTATE)
ESTIMATE
QUANTITY
(a1'o)
EACH 13 $ 8,424.00
LF 27.5 $ 1.333.75
ESTIMATE
COST
(CI1 Y)
ESIMATE
QUANTITY
(TOTAL)
ESTIMATE
WT COST
ESTIMATE
COST
7 $ 4,536.00 20 $ 648.00 $ 12,96090
27.5 $ 1.333.75 55 5 48.50 5 2.667.50
LF 20.0 $ 874.00 20.0 $ 874.00 40 $ 43.70 $ 1.748.00
LF 47.6 $ 712.50 47.5 $ 712.50 95 $ 15.00 $ 1.425.00
EACH 8 $ 2,680.80 7 $ 2,520.70 15 $ 360.10 $ 5.401,50
EACH 1 5 306.00 S 1 $ 306.00 5 306.00
EACH 8 5 2.448.006 $ 1,636.00 14 $ 306.00 $ 4,284.00
EACH 5 10.800 00 4 $ 8.640.00 9 $ 2,160.00 $ 19,440.00
EACH 3 $ 8,400.00 3 $ 8.400.00 6 5 2,900.00 $ 16,800.00
$ - 1 5 850.00 $ 850.00
18 $ 1,800.00 18 $ 100.00 $ 1,800.00
EACH 1 $ 850.00
EACH $ -
EACH
EACH
Sub•To0 (Kate) S 37,029.05 ISub•Total (City)
5 1.735.00
1 S 30,652.951
Bub-ToW (Nate)
t $ 1,736.00
t $ 9,000.00
Sub -Total (Cay)
000.00
S 1.735.00 S 1.735.00
$ 9,000.00 $ 9,000.00
2014-16-271_Dubuque 9
Sub -Taal (state I $ 1Sub-Tod (City)
x$157,631.511
March 2010
BID ITEM DESCRIPTION
WATER MAIN REM!
UNIT
ESTIMATE
QUANTITY
(STATE)
ESTIMATE
COST
(STATE
ESTIMATE
QUANTITY
(CITY)
ESTIMATE
COST
(CITY)
ESTIMATE
QUANTITY
(TOTAL)
ESTIMATE
INT COST
ESTMATE
COST
0100 25999999009 - 17 CL 52 DIP LF $ 90 S 7,020.00 90 $ 78.00 $ 7.020.00
0101 25999999009- 27' 58u9 PolyWrap LF $ 100 5 220.00 100
2.20 5 220.00
0102 2599-9999009 - 6' CL 52 DIP LF $ 270 $ 10.260.00 270 $ 38.00 $ 10260.00
0103 25999999009 - 20' Blue Poly Wrep LF $ 300 360.00 300 $ 1.20 $ 360.00
0101 25999999005-2'X 10'poy tape BIW S - 3 $ 78.00 3 $ 26.00 5 78.00
0105 25999999005-17Ml Ode Wive 650.4 _; 1 5 1,925.00 1 $ 1,925.00 $ 1,925.00
0106 2599-9999005 - 6' MJ Gato Valla 6104 $ 12 5 9.000.00 12 $ 750.00 $ 9.000.00
0107 25999999005- 666A SM Valm Bar BIW $ - 13 $ 3,380.00 13 $ 260.00 $ 3,380.00
0108 25999999005- Valve Box Adel II E,M---- $ - 1d $ 650.00 13 $ 50.00 $ 650.00
0109 25999999005 - VM Box Mid Plug EACH $ 13 5 182.00 13 $ 14.00 $ 182.00
0110 25999999005 - 6' X B Cr Fire lydred EACH $ - 5 $ 15,500.00 5 $ 3,100.00 $ 15.500.00
0111 25999999005 - 6' X 6' Mt Anchor Tee EACH $ - 5 5 1,550.00 6 $ 310.00 5 1,560.00
0112 25999990006 - 6' X 17 MJLP Sleeve EWA S 13 $ 2,275.00 13 $ 17500 $ 2275.00
0113 25999999005 - 6' X 4' MJ X M1 Reducer 6544 -6--- 120.00 1 $ 120.00120.00
0114 25999999005- 17 X 6•61.1 Anchor Tee 6401 S 1 $ 580.00 1 $ 580.93 5 58000
0115 25999999005 - 17 X 12' AAILP Sleeve BPI $ - 1 $ 375.00 _ 1 $ 375.00 $ 375.00
0116 25999999005 - 17 MJ Tur-Grp Rested Cor -Bus FAW $ - 2 $ 360.002 $ 180.00 5 36000
0117 25999999005 - 6.8.01 Tuf-Grp Restraed Cor -Blue EACH $ - 10 $ 800.00 10
$ 80000
0116 25999999005 - NTH 516, Container 6501 $ • 1 5 1 $ 70.00 -.59.1710
Sub -Total (Stahy I $ ISO -Total (City)
Total 15444
Contingency 10'x,
Total =
2014-16-271_Dubuque 10
$ 410.879.84
$ 41,062.98
S 451.692.82
I $ 54,705.0• J
Total (City)
Cont. 10''J.
