Okaloosa County BOCC — August 2, 2016 — CW ROBERTS BID SHEET

BID SHEET Date Submitted: June 1, 2016 BID#: RFB PW 57-16 BID TITLE: ASPHALT MATERIALS ASPHALT CONCRETE SURFACE COURSE TYPE SP-9.5: Price per ton picked up at plant § = 7/ 22 Price per ton delivered within 25 miles of Ft Walton Beach, FL $ é?% .Sso Price per ton delivered within 25 miles of Crestview, FL $ é = ASPHALT CONCRETE SURFACE COURSE TYPE SP-12.5: Price per ton picked up at plant $ Bz =~ 2 Price per ton delivered within 25 miles of Ft Walton Beach, FL. $ &6 -2 so Price per ton delivered within 25 miles of Crestview, FL $ 66 = ASPHALT CONCRETE SURFACE COURSE TYPE SP-19: Price per ton picked up at plant § B 1/,_9_0, - . . 00 Price per ton delivered within 25 miles of Ft Walton Beach, FL $ é? — .S Price per ton delivered within 25 miles of Crestview, FL $ &8> OPEN GRADED FRICTION COURSE (FC-2): Price per ton picked up at plant $ G0 22 Price per ton delivered within 25 miles of Ft Walton Beach, FL. § SO = Price per ton delivered within 25 miles of Crestview, FL $ / 4 ‘7/% ASPHALT BASE COURSE — 3 (ABC): Price per ton picked up at plant g S 2 Price per ton delivered within 25 miles of Ft Walton Beach, FL $ éé 22 ) Price per ton delivered within 25 miles of Crestview, FL. $ é’é =" TACK MATERIAL: Tack Material to be picked up at plant — price per gallon D AN Tack Material to be delivered to jobsite & spread — price per gallon PRIME MATERIAL: MC-70 and/or SSIH Prime Material to be picked up at plant — price per gallon MC-70 and/or SSIH Prime Material to be delivered to jobsite & spread — price per gallon $ > |a A\ A\ Remarks: ANTI-COLLUSION STATEMENT: The below signed respondent has not divulged to, discussed or compared his bid with other respondents and has not colluded with any other respondent or parties to bid whatever. (Note: No premiums, rebates, or gratuities permitted either with, prior to, or after any delivery of materials. Any such violation will result in the cancellation and/or return of material (as applicable) and the removal from bid list(s). C.W. Roberts Contracting, Inc. Respondent’s Company Name ature — Manual 160 Industrial Park Road Darryl Carpenter Authorized Signature — Typed Freeport, Florida 32439 Vice President Address Title 850-835-3500 Ext 232 850-880-6158 Phone # Fax # 59-1683951 criley@cwrcontracting.com Federal ID # or SS # E-mail address