- Call No
- 263
- County
- NESS
- Pdf Text
- Dwight D. Eisenhower State Office Building
700 S.W. Harrison Street
Topeka, KS 66603-3745
Phone: 785-296-3576
Hearing Impaired - 711
publicinfo@ksdot.org
http://www.ksdot.org
Bureau of Construction and Materials
FEDERAL PROJECT NUMBER: ACSTP-A575(201)
STATE PROJECT NUMBER: K096-068 KA 5752-01
CALL ORDER NUMBER: 263
PROPOSAL NUMBER: 526112636
LETTING DATE 11/18/2026
COUNTY: NESS
FUND TYPE: FEDERAL
DODGE CITYKDOT CONSTRUCTION OFFICE:
PROJECT DESCRIPTION
GRADING, BRIDGE AND SURFACING. K-96: BR 042 (BAZINE DRY
CREEK) LOC 10.71 MI E OF US-283 IN NS CO. LGTH IS 0.189 MI.
RESTRICTED DAYS
(245)
TOTAL CONTRACT DAYS
(285)
MARCH 01, 2027
JUNE 07, 2027
Earliest Start Date:
Latest Start Date:
4:34:30PM10/20/2026 @
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
K096-068 KA 5752-01 ACSTP-A575(201)
CONTRACT PROPOSAL
DOT Form No. 202 Rev. 02/19
Contract ID: 526112636
1. The Secretary of Transportation of the State of Kansas [Secretary] will accept only electronic internet proposals
from prequalified contractors for construction, improvement, reconstruction, or maintenance work in the State of Kansas,
said work known as Project No.:
K096-068 KA 5752-01 / ACSTP-A575(201)
The general scope, location and net length are:
GRADING, BRIDGE AND SURFACING. K-96: BR 042 (BAZINE DRY CREEK)
LOC 10.71 MI E OF US-283 IN NS CO. LGTH IS 0.189 MI.
2. This is the Proposal of [Contractor] to complete the Project for the amount set out in the accompanying Unit Prices
List.
3. The Contractor makes the following ties and riders as part of its Proposal in addition to state ties, if any:
4. Contractors and other interested entities may examine the Bidding Proposal Form/Contract Documents (see paragraph 11
below) at the County Clerk's Office in the County in which the Project is located and at the Kansas Department of
Transportation [KODT] Bureau of Construction and Materials, Eisenhower State Office Building, 700 SW Harrison, Topeka,
Kansas 66603. Contractors may examine and print the Bidding Proposal Form/Contract Documents by using KDOT's website at
http://www.ksdot.gov and choosing the following selections: "Doing Business", "Highway Contractors" and "Highway Letting
Information",and using the links provided in the Project information for this project. KDOT will not print and mail
paper copies of Proposal Forms. Contractors shall notify KDOT of their intent to bid as a prime contractor by
identifying themselves as a Bid Holder on the website above. Contractors shall furnish this notice no later than 5:00
P.M. on the Monday preceding the scheduled Letting Date. For a fee, Contractors and other interested entities may order
paper copies of the KDOT Standard Specifications for State Road and Bridge Construction, 2015 Edition, [Standard
Specifications] by using KDOT's website of http://www.ksdot.gov and choosing the following selections: "Doing Business",
"Highway Contractors", "Contractor Resources and "Specifications".
5.Contractors shall use the Bidx.com website to complete and submit the bid form. Project bid forms are available on Bid
Express' website at http://www.bidx.com.
6. Contractors shall only use the Project Bids software to create a proposal and submit an electronic internet proposal
to KDOT using the Bid Express website.
7. The KDOT Bureau of Construction and Materials will only accept electronic internet proposals on-line using Bid
Express until 1:00 P.M. Local Time on the Letting Date. KDOT will open and read these proposals at the Eisenhower State
Office Building, 700 SW Harrison, Topeka, Kansas 66603 at 3:00 P.M. Local Time on the Letting Date. Bids are read on a
conference call at 785-414-8630. The conference ID is 856 616 050#.
8. The Contractor shall execute a contract for the proposed work within ten (10) business days after notice of the award
of the contract.
9. The contractor shall complete work to open the project to unrestricted traffic within _245_ Restricted Days and shall
complete the work within the total Contract Working Days of _285_.
10. The Contractor shall complete the Project according to the plans, Standard Specifications, provisions identified in
the Special Provision List and all other Contract Documents identified in Standard Specifications subsection 101.3
Contractor: Check:Page 1
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
11. The undersigned declares that the Contractor has carefully examined the Bidding Proposal Form for the Project. The
Contractor understands the following:
A. The Bidding Proposal Form consists of the following documents: the Bidx bid form on the Bid Express website (which
includes DOT Form 202, required contract provisions, and the Unit Prices List), special provision list, project special
provisions, special provisions, Standard Specifications, plans, exploratory work documents, any additional contract
information, any addenda, all questions and answers posted on the Bid Express website, and any amendments the Secretary
provides for the Project. The Contractor can obtain these documents at KDOT's website (see paragraph 4).
B. The special provision list identifies all required contract provisions, project special provisions and special
provisions that apply to the Project.
C. The Bidding Proposal form becomes the Contractor's Proposal after the Contractor completes the Bidx bid form,
electronically signs the Proposal where required on DOT Form 202, and submits the completed Bidx bid form documents and
bid bond to KDOT using Bid Express. The special provision list, project special provisions, special provisions, Standard
Specifications, plans, exploratory work documents, any additional contract information, all questions and answers posted
on the Bid Express website, and any addenda are incorporated by reference into the Proposal. These documents are part of
the Contractor's Proposal.
