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2009 West Bid Certs & Reps
SEBASTIAN MUNICIPAL AIRPORT RUNWAY4-22 IMPROVEMENTS �A■=EL-WA CONSTRUCT ■ ON West Construction, Inc. 318 South Dixie Highway, Suite 4-5 Lake Worth, FL 33460 (561)588-2027 GENERAL CONTRACTORS CONSTRUCTION MANAGERS DESIGNIBUILD SERVICES CGCO07966 CBC057038 CBC1251192 -d- 0 2 BID FORMS Bidders shall submit, on the forms provided (Attachments 1-7), the information required. Bidders that fail to complete and show evidence of compliance with the following subsections shall be considered unqualified, and shall not be given further consideration in the bid process. 2.1 Licensing Bidder shall be licensed in accordance with the following: Chapter 489, Part I, Florida Statutes and Chapter 61G4, Florida Administrative Code. Bidder shall provide copy of license as part of bid documents. Contractor shall be able to be properly licensed in the City of Sebastian before beginning construction. If the Bidder is a joint venture, the individual empowered by a properly executed Declaration of Joint Venture and Power of Attorney Form shall execute the proposal. The proposal shall clearly identify who will be responsible for the engineering, quality control, and geotechnical and construction portions of the Work, and license numbers and copies of these licenses/professional registrations shall be provided with Attachment 1. 2.2 Drug Free Workplace Statement The Drug -Free Workplace form, as attached hereto, shall be submitted with the qualification package. 2.3 Public Entity Crimes Any person or firm submitting a Proposal in response to this invitation must execute the attached SWORN STATEMENT UNDER SECTION 287.133, FLORIDA STATUES, PUBLIC ENTITY CRIMES, including proper check(s) in the space(s) provided, and enclose it with said qualifications package. 2.4 Bid Price Bid prices shall be submitted on the Bid Price Form (Attachment 5) attached hereto and shall include prices for the items listed. The prices shall include all costs for all construction of the Project, and all other work necessary to fully and timely complete that portion of the Project in accordance with the Contract Documents, as well as all job site and home office overhead, and profit, it being understood that payment of that amount for of the Project will be full, complete, and final compensation for the work required to complete the Project. The Bid price shall be delivered in a sealed package, within the time specified in the advertisement, to the following: Mr. Joe Griffin, Airport Manager Sebastian Municipal Airport 202 Airport Drive East Sebastian, FL 32958 (772) 228-7001 The package shall indicate clearly that it is the Bid and shall identify clearly the Bidder's name, and project description. The Bid shall be secured and unopened until the date specified for opening of the Bids. xunway 4-c1 improvements Bid Forms Sebastian Municipal Airport August 2009 2-1 of 14 ATTACHMENT 1(CONTRACTOR INFORMATION FORM) TO: Sebastian Municipal Airport 202 Airport Drive East Sebastian, FL 32958 (772) 228-7001 Ladies/Gentlemen: Having carefully examined the Proposal Documents and Drawings entitled Runway 4-22 Improvements, Sebastian Municipal Airport, City of Sebastian, Florida, as well as the premises and conditions affecting the work, and confirming that the sites were visited, as required, by Jason Barbieri (Name of Person or Persons) on 8 / 2 9 / 0 9 (date or dates) the undersigned hereby seeks qualification to furnish all labor and material and to perform all work as required by and in strict accordance with the above-named documents. Principal Office Address: 318 S. Dixie Highway, Suite 4-5 Lake Worth, FL 33460 (1) How many years has your organization been in business as a contractor under your present name? 32 Years (2) How many years experience in construction work has your organization had as a general contractor? 32 Years As a Subcontractor? N/A (3) List below the requested information concerning projects your organization has completed in the last five (5) years for the type of work required in this project. (Use additional sheets if necessary.) Include the type of work similar to the work included in this contract if possible. Project Contract Required Actual Name/Address/Tel Title Amount Completion Date Completion Date of Owner See Attached "Previous Project List" Runway 4-22 Improvements Sebastian Municipal Airport 2-2 of 14 Bid Forms August 2009 (4) Have you ever failed to complete any work awarded to you? If so, where and why? No (5) Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? If so, state name of individual, name of other organization, and reason therefore. No (6) Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? If so, state name of individual, name of owner and reason therefore. No (7) Give below any information which would indicate the size and capacity of your organization, including number of employees, equipment owned by your organization, etc., which are available for utilization on this Contract. See Attached: Key Personnel - Resumes Employees - 70 Equipment Listing (8) What is your bonding capacity? Aggregate Capacity $100,000,000 Single Limit Capacity $25,000,000 (9) What amount of your bonding capacity has been used as of the date of this bid? ?� Runway 4-22 Improvements Bid Forms Sebastian Municipal Airport August 2009 2-3 of 14 (10) How many applications for performance and payment bonds have you made in the last three (3) years? 40 (11) How many of these applications were not approved? 