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2026 UNDERDRAIN IMPROVEMENT - 26-0026-EN9C9 -0D16- M SECTION 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 17 SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM 18 SECTION V Pagel Updated: 7/9/2025 S AC RISU RE® May 15, 2026 City of Clearwater PO Box 4748 Clearwater, FL 33758 RE: Keystone Excavators, Inc. Bond No. 41K238501 Project: 2026 Underdrain Improvement; Project No. 26 -0016 -EN To whom it may concern: Please supply us with the following information for the above captioned final bond: Executed Contract with Date: X This letter is also giving Keystone Excavators, Inc. as Principal and/or ty of Clearwater, as Obligee, the authority to complete these bonds by dating the bonds with the effective date, execution and Power of Attorney dates. The contract date MUST BE THE SAME date as the execution of the bond or PRIOR to the execution date of the bonds. We will forward this information onto your surety company upon our receipt. Please return as soon as possible. Thank you for your cooperation. Sincerely, Kevin R. Wojtowicz Attorney -in -Fact Acrisure.com / Southeast Region 1000 Central Avenue #200 St. Petersburg, FL 33705 Phone 727-209-1803 t, /lye =,r'` (Ilei: SECTION V - Contract Documents Bond No.: 41 K238501 PUBLIC CONSTRUCTION BOND (I) 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(I)(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 SURETY OWNER Keystone Excavators, Inc The Ohio Casualty Insurance Company Principal Name 371 Scarlet Blvd Surety Name 175 Berkley St Oldsmar, FL 34611 Boston, MA 02116 Principal Business Address 813-854-2342 Principal Phone Number Surety Business Address 617-357-9500 Surety Phone Number City of Clearwater Public Works PO Box 4748 Clearwater FL 33758-4748 (727) 562-4750 PROJECT NAME: 2026 Underdrain Improvement PROJECT NO.: 26 -0016 -EN PROJECT DESCRIPTION: The 2026 Underdrain Improvement Project consists of all labor, materials, equipment and tools necessary for the removal and replacement of existing concrete and asphalt driveways, curbing, sidewalks and other materials encountered along the underdrain replacement and/or installation route. Attachment 1 contains a list of locations and lengths where underdrains are reported to be in need of maintenance or replacement. Additional locations and lengths may be added to or removed from this list at the discretion of the City. The work consists of the removal of existing underdrains and associated appurtenances, and the installation of new 8" PVC perforated pipe, cleanouts, fittings and couplers, and non -perforated PVC pipe along certain roads and locations within the City of Clearwater, FL, and the connecting of the same to the piped stonnwater drainage system where directed and necessary. The intent of this bid is to obtain competitive prices to establish an annual maintenance contract for these services. All quantities are estimates only and the city of Clearwater (city) is not obliged to purchase any minimum or maximum amount during the contract. All the work is to be administered per Section III, Section 11.3, Unit Price Work, of the Contract Documents. The city reserves the right to increase funds during the contract term if work exceeds original estimates, subject to required authorizations. Beyond the initial one-year term, the city reserves the right to renew the contract for up to three (3) years. SECTION V Page 1 of 18 Updated: 7/9/2025 SECTION V — Contract Documents The Contractor shall provide copies of a current Contractor License/Registration with the state of Florida and Pinellas County (if applicable) in the bid response. The Contractor shall provide Portable project signs as described in Section III, Section 23 of the Contract Documents. The final number of project signs will be determined at the beginning of the project based on the Contractor's schedule of work submitted for approval. Additional project signs may be required at no additional cost to the city due to the Contractor's schedule of work BY THIS BOND, We, Keystone Excavators, Inc. as Contractor, and The Ohio Casualty Insurance Company , a corporation, as Surety, are bound to the City of Clearwater, Florida, herein called Owner, in the sum of $1,709,581.50 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 2026 Underdrains, 26 -0016 -EN 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 255.050), 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 18 Updated: 7/9/2025 SECTION V — Contract Documents Bond No.: 41 K238501 PUBLIC CONSTRUCTION BOND (2) I. 