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21-R-124 - Contract with Fuquay Inc relating to the 2020 Fog Seal ProjectRESOLUTION NO. 21 -R -124 A RESOLUTION BY THE CITY COUNCIL OF THE CITY OF SCHERTZ, TEXAS AUTHORIZING A CONTRACT WITH FUQUAY, INC. RELATING TO THE 2020 FOG SEAL PROJECT AND AUTHORIZING THE BUDGET EXPENDITURES FOR THE PROJECT WHEREAS, The City staff of the City of Schertz (the "City ") has recommended that the City accept the bid from Fuquay, Inc. relating to the 2020 Fog Seal Project and approve the project expenditures; and WHEREAS, City staff has received qualifications indicating that Fuquay, Inc. is qualified to provide such services for the City; and WHEREAS, the project will be funded from the $2.7 million from Excess General Fund Reserves earmarked for SPAM and $25,000 from Contingency Funds, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SCHERTZ, TEXAS THAT: Section 1. The City Council hereby authorizes the City Manager to execute and deliver the contract with Fuquay Inc. for an amount of $158,495.00 with an amount not to exceed $162,000.00. Section 2. The recitals contained in the preamble hereof are hereby found to be true, and such recitals are hereby made a part of this Resolution for all purposes and are adopted as a part of the judgment and findings of the City Council. Section 3. All resolutions, or parts thereof, which are in conflict or inconsistent with any provision of this Resolution are hereby repealed to the extent of such conflict, and the provisions of this Resolution shall be and remain controlling as to the matters resolved herein. Section 4. This Resolution shall be construed and enforced in accordance with the laws of the State of Texas and the United States of America. Section 5. If any provision of this Resolution or the application thereof to any person or circumstance shall be held to be invalid, the remainder of this Resolution and the application of such provision to other persons and circumstances shall nevertheless be valid, and the City Council hereby declares that this Resolution would have been enacted without such invalid provision. Section 6. It is officially found, determined, and declared that the meeting at which this Resolution is adopted was open to the public and public notice of the time, place, and subject matter of the public business to be considered at such meeting, including this Resolution, was given, all as required by Chapter 551, Texas Government Code, as amended. Section 7. This Resolution shall be in force and effect from and after its final passage, and it is so resolved. PASSED AND ADOPTED, this 7th day of December, 2021. CITY OF SCHERTZ, TEXAS Ralp utie , Mayor ATTEST: Brenda Dennis, City Secretary (CITY SEAL) 50506221.1 - 2 - Kimley » >Horn December 1, 2021 John Nowak, PE Engineer City of Schertz, Engineering Department 11 Commercial Place Schertz, Texas 78154 RE: 2020 Fog Seal Project (Bid No. 2021 -018) Bid Analysis and Contract Award Recommendation Dear Mr. Nowak: On Wednesday, November 3, 2021, Contractor bids were submitted for the above referenced contract. In total, two (2) Contractors submitted on this contract. The following summary represents the bidders and their total contract bid with the Engineer's opinion of probable construction cost (OPCC), in sequential order from lowest to highest: 1. Engineer OPCC ................................... ............................... $102,913.00 2. Fuquay, Inc ............... ............................... ....................$158,495.00 3. Green Dream International, LLC ................... ....................