0 (12) Have any claims been filed against your surety bond company in the last five (5) years? If so, describe the nature of the claims and give the names of the surety companies, dates of each claim, identifying numbers of each claim, amounts of each claim, and the status of each claim. (Use additional sheets if necessary.) None I, the undersigned, do hereby declare that the foregoing statements are true and correct, all as of the date hereinafter set forth, and that those examining this document have my permission to contact any or all of those parties listed in this questionnaire. Incorrect or misleading statements in this questionnaire shall be grounds for a determination of nonresponsibility with respect to such contractor. Respectfully Submitted, West Construction, Inc. (Authorized Signature) / 318 S Dixie Hwy, Ste 4-5 Martha A. Morgan `/ Lake Worth, FL 33460 President 9/7/09 561-588-2027 (Title) . (Date) (Address and Telephone No.) FLORIDA STATE CONTRACTOR DATA (Required): Matthew West Martha A. Morgan *Contractor's License Number: CGC1516 6 2 6 CBC0 5 7 03 8 Classification: General Contractor Building Contractor Monetary Limit: Unlimited Unlimited *ATTACH A COPY OF APPROPRIATE LICENSES Runway 4-22 Improvements Sebastian Municipal Airport 2-4 of 14 Bid Forms August 2009 ATTACHMENT 2 (DRUG-FREE WORKPLACE FORM) The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies that West Construction, Inc. does: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug free workplace, any available drug counseling, rehabilitation, employee assistance programs and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in Paragraph 1. 4. In the statement specified in Paragraph 1, notify the employees that, as a condition of working on the commodities or contractual services that the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to any violation of Chapter 1893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than fivc (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug free workplace through implementation of Paragraph 1 through 5. As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. Datc: 9/7/09 v Signature Runway 4-22 Improvements Sebastian Municipal Airport Martha A. Morgan, President 2-5 of 14 Bid Forms August 2009 ATTACHMENT 3 (PUBLIC ENTITY CRIMES FORM) Any person submitting a quote, bid, or proposal in response to this invitation or Agreement, must execute the enclosed form sworn statement under section 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including proper check(s), in the space(s) provided, and enclose it with his quote, bid, or proposal. If you are submitting a quote, bid or proposal on behalf of dealers or suppliers who will ship commodities and receive payment from the resulting Agreement, it is your responsibility to see that copy(ies) of the form are executed by them and are included with your quote, bid, or proposal. Corrections to the form will not be allowed after the quote, bid, or proposal opening time and date. Failure to complete this form in every detail and submit it with your quote, bid, or proposal may result in immediate disqualification of your bid or proposal. The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 - 133, Florida Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes, requires the Florida Department of General Services to maintain and make available to other political entities a "convicted vendor" list consisting of persons and affiliates who are disqualified from public and purchasing process because they have been found guilty of a public entity crime. A public entity crime is described by Section 287.133, Florida Statutes, as a violation of any State or Federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or Agreement for goods or services to be provided to any public entity or with an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. By law no public entity shall accept any bid from, award any Agreement to, or transact any business in excess of the threshold amount provided in Section 287.017, Florida Statutes, for category two (currently $10,000) with any person or affiliate on the convicted vendor list for a period of 36 months from the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate has been removed from the list pursuant to Section 287.133(3)(#), Florida Statutes. Therefore, effective October 1, 1990, prior to entering into an Agreement (formal Agreement or purchase order) in excess of the threshold amount of $10,000 to provide goods or services to THE CITY OF SEBASTIAN, a person shall file a sworn statement with the Contract/Agreement officer or Purchasing Director, as applicable. The attached statement or affidavit will be the form to be utilized and must be properly signed in the presence of a notary public or other officer authorized to administer oaths and properly executed. THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE SL BM IT TED CONI CUR MNTLY WITH YOUR QUOTE OR BID DOCUMENTS. NON- .,,. C I, i ;:0N OF T IHS DOCU M E : SWORN STATEMENT UNDER SECTION 287.133(3)(a), FLORIDA STATUTES. ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted with Bid, Proposal or Agreement No. Runway 4-22 Improvements for THE CITY OF SEBASTIAN. 2. This sworn statement is submitted by West Construction, Inc. (name Of sworn statement) whose business 318 S. Dixie Highway, Suite 4-5, Lake Worth, FL 33460 its Federal Employer Identification (FEIN) is 5 9 -18 0 9 0 6 8 no FEIN, include the Social Security Number statement: of the individual entity submitting address is and (if applicable) (If the entity has signing this sworn 3. My name is Martha A. Morgan (please print name of individual signing) and my relationship to the entity named above is President 4. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or Agreement for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 6. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes. means: (1) A predecessor or successor of a person convicted of a public entity crime; or (2) An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The Runway 4-22 Improvements Sebastian Municipal Airport 2-7 of 14 Bid Forms August 2009 ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 7. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes. means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Agreement and which bids or applies to bid on Agreements for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 8. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Please indicate which statement applies.) X Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement applies.) There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Department of General Services.) Runway 4-22 Improvements Sebastian Municipal Airport 2-8 of 14 Bid Forms August 2009 (Signature) Martha A. organ, President Date: 9/7/09 STATE OF FLORIDA COUNTY OF Palm Beach The foregoing instrument was acknowledged before me this 7th day of September 2009 by Martha A. Morgan President alf of West Construction, Inc (name of partnership), a partnership. He/ is personally known me or has produced as identification di i no an oath. Runway 4-22 Improvements Sebastian Municipal Airport My Co son Expires: Commission Number: 2-9 of 14 e, "`% GEORGIA KARA WSMK MY COMMISSION # DD901493 E CPIRES: Jua023.2013 14MMOT FL Nb9 ryDi 000 Auo0. QD. Bid Forms August 2009 THE AMERICAN INSTITUTE OF ARCHITECTS 0 - AIA Document U10 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we West Construction, Inc. as Principal, hereinafter called the Principal, and Western Surety Company a corporation duly organized under the laws of the State of South Dakota as Surety, hereinafter called the Surety, are held and firmly bound unto City of Sebastian as Obligee, hereinafter called the Obligee, in the sum of FIVE PERCENT OF AMOUNT BID ------------------------------------------ Dollars ($ ---57---- for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Runway 4-22 Improvements- Sebastian Municipal Airport NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and *give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and .material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified .in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 7th day of September 2009 West Construction, Inc. (Pr" cr (Sea!) (Witness) ,/-, 5 Martha A. Morgan,(Tide) Pres' e t Wes ern Surety Company 44_64� Q (Surety) (Seal) (Witness) 1 .1" D. Michael Steveiste) Attorney in Fact AIA DOCUMENT A310 • BID BOND •.AIA ® • FEBRUARY 1970 ED • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D. C. 20006 If Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby matte, constitute and appoint Don A Lambert Jr, D Michael Stevens, Individually of Jupiter, FL, its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to be hereto affixed on this 26th day of November, 2007. `Eo WESTERN SURETY COMPANY � o�PORo Paul ABj7Ufjit, Senior Vice President State of South Dakota ss County of Minnehaha On this 26th day of November, 2007, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires j''''~'`'`~''►'+''''•'•'`+'''4•,•.4..•.ti•. s D. KRELL f November 30, 2012i=8LNOTARY PUBLICsrSOUTH DAKOTA ..* +b4ti4y4ti44ti44444••444MM4ti+ I&a D. Krell, Nollry Public CERTIFICATE 1, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 7th day of September 2009 �yErro WESTERN SURETY COMPANY wQ4�.e0R,gr��� �T/1 QAC" • L. Nelson, Assistant Secretary Form F4280-09-06 SEBAS ATTACHMENT 5 (BID SCHEDULE)'ADDENDUM # 1' MUNICIPAL AIRPORT Bid [tem Specification No. Description p Unit Quantity Unit Price Total Amount (Dollars -Cents) (Dollars -Cents) Base Bid 1 01000 Mobilization LS 1 25000.00 25000.00 2 S-150-1.3 Erosion Control LS 1 8240.00 8240.00 3 S-180-5.1-1 6" Depth Pavement Milling SY 32,900 1.34 44086.00 4 &180-5.1-2 1.5" Depth Pavement Milling SY 200 20.00 4000.00 5 S-190-6.1 Pavement Marking Removal SF 2,000 1.39 2780.00 6 P-401-8.1 Bituminous Pavement TON 20 295.00 5900.00 7 P-603-5.1 Tack Coat (0.1 Gal/SY) GAL 20 20.00 400.00 8 P-610-5.1 Structural Portland Cement Concrete (with Woven Wire Fabric) CY 40 240.00 9600.00 9 P-620-5.1-1 Reflective Pavement Markings(White) SF 5,800 .54 3132.00 10 T-904-5.1 Sodding (Bahia) SY 32,900 1.31 43099.00 11 T- 905-5.1 Topsoil SY 32,900 1.09 35861.00 Hand excavate minimum 8" Wide x 28" Deep In 4.48 448.00 12 L-108-51 earth, Includes all labor, hand excavation, LF 100 backfill and sod restoration, complete in place. Hand excavate minimum 18" Wide x 36" Deep In 13 L-108-5.2 earth, Includes all labor, hand excavation, LF 100 backfill and sod restoration, complete in place. 8.96 896.00 3/4"x 20' Ground Rod Connected to Counterpoise every 500'. Includes all labor, 14 L-108-5.3 installation, ground rod, splice kits, testing, EA 7 168.00 1176.00 backfill, connections, exothermic weld, and etc. complete in place. 314" x 10' Additional Ground Rod Sections. Includes all tabor, excavation, Installation, 15 L-108-5.4 ground rod, splice kits, testing, backfill. EA 2 connections, exothermic weld and etc. complete 67.00 134.00 In place. #6 Bare AWG Solid Counterpoise Conductor Installed above Conduit. Includes all labor, 16 L-108-5.5 excavation, installation, splice kits, testing, LF 1,500 backfill, connections, exothermic weld and etc. 1.12 1680.00 complete In place. #8, SKV, L-824 Conductor Installed In new and existing Condult/ Ductbank/Manhole system. Includes all labor, installation, testing, 17 L-108-5.6 identification, removal and disposal of existing LF 4,000 conductors, pull string, pulling compound, 1.12 4480.00 cleaning and dewatering of conduit systems, splice kits, and etc. for a complete working system in place. 1-2" Schedule 40 PVC conduit direct buried in earth/compacted subgrade complete In place. 