CARPENTER FIELD COMPLEX - 2026 REPAIRS - 26-0046-PR - CONTRACT DOCUMENTSSECTION 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 19
SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM 20
SECTION V Page i Updated: 7/9/2025
SECTION V — Contract Documents
Bond No.: TIC122022
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
Concrete Protection &
Restoration, LLC
Principal Name
601 NE 44th St
Oakland Park, FL 33334
Principal Business Address
954-272-7540
Principal Phone Number
SURETY OWNER
First Founders Assurance Company
Principal Name
6 Mill Ridge Lane
Chester, NJ 07930-2486
Principal Business Address
(800) 606-6657
Principal Phone Number
City of Clearwater
Public Works
PO Box 4748
Clearwater FL 33758-4748
(727) 562-4750
PROJECT NAME: Carpenter Complex Repairs
PROJECT NO.: 26 -0046 -PR
PROJECT DESCRIPTION: The Carpenter Complex includes the 20,700 square foot indoor, climate -
controlled training center (David P. Montgomery Baseball Performance Center) and the two-story 11,000
square foot clubhouse building surrounded by an open porch of approximately 3,000 SF. This work is for
concrete repair and painting at the facility. All work in this scope is for the David Montgomery Training
Building and the club house.
BY THIS BOND, We, Concrete Protection and Restoration, LLC as Contractor, and
First Founders Assurance Company , a corporation, as Surety, are bound to the
City of Clearwater, Florida, herein called Owner, in the sum of $962,933.00, 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 Carpenter Complex Repairs 26 -0046 -PR, 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
SECTION V Page 1 of 20 Updated: 7/9/2025
SECTION V — Contract Documents
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 20 Updated: 7/9/2025
SECTION V — Contract Documents
Bond No.: TIC 122022
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 3rd day of
August , 20 26 .
(If sole Ownership or Partnership, two (2) Witnesses are required).
(If Corporation, Secretary only will attest and affix seal).
WITNESS:
Corporate Secretary or Witness
Print Name:
(affix corporate seal)
Concrete Protection Restoration, LC
By:
Title:
Print Name:
WITNESS:
Print Name: mer nark De-'cg.)ei re i
First Founders Assurance Company
(Corporate urety)
By:
0
Print Name:
(affix corporate seal)
.,; . 0-0r++1//
(Power of Attorney must be attache\c ' � AssuTota 1,
•0
a c -_
SECTION V Page 3 of 20 ts--y l pJ ted• ij9 2025 u
. •a. .-s...
•
Bond #
TRSURA
2 Stamford Plaza
Suite 1504, 281 Tresser Boulevard
Stamford, Connecticut 06901
us.surety(Wtrisura.com
POWER OF ATTORNEY
FIRST FOUNDERS ASSURANCE COMPANY
an affiliate of Trisura Insurance Company and subsidiary of Trisura Group Limited
TIC122022
KNOW ALL MEN BY THESE PRESENTS: That FIRST FOUNDERS ASSURANCE COMPANY, a company organized and existing under the laws of the State of New
Jersey, authorized to conduct a surety business, and having its principal place of business at 2 Stamford Plaza, Suite 1504, Tresser Boulevard, Stamford,
Connecticut 06901, does hereby constitute and appoint:
their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and
the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said FIRST FOUNDERS ASSURANCE COMPANY, as fully
and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney is executed, and may berevoked, pursuant to and by authority of the By-laws of FIRST FOUNDERS ASSURANCE COMPANY and is
granted under and by authority of the following resolution as adopted by the Board of Directors of FIRST FOUNDERS ASSURANCE COMPANY.
"RESOLVED, that (1) the President & Chief Executive Officer, Chief Underwriting Officer, Executive Vice President, Senior Vice President, Vice President, or
Secretary of the Company shall have the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined
or limited in their respective powers of attorney, and to execute on behalf of the Company and affix the Company's seal thereto, bonds, undertakings,
recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Company may appoint
and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents
on behalf of the Company; and (3) the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power of attorney
or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related
thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Company as the originai jignature "otsuch officer
and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed"
IN WITNESS WHEREOF, FIRST FOUNDERS ASSURANCE COMPANY, has executed and attested these present
on this 24th day of June, 2025.
(Slate of Connecticut
County of Fairfield
nderwriting Officer
On this 24th day of June, 2025, before me carne the individual who executed the preceding instrument, to me personally known, and, being by irie duly
sworn, said he is the therein described and authorized officer of FIRST FOUNDERS ASSURANCE COMPANY; that the seal affixed to said instrument is the
Corporate Seal of said Company; and.that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company.
IN TESTIMONY WHEREOF, I have hereunto set my hand affixed Official Seal, at the County of Fairfield, State of Connecticut the day and year firstkai o;1do itt.e'n, „'-
Tysheena Holeyfield((�� �y �
l�(l„].�r , a Notary Public of Connecticut
My Commissipires:
CERTIFICATION
TYSHEENA HOLEYFIELD
Notary Public, Connecticut
My Commission Expires 0613012030
I, the undersigned officer of FIRST FOUNDERS ASSURANCE COMPANY, do hereby certify that I have compared the foregoing copy of the Power of Attorney and‘-'
affidavit, and the copy of the Sections of the By -Laws of said Company as set forth in said Power of Attorney, with the originals on file in the home office of said
company, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is
now in full force and effect.
