Loading...
EAST GATEWAY STORMWATER AND SANITARY IMPROVEMENTS PROJECT - 13-0043-EN - SECTION V SECTION V CONTRACT DOC JMENTS Table of Contents: PUBLIC CONSTRUCTION BOND....................................................................................................... 1 CONTRACT..............................................................................................................................................3 CONSENT OF SURETY TO FINAL PAYMENT................................................................................ 9 PROPOSAL/BID BOND........................................................................................................................ 10 AFFIDAVIT............................................................................................................................................ 11 NON COLLUSION AFFIDAVIT......................................................................................................... 12 PROPOSAL............................................................................................................................................. 13 CITY OF CLEARWATER ADDENDUM SHEET............................................................................. 16 BIDDER'S PROPOSAL......................................................................................................................... 17 SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATIONFORM..................................................................................................................... 18 SECTION V i Updated 6/3/2016 z#: 2017058335 BK: 19529 P3: I368, 02/23/20I7 at 08:37 AM, RECORDING 4 PAGES ��5.��O � ��»a BDBf��, CLERK OF COURT AND COMPTROLLER PzNELIAS DEPUTY CLERK: CLBDM04 Date Engineering Dopartment Ci Of Clearwater SECnowv-controtoocuraots Bond No.: PUBLIC CONSTRUCTION BOND This hooJ is given to comply with § 255.05' Florida Statutes, and any action instituted by m6uimmn under this bond for payment must be in ooxorduuoc with the notice and time limitation provisions in subsections(2)and (iO). 9uzauury to § 255.05(l)(6). Florida Gtan/ro' "Before 000uomenxioQ the work orbefore u:uomm000dng the work after default or abandonment, the contractor mhuU provide tn the public entity ocerti0ed copy of the recorded . Notwithstanding the terms of the contract or any other |o", governing prompt payment for construction services, the public entity may not make o payment oo the contractor until the contractor has complied with this purogzuph." CONTRACTOR SURETY OWNER Trovn|ornCoouoy'and8unmty David Nelson Construction Co. rnmpan�of Arnsdrq City nfClearwater [name) [»om«] [Engineering Dept) 3483 Alternate US 19 One Tower Square 100 S.Myrtle Avenue Clearwater,FL 33756 Palm Harbor,FL 34683 Hartfgrd. CT 06183[Principal business address] [Principal business address] (727) 562-[47501 (727)784-7624 (860)277-0111 [phonenumber) [phone number] PROJECT NAME: East Gateway Gtumwmmr and Sanitary Improvements PROJECT NO.: 13'0043'EN PROJECT DESCRIPTION: [ The work consists of replacement of )O.00U linear feet u{utuonwuter pipe, \\/)O0 linear feet of sanitary sewer, 1`400 linear hcct of water main, the installation u[5 nutrient separating baffle boxes and roadway n:uurb`dn8 in the East Gateway area. BY T8iS BOND, VYc. — mam Contractor, and Travelers u ` as Surety,are bound mthe City o[C}cunvatcr, Florida, 6on:in called O*ncr, in the uunu of$[11.408.143.9q, for payment of which we bind ourselves,our heirs,personal representatives,successors, and assigns,jointly and severally. THE CONDITION OF THIS BOND io that i[Contractor: \. perOoono the uoutmo dated 6mwnnn Contractor and Owner for construction of (East Gateway 3/or/x`,o,e, & Sanitary 3o"er Improvements), the contract documents being made u part of this bond by reference(which include the Advcrtlucnucut for Bids, Propoxa(, Controct, Surety Bond` Instructions to BiJ6cro. General Condidnuu, Pluux' Tnobo{cui Specifications and &ppen6ix, and such alterations as may be made in said Plans and Specifications as therein provided for), at the times and in the manner prescribed in the contract;and 2. Promptly makes payments to all claimants, as 6o6006 in Section 259.05(\). Florida Statutes, supplying Contractor with labor, mutoriu|y, or supplies, used directly or indirectly by Contractor in the prosom,ion o[the work provided for in the contract; and SECTION Page Iofzs Updated 6/3/2016 PINELLAS COUNTY FL OFF. REC. BK 19529 PG 1369 SECTION V—Contract Documents 3. Pays Owner all losses, damages, expenses, costs, and attorney's fees, including appellate proceedings,that Owner sustains because of a default by Contractor under the contract;and Bond No.: 106645089 PUBLIC CONSTRUCTION BOND (2) 4. To the limits of§ 725.06(2), Florida Statutes, shall indemnify and hold harmless Owner, their officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness, or intentional wrongful misconduct of Contractor and persons employed or utilized by Contractor in the performance of the construction contract;and 5. Performs the guarantee of all work and materials furnished under the contract for the time specified in the contract,then this bond is void; otherwise it remains in full force. 6. Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05(2),Florida Statutes, 7. Any changes in or under the contract documents and compliance or noncompliance with any formalities connected with the contract or the changes does not affect Surety's obligation under this bond, and Surety does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. IN TESTIMONY WHEREOF, witness the hands and seals of the parties hereto this j S day of n 2011p. (If sole Ownership or Partnership, two(2) Witnesses required). (If Corporation, Secretary only will attest and affix seal). David Nelson Construction Co•_ By: Title: Prin Name: -T 0, I&C r� LV ITNESs TNESS.• . c Corporate Secretary or W' ss Print Name: Print Name: -t�1 t�a.. 'htctt (affix corporate seal) Travelers Casualty and Surety Company of America (Corporate Surety) By: _JG � — O -ice-�s__,_ r�r&FL LICENSED AGENT Print Name: John R. Neu (affix corporate seal) SECTION V Page 2 of 25 Updated 6/3/2016 WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER AdW POWER OF ATTORNEY TRAVELERS I' Farmington Casualty Company St.Paul Mercury Insmrance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. 'Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company { St.Paul Guardian Insurance Company r i ti Attorney-In Fact No. Certificate No. 230427 006919764 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Lrsurauce Company, St. Patti Guardian Insurance Company,St. Paul Mercury Insurance Company,Travelers Casualty and Surety Company.Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Ltstrance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Lnsurvnce Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies*'),and that the Companies do hereby make,Constitute and appoint " Kevin Wojtowicz,John R.Neu,Laura Mosholder,Tracey C.Brown,David R.Turcios,and Jessica P. Reno l lid of the City of St. Petersburg State of Florida ,their true and lmkful Attctneytsj in Fact, �9 each in their separate capacity if more than one is named above,to sign,execute,seal and acknoAled1>e any and all bond, recoenizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their bmsines,of guaranteeing the fidelity of persons,guaranteeing the performance of �i contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions of proceedings allowed by law. r' > IN WITNESS WHEREOF,the Companies have caused this instrument to be 2 segued and their corporate seals to be hereto affixed,this 2nd day.of August 2016 l� Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Under%i riters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company u ~st 98 Z�O + co� R7t:01tpQpptFpG � t' �PC a +.a,,�:r4 w4�OPPCRA l�ry�C+ G9 r✓/ ��� ��� ( 2 � �,�� € p{.a� ,., E ., �: v MANTFORD < NA'^•F fC3, �., i4RC ,i i Sr Y 1951 s' a asg�.SEAL:3; cons o ,e �� N tass ^ it µ r li State of Connecticut B%: City of Hartford ss. Robert L.ttaotec.Senior ice President On this the 2nd day of August — - 2016 .before me personally appeared Robert L.Rance,w ho ackono%\Icdged hi ntself to be the Senior Vice President of Farmington Casualty Connpany. Fidelity and Guaranty Insurance Company,Fideht} and Guaranty Insurance Undenc rite rs,Inc-St.Paul Fire and Marine Insurance Company.St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Com uny,Ti-mciers Casualty.end Severe Company.Travelers P� P� pt _ P� I, Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do.executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly°authorized officer. is G,7Er' t In Witness Whereof,I hereunto set my hand and official seal. Iy Commission expires the 30th day of June,2021. ik per*�G Ar Marie C.Tetizault No,an Pat Lc i 'f' 58440-5-16 Printed in U.S.A. I .�� WARNING:THIS POW R F ATT _ NEY I_ ,INVALI�WITT�HE REp._B�RpER .,��____ f'. SECTION V—Contract Documents (Power ofAttorney must be attached) SECTION V Page 3 of 25 Updated 6/3/2016 SECTION V—Contract Documents CONTRACT (1) This CONTRACT made and entered into this q day of 20�L by and between the City of Clearwater, Florida, a municipal corporation, hereinafter designated as the "City", and _David Nelson Construction Co., of the City of _Palm Harbor—County of Pinellas and State of Florida, hereinafter designated as the "Contractor". [Or, if out of state:] This CONTRACT made and entered into this day of 20 by and between the City of Clearwater, Florida, a municipal corporation, hereinafter designated as the "City", and , a/an (State) Corporation authorized to do business in the State of Florida, of the City of County of and State of hereinafter designated as the "Contractor". WITNESSETH: That the parties to this contract each in consideration of the undertakings, promises and agreements on the part of the other herein contained, do hereby undertake, promise and agree as follows: The Contractor, and his or its successors, assigns, executors or administrators, in consideration of the sums of money as herein after set forth to be paid by the City and to the Contractor, shall and will at their own cost and expense perform all labor, furnish all materials, tools and equipment for the following: PROJECT NAME: East Gateway Stormwater and Sanitary Improvements PROJECT NO.: 13-0043-EN in the amount of S_11,409,143.90_ In accordance with such proposal and technical supplemental specifications and such other special provisions and drawings, if any, which will be submitted by the City, together with any advertisement, instructions to bidders, general conditions, technical specifications, proposal and bond, which may be hereto attached, and any drawings if any, which may be herein referred to, are hereby made a pant of this contract, and all of said work to be performed and completed by the contractor and its successors and assigns shall e fully completed in a good and workmanlike 111C11111%.1 LU L11%, �,dtisfactioii f the City. If the Contractor should fail to comply with any of the terms, conditions, provisions or stipulations as contained herein within the time specified for completion of the work to be performed by the Contractor, then the City, may at its option, avail itself of any or all remedies provided on its behalf and shall have the right to proceed to complete such work as Contractor is obligated to perform in accordance with the provisions as contained herein. THE CONTRACTOR AND HIS OR ITS SUCCESSORS AND ASSIGNS DOES HEREBY AGREE TO ASSUME THE DEFENSE OF ANY LEGAL ACTION WHICH MAY BE BROUGHT AGAINST THE CITY AS A RESULT OF THE CONTRACTOR'S ACTIVITIES ARISING OUT OF THIS CONTRACT AND FURTHERMORE, IN CONSIDERATION OF THE TERMS, STIPULATIONS AND CONDITIONS AS CONTAINED HEREIN, AGREES TO SECTION V Page 4 of 25 Updated 6/3/2016 SECTION V—Contract Documents HOLD THE CITY FREE AND HARMLESS FROM ANY AND ALL CLAIMS FOR DAMAGES, COSTS OF SUITS, JUDGMENTS OR DECREES RESULTING FROM ANY CLAIMS MADE UNDER THIS CONTRACT AGAINST THE CITY OR THE CONTRACTOR OR THE CONTRACTOR'S SUB CONTRACTORS, AGENTS, SERVANTS OR EMPLOYEES RESULTING FROM ACTIVITIES BY THE AFOREMENTIONED CONTRACTOR, SUB CONTRACTOR,AGENT SERVANTS OR EMPLOYEES, TO THE LIMITS OF § 725.06(2). SECTION V Page 5 of 25 Updated 6/3/2016 SECTION V—Contract Documents CONTRACT (2) In addition to the foregoing provisions,the Contractor agrees to conform to the following requirements: In connection with the performance of work under this contract, the Contractor agrees not to discriminate against any employee or applicant for employment because of race, sex, religion, color, or national origin. The aforesaid provision shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; lay off or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post hereafter in conspicuous places, available for employees or applicants for employment, notices to be provided by the contracting officer setting forth the provisions of the non discrimination clause. The Contractor further agrees to insert the foregoing provisions in all contracts hereunder, including contracts or agreements with labor unions and/or worker's representatives, except sub contractors for standard commercial supplies or raw materials. It is mutually agreed between the parties hereto that time is of the essence of this contract, and in the event that the work to be performed by the Contractor is not completed within the time stipulated herein, it is then further agreed that the City may deduct from such sums or compensation as may be due to the Contractor the sum of S1.000.00 per day for each day that the work to be performed by the Contractor remains incomplete beyond the time limit specified herein, which sum of 51,000.00 per day shall only and solely represent damages which the City has sustained by reason of the failure of the Contractor to complete the work within the time stipulated, it being further agreed that this sum is not to be construed as a penalty but is only to be construed as