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Item C45I Meeting Date:. January 21, 2015 Division: Public Works/Enaincering Bulk Item: Yes x No — Department: Engrineeripg/Roads Staff Contact Person/Phone 4:-Kevin G. Wilson/797-1547 AGENDA ITEM WORDING: Approval to award bid and enter into a contract with Douglas N. Higgins, Inc. in the amount of $464,462.00 for Drainage Improvements Project on 9 'h Avenue, Stock Island. ITEM BACKGROUND: Three bids were received at the bid opening held October 28, 2014: Giannetti Contracting Corporation $556,078.60, Charley Toppino, & Sons $542,476.38 and Douglas N. Higgins, Inc. $464,462.00. Upon review of all bids, staff and TY Lin International recommend award to low bidder Douglas N. Higgins, Inc. PREVIOUS RELEVANT BOCC ACTION: On 10/16/13, the BOCC approved a Task Order with TY Lin International for engineering services and on 09/11/2014, the FY2015 Roads & Bridges budget was adopted which included funding for this drainage improvement project. CONTRACT/AGREEMENT CHANGES: n/a I: 111,111�� 'A"OHOLT111II!, E�r r DIFFERENTIAL OF LOCAL PREFFRFNCr4,. N/A COST TO COUNTY: same SOURCE OF FUNDS: Fund 102 gas taxes IXEVENUE PRODUCING: Yes — No X AMOUNT PER MONTH— Ypar APPROVED BY: County A4 OMB/Purchasing Risk Management Included Not Required Revised 7/09 BUDGET AND FINANCE PURCHASING DEPARTMENT TABULATION SHEET OPEN DATE: OCTOBER 28, 2014 AT 3:00 PM, TITLE: STOCK ISLAND-91h AVE. DRAINAGE IMP. PROD. RESPONDENTS BOND BID AMOUNT GIANNETTI CONTRACTING CORPORATION 5% BASE $ 566,078.60 CHARLEY TOPPINO & SONS , INC. 5% BASE $ 542,476.38 DOUGLAS N. HIGGINS, INC. 5% BASE $ 464,462.00 Bid Committee Present: Emie Coughlin - Purchasing Dept., Dent Pierce-PW Members of the Public Present: Otis may/D.N. Higgins, Patrick Ortega/Toppino's, Tony Donofrio/Giannetti I hereby certify that this is a true and correct copy of said bid opening and that all bidders listed above have been checked against the State of Florida Convicted & Suspended Vendor listings. All bids listed above were received by the date and time specified. Bid Opened By: Emie Coughlin - Purchasing Manager I [Colas Contract with: Douglas N. Lfiggins, Inc. Contract # Effective Date: Expiration Date: Contract ?ui-pose/Description: Drainage Improvements Project on 91h Avenue, Stock Island Contract Manager: D. Pierce/Judy Clarke 4560 Public Works/Eng. #1 (Name) (Ext.) (Department/Stop for BOCC meeting on January 21. 2015 Agenda Deadline: January 6,201 Total Dollar Value of Contract. $464,462.00 Current Year Portion. $ same Budgeted? Yes Z No F-1 Account Code: 102-22506-530' )40 Grant: $ County Match: $ ADDITIONAL COSTS Estimated Ongoing Costs: /yr. For: (Not included in dollar value above) (e.g., maintenance, utilities, janitorial, salaries, etc.) "133315m, Changes Date Out Division Director Date In l 1 Needed Reviewer YesoNo� — Risk Management -'+-'( f Yes No All t O.M.B./Purchasing b) Yes[:] County Attorney Yeses] No �,j -tj,L '-Lt LX, I Comments: Bieck: Island OAveiiuc Section 00500 Standard Form of Agreement Between Owner and Contractor Where Me Inuis qfpappienp (s o STIPULATED SUAI A C R KE rV IENT Madeas ofthe 2 1" day of January in the year Off WO ThUMNITIld and Fifteen. RETWIEEN the Owner- Moar V) (se County Board ol'County Cornmissioners ("BOC 11.00 Simonlon Street. Key West, Florida 33040 And. the Contractor: IFO,C the followIng Prcjccc Doa&xs N. Higgirm, lric 3390Travis Pointe Rd , Suke A Nan Af bor, Michigan 48 t (M Slock. Island _ 9LI'Avenue Drainage Improvements Project Monroo Cou.nLy, FlDrida ("ContracLor") ("project") Oversight for Alert otirac County Public kklorks & Engineering DeparlInents I 100 Siinonton &reet, Rui 231 Koy West, Florida 33040 Engill"r: TY Uri fri(eniational 201 Alhambra (Ircle Suite 900 Coral 'abler, FloHda 33134 Tbo Owrior and Crmttractar agree sir -quit forth below The Copitmet Docununk; The Contract Docutnent� cwislst of this Agreement, Conditions of the ConLrau (Getteral. Supplementary and other Conditions), Drawilig's, Specifications, twsttrance Rujuirements and Stock IsIalId -- 9".&wnuv Docianents, Milcstone Schedule, Blid DOLURICILL,', and Conti,actor's Did, Ad&nda issued j,n-ior to exectifion of` this Ageement, other, domments ',,isted in th,hs.Agret•njent and Modifi.catiorts mstled after execution of ffiis Agreeroent, These, form (be Contract, and are as fully a part of the Contract as if' attached to dils Agreement or repeated It rei,n, Tilic Cortuiact rr�preseflls tfir" 6ritive, and irate rated ap-cemenL between the paniem herem and supersedes prior negotiatiom, t'ePrC3C,nf,Ai0its OF ag,re(MICY11S, either -Wrilrell or oral. ARTICLE 2 'I'he or of this Contract 'uv Contractor shali execiam the enure Work described In tho Contract Documol-Its, excep( to (lie exten't spe"Cific"'Illy 111(h,ciared in the ContracL Documents to he dIC resporsib0ity of otliers, or S a k Scope of Nvolk is as spectfied in the, Contract Docornents, and shown on the Drawings atmtd in oic D specifications- 'rhe contract consfilules the ontire and exchIsive agreement between the Owner and (he Contructor with reference to the Stock Island — Wh Avenue Dn.dimge limpi-ovemejots Project. AR'IjCI'.,Ti3 Dute of Commencement and Skjbstaiairil Completion 3.1 The date of comniencement is the date, from which the Contract Tline r)( Paragraph 3.2 is measured, and shall he 41",e date of this Agree nient, as first wriLte-j! above, unless a diffe-re-al. dare ;s Mated below or provision is made fot the d,a'LC to be fixed in a notice to proceed issaed by the Owner as stated 41 Section 00350, mileStone SiChe(JIUIC, UIACSS the datC of contmencernent is csublished by at notice to proceed ismiod by the Dwner, the Contractor shall notiCy the Owncr, in writing not less than Rve days before cornmencing the Work. "The date of cummence-m-ei'Ashall be the date specified in t.,be Notice to Proceed issued to the Contra,etor. 12 The Contractor AmIJ Hchicve Substantia) Completion of the elltil'e wovk not later th"-111 j , vot, NO Di"s atter the.Date of'Commencem,ont, subioct to mtjusm of the Contract Th ne as I rovided by the Contract Domment. LIQ UIDA TE, D DA MA Cy ES Liquidated damigvs will be based. on L)o Substinfial Completion Date for all w, ork, modified by all approved eyLension in ti-meas sit forth hy 117n Owners signatUrn. al approval oil the Cerk[ific,att,cofStibstai)tiatCoiji[)Ietioii, The HqUldato-d damages table below shall. tic, u6fized to dCtCFj'jjinC Jh�e g .11110CITIt of I iquidated dat-naes. FTRST SECOND 31!' DAY & C0 N T R -5 DAYS 15 ' DAYS THEREAFTER Under 50,0001,00 $50WOMAY $ 1 00(VDAY $250MMAY $50,000.00499,999-00, 100. 0 0/1) A Y 200,001DAY 750.001DAY 4: WY14 SMNDARD R')RM OFi%CREEMENT B 3TWIEN, OWNER M.D CUNRFACK R 00- (X)� Siod, Island -- 9"' Aventle pgj�r . Pr(ject _ ,Rggjg�prqvenwqjs $1 00,0M 00-499,999,00, 2DOX)OI-DAY 5MOOIDAY 2,000,001DAY $500(),U and Up 500ADIDAY 1,000.00/DAY 3.500.001DAY The, Cori I mctWs recovery, of dam.agges and sok, rei-iiedy for any delay caused by the Owwr Shall be an extension of Linie on t!"ie Conlrao; Balance of nage, Intentiosially Left Blank W-5ka 3 S' ock Islancl 91" Avemlo, Drain"kee Ullprovernmis Fi, I Contract Sunt 4.1 ',File ovan er shall pay the Contractor in current funds 1br d if Contractor's perforgloace oc the Contract, for StOCRISlarid — "' Avenue Dra'ltiage Improvements Pr(Ject the, Contract Sum of Four Hundred Sixty -Four Thousand Four~. r odre l Sixty-two DOLLARS, ($464,462.00), sub ) additions rbid deduction.,; as provided in [he COW.TI-M DOCUTIlents. 4,2 The Co ntrict SIAM IS based upon. the following ajtcraaltes, if nny, which ore. described ill ffie Contnad Doc-anicilts, and ire ke'reby accepted by the Ownur: None 43 Urit prices, if any, are as follows: As spc cifie d in S ect lon 001 10 ARTICLE 5, Progress,Payrtteul.q 5.1 Based upon Applications for Paymentsubmiited by the Contractor Lo the Owner, and upon Prqjeci ApplIcaLlons and Cerfifil"ar's fol Payment, the owne"r Shall] alak-C progrDss payntents, on accoutat Of Jie Contract Sum to theconti-actor as provided below and ebwwllerc 1 111. i1he Contraet DUCLUTIentS, 5.2 The period covered by each Applimion for payment shalt hr one, calendar month endin,7 on t1le I ast. clay of the rnonth 5. 