IN TESTIMONY WHEREOF, I have hereunto set my hand on this d day o
By:
Name: Terry Michalakos
Title: Senior Vice President
\\�;:\NGCI5 Sl9P�C �1i:
0
O. oVtPORAr
SEAL
TO CONFIRM AUTHENTICITY OF THIS BOND OR DOCUMENT EMAIL: us.suretytrisur3.com •
////
fill III11i\‘\\
Docusign Enveibpe ID: A97521 OC-861C-4FDD-9527-12B4A7D3E489
FIRST FOUNDERS ASSURANCE COMPANY
STATUTORY -BASIS STATEMENTS OF ADMITTED ASSETS, LIABILITIES, AND CAPITAL SURPLUS
AS OF DECEMBER 31, 2025
2025
Admitted Assets
Bonds $ 101,621,457
Cash, cash equivalents and short-term investments 8,884,992
Total cash and invested assets 110,506,448
Uncollected Premiums 866,870
Investment Income due and accrued 1,431,788
Net deferred Tax asset 160,666
Total admitted assets $ 112,965,772
Liabilities
Net losses and loss adjustment expenses $ 561,679
Net unearned premium reserve 3,228,516
Ceded reinsurance premiums payable (net of ceding commissions) 83,034
Current federal and foreign income taxes 226,248
Net deferred tax liability -
Other expenses payable 284,756
Funds held by company under reinsurance treaties 6,832,229
Payable to subsidiaries and affiliates 525,308
Provision for reinsurance
Total liabilities 11,741,770
Surplus as regards policyholders
Common Stock, 3,000,000
Gross paid in contributed surplus 91,988,123
Unassigned surplus (deficit) 6,235,879
Total surplus as regards policyholders 101,224,002
Total liabilities & surplus as regards policyholders $ 112,965,772
I, Allison M. Kenworthy, hereby certify that I am the Chief Financial Officer of First Founders Assurance Company, a
corporation duly authorized under the laws of the State of New Jersey, licensed and engaged in the State of New
Jersey, and duly qualified to act as Surety under such laws. I further certify that I am authorized to make this
certification on its behalf, and that the foregoing is a fair statement of Admitted Assets, Liabilities and Capital and
Surplus as of December 31, 2025, as reflected by its books and records and as reported in its statement on file with
New Jersey Insurance Department.
Q(.�.iSbin,ttik.tivarttui
Allison M. Kenworthy, CFO
SECTION V — Contract Documents
CONTRACT
(1)
This CONTRACT made and entered into this _ day of , 20by and between the City
of Clearwater, Florida, a municipal corporation, hereinafter designated as the "City", and Concrete
Protection & Restoration, of the City of Oakland Park County of Broward and State of Florida, hereinafter
designated as the "Contractor".
out of state:],
made and entered' into this dayxof
l'orida, ' a municipal d corporation, hereinafter designate
State)rCorporation4aut
business
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: Carpenter Complex Repairs
PROJECT NO.: 26 -0046 -PR
in the amount of $ 962,933
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 20 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 20 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(a,,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 20 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 is not 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:
Je i. fer r oirrier
City Manager
Countersigned:
ttest:
Rosemarie Call
City Clerk
By: Apprgyed as to form:
B
Mayo
Contractor must indicate whether:
Corporation, Partnership,
Melissa Isabel
Senior Assistant City Attorney
X Company, or
Individual
Concrete Protection & Restoration, LLC
(Contractor)
By: \ _ / — (SEAL)
Pri. Name: Michael O' Malley
Title: CEO •q1:/\7/0,��,,
The person signing shall, in his own handwriting, sign the Principal's name, his own name, and his title;; ','' ' i r1/ ,C
where the person is signing for a Corporation, he must, by Affidavit, show his authority to bind the ,`y iM '
O 'I`, 0 n 'ii=
Corporation — provide Affidavit. = �' U
TVV'J1-a2\
SECTION V
Page 7 of 20 Updated: 7/9/2025
IN WITNESS WHE EOF, the Parties herein have executed and delivered this Agreement
this /2i'1day of , 202.
Countersigned: CITY OF CLEARWATER, FLORIDA
By:
Bruce Rector
Mayor
Approved as to form:
By:
By: � �— By.
issa Isabel
Assistant City Attorney
Jennifer P irri r'
City Manager
Attest:
Rosemarie Call
City Clerk
SECTION V — Contract Documents
CONSENT OF SURETY TO FINAL PAYMENT
TO OWNER: City of Clearwater PROJECT NAME: f . 1
CONTRACTOR:
Public Works
100 S Myrtle Ave CONTRACT DATE
PROJECT NO.: " ]
Clearwater, FL 33756 BOND NO.: (T 1,recorded in O.R. Book
Page (. 1, of the Public Records of Pinellas County, Florida.
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:
[nsert name of Suretyl
[address]
P address SURETY,
on bond of
Concrete Protection & Restoration, LLC
601 NE 44`" St
Oakland Park, FL 33334, 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 20 Updated: 7/9/2025
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, Concrete Protection
and Restoration, LLC as Contractor, and First Founders Assurance
Company as Surety, whose address is 6 MITI Ridge Lane,
Chester, NJ 07930 , are held and firmly bound unto the City
of Clearwater, Florida, in the sum of Ten Percent of Total Bid Amount Dollars
($ 10% ) (being a minimum of 10% of Contractor's total bid amount) for the payment of which,
well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors,
administrators, successors and assigns.
The condition of the above obligation is such that if the attached Proposal of Concrete Protection
and Restoration, LLC as Contractor, and First Founders Assurance Company as Surety, for
work specified as: Project No. 26 -0046 -PR (CLWRC25022), Carpenter Field Training
Complex - 2026 Repairs
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 mustindicate whether:
Corporation, Partnership, X Company, or(LLC) Individual
Signed this 24th day of June , 20 26
Concrete Protection and Restoration, LLC
Contractor
principal
By: Ctrc;
Title
First Founders Assu ance C
Surety Vicki Joh
,itlfifi
e,f,
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. , s F f a f< t z
SECTION V
Updated: 6/3/2024
ACKNOWLEDGEMENT BY SURETY
STATE OF New Jersey )
)ss.:
COUNTY OF Somerset
On the j` - day of 01.t97 . , in the year. before me the undersigned,.
a Notary Public in and for the State of New Jersey, personally appeared
Vicki Johnston personally known to me and proved to me on the basis of
satisfactory evidence to be the individual whose name is subscribed to the within instrument
and acknowledged to me that Mtf/she executed the same in Di/her capacity, and that by
DGg/her signature on the instrument, the company upon behalf of which the individual acted,.
executed the:' instrument.