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 2. 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 3. 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. 4. 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. 5. Any changes in or under the contract documents and compliance or noncompliance with any formalities connected with the contract or the changes does not affect Surety's obligation under this bond, and Surety does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. IN TESTIMONY WHEREOF, witness the hands and seals of the parties hereto this ,20 . (If sole Ownership or Partnership, two (2) Witnesses required). (If Corporation, Secretary only will attest and affix seal). WIT ESS: ij4d ' Keystone Excavators, Inc. By: Title:Vt CE i1tESI DEui f Print Name: gh¢.0%S p PI --04(- day of 111 th:•, WITNESS: a Corporate Secretary or Witness Print Name: CfttI5TIE TR.t.*Tot.J 11ll lljl. �'qf x cQf qte seal) T', IS'•l Yt'& fill 0iyr(_..` SECTION V The Ohio Casualty Insurance Company (Corpor to S ty) By: ATTORNEY-IN-FACT Print Name: Kevin R. Wojtowicz, Attorney -in -Fact ,• (affix corporate seal) (Power of Attorney must be attach_ed,)&' c., rh'F Page 1 of 1 Updated: 1/,1,0/7,023: ' }'i a) e) C am mr m O dy ,- o@ T.)m C.5 o. of O O2 C N m N co E. r C o �m om t > 0) oo Z Liberty Mutual SURETY This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY 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, Brett Rosenhaus; Kevin R. Woltowicz; Laura D. Mosholder; Robert H. Bond; Tracey Boone -Brown Certificate No: 8212251-964008 all of the city of Saint Petersburg 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 8th day of August , 2024 . State of PENNSYLVANIA County of MONTGOMERY ss On this 8th day of August , 2024 before me personally appeared Nathan J. Zangede, 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. p Pits, �C4gsnoNw�rAs�v OP LM 4U 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. Wien 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. Zangede, 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. By: Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company Nathan J. Zangerle, Assistant Secretary Commonwealth of Pennsylvania - Notary Seal Teresa Pastella, Notary Public Montgomery County My commission expires March 25, 2025 Commission number 1126044 Member, Pennsylvania Association of Notaries By: eresa Pastella, Notary Public 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, co -E N O 'C cr co c3 cE I OC 45 CM ao O N a2 `oo Co m= -n C 0 0) m LL D. 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 fo ffiand 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 is •t — f9 • c:' v. LMS -12873 LMIC OCIC WAIC Multi Co 02/24 C) /; L u' ' gyp I By: ' S( ' Renee C. Uewellyn, Assistant Secretary - - N E'i!,a= . 'I'I,tb a r 1. SECTION V — Contract Documents PROPOSAL/BID BOND (Not to be filled out if a certified check is submitted) KNOWN ALL MEN BY THESE PRESENTS: That we, the undersigned, Keystone Excavators, Inc. as Contractor, and The Ohio Casualty 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 Ten percent of the amount bid Dollars ($ t o% of the amount 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 Keystone Excavators, Inc. as Contractor, and The Ohio: Casualty Insurance Company as Surety, for work specified as: 26 -0016 -EN 2026 Underdrain Improvement 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 ProposaUBid Bond will be paid to the City as stipulated or liquidated damages. Principal