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Item C02BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY MEETING DATE: 10/15/08 DIVISION: COUNTY ADMINISTRATOR BULK ITEM: YES DEPARTMENT: AIRPORTS STAFF CONTACT PERSON: Peter Horton Phone: 809-5200 AGENDA ITEM WORDING: Award of bid, in the amount of $3,667,290.00, to Koch Corporation, for the Key West International Airport Noise Insulation Program (NIP) Phase 6 construction ITEM BACKGROUND: This project is funded 95% by the Federal Aviation Administration, and 5% by Passenger Facility Charge Revenue. Improvements will be made in up to 69 eligible homes, in this phase of the program. PREVIOUS RELEVANT BOCC ACTION: Approval to submit Passenger Facility Charge Application # 14 to the Federal Aviation Administration, March 21, 2007. CONTRACT/AGREEMENT CHANGES: Award only STAFF RECOMMENDATION: Approval TOTAL COST: $3,667,290.00 BUDGETED: Yes COST TO AIRPORT: None SOURCE OF FUNDS: FAA & PFC Revenue COST TO PFC: $183,364.50 COST TO COUNTY: None REVENUE PRODUCING: No AMOUNT PER MONTH /YEAR: APPROVED BY: County Attorney n/a OMB/Purchasing n/a Risk Management n/a DOCUMENTATION: Included X Not Required AGENDA ITEM # DISPOSITION: /bev AO 11 /06 miller dunwiddie T H C ARCHITECTURE Improving Your Community May 23, 2008 Deborah Murphy Lagos Monroe County Airport Noise Program Coordinator URS Corporation 7650 W. Courtney Campbell Causeway Tampa, FL 33607 RE: Key West International Airport Noise Insulation Program (NIP) Phase 6 Bid Recommendation Dear Deborah: On Wednesday, May 21, 2008, two (2) bids were received at the Monroe County Purchasing Office for the NIP Phase 6 project. The bids received were from: Koch Corporation - $3,667,290.00 H.I.P.P.Industries - $4,184,975.75 On Thursday, May 22, 2008, THC along with our consultants; The Sun Group and Miller Dunwiddie Architecture received copies and preformed a thorough review of both bids. Through this review, we have found that Koch Corporation has met all requirements set forth in the bidding documents. Furthermore, we researched the DBE Contractor indicated in Koch Corporations bid and received written confirmation from Starla Ardoin with Montgomery Consulting Group confirming that the DBE contractor listed in their bid is a state certified approved DBE. We also received a copy of this certification. We did find one minor bid irregularity within the bid received by Koch Corporation. Their bid acknowledged that they have received Addendum #1; however they failed to insert the replacement page 00454-5 that was issued in Addendum #1 into their bid forms. We find this to be a minor irregularity and recommend Monroe County waive this. Through this review process, THC recommends that the contract for Key West Noise Insulation Program (NIP) — Phase 6 be awarded to lowest responsible / responsive bidder, Koch Corporation for $3,667,290.00, as they have met all the requirements for bidding as outlined in the construction documents. Please call with any questions that you may have regarding this information. Sincerely, ,Aax- Steve Vecchi THC, Director of Sound Insulation Services C: Ben Newlin, MDA Richard Sun, The Sun Group Anachments: Monroe County Bid Tabulation Koch Corporation Bid H.I.P.P. Industries Bid DBE Certification Starla Ardion DBE confirmation 4- 4- EP . C I ! «tU C C 2 CL Ln Ln D 0 < �4- z r*l CA 2 § k 0 # U _Cl-co . � & z 4 � � AFI� � a p p 0 p $ m zui m co co IL co t 2 0U) 0 mmV40« Z (A N _ 2� U.22Z� ® � _ � z de o 0 o « B « d am co 0 Ln � B lu . �. . / Q z u § 0 q § § : 72 7 ° . t 2 ƒ > � ° $ \ : v � 0 ƒ 2 t 2 2 .. R � c g 2 I © u13 ix. 22 § a t 0 B © u 2 _ / u i o £ o � k o ■ & 2 2 Z a C 11 H th a SECTION 00410 BID FORM BID TO: MONROE COUNTY PURCHASING DEPARTMENT 1100 SIMONTON STREET ROOM 1-213 KEY WEST, FLORIDA 33040 BID FROM: Koch Corporation 1131 Logan Street. Louisville, KY 40204 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: Key West International Airport Noise Insulation Program — Phase 6 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 acknowledges that if awarded this contract on the basis of this Proposal, they will commence pre -work activities within ten (10) days, after the date specified as the "Notice to Proceed with Pre -Construction Activities." The Bidder and Bidders Surety shall also agree to be liable for and shall make payment to the Sponsor based on the following: BID FORM 00410 - 1 1. For each day after the Completion Date for the entire Work of the Contract that any part of the Work upon any parcel remains incomplete the bidder shall incur $1,000.00 per day in liquidated damages as provided in the Agreement. I acknowledge receipt of Addenda No.(s) (Check mark items below, as a reminder that they are included.) I have included the following items, which have been appropriately executed and notarized: Section Description X 00430 Bid Bond X 00431 Performance of Work by Subcontractors X 00450 Non -Collusion Affidavit X 00451 Lobbying and Conflict of Interest Clause X 00452 Drug -Free Workplace Form X 00453 Equal Employment Opportunity Report Statement X 00454 Disadvantaged Business Enterprise Assurance X 00455 Certification of Non -Segregated Facilities X 00456 Certification Regarding Debarment, Etc. X 00457 Certification Regarding Foreign Participation X 00458 Sworn Statement on Public Entity Crimes X 00459 Buy American Certification X NA Copies of Contractor and Subcontractor Licenses BID FORM 00410 - 2 The Bid is broken down into the following categories: 1. Bonds and Insurance: $ 3 3 7 0(Q 2. Pre -construction Work: Measurement Visit & Precon. Mtg: $ /. "A • `, 3. General Conditions: $ 06 4. Windows: 5. Doors &Hardware: $ Z 6. Attic Insulation: $ _U 7. Hurricane Shutters: $ C17, PC B. Wall Modification: �� �co� g ?. ac $_ . 