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STATE ROAD 60 TRAILHEAD PARK - 26-0052-PR
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 18 SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM 19 SECTION V Page i Updated: 7/9/2025 SECTION V - Contract Documents Bond No.: 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 Harbor Contracting, LLC Principal Name 13970 W Hillsborough Ave Tampa, FL 33635 Principal Business Address 813-712-0579 Principal Phone Number SURETY [name]' Principal Name [Address Line 11 [Address Line 22 Principal Business Address [phone number], Principal Phone Number OWNER City of Clearwater Public Works PO Box 4748 Clearwater FL 33758-4748 (727) 562-4750 PROJECT NAME: State Road (SR) 60 Trailhead Park PROJECT NO.:26-0052-PR PROJECT DESCRIPTION: The Scope of Work for the State Road (SR) 60 Trailhead Park Project includes creating a new Trailhead to support the use of the new Courtney Campbell Causeway pedestrian overpass and adjoining trail system and connectivity to the adjacent Welcome Center. Site improvements include the installation of site furnishings such as benches, picnic tables, Adirondak chairs, waste receptacles, drinking fountain, bike racks, bike repair station, landscaping, irrigation, concrete pads and sidewalks and regulatory/informational signage as specified in the construction plans. The intent of this bid is to obtain competitive prices to establish a contract for construction services. All quantities are estimates only and the city of Clearwater (city) is not obligated to purchase any minimum or maximum amount during the contract. All the work is to be administered per Section III, Section 23 of the Contract Documents. The Contractor shall provide one (1) [Fixed] project sign as described in Section III, Section 23 of the Contract Documents. Contract Period: 3 months or 90 Consecutive Calendar Days from Notice to Proceed BY THIS BOND, We, , as Contractor, and , a corporation, as Surety, are bound to the City of Clearwater, Florida, herein called Owner, in the sum of $391,440.50, 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: SECTION V Page 1 of 19 Updated: 7/9/2025 SECTION V — Contract Documents 1. Performs the contract dated , between Contractor and Owner for construction of State Road (SR) 60 Trailhead Park, 26 -0052 -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 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 19 Updated: 7/9/2025 SECTION V — Contract Documents Bond No.: 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 day of 20 (If sole Ownership or Partnership, two (2) Witnesses are required). (If Corporation, Secretary only will attest and affix seal). Harbor Contracting, LLC! By: Title: Print Name: WITNESS: WITNESS: Corporate Secretary or Witness Print Name: Print Name: (affix corporate seal) (Corporate Surety) By: ATTORNEY-IN-FACT Print Name: (affix corporate seal) (Power of Attorney must be attached) SECTION V Page 3 of 19 Updated: 7/9/2025 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 Harbor Consulting, LLC, of the City of Tampa County of Hillsborough and State of Florida, hereinafter designated as the "Contractor". [Or, if out of state:] This CONTRACT made and entered into this day of , 20 by and between the City of Clearwater, Florida, a municipal corporation, hereinafter designated as the "City", and , a/an (State) Corporation authorized to do business in the State of Florida, of the City of County of and State of , hereinafter designated as the "Contractor" J 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: State Road (SR) 60 Trailhead Park PROJECT NO.: 26 -0052 -PR in the amount of $391,440.50 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 19 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 19 Updated: 7/9/2025 SECTION V—Contract Documents CONTRACT (3) In addition to all other contract requirements as provided by law, the contractor executing this agreement agrees to comply with public records law. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, THE CONTRACTORS DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT. CONTACT THE CUSTODIAN OF PUBLIC RECORDS, Rosemarie Call, City Clerk, at Rosemarie.Call@myclearwater.com, 727-562-4092, 600 Cleveland St., 6th Floor, Clearwater, FL 33756. The contractor's agreement to comply with public records law applies specifically to: a) Keep and maintain public records required by the City of Clearwater (hereinafter "public agency") to perform the service being provided by the contractor hereunder. b) Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided for in Chapter 119, Florida Statutes, as may be amended from time to time, or as otherwise provided by law. c) Ensure that the public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the public agency. d) Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of the contractor or keep and maintain public records required by the public agency to perform the service. If the contractor transfers all public records to the public agency upon completion of the contract, the contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the contractor keeps and maintains public records upon completion of the contract, the contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the public agency, upon request from the public agency's custodian of public records, in a format that is compatible with the information technology systems of the public agency. e) A request to inspect or copy public records relating to a public agency's contract for services must be made directly to the public agency. If the public agency does not possess the requested records, the public agency shall immediately notify the contractor of the request and the contractor must provide the records to the public agency or allow the records to be inspected or copied within a reasonable time. f) The contractor hereby acknowledges and agrees that if the contractor does not comply with the public agency's request for records, the public agency shall enforce the contract provisions in accordance with the contract. g) A contractor who fails to provide the public records to the public agency within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes. h) If a civil action is filed against a contractor to compel production of public records relating to a public agency's contract for services, the court shall assess and award against the contractor the reasonable costs of enforcement, including reasonable attorney fees, if: 1. The court determines that the contractor unlawfully refused to comply with the public records request within a reasonable time; and SECTION V Page 6 of 19 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: Jennifer Poirrier City Manager Countersiygned: Rosemar'e all City Clerk By: Appioveas to form: Bruc Mayor sabel Senior Assistant City Attorney Ci ractor must indicate whether: Corporation, Partnership, Company, or m'( (On%t- jh (Contractor) 1 By: Print Name: 41. p (ora Title: fM2/S1P?r 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 7 of 19 Updated: 7/9/2025 SECTION V— Contract Documents CONSENT OF SURETY TO FINAL PAYMENT TO OWNER: City of Clearwater PROJECT NAME: State Road (SR) 60 Trailhead Park Public Works PROJECT NO.: 26 -0052 -PR 100 S Myrtle Ave CONTRACT DATE: t 1 Clearwater, FL 33756 BOND NO.: [ ], recorded in O.R. Book [ ], Page [ ], of the Public Records of Pinellas County, Florida. CONTRACTOR: Harbor Contracting, LLC 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 Harbor Contracting, LLC 13970 W Hillsborough Ave Tampa, FL 33635, 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 19 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, Harbor Contracting, LLC. as Contractor, and FCCI Insurance Company, as Surety, whose address is 6300 University Parkway, Sarasota, FL 34240 , are held and firmly bound unto the .City of Clearwater, Florida, in the sum of Thirty Five Thousand Five Hundred and Eighty Five Dollars and Fifty Cents Dollars ($ 35,585.50 )(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 andseverally bind ourselves, our heirs, executors; administrators, successors and assigns. The condition of the above obligation is such that if the attached Proposal of Harbor Contracting, LLC. as Contractor, and FCCI Insurance Company as Surety, for work specified as: State Road (SR) 60 Trailhead Park - 26 -0052 -PR 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. Limited Principal must indicate whether: Liability Corporation, Partnership, X Company, or lndividual,.:,,,,,, Signed this 7th day of October 2026 .. Harbor Contracting, LLC. 13970 West Hillsborough Avenue Tampa, FL 33635 Contractor . r . Harbor Contracting, LLC. Principal By:. Title - Anthony Cerullo,President FCCI Insurance Company Surety Jorge racamonte, Attorney -In -Fact & Florida Licensed Resident Agent Inquiries: (321) 800-6594 