D. In electronically signing this Proposal, the Contractor waives the right to claim that the Contractor misunderstood
the contents of the Proposal or the procurement process.
12. The Contractor has inspected the actual location of the work. The Contractor has determined the availability of
materials. The Contractor has evaluated all quantities and conditions. In electronically signing this Proposal, the
Contractor waives the right to claim that the Contractor misunderstood the scope of the work.
13. SPECIAL PROVISIONS REQUIRING INFORMATION. The following Required Contract Provisions (I-XVII) require the Contractor
to furnish information. The current versions of these provisions are contained in the Bidx bid form. Some or all of
these apply to the Project as indicated in the Special Provision List. The Contractor shall complete these provisions
within the Bidx bid form file. When these documents are required, the Secretary will reject proposals that fail to
contain completed Provisions I, II, III, or IV in the EBSX file, and may reject proposals that fail to contain completed
Provisions V, VI, VII, VIII, IX, X, XI, XII, XIII, XIV, XV, XVI, or XVII in the Bidx bid form.
I. 08-10-66 Certification-Noncollusion & History of Debarment
II. 04-30-82 Certification-Financial Prequalification Amount
III. 04-26-90 Declaration-Limitations on Use of Federal Funds for Lobbying
IV. 08-04-92 Certification-Contractual Services with a Current Legislator or a Current Legislator's Firm
V. 10-10-00 Price Adjustment for Fuel
VI. 06-01-06 Price Adjustment for Asphalt
VII. 08-31-09 Price Adjustment for Emulsified Asphalt
VIII. 08-08-01 Furnishing and Planting Plant Materials Unit Cost
IX. 05-18-07 Repair (Structures) Unit Cost
X. 11-15-17 Electric Lighting System Unit Cost
XI. 04-06-09 ITS Unit Cost
XII. 08-17-16 Water System Unit Cost
XIII. 06-19-19 Sanitary Sewer System Unit Cost
XIV. 01-01-18 Smart Work Zone System Unit Cost
XV. 08-12-24 CORS Unit Cost
XVI. 04-06-26 Federal Restrictions on Foreign Drones
XVII. 01-01-11 Kansas Department of Revenue Tax Clearance Certificate
14. The funding source for this Project is FEDERAL/STATE. On Projects involving City or County funds, the Secretary acts
as the Agent of the City or County and as the administrator of federal or state funds. Each governmental entity's
responsibilities are described in a contract between the entities which is available on request.
Contractor: Check:Page 2
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
15. FEDERAL AID DOCUMENTS INCLUDED IN PROPOSAL. If the Project is supported in whole or in part by Federal funds, the
latest revisions of the following provisions (I - IV) also apply to the Project. These documents are not included in the
Project EBSX file but are accessible on KDOT's website and incorporated by reference into the proposal like other
provisions and the exploratory work documents.
I. 11-03-80 Affirmative Action For EEO
II. 11-15-96 Affirmative Action & EEO Policies
III. 09-06-94 U.S. DOT Fraud Hotline
IV. FHWA-1273 Federal-Aid Required Contract Provisions
16. The Secretary reserves the right to reject any and all proposals and to waive any or all technicalities.
17. SIGNATURE SECTION:
A. Electronic Internet Proposal
The person submitting the electronic internet Proposal, on the Contractor's behalf, shall be the person whose digital
identification is used to submit this Proposal. That person shall complete paragraphs B and C. The person whose digital
identification is used to electronically sign this Proposal binds the Contractor to this Proposal and binds the named
individual to the certification in paragraph B.
B. Certification
I CERTIFY THAT I AM AUTHORIZED TO REPRESENT THE CONTRACTOR IN PREPARING AND PRESENTING THIS PROPOSAL. I CERTIFY UNDER
PENALTY OF PERJURY THAT THE FOREGOING (INCLUDING BUT NOT LIMITED TO THE INFORMATION CONTAINED IN THE SPECICIAL
PROVISIONS REFERENCED IN PARAGRAPH 13) IS TRUE AND CORRECT.
EXECUTED ON
C. Signature
Number of company or joint venture:
Name of company or joint venture:
Name of person signing:
Title of the person signing:
Signature: Electronic Internet Proposal
RELEASED FOR CONSTRUCTION:
Date:____________________________________
_________________________________________
Chief of Construction and Materials
Contractor: Check:Page 3
KANSAS DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISION LIST
PAGE:
DATE:
1
10/17/26
STATE PROJECT NO: K096-068 KA 5752-01 STATE CONTRACT NO: 526112636
FEDERAL PROJ NO.
PRIMARY DISTRICT:
DESCRIPTION:
PRIMARY COUNTY: NESS6
GRADING, BRIDGE AND SURFACING. K-96: BR 042 (BAZINE DRY CREEK) LOC
10.71 MI E OF US-283 IN NS CO. LGTH IS 0.189 MI.
ACSTP-A575(201)
PROVISION NO. DESCRIPTION
NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.
OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED
PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE
RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.