must indicate whether: x Corporation, Partnership, • 11' • o y( • a Company, or Individual Signed this 9th day of April ,.2026 Keystone Excavators, Inc. Contractor Keystone Excavators, Inc. Principal By: Title The Ohio Casualty.Insurance Company n � ��� Surety KeVin'R:Woltowicz ,Attorney -In -Fact 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 Liberty Mutual. SURETY This Power of Attorney limits the acts of those named herein, and they have no authority to hind the Company except In the manner and to the extent herein stated. Liberty Mutual Insurance Company The Ohio Casualty Insurance Company Certificate No 8212251-964008 West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company Is a cerporation 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 ofthe State of Indiana (herein collectively called the 'Companies", pursuant to and by authority herein set forth, does hereby name, constitute and appoint Brett Roscnhaus; Kevin R. Wojtowicz Laura D. Mosholder, Robert H. Bond; Tracey Boone -Brown cri 0 r C N Lu rn O m o— no d> =To corn O .- .— ei O • c2 my mm corn 0co5 co U > 0 Z all of the ally of Saint Petersburg stated FL each indtvidueny if there he mare than one named, Its We and lawful attorney -in -fad to make, execute, seal, acknowledge and dd'er, 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 present 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 persona IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized offices or official of the Companies and the corporate seals of the Companies have been affixed thereto this 8th day of August , 2024 . StatedPENNSYLVANIA ss Canty of MONTGOMERY On this 8th day of August , 2024 before me personalty appeared Nathan J. Zangede, who acknowledged himself le 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 ofthe corporations by himsdras 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 it Nathan J. Zangete, Assistant Secretary Camhvwvn, al Pemsylvaie - Notay Seal Tama PantS Notary Puts Yaelimory Cam* My ammiomn expirm Mardi 28.2025 Cammkmn number 1128014 Member. Pemfytrt a Anmatm of Naas By: I shwa Padilla, Notary Pubrm Tho 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 Campanywhirh resolutions are now in fun face and effect reeding as follows: ARTICLE TV—OFFICERS: Section 12. Power of Attorney. My officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President and subject to such Imtation as the Chairman or the President may prescribe, shall appoint such atameys-n-fad, as may be necessary to act in behalf of the Corporation to make, execute, seal, adnowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety oblgations. Such attorneys -in -face subject to the Imitations 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 mshurnertss shall be as binding as if signed by the President and attested to by the Seaetary. My power or authority granted to any representative or atorney-ln-fad under the provisions oft is 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: Semon S. Surety Bonds and Undertakings. My officer ofthe Company authorized for that purpose In writing by the chairman or the president, and subject to such Imitates 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 darter as surety any and all undertakings, bonds, recognizances and other surety obligations. Such atorneysin.fad subject to the Imitations set forth in their respective powers of attorney, shall have fug paver to bind the Company by their signature and execution of any such instruments end to attach thereto the seal of the Company. When so executed such instruments shag 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. Zangerte, Assistant Secretary to appoint such atrvneysin-fact as may be necessary to ad on behalf ofthe Company to make, execute, seal, edcaHedge 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 thatfacsimie 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 farce and effect as though manually affixed. I, Renee C. Harelip, the undersigned. Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original parer of attorney of Walsh the foregoing is a MI hue end correct copy of the Paver of Attorney executed by said Companies, is in fug force and effect and N m .0 J m II ' a0 E1e N Qo 00 N ocJ cramp `O dig cCD m= C 0.0 m oo LI.. O. has not been revoked; , l 1 , r IN TESTIMONY WHEREOF, I have hereunto sol my hand and affixed the seals of said Companies this 9th day of April , 2026. ', t- Hist, r, LMS -12073 LMIC odic WAIC Mull! Co a2124 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 Keystone Excavators, Inc. of the City of Oldsmar County of Pinellas and State of Florida, hereinafter designated as the "Contractor". [Or, if out of state:] pus 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 I a/an (State) Corporation authorized to do ' business in the State of Florida, of the City of County of and State of , hereinafter_ designated as the "Contractor". WITNESSETH: That the parties to this contract each in consideration of the undertakings, promises and agreementson 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: 2026 Underdrain Improvement PROJECT NO.:26-0026-EN in the amount of $1,709,581.50 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 18 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 18 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 cr myclearwater.com, 727-562-4092, 600 Cleveland St., 6a' 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. t) 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 18 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. A contractor who complies with a public records request within 8 business days after the notice is sent is not liable for the reasonable costs of enforcement. j) 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 City Manager Countersigned: By: Bruce Rector Mayor Contractor must indicate whether: X Corporation, Attest: j'p1' Rosemarie Ca I City Clerk Partnership, Approve as to form: �Senio mp etr M ityAttorney h62� Company, or Indii,��'idyah it/ 17 €YSTOoJE EXLAJATOR-S.� �JG. `` C�, •/ot." (Contractor) By: . Print Name: Title: lfzd efl tt� Main o: A S 'E VILE The person signing shall, in his own handwriting, sign the Principals name, his own name, and }tis.titroi ; , , • where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind the, —,• Corporation — provide Affidavit. SECTION V Page 7 of 18 Updated: 7/9/2025 AFFIDAVIT STATE OF FLORIDA COUNTY OF PINELLAS T CHRISTIE TRUXTON being duly sworn, deposes and says that he/she is Secretary of KEYSTONE EXCAVATORS, INC. a corporation organized and existing under and by virtue of the laws ofthe State of Florida, and having its principal office at: 371 SCARLET BLVD (Street & Number) OLDSMAR PINELLAS FL (City) (County) (State) Affiant further says that he is familiar with the records, minute books and by-laws of KEYSTONE EXCAVATORS, INC. (Name ofCorporation) Affiant further says that MARCUS EPLING is VICE-PRESIDENT (Officer's Name) (Title) ofthe corporation, is duly authorized to sign Contracts and Agreements for Keystone Excavators. Inc. or said corporation by virtue of PROVISIONS OF BY LAWS (state whether a provision of by laws or a Resolution of Board ofDirectors. If by Resolution give date of adoption). CHRISTIE TRUXTON - SECRETARY Affian %Veil *fr v Sworn to before me this day of ('flay ' , 20p. Notary Public Type/print/stamp name of Notary Title or rank, and Serial No., if any 1 NANCY HERG JAMES MY COMMISSION # HH 733711 EXPIRES: February 21, 2030 1 SECTION V—Contract Documents CONSENT OF SURETY TO FINAL PAYMENT TO OWNER: City of Clearwater PROJECT NAME: 2026 Underdrain Improvement Public Works PROJECT NO.: 26 -0016 -EN 100 S Myrtle Ave CONTRACT DATE: L 1 Clearwater, FL 33756 BOND NO.: ( t recorded in O.R. Book 1, Page f 1, of the Public Records of Pinellas County, Florida. CONTRACTOR: Keystone Excavators, Inc 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 of Surety] [address] '[address], SURETY, on bond of Keystone Excavators, Inc. 371 Scarlet Blvd Oldsmar, FL 34677], 