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: 7/9/2025 FCC I®�NSURANCE GROUP GENERAL POWER OF ATTORNEY Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of the State of Florida (the "Corporation") does make, constitute and appoint: Jorge Bracamonte; Jessie Sloan; Hallie Martin Each, its true and lawful Attorney -In -Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the sum of (not to exceed $30,000,000.00): $30,000,000.00 This Power of Attorney is made and executed by authority of a Resolution adopted`by the Board of Directors: That resolution, also authorized any further action by the officers of the Company necessary to effect such transaction. The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached. In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Seal to be hereunto affixed, this 20th day of December, 2024. Attest: co_ add__ Christina D. Welch, President FCCI Insurance Company State of Florida County of Sarasota Before me this day personally appeared Christina D. Welch, who is personally known to me and who executed the foregoing document for the purposes expressed therein. �y�Ai,NC... •• r o 1 •.Iso: �.: cA 4- SEAL :<- I994 ••••:!Z01110!../. Christopher Shoucair, EVP, CFO, Treasurer, Secretary FCCI Insurance Company My commission expires: 2/27/2027 ow i • i.s, PE©OYSNOW * 1_,Commission 114H 326S3S iis %o / Winn Fobeuery21.2027 Notary. Public State of Florida County of Sarasota Before me this day personally appeared Christopher Shoucair, who is personally known to me and who executed the foregoing document for the purposes expressed therein. My commission expires: 2/27/2027 Y' s',.•.s PEGGYSNOW '0* Commission/lift 321535 Net, Ev6ee Fibeusry21.2r27 CERTIFICATE Notary. Public I, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that;the foregoing Power of Attorney remains in full force end has not been revoked; and furthermore that the February27, 2020 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. x.70-- ^� Dated this 7th day of, October 2026 _ ta: B L• 1 . 1-1ONA-3592-NA-04, 1/2025 Christopher Shoucair, EVP, CFO, Treasurer, Secretary FCCI Insurance Company SECTION V — Contract Documents AFFIDAVIT (To be filled in and executed if the bidder is a corporation) STATE OF FLORIDA COUNTY OF Pinellas Anthony Cerullo , being duly sworn, deposes and says that he/she is Secretary of Harbor Contracting LLC a corporation organized and existing under and by virtue of the laws of the -State of Florida, and having its principal office at: 13970 W Hillsborought Ave. Tampa Hillsborough FL (Street & Number) (City) (County) (State) Affiant further says that he is familiar with the records, minute books . and by-laws of Harbor Contracting LLC (Name of Corporation) Affiant further says that Anthony Cerullo is President (Officer's Name) (Title) of the corporation, is duly authorized to sign the Proposal for State, Road (SR) 60 Trailhead Park or said corporation by virtue of (state whether a provision of by laws or a Resolution of Board of Directors. If by Resolution give date of adoption). Affiant Sworn to before me this 5' day of C) Civ\ ->4_,\r ,'20 2(0. 4Y ;''• •. Notaryi'ublic ' ;e• "4i••.. ANGELINAJEWELL MY COMMISSION # HH 724031 M j'V1C . EXPIRES: September 23, 2029 ' 121(tr,o_F`'' Type/pnt/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 Hillsborough ) Anthony Cerullo being, first duly sworn, deposes and says that he is President of Harbor Contracting LLC the party making the foregoing Proposal or Bid; that such Bid is genuine and not collusive or sham: that said bidder is not financially interested in or otherwise affiliated in a business way with any other bidder on the same contract; that said bidder has not colluded, conspired, connived, or agreed, directly �r 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 saidproposal 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 to any member or agent thereof. Affiant Sworn to and subscribed before me this J day of 0A -11 -Vv - Notary tPublic C11-WNotary.tPublic ANGELINA JEWELL MY COMMISSION # HH 724031 EXPIRES: September 23, 2029 SECTION V Page 10 of 16 Updated: 6/3/2024 SECTION V — Contract Documents PROPOSAL (1) TO THE CITY OF CLEARWATER, FLORIDA, for State Road (SR) 60 Trailhead Park (26 -0052 -PR) and doing such other work incidental thereto, all in accordance with the contract documents, marked State Road (SR) 60 Trailhead Park (26 -0052 -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 19 Updated: 