Notary Public
,IHlllalll/p1,
pil
a ev
EXPIRES.
��Z
03/24/2027
\.'�ot N 4 �1 a°:.:
��//111111//IIIN
ACKNOWLEDGEMENT OF PRINCIPAL.
STATE OF
)ss.:
COUNTYOF "`' :!.ary M )
On the 24day of 3u At, in the year 2026',.before me the undersigned; a Notary Public
in and for the State of FL~ , personally appeared G%ue.1%t - atIl (�,It
personally known to me and proved to me on the basis of satisfactory evidence to be the
individual- whose name is subscribed to the within Instrument and acknowledged to me that
he/she executed the,same in his/hercapacity, and that by his/her signature on the
instrument, the company upon: behalf of which the individual acted, executed the instrument.
.oi►Xr wB ,. FERNANDAROLIM FIGUEIREDO
Notary Public'. State of Florida
nis `_ •.Commission -ll HH345608
-'i,ktpt, My Comm. Expires Jan 11, 2027
Bonded through National;NotaryAssn.
DM114398143.1
2 Stamford Plaza
Suite 1504, 281 Tresser Boulevard
Stamford,, Connecticut 06901
us:AuretyaitriStiratOrn
Bond if BID BOND
POWER OF ATTORNEY
FIRST FOUNDERS ASSURANCE COMPANY
an affiliate of Tri'sura Insurance Company and subsidiary of Trisura.Group Limited
KNOW ALL MEN BY THESE PRESENTS: That FIRST FOUNDERS ASSURANCE COMPANY, a company organized and existing. Under the laws of the State of New
Jersey,, authorized to conduct a surety business, and, having Its principal place of business at 2Stamford Plaza; Suite 1504, Tresser Boulevard, Stamford,
Connecticut 06901;does hereby constitute and appoint:
Adam Martin, Michael Grillo, Charles Bishop, James Friedrichsen, Vicki Johnston
their true and lawful aftorney(s);in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and
other writings obligatory in the nature thereof, which are or may be allowed, required or permitted by law, statute, rule, regulation, contract or otherwise, and
the execution of such instruments) in pursuance of these presents, shall be as binding upon the said FIRST FOUNDERS ASSURANCE COMPANY;as fully
and amply, to all intents and purposes, as If the same had been duly executed and acknowledged by their regularly elected officers at their principal offices.
This Power of Attorney Isexecuted, and may revoked, pursuant to and by authority of the By -Laws of FIRST FOUNDERS ASSURANCE COMPANY and Is
granted under and by authority of the following resolution as adopted by the Board of Directors. of FIRST FOUNDERS ASSURANCE COMPANY.
"RESOLVED, that (1) the President & Chief Executive Officer, Chief Underwriting Off icer,Executive Vice President, Senior Vice President, Vice President, or
Secretary of the Company shall have -the power to appoint, and to revoke the appointments of, Attorneys -in -Fact or agents with power and authority as defined
or limited in their respective powers of attorney, and to execute on behalf of the Company and affix the; Company's seal, thereto; bonds, .undertakings,
recognisances, contracts of indemnity and other written obligations In the nature thereof or related thereto; and (2) any such Officers of the Company may appoint
and revoke the appointments of joint -control custodians, agents for acceptance of process, and Attorneys -in -fact with authority to execute waivers and consents.
on behalf of the Company; and (3) the signature of any such Officer of the Company and the. Company's seal may be affixed by facsimile to any power of attorney
or certification given for the execution of any bond, undertaking, recognizance; contract of indemnity or other written obligation in the nature thereof or related
thereto, such signature and seals when so used whether heretofore orhereafter, being hereby adopted by the Company as the original signature of surh'offcer' '
and the original seal of the. Company, to be valid and binding upon the Company with the same force and effect as though manually affixed."
IN WITNESS WHEREOF, FIRST FOUNDERS ASSURANCE COMPANY, has executed and attested these present
on this 24th day of June, 2025.
ate of Connecticut
County of Fairfield
•
SEAL
nderwriting Officer
On this 24th day of June, 2025, before me came the individual who executed the preceding instrument, to me personally known, and, being by ire duly,
sworn, said he is the ,therein described and authorized officer of'FIRST FOUNDERS ASSURANCE COMPANY; that the seal affixed' to said' instrument is the
Corporate Seal of said Company;,andthat the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of said Company,
IN TESTIMONY WHEREOF, I have hereunto; set my hand affixed Official Seal, at the County of Fairfield State of Connecticut the day and year firs! auove,vrltten.
Tysh eena' Holeyf ield;
4� 9p fie
My Co mmissiod`Ex pires:
CERTIFICATION
, allotary Public of Connecticut
(3o :s C)
TYSHEENA HOLEYFIELD
Notary Public, Connecticut
My Commission Expires 06/90/2030
1, the undersigned officer of FIRST FOUNDERS ASSURANCE COMPANY; do herebycertify that I have compared the foregoing copy of the Power of Attorney
affidavit, and the copy of the Sections of the By -Laws of said Company as set forth In said Power of Attorney, with the originals on file in the home office of said
company, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney has not been revoked and is
now In full force and effect.