9. Mechanical: R� $�7 0a 10. Electrical: $ Base Bid (Total of item Numbers 1 through 10): Unit Price Description Quant Price 01021-1 Construction Laborer 100 Hrs $ l • Z5 / HR 01021-2 Carpenter 100 Hrs $13.75/ HR 01021-3 Licensed Abatement Worker 1DO Hrs $5(U.7jl HR 01021-4 Asbestos Testing, Containment & Disposal 12 Openings $ .'Ci' OPN 01021-5 Treated Wood Blocking Material 70 Openings $ XT/ OPN 01731-1 Exterior Stucco Work 500 SF $ • ©/ SF 01731-2 Interior Wall Patchwork 500 SF $ 2-• 60 / SF 01731-3 Marble Stools window sill replacement 100 LF $ �/ SF 09911-1 Painter 100 Hrs $ ,Z / HR 10715-1 Upgrade Storm Panel 150 SF SF $ 3�P. 15010-1 MechanicaVSheet Metal Technical Worker 100 Hrs $HR 15100-1 Ductless HVAC Unit 2 Units $.'6NIT 15100-2 50 CFM Exhaust Fan & Ductwork 7 Units $ / UNIT 15100-3 Upgrade to low profile AC condensing Unit 2 Units $ UNIT 15100-4 Seal & Repair all existing ductwork leaks 20 Houses $ 17 OU1 16050-1 Electrician 100 Hrs $S Z'�% HR 16050-2 Electrical Riser Relocation 10 Units $�7.3V/ UNIT 16050-3 Electrical Service Upgrade 10 Units $�(v S��1NIT Unit Price Total (Total of all Unit Price Items): W/A Extension $ 2S-.�o0 $ 5. 00 $ ,vo $ /Z©, ) Z5--. tV Total Bid (Summation of all above Base Bid and Unif Price Items: TOTAL BASE BID - in words) Total Bid (Summation of all above Base Bid and Unit Price items: TOTAL BASE BID - in figures) BID FORM 00410 - 3 tyajW Mailing Address: Koch Corporation 1131 Logan Street Louisville, KY 40204 Phone Number(s): 502-636-3571 CSigned by: Play 21, 2008 Ru sell A. Callahan, Vice President (Date) STATE OF: Kentucky COUNTY OF: Jefferson On this 21st day of May , in the year 2008 Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided above. StGIWURE OF TARP UBLIC END OF BID FORM BID FORM 00410 - 4 SECTION 00430 BID BOND Document Number Document Description AIA Document A-310 Bid Bond BID BOND 00430 - 1 SECTION 00431 PERFORMANCE OF WORK BY SUBCONTRACTORS The BIDDER hereby states that he proposes, if awarded the Contract, to use the following subcontractors on this project: List below ALL proposed subcontractors (including DBE subcontractors) and trade specialties. If type of work to be performed will be performed by Contractor's own forces, place "NA" in the space provided. Add any additional categories as needed. Mechanical (HVAC) Su�2zrd Sr►L Electrical Carbone Electric, Inc. Window Installation Kenny Construction Carpentry Kennv Construction Drywall Kenny Construction Masonry Kennv Construction Painting / Staining Kenny Construction Thermal Insulation Sarasota Insulation Door Installation Kenny Construction Hurricane Shutters Kenny Construction i,L�,�i�f))/�0,,,6/� vp Estimated Total Cost of Items that BIDDER states will be performed by Subcontractors: ($ ✓-7!! aL (J. ) Signed b . 17ay 21 " 2008 (Must be same signature as on Bid Form) (Date) END OF PERFORMANCE OF WORK BY SUBCONTRACTORS PERFORMANCE OF WORK 00431 - 1 BY SUBCONTRACTORS SECTION 00450 NON -COLLUSION AFFIDAVIT 1, Russell A. Callahan according to law on my oath, and under penalty of perjury, depose and say that: 1. 1 am of the firm of Vice President Koch Corporation the bidder making the Proposal for the project described in the notice for calling for bids for: Key West International Airport Noise Insulation Program - Phase 6 and that I 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 prices 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 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 the Sponsor relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. Signed byQ- , O � C QQ May 21, 2008 (Must be same signature as on Bid Form) (Date) STATE OF: Kentucky COUNTY OF: Jefferson Onthis 2.lst dayof May Jnthe year 200$ Russell A. Callahan who is personally known to me or who p uced satisfactory identification, affixed his/her signature in the space provided above/7/%/ SIGbIATURE OF NOTAr PUBI,,fC END OF NON -COLLUSION AFFIDAVIT NON -COLLUSION AFFIDAVIT 00450 - 1 ETHICS CLAUSE SECTION 00451 LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA Koch Corporation (Name of Business) warrants that he/it has not employed, retained or otherwise had act on hisAts behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. 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 from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee". Signed by. Must be same signature as on Bid Form) STATE OF: Kentucky COUNTY OF: Jefferson May 21, 2008 (Date) On this 21st day of May , in the year 2O08 Russell A.. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided aboyq. iJiJ V I S ATURE OF NO RY P LIC END OF LOBBYING AND CONFLICT OF INTEREST CLAUSE LOBBYING AND CONFLICT 00451 - 1 OF INTEREST CLAUSE SECTION 00452 DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that Koch Corporation (Name of Business) 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be impose upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in 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 bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilt or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any state, for a violation occurring in the workplace no later that five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, 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 the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Signed by: 1.