liquidated damages for failure of the Contractor to complete and perform all work within the time period as specified in this contract. It is further mutually agreed between the City and the Contractor that if, any time after the execution of this contract and the public construction bond which is attached hereto for the faithful performance of the terms and conditions as contained herein by the Contractor, that the City shall at any time deem the surety or sureties upon such public construction bond to be unsatisfactory or if, for any reason, the said bond ceases to be adequate in amount to cover the performance of the work the Contractor shall, at his or its own expense, within ten (10) days after receipt of written notice from the City to do so, furnish an additional bond or bonds in such term and amounts and with such surety or sureties as shall be satisfactory to the City. If such an event occurs, no further payment shall be made to the Contractor under terms and provisions of this contract until such new or additional security bond guaranteeing the faithful performance of the work under the terms hereof shall be completed and furnished to the City in a form satisfactory to it. SECTION V Page 6 of 25 Updated 6/3/2016 SECTION V—Contract Documents CONTRACT (3) In addition to all other contract requirements as provided by law, the contractor executing this agreement agrees to comply with public records law. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, THE CONTRACTORS DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT. CONTACT THE CUTODIAN OF PUBLIC RECORDS AT 727-562-4092, Ros�marj .Call'),ipyyc es watt' Wcom, 112 S. Osceola Ave., Clearwater, FL 33756 The contractor's agreement to comply with public records law applies specifically to: a) Keep and maintain public records required by the Citv of Clearwater (hereinafter "public aaenev") to perform the service bein,2 provided by the contractor hereunder. b) Upon request from the public acrencv's custodian of public records, provide the public a2eney with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided for in Chapter 119, Florida Statutes, as may be amended from time to time, or as otherwise provided by law. C) Ensure that the public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency. d) Upon completion of the contract , transfer, at no cost, to the public agency all public records in possession of the contractor or keep and maintain public records required by the public aaencv to perform the service If the contractor transfers all public records to the public aaenev upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All . ,rds stor-ed olontraninally must be provided to the niihlic agency, upon request from e�,ri-q-�� r c the public aaencv's custodian of public records, in a format that is compatible with the information technology systems of the public af!eney. e) A request to inspect or copy public records relating to a public a2enev's contract for services must be made directly to the public agency. If the public al?ency does not possess the requested records, the public a encv shall immediately notifv the contractor of the request and the contractor must provide the records to the public agency or allow the records to be inspected or copied within a reasonable time. f) The contractor hereby acknowledges and agrees that if the contractor does not comply with the public agency's request for records, the public agency shall enforce the contract provisions in accordance with the contract. SECTION V Page 7 of 25 Updated 6/3/2016 SECTION V—Contract Documents g) A contractor who fails to provide the public records to the public agency within a reasonable time may be subject to penalties under Section 11.9.10, Florida Statutes. h) If a civil action is filed against a contractor to compel production of public records relating to a public agency's contract for services, the court shall assess and award against the contractor the reasonable costs of enforcement, including reasonable attorney fees, if: 1. The court determines that the contractor unlawfully refused to comply with the public records request within a reasonable time; and 2. At least 8 business days before filing the action, the plaintiff provided written notice of the public records request, including a statement that the contractor has not complied with the request, to the public agency and to the contractor. i) A notice complies with subparagraph (h)2. if it is sent to the public agency's custodian of public records and to the contractor at the contractor's address listed on its contract with the public agency or to the contractor's registered agent. Such notices must be sent by common carrier delivery service or by registered, Global Express Guaranteed, or certified mail,with postage or shipping paid by the sender and with evidence of delivery,which may be in an electronic format. j) A contractor who complies with a public records request within 8 business days after the notice is sent is not liable for the reasonable costs of enforcement. SECTION V Page 8 of 25 Updated 6/3/2016 SECTION V—Contract Documents CONTRACT (4) IN WITNESS WHEREOF, the parties to the agreement have hereunto set their hands and seals and have executed this Agreement,the day and year first above written. CITY OF CLEARWATER IN PINELLAS COUNTY,FLORIDA William B. Horne, II �a�VVAT�� City Manager Atli->�►� Attest: 1- '' � 6L Countersigned: n L��� �' tl Rosemarie Call �frAel �.O�Q�h (� City Clerk lSH l r�Q nCr e s Approved as to form: By: George N. Cretekos, Mayor Matth w M. Smit Assistant City Attorney Contractor must indicate whether Corporation Partnership Company or Individual )A-v to By: VCS_ (SEAL:) Print Na Title: The person signing shall, in his own handwriting, sign the Principal's name, his own name, and his title; where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind the Corporation — provide Affidavit. SECTION V Page 9 o`25 Updated 6/3/2016 SECTION V—Contract Documents CONSENT OF SURETY TO FINAL PAYMENT TO City of Clearwater PROJECT NAME: East Gateway Stormwater and OWNER: Sanitary Improvements [Engineering Dept] PROJECT NO.: 13-0043-EN 100 S. Myrtle Ave. CONTRACT DATE: [ ] Clearwater, FL 33756 BOND NO. : [ ], recorded in O.R. Book [ ], Page [ ], of the Public Records of Pinellas County, Florida. CONTRACTOR: [David Nelson Construction Co.] Pursuant to § 255.05(l 1), Florida Statutes, and in accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the: [Travelers Casualty and Surety Company of America] [One Tower Square] [Hartford, CT 06183] ,SURETY, on bond of [David N'elson Construction Co.] 3483 Alternate US 19 Palm Harbor, FL 34683 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve Surety of any of its obligations to City of Clearwater [Engineering Dept] 100 S. Myrtle Ave. Clearwater, FL 33756 ,OWNER, as set forth in said Surety's bond. r WITNESS W!fE n the C�...ety has hereunto setts hand this day of ''b--W 1 rN-GJ J-VV r7L,-r�E�F', (Surety) (Signature of authorized