3 County shall pay putsuatit to the Local 6overtunent PrompL Payntent Act 218-70. 5A Each Application for flaiymexit shall be based upon the SChCdUlC Of VZ1111M sc4binitted by the Contractor in accordance with the Conuact Documents. I'lle SCII.C(MIC Of VL11UeS She-111 allocate the entire. ContyacSum aulong the variou.% portiotis of the Work and be prepaTed in, Such form,and suppolied by such dala W sulbS(Lludate its a-CCLJk'acv as the 0*-ner nlay require, This schedule, unless objected (o by the Owner, shall be tised as a basis for reviewing the Controactor's Applications for Payment, 5,5 Applications f6r Payment shall indicate the pticeiltage of COT-Opldion OC Cacti, PUTHMI Of the Work, as of the end of the period covered, by the Application for Nplient. 5,6 &ibject to the pro, visions of the Contract -Doctni-ients, (lie aniottlit of each progre'sS payment shall be computed as follows: 5A1 Take that prat oar of [he Colln-act Sum proporly tdlocah[e to cornpleted WOrk, as determilled by multiply-Hig the percefflagecompletion of each portion of tile work by d"le share Of the tOtal COT111MU Sum allocated to OW Portion of the work in Me Schedule of Values, Jess retainigeof'ren p tn efecill(M), Pending final dew'rolinxioil Of cost to tile Own of chatiges in tile Work, aMOUnts not ill dispute may be incl-ud&l fiiappl.i.cations for Payriient, The aniount of net deoreaqe in the Contract Sumhall e actija[ not wsi as confirmed by the Owner. When bolh I hange tile addifions and credits coveringretited Work or subsli[1160w" are involved, in a C 7 o i, i srevNi-wRmni oF AGRFJ7-mFvr XND03N1RA`ley R CXY5M 4 Stock Island -- 9"'AMILIC mlm�m-Jin rove tile I AS prow-L aflawarice fiat' Overhead and profit shall lie Figured, tear the , !)a,,s uflieL inere zwJf ear y, WitI respect to that. change., 5.6,2 Aod that portion of the Cpritract Sum properly allocable to materials turd eclriiprne!IL delivered and suitably stored al thr site for subsequenk incorporation in the completed corksti-action, (or, if approved in advance by (lie Owner, sit it ably stored of the site at a location agreed upon ill writitig), leq,-, retainuge of Ten percent (10%), 5.6.3 Subtract the -,iggregaw of previousliulymeras inade by the Ovvtaer: and 5 A4 Subtract amovints, if ally', for which the wrim has Withheld or ati[fified a Certificate for Payment m provided irk PaLagraph 9.5 A the Gmeral cond itions, 5 The progress. payn-im-It aTTIOU111 daterinined in accorcktrice with Paiagraph 5.6 ShMi lira tm niodifiul under the following CULCOM-Stance4 5.7,1 Add, upon Substantial Completion of the Work, a sum. �ufficjcnl to inem-m the lolal paym en Is to N Lliet A (90%) of tile )jtj C(, perm , [ract, S uni, less sucli amounu. as the Owner iveormnends eared dcCerri-Lines for ioconiplete wufl< and Alliseir, let] clairm and 5,T2 Add, if final completIon of the Work is (hereafter materially delayed throiigh no fault of the Contractor, anv addition unourit,,, payable io accordance With S Lill PMIgrapll 9A03 of tho Gell(Iftl COM11,011S. 5,8 Reduction or limlc,rfian 4 retainage, if any, shall be as, follows: Ncme ARTICLE'6 Final Payment Final payment, constituting the, enfim ulipaid ba,lance of (he Contract SUITI, Shall be ma,& by the Owiter to thComractor when (1) the C ,ontract has been fully perfort ed. by the Contractor exceptfor the Contractor'& ruspousibility to CorrCCL lioriconform'Ing Work as provided in Subparagraph 112.2 of Lire Guirrul COAditions tmd im satisfy other requirements, if ally, which. necessarily survive final payincutt: and {2) a final Pre ea Certificate for Paymenr,has been, r:ssued Icy the Project Ma n a 'ger: such final Inavrnent shall be l-nade by the O%viinr Lim inore thari '20 clays after the issuance of the firial Project Cet'Lific"Ile for paynaell't. ARTICLE 7 6celitmeon's Provisions 1.1 Where rel"crerice is made in this Agreemerit ro a prov [Sion 017 the General Conditions o.r ari�ther Contract Dovurrient, the refer-ence refer's to that prov [sion as. amended or supple.m.ented by other provisions of the Contract Documents. TZ .1 it flee 1 -.1 alvaimm, due and unpaid under thy. Contract bear interest PUr. U."'Irlit -OCZ11 Gov rnment Prortif)L Payment Act 218335 'MY1.4 SI',ANDMMMRNI0FAGR,EQ, IvJfV;r BEIWf" ONViNIFT AINDOON1.1-RAMR Rr)FX)- 5 Siock Islarid - 9" Avetme 7.3 TeillpoElryt"4161MCS ai,'id Service,,,;-' None. 7,4 Monme. Coun.Wpe:rformance and obligafion to Pay® underdlis contract is contnlgerlt upon an aruriva[ appropfialtion by (h.v: Board of County Comrnissioners. 7,5 Pu hH1 1 e EtAilies Crinics By signing this Agret�,rncnt, Contractor represents that die execution, oftliEs Ag.rcernent will not violate the Public Entities Crime Act: (Se0ion, 287-133� Florida Statutes), Violation of this sect ion sliall result in (errnina(lott of thIsAgreement 4nd recovery of all trionies paid hereto, and may resu4 in debarment,frorn Cmrnty's Lvnipetitive procurement activities. In addition tothe. f0fegD6-, Contractor further represents that fliere 11"us been ]to deterrnination, based on an audit, thai it or any subcontractor Ims committed ari aut defined by Seefion 287,133, Fk�wida Statutes, atj ",public entity crinic" and that it Isar, 10I b ha, i c en forniallv charged widlcononitting an act defined, as a "public oritity crivne" regardless ofthe arnount of, nionoy hivolvcd or whether Cotitructor has beev, placed oti tile convicted. ve-ndor list., coriltao(or will prorliptly notify the County if it or Carly sailocontractor is formally cAmarged', with an act defined zis a "pubfic cofily crio-te" or has been placed or) the tannic veil. vendor list, A lacy rsoa at, alffibue who has been placed on the cutivicicd vcudur II&L foltowinga cclvictlon for public cittity crinic may not submit to laird (in a cont-ract to provide any goods ot',Wrviceg to a PUbliC ClIdLy, may, riot mibmit a bid on a contract with a public entity for the constnicGoft or rq�x,Jj- of a pvtblic btfilding or public work, maynot stibmIt hid; on leases (if real propefty M public entity, may not be awarded or perforrrt work aks contractor, %ippliier, subcontractor, or consult,ant undcr a coniract with any public entity, and may not ttansact. businesi Nvlbi any public entity in ces.; of the thre'A101d aftIOL1111, provided in Section 297,017, for CATEGORY TWO Io a peried of 36 mombs from the dale of"being placed, Dn the convicted vendor list. 7.6 I he following items are part of this cotl(racu a) Mainten.ance of Itecords,, Contrac"of shall niah'itain all books, records, and docurneribi, directly Inc Ttint ent W Fefformance, undcr this Agrvement: in accordance with ficnerally daccepted accounring priaciples consistently applied. Each parly to this, Agroen'tent tat, authorized representatives, or the Federal Etea evgency Nlanagernent,Agency or its designec, sliall luave -masomable and timely access to Such recurds of each other party to, th'k Agroetnent for J)Ublic recwds purposes during. the terra of the Agreeinent and for (baf years followillig Jle termination of this Agreement. if Bata auditor enipla,yed by the County or Clerk detc,"n'llieS that monies paid to Contractor puo�uwmt to this Agreement were spent for purposes not authorized by this Agreement, the Contractof &h-all repay the rnoiriies together with, niterest calculaied pursuant 'to Sec. 55.03;, FSj 171,11-111irng fi'nra the dwe the inonies wife, paid to (,.ontractor. b) ',over ning Law, Venue, Interpretation, CoAs, and Fees: This greet tent be governed by 011d. COIJAI-Lied 'M accold'ance. -with flkic law,% of the State of Florida applicable to cantracts made and to be perforuied entivLly in tfir, 9t,atr- In the event that uny cuusc, of action or adiniaimrative proceeding is -Institufted for the enfoxentent, oriat.erpreLaUcin, of this Agreen-tent, the, County and contracwagree that Venue 713'14 grANDARD R)MI OFAOREEN, "NMETWaN, OW, NFUZ AND (X)MRACTOIR (,O-%)L� 6 Stock, Isd and 9" Av ram" �'1aall lac in tlae appr priote C0011 Of l)cl'Me, the aPl?r0j)riate acIrninistrative body In TvIouiroe County, Florida. This