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 (Surety) (Signature of authorized representative) (Printed name and title) Attest: (Seal): SECTION V Page 8 of 18 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, as Contractor, and as Surety, whose address is , are held and firmly bound unto the City of Clearwater, Florida, in the sum of Dollars ($ ) (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 as Contractor, and as Surety, for work specified as: 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: Corporation, Partnership, Company, or Individual Signed this day of , 20 . Contractor Principal By: Title 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 9 of 18 Updated: 7/9/2025 SECTION V —Contract Documents AFFIDAVIT (To be filled in and executed if the bidder is a corporation) STATE OF FLORIDA ) COUNTY OFR p LLA5 ) (t+ztSTle —112,..,x"To1J , being duly sworn, deposes and says that he/sj is Secretary of KG•4Su,tic QvG j4Teas ksc a corporation organized and existing under and by virtue of the laws of the State of Florida, and having its principal office at: 371 5cice'LET►T t_vt OLbSMece_ F%NELLAS (Street & Number) (City) (County) (State) Affiant further says that he is familiar with the records, minute books and by-laws of Kest it Eco /ArttSj (Name of Corporation) Affiant further says that MiVelsISitk EPu-ter is lit (..e Pec511000T (Officer's Name) (Title) of the corporation, is duly authorized to sign the Proposal for ICEISR>P tE EtecA.A-ia 25 1 c.. or said corporation by virtue of 1;2.0•11yon,7 of Qv 1-14,—, S. , �iftrr (state whether a provision of by laws or a� I eZol 'eh 91 Board of Directors. If by Resolution give date of adopttpi7 C.t leas -r ie f e.JxzO&) 1 Orn , 0 Affiant Sworn to before me this elm" day of NANCY HEROJAMES MY COMMISSION R HH 733711 °�tWri' E%PIRES: Fetnwryz1. 2030 , 202,6 . ` if Notary Publi' Type/print/stamp name of Notary Title or rank, and Serial No., if any SECTION V Page 9 of 16 Updated: 7/9/2025 SECTION V—Contract Documents NON -COLLUSION AFFIDAVIT STATE OF FLORIDA ) COUNTY OF •PINEU.45 ) MAP-.C...S /k EeurJG- being, first duly sworn, deposes and says that he is JIL6 t EStC+C.3T of l iSMAJ E-k(1A. AroES Ik. the party making the foregoing Proposal or Bid; that such Bid is genuine and not collusiveor 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 submitted this bid, or the contents thereof, or divulged information or data relative thereto to any or to any member or agent thereof. Sworn to and subscribed before me this day of (9v. Notary PAY f NAYHERGJAMES MY COMMISSION R HH 733711 `•opo NCEXPIRES:February 21,2030 SECTION V Page 10 of 1.6 Updated: 7/9/2025 SECTION V—Contract Documents PROPOSAL (1) TO THE CITY OF CLEARWATER, FLORIDA, for 2026 Underdrains Improvement (26 -0016 -EN) and doing such other work incidental thereto, all in accordance with the contract documents, marked 2026 Underdrains Improvement (26 -0016 -EN) Every bidder must take notice of the fact that even though his proposal be accepted and the documents signed by the bidder to whom an award is made and by those officials authorized to do so on behalf of the City of Clearwater, Florida, that no such award or signing shall be considered a binding contract without a certificate from the Finance Director that funds are available to cover the cost of the work to be done, or without the approval of the City Attorney as to the form and legality of the contract and all the pertinent documents relating thereto having been approved by said City Attorney; and such bidder is hereby charged with this notice. The signer of the Proposal, as bidder, also declares that the only person, persons, company or parties interested in this Proposal, are named in this Proposal, that he has carefully examined the Advertisement, Instructions to Bidders, Contract Specifications, Plans, Supplemental Specifications, General Conditions, Special Provisions, and Public Construction Bond, that he or his representative has made such investigation as is necessary to determine the character and extent of