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Vic's Painting & ReconstructionPatty Burnette From: Patty Burnette Sent: Tuesday, October 6, 2020 11:43 AM To: ricky@vicspainting.com Cc: Yesica Montoya Subject: Okeechobee City Hall Painting Bid Attachments: Bid Bond.pdf Importance: High Tracking: Recipient Read ricky@vicspainting.com Yesica Montoya Read: 10/6/2020 11:52 AM Good Morning. Attached is a copy of the bid bond that you all submitted with your bid. I am not sure if this is what you meant to submit because this is expired. Please advise and thank you. Patty M. Burnette Cj, eneraCServices Coordinator City of Okeechobee SS SE 3rd Avenue Okeechobee, Ff- 34974 Phone: (863) 763-3372 ext. 982o Direct. (863) 763-9820 Fax: (863) 763-1686 e-maid v6urr>-ette@cituofokeecbobee.coni we6site: wwwxiUL ofokeec6obeexorii Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to i Patty Burnette From: Ricky House <rcky@vicspainting.com> Sent: Tuesday, October 6, 2020 2:10 PM To: Patty Burnette Subject: RE: Okeechobee City Hall Painting Bid Hi Patty, No that was not supposed to be in the packet. That was just example for my new office manager, of what I needed her to get. I apologize for that. We have a new office manager, I am Tampa today but will see what happened and get you what you need, as soon as I get to the office, as I know we submitted a Bid Bond Request with Florida Surety Bonds for this project. I will follow up with you shortly. Thank you very much, Ricky House Sales Manager Vic's Painting and Reconstruction From: Patty Burnette <pburnette@cityofokeechobee.com> Sent: Tuesday, October 6, 2020 11:43 AM To: Ricky House <rcky@vicspainting.com> Cc: Yesica Montoya <ymontoya@cityofokeechobee.com> Subject: Okeechobee City Hall Painting Bid Importance: High Good Morning. Attached is a copy of the bid bond that you all submitted with your bid. I am not sure if this is what you meant to submit because this is expired. Please advise and thank you. Patti M. Burnette Cj. eneraCServices Coordinator City of Okeechobee 55 SE 3Ya Avenue Okeechobee, Tf- 34974 Phone: (863) 763-3372 ext. 9820 Direct. (863) 763-9820 Eax: (863) 763-1686 i Patty Burnette From: Ricky House <ricky@vicspainting.com> Sent: Wednesday, October 7, 2020 9:59 AM To: Patty Burnette Subject: Re: Okeechobee City Hall Painting Bid Good morning Patty How can I deliver this bid bond to you? I have the physical original copy here with me with everything notarized. Can you take a scan or do you need originals? Thanks Ricky House Vics Painting and Reconstruction 239-635-4539 From: Patty Burnette <pburnette@cityofokeechobee.com> Sent: Tuesday, October 6, 2020 2:37 PM To: Ricky House <rcky@vicspainting.com> Subject: RE: Okeechobee City Hall Painting Bid Thank you for getting back to me. Please let me know first thing in the. Path M. Burnette Cj, eneral Services Coordinator City o- f Okeechobee 55 SE 3Yd Avenue Okeechobee, rF'.- 34974 I Patty Burnette From: Ricky House <ricky@vicspainting.com> Sent: Wednesday, October 7, 2020 10:11 AM To: Patty Burnette Subject: Re: Okeechobee City Hall Painting Bid Ok sounds good. I will get this mailed out to you today, To your attention. Thank you very much Ricky Sent from my iPhone > On Oct 7, 2020, at 10:04 AM, Ricky House <rcky@vicspainting.com> wrote: BID BOND KNOW ALL MEN BY THESE PRESENTS, that we, Crazy Horse Enterprises Inc. dba * as Principal and Pennsylvania National Mutual** , as Surety, are held and firmly bound unto the City of Okeechobee (the "City"), in the penal sum of $ Five Percent of *** lawful money of the United States, for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THE OBLIGATION IS SUCH, that whereas the Principal has submitted the accompanying bid, dated _ September 28th , 20 20 for the Contract Documents: Contract Title: Okeechobee City Hall, Fire Department and Records Retention Contract Number: PW- 04-00-09-20 (Project Number) NOW, THEREFORE, 1. If the Principal, a. Within seven (7) business days after the date of the Notice of Apparent Low Bidder, provides a Statutory Payment Bond and a Common Law Performance Bond as specified in the General Terms & Conditions or, in lieu of the Statutory Payment Bond or Common Law Performance Bond, provides an alternate form of security as specified in the Contract Documents; and provides the insurance certificate required under the Contract Documents, completed by a lawfully authorized insurance agent; and b. Within seven (7) business days of receipt of the Contract Documents, enters into a written contract with the City, in accordance with the Bid, as accepted, then the above obligations of the Principal and Surety shall be null and void. However, should the Principal fail to fully comply with the conditions of paragraph 1 above, then the Principal and Surety, jointly and severally, shall be liable to the City for the full penal sum of this Bond which shall be forfeited to the City as liquidated damage, but not a penalty, as a result of the Principal's failure to comply with the bid instructions and conditions, regardless of whether the City ultimately decides to change the project requirements or resolicit bids. 3. The remedies provided herein are not to be construed as the City's exclusive remedies for the Principal's failure to enter into a contract with the City but shall be deemed supplemental to all remedies available to the City at law or otherwise. DATED ON September 28th12020 . * Vic's Painting & Reconstruction, Inc. ** Casualty Insurance Company *** Amount Bid (5%) City of Okeechobee Project No. PW 04-00-09-20 Public Works Department a FOR NON -CORPORATE BIDDERS: N/A (Witness) N/A (Print Name) N/A (Witness) N/A (Print Name) FOR CORPORATE BIDDERS ATTEST: ., t � 1 Secretary IVETTE AMABLE 4�41 Notary Public•State of Florida Commission a HH 42260 %' My Commission Expires S ti" September 29. 202,1 ATTEST: (Corporate Seal) Secretary, Susan L. Reich By: N/A (Signature of Principal) N/A (Print Name and Title) N/A NIA Business Address Crazy Horse Enterprises, Inc. dba Vic's Painting & Reconstruction, Inc. (Signature of eorporate Principal) (Print Name and Title) 1700p41ico Commerce Court #102, Ft. Myers, FL 33967 Business Address Pennsylvania National Mutual Casualty Insurance Company (Cod Pr S re ty) (Print tbhie and Title) Jeffrey W. Reich, Attorney -In -Fact & FL Licensed Resident Agent PO Box 2361, Harrisburg, PA 17105-2361 Business Address 620 N. Wymore Rd., Suite 200, Maitland, FL 32751 Florida Address for Service of Process (717) 234-4941 Telephone Number (Surety shall provide evidence of signature authority such as a certified copy of Power of Attorney.) City of Okeechobee Public Works Department Project No. PW 04-00-09-20 11ENNSYINANIA NATIONAL MUTUAL, CASUALTY INSURANCE COMPANY HNrrisbul-k, Pennsylvania 3333 POWER OF ATTORNEY Knmr All Men II)• these Presents, I'h:t PIiNNSYI.VANIA NA•I'IONAL N11. l•t 'Al. CASCIAL Y INSURANCE C ONIIIANY. a corporation ol'the C'onunonwt lth of* I'enns)•h'ania. dues hereby make. conslitute and appoint JEFFREY W. REXII. SUSAN L. RIi O1. KIM E. NIV. Cl ILRYI. FOLEY. ROIILR I' 11. O'I.INN. GLORIA A. RIC'l IARI)S, %ARAI I K. O'LINN. AND I'LRLSA L. DURI IAXI. Al.l. OF NIAI*ITAND. FLORIDA (1.AC'l b its trite and law liil Attottey(s)-in-Fact to nuke. execute. seal and deliver (ilr and on its lichah: as surety. as its act and deed: ANY AND ALI. BONDS AND UNDLItTAKINGS PROVII)LD [ I Ili ANIOI!NT OF NO ONE 13ON1) Olt l INDER I'AKIN(i I \('I:f•.US II II: Sl'M OI' FIVI: MILLION DOLLARS - - - - - - - - - - - - - - ($3.0(K).(8)0.(8)) AI.I. POUTR AND At UYI I111M.-BY CONFERRED SI IALI. IIL•REBY EXI'lltli AND ITI0-11NAlli WI f11Of' I' NOTICL Al' MIDNIGI I I' ON NOVIi,\•1131:R 30. 2028. AS ItI:SI'LC' IN LXIAT IION St:13SI:Qt'l-'Nl• 1*1IL•RL10. And the execution ol'such bonds in pursuance of these presenlN shall he as binding upon said Company as fluty and aniply. it) all intents and purposes. as if lhe) had been Jul) execuled and acknuvv (edged b} the Izgularly elected officers ofthe Conhpam' at its oflicc in Harrisburg. Pennsylvania. in their ovut proper persons. Ibis appointincnt is made by atop under the authorization ol•a resolution adopted by file Board ol'Directors 01'the C otilpumy on October'_•(, 1973 at I larrisburg. 11clmsyhania which is shown lelavv and is now in lilll liirec and effect. I(ESOLVED. that (1) the President, an) Vice 11residcni. the Secretap. or ill%Department ticcretar) shall have potter to appoint. and to mtoke the appwinunents ol: Auome)s-in-Fact oragcnts %ith peace told aulhoril) as ddined or limited in their r�hpxclive px+tven ol':Nlume). and to execute un l+chall' of the C'ompsnl). and all is the C'onipam's seal thelvto, lx+n(I,, undenakings. rucogni/anec's. cont.acis of indcamil) and other %duen oblig:aions in the mute t+civol'or related ahcrow and (2) an) ol'such 0111ccrx ol'the C'oniplan) nnI) appoint and revoke the appointlients u1joini-control custodian,., agents kir acceptance ol'proccsss. and .Auorne)s-in-pact tit ith authorip to execute %ahers and consents on behall'ol'the C'onilxai): and (3) the signature ol'anv such Oil icer or olan) Assistant Sccmtm•) or Department .Assistant Seeret:tn and the Compan) seal nua) be affixed b) facsimile to am' po%er ol'auurnc) or cenilicaliun piton hie the cxeculion oiat \ pond. untlenalihip. rccogni/ance, coillntct of odeamitt or other %rhiell obligation in the nature thcreolor relalcd thereto. such signattliv and seal "hen so t-ed ttlleilier It,: cloliw or hereafter. being hercM adopted b) pile Conip:pat its pile origiazil signature all' such 011iecr and the original seal 01111c Ctnir it%. Io be valid and bilxling upon the C'oalp:ul) with the sanic lime and cllect as though manualh allixctl. In Witness Whereof: PENNSYLVANIA NAl'IONAL \•It I I'l'AI. CASUAL FY INSURANCL CON( 'ANY has caused these presents to he signed and its corpior is seal to be hereto allixed on November 11).2019. "°"' I`LNNSYLVANIA NA HONAL Mt I'1 IAL CASI'Al. I'Y INS( IRANCL• COMPANY .`ptllAt CAS,11,, y`>)A�tiSYIVP�\pp�?` \-Iark 1 dd. Vice President - Suret) Coi n ionwralth ol'1'ennsylvania. County ol'Dauphin SS: On November 11). 2018. beline nhe appeared `lark Fitzgerald to me personally knuvut. vvho being by ale duly sworn. did say that he resides in the Ncvv Jcrse)•, that he is to Vice ('resident Surety of I'LNNSYI.VANIA NATIONAL. NII'll'AI. C'ASCIALTY INSI TRANCE CONIIIANY. that he is the indiv ideal described in and %ho executed the preceding inst•unhent. and that the seal allixed to said instrument is the corporate seal of* %.Iid Company. and that said instrument was signed :red scaled on behall'ol'said Company by authority and direction ol'said C'omfxmy. and the said ollice acknowledged said instrument to he the ('roe acl and deed ol'said Company. w COMMONWEALTH OF PENNSYLVANIA -� Notarial Seal • NOTARY PUBLIC • I racl A Kimmich, Notary Public g y� Q`nAlne�''�T City Of Harrisburg, Dauphin County My Commission Expires Oct 91, 2020 "`rAer"atA Member, Pennsylvania Association of Notaries Nutan Public I. Mark Fitzgerald. Vice President Suret) ol'the IlLNNSYLVANIA NA 110NAL `3t fUAL C'ASI. Al. I'Y INSt 7RANCL COMPANY. a corporation ol'the Common%eallh ol'1'enns.