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<br /> Illinoisrtment Affidavit of Availability
<br /> of Transportation For the Letting of 6/9/2014
<br /> '
<br /> Bureau of Construction (Letting date)
<br /> 2300 South Dirksen Parkway/Room 322 Instructions: Complete this form by either typing or using black ink.
<br /> '
<br /> Springfield, I IIIftOIS 62764 "Authorization to Bid"will not be issued unless both sides of this form are 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 yet awarded or
<br /> ' rejected. In a joint venture,list only that portion of the work which is the responsibility of your company. The uncompleted dollar value is to be based upon the most
<br /> recent engineer's or owners estimate,and must include work subcontracted to others. If no work is contracted,show NONE.
<br /> 1 2 3 4 Awards Pending
<br /> Contract Number Champaign Cty MacArther HS St T HS ADM Intermodal 87566
<br /> Contract With Open Road Williams Bros Otto Baum Stark Streator Asphalt
<br /> ' Estimated Completion Date 7/14 8114 9/14 6/14 8/14
<br /> Total Contract PriceAccumulated
<br /> 379,012.00 157,751.00 219,988.00 219,152.00 348,188.00 Totals
<br /> Uncompleted Dollar Value if Firm Is the
<br /> ' Prime Contractor 0.00
<br /> Uncompleted Dollar Value if Firm Is the
<br /> Subcontractor 1 379,012.001 131,291.001 219,988.00 177,797.00 348,188.00 1,256,276.00
<br /> Total Value of All Work 19256,276.00
<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 0.00
<br /> Portland Cement Concrete Paving 0.00
<br /> ' HMA Plant Mix 0.00
<br /> HMA Paving 90,365.00 86,710.00 161,000.00 338,075.00
<br /> Clean&Seal Cracks/Joints 7,000.00 7,000.00
<br /> ' Aggregate Bases&Surfaces 5,605.00 46,334.00 51,939.00
<br /> Highway,R.R.and Waterway Structures 0.00
<br /> ' Drainage 0.00
<br /> Electrical 0.00
<br /> Cover and Seal Coats 21,170.00 21,170.00
<br /> ' Concrete Construction 0.00
<br /> Landscaping 0.00
<br /> ' Fencing 0.00
<br /> Guardrail 0.00
<br /> Painting 0.00
<br /> ' Signing 1,050.00 1,050.00
<br /> Cold Milling,Planning&Rotomilling 69,056.00 17,342.00 16,797.00 33,425.00 136,620.00
<br /> Demolition 0.00
<br /> ' Pavement Markings(Paint) 0.00
<br /> Other Construction(List) 0.00
<br /> ' Stabilization 66,352.00 66,352.00
<br /> CIR 309,956.00 314,763.00 624,719.00
<br /> Totals 379,012.00 124,140.00 217,788.00 177,797.00 348,188.00 1,246,925.00
<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.
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<br /> Printed 6/9/2014 Page 1 of 10 BC 57(Rev.08/17/10
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