$167,092.28 After bidding was received the City of Schertz and Kimley -Horn met to discuss the value engineering of this project. From that coordination it was determined that the 0677 Eliminate Existing Pavement Marking bid item be removed from the bid and proposed scope of work. The summary of lowest bids above, as well as the bid tabulations attached with this award letter, have been updated to remove the 0677 bid items from the proposed scope of work. The bid format for this contract is Low Bid. Kimley -Horn reviewed the unit prices bid by each Contractor and each bid is considered responsive based on the review of unit prices alone. Neither of the bids received were determined to be unbalanced. The lowest responsive bidder for this contract is Fuquay, Inc. with a total contract bid of $158,495.00. Fuquay's is a regional contractor who has previous experience working for the City of Schertz and routinely completes this type of work in the surrounding areas. Based on Kimley- Horn's review of the unit bid prices and Fuquay's past work history, Kimley -Horn recommends award of this contract to Fuquay, Inc. 601 N 7_oop 416, Suite 850, San Antonio, TX 78216 Kimley »>Horn Page 2 Attached with this contract award recommendation is a complete bid tabulation of all submitted bids and a bid comparison between Fuquay, Inc. and the Engineer's OPCC. Fuquay's bid is 2.6% lower than the responsive Contractor average and 54.01% higher than the Engineer's OPCC. If you have any questions regarding the information submitted with this contract award recommendation please contact me at 210.321.3404, or step hen.aniolekimley- horn.com. Sincerely, KIMLEY -HORN AND ASSOCIATES, INC. TBPE# 928 By: tephe . Aniol, P.E. Project Manager Attachments 1— Bid Tabulation 2 — Low Bidder Comparison Cc: Julie Gohlke, MA, CTPM Chris Stong, PE off601 NW Loop 410,, Suite X50, San Ahtonlo T 78216 - Ra§ƒkKt.. ` - §_ - - \ mRk;!!yR ■>aa,!■2 ;! 2 | � k!m■na#q.....(a � �k k X244 ` o / ©�r!#P. ■! ■aa� all E 7 J j q ; � ,;§] §- {§§/ ƒ - . - - - -.- -� � ¢ - § ! § k��k) !!• ;!! ! ! \k%\ & m! #mama# -} •/, , m.- ® - - - -- a - - � . � ask ##a«# � ■ #m a �� - - - - - -- .a .- § m!§l�m± � § § � q } ) AGREEMENT BETWEEN OWNER AND CONTRACTOR FOR CONSTRUCTION CONTRACT (STIPULATED PRICE) THIS AGREEMENT is by and between City of Schertz Owner and Contractor hereby agree as follows: ARTICLE 1— WORK ( "Owner") and ( "Contractor ") 1.01 Contractor shall complete all Work as specified or indicated in the Contract Documents. The Work is generally described as follows: ARTICLE 2 —THE PROJECT 2.01 The Project, of which the Work under the Contract Documents is a part, is generally described as follows: AVIATION HEIGHTS WATERLINE IMPROVEMENTS — PHASES 5, 6, & 7 ARTICLE 3 — ENGINEER 3.01 The part of the Project that pertains to the Work has been designed by Ford Engineering Inc. 3.02 The Owner has retained the City of Schertz Engineering Department ( "Engineer ") to act as Owner's representative, assume all duties and responsibilities, and have the rights and authority assigned to Engineer in the Contract Documents in connection with the completion of the Work in accordance with the Contract Documents. ARTICLE 4 — CONTRACT TIMES 4.01 Time of the Essence A. All time limits for Milestones, if any, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract. 4.02 Contract Times: Days A. The Work is expected to be substantially completed within 420 calendar days after the date when the Contract Times commence to run as provided in Paragraph 4.01 of the General Conditions, and completed and ready for final payment in accordance with Paragraph 15.06 of the General Conditions within 30 calendar days after the date of substantial completion. 4.03 Liquidated Damages A. Contractor and Owner recognize that time is of the essence as stated in Paragraph 4.01 above and that Owner will suffer financial and other losses if the Work is not completed and Milestones not achieved within the times specified in Paragraph 4.02 above, plus any extensions thereof allowed in accordance with the Contract. The Contractor acknowledges and recognizes that the Owner is entitled to full and beneficial occupancy and use of the completed work following expiration of the Contract Time. The Contractor further acknowledges and agrees that, if the Contractor fails to substantially, or cause the Substantial Completion of any portion of the Work within the Contract time, the Owner will sustain Page A -1 of 7 actual damages as a result of such failure. The exact amount of such damages will be difficult to ascertain. Therefore, the Owner and Contractor agree that, if the Contractor shall neglect, fail, or refuse to achieve substantial completion of the Work by the Substantial Completion date, subject to proper extension granted by the Owner, then the