�f• Q Q (Must be same signature as on Bid Form) STATE OF: Kentucky COUNTYOF: Jefferson 11: Onthis 21St day of May in the year 2DM Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided a ve. r ATLI E O OTARY B IC END OF DRUG -FREE WORKPLACE FORM DRUG -FREE WORKPLACE 00452 - 1 FORM The Bidder shall complete the following statement by checking the appropriate blank spaces. Failure to complete these blanks may be grounds for rejection of Proposals. 1. The Bidder has X has not developed and has on file at each establishment Affirmative Action Programs pursuant to 41 CFR 60-14 and 41 CFR 60-2. 2. The Bidder has X has not participated in any previous contract or subcontract subject to the Equal Opportunity Clause prescribed by Executive Order 11246, as amended. 3. The Bidder has X has not filed with the Joint Reporting Committee the annual compliance report on Standard Form 100 (EEO-1 Report). 4. The Bidder does X does not employ fifty (50) or more employees. Signed by: ust be same signature as on Bid Form) '�:41 STATE OF COUNTY OF: Jefferson (Date) 21, 2008 On this 21st day of May ,in the year 20Q8 Russell A. Callahan who is personally known to me, or who roduced satisfactory identification, affixed his/her signature in the space provided abov S URE OF NO ARY PU IC END OF EEO REPORT STATEMENT EEO REPORT STATEMENT 00453 - 1 SECTION 00454 DISADVANTAGED BUSINESS ENTERPRISE ASSURANCE The Bidder shall complete the following statement by checking the appropriate box (check one only). Failure to complete this statement may be grounds for rejection of Bid. The Bidder assures that he shall meet the requirements of the DBE Provisions, for the Monroe County's DBE Policy and Program, and shall utilize not less than the prescribed goal of 15% DBE participation (See Page 00454-2). The Bidder is unable to assure DBE participation of the prescribed goal of 15% in this Contract, but shall provide for a minimum of percent (%) participation. (if this box is checked, Bidder shall fill in the percentage blanks and document on a separate attachment to this Assurance, his efforts in attempting to meet the goal as instructed in "A Means to Ensure that Competitors Make Good Faith Efforts to Meet the DBE Goal" on Page 00454-2.) Signed by: t1ay 21, 2008 Must be same signature as on Bid Form) (Date) STATE OF: Kentucky COUNTY OF: Jefferson Onthis 21st day of May ,in the year200g Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space providyabA4-� SIG A W?7ARY PU I DBE ASSURANCE 00454 - 1 SECTION 00454 A MEANS TO ENSURE THAT COMPETITORS MAKE GOOD FAITH EFFORTS TO MEET THE DBE GOAL This solicitation will include a statement that the apparent successful competitor will be required to submit DBE participation information and that as a condition of receiving the contract, the competitor must meet the DBE goal or demonstrate to the Sponsor that it made good faith efforts. The actual clause to be used is: "The bidder shall make good faith efforts, as defined in Appendix A of 49 CFR Part 26, Regulations of the Office of the Secretary of Transportation, to subcontract 15 percent of the dollar value of the prime contract to small business concerns owned and controlled by socially and economically disadvantaged individuals (DBE). In the event that the bidder for this solicitation qualifies as a DBE, the contract goal shall be deemed to have been met. Individuals who are rebuttably presumed to be socially and economically disadvantaged include women, Black Americans, Hispanic Americans, Native Americans, Asian -Pacific Americans, and Asian -Indian Americans. The apparent successful competitor will be required to submit information concerning the DBEs that will participate in the contract. If the bidder fails to achieve the contract goal stated herein, it will be required. to provide documentation demonstrating that it made good faith efforts in attempting to do so. A Bid that fails to meet these requirements will be considered non- responsive." The DBE participation information will be required prior to committing the Sponsor to award the contract to the apparent successful competitor. A Bidder may not meet the requirements of the bid specification by stating that it will accomplish all work of the contract using its own employees. It, first, must demonstrate to the Sponsor's satisfaction, that it made good faith efforts to meet the goal, and despite those efforts, was unable to subcontract any of the work to DBEs. DBE ASSURANCE 00454 - 2 SECTION 00454 REQUIRED CLAUSES FOR FAA -ASSISTED CONTRACTS The following clauses should be included in all FAA -assisted contracts (but not in leases) between the sponsor and any contractor: Policy: "It is the policy of the Department of Transportation that disadvantage business enterprises as defined in 49 CFR Part 26 shall have the maximum opportunity to participate in the performance of contracts financed in whole or in part with Federal funds under this agreement. Consequently, the