R2013-113 ACCEPTING THE BID AND AUTHORIZING A CONTRACT

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' . Illinois Department Affidavit of Availability of Transportation For the Letting of 10/31/2013 Bureau of Construction (Letting date) ' 2300 South Dirksen Parkway/Room 322 Instructions: Complete this form by either typing or using black ink Springfield,Illinois 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 ' Part I. Work Under Contract 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 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 recent engineer's or owners estimate,and must include work subcontracted to others. If no work is contracted,show NONE. ' 1 2 3 4 Awards Pending County and Section Number D4 Traffic Signals 622524 CONT 72829 622748-Decatur X34400 Parkland Loops Contract With IDOT RA CULLINAN Dunn Co. Poetker ' Estimated Completion Date 9/13 12/13 12/13 1/14 Total Contract Price Accumulated1,549,828.00 448,694.00 14,566.00 2,710,209.00 ncomp e e oar Value I Irm Is e Tota Is 9,142.00 278,771.00 ncomp eta oar Value I Firm is the SALbcontractor448,694.00 14,566.00 1,051,690.00 3,140,392.00 Total Value of All Work 3,419,163.00 ' Part II. Awards Pending and Uncompleted Work to be done with your own forces. List below the uncompleted dollar value of work for each contract and awards pending to be completed with your own forces. All work Accumulated ' 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 company. If no work is contracted,show NONE. Totals Earthwork 0.00 Portland Cement Concrete Paving 0.00 ' HMA Plant Mix 0.00 HMA Paving 0.00 ' Clean&Seal Cracks/Joints 0.00 Aggregate Bases&Surfaces 0.00 Highway,R.R.and Waterway Structures 0.00 ' Drainage 0.00 Electrical 9,142.00 448,694.00 14,566.00 1,051,690.00 3,419,163.00 ' Cover and Seal Coats 0.00 Concrete Construction 0.00 Landscaping 0.00 ' Fencing 0.00 Guardrail 0.00 Painting 0.00 ' Signing 0.00 Cold Milling,Planning&Rotomilling 0.00 ' Demolition 0.00 Pavement Markings(Paint) 0.00 Other Construction(List) 0.00 ' 0.00 0.00 Totals 9,142.00 448,694.00 14,566.00 1,051,690.00 0.00 3,419,163.00 'Disclosure of this information is REQUIRED to accomplish the statutory purpose as outlined in the"Illinois Procurement Code". Failure td comply will result in non-issuance of an"Authorization To Bid." This form has been approved by the State Forms Management Center. Printed 10/17/2013 Page 5 of 10 BC 57(06/09/08)