18 L-110-5.1 Includes excavation, labor, conduit, connectors. LF 1,100 warning tape, pull string, sod restoration, backfill 4.48 4 92 8.0 0 and eta complete In place. Runway 4-22 Mrprovements Sebastian Municipal Airport 2-11.1 of 11.5 *ADDENDUM # 1* Bid Schedule August 2009 ATTACHMENT 5 (BIR SCHEDULE) 'ADDENDUM # 1' _, 1vtLtNICIPAL AIRPORT Runway 422 improvements Sebastian Municipal Airport 2-11.2 of 11.5 "ADDENDUM 9 P Bid Schedule August 2009 1-2" Schedule 40 PVC concrete encased conduit Installed in existing full strength pavement complete In place. Includes saw 19 L-110-5.2 cutting of pavement, excavation, concrete, LF 400 11.2 0 4480.00 conduit, connectors, warning tape, pull string, labor backfill, asphalt and pavement repair and etc. complete in place. Intercept existing conduit system in earth/existing pavement, connect to new conduit system and extend circuit conductors accordingly. Includes hand excavation, saw cut of pavement, backfill, shoulder repair, concrete, 20 L-110-5.3 conductor removal and replacement, connection EA 56.00 672.00 to existing circuit conductors, cleaning and 1 Z dewatering of conduits, connector kits, pull string, connection of counterpoise, identification, conduit, couplings, labor and etc. complete in place. L-86716" diameter junction can with cover installed in earth/new shoulder pavement. Includes Installation, excavation, base can, 21 L-115-5.1 concrete, L-867 cover, connector kits, rock, �' 4 ground lugs, exothermic weld, ground rods, 616.00 2464.00 safety ground, testing, stainless steel bolts, anti - seize compound, backfill, Identification, sod restoration and etc. complete in place. Adjust existing L-86812" diameter junction can In existing full strength pavement. Includes coring of pavement, L-868 cover, extension 22 L-115-5.2 rings, spacers, dam rings, P-606, P605, circuit identification, connector kits,anti-seizing EA 1 280.00 280.00 compound, concrete, pavement repair, excavation, labor and etc. complete in place Intercept existing L-867 light base can in earth/existing pavement, connect to new conduit system and extend circuit accordingly. Includes 23 L-115-5.3 saw cutting, hand excavation, core drill and EA 45 140.00 6300.00 repair can, backfill, concrete, pavement repair, labor and etc. complete in place. New L-861 Runway Elevated Edge Light and base can Installed in earth/new shoulder pavement. Includes excavation, fixture, L-867 base can, concrete, stainless steel hardware, 24 L-125-5.1 anti -seizing compound, backfill, identification, EA 2 896.00 1792.00 splice kits, base plate, ground rod, safety ground, ground lug. exothermic weld, transformer, connector kits, testing, rock, labor and etc. complete in place Relocate existing L-861 Runway elevated edge Light with new base can installed in earth/compacted subgrade,complete. Includes excavation, core drill, new L-867 base can, concrete, stainless steel hardware, anti -seizing 25 L-125-5.2 compound, backfill, Identification, splice kits, EA 41 ground rod, safety ground, ground lug, 840.00 34440.00 exothermic weld, new transformer, new lamps, clean lens, connector kits, testing, labor and etc. complete In place Runway 422 improvements Sebastian Municipal Airport 2-11.2 of 11.5 "ADDENDUM 9 P Bid Schedule August 2009 s. ATTACHMENT 5 (BID SCHEDULE)'ADDENDUM N 1' .rat MUNICIPAL AtRPc1. RT Runway 4-22 Improvements *ADDENDUM N 1* Sebastian Municipal Airport Bid Schedule 2-11.3 of 11.5 August 2009 Relocate existing Runway Flush edge Light and new base can installed in existing full strength/shoulder pavement. Includes 2 piece 12" diameter L-868 base can, coring of pavement, extension rings, spacers, new lamps, dam rings, P-606, P605, circuit Identification, 26 L-125-5.3 connector kits, rebar, grounding, new EA 5 2464.00 12320.00 transformers, stainless steel hardware, anti - seizing compound, exothermic weld, safety ground, ground lug, ground rod, testing, concrete, pavement repair, excavation, labor and etc. complete In place Provide new L-867 cover on existing 12" diameter base can, complete. Includes labor, sawcutting of existing asphalt, removal of 27 L-125-5.4 fixtures, new L-867 cover, connections, splice EA 37 84.00 3108.00 kits, disconnection of existing circuit, relocation of fixture, reconnectlon of existing circuit, connector kits, temporary wiring, and etc. complete in place. Provide new L-868 cover on existing 12" diameter L-868 base can in existing shoulder, complete. Includes labor, sawcutting of existing asphalt,fucture removal, L-868 cover, 28 L-125-5.5 connections, splice kits, disconnection of EA 4 84.00 336.00 existing circuit, relocation of fixture, drilling and tapping of damaged bolts, reconnection of existing circuit, temporary wiring, and etc. complete In place. Provide new L-868 cover on existing 12" diameter L-868 base can in existing full strength pavement, complete. Includes labor, coring of existing pavement, L-868 cover, fixture removal, connections, splice kits, relocation of fixture, new 29 L-125-5.6 spacer rings, P-605, drilling and tapping of EA 2 84.00 168.00 damaged bolts, new bolts, disconnection of existing circuit, relocation of fixture, reconnection of existing circuit, temporary wiring, and etc. complete in place. Removal of existing base can Installed In earth, 30 L-125-5.7 complete. Includes excavation, disposal of base EA 12 can and relocation of edge light, backfill, sod 112.00 1344.00 restoration, labor and etc. Identification of Cables, Ductbanks and Lighting 31 L-125-5.8 Fixtures per FAA Specifications. includes LS 1 1120.00 1120.00 concrete duct markers, tags, labor, testing, and etc. complete in place. Provide and maintain temporary wiring and conduits for lighting beyond construction area during construction. Includes jumpers, conduits, 32 L-125-5.9 conductors, connector kits, splice kits, LS 1 1120.00 1120.00 sandbags, anchors. Identification, equipment, dewatering, testing, labor and etc. for a complete working system in place. Runway 4-22 Improvements *ADDENDUM N 1* Sebastian Municipal Airport Bid Schedule 2-11.3 of 11.5 August 2009 SERASUMN ATTACHMENT 5 (BID SCHEDULE) 'ADDENDUM # 1' MUNICIPALAIRPORT Additive Bid 1 Intercept existing circuit conductors in existing 1 S-190-6.1 Pavement Marking Removal SF 400 base can, complete. Includes conductor removal 584.00 2 P-620-5.1-1 Reflective Pavement Markings (White) SF 21,100 and replacement, connector kits, transformer, 11816.00 3 P-620-5.1-2 Reflective Pavement Markings (Yellow) 33 L-125.5.10 splice kits, drilling and tapping of threaded bolt hole, new stainless steel hardware, testing, EA 85 8 4 . 