IN TESTIMONY WHEREOF, I. have hereunto set my hand on this 24th day of .lime
8y:
Name: Terry'Michalakos
Title: Senior Vice President
9028 •
TO CONFIRM AUTHENTICITY OF THIS BOND OR DOCUMENT EMAIL; tis,5ui°et trisu aa..corn
Docusign Envelope ID: A975210C-861E-0FDD-9527-1284A7D3E489
FIRST FOUNDERS ASSURANCE COMPANY
STATUTORY -BASIS STATEMENTS OF.ADMITTED ASSETS, LIABILITIES, AND CAPITAL SURPLUS
AS OF DECEMBER 31, 2025
2025
Admitted Assets
Bonds $ 101,621,457
Cash, cash equivalents -and short-term investments 8,884,992
Total cash and Invested assets 110;506,448:
Uncollected Premiums 866,870
Investment income; due and accrued 1,431,788
Net deferred Tax asset 160;666
Total admitted assets S 112,965,772.
Liabilities
NetIosses and loss adjustment expenses $. 561,679
Net unearned premium reserve 3,228,516
Ceded reinsurancepremiums payable (net of ceding commissions) 83,034
Current federal and foreign income taxes 226,248
Net. deferred tax liability
Other expenses payable 284,756
Funds held by company under reinsurance treaties 6,832,229
Payable to subsidiaries and affiliates 525,308
Provision for reinsurance -
Total liabilities 11,741,770
Surplus as regards policyholders
Common Stock, 3,000,000
Gross paid in contributed surplus '91,988,123:
Unassigned surplus (deficit) 6,235,879
Totalsurplus as regards policyholders 101,224,002
Total liabilities & surplus asregards policyholders S 112,965,772
I, Allison M. Kenworthy, hereby certify that I am the Chief financial Officer of First Founders Assurance Company, a
corporation; duly authorized under the laws of the State of New Jersey, licensed and engaged in the State of New
Jersey, and duly qualified to act as Surety under such laws. I further certify that. I am authorized to make this
certification on its behalf, and that the foregoing is a fair, statement of Admitted Assets, Liabilities and Capital and
Surplus as of December 31, 2025, as reflected by its books andrecords and as reported in its statement on file with
NewJersey Insurance` Department.
QLL,is6tn, '6.wei
Allison M. Kenworthy, CFO
SECTION V — Contract Documents
AFFIDAVIT
(To be filled in and executed iftile bidder is .a .corporation)
STATE OF FLORIDA,
COUNTY. OF 'Br. oward
).
Justin Morgan being: duly sworn, deposes and says that lie/she is
Secretary of Concrete. ,Protection & Restoration, LLC
a corporation organized and existing under and by virtue of the laws of the State of Florida, and having its
principal office at:
' 601 NE 44th Street
Oakland Park Broward FL
(Street & Number) (City),
Affiant further says that he is familiar with the records,
Concrete Protection :& Restoration, LLC
(County,) .(State)
minute books and' by-laws of
(Name of Corporation)
Affiant further says that Michael -K . O' Malley
(Officer's Name)
is CEO
(Title)
of the corporation, is 'duly •a ithorized tosign the Proposal for 26'-0046—PR
onsaidcorporation by virtue of N/A
Carpenter complex Repairs
(state, whether a provision of by laws or a 'Resolution of
Board of Directors. If by Resolution, give date of adoption).
Justin Morgan, .Secretary/CFO
Sworn to before"1ne this —i I7day of 3-1/4,i'n'e—
'''''''''''''FERNANDA.. ROLIM FIGUEIREDO
L, }.
� Notary Publlc•.State :of Florida
= tommisilon N HH. 345608
t o ' My Comm. Expires Jan 11,'2027
Bonded through National Notary Assn.
,.;20 24..
Notary Public
Type/print/stamp name ofotary
Title or rank, and Serial No4 if ariy
SECTION V Page.9 of 16 Updated: 6/3/2024
SECTION V -Contract Documents
NON -COLLUSION AFFIDAVIT
STATE OF FLORIDA
COUNTY OF Broward
Michael K. O'Malley
being, first duly sworn, deposes acid says.. that he is
CEO of Concrete Protection & ,Restoration,, LLC
the parry 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 any other bidder
,on the same contract; that said has not colluded, conspired, connived; or agreed,, directly or. indirectly,
with any bidders or person, to put in a:shatn bidor 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-elemeht 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 information or data relative thereto to any;association
or toany member oragent thereof.
Sworn to and subscribed before pie this 2.4th day of June
20 2E
Notary Public;
.0.:;;A•Wilix FERNANDAAOUM fIGUIaIRE0O
1 '``� '? Notary Public • State of flonda
ill!.j� Commission N HH 345608
g 1•. or ',Gf My Comm. ExpiresJan 11,;2027 0
'''' Bonded through National Notary Assn. :.
SECTION V Page 10 of 16 Updated; 6/3/2024
SECTION V — Contract Documents
PROPOSAL
(1)
TO THE CITY OF CLEARWATER, FLORIDA, for
Carpenter Complex Repairs (26 -0046 -PR)
and doing such other work incidental thereto, all in accordance with the contract documents, marked
Carpenter Complex Repairs (26 -0046 -PR)
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 20 Updated: 7/9/2025
SECTION V - ContractDocuments
*No chemical paint stripping in the. painting .included. $150,:,000
additional if required.
PROPOSAL
(2)
Attached hereto is a. bond or certified check on N/A
Bank, for the sum of 10% of the base bid
(s 10°
(being a minimum of 10% of Contractor'stotal bid amount).