Areemerit Shall not be strbject to 1rrbilr,1111011- C) suv etyrab lit.yr If 'ally tel raa, CcrVenirlrat„ c:OnditiOtr Of pr0Visi0a1 of this Agreenarrit tsar the application tiar--re f to arly= ciromnslance or person) sltaall he declared invalid or unenforceable to any extent by .a court of re.cara pet nt lcrristlicuou, the reniaa.iniaa terms, r~trverrirrars, conditions and provisions of this Agreernual, shall rant be aIff CINI th reby, araacl each, remaining t,enn, covenant, condition aiid provision of iiris Agreement shall be valid and shall be C•of tveaahle t, the fullest cxwnt laernilited " y+ law onlress the enforcen—rent, of the remaining terrias, Covenants, c: tadhitarrs and provisions, of this A rGemom wool l prevent. the ac°csarn li:shment, of (ra original inmrnt of this Agreement, Tbc,, County and Comractor a r-re to refsartn the Ar'e rneol to replace arty slrWkts ri Provision �'vitla a valid provision that comes as low as possible to [,he intent of the vrir=`ken provision. dj, Attot-ney's Face andCosts: The Cot.inty 111d Contractor agree thar in the event € nyr cause ofaction or tadluinl.st=-r dvv proceeding i initiated or defended by any party rc lAtivi: to the enforcement or iraterpretarnon, of this Ag eraaeni,, the prevailing party shalltic entitled r:ta reasonable, zattorney's fees and wuit costs, as an award againgi, (tae a`isara-prevaailin party, and shall iricrlude attcarney',� fLe" and cOUrtS c09tS ill a1pPeJtht0 lir-occeding& �erliratrrarr t�rt���,a�cti�< uiitizatecl and conducted pursr,raaal<t ti) tairx Agreement shall be in ucco~daanc.'e wid.i. tyre Florida Rules of Civil Pr'ocedtar`e and r.srlal and c:ustornaary procedures required by the circuit court cat". Monroe County, C1 f nadir Effect: The text' %, co enaanis, conditicriii, and prov'i icaara. Of this Areeruc-ut drat]] bind and ire. ire w Ilse bcnela of the C"ounry and Contractor and theirs r°especliv legal repr :,entat Ives, srrcc.r'"Or,s, taaad asa;l to . t trtlt r$ityw Each, prai y represents aa,ad warrants to the, other that the CXCCcrtiol-1, delivery aal,ct Prf01-nr,1arT1C Of this Agrecrraent have br rt duly authorized by all ticcessary County and corporate action, as required by law, Chainis for Federal or Slafe Aids Coa,,ractor and Coanty agree that each 811La.11 lie, and, iR, empowered to apply{ ("or" seck.. and cabtiflu federal arid state furnds to furrtber [lie purpose of this Agroerttaa r, provi Jed that tilt gala licuions, requests, griurlL proposals, and funding ,ca56t36011's shall be approved by each party prior to submission. lad nudi c.riminaliora. County° wind Contractor ar rc" that there Will be rat-r cli r r°irariraaatt rr a aairast any p,f�rs�aa„ and it is expr •Wy twide stood, Hiatt up ra a d '.ta�irrat as try a Court gal' cumputellt jrunsdicti rr that di srrirr [natiaan has occut-rrd, this Agreement ent automatically Iurnlirintcs Without, any fut-ther aacGoti. orr the part of alrty party, affecIlVC the, &te of die court order, County or Contractor agree to ccacnply with rill Federal as-rd Florida statutes, and all lcacal ordinances, as applicable, mianno to aaondiscrir :iniation.. include but -ure not liratited to: l 1 Tilde VI of the 0-41 Rights hts act of t9,64. (Pl, v '?) r.vInch prohibits dis rirr-rinatiora oil the basis of race, color at national origin; 2) 'Fitic IX of [he plc utcation Arcendownt of 1972, as amended (20 U C ss,16811,4683,taut] 1,6854 6}, which prohih is discrimination on the aasi of'sex. 3j, Section MA of tho Rohaabilitarion Act of l ?3, is arrriended (20 US' s„ ` 94), Which prrotaibiLu" c11'so"irrairyarti n aura t]re basis of larandicape;„ 4 The Ages Discritnitu(ion Aut of 1975, as aamerided (42 IJSC ss. 101- "a10 hicli prokibits discriraa,inatlorr on the basis of cage; ) The Dram, Mara Office arts] "l'reat.trrrcrat Act of 1972 (l'L92-2M),gas aaraetaded, rel.ating to nondr.scriararraaticrn ors ncc TTV14 STANDA. tOF -� iI�IF t:'NI'Bt�'I' �IVEENOWNFR.AkNDoot fk&CTO`. t;KR, 7 Stock Ishind -- 9" Aven tw basis Of daig nbuse; 6), The Con-tprefiensive Alcolicil Abuse and Atcoholism Prevention, Tfeatmerit and Rehabiliration Act of 1970 (Pt, 91-616), as -tinivtided, jelating to nondiscr[I-ninati oil on the bosis of alcohol, abrisc or alcoholistri-, 7) The, PtMic Health Service Ad Of t()12, &s. -523 and 527 (4,211 LJSC ss. 690dd.-3, and 290cc�-3), as amended, relating to confidentiality of alcollot and drug abuse pa leat reconN, 8) Title Vill, of Llic, Civil Rights Act of 1968 (42 US C ,� et seq.), as 4aniended, tchi(Ms to noildiscrinlimifion in, lite sate, rellial or fiL.,nariving of housing; 9)Tlie Americarts with Disabilities Act, of 1990 (42. USC s, 1201 Note), as maybe amendeAl frotij t1ino to tirrie, relating to nondiscrimination Oil tile hasis of disabiliM, 10) Munroe County Code. hap per. 13, Article VI, whirAi ptobibits dlscrim�natiort oil die basis of race" Color, sex, mligiorl, national, origin, ancestry, sexual orientatiou, gvndef identity or expression, famili-al status or acc; 11) Any other notidiscrit-ninallon, provisions in any Federal or state statu,tc,� which may apply to the parties to, or the sub , vcL matter• of, this Ag"feernerit. i) covemant or No lnkv-&gt: Coumyand Contractor covefl,mi-il that iwitlier par eserttly has any intct-cst, and shall noL acquire any jnlm,`esL, which would confli-,:t in any maimer or &,gree with ns porformance under this Agreement, and that, oroy interest or caeb is, to I)erforin and receive benefit,, mi rocltrd in dais Agreenlent. j) Code i)f Ethics: County aafees tj ,jot officers and aura-il-ijoyecs of the ounLy recogm7x- and will be mquired to coniply, tvith he siandards of conduct for public officers- aild employeeg as defineated in Section 1122.313, Florida Statutm regarding, bm not limited to, solicitation or acceptance of gifts-" doirig buy sines with one',,; agcncy, -Ilriauthorlzed corripensation; 111115uge ofpi,,,blic position, conflicting ernploYMP-11t or cantractual, rodationship; and d Isclosure or use of cel'uIrl inforrilati(AL k) No Sol icitation/1"ayment.. The County and Contractor warrant. that, in respocL to itself, it has neltlier mr)ployed nor fctairic(I ally Company or person, other than as bona fide, employee %vorkiag solely for it, to solicit or soc'tare this A % 0 -1 d 0 garement and that 4 ha, a t p, i r agreed to Pay ally Person, mmpany, corp oration. indIvidual, o2.- tjj°jjj, other than, as hoot fide ernployee Nvorking solely for it, an y fee, oortunission, percentage, gift, m- uther consideration contingent upon ok resulting fmirl the award or making of tjji% Agreement. For the breach or V101HOUlt of the Provision, the Contractor agcoes that the County shall have the right to terrs inaLe this Agreement without Ii-abitity and, at iu� discfelion, to oMv, frorn monjes avved, or otherwise recover, the full W11OUnt of mil fee, Commission, per�enlage, gift, Or con."'ideration. LI 1) Priblic Access: The County and Contractor shall allow and permit reasonable acco,ss iri its possossion or . to, and inspection oC all docummUs, afore, totters or othev i-nateliah, undeT its control suh ed to the provisk)n% at' Chapter 119, Florida Statutes, and made or received by the CoutlLy and Contrao.or in conJuinction Mth lh.i5 Agrees ient; "Ind the (�okmty shall have tho rtolit to unilaterally canctl Agemen et tap violation of this provision by Con(ractor. Z� Pursuant t ES. 1, 19,0701, Cont-ract.or arad its Lai.bcon.n.Aactors shalt comply with all pablic recor&, laaws of the State of Florida, including but not hmited. to: (1) Keep and maintain public records that ordinarily and necessorily WoUld be, required by Morn�oe County in order 0) perfunn the service, 14 1, i'/UNRAWD R)fW OF AG REEM ENT BErWEEN OWNBZL\ 1\1 D C70N Me V-70R (01)-s ScockUkand - 0' Avenue (2) pro -vide the Public with access to public ricuords un, the terilis and Colldillo'!S rh11 Moilroe County wouJd provide the records arid at u cost thin, does, not exceed fl-te Cost provided in Florida Statums, Chapter 11.9 or as otfierwi,�e provided by k-lw, (3) Ensure flUlt pLlbl.ic recor& thar are exempt oi, confidential and exempt from public records disclosilre