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' KWXASDq3atment Affidavit of Availability
<br /> of . r„ � For the Letting of 7/21/2021
<br /> (Letting date)
<br /> Bureau of Construction Instructions: Complete this form by either typing or using black ink.
<br /> 2300 South Dirksen Parkway/Room 322 "Authorization to Bid"will not be issued unless both sides of this form are
<br /> Springfield, Illinois 62764 completed in detail. Use additional forms as needed to list all work.
<br /> ' Part I. Work Under Contract
<br /> List below all work you have under contract as either a prime contractor or a subcontractor. It is required to include all pending low bids not
<br /> yet awarded or rejected. In a joint venture,list only that portion of the work which is the responsibility of your company. The uncompleted dollar
<br /> value is to be based upon the most recent engineer's or owners estimate,and must include work subcontracted to others. If no work is
<br /> ' contracted,show NONE.
<br /> 1 2 3 4 Awards Pending
<br /> Contract Number Walmart East COD State MFT IDOT 74A52 Spring Creek Plaza Capital Avenue
<br /> Contract With Jordan Construction City of Decatur [DOT Legacy Lakeland Paving
<br /> Construction
<br /> ' Estimated Completion Date 10/21 11/21 9/21 10/21 8/21
<br /> Total Contract Price 919,649.00 1,203,549.00 148,468.00 135,624.50 159,476.00 Accumulated Totals
<br /> Uncompleted Dollar Value if Firm is the
<br /> Prime Contractor 1,203,549.00 148,468.00 1,352,017.00
<br /> Uncompleted Dollar Value if Firm is the
<br /> ' Subcontractor 919,649.00 135,624.50 159,476.00 2,352,597.10
<br /> Total Value of All Work 3,704,614.10
<br /> Part II. Awards Pending and Uncompleted Work to be done with your own forces.
<br /> ' List below the uncompleted dollar value of work for each contract and awards pending to be completed with your own forces. All work Accumulated
<br /> Subcontracted to others will be listed on the reverse of this form. In a joint venture,list only that portion of the work to be done by your
<br /> company. If no work is contracted,show NONE. Totals
<br /> Earthwork
<br /> 0.00
<br /> ' Portland Cement Concrete Paving 0.00
<br /> HMA Plant Mix 0.00
<br /> HMA Paving 919,649.00 313,687.74 105,624.50 2,194,288.84
<br /> ' Clean&Seal Cracks/Joints 0.00
<br /> Aggregate Bases&Surfaces 42,220.15
<br /> 42,220.15
<br /> ' Highway,R.R.and Waterway Structures 0.00
<br /> Drainage 0.00
<br /> Electrical 0.00
<br /> ' Cover and Seal Coats 106,248.00 106,248.00
<br /> Concrete Construction 30,000.00 30,000.00
<br /> Landscaping
<br /> 0.00
<br /> ' Fencing 0.00
<br /> Guardrail 0.00
<br /> ' Painting 0.00
<br /> Signing 0.00
<br /> Cold Milling,Planning&Rotomilling 97,500.22 97,500.22
<br /> Demolition 0.00
<br /> Pavement Markings(Paint) 0.00
<br /> Other Construction(FDR) 0.00
<br /> Stabilization 0.00
<br /> CIR 159,476.00 441,996.00
<br /> Totals 919,649.00 411,187.96 148,468.15 135,624.50 159,476.00 2,912,253.21
<br /> Disclosure of this information is REQUIRED to accomplish the statutory purpose as outlined in the"Illinois Procurement Code". Failure to comply will
<br /> result in non-issuance of an"Authorization To Bid." This form has been approved by the State Forms Management Center.
<br /> Printed 7/20/2021 Page 2 of 14 BC 57(Rev.08/17/10
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