representative) (Printed name and title) Attest: (Seal): SECTION V Page 10 of 25 Updated 6/3/2016 SECTION V—Contract Documents PROPOSAL/BID BOND (Not to be filled out if a certified check is submitted) KNOWN ALL MEN BY THESE PRESENTS: That we, the undersigned, David Nelson Construction Co. as Contractor, and Travelers Casualty and Surety Company of America as Surety, whose address is One Tower Square, Hartford, CT 06183 , are held and firmly bound unto the City of Clearwater, Florida, in the sum of Ten Percent of Amount Bid (10%) Dollars ($ 10% ) (being a minimum of 10% of Contractor's total bid amount) for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns. The condition of the above obligation is such that if the attached Proposal of David Nelson Construction Co. as Contractor, and Travelers Casualty and Surety Company of America as Surety, for work specified as: East Gateway Stormwater and Sanitary Improvements, Project No. 13-0043-EN all as stipulated in said Proposal, by doing all work incidental thereto, in accordance with the plans and specifications provided herefor, all within Pinellas County, is accepted and the contract awarded to the above named bidder, and the said bidder shall within ten days after notice of said award enter into a contract, in writing, and furnish the required Public Construction Bond with surety or sureties to be approved by the City Manager,this obligation shall be void, otherwise the same shall be in full force and virtue by law and the full amount of this Proposal/Bid Bond will be paid to the City as stipulated or liquidated damages. Signed this 1st day of December , 2016 Principal must indicate whether: X Corporation Partnership David Nelson Construction Co. Company CWetor or lndi•vidual '�d'_X Pr iWi'�i 8'glob � t:y By: Title Travelers Casualty and Surety Company of America StWet )o .R.-bleu,Atterney-in-Fact&FL Licensed Agent The person signing shall, in his own handwriting, sign the Principal's name, his own name, and his title; where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind the Corporation — provide Affidavit. SECTION V Page 11 of 25 Updated 6/3/2016 SECTION V—Contract Documents AFFIDAVIT (To be filled in and executed if the bidder is a corporation) STATE OF FLORIDA ) COUNTY OF Pinellas ) Linda D. Shutt being duly sworn, deposes and says that he./she is YO,W, of Assistant Corporate Secretary of David Nelson Construction Co. a corporation organized and existing under and by virtue of the laws of the State of Florida. and having its principal office at: 3483 Alternate 19 Palm Harbor Pinellas FL (Street &Number) (City) (County) (State) Affiant further says that he is familiar with the records, minute books and by-laws of David Nelson Construction Co. (Name of Corporation) Affiant further says that David L. Vekasi is Vice President (Officer's Name) (Title) of the corporation. is duly authorized to sign the proposal for East Gateway Stormwater and Sanitary Improvements or said corporation by virtue of Florida _ (state whether a provisio i;, of by layv_ or q Resolution of Board of Directors. If by des)lution give"'dat of doption). r � Linda D. Shutt, Asst. Corporate Secretary Affiant Sworn to before me this 9th day of December 2016 otary Public EBBIE ASH NOTARY c colon,J!SSION#FF76529 Debbie Case i Puauc EXPIRES Februar STATE 011 x 14,2018 Type/print/stamp name of Notary Ft "U, V D D THROUGH `w4jkv Rl NS, 4.E_'OMPANY Notary Public Title or rank, and Serial No.. if any SECTION V Page 12 of 25 Updated 6/3/2016 SECTION V—Contract Documents NON COLLUSION AFFIDAVIT STATE OF FLORIDA ) COUNTY OF Pinellas ) David L. Vekasi being, first duly sworn, deposes and says that he is Vice President oil' David Nelson Construction Co. the party making the foregoing Proposal or Bid; that such Bid is genuine and not collusive or sham: that said bidder is not financially interested in or otherwise affiliated in a business way with any other bidder on the same contract; that said bidder has not colluded, conspired, connived, or agreed, directly or indirectly, with any bidders or person, to put in a sham bid or that such other person shall refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person, to fix the bid price or affiant or any other bidder, or to fix any overhead, profit or cost element of said bid price, or that of any other bidder, of toj secure any advantage against the City of Clearwater. Florida, or any person or persons interested',i4 .f1'e'proposed contract; and that all statements contained in said proposal or bid are true; and furthers that such bidder has not directly or indirectly submitted this bid, or the contents thereof, or divulged iriformafiTon or data relative thereto to any association or to any member or age ther o AMiant David L. Vekasi, Vice President Sworn to and subscribed before me this 9th day of Dece er 2016 Notary Public Debbie Case 3 r. CASE Lew.r FF76529 EX,' u, 14,2018 1 i-RG:JGH j " 0,4N(: C,`APANY SECTION V Page 13 of 25 Updated 6/3/2016 SECTION V—Contract Documents PROPOSAL (1) TO THE CITY OF CLEARWATER, FLORIDA, for East Gateway Stormwater and Sanitary Improvements (13-0043-EN) and doing such other work incidental thereto, all in accordance with the contract documents.. marked East Gateway Stormwater and Sanitary Improvements (13-0043-EN) Every bidder must take notice of the fact that even though his proposal be accepted and the documents signed by the bidder to whom an award is made and by those officials authorized to do so on behalf of the City of Clearwater, Florida, that no such award or signing shall be considered a binding contract without a certificate from the Finance Director that funds are available to cover the cost of the work to be done, or without the approval of the City Attorney as to the form and legality of the contract and all the pertinent documents relating thereto having been approved by said City Attorney; and such bidder is hereby charged with this notice. The signer of the Proposal, as bidder, also declares that the only person, persons, company or parties interested in this Proposal, are named in this Proposal, that he has carefully examined the Advertisement, Instructions to Bidders, Contract Specifications, Plans, Supplemental Specifications, General Conditions, Special Provisions, and Public Construction Bond, that he or his representative has made such investigation as is necessary to determine the character and extent of the work and he proposes and agrees that if the Proposal be accepted, he will contract with the City of Clearwater. Florida, in the form of contract, hereto annexed, to provide the necessary labor, materials, machinery, equipment, tools or apparatus, do all 'the work required to complete the contract within the time mentioned in the General Conditions and according to the requirements of the City of Clearwater, Florida, as herein and hereinafter set forth. and furnish the required surety bonds for the following prices to wit: SECTION V Page 14 of 25 Updated 6/3/2016 SECTION