the work and he proposes and agrees that if the Proposal be accepted, he will contract with the City of Clearwater, Florida, in the form of contract; hereto annexed, to provide the necessary labor, materials, machinery, equipment, tools or apparatus, do all the work required to complete the contract within the time mentioned in the General Conditions and according to the requirements of the City of Clearwater, Florida, as herein and hereinafter set forth, and furnish the required surety bonds for the following prices to wit: 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 18 Updated: 7/9/2025 SECTION V—Contract Documents PROPOSAL (2) Attached hereto is a bond or certified check on iscg Onto CA5.30L1I 1N)S‘i eiksze C.oAA-ok,a•l Bank, for the sum of OLE MwscaeN SEa.eLiTY TltcxsMP 3c\ tJjwv Hu3ea ECM EICtttDwvt BF7EVU (Eur S ($1`f QJ 9.'8. lS ) (being a minimum of 10% of Contractors total bid amount). The full names and residences of all persons and parties interested in the foregoing bid are as follows: (If corporation, give the names and addresses of the President and Secretary. If firm or partnership, the names and addresses of the members or partners. The Bidder shall list not only his name but also the name of any person with whom bidder has any type of agreement whereby such person's improvements, enrichment, employment or possible benefit, whether sub -contractor, materialman, agent, supplier, or employer is contingent upon the award of the contract to the bidder). NAMES: ADDRESSES: SEFF 172.0)C0 wit ^ PeEMbF. 371 SLAP -LET 3tvp . OUSA& R. 3%77 311 5LAVSC- 31.1.31), OLDSMMa. FL 3±1(,77 tn ri fiil town, / e fr U it c� Q Signature of Bidder;......, x.9 LLj lei s, ,l The person signing shall, in his own handwriting, sign the Principal's name, his own name Bra h's,'i ly. re-/ Where the person signing for a corporation is other than the President or Vice President, Ir ' �,tsl,, 5 "r ••' ". F • affidavit, show his authority, to bind the corporation. 1 Cy l Principal:.`f�... � 7 "y~ By: Ak tu5 A E PI..HU Title: 1%LC.E PrzeskteAst Company Legal Name: 10E'StDAJE. E tc..6% IikCDts, \me Doing Business As (if different than above): N IA, Business Address of Bidder. 311 ScArittzt eiwb t O Lt6A. .. FL 3V,;77 77 City and State: Oi•.DStitA4_ FL. Zip Code 3'1677 Phone: Q 15 451.1 -23412— Email Address: JeiAtwSQ 1:Ekesiokv evvd DgS .cam Dated at 31i Scti vt vt {3t u p , this r day of e Go$AlLAt •FL 34617 SECTION V Page 12 of 16 lA ti- , A.D., 202 (! Updated: 7/9/2025 SECTION V—Contract Documents CITY OF CLEARWATER ADDENDUM SHEET PROJECT: 2026 Underdrain Improvement (26 -0016 -EN) Acknowledgment is hereby made of the following addenda received since issuance of Plans and Specifications. Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: Addendum No. Date: SECTION V ame of Bidder) (Signatureof�r) lrtC E P¢EStJENT (Title of Officer) V/9(2to (D to Page 13 of 16 Updated: 7/9/2025 SECTION V—Contract Documents BIDDER'S PROPOSAL PROJECT: 2026 Underdrains Improvement (26 -0016 -EN) CONTRACTOR: BIDDER'S GRAND TOTAL: $ (Numbers) BIDDER'S GRAND TOTAL: (Words) Underdrain Line Item . Description Quantity Unit of Measure 1 Mobilization 1 LS 2 MaintenanceofTraffic 1 LS 3 Sediment & Erosion Control 15000 LF 4 Portable Project Sign 2 EA 5 Root Pruning 500 LF 6 Tree Barricades 500 LF 7 Unsuitable Material (Haul Offsite and Replace in same quantity) 300 CY 8 Import Clean Fill (Import new only) 230 CY 9 Remove & Replace Existing 4" Concrete Sidewalk 2470 SF 10 Remove & Replace ADA Ramp and 4'x2' Truncated Dome Mat 6 EA 11 Remove & Replace Existing 6" Concrete Driveway 3000 SF 12 Remove & Replace Existing 1.5" Asphalt Driveway 1000 SY 13 10" Thick Crushed Concrete Road Base 1000 SY 14 Core Existing Storm Inlet 24 EA SECTION V Page 15 of 18 Updated: 7/9/2025 SECTION V—Contract Documents 15 Pinellas County Underdrain Inspection Box, Type 1 2 EA 16 8" Underdrain (SDR35, Contech A2000) 15000 LF 17 8" Cleanout 24 EA 18 8" Cleanout (Inline Double Sweep) 1 EA 19 10" Solid PVC Pipe (under driveways) 998 LF 