The, full names and, residences of all;persons:and parties interested in the foregoing bid -are as follows:
'(If`oorporation, :give the namesand addresses of;the President and Secretary,, If a firm or partnership, the
names and addresses of"the n embers' or partners: The Bidden 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:
Michael K. O'Malley (CEO)
Don Caple (VP)
601 NE 44th Street, Oakland Park, FL 33334
601 NE 44th Street, Oakland Park, FL 33334
Signature of Bidder:
The,person, signing. shall, in his own handwriting, sign the Principal's name, his own name and his title,
Where the person signing for a corporation is other than the President or Vice .President, he must, by
affidavit, show his authori y, to bind the corporation.
Principal:
By: Michael K. O'Malley
Title: CEO
Company LegalName Concrete Protection & 'Restoration; LLC..
Doing;Business As (if different than above):
Business Address of Bidder: 601 NE 44th Street
City and State: Oakland Park, FL
Phone: (954 ) 505 — 3977 Email Address:
Zip Code 33334
mferro@concretecpr.com
Dated at ,,this 24th day of June , A.4,2026
SECTION V Page 12 of 16 Updated: 6/3/2024
SECTION V — Contract Documents
CITY OF CLEARWATER
ADDENDUM SHEET
PROJECT:
Complex Repairs
Acknowledgment is hereby. made of the, following addenda received since 'issuance of Plans and
Specifications.
Addendum NO. 1 Date: 06/01 /2026
Addendum No. 2 Date: 0 6/16/202"
Addendum No. 3 Date: 06/17/2026
Addendum No. Date:
Addendum No. Date:
Addendtun No. Date:
Addendum No. Date:
Addendum No. Date:
Addendum No. Date:
Addendum No. Date:
Addendum No: Date:
Concrete Protpction & Res.oration, LLC
(Name of Bidde'
ignature of Officer
CEO
(Title of Officer)
June 211, "2026
(Date)
SECTION V Page 13 of 16 Updated:6/3/2024
SECTION V — Contract Documents
BIDDER'S PROPOSAL
PROJECT: Carpenters Complex Repairs (26 -0046 -PR)
CONTRACTOR:
BIDDER'S GRAND TOTAL: $ (Numbers)
BIDDER'S GRAND TOTAL:
(Words)
Carpenter Field
Repairs
Concrete Protection &
Restoration, LLC.
Line Item
Description
Quantity
Unit of
Measure
Unit Cost
Total
Base Bid
1. General Conditions
1.1
Mobilize
1
LS
$120,000.00
$120,000.00
1.2
Permits (2% allowance)
1
LS
$16,828.00
$16,828.00
1.3
Supervision
1
LS
$35,000.00
$35,000.00
1.4
Equipment
1
LS
$17,500.00
$17,500.00
1.5
Survey
1
LS
$1,200.00
$1,200.00
2. Demolition: (In line
items below)
2.1.
Dispose of Material
1
LS
$6,000.00
$6,000.00
2.2
Dust Control
1
LS
$1,800.00
$1,800.00
2.3
Removal, replacement and
reinstallation of
equipment and electrical
conduits at area of work
1
LS
$5,400.00
$5,400.00
3A. Montgomery
Training Building
3A.1
Wall Panel Embed Repairs
(7/S3.0)
5
EA
$600.00
$3,000.00
3A.2
South East Wall Corner
Crack Repair (9/S3.0)
1
LS
$6,000.00
$6,000.00
SECTION V
Page 15 of 20
Updated: 7/9/2025
SECTION V - Contract Documents
3A.3.1
Slab on Grade Crack
Repair Interior (10/S3.0)
1
LS
$30,000.00
$30,000.00
3A.3.2
Repair Beyond 1000 SF
1
LS
$30,000.00
$30,000.00
3A.4
Concrete SpaII Repairs
10
CF
$500.00
$5,000.00
3A.5 Concrete Crack
Repair
3A.5.1
Inject with epoxy
60
LF
$80.00
$4,800.00
3A.6
Embedded Anodes *
15
EA
$70.00
$1,050.00
3A.7 NE Exterior Stair
Repair
3A.7.1
Helical Piles (Including
Delegated Engineering
and Monitoring)
3
EA
$7,200.00
$21,600.00
3A.7.2
Masonry Crack Repairs
10
LF
$65.00
$650.00
3A.7.3
Landing Slab Grinding and
Sloping
1
LS
$400.00
$400.00
3A.8
Coatings Exterior
1
LS
$68,000.00
$68,000.00
3A.9
Stucco Repairs Exterior
100
SF
$27.00
$2,700.00
3A.10
Sealant
100
LF
$9.00
$900.00
3A.11
PMMA Roof Recover (A -
301)
1
LS
$325,000.00
$325,000.00
3A.12
Wall Base Repairs (5/A -
201)
1
LS
$8,000.00
$8,000.00
3A.13
Handrail Coating
1
LS
$15,000.00
$15,000.00
3B. Clubhouse
Building:
3B.1 Steel Corrosion
Repairs
3B.1.1
Second Floor Walkways
(Exterior)
250
LF
$60.00
$15,000.00
3B.2
Deck Cracks -2nd Floor
Balconies
20
LF
$18.00
$360.00
3B.3
Concrete Spall Repairs
5
CF
$500.00
$2,500.00
3B.4 Concrete Crack
Repair
36.4.1
Inject with Epoxy
25
LF
$80.00
$2,000.00
3B.5
Handrail Coating
1
LS
$18,000.00
$18,000.00
3B.6
Coatings Exterior
1
LS
$80,000.00
$80,000.00
SECTION V
Page 16 of 20
Updated: 7/9/2025
SECTION V — Contract Documents
3B.7
Stucco Repair -Exterior
Walls
250
SF
$27.00
$6,750.00
3B.8
Overhead Stucco Repairs -
Exterior Ceilings
60
SF
$24.00
$1,440.00
36.9
Sealant
150
LF
$9.00
$1,350.00
Miscellaneous Items
4
Cleanup and
Demobilization
1
LS
$5,000.00.
