R-31-01 Authorizing Approval of an Engineering Agreement with Civil Tech Engineering, Inc. In Conjunction with the Metra Commuter Parking Lot Expansion Project (ED Bossert Drive - North of Canal)RESOLUTION
- o I
RESOLUTION AUTHORIZING APPROVAL OF AN ENGINEERING AGREEMENT
WITH CIVILTECH ENGINEEREING, INC. IN CONJUNCTION WITH THE
METRA COMMUTER PARKING LOT EXPANSION PROJECT
(ED BOSSERT DRIVE — NORTH OF CANAL)
WHEREAS, the Village of Lemont requires engineering services related to the METRA
Commuter Parking Lot Expansion Project (Ed Bossert Drive — North of Canal); and
WHEREAS, the Village of Lemont seeks to utilize the firm of Civiltech Engineering, Inc.; and
WHEREAS, the Village and Civiltech Engineering, Inc. have negotiated an agreement to
identify the terms and conditions of the services to be provided.
NOW, THEREFORE, BE IT RESOLVED, by the President and Board of Trustees that the
supplemental agreement attached hereto as Exhibit A is hereby approved.
PASSED AND APPROVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF
THE VILLAGE OF LEMONT, COUNTIES OF COOK, WILL AND DUPAGE,
ILLINOIS, on this 14th day of May , 2001.
John Benik
Debby Blatzer
Peter Coules
Connie Markiewicz
Steven Rosendahl
Jeanette Virgilio
AYES
J
✓
v
N V PASSED ABSENT
CHARLENE SMOLLEN, Village Clerk
Approved by me this 14th day of May , 2001.
Attest:
. PIAZZA, Village
CHARLENE SMOLLEN, Village Clerk
Approved as to form:
JOHN ANTONOPOULOS, Village Attorney
FEDERAL AVIATION AGENCY
COST AND PRICE ANALYSIS - RESEARCH AND DEVELOPMENT CONTRACTS
Form approved
Budget Bureau No. 04 -R128
This form is to be used in lieu of FAA Form 315 as provided under FAPR 2- 16- 260 -2, it will be executed and submitted
with proposals in response to "Request for Proposals ", for the procurement of research and development services. IF
your cost accounting system does not permit analysis of costs as required, contact the purchasing office for further
instructions.
PURCHASE REQUEST NUMBER
NAME AND ADDRESS OF OFFERER
Civiltech Engineering, Inc.
500 Park Boulevard, Suite 250
Itasca, Illinois 60143
TITLE OF PROJECT
Lemont Commuter Parking Lot Addition
Phase II
DETAIL DESCRIPTION
ESTIMATED HOURS
RATE/
HOUR
TOTAL
ESTIMATED COST
1. DIRECT LABOR (Specify)
Principal Engineer
5
$60.00
$300.00
Project Manager
33
$40.00
$1,320.00
Landscape Architect
30
$33.00
$990.00
Design Engineer
88
$22.50
$1,980.00
Technician
76
$19.00
$1,444.00
TOTAL DIRECT LABOR
$6,034.00
2. BURDEN (Overhead - specify) DEPARTMENT OR COST
BURDEN
X BASE =
BURDEN
Payroll Burden and Fringe Expense
55.28%
$6,034.00
$3,335.60
TOTAL BURDEN
$3,335.60
3. DIRECT MATERIAL
Printing
$350.00
Delivery
$300.00
TOTAL MATERIAL
$650.00
4. SPECIAL TESTING (Including field work at Government Installations)
TOTAL SPECIAL TESTING
$0.00
5. SPECIAL EQUIPMENT (If direct charge - specify in Exhibit B on reverse)
$0.00
6. TRAVEL (If direct charge)
a. TRANSPORTATION
$0.345 /mile
b. PER DIEM OR SUBSISTANCE
TOTAL TRAVEL
$120.00
7. CONSULTANTS (Identity - purpose - rate)
TOTAL CONSULTANTS
$0.00
8. SUBCONTRACTS Specify in Exhibit A on reverse
$1,150.00
9. OTHER DIRECT COSTS (Specify in Exhibit B on reverse - explain royalty costs, if any
10. I TOTAL DIRECT COST AND BURDEN
$11,289.60
11. GENERAL AND ADMINISTRATIVE EXPENSE (Rate 68.70% items nos. 1)
$4,145.36
12.