REQUIRED CONTRACT PROVISION-NONCOLLUSION / HISTORY-DEBARMENT08-10-66-R05
REQUIRED CONTRACT PROVISION-FINANCIAL PREQUALIFICATION04-30-82-R07
REQUIRED CONTRACT PROVISION-CONTRACTUAL SERVICES-LEGISLATOR08-04-92-R03
REQUIRED CONTRACT PROVISION-LIMITS OF FED FUNDS FOR LOBBYING04-26-90-R05
REQUIRED CONTRACT PROVISION-PRICE ADJUSTMENT FOR FUEL10-10-00-R09
REQUIRED CONTRACT PROVISION-PRICE ADJUSTMENT FOR ASPHALT06-01-06-R01
REQUIRED CONTRACT PROVISION-FEDERAL RESTRICTIONS ON FOREIGN DRONES04-06-26-R01
REQUIRED CONTRACT PROVISION-NOTICE FOR AFFIRMATIVE ACTION11-03-80-R09
REQUIRED CONTRACT PROVISION-EEO REQUIREMENT11-15-96-R06
REQUIRED CONTRACT PROVISION - BOYCOTT OF ISRAEL PROHIBITED07-01-17-R1
REQUIRED CONTRACT PROVISION-NDAA 889 TELECOMM PROHIBITION12-17-20
MINIMUM WAGE RATE (CN,CM,ED,EK,GO,GL,ME,MT,NS,PL,RA,RH,SM,ST & WH
COUNTIES)
KS20260130
REQUIRED CONTRACT PROVISION-TAX CLEARANCE CERTIFICATE01-01-11-R01
NOTICE TO CONTRACTORS (USDOT HOTLINE)09-06-94-R01
REQUIRED CONTRACT PROVISION-FEDERAL-AID CONSTRUCTION CONTRACTSFHWA-1273
ERRATA SHEET FOR STD SPEC BOOK FOR RD & BR CONST, 2015 ED15-ER-1-R23
POLICY AGAINST SEXUAL HARASSMENT03-01-18
INFORMATION TO CONTRACTORS (STATUS OF UTILITIES)15-01002
FUEL ADJUSTMENT15-01008-R02
ASPHALT PRICE ADJUSTMENT15-01009-R01
ENVIRONMENTAL CONCERNS - MIGRATORY BIRD TREATY ACT15-01011-R06
PROSECUTION AND PROGRESS15-01016-R04
CONTROL OF MATERIALS15-01018-R01
CONTROL OF WORK15-01019-R02
BIDDING REQUIREMENTS AND CONDITIONS15-01021-R03
SCOPE OF WORK15-01022-R04
BIDDING REQUIREMENTS AND CONDITIONS15-01023
AWARD AND EXECUTION OF CONTRACT15-01024
ASPHALT SURFACING AND ASPHALT RECYCLING EQUIPMENT15-01501
REMOVAL OF EXISTING STRUCTURES15-02001
STRUCTURAL CONCRETE15-04002-R01
ON GRADE CONCRETE15-04003
GENERAL CONCRETE15-04005-R04
PORTLAND CEMENT CONCRETE PAVEMENT (NON-QC/QA)15-05002-R01
KANSAS DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISION LIST
PAGE:
DATE:
2
10/17/26
STATE PROJECT NO: K096-068 KA 5752-01 STATE CONTRACT NO: 526112636
FEDERAL PROJ NO.
PRIMARY DISTRICT:
DESCRIPTION:
PRIMARY COUNTY: NESS6
GRADING, BRIDGE AND SURFACING. K-96: BR 042 (BAZINE DRY CREEK) LOC
10.71 MI E OF US-283 IN NS CO. LGTH IS 0.189 MI.
ACSTP-A575(201)
PROVISION NO. DESCRIPTION
NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.
OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED
PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE
RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.
PORTLAND CEMENT CONCRETE PAVEMENT SMOOTHNESS15-05004
ASPHALT PAVEMENT SMOOTHNESS15-06006-R01
HOT MIX ASPHALT (HMA)-COMMERCIAL GRADE15-06010-R02
STRUCTURAL METALS FABRICATION15-07004-R02
QUALIFICATION OF FIELD WELDERS15-07005-R02
CONCRETE STRUCTURE CONSTRUCTION15-07011-R01
PILING15-07017
FALSEWORK AND FORM CONSTRUCTION15-07018
ABUTMENT DRAINAGE SYSTEMS15-07026
TAPERED PAVEMENT EDGE15-08004-R01
PERMANENT SIGNING15-08010-R02
CONCRETE SAFETY BARRIER15-08014
CONTRACTOR CONSTRUCTION STAKING15-08015
MAINTENANCE AND RESTORATION OF HAUL ROADS15-08018
WORK ZONE TRAFFIC CONTROL & SAFETY15-08019-R04
DURABLE PAVEMENT MARKING15-08020-R02
PIPE AND END SECTIONS15-08022-R01
FIELD OFFICE AND LABORATORY15-08023-R01
RUMBLE STRIPS (MILLED)15-08025
WORK ZONE TRAFFIC CONTROL AND SAFETY (WORKERS PRESENT SIGNS)15-08029-R01
STORMWATER POLLUTION MANAGEMENT15-09002-R05
TEMPORARY EROSION AND SEDIMENT CONTROL/SEEDING15-09004-R03
STONE FOR RIPRAP, DITCH LINING AND OTHER MISCELLANEOUS USES15-11001-R04
AGGREGATE FOR HMA15-11002-R01
AGGS FOR CONCRETE NOT PLACED ON GRADE15-11003-R04
AGGREGATE FOR ON GRADE15-11004-R03
AGGREGATES FOR BACKFILL15-11009-R03
GENERAL REQUIREMENT DIVISION 120015-12001-R01
PERFORMANCE GRADED ASPHALT BINDER15-12002-R01
AIR-ENTRAINING ADMIXTURES FOR CONCRETE15-14001-R01
SHEET MATERIALS FOR CURING CONCRETE15-14002
LIQUID MEMBRANE FORMING COMPOUNDS15-14003
EVAPORATION RETARDER15-14004
HOT JOINT SEALING COMPOUND15-15001-R01
COLD APPLIED CHEMICALLY CURED JOINT SEALANT15-15004
KANSAS DEPARTMENT OF TRANSPORTATION
SPECIAL PROVISION LIST
PAGE:
DATE:
3
10/17/26
STATE PROJECT NO: K096-068 KA 5752-01 STATE CONTRACT NO: 526112636
FEDERAL PROJ NO.