0 0 7140.00 SF 1,600 identification, labor and etc. for a complete 896.00 TOTAL ADDITIVE 1 AMOUNT= $ 15144.00 TOTAL BID AMOUNT FOR BASE BID + ADDITIVE 1= $ working system In place. Relocate existing L-861 Runway elevated edge Light with new base can Installed In existing pavement,complete. Includes excavation, core drill, new L-867 base can, concrete, stainless steel hardware, anti-se€zing compound, backfill, 34 L-125-5.11 identification, splice kits, ground rod, pavement EA B 896.00 7168.00 repair, safety ground, ground lug, exothermic weld, new transformer, new lamps, clean lens, connector kits, testing, labor and etc. complete in place 35 - YANMAR 2700 Diesel generator EA 2 3360.00 6720.00 36 1730 As -Built survey LS 1 5000.00 5000.00 TOTAL BASE BID AMOUNT= $ 291,812.00 Additive Bid 1 1 S-190-6.1 Pavement Marking Removal SF 400 1.46 584.00 2 P-620-5.1-1 Reflective Pavement Markings (White) SF 21,100 .56 11816.00 3 P-620-5.1-2 Reflective Pavement Markings (Yellow) SF 3,300 .56 1848.00 4 P-620-5.1-3 Non -reflective Pavement Markings(Black) SF 1,600 .56 896.00 TOTAL ADDITIVE 1 AMOUNT= $ 15144.00 TOTAL BID AMOUNT FOR BASE BID + ADDITIVE 1= $ 306,956.00 Runway 4-22 Improvements Sebastian Municipal Airport 2-11.4 of 11.5 *ADDENDUM # V Bid Schedule August 2009 ATTACHMENTS (BID SCHEDULE) *ADDENDUM it 1' MUNKIPAL AI PORT BIDDERS must submit bid prices for the Base Bid and the "Additive" shown above. The undersigned, having become thoroughly familiar with all of the Agreement & Bidding Documents incorporated herein, the project location and the site conditions, and the time schedule affecting the work, hereby proposes to perform everything required be performed in strict conformity with the requirements of these documents, and to provide and furnish all the supervision, labor, equipment, materials and tools necessary to provide the construction services meeting or exceeding the specifications as set forth herein for the prices quoted above. The price(s) quoted is (are) inclusive of any Addenda which may be issued. The City reserves the right to award the Work based on the lowest price bid for either (1) the Total Base Bid only, or (2) the Total Base Bid and the Additive, providing that the Bidder is both responsible and responsive. Therefore the "Total Base Bid Price" or the total resulting from adding the Total Base Bid plus Additive must be ready to stand on its own. By the signature below, the Contractor agrees that this Bid Proposal is made without any other understanding, agreement, or connection with any other person, corporation, or firm submitting a bid for the same purpose and that the bid is in all respects fair and without collusion or fraud. If awarded this bid, the Contractor agrees to enter into a contract with the City of Sebastian within ten (10) consecutive calendar days of Notice of Award by the City, and agrees to all the terms and conditions of all documents stated herein for the above stipulated prices which shall remain firm for ninety (90) days following bid opening date. Failure to execute the Contract as stipulated above may result in the forfeiture of the Bid Bond in its entirety. e Quantities indicated on this Bid are estimated and shall only be used for the Purpose of Bid Evaluation and Award The imated Bid Quantities do not constitute a guarantee of work. The Contractor agrees that the prices quoted on this bid have taken o consideration that the Actual Quantities of work may exceed or may be lower than the Quantities indicated on this Bid. CONTRACTOR WARRANTS TOTAL CONTRACT COMPLETION TIME SHALL NOT EXCEED DAYS INDICATED IN THE PROJECT SPECIFICATIONS. The undersigned acknowledges that it has included with its Bid the required Bid Security for not less than five percent (5%) of the total amount of its Proposal. It is agreed that the undersigned has received all addenda complete as issued by the Owner and that related costs are included in the proposal submitted. The undersigned acknowledges recept of said addenda as follows: Addendum # 1 dated 9/3/09 Addendum # dated Addendum # Authorised Signabre West Construction, Inca dated - — Firm Name and Address -- 318 S. Dixie Highway, Suite 4-5 Lake Worth, FL 33460 Martha A. Morgan Printed Name President Title 561-588-2027 Phone Number 9/7/09 Date Signed Runway 422 Improvements "ADDENDUM # 1• Sebastian Municipal Airport Bid Schedule 2-11.5 of 11.5 August 2009 ATTACHMENT 6 (DESIGNATION OF SUBCONTRACTORS) THIS FORM MUST ACCOMPANY PROPOSAL PRICE FORM AND MUST BE COMPLETED AS APPLICABLE. Use additional sheets as necessary. Name, Address and Telephone Type and Description of Work to be Contract Amount Number of Subcontractor Performed 1. Geodetic Survey Services, Inc. 1418 Norman Street NE, Suite 1 Surveying Services $ 9,840.00 Palm Bay, FL 32907 321-724-6659 2 x.L.Pruitt Corporation Electrical Services $92,645.00 501 Wade Steet Winter Springs, FL 32708 407-327-3848 3 Florida Striping, Inc. Striping Services $18,630.00 P.O. Box 801 Melbourne, FL 32902 321-723-3511 4, Mid Atlantic Milling, Inc. Milling Services $ 17, 500.00 735 Poinsetta Drive Satellite Beach, FL 32937 321-514-8468 5. $ 6. $ 7. $ TOTAL DOLLAR VALUE OF SUBCONTRACTOR PARTICIPATION: $138,r615.00 PERCENT SUBCONTRACTOR PARTICIPATION: 45 Name of BIDDER: West Construction, Inc. Runway 4-22 Improvements Sebastian Municipal Airport 2-12 of 14 Bid Forms August 2009 ATTACHMENT 7 (FLORIDA TRENCH SAFETY ACT) CERTIFICATION AND DISCLOSURE STATEMENT The undersigned acknowledges the requirements of the Florida Trench Safety Act., F.S., (Section 553.60 et. seq. Florida statutes), and hereby commits the Bidder to the following in the performance of the work in the event that the subject contract is awarded to and executed by said Bidder. 1. The Bidder further acknowledges that the Florida Trench Safety Act, (the Act) establishes the Federal excavation safety standards set forth at 29 CFR Part 1926, Subpart P as the Interim State Standard until such time as the State of Florida, through its Department of Labor and Employment Security, or any successor agency, adopts, updates or revises said interim standard. This State of Florida standard may by supplemented by special shoring requirements established by the State of Florida or any of its political subdivisions. 