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HomeMy WebLinkAbout2015 - ContractCAPP CUSTOM BUILDERS, INC. 735 G Commerce Center Dr. Sebastian, FL 32958 October 1, 2016 To: Joe Griffin City Manager Sebastian, FL Re: Concrete Contract Labor and Material Increase Joe, As per our conversation regarding Labor and Material Increases. Phone (772) 589-3452 Fax (772) 589-3131 We have had 2 Concrete Material Increases since our Contract dated May 13, 2015, Jan. 1, 2016 and June 1, 2016 with another one coming Jan. 1, 2017. In addition to the Material Increases, we have had substantial increases in our Payroll costs in order to maintain our workforce. We have had to Increase the Salaries of our Employees due to the demand for Qualified Workers. Please See Schedule: Increase 10.1% 12% New Total LABOR MATERIAL Form, Pour and Finish Only (4" thick) $4.31 $ .43 $ .51 = $ 5.25 Form, Pour and Finish Only (6" thick) $5.03 $ .51 $ .60 = $ 6.14 Sidewalk Site Preparation $3.25 $ .33 $ - _ $ 3.58 Block Installation $3.56 $ .36 $ .43 = $ 4.35 www.cappeustombuilders.com Please see Payload fees below: 5 to 6 Cubic Yards 3 to 4 Cubic Yards 1 to 2 Cubic Yards Split Loads (within 1 Mile Max.) Saturday Deliveries Off Hour, Sunday & Holiday Del. Waiting Time Respectfully Submitted, Michael P. Capp #CGC037323 $ 180.00 Additional Per Load $ 240.00 " $ 300.00 " $ 90.00 Per Stop $ 6.00 Per Cubic Yard Additional $ Quoted on request $600.00 Per Hour (4 Hour Min.) for Standard off Hour Pours $ 1.80 Per Minute after 6 Minutes Per Cubic Yard Unloading Time MY LS SEBASTIM HOME OF PELICAN ISLAND CERTIFICATE OF PROJECT COMPLETION Date Accepted: 7/1/15 Project Name & #: VETERANS MEMORIAL A 1526 Total Project Expenditures: $10,277.00 Project Location: RIVERVIEW PARK Contractor: CAPP CUSTOM BLDRS/BRISTER SIGNS Contract Amount: N/A Pursuant to the above captioned contract and in compliance of same, we the undersigned do hereby certify that this project is complete. Issuance of this certificate releases the contractor from any further responsibility except as stipulated in the contract as is relates to bond performance, payment of subcontractors, release or liens, maintenance and indemnity. All contractual obligations as to warranty, insurance, indemnification and patents, shall remain in full effect for the contractually stipulated period of time. In no way does the issuing of this certificate release the Contractor from all legal obligations as stipulated in Chapter 713 of the Florida Statutes. Therefore, having reviewed the contract and inspected the work, the undersigned to hereby accept the segment as being complete. G" t'Vl.c, "I -Z2-13 Project Manager Date L�I�• City Manager cYr/ Date ,/ % z9—WK Date Date /�1�e� -�� "'* Date � ,7-.27—IS Date r/3/� s Date AGREEMENT THIS AGREEMENT made this I ./ day of 2015, Y b and between the City of Sebastian, a municipality in Indian River County, Florida (hereiafter called the "City"), and Capp Custom Builders, Inc., 735 G commerce Center Drive, Sebastian, FL 32958 or its successors, executors, administrators, and assigns (hereafter called "Contractor"). WITNESSETH: The City and Contractor for good and valuable consideration as hereinafter set forth, do mutually agree as follows: 1. Scope of Services Contractor agrees to furnish concrete work meeting the requirements described in the TECHNICAL SPECIFICATIONS attached hereto as Exhibit "A", on an "as needed" basis in accordance with all applicable codes pursuant to Work Orders issued by the City. 2. Contract Sum and Payment to Contractor: (a) Contract sum: During the term of this Agreement, the city shall pay Contractor the following unit prices for the work: Form, Pour and Finish Only (4" thick) $4.31 Form, Pour and Finish Only (6" thick) $5.03 Sidewalk Site Preparation $3.25 Block Installation $3.56 (b) The City agrees to make payment within 30 days of proper invoicing. Contractor's Obligations: (a) Contractor shall supervise and have control over means, methods, techniques, sequences and procedures for performing the Work Orders, unless the terms of this Agreement give other specific instructions concerning these matters. (b) Unless otherwise provided in the Agreement, Contractor shall pay all sales, use and other similar taxes and shall secure and pay for all permits and governmental fees, licenses and inspections necessary for proper execution and completion of its obligations hereunder. The failure of any of the parties at any time to require performance of any provision of the Agreement shall in no manner affect the right of such party at any later time to enforce or require the same unless waived in writing. No waiver by any party of any condition or breach shall be construed or deemed to be a waiver of any other condition or nay other breach of any term, covenant or warranty contained in the Agreement. 4. Indemnification and Hold Harmless The Contractor shall indemnify and hold the City harmless from any and all personal injury or property damage claims, liabilities, losses or causes of action which may arise out of the use and occupancy of the property by the Contractor, its family, associates, contractors, agents, employees, customers and attendees. 5. Term of Contract CO)Xmct term is for three (3) years, commencing on� an ending on 6. City's Right To Terminate Contract And Complete Work In the event of any default by the Contractor, the City shall have the right to immediately terminate the Contract upon issuance of written notice of termination to the Contractor stating the cause for such action. This Agreement may be terminated by the City without cause provided at least thirty (30) days written notice of such termination shall be given to the Contractor. In the event of termination, the City may take possession of the Work and of all materials, tools and equipment thereon and may finish the Work by whatever method and means it may select. It shall be considered a default by the Contractor whenever Contractor shall: (a) Declare bankruptcy, become insolvent or assign his assets for the benefit of his creditors. (b) Disregard or violate the provisions of the Contract Documents or City's written instructions, or fail to prosecute the Work according to the agreed schedule of completion including extensions thereof. (c) Fail to provide a qualified superintendent, competent workmen or subcontractors, or proper materials, or fail to make prompt payment for same. 7. Conflict In the event of any conflict between the provisions of this Agreement and any attachments hereto, the provisions of this Agreement shall prevail. Public Records Form Contract Name: As Needed Concrete Services Project Description: As Needed Concrete Services In accordance with the requirements of Chapter 119 Florida statutes, as amended, the contract between the City of Sebastian and the Contractor shall: 19 a) Comply with the public records law of the State of Florida, as the same may be amended from time to time. b) Keep and maintain public records that ordinarily and necessarily would be required by the City in order to perform services, and C) Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law, and e) Meet all requirements of retaining public records and transfer, at no cost, to the City all public records in possession of the contractor upon termination of the contact and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City in a format that is compatible with the information technology systems of the City. Authorized Title: &Q, Company/Firm: /3117 (213 - IN WITNESS WHEREOF, the City has hereunto subscribed and Contractor has affixed its name on the date first set forth above. ATTEST: THE C OF SEBASTIAN Sally A. Maio MClAAE Joseph Griffin, City Manager City Clerk Approved as to Form and Legality for Reliance by the City of Sebastian only: Robert