req,UifMT1Cl1t.S rrr Llot disclosed except as authorized by lcrw (4) Meet.all requiremcrits for retaining public records -mad transfer, at no cost, to Mon,roe County all public -records HI posession of the colitractor upon terminatioll of the contract and destroy any dupticate public records that are excerpt or confidential and exempt frorri pubhc records disclosure requlrewenm All records stored electro-t-lically nut be provided to Mortroe Courtty iti a fbrnlat that He widi the hiffirniation technology sN I comp,an Y'sterm of Moivoc Coanty- I-10 Non-Wiliver of" humunity* Not ithstanding dw provisions of Sec. 768-28., Florida 51-a(utc,", the participation of the C-OL1111Y ,tad [lie Contractor in Ibis Agreement and the ac;quiskion of' any comt-nercird. liabillty Insurance coverage, self4rtsurancc Coverage, of local government. liability U181.1rance pool cowrqo shall not be dectned as waiver oC immunity to the extent of liability coverage, nor sball any contract t�,nwpd biro lay [.lie County be teqcored to contain any provision for vvaiver. n) Privileges arid Inimunilties: All of bw privileges and UfflnLlrlifiCS fronts habiluy, exemptions froin laws, ordinances, and rules, pensions and relief, disability, worker ' C011Tonsation, and other belief its Which apply to the llcLivity of officers,, agents, Or ernPlOYCes of atay publIc agents M employees of tile County, when perfoTining their respective'trnictions under this Agreement widlIft the terrixor[al, limits of flie County shalt apply to the sane degmt and, extent to the performance of such funcLions and duties of such officers, agents, volunteers, or eutp[oyees outside the territorial Unilts of 1he County. of 'Legal Obligations arid Responsibilifies: Non-Delegittlon of Coristicutional or Slatutc)ry Dufies. Pais Agreement is not Intended to, riot shall it he construed as, relieving arty ed upon thD entity by haw except Participating entity from any obliati gon or tes Dillty impos to the extent of actuld and timely per-fOrniance t1i,ereof by any, participating ciltity, it, whkh ca% 1,110, Performance may be offered in satisfaction of t1w, obligation or resPolls[bility. Further, thi's, Agreement is not intended to, nor shall it lie consanted as, authorizing [he delegation of Ole cons titutiowl or matutory duties of tile County, except to the MCTA permitted by the Florida constAcition, state statutc, and case law, p) Non-Miarice by Non-Partles. No person or entity shall be entitled to rely upon Oie tortyis. or any of them, of this Agreernerit to enforce or atteillpt to enforce any, third -party �lvilyi, or craildwiQlIt tcl or betlefit of any, service or program conteniplated hereunder, avid the County and the Contractor agtec that neither theCottrilt%t nor the Contractor or any agent, officer, or ernployee of elthey shall have the- authority to irufort'll, COLRIWL., or otherwise it that any par,ticular individual or group of individwils, entity or entities, have entiderneni-s- or bonefits tjT,ider this Apreementseparate and apart, inkrior to, or superior to 11he corrintUillty In. getsrailUr for the purpnws conteniplued in this AgreerricnL 7A114 STANDARD FURIM (YAGWIN' BEIVEEN OWNIR AND CONTRA(' -TOR (MX)� 9 ,Soak Isla I'd - Avei i w q) ALUestations: Contracltr,)v aglees, to execure such duct iments as (he Coujily rnay ivasonably reqUirO, '1110tidi'ag a Public Endfly Ctime Suiten'terit, an Ethics Stalement, and a Drug - Fret Workplace steat eluellL. r) No Persortal Liability: No covenaut or agmememil conrnined herein shall be deenied [o be as covenant or agreernent of any iriel-ober, officer, ageni: or employer, of Mallroo County iii his or hor individual capaci(y, and no meraber, officer, argent or emp,K)yee of Monroe CounLy shall be liaWe persamally on. this Agreement or be mikiect to atly porsoual liabillity or RCCOUntability, �y rOaSOIj (If IhC OXCUAjO.ri of ffiis AgrecmenL S) Execution in terparts: 'I olin C"his Agreement may be executed lii any tu na of , - CoLintell)arts, each of which shall be regarded as, an, original, all of which taken together shall cio-risfiftiteone and the sarne instrument and any of the parties heteto may execilLe this Agreernetit I by signing any sttch cooriterpati. Section Ifeadings.m SccLiuii headings have: been litserted in this Agiroement, as a C� ranter of convenience of refererice oiity, and it is agrued that SLICII section haading� arc not as pall of (Ifis Agm-en'tent and wil I nm be useck in the i riterpretation of aiiy provision of this' Agreel-nent. Special Conditions, if army are detailed in Section 0 R.100 ofthe Protect Manual for this Project. V) Hold Harinless -and Ividernniriciation: Norwiffisuinding any ininjurum utsurance requi I velliews prescribed els�wlieire in this agreeni.ent.. (lie Contractor cavelaunts and, Lagrees that lie strati] delmid, lrid�iiraify and hold the COUNTY nrid the COUNTY's clected and. ,Ippollited officers arid erirployw., hamileNs frojn atid against (j), claims, actions or eauw.s of actioll, (6) hLigWiLuji, udvniniwuatjve proceedings, appcllat� proccedings, or otfier proccedings relating -to any type of injury (including death), dciwage, fine, penalty or business interruption, and (HO costs or expenses that may be, asserted against. iuilinted with respect Lo, or su.stairied by the Caratrtaty and the COUNTY's elected atkd appointed officers and etyiployees from liabilitios flarnages, for ses anxt costs,, including but not filalitcd to, reasottable auorney',q fees, to die extent, caused by i�he negligence, Eecklessukess, or il 1(tntional Wmoll ful of fl,le Contraciorand persons employed or ofilized by tile indemnifying party in Lhe pefforniance of the conmaiction contract. The 'itionetary limhatioja oflialbility under this contract shrill feu not less than $1 million -1 lon� per ()ccuTTvsi(:a pursuant. w R S. 72506. Insofar its the clu'1 rils, flctiorls4 CaMeq, of act,- litigation, proceedings, cosis or oxpennes relate e to events or cireurnstances that Occur during the terro of this Agpleemelite this sectlon will survive the expiration, of di,c term of this Agreemeril or arty e0)"Her terilaillation of this >, groes-neill. ht the event the completion of the proj'cct dic work.. of othon,,) is delayed or stuspundud as as result of the Contractor's failarc to puxhase or mainuahl tlw required insurance, the Contractor shall indeninify the County from any anA all hicransed ex erases resulting from suich (Iday, The first ten dollars ($10,00) ofreamneration paid to [he Conh"actor for [fie inden-mil Fictil 101, provided for above, The extunt of liability is iii no way Jimited to, reduced, or lessened key the. insurance coutalned ela,evihere with111, thi".., agreewilL WV 14 :BHf NWE, N OWNER /,)04) M NI'M A-CIOR (Ifoj- 1l) Stock I sJ a nd - 0' A ve a ac w) Adjudication of that all disputes and disagxeiraent,;fia,,Jl be auenipled to be rewived by me?t and eonfcr scmions tiv,twecrt representatives of ca,ch of the parties, If no resojution can be agreed upon within 30 days after the first inert and confcr session, the issue ot i."ues shali be discussed, at publ1C me eting of thc'Boar(l of County Comil 115-Milers. If the issue of, is,:Ues are stil I not resolved to flit S (11L isfaction of the p arties , s lien a n y party sh al 1. hay e the Tight to see . s tic, h re , I ief car re in.e I y as may be provided by di Agreemont or by Florida haw.This provision does not negate or waive the, provis)OTIS of Paragraph X concerning cancellafiLOU. X) Cancellation: In the event that the Contractor shalt be found to lie negligent III, any aspect of installation, stocking, iiiaaimenarice, repair, or service, the Comity shall, have the right to terminate this, agreement after five (lays w-i-ition no6ficarion to the Contractor. Y) Cooperation. In the event ally administrafivo or legal proceeding is lnsLitutcd , myajn� rin, e, or breach of this K-- ,1 either, 1,,)ariy relating to the fo ation, execrution, peffornianc Agreement, County and ContractUT agree to pati,icipate, to the extent required by the other party, in all proceed"Ings, hearings, processes, mCCUng.9, and odlet actl'VitieS related, to the subs�tance of this Agreenient or provision of the services under this Agrecirwnt, County and Contracror spc,6fic,ally agree that no party to flat,Agrecment shall be reqoired to UtCr iT110 any arbitration proceedings related to NN Agreemem. z) Imurance Requiremept Worker's Corripensifion Einployer's Liability 6erieral Liability Vehicle Liability mm "ICIUSI-1-1 WCJA ME 1,11rhil's Statutory 1-links Saine as Empiuyers Liability Saivir as Employers Liabilky $300,000 per Pen -on; $500,000 par occurrence; $200,0,00 Property Damage, or $500,000 Conibirted SLugle Unit GLXCIJ �VRequired Eirdorsernent, T.Jndergrotand, Exploion and Collapse (XCU) V L.2 $200,000 per Persona $300,000 per OCCUITe'.11CC, $200.0t,',10 Property Daringe or $300,000 Combined S i ogle, Lm it The Monroe County Board of County Comml,;sioners, its employmc,; and officiak will be included as "Additional Insured" on all policies, exceliffor 711/14 STAND,6RD RNM OF, AGREke. MENt' BMWENOWNER, AND C)ONKMI-MR fXM--)- I I Stock Wand - 9"' Avenue Q!Aiall WL LIMR-10 VC —,TIC nts—l'—'f QN-10 All insuren skil have, ia A.M. Best rati iig (,)f'V I or heuer and shall be licensed to do kisitiess ire [Iiostate of Florida. 