TOTAL ESTIMATED COST
$15,434.96
13. FIXED FEE OR PROFIT (State basis for amount in proposal)
$2,012.00
14. TOTAL ESTIMATED COST AND FIXED FEE OR PROFIT
$17,446.96
FAA Form 4400 -2 (5 -66) SUPERSEDES FAA FORM 3515 -1 FIGURE IIIC -1 - Cost & Price Analysis
15. OVERHEAD RATE AND GENERAL AND ADMINISTRATIVE RATE INFORMATION
A. GOVERNMENT AUDIT PERFORMED ACCOUNTING PERIOD COVERED
Fy Ending December 31, 1999
Illinois Department of Transportation
DATE OF AUDIT
August 10, 2000
B. NAME AND ADDRESS OF GOVERNMENT AGENCY MAKING AUDIT
Illinois Department of Transportation
District 1
201 West Center Court
Schaumburg, Illinois 60196
C. DO YOUR CONTRACTS PROVIDE NEGOTIATED
OVERHEAD RATES? El NO ❑ YES (If yes, name Agency
negotiating rates)
D. (If no Government rates have been established furnish the following information)
BASE
DEPARTMENT OR COST CENTER
RATE
TOTAL INDIRECT EXPENSE POOL
BASE FOR TOTAL
16. EXHIBIT A - SUBCONTRACT INFORMATION (If more space needed, use blank sheets, identifying item number)
SUBCONTRACT
NAME AND ADDRESS OF
SUBCONTRACTORS
SUBCONTRACTED WORK
TYPE
AMOUNT
Schleede- Hampton Associates, Inc.
1612 Landmeier Road, Suite B
Elk Grove Village, Illinois 60007
Soils Analysis
17. EXHIBIT B - OTHER DIRECT COSTS (Specify. if more space is needed, use blank sheets, identifying item number)
$1,150
CERTIFICATE
The labor rates and overhead costs are current and other estimated costs have been determined by generally accepted accounting principles.
Bidder represents: (a) that he ❑ has, ® has not, employed or retained any company or person (other than a full -time bona fide employee working
solely for the bidder) to solicit or secure his contract, and (b) that he ❑ has, ® has not, paid or agreed to pay to any company or person (other
than a full -time bona fide employee working solely for the bidder) any fee, commission, percentage or brokerage fee, contingent upon or resulting
from the award of this contract, and agrees to furnish information relating to (a) and (b) above, as requested by the Contracting Officer.
(For interpretation of the representation including the term `bona fide employee,' see (Code of Federal Regulations, Title 44. Part 150.)
NUMBER OF CONTRACTOR EMPLOYEES
500 AND UNDER ❑ OVER 500
❑ OVER 750 ❑ OVER 1000
DATE
31 Jan 01
STATE INCORPORATED IN
Illinois
SIGNATURE AND TITLE OF AUTHORIZED REPR SENTATIVE OF CONTRACTOR
I
Associate
Municipality
Village of Lemont
County
Cook
Section
Project No.
Job No.
L
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Y
Illinois Department
of Transportation
Preliminary Engineering
Service Agreement
For
r "Gueral Participation
(Type of Funding)
Operation GreenLight
C
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A
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Name
Civiltech Engineering, Inc.
Address
500 Park Blvd, Suite 250
City
Itasca
State
Illinois
Zip Code
60143
Existing
Structure No. N/A
THIS AGREEMENT is made and entered into this day of , 19 _ between the above Local Agency (LA)
and Consultant (ENGINEER) and covers certain professional engineering services in connection with the improvement
of the above SECTION. Federal -aid Funds allotted to the LA by the State of Illinois under the general supervision of the
State Department of Transportation, hereinafter called the "STATE ", will be used entirely or in part to finance
ENGINEERING services as described under AGREEMENT PROVISIONS.
Project Description
Name Lemont Commuter Parking Lot Addition Route Length Mi.