Contractor agrees to pay the Owner the sum of: 1. Six hundred dollars ($600.00) per day for each day in which such Work is not completed, not as penalty, but as liquidated damages, for the damages ( "Liquidated Damages ") that would be suffered by Owner as a result of delay for each and every calendar day that the Contractor shall have failed to have completed the Work as required herein. The Liquidated Damages shall be in lieu of any and all other damages which may be incurred by Owner as a result of the failure of Contractor to complete within the Contract Time. ARTICLE 5 — CONTRACT PRICE 5.01 Owner shall pay Contractor for completion of the Work in accordance with the Contract Documents the amounts that follow, subject to adjustment under the Contract: A. For all Unit Price Work, an amount equal to the sum of the extended prices (established for each separately identified item of Unit Price Work by multiplying the unit price times the actual quantity of that item): Item No Description Unit Price Work Unit Estimated t Quantity Unit Extended Price Price Total of all Extended Prices for Unit Price Work (subject to final adjustment f $ based on actual quantities) The extended prices for Unit Price Work set forth as of the Effective Date of the Contract are based on estimated quantities. As provided in Paragraph 13.03 of the General Conditions, estimated quantities are not guaranteed, and determinations of actual quantities and classifications are to be made by Engineer. ARTICLE 6 — PAYMENT PROCEDURES 6.01 Submittal and Processing of Payments A. Contractor shall submit Applications for Payment in accordance with Article 15 of the General Conditions. Applications for Payment will be processed by Engineer as provided in the General Conditions. Page A -2 of 7 6.02 Progress Payments; Retainage A. Owner shall make progress payments on account of the Contract Price on the basis of Contractor's Applications for Payment on or about the 30th day of each month during performance of the Work as provided in Paragraph 6.02.A.1 below, provided that such Applications for Payment have been submitted in a timely manner and otherwise meet the requirements of the Contract. All such payments will be measured by the Schedule of Values established as provided in the General Conditions (and in the case of Unit Price Work based on the number of units completed) or, in the event there is no Schedule of Values, as provided elsewhere in the Contract. 1. Prior to Substantial Completion, progress payments will be made in an amount equal to the percentage indicated below but, in each case, less the aggregate of payments previously made and less such amounts as Owner may withhold, including but not limited to liquidated damages, in accordance with the Contract a. 95 percent of Work completed (with the balance being retainage); and b. 95 percent of cost of materials and equipment not incorporated in the Work (with the balance being retainage). B. Upon Substantial Completion, Owner shall pay an amount sufficient to increase total payments to Contractor to the full amount of the contract, less such amounts set off by Owner pursuant to Paragraph 15.01.E of the General Conditions, and less such amounts as the Engineer shall determine for incomplete Work, retainage applicable to such work and unsettled claims. 6.03 Final Payment A. Upon final completion and acceptance of the Work in accordance with Paragraph 15.06 of the General Conditions, Owner shall pay the remainder of the Contract Price as recommended by Engineer as provided in said Paragraph 15.06. ARTICLE 7 — INTEREST 7.01 All amounts not paid when due shall bear interest at the maximum rate allowed by law, not to exceed 1% per month. ARTICLE 8 — CONTRACTOR'S REPRESENTATIONS 8.01 In order to induce Owner to enter into this Contract, Contractor makes the following representations: A. Contractor has examined and carefully studied the Contract Documents, and any data and reference items identified in the Contract Documents. B. Contractor has visited the Site, conducted a thorough, alert visual examination of the Site and adjacent areas, and become familiar with and is satisfied as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. Contractor