PRIMARY DISTRICT:
DESCRIPTION:
PRIMARY COUNTY: NESS6
GRADING, BRIDGE AND SURFACING. K-96: BR 042 (BAZINE DRY CREEK) LOC
10.71 MI E OF US-283 IN NS CO. LGTH IS 0.189 MI.
ACSTP-A575(201)
PROVISION NO. DESCRIPTION
NOTE: THE FOLLOWING LIST OF SPECIAL PROVISIONS ARE FOR THIS PROJECT.
OMISSION OF ALL OR PART OF A SPECIAL PROVISION IN THE ATTACHED
PROPOSAL (CONTRACT) DOES NOT RELIEVE THE CONTRACTOR OF THE
RESPONSIBILITY FOR OBTAINING THE COMPLETE PROVISION AS LISTED.
MEMBRANE SEALANT15-15007
STRUCTURAL STEEL TUBING15-16001-R01
STEEL SIGN POSTS15-16002-R03
STEEL WIRE & WELDED WIRE FABRIC FOR CONCRETE REINFORCEMENT15-16003-R01
STRUCTURAL STEEL15-16005-R01
STEEL FASTENERS15-16007-R02
STEEL PLATE GUARDRAIL AND PROPRIETARY END TERMINALS15-16008-R01
RELEASE COMPOUND FOR ASPHALT MIXES15-17004-R05
GEOSYNTHETICS15-17007-R04
POLYETHYLENE (PE) PIPE15-19003-R02
POLYVINYL CHLORIDE (PVC) PIPE15-19004
USES OF PIPE15-19005-R04
CMP AND END SECTIONS15-19006-R01
PORTLAND CEMENT AND BLENDED HYDRAULIC CEMENT15-20001-R02
HYDRATED LIME15-20002
FLYASH FOR USE IN CONCRETE15-20004-R01
SILICA FUME15-20005
SLAG CEMENT FOR USE IN CONCRETE AND MORTAR15-20006
SEEDS15-21001
MULTI - COMPONENT LIQUID PAVEMENT MARKING MATERIAL15-22003-R02
PAVEMENT MARKING PAINT15-22004-R02
IMAGE SYSTEMS15-22005-R03
RETROREFLECTIVE SHEETING15-22006-R01
ROLL-UP SIGNS15-22011
RAISED PAVEMENT MARKERS15-22015
TEMPORARY PAVEMENT MARKING TAPE15-22016
WOOD POSTS15-23001-R03
FIELD HANDLING AND PRESERVATIVE TREATMENT OF WOOD PRODUCTS15-23003-R02
PART V15-25001-R07
MATERIALS CERTIFICATIONS15-26001-R13
END OF SPECIAL PROVISION LIST
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 08-10-66-R05 (Rev. 07/05)
CERTIFICATION - NONCOLLUSION AND HISTORY OF DEBARMENT
K.A.R. 36-30-4, 49 C.F.R. 29.335, 23 U.S.C. 112(c), 49 U.S.C. 322
Complete the exceptions below if applicable. The Contractor's signature on the last page of the Contractor's Proposal
(DOT Form 202) supplies the necessary signature for this Certificate.
NONCOLLUSION
I certify that the Contractor submitting this bid has not, either directly or indirectly, entered into any agreement,
participated in any collusion, or otherwise taken any action, in restraint of free competitive bidding in connection
with the submitted bid.
HISTORY OF DEBARMENT
I certify that, except as noted below, the Contractor submitting this bid and any person associated with this Contractor
in the capacitiy of owner, partner, director, officer, principal, investigator, project director, manager, auditor, or
any position involving the administration of federal funds:
1. Are not currently suspended, debarred, voluntarily excluded or disqualified from bidding by any federal or state
agency;
2. Have not been suspended, debarred, voluntarily excluded or disqualified from bidding by any federal or state agency
within the past three years;
3. Do not have a proposed debarment pending;
4. Within the past three years, have not been convicted or had a civil judgment rendered against them by a court of
competent jurisdiction in any matter involving fraud, antitrust violations, theft, official misconduct, or other
offenses indicating a lack of business integrity or business honesty; and
5. Are not currently indicted or otherwise criminally or civilly charged by a federal, state, or local government with
fraud, anti-trust violations, theft, official misconduct, or other offenses indicating a lack of business integrity or
business honesty; and
6. Have not had one or more federal, state, or local government contracts terminated for cause or default within the
past three years.
Answer 'Yes' if there are exceptions to the above described circumstances. Answer 'No' if
there are no exceptions.
◯ Yes ◯ No
The exceptions, if any, are:
Contractor: Check:Page 4
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 04-30-82-R07 (Rev. 01/11)
CERTIFICATION - FINANCIAL PREQUALIFICATION AMOUNT
Select the appropriate response below to indicate whether this Proposal exceeds the Contractor's financial
prequalification amount. The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202)
supplies the necessary signature for this Certificate.