DBE requirements of 49 CFR Part 26 apply to this agreement." DBE Obligation: 'The recipient or its contractors agrees to ensure that disadvantage business enterprises as defined in 49 CFR Part 26 have the maximum opportunity to participate in the performance of contracts and subcontracts financed in whole or in part with Federal funds provided under this agreement. In this regard, contractors shall take all necessary and reasonable steps in accordance with 49 CFR Part 26 to ensure that disadvantaged business enterprises have the maximum opportunity to compete for and perform contracts. Recipients and their contractors shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of DOT -assisted contracts." Section 26.13(b) requires sponsors to advise each contractor and subcontractor who performs on an FAA -assisted project that failure to carryout the above requirements shall constitute a breach of contract. The following clause may be used for this purpose: "All bidders, potential contractors, or subcontractors for this DOT -assisted contract are hereby notified that failure to carry out the DOT policy and the DBE obligation, as set forth above, shall constitute a breach of contract which may result in termination of the contract or such other remedy as deemed appropriate by the recipient and the FAA." DBE ASSURANCE 00454 - 3 SECTION 00454 SCHEDULE OF DBE PARTICIPATION ►lame anddciress of i'BE Subcon#rac#or a,,.e oflNoric �ubconZraceC �` _,. Dollar iralue flfi Work ." Kenny Construction, LLC 1075 Duval St., C-21 PMB 145 Key West, FL 33040 Window, Door, ando� Shutter Installation eo Total Dollar Value of DBE Subcontracted Work $ G(7,290. ' ove • i� Total Dollar Value of Bid $ 3, G ( /. 2 / i0. vo Total DBE Percentage (rounded to nearest 1/10 percent) / 5—3 The undersigned will enter into a formal agreement with the DBE Subcontractors identified herein for work listed in this schedule, conditioned upon execution of a contract with the Sponsor. Signed byQl..l ,' �\" Q-QcraMay 21, 2008 (Must be same signature as on Bid Form) (Date) STATE OF: Kentucky COUNTY OF: Jefferson On this 21st day of May , in the year 20Q8 Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided abov I -ZeA2n� SSNA RE OF TARYPUBLIC DBE ASSURANCE 00454 - 4 SECTION 00454 DBE SUBCONTRACTOR IDENTIFICATION AFFIDAVIT I,_ E&Ai',/ 4IVN %ENN'c= according to law on my oath, and under penalty of perjury, depose and say that: lam V WA)t of the firm of �`�= �r, / C00 5 M whose address is ri 0 -75 LAV t41 _ c"21 'I M )2 -Y� /�� I W& ST j � 3 3 0 YO I hereby declare and affirm that I am a 1, Minority (MBE) or Female (WBE) Business Enterprise as defined by 49 CFR Part 26, and that I will provide information to document this fact. This firm is interested in bidding on the following categories of work being procured for the Key West International Airport Noise Insulation Program - Phase 5: rNs����W+�oAJ �✓�dnt ,���� � ';4,4#- s , cg-zpem / This firm has curre CtD'BE / E / WBE certification from the following agencies: 1K I WEST '00*I lAi Y©� wyd .-11(c I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT THE CONTENTS OF THE FOREGOING DOCUMENT ARE TRUE AND CORRECT, AND THAT I AM AUTHORIZED ON BEHALF OF THE FIRM TO MAKE THIS AFFIDAVIT. Signed by: (Date) STATE OF: El COUNTY OF: Atv ve On this day of by in the yearzA �PMN 4 rt !' h0 v who ' rsonatl�krrowrrts�m, or who produced satisfactory id anon, affixed hi r signature in the space provi ANDREW DYKE _ 960nded W COMMISSION #DD752415 SIGNATURE TARY PUBLIC D(PIRES: JAN 27, 2012 ttrough 1st State Insurance END OF DBE ASSURANCE DBE ASSURANCE 00494 - 5 E co i 0 � t: m a� 0 CL Q o a O _ O W � c n � m 3 ° o � � O Y C 0 SECTION 00455 CERTIFICATE OF NON -SEGREGATED FACILITIES CERTIFICATION TO BE SUBMITTED BY CONSTRUCTION CONTRACTORS AND THEIR SUBCONTRACTORS (APPLICABLE TO CONTRUCTION CONTRACTS AND RELATED SUBCONTRACTS EXCEEDING TEN THOUSAND ($10,000.00) DOLLARS (US $) WHICH ARE NOT EXEMPT FROM THE EQUAL OPPORTUNITY CLAUSE) The construction contractor certifies that he does not maintain or provide, for his employees, any segregated facilities at any of his establishments and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor certifies that he will not maintain or provide, for his employees, segregated facilities at any of his establishments and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directives or are in fact segregated on the basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding ten thousand ($10,000.00) dollars (US) which are not exempt from the provisions of the equal opportunity clause and that he will retain such certifications in his files. Signed bi (Must be same signature as on Bid Form) STATE OF: Kpntijrky COUNTY OF: ,1Pffet^son May 21, 2008 (Date) On this 21st day of May, in the year 20Q8 Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided abo URE OF N ARY P BLIC END OF CERTIFICATE OF NON -SEGREGATED FACILITIES NON -SEGREGATED 00455 - 1 FACILITIES SECTION 00455 CERTIFICATE OF NON -SEGREGATED FACILITIES CERTIFICATION TO BE SUBMITTED BY CONSTRUCTION CONTRACTORS AND THEIR SUBCONTRACTORS (APPLICABLE TO CONTRUCTION CONTRACTS AND RELATED SUBCONTRACTS EXCEEDING TEN THOUSAND ($10,000.00) DOLLARS (US $) WHICH ARE NOT EXEMPT FROM THE EQUAL OPPORTUNITY CLAUSE) The construction contractor certifies that he does not maintain or provide, for