is familiar with and is satisfied as to all Laws and Regulations that may affect cost, progress, and performance of the Work. D. Contractor has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or adjacent to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings, and (2) Page A -3 of 7 reports and drawings relating to Hazardous Environmental Conditions, if any, at or adjacent to the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings. Contractor has considered the information known to Contractor itself; information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Contract Documents; and the Site - related reports and drawings identified in the Contract Documents, with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Contractor; and (3) Contractor's safety precautions and programs. F. Based on the information and observations referred to in the preceding paragraph, Contractor agrees that no further examinations, investigations, explorations, tests, studies, or data are necessary for the performance of the Work at the Contract Price, within the Contract Times, and in accordance with the other terms and conditions of the Contract. G. Contractor is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Contract Documents. H. Contractor has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Contractor has discovered in the Contract Documents, and the written resolution thereof by Engineer is acceptable to Contractor. I. The Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for performance and furnishing of the Work. J. Contractor's entry into this Contract constitutes an incontrovertible representation by Contractor that without exception all prices in the Agreement are premised upon performing and furnishing the Work required by the Contract Documents. ARTICLE 9 — CONTRACT DOCUMENTS 9.01 Contents A. The Contract Documents consist of the following: 1. This Agreement (pages A -1 to A -7, inclusive). 2. Performance bond (pages PB -1 to PB-3, inclusive). 3. Payment bond (pages PYB -1 to PYB -3, inclusive). 4. General Conditions consisting of 73 pages of a modified version of EJCDC C -700, having a title page with the general title: STANDARD GENERAL CONDITIONS OF THE CONSTRUCTION CONTRACT. 5. Supplementary Conditions (pages SC -1 to SC -2, inclusive). 6. Specifications as listed in the table of contents of the Project Manual. 7. Drawings (not attached but incorporated by reference) consisting of various sheets with each sheet bearing the following general title: a. Aviation Heights Water Line Improvements — Phase 5 17 sheets b. Aviation Heights Water Line Improvements— Phase 6 13 sheets c. Aviation Heights Water Line Improvements — Phase 7 13 sheets Page A-4 of 7 8. Addenda (numbers to inclusive). 9. Exhibits to this Agreement (enumerated as follows): a. Contractor's Bid (pages BF -1 to BF -5, inclusive). 10. The following which may be delivered or issued on or after the Effective Date of the Contract and are not attached hereto: a. Notice to Proceed. b. Work Change Directives. c. Change Orders. d. Field Orders. B. The documents listed in Paragraph 9.01.A are attached to this Agreement (except as expressly noted otherwise above). C. There are no Contract Documents other than those listed above in this Article 9. D. The Contract Documents may only be amended, modified, or supplemented as provided in the General Conditions. ARTICLE 10 — MISCELLANEOUS 10.01 Terms A. Terms used in this Agreement will have the meanings stated in the General Conditions and the Supplementary Conditions. 10.02 Assignment of Contract A. Unless expressly agreed to elsewhere in the Contract, no assignment by a party hereto of any rights under or interests in the Contract will be binding on another party hereto without the written consent of the party sought to be bound; and, specifically but without limitation, money that may become due and money that is due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 10.03 Successors and Assigns A. Owner and Contractor each binds itself, its successors, assigns, and legal representatives to the other party hereto, its successors, assigns, and legal representatives in respect to all covenants, agreements, and obligations contained in the Contract Documents. 