V—Contract Documents PROPOSAL (2) If the foregoing Proposal shall be accepted by the City of Clearwater, Florida, and the undersigned shall fail to execute a satisfactory contract as stated in the Advertisement herein attached. then the City may, at its option determine that the undersigned has abandoned the contract, and thereupon this Proposal shall be null and void, and the certified check or bond accompanying this Proposal, shall be forfeited to become the property of the City of Clearwater, Florida, and the full amount of said check shall be retained by the City, or if the Proposal Bond be given, the full amount of such bond shall be paid to the City as stipulated or liquidated damages; otherwise, the bond or certified check accompanying this Proposal, or the amount of said check, shall be returned to the undersigned as specified herein. Attached hereto is a bond or certified check on bid bond Bank, for the sum of 10% of amount bid ($ 10% of bid amount-) (being a minimum of 10% of Contractor's total bid amount). The full names and residences of all persons and parties interested in the foregoing bid are as follows: (If corporation, give the names and addresses of the President and Secretary. If firm or partnership, the names and addresses of the members or partners. The Bidder shall list not only his name but also the name of any person with whom bidder has any type of agreement whereby such person's improvements, enrichment, employment or possible benefit. whether sub contractor. materialman, agent, supplier, or employer is contingent upon the award ofthe contract to the bidder). NAMES: ADDRESSES: Jeffrey D. Nelson - President, 1930 Florida Avenue, Palm Harbor FL 34683 Wendy S. Nelson - Secretary, 1132 E. Lake Drive, Tarpon Springs, FL 34688 Signature of Bidder: rt David e SECTION V Page 15 of 25 Updated 6/3/2016 SECTION V—Contract Documents PROPOSAL 0) The person signing shall, in his own handwriting, sign the Principal's name. his own name and his title. Where the person signing for a corporation is other than the President or Vice President, he must. by affidavit., show his authority, to bind the corporation. Principal,-.' A,- io �N WAS vAj nr 51-ox tT By n �, V/' r 14-/s Ile Title: 1 r Company Lega atn0: � .� N�u� Ss rr l Doing Business As (if different than above): Business Address of Bidder: 3483 Alaternate 19 Palm Harbor, FL 34683 City= and State: Zip Code Phone: (727)784-7624 Email Address: dvekasi @nelson-construction.com Dated at 3483 Alt. 19, Palm Harbor, FL this 9th day of December A.D., 2016. SECTION V Page 16 of 25 Updated 6/3/2016 SECTION V—Contract Documents CITY OF CLEARWATER ADDENDUM SHEET PROJECT: East Gateway Stormwater and Sanitary Improvements (13-0043-EN) Acknowledgment is hereby made of the following addenda received since issuance of Plans and Specifications. Addendum No. 01 Date: 10/31/16 Addendum No. 02 Date: 11/16/16 Addendum No. 03 Date: 11/23/16 Addendum No. 04 Date: 11/29/16 Addendum No. 05 Date: 12/02/16 Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: David Nelson Construction Co ( mnBidder) j (Signature of Officer) David L. Vekasi, Vice President (Title of Officer) December 9, 2016 (Date) SECTION V Page 17 of 25 Updated 6/3/2016 BIDDERS PROPOSAL PROJECT: East Gateway Stormwater and Sanitary Improvements(13-0043-EN) CONTRACTOR: DAVID NELSON CONSTRUCTION CO. BIDDER'S GRAND TOTAL: $:_11,409,429-64 ld�ew (Numbers) BIDDERS GRAND TOTAL: Eleven Million, Four Hundred and Nine Thousand,One Hundred T �e sixty Six Cents A tT hhu ly (Words) For the purpose of the Estimated Quantities,She Contractor's attention is called to the fact that the estimate of quantities as shoon on the Proposal is approximate and is giNen only as a basis of calculation upon Nrhoch the a«and of the contact is to be made.The City does not assume any responsibility that the final quantities kill remain in strict accordance kith estimated quantities not shall the Contractor plead misunderstandings or deception because of such estimate of quantities or of the character or location of the cork or of other conditions or situations pertaining thereto. 13-0043-EN EAST GATEWAY STORMWATER & SANITARY SEWER IMPROVEMENTS (BID SET) BID ITEM QTY UNIT UNIT PRICE AMOUNT 100 L GENERAL 101 MOBILIZATION 1 LS $ 515,000.00 $ 515,000.00 102 MAINTENANCE OF TRAFFIC 1 LS $ 1,223,000.00 $ 1,223,000.00 103 CLEARING&GRUBBING 1 LS $ 130,000.00 $ 130,000.00 104 REMOVAL&REPLACEMENT OF UNSUITABLE MATERIAL(ALLOWANCE) 6,253 CY $ 25.00 $ 156,325.00 105 EROSION&SEDIMENTATION CONTROL INCL.SILT FENCE&INLET PROTECTION 1 LS $ 105,000.00 $ 105,000.00 106 FLOATING TURBIDITY BARRIER 1 LS $ 7,500.00 $ 7,500.00 107 TREE BARRICADES 1 LS $ 30,000.00 $ 30,000.00 108 ROOT PRUNING 1 LS $ 20,000.00 $ 20,000.00 109 TREE REMOVAL(ALLOWANCE);4"<DIA.<_12" 1 EA $ 300.00 $ 300.00 110 TREE REMOVAL(ALLOWANCE); 12"<DIA.<_24" 7 EA $ 1,000.00 $ 7,000.00 111 TREE REMOVAL(ALLOWANCE);24"<DIA.<_40" 4 EA $ 4,000.00 $ 16,000.00 112 PALM TREE REMOVAL(ALLOWANCE) 8 EA $ 250.00 $ 2,000.00 113 14"ROADWAY BASE 37,340 SY $ 36.00 $ 1,344,240.00 114 CONST MODIFIED CURB(CITY INDEX NO. 101) 13,410 LF $ 22.00 $ 295,020.00 115 CONST STRAIGHT CURB(CITY INDEX NO. 101) 460 LF $ 22.00 $ 10,120.00 116 CONST TYPE 1 CURB(CITY INDEX NO. 101) 6,410 LF $ 24.00 $ 153,840.00 117 CONST VALLEY CURB(CITY INDEX NO. 101) 9,340 LF $ 22.00 $ 205,480.00 118 4"CONCRETE SIDEWALK(INCLUDES CURB RAMPS) 5,000 SF $ 10.00 $ 50,000.00 119 DETECTABLE WARNING STRIP 2 EA $ 350.00 $ 700.00 120 CONCRETE DRIVEWAY RESTORATION 1,800 SY $ 65.00 $ 117,000.00 121 ASPHALT DRIVEWAY RESTORATION 1,600 SY $ 45.00 $ 72,000.00 122 SODDING 1 LS $ 50,000.00 $ 50,000.00 Subtotal General $ 4,510,525.00 123 General Contingency 10% 1 LS $ 451,052.50 Total General $ 4,961,577.50 200 II.STORMWATER 201 F&I 10"PVC SDR35 12 LF $ 57.00 $ 684.00 202 F&I 12"CMP 15 LF $ 67.00 $ 1,005.00 203 F&I 12"PVC 10 LF $ 60.00 $ 600.00 204 F&I 15"RCP CL3 3,800 42.00—$159 600 205 F&I 18"RCP CL3 1,000 LF $ 46.00 $ 46,000.00 206 F&I 24"RCP CL3 3,600 LF $ 60.00 $ 216,000.00 207 F&I 30"RCP CL3 1,500 LF $ 88.00 $ 132,000.00 208 F&I 36"RCP CL3 1,000 LF $ 118.00 $ 118,000.00 209 F&I 38"x 24"ERCP 80 LF $ 100.00 $ 8,000.00 210 F&I 42"DIA MH(FDOT 200) 9 EA $ 2,500.00 $ 22,500.00 211 F&I 48"DIA MH(FDOT 200) 13 EA $ 2,500.00 $ 32,500.00 212 F&I 48"x48"JUNCTION BOX(FDOT 200) 4 EA $ 3,800.00 $ 15,200.00 213 F&I 60"DIA MH(FDOT 200) 21 EA $ 4,100.00 $ 86,100.00 214 F&I 60"x60"JUNCTION BOX(FDOT 200) 1 EA $ 3,850.00 $ 3,850.00 215 F&I 72"DIA MH(FDOT 200) 6 EA $ 4,550.00 $ 27,300.00 216 F&I FDOT 221 TYPE V 11 EA $ 3,500.00 $ 38,500.00 217 F&I FDOT 232 TYPE E(MODIFIED)(FDOT 200 ALT A,72"DIA) 2 EA $ 5,300.00 $ 10,600.00 218 F&I WING INLET-LT(TYPE I CURB) 1 EA $ 4,000.00 $ 4,000.00 219 F&I WING INLET-RT(TYPE I CURB) 3 EA $ 4,000.00 $ 12,000.00 220 F&I WING INLET-DBL(VALLEY CURB) 3 EA $ 4,000.00 $ 12,000.00 221 F&I WING INLET-DBL(FDOT 200 ALT A,48"DIA TYPE P)(VALLEY CURB) 2 EA $ 4,100.00 $ 8,200.00 222 F&I WING INLET-DBL(FDOT 200 ALT A,72"DIA TYPE J)(VALLEY CURB) 1 EA $ 