Termini
Description: Phase II: Design and preparation of construction plans and documents for a parking lot for commuter
traffic, to include drainage, detention, lighting and streetscape features.
Agreement Provisions
The Engineer Agrees,
1. To perform or be responsible for the performance of the following engineering services for the LA, in connection with
the proposed improvement hereinbefore described, and checked below:
a.( ) Make such detailed surveys as are necessary for the planning and design of roadways and /or bridges and
for the preparation of detailed construction plans.
b.( ) Make stream and flood plain hydraulic surveys and gather both existing bridge up and downstream high
water data, and flood flow histories.
Prepare application for Army Corps of Engineers Permit, application for Division of Water Resources Permit,
bridge waterway sketch and /or channel change sketch, Project Report, Utility Plan, Traffic Control Plan, and
Railroad Crossing Work Agreements.
Design and /or approve cofferdams and superstructure shop drawings.
Prepare Preliminary Bridge Design and Hydraulic Report, (including economic analysis of bridge or culvert
types) and high water effects on roadway overflows and bridge approaches.
Make or cause to be made such soil surveys or subsurface investigations including borings and soil profiles
as may be required to furnish sufficient data for the design of the proposed improvement. Such
investigations to be made in accordance with the current requirements of the STATE.
Analyze and evaluate the soil surveys to determine the roadway structural design and
bridge foundation.
c.( )
BLR 4351 (Rev. 11/89)
(Sheet 1 of 7)
h.(X) Prepare pfekriflafy-Feedwey parking lot and drainage structure plans and meet with representatives of the
LA and STATE at the site of the improvement for review of plans prior to the establishment of final vertical
and horizontal alignment, location and size of drainage structures, and compliance with applicable design
requirements and policies.
Make or cause to be made such traffic studies and counts and special intersection studies as may be
required to furnish sufficient data for the design of the proposed improvement.
i.( )
j.(X) After the review heretofore required, complete the general and detailed plans, special provisions and
estimate of cost. Contract plans shall be prepared in accordance with the guidelines contained in the
Federal -Aid Procedures for Local Highway Improvements manual. The special provisions and detailed
estimate of costs shall be furnished in quadruplicate.
k.( ) Plans for structures to be built as part of the improvement will be prepared under the supervision of
, a Registered Structural Engineer.
I.( )
Furnish the LA with survey and drafts in quadruplicate of all necessary right -of -way dedications, construction
easements, and borrow pit and channel change agreements including prints of the corresponding plats and
staking as required.
m.( ) Prepare the necessary environmental documents in accordance with the guidelines contained in the Federal -
Aid Procedures for Local Highway Improvements manual.
n. (X) Tasks and scope of worked as additional detailed in Attachment A.
2. To attend conferences to be held at the request of the LA and visit the site of the work at any reasonable time when
requested to do so by the LA or representatives of the STATE.
3.
Schedule for work is to be set by mutual
agreement between LA and Engineer following award of contract, and as provided in Attachment A.
4. That should the LA require changes in any of the Bridge Design and Hydraulic Report, ROW, Plats, Easements,
environmental documents, detailed construction plans, specifications or estimates after they have been approved
in writing by the LA, the LA shall pay the ENGINEER, in addition to the Lump Sum set forth in Section 2 of THE LA
AGREES, hourly rates in amounts equal to the entire value . to the ENGINEER for the actual time spent in making
such changes but in no case shall the LA be billed at rates in excess of those listed below nor shall the total
compensation for changes under the provisions of this SECTION exceed $ 17 446.96 without renegotiation of the
agreements and concurrence of the STATE.
Hourly Rate
Including Burden, Fringe, Overhead, & Profit
Principal Engineer $154.40
Project Manager $102.93
Landscape Architect $84.92
Design Engineer $57.90
Resident Engineer $56.61
Surveyor $65.62
Technician $48.89
BLR 4351 (Rev. 11/89)
(Sheet 2 of 7)
The classifications of the employees used in the work should be consistent with the employee classifications and
estimated manhours shown in EXHIBIT A. If the personnel of the firm, including the Principal Engineer, perform
routine services that should normally be performed by lesser - salaried personnel, the wage rate billed for such
service shall be commensurate with the work performed.
