ATTACHMENT C

BID FORM (UTULEI AND FOGAGOGO WASTEWATER TREATMENT PLANT IMPROVEMENTS: ULTRA VIOLET DISINFECTION SYSTEM INSTALLATIONS)

In compliance with the above Invitation for Bids, the undersigned proposes to perform all work in strict accordance with the General Conditions, General Requirements, Technical Provisions, Schedules, Specifications for Utulei and Fogagogo Wastewater Treatment Plant Improvements: Ultra Violet Disinfection System Installations, and Design and Construction Plans for Utulei and Fogagogo Wastewater Treatment Plant Improvements: Ultra Violet Disinfection System Installations for the following amounts. Costs for each line item are to include; mobilization between different segments of the project site; equipment operator labor and related costs; and operation and maintenance costs.

Note: Quantities shown are estimates only. Contractor shall be responsible for verifying all quantities before bidding.

Item No. / Description / Unit / Est. Quantity / Per Unit Price / Total Price
1 / Bonds, Insurances and Permits / LS / 1 / $ / $
2 / Mobilization (5% Max) / LS / 1 / $ / $
3 / Site BMPs and Erosion Control / LS / 1 / $ / $
Utulei Wastewater Treatment Plant
4 / 24" DIP / LF / 47 / $ / $
5 / 24" 90˚ BEND (MJ) / EA / 1 / $ / $
6 / 24" 90˚ BEND (FLG) / EA / 3 / $ / $
7 / 24" 45˚ BEND (FLG) / EA / 1 / $ / $
8 / 24" PLUG VALVE (FLG) / EA / 1 / $ / $
9 / 24" MAG METER / EA / 1 / $ / $
10 / 24"x24"x24" TEE (MJ) / EA / 1 / $ / $
11 / 24" FLEXIBLE COUPLING / EA / 2 / $ / $
12 / 24" FLANGED COUPLING ADAPTER / EA / 4 / $ / $
13 / 24" SLIDE GATE ASSEMBLY / EA / 3 / $ / $
14 / 6" DIP DRAIN / LF / 39 / $ / $
15 / 6"x4" TEE (MJ) / EA / 7 / $ / $
16 / 4" DIP DRAIN / LF / 52 / $ / $
17 / 4" PLUG VALVE / EA / 7 / $ / $
18 / 4" AIR RELEASE VALVE ASSEMBLY / EA / 1 / $ / $
19 / 6" PRESSURE CLEANOUT / EA / 1 / $ / $
20 / 6" EQUIPMENT DRAIN / EA / 1 / $ / $
21 / CAST IN PLACE CONCRETE SLAB ON GRADE / CY / 20 / $ / $
22 / CAST IN PLACE CONCRETE WALLS & ELEVATED SLABS / CY / 10 / $ / $
23 / CONCRETE FILL / CY / 20 / $ / $
24 / FRP GRATING / SF / 500 / $ / $
25 / 8" CMU WALLS / SF / 70 / $ / $
26 / ADJUSTABLE PIPE SUPPORTS / LS / 1 / $ / $
27 / PIPE CRADLE SUPPORT / EA / 3 / $ / $
28 / UV BANKS / EA / 4 / $ / $
29 / UV CULVERT (DOUBLE) / EA / 2 / $ / $
30 / UV CULVERT (SINGLE) / EA / 1 / $ / $
31 / UV CONTROLS / LS / 1 / $ / $
32 / ELECTRIC EQUIPMENT, WIRE & ACCESSORIES / LS / 1 / $ / $
33 / ELECTRICAL/STORAGEBUILDING (22'-2"x10'-0") / LS / 1 / $ / $
34 / REMOVE ELECTRIC POLE / EA / 1 / $ / $
Fogagogo Wastewater Treatment Plant
35 / 24" DIP / LF / 50 / $ / $
36 / 24" 90˚ BEND (FLG) / EA / 1 / $ / $
37 / 24" 90˚ BEND (MJ) / EA / 1 / $ / $
38 / 24" 45˚ BEND (MJ) / EA / 2 / $ / $
39 / 24" PLUG VALVE / EA / 1 / $ / $
40 / 18" DIP / LF / 220 / $ / $
41 / 18"x18"x18" LATERAL WYE (MJ) / EA / 1 / $ / $
42 / 18" 90˚ BEND (MJ) / EA / 1 / $ / $
43 / 18" 90˚ BEND (FLG) / EA / 3 / $ / $
44 / 18" PLUG VALVE / EA / 4 / $ / $
45 / 18" MAG METER / EA / 1 / $ / $
46 / 18" FLANGED COUPLING ADAPTER / EA / 1 / $ / $
47 / 18" FLEXIBLE COUPLING / EA / 4 / $ / $
48 / 14" DIP / LF / 40 / $ / $
49 / 14"x14"x14" TEE (MJ) / EA / 1 / $ / $
50 / 14" 90˚ BEND (FLG) / EA / 3 / $ / $
51 / 14" 90˚ BEND (MJ) / EA / 1 / $ / $
52 / 14" PLUG VALVE / EA / 3 / $ / $
53 / 14" MAG METER / EA / 1 / $ / $
54 / 14" FLANGED COUPLING ADAPTER / EA / 1 / $ / $
55 / 14" FLEXIBLE COUPLING / EA / 2 / $ / $
56 / 6" DIP DRAIN LINE / LF / 172 / $ / $
57 / 6"x4" WYE (MJ) / EA / 9 / $ / $
58 / 6"x6" WYE (MJ) / EA / 3 / $ / $
59 / 6" 45˚ BEND (MJ) / EA / 13 / $ / $
60 / 6" PRESSURE CLEANOUT / EA / 4 / $ / $
61 / 4" DIP DRAIN LINE / LF / 68 / $ / $
62 / 4" 90˚ BEND (MJ) / EA / 8 / $ / $
63 / 4"x4" 45˚ WYE (MJ) / EA / 1 / $ / $
64 / 4" PLUG VALVE WITH VALVE BOX & COVER / EA / 8 / $ / $
65 / 4" EQUIPMENT DRAIN / EA / 2 / $ / $
66 / 4" AIR RELEASE VALVE ASSEMBLY / EA / 2 / $ / $
67 / CAST IN PLACE CONCRETE SLAB ON GRADE / CY / 50 / $ / $
68 / CAST IN PLACE CONCRETE WALLS & ELEVATED SLABS / CY / 60 / $ / $
69 / CONCRETE FILL / CY / 10 / $ / $
70 / FRP GRATING / SF / 600 / $ / $
71 / FRP HANDRAILING / LF / 129 / $ / $
72 / STAIRS W/HANDRAILING / LS / 1 / $ / $
73 / HOSE STATION / EA / 2 / $ / $
74 / 1" COPPER PIPE / LF / 60 / $ / $
75 / BOLLARDS / EA / 2 / $ / $
76 / UV BANKS / EA / 4 / $ / $
77 / UV CULVERTS (DOUBLE) / EA / 2 / $ / $
78 / UV CULVERTS (SINGLE) / EA / 1 / $ / $
79 / UV CONTROLS / LS / 1 / $ / $
80 / EMERGENCY GENERATOR / EA / 1 / $ / $
81 / ELECTRIC EQUIPMENT, WIRE & ACCESSORIES / LS / 1 / $ / $
82 / PIPE CRADLE SUPPORT / EA / 4 / $ / $
83 / ELECTRICAL/STORAGEBUILDING (34'-2"x10'-0") / LS / 1 / $ / $
TOTAL BID AMOUNT / - / - / $ / $
TOTAL BID AMOUNT
(Written in Words)