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AIR PARK TERMINAL - 23-0015-APSECTION V CONTRACT DOCUMENTS Table of Contents PUBLIC CONSTRUCTION BOND 1 CONTRACT 4 CONSENT OF SURETY TO FINAL PAYMENT 8 PROPOSAL/BID BOND 9 AFFIDAVIT 10 NON -COLLUSION AFFIDAVIT 11 PROPOSAL 12 CITY OF CLEARWATER ADDENDUM SHEET 14 BIDDER'S PROPOSAL 15 SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATION FORM 29 SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM 30 SECTION V Page i Updated: 7/9/2025 SECTION V — Contract Documents Bond No.: 016253092 PUBLIC CONSTRUCTION BOND (1) This bond is given to comply with § 255.05, Florida Statutes, and any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in subsections (2) and (10). Pursuant to § 255.05(1)(b), Florida Statutes, "Before commencing the work or before recommencing the work after a default or abandonment, the contractor shall provide to the public entity a certified copy of the recorded bond. Notwithstanding the terms of the contract or any other law governing prompt payment for construction services, the public entity may not make a payment to the contractor until the contractor has complied with this paragraph." CONTRACTOR Bandes Construction Company, Inc Principal Name 1368 Spalding Rd Suite C Dunedin, FL 3468 Principal Business Address 727-733-5558 Principal Phone Number SURETY [name] Liberty Mutual Insurance Company Principal Name [Address Line ]] 175 Berkeley Street [Address Line 2] Boston, MA 02116 Principal Business Address [phone number] (617) 357-9500 Principal Phone Number PROJECT NAME: Air Park Terminal PROJECT NO.: 23 -0015 -AP OWNER City of Clearwater Public Works PO Box 4748 Clearwater FL 33758-4748 (727) 562-4750 PROJECT DESCRIPTION: Clearwater Executive Airport (CLW) is located in Pinellas County, Florida and is owned and operated by the City of Clearwater. The project consists of three Bid Packages, all of which are integral to the completion of the project. Bidders must complete bid forms for all portions of work for their bid proposal to be considered responsive. Bid Packages A and B involve the design and construction of a new 17,800 -square -foot, two-story terminal facility at the Clearwater Executive Airport (formerly Clearwater Airpark). The terminal will accommodate a Fixed Base Operator (FBO), flight training school, flight simulator, and corporate offices for airport tenants. The project scope also includes associated site and terminal apron improvements, entrance roadway, and the design of a 200 -space surface parking lot to support the new terminal operations. Additional airfield improvements are included under Bid Package C that includes lined dry retention ponds with underdrain piping, Bituminous mill and overlay of Aprons and Taxilanes, and taxiway reconstruction and reconfiguration compliant with FAA and FDOT regulations, and sealcoating and remarking of various airfield pavements. The alternates are included in the overall cost and are considered as part of the award determination. The City anticipates making a single award for this solicitation. The Base Bid and all Alternate Options will be evaluated as a whole, and it is the City's intent to award the full scope of work to one vendor. SECTION V Page 1 of 30 Updated: 7/9/2025 SECTION V — Contract Documents BY THIS BOND, We, Bandes Construction Company, Inc. , as Contractor, and Liberty Mutual Insurance Company , a corporation, as Surety, are bound to the City of Clearwater, Florida, herein called Owner, in the sum of $13,659,750.00 for payment of which we bind ourselves, our heirs, personal representatives, successors, and assigns, jointly and severally. THE CONDITION OF THIS BOND is that if Contractor: 1. Performs the contract dated , between Contractor and Owner for construction of Air Park Terminal 23 -0015 -AP the contract documents being made a part of this bond by reference (which include the Advertisement for Bids, Proposal, Contract, Surety Bond, Instructions to Bidders, General Conditions, Plans, Technical Specifications and Appendix, 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 defined in Section 255.05(1), Florida Statutes, supplying Contractor with labor, materials, or supplies, used directly or indirectly by Contractor in the prosecution of the work provided for in the contract; and SECTION V Page 2 of 30 Updated: 7/9/2025 SECTION V — Contract Documents Bond No.: 016253092 PUBLIC CONSTRUCTION BOND (2) 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 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 do 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 aj�1 tLt day of A19111 ' 19111 ,20. (If sole Ownership or Partnership, two (2) Witnesses are required). (If Corporation, Secretary only will attest and affix seal). W NESS: Corporate Secr- ..ry or Witnes Print Name: (Ian H .uat (affix corporate seal) Bandes Construction Company, Inc. By: Title: Print Name: WITNESS: Print Name: Vice President Zachary Bandes C luc y C� CrnL2 Liberty Mutual Insurance Company (Corporate Surety) 7 ° FS 1D By ATTORNEY Papa Jr. Attorney -In -Fact ard4 Print Name: Licensed Florida Resident Age/A1998Q6 (affix corporate seal) -‘)/v.I t 1 I �;. (Power of Attorney must be attached) , ' r < : t SECTION V Page 3 of 30 Updated: 7/9/2025 Liberty Mutual® SURETY POWER OF ATTORNEY Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Certificate No: 8213129-985140 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Anthony T. Papa, Jr.; Breanne E. Souza; Christine A. Papa; Emily Papa all of the city of Sarasota state of FL each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of February , 2025 State of PENNSYLVANIA ss County of MONTGOMERY On this 13th day of February , 2025 before me personally appeared Nathan J. Zangerle, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. By: Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company tiA 7 Nathan J. Zangerle, Assistant Secretary qRy V9 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV— OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Nathan J. Zangerle, Assistant Secretary to appoint such attorneys -in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power.of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of Commonwealth of Pennsylvania - Notary Seal Teresa Pastella, Notary Public Montgomery County My commission expires March 28.2029 Commission number 1126044 By: itato qq P 2e.cr�1/i y PO.€5 eresa Pennsylvania Association of Notaries Notary Public ui U C E •- c O 0 0) I.= rim >cc Qm a0 >—x a) O'f6 EE O a) < 0 O O N O M e9 00 aCo Coc CO = 0a) O� LL C- LMS -12873 LMIC OCIC WAIC Multi Co 02/24 Renee C. Llewellyn, Assistant Secretary Liberty Mutual, SURETY POWER OF ATTORNEY Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Certificate No: 8213129-985140 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the'Companies'j, pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Anthony T. Papa, Jr.; Breanne E. Souza; Christine A. Papa; Emily Papa all of the city of Sarasota state of FL each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of February , 2025 State of PENNSYLVANIA ss County of MONTGOMERY On this 13th day of February , 2025 before me personally appeared Nathan J. Zangerle, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. By: Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Nathan J. Zangerle, Assistant Secretary Commonwealth of Pennsylvaroa -Notary Seal Tensa Pastela, Notary Pubic Montgomery County My commosan Bares March 2$ 2029 CommiS4gn minter 1126044 Member. Pennsylvania Association of Notaries By: erase Pastella, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: ARTICLE IV—OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fad, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this artide may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such imitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Nathan