It is understood that "changes ", as used in this Section, means basic changes in location of design and that the
adequate set of plans satisfactory to the LA and the STATE.
5. That he is qualified technically and is entirely conversant with the design standards and policies applicable to
improvement of the SECTION; and that he has sufficient properly trained, organized and experienced personnel to
perform the services enumerated herein, except as stated in Section 1 k of THE ENGINEER AGREES.
6. That he shall be responsible for the accuracy of the Work and shall promptly make necessary revisions or
corrections resulting from his errors, omissions, or negligent acts without additional compensation. Acceptance of
the Work by the STATE will not relieve the ENGINEER of the responsibility for subsequent correction of any such
errors or omissions or for clarification of any ambiguities.
7. That he will comply with applicable Federal Statutes, State of Illinois Statutes, and local laws or ordinances of the
LA.
The Engineer Further Agrees,
to comply with all applicable Equal Employment and Nondiscrimination Acts, Executive Orders, and Regulations required
by the U.S. Department of Transportation (DOT) including:
a. 23 USC 710.405(b), Nondiscrimination on Basis of Sex in Right -of -Way Acquisition.
b. 42 USC 2000d -1, Title VI of the Civil Rights Act of 1964 (Nondiscrimination on Basis of Race, Color, or National
Origin).
c. 49 CFR 21, Nondiscrimination in DOT Programs.
d. 49 CFR 23, Participation by MBE's in DOT Programs.
It is the policy of the U.S. Department of Transportation that Minority Business Enterprises, as defined in 49 CFR
Part 23, shall have the maximum opportunity to participate in the performance of contracts /agreements financed
in whole or in part with Federal funds under this AGREEMENT.
The ENGINEER agrees to ensure that minority business enterprises, as defined in 49 CFR Part 23, have the
maximum opportunity to participate in the performance of this AGREEMENT. In this regard the ENGINEER shall
take all necessary and reasonable steps in accordance with 49 CFR Part 23, to ensure that minority business
enterprises have the maximum opportunity to compete for and perform portions of this AGREEMENT. The
ENGINEER shall not discriminate on the basis of race, color, national origin, or sex in the selection and retention
of subcontractors, including procurement of materials and leases of equipment.
The ENGINEER shall include the provisions of this "Policy" in every subcontract, including procurement of
materials and leases of equipment.
Failure to carry out the requirements set forth above shall constitute a breach of this AGREEMENT and may
result in termination of the AGREEMENT or such remedy as deemed appropriate.
e. 49 CFR 27, Nondiscrimination on Basis of Handicap.
BLR 4351 (Rev. 11/89)
(Sheet 3of7)
The LA Agrees,
1. To furnish the ENGINEER with all presently available survey data and information, including instructions for scales
to be used, standard details and Standard Specifications adopted by the STATE and other available data useful to
the work to be done by the ENGINEER. IF the work provided in Section 1i is not required by is agreements, the LA
shall make or cause to be made traffic counts required for design purposes and furnish same to the ENGINEER.
2. To pay the ENGINEER as compensation for all services rendered in accordance with this AGREEMENT, a not -to-
exceed fee of $ 17,446.96 plus compensation for soil surveys or subsurface investigations; Bfidge- Benign
, permits; soil
analysis and evaluation; ; and extra work as provided for under Sections la
through 1n, and 4 of THE ENGINEER AGREES and Sections 3d through 3h of THE LA AGREES of the
AGREEMENT. In the event such changes of the work specified in this AGREEMENT are required prior to the written
approval of plans, specifications and estimates by the LA, adjustments in compensation to the ENGINEER and
adjustments in the time for performance of the work as modified, shall be determined through arbitration between
the parties to this AGREEMENT and concurred in by the STATE.
3. That payment due the ENGINEER for services rendered in accordance with this AGREEMENT will be made as soon
as practicable after the services have been performed in accordance with the following schedule:
Lump Sum Fcc.
total compcnsation for thi3 work 3holl not cxcccd $
compcnsation for th43 -work Shall not cxeccd $
i. Invoices will be submitted to the Village for prompt payment on a monthly basis, detailing labor hours spent on
the project since the previous invoice, multiplied by a factor of 2.5733 to account for overhead, burden and profit,
plus the cost of direct and sub - consultant expenses.