10.04 Severability A. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon Owner and Contractor, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. Page A -5 of 7 10.05 Contractor's Certifications A. Contractor certifies that it has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for or in executing the Contract. For the purposes of this Paragraph 10.05: 1. "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process or in the Contract execution; 2. "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process or the execution of the Contract to the detriment of Owner, (b) to establish Bid or Contract prices at artificial non - competitive levels, or (c) to deprive Owner of the benefits of free and open competition; 3. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, a purpose of which is to establish Bid prices at artificial, non - competitive levels; and 4. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding process or affect the execution of the Contract. 10.06 Other Provisions A. Owner stipulates that if the General Conditions that are made a part of this Contract are based on EJCDC® C -700, Standard General Conditions for the Construction Contract, published by the Engineers Joint Contract Documents Committee ®, and if Owner is the party that has furnished said General Conditions, then Owner has plainly shown all modifications to the standard wording of such published document to the Contractor, through a process such as highlighting or "track changes" (redline /strikeout), or in the Supplementary Conditions. Page A -6 of 7 IN WITNESS WHEREOF, Owner and Contractor have signed this Agreement. This Agreement will be effective on (which is the Effective Date of the Contract). OWNER: CONTRACTOR: By: Title: Attest: Title: Address for giving notices: By: Title: (If Contractor is a corporation, a partnership, or a joint venture, attach evidence of authority to sign.) Attest: Title: Address for giving notices: License No.: (where applicable) (if Owner is a corporation, attach evidence of authority to sign. If Owner is a public body, attach evidence of authority to sign and resolution or other documents authorizing execution of this Agreement.) Page A -7 of 7 ARTICLE 1— BID RECIPIENT 1.01 This Bid is submitted to: JULIE GOHLKE PURCHASING AND ASSET MANAGER CITY OF SCHERTZ 1400 SCHERTZ PKWY, ADMIN BLDG 2 SCHERTZ, TX 78154 1.02 The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an Agreement with Owner in the form included in the Bidding Documents to perform all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in this Bid and in accordance with the other terms and conditions of the Bidding Documents. ARTICLE 2 — BIDDER'S ACKNOWLEDGEMENTS 2.01 Bidder accepts all of the terms and conditions of the Instructions to Bidders, including without limitation those dealing with the disposition of Bid security. This Bid will remain subject to acceptance for 60 days after the Bid opening, or for such longer period of time that Bidder may agree to in writing upon request of Owner. ARTICLE 3 — BIDDER'S REPRESENTATIONS 3.01 In submitting this Bid, Bidder represents that: A. Bidder has examined and carefully studied the Bidding Documents, and any data and reference items identified in the Bidding Documents, and hereby acknowledges receipt of the following Addenda: Addendum No. Addendum,,_ Date B. Bidder has visited the Site, conducted a thorough, alert visual examination of the Site and adjacent areas, and become familiar with and satisfied itself as to the general, local, and Site conditions that may affect cost, progress, and performance of the Work. C. Bidder is familiar with and has satisfied itself as to all Laws and Regulations that may affect cost, progress, and performance of the Work. D. Bidder has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or adjacent to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings, and (2) reports and drawings relating to Hazardous Environmental Conditions, if any, at or adjacent to the Site that have been identified in the Supplementary Conditions, especially with respect to Technical Data in such reports and drawings. BF -1 E. Bidder has considered