%kania. do hcrch) ccrtilj that the alove and lihrcguing is ;i true and rurttcl copy of ;t I'uwrr ul :\tturnr) . exec tiled by the said C oinliany. which is still in till Iurce and epic. n WitlICSS Whcrcof, I hay c hereunto set rely hand and al'lixcd the corporate seal ol'said ('tnnpam' un September 28, 2020 ..,,,,,,,,,,,,,,,,,,,, °� ,,a,, iiiFo'•'`ry', Vice .,, S/iy3d i AN'da o. 78-140e(itrt 11) 21) 12) �0 FLORIDA SURETY BONDS, INC. Attention: Jenna Pagan 620 N Wymore Road Suite 200 Maitland, FL 32751 (407) 786-7770 • Fax (407) 786-7766 Toll Free (888) 786-BOND • Fax (888) 718-BOND www.FloridaSuretyBonds.com BID BOND RESULTS FORM This bond has been prepared in accordance with your instructions. Please check it to be sure it conforms to the specifications for bidding this project. Principal: Crazy Horse Enterprises, Inc. dba Vic's Painting & 17000 Alico Commerce Court #102 Ft. Myers, FL 33967 FAX: Obligee: City of Okeechobee 55 S.E. 3rd Ave. Okeechobee, FL 34974 Surety: Pennsylvania National Mutual Casualty Insurance Company AMOUNT: $37,888.00 BID DATE: 9/28/2020 Project Number PW 04-00-09-20 Description of Project: Okeechobee City Hall, Fire Department and Records Retention (Exterior Painting) *If you have a copy of the bid tabulation, you may attach instead of completing the section below* PLEASE FILL. IN FIRM NAME AND BID PRICES OF THE THREE LOWEST BIDDERS: 1 st: Bidder: AMOUNT $ 2nd Bidder:_ _ AMOUNT $ 3rd Bidder: AMOUNT $ IF YOUR BID IS NOT LISTED ABOVE - WHAT WAS YOUR BID PRICE? $ COMMENTS: For office use only: Bid Bond or Cashiers Check? (Please check one) ❑ Recorded ❑ Pennsylvania National Mutual Casualty Insurance C ❑ Jenna Pagan U Kim E. Niv FLORIDA SURETY BONDS, INC. Maitland, FL 407-786-7770 www. FloridaSuretyBonds.com Patty Burnette From: Ricky House <ricky@vicspainting.com> Sent: Wednesday, October 7, 2020 12:04 PM To: Patty Burnette Subject: Re: Okeechobee City Hall Painting Bid Hey Patty, I just priority mailed you the originals. Tracking number 9505 5265 1286 0281 2726 75 Thank you Ricky Sent from my iPhone On Oct 7, 2020, at 10:58 AM, Ricky House <rcky@vicspainting.com> wrote: Doing it now. Sent from my iPhone On Oct 7, 2020, at 10:34 AM, Patty Burnette<pburnette@cityofokeechobee.com> wrote: Ricky it doesn't look like anyone from Vic's Painting signed this??? Path Nl. Burnette Cj. eneraCServices Coordinator City of Okeechobee 55 SE 3rcf Avenue Okeechobee, Tf- 34974 Phone: (863) 763-3372 ext. 9820 Direct: (863) 763-9820 Tax: (863) 763-1686 e-maid: vburnette@cirvofokeechobee.con i website: -www.citUofokeechobee.coin I <image001.png> Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing, Florida Statute 668.6076. CITY OF OKEECHOBEE ELECTRONIC DEVICE DISCLAIMER: Florida has a very broad public records law. Most written communications to or from local officials regarding city business are public records available to the public and media upon request. Your correspondence via e-mail, text message, voice mail, etc., may therefore be subject to public disclosure. From: Ricky House <ricky@vicspainting.com> Sent: Wednesday, October 7, 2020 10:04 AM To: Patty Burnette <pburnette@cityofokeechobee.com> Subject: Re: Okeechobee City Hall Painting Bid Good Morning If you can take a scanned copy, here you go. Attached is the bid bond. Thank you Patty! Please let me know if you need anything else. Excited to hear the results and hopefully work together soon! Have a great day, Ricky woD-spuoq/.aanSppiaojj Av" OLLL-99L-Lob '*)NI'SaN08 FLORIDA SURETY Phone 407-786-7770 BONDS, INC. FIN ' Maitland, FL KNOW ALL MEN BY THESE PRESENTS, that we, Crazy Horse Enterprises, Inc. dba * as Principal and Pennsylvania National Mutual** , as Surety, are held and firmly bound unto the City of Okeechobee (the "City"), in the penal sum of $ Five Percent of *** lawful money of the United States, for the payment of which sum, well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THE OBLIGATION IS SUCH, that whereas the Principal has submitted the accompanying bid, dated September 28th 2020 , for the Contract Documents: Contract Title: Okeechobee City Hall, Fire Department and Records Retention Contract Number: PW- 04-00-09-20 (Project Number) NOW, THEREFORE, 1. If the Principal, a. Within seven (7) business days after the date of the Notice of Apparent Low Bidder, provides a Statutory Payment Bond and a Common Law Performance Bond as specified in the General Terms & Conditions or, in lieu of the Statutory Payment Bond or Common Law Performance Bond, provides an alternate form of security as specified in the Contract Documents; and provides the insurance certificate required under the Contract Documents, completed by a lawfully authorized insurance agent; and b. Within seven (7) business days of receipt of the Contract Documents, enters into a written contract with the City, in accordance with the Bid, as accepted, then the above obligations of the Principal and Surety shall be null and void. 2. However, should the Principal fail to fully comply with the conditions of paragraph 1 above, then the Principal and Surety, jointly and severally, shall be liable to the City for the full penal sum of this Bond which shall be forfeited to the City as liquidated damage, but not a penalty, as a result of the Principal's failure to comply with the bid instructions and conditions, regardless of whether the City ultimately decides to change the project requirements or resolicit bids. 3. The remedies provided herein are not to be construed as the City's exclusive remedies for the Principal's failure to enter into a contract with the City but shall be deemed supplemental to all remedies available to the City at law or otherwise. DATED ON _ September 28th , 20 20 . Vic's Painting & Reconstruction, Inc. "* Casualty Insurance Company *** Amount Bid (5%) City of Okeechobee Project No. PW 04-00-09-20 Public Works Department 8 FOR NON -CORPORATE BIDDERS: N/A By: N/A (Witness) (Signature of Principal) N/A (Print Name) N/A (Witness) N/A (Print Name) FOR CORPORATE BIDDERS ATTEST: x Secretary , IVETTE AMABLE r=o �j Notary Public -State of Florida _• Commission 4 HH 42260 '� o�;= My Commission Expires S �` i�`' September 29, 2024 ATTEST: (Corporate Seal) —Z Secretary, Susan L. Reich N/A (Print Name and Title) N/A N/A Business Address Crazy Horse Enterprises, Inc. dba Vic's Painting & Reconstruction, Inc. (� A.�, . r-7 (Signature of of orporate Principal) (Print Name and Title) 1700p41ico Commerce Court #102, Ft. Myers, FL 33967 Business Address Pennsylvania National Mutual Casualty Insurance Company (C10 S re y) MJ N (Print a and Title) Jeffrey W. Reich, Attorney -In -Fact & FL Licensed Resident Agent PO Box 2361, Harrisburg, PA 17105-2361 Business Address 620 N. Wymore Rd., Suite 200, Maitland, FL 32751 Florida Address for Service of Process (717) 234-4941 Telephone Number (Surety shall provide evidence of signature authority such as a certified copy of Power of Attorney.) City of Okeechobee Project No. PW 04-00-09-20 Public Works Department 9 PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY Harrisburg, Pennsylvania 3333 POWER OF ATTORNEY Know All Men By these Presents, That PENNSYLVANIA NATIONAL. MUTUAL CASUALTY INSURANCE COMPANY, a corporation of the Commonwealth of Pennsylvania, does hereby make, constitute and appoint JEFFREY W. REICH, SUSAN L. REICH, KIM E. NIV, CHERYL FOLEY. ROBERT P. O'LINN, GLORIA A. RICHARDS. SARAH K. O'LINN, AND TERESA L. DURHAM, ALL OF MAITLAND. FLORIDA (EACH) its true and lawful Attorney(s)-in-Fact to make. execute, seal and deliver tier and on its behalf. as surety, as its act and deed: ANY AND ALL BONDS AND UNDERTAKINGS PROVIDED THL" AMOtJNT OF NO ONE BOND OR UNDERTAKING EXCF.F'.DS TIII SUM OF FIVE MILLION DOLLARS - - - - - - - - - - - - - - ($5,000.000.00) AL I, POWER AND AUTHORITY HEREBY CONFERRED SHALL HEREBY EXPIRE AND TERMINATE WITHOUT NOTICE AT MIDNIGHT ON NOVEMBER 30. 2028. AS RESPECTS EXECUTION SUBSEQUENT THERETO. And the execution of such bonds in pursuance of these presents shall be wi binding upon said Company as fully and amply. to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Harrisburg. Pennsylvania, in their own proper persons. This appointment is made by and under the authorization of a resolution adopted by the Board of Directors of the Company on October 24. 1973 at Harrisburg. Pennsylvania which is shown below and is now in full lirrce and effect. RESOLVED, that (1) the President, any Vice President, the Secretary, or any Department Secretary shall have power to appoint, and to revoke the appointments of: Attorneys -in -Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf' of the Company, and affix the Company's seal thereto, bonds, undertakings. recognizance's, contracts of indemnity and other written obligations in the nature thereofor related thereto: and (2) any ol'such OOicers of [lie Company may appoint and revoke the appointments of joint -control custodians, agents tirr acceptance of process, and Attorneys -in -Pact with authority to execute waivers and consents on behalf of the Company: and (3) the signature of any such OlTicer or of any Assistant Secretary or Department Assistant Secretary and the Company seal may be allixed by I'acsimile to any power ot'attorney or certification given for the execution of any bond. undertaking, recognizance, contract of indemnity or other written obligation in the nature ihereof or related thereto, such signatureand seal when so used whether heretofore or hereafter. being hereby adopted by the Company as the original signature of such Officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually allixed. In Witness Whereof-. PENNSYLVANIA NATIONAL_ MUTUAL. CASUALTY INSURANCE COMPANY has caused these presents to be signed and its corporate seal to be hereto affixed on November 19. 2018. ,,,,,pnuur,rrr p, PENNSYLVANIA NATIONAL Mt1TuAL CASUALTY INSURANCE COMPANY tapL CASG4 k. .,.11Z......... . �p't 9•y� 'A r` Mark F' all, Vice President - Surety NSyLV Commonwealth of Pennsylvania. County of Dauphin - ,%: On November 19, 2018. before me appeared Mark Fitzgerald to me personally known, who being by me duly sworn, did say that he resides in the New Jersey, that he is the Vice President - Surety of PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY. that he is the individual described in and who executed the preceding instrument. and that the seal affixed to said instrument is the corporate seal of said Company. and that said instrument was signed and scaled on behall'ol'said Company by authority and direction of'said Company, and the said office acknowledged said instrument to be the free act and deed of said Company. c�a Kt^+M;ny COMMONWEALTH OF PENNSYLVANIA '��` t Hirjj '• ; +° �e Notarial Seal • NOTARY PUBLIC • Traci A Kimmich, Notary Public /� t City Of Harrisburg, Dauphin County �A4(Jr CL ,i '1 My Commission Fxpires Oct 31, 2020 s 'hfF4(rH OF PEN Notary Public Member, Pennsylvania Association of Notaries 1. Mark Fitzgerald, Vice President - Surety of the PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY. a corporation of the Commonwealth of Pennsylvania, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attomey. executed by the said Company. which is still in fill force and effect. �"ZUALI1101 CAgAr,, In Witness Whereof,l have hereunto set my hand andaffixed the corporate seal ol'said Company on September 28, 2020 � ��,........ Vice Preside urety ..y... S...ywo' u 1�,Bda,: .. 7s-190e(Re\ 10"012) FLORIDA SURETY BONDS, INC. 620 N Wymore Road Suite 200 Maitland, FL 32751 (407) 786-7770 9 Fax (407) 786-7766 Attention: Jenna Pagan Toll Free (888) 786-BOND • Fax (888) 718-BOND BID BOND RESULTS FORM www.FloridaSuretyBonds.com This bond has been prepared in accordance with your instructions. Please check it to be sure it conforms to the specifications for bidding this project. Principal: Crazy Horse Enterprises, Inc. dba Vic's Painting & 17000 Alico Commerce Court #102 Ft. Myers, FL 33967 FAX: Obligee: City of Okeechobee 55 S.E. 3rd Ave. Okeechobee, FL 34974 Surety: Pennsylvania National Mutual Casualty Insurance Company AMOUNT: $37,888.00 BID DATE: 9/28/2020 Project Number PW 04-00-09-20 Description of Project: Okeechobee City Hall, Fire Department and Records Retention (Exterior Painting) *If you have a copy of the bid tabulation, you may attach instead of completing the section below* PLEASE FILL IN FIRM NAME AND BID PRICES OF THE THREE LOWEST BIDDERS: 1st: Bidder: 2nd Bidder: 3rd Bidder: AMOUNT $ AMOUNT $ AMOUNT $ IF YOUR BID IS NOT LISTED ABOVE - WHAT WAS YOUR BID PRICE? $ COMMENTS For office use only: Bid Bond or Cashiers Check? (Please check one) El Recorded ❑ Pennsylvania National Mutual Casualty Insurance C El Jenna Pagan ❑ Kim E. Niv Ics PAINTING & RECONSTRUCTION Committed To Excellence orl World �' PP4 �b 1 FORT MYERS 17000 Alico Commerce Court, Suite 102 • Fort Myers, FL 33967 www.vicspainting.com CGC# 1524709 Vic Hein President Tel (239) 694-3131 Cell (239) 339-3736 wativ.vicspai n ri n:;.<<�m Vicwicspaill iing.u,m PROPERTY MANAGEMENT SOLUTIONS For all your painting needs Jim Hill Vice President Tampa: (813) 495-1982i Ft. Myers: (2.39) 694-3131 www.vicspa i nri ng.co m Jimwicspainting.com Meeting and exceeding your expectations is what motivates the professionals of Vic's Painting & Reconstruction. Since 1982 we have been an industry leader specializing in commercial re -paint and re -construction. Here is a list of services we provide that will make your next project run smoothly: • Budget bids • Specification's • Re -paint proposals • Electrostatic painting • Custom Staining • Pool deck coatings • High performance epoxy floors specializing in metallic • Reconstruction • Waterproofing and Sealant • High rise, mid -rise, low-rise and multi- family communities Vic's Painting & Reconstruction takes pride in providing unique solutions for all your painting and re- construction needs. Let us help in making your next project the best one yet. Warmest Personal Regards, 71jofnas Czako General Superintendent Estimator Tel (239) 694-3131 Fax (239) 694-0311 Cell (239) 357-8303 Tomwicspainting.com FORT MYERS 17000 Alico Commerce Court, Suite 102 Fort Myers, FL 33967 Kevin Bradford Sales and Estimacing 1cl(239)694-3131 Fax (239) 694-031 1 Ccll (239) 826-2413 Kcvin(dvicsp;tinting.atm www.vicspainting.com CGC #1524709 Ricky House Sales and Estimating 1e1 (239) 694-3131 Fax (239) 694-031 1 Ccll (239) 634-4539 Ricky@ovicspainting.com TAM PA 5010 US Highway 19 N, Suite 2 Palmetto, FL 34221 1C�S PAINTING & RECONSTRUC71ON PROPOSAL COVER.LETTER Tab 1 o Cover Letter Date: 09/28/2020 Since 1982 Vic's Painting and Reconstruction has been an industry leader in a wide range of specialized commercial and Industrial repainting and reconstruction services. Recently we have completed multiple notable projects such as Hertz Arena, Gulfcoast Town Center and several Collier and Lee County Schools. We Pride ourselves on a high degree of workmanship and quality. Every great paint application begins with proper surface preparation which is, by far the most important step to a successful coating application project. We like to say we cover up our best work, because we know the importance that a perfect prep brings to the final product. With over 35 years' experience, we have the relationships and knowledge it takes to not only follow but produce the required manufactures specifications, which are necessities to achieve maximum durability and a high level of quality that meets these strict warranty requirements. POMTS OF CONTACT The staff that Vic's Painting and Reconstruction has extensive knowledge and experiences in steel coating applications which lends itself to a successful project for the City of Naples, including: Victor Hein / President Victor, an Indiana native, has been in the commercial painting and reconstruction business since 1982. Vic's long history in the Commercial Painting and Coating industry has consistently shown the ability to manage large staffs and projects of a wide variety and skill level. His active participation in all ongoing projects, shows a hands-on management style, that demonstrates to everyone involved the importance of each project. Vic is well versed in all aspects of the commercial and industrial coating applications, and the challenges of coordinating multi -tasked projects. He has assembled a management and field team which shares the same goals and management style, which thereby returns a high level of customer satisfaction for his clients. Rick House Senior Estlrnatnr Rich is the Senior Estimator for Vic's Painting and Reconstruction and has been in the Construction and Commercial Paint Industry for over 30 years. Specializing in waterproofing, concrete repairs, special coatings and commercial painting. In addition, his project management responsibilities and environmental project for government, commercial, and private sector clients. These projects include but have not been limited to utility facilities, parking structure repairs, high-rise condominiums, stadiums/convention center facilities, schools and industrial buildings. Term Czako — Project Manager Tom originally hails from the great state of Iowa where he successfully owned his own painting company for over 25 years. Tom worked on many impressive projects including the University of Iowa College of Music building, the University of Iowa (Campus) Aspire Graduate Student Housing project, the oil fields of North Dakota and many Tanger Outlet Malls, Tom's history in special coating applications has led him to become a highly sought after seasoned professional with the proper knowledge of surface preparation, manufacture coating requirements and warranty standards. Contact Information Victor Hein / President 17000 Alico Commerce Court Fort Myers, Florida 33967 P. 239.694.3131 C. 239.339.3736 Email: 'Jic@vicspainting.com Tom Czako / Senior Estimator 17000 Alico Commerce Court Fort Myers, Florida 33967 P. 239.694.3131 Email: _om@vicspainting.com Rick Hoarse / Project Manaeer 17000 Alico Commerce Court Fort Myers, Florida 33967 P. 239.694.3131 C. 239.634.4539 Email: s icl<y. @vicspainting.com SECTION III PW 04-00-09-20 BID DOCUMENTATION ram y �uJSC lc� !s ( C1 bi (BIDDER'S CO PANY NAME) City Council City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 I have received the documents titled OKEECHOBEE CITY HALL, FIRE DEPARTMENT, AND RECORDS RETENTION BUILDING PAINTING. Proiect No. PW 04-00-09-20. 1 have also received addendum number 0 L through O 1 and have included these provisions in my Bid. I have examined both the Bid documents and the construction site and submit the following Bid in which I agree: 1. To hold my Bid open until an agreement has been executed between the City of Okeechobee and accepted Bidder, or until ninety (90) days after Bids are opened, whichever is longer. 2. Regarding the Disposition of Bid Security: to accept the provisions of the Instructions to the Bidders. 3. To accomplish the work included in, and in accordance with the Contract Documents, if this Bid is accepted. 4. To start work within 30 days following the date of the Notice to Proceed. And complete the work within 30 days of start of work. 5. Payment will be made upon invoice within thirty (30) days and final inspection and approval of the work by the City's Public Works Director. NOTE: The City shall not be liable to pay interest on any unpaid balance. Vendor is solely responsible for all taxes, withholding, or social security obligations. 6. Regarding the Award of the Contract: if I am awarded a contract for this project, I understand that the award may be for all or any portion thereof, of the items listed under the Bid Unit Price Schedule. C �,-G --2-� 1� ire J;-7 .'\,1- (-,� � G Bidder: V, c S f c into" A rO,— twchbvk ( mpany Name) By: Signature) VIC'� (Printed Name) Mailing Address: Q ouo N �, c O Office Number: a35 — 66i LJ -3) 3 j Date: 4 - 2 W -,2o :Lo Title: PEES Ae--fx f Email: ( C uICs Fax Number: 23 � L6q — 0 3 1 City of Okeechobee Public Works Department Project No. PW 04-00-09-20 SECTION IV PW 04-00-09-20 MINIMUM QUALIFICATIONS FOR BIDDERS Minimum Qualifications: 1.0 Experience 1.1 Bidder must have at least 3 years of experience in providing painting services to either commercial or -governmental entities. 2.0 References 2.1 Bidder must provide at least 3 verifiable references of similar prior painting projects including multi story, stucco structures. 2.2 For references, Bidder shall provide the client name, client phone number, and client e-mail address. 2.3 Bidder shall provide a written description of the services performed in sufficient detail as they directly relate to the work of this Request for Bid. The description shall include the dates of the period that the Bidder provided the services as well as the contractual amount of the services provided. 2.4 The City shall have, in its sole discretion, may reject any and all bids if it is not able to verify the references provided. 3.0 Bidder certifies that 3.1 Bidder has been in business for at least 3 years or more 3.2 Bidder has successfully completed at least 12 commercial or governmental painting projects within the last three years. 