Total
5 02514543
5 62814.64
S 690,961.07
Bid •Total
Coming ency(1091
$ 1,038,776.27 J
1 5103.877.63 J
Total Construction Estimate: LS 114265
March 2010
EOP MP 48.17
EOP 33+65.76
= Project Location
EXHIBIT B
DUBUQUE, IOWA
PROJECT LOCATION MAP
NHSN-52-2(132)--2R-31
BOP 1+00.00
BOP MP 47.54
201416-271_Dubuque
11
March 2010
EXHIBIT C
UTILIZATION OF TARGETED SMALL BUSINESS (TSB) ENTERPRISES
ON NON-FEDERAL AID PROJECTS
(THIRD -PARTY STATE -ASSISTED PROJECTS)
In accordance with Iowa Code Section 196.7 and 541 Iowa Administrative Code (IAC) Chapter 4, it is the
policy of the Iowa Department of Transportation (Iowa DOT) that Targeted Small Business (TSB)
enterprises shall have the maximum practicable opportunity to participate in the performance of contracts
financed in whole or part with State funds.
Under this policy the Recipient shall be responsible to make a positive effort to solicit bids or proposals
from TSB firms and to utilize TSB firms as contractors or consultants. The Recipient shall also ensure
that the contractors or consultants make positive efforts to utilize TSB firms as subcontractors,
subconsultants, suppliers, or participants in the work covered by this agreement.
The Recipient's "positive efforts" shall include, but not be limited to:
1. Obtaining the names of qualified TSB firms from the Iowa Department of Inspections and Appeals
(515-281-7102) or from its website at: http://dia.iowa.gov/page7.html.
2. Notifying qualified TSB firms of proposed projects involving State funding. Notification should be
made in sufficient time to allow the TSB firms to participate effectively in the bidding or request for
proposal (RFP) process.
3. Soliciting bids or proposals from qualified TSB firms on each project, and identifying for TSB firms
the availability of subcontract work.
4. Considering establishment of a percentage goal for TSB participation in each contract that is a
part of this project and for which State funds will be used. Contract goals may vary depending on
the type of project, the subcontracting opportunities available, the type of service or supplies
needed for the project, and the availability of qualified TSB firms in the area.
5. For construction contracts:
a) Including in the bid proposals a contract provision titled "TSB Affirmative Action
Responsibilities on Non -Federal Aid Projects (Third -Party State -Assisted Projects)" or a
similar document developed by the Recipient. This contract provision is available on-line at:
http://www.dot.state. ia.us/local_systems/publications/tsb_contract_provision.pdf
b) Ensuring that the awarded contractor has and shall follow the contract provisions.
6. For consultant contracts:
a) Identifying the TSB goal in the Request for Proposal (RFP), if one has been set.
b) Ensuring that the selected consultant made a positive effort to meet the established TSB
goal, if any. This should include obtaining documentation from the consultant that includes a
list of TSB firms contacted; a list of TSB firms that responded with a subcontract proposal;
and, if the consultant does not propose to use a TSB firm that submitted a subcontract
proposal, an explanation why such a TSB firm will not be used.
2014-16-271_Dubuque 12
March 2010
The Recipient shall provide the Iowa DOT the following documentation:
1. Copies of correspondence and replies, and written notes of personal and/or telephone contacts
with any TSB firms. Such documentation can be used to demonstrate the Recipient's positive
efforts and it should be placed in the general project file.
2. Bidding proposals or RFPs noting established TSB goals, if any.
3. The attached "Checklist and Certification." This form shall be filled out upon completion of each
project and forwarded to: Iowa Department of Transportation, EEO Administrator, Office of
Contracts, 800 Lincoln Way, Ames, IA 50010.
2014-16-271 Dubuque 13
March 2010
CHECKLIST AND CERTIFICATION
For the Utilization of Targeted Small Businesses (TSB)
On Non -Federal -aid Projects (Third -Party State -Assisted Projects)
Recipient: Project Number:
County: Agreement Number:
1. Were the names of qualified TSB firms obtained from the Iowa Department of Inspections and Appeals?
❑ YES ❑ NO
If no, explain
2. Were qualified TSB firms notified of project? ❑ YES ❑ NO
If yes, by ❑ letter, ❑ telephone, ❑ personal contact, or ❑ other (specify)
If no, explain
3. Were bids or proposals solicited from qualified TSB firms? ❑ YES ❑ NO
If no, explain
4. Was a goal or percentage established for TSB participation? ❑ YES ❑ NO
If yes, what was the goal or percentage?
If no, explain why not:
5. Did the prime contractor or consultant use positive efforts to utilize TSB firms on subcontracts? ❑ YES ❑ NO
If no, what action was taken by Recipient?
Is documentation in files? ❑ YES ❑ NO
6. What was the dollar amount reimbursed to the Recipient
from the Iowa Department of Transportation? $
What was the final project cost? $
What was the dollar amount performed by TSB firms? $
Name(s) and address(es) of the TSB firm(s)
(Use additional sheets if necessary)
Was the goal or percentage achieved? ❑ YES ❑ NO
If no, explain
As the duly authorized representative of the Recipient, I hereby certify that the Recipient used positive efforts to utilize
TSB firms as participants in the State -assisted contracts associated with this project.
Title
Signature Date
2014-16-271_Dubuque 14