Ginsburg, City Attorney CORPORATE SEAL: By: / _--_ 20 r Secretary Technical Specifications Exhibit "A" Annual Concrete Work Contract 1. Scope of Work The scope of this specification is to form, pour and finish concrete driveways, sidewalks, or other miscellaneous concrete projects on an as needed basis. The scope of each individual project may vary depending upon the work to be completed. Each project will have a work order prepared by the City which will outline the work activity to be accomplished. In performance of this contract the Contractor shall be solely responsible and have control over the means, methods, techniques, sequences, procedures, and coordination of all portions of the work under the agreement unless the agreement document gives other specific instructions. 2. Related Documents Sebastian Code Chapter 90 Article III. Driveway Construction and Repair. 3. Special Terms and Conditions a. Contractor shall warranty all labor and materials for a period of one year. b. Contractor shall protect his work from the elements, traffic and pedestrians. C. Each project will be planned in a manner minimizing disturbance and inconvenience to property owners and the City. d. Inspections. The City may inspect at any time during the project construction. The Contractor shall notify the City 48 hours prior to the concrete pour and at completion of the project. e. Final Payment. Final payment shall be made in accordance with the signed agreement once all punch list items have been cleared. 4. Detailed Specifications a. Description: The Contractor shall fora, pour and finish the concrete driveway and or sidewalk or other miscellaneous concrete projects (minimum 4" thick) in accordance with the provisions of this specification and according to details shown on plans when supplied with the work order. b. Materials: The concrete placed shall conform to the Florida Department of Transportation Standard Specifications for Road and Bridge Construction, 1991 Edition, Sections 345: for Class I concrete 2500 psi (minimum 28 day breaking strength in accordance with ASHTO T-023) with polypropylene fiber mesh (1- 1/2bs/CY) thoroughly and uniformly mixed throughout. C. Preparation: (Form and Pour) The subgrade shall be finished graded by contractor or the city and compacted (95%) prior to having any formwork placed on it. The Contractor shall erect metal or wooden forms on top of a prepared subgrade. All forms shall be set true to line and grade, and held rigidly in position to resist the 21 pressure of poured concrete without springing. They shall be straight and free from warps and bends. d. Expansion joints: Asphaltic felt expansion joints,''/:" wide by 3.1/2" deep are to be placed at specified intervals. They shall be rigidly held in place during the placement of concrete. e. Contraction Joints: Contraction joints shall be saw cut with a concrete saw using a carbide or diamond tip blade. Each joint shall be approximately 1/8"-3/16" wide by 1" to 1 '/�" deep. Joints shall be saw cut within 24 hours following placement of the concrete. Contraction joints shall be saw cut at specified intervals or 15' depending upon application. f. Finishing: the concrete surface shall be furished in strict accordance with ACI standard 302-69 "Recommended Practice for Concrete and Slab Construction", Chapter 7 "Consolidating and Finishing Sections" 7.1 and 7.2. See attached copy of 302.69. Final finishing shall be accomplished by the use of a soft broom or sponge used to provide the matching existing driveway or sidewalk. Sprinkling of the surface with dry cement or sand will not be permitted. g. Curing: the concrete shall be cured in accordance with ACI Standard 302-69 "Recommended Practice for Concrete and Slab Construction". h. Driveways will be a minimum of 4" thick with a 6" thick footer, 1 foot wide at the edge of road pavement. Driveways will vary in width and length. i. MOT current procedures are required with type II barricades and signage on all drivbway and sidewalk closures. 