73 Ownerskip of the Pr'Aluct MteLpinunts, 11a6. docun-Lents prepared by the Contractor for this Project belong to the Counlyzad -may laereproduced and copied withom acknowledgemetu or permission of the COTILMCWT- T8 Successorsand Asqiiis:'flicCoiitiaictorshalI not assign or subcontract its obligations un,der this agreement, except in vvritin.g and, with the prior written approval of the Board ar County Commissioners for Monror-- County, which approval. shall be subject to sudi coaditions are al provi.,;Ioas as the Board aj,a n 11)0 1 y decrn ileccwry. This parragraph shall e 1) i co ra ed by refarence into any assignirient or subcontract atid any msTnee or subcoutracLar shah, con -,ply With all of the provisions, of this A0,jCe,1neT1L Subjea to the, provj�iions of the immediately preceding,sentenec, each pany hereto binds itself, its succmsors, assigns, and legal rel)tCSentat i'VeS to rhC other and to the successors, assignatid legal, representalives of such other 7.9 No third Party Betieficiaries: Nothing contained her cin,,ihall create any relationship, contractual or otherwi.se. With OT any rights in favo,r of, any third party. 7,10 Americans %vith Disabilities Act or 1991)fir DA) - The CONTRACTOR will co)uply with all the requirements as jrnpascd by the ADA, the regulations of the Fell rat goveiruiient issued thucundcr, and the, assuriance, by the CONTRACTOR pursuan't Lhel,eto. T, 11 Disadvantaged Business Entcrprise (DIAE) 111olicy and Obligation - It is tho policy of the COUNTrY that DBE's, -,is defined M49 CYR. Part 26i az;, amended, shal I have the opportunity to participaA,e in the perfurtuawx ()f contracts financr.,d iii whole or in part wi In COUNTY fuwk under this AgreerneirL The DBE requirenienu of applicable federal an state laws and regulations apply to this Agreement. The COUNTY z,nd its, CONTRACTOR aee to MI-SUI-C that DBE's have the oppod,uniLy to parlicipatc in the perforrmince of dais Agreement, In this regard, all recipients and conlracto"sh5ll rake'all necpssary and reasonable slaps ina-ccordance, with applicable federal, and st, , ate Laura Lind regLflfltions to ensum that thy: DBE' s havthe opportunity to compete fox and. perform conuacts. The COUNTY and the CONTRACTOR and subvontra shall not discriminate on the basis of vace, color, national origin or sex In the award and perforinance of contractsenmrod pursuant to this Agreen-ient. ARTICLE 8 Terminatoon or Sils. irrr SA Tho Contract ill ay be terminated, by (lie Owner or the ("onlracfor as provided in Articto I �4 of the Genaml Cortdltion,,',. 9.2 The� Wc')rk may be SLISpended by the. Owner are provided in Arlictc 14 of the General Conditions. -1014 STAND ARDF(AWCA, -AtJRLHvJH\T BF,['Wff,,lIONll�RAt�DCONIR,'�CTOTOT-W 12 Si,W'k 1814fid - 9r" Avenue Qumigq �,elm ARTICLE9 Enumex-ation of Contract Docummeols 9.1 he Contract Documents, except fm Modificadolls isqu!ed aher excention of L-lis Agrest ment, are enumerated as folic ws� See Aruc[e I 9.1A '171reAgreernent is this executedStandard Forij.i ofAgmcmentbetween Owncvand Contractor, M-2 I'he G eneral Ceditions are the Genera I Cor)d i tions of the Contract for Coms I r-oction. 9.1,3 The Sttppleni�.ntary and other Condii lons ofthe Contract are those conlained 41 Ole Pr9ject Nfantm], duled July, 2014 and are as Follows: As I Isted in Tdble cif Contents, Svctioii 00001 of theProject Manual for !his, project, 9.1.4 The Specifications, are those oonLained in the Project Nfiantial, dawd as in Subparagraph, 9,13, and are as FoUrows: M fisled in "Fable of Contems, Section 00001 of the Prole for this pr("aiem 9A-5 The, Drawings are as follows, atid are nLed on each, individual dr-awing unless a different date is shown belcm- Ty Lin International Drainage Improveinents'. sheets 1-11, sigped and sealed, June 4, 2014. 9.1.6 The Addendft, if miy, are km lollows. Portions of Addenda relating to bidding requirements Ofe not, part, of the Contracr Documems Unless the bidding requiremcrits aitc also cowne.rated in this Article 9, 9.t,7 Other docunients, ifnliy, formirlo part of the contract Duum-mals areas fullow% Monroe County Bid, Form in. Section 00110. Set Article I Balance of Page Ititentionally Left Blank 7014 (1 W-1 13 Slock Naud - 9"' Aveaue QlAIL99-2— IN W11"NESS WHLAREOr, the parties herctc) have executed this Agfectilent on the day arid date first writlenab,DVe iii f6um- (4) counlarpaits , each of wbich,41MI, wittiout J'Voaf ()V accollairig, for the offier counterparvs, he recited yin migillal C-011tTau. (SEAT) Attest: AMY HEAVILIN. Clerk By: Deputy Clerk Date (SEAL) By, Title.` BOARI) OF COUNT VC0 NILNUSS IONERS OF MONROE COUNTY, FLORIDA on Mayor CONTRACTOR By: TWO:, ell END OF SECTION 00500 T•UAA`Row ATTORNEY 7014 SrAN- DAK) MRIM OF AGRa, j-vMw BEI'WEEN ONNIN EUZ /%ND,00M3A(7MR M-0- 14 Stock Island - 9h Avenue copy - Drainage Improvements Project It 1 BID TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CIO PURCHASING DEPARTMENT 1100 SIMONTON STREET, ROOM 2-213 KEY WEST, FLORIDA 33040 BID FROM: ttS The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Bid Documents for the construction of: Stock Island — 9'h Avenue D,rain=jmprovernents Project Monroe County, Florida and having carefully examined the site where the Work is to be performed, having become familiar with all local conditions including labor affecting the cost thereof, and having familiarized himself with material availability, Federal, State, and Local laws, ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a workman -like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he has personally inspected the actual location of where the Work is to be performed, together with the local sources of supply and that he understands the conditions under which the Work is to be performed. The successful bidder shall assume the risk of any and all costs and delays arising from the existence of any subsurface or other latent physical condition which could be reasonably anticipated by reference to documentary information provided and made available, and from inspection and examination of the site. The undersigned shall perform the work at the Unit Price Indicated on the following Bid Form, Further, itis understood that the Bid Form Quantities are estimated for evaluation purposes only and that the final contract price will be determined from the actual quantities measured for payment in accordance with the Contract Documents, M (Total Base Bid - words) lvlji�' (Total Alternate Bid - words) Do 1 7/3/14 BID PROPOSAL 00110-3 Stock Island — 9'h Avenue (Total Alternate Bid- numbers) fz Signature Date I acknowledge receipt of Addenda 0. (s) I havq included the Bid Proposal which entails the Proposal 1','ormthe Non -Collusion flidavit v/ , the 1 bying and Conflict of Interest Clause lie Drug-1aree Workplace 1 o aa, the Bid Boi the Bidder Is insurance Statement �al PrefL Ii Entity Crime Statement-rence Form--! lv�[ Pu ic Also include a copy ofvaalid licenses-l'.. Additional Information. (The above is intended as a courtesy review checklist of the required bid items. However, it does not imply that these are the only items needed. There may be additional requirements not listed here that are listed in other sections of the Project Manual. It is the Contactors responsibility to provide all required bid items.) Mailing Address: hruil Phone Number: GI , i�A' Date: Signed: O (Name) (Title) bl- Witness: (Seal) 7/3/14 BID PROPOSAL 00110-4 Monroe County (Base) Bid Form Cross Street to 5 Street r, qjrc I Stuck Wand 9fth Avenue - Drainage Improvements Project Loco ion Munroe Courtly. Florida confracror r1ne —,LS LS Descriplion MOUNZ10ion ?4imcnartm of"Traffic Written Price nd Dollars -' v U.if Price 40�000-00 5,_80-00 y Price 1,4 0� QUM, -00 5,630.00 i LF QcRyiiw d Grubbin Thousand Fottr Hundred Dolla ive Dollars; -iye 5-400,30 12M'—, 132, Cy Gravel Fill for swate restoration Rr i ghli SY 22�wngl ;are Group I i wnrcrtwk LRR 100� S' min fbir trench rctioradon) Twent-v Th ree Dollars 23.00 �23,70-00 —.