3.3 Bidder has never failed to complete work awarded under a contract due to circumstances that were inside the control of the contractor. &L'11 f 0'(sc ANT. olbr, 2 Bidder: V c s c,i-i rf 4 e eo4s f&e b"'o Date: `1 21v2J3 Co pany Name) By: � Title: pre!; (Signature) ytC�C S kkE1i\ Email: Lcy_� G i/icS P�,kfz� .Cc,M (Printed Name) Mailing Address: 171500 A-kca CG��enceC'�., Sc�tc le2, %So Office Number: 23 S- to 9L( -313 I City of Okeechobee Public Works Department Fax Number: 23 S- 6, 54 -G311 Project No. PW 04-00-09-20 SECTION IV ATTACHMENT H PW 04-00-09-20 MINIMUM QUALIFICATIONS FOR BIDDERS THREE COMMERICAL OR GOVERNEMENTAL REFERENCES COMPANY NAME: City of Naples, ADDRESS: 295 Riverside Circle TELEPHONE: 239-304-6997 CONTACT PERSON: Travis Delashmet, P.E CONTACT E-MAIL ADDRESS: TDELASHMET(unaplesgov.com COMPLETED MULTIPLE PROJECTS INCLUDING PAINTING AND WATERPROOFING OF GOVERNMENT BUILDINGS, PARKING GARAGES, AND STREET LIGHTS THROUGHOUT THE CITY. FROM 2016 TO CURRENT. TOTAL- $101,700.00 FOR RFP 20-010 COMPANY NAME: Gulf Coast Town Center — Centre Corp Management ADDRESS: 9903 Gulf Coast Town Center, Main Street, Fort Myers, Florida 33913 TELEPHONE: 239-267-5107 CONTACT PERSON: Amos Randall CONTACT E-MAIL ADDRESS: arandall(&centrecorp.com ON GOING WORK FROM 2016-2020, TO INCLUDE STUCCO AND CRACK REPAIR, COMPLETE PAINTING AND WATERPROOFING OF THE ENTIRE GULF COAST TOWN CENTER SHOPPING CENTER BROKEN DOWN INTO 4 PHASES. TOTAL: $365,000.00 COMPANY NAME: HERTZARENAANDGERMAIN ARENA ADDRESS: 11000 Everglades Parkway, Estero, Florida 33928 TELEPHONE: 239-462-6625 CONTACT PERSON: Scott Byrant CONTACT E-MAIL ADDRESS: ScottB(a)floridaeverblades.com PAINTED AND WATERPROOFED BOTH GERMAIN ARENA IN 2016-2017 AND THEN PAINTED IT AGAIN WHEN SOLD TO HERTZ, FROM 2019-2019. TOTALING $320,000 Submitting Vendor Name: CRAZY HORSE ENTERPRISES dba-Vic's Paintinp, & Reconstruction Qualifications Crazy Horse Enterprises dba Vic's Painting and Reconstructions' interest in this project is based on past experiences, previous projects, knowledge of the materials required and the resources to get the job done. We have been in business since 1982 specializing in large scale commercial and governmental projects. Previous Projects SEE ATTACHED REFERENCE SHEET Skill Qualifications As a self -performing contractor, we have multiple teams of highly qualified, painting professionals that have the skills required to complete your project on -time and exceed your expectations. The leaders on this project include Glenn Myers (20 years exp.), Gary Brown (25 years' experience), Tom Czako (35 years of experience), Larry Phillips (30 years) and lead by Victor Hein with over 40 years of experience. Certified in all products our team has the ability and skills to get the job done. Resources Vic's Painting and Reconstruction own multiple 40' and 50', 60' and 85' bucket trucks, booms, lifts and Lulls, required to complete the job. Which is a benefit to you because we personally own the required resources and are highly trained on them. The commercial grade pressure cleaning equipment and air assist paint sprayers are just a few of the tools we possess to complete the job. EXHIBIT B BID UNIT PRICE SCHEDULE PW 04-00-09-20 OKEECHOBEE CITY (HALL. FIRE DEPARTMENT AND RECORDS RETENTION BUILDING PAINTING ITEM NO. DESCRIPTION UNIT EST. QTY. UNIT PRICE AMOUNT MEASURE REPAIR STUCCO AND SEAL ALL WALL CRACKS AND MAKE ALL NECESSARY PAINTING PREPARATIONS FOR THE CITY 1 OF OKEECHOBEE CITY HALL, FIRE LUMP SUM 1 $10,024.00 DEPARTMENT, AND RECORDS RETENTION BUILDING LOCATED AT55 SE 3RD AVENUE, OKEECHOBEE, FL 34974. SEAL COAT AND MASK CITY OF OKEECHOBEE CITY SEAL ON THE NORTH WALL OF CITY HALL AND TAKE ALL 2 NECESSARY MEASURES NEEDED TO LUMP SUM 1 $350.00 PROTECTTHE SEAL FROM DAMAGE DURING PAINTING. PAINT THE CITY OF OKEECHOBEE CITY HALL, FIRE DEPARTMENT, AND RECORDS RETENTION BUILDING LOCATED AT55 SE 3RD AVENUE, OKEECHOBEE FL 34974. 3 LUMP SUM 1 $26,963.00 PAINTING SHALL CONSIST OF PRIM COAT, ELASTOMERIC COAT, AND TOPCOAT PER THE GOVERNING SPECIFICATION, EXHIBIT A ITEM 11, PAINTTHE CITY OF OKEECHOBEE SEAL MONUMENT BASE AND MARQUEE COLUMNS. *PAINTING SHALL CONSIST OF PRIM COAT, ELASTOMERIC COAT, AND 4 TOPCOAT PER THE GOVERNING LUMP SUM 1 $225.00 SPECIFICATION, EXHISITA ITEM 11. TRIM ANDCOLUMN COLORS (2 COLOR) TO MATCH COLORS SELECTED ITEM 3 TOTAL BID AMOUNT $37,562.00 (Based on Bid Unit Prices & Estimated Quantities) vrI Bidders Company Name �u ,'S E � Ae-r r�'S e: - A i Ct4iAv,� NOTE: This Bid is on a unit price basis. The total estimated amount is for Bid comparison purposes only. The CONTRACTOR should field verify the actual site conditions prior to time of bidding and before submitting the Bid. The CONTRACTOR should read the special conditions and the requirements for insurance before submitting a Bid. The CONTRACTOR should verify the quantities to be included in the construction contract. The CONTRACTOR shall furnish the City of Okeechobee with a Payment and Performance Bond in 100 percent (100%) of the total estimated amount of the contract. The Payment and Performance Bond shall continue in effect for one (1) year after completion and acceptance of the work as guarantee against construction defects. The CONTRACTOR in his Bid shall include the cost of said bond. I have attached the required 5 percent (5%) Bid Security to this Bid. C «--b i \}ov -6 c Z e1 f- oQ b a Bidder: V CS (Company Name) r By:,/, 2" (Signature) 1Y) C,A©,t T f�c r t) (Printed Name) Date: / 2- 9-; O 2-0 Title: -f f e S j c&+ Email: 1 ` `WIGS QCLWt*l . covtj Mailing Address: 1-7006 A- c o cor" %xw rcc Cf . Sv tC- 1 D-2 I'rf ��r5 r� Office Number: ��7 � � �`� 3131 Fax Number: V\3 5 - (o9q r 631 I SAFETY DATA SHEET CF16W51 Section 1. Identification Product name ConFlexT"" Sherlastic Elastomeric Coating Extra White Product code CF16W51 Other means of Not available. identification Product type Liquid. Relevant identified uses of the substance or mixture and uses adv_ised_aaainst Paint or paint related material Manufacturer THE SHERWIN-WILLIAMS COMPANY 101 W. Prospect Avenue Cleveland, OH 44115 Emergency telephone US / Canada: (800) 424-9300 number of the company Mexico: SETIQ 01-800-00-214-00 / (52) 55-5559-1588 24 hours / 365 days a year Product Information US / Canada: 1-800-474-3794 Telephone Number Mexico: Not Available Regulatory Information US / Canada: (216) 566-2902 Telephone Number Mexico: Not Available Transportation Emergency US / Canada: (800) 424-9300 Telephone Number Mexico: SETIQ 01-800-00-214-00 / (52) 55-5559-1588 24 hours / 365 days a year Section 2. Hazards identification OSHA/HCS status This material is considered hazardous by the OSHA Hazard Communication Standard (29 CFR 1910.1200). Classification of the CARCINOGENICITY - Category 1A substance or mixture SPECIFIC TARGET ORGAN TOXICITY (REPEATED EXPOSURE) - Category 1 Percentage of the mixture consisting of ingredient(s) of unknown acute toxicity: 4% (oral), 4% (dermal), 4% (inhalation) GHS label elements Hazard pictograms AP Signal word Danger Hazard statements May cause cancer. Causes damage to organs through prolonged or repeated exposure. Precautionary statements General Read label before use. Keep out of reach of children. If medical advice is needed, have product container or label at hand. Date of issue/Date of revision : 911712020 Date of previous issue : 612912020 Version : 10.04 1/1.i CF16W51 ConFlex11-1 Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 2. Hazards identification Prevention Obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Wear protective gloves, protective clothing and eye or face protection. Do not breathe vapor. Do not eat, drink or smoke when using this product. Wash thoroughly after handling. Response IF exposed or concerned: Get medical advice or attention. Storage Store locked up. Disposal Dispose of contents and container in accordance with all local, regional, national and international regulations. Supplemental label WARNING: This product contains chemicals known to the State of California to cause elements cancer and birth defects or other reproductive harm. Adequate ventilation required when sanding or abrading the dried film. If Adequate ventilation cannot be provided wear an approved particulate respirator (NIOSH approved). Follow respirator manufacturer's directions for respirator use. DELAYED EFFECTS FROM LONG TERM OVEREXPOSURE. Abrading or sanding of the dry film may release Crystalline Silica which has been shown to cause lung damage and cancer under long term exposure. Please refer to the SDS for additional information. Keep out of reach of children. Do not transfer contents to other containers for storage. Hazards not otherwise None known. classified Section 3. Composition/information on ingredients Substance/mixture Mixture Other means of Not available. identification CAS number/other identifiers Ingredient name % by weight CAS number Titanium Dioxide >_10 - 525 13463-67-7 Crystalline Silica, respirable powder :55 14808-60-7 Zinc Oxide :53 1314-13-2 Heavy Paraffinic Oil 51 64742-65-0 Any concentration shown as a range is to protect confidentiality or is due to batch variation. There are no additional ingredients present which, within the current knowledge of the supplier and in the concentrations applicable, are classified as hazardous to health and hence require reporting in this section. Occupational exposure limits, if available, are listed in Section 8. Section 4. First aid measures Description of necessary first aid measures Eye contact Immediately flush eyes with plenty of water, occasionally lifting the upper and lower eyelids. Check for and rernove any contact lenses. Continue to rinse for at least 10 minutes. Get medical attention. Inhalation : Remove victim to fresh air and keep at rest in a position comfortable for breathing. If not breathing, if breathing is irregular or if respiratory arrest occurs, provide artificial respiration or oxygen by trained personnel. It may be dangerous to the person providing aid to give mouth-to-mouth resuscitation. Get medical attention. If unconscious, place in recovery position and get medical attention immediately. Maintain an open airway. Loosen tight clothing such as a collar, tie, belt or waistband. Skin contact Flush contaminated skin with plenty of water. Remove contaminated clothing and shoes. Wash contaminated clothing thoroughly with water before removing it, or wear gloves. Continue to rinse for at least 10 minutes. Get medical attention. Wash clothing before reuse. Clean shoes thoroughly before reuse. Date of issue/Date of revision : 9./1712020 Date of previous issue : 612912020 Version : 10.04 2/13 CF16W51 ConFlexTM Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 4. First aid measures Ingestion Wash out mouth with water. Remove dentures if any. Remove victim to fresh air and keep at rest in a position comfortable for breathing. If material has been swallowed and the exposed person is conscious, give small quantities of water to drink. Stop if the exposed person feels sick as vomiting may be dangerous. Do not induce vomiting unless directed to do so by medical personnel. If vomiting occurs, the head should be kept low so that vomit does not enter the lungs. Get medical attention. Never give anything by mouth to an unconscious person. If unconscious, place in recovery position and get medical attention immediately. Maintain an open airway. Loosen tight clothing such as a collar, tie, belt or waistband. Most important symptoms/effects, acute and delayed Potential acute health effects Eye contact No known significant effects or critical hazards. Inhalation