22 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD do„XW, 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CAPP, MICHAEL P CAPP CUSTOM BUILDERS INC 9610 RIVERVIEW DR. SEBASTIAN FL 32976 Congratulationsi With this 1icenlse you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. -Our professionals and businesses range from archit&ls to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new licensel (850) 487-1395 -STAT -OFFLORIpA _... _. -DB SIN5SS'AND PRQ ” C UL,ATION x[2$12014 Jam' J• _ DETACH HERE RICK SCOTT, GOVERNOR ........ .... .,._..... _. ............. ..... . _ _ KFN-I:AiN�ON, SECRETARY . d eRA 10}y_ S' E f •IFI p"� _ 1 er q_rorov'f apterZA01SAll �708. AR OIL6kiDA< _ ©ESSLbN�A�L AEGO,,* 7Ij 1 )t7s`I"�Y-Liss N tiV(3iQD••' ISSUED: 08/28/2014 DISPLAYAS RFOtIIRFrI RYA I AW SFA A 1 IAnA7AnnMd77 12 H "' •� o W N C19:1 W1 N � C7 � Z L N Q XLa Q �a o W Cl) U) (/� `n o LL W W N O ZUO Ic Cl) Z O m O L JN i a� O a J w� LwLI J Q Z w F- d wW Fa LLa U) U a Z d �D o F- 0 F- z Q 00 O O to co W F - Z � V w 0 � f- W O rn WCN•,r ma�Cl) H "' •� o W N C19:1 W1 N � C7 � Z L N Q XLa Q �a o W Cl) U) (/� `n o LL W W N O ZUO Ic Cl) Z O m O L JN i a� O a J w� LwLI J Q Z w F- d wW Fa LLa U) U a Z d �D o F- 0 F- 0 2 v U) Q Q N w J m w LL U) Z 2 O z Q z o W F - Z � V w 0 � f- W O 0 N WCN•,r ma�Cl) �w0 OUW� Q JJ w Q > !q UQ,L. a=oQ �mZ w CL ,m �cwnC7 Urnai 0 2 v U) Q Q N w J m w LL U) Z 2 O z Q CAPP CUSTOM BUILDERS, INC. 735 G Commerce Center Dr. Phone (772) 589-3452 Sebastian, FL 32958 Fax (772) 589-3131 BACKGROUND INFORMATION Michael P. Capp 735 G Commerce Center Dr. Sebastian, FL 32958 (772) 589-3452 Personal ■ Native Floridian, born and raised in Boca Raton ■ Married August 11, 1978 to Elizabeth Ann Karsten ■ Two children ages 32 and 27, Nicole and Michelle ■ Resident of Indian River County since November 1985 Business ■ State Certified General Contractor, August 1986 ■ Incorporated CAPP CUSTOM BUILDERS, INC. September 1986 ■ Member and Chairman of the City of Sebastian Licensing and Construction Board ■ Past Vice Chairman of City of Sebastian, Board of Adjustment ■ Board of Directors, Sebastian River Area Chamber of Commerce 2004 — 2008 Awards ■ June 2003 - Wisner Controls 1204 Main Street Sebastian, FL Sept. 2010 — Sebastian Professional Center 621 Sebastian Blvd. Sebastian, FL ■ Sept. 2011— Realtors Association of Indian River County 3250 67th Street Vero Beach, FL ■ Sept. 2012 - Center for Wound Care Pride in Sebastian Appreciation Award (New Construction) Indian River County Chamber of Commerce Industrial Appreciation Award (New Large Commercial Bldg.) Indian River County Chamber of Commerce Industrial Appreciation Award (New Comm. — Non Profit) Indian River County & Hyperbaric Medicine Chamber of Commerce 13110 U. S. 1 Industrial Appreciation Award Sebastian, FL (New Sm. Bldg/Architectural) www.cappcustombuilders.com Dec. 2006 Single Family Custom Home 4/3 w/Study 5570 59t" Terrace, Vero Beach $499,547.00 Mar. 2007 Single Family 3/3 w/4 Car Garage 9864 Riverview Drive, Micco $525,000.00 June 2007 Single Family 4/4 2 Story 4405 Sunset Drive, Vero Beach $650,000.00 June 2008 Sebastian Professional Center 621 Sebastian Blvd., Sebastian Medical Office Building (13,800 Square Feet) $1,480,000.00 Oct. 2008 Drs. Pirkle & Chapman's Build -out Unit A (Sebastian Professional Center) $429,000.00 Nov. 2008 Drs. Wemmer & Schoenfeld Build -out Unit D (Sebastian Professional Center) $227,000.00 Jan. 2009 Single Family Custom Home 2/2 8700 70th Avenue, Sebastian $200,000.00 June 2009 Realtors Association of Indian River County 3250 67th Street, Winter Beach $1,550,000.00 Oct. 2009 Single Family Custom Home 3/2 1472 Stonecrop Street, Sebastian $267,000.00 Jan. 2010 2 Story Single Family Custom Home 4/4 13470 Old Dixie Highway, Sebastian $604,000.00 June 2010 Single Family Custom Home 4/3 w/Detached Garage & Pool 4163 Redbay Street, Grant $525,000.00 July 2010 Completion of a 2 Story Single Family Home that was started by others. 