I understand that I may be required to identify the outstanding contract and subcontract work of my firm, association or
corporation on DOT Form 284 prior to an award of contract. Unless I obtain approval, I understand that the Secretary may
reject this Proposal if the dollar value of work on this Contract combined with unearned amounts on our unfinished
contract and subcontract work exceeds our prequalification amount.
I certify that the amount of this Proposal plus the total unearned amount of other contracts with the Kansas Department
of Transportation plus the unearned amount of all other contracts in this state or other states ◯ exceeds ◯ does not
exceed the financial prequalification amount of our firm, association or corporation. I also certify that our firm,
association or corporation has the financial ability to do the work.
If this Proposal exceeds the financial prequalification amount, I certify that I obtained approval to submit this bid
from the KDOT representative I have listed below. (Prior approval to exceed the prequalification limit may be made by
telephone or personal contact).
KDOT Approval Granted by:
KDOT Approval Date:
Contractor: Check:Page 5
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION- 04-26-90-R05 (Rev. 07/13)
DECLARATION
LIMITATIONS ON USE OF FEDERAL FUNDS FOR LOBBYING
PURSUANT TO 31 U.S.C. 1352
The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies the necessary signature
for this Certificate.
DEFINITIONS:
1. Designated Entity: an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress.
2. Federal Grant: an award of financial assistance by the Federal government. (Federal Aid Highway Program is considered
a grant program.)
3. Influencing (or attempt): making, with the intent to influence, any communication to or appearance before any
designated entity in connection with the making of a Federal contract or Federal grant.
4. Person: an individual, corporation, company, association, authority, firm, partnership, society, State or local
government.
5. Recipient: all contractors, subcontractors, subgrantees, at any tier, and other persons receiving funds in connection
with a Federal grant.
EXPLANATION:
As of December 23, 1989, 31 U.S.C. section 1352 limits the use of appropriated Federal funds to influence Federal
contracting. Under this law, recipients of Federal grants shall not use appropriated funds to pay any person for
influencing or attempting to influence a designated entity in connection with the making of a Federal grant or the
extension, continuation, renewal, amendment or modification of a Federal grant. These restrictions apply to contracts
and grants exceeding $100,000.00. Federal law requires submission of this declaration. If a recipient fails to file the
declaration or amend a declaration, the recipient shall be subject to a civil penalty of not less than $10,000.00 and
not more than $100,000.00 for each failure. If the recipient uses appropriated Federal funds to influence or to attempt
to influence a designated entity contrary to this provision, the recipient shall be subject to a civil penalty of not
less than $10,000.00 and not more than $100,000.00 for each such payment.
CERTIFICATIONS:
I certify that the Contractor recipient (including its owners, partners, directors, officers, or principals) has not
paid and will not pay federally appropriated funds to any person for influencing or attempting to influence a designated
entity in connection with the making of a Federal grant, or the extension, continuation, renewal, amendment or
modification of a Federal grant.
Answer 'Yes' if a person registered under the Lobbying Disclosure Act of 1995 (Registrant) has made lobbying contacts on
the Contractor recipient's behalf with respect to this contract. Answer 'No' if no Registrant has lobbied on the
Contractor recipient's behalf with respect to this contract.
◯ Yes ◯ No
The Registrants, if any, are:
I certify that the Contractor recipient will report payments made to a person for influencing or attempting to influence
a designated entity, that come from funds other than appropriated Federal funds. The Contractor recipient shall report
such payments on Form LLL "DISCLOSURE FORM TO REPORT LOBBYING" according to the instructions and may obtain Form LLL
from the KDOT Bureau of Construction and Materials.
I certify that, if information contained in this DECLARATION changes, the Contractor recipient will amend the
DECLARATION within 30 days of the change(s).
Contractor: Check:Page 6
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
I certify that the Contractor recipient will provide to and require subcontractors to sign a like DECLARATION, if the
subcontract work exceeds $100,000.00.
The Contractor recipient understands that this declaration is a material representation of fact and the Secretary will
have relied upon this declaration in entering into a contract with the Contractor recipient.
____________________________________________________________
NOTE: This Reporting requirement does not apply to payments made to the recipient's regular employees and contracts,
subcontracts, and grants less than $100,000.00.
Contractor: Check:Page 7
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 08-04-92-R03 (Rev. 07/05)
CERTIFICATION - CONTRACTUAL SERVICES WITH A CURRENT
LEGISLATOR OR A CURRENT LEGISLATOR'S FIRM
Select the appropriate response below to indicate whether this contract is with a legislator or a firm in which a
legislator is a member. The Contractor's signature on the last page of the Contractor's Proposal (DOT Form 202) supplies
the necessary signature for this Certificate.
Kansas Law, K.S.A. 46-239(c), requires this agency to report all contracts entered into with any legislator or any
member of a firm of which a legislator is a member, under which the legislator or member of the firm is to perform
services for this agency for compensation. The Contractor certifies that:
This Contract ◯ is ◯ is not with a legislator or a firm in which a legislator is a member. That Legislator is:
Name:
Address:
City State Zip:
Business Telephone:
Contractor: Check:Page 8
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 10-10-00-R09 (Rev. 01/20)
PRICE ADJUSTMENT FOR FUEL
The Contractor may accept or reject the application of Special Provision 15-01008 (latest revision) "Price Adjustment
for Fuel". Any items listed on Special Provision 15-01008 (latest revision) that are included in this project are
eligible for the fuel price adjustment unless otherwise stated in the contract documents.