7/9/2025 Attached hereto is SECTION V —Contract Documents PROPOSAL (2) certified check on Bank, for the sum Five Hundred and Eighty Five Dollars and Fifty Cents (being a minimum of 10% of Contractor's totalbid amount). of Thirty Five Thousand ($ 35,585.50 The full names and residences of all persons and parties interested in the foregoing bid are as follows: (If corporation, give the names and addresses of the President and Secretary. If a firm or partnership, the names and addresses of the members or partners. The Bidder shall list not only his name but also the name of any person with whom bidder has any type of agreement whereby such person's improvements, enrichment,employment or possible benefit, whether sub -contractor, materialman, agent, supplier, or employer is contingent upon the award of the contract to the bidder). NAMES: Anthony Cerullo ADDRESSES: 524 Oakwood Blvd. Oldsmar, FI 34677 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 authority, to bind the corporation. Principal: Harbor Contracting LLC By: Anthony Cerullo Title: President Company Legal Name: Harbor Contracting LLC Doing Business As (if different than above): Business Address of Bidder: 13970 W Hillsborough Ave. City and State: Tampa, Florida Zip Code 33635 Phone: 727-332-3710 Email Address: Anthony@harborcontractingllc.com Dated at 11:00 AM , this 7 day of October , A.D., 20.2 SECTION V Page 12 of 16 Updated: 6/3/2024 SECTION V —Contract Documents CITY OF CLEARWATER ADDENDUM SHEET PROJECT: State Road (SR) 60 Trailhead Park Acknowledgment is hereby made of the following addenda received since issuance of Plans and Specifications. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. Addendum No. i Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Date: Anthony Cerullo (Name of B.ddgr) (Signature of Officer) President (Title of Officer) /o/ 5710 (Date) SECTION V Page 13 of 16 Updated: 6/3/2024: SECTION V—Contract Documents BIDDER'S PROPOSAL PROJECT: State Road (SR) 60 Trailhead Park (26 -0052 -PR) CONTRACTOR: BIDDER'S GRAND TOTAL: $ (Numbers) BIDDER'S GRAND TOTAL: (Words) SR60 Trailhead Park Base Bid Harbor Contracting, LLC Line Item Description Quantity Unit of Measure Unit Cost Total 1. General Conditions 1.A Mobilization 1 LS $30,000.00 $30,000.00 1.B Permits (2%) allowance 1 LS $1,000.00 $1,000.00 1.0 Equipment Support 1 LS $5,000.00 $5,000.00 1.D Supervision 1 LS $10,000.00 $10,000.00 1.E Survey Quantities 1 LS $1,000.00 $1,000.00 2. Demolition 2.A Clearing and Grubbing 1 LS $10,000.00 $10,000.00 2.B Tree, to be removed (13"-24") 3 EA $2,000.00 $6,000.00 2.0 Tree, to be removed (greater than 36"_ 1 EA $3,000.00 $3,000.00 2.D Landscape Material, to be removed 1 LS $6,000.00 $6,000.00 2.E Asphalt, to be removed 405 SF $5.00 $2,025.00 2.F Concrete (apron), to be removed 34 SF $5.00 $170.00 2.G Park furniture, bicycle repair station to be removed 1 LS $1,000.00 $1,000.00 3. Trailhead Park 3.A Grading 1 LS $5,000.00 $5,000.00 SECTION V Page 15 of 19 Updated: 7/9/2025 SECTION V — Contract Documents 3.B Concrete Slab -on -Grade (6" min thickness, 3,000 psi w/ WWF) 1000 SF $15.00 $15,000.00 3.0 Park furniture, bench install 2 EA $5,000.00 $10,000.00 3.D Park furniture, picnic table install 2 EA $2,500.00 $5,000.00 3.E Park Furniture, adirondack chair install (small) 6 EA $1,000.00 $6,000.00 3.F Park furniture, adirondack chair install (large) 1 EA $3,000.00 $3,000.00 3.G Park Furniture, trash receptacle install 2 EA $1,000.00 $2,000.00 3.H Park furniture, bicycle repair station install 1 EA $5,000.00 $5,000.00 3.1 Park furniture, dog waste station install 1 EA $1,500.00 $1,500.00 3.J Park furniture, bike rack install 1 EA $1,000.00 $1,000.00 3.K Water fountain with pet station install 1 EA $10,000.00 $10,000.00 3.L Park Signage 2 EA $10,000.00 $20,000.00 3.M Landscaping 1 LS $110,000.00 $110,000.00 3.N Irrigation 1 Is $60,000.00 $60,000.00 3.0 Civil/Utility work 1 LS $20,000.00 $20,000.00 3.P Silt fencing 80 LF $2.00 $160.00 4 Cleanup and Demobilization 1 LS $2,000.00 $2,000.00 5 100% Performance and Payment Bond 1 LS $5,000.00 $5,000.00 Total $355,855.00 Contingency Selected Line Item Total Unit Cost 1 Owner Contingency (10% of total above) 1 LS $35,585.50 $35,585.50 Total $35,585.50 GRAND TOTAL $391,440.50 Alternates Line Item Description Unit of Measure Unit Cost 1 Labor Rate for work performed on a time and material basis (included all taxes and fringe benefits) Per Hour $ 100.00 $ 100.00 