4762 Blossom Ridge Place, Grant $190,000.00 Oct. 2010 Dr. Shalhoub Wound Care Center 13100 U.S. 1, Sebastian $600,000.00 Oct. 2010 2 Story Single Family Custom Home 4/5 w/Pool 1800 E. Pebble Path, Vero Beach (Summer Place) $900,000.00 Oct. 2010 2000 Sq. Ft. Medical Buildout 621 Sebastian Blvd. Unit B $180,000.00 Nov. 2010 Single Family Custom Home 3/2 & 1/2 9690 Riverview Drive, Micco $430,000.00 June 2011 Single Family Custom Home 3/2 & 1/2 with Pool and Dock 9640 Riverview Drive, Micco $475,000.00 Nov. 2011 2 Story Single Family Custom Home 4/3 12895 N. Indian River Drive, Sebastian $592,000.00 May 2012 Buena Vista Eyeland Commercial Building 1619 U.S. Highway 1, Sebastian $765,000.00 July 2012 The Inn at Capt. Hirams Breakfast Room Addition 1580 U. S. Highway 1, Sebastian $120,000.00 Nov. 2012 Single Family Custom Home 3/2 & 1/2 9896 Riverview Drive, Micco $450,000.00 Jan. 2013 Remax Crown Realty Interior Office Buildout 1603 U. S. Highway 1, Sebastian $36,000.00 April 2013 City of Sebastian Concrete Work Driveways, Sidewalks, Catch Basins, etc... $255,408.00 (To Date) August 2013 River Run - Replace Siding & Soffitt on Buildings C1— C5, C7 — C9, Ongoing 6011 River Run Dr. D1 & B1— B6 Sebastian, FL $108,220.00 (To Date) Sept. 2013 Single Family Custom Home 3/3 w/Study & Pool 1025 24th Ave. Vero Beach, FL $419,867.00 Oct. 2013 Single Family Custom Home 3/2 with Pool 3401 Seabird Lane Micco, FL $325,142.00 Jan. 2014 Rebuild Single Family Custom Home 4/31/2 with Pool 13340 Indian River Dr. Sebastian, FL $600,000.00 Jan. 2014 Florida Room Addition and Re -Roof & Re -Paint 9981 Sebastian River Dr. Micco, FL $160,000.00 Jan. 2014 Custom Garage 6900 Crepe Myrtle Dr. Grant, FL $65,000.00 Feb. 2014 Doctor's Office Interior Buildout 229 Sebastian Blvd. Sebastian, FL $70,000.00 May 2014 Roseland United Methodist Church — Parking Lot 8205 129"' ct. Roseland, FL $38,000.00 July 2014 Utility Barn 14655 93rd St. Fellsmere, FL $36,000.00 August 2014 Single Family Custom Home 3/2 11300 S. Indian River Dr. Sebastian, FL $700,000.00 August 2014 Entry Gate & Wall 6900 Crepe Myrtle Dr. Grant, FL $18,900.00 August 2014 Greenhouse, Barn & Golf Cart Carport 6900 Crepe Myrtle Dr. Grant, FL $102,000.00 Oct. 2014 3 Story Single Family Custom Home 3/3 6685 110"' Place Sebastian, FL $650,000.00 March 2015 2 Story Single Family Custom Home 3/2 Full Baths/3 1/2 Baths 9010 40' Ave. Winter Beach, FL $750,000.00 April 2015 Capt. Hiram's 16 Unit Hotel 1615 Indian River Dr. Sebastian, FL $600,000.00 Plan Stage Single Family Custom Home 4/2 1/2 Bath with Pool 106 Micopany Dr. Sebastian, FL Please Visit our Website at: www.CappCustomBuilders.com Personal References: ■ Fran Adams (Marsh Landing) (772) 571-8822 ■ Chuck Geist (City of Sebastian Building Official) (772) 473-0988 ■ Martin Carter (Capt. Hiram's) (772) 538-5836 ■ John Clark (Clark Water) (772) 589-9166 ■ Tom Collins (Collins Investments) (772) 633-0260 ■ John Dean (Architect) (772) 567-4907 ■ Henry Fischer Sr. or Jr. (Fischer & Sons) (772) 589-3159 ■ John Garrison (Retired Engineer) (772) 589-5680 ■ Ron Lefebure (I.R.C. Utilities Dept.) (772) 567-8000 x1821 ■ Julie Keller (KSM Engineering) 772-589-0712 ■ Larry Nappier (City of Fellsmere Finance Director) (772) 571-0116 ■ Dennis Ryan (772) 563-2782 John Scott (XL Tech Group) (321) 409-7403 ■ Joel Tyson (City of Fellsmere Mayor) (772) 571-0116 ■ James Wellman (XL Tech Group) (772) 388-4099 ■ David Courage (772) 589-5352 ■ Eva Chapman (PNC Bank) (772) 589-5468 ■ Beth Mitchell (Chamber of Commerce) (772) 589-5969 ■ David Jamar (Remax Riverside) (772) 913-2664 ■ Rick Wisner (Wisner Controls) (772) 581-0477 ■ Jim Willmann (XL Tech Group) (772) 589-2743 ■ Drs. Pirkle & Chapman (772) 388-0088 ■ Carol Hawk IRC