$5,000.00
5
100% Performance and
Payment Bond
1
LS
$17,165.00
$17,165.00
Total
$875,393.00
Contingency
Line Item
Description
Unit Cost
Total
1
Owner Contingency (10%
of total above)
1
LS
$87,540.00
$87,540.00
Total
$87,540.00
Alternates
Line Item
Description
1
Labor Rate for work
performed on a time and
material basis (included all
taxes and fringe benefits)
Per Hour
$ 75.00
Alternates 2
Line Item
Description
1
OH&P percentage for
materials purchased on a
Time and Material (T&M)
basis
%
20%
2
OH&P percentage for
general contractor for
subcontractor services on
additional work
%
20%
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.
SECTION V
Page 17 of 20 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 IN
THE BID RESPONSE.
SECTION V Page 18 of 20 Updated: 7/9/2025
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
6. Section V - Contract Documents*
Please download the below documents, complete, and upload.
• Section V - Contract Docume...
CP&R_Section_V-_Contract_Documents_(2).pdf
7. W-9*
Upload your current W-9 form. (available at https://www.irs.gov/pub/irs-pdf/fw9.pdf)
CP&R_W-9.pdf
RICE TABLES
CARPENTER FIELD REPAIRS
- Contractor to verify all LS quantities. - Allowance (*)(To be billed on a T&M basis) - Unit Price pay items will require owner approval
of contractor installed quantities. - Concrete pay quantities to be a minimum of 1/2 CF per repair location. - Stucco repair quantities
assumed to be a minimum of 10 SF per location. - Any contingency funds remaining shall be returned to the Owner upon close-out of
purchase order. - 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.
Line Item
Base Bid
Description
Quantity Unit of Unit Cost Total
Measure
1. General: Conditions
1.1
Mobilize
1
LS
$120,000.00
$120,000.00
1.2
Permits (2% allowance)
1
LS
$16,828.00
$16,828.00
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 5
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
Line Item
1.3
Description
Supervision
Quantity
1
Unit of
Measure
LS
Unit Cost
$35,000.00
Total
$35,000.00
1.4
Equipment
1
LS
$17,500.00
$17,500.00
1.5
Survey
1
LS
51,200.00
$1,200.00
2. Demolition: (In line items below)
2.1.
Dispose of Material
1
LS
$6,000.00
$6,000.00
2.2
Dust Control
1
LS
$1,800.00
$1,800.00
2.3
Removal, replacement and reinstallation of equipment and electrical conduits at
area of work
1
LS
$5,400.00
$5,400.00
3A. Montgomery Training Building, .. �
3A.1
Wall Panel Embed Repairs (7/S3.0)
5
EA
$600.00
$3,000.00
3A.2
South East Wall Corner Crack Repair (9/S3.0)
1
LS
$6,000.00
$6,000.00
3A.3.1
Slab on Grade Crack Repair Interior (10/S3.0)
1
LS
$30,000.00
$30,000.00
3A.3.2
Repair Beyond 1000 SF
1
LS
$30,000.00
$30,000.00
3A.4
Concrete Spall Repairs
10
CF
$500.00
$5,000.00
3A.5 Concrete Crack Repair
3A.5.1
Inject with expoxy
60
LF
$80.00
$4,800.00
3A.6
Embedded Anodes *
15
EA
$70.00
$1,050.00
CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENTcREPORT
Invitation To Bid - Carpenter Complex Repairs
Page 6
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
Line Item
3A.7 NE Exterior Stair Repair'
Description
Quantity
Unit of
Measure
Unit Cost Total
3A.7.1
Helical Piles (Including Delegated Engineering and Monitoring)
3
EA
$7,200.00
$21,600.00
3A.7.2
Masonry Crack Repairs
10
LF
$65.00
$650.00
3A.7.3
Landing Slab Grinding and Sloping
1
LS
$400.00
$400.00
3A.8
Coatings Exterior
1
LS
$68,000.00
$68,000.00
3A.9
Stucco Repairs Exterior
100
SF
$27.00
$2,700.00
3A.10
Sealant
100
LF
$9.00
$900.00
3A.11
PMMA Roof Recover (A-301)
1
LS
$325,000.00
$325,000.00
3A.12
Wall Base Repairs (5/A-201)
1
LS
$8,000.00
$8,000.00
3A.13
Handrail Coating
3B. Clubhouse Buildin
r3B 1,Steel Corrosion. Repairs
3B.1.1
1
LS
$15,000.00
$15,000.00
Second Floor Walkways (Exterior)
250
LF
$60.00
$15,000.00
3 B.2
Deck Cracks -2nd Floor Balconies
20
LF
$18.00
$360.00
3B.3
Concrete Spall Repairs
5
CF
$500.00
$2,500.00
3B.4 Concrete Crack Repair
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 7
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
Line Item Description Quantity Unit of Unit Cost Total
Measure
313.4.1
3B.5
36.6
Inject with Epoxy
Handrail Coating
Coatings Exterior
25
1
1
LF
LS
LS
$80.00
$18,000.00
$80,000.00
$2,000.00
$18,000.00
$80,000.00
36.7
36.8
36.9
Stucco Repair -Exterior Walls
Overhead Stucco Repairs -Exterior Ceilings
Sealant
Miscellaneous item
250
60
150
SF
SF
LF
$27.00
$24.00
$9.00
$6,750.00
$1,440.00
$1,350.00
4.
5.
Cleanup and Demobilization
100% Performance and Payment Bond
1
1
LS
LS
$5,000.00
$17,165.00
$5,000.00
$17,165.00
TOTAL
$875,393.00
CONTIGENCY
Line Item
1.