-1.031 327-7M 2,472 SY Milling Existing Asphalt Pavement 0 5' Average) — Tzivbt T)oflirr &00 i----Trf�V—t, 134-1-13 125 136 TN SttperDaveA.�nhakkCcncrete.TmfficC(IIOUWsv 5' ave [Ain) 7f;v-- Asphalt Concrete Friction Course. Traffic C. FC-9 5. PC 76-22. ARB Hun red & Fourly FiYc Dolhats 11�un ITwo Hun re Fourry Five Dollars 1 245�0(2—� 124 -- 0 304?5�')U 1 3 3,320ff) -237-1-7-1 EA VW*** Adjust Riindred & Pi l - wltf- :518.00 ic-,00 _125-6 475-1-541 452-2-61 a 3 EA 1 EA Inlom DT E10T. Tvpc D. <10' h4wixAc Type Pg. < IW EQULnQuqand j';z HIII)dred DeRars 5,400,00 4,600.00 113,800.00 I O(Y-MAIK 45 131 1 LF LF Desitting pim 0224" Pi Culvert. Optional Maecria) hound Sixteen Dollars One Hundrtd-_jwgnt v Five Dollars 16.00 125-00 °720.00 1146 LF Fma Drain. 24" KDPE One Hundred Seventv Four Dollars 74 00 1199440 ,i o ,14-1-704 570.1-2 41 SF SY Rmprav - Rubble. Coastal Shore - Larue (23' Depth) Performance TurE Sod Twentv Dollars Seven Dollars 20.00 7.00 LS Siming and mvcment marking. realace in kicul rl"hirteen Thousand Five Hundred Fifty DoEars 113�550,00 l3rD TOTAL $ 464,462-00 Contractor's Signature: 1 1 k &U Stock Island -- 9°h Avenue I)rainace_I_tngrovemeTitsrojct Pe NON-COLLUSION AFFIDAVIT of tile city of 1r f �! i G i�{ according to law on my oath, and under malty of perjury, depose and say that; I am of the firm of ... + CO 1 a } (� k�e �t "r.: , the bidder making the Proposal for the project described in the notice for balling for bids for: MonroerFlorida and that 1 executed the said proposal with full authority to do so; 2.) the prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such process with any other bidder or with any competitor; 3.) unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder and will not be knowingly disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and 4.) no attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition; 5.) the statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. I (, V (Signaturb of Bidder) (Date) STATE OF;r�'ti q k t 1 COLN OF: �' ��� �. r b• � -- PERSONALLY APPEARED BEFORE ME, the undersigned authority, (name o indivjduai signing) who, after first being sworn by me, affixed his/her Signature in the space provided above on this day of L, L tP � .. _�.. 20 NOTARY PUBLIC My commission expires:C� . - �`- 7/3/14 BID �.�A..mW H i . , .r.. �. _00110--6 ._ My Commission Expires January 10, �;�nt Stock Island — 9'h Avenue (Company) "... warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or employee subject to the prohibition of Section 2 of Ordinance No. 0 10- 1990 or any County officer or employee in violation of Section 3 of Ordinance No. 0 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct of anp &e, commissiona-cercenta e, gift, or consideration paid to the former County officer or employee". ,-!-\ � I -d- LI ...... .... . - ...... .... . (Sign tore) (Date) STATE OF COUNTY OF . who, after first being sworn by me, affixed his/her ....... . . .. . . -1 . . ......... Signature in the space provided (Name of individual signing) Above on this r. day of 20 NOTARY PUBLIC My commission expires: 1 —/0 -ly-1136 SANDRA K GARRISON NOTARY pUBLIC - STATE OF MICHIGAN COUNTY OF WASHTENAW I Py ir o. 10. 2020 7/3/14 BID PROPOSAL 00110-7 Stock Island — 91h Avenue 1 / The undersigned Contractor in accordance with FI. Statute 287.087 hereby certifies that: (Nime ofBusiness) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. Inform such 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. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 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 bid, the employees will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contenders to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As a person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Bidd is Sigiii ture Date 7/3114 BID PROPOSAL 00110-8 Stock Island — 9h Avenue Q-r3in4-,90MPrQ P!I PrQjeclt Insurance Reguirement Limits Worker's Compensation Statutory Limits Employer's Liability WC2 $500,0001$500,0001$500,000 WCUSLH Same as Employers Liability WCJA Same as Employers Liability General Liability GL2 $300,000 per Person; $500,000 per Occurrence; $200,000 Property Damage or $500,000 Combined Single Limit GLXCU *Required Endorsement Underground, Explosion and Collapse (XCU) Vehicle Liability VL2 $200,000 per Person; $300,000 per Occurrence; $200,000 Property Damage or $300,000 Combined Single Limit 07, T 4 0=1 I all these requirements. All insurers shall have an A.M. Best rating of V1 or better and shall be licensed to do business in the state of Florida. T)e04 A I natku're Date Name of -41siness Sig 7/3/14 BID PROPOSAL 00110-10 Stock Island — 9'h Avenue Drainage Improvements Project LOCAL PREFERENCE FORM A. Vendors claiming a local preference according to Ordinance 023-2009 must complete this form, Name Of Bidde rdtes pon dor Date: 1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least one year prior to the notice or request for bid or proposal? - (Please furnish copy. ) 2. Does the vendor have a physical business address located within Monroe County from which the vendor operates or performs business on a day to day basis that is a substantial component of the goods or services being offered to Monroe COLMIY'7 List Address: Telephone Number--, B. Does the vendor/prime contractor intend to subcontract 50% or more of the goods, services or construction to local businesses meeting the criteria above as to licensing and location? If yes, please provide: 1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one year prior to the notice or request for bid or proposal. 2. Subcontractor Address within Monroe County from which the subcontractor operates: Tel. Number Print Name: Signature and Title of Authorized Signatory for Bidder/Responder STATE OF W I INN WK#jg On this day of 20_, before me, the undersigned notary public, personally appeared known to me to be the person whose name is subscribed above or who produced as identification, and acknowledged that he/she is the person who executed the above Local Preference Form for the purposes therein contained. Notary Public Print Name My commission expires: Seat 7/3/14 BI1 PROPOSAL 00110-11 Stock Island — 9" Avenue Drainage Improvements Proiect PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." I have read the above and state that neither f. (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months, J, ✓n, -1q . . ..... . . ......... . .. (Signature) (Date) STATE OF: f, 0, COUNTY OF, "!V",vt 04, vV, V_ Subscribed and sworn to (or affirmed) before me on the r day of 20 by tant), He/She is personally known to me or of aff has produced (type of identification) as My Commission Expires: NOTARY PUBLIC SANDRA K GARRISON NOTARY PUBLIC - STATE OF MICHIGAN COUNTY OF WASHTENAWEND OF SECTION 00110 My Commission Expires January 10, 2020 7/3/14 BID PROPOSAL 00110-12 Stock Island — 9h Avenue Drainage Improvements Project INSURANCE AGENTS STATEMENT I have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES 2 t -1 Da - Liability policies are X Occurrence Claims Made Insurance Agency Signature YT?Mrf� M-211 NOM requirements. ou o Bidder < Sign lure I M F4701043WNR1, Monroe Cc)Luity Board of County Commissioners 1100 Simonton Street Key West, Ft, 33040 Re: Stock Island 9"' Avenue Drainage Improvements Project CORPORATE OFFICE U REGIONAL OFFICE 33901 RAWS POINTE ROAD 4485 ENTERPRISE AVE SUITE MAPLES, FL 34104 ANN ARBOR, Nil 48108 (23$774-313D (734l 996-9500 FAX: (239) 774-4266 FAX: (734) 996-F480 Douglas N.. Higgins, Inc. is Micliigan Corporation Submitting a bid for the above project. We are sup,plying the information requested in Section E (Prime Bidder's Qualifications) of the abov-e Bid Package. "64%,re mlmlp�_ �1 Douglas N. Higgins is the President, Kelly A. Wilkie theTreasurer, Tamara Ludwig, Sandra Gairrison, David Wilkie and Kelly Wilkie are Secretary mid Daniel N. Higgins, Brandy Bartolone and Kelly A. Wilkie are the Vice -President of Douglas N. Higgins, Inc. Douglas N. Higgins, Inc. has been in business for 48 years and has operated only under the name o f Douglas N. Higgins, Inc. In responses to #(5) a., b., c. and e - all the answers are NO. In response.