No known significant effects or critical hazards. Skin contact No known significant effects or critical hazards. Ingestion : No known significant effects or critical hazards. Over -exposure signs/symptoms Eye contact No specific data. Inhalation No specific data. Skin contact Ingestion No specific data. No specific data. Indication of immediate medical attention and special treatment needed, if necessa Notes to physician Treat symptomatically. Contact poison treatment specialist immediately if large quantities have been ingested or inhaled. Specific treatments No specific treatment. Protection of first-aiders No action shall be taken involving any personal risk or without suitable training. If it is suspected that fumes are still present, the rescuer should wear an appropriate mask or self-contained breathing apparatus. It may be dangerous to the person providing aid to give mouth-to-mouth resuscitation. Wash contaminated clothing thoroughly with water before removing it, or wear gloves. See toxicological information (Section 11) Section 5. Fire -fighting measures Extinguishing media Suitable extinguishing Use an extinguishing agent suitable for the surrounding fire. media Unsuitable extinguishing None known. media Specific hazards arising In a fire or if heated, a pressure increase will occur and the container may burst. from the chemical Hazardous thermal Decomposition products may include the following materials: decomposition products carbon dioxide carbon monoxide metal oxide/oxides Special protective actions Promptly isolate the scene by removing all persons from the vicinity of the incident if for fire-fighters there is a fire. No action shall be taken involving any personal risk or without suitable training. Date of issue/Date of revision : 911712020 Date of previous issue : 612912020 Version : 10- 04 3/13 CF16W51 ConFlex ," Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 5. Fire -fighting measures Special protective : Fire-fighters should wear appropriate protective equipment and self-contained breathing equipment for fire-fighters apparatus (SCBA) with a full face -piece operated in positive pressure mode. Section 6. Accidental release measures Personal precautions, protective equipment and emergency procedures For non -emergency No action shall be taken involving any personal risk or without suitable training. personnel Evacuate surrounding areas. Keep unnecessary and unprotected personnel from entering. Do not touch or walk through spilled material. Avoid breathing vapor or mist. Provide adequate ventilation. Wear appropriate respirator when ventilation is inadequate. Put on appropriate personal protective equipment. For emergency responders If specialized clothing is required to deal with the spillage, take note of any information in Section 8 on suitable and unsuitable materials. See also the information in "For non - emergency personnel'. Environmental precautions Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains and sewers. Inform the relevant authorities if the product has caused environmental pollution (sewers, waterways, soil or air). Methods and materials for containment and cleanina u Small spill Stop leak if without risk. Move containers from spill area. Dilute with water and mop up if water-soluble. Alternatively, or if water -insoluble, absorb with an inert dry material and place in an appropriate waste disposal container. Dispose of via a licensed waste disposal contractor. Large spill Stop leak if without risk. Move containers from spill area. Approach release from upwind. Prevent entry into sewers, water courses, basements or confined areas. Wash spillages into an effluent treatment plant or proceed as follows. Contain and collect spillage with non-combustible, absorbent material e.g. sand, earth, vermiculite or diatomaceous earth and place in container for disposal according to local regulations (see Section 13). Dispose of via a licensed waste disposal contractor. Contaminated absorbent material may pose the same hazard as the spilled product. Note: see Section 1 for emergency contact information and Section 13 for waste disposal. Section 7. Handling and storage Precautions for safe handling Protective measures Put on appropriate personal protective equipment (see Section 8). Avoid exposure - obtain special instructions before use. Do not handle until all safety precautions have been read and understood. Do not get in eyes or on skin or clothing. Do not breathe vapor or mist. Do not ingest. If during normal use the material presents a respiratory hazard, use only with adequate ventilation or wear appropriate respirator. Keep in the original container or an approved alternative made from a compatible material, kept tightly closed when not in use. Empty containers retain product residue and can be hazardous. Do not reuse container. Advice on general Eating, drinking and smoking should be prohibited in areas where this material is occupational hygiene handled, stored and processed. Workers should wash hands and face before eating, drinking and smoking. Remove contaminated clothing and protective equipment before entering eating areas. See also Section 8 for additional information on hygiene measures. Date of issue/Date of revision : 911712020 Date of previous issue : 6/29/2020 Version : 10.04 4113 CF16VV51 CmFlex111 Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 7. Handling and storage Conditions for safe storage, : Store in accordance with local regulations. Store in original container protected from including any direct sunlight in a dry, cool and well -ventilated area, away from incompatible materials incompatibilities (see Section 10) and food and drink. Store locked up. Keep container tightly closed and sealed until ready for use. Containers that have been opened must be carefully resealed and kept upright to prevent leakage. Do not store in unlabeled containers. Use appropriate containment to avoid environmental contamination. See Section 10 for incompatible materials before handling or use. Section 8. Exposure controls/personal protection Control parameters Occupational exposure limits (OSHA United States), Ingredient name CAS # Exposure limits Titanium Dioxide 13463-67-7 ACGIH TLV (United States, 3/2019). TWA: 10 mg/m3 8 hours. OSHA PEL (United States, 5/2018). TWA: 15 mg/m3 8 hours. Form: Total dust Crystalline Silica, respirable powder 14808-60-7 OSHA PEL Z3 (United States, 6/2016). TWA: 250 mppcf / (%Si02+5) 8 hours. Form: Respirable TWA: 10 mg/m3 / (%Si02+2) 8 hours. Form: Respirable OSHA PEL (United States, 5/2018). TWA: 50 pg/m3 8 hours. Form: Respirable dust ACGIH TLV (United States, 3/2019). TWA: 0.025 mg/m3 8 hours. Form: Respirable fraction NIOSH REL (United States, 10/2016). TWA: 0.05 mg/m3 10 hours. Form: respirable dust Zinc Oxide 1314-13-2 NIOSH REL (United States, 10/2016). CEIL: 15 mg/m3 Form: Dust TWA: 5 mg/m3 10 hours. Form: Dust and fumes STEL: 10 mg/m3 15 minutes. Form: Fume OSHA PEL (United States, 512018). TWA: 5 mg/m3 8 hours. Form: Fume TWA: 5 mg/m3 8 hours. Form: Respirable fraction. TWA: 15 mg/m3 8 hours. Form: Total dust ACGIH TLV (United States, 3/2019). TWA: 2 mg/m3 8 hours. Form: Respirable fraction STEL: 10 mg/m3 15 minutes. Form: Respirable fraction Heavy Paraffinic Oil 64742-65-0 OSHA PEL (United States, 5/2018). TWA: 5 mg/m3 8 hours. ACGIH TLV (United States, 3/2019). TWA: 5 mg/m3 8 hours. Form: Inhalable fraction NIOSH REL (United States, 10/2016). TWA: 5 mg/m3 10 hours. Form: Mist STEL: 10 mg/m3 15 minutes. Form: Mist Occupational exposure limits (Canada) Date of issue/Date of revision : 9,11712020 Date of previous issue : 6/29/2020 Version : 10.04 5/13 CF16W51 COnFlex i" Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 8. Exposure controls/personal protection Ingredient name CAS # Exposure limits Titanium dioxide 13463-67-7 CA British Columbia Provincial (Canada, 5/2019 ). TWA: 3 mg/m3 8 hours. Form: Respirable dust TWA: 10 mg/m3 8 hours. Form: Total dust CA Quebec Provincial (Canada, 1/2014). TWAEV: 10 mg/m3 8 hours. Form: Total dust. CA Alberta Provincial (Canada, 612018). 8 hrs OEL: 10 mg/m3 8 hours. CA Ontario Provincial (Canada, 112018). TWA: 10 mg/m3 8 hours. CA Saskatchewan Provincial (Canada, 7/2013). STEL: 20 mg/m3 15 minutes. TWA: 10 mg/m3 8 hours. Quartz 14808-60-7 CA British Columbia Provincial (Canada, 5/2019). TWA: 0.025 mg/m3 8 hours. Form: Respirable CA Quebec Provincial (Canada, 112014). TWAEV: 0.1 mg/m3 8 hours. Form. - Respirable dust. CA Ontario Provincial (Canada, 112018). TWA: 0.1 mg/m3 8 hours. Form: Respirable fraction. CA Alberta Provincial (Canada, 6/2018). 8 hrs OEL: 0.025 mg/m3 8 hours. Form. - Respirable particulate CA Saskatchewan Provincial (Canada, 7/2013). TWA: 0.05 mg/m3 8 hours. Form: respirable fraction Zinc Oxide 1314-13-2 CA Alberta Provincial (Canada, 6/2018). 8 hrs OEL: 2 mg/m3 8 hours. Form: Respirable 15 min OEL: 10 mg/m3 15 minutes. Form: Respirable CA British Columbia Provincial (Canada, 5/2019 ). TWA: 2 mg/m3 8 hours. Form: Respirable STEL: 10 mg/m3 15 minutes. Form: Respirable CA Ontario Provincial (Canada, 112018). TWA: 2 mg/m3 8 hours. Form: Respirable fraction. STEL: 10 mg/m3 15 minutes. Form: Respirable fraction. CA Quebec Provincial (Canada, 1/2014). TWAEV: 5 mg/m3 8 hours. Form: fume STEV: 10 mg/m3 15 minutes. Form: fume CA Saskatchewan Provincial (Canada, 7/2013). STEL: 10 mg/m3 15 minutes. Form: respirable dust and fume TWA: 2 mg/m3 8 hours. Form: respirable Date of issue/Date of revision : 9,11712020 Date of previous issue : 612912020 CF16W51 CmFlex.'I Sherlastic Elastomenc Coaiim ;RrMTHRM Version :10.04 6/13 SH W-85-NA-G H S-U S Section 8. Exposure controls/personal protection dust and fume Occupational exposure limits (Mexico) CAS # Exposure limits Crystalline Silica, respirable powder 14808-60-7 NOM-010-STPS-2014 (Mexico, 4/2016). TWA: 0.025 mg/m3 8 hours. Form: Respirable fraction Zinc Oxide 1314-13-2 NOM-010-STPS-2014 (Mexico, 4/2016). TWA: 2 mg/m3 8 hours. Form: Respirable fraction STEL: 10 mg/m3 15 minutes. Form: Respirable fraction Appropriate engineering If user operations generate dust, fumes, gas, vapor or mist, use process enclosures, controls local exhaust ventilation or other engineering controls to keep worker exposure to airborne contaminants below any recommended or statutory limits. Environmental exposure Emissions from ventilation or work process equipment should be checked to ensure controls they comply with the requirements of environmental protection legislation_ In some cases, fume scrubbers, filters or engineering modifications to the process equipment will be necessary to reduce emissions to acceptable levels. Individual protection measures Hygiene measures Wash hands, forearms and face thoroughly after handling chemical products, before eating, smoking and using the lavatory and at the end of the working period. Appropriate techniques should be used to remove potentially contaminated clothing. Wash contaminated clothing before reusing. Ensure