Answer 'Accept' if you accept this provision. Answer 'Reject' if you reject this provision and the provision will not be
part of the contract.
◯ Accept ◯ Reject
If the Contractor accepts 15-01008 (latest revision), the Contractor shall mark the checkboxes below for the eligible
items/sections listed in Special Provision 15-01008 (latest revision). Then they should indicate their desire for the
specific fuel price adjustment by selecting the 'Yes' or 'No' option.
◯ Road Items (Earthwork)
◯ Concrete Surfacing Items
◯ Asphalt Surfacing Items
Contractor: Check:Page 9
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 06-01-06-R01 (Rev. 03/15)
PRICE ADJUSTMENT FOR ASPHALT MATERIAL
The Contractor may accept or reject the application of Special Provision 15-01009 (latest revision) "Price Adjustment
for Asphalt Material."
Answer 'Accept' if you accept this provision. Answer 'Reject' if you reject this provision and the provision will not be
part of the contract.
◯ Accept ◯ Reject
Contractor: Check:Page 10
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 04-06-26
CERTIFICATION OF COMPANY NOT CURRENTLY ENGAGED IN THE PROCUREMENT OR
USE OF PROHIBITED FOREIGN UNMANNED AERIAL SYSTEMS
Effective December 22, 2025, the American Security Drone Act of 2023 (ASDA) and OMB Memorandum M-26-02 strictly
prohibits the use of federal funds for unmanned aerial systems (UAS) manufactured by covered foreign entities including
any aircraft, flight controller, camera, or ground control station supplied by a manufacturer that is based in, or
subject to the control of, a foreign adversary country, specifically the People’s Republic of China. This prohibition
restricts the use of drones from these countries on any federal-aid project even if the drone related costs are billed
separately or not at all. Any use of these covered drones including operation, maintenance or data processing on federal
aid projects is prohibited.
The Contractor agrees that the procurement and/or use of any drone (UAS) to complete any primary or supporting tasks
within the scope of this Contract, as well as any subcontracts, will comply with the following directives:
• National Defense Authorization Act (NDAA) - American Security Drone Act of 2023 (ASDA, Pub. L. No. 118-31).
• Office of Management and Budget Memorandum M-26-02 - Restrictions on using federal funds to purchase or operate
prohibited foreign UAS.
• Federal Acquisition Regulation Clause 52.240-1 - Prohibition on Unmanned Aircraft Systems Manufactured or Assembled by
American Security Drone Act-Covered Foreign Entities.
If Contractor has violated, misrepresented, or otherwise fails to comply with this certification document as determined
by KDOT, KDOT may terminate this Contract according to Section 108.11 of the State Specifications for State Road and
Bridge Construction (2015 Edition).
By signing the below, Contractor acknowledges and agrees to comply with the provisions of this policy.
CONTRACTOR
____________________________________
Signature, Title
____________________________________
Date
*4/6/26 C&M (JVN)
April-2026 Letting
Contractor: Check:Page 11
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
REQUIRED CONTRACT PROVISION - 01-01-11-R01 (01-01-11-R01)
TAX CLEARANCE CERTIFICATE
Answer 'Yes' if the Contractor has a current Tax Clearance Certificate. Answer 'No' if the Contractor does not have a
current Tax Clearance Certificate.
◯ Yes ◯ No
Insert the Tax Clearance Confirmation Number if available at the time of bidding:
Contractors shall have a current Tax Clearance Certificate from the Kansas Department of Revenue [KDOR] at the time of
contract award. The Tax Clearance process is a tax account review by KDOR to determine that the Contractor's account is
compliant with Kansas tax laws administered by the Director of Taxation. The Secretary will reject the Contractor's
Proposal as non-responsive if the Contractor does not have a current Tax Clearance Certificate at the time of the
contract award.
To obtain a Tax Clearance Certificate, the Contractor shall complete and submit to KDOR an Application for Tax Clearance
obtained from KDOR's website at http://www.ksrevenue.org/taxclearance.htm. The Application Form can be completed and
submitted on-line, by mail, or by fax. After the Contractor submits the Application, KDOR will provide the Contractor a
Transaction ID number. The Contractor shall use the Transaction ID number to retrieve the Tax Clearance Certificate.
Decisions on on-line applications are generally available the following business day.
After the Contractor obtains the Tax Clearance Certificate, the Contractor shall insert on this Required Contract
Provision the Confirmation Number contained in the Certificate or the Contractor shall submit a copy of the Tax
Clearance Certificate to the KDOT Bureau of Construction and Materials by hand delivery, mail, e-mail or fax. Before
awarding a contract, the Bureau of Construction and Materials will authenticate the Certificate through the Confirmation
Number inserted on this Required Contract Provision or contained on the Certificate submitted.
If the Contractor is unable to retrieve the Tax Clearance Certificate or if KDOR denies the Contractor's Application for
Tax Clearance, the Contractor shall call KDOR's Special Projects Team at 785-296-3199 to determine why KDOR failed to
issue the certificate.
Tax Clearance Certificates are valid for 90 days after issue. To renew a clearance, submit a new Tax Clearance
Application. Information pertaining to a Tax Clearance is subject to change for various reasons, including a state tax
audit, federal tax audit, agent actions, hearings, and other legal actions. The Tax Clearance Certificate is not
"clearance" for all types of taxes the State of Kansas may assess.