the information known to Bidder itself; information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Bidding Documents; and any Site - related reports and drawings identified in the Bidding Documents, with respect to the effect of such information, observations, and documents on (1) the cost, progress, and performance of the Work; (2) the means, methods, techniques, sequences, and procedures of construction to be employed by Bidder; and (3) Bidder's safety precautions and programs. F. Bidder agrees, based on the information and observations referred to in the preceding paragraph, that no further examinations, investigations, explorations, tests, studies, or data are necessary for the determination of this Bid for performance of the Work at the price bid and within the times required, and in accordance with the other terms and conditions of the Bidding Documents. G. Bidder is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Bidding Documents. H. Bidder has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Bidder has discovered in the Bidding Documents, and confirms that the written resolution thereof by Engineer is acceptable to Bidder. I. The Bidding Documents are generally sufficient to indicate and convey understanding of all terms and conditions for the performance and furnishing of the Work. J. The submission of this Bid constitutes an incontrovertible representation by Bidder that Bidder has complied with every requirement of this Article, and that without exception the Bid and all prices in the Bid are premised upon performing and furnishing the Work required by the Bidding Documents. ARTICLE 4 — BIDDER'S CERTIFICATION 4.01 Bidder certifies that: A. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group, association, organization, or corporation; B. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; C. Bidder has not solicited or induced any individual or entity to refrain from bidding; and D. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph 4.01.1): "corrupt practice" means the offering, giving, receiving, or soliciting of any thing of value likely to influence the action of a public official in the bidding process; "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of Owner, (b) to establish bid prices at artificial non - competitive levels, or (c) to deprive Owner of the benefits of free and open competition; 3. "collusive practice" means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner, a purpose of which is to establish bid prices at artificial, non - competitive levels; and BF -2 4. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the bidding processor affect the a execution of the Contract. ARTICLE 5 — BASIS OF BID 5.01 Bidder will complete the Work in accordance with the Contract Documents for the following price(s): BID SCHEDULE A — FOG SEAL PROJECTS Item No. Description Unit Estimated Quantity Bid Unit Price Bid Price 2764.1 RPM Type I -C EA 12 7Cj • OD 2767.1 4 Yellow Thermoplastic Stripe LF 14,706 j� . as t 77-4 ,Ob 2767.2 4" White Thermoplastic Stripe LF 90 90. 1z 2767.4 8" White Thermoplastic Stripe LF 4,610 9 .1%0.60 2767.6 24" White Thermoplastic Stripe LF 1,019 A n 9 0.00 2767.10 White Thermoplastic Bike Arrow EA 16 2767.11 White Thermoplastic Bike Symbol EA 16 oZ qm .od OO 0315 -6004 0677 -6001 Fog Seal (CSS -1H) (0.1 GAL / SY) ELIM EXT PAV MRK & MRKS (4 ") GAL LF 11,761OD 14,476 OgSra( 74A. SC 0677 -6003 0677 -6007 ELIM EXT PAV MRK & MRKS (8 ") ELIM EXT PAV MRK & MRKS (24 ") LF LF 4,610 684 1 , �' ,zoo. cc 0677 -6023 ELIM EXT PAV MRK & MRKS (BIKE ARROW) EA 16 ZS. 0677 -6025 i ELIM EXT PAV MRK & MRKS (BIKE ARROW) _ EA 16 9's"DO.00 p� �I�•Oe) SUP -1 Door Hanger LS 1 SUP -2 Police Officer HR _ 60 '7S-.00 S^dp ad Total of All Unit Price Bid Items — Schedule A BF -3 Bidder acknowledges that (1) each Bid Unit Price includes an amount considered by Bidder to be adequate to cover Contractor's overhead and profit for each separately identified item, and (2) estimated quantities are not guaranteed, and are solely for the purpose of comparison of Bids, and final payment for all unit price Bid items will be based on actual quantities, determined as provided in the Contract Documents. ARTICLE 6 —TIME OF COMPLETION 6.01 Bidder agrees that the Work will be complete in accordance with Article 4 of the Agreement. 