2. The Bidder, as Contractor, shall comply with all applicable excavation/trench safety standards. 3. The Contractor shall consider the geotechnical data available from the City, if any_, the Contractor's own sources, and all other relevant information in providing the trench safety system to be employed on the subject Project. The Contractor acknowledges sole responsibility for the selection of the data on which he relies in providing the safety system, as well as for the system itself. 4. The amounts that the Bidder has set forth for pipe installation includes the following excavation / trench safety measures and the linear feet of trench excavated under each safety measure. These units, costs, and unit prices shall be disclosed solely for the purpose of compliance with procedural requirements of the Act. No adjustment to the Contract time or price shall be made for any difference in the actual number of linear feet of trench excavation, except as may be otherwise provided in these Contract Documents. Trench Safety Units of Measure Unit Measure (Description) (LF, SF) (Quantity) a.Slope Measure b. e. LF 1 For Information Only, Not for Payment Purposes $ "0 Unit Cost 500. e0 Bidder may use additional sheets as necessary to extend this form. Failure to complete the above may result in the bid being declared non-responsive. xunway 4-22 improvements Sebastian Municipal Airport 2-13 of 14 Extended Cost 500 ,fes' Bid Forms August 2009 5. The amount disclosed is the cost of compliance with the applicable trench safety requirements does not constitute the extent of the Contractor's obligation to comply with said standards. Contractor shall expend additional sums at no additional cost to the County, if necessary, to comply with the Act (except as may otherwise be provided). 6. Acceptance of the bid to which this certification and disclosure applies in no way represents that the County or its representative has evaluated and thereby determined that the above costs are adequate to comply with the applicable trench safety requirements nor does it in any way relieve the Contractor of its sole responsibility to comply with the applicable trench safety requirements. West Construction, Inc. C pan r i Martha A. o gan, Pres nt Name and Title Address: 318 S. Dixie Highway Suite 4-5 Lake Worth, FL 33460 Telephone. 5 61) 588-2o27 END OF FLORIDA TRENCH SAFETY ACT STATEMENT Runway 4-22 Improvements Sebastian Municipal Airport 2-14 of 14 Bid Forms August 2409 CITY OF SEBA91AN RUNWAY 4-22 IMPROVEMENTS SEBASTIAN MUNICIPAL AIRPORT ADDENDUM # 1 DATE: September 3, 2009 TO: All Bidders This Addendum becomes hereby an integral part of the bid package under consideration by you as a respondent. The City of Sebastian deems all sealed bids to have been proffered in recognition of the entire bid package -- including all issued addenda. This Addendum is being sent to you via "e-mail". Should you have any questions pertaining to this Addendum, please contact Rob Hambrecht at 407.306.0200. ADDENDUM MESSAGE 1. This addendum message includes this page, and -the attached pages. Attachment No. Panes Description Addendum 1 5 Addendum text. Revised: ATTACHMENT 5(BID SCHEDULE) 5 Revisions to bid item(s). General Requirement 01730 As—Built Survey 10 New Technical Specification L-115 Electrical Manholes 7 New and Junction Structures Generator Technical Specifications 2 New Plan Sheet G2.0 1 Revised Plan Sheet C1.0 1 Revised Plan Sheet E307 I Revised Notice of Intent (NOI) 5 New Notice of Termination (NOT) 4 New Pre -Bid Meeting Minutes 5 Pre -Bid Meeting Minutes 2. Submitted to the City must also include this addenda page submitted & signed as acknowledgement of receipt of same. ---- West Construction, Inc. eceipt Acknowledged B , i der ' ture Firm Name Martha A. Morgan, Presi ent Runway 4-22 Improvements Addendum I Sebastian Municipal Airport Pagel of 5 September 3, 2009 West Constructions References:. The City of West Palm. Beach, Jeff Halverson (561)659-8040 'Phe Cit3T of Delray Beach, (561)24.3-7343 The City of Deerfield Beach, (954)480-4263 Bob Diaz, George Edmonds The Village of Wellington, Paul D 'Berna.rdo (561)756-1739 Palm Beach Count37 Parks and Recreation., John McCarthy (561.)966-6634 Wia Kim Equipment List Bobcat 8.64. Track Loader Bobcat T180. Track Loader Caterpillar Loader 25 f RT Equipment Tra.11er Kub-ota. Kuel 4 NAT Tractor Kull o ta. Mini Excavator Kubota. x.520S1 Kubota. Tractor / Boxbia.de / Comput:erized, Laser Level New Holland Skid Steer Loa -der New Holland Skid. Steel- Loader 2 Ro Uer, Ride On NAT310 0 Stone S250 Bobcat SL25 Lift Meiroe 864. Loader Bobcat: Plate Canip a ctor Cushina:n Site Transport `TelAcle Toro Top Dresser Toro 3.100 Reel Alower Laser Level L 13 0 Laser `frith LD 40 0 & Trip o•d Electronic Theodolic Transit Modular Unit: by Acton 825 r:�. �=�...�f v''- .--�^� .� _ �. �� .r..; .� ,� ,�'tt�:�•�. .vim". .� �i�v. �. .��.._._ v�'!���r'�C MARTHA A. MORGAN President, Treasurer and Co -Owner Building Contractor EDUCATION • Bachelor's Degree in Business Administration Nova University CAREER PROFILE • West Construction. Inc. 1985 - Present o President o Certified Building Contractor o Business Director and Controller • HoUywwd,Int 1982-1989 o .1AWAssistanttoCorpora* Attorney PROFESSIONAL MEMBERSHIP & LICENSURE • Certified Building Contractor State of Florida CBC057038 Florida Real Estate Broker Cfi I.STRL•CTILF MATTHEW F. WEST Vice President, Secretary and Co -Owner General Contractor and Architect EDUCATION • EDUCATION B.A. Degree in Architecture, Florida Atlantic University CAREER PROFILE West Construction, Inc 1998 to present Certified General Contractor Lead Estimator and Project Coordinator Self employed and attending college 1993 to 1998 • Designed, constructed and operated a college nightclub and a fine dining restaurant in Tallahassee, Florida, while attending Florida A & M University, majoring in Architecture. PROFESSIONAL MEMBERSHIP & LICENSURE • Certified General Contractor State of Florida CGC1516626 • Certified Registered Architect State of Florida AR93859 Robert Binford, Senior Project Manager 4tx?r 30 years in cmnsbucdon rekded fields, twenty Jim years of nnanagernent, supervisory and estimating experience. Strongly commited to making a client's time and budget ooncems top priority and understanding critical financial considerations and the client's bottom line while focusing on quality, safety, cost and schedule. 