20 Type I Curb (Remove and Replace) 100 LF 21 Modified Curb (Remove and Replace) 100 LF 22 Valley Gutter Curb (Remove and Replace) 100 LF 23 Sod Replacement (Bahia) 12000 SF 24 Sod Replacement (St. Augustine) 12000 SF 25 Grout Fill Existing Pipe 20 CY Total Contigency Line Item Description Quantity Unit of Measure 1 10% Contingency based off table 1 1 LS Total 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 16 of 18 Updated: 7/9/2025 SECTION V -Contract Documents BIDDER'S PROPOSAL PROJECT: 2026 Underdrain Improvement (26 -0016 -EN) CONTRACTOR: g,rMStcwSC EX[AN&'w %Lir . BIDDER'S GRAND TOTAL: $ 1)70'115R 50 (Numbers) BIDDER'S GRAND TOTAL: Out 411 u{ok./ 5EVESJ h(, 'naso M 7rfatiSAmh Fivt, f .woeeU w E,Swn/ OLIE bo LL e.5 t- it FTV (Words) Insert Bid Tab Table Here (SEE p tBkp c SLE\ 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 14 of 16 Updated: 7/9/2025 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT ITB No. 26 -0016 -EN 2026 Underdrain Improvement 7. W-9* Upload your current W-9 form. (available at https://www.irs.gov/pub/irs-pdf/fw9.pdf) W9_-_2026_UN DERDRAIN_IMPROVEMENT_-_Keystone_Ex..pdf PRICE TABLES UNDERDRAIN Estimated Annual Quantity Line Item 1 Description Mobilization Quantity 1 Unit of Measure LS Unit Cost $79,200.00 Total $79,200.00 2 'Maintenance of Traffic 1 LS $27,500.00 $27,500.00 3 Sediment & Erosion Control 15,000 LF $1.00 $15,000.00 4 Portable Project Sign 2 EA $1,500.00 $3,000.00 5 Root Pruning 500 LF $20.00 $10,000.00 6 Tree Barricades 500 LF $15.00 $7,500.00 7 Unsuitable Material (Haul Offsite and Replace in same quantity) 300 CY $50.00 $15,000.00 8 Import Clean Fill (Import new only) 230 CY $22.00 $5,060.00 9 Remove & Replace Existing 4" Concrete Sidewalk 2,470 SF $21.50 $53,105.00 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT Invitation To Bid - 2026 Underdrain Improvement Page 5 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT ITB No. 26 -0016 -EN 2026 Underdrain Improvement Line Item 10 Description Remove & Replace ADA Ramp and 4'x2' Truncated Dome Mat Quantity 6 Unit of Measure EA Unit Cost $5,000.00 Total $30,000.00 11 Remove & Replace Existing 6" Concrete Driveway 3,000 SF $23.00 $69,000.00 12 Remove & Replace Existing 1.5" Asphalt Driveway 1,000 SY $1.00 $1,000.00 13 10" Thick Crushed Concrete Road Base 1,000 SY $1.00 $1,000.00 14 Core Existing Storm Inlet 24 EA $1,100.00 $26,400.00 15 Pinellas County Underdrain Inspection Box, Type 1 2 EA $5,000.00 $10,000.00 16 8" Underdrain (SDR3S, Contech A2000) 15,000 LF $68.00 $1,020,000.00 17 8" Cleanout 24 EA $1,500.00 $36,000.00 18 8" Cleanout (Inline Double Sweep) 1 EA $5,000.00 $5,000.00 19 10" Solid PVC Pipe (under driveways) 998 LF $50.00 $49,900.00 20 Type I Curb (Remove and Replace) 100 LF $125.00 $12,500.00 21 Modified Curb (Remove and Replace) 100 LF $125.00 $12,500.00 22 Valley Gutter Curb (Remove and Replace) 100 LF $125.00 $12,500.00 23 Sod Replacement (Bahia) 12,000 SF $1.50 $18,000.00 24 Sod Replacement (St. Augustine) 12,000 SF $2.00 $24,000.00 25 Grout Fill Existing Pipe 20 CY $550.00 $11,000.00 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT Invitation To Bid - 2026 Underdrain Improvement Page 6 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT ITB No. 26 -0016 -EN 2026 Underdrain Improvement Line Item Description Quantity Unit of Measure Unit Cost Total TOTAL $1,554,165.00 CONTIGENCY Line Item 1 Description 10% Contingency based off table 1 Quantity 1 Unit of Measure Unit Cost Total $155,416.50 TOTAL $155,416.50 $155,416.50 [KEYSTONE EXCAVATORS, INC.] RESPONSE DOCUMENT REPORT Invitation To Bid - 2026 Underdrain Improvement Page 7 SECTION V—Contract Documents SCRUTINIZED COMPANIES AND BUSINESS OPERATIONS WITH CUBA AND SYRIA CERTIFICATION FORM PER SECTION HI, ITEM25, IF YOUR BID IS SI, 000,000 OR MORE, THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID PROPOSAL. FAILURE TO SUBMIT THIS FORMAS REQUIRED, MA YDEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that 1. The vendor, company, individual, principal, subsidiary, affiliate, or