BLR 4351 (Rev. 11/89)
(Sheet 4 of 7)
It is Mutually Agreed
1. That no work shall be commenced by the
2. That all plans, specifications, estimates,
accordance with this AGREEMENT shall
ENGINEER prior to issuance by the LA of a written Notice to Proceed.
plats, and other documents furnished to the LA by the ENGINEER in
be endorsed by him and shall show his professional seal where such is
3. That tracings, plans, specifications, estimates, maps, and other documents prepared by the ENGINEER in
accordance with this AGREEMENT shall be delivered to and become the property of the LA and that basic survey
notes, sketches, charts, and other data prepared or obtained in accordance with this AGREEMENT shall be made
available, upon request, to the LA, or to the STATE, without restriction of limitation as to their use.
4. That all reports, plans, plats, estimates, and special provisions to be furnished by the ENGINEER in accordance with
Sections 1a through 1m inclusive, of THE ENGINEER AGREES shall be in accordance with the current standard
specifications and policies of the STATE, it being understood that all such furnished documents shalt be approved
by the LA and the STATE before final acceptance. During the performance of the engineering services herein
provided for, the ENGINEER shall be responsible for any loss or damage to the documents herein enumerated while
they are in the ENGINEER's possession and any such loss or damage shall be restored at the ENGINEER's
expense.
5. That none of the services to be furnished by the ENGINEER shall be sublet, assigned, or transferred to any other
party or parties without written consent of the LA, except as stated in Sections le, if and 1k of THE ENGINEER
AGREES. The consent to sublet, assign or otherwise transfer any portion of the services to be furnished by the
ENGINEER shall not be construed to relieve the ENGINEER of any responsibility for the fulfillment of this
AGREEMENT.
6. That the ENGINEER and his subcontractors will maintain all books, documents, papers, accounting records and
other evidence pertaining to cost incurred and to make such materials available at their respective offices at all
reasonable times during the AGREEMENT period and for three years from the date of the final payment under this
AGREEMENT, for inspection by the STATE, Federal highway Administration, or any authorized representatives of
the Federal Government and copies thereof shall be furnished if requested.
7. That payment by LA in accordance with Sections 2 and 3 of THE LA AGREES will be considered as payment in full
for all services rendered in accordance with this AGREEMENT whether or not they be actually enumerated in this
AGREEMENT.
8. That any differences between the ENGINEER and the LA concerning the interpretations of the provisions of this
AGREEMENT shall be referred to a committee of disinterested parties consisting of one member appointed by the
ENGINEER, one member appointed by the LA, and a third member appointed by the two other members for
disposition and that the committee's decision shall be final.
9. That the ENGINEER shall be responsible for any and all damages to property or persons arising out of an- error,
omission and/or negligent act in the prosecution of his Work and shall indemnify and save harmless the LA, its
officers, agents and employees from all suits, claims, actions or damages of any nature whatsoever resulting
therefrom. These indemnities shall no be limited by the listing of any insurance covers'
10. This AGREEMENT may be terminated by the LA upon giving notice in writing to the ENGINEER at his last known
post office address. Upon such termination, the ENGINEER shall cause to be delivered to the LA, all drawings,
plats, surveys, reports, permits, agreements, soils and foundation analysis, provisions, specifications, partial and
completed estimates, and data, if any from soil survey and subsurface investigation with the understanding that all
such material becomes the property of the LA. The ENGINEER shall be paid for any services completed and any
services partially completed in accordance with Section 4 of THE ENGINEER AGREES and Section 3 of THE LA
AGREES.
BLR 4351 (Rev. 11/89)
(Sheet 5 of 7)
Successors and Assigns
That the LA and the ENGINEER bind themselves, their successors, executors, administrators, and assigns to the other
party of this AGREEMENT, and to the successors, executors, administrators, and assigns of such other party in respect
to all covenants of this AGREEMENT.
L.
Village Clerk
(SEAL)
State of Illinois, acting by and
through its Board o Trustees
By:
Title:
Executed by the Engineer
ATTEST:
By :.
