DOCUMENT REQUEST FORM

One City Plaza
PO Box 13012
Yuma, AZ 85366-3012
(928) 373-5100
(928) 373-5101 Fax
(928) 373-5149 TTY

REQUEST FOR BID:          2010000042
PROJECT TITLE:            Avenue C-Riverside Drive to Figueroa Avenue 24” Sewer Forcemain Construction
BID DUE DATE:             Thursday, September 10, 2009 No Later Than 2:00 PM (AZ Time)
BUDGET AMOUNT:            $665,000.00
Scope of Work:
The work includes the installation of approximately 1400lf of new 24” diameter sanitary sewer forcemain from
the City of Yuma’s Existing Avenue C lift station to a new concrete manhole at Figueroa Avenue and 1st Street.
                            Note:   These documents are not available by fax or e-mail.
Attention Vendor: If you are interested in receiving the above referenced solicitation, please complete this form and e-
mail this form to or fax it to (928) 373-5109. The Project Manual and Plans fully
describes the scope of work and other requirements of the project, as well as the Bid Proposal Form.
Local bidders should stop by the City of Yuma Purchasing Division, One City Plaza, Yuma, AZ to pick up the
Project Manual and CD containing the plans. (One set per company).
Potential out of town bidders may obtain a copy of the specifications and plans at no cost, except shipping
charges. Should a potential bidder desire additional sets of the documents the same shall be provided for a
NONREFUNDABLE fee of $100.00 per each additional set. Information on other City of Yuma bids is available on local
Channel 73, or the City’s website at

                                OUT OF TOWN BIDDERS ~PLEASE PRINT CLEARLY

Company Name                                                  Contact
Address                                                       E-Mail
City                                                          State                                Zip
Phone                                                         Fax

 All Documents will be sent to out of town potential bidders as requested below, please complete the following:
Bill my Account #                                                         FEDERAL EXPRESS
                                                            Priority Overnight (Next Business Morning)
Address: (No Post Office Box)                               Standard Overnight (Next Business Afternoon)
                                                            1st Day-Overnight
                                                            2nd Business Day
State                       Zip                             3rd Business Day (Express Saver)
        For Purchasing Division Use Only                                                UPS
Tracking #_______________________________                   NEXT DAY AIR                                              GROUND

CITY OF YUMA – PURCHASING                                                   Commitment ● Communication ● Accessibility ● Innovation
Last Revised 8/11/2009

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