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1 Tender No. [ ] Tender Forms Page 1 1. FROM (Bidder): (Name) (Address) TO: Alberta Transportation, Strategic Procurement Branch Main Floor, Twin Atria Building 4999 Avenue 5000 Edmonton, Alberta, T6B 2X3 PROJECT: [ project name in upper case ] [ contract name in title case ] 2. This forms a part of the bid for the above project. 3. The following conditions apply to the List of Subcontractors:.1 Names are entered, where applicable, for items of work listed..2 Items of work for which the Bidder intends to use Subcontractors, Subsubcontractors, Suppliers and own-forces are so indicated..3 Should the Bidder be awarded the Contract, parties named, including the Bidder's own forces, shall be used to perform the work they are scheduled to perform and shall not be changed without the Minister's prior written consent. 4. The following conditions apply to the Breakdown:.1 Separate itemized costs are entered for the items of work listed..2 s entered for items of work to be performed by the Bidder's own forces are costs of doing work exclusive of general requirements costs..3 s entered for subcontract work are subcontract bid prices and do not include the Bidder's general requirements costs.

2 Tender No. [ ] Tender Forms Page 2.4 s entered for sub-subcontract work are the sub-subcontract bid prices and do not include the subcontract bidder's nor the Bidder's general requirements costs..5 s entered for supply items are the supply prices and do not include general requirements or installation costs..6 entered for Miscellaneous Items of Work:.1 is a lump sum which includes costs for all items of work which are not itemized separately, such that the total of all costs entered in the Breakdown may equal the stipulated bid price entered in the Bid Form, and.2 may include subcontract prices, sub-subcontract prices, supply prices and cost of work by the Bidder's own forces but does not include the Bidder's general requirements costs..7 entered for General Requirements is a lump sum which includes the Bidder's profit, operating overhead, job overhead and other general requirements items. [.8] s entered for items of work bid through the Alberta Construction Tendering System (ACTS) are the bid prices submitted through ACTS. [5.] Trades closing through ACTS are indicated by means of an asterisk (*). In the event of conflict between this section and the Instructions to Bidders with respect to trades indicated as closing through ACTS, the Instructions to Bidders shall govern. 6. : See next page.

3 Tender No. [ ] Tender Forms Page 3 Division 2 Demolition $ Structure Moving $ Site Clearing $ Dewatering $ Cofferdams $ Earthwork Hauling [and Stockpiling] $ Excavation $ Blasting $ Drilling and Grouting $ Filling and Compaction $ Geotextiles $ Tunneling $ * Piling $ Asphalt Paving $ Chain Link Fencing $ [Supply of ] $

4 Tender No. [ ] Tender Forms Page 4 Division 3 Cast-in-Place Concrete $ Cast-in-Place Concrete Formwork $ * Supply of Reinforcing Steel $ * Placement of Reinforcing Steel $ Pre-Cast Concrete $ Division 4 Division 5 * Structural Steel $ * Miscellaneous Steel $ [Hydraulic Metal Fabrications] [Penstocks, Bulkheads] $ Division 6

5 Tender No. [ ] Tender Forms Page 5 Division 7 Waterproofing and Dampproofing $ Division 9 * Painting $ Division 10 Division 11 Water Supply and Treatment Equipment $ [Hydraulic Gates, and Valves] $ Division 13 Sound, Vibration and Seismic Control $ Pre-Engineered Structures $ * Instrumentation $

6 Tender No. [ ] Tender Forms Page 6 Division 15 * Mechanical $ Division 16 * Electrical $ 7. Allowances: [ ] [ ] [ ] 8. Miscellaneous Items of Work: of all other items of work not itemized separately: (Refer to clause 4.6 of this section) $ 9. General Requirements: General Requirements : $ General Requirements Breakdown: END OF SECTION

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