Title:
(SEAL)
Civiltech Engineering, Inc.
Title: President
BLR 4351 (Rev. 11/89)
(Sheet 6 of 7)
Federal -Aid Project
Certification of Engineer
I hereby certify that I am the President and duly authorized representative of the firm ofCIVILTECH
ENGINEERING, INC., whose address is 500 Park Boulevard, Suite 250, Itasca, Illinois 60143, and that neither I nor the
above firm I herein represent has:
(a) employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, any
firm or person (other than a bona fide employee working solely for me or the above ENGINEER) to solicit
or secure this AGREEMENT,
(b) agreed, as an expressed or implied condition for obtaining this AGREEMENT, to employ or retain the
services of any firm or person in connection with carrying out this AGREEMENT, or
(c) paid, or agreed to pay to any firm, organization or person (other than a bona fide employee working solely
for me or the above ENGINEER) any fee, contribution, donation, or consideration of any kind for, or in
connection with, procuring or carrying out this AGREEMENT.
In addition, I and the firm I herein represent:
(d) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from covered- transactions by any Federal department or agency;
(e) have not within a three -year period preceding this AGREEMENT been convicted of or had a civil judgement
rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting
to obtain or performing a public (Federal, State or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements; or receiving stolen property;
(f) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal,
State or local) with commission of any of the offenses enumerated in paragraph (e) of this certification;
(g) have not within a three -year period preceding this AGREEMENT had one or more public transactions
(Federal, State or local) terminated for cause or default;
Where the ENGINEER is unable to certify to any of the statements in this certification, such ENGINEER shall attach an
explanation to this AGREEMENT.
I acknowledge that this certificate is to be furnished to the LA and the STATE, in connection with this AGREEMENT
involving participation of Federal -aid highway funds, and is subject to applicable State and Federal laws, both criminal
and civil.
Februrary 1, 2001 (Date) B
(Signature)
Certification of LA
I hereby certify that I am the Le -,a1
(Coun Boar• i a•
and that the ENGINEER or hi - resentative has n• • !n required directly or indirectly as an express or implied
condition in connection with obtaining or carrying out this AGREEMENT to:
(a) employ or retain, or agree to employ or retain, any firm or person, or
(b) pay, or agree to pay, to any firm, person or organization, any fee, contribution, donation, or consideration of any
kind;
airman /Mayor
of Village of Lemont
etc.) (County/Municipality/Township)
except as herein expressly stated (if any);
I acknowledge that this certificate is to be furnished to the STATE, in connection with this AGREEMENT involving
participation of Federal -aid highway funds, and is subject to applicable State and Federal laws, both criminal and civil.
(Date)
By: (Signature)
BLR 4351 (Rev. 11/89)
(Sheet7of7)
FEDERAL AVIATION AGENCY
COST AND PRICE ANALYSIS - RESEARCH AND DEVELOPMENT CONTRACTS
Form approved
Budget Bureau No. 04 -R128
This form is to be used in lieu of FAA Form 315 as provided under FAPR 2 -16- 260 -2, it will t,e executed and submitted
with proposals in response to "Request for Proposals ", for the procurement of research and development services. IF
your cost accounting system does not permit analysis of costs as required, contact the purchasing office for further
instructions.
PURCHASE REQUEST NUMBER
NAME AND ADDRESS OF OFFERER
Civiltech Engineering, Inc.
500 Park Boulevard, Suite 250
Itasca, Illinois 60143
TITLE OF PROJECT
Lemont Commuter Parking Lot Addition
Phase II
DETAIL DESCRIPTION
ESTIMATED HOURS
RATE/
HOUR
TOTAL
ESTIMATED COST
1. DIRECT LABOR (Specify)
Principal Engineer
5
$60.00
$300.00
Project Manager
33
$40.00
$1,320.00
Landscape Architect
30
$33.00
$990.00
Design Engineer
2
$1,980.00
Technician
ni4As
1,444.00
E
-DES
IS I...4
TOTAL DIRECT LABOR
s''
$6,034.00
2. BURDEN (Overhead - specify) DEPARTMENT OR COST
BURDEN
Payroll Burden and Fringe Expense
55.28%
;' r % •.�
ziv I - Wx
TOTAL BURDEN
..