J. Zangerle, Assistant Secretary to appoint such attorneys -in -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsgnle or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shag be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,1 have hereunto set my hand and affixed the seals of said Companies this 3rd day of March , 2026 . a) 0) ra, _ba : Ell U 0) N O To Nro o,_ 0o co rnIco a, of 0 10 v� of Z LMS -12873 LMIC OCIC WAIC Multi CO 0224 By: Renee C. Llewellyn, Assistant Secretary to N U G. cE O oU cQ me Q 56 12. EE Oa, O p cm ` 41- s 3o tM .m oro c CO Cs = -0 03 O m nm `off LL a. SECTION V — Contract Documents CONTRACT (1) 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 Bandes Construction Company, Inc, of the City of Dunedin County of Pinellas and State of Florida, hereinafter designated as the "Contractor". Or, ifout of state: This CONTRACT made and entered into this ,day of , 20 by and between the City of Clearwater, Florida, a municipal corporation, f hereinafter designatedas the "City", and , ° a/an . ' (State) Corporation authorized to do business ' 'in the Stateof 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: Air Park Terminal PROJECT NO.: 23 -0015 -AP in the amount of $13,659,750.00 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 part of this contract, and all of said work to be performed and completed by the contractor and its successors and assigns shall be fully completed in a good and workmanlike manner to the satisfaction of 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. SECTION V Page 4 of 30 Updated: 7/9/2025 SECTION V — Contract Documents CONTRACT (2) 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 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). 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 $1,000.00 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 $1,000.00 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 the 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 5 of 30 Updated: 7/9/2025 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 CUSTODIAN OF PUBLIC RECORDS, Rosemarie Call, City Clerk, at Rosemarie.Call@myclearwater.com, 727-562-4092, 600 Cleveland St., 6th Floor, 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 City of Clearwater (hereinafter "public agency") to perform the service being provided by the contractor hereunder. b) Upon request from the public agency's custodian of public records, provide the public agency 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 agency to perform the service. If the contractor transfers all public records to the public agency 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 records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. e) A request to inspect or copy public records relating to a public agency's contract for services must be made directly to the public agency. If the public agency does not possess the requested records, the public agency shall immediately notify 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. 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 119.10, 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 SECTION V Page 6 of 30 Updated: 7/9/2025 SECTION V — Contract Documents CONTRACT (4) 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 isnot liable for the reasonable costs of enforcement. 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 By: Jenni Poir `"er City Manager Countersigned: Rosemarie Call City Clerk By: Approved as to form: Bruce Mayor Contractor must indicate whether: x Corporation, Partnership, en Kohler Lead Assistant City Attorney Company, or Individual Bandes Construction Company;';! • (Contractor) • By: °u - ::,< ,4 :SEa: Print Name: :� 4C►IM�RY 3o,NaSir' �! ! ) Title: V sCE PRnsgQO JT ` The person signing shall, in his own handwriting, sign the Principal's name, his own name;°and where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind;'tl e;� Corporation — provide Affidavit. SECTION V Page 7 of 30 Updated: 7/9/2025 SECTION V — Contract Documents CONSENT OF SURETY TO FINAL PAYMENT TO OWNER: City of Clearwater PROJECT NAME: Air Park Terminal Public Works 100 S Myrtle Ave CONTRACT DATE: (` 1 Clearwater, FL 33756 BOND NO.: ( ', recorded in O.R. Book [ , ` `1, Page f '1, of the Public Records of Pinellas County, Florida. PROJECT NO.: 23 -0015 -AP CONTRACTOR: [ Pursuant to § 255.05(11), Florida Statutes, and in accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the: [insert name ofSurety] [address] [address], SURETY, on bond of Bandes Construction Company, Inc. 1368 Spalding Rd. Suite C Dunedin, FL 34698 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 Public Works PO Box 4748 Clearwater, FL 33758-4748, OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this day of Attest: (Seal): (Surety) (Signature of authorized representative) (Printed name and title) SECTION V Page 8 of 30 Updated: 7/9/2025 SECTION V – Contract Documents PROPOSALBID BOND (Not to be filled out if a certified check is submitted) KNOWN ALL MEN BY THESE PRESENTS: That we, the undersigned, Bandes Construction company, Inc. as Contractor, and Liberty Mutual Insurance company as Surety, whose address is 175 Berkeley Street, Boston, MA 02116 , are held and firmly bound unto the City of Clearwater, Florida, in the sum of 10% of Accompanying Bid Dollars (5 ---10% of Bid— ) (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 Bandes Construction Company, Inc. as Contractor, and Liberty Mut4,al Insurance Company as Surety, for work specified as: 23 -0015 -AP Air Park Terminal 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. Principal must indicate whether: x Corporation, Partnership, Company, or Individual Signed this 5th day of February , 20 26 . Bandes Construction Company, Inc. Contractor Principal By: yt. Q.y.1k71,..1''' Title dhony T. Papa Jr.. At -In-F Licensed Florida Resident Agent/A199806 Liberty Mutual Insurance Company Surety 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 8 of 16 Updated: 6/3/2024 m _(LO co — oi =To ct o� o co m o co s2 0) y tr �. oc E� a >_ t 0 o Liberty Mutual® SURETY POWER OF ATTORNEY Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Certificate No: 8213129-985140 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the °Companiesl, pursuant to and by authority herein set forth, does hereby name, constitute and appoint, Anthony T. Papa, Jr.; Breanne E. Souza; Christine A. Papa; Emily Pa.. all of the city of Sarasota state of FL each individually if there be more than one named, its true and lawful attomey-in-fact to make, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 13th day of February , 2025 . State of PENNSYLVANIA ss County of MONTGOMERY On this 13th day of February , 2025 before me personally appeared Nathan J. Zangede, who aclmoHtedged himset to be the Assistant Secretary of Liberty Mutual Insurance Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subsathed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. By: Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company lay -A7 Nathan J. Zangerle, Assistant Secretary CommwaweaW al Pennsyhane - Notary Seal Teresa Pasta+a Notary Peak Montgomery Courcy My co mrsson expves March 28, 2029 Commission number 1128044 Member, PemrsNvane Aasamloan vt Nolanes By: ar-- Ltd& eresa Pastef<a, Notary Public This Power of Attorney is made and executed pursuant to and by authority of the fallowing By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions ere now in full face and effect reading as follows: ARTICLE IV— OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President and subject to such limitation as the Charman or the President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, reoognizances and other surety obligations. Such attcmeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shell be as l inting as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys -in -fact as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such altomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested bythe secretary. uio o c� cE o e, cti43 to o. C o Q p O co CO CO o CD rob a as 01 0 LL D Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Nathan J. Zangerle, Assistant Secretary to appoint such attorneys -In -fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, reoogn'¢ances and other surety obligations. Authoraction — By unanimous consent of the Company's Board of Directors, the Company consents that facsimie or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, Renee C. Uewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full, true and cared copy of the Power of Attorney executed by said Companies, is In full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 5th day of February , 2026 . LMS -12873 LMIC OCIC WAIC Multi Co 0224 By: �... . Cr Renee C. Uewellyn, Assistant Secretary SECTION V — Contract Documents AFFIDAVIT (To be filled in and executed if the bidder is a corporation) STATE OF FLORIDA ) COUNTY OF Pinellas Yolanda Lynch , being duly sworn, deposes and says that he/she is Secretary of Bandes Construction Company a corporation organized and existing under and by virtue of the laws of the State of Florida, and having its principal office at: 1368 Spalding Road, Suite C Dunedin Pinellas FL (Street & Number) (City) (County) (State) Affiant further says that he is familiar with the records, minute books and by-laws of Bandes Construction Company (Name of Corporation) Affiant further says that Zachary Bandes is Vice President (Officer's Name) (Title) of the corporation, is duly authorized to sign the Proposal for Bandes Construction Company or said corporation by virtue of Provision of the by laws (state whether a provision of by laws or a Resolution of Board of Directors. If ,yr� s luti1 give date of adoption). Sworn to before me this 27th day of January Sheyla Santiago Commission iR NH 592609 Commission Expires 0942-2028 Bonded Through • Cynanotary. Florida- Notary Public Yolanda Lynch Affiant �L20 26 V P� Q,tp Notary Public Sheyla Santiago Type/print/stamp name of Notary Title or rank, and Serial No., if any SECTION V Page 9 of 16 Updated: 6/3/2024 SECTION V — Contract Documents NON -COLLUSION AFFIDAVIT STATE OF FLORIDA ) COUNTY OF Pinellas ) Zachary Bandes being, first duly sworn, deposes and says that he is Vice President of Bandes Construction Company 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, or to secure any advantage against the City of Clearwater, Florida, or any person or persons interested in the proposed contract; and that all statements contained in said proposal or bid are true; and further, that such bidder has not directly or indirectly submitted this bid, or the contents thereof, or divulged infor n or data rt Live the to to any association or to any member or agent thereof. Affiant Sworn to and subscribed before me this 27th day of January 2026 Sheyta• Santiago Commission,# HH V2809 •Commissidn Expkes`09-424028, Bonded Through - Cynanotary Florida- Naar/1)011c. SECTION V Page 10 of 16 Updated: 6/3/2024 SECTION V — Contract Documents PROPOSAL (1) TO THE CITY OF CLEARWATER, FLORIDA, for Air Park Terminal (23 -0015 -AP) and doing such other work incidental thereto, all in accordance with the contract documents, marked Air Park Terminal (23 -0015 -AP) 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 wihout 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 Advertiement, 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, dolt 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: 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. SECTION V Page 12 of 30 Updated: 7/9/2025 SECTION V — Contract Documents PROPOSAL (2) Attached hereto is a bond or certified check on Liberty Mutual Insurance Company Bank, for the sum of One million eighty-four thousand one hundred and eighty-seven dollars and sixty cents ($ 1,084,187.60 (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 a 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 of the contract to the bidder). NAMES: Jillian Bandes Zachary Bandes Yolanda Lynch ADDRESSES: 828 28th Avenue N., St. Petersburg, FL 33704 1628 Long Bow Ln, Clearwater, FL 33764 29722 Fog Hollow Drive, Wesley Chapel, FL 33543 Signature of Bi The person signing shall, in his own handwriting, sign the Principal's name, his own name and his title. Where the perso i igning for . corporation ' other than the President or Vice President, he must, by affidavit, •. h'. authori, to binhe corp ation. Principal: By: Zachary Bandes Title: Vice President Company Legal Name: Bandes Construction Company Doing Business As (if different than above): Business Address of Bidder: 1368 Spalding Road, Suite C City and State: Dunedin, Florida Zip Code 34698 Phone: 727-733-5558 Email Address: zack.bandes@bandesconstruction.coni Dated at 4:33pm this 27th day of January , A.Di, 20 26 SECTION V Page 12 of 16 Updated: 6/3/2024 SECTION V—Contract Documents CITY OF CLEARWATER ADDENDUM SHEET PROJECT: Air Park Terminal Acknowledgment is hereby made of the following addenda received since issuance of Plans and Specifications. Addendum No. 1 Date: 12/05/2025 Official Notice #1 12/15/2025 Addendum No. Date: Official Notice #2 Addendum No. Date: Addendum No. Addendum No. 2 3 Addendum No. 4 Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. 12/22/2025 Date: 01/27/2026 Date: 01/27/2026 Date: 02/05/2026 Date: Date: Date: Date: Date: Zachary Bandes (Name . : idder (Sign a of Officer Vice President (Title of Officer) 02/05/2026 (Date) SECTION V Page 13 of 16 Updated 6/3/2024 SECTION V — Contract Documents BIDDER'S PROPOSAL PROJECT: Air Park Terminal (23 -0015 -AP) CONTRACTOR: BIDDER'S GRAND TOTAL: $ BIDDER'S GRAND TOTAL: (Numbers) (Words) General Aviation Terminal, Terminal Site & Related Airfield Work Line Item Description Unit of Quantity Measure Unit Cost Bandes Construction Company, Inc Total SECTION V Page 15 of 30 Updated 7/9/2025 BUILDING & .COVERED. DROP OFF (17,837 SF) (Excluding Trellis Structure -Alternate 2) - BB -0 MOBILIZATION AND VERTICAL BUILDING CONTRACTING REQUIREMENTS DIV. 0 1 LS $380,000.00 $380,000.00 BB -1 GENERAL REQUIREMENTS DIV. 1 1 LS $30,000.00 $30,000.00 BB -2 SITE CONTRUCTION (WITHIN 5 FEET OF THE BUILIDNG PERIMETER; ALL OTHER SITE WORK INCLUDED IN BID TAB BELOW) DIV. 2 1 LS $5,000.00 $5,000.00 BB -3 CONCRETE DIV. 3 1 LS $656,000.00 $656,000.00 BB -4 MASONRY DIV. 4 1 LS $214,000.00 $214,000.00 BB -5 METALS DIV. 5 1 LS $817,000.00 $817,000.00 BB -6 WOOD, PLASTICS, AND COMPOSITES DIV. 6 1 LS $291,000.00 $291,000.00 BB -7 THERMAL AND MOISTURE PROTECTION DIV. 7 1 LS $412,000.00 $412,000.00 BB -8 OPENINGS DIV. 8 1 LS $1,146,000.00 $1,146,000.00 SECTION V Page 15 of 30 Updated 7/9/2025 SECTION V — Contract Documents BB -9 FINISHES 1 LS $991,000.00 $991,000.00 BB -10 SPECIALITIES DIV. 10 1 LS $172,000.00 $172,000.00 BB -11 EQUIPMENT DIV .11 1 LS $28,000.00 $28,000.00 BB -12 FURNISHINGS DIV. 12 1 LS $0.00 $0.00 BB -13 NOT USED BB -14 CONVEYING SYSTEMS DIV. 14 1 LS $112,000.00 $112,000.00 BB- 15a GA TERMINAL MECHANICAL AND PLUMBLING ELEMENTS 1 LS $1,194,000.00 $1,194,000.00 BB- 15b GA TERMINAL FIRE PROTECTION ELEMENTS DIV. 15 1 LS $101,000.00 $101,000.00 BB -16 GA TERMINAL ELECTRICAL, LIGHTING AND FIRE ALARM ELEMENTS 1 LS $1,141,000.00 $1,141,000.00 BUILDING SITE WORK, PARKING LOT, ROADWAYS, DRIVES &°ADJOINING TERMINAL APRON (Excluding Parking Lot Site Lighting -Alternated) BB -17 MOBILIZATION AND SITE CONTRACTING REQUIREMENTS DIV/SPEC 101-1 1 LS $150,000.00 $150,000.00 BB -18 TEMPORARY POLLUTANT DISCHARGE AND EROSION CONTROL PROTECTION AND NPDES PERMITTING DIV/SPEC NO 104 - 2 1 LS $30,000.00 $30,000.00 BB -19 CONTRACTOR QUALITY CONTROL PLAN (CQCP) DIV/SPEC NO. 105-1 1 LS $15,000.00 $15,000.00 BB -20 TOPSOIL STRIPPING DIV/SPEC NO. 110-8 1.25 ACRE $12,000.00 $15,000.00 BB -21 TREE PROTECTION DIV/SPEC NO. 110-21 5 EA $500.00 $2,500.00 BB -22 TREE REMOVAL DIV/SPEC NO. 110-23 24 EA $2,000.00 I $48,000.00 BB -23 REMOVAL OF PIPE AND OTHER BURIED STRUCTURES DIV/SPEC NO. 110-24 1 LS $12,000.00 $12,000.00 BB -24 REMOVAL OF EXISTING STRUCTURES (ABOVE GROUND), BUILDINGS DIV/SPEC NO. 110-25 1 LS $56,000.00 $56,000.00 BB -25 REMOVAL OF EXISTING STRUCTURES (ABOVE GROUND), CHAIN-LINK FENCE & GATES DIV/SPEC NO. 110-26 350 LF $5.00 $1,750.00 SECTION V Page 16 of 30 Updated: 7/9/2025 SECTION V — Contract Documents BB -26 CONCRETE PAVEMENT REMOVAL DIV/SPEC NO. 110-27 1200 SY $30.00 $36,000.00 BB -27 ASPHALT PAVEMENT REMOVAL DIV/SPEC NO. 110-28 5000 SY $10.00 $50,000.00 BB- 27a BITUNIINOUS ASPHALT MILLING (NOMINAL DEPTH) DIV/SPEC 110-29 325 SY $10.00 $3,250.00 BB -28 SUBSOIL EXCAVATION (UNSUITABLE) DIV./SPEC NO. 120-4 54 CY $94.00 $5,076.00 BB -29 EMBANKMENT (OFFSITE BORROW) DIV./SPEC. NO. 120-6 4050 CY $30.00 $121,500.00 BB -30 12" STABLIZIATION LBR 40 (OT 160) DIV/SPEC NO.160-4 7060 SY $16.00 $112,960.00 BB -31 LIME ROCK BASE COURSE, 8 INCH (APRON) DIV/SPEC NO. 230-1 1250 SY $30.00 $37,500.00 BB -32 6" OPTIONAL BASE GROUP (OT 285) DIV/SPEC NO. 285-7 7060 SY $20.00 $141,200.00 BB- 33a BITUMINOUS PRIME COAT DIV. /SPEC NO. 300-1 2000 GAL $5.00 $10,000.00 BB -33 1.5" SUPERPAVE ASPHALTIC CONCRETE (TYPE SP -9.5 TRAFFIC LEVEL C) DIV/SPEC NO. 334-1 450 TON $228.00 $102,600.00 BB -34 2" SP 12.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 BINDER DIV/SPEC NO.334-2 150 TON $272.00 $40,800.00 BB -35 2.25" SUPERPAVE ASPHALTIV CONCRETE (TYPE SP -12.5 TRAFFIC LEVEL C) DIV/SPEC NO. 334-3 300 TON $264.00 $79,200.00 BB -36 CONCRETE SLAB UNDER PAVERS DIV/SPEC NO.347-1 1655 SF $15.00 $24,825.00 BB -37 DITCH BOTTOM INLET, TYPE C DIV/SPEC NO. 425-1A 8 EA $5,545.00 $44,360.00 BB -38 DITCH BOTTOM INLET, TYPE H DIV/SPEC NO. 425-1B 3 EA $8,050.00 $24,150.00 BB -39 15" HDPE DRAINAGE PIPES DIV/SPEC NO.430-1 150 LF $60.00 $9,000.00 BB -40 24" HDPE DRAINAGE PIPES DIV/SPEC NO. 430-2 240 LF $100.00 $24,000.00 BB -41 6" PVC PIPE DIV/SPEC NO. 430-3 230 LF $40.00 $9,200.00 BB -42 10" PVC PIPE DIV/SPEC NO. 430-4 500 LF $70.00 $35,000.00 SECTION V Page 17 of 30 Updated: 7/9/2025 SECTION V — Contract Documents BB -43 12"x18" HERFCP DRAINAGE PIPES CLASS 4 DIV/SPEC NO. 449-1 289 LF $115.00 $33,235.00 BB -44 14"x23" HERCP DRAINAGE PIPES CLASS 4 DIV/SPEC NO. 449-2 138 LF $150.00 $20,700.00 BB -45 CONCRETE CURB AND GUTTER, DROP CURB DIV/SPEC NO. 520-1 616 LF $36.00 $22,176.00 BB -46 CONCRETE CURB, TYPE D DIV/SPEC NO. 520-2 1730 LF $28.00 $48,440.00 BB -47 CONCRETE SIDEWALK DIV/SPEC NO.522-1 685 SY $95.00 $65,075.00 BB- 47a MISCL. 6" CONCRETE PAVEMENT INCL. DUMPSTER PADS, ADA PARKING, APPROACH SLABS, ETC. DIV./SPEC NO. 522- 2 220 SY $90.00 $19,800.00 BB -48 CONCRETE WHEEL STOP DIV/SPEC NO. CLW 117 9 EA $100.00 $900.00 BB -49 DETECTABLE WARNING MATS (BLACK) DIV/SPEC NO. 527-2 166 SR $40.00 $6,640.00 BB -50 CHAIN-LINK FENCE BLACK VINYL COATED 6 -FT DIV/SPEC NO. 550-10 225 LF $0.00 $0.00 BB -51 SINGLE COLUMN GROUND SIGN (ADA PARKING SIGN) DIV/SPEC NO. 700-1A 5 EA $700.00 $3,500.00 BB -52 SINGLE COLUMN GROUND SIGN (STOP SIGN) DIV/SPEC NO. 700 -IB 3 EA . $500.00 $1,500.00 BB -53 SINGLE COLUMN GROUND SIGN (NO ENTRY SIGN) DIV/SPEC NO. 700-1C 1 EA $500.00 $500.00 BB -54 PAINTED PAVEMENT MARKING WITH REFLECTIVE MEDIA, WHITE, CROSSWALK DIV/SPEC NO. 710-10 120 SF $4.00 $480.00 BB -55 PAINTED PAVEMENT MARKING STANDARD, WHITE, SOLID FOR 24" STOP LINE DIV/SPEC NO. 710-11 75 SF $4.00 $300.00 BB -56 PAINTED PAVEMENT MARKING STANDARD, WHITE, MESSAGE "STOP" DIV/SPEC NO. 710-12 3 EA $62.00 $186.00 BB -57 PAINTED PAVEMENT MARKING STANDARD, WHITE, MESSAGE "ONE WAY: DIV/SPEC NO. 710-12 2 EA $62.00 $124.00 BB -58 PAINTED PAVEMENT MARKING STANDARD, WHITE, ARROWS DIV/SPEC NO.710-13 2 EA $62.00 $124.00 BB -59 PAINTED PAVEMENT MARKING STANDARD, WHITE, HANDICAPPED LOGO DIV/SPEC NO. 710-15 5 EA $275.00 $1,375.00 BB -60 PAINTED PAVEMENT MARKING STANDARD, WHITE, SOLID 6" DIV/SPEC NO. 710-16 1300 SF $6.00 $7,800.00 SECTION V Page 18 of 30 Updated: 7/9/2025 SECTION V — Contract Documents BB -61 PAINTED PAVEMENT MARKING STANDARD BLUE, SOLID 6" DIV/SPEC NO.710-17 100 SF $7.00 $700.00 BB -62 PAINTED PAVEMENT MARKING STANDARD YELLOW, SOLID 6" DIV/SPEC NO. 710-18 100 SF $7.00 $700.00 BB- 62a 'PAINTED FIRE LANE MARKING STANDARD, RED SOLID 6" DIV./SPEC NO. 710-19 360 SF $8.00 $2,880.00 BB -63 SANITARY SEWER MANHOLE DIV/SPEC NO. CLW302 2 EA $7,500.00 $15,000.00 BB -64 SANITARY SEWER CLEANOUT DIV/SPEC NO. CLW 304 2 EA $1,500.00 $3,000.00 BB -65 4" SANITARY SEWER LINE DIV/SPEC NO. CLW 305 35 LF $50.00 $1,750.00 BB -66 6" SANITARY SEWER LINE DIV/SPEC NO. CLW 305 50 LF $75.00 $3,750.00 BB -67 8" SANITARY SEWERE LINE DIV/SPEC NO. CLW 305 270 LF $75.00 $20,250.00 BB -68 2" POTABLE WATER MAIN LINE DIV/SPEC NO. CLW 403 131 LF $50.00 $6,550.00 BB -69 6" FIRE PROTECT LINE DIV/SPEC NO.CLW 403 180 LF $150.00 $27,000.00 BB -70 FIRE HYDRANT AND BOLLARDS DIV/SPEC NO. CLW 409-1 1 EA $15,000.00 $15,000.00 BB -71 2" WATER METER AND BACKFLOW PREVENTER ASSEMBLE DIV/SPEC NO. CLW 410-1 1 EA $12,000.00 $12,000.00 BB -72 DDCVA BACKFLOW PREVENTER DIV/SPEC NO. CLW 410-2 1 EA $18,000.00 $18,000.00 BB -73 ISOLATION VALVE, 6" DIV/SPEC NO. CLW 400-1 2 EA $2,500.00 $5,000.00 BB -74 6"x6" TEE DIV/SPEC NO. CLW 400-2 1 EA $2,000.00 $2,000.00 BB -75 2" TAPPING SLEEVE VLAVE DIV/SPEC NO. CLW 400-3 1 EA $3,000.00 $3,000.00 BB -76 30 DEGREE ELBOW WITH RESTRAINED JOINTS DIV/SPEC NO. CLW400-4 1 EA $1,500.00 $1,500.00 BB -77 TRAFFIC RATED VAULT FOR EXISTING RECLAIMED WATER METER DIV/SPEC NO. CLW400-5 1 EA $5,000.00 $5,000.00 BB -78 DOUBLE DUMPSTER ENCLOSURE WITH (2) DOUBLE 6' SWING GATES DIV/SPEC NO. CLW 701 1 EA $15,500.00 $15,500.00 SECTION V Page 19 of 30 Updated: 7/9/2025 SECTION V — Contract Documents BB -79 IRRIGATION -COMPLETE DIV/SPEC NO.CLW 900 1 LS $36,000.00 $36,000.00 BB -80 LANDSCAPING -COMPLETE DIV/SPEC NO. CLW 900 1 LS $103,000.00 $103,000.00 BB -81 12" YARD DRAIN GATE DIV/SPEC NO. GEN - 01 1 EA $2,300.00 $2,300.00 BB -82 6" ROUND DRAIN WITH RAIN CHAIN DIV/SPEC NO.GEN-02 6 EA $2,000.00 $12,000.00 BB -83 24" ROUND CATCH BASIN WITH SOLID COVER DIV/SPEC NO. GEN -03 4 EA $5,000.00 $20,000.00 BB -84 3"4"x6" DOWNSPOUT DIV/SPEC NO. GEN -04 18 EA $700.00 $12,600.00 BB -85 BLACK VINYL FENCE GFT DIV/SPEC NO.GEN-05 - 250 LF $50.00 $12,500.00 BB -86 BIKE RACK DIV./SPEC NO. GEN -06 1 EA $2,500.00 $2,500.00 BB -87 ELECTRICAL SLIDING GATE DIV/SPEC NO. GEN -07 2 EA $17,250.00 $34,500.00 BB -88 4' GATE WITH ADA COMPLIANT MECHANICAL PUSH BUTTON LOCK DIV/SPEC NO. GEN -08 3 EA $3,800.00 $11,400.00 BB -89 6' DOUBLE GATE WITH ADA COMLIANT MECHANICAL PUSH BUTTON LOCK DIV/SPEC NO. GEN -09 1 EA $7,950.00 $7,950.00 BB -90 TRAFFIC RATED COVER FOR EXISTING FIBER VAULT DIV/SPEC NO. GEN -10 1 EA $4,000.00 $4,000.00 BB -91 UNDERGROUND ELECTRICAL -EXCLUDING BUILDING, HIGH MAST POLES, LUMINAIRES AND FOUNDATIONS DIV/SPEC NO. GEN -11 1 LS $8,500.00 $8,500.00 BB -92 COORDINATE WITH DUKE ENERGY - OVERHEAD POWER LINE REMOVAL AND OTHER ENERGY EQUIPMENT DIV/SPEC NO. GEN -12 1 LS $1,500.00 $1,500.00 BB -93 FIRE PROTECTION DESIGN AND CONNECTION FROM DDCVA TO BUILDING, INCLUDING, FDC, PIV, FIRE HYDRANT, ETC AS REQUIRED BY A LICENSED CLASS 1, 2, OR 5 FIRE PROTECTIONS SYSTEM CONTRACTOR DIV/SPEC NO. GEN -13 1 LS $5,000.00 $5,000.00 BB -94 UNDERGROUND COMMUNICATIONS CONDUIE DIV./SPEC NO. GEN -14 810 LF $22.00 $17,820.00 BB -95 17"x30"x36" COMMUNICATION BOX DIV./SPEC NO. GEN -15 4 EA $2,000.00 $8,000.00 SECTION V Page 20 of 30 Updated: 7/9/2025 SECTION V — Contract Documents SECTION V Page 21 of 30 Updated: 7/9/2025 ALLOWANCES BB -96 ALLOWANCE # 1 -OWNER DIRECTED ADJUSTMEENT TO PROJECT CONDITIONS (UNFORSEEN/HIDDEN CONDITIONS) DIV/SPEC NO. SPEC 01210 --ENTER $250,000 1 LS $250,000.00 $250,000.00 BB -97 ALLOWANCE #2 -QA TESTING AND INSPECTION (OWNER DIRECTED)(EXCLUDES GC REQUIRED TESING OF MATIERAL PER CONTRACT DOCUMENTS) DIV/SPEC NO. SPEC 01210 -- ENTER $35,000 1 LS $35,000.00 $35,000.00 BB -98 ALLOWANCE #3 -PERMITTING & IMPACT FEES DIV/SPEC NO. SPEC 01210 --ENTER $100,000 1 LS $100,000.00 $100,000.00 BB -97 ALLOWANCE #4-FBO, LOBBY, MEETING ROOM FURNISHINGS AND FURNITURE DIV/SPEC NO. SPEC 01210 --ENTER $175,000 1 LS $175,000.00 $175,000.00 BB -98 GENERAL CONDITIONS (6% MAX) 1 LS $660,000.00 $660,000.00 OVERHEAD & PROFIT INCLUDED IN GC'S ADD ALTERNATE 1- PARKING LOT SITE LIGHTING Total t I uantit , Unit of Measure ; . Unit Cost $10,84,1,876.00 (REFER Line Item ALT- 1.0 TO SPEC 01230 FOR SCOPE) Descri tion PARKING LOT LIGHTING SYSTEM & WIRING DIV/SPEC NO. DIV. 16 1 LS $89,000.00 89000 ADD ALTERNATE Line Item ALT 2.1 { � � t � {{ k3 F' Y Y fi . � .