that eyewash stations and safety showers are close to the workstation location. Eye/face protection Safety eyewear complying with an approved standard should be used when a risk assessment indicates this is necessary to avoid exposure to liquid splashes, mists; gases or dusts. If contact is possible, the following protection should be worn, unless the assessment indicates a higher degree of protection: safety glasses with side - shields. Skin protection Hand protection Chemical -resistant, impervious gloves complying with an approved standard should be worn at all times when handling chemical products if a risk assessment indicates this is necessary. Considering the parameters specified by the glove manufacturer; check during use that the gloves are still retaining their protective properties. It should be noted that the time to breakthrough for any glove material may be different for different glove manufacturers. In the case of mixtures; consisting of several substances, the protection time of the gloves cannot be accurately estimated. Body protection Personal protective equipment for the body should be selected based on the task being performed and the risks involved and should be approved by a specialist before handling this product. Other skin protection Appropriate footwear and any additional skin protection measures should be selected based on the task being performed and the risks involved and should be approved by a specialist before handling this product. Respiratory protection Based on the hazard and potential for exposure, select a respirator that meets the appropriate standard or certification. Respirators must be used according to a respiratory protection program to ensure proper fitting, training, and other important aspects of use. Date of issue/Date of revision : 911712020 Date of previous issue : 612912020 Version : 10.04 7113 CF16VV51 ConFlex," Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 9. Physical and chemical properties Appearance Physical state Color Odor Odor threshold pH Melting point/freezing point Boiling point/boiling range Flash point Evaporation rate Flammability (solid, gas) Lower and upper explosive (flammable) limits Vapor pressure Vapor density Relative density Solubility Partition coefficient: n- octanol/water Auto -ignition temperature Decomposition temperature Viscosity Molecular weight Aerosol product Heat of combustion Liquid. Not available. Not available. Not available. 9.3 Not available. 100°C (212°F) Closed cup: Not applicable. 0.09 (butyl acetate = 1) Not available. Not available. 2.3 kPa (17.5 mm Hg) [at 20°C] 1 [Air= 1] 1.29 Not available. Not available. Not available. Not available. Kinematic (40°C (104°F)): >0.205 cm'/s (>20.5 cSt) Not applicable. : 0.655 kJ/g Section 10. Stability and reactivity Reactivity : No specific test data related to reactivity available for this product or its ingredients. Chemical stability : The product is stable. Possibility of hazardous Under normal conditions of storage and use; hazardous reactions will not occur. reactions Conditions to avoid : No specific data. Incompatible materials : No specific data. Hazardous decomposition Under normal conditions of storage and use, hazardous decomposition products should products not be produced. Date of issue/Date of revision : 911712020 Date of previous issue : 6/29/2020 Version : 10.04 8113 CF16VV51 ConFlex," Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 11. Toxicological information Information on toxicological effects Acute toxicity Product/ingredient name Result Species Dose Exposure Heavy Paraffinic Oil LD50 Dermal LD50 Oral Rabbit Rat >5000 mg/kg >5000 mg/kg - - Irritation/Corrosion Product/ingredient name Result Species Score Exposure Observation Titanium Dioxide Skin - Mild irritant Human - 72 hours 300 - ug I Zinc Oxide Eyes - Mild irritant Rabbit - 24 hours 500 - mg Skin - Mild irritant Rabbit - 24 hours 500 - mg Sensitization Not available. Mutagenicity Not available. Carcinogenicity Not available. Classification Product/ingredient name OSHA IARC NTP Titanium Dioxide - 2B - Crystalline Silica, respirable - 1 Known to be a human carcinogen. powder Reproductive toxicity Not available. Teratogenicity Not available. Specific target organ toxicity (single exposure) Not available. Specific target organ toxicity repeated exposure) Name Category Route of exposure Target organs Crystalline Silica, respirable powder Category 1 inhalation - Aspiration hazard Name Result Heavy Paraffinic Oil ASPIRATION HAZARD - Category 1 Information on the likely Not available. routes of exposure Potential acute health effects Eye contact No known significant effects or critical hazards. Inhalation : No known significant effects or critical hazards. Date of issue/Date of revision : 911712020 Date of previous issue : 612912020 Version : 10.04 9/13 CF16W51 ConFleXT11 Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 11. Toxicological information Skin contact No known significant effects or critical hazards. Ingestion No known significant effects or critical hazards. Symptoms related to the physical, chemical and toxicological characteristics Eye contact No specific data. Inhalation No specific data. Skin contact No specific data. Ingestion No specific data. Delayed and immediate effects and also chronic effects from short and long term exposure Short term exposure Potential immediate Not available. effe cts Potential delayed effects Not available. Long term exposure Potential immediate Not available. effects Potential delayed effects Not available. Potential chronic health effects Not available. General Causes damage to organs through prolonged or repeated exposure. Carcinogenicity May cause cancer. Risk of cancer depends on duration and level of exposure. Mutagenicity No known significant effects or critical hazards. Teratogenicity No known significant effects or critical hazards. Developmental effects No known significant effects or critical hazards. Fertility effects No known significant effects or critical hazards. Numerical measures of toxicity Acute toxicity estimates Not available. Section 12. Ecological information Toxicity Productlingredient name Result Species Exposure Titanium Dioxide Acute LC50 >1000000 pg!1 Marine water Fish - Fundulus heteroclitus 96 hours Zinc Oxide Acute IC50 1.85 mg/1 Marine water Algae - Skeletonema costatum 96 hours Acute IC50 46 pg/I Fresh water Algae - Pseudokirchneriella 72 hours subcapitata - Exponential growth phase Acute LC50 98 pg/1 Fresh water Daphnia - Daphnia magna - 48 hours Neonate Acute LC50 1.1 ppm Fresh water Fish - Oncorhynchus mykiss 96 hours Persistence and degradability Not available. Date of issue/Date of revision : 911712020 Date of previous issue : 612912020 Version : 10.04 10113 CF16W51 ConFlex," Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 12. Ecological information Bioaccumulative potential Product/ingredient name LogPcw BCF Potential Zinc Oxide - 28960 high Mobility in soil Soil/water partition Not available. coefficient (Koc) Other adverse effects : No known significant effects or critical hazards. Section 13. Disposal considerations Disposal methods The generation of waste should be avoided or minimized wherever possible. Disposal of this product, solutions and any by-products should at all times comply with the requirements of environmental protection and waste disposal legislation and any regional local authority requirements. Dispose of surplus and non -recyclable products via a licensed waste disposal contractor. Waste should not be disposed of untreated to the sewer unless fully compliant with the requirements of all authorities with jurisdiction. Waste packaging should be recycled. Incineration or landfill should only be considered when recycling is not feasible. This material and its container must be disposed of in a safe way. Care should be taken when handling emptied containers that have not been cleaned or rinsed out. Empty containers or liners may retain some product residues. Avoid dispersal of spilled material and runoff and contact with soil, waterways, drains and sewers. Section 14. Transport information DOT TDG Mexico IATA IMDG Classification Classification Classification UN number Not regulated. Not regulated. Not regulated. Not regulated. Not regulated. UN proper - - - - - shipping name Transport - - - - - hazard class(es) Packing group - - - - - Environmental No. No. No. No. No. hazards Additional - - - - information Date of issue/Date of revision : 9,11712020 Date of previous issue : 6/29/2020 Version : 10.04 11113 CF16VV51 CotiRex 11 Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White Section 14. Transport information Special precautions for user : Multi -modal shipping descriptions are provided for informational purposes and do not consider container sizes. The presence of a shipping description for a particular mode of transport (sea, air, etc.), does not indicate that the product is packaged suitably for that mode of transport. All packaging must be reviewed for suitability prior to shipment, and compliance with the applicable regulations is the sole responsibility of the person offering the product for transport. People loading and unloading dangerous goods must be trained on all of the risks deriving from the substances and on all actions in case of emergency situations. Transport in bulk according : Not available. to IMO instruments Proper shipping name Not available. Section 15. Regulatoty information TSCA 5(a)2 proposed significant new use rules: 5-Chloro-2-methylisothiazolinone SARA 313 SARA 313 (40 CFR 372.45) supplier notification can be found on the Environmental Data Sheet. California Prop. 65 WARNING: This product contains chemicals known to the State of California to cause cancer and birth defects or other reproductive harm. International regulations International lists Australia inventory (AICS): Not determined. China inventory (IECSC): Not determined. Japan inventory (ENCS): Not determined. Japan inventory (ISHL): Not determined. Korea inventory (KECI): Not determined. New Zealand Inventory of Chemicals (NZIoC): Not determined. Philippines inventory (PICCS): Not determined. 'Taiwan Chemical Substances Inventory (TCSI): Not determined. 'Thailand inventory: Not determined. 