Resolution No. 2026-027 – A Resolution Setting the Date of May 19, 2026, for a Public Hearing on the Plans, Specifications for Village Drive and Roberts Ferry Road Traffic Signal Project and Opening of Bids on May 14, 2026 — I.2

PROPOSAL ATTACHMENT: PART F Project Name: Roberts Ferry Road & Village TSB RESPONSIBILITIES Drive Traffic Signal Improvements All bidders must submit the following completed form to the governmental body requesting bids per 875 Iowa Administrative Code Chapter 156. Bidder Status Form To be completed by all bidders Part A Please answer “Yes” or “No” for each of the following: ☐ Yes ☐ No My company is authorized to transact business in Iowa. (To help you determine if your company is authorized, please review the worksheet on the next page). ☐ Yes ☐ No My company has an office to transact business in Iowa. ☐ Yes ☐ No My company’s office in Iowa is suitable for more than receiving mail, telephone calls, and e-mail. ☐ Yes ☐ No My company has been conducting business in Iowa for at least 3 years prior to the first request for bids on this project. ☐ Yes ☐ No My company is not a subsidiary of another business entity or my company is a subsidiary of another business entity that would qualify as a resident bidder in Iowa. If you answered “Yes” for each question above, your company qualifies as a resident bidder. Please complete Parts B and D of this form. If you answered “No” to one or more questions above, your company is a non-resident bidder. Please complete Parts C and D of this form. To be completed by resident bidders Part B My company has maintained offices in Iowa during the past 3 years at the following addresses: Dates: / / to / / Address: City, State, Zip: Dates: / / to / / Address: City, State, Zip: Dates: / / to / / Address: You may attach additional sheet(s) if needed. City, State, Zip: To be completed by non-resident bidders Part C 1. Name of home state or foreign country reported to the Iowa Secretary of State: 2. Does your company’s home state or foreign country offer preferences to bidders who are residents? ☐Yes ☐ No 3. If you answered “Yes” to question 2, identify each preference offered by your company’s home state or foreign country and the appropriate legal citation. You may attach additional sheet(s) if needed. To be completed by all bidders Part D I certify that the statements made on this document are true and complete to the best of my knowledge and I know that my failure to provide accurate and truthful information may be a reason to reject my bid. Firm Name: Signature: Date: Proposal PP-7 Roberts Ferry Road & Village Drive Traffic Signal Improvements