Subcontractors also shall have a current Tax Clearance Certificate from KDOR before the Secrtary approves them for
subcontract work. The Contractor shall submit to the KDOT Field Office the Subcontractor's Tax Clearance Certificate
with KDOT Form 259, Request for Approval of Subcontractor.
Contractor: Check:Page 12
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
Line Number Item Number Quantity Unit Unit Price Extension Price
Section 01
COMMON ITEMS
1 020100 1.000 LS
CONTRACTOR CONSTRUCTION STAKING /
2 025600 1.000 EACH
FIELD OFFICE AND LABORATORY (TYPE A) /
3 025323 1.000 LS
MOBILIZATION /
4 025200 1.000 LS
REMOVAL OF EXISTING STRUCTURES /
5 020001 1.000 LS $4,000.000 $4,000.00
MAINTENANCE AND RESTORATION OF HAUL ROADS (SET PRICE) / NON PART
6 071554 1.000 CUYD $225.000 $225.00
CONCRETE FOR SEAL COURSE (SET PRICE) /
7 040707 1.000 LS
CURING ENVIRONMENT /
8 025168 1.000 CUYD $60.000 $60.00
GRANULAR BACKFILL (WINGWALLS) (SET PRICE) /
9 012340 1.000 CUYD $40.000 $40.00
FOUNDATION STABILIZATION (SET PRICE) /
10 070580 1.000 HOUR $30.000 $30.00
FLAGGER (SET PRICE) /
Section 01 Total 4,355.00
Section 02
ROAD ITEMS
11 025361 1.000 LS
CLEARING AND GRUBBING /
12 060359 1.000 LS
CLEANING EXISTING STRUCTURE /
13 012410 10056.000 CUYD
COMMON EXCAVATION (RURAL SMALL) /
14 012415 655.000 CUYD
COMMON EXCAVATION (CONTRACTOR FURNISHED) /
15 012420 1002.000 CUYD
ROCK EXCAVATION /
16 012317 5019.000 CUYD
COMPACTION OF EARTHWORK (TYPE A) (MR-5-5) /
17 012319 18.000 CUYD
COMPACTION OF EARTHWORK (TYPE AA) (MR-5-5) /
18 030189 22719.000 SQYD
SALVAGED TOPSOIL /
19 010114 1.000 MGAL $40.000 $40.00
WATER (GRADING) (SET PRICE) /
20 050500 76.000 LNFT
CROSS ROAD PIPE ( 18") /
21 050700 120.000 LNFT
CROSS ROAD PIPE ( 24") /
22 051100 36.000 LNFT
CROSS ROAD PIPE ( 36") /
23 054550 6.000 EACH
END SECTION ( 18") /
Contractor: Check:Page 13
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
24 054600 4.000 EACH
END SECTION ( 24") /
25 054700 2.000 EACH
END SECTION ( 36") /
26 050775 40.000 LNFT
ENTRANCE PIPE ( 24") /
27 071021 41.000 SQYD
BRIDGE BACKWALL PROTECTION SYSTEM /
28 023456 325.000 LNFT
GUARDRAIL, STEEL PLATE (MGS) /
29 030567 5.000 EACH
GUARDRAIL END TERMINAL (MGS-FLEAT) /
30 070974 255.000 CUYD
SLOPE PROTECTION (RIPRAP STONE) /
31 011590 1.000 CUYD $50.000 $50.00
TEMPORARY SURFACING MATERIAL (AGGREGATE) (SET PRICE) /
32 072144 10.000 EACH
RIGHT-OF-WAY SURVEY MONUMENT /
33 025320 1.000 EACH
MONUMENT BOX /
Section 02 Total 90.00
Section 03
TEMP PRJ WTR POL CTL-SOIL EROSION
34 072223 600.000 LBS.
TEMPORARY FERTILIZER (16-20- 0) /
35 030537 195.200 LBS.
SOIL EROSION MIX /
36 072285 17206.000 SQYD
EROSION CONTROL (CLASS 1) (TYPE C) /
37 072287 1971.000 SQYD
EROSION CONTROL (CLASS 2) (TYPE E) /
38 071291 1.000 CUYD $50.000 $50.00
SEDIMENT REMOVAL (SET PRICE) /
39 072400 1.000 LNFT $2.000 $2.00
TEMPORARY BERM (SET PRICE) /
40 072411 1071.000 SQYD
GEOTEXTILE (EROSION CONTROL) /
41 010598 1193.000 LNFT
SILT FENCE /
42 000098 1.000 LS
SWPPP DESIGN /
43 000097 57.000 EACH
SWPPP INSPECTION /
44 000103 57.000 EACH
WATER POLLUTION CONTROL MANAGER /
45 010123 1.000 MGAL $40.000 $40.00
WATER (EROSION CONTROL) (SET PRICE) /
Section 03 Total 92.00
Section 04
BR. NO. 96-68-127.87 (057)
Contractor: Check:Page 14
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
46 012400 317.000 CUYD
CLASS I EXCAVATION /
47 012401 228.000 CUYD
CLASS II EXCAVATION /
48 012073 841.800 CUYD
CONCRETE (GRADE 4.0) (AE) (SW) /
49 072350 303.300 CUYD
CONCRETE (GRADE 4.0) (AE) /
50 025103 227020.000 LBS.
REINFORCING STEEL (GRADE 60) (EPOXY COATED) /
51 025100 9450.000 LBS.