��„ ti �� ,,, � ._,._�..� 2- TRELLIS STRUCTURE (REFER Description TRELLIS STRUCTURE, ELECTRICAL WORK & CONNECTING/ADJONING SIDEWALKS (SITE GRADING AND SODDING TO REMAIN IN BASE BID) DIV/SPEC NO. DIV. 3-16 I ° ' ,,Total. aha TO SPEC 01230 Quantity 1 , k B FOR SCOPE) Unit of Measure LS .$ �� .t�� _'° Unit Cost $218,173.00 } .,,$8900000. , Total $218,173.00 ALT 2.2 CONCRETE SLAB UNDER PAVERS DIV/SPEC NO. 347-1 2060 SF $37.00 $76,220.00 OVERHEAD & PROFIT INCLUDED IN GC'S ., SECTION V Page 21 of 30 Updated: 7/9/2025 SECTION V - Contract Documents ADD ALTERNATE 01230 FOR Line Item 3-AIRGIELD AND TAXIWAY IMPROVEMENTS SCOPE) Description Total : Quantity (REFER TO Unit of Measure EA � SPEC Unit Cost $400.00 $294,393.00j Total $2,000.00 ALT 3.1 TEMPORARY INLET PROTECTION DIV/SPEC NO. C -102-5.1a 5 ALT 3.2 SOIL TRACKING PREVENTION DEVICE DIV/SPEC NO. C -102-5.1b 1 EA $10,500.00 $10,500.00 ALT 3.3 SYNTHETIC BALES DIV/SPEC NO. C-102-5.Ic 50 LF $50.00 $2,500.00 ALT 3.4 INSTALLATION AND REMOVAL OF SILT FENCE DIV/SPEC NO. C-102-5.Ie 375 LF $6.00 $2,250.00 ALT 3.5 CONCRETE PAVEMENT DEMOLITION DIV/SPEC NO. P-101-3 335 SY $30.00 $10,050.00 ALT 3.6 PAVEMENT REMOVAL (INCL. PIPE INSTALL) DIV/SPEC NO. P 101-5.1 500 SY $22.00 $11,000.00 ALT 3.7 COLD MILLING DIV/SPEC NO. 10105.6 1100 SY $20.00 $22,000.00 ALT 3.8 REMOVAL OF MITERED END SECTIONS AND OTHER BURIED STRUCTURES DIV/SPEC NO. P-101-5.7 9 EA $1,500.00 $13,500.00 ALT 3.9 REMOVAL OF 12"-36"RCP DIV/SPEC NO. P- 101-5.8 70 LF $40.00 $2,800.00 ALT 3.10 REMOVAL OF 6"-18" CMP, DIP OR PVC DIV/SPEC NO. P-101-5.9 400 LF $25.00 $10,000.00 ALT 3.11 DITCH CLEANING DIV/SPEC NO. P-152-2.4 0.25 AC $35,000.00 $8,750.00 ALT 3.12 UNCLASSIFIED EXCAVATION DIV/SPEC NO. P-152-4.1 2500 CY $20.00 $50,000.00 ALT 3.13 2" SP 12.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 BINDER DIV/SPEC NO. FL -334-1 150 TON $623.00 $93,450.00 ALT 3.14 EMULFIGIED ASPHALT PRIME COAT DIV/SPEC NO. P-602-5.1 330 GAL $6.00 $1,980.00 ALT 3.15 6" CONCRETE SLAB REPLACEMENT DIV/SPEC NO. P-610-1 336 SY $135.00 $45,360.00 ALT 3.16 36 INCH RCP, CLASS 4 DIV/SPEC NO. D-701- 5.1a 66 LF $225.00 $14,850.00 SECTION V Page 22 of 30 Updated: 7/9/2025 SECTION V - Contract Documents ALT 3.17 18 INCH HDPE DIV/SPEC NO. D-701-5.Ib 888 LF $90.00 $79,920.00 ALT 3.18 24 INCH HDPE DIV/SPEC NO. D -701-5.1c 296 LF $145.00 $42,920.00 ALT 3.19 FDOT DITCH BOTTOM INLET, TYPE C DIV/SPEC NO. D -751-5.3a 2 EA $6,545.00 $13,090.00 ALT 3.20 FDOT DITCH BOTTOM INLET, TYPE H DIV/SPEC NO. D -75105.3b 3 EA $9,455.00 $28,365.00 ALT 3.21 MITERED END SECTION, DOUBLE, 18" HDPE DIV/SPEC NO. D -751-5.4a 3 EA $4,000.00 $12,000.00 ALT 3.22 MITERED END SECTION, DOUBLE, 24" HDPE DIV/SPEC NO. D -751-5.4b 1 EA $6,000.00 $6,000.00 ALT 3.23 MITERED END SECTION, SINGLE, 15" RCP DIV/SPEC NO. D751 -54c 2 EA $3,490.00 $6,980.00 ALT 3.24 MITERED END SECTION, SINGLE, 36" RCP DIV/SPEC NO. D -751-5.4d 2 EA $9,000.00 $18,000.00 ALT 3.25 CHAIN -INK FENCE DIV/SPEC NO. F-162-5.1 55 LF $60.00 $3,300.00 ALT 3.26 PERFORATED UNDERDRAIN PIPE, 6" DIV/SPEC NO. FL -440-1 1180 LF $65.00 $76,700.00 ALT 3.27 NON -PERFORATED UNDERDRAING CARRIER PIPE. 8" DIV/SPEC NO.FL-440-2 1080 LF $88.00 $95,040.00 ALT 3.28 CLEANOUT, 6" DIV/SPEC NO. FL -440--3 28 EA $1,200.00 $33,600.00 ALT 3.29 30 MIL PVC GEOSYNTHETIC POND LINER DIV/SPEC NO. FL -514-1 1800 SY $80.00 $144,000.00 ALT 3.30 RIPRAP, RUBBLE (DITCH LINING) DIV/SPEC NO. FL -530-1 10 TON $800.00 $8,000.00 ALT 3.31 PERMANENT PAINTED PAVEMENT MARKING, BLACK WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2b 320 SF $15.00 $4,800.00 ALT 3.32 PERMANENT PAINTED PAVEMENT MARKING, YELLOW WITH REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2c 65 SF $18.00 $1,170.00 ALT 3.33 SODDING DIV/SPEC NO. T-904-5.1 14500 SY $5.00 $72,500.00 OVERHEAD & PROFIT INCLUDED' IN GC'S SECTION V Page 23 of 30 Updated: 7/9/2025 SECTION V - Contract Documents SECTION V Page 24 of 30 Updated: 7/9/2025 Tota lu =a_ . $947,375.00.. ADD ALTERNATE A3, A4, SCOPE) Line Item 4 -MARKING REMOVAL, SEALCOAT A5 AND SEALCOAT TAXILANE A, A -B, B-C,C-D, Description TAXIWAY D -E (REFER Quantity 6280 A & CONNECTORS TO SPEC Unit of Measure SF 01230 FOR Unit Cost $2.25 $14,130.00 ALT 4.1 EXISTING MARKING REMOVAL @ TAXIWAY A & CONNECTORS A3, A4, A5 DIV/SPEC NO. P-101-1.1 ALT 4.2 PERMANENT PAINTED PAVEMENT MARKING, BLACK WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2b 3550 SF $5.00 $17,750.00 ALT 4.3 PERMANENT PAINTED PAVEMENT MARKING, YELOW IWTH REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2c 2000 SF $5.00 $10,000.00 ALT 4.4 TEMPORARY PAINTED PAVEMENT MARKING, YELLOW WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. 620-5.2d 1300 SF $5.00 $6,500.00 ALT 4.5 TEMPORARY PAINTED PAVEMENT MARKING, YELLOW WITH REFLECTIVE MEDIA (AT HOLD BAR LOCATIONS) DIV/SPEC NO. P -620-5.2e 650 SF $6.00 $3,900.00 ALT 4.6 SEALCOAT TAXIWAY 1 & CONNECTORS A3,A4,A5 DIV/SPEC NO. P-623-8.1 7530 SY $4.50 $33,885.00 ALT 4.7 SEALCOAT TAXILANE A, A -B, B -C, C -D, D -E DIV/SPEC NO. P-623-8.1 5820 SY $4.50 $26,190.00 OVERHEAD & PROFIT INCLUDED IN GC'S $112,355.00 ADD ALTERNATE (REFER Line Item q 4 L Jrit4. £E # ,... , 5 -PAVEMENT REMOVAL AND PAVE TO SPEC 01230 FOR SCOPE) Description 64 CSN ;To tal T -HANGAR Quantity N n TAXI L Unit of Measure Ck ONES Unit Cost $8.00 $42,792.00 ALT 5.1 COLD MILLING DIV/SPEC NO. P-101-5.6 5349 SY ALT 5.2 2" SP 9.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 BINDER DIV/SPEC NO. FL -334-1 415 TON $348.00 $144,420.00 ALT 5.3 EMULSIFIED ASPHALT PRIME COAT DIV/SPEC NO. P-602-5.1 426 GAL $7.50 $3,195.00 ALT 5.4 PERMANENT PAINTED PAVEMENT MARKING, BLACK WITHOUT REFLECTIVE 1000 SF $5.00 $5,000.00 SECTION V Page 24 of 30 Updated: 7/9/2025 SECTION V — Contract Documents SECTION V Page 25 of 30 Updated: 7/9/2025 MEDIA DIV/SPEC NO. P -620-5.2b ALT 5.5 PERMANENT PAINTED PAVEMENT MARKING, YELLOW WITH REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2c 500 SF $7.00 $3,500.00 ALT 5.6 TEMPORARY PAINTED PAVEMENT MARKING, YELLOW WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P-620- 5.2d 500 SF $6.00 $3,000.00 OVERHEAD & PROFIT INCLUDED IN GC'S ADD ALTERNATE H (REFER Line Item ALT 6.1 =m 6 -MILLING AND ASHPALT OVERLAY TO SPEC 01230 FOR SCOPE) Description COLD MILLING DIV/SPEC NO. P-101-5.6 Total AT T -HANGAR Quantity q BUILDINGS Unit of Measure r. G- Unit Cost $201907.00_` 1419 SY $28.00 $39,732.00 ALT 6.2 2" SP 12.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 BINDER DIV/SPEC NO. FL 334-1 155 TON $577.00 $89,435.00 ALT 6.3 EMULSIFIED ASPHALT TACK COAT DIV/SPEC NO. P-602-1 150 GAL $9.00 $1,350.00 OVERHEAD & PROFIT INCLUDED IN GC'S ADD ALTERNATE SCOPE; Line Item �� rt � 7 MILL AND OVERLAY HANGAR Description ;Total .,f+. APRON (REFER Quantity TO SPEC Unit of Measure ��E' ! 01230 FOR Unit. Cost ..$130,517.00�.�` ALT 7.1 COLD MILLING DIV/SPEC NO. P-101-5.6 3190 SY $12.00 $38,280.00 ALT 7.2 2-1/4" SP 12.