owner is aware of the requirements of section 287.135, Florida Statutes, regarding companies on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaging in business operations in Cuba and Syria; and 2. The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible to participate in this solicitation and is not Listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Sector List, or engaged in business operations in Cuba and Syria; and 3. Business Operations means, for purposes specifically related to Cuba or Syria, engaging in commerce in any form in Cuba or Syria, including, but not limited to, acquiring, developing, maintaining, owning, selling, possessing, leasing or operating equipment, facilities, personnel, products, services, personal property, real property, military equipment, or any other apparatus of business or commerce; and 4. If awarded the Contract (or Agreement), the vendor, company, individual, principal, subsidiary, affiliate, or owner will immediately notify the City of Clearwater in writing, no later than five (5) calendar days after any of its principals are placed on the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Sector List,F* �F3rryi business operations in Cuba and Syria. e:,0,( : tSAy% Authorized�,Sig,❑Aature PlUetOS )A Eset- .&tr. Printed Name lit LE PReSIMISV Title i:a - 44S1o7JEEJt/mimes, lr3C `. Name of Entity/Corporation _y STATE OF FLoR M COUNTY OF PM) €ILLS The foregoing instrument was acknowledged before me on this t day of Apt•• 20 a(, , byf�e..cvs Ep\:..cJ (name of person whose signature�is being notarized) \I as the .ec �:rea..Auvl (title) of _ Ce..ip4afte. ExerticAces .Tv.. (name of corporation/entity), personally known to me as described herein , or produced a (type of identification) as identification, and who did/did not take an oath. My Commission Expires: NOTARY SEAL ABOVE SECTION V \ton.c4.A " c Ira a Notary Publie3 `1 Printed Name 01 ort NANCY HERO JAMES MY COMMISSION 1 HH 733711 (WIRES: February 21, 2030 Page 15 of 16 Updated: 7/9/2025 SECTION V—Contract Documents SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM PER SECTION III, ITEM 25, THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID PROPOSAL. FAILURE TO SUBMIT THIS FORMAS REQUIRED, MAY DEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that: 1. 2. 3. 4. 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 The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible toparticipate in this solicitation and is not listed on the Scrutinized Companies that Boycott Israel List, or engaged in a boycott of Israel; and "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 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 List, or engaged in a boycott of Israel. I11 i STATE OF FLQeI DA COUNTY OF PINEIAjks Apthorized Signature Abates Ill EP�1r.�CT Printed Name Vice estpEnot Title c?„'.�j' ,` 4 iteATOIJE, EW-NATOP-S t C-Nid.iLnis �`?0`•` Name of Entity/Corporation `< �firiIllLttit` The foregoing instrument was acknowledged before me on this _ day of circie.% 1 20 Ito, by Niceeas EIM., (name of person whose signature is being notarized) as the MItccRresiaenl, (title) of t(,e...cg e. Etc Guaiacs fly._ (name of corporation/entity), personally known to me as described herein , or produced a (type of identification) as identification, and who did/did not take an oath. My Commission Expires: NOTARY SEAL ABOVE Notary Public-�. Printed Name At's, NANCY HEROJAMES ”' �,rf0 MY COMMISSION CHH 733711 %tee,oFr ENPIRE3:Nimbly 21,2030 SECTION V Page 16 of 16 Updated: 7/9/2025 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-govemmental entity and the City of Clearwater. The undersigned, on behalf of the entity listed below ("Entity"), hereby attests under penalty of perjury that: Et 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 behalf of Entity. t� kt R irk Tht C ��`Q' ���� Date: AQ -r.— 9 202. Signed. � 7 J:./CJ b'• A Y' toe Q .a O Entity kFtroNE �xLA uQS,C Name: r�lti2.05 k cwl c -1,--.,i0 Wco rc 4f= ]q Title:t(� t�tzES\OEr ST OJ X ...J..- ,p �,. 140