REINFORCING STEEL (GRADE 60) /
52 014070 3884.000 LNFT
PILES (STEEL) (HP12X53) /
53 014054 158.000 LNFT
TEST PILES (SPECIAL) (HP12X53) /
54 014240 30.000 LNFT
PRE-DRILLED PILE HOLES /
55 071021 64.000 SQYD
BRIDGE BACKWALL PROTECTION SYSTEM /
56 014184 52.000 SQYD
ABUTMENT STRIP DRAIN /
57 014477 1.000 LS
TEMPORARY SHORING /
58 070974 557.000 CUYD
SLOPE PROTECTION (RIPRAP STONE) /
59 013333 1008.000 SQYD
BRIDGE DECK GROOVING /
Section 04 Total
Section 05
10' TO 20' STRUCTURE ITEMS (000) (STA 544+28)
60 012083 23.800 CUYD
CONCRETE (GRADE 4.0) (RCB) /
61 011899 10.600 CUYD
CONCRETE (GRADE 4.0) (AE) (RCB) /
62 071021 41.000 SQYD
BRIDGE BACKWALL PROTECTION SYSTEM /
63 025100 630.000 LBS.
REINFORCING STEEL (GRADE 60) /
64 025103 3440.000 LBS.
REINFORCING STEEL (GRADE 60) (EPOXY COATED) /
65 012341 15.000 CUYD
FOUNDATION STABILIZATION /
Section 05 Total
Section 06
CONCRETE SURFACING ITEMS
66 013606 470.000 SQYD
CONCRETE PAVEMENT (10" UNIFORM) (AE) (BR APP) /
67 025509 56.400 CUYD
BRIDGE APPROACH SLAB FOOTING /
Contractor: Check:Page 15
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
Section 06 Total
Section 07
ASPHALT SURFACING ITEMS
68 041003 3109.000 TON
HMA-COMMERCIAL GRADE (CLASS A) /
69 010169 4347.000 SQYD
AGGREGATE BASE (AB-3) ( 6") /
70 081496 2087.000 TON
SURFACING MATERIAL (AB-3) /
71 010107 1.000 MGAL $40.000 $40.00
WATER (AGGREGATE BASE) (SET PRICE) /
72 025600 1.000 EACH
FIELD OFFICE AND LABORATORY (TYPE A) /
73 010354 1.000 MGAL $40.000 $40.00
WATER (AGGREGATE SHOULDERS) (SET PRICE) /
74 013535 312.000 SQYD
AGGREGATE SHOULDER (AS-1) ( 4") /
Section 07 Total 80.00
Section 08
RUMBLE STRIPS
75 032406 6.800 STA.
RUMBLE STRIPS (MILLED) (ASPHALT) (CENTERLINE) /
Section 08 Total
Section 09
SIGNING ITEMS
76 014176 4.000 EACH
SIGNING OBJECT MARKER (TYPE 2) /
Section 09 Total
Section 10
PAVEMENT MARKING ITEMS
77 023140 17042.000 LNFT
PAVEMENT MARKING (MULTI-COMPONENT) (WHITE) ( 6") /
78 023143 5290.000 LNFT
PAVEMENT MARKING (MULTI-COMPONENT) (YELLOW) ( 4") /
Section 10 Total
Section 11
TRAFFIC CONTROL ITEMS
79 025331 7400.000 EADA
WORK ZONE SIGNS ( 0 TO 9.25 SQ.FT.) /
80 025332 14430.000 EADA
WORK ZONE SIGNS ( 9.26 TO 16.25 SQ.FT.) /
81 025376 4810.000 EADA
WORK ZONE BARRICADES (TYPE 3 - 4 TO 12 LIN. FT.) /
Contractor: Check:Page 16
Letting 11/18/2026 Kansas Department of Transportation Project No. K096-068 KA 5752-01
Contract No. 526112636
82 011492 22200.000 EADA
CHANNELIZER (PORTABLE) /
83 025343 5920.000 EADA
WORK ZONE WARNING LIGHT (TYPE "A" LOW INTENSITY) /
84 070916 160.800 STAL
PAVEMENT MARKING (TEMP) 4" SOLID (TYPE I) /
85 013019 5286.000 LNFT
PAVEMENT MARKING REMOVAL /
86 070619 22.000 EACH
RIGID RAISED PAVEMENT MARKER (TYPE I) /
87 025308 1.000 LS
TRAFFIC SIGNAL INSTALLATION (TEMPORARY) /
88 072116 1.000 LS
TRAFFIC CONTROL (INITIAL SETUP) /
89 046038 2.000 EACH
INERTIAL BARRIER SYSTEM (TL-3) /
90 018154 15.000 EACH
REPLACEMENT MODULES (IBS) /
91 011927 1450.000 LNFT
CONCRETE SAFETY BARRIER (TYPE F3) (TEMPORARY) /
92 011929 1450.000 LNFT
CONCRETE SAFETY BARRIER (TYPE F3) (TEMPORARY - RELOCATE) /
Section 11 Total
Item Total $4,617.00
Contractor: Check:Page 17
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- Contract
- 526112636
- Pdf Pages
- 39
- Latest Start
- JUNE 07, 2027
- Letting Date
- Nov 18, 2026
- List Url Hint
- kdotapp.ksdot.gov/Proposal/Proposal.aspx
- Pdf Enriched
- Yes
- Working Days
- 245
- Categorized By
- llm
- Earliest Start
- MARCH 01, 2027
- Project Number
- K096-068 KA 5752-01
- Work Description
- GRADING, BRIDGE AND SURFACING
- Construction Office
- DODGE CITY
- Federal Project Number
- ACSTP-A575(201)
Kansas Department of TransportationIssuing agency·Kansas·via a public procurement portal