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages. ARTICLE 7 — ATTACHMENTS TO THIS BID 7.01 The following documents are submitted with and made a condition of this Bid: A. Required Bid security; B. List of Proposed Subcontractors; C. List of Proposed Suppliers; D. List of Project References; E. Evidence of authority to do business in the state of the Project; or a written covenant to obtain such license within the time for acceptance of Bids; F. Required Bidder Qualification Statement with supporting data; and G. Form 1295 — Certificate of Interested Parties ARTICLE S— DEFINED TERMS 8.01 The terms used in this Bid with initial capital letters have the meanings stated in the Instructions to Bidders, the General Conditions, and the Supplementary Conditions. BF -4 ARTICLE 9 — BID SUBMITTAL BIDDER: [Indicate correct name of bidding entity] �a By: [Signature] [Printed name] N f_XlFVJ a N (If Bidder is a corporation, a limited liability company, a partnership, or a joint venture, attach evidence of authority to sign. Attest: [Signature] — [Printed name]C/i Title: V , +l0.1\F 2..r Submittal Date: +2— Address for giving notices: AJ S 1 - R Telephone Number: Fax Number: Contact Name and e-mail address: _ P8ter, 1 ` C� L� � A C # Q 4 1117 Bidder's License No.: (where applicable) BF -5 QUALIFICATIONS STATEMENT THE INFORMATION SUPPLIED IN THIS DOCUMENT IS CONFIDENTIAL TO THE EXTENT PERMITTED BY LAWS AND REGULATIONS 1. SUBMITTED BY: Official Name of Firm: N C • Address: A4 7`) ©Lb 4 W t 2. SUBMITTED TO: 3. SUBMITTED FOR: Owner: Project Name: TYPE OF WORK: [fir 4. CONTRACTOR'S CONTACT INFORMATION Contact Person: ae w- Cc, y 1 t Title: :>q o N Phone: V '? [►- Email: � vre— C, tik-4 QS -1 5. AFFILIATED COMPANIES: ' Name: Address: b. TYPE OF ORGANIZATION: ❑ SOLE PROPRIETORSHIP Name of Owner: Doing Business As: Date of Organization: ❑ PARTNERSHIP Date of Organization: Type of Partnership: Name of GeneralPartner(s): CORPORATION State of Organization: Date of Organization: Executive Officers: - President: - Vice President(s): ffy, is -5 J � L Pti - Treasurer: do )AC Ksa t,-J _ - Secretary: _.J $w4 fV a fm Y", 1-11 i\/ QS -2 ❑ LIMITED LIABILITY COMPANY State of Organization: Date of Organization: Members: ❑ JOINT VENTURE Sate of Organization: Date of Organization: Form of Organization: Joint Venture Managing Partner - Name: - Address: Joint Venture Managing Partner - Name: - Address: Joint Venture Managing Partner - Name: - Address: QS -3 7. LICENSING 8. CERTIFICATIONS Jurisdiction: Type of License: _ License Number: Jurisdiction: Type of License: License Number: Disadvantage Business Enterprise: Minority Business Enterprise: Woman Owned Enterprise: Small Business Enterprise: Other( 9. BONDING INFORMATION CERTIFIED BY: Bonding Company: Ok(,92- Address: Bonding Agent: ejphr,.S IMMI&KOC-t�avlce$, I Address: Contact Name: La V'l- -1 Phone: 51Z- %Q) -2-254 Aggregate Bonding Capacity: Available Bonding Capacity as of date of this submittal: 2-116rill t) V o QS -4 10. FINANCIAL INFORMATION Financial Institution: Address: Account Manager: Phone: " �! INCLUDE AS AN ATTACHMENT AN AUDITED BALANCE SHEET FOR EACH OF THE LAST 3 YEARS 11. CONSTRUCTION EXPERIENCE: Current Experience: List on Schedule A all uncompleted projects currently under contract (If Joint Venture list each participant's projects separately). Previous Experience: List on Schedule B all projects completed within the last S Years (If Joint Venture list each participant's projects separately). Has firm listed in Section 1 ever failed to complete a construction contract awarded to it? []YES �Kv0 If YES, attach as an Attachment details including Project Owner's contact information. Has any Corporate Officer, Partner, Joint Venture participant or Proprietor ever failed to complete a construction contract awarded to them in their name or when acting as a principal of another entity? ❑ YES 10 If YES, attach as an Attachment details including Project Owner's contact information. Are there any judgments, claims, disputes or litigation pending or outstanding involving the firm listed in Section 1 or any of its