Description
Owner Contingency (10% of total above)
Quantity
1
Unit of
Measure
LS
Unit Cost Total
$87,540.00
TOTAL
$87,540.00
$87,540.00
ALTERNATES
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 8
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
Line Item
1.
Description
Labor Rate for work performed on a time and mateiral basis (included all taxes and fringe benefits)
Unit of Measure
Per Hour
Unit Cost
$75.00
Line Item
1
ALTERNATES 2
Description
OH&P percentage for materials purchased on a Time and Material (T&M) basis
Unit of Measure Percentage
20%
2
OH&P percentage for general contractor for subcontractor services on additional work
20%
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 9
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 inthis
solicitation and is not listed on either the ScrutinizedCompanies with Activities in Sudan List, the Scrutinized
Companies. with Activities in the Iran Petroleum Sector List, or enga9ed 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, or engaged in b iness operations }►i `(Juba and Syria.
t
STATE OF Florida
COUNTY OF •Broward
Authorized Signature
Michael K. O'Malley
Printed Name
CEO
Title
Concrete Protection & Restoration, LLC
Name of Entity/Corporation
The foregoing instrument was acknowledged before me by means of 0 physical presence or.0 online
notarization on, this 24 day of June , 2026 , by Michael K. O'Malley
(name of person whose signature is being notarized) as the C. Lto (title) of
(name of corporation/entity), personally known , or
produced (type of identification) as identification, and who did/did not take.
an oath.
My Commission Expires: 01
NOTARY SEAL ABOVE
1k
00 27
Notary Public'
Vie-! n ct.r, c ; rt •-L
Printed Name ` 1
Y''u�,, FERNANUA ROLiM FIGUEIRE00
Notary Public • Slate of Florida
i ` Commission B HH 345608
Eirn.' My Comm. Ezptres Jan 11, 2027
Bonded through Nationai Notary Assn,
SCRUTINIZED COMPANIES FORMS
SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL. LIST CERTIFICATION FORM
THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THEBID/PROPOSAL.
FAILURE TO SUBMIT THIS FORMAS REQUIRED MAY DEEM YOUR 'SUBMITTAL
NONRESPONSIVE.
The affiant, by virtue of the signature below, certifies that:
1. The vendor, company,-IticlividUal, 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 ina-boycott of Israel; and
2. The vendor, company, individual, principal, subsidiary; affiliate, or owner is -eligible to,participata 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 1t 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 anyofIts principals are placed on the Scrutinized Companies that Boycott Israel List, or engaged
Ina boycett,of Israel,
STATE OF Florida
COUNT'\OF Broward
The foregoing instrument
notarizationon, this. 24
(name 'of person whose
uthorized Signature,
Michael K. O'Malley
Printed Name
CEO
Title
Concrete Protection- & Restoration, LLC
'Name of Entity/Corporation
Was acknowledged 'before me by means of 0 physical presence or 0 online
day of June, , 20 26 , by Michael K. O'Malley'
.Signature is being notarized) as the ,C, --C-30 (title) of
(nameof corporation/entity),,personally known , or
(type of identification) as identification, and who didIdid nottake
produced
an oath.
My Commission Expires: 0 )
NOTARY SEAL ABOVE
Netaiy_Fhblio
re,:rei-e4.,...4-ev T. L
Printed Name
gaideraodbouim18416•014pailibidieialmalS
FERNANDA IkOLIM FIGUEIREDO,
,71f' Notary Public • State'of Florida
4„1;1), di/ CPinni6sion N-HH'345608:
My, Comm. Expires•Jpn 1.1,2027
BondefiAhroui*NatlivalNo4ry Assn.
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.
Theundersigned is authorized to execute this form on behalf of Entity.
Date: June 24 2026 Signed:
Concrete Protection &
Entity: Restoration, LLC Name: Michael K. O'Malley
Title: CEO.
City of Clearwater
Public Works
Marcus Williamson, Department Director
100 South Myrtle Avenue, Clearwater, FL 33756
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
RESPONSE DEADLINE: June 24, 2026 at 2:00 pm
Report Generated: Wednesday, June 24, 2026
Concrete Protection & Restoration, LLC. Response
CT INFORMATI
Company:
Concrete Protection & Restoration, LLC.
Email:
fdefigueiredo@concretecpr.com
Contact:
Fernanda De Figueiredo
Address:
2811 Lord Baltimore Drive
Baltimore, MD 21244
Phone:
N/A
Website:
www.concretecpr.com
Submission Date:
Jun 24, 2026 1:58 PM (Eastern Time)
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
ADDENDA CONFIRMATION
Addendum #1
Confirmed Jun 24, 2026 12:13 PM by Fernando De Figueiredo
Addendum #2
Confirmed Jun 24, 2026 12:13 PM by Fernando De Figueiredo
Addendum #3
Confirmed Jun 24, 2026 12:13 PM by Fernando De Figueiredo
ESTION'NAIRE
1. Certified Business*
Are you a Certified Small Business or a Certified Minority, Woman or Disadvantaged Business Enterprise?
No
2. Vendor Certification*
By submitting this response, the Vendor hereby certifies that:
A. It is under no legal prohibition on contracting with the City of Clearwater.
B. It has read, understands, and is in compliance with the specifications, terms and conditions stated herein, as well as its
attachments, and any referenced documents.
C. It has no known, undisclosed conflicts of interest.
D. The prices offered were independently developed without consultation or collusion with any of the other vendors or potential
vendors or any other anti-competitive practices.
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 2
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
E. No offer of gifts, payments or other consideration were made to any City employee, officer, elected official, or consultant who
has or may have had a role in the procurement process for the commodities or services covered by this contract. The Vendor
has not influenced or attempted to influence any City employee, officer, elected official, or consultant in connection with the
award of this contract.