his employees, any segregated facilities at any of his establishments and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor certifies that he will not maintain or provide, for his employees, segregated facilities at any of his establishments and that he will not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directives or are in fact segregated on the basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding ten thousand ($10,000.00) dollars (US) which are not exempt from the provisions of the equal opportunity clause and that he will retain such certifications in his files. v �� Signed by: (Must 06 same signature as on B' Form) (Date) �I -— STATE OF: T� _ lw� COUNTY OF: On this 21 day of , m ' the year y Z_LW i1NAJ i� AIrVL / who is rsona own to me, or who produced satisfactory identification, affixed his/her signature in the space provide bove. ±� ANDREW DYKE rot,,r.p ^ MY COMMISSION *DD752415 SIGNATURE OF N RY PUBLIC EXPIRES: JAN 27, 2012 a ^� Bonded through 1st State Insurance END OF CERTIFICATE OF NON -SEGREGATED FACILITIES NON -SEGREGATED 00455 - 1 FACILITIES SECTION 00455 CERTIFICATE OF NON -SEGREGATED FACILITIES CERTIFICATION TO BE SUBMITTED BY CONSTRUCTION CONTRACTORS AND THEIR SUBCONTRACTORS (APPLICABLE TO CONTRUCTION CONTRACTS AND RELATED SUBCONTRACTS EXCEEDING TEN THOUSAND ($10,000.00) DOLLARS (US $) WHICH ARE NOT EXEMPT FROM THE EQUAL OPPORTUNITY CLAUSE) The construction contractor certifies that he does not maintain or provide, for his employees, any segregated facilities at any of his establishments and that he does not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor certifies that he will not maintain or provide, for his employees, segregated facilities at any of his establishments and that he wiN not permit his employees to perform their services at any location, under his control, where segregated facilities are maintained. The construction contractor agrees that a breach of this certification is a violation of the equal opportunity clause in this contract. As used in this certification, the term "segregated facilities" means any waiting room, work areas, restrooms and washrooms, restaurants and other eating areas, time clocks, locker rooms and other storage or dressing areas, parking lots, drinking fountains, recreation or entertainment areas, transportation, and housing facilities provided for employees which are segregated by explicit directives or are in fact segregated on the basis of race, color, religion, or national origin because of habit, local custom, or any other reason. The construction contractor agrees that (except where he has obtained identical certifications from proposed subcontractors for specific time periods) he will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding ten thousand ($10,000.00) dollars (US) which are not exempt from the provisions of the equal opportunity clause and that he will retain such certifications in his flies. Signed by: (Must be same signature as on Bid Form) E�01 (Date) STATE OF: f )Or .l4 COUNTY OF: M c,) r OP On this day of =, in the yearGl�t/� I [VCM � C,49 J00!k. who i ally own to me, or who produced satisfactory identification, affixed his/her signature in the space provided above. :Iftwh YKE Wg�Bmded #D0752415 SIGNATURE OTARY PUBLIC 7,2012ate Insurance END OF CERTIFICATE OF NON -SEGREGATED FACILITIES NONSEGREGATED 00455 - 1 FACILITIES UCTION 00455 CE$MF)CATE OF N04MOREQATE0 FACILMEM cERTtF"ICAT>f m To 9E SlJewttt M BY COMSTRUMN 04NTRACTORS AND THOR SURCONTRAC' $ (APPUCABLE TO CAtMUMON i 1;7WR/i;M AND RELATED $U50oNTRACTS EXetmo liG TEN THOUSMD (rt9ti,[muO; DOLLARS (US t) WHICH ARE NOT ©WNPT FROM THE EQUAL OPPORTUNTY CLALMI E) t�m eonsi%ao n twmramor aw%" tKat he does not $lainleirr a I:W4* tpr his mmpt"", SMY segrepaud 1acXNus aA My of hie estabkhh%t� arty that hs 000,o Penns hits gm*ym to Worm their nrvwx� at sr to 1?6l w>dar Nk .y,�' —Ipeofad faa l;ss are mo- r►5d. n+d eenep,a owl eawheowr oartilwo 01tt ha Wilt not *13immin Or txft. tc: Ma srnaiaYt:a; WgMgAted tacil*s at any Pt his eatabtlah nnrra and that ha vAll Mat 96MA hi$ Wmyslopet:s x pertonn 01W sWWAs at any bcstbn, unclar hs mrMTA whirrs seorspaled fadlkin &V m6 t filled. The =n9milwi colra0 W tprnc that 3 Wsirch et thli corttl r ;s a KNOW of f @Coal apportr,'nky dayse In tills oorllr=. As used in this psrtfiWeew, the Ism 16gtvWo !acities' fteeam any w&Gng Mon, work areas, m1mr mt and mstm amr. rossa4herxs and ether raring 2roes, tiara cWs, baker rooms Bid oth at :a mpo M drosskg uoaa, per'dng lax, dW" fourrlaim. r=lacon or artertainrttsnt arvab, transpvrIgtian, ano hvuslnp faciiitin Provided ►or smp4yoes voiet1 are Sagrsgated by explldt dd imathm or are In tact aapnepaUd on 11he basis or rav& Cola. riftD . or naPw al ariVm because of habit„ 10e01 custtnm, ar any ather reaw. 'rho canatrdctlan controe w' agrees 40 (except w*rw bw has obWnW iden" b&U-1 91ans from propaseo subcontractors tar Wft^_t!it tierce oetbft) Me V019CRan Var4=1 cr4ftetions from proposed sisimmraztors poor v tha, aware at sibgulautt 9xCs&drng IN thousand ($10,00040) do!larm (A) which are not y>.•ovislons of the equel opporturiM that ha WC rftfn such cw 5lficatipns :n sk (ME, oat be saint Srgnarure n Sn Fxfr) (Date) STATE OP - COUNTY OF: r � On thfa Iiay of in thv roar j Z who is paMO-Rally iu>Qwn�Oft produced %sks to Wy identNiaatior, e[fixed ttlSlhet auto in the gout provitlpp abtwa. KAR MY N OMat(ggtalN�0 DD • „ � EXPfRea 73083a f<Or Sat orc� "Ov(irattcr 28, 2011 F'�MwarvCeev►,,.�, ENG DFGUM"M OF NM -SEGREGATED FACILIMS NON-SEQREt3R1IEED 00455 1 FACILITIES SECTION 00456 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION — 49 CFR PART 29 (Version 1, 1/5/90) The bidder certifies, by submission of this proposal or acceptance of this contract, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. It further agrees by submitting this proposal that it will include this clause with modification in all lower tier transactions, solicitations, proposals, contracts, and subcontracts. Where the bidder/ offeror/ contractor of any lower tier participant is unable to certify to this statement, it shall attach an explanation to this solicitation/proposal. Signed byQ- (Must be same signature as on Bid Form) STATE OF: Kentucky COUNTY OF: Jefferson May 21, 2008 (Date) On this 21st day of May in the year 2008 Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature provide abo SZNAfTURE OF N97ARYPUBLIC END OF CERTIFICATION REGARDING DEBARMENT, ETC. space DEBARMENT, SUSPENSION, ETC. 00456 - 1 SECTION 00457 CERTIFICATION REGARDING FOREIGN PARTICIPATION The Contractor or subcontractor, by submission of an offer and/or execution of a contract certifies that it: 1. Is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S_ firms published by the Office of the United States Trade Representative (USTR); 2. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; 3. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a Contractor or subcontractor who is unable to certify to the above. If the Contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on this said list for use on the project, The Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government. Further, the Contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. This Contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The Contractor shall provide immediate written notice to the sponsor if the Contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the Contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the Contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United State of American and the making of a false, fictitious, fraudulent certification may render the maker subject to prosecution under Title 18, United State Code, Section 1 Signed by. May 21 7 2008 Must be same signature as on Bid Form) (Date) STATE OF: Kentucky COUNTY OF: ' Jefferson On this day of ,in pewear 20.0$ Russell A. Callahan who is perso y known to or roduced satisfactory identification, affixed his/her signature in the space provided Z. � -A SIGOATURE OF NOWY PU I END OF CERTIFICATION REGARDING FOREIGN PARTICIPATION FOREIGN PARTICIPATION 00457 - 1 SECTION 00457 CERTIFICATION REGARDING FOREIGN PARTICIPATION The Contractor or subcontractor, by submission of an offer and/or execution of a contract certifies that it: 1. Is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative (USTR); 2. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; 3. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a Contractor or subcontractor who is unable to certify to the above. If the Contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on this said list for use on the project, The Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government. Further, the Contractor agrees that, if awarded a contract resulting from this solicitation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. This Contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The Contractor shall provide immediate written notice to the sponsor if the Contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the Contractor, if at any time it learns that its certification was erroneous by reason of changed circumstances. This certification is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the Contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the jurisdiction of an agency of the United State of American and the making of a false, fictitious, fraudulent certification may render the maker subject to prosecution under Title 18, United State Code, Section 1001. _ Signed by: (Must be sa(ha signature as on Bidform) (Date) STATE OF: //-t--- COUNTY OF: /yl� z On this day of �, in the year who i rs pally nown to me, o who produced satisfactory identification, affixed his/her signature in the space provi ve. ANDREW DYKE SIGNATURE OF N Y PUBLIC g Yoy � MY COMMISSION *DD752415 PI EXPIRES: JAN 27, 2012 4P� Bondeo through 1st State Insurance END OF CERTIFICATION REGARDING FOREIGN PARTICIPATION FOREIGN PARTICIPATION 00457 - 1 SECTION 00457 CERTIFICATION REGARDING FOREIGN PARTICIPATION The Contractor or subcontractor, by submission of an offer and/or execution of a contract certifies that it: Is not owned or controlled by one or more citizens or nationals of a foreign country included in the list of countries that discriminate against U.S. firms published by the Office of the United States Trade Representative (USTR); 2. has not knowingly entered into any contract or subcontract for this project with a contractor that is a citizen or national of a foreign country on said list, or is owned or controlled directly or indirectly by one or more citizens or nationals of a foreign country on said list; 3. has not procured any product nor subcontracted for the supply of any product for use on the project that is produced in foreign country on said list. Unless the restrictions of this clause are waived by the Secretary of Transportation in accordance with 49 CFR 30.17, no contract shall be awarded to a Contractor or subcontractor who is unable to certify to the above. If the Contractor knowingly procures or subcontracts for the supply of any product or service of a foreign country on this said list for use on the project, The Federal Aviation Administration may direct, through the sponsor, cancellation of the contract at no cost to the Government_ Further, the Contractor agrees that, H awarded a contract resulting from this solicftation, it will incorporate this provision for certification without modification in each contract and in all lower tier subcontracts. This Contractor may rely upon the certification of a prospective subcontractor unless it has knowledge that the certification is erroneous. The Contractor shall provide immediate written notice to the sponsor N the Contractor learns that its certification or that of a subcontractor was erroneous when submitted or has become erroneous by reason of changed circumstances. The subcontractor agrees to provide immediate written notice to the Contractor, If at any time it teams that its certification was erroneous by reason of changed circumstances. This certification Is a material representation of fact upon which reliance was placed when making the award. If it is later determined that the Contractor or subcontractor knowingly rendered an erroneous certification, the Federal Aviation Administration may direct, through the sponsor, cancellation of the contract or subcontract for default at no cost to the Government. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by this provision. The knowledge and information of a contractor is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. This certification concerns a matter within the Jurisdiction of an agency of the United State of American and the making of a false, fictitious, fraudulent certification may render the maker subject to prosecution under Title 18, United State Code, Section 1001. Signed by: 5 /1911 (Must be same signature as on rnq-...,, (Date) STATE OF: Hood i COUNTY OF: Mono r n e On t�Is�day of !"/�, in the year w own to r who produced satisfactory identification, affixed his/her signature in the space provi ANDREW DYKE 04Y If MYCOMMISSION #DD752415 SIGNATURE OF TARY PUBLIC EXPIRES: JAN 27. 2012 Bonded through 1$tStatelNurance END OF CERTIFICATION REGARDING FOREIGN PARTICIPATION FOREIGN PARTICIPATION 00457.1 t ' LS1gO as01l+ddlollMfd f�i�i�4� )l0LJ.reTK1 Had *00dvow 110a1P3idus o do alb yWj'tf�N65��,J r rot '� j�uienwt 8i1 An u, '•? 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OmW NQI1.lI'JWUMM SECTION 00458 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES This sworn statement is submitted to the Sponsor by Russell A. Callahan for Koch Corporatior whose business address is: 1131 Logan Street Louisville, KY 40204 And (if applicable) its Federal Employer Identification Number (FEIN) is 61-0461707 (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 Statutesmeans 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 misrepresentation. 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 July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. f 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. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding 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 "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. PUBLIC ENTITY CRIMES 00458 - 1 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.] X 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 and convicted of a public entity crime subsequent to July 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 July 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 July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearing 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 (ONE) 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. Signed by: �v-�.ti - 1^' May 21, 2008 (Must be same signature as on Bid Form) (Date) STATE OF: Kentucky COUNTY OF: Jefferson Onthis 21st dayof May ,in the year 2008 Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided a ve. ATURE OF OTARY UBLIC END OF SWORN STATEMENT ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES 00458 - 2 SECTION 00459 BUY AMERICAN CERTIFICATION The Contractor agrees that only domestic steel and manufactured products will be used by the Contractor, subcontractors, materialmen, and suppliers in the performance of this Contract, as defined in (2) below. 2. The following terms apply to this clause: A. Steel and Manufactured Products. As used in this clause, steel and manufactured products include (1) those produced in the United States or (2) a manufactured product produced in the United States, if the cost of its components mined, produced or manufactured in the United States exceeds sixty (60%) percent of the cost of all its components and final assembly has taken place in the United States. B. Components. As used in this clause, components means those articles, materials, and supplies incorporated directly into steel and manufactured products. C. Cost of Components. This means the costs for production of the components, exclusive of final assembly labor costs. By submitting a Bid under this solicitation, except for those items listed by the Bidder below or on a separate and clearly identified attachment to this Bid, the Bidder certifies that steel and each manufactured product, is produced in the United States (as defined in the clause Buy American — Steel and Manufactured Products for Construction Contracts) and that components of unknown origin are considered to have been produced or manufactured outside the United States. A list of articles, materials, and supplies excepted from this provision is attached in Section 00210 of these Contract Documents. PRODUCT None Signed bQV��N (Must be same signature as on Bid Form) STATE OF: Kentucky COUNTY OF: Jefferson COUNTRY OF ORIGIN May 21, 2008 (Date) Onthis 21st dayof May ,in the year 20M Russell A. Callahan who is personally known to me, or who produced satisfactory identification, affixed his/her signature in the space provided a e. s G ATURE O OTAR UBLIC END OF BUY AMERICAN CERTIFICATION BUY AMERICAN 00459 - 1 STATE OF FLORIDA F DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 '•� 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RECEIVED KOCH CORPORATION 1131 LOG LOUISVIILLE ST KY 40204 JUN 0 8 2007 DETACH HERE �I }rid � sh` Ai+ neLLty�tr� I; C %37at ANY�ii3 F A �� KOCH CORP. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 wEtc' 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 KENNEY, JENNY ANN KENNEY CONSTRUCTION LLC 1075 DUVAL ST, STE C21/PMB 145 KEY WEST FL 33040-3188 STATE OF FLORIDA AC# 2756872 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CBC1254682 08/28/06 060127172 CERTIFIED BUILDING CONTRACTOR KENNEY, JENNY ANN KENNEY CONSTRUCTION LLC IS CERTIFIED under the provision of Ch.489 FS. expiration date, AUG 31, 2008 L06082800165 DETACH HERE AC# 2756872 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L06082800165 • LICENSE NBR 08 2$ 2006 060127172 CBC1254682 The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2008 KENNEY, JENNY ANN KENNEY CONSTRUCTION LLC 818 WHITEHEAD STREET #5 KEY WEST FL 33040 JEB BUSH SIMONE MARSTILLER GOVERNOR SECRETARY DISPLAY AS RF0I11RFD RY I AW CITY OF KEY WEST. FLORIDA Business Tex Receipt A City Occupational License is a business tax. Holder must meet all City zoning and use provisions. P.O_ Box 1409, Key West, Florida 33040 (305)809-3955 Business name Location addr Lic Nbr/Class Issue date Lic Fee . _ . . Penalty . . Total . . . . . . Comments . . . . KENNEY CONSTRUCTION LLC Ctl nbr B18 WHITEHEAD ST 5 08 00020804 CONTRACTOR - CERT BUILDING 9/07/07 Expiration date 9/3O/08 295.00 .00 295.00 HOME OCCUPATION LICENSE 16967 This license must be prominently di-s,p,1a red 07, 5� "�e_ Nt a, 11ai66 KENNEY CONSTRUCTION LLC 1075 DUVAL ST C-21 # 145 JEN1Yae�Ae`E�t�fdY KEY WEST FL 33040 Crite 3h j�,, 30140 fw'il1N f �I-)E. 40 C,f. NE: RAL CON1 RAL;1 CIR lIIL, UIiI TE_HEAD `3f 5 !? 1 I.: I T Y (1F (CE=Y UE= 5 T KL_NNP( CUN`-- T RUC;T ION LLC M NNEY JLNNY ANN DUVAL ST 1, 1 F'Mt3145 K Y WEST FL 33040 CBC1254682 EXP 08/08 c-a U7 4=6 ma�om b T a 00 C] C7 O - 1 S Q rQ1 � x 0ANI`.34.. !TAk L'fl(_.I.FC;TOf? PGJ 13OX 1129, KEY FL 31,04.1-Tlf_") 0000000000 0000002000 0000301400095776 1001 9 STATE OF FLORIDA F -:_- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 •ti 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 KENNEY CONSTRUCTION LLC 818 WHITEHEAD STREET 5 KEY WEST FL 33040 STATE OF FLORIDA AC# 3 2 5 51 E, P DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION QB49902 06/07/07 060768578 QUALIFIED BUSINESS ORGANIZATION KENNEY CONSTRUCTION LLC (NOT A LICENSE TO PERFORM WORK. ALLOWS COMPANY TO DO BUSINESS IF IT HAS A LICENSED QUALIFIER.) IS QUALIFIED under the provieione of Ch.489 Fs. zzpiration dates AUG 31, 2009 L07060700854 DETACH HERE Ac# 3255168 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L07060700854 - LICENSE NBR 06 07 2007 060768578 IQB49962 The BUSINESS ORGANIZATION Named below IS QUALIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2009 (THIS IS NOT A LICENSE TO PERFORM WORK. THIS ALLOWS COMPANY TO DO BUSINESS ONLY IF IT HAS A QUALIFIER.) KENNEY CONSTRUCTION LLC 518 WHITEHEAD STREET 5 KEY WEST FL 33040 CHARLIE GRIST HOLLY BENSON GOVERNOR DISPI AY AS REQ1 IIRFD RY I AW SECRETARY n ` ACCOUNT 1 �t t� ME OU — COUNTY OF MONROE HMVUIVI f PENALTY JLING �E�25� COLLECTION COST DRESS CARBONE ELECTRIC INC TOTAL CARBONE THOMAS R�_ HANKE LEE R QUALIF:IER 20.00 6810 FRONT ST_ IKEY WEST FL 33040 ty\os fo PP 9OS9238 DEL IS BECOMES A TAX THIS IS ONLY A TAX. YOU MUST CEIPT WHEN VALIDATED DAN ISE D. HENRIQUEZ TAX COLLECTOR PO BOX 1129, KEY WEST FL 33041--1129 MEET ALL COUNTY AND/OR MUNICIPALITY PLANNING AND ZONING REQUIREMENTS. 0000000000 0000002000 00003014000774S8 1001 1 CITY OF KEY WEST, FLORIDA Business Tax Receipt ti Ca.t; DccuNation aI License is a bus_,:es� ta_,. ;older must meet 2i1 City 2On ng and use provisions. Y.O. box 14.09, X e y West, F_1 r,a_a 3!"04.0 ( 3 0 S ) 8 0 9 - 3 9 5 S 3u51ness name CAREONE ELECTRIC, !NC. Gti air Y2Q Location addr 6810 FRONT STOCK ISLAND S. Li Nbr/_lass 08 0001_2=2 0NTRACT0T - Rom.. ELECTR_CAL Issue date 8i 222 X0 ExplraTior, date 9,!J0 i0S i._.. Fe, Z JS 00 ,er].a,1ty . . . . C,r_, C)1, This iicense must be -.D..,?nentiy RBONE ELECT-. 1 C I NC. BEY WEtT Ft: 33040