- to #(5) d. — Monroe County was included in a suit filed with FKAA. That has since been finalized with no judgment against Monroe County. I have attached a list of Customer References, Credit References, List of Subcontractors, Detail by Entity Name Print-out, Contractor's Annual Report and our General Contractors License. 1111r, "119 Sincerely, Douglas N. 11iKeins, 11 4 UA_­ Kelly A. Wilkie Vice -President w/attachmunts mm Collier County Government 3050 N. Horseshoe Drive, Suite 290 Naples, FL 33942 (239) 434-5050 City of Fort Myers 2200 Second Street Fort Myers, FL 33901 (941) 332-6830 City of Key West 525 Angela Street P.O. Box 1409 Key West, FL 33040 Metropolitan Dade County, Florida 3575 S. LeJeune Road Miami, FL 33133 (305) 665-7471 Palm Beach Water Utilities Department 2065 Prairie Road West Palm Beach, FL 33416 Contact: Hassam Hadjimiry (561) 641-3429 City of Ann Arbor, MI 301 E. Huron Street Ann Arbor, MI 48107 Contact: Nicholas Hutchinson (734) 794-6410 Peters Building Company P.O. Box 577 Saline, MI 48176 Contact- Jim Haeussler (734) 429-4200 City of Chelsea, MI 305 S. Main Street, Suite 100 Chelsea, MI 48118 Contact: Christine Linfield (734) 475-1771 Ypsilanti Community Utilities Authority 2777 State Street Ypsilanti, MI 48197 Contact: Larry Thomas (734) 484-4600 Village of Dexter, MI 8140 Main Street Dexter, MI 48130 Contact: Donna Dettl ing (734) 426-8303 City of Saline, MI 100 Harris Street Saline, MI 48176 Contact: Gary Roubal (734) 429-4907 DOUGLAS N. HIGGINS, INC. Officers: Douglas N. Higg ins —President Kelly A. Wilkie — Vice -President, Secretary, Treasurer Brandy L. Bartollone - Vice -President Sandra K. Garrison - Secretary Daniel N. Higgins — Vice -President Tamara J. Ludwig — Secretary David J. Wilkie —Secretary Bank Reference: Ann Arbor State Bank Contact: Mr. Tim Berry 125 West Williarn P - (734) 761-1475 Ann Arbor, M 14 8104 C - (734) 418-0584 F - (734) 213-2474 Bank of Ameriezi Contact: John Polack 500 Griswold A\renue, Suite 2600 P - (313) 202-3052 Detroit, MI 482Z6 F - (313) 202-3048 Bonding: Hartford Fire Inslurance Company Agent: Hylant Group Hartford Plaza 24 Frank Lloyd Wright Dr. Hartford, CT 061 15 P.O. Box #541, Suite J4100 Ann Arbor, MI 48106 Trade References: Michigan Florida East Jordan Iron Works HD Supply P.O. Box #67000, Dept. #59601 501 W. Church Street Detroit, MI 48267-0596 Orlando, FL 32805-2247 P - (800) Manholle (626-4653) P - (305) 418-51 15 F - (248) 546-46112 F - (305) 577-1063 Account # 39180 Account # 101780000 Michigan CAT Ferguson Enterprises, Inc. 24800 Novi Road 2361 N.W. 22nd Street P.O. Box 918 Pompano Beach, FL 33069 Novi, MI 48375--2414 P - (954) 973-8100 P - (800) 642-42'28 F - (954) 917-3134 F - (248) 348-32101 Account # 584 Account#319072 Niethammer Transport, Inc. Triple J of Lee County 9750 W. Michigan Avenue P.O. Box 47258 Saline, M148176, Fort Myers, FL 3391 1-7258 P - (734) 429-71.79 P- (239) 337-2177 F - (734) 429-70"70 F - (239) 337-7093 Account #D000000I Michigan Pipe &. Valve U.S. Pipe & Foundry 3604 Page Avenue P.O. Box 10406 Jackson, MI 49203 Birmingham, AL, 35202 P - (517) 764-9750 P - (205) 254-7076 F - (517) 764-9754 F - (205) 254-7042 Michigan East Jordan Iron Works P.O. Box 467000, Dept. #59601 Detroit, M1482G7-0596 P - (800) Manho le (626-4653) Account # 39180 Michigan CAT 24800 Novi Road P.O. Box 918 Novi, MI 48375-2414 P - (734) 349-48100 F — (248) 348-3701 Account 431907 2 NiethammerTransport, Inc. 9750 W. Michigan Avenue Saline, MI 48176 P - (734) 429-7179 Michigan Pipe & Valve 3604 Page Avenue Jackson, MI 492,03 P - (517) 764-97:50 Account #DOU0)0001 Florida HD Supply 501 W. Church Street Orlando, FI, 32805 P - (305) 418-5115 F — (239) 334-6957 Account # 101780000 Ferguson Enterprises, Inc. 2361 N.W. 22nd Street Pompano Beach, FL 33069 P - (954) 973-8100 F — 954-917-3134 Account # 584 Olsen Precast, Inc. 2140 Pondella Road North Fort Myers, Ff., 33903 P - (941) 574-8896 Account # 130508 Triple J of Lee County P.O. Box #7258 Fort Myers, FL 33911-7258 P - (941) 337-2177 U.S. Pipe & Foundry P.O. Box 10406 Birmingham, AL 35202 P - (205) 254-7042 Account # 00093926 1011712014 Detail by Entity Name Detail by Entity Name Foreign Profit Corporation DOUGLAS N. HIGGItVS INC. Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 3390 TRAVIS POINTE RD. SUITE A ANN ARBOR, MI 48108 Changed: 01 /25/2000► Mailing Address 3390 TRAVIS POINTE RD. SUITE A ANN ARBOR, MI 48108 Changed: 01 /25/2000► 830666 381807765 08/01 /1973 MI ACTIVE Registered Agent Name & Address CFRA, LLC 100 S. ASHLEY DR. SUITE 400 TAMPA, FL 33602 Name Changed: 05/27/2003 Address Changed: 0511912011 k Officer/Director Detail 1 Title VP Bartolone, Brandy L 4465 Enterprise Avenue Naples, FL 34104 htf /Isearch.suntj1z.or /Incltjiry/Gwporation SearchMearch Resul[Do tall/En tit yNam€lfor -S3066-49a27c133=9482 4c92-b6ae-ac29bdaf3d2711r7oug1as%.- 1/3 Detail by Entity Name View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format t�tip ft�t:arrts strr�t�i�.t��r�nc�iairyfs�r�rs�r�sRc�s��r�r�art�Pa3 ��aart:hi��euf[L7e4�iPlt�s�i�iyNar�r�ff�r�s-£i;Sfl�iF�-�i��?7c7�:t-�� €t•�7 r.�2"•htae-a�'�eb�af�ti7(a�zas�Eas°A�, .. 3/3 24 FORS ROFiT CORPO Tiflh3 ANNUAL REPORT DOCUMENT# 830666 Entity Name: DOUGLAS N. HIGGINS INC. Current Principal Place of Business: 3390 TRAVIS POINTE RD. SUITE A ANN ARBOR MI 48108 Current Mailing Address: 3390 TRAVIS POINTE RD. SUITE A ANN ARBOR, MI 48108 US FEI Number: 38-1807765 Name and Address of Current Registered Agent: FILED Jan 07, 2014 Secretary of State CC3506726904 Certificate of Status Desired: Yes CFRA, LLC 100 S. ASHLEY DR. SUITE 400 TAMPA FL 33602 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer/Director Detail Title VP Title ASST. SECRETARY Name BARTOLONE, BRANDY L Name LUDWIG, TAMARA J Address 4465 ENTERPRISE AVENUE Address 4465 ENTERPRISE AVENUE City -State -Zip: NAPLES FL 34104 City -State -Zip: NAPLES FL 34104 Title PD Title VP, EXECUTIVE SECRETARY, TREASURER Name HIGGINS, DOUGLAS N Name WILKIE, KELLY A Address 3390 TRAVIS POINTE RD., SUITE A Address 3390 TRAVIS POINTE RD SUITE #A City -State -Zip: ANN ARBOR MI 48108 City -State -Zip: ANN ARBOR Nil 48108 Tide VP Title ASST. SECRETARY Name HIGGINS, DANIEL N Name GARRISON, SANDRA K Address 3390 TRAVIS POINTE RD. SUITE A Address 3390 TRAVIS POINTE RD. City -State -Zip: ANN ARBOR MI 48108 SUITE A City -State -Zip: ANN ARBOR MI 48108 Title SECRETARY Name WILKIE, DAVID J Address 3390 TRAVIS POINTE RD. SUITE A City -State -Zip: ANN ARBOR MI 48108 Date 1 hereby certify that the tr,formatian indtrartadon this report or rpptcr rentat rp t is two and accurate and that my etectronfc sfgnafure shalt have the same (egai effect es if made under oath; that f am an offacerrrdirercfor at the corporation or the w roWrrar ova m unaps� srvd to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an allachmenl with all otherlike empowered. SIGNATURE: KELLY A. WILKIE VICE-PRESIDENT 01/07/2014 Electronic Signature of Signing Officer/Director Detail Date STATE OF FLORIDA 4 