2004 - 2009 - Current Projects as Project Manager for West Construction Inc. Experience: Successfully Congrleted for West Construction, Inc.: Fine Station #7,14frtdw l Afoore Aquatic Carnplex; Port of Palm Beach. PreWously rnmuiged Dist Park F for die Capitol I1nprouernertt Division of Pahn Beach County, Meg Palm Beach Fire Station #3, PBC Fu e Swdon #30, Fort Bauder -dale Emergency Operations Center, Village of Tequesta Tony, Malls Ifffson Parr Pompano Beach Conwtu*) Pool, Afiller Parr Iru`racoastal Parr Fire Sta on � 7, Mid County Senior Center and Phil Foster Parr 2001-2004, General and Design Build Construction A 24 Classroorn High &d=l add 6m inDeer field Beach. An 88 -acre, $8,000,000 Equestrian Park in Plantation Florida. The project consisted of a concession building horse barns, bridle paths, 1.5' -acre lake and mitigation areas. Managed the 'Housing for the Homeless" facility, a $4,600,000 DesignlBuil"d project in Pompano Beach, Florida. Supenrised this project in addition to the project management. 1998'19 9, Florida District Project Manager, CMC Group, Denver, CO Managed the construction of sei�eral 'Airborne Fxpr ess Facilities" throughout Florida and several high-end hontes in Captiva, Florida. Managed the construction of a four story, 109 -room Holiday Inn Express in Charlotte County, Florida. 1954-1995; Project Manager and Estimator for HT112 Associates and Eagle Enterprises Inc. Belmar, New Jersey Managed an 8 story condominium in Jersey City, N.J., a 16 story Apartment/Hotel in Indian Creek, Miami, Fl., several low-rise hotels for the Treadway Group and Holiday Inn, medical diagnostic facilities in New York, New Jersey, Pennsylvania and Maryland 1vlanypublic works projects including Board of Education projects, State and HUD projects. Assisted as Sr ., Project Manager for the renovation IFP for Hotel T2hayer in West PoilA New York - A $50,000,000 project. Education: 1976-1978, Newark College of Engineering, Newark, IVewJersey. Licensed by the Board of Examiners, Electrical Contracting 1982, E1006950 Fortner member of IBEW local 400, Belmar, New Jersey, 1977 thru 1982 Licensed by the BPR, Functional & Construction Industry Licensing Board, Florida, 1997 CGC-060163 Administrative Responsibilities include meeting attendance, scheduling, purchasing, and interfacing with sub trades, ownerz, architects and inspectors. The 1.7neparation of contracts, change orders, proposals and purchase orders. Overseer of project managers, cost controls, schedules, mobilization of projects and resources assignments. West Consh-uction, Inc. Kurt King General Superintendent Senior Job Superintendent, 2001 to Present. Career Profile Management, sales experience, public relations and industry knowledge. A dynamic individual that has a diverse background in all of the mentioned disciplines. E Education, hands on experience, and field training. A key to successes. e- Plan reading, design, and hands on experience Pro iect Superintendent Projects Completed — JA7est Construction Inc. • West Palm Beach, Fire Rescue Station # 3 r West Palm Beach, Fire Station' 30 Town of Palm Beach Shores Town Center • South Bay Railroad Cottage • Village of `Vexlington, Village Parr Gymnasium addition 117ilson Park, Boynton Beach Palm Beach County Fire Rescue #-7 r 42 7;- W". w+t v _ 1 t n•'a •'. Y _:,, -- .� . +✓sl -*:yy - � tr:, a -�. 7 ...:e __ s—�s�,.� r� '•e m�=�..~ r"+ea - +N - cw !T Is f Nr ow O o 00 LIJ N r Q � � T T J Lij y/ L CD L:J j � c 1 *~ J 7 �Y. C = S � r � L. Y �w V 71 U 4C C r 0 J :i � J c v; s L ST�t E OF FLORIDA _ D���--��2it�' .Or E�i'E i�3E � c � .. . ..�.� �r�o�Ss�az,�.LE - cor=sTRrC oj; : STRy L CEM.S1iRC BOARin ,AT�az� ��Q�zp�o;a3t►��=_� G Q3%2OOEOSQQl�&o CEC057Ei-3'S-,-' - i The Bc' LDIF% G ' COQ+►`'=� Com" ` IRD Under, the prcV3ansl* of }Z rat 0 CEctE 'i2D 8T �4 JXG 3-11 2,%Q QST .00jj7ST UCTIo rc SOum Dlr r� ;ry r LR.Y,z w6RTE . 60.j C .F,L3 C3IST -~ Cx CHUCK 6�e *.. 5 `i!i,3i�ED EY i11 r z SECRETARY .� STAB' .OF FLORIDA cOF BussBOARD - OO�it..?'RDCT3� it t STRXRLTCS`l(}l� RBG�TiOAT 1 ENSS.t�G --• -L- CRI SE �'BR 06025-037r' ccC:i ' r { ?S:..CERTlFsED i ) i the TOV .� 3pT,a pi CLGon G O ! - iG L010 !+ . • WEST - COMSTRDCTIlo INN 318 '85- 0,04 TE S"STE t - 5 LA-xE I-gQRTB t " 3 i CEil� 1E . CRl s- -T C-OVERh7CR ' CHARLES 11. Dip I D(SPLAYAS, R tai I�Eb t3Y I.A�Y SEC3�TAR�' --AAAA-- --- ... ' • _ -.' STATE _QF FLORIDA i3E-PARThM T OF BUSINESS- P�'L PROF`ES,§ •,RE©=T,5EOlq tat} .�9RUCT-IODT S Rx.: z cE �ooA s: 01/05%2080250�76.� r d 1 7� • � Tho Bus=l&sS aRAor Named. below' l,9 -• QUALIF E * Under the . prov , loris of chp-p sr 4 89 ns. . Expirp-tion ate:. AUG 31, ..200Q {TEIS S; N0T-- A- -L CENSE '10 PERFORM -op . •"THIS ALLOW iSi CPNW- . 0 , D� = .iS NEQS VNMY IF ?T -HAS A QUALIF?'ER VVEST, CONSTRUM-10N INC "D X1 MSS _ SUITE a S ' -• s LP -KE WORTH F .. W-3460 C.FIA RLIE C"r.L ST GOVERNOR DISPLAY-ASAbbUIRED EY-lffiV' LOCAL BUSINESS TAX RECEIPT EXPIRES: SEPTEMBER 30, vvr_-S T C014STf UC : ION 1140 LOCATED AT WEST I -AA —it EW F 318 S DDUE HWY #4-5 LAKE WORTH FL 33460-0000 �319s receifii is hereby valid fof the above audress for the period using on the fw--t sky a octa".. and ending on the t arde:h d&y cfSegtNuber to Fssarae in Uw tses k*Gs.,prafes~ion or cccupWon of. R GENE1Z.1 CON i ACTOR CGC i5ita5�.:JGtiP�265fl7. nr�l1G [s:, �2Hi1[iliVlli TA: COLLECTOR, FAU0I BEACH COUNTY 200 CNa1DE $369.60 T C71 AL 5369 fin THIS IS NOT A BILL • DO NOT PRY PAM PSC TAX COL.LECTOP $369.60 6TR 549 01,025117 Q21IMOD$ LHIS DOCUMENT IS VALID ONLY WHEN' RECEIF TED BY TAX COLLECTOR 2009-11 -3, 76 STATE OF FLORIDA PALM BEACH.COUNTY LOCAL BUSINESS U RECEIPT EXPIRES: SEPTEMBER 30. WEST CONSTRUCTION INC LOCATED AT VitES T k07t i HEW F 318 S DIXIE HWY #f4-5 LAKE V9ORTH FL 33460-CODO Tld-- seceip! lu herebf valid for the atom artcfms for the perioC begintiinq on ttm firs: dt y of WOW and ending on the thWWLt. day of,'Sepiembe: to imp?Ve in tho businose.1profosslon or occupatl n of: GENERAL C034—MLACTOR CGC1516 ANNE 11.OANNON TAX COLLECTOR, FALM BEACH COU14TY 2009 CNTY 0C-03,2 CIA'S.Q.1f ICAT IOw x•27.50 TOTAL 527.50 THIS IS NOT A BILL - DO NOT PAY PAID. PBC 'FAX COLLECTOR ;37.50 BTR 649 01025116 C010Q.009 THIS DOCUMENT IS VALID ONLY WHEN RECEIPTED BY TAX COLLECTOR - Ifi STATE CSP FLORIDA. CW -802 PALM BEACH COUNTY CIA SMA710si LOCAL, BUSINESS TAX RECEIPT EVIRES: SEPTEMBER 30 - 200 Ascc ., COMTIR T101i IRC LOCATED AicrVIDE 4264.60 KaFeM t4AWTHA Ate? alb DIXIE Hfili' 4-5 �T .