F. It understands the City may copy all parts of this response, including without limitation any documents or materials copyrighted
by the Vendor, for internal use in evaluating respondent's offer, or in response to a public records request under Florida's public
records law (F.S. Chapter 119) or other applicable law, subpoena, or other judicial process; provided that the City agrees not to
change or delete any copyright or proprietary notices.
G. It hereby warrants to the City that the Vendor and its subcontractors will comply with, and are contractually obligated to comply
with, all federal, state, and local laws, rules, regulations, and executive orders.
H. It certifies that Vendor is not presently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded,
or disqualified from participation in this matter from any federal, state, or local agency.
I. It will provide the commodities or services specified in compliance with all federal, state, and local laws, rules, regulations, and
executive orders if awarded by the City.
J. It is current in all obligations due to the City.
K. It will accept all terms and conditions as set forth in this solicitation if awarded by the City.
L. The signatory is an officer or duly authorized representative of the Vendor with full power and authority to submit binding offers
and enter into contracts for the commodities or services as specified herein.
Confirmed
3. E -Verify System Certificattion*
PER FLORIDA STATUTE 448.095, CONTRACTORS AND SUBCONTRACTORS MUST REGISTER WITH AND USE THE E -VERIFY SYSTEM TO
VERIFY THE WORK AUTHORIZATION STATUS OF ALL NEWLY HIRED EMPLOYEES.
The affiant, by virtue of confirming below, certifies that:
A. The Contractor and its Subcontractors are aware of the requirements of Florida Statute 448.095.
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 3
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
ITB No. 26 -0046 -PR
Carpenter Complex Repairs
B. The Contractor and its Subcontractors are registered with and using the E -Verify system to verify the work authorization status
of newly hired employees.
C. The Contractor will not enter into a contract with any Subcontractor unless each party to the contract registers with and uses
the E -Verify system.
D. The Subcontractor will provide the Contractor with an affidavit stating that the Subcontractor does not employ, contract with,
or subcontract with unauthorized alien.
E. The Contractor must maintain a copy of such affidavit.
F. The City may terminate this Contract on the good faith belief that the Contractor or its Subcontractors knowingly violated Florida
Statutes 448.09(1) or 448.095(2)(c).
G. If this Contract is terminated pursuant to Florida Statute 448.095(2)(c), the Contractor may not be awarded a public contract for
at least 1 year after the date on which this Contract was terminated.
H. The Contractor is liable for any additional cost incurred by the City as a result of the termination of this Contract.
Confirmed
4. Scrutinized Company Certification*
Please download the below documents, complete, notarize, and upload.
• SCRUTINIZED COMPANIES AND B...
CP&R_SCRUTINIZED_COMPANIES_AND_BUSINESS_OPERATIONS_ CERTIFICATION_(7)_(1).pdf
5. Compliance with Anti -Human Trafficking Laws*
Please download the below documents, complete, and upload.
• Compliance with 787.06 form...
CP&R_Compliance_with_787.06_form_(4)_(1).pdf
[CONCRETE PROTECTION & RESTORATION, LLC.] RESPONSE DOCUMENT REPORT
Invitation To Bid - Carpenter Complex Repairs
Page 4
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.
Before you begin. For guidance related to the purpose of Form W 9 "see t'urpose of Form belo•
Give form to The
requester. Do not
send to the IRS.
1 Printor type.
See Specific; Instructions on page 3.
1 .Name of entlty/indivlduai. Ari entry Is required, (For asote proprietor or disregarded entity, enter the owner's name' on line 1, and "enter the business/disregarded
entity's name,on:line 2.),
Concrete Protection and Restoration, LLC.
2 Business name/disregarded entity name, if different from 'above.
CP&R
3a Check the appropriate box for federal tax classification of the entity/ir dividual whose name Is entered'on line I..Check
only one of the following seven boxes:
4 'Exemptions (codes apply only to
certain entities, npt individuals;
see instructions on page
Exempt payee Of any)
• Individual/sole proprietor ■ C corporation IIIS corporation ■ Partnership IIITrust/estate
0 LLC. Enter the fax classification (6,. C corporation, S = S corporation, P'= Partnership)
S,
Note: Check the "LLC" box.above;and, in the entry space, enter the appropriate code (C, S, or P)
classification of'the LLC, unless it Is a disregarded entity. A disregarded entity should instead check
box forthe tax -classification of itsiowner.
forthe tax
the appropriate
Exemption from Foreign Account Tax
Compliance Act(FATCA) reporting
'code.(if any)
• Other (see instructions)
3b`1fon 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'pertnershlp, trust, or estate in which you have an ownership interest,
this box'.if you have. any foreign partners, owners, or beneficiaries. See Instructions . . ..
'check=
(Applies to accountsmafnfelned
outside "the United;States.)
.. . ,. .. ■
5 Address (number, street, and apt. or suite no.). -See instructions.
601 NE 44th Street
Requester's name and
address (optional)
8 City, state, and ZIP code
Oakland Park, FL 33334
7 List.account number(s) here (optional)
• art
I Taxpayer Identification. Number (TIN),
Enter your TIN inthe appropriate box. The'T1N 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.l, later. For other
entitles, It is your. employer' identification number (EIN). If you do not iave a number, see How to get:a
TiN, later.
Note: If the account"is inmorethan 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.
'Social security number
or
I Employer identificat on,number
8
1
9
9
0
0
2
2
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown`onthls form ls'tny correct taxpayer: identification number;(or I am waiting fora 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 notbeen 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.,1 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 currentiysubject to backup withholding
becauseyou 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 retirementarrangement (IRA); and, generally, payments
other than interest and dividends, you are not re aired to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.,
Sign Signature of
� j
Here u.s. person �• r�'_�-'' Date G 1' �;ci" 2:6
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.
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 orindirect.
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 foreignpartners, 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-9requester) 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)