Board of Realtors (772) 299-3223 ■ Lauren Connolly IRC Board of Realtors (772)299-3223 Please Note: Letters of Recommendation and Walk -Through visits are available upon request. Banking References: ■ PNC Bank — Eva Chapman 13035 U.S. Highway 1 Sebastian, FL 32958 (772) 589-5468 ■ Seacoast National 50 Kindred Street Stuart, FL 34995 . (772) 221-3070 Bank- Jeanne Williams Suite 315 ■ Northern Trust Bank- Richard Giessert 700 Brickell Ave. Miami, FL 33131 (772) 492-1176 Vero ■ SunTrust- Diane Lovelace 919 E. Main St. Richmond, VA 23219 (804) 819-6058 Financial Institute References: ■ Space Coast Credit Union- Jean Vassamire (321) 752-2326 EXT. 9/257 Trade References: ■ ABCO Garage Door - Frankie 670 8th Ct. Vero Beach, FL 32962 (772) 567-9098 ■ Allied Building Products, Corp. — Karen Mack 701 S. Market Ave. Ft. Pierce, FL 34982 (800) 813-5445 ■ Arnold Air Conditioning — Quincy Carvel 181 Sebastian Blvd. Sebastian, FL (772)589-1063 ■ Complete Electric — Garrett Guidroz 637 Sebastian Blvd. Sebastian, FL 32958 (772)388-0533 ■ John Dodd Plumbing — John Dodd 175 S.E. 2nd Avenue Deerfield Beach, FL 33441 (772) 388-8680 ■ East Coast Lumber — Jamie 1103 20th Place Vero Beach, FL (772) 562-2368 ■ Henry Fischer & Sons - Hank 10925 U.S. 1 Sebastian, FL (772) 589-3159 Trade References Continued: ■ Hinkle & Sons - Tommy P.O. Box 928 Fellsmere, FL 32948 (772) 571-8136 ■ Maschmeyer Concrete - Lyle 1142 Water Tower Rd. Lake Park, FL 33403 (772) 321-9964 ■ Vero Millwork — Dennis Callahan 4900 42nd Place Vero Beach, FL 32967 (772) 569-7155 CITY OF SEBASTIAN - BID As Needed Concrete Services BID PROPOSAL PRICE After having examined all specifications, Contract/Agreement Documents, and other documents relative to the Invitation to Bid, I the undersigned hereby propose to perform everything required to be performed in strict conformity with the requirements of these documents, and to provide and furnish all the equipment, labor, and materials necessary to provide annual concrete work meeting or exceeding the specifications as set forth herein for the unit prices as stated below. The price quoted below includes any addenda which may be issued 1. ANNUAL CONCRETE WORK AS DESCRIBED: 31 a. Form, Pour and Finish Only (4"thick) S SQ FT. b. Form, Pour and Finish Only (6"thick) $ -� 03 SQ FT C. Sidewalk Site Prep $ s Per LF d. Block Installation $ ':6 per BLK By the signature affixed below, the contractor agrees that this bid is made without any other understanding, agreement, or connection with any 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, I agree to executelenter into said agreement within (15) consecutive calendar days notice by the City, and agree to all the terms and conditions of all documents stated herein, with the City of Sebastian, for the above stipulated price. c 9 P Authorized Signature I Printed Name Firm Nime & Address Title wN A -J' /��z-eS "73sCr Caaljocz 77.2- '-/) S- 210477--2, S"�9-3VJ-Z Phone Number 1-2 q-rg Date Signed ,d 4 Cm or T HOME OF PELICAN WAND Addendum No. 1 Annual Concrete Services Bid opening April 28, 2015 at 2:00 PM April 23, 2015 CITY OF SEBASTIAN ADDENDUM NO.1 The following is Addendum No 1 for the annual concrete services bid document 1. The Specifications call for FOOT approved concrete. Will the City require FOOT concrete? The City will not require FOOT specifications for concrete. This being the only question received prior to the deadline It is the only item which will be part of the addendum. This addendum now becomes part of the submittal package and must be signed and returned with your sealed bid. THIS ADDENDUM MUST BE SIGNED AND SUBMITTED AS A PART OF YOUR BID SUBMITTAL Contractor Date C A/ P C t 4n 4 41z.! , 1r-'- . BIDDER QUALIFICATION QUESTIONNAIRE (This form is not required to be included in the bid proposal submittal. However, prior to any Contract Award, such Bidder Qualification Questionnaire must be completed