'Turkey inventory: Not determined. Vietnam inventory: Not determined. Section 16. Other information Hazardous Material Information System (U.S.A.) Flammability 0 Physical hazards 0 The customer is responsible for determining the PPE code for this material. For more information on HMIS® Personal Protective Equipment (PPE) codes, consult the HMIS® Implementation Manual. Caution: HMIS® ratings are based on a 0-4 rating scale, with 0 representing minimal hazards or risks, and 4 representing significant hazards or risks. Although HMIS® ratings and the associated label are not required on SDSs or products leaving a facility under 29 CFR 1910.1200, the preparer may choose to provide them. HMIS® ratings are to be used with a fully implemented HMIS® program. HMIS® is a registered trademark and service mark of the American Coatings Association, Inc. Procedure used to derive the classification Classification Justification CARCINOGENICITY - Category 1A SPECIFIC TARGET ORGAN TOXICITY (REPEATED EXPOSURE) - Category 1 Calculation method Calculation method Date of issue/Date of revision : 9/17/2020 Date of previous issue : 612912020 Version : 10.04 12/13 CF16W51 CmFlex," Sherlastic Elastomeric Coating SHW-86-NA-GHS-US Extra White Section 16. Other information History Date of printing 9/17/2020 Date of issue/Date of 9/17/2020 revision Date of previous issue 6/2.9/2020 Version 10.04 Key to abbreviations ATE = Acute Toxicity Estimate BCF = Bioconcentration Factor GHS = Globally Harmonized System of Classification and Labelling of Chemicals IATA = International Air Transport Association IBC = Intermediate Bulk Container IMDG = International Maritime Dangerous Goods LogPow = logarithm of the octanol/water partition coefficient MARPOL = International Convention for the Prevention of Pollution From Ships, 1973 as modified by the Protocol of 1978. ("Marpol" = marine pollution) N/A = Not available SGG = Segregation Group UN = United Nations V Indicates information that has changed from previously issued version. Notice to reader It is recommended that each customer or recipient of this Safety Data Sheet (SDS) study it carefully and consult resources, as necessary or appropriate, to become aware of and understand the data contained in this SDS and any hazards associated with the product. This information is provided in good faith and believed to be accurate as of the effective date herein. However, no warranty, express or implied, is given. The information presented here applies only to the product as shipped. The addition of any material can change the composition, hazards and risks of the product.. Products shall not be repackaged, modified, or tinted except as specifically instructed by the manufacturer, including but not limited to the incorporation of products not specified by the manufacturer, or the use or addition of products in proportions not specified by the manufacturer. Regulatory requirements are subject to change and may differ between various locations and jurisdictions. The customer/buyer/user is responsible to ensure that his activities comply with all country, federal, state, provincial or local laws. The conditions for use of the product are not under the control of the manufacturer; the customer/buyer/user is responsible to determine the conditions necessary for the safe use of this product. The customer/buyerluser should not use the product for any purpose other than the purpose shown in the applicable section of this SDS without first referring to the supplier and obtaining written handling instructions. Due to the proliferation of sources for information such as manufacturer -specific SDS, the manufacturer cannot be responsible for SDSs obtained from any other source. Date of issue/Date of revision : 9./1712020 Date of previous issue : 6/29/2020 Version : 10 04 13/13 CF16W51 CoiiRex I'd Sherlastic Elastomeric Coating SHW-85-NA-GHS-US Extra White ATTACHMENT A PW 04-00-09-20 NO LOBBYING AFFIDAVIT STATE OF FLORIDA COUNTY OF LE E t(I This 2L day of 20 2y �' E� �{� being first duly sworn, deposes and says that he/she is the authorized representative of "�'`� C""'lt f iF,(1<}{4v(Name of Contractor, Firm or Individual) respondent to the attached request r Bid, or qualifications and/or any other solicitation released by City of Okeechobee, and that the Bidder and any of its agents agrees to abide by the City of Okeechobee no lobbying restrictions in regard to this solicitation. X ` Affia nt 4 The foregoing instrument was acknowledged before me b means of o e not n this ZY dayof iz •n� r Y �iphysical presence or ❑ SEA , 20 ?0 , by 'Y, � •�- �{rt n ,who is personally known jo me or produced l r"V(-r Ire &'t E as identification. No ublic 'gnature -:. City of Okeechobee Public Works Department Commission No. 6 G U% S 21 G oPRII MY cPVIIiQ�� ? MMISgION E Go EXPIRES April 26, 02182rr Project No. PW 04-00-09-20 25 ATTACHMENT B PW 04-00-09-20 ANTI -COLLUSION STATEMENT AND NO GIFTS STATEMENT Date: -2 -.O Z� Anti -collusion statement: The below -signed Bidder has not divulged to, discussed, or compared his/her Bid with other Bidders and has not colluded with any other Bidder or parties to a Bid whatsoever. No gifts statement: No premiums, rebates, gifts or gratuities are permitted with, prior to, or after submission of the Bid. Any such violation will result in rejection of the Bid and removal from the Bid list(s). Firm Name: C 1�G y Lo Ts e E /V T dlei V i c's 1 c,vn f' Sf�fiO✓1 By (printed/typed): By (signature): Title:C S , Mailing Address: o0o A VC-0 C4. 9c„ "f- (6 2 City, State, Zip: Iry �r � , Telephone No.: 23 (03 y — 4 S City of Okeechobee Public Works Department Project No. PW 04-00-09-20 26 ATTACHMENT C PW 04-00-09-20 PROPOSER'S CERTIFICATION I have carefully examined this Request for Bid (BID)/Request for Proposals (RFP)/ Request for Qualifications (RFQ), which includes scope, requirements for submission, general information and the evaluation and award process. I acknowledge receipt of the following addenda. Addendum #V_ Date: Addendum # Date: Addendum # Date: Addendum # Date: Addendum # Date: Addendum # Date: I hereby propose to provide the services requested in the City's BID/RFP/RFQ and, if awarded, to enter into the attached draft contract. I agree that the terms and conditions of the City's BID/RFP/RFQ shall take precedence over any conflicting terms and conditions submitted with my proposal and agree to abide by all conditions of the BID/RFP/RFQ. I certify that all information contained in my proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the Company as its agent and that the Company is ready, willing and able to perform if awarded a contract. I further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion or collusion with any other person, Company or Corporation submitting a proposal for the same product or service; no gratuities, gifts or kick -backs were offered or given by the Bidder or anyone on its behalf to gain favorable treatment concerning this procurement; no City Council member, employee or agent of City of Okeechobee or of any other Company is interested in said Bid; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do £ �/t so. S,•�t � �Yf 9l Z ., �t f 17 �N-i . o� �2 �6 IC , S �(� � �(�co�-St�-��vA ! 114'o i co (6,M.1fa" ct 0 5s` Name of Business Mailing Address 3� 7 City, State & Zi Code Authorized Si ature Telephone Number/Fax Number O c'wS IC1L. V1 S eifyt- f� �ove/� Name & Title, Typed Email AdNess STATE OF FLORIDA COUNTY OF L,F (7-' The foregoing instrument was acknowledged before me by means of)l physical presence or 71 onlin an his s' day of 20 ?0 , by(A-t ,\n who is ersonally known P me or produced as ication. .may ----.-., NOW" blic Signature 'Ni, �1PF21L M HIaUSE I c Commission No. '= MY COMMISSION a' GG098210 j d•,, EXPIRES April 26, 2021 i City of Okeechobee Public Works Department Project No. PW 04-00-09-20 WA 5. 1 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 contract and which Bids or applies to Bid on contracts 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. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies). Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to September 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to September 1, 1989. ❑ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to September 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Signature STATE OF FLORIDA COUNTY OF 1=4,-. E The foregoing instrument was acknowledged before me by means of,physical presence or ❑ onli a::n zatte�this = day of 201& , by who is ersonally knowOo me or produced identification. N APRIL 1#1 HOUSE W a Public nature MY COMMISSPON # GG098210 .a � �. EXPIRES April26,2021 _ `� . Commission No. %8 Z1 (� City of Okeechobee Public Works Department Project No. PW 04-00-09-20 29 ATTACHMENT D PW 04-00-09-20 SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a), FLORIDA STATUTES ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted to CITY OF OKEECHOBEE, FLORIDA by: (print Individual's name and title) for: (print name of entity submitting sworn statement) whose business address is (Zcc;c, I; cc (`env. �::r� f. Sc„(c la -2 . �� M and (if applicable) its Federal Employer Identification Number (FEIN) is: �(p — �91 Z ::�o �Z (If the entity has no FEIN, include the Social Security Number of the Individual signing this sworn statement: 2. 1 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 of the United States, including but not limited to, any Bid or contract 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 misrepresentations. 3. 1 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 September 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contendere. 4. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. 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. City of Okeechobee Public Works Department Project No. PW 04-00-09-20 28 ATTACHMENT E PW 04-00-09-20 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all Bidders must disclose if any City of Okeechobee employee(s), elected official(s), or any of its agents is also an owner, corporate officer, director, agent, employee, etc., of their business. Indicate either "yes" (a City employee, elected official or agent is associated with your business), or "no". If yes, give person(s) name(s) and position(s) with your business. YES NO Name(s) Position(s) Firm Name: LrsE n "t. d 0,t Y ", By (Printed): U f L- ` 'r / By (Signature): 2)'t, lz 0 f-71, 5 ik Title: gc-S4:� l Address Phone Number: �2-3 -7'— (o ! q '-3 ( -3 City of Okeechobee Public Works Department 30 Project No. PW 04-00-09-20 ATTACHMENT F PW 04-00-09-20 IMMIGRATION LAW CERTIFICATION City of Okeechobee will not intentionally award City contracts to any Contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324 a(e) (Section 274a(e) of the immigration and nationality act ("INA")). City of Okeechobee may consider the employment by any Contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the recipient of the employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral cancellation of the contract by City of Okeechobee. Respondent attests that it is fully compliant with all applicable immigration laws, specifically relating to the 1986 immigration act and subsequent amendments. om ny, m,e X {� Ig�cture 'C � Title Date STATE OF FLORIDA COUNTY OF L V-- 28-2�zc, The foregoing instrument was acknowledged before me by means of/Physical presence or i online notarization, this � day of 2020, by V;c for J J'fe, n , who is personally known to me or produced '-_ NCv s 1--"CC0 5C 9 as identification. �N Notary Public Signature Commission No. 6y CJ n 21 D APRIL M HOUSE _ My COMMISSION # GG098210 I�XPIRES April 26.2021 City of Okeechobee Public Works Department 31 Project No. PW 04-00-09-20 r tee. i ATTACHMENT G PW 04-00-09-20 DRUG -FREE WORKPLACE CERTIFICATION THE BELOW SIGNED Bidder/proposer CERTIFIES that it has implemented a drug -free workplace program. In order to have a drug -free workplace program, a business shall: 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 violation of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation and 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 quote a copy of the statement specified in subsection 1. 4. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction or plea of guilty or nolo contendere to any 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, drug abuse assistance or rehabilitation program if such is available in the employee's community, by an employee who is convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign this statement, I certify that this Firm complies fully with the above requirements. Signature: )/�4 Company: VcS Address: C1000 Ali c o 5� Fc 129 2 C. MY (� 5 L 53��U Date: 6 " 2 � - -2c , 2-0 Name: V�c [11 Title: Phone Number: 7 E; - y 3 13 City of Okeechobee Public Works Department 32 Project No. PW 04-00-09-20 a a Ron DeSantis, Governor Halsey Beshears, Secretary F lorida STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY -LICENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 4891_FLORIDA STATUTES COUCH, TIMOTHY EUGENE VIC'S PAINTING & RECONSTRUCTION 17000 ALICO COMMERCE COURT SUITE #102 FORT MYERS FL 33967 LICENSE NUMBER: CGC1524709 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLice nse.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. VICSPAI-01 2T GESa DATE(M611DDNYYY) V CERTIFICATE OF LIABILITY INSURANCE gnrsn19n1A THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions orbeendorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu otsuch endorsements . PRODUCER License # L077730 tour cT Taylor Burgess AssurOdPanner9 of Florida, Cape Coral 3501 Del Prado Blvd, S Suite #204 Cape coral, FL 33904 as°Nr o ext : 9 2br5-1 �6 a o. Na : 239 542-5527 Johns. taylor.burgess@assuredpartners.com INSURER(S) AFFORDING COVERAGE two INBURBRA! Cincinnati SPeefeity Underwriters insurance Company 13037 WSuRED _Cincinnati Insurance Com an 10677 Crary Horse Enterprises Inc dba Vic•s Painting S Reconstruction 1INSUReRP: B o , 17000 Allco Commerce Ct. #1102 iNSURBR O r INGURERR." Fort Myers, FL 33967 COVERAGES CERTIFICATE NIiMRER_ I?FV -QInM b111M12CA4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRN$R TYPE OF INSURANCE ADOL SUER POLICY NUMBER POUCYEFP POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY OCCUR EACHOCCURRENCE S 1,0001000 D 100,000CLAIM9-MADEFX S ,.QENtAGGRL1IMrrAFXLdE MEDEXP(Anyompersonl S 5,000 P ADVINJURY 1,000,000 S PER POLICY X jai LOC OTHER: G S 2,000,000 PRODUCTS-COMPIOPAGO 2,000,000 S B AUTOMOBILS X LIABILITY ANY AUTO gg��{{EE AHU�qTT�OpSONLY ARUTOpSWU��EDp ONLY AR ONLY EBA0508499 10/25/2019 10/25/2020 COMBINED SINGLE LIMB 1�QQQ�000 OD(LYINntl Pa person). S B�ODILYIN URY Peraccide Peracddent �G S PIP s 10,000 }( UMBRELLA LIAR EXCESSLIAB M OCCUR CLAIMS -MADE OS00091757 10125/2010 1012512020 EACH OCCURRENCE S 2,000,0 0 AGGREGATE DED RETENTION S Aggregate Limit ,0 0,0 0 WORKERS COMPENSATION AND.RMPI,DYfRS- 41Al�ILITY ANY (PPC�ROPREIETgO�RpIPARTNERIEXECUTIVE Yr (Ibandatory In NH)CLUDEFl7 If yyes itesvbpunder DESCRfPTIONOFOPERAT1ONShef NIA PER OTH- EL FACHACCIDENT S EL DISEASE -EA EMPLOY S EL DISEASE-POUCYI-WIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Ramarka Schedute, may be attached 11 more tpaco is required) *General Liability coverage Is the ONLY underlying coverage to the Excess Llabllly policy INFORMATIONAL PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TMERFOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i� Ht,;VKU z5 IaUIulus► (91990.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DAT/ Y) 020 03/24/24/2020 THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 250 Tequesta Drive Suite 306 Tequesta, FL 33469 CONTACT NAME: PHONE FAX A/C No. o Ext : A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Im erium Insurance Compan INSURER B 35408 INSURED Payroll Made Easy, Inc., d/b/a ContinuumHR 111691 Gateway Blvd. Suite 101 INSURER C INSURER D : Ft. Myers, FL 33913 239-415-1110 114SURERE.: INSURERF• I J nrwrowi.r --- I ��.rl�wn I�annocrc: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEP.IOD iNDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/OD/YYYY (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY CL41M5-MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Anyone person) $ --- & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC �PERSO�NA�L GEI NERAL AGGREGATE $ I ! FP RODUCTS - COMP/OP AGG $ OTHER: ` AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I I I COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ — BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ — $ UMBRELLALIAB OCCUR EXCESS LIAB CLAIMS -MADE• EACF;OCCURRENCE $ AGGREGATE $ F, !WORKERS DED RETENTION $ COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMBER EXCLUDED? (Mandatoryin NH) I If yes, describe under N / A I PEO-IIC-00000601-00 04/01/2020 04/01/2021 PER OTH- X STATUTE ER $ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 DESCRIPTION OF OPERATIO143 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ $ $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Coverage is extended to all leased employees but not subcontractors of Crazy Horse Enterprises, Inc. dba Vic'S Painting & Reconstruction in the state(s) of: FL /"C�TICIl�ATC uAI nrn _ Crazy Horse Enterprises, Inc. dba Vic's Painting & Reconstruction 17009 Alico Commerce Court, Suite 102 Fort Myers, FL 33967 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE (DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE —y. , .. , v I VOO-LUTD At,UKU UUKNUKAI ION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD &AIA n Document A31011- 2010 CONTRACTOR: (Name, legal status and address) Vic's Painting & Reconstruction 17000 Alico Commerce Ct, Ste 102 Fort Meyer, FL 33967 OWNER: SURETY: (Alame, legal status and principal place of business) American Contractors Indemnity Company 801 S Figueroa St., Suite 700 Los Angeles, CA 90017 Bond No: 1001087726-1 This document has Important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and Severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor Within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such Bid, and gives such bond or bonds as may be specified in the bidding or contract Documents, with a surety admitted In the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner 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. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in Which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shal I be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 6th day of April, 2018 Vic's Painting & Reconstruction (Principals (Seal y_, (Witness) (Title)Victor J. Hein, President American Contractors Indemnity Company / pelelrH1111pi % (Surety) �`��re. �: ,�,,.°,> �� ,° ,fie;'► ,,,,°, . , �'� (Witness) ' (Title) Ter Craw d, �ttorn�"yRirt; f �� i a iIC t `��_ AIA Document A310rM- 2010. Copyright Co 1963, 1970and2010 by The Amencanlnstiuue ofArchitects.All rights reserved. WARNIN�',his.. Ai ' Documentis protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distributionof this AIA ,, No. 'g) any portion of it, may result in sever civil and criminal penalties, and will be prosecuted to the maximum extent possible under the In r•a;• •°;,'��.'� document was created on 01/27/2012 07:23:12 under the terms of AIA Documents -on -Demand" order no. 2008397483, and is nt�i;lp�350� e\e�"� resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. A10312 POWER OF ATTORNEY AMERICAN.CONTRACTORS INDEMNITY COMPANY. .TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, aMaryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make, constitute and appoint: Jeremy Crawford, Michael D. Williams, William J, Nemec, Tanya rukushima, William Gerber or Michael E. IConzen of Golden Valley, h1innesota its true and lawfid Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with fitll power and authority hereby conferred in. its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *' *********** ******Five Million******************** Dollars ($ **5,000,000.00*s`). This Power of Attorney shall expire without further action on November 3, 2019. This Power of Attorney is granted tinder and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice Prosident, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is hereby vested with fill) power and authority to appoint any one or more suitable persons as Attorney(s)-in-Pact to represent and act for and on behalf of the Company subject to the following provisions: Attorney -in -!'act may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognlzances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on cuginoering and construction conhucts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be h Resolver, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attornoy or certificate bearing facsimile signawre or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1 st day of November, 2016. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY Corporate Seals UNITED STATES SURIETY COt14PANY U.S. SPECIALTY INSURANCE COMPANY au,,,, 1 rtr, alnwiuuxr munuror �a\a ,rani np\10 nurrry a°' ,........ O..nab rrrN oJ�PACiOR .�� BSpR o...,Cy •1. Cy � A.s...,..�P}% `'0 i0 a o gPr .+ape —'�� sht p� °Q y ` By: �� .� I =��arwrou,rc�F =W�° ar 1= tt— -- w ��*'�••�•� Via, Yt ! rs �` Y ,'� Daniel P. Aguilar V! ice President fls� frOc ......... 9"•.. .•rl2d: ..J+ft. ,,•pO�F �M•..•' ' r�rr `S pnn4npnlP`\P r„Il nppJ`\p F QjF 111`rnr4 rat I'll Enotary public or other officer completing this certificate verifies only the identity of the individual who signed the cument to which this certificate is attached, and not the hlithfulness, accuracy, or validity of that document, State of California County of Los Angeles SS: On this I st day of November, 2016, before me, Sabina Morgenstein, a notary public, personally appeared Dan P, Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty insurance Company who proved to me on the basis of satisfactory evidence to be the person whose frame is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on tiro instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct, WITNESS my hand and official seal. Signature __9__ SABINA M I, Kio Lo, Assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect, In Witness Whereof, I have hereunto set my hand a"I affixed the seals of said Companies at of� April —2Q18 `�r'tGT p"I'll, • � . w i ........ w mnenrr Corporate Seals nnu n un, . ti • n11111111rhN ''••. / �_ �R�cio ry�.S%6�VN �'1NrCfviagce's, Bond No. 1OQ108.7726— 1 3�yj�ito E @@`Wp:T ■ Agency No. ! 8219 3'i'�9LN :; V PMIM1`\�i3t1 10 nrtEP` *I\ A1 . Los Angeles, California this 6 r h _ day A)Gz_ — Kio Lo, Assistant Secretary