6,000.00 $ 6,000.00 13-0043-EN EAST GATEWAY STORMWATER & SANITARY SEWER IMPROVEMENTS (BID SET) BID ITEM QTY UNIT UNIT PRICE AMOUNT 223 F&I WING INLET-LT(VALLEY CURB) 32 EA $ 4,000.00 $ 128,000.00 224 F&I WING INLET-LT(FDOT 200 ALT A,48"DIA TYPE P)(VALLEY CURB) 1 EA $ 4,000.00 $ 4,000.00 225 F&I WING INLET-LT(FDOT 200 ALT A.60"DIA TYPE J) (VALLEY CURB) 1 EA $ 5,300.00 $ 5,300.00 226 F&I WING INLET-RT (VALLEY CURB) 33 EA $ 4,000.00 $ 132,000.00 227 F&I WING INLET-RT(FDOT 200 ALT A,48"DIA TYPE P) (VALLEY CURB) 4 EA $ 4,000.00 $ 16,000.00 228 F&I WING INLET-RT(FDOT 200 ALT A,60"DIA TYPE J) (VALLEY CURB) 1 EA $ 5,300.00 $ 5,300.00 229 F&I WING INLET-RT(FDOT 200 ALT A,72"DIA TYPE J) (VALLEY CURB) 1 EA $ 5,900.00 $ 5,900.00 230 F&I WING INLET-RT(FDOT 200 ALT B,42"x42" TYPE P) (VALLEY CURB) 2 EA $ 4,200.00 $ 8,400.00 231 F&I WING INLET-RT(FDOT 200 ALT B,48"x48" TYPE P) (VALLEY CURB) 1 EA $ 4,300.00 $ 4,300.00 232 F&I TYPE F WING INLET-LT 1 EA $ 4,000.00 $ 4,000.00 233 F&I TYPE F WING INLET-DBL 1 EA $ 4,000.00 $ 4,000.00 234 F&I WING INLET-LT(5'-4"DBL BOX) (VALLEY CURB) 1 EA $ 5,900.00 $ 5,900.00 235 F&I WING INLET-RT(64"DBL BOX) (VALLEY CURB) 1 EA $ 5,900.00 $ 5,900.00 236 F&I U-TYPE ENDWALL(FDOT 264) 1 EA $ 11,000.00 $ 11,000.00 237 F&I BAFFLE BOX(SUNTREE NSBB-5-10.5-101) 1 EA $ 68.000.00 $ 68,000.00 238 F&I BAFFLE BOX(SUNTREE NSBB-6-12-87) 1 EA $ 86,000.00 $ 86,000.00 239 F&I BAFFLE BOX(SUNTREE NSBB-6-12-89) 1 EA $ 82,000.00 $ 82,000.00 240 F&I BAFFLE BOX(SUNTREE NSBB-6-12-92) 1 EA $ 95,000.00 $ 95,000.00 241 F&I BAFFLE BOX(SUNTREE NSBB-8-14-97) 1 EA $ 110,000.00 $ 110,000.00 242 CONNECT PROPOSED STORM TO EXISTING(ALLOWANCE) 30 EA $ 650.00 $ 19,500.00 243 CUT OUTFALLS INTO CONC.EMBANKMENTS,CONNECT PIPE,&REPAIR OPENINGS 1 LS $ 20,000.00 $ 20,000.00 244 DEMO&DISPOSE EXISTING STORM PIPE:DIA 5_12" 3,421 LF $ 15.00 $ 51,315.00 245 DEMO&DISPOSE EXISTING STORM PIPE: 12"<DIA 5_18" 4,082 LF $ 18.00 $ 73,476.00 246 DEMO&DISPOSE EXISTING STORM PIPE: 18"<DIA 5530" 553 LF $ 24.00 $ 13,272.00 247 DEMO&DISPOSE EXISTING STORM STRUCTURES 90 EA $ 300.00 $ 27,000.00 248 FLOWABLE FILL(ABANDONED FEATURES) 30 CY $ 320.00 $ 9,600.00 249 DRAINAGE DIVERSION,TEMPORARY 1 LS $ 30,000.00 $ 30,000.00 Subtotal Stormwater $ 1.985,802.00 250 Stormwater Contingency 10% 1 LS $ 198,580.20 Total Stormwater $ 2,184,382.20 300 III.POTABLE WATER 301 F&I 6"DIP WM,RJ; INCLUDING POLY WRAP, FITTINGS,&BENDS 300 LF $ 45.00 $ 13,500.00 302 F&I 16"DIP WM,RJ; INCLUDING POLY WRAP,FITTINGS,COUPLES&BENDS 40 LF $ 150.00 $ 6,000.00 303 F&I 20"DIP WM,RJ; INCLUDING POLY WRAP, FITTINGS,COUPLES&BENDS 1,500 LF $ 125.00 $ 187,500.00 304 F&I 16"RESTRAINTS;EXISTING PIPE ONLY 250 LF $ 63.00 $ 15,750.00 305 F&I 20"RESTRAINTS;EXISTING PIPE ONLY 300 LF $ 85.00 $ 25,500.00 F&I 4"WM OFFSET/DEFLECTION(INCLUDES EXCAVATION,BACKFILL,LINE STOPS,PIPE. 2 EA $ 8,000.00 $ 16,000.00 306 POLY WRAP, RESTRAINTS, INSTALLATION, FITTINGS,RESTRAINT OF EXISTING PIPE) F&I 6"WM OFFSET/DEFLECTION(INCLUDES EXCAVATION,BACKFILL,LINE STOPS,PIPE, 18 EA $ 15,000.00 $ 270.000.00 307 POLY WRAP,RESTRAINTS,INSTALLATION,FITTINGS.RESTRAINT OF EXISTING PIPE) 308 F&I 6 GV W!BOX(CITY 402)(ALLOWANCE)(AS DIRECTED BYCITY) 9 EA $ 1,500-m S 1350000 309 F&I 8"GV W/BOX(CITY 402)(ALLOWANCE)(AS DIRECTED BY CITY) 2 EA $ 1,900.00 $ 3,800.00 310 F&I 12"GV W/BOX(CITY 402)(ALLOWANCE)(AS DIRECTED BY CITY) 2 EA $ 2,750.00 $ 5,500.00 311 F&I 20"GV w/BOX(CITY 402) 3 EA $ 15,000.00 $ 45,000.00 F&I TEMP 6"BLOW-OFF AND SAMPLE TAP;INCLUDING APPURTENANCES,FITTINGS, 1 LS $ 5,000.00 $ 5,000.00 312 BENDS.&REMOVAL F&I TEMP 8"DIP WM,RJ(SUPPLY);INCLUDING APPURTENANCES,FITTINGS, BENDS,& 1 LS $ 8,000.00 $ 8,000.00 313 REMOVAL 314 F&I 16"LINE STOP(ALLOWANCE) 1 EA $ 15,000.00 $ 15,000.00 315 F&I 20"LINE STOP 2 EA $ 22,000.00 $ 44.000.00 F&I 2"AIR VALVE(VAL-MATIC VMC-38VC), INCLUDING APPURTENANCES,FITTINGS, 2 EA $ 5,750.00 $ 11,500.00 316 BENDS,&CONC.PAD. 317 F&I 5'/<"HYDRANT(CITY 402) 2 EA $ 4,100.00 $ 8,200.00 318 F&I BLOW OFF(CITY 404) 1 EA $ 2,100.00 $ 2,100.00 319 F&I TEMP B.O./S.TAP(CITY 408);INCLUDING APPURTENANCES,FITTINGS,BENDS,& 3 EA $ 1,250.00 $ 3,750.00 REMOVAL 13-0043-EN EAST GATEWAY STORMWATER & SANITARY SEWER IMPROVEMENTS (BID SET) BID ITEM QTY UNIT UNIT PRICE AMOUNT 320 F&I TEMP CL2 TAP(CITY 408); INCLUDING APPURTENANCES, FITTINGS.BENDS,&REMOVAL 3 EA $ 450.00 $ 1,350.00 321 DEMO&DISPOSE EXISTING WM;OTHER THAN A-C WM 748 LF $ 12.00 $ 8,976.00 ` 322 DEMO&DISPOSE EXISTING 20"A-C WM(INCLUDES FDEP ASBESTOS REMOVAL PERMIT) 845 LF $ 37.00 $ 3 t a, 323 REMOVE&REPLACE POTABLE WATER SERVICE CONNECTION(ALLOWANCE) 244 EA $ 550.00 $ 134,200.00 324 RELOCATE EXISTING METER(ALLOWANCE)(BY CITY ONLY) 30 EA $ 275.00 $ 8,250.00 325 FLOWABLE FILL(ABANDONED FEATURES) 80 CY $ 270.00 $ 21,600.00 326 CONST,THRUST COLLAR 1 LS $ 7,000.00 $ 7.000.00 Subtotal Potable Water ct tl. e oo $ 942;228:- 327 Potable Water Contingency 10% 1 LS !l Total Potable Water j 6 $ '140 @S, Iwo�s 400 IV.SANITARY SEWER 401 F&I 8"PVC SDR 35 11,631 LF $ 45.00 $ 523.395.00 402 F&I 8"PVC SDR 26 980 LF $ 56.00 $ 54,880.00 403 F&I 48"DIA MH 67 EA $ 4,200.00 $ 281,400.00 404 F&I 48"DIA MH w/OUTSIDE DROP 5 EA $ 7,000.00 $ 35,000.00 405 DEMO&DISPOSE EXISTING SANITARY PIPE 12,611 LF $ 26.00 $ 327,886.00 406 DEMO&DISPOSE EXISTING SANITARY STRUCTURES 57 EA $ 650.00 $ 37,050.00 407 FLOWABLE FILL FOR ABANDONED SANITARY SEWER PIPES 25 CY $ 300.00 $ 7,500.00 408 SANITARY SEWER BYPASS 1 LS $ 300,000.00 $ 300,000.00 409 REMOVE&REPLACE SANITARY LATERALS(CITY 305) 50 EA $ 1,100.00 $ 55,000.00 410 REMOVE&REPLACE SANITARY LATERALS(CITY 305)(ALLOWANCE) 190 EA $ 1,000.00 $ 190,000.00 411 CONFLICT STRUCTURE(ALLOWANCE) 7 EA $ 5,000.00 $ 35,000.00 412 MODIFY EXISTING MANHOLE(ALLOWANCE) 5 EA $ 1,250.00 $ 6,250.00 413 MODIFY EXISTING MANHOLE INCLUDING OUTSIDE DROP(ALLOWANCE) 3 EA $ 1,400.00 $ 4,200.00 414 CONC. ENCASE EX.24"PVC(AS DIRECTED BY CITY) 50 LF $ 300.00 $ 15,000.00 Subtotal Sanitary Sewer $ 1,872,561.00 415 Sanitary Sewer Contingency 10% 1 LS $ 187,256,10 Total Sanitary Sewer $ 2,059,817.10 500 V.RECLAIMED WATER 501 F&I 6"RCWM OFFSET/DEFLECTION(INCLUDES EXCAVATION,BACKFILL,PIPE,POLY 1 EA $ 2,850.00 $ 2,850.00 WRAP,RESTRAINTS, INSTALLATION,FITTINGS, RESTRAINT OF EXISTING PIPE) 502 F&I 16"RCWM OFFSET/DEFLECTION(INCLUDES EXCAVATION,BACKFILL,PIPE,POLY 4 EA $ 20,000.00 $ 80,000.00 WRAP,RESTRAINTS,INSTALLATION,FITTINGS,RESTRAINT OF EXISTING PIPE) 503 F&I 20"RCWM OFFSET/DEFLECTION(INCLUDES EXCAVATION, BACKFILL, PIPE, POLY 1 EA $ 23,000.00 $ 23,000.00 WRAP, RESTRAINTS,INSTALLATION, FITTINGS,RESTRAINT OF EXISTING PIPE) 504 16"GATE VALVES FOR OFFSETS(ALLOWANCE)(AS DIRECTED BY CITY) 2 EA $ 5,500.00 $ 11,000.00 505 20"GATE VALVES FOR OFFSETS(ALLOWANCE)(AS DIRECTED BY CITY) 1 EA $ 11,700.00 $ 11,700.00 506 DEMO&DISPOSE EXISTING RCWM; 16"<DIA.