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 DIV/SPEC NO. FL -334-1 431 TON $306.00 $131,886.00 ALT 7.3 EMULSIFIED ASPHALT TACK COAT DIV/SPEC NO. P-602-1 1120 GAL $5.00 $5,600.00 ALT 7.4 PERMANENT PAINTED PAVEMENT MARKING, BLACK WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2b 400 SF $6.00 $2,400.00 SECTION V Page 25 of 30 Updated: 7/9/2025 SECTION V -Contract Documents ALT 7.5 PERMANENT PAINTED MARKING, YELLOW WITH REFLECTIVE MEDIA DIV/SPEC NO. P- 620-5.2C 150 SF $20.00 $3,000.00 ALT 7.6 TEMPORARY PAINTED PAVEMENT MARKING, YELLOW WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P-620- 5.2d 100 SF $20.00 $2,000.00 ALT 7.7 PERMANENT PAINTED PAVEMENT MARKING, WITH REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2C 290 SF $15.00 $4,350.00 OVERHEAD & PROFIT INCLUDED IN GC'S ADD ALTERNATE TO SPEC Line Item r i -j j 8 -CENTER TAXIWAY REMOVAL AND 01230 FOR SCOPE) Description Total RECONSTRUCTION Quantity Unit of Measure (REFER Unit Cost ` $187,516.00 $2,000.00 ALT 8.1 CONTRACTOR QUALITY CONTROL PLAN (CQCP) DIV/SPEC NO. C-100-1 1 LS $2,000.00 ALT 8.2 TEMPORARY INLET PROTECTION C-102- 5.1a 5 EA $400.00 $2,000.00 ALT 8.3 SOIL TRACKING PREVENTION DEVICE DIV/SPEC NO. C -102-5.1b 1 EA $11,000.00 $11,000.00 ALT 8.4 SYNTHETIC BALES DIV/SPEC NO. DIV/SPEC NO. C -102-5.1c 50 LF $70.00 $3,500.00 ALT 8.5 INSTALLATION AND REMOVAL OF SILT FENCE DIV/SPEC NO. C -102-5.1e 375 LF $7.00 $2,625.00 ALT 8.6 PAVEMENT REMOVAL DIV/SPEC NO. P 101- 5.1 2600 SY $7.00 $18,200.00 ALT 8.7 CLEARING DIV/SPEC NO. P-151-4.4 0.25 ACRE $25,000.00 $6,250.00 ALT 8.8 TOPSOIL STRIPPING DIV/SPEC NO. P-151-4.4 1.8 ACRE $15,000.00 $27,000.00 ALT 8.9 UNCLASSIFIED EXCAVATION DIV/SPEC NO. P-152-4.1 1000 CY $20.00 $20,000.00 ALT 8.10 SHOULDER EDGE GRADING/DRESSING IN EXISTING TAXILANE AREAS DIV/SPEC NO. P-152-4.2 330 SY $15.00 $4,950.00 ALT 8.11 OPTIONAL BASE GROUP 6-(8"LIMEROCK LBR 100 OR EQUIVELANT) DIV/SPEC NO. FL -285-1 6454 SY $25.00 $161,350.00 SECTION V Page 26 of 30 Updated: 7/9/2025 SECTION V - Contract Documents ALT 8.12 2" SP 12.5 SUPERPAVE ASPHALT PAVEMENT WITH POLYMER MODIFIED PG76-22 BINDER DIV/SPEC NO. FL -334-1 769 TON $344.00 $264,536.00 ALT 8.13 EMULSIFIED ASPHALT PRIME COAT DIV/SPEC NO. P-602-5.1 1880 GAL $7.00 $13,160.00 ALT 8.14 PERMANENT PAINTED PAVEMENT MARKING, BLACK WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.2b 1500 SF $6.00 $9,000.00 ALT 8.15 PERMANENT PAINTED PAVEMENT MARKING, YELLOW WITH REFLECTIVE MEDIA DIV/SPEC NO. P -620-5.c 710 SF $12.00 $8,520.00 ALT 8.16 TEMPORARY PAINTED PAVEMENT MARKING, YELLOW WITHOUT REFLECTIVE MEDIA DIV/SPEC NO. P-620- 5.2D 410 SF $12.00 $4,920.00 ALT 8.17 AIRCRAFT TIE -DOWN ANCHOR DIV/SPEC NO. P-650-1 57 EA $1,280.00 $72,960.00 ALT 8.18 SODDING DIV/SPEC NO. T-904-5.1 14500 SY $6.00 $87,000.00 ALT 8.19 NO. 8 AWG, 5kV, L-824, TYPE C CABLE INSTALLED IN IN TRENCH, DUCT BANK OR CONDUIT DIV/SPEC NO. L-108-5.2 460 LF $10.00 $4,600.00 ALT 8.20 NO. 6, AWG, SOLID BARE COPPER COUNTERPOISE WIRE, INSTALLED IN TRENCH, INCLUDING GROUND RODS AND GROUND CONNECTORS DIV/SPEC NO. L- 108-5.3 250 LF $10.00 $2,500.00 ALT 8.21 NON-ENCASED ELECTRICAL CONDUIT, 1 - WAY 2 -INCH (50MM) C DIV/SPEC NO. L-110- 5.2 262 LF $20.00 $5,240.00 ALT 8.22 ELECTRICAL JUNCTION STRUCTURE, L - 867D BASE CAN DIV/SPEC NO. L-115-5.2 3 EA $5,500.00 $16,500.00 OVERHEAD AND PROFIT INCLUDED IN GC'S -,p ¢ S v, r ADD ALTERNATE 9 -BUILDER'S RISK POLICY COSTS SCOPE) Line Item Description `'Total , = x (REFER TO Quantity ", SPEC 01230 Unit of Measure ft FOR Unit Cost ,. , $747,811.00" Total $107,000.00 ALT 9.1 BUILDER'S RISK POLICY FOR CONTRACT DIV/SPEC NO. DIV 0 1 LS $107,000.00 OVERHEAD & PROFIT INCLUDED IN GCS SECTION V Page 27 of 30 Updated: 7/9/2025 SECTION V—Contract Documents THE BIDDER'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 TABULATION FROM THE UNIT PRICES AND LUMP SUM PRICE BID. IF THERE IS AN ERROR IN THE TOTAL BY THE BIDDER, IT SHALL BE CHANGED AS ONLY THE UNIT PRICES AND LUMP SUM PRICE SHALL GOVERN. THE CONTRACTOR SHALL PROVIDE COPIES OF A CURRENT CONTRACTOR LICENSE/REGISTRATION WITH THE STATE OF FLORIDA AND PINELLAS COUNTY IN THE BID RESPONSE. SECTION V Page 28 of 30 Updated: 7/9/2025 Total - q $107,000.00 THE BIDDER'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 TABULATION FROM THE UNIT PRICES AND LUMP SUM PRICE BID. IF THERE IS AN ERROR IN THE TOTAL BY THE BIDDER, IT SHALL BE CHANGED AS ONLY THE UNIT PRICES AND LUMP SUM PRICE SHALL GOVERN. THE CONTRACTOR SHALL PROVIDE COPIES OF A CURRENT CONTRACTOR LICENSE/REGISTRATION WITH THE STATE OF FLORIDA AND PINELLAS COUNTY IN THE BID RESPONSE. SECTION V Page 28 of 30 Updated: 7/9/2025 SCRUTINIZED COMPANIES FORMS SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATION FORM IF YOUR BID/PROPOSAL IS $1,000,000 OR MORE, THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID/PROPOSAL. FAILURE 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 wi . ctivities in S dan List, the crutinized Companies with Activities in the Iran Petroleum Sector List, or -gein busin s . sera 'ons in C •a and Syria. STATE OF Florida COUNTY OF Pinellas Au •� ed Signature Zachary Bandes Printed Name Vice President Title Bandes Construction Company, Inc. Name of Entity/Corporation The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on, this 27th day of January , 20 26 by Zachary Bandes (name of person whose signature is being notarized) as the Vice President (title) of Bandes Construction Company (name of corporation/entity), personally known x , or produced Personally Known (type of identification) as identification, and who did/did not take an oath. 1�*'"o; Sheyla Santiago Commission# HH 592809 rc •Commission Expires 09.124028 .„�. Bonded Through - Cynanota y 'fiO PP Florida - Notary. Public 1 My Commission Expires: 09-12-28 NOTARY SEAL ABOVE arm, Notary Public Notary- Sheyla Santiago Printed Name SCRUTINIZED COMPANIES FORMS SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID/PROPOSAL. FAILURE 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 that Boycott Israel List, or engaged in a boycott of Israel; and 2. The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible to participate in this solicitation and is not listed on the Scrutinized Companies that Boycott Israel List, or engaged in a boycott of Israel; and 3. "Boycott Israel" or "boycott of Israel" means refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing business in Israel or in Israeli -controlled territories, in a discriminatory manner. A statement by a company that it is participating in a boycott of Israel, or that it has initiated a boycott in response to a request for a boycott of Israel or in compliance with, or in furtherance of, calls for a boycott of Israel, may be considered as evidence that a company is participating in a boycott of Israel; 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 that Boycott Israel List, or engaged in a boycott of Israel. STATE OF Florida COUNTY OF Pinellas Aut`hc7fized Signature Zachary Bandes Printed Name Vice President Title Bandes Construction Company, Inc. Name of Entity/Corporation The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on, this 27th day of January 20 26 by Zachary Bandes (name of person whose signature is being notarized) as the Vice President (title) of Bandes Construction Company (name of corporation/entity), personally known x or produced Personally Known (type of identificatioas identification, and who did/did not take an oath. Sheyla Santiago Commtasion # HH 592809 •Commis5loh Expires 09-12-2028 Bonded Through • Cynanotary. Florida Notary Public My Commission Expires: 09-12-28 NOTARY SEAL ABOVE Notary Public Notary- Sheyla Santiago Printed Name Compliance with Anti -Human Trafficking Laws Pursuant to Section 787.06 (13), Florida Statutes, this form must be completed by an officer or representative of a non-governmental entity when a contract is executed, renewed, or extended between the non-governmental entity and the City of Clearwater. The undersigned, on behalf of the entity listed below ("Entity"), hereby attests under penalty of perjury that: Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. The undersigned is authorized to execute this form on beh Date: January 27 , 20_25 Signed: Entity: Bandes Construction Company f En Name: Zachary Bandes Title: Vice President o4- , Ron DeSantis, Governor, Melanie S. Griffin, Secretary ,, - c :., ilif .