officers (or any of its partners if a partnership or any of the individual entities if a joint venture)? []YES [ j IVO U If YES, attach as an Attachment details including Project Owner's contact information. QS -5 12. SAFETY PROGRAM: Name of Contractor's Safety Officer: ` NC, K50 61 Include the following as attachments: Provide as an Attachment Contractor's (and Contractor's proposed Subcontractors and Suppliers furnishing or performing Work having a value in excess of 10 percent of the total amount of the Bid) OSHA No. 500 - Lop, & Summary of Occupational Injuries & Illnesses for the past 5 years. `'� $f-z SybK„ TT-F— Q (A fbia A• QV &P-0 Provide as an Attachment Contractor's (and Contractor's proposed Subcontractors and Suppliers furnishing or performing Work having a value in excess of 10 percent of the total amount of the Bid) list of all OSHA Citations & Notifications of Penalty (monetary or other) received within the last 5 years (indicate disposition as applicable) - IF NONE SO STATE. Nom Provide as an Attachment Contractor's (and Contractor's proposed Subcontractors and Suppliers furnishing or performing Work having a value in excess of 10 percent of the total amount of the Bid) list of all safety citations or violations under any state all received within the last 5 years (indicate disposition as applicable) - IF NONE SO STATE. Provide the following for the firm listed in Section V (and for each proposed Subcontractor furnishing or performing Work having a value in excess of 10 percent of the total amount of the Bid) the following (attach additional sheets as necessary): Workers' compensation Experience Modification Rate (EMR) for the last 5 years: YEAR UM YEAR YEAR I 4 _ YEAR 2DI 06 YEAR &)I-?_ EMR j EMR .1(6 EMR EMR , N EMR i0_ Total Recordable Frequency Rate (TRFR) for the last 5 years: YEAR 20 -0 YEAR 2,014 YEAR U)I'% YEAR ?411 YEAR 2li (g QS -6 TRFR 1t_ TRFR •Z TRFR TRFR _/4.0 TRFR �. Total number of man -hours worked for the last 5 Years: YEAR 41 TOTAL NUMBER OF MAN -HOURS A *24b YEAR WA TOTAL NUMBER OF MAN -HOURS Sgq $Z,:!r YEAR � TOTAL NUMBER OF MAN -HOURS Ul 55U YEAR ,41"1 TOTAL NUMBER OF MAN -HOURS q YEAR 2jI(g TOTAL NUMBER OF MAN -HOURS -7 4206-7 Provide Contractor's (and Contractor's proposed Subcontractors and Suppliers furnishing or performing Work having a value in excess of 10 percent of the total amount of the Bid) Days Away From Work, Days of Restricted Work Activity or Job Transfer (DART) incidence rate for the particular industry or type of Work to be performed by Contractor and each of Contractor's proposed Subcontractors and Suppliers) for the last 5 years: YEAR 2420 YEAR YEAR 20( YEAR 26 1 :1_ YEAR 2= 0 ((b 13. EQUIPMENT: MAJOR FnUIPMFNT- DART DART 5.4b DART DART DART List on Schedule C all pieces of major equipment available for use on Owner's Project. e4 t-�G 1b 1vj i "I'T ,o QS -7 I HEREBY CERTIFY THAT THE INFORMATION SUBMITTED HEREWITH, INCLUDING ANY ATTACHMENTS, IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. NAME OF ORGANIZATION: BY: Jr•3'Q..� if I nl I TITLE; _C6 ILP6 Q4�--T 6 _ T" R DATED: I 1 " —2, NOTARY ATTEST: SUBSCRIBED AND SWORN TO BEFORE ME THIS DAY OF _& , ZO y1 J NOTARY PUBLIC - STATE OF — T- e.X6...S MY COMMISSION EXPIRES: Q1.. \%— r}p;47 S. Evidence of authority for individuals listed in Section 7 to bind organization to an agreement. 6. Resumes of officers and key individuals (including Safety Officer) of firm named in Section 1. 7. Required safety program submittals listed in Section 13. 8. Additional items as pertinent. QS -8 i 11141pB��� REQUIRED ATTACHMENTS '��u�rp +��,� JEANNE M. BRYANT ;r °•' 4c•� Notary Public, State of Texas 'P3 1. Schedule A (Current Experience). �'� °• Comm. Expires 09 -11 -2022 4i�F Oti`� �,,,,,,�..� Notary ID 124318791 2. Schedule B (Previous Experience). 3. Schedule C (Major Equipment). 4. Audited balance sheet for each of the last 3 years for firm named in Section 1. S. Evidence of authority for individuals listed in Section 7 to bind organization to an agreement. 6. Resumes of officers and key individuals (including Safety Officer) of firm named in Section 1. 7. Required safety program submittals listed in Section 13. 8. Additional items as pertinent. QS -8