$3,335.60
3. DIRECT MATERIAL
Printing
$350.00
Delivery
$300.00
TOTAL MATERIAL
i-
$650.00
4. SPECIAL TESTING (Including field work at Government Installations)
TOTAL SPECIAL TESTING
s
$0.00
5. SPECIAL EQUIPMENT (If direct charge - specify in Exhibit B on reverse)
$0.00
6. TRAVEL (If direct charge)
a. TRANSPORTATION
$0.345 /mile
r� rvr' .a
b. PER DIEM OR SUBSISTANCE
$120.00
TOTAL TRAVEL
7. CONSULTANTS (Identity - purpose - rate)
" ���„
TOTAL CONSULTANTS
"r�
$0.00
8. SUBCONTRACTS Specify in Exhibit A on reverse
$1,150.00
9. OTHER DIRECT COSTS (Specify in Exhibit B on reverse - explain royalty costs, if any
10. I TOTAL DIRECT COST AND BURDEN
$11,289.60
11. GENERAL AND ADMINISTRATIVE EXPENSE (Rate 68.70% items nos. 1) ..
$4,145.36
12. 1 1 TOTAL ESTIMATED COST
$15,434.96
13. FIXED FEE OR PROFIT (State basis for amount in proposal)
$2,012.00
14. TOTAL ESTIMATED COST AND FIXED FEE OR PROFIT
$17,446.96
FAA Form 4400 -2 (5 -66) SUPERSEDES FAA FORM 3515 -1 FIGURE IIIC -1 - Cost & Price Analysis
15. OVERHEAD RATE AND GENERAL AND ADMINISTRATIVE RATE INFORMATION
A. GOVERNMENT AUDIT PERFORMED
Illinois Department of Transportation
DATE OF AUDIT
August 10, 2000
ACCOUNTING PERIOD COVERED
Fy Ending December 31, 1999
B. NAME AND ADDRESS OF GOVERNMENT AGENCY MAKING AUDIT
Illinois Department of Transportation
District 1
201 West Center Court
Schaumburg, Illinois 60196
C. DO YOUR CONTRACTS PROVIDE NEGOTIATED
OVERHEAD RATES? ® NO ❑ YES (If yes, name Agency
negotiating rates)
D. (If no Government rates have been established furnish the following information)
DEPARTMENT OR COST CENTER
RATE
BASE
TOTAL INDIRECT EXPENSE POOL
BASE FOR TOTAL
16. EXHIBIT A - SUBCONTRACT INFORMATION (If more space needed, use blank sheets, identifying item number)
NAME AND ADDRESS OF
SUBCONTRACTORS
SUBCONTRACTED WORK
SUBCONTRACT
TYPE
AMOUNT
Schleede- Hampton Associates, Inc.
1612 Landmeier Road, Suite B
Elk Grove Village, Illinois 60007
Soils Analysis
$1,150
17. EXHIBIT B - OTHER DIRECT COSTS (Specify. If more space is needed, use blank sheets, identifying item number)
CERTIFICATE
The labor rates and overhead costs are current and other estimated costs have been determined by generally accepted accounting principles.
Bidder represents: (a) that he ❑ has, ® has not, employed or retained any company or person (other than a full -time bona fide employee working
solely for the bidder) to solicit or secure his contract, and (b) that he ❑ has, CO has not, paid or agreed to pay to any company or person (other
than a full -time bona fide employee working solely for the bidder) any fee, commission, percentage or brokerage fee, contingent upon or resulting
from the award of this contract, and agrees to furnish information relating to (a) and (b) above, as requested by the Contracting Officer.
(For interpretation of the representation including the term 'bona fide employee,' see (Code of Federal Regulations, Title 44. Part 150.)
NUMBER OF CONTRACTOR EMPLOYEES
® 500 AND UNDER ❑ OVER 500
❑ OVER 750 ❑ OVER 1000
STATE INCORPORATED IN
Illinois
DATE
31 Jan 01
SIGNATURE AND TITLE OF AUTHORIZED REPRESENTATIVE OF CONTRACTOR
Associate