and submitted by the Bidder, and reviewed and approved by the City.) Submitted by 114)'C16.4e, ( 19 C,4&JCAAV C"A�o4j 1e"JJ,0,4- J7�-V— N of'13idder General Contractor's License # C G C O E () An Individual () A Partnership ? A Corporation Federal Identification # _� Principal Office Address: (1) How many years has your organization been in business as a contractor under your present name? VIRS (2) How many years experience in road and utility construction work has your organization had as a contractor? As a Subcontractofl (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 --qp-e- A904CIA-e-11i CA )0 11 SL"' 141'-J &rQ-Re-,,jc,--N 02 e1 v -7-7-,A p4� 14 (4) Have you ever failed to complete any work awarded to you? If so, where and why? Al M (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. (6) Has any officer or partner of your organization ever failed to complete any construction contract handled in his own name? If so, state name of individual, name of owner and reason therefore. A2 LA (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. /.� 125'K // n' d4 e c.,v �` � � � � �-e.A � s � .✓Lad ��'1 �? �� "� (8) What is your bonding capacity? S N 14 1[—' tz,. A: (9) What amount of your bonding capacity has been used as of the date of this bid? Q.6Q 15 (10) How many applications for performance and payment bonds have you made in the last three (3) years? o,/ (11) How many of these applications were not approved? (12) Have any claims been filed against your surety bond company in the last five (S) 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.) (13) Have your company been in disputes or litigations in the last five (S) years over construction projects which are completed or still pending for completion? If so, describe the nature of the disputes or litigations and state the Owner's Name, Address, Telephone, and amount of disputes or litigations. (Use additional sheets if necessary.) 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 non- responsibility with respect to such contractor. ****************************************************************************** 16 /,�S-6 (SIGNATME OF BIDDER) 1qi.0 �,4 ,,-L //J (TYPE OR 17 1"A es ►:hOMINIFil�1] � . R P_ 4 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. C q for THE CITY OF SEBASTIAN. 2. This sworn statement is submitted by (name of entity Ssubn ittmi s�yj��o�rn tement) whose business address is ' Cam ce QM • R • and (if applicable) its Federal Employer Identification (FEIN) is -,.t- cy " (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 3. My name is 1141" A eJ. /9 GAPA (please print name of individual signing) and my , relationship to the entity named above is 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. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Fllod Statutesmeans 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 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. 12 8. Based on information and belief, the statement which I have marked below is true in relation to the egtity submitting this sworn statement. (Please indicate which statement applies.) V 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.) (Signature) p. Date: APS C) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 2'-6 day of A—er --L201 5 by LC (title) on behalf of CAP e of partnership), a partnership.e(she is personally known to me or has d produced as identification and 'id not (Make an oath. Name: ' ' ' — ff�p Notary Public Stat of Florida C r rn 12 L P'ia�idoll Hatfield My Commission Exp' es: I t -I ,[, my Commission EE104878 Expires 0 911 9120 1 5 FE IM Q IQ Commission Number. 1 •� U l U 13 DRUG-FREE WORKPLACE FORM The undersigned Contractqr, in accordance )vjth Florida Statute 287.087 hereby certifies 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 five (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. Date: I-/ Ja ".2Q% boa Signature tAeL , �Gy 10