- b STATE'OF FLORIDA` .y boa, wE Florida • DEPARTMENT OF BUSINESS ANDPROFESSIONAL REGULATION CONSTRUCTIONwINDU TRYpLICENSING.BOARD HEREIN IS CERT THE GENERAL CONTRACTOR H � �IF,IED UNDER THE PROVISIONS O . CHAPTE�R�,4 9, '� IDA-1'TT TES ,. • - . ._ .. _ .. �t..'_ P W� .F°,.. ®�ES, J I L �Op I $A DL Nb TR " 1-368 DID D • CTIQNry COMP`Ai NC: w �" l`s i RSO FD�U� �� X3469 � l ter.,.' �z'-�" LICENSE NUMBER...4CGC1523651� EXPIRATION DATE:.:A000ST 31 `2026 Always verify licenses online at MyFloridaLicense conn ■ lig ■ ISSUED: 07/08/2025 .r_. . tirti . 7 D not alterthis document in any form • .V.ii114.1:1, . This is your license It is unlawful for anyone other than the licensee to use this document.; AccoR�® `� CERTIFICATE OF LIABILITY INSURANCE L.---- DATE (MM/DD/YYYY) 12/17/2025 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bowen, Miclette & Britt of Florida, LLC 850 Concourse Parkway S Suite #105 Maitland FL 32751 CONTACT NAME: Michelle Rushing PHONE FAX No): 407-628-1635 (AIC. No. Extl: 407-647-1616 ADDRESS: mrushing@bmbinc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Insurance Co of the West 27847 INSURED BANDESCONS Bandes Construction Co., Inc. 1368 Spalding Rd Ste C Dunedin FL 34698 INSURER B : Pacific Insurance Co 7015418560 INSURER c: Continental Ins Co 35289 INSURER D: Continental Casualty Co. 20443 INSURER E : $ 100,000 INSURER F : COVERAGES CERTIFICATE NUMBER: 1794354032 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR MD POLICY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS C X COMMERCIAL GENERAL LIABILITY Y Y 7015418560 8/29/2025 829/2026 EACH OCCURRENCE _ $1,000,000DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 15,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES ET -LOC PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ D AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED HIRED SAUTOS X — SCHEDULED AUTOS NOTOSWNED Y Y 7015418557 8/29/2025 8/29/2026 COMBINED SINGLE LIMIT (Ea accident) $ 1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE(Per $ $ C X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE Y Y 8033210975 8/2912025 8/29/2026 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED X RETENTION $ 0 A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY Y / N ANYIPROPRIETOR/EXCLUDED? ECUTIVE N O(Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WFL506193404 8/29/2025 829/2026 X STATUTE ETH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 B ProfessionaL/Pollution Y Y 13CPIGC9512 8/29/2025 8/29/2026 Each Claim 2,000,000 Aggregate 2,000,000 Self Insd Retention 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is requl ed) RE: Palm Harbor Recreation Center Addition Step 2; #26 -0011 -ITB -C Step 2 The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing contact person shown above. When required by written contract, those parties listed in said contract, including the certificate holder, are added as an additional insured with respect to the general liability, including on-going and completed operations, auto liability and excess liability as afforded by the policy and/or endorsements. See Attached... CERTIFICATE HOLDER CANCELLATION Pinellas County, a Political Subdivision of the State of Florida 400 S Fort Harrison Ave. Clearwater FL 33756 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD AGENCY CUSTOMER ID: BANDESCONS LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Bowen, Miclette & Britt of Florida, LLC NAMED INSURED Bandes Construction Co., Inc. 1368 Spalding Rd Ste C Dunedin FL 34698 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE When required by written contract, waiver of subrogation, with respect to the general liability, auto liability, worker's compensation and excess is granted to those parties listed in said contract, including the certificate holder. The general liability, auto liability, and excess liability certified herein are primary and non-contributory to other insurance available, but only to the extent required by written contract. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD State of Florida Department of State I certify from the records of this office that BANDES CONSTRUCTION COMPANY, INC. is a corporation organized under the laws of the State of Florida, filed on January 12, 1987. The document number of this corporation is J51911. I further certify that said corporation has paid all fees due this office through December 31, 2025, that its most recent annual report/uniform business report was filed on October 1, 2025, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the First day of October, 2025 Tracking Number: 8224868480CC To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https://services.sunbiz. org/Filings/CertificateOfStatus/CertificateAuthentication Form W-9 (Rev. March 2024) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) BANDES CONSTRUCTION COMPANY, INC. Print or type. See Specific Instructions on page 3. 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. • Individual/sole proprietor U C corporation fil S corporation • Partnership U Trust/estate • LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. • Other (see instructions) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See Instructions ll (Applies to accounts maintained outside the United States) 5 Address (number, street, and apt. or suite no.). See instructions. 1368 SPALDING ROAD Requester's name and address (optional) 6 City, state, and ZIP code DUNEDIN, FLORIDA 34698 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other Social security number - - entitles, It is your employer Identification number (EIN). If you do not have a number, TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. or Employer identification number 5 9 2 8 1 7 6 8 4 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and div i..- ' ou are n. re. u to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Signature of Here U.S. person General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. What's New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. Date 01/01/2026 New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) Form W-9 (Rev. 3-2024) Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information retum. Examples of information retums include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid). • Form 1099 -DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099 -NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third -party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don't return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non -foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441-1474). Under those rules, if a Form W-9 or other certification of non -foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non -foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non -foreign status to avoid withholding. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(1)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non -foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non -foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third -party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax retum. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under "By signing the filled - out form" above (for reportable interest and dividend accounts opened after 1983 only). Form W-9 (Rev. 3-2024) Page 3 Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier. What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must fumish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies. Penalties Failure to fumish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax retum. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant Enter your individual name as it was entered on your Form W-7 application, line 1 a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or "doing business as" (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity's name as shown on the entity's tax retum on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner's name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2. Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) ... THEN check the box for ... • Corporation Corporation. • Individual or • Sole proprietorship Individual/sole proprietor. • LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation Limited liability company and enter the appropriate tax classification: P = Partnership, C = C corporation, or S = S corporation. • Partnership Partnership. • Trust/estate Trust/estate. Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply. Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third -party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2). Form W-9 (Rev. 3-2024) Page 4 2—The United States or any of its agencies or instrumentalities. 3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. 4—A foreign govemment or any of its political subdivisions, agencies, or instrumentalities. 5—A corporation. 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory. 7—A futures commission merchant registered with the Commodity Futures Trading Commission. 8—A real estate investment trust. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940. 10—A common trust fund operated by a bank under section 584(a). 11—A financial institution as defined under section 581. 12—A middleman known in the investment community as a nominee or custodian. 13—A trust exempt from tax under section 664 or described in section 4947. The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for ... THEN the payment is exempt for... • Interest and dividend payments All exempt payees except for 7. • Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. • Barter exchange transactions and patronage dividends Exempt payees 1 through 4. • Payments over $600 required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 5.2 • Payments made in settlement of payment card or third -party network transactions Exempt payees 1 through 4. t See Form 1099-MISC, Miscellaneous Information, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with "Not Applicable" (or any similar indication) entered on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37). B—The United States or any of its agencies or instrumentalities. C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(). E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i). F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state. G—A real estate investment trust. H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940. I—A common trust fund as defined in section 584(a). J—A bank as defined in section 581. K—A broker. L—A trust exempt from tax under section 664 or described in section 4947(a)(1). M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan. Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter "NEW" at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single -member LLC that is disregarded as an entity separate from its owner, enter the owner's SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity's EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS -5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS -4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/EIN. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS -4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or Form SS -4 mailed to you within 15 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter "Applied For" in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60 -day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering "Applied For" means that you have already applied for a TIN or that you intend to apply for one soon. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. Form W-9 (Rev. 3-2024) Page 5 Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third -party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account 1. Individual 2. Two or more individuals )joint account) other than an account maintained by an FFI 3. Two or more U.S. persons Qoint account maintained by an FFI) 4. Custodial account of a minor (Uniform Gift to Minors Act) 5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))" Give name and SSN of: The individual The actual owner of the account or, if combined funds, the first individual on the account1 Each holder of the account The minor2 The grantor-trustee1 The actual owner' The owner3 The grantor* For this type of account: 8. Disregarded entity not owned by an individual 9. A valid trust, estate, or pension trust 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 11. Association, club, religious, charitable, educational, or other tax-exempt organization 12. Partnership or multi -member LLC 13. A broker or registered nominee 14. Account with the Department of Agriculture In the name of a public entity (such as a state or local govemment, school district, or prison) that receives agricultural program payments 15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))" Give name and EIN of: The owner Legal entity4 The corporation The organization The partnership The broker or nominee The public entity The trust 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. 2Circle the minor's name and furnish the minor's SSN. 3You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) `Note: The grantor must also provide a Form W-9 to the trustee of the trust. **For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax retum preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers. Form W-9 (Rev. 3-2024) Page 6 Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Go to www.irs.gov/IdentityTheft to leam more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information. M.E. WILSON March 3, 2026 City of Clearwater Public Works PO Box 4748 Clearwater FL 33758-4748 Re: Bandes Construction Company, Inc. Performance and Payment Bond No. 016253092 City of Clearwater Public Works Project No.: 23 -0015 -AP Air Park Terminal Bond Amount: $ 13,659,750.00 Dear City of Clearwater Public Works: This is your Letter of Authority to date the Bonds and Powers of Attorney the same date as the contract approval date. Sincerely, Liberty Mutual Insurance Company Anthony T. Papa, Jr. Attorney -in -Fact and Licensed Florida Resident Agent/A199806 1110 11W 6" Street. GainesailUe FL 32601 Main: 941-405-7683 MEWILSON.COM Risk Management Insurance Benefits Bonds B()\t) NO.: CON IFt1('1 )R ( ON11Z.\('IOR:1UORI tiff. ((3N1 R.•\(`I oft 1'I It )\ I ,\O.. NUR! til+RI: I Y •\(il NI: U\l\I:R N.\\1I O\\"I.1t,\I)I)RI tiff t )w, NI. It PI It)\I' \t ►.: OBI 1(it 1 NA\tl t 11 unttratiittg cnlil% i' d fletrnl 1runt the tmtlet. Ike cuu(ractIr ' puh(tc cntit� ) t)IU I(tl 1-.lI)1)RI titi 0131 l( il:l P1111\I No., It NI) .1\I(t1IN 1. (1)N 1"1:\ C'1 til L: 1ifapplicahlcl 1)ES(`RII'11)\ t)1 14(IRh- 1'It()iI ('1 .\l)l)141 `ti: 11 ti.\1.1)1 sl'RlI'IIt)N PFRF()RM.\N('I- ANI) PA't MENT tiO> I) (Public work) In compliance t%ith F.S. Chapter 255.0i( I)(a) 016253092 Bandes Construction Company, Inc. 1368 Spalding Road, Suite C Dunedin, FL 34698 (727) 733-5558 Liberty Mutual Insurance Company 175 Berkeley Street - - - Boston, MA 02116 (617) 357-9500 M. E. Wilson Company, LLC 1110 NW 6th Street Gainesville, FL 32601 (941) 405-7683 City of Clearwater Public Works PO Box 4748 Clearwater FL 33758.-4748 (727) 562-4750 n/a n/a n/a y 13,659,750.00 Project No.: 23 -0015 -AP,_ Air Park Terminal Pinellas County, Florida Air Park Terminal Pinellas County, Florida IRI IN 1 PAt.W \odic: 1iu)td p.tt2a,i arc derated uth,ctlncnl Irt Ihi, p.we rerardle„ nl`.un p,4,'c uunthen,) that tn.n be pre -panted thereon.