r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HIGGINS, DANIEL NORMAN DOUGLAS N HIGGINS INC 3390 TRAVIS POINTE ROAD SUITE A ANNN ARBOR MI 48108 Congratulations! With this license you become one of the nearly. one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please lag onto www.myfloridalicense.com. There you can find more; information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department°s initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly, We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license[ DETACH HERE (850) 487-1395 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CERTIFIEDCGC0601 89 ��'#UED: 08/27/2014 TOR DAME IS CERTIFIED under the provisions of Ch.489 FS. Expiration data : AUG 31, 2016 L1408270003526 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGCO60189 The GENERAL CONTRACTOR Named below IS CERTIFIED y' Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 HIGGINS, DANIEL NORMAN DOUGLAS N HIGGINS INC 3390 TRAVIS POINTE ROAD SUITE A ANNN ARBOR MI 48108 ISSUED: 08/27/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1408270003526 2014 / 2015 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2015 rlrwwf« # M Business Name:: DOUGLAS N HIGGINS INC Owner Name: DOUGLAS N HIGGINS, DANIEL N HIGGINS Business Location: MO CTY Mailing Address: KEY WEST, FL 33040 3390 TRAVIS POINTE RD Business Phone: 305-294-3355 Ste A Business Type: CONTRACTOR (UNDERGROUND UTILITY) AN N ARBOR, MI 48108 Employees 5 STATE LICENSE: CGC060189 Tax Amount Transfer Sub -Total Penalty �Prior Coll Total Paid 20.00 0.00 20.001 0.00 0.00 --1-20.00 !ection Cost isrer Fee S' �a Paid 125-13-0110002331 07 /14 / 2014 20.00 THIS BECOMES A TAX RECEIPT Danise D. Henriquez, CFC, Tax Collector THIS IS ONLY A TAX. WHEN VALIDATED PO Box 1129, Key West, FL 33041 YOU MUST MEET ALL COUNTY AND/OR MUNICIPALITY PLANNING AND ZONING REQUIREMENTS. Business Name; DOUGLAS N HIGGINS INC RECEIPT# 30140-62369 Business Location: MO CTY Owner Name: DOUGLAS N HIGGINS, DANIEL N HIGGINS KEY WEST, FL 33040 Mailing Address: Business Phone: 305-294-3355 3390 TRAVIS POINTE RD Business Type: CONTRACTOR (UNDERGROUND UTILITY) Ste A ANN ARBOR, MI 48108 Employees 5 STATE LICENSE: CGC060189 Tax Amount Tra ni.�,ePenalty RriorYeam —]Collection C_]Total Paid . ...... . .... , , ­ 20.00 0.00 20.00 0.00 0 00 0 60 20.00 Paid 125-13-00002331 07 /14/ 2014 20.00 State of Florida Department State I certify from the records of this office that DOUGLAS N. MGGINS INC. is a Michigan corporation authorized to transact business in the State of Florida, qualified on August 1, 1973. The document number of this corporation is 830666. I further certify that said corporation has paid all fees due this office through December 31, 2014, that its most recent annual report/uniform business report was filed on January 7, 2014, and its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given aaaa(fer (ray hand and tIN Great Segal of `tire State Of F"01"da at Tettla.hassee, tine capital, this ties Ser}eaatia (fray of inaaua y, 01 Aathenticatiou ID: C 35o672t 904 To authenticate this certificatevisit the following site,enter this ID, and then follow the instructions displayed. https:llefile.sunbiz.org/certauthver.htmi A �fll)o IP 4:0 WIN• The undersigned, being the duly elected secretary of _qojjgj,a_s N. Higgins, _Inc.., a Michigan corporation, hereby certifies that the following resolution was duly adopted by the Board of Directors of said corporation at a meeting held on July 1, 2014 and that said resolution is in full force "RESOLVED, That the following listed persons are hereby authorized to execute, on behalf of DoLiqiAa—i�. i9i , any and all contracts and documents." Daniel N. jji gins Kellv A. Wilkie *ated: 2 0 14 V W, Kelly A. 'ilkie Secretary DNHI Project Subcontractors 1.) Florida Keys Land Surveying,LLC PO Box 1547 Key West, FL 33040 2.) Florida Contractors Video Services PO Box 907 Valrico, FL 33595 3.) Florida Paving & Trucking 30451 SW 217 Ave Homestead, FL 33030 Stock Island — 9 h Avenue LImingge Improvements Proiec .o ll -T— Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we Douglas fir. I Ii gins, Inc. (H= imed full name d addor lept tide of Con tar) as Principal, hereinafter called the Principal, and Hartford Accident and Indemnity Company (Ife—fe fnaer9 (bit name and addr s or legal tide of urety) a corporation duly organized under the laves of the State of CT as Surety, hereinafter called the Surety, are held and firmly bound unto Monroe County, FL (Here insert full name and addirm or legeil tide of OWncr) as Obligee, hereinafter called the Obligee, in the sum of _five percent_of attached, bid 0 o I for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Stock Island 9th Ave.., Drclilrovenients Project (Here insert full name. address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall -enter a Contract with the Obligee in adcordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this2&Li.., _r... day of October.2Q�14 t b Douglas N. Higgins, Inc (Witness) (Principal) (Seal) C�y ( Jitries, Hartford Accidedelitle Ili compiny iscai; rt Attosr�ey in F ct 713/14 IND PROPOSAL SAL 00)10-9 Direct Inquiries/Claims to: F"-WER"' F A r" JAT I ki r'-,J y THE HARTFORD BOND, T-4 One Hartford Plaza Hartford, Connecticut 06155 call: 888-266-3488 or fax: 860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: 35-350851 X_ Hartford Fire Insurance Company, a corporation duly organized uudcr the IawS of the Stale of ('onneclicut Hartford Casualty Insurance Company, a corporation duly organized under the laws of the State of Indiana X Hartford Accident and Indemnity Company, a corporation duly organized under the laws of the State of Connecticut Hartford underwriters Insurance Company, a corporation duly organized under the haws of the State of Connecticut Twin City Fire Insurance Company, a corporation duly organized under the laws orthe State or Indiana Hartford Insurance Company of Illinois, a corporation duly organized under [lie laws orthe State of Illinois Hartford Insurance Company of the Midwest, a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of the Southeast, a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut, (hereinafter collectively referred to as the "Companies") do hereby make, constitute and appoint, up to the amount of unlimited: Heather M. Johnson, Joel E. Speckman, Terri Mahakian, David Harlock of Ann Arbor, MI their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign its name as surety(ies) only as delineated above by ®, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, and as authorized by a Resolution of the Board of Directors of the Companies on August 1, 2009 the Companies have caused these presents to be signed by its Vice President and its corporate seals to be hereto affixed, duly attested by its Assistant Secretary. Further, pursuant to Resolution of the Board of Directors of the Companies, the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney �' �... ®, `♦,4 ,.... •-IfPP � g w eT fr"°•?rB�.� 1*817 y '.r +��wraree<e,eva 1®oliA► 1"; 107® s`e s.3r\ 974r'�." y. � #4•:r,�, �;! �Owwa+o+® syrA..® r+`� � �•',•.d .,`*r`S� 'h.r.®®' �et'`:rCa�' Lo Wesley W. Cowling, Assistant Secretary M. Ross Fisher, Vice President STATE OF CONNECTICUT ss. Hartford COUNTY OF HARTFORD On this 121" day of July, 2012, before me personally came M. Ross Fisher, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice President of the Companies, the corporations described in and which executed the above instrument; that he knows the seals of the said corporations; that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. .R�.♦.. Kathleen I Maynard Notary Public y Canmissiou Lxpires July ? I, 2016 CERTIFICATE I, the undersigned, Vice President of the Companies, DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force effective as of October 28, 2014 Signed and sealed at the City of Hartford. ® > .mac .` eee.,euee� i o- 10� r P .9 [ • � . ��2 pryu®a..,.r+l p .7! �,' s i 1®B7 + Piwrsn I'MI,r 1, ',j. 2p79!>d 4`•41p74 � 1` IS�t9 p ` 43; . �ON+AN�� Ay, �,�.e 1y � .,,R�li®•i4,�✓ \•F,J`pp.-� 6 Cary W Stu per, Vice President