�t)t{NiE E LAKE- RDRTH FL 33460 TOTAL 264.60 t tt ter Wid to me above a4*e= for tt�- moa begh-Ming TONS' 1S NOT- A'SILL DO NOT PAY ca UVE rase �* of odober mid warm on tits uVr2leth cuw of Septmnbar• - h ft [ft. �.. W*ftt=1 or, ecapatian of BLILDING CEN"FRACTOR FAIR. PIC TAX. COLLECTOR . ;2bG.61i DCC f#�t'� i505�i�i2 08-fll-ZflflB ANNE M.. GANNON THIS DOCUMENT IS: VAL#D O#�LY:WHEh RECEiFn`iiQ TAX CQLI,EC i DFi, PALM BEACH COUNTY BY TAX-OOLLECTOR 2OW-17635 STA* TE OF FLORIDA �-Q32 PALM.- BEACH COUNTY LOCAL , BUSINESS. TAX- RECEIPT El l! I RES. SEPT... ME- .- 0 2009 �'ESl CONSTRUCTION INC � 1.00ATEA AT Cm$ 27150 I�DKAN -MARTHA ANN 318 S D1XI E- Hit'Y� i4 REST Iat? tilF F LAKE- WORTH. f L 32460 TO +AL 4.27.56 ?tai: rEceipt is be*r valor ter a* stwve. *ft -us for ft period bagtm*W' t v t h#w IS NOT fi' SILL - Dq N4T PAY Pm Oq 9t Catmer Read a 4nq an t IturOetta mw of Sel#emc r to c_e R� tR8atster�, pccfessiora or acar,at€ast cf: i i ILVIK COMR—ACTOR j FAIT'. PLCfAX COLLECTOR 42".•,5D OCC Dcfc ;5E544; 06.01-•2008 i ANNE M, CANNON T #i:s DOCUME14 4 is VALID ONLY WHEN RECEI t D ('JkX COLLECTOk PALM BEACH COUNTY EY TAX.couuc -,or% 12I�.6/zEI08 s=oauc�-R (561)77&-9001 FAX (SE2)42.7-E730 THIS GER-fiFICATE IS ISSUED AS AMAI—TER OF INFORMATIOSI C0 i Insworth , Alter, LI:mbert, Inc. ONLY AND CONFERS NO RICzHT& UPON THE CERTIFICATE 23 Egmf skee Street HOLDER. -1 IS CERTIFICA7E DOES NOT AMEND, EXTEND OR SU 1 to 3(32 AlPitar, FL 334.77 IMSUPED WeS+,G 7m trf;ICt,GQ; .t,iC 33.1 South nixie Highway Suite 4-5 Lake Worth -1 FL 3.3460 INS UREIC A.FFORDINQ COVERAGE NAIC 9 INSURERA: Amerisure %utual ins Co JNSURIR8: Travelers property & CE.S Co of I. INSURER MUM D: INSURER E: ca��a s _ 1 4 POLICIES OF INSiJRI,AtCE USiED BELOW HAVE BEEN ISSUED TO TME INSURED NAMM ABOVE FOR THE POLICY PERIOD INDICATED. N("W , ISTANDING AI+IY REQUIRELEtNT, TERM OR CONDITION OF ANY CONMACT OR OT HER HER DOG'tlMZ:lr, Wt TH RESPECT TO WHICH THS C CATE MAY 8E ISSUED OP. MAY PERTAIN, THE INSLKANCE AFFORDED By THE POLICIES DESCRIED HEREIN Iy SUB.]ECT p D ERMTIFT[FlIS POLICES. AGG?REGt%TE LIMITS SHOWN Mky HAVE T O ALL AND CONDRi BEEN REDUCED BY PAID CLAIMS. THE TERMS QCC SUCH IIJL Di ZYi QP fh'SSISiMC POL[C : HtFtZE� AOUCY t:t=FECTNE POLICY EXPIRATYJN rIEICw.LUAe�nm DCOWifAEFcCl�1 L�� GL 2.42fas77 01/01/20-09 01/01/2010 £ACY.�OCCUMENCE s i 000 00 CEhti:t�k�l. LIABILITY DAidilGElb R£M'ED � CLAW UAW! �C I OCCUR SO {�� A }: XCul Contractual tJED EXF (Rny oae person) � v $ 4Q Bi`03d Forel PO PERRONRL & AM MJURY S _ GEWLAGMGAIELMTAPPLesPER: GENEIRAL AGGREGATE s 2 0 POL=j( LOC PRODUCTS-CO1tPlOPAGO E *Off? AISTQr�Ias LilUiILiT1fCA329 X29 Oi/0_. T0fl9 0i/QI%z020 3C AW Avro ma $� d E:liNQLE LIMIT & ALL MINIM AUTOS 1.004 V. 040 OILY MMIRY S SCHEDIILEO AUTOS BOO RYA Y F it i�I�FOY� AU i OS ) s Gi mall LIAMLITY AW ROTO AUTO ONLY- EA ACCIDSNT S OTHER YMN Lk ACC S AL)MOSmILY,. AGG S E7CC SSJUfd8ftlrLLRLIABMW 0 CIJ2020379 02/01/2609 01/01/2010 EACHocxLl�i�Mt s 4 FQI(¢ 1300 OCCUR CLAIMS EWtiOH AtiGREGF.7E a 4, o 00 8 f -1—H!cFi£I4now WOMQM COMPE WATION arm WLU4EILITY z 04.1574 01/02/2009 Q3/01/2010 X t{vc TIT A AKyPROPi2'mmPARTNER/EX£CUIiVE OFFICUMEMSER MLUOED7 E.LEACH ACCIDENT tiyyaaaa,, detate Imov E.L. AIS£ASI= - EA g QJDQ PROVESIGNS below E.L. DISEASE- POLICY LI<M I i 3.L000 04 ZentAd,&wsed Eq pip.QSfr�9S l�z 02JQZ/z049 Oi/02/20Za Deductible $3{I( >z te,tWQ any one , $5000 Wind/Hail DeduCci6ie tem d� QOi! a For Trailer=s MCMPTICN OP OPEiiRMPS 1 LOCATIONS I VEHICLES I EXCL1J=M0 ADDED $7 EUDORSEtSENT 1 SPKp.L PROVISIONS B102&U HOLDER SHOULD ANY CFTHE ABOVI DSSCRE$gD POLICIES Rp CAKDOLL&D EEFOk$ THE WW"Tt(TR! DATE THF-RaOF, THE R'MNS tMMMK vl U EUMVOR TO KkIL Pat III Beach County 30 DRYS wr. NOTICE 10 TKa cEh' meATS KOLDRR ltiRtitt� TO Tiff LEP?CQ[itr tars Cer�ciF'#Cit3ar� £LITFAILURE TDV itNOTECi3SHALL IMPOSE NOOBLIGATION ORLIABILITY .7300 Worth J4ff Road West Palm Beach, FL 31411-2741 OF AMY KiN WON INSUREwR, ITS AGENTS OR RSPROUNTA-1WES. A1171*10 LEDPAE.RB . RVE ACORD 25 (2001108) ©ACORD CORPORATION 468E ; Certy'ZC6t2 OfS'tQEf[S I certify fiom the records of thio office that LATEST CONSTRUCTION, INC. is a corporation organized under the laws of the State of Florida; filed on December 16, 1977. The document number of this corporation is 555487. I farther certify that said corporation has paid all fees due this office through December 31, 2009, that its most recent annual report/uniform business report was filed on January 05, 2009, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. I further certify that this is an electronically transmitted. certificate authorized by section 15.16, Florida Statutes, and authenticated by ibis code, 090107001219-700139485037#1, Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Seventh dap of January, 2009 D cn (J)c->_u00 m z 0 9<Cn c 9w_v 9 cD _ MR � N cp O ._.; O_ N o 0 O 5.0 0 N n� -� p N O O O O p N O =r M p 3 N O 0 N cDD N CL m rn Q° �' 00 — m s ca 00 'v -1 m 3 rn 0a m �• "� ami c 5 aoi 0 o - B o 0 - o � � co oCC x N CO 10 < n 'u (n C7 TRL 0� 'O n 'O < 'O O 21 rT w0� =r -03a O03 O 3tfl3 �. a o o� ow cu Doo �0a; 00000 a� 00 0 00 ID o w N 0+ aoi w w °� w 0 t°1„ { 0 oc oo .� m -h �� �o �? 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