<_20" 220 LF $ 21.00 $ 4,620.00 507 REMOVE&REPLACE RECLAIM SERVICE CONNECTION(ALLOWANCE) 60 EA $ 550.00 $ 33,000.00 508 RELOCATE EXISTING RECLAIM METER(ALLOWANCE)(BY CITY ONLY) 30 EA $ 275.00 $ 8.250.00 Subtotal Reclaimed Water $ 174,420.00 509 Reclaimed Water Contingency 10% 1 LS $ 17,442.00 Total Reclaimed Water $ 191,862.00 600 V.SURFACE RESTORATION 601 2"ASPHALTIC CONCRETE STRUCTURAL COURSE TYPE SP-9.5 5,800 TN $ 118.00 $ 684,400.00 602 MILLING EXIST ASPH PAVT,2"AVG DEPTH 1 LS $ 170,000.00 $ 170,000.00 603 RESTORATION OF IRRIGATION SYSTEMS(WITHIN RIGHT-OF-WAY)(ALLOWANCE) 1 LS $ 12,000.00 $ 12,000.00 604 RESTORATION OF FDOT RIGHT-OF-WAY @ HILLCREST&COURT(MEETING FDOT 1 LS $ 50,000.00 $ 50,000.00 STANDARDS) Subtotal Surface Restoration $ 916,400.00 605 Surface Restoration Contingency 10% 1 LS $ 51,640.00 Total Surface Restoration $ 1,008,040.00 Subtotal 0 ' ` �[ 'D Ci $IVTrt;93M Total Contingency 1 C) Cj J C' s—l'T "f93- 1 Total Contract -..-.- ..� , $'fi1;4U9 f66` 13-0043-EN EAST GATEWAY STORMWATER & SANITARY SEWER IMPROVEMENTS (BID SET) BID ITEM QTY UNIT UNIT PRICE AMOUNT THE BIDDERS'S GRAND TOTAL ABOVE IS HIS TOTAL BID BASED ON HIS UNIT PRICES AND LUMP SUM PRICES AND THE ESTIMATED QUANTITIES REQUIRED FOR EACH SECTION. THIS FIGURE IS FOR INFORMATION ONLY AT THE TIME OF OPENING BIDS. THE CITY WILL MAKE THE TABULATIN FROM THE UNIT PRICES AND LUMP SUM PRICE BID. IF TEHRE IS AN ERROR IN THE TOTAL BY THE BIDDER,IT SHALL BE CHANGED AS ONLY THE UNIT PRICES AND LUMP SUM PRICE SHALL GOVERN. FOR YOUR CONVENIENCE,THE BID TABULATION FOR THIS PROJECT HAS BEEN PROVIDED IN PDF AND EXCEL FORMAT(WITH HIDDEN AUTOMATIC FORMULAS), YOU MAY SUBMIT EITHER FORM BUT IT MUST BE PRINTED AND INCLUDED IN YOUR FORMAL BID TO THE CITY OF CLEARWATER. EMAILED BID TABULATIONS WILL NOT BE ACCEPTED. This page is intentionally left blank Section V Page 22 of 25 This page is intentionally left blank Section V Page 23 of 25 This page is intentionally left blank Section V Page 24 of 25 SECTION V—Contract Documents SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATION FORM PER SECTION III, ITEM 25,IF YOUR BID IS$1,000,000 OR MORE, THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID PROPOSAL. FAIL URE TO SUBMIT THIS FORM AS REQUIRED,MAY DEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that: 1. The vendor, company, individual, principal, subsidiary, affiliate, or owner is aware of the requirements of section 287.135, Florida Statutes,regarding companies on the Scrutinized Companies with Activities in Sudan List,the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaging in business operations in Cuba and Syria; and 2. The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible to participate in this solicitation and is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Sector List, or engaged in business operations in Cuba and Syria; and 3. Business Operations means, for purposes specifically related to Cuba or Syria, engaging in commerce in any form in Cuba or Syria, including, but not limited to, acquiring, developing, maintaining, owning, selling, possessing, leasing or operating equipment, facilities, personnel, products, services. personal property, real property, military equipment, or any other apparatus of business or commerce: and 4. If awarded the Contract (or Agreement), the vendor, company, individual, principal, subsidiary, affiliate. or owner will immediately notify the City of Clearwater in writing, no later than five (5) calendar days after any of its principals are placed on the Scrutinized Companies with Activities in Sudan List,the Scrutinized Companies with Activiti n the r,n Petroleul a'Sector List,.or engages in business operations in Cuba and Syria. Im Authorized Signature David L. Vekasi _ Printed Name Vice President Title David Nelson Construction Co. Name of Entity/Corporation STATE OF Florida COUNTY m The foregoing instrument was acknowledged before me on this 9th day of December 20 16 by David L. Vekasi (name of person whose signature is being notarized) as the Vice President (title) of David Nelson Construction Co. (name of corporation./entity), personally known to me as described herein XX or produced a n/a (type of identification)as identification, and who did/did not take an at DEBBIE CASE t ( (v� L"`C•"`��.,. COMMISSION N FF76529 N tart' Public 'S a�ueuc � EXPIRES February 14,2018 Debbie Case, Notary Public ' STATE OF'' }IPQUGH fL0At0a RU r y: :,fJCL�0'J!PANV Printed Name My Commission Expires: NOTARY SEAL ABOVE SECTION V Page 25 of 25 Updated 6/3/2016 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that David Nelson Construction Co. does: (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 imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in 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 guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. ------ - As the person authorized o sign the stateme I that this firr� mpties fatty with -- the above requirements. Bidder's Signature David L. Vekasi Vice President Name and Title December 9 2016 Date Drug-Free Form ow DAVINEL-01 BWARNER ACOR[�" CERTIFICATE OF LIABILITY INSURANCE r DATE 12/14/2016Y) 12/14/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. '14PORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on i ,nis certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT �, NAME• ASSOCIATES AGENCY,INC. PHONE 11470 N 53rd St E M No,Ext):(813) 988-1234 FAX No):(813) 988-0989 Temple Terrace,FL 33617 a DRESS:certs @associatesins.com INSURER(S)AFFORDING COVERAGE i NAIC# INSURER A:National Trust Ins. Co. '20141_ INSURED INSURERB:FCCI INSURANCE CO. 110178 David Nelson Construction CO. INSURER C:Certain Underwriters at Lloyds 3483 Alternate 19 INSURER D: Palm Harbor, FL 34683 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IN R, TYPE OF INSURANCE ADDL SUBR� POLICY NUMBER POLICY EFF ; POLICY EXP LIMITS LTR —_....T M /DDIYY I A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1 S 1'000,000 CLAIMS-MADE X OCCUR GL 001029807 05/01/2016 05/01/2017 DAMAGE ( RENTED 1OO,000 _ PREMISES R occurrence S X Contractual Liab. MED EXP(Any one person) $ 5,000 PE_RSONAL&ADV INJURY $ 1'000,000 ~GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2'000'000 i POLICY rX PE U LOC PRODUCTS-COMP/CP AGG_. S__.__ 2,000,000 OTHER: EMPLOYEE BENEFI S 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _ (Ea accident) S X ANY AUTO CA 0015954-07 1 05/01/2016 05/0112017 BODILY INJURY(Per pe.son OWNED i SCHEDULED _ AUTOS ONLY _i AUTOS ! BODILY INJURY(_Per a c ce t)!5 X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY ;AUTOS ONLY Per accde_nn'. $ PIP ! $ 10,0001 A X UMBRELLA LIAB 1 X OCCUR EACH OCCURRENCE _ 5 1 O'OOO'OOOj ExcessuA6 CLAIMS-MADE/ UMB0010683-07 05/01/2016' 05/01/2017 AGGREGATE g 10,000,000 DED ' X i RETENTIONS 10,0001 S B WORKERS COMPENSATION - X STATUTE ORTH- AN EMPLOYERS' RTNEY Y/N .001-WC17A-65778 01/01/2017 01/01/2018 500,000 ANY PROPRIETOR/PACLUDEDXECtiTIVE ^!IN/A: E.L.EACH ACCIDENT S ...__ (Mandatory in N )EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEES..____ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution/Profession CPP-0000015-01 05/0112016 j 05/01/2017 'Occ$2,000,000 Agg 2,000,000: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Greenlea-Otten Neighborhood Traffic Calming,Roadway&Stormwater Improvements Project No 10-0003-EN and East Gateway Stormwater& Sanitary Sewer Improvements Project#13-0043-EN I City of Clearwater Engineering Department is an additional insured with regard to the general liability where required by written contract.A waiver of j subrogation applies in favor of the additional insured with regard to the general liability and workers compensation where required by written contract.The General liability is primary and non contributory.A 30 day notice of cancellation applies with 10 days for non payment in regard to the general liability,auto liability,and workers compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Clearwater Engineering Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y g 9 P ACCORDANCE WITH THE POLICY PROVISIONS. 100 S. Myrtle Ave Clearwater,FL 33756 1AU/yTHHORIIZZEEEDD�REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT O USI S AND PROFESSIONAL R riGULA"H CONSTRUCTION INDUSTRY IC.E SING BOARD (830) 4,87-1310116 1940 NORJ TALLAHASSEE FL 32399-0783 VE ASI, DAVID L NELSON CONSTCO 3433 AUTERNA6_E 19 PALM HARBOR FL 34683 Long; atulations" With this license you become one of the near[ tree rniflion Fioiidians licensed by the Departn'iena of Ecasiei=ss and FLORIDA t F'rof{ssion:al ReLgulafion, Our nrr',fess€one 5 and e tnE c F^.t'.f g STATE "� F �"L0.1�'1IDA from architects to yacht brokers, from boxers to barbeaue, �� DEPARTMENT OF BUSINESS AND restaurants, and they keep Florida s econ r-ny stron€f. PROFESSIONAL REGULAI ION Eery clay we work to improve he waV we tea, business En drr CGCO12229 ISSUED 06/19/2016 to serve you better. For inform-tior about OUr services, please I"'g onto www,myfioridalicense.co , There you can find sn ure CERTIFIED GENERAL CONTRACTOR rnation about our dwsions and the regulations that rrnnact VEKASI, DAVID L ; subscribe to department news�etters and leam, nnorEl DAVID NELSON CONST CO 5ermitrnera's initiatives. 3 rn scion at the Department is I I,e use Effi ient!y, g F gud at Favrly. V,le cfonstan4UY strive to serve yo� better so tt at you C ,r serve our cusro ners. Th t you or doing business 6n I B��e oa, t f arid °on sat.a af'5 rls can your Rense? Ta 7 t r g1': >im RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGQ12229 , The GENERAL CONTRACTOR Named below IS CERTIFIED a an.��` Under the provisions of Chapter 439 FS, Expiration date, AUG 31, 2018 VEKASI, DAVID L DAVID NELSON CONST CO 3433 ALTERNATE 19 PALM HARBOR FL 34683 STATE OF FLORIDA DEPARTMENT OF BUSINESS E REGULATION 17 CONSTRUCTION IN STRY LICENSING OAR (850) 437-1395 " p 1940 NORTH MONROE STREET 'TALLAHASSEE lm 32399-9733 VEKASI, DAVID L DAVID NELSON CONSTRUCTION CO 3483 ACFERNATE 19 PALM HARBOR FL 34683 Congratulations! With this license you become one of the nearly one Brillion Floridians licensed by the Depailrnent of Business and iofessional Ke,ulation Our professionals and businesses range � _ � STATE OF FLORIDA from architects to yacht brokers,from boxers to barb€�que DEPARTMENT OF BUSINESS AND restaurants, and they keep Florida's econorny strong �„� PROFESSIONAL REGULATION F-very day we work to improve the way we do business 0 order CUC045007 ISSUED 06119/2016 to serve you better. For information about our services, please top onto w .myfloridalicense.com, There you can fired more CERT UNDERGROUND&EXCAV CNTR -oration about our divisions and the regulations that impact VEKASI. DAVID L subscribe to department newsletters and learn more about DAVID NELSON CONSTRUCTION CO i'le Department's initiatives. Our mission at ti-,,e Depa?tnner t is' License Efficiently, Reg latCn. Fairly ,Are constantly strive to serve you better so that you can serve ycuK customers, Thank you for doing business in Florida, 1S, C'r RT FIFD nd r 'he prov;s`ors of _h 489 Fs. and Congr tuiations on your new license!'=a L.tETAB,H HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CUC045007 ” ) The UNDERGROUND UTILITY & EXCAVATION CO Named below IS CERTIFIED :£ ' Under the provisions of Chapter 439 FS. Expiration date: AUG 31, 2018 ov, _ VEKASI, DAVID L DAVID NELSON CcONSTRUCTItON CO 3483 ALTERNATE 19 PAL10� I-tARIWiOR FL 346$3 �Ni I FDOT Florida Department of* Transportation RICK SCOIT 60' Swwwmee Su%m I N1 110\01,I) S 1 4'Pll kRN April 28, 2C16 NELSON, DAVID, CONSTRUCTION CO. 3483 ALTERNATE 19 PALM HARBOR, FL 34683 RE: CERTIFICATE OF QUALIFICATION Dear Sir/Madam: The Department of Transportation has qualified your company for the type of work indicated below. Unless your company is notified otherwise, this Certificate of Qualification will exp--' re 6/30/201-, . However, the new ao-clicat'Lon is due 4/30/2017. In accordance with 5.337.14 (1) F.S. your next application must be filed within (4) months of the ending date of the applicant' s audited annual financial statements. If your company's maximum capacity has been revised, you can access it by logging into the Contractor Prequalification Application System via the following link: https://www3.dot.state.fl.us/ContractorPreQualification/ Once logged in, select "View" for the most recently approved application, and then click the "Manage" and "Application Summary" tabs. FDOT APPROVED WORK CLASSES: DRAINAGE, FENCING, FLEXIBLE PAVING, GRADING, GRASSING, SEEDING AND SODDING, H07 PLANT-MIXED BITUM. COURSES, INTERMEDIATE BRIDGES, MAjOR BRIDGE - MULTI- LEVEL ROADWAYS, MAJOR BRIDGE - STEEL TRUSS CONSTRUCTION, MINOR BRIDGES, PAVEMENT MARKING, PORTLAND CEMENT CONCRETE ROADWAY PAVING, ROADWAY SIGNING, .JTILITY CONSTRUCTION, BRICK PAVERS, SIDEWALKS, PRESSURE GROUTING, CONCR7_T_E 7 CURBS & SEPARATORS, CONCRETE SLOPE & DITCH BOTTOM PAVING, CONCRETE RETAINING & BARRIER WALLS, STRUCTURAL CONCRETE FORM WORK, PLACEMENT AND FINISHING FOR RETAINING WALLS, SIDEWALKS AND MINOR ASPHALT FOR TRAILS. You may apply for a Revised Certificate of Qualification on at any time prior to the expiation date of this certificate according to Section 14-22.0041 (13) f Florida Administrative Code (F.A.C. ) , by accessina your most recently approved application as shown above and choosing "Update" instead of "View. " If certification in additional classes of work is desired, documentation is needed to show that your company has done such work with your own forces and equipment or that experience was gained with another contractor and that you have the necessary equipment for each additional class of work requested. NELSON, DAVID, CONSTRUCTION CO. April 28, 2016 Page Two All prequalified contractors are required by Section 14-22 . 006 (3) , F.A.C. , to certify their work underway monthly in order to adjust maximum bidding capacity to available bidding capacity. You can find the link to this report at the website shown above. Sincerely, Digitally signed 4 Xw D Autry ON:c=US,o=lderTrust ACES Business Representative, FLORIDA DEPARTMENT OF TRANSPORTATION, -�Alan D Autry, Alan D Autry 'EE23411,2,03,0.1 00.1.1=AG!097CO00001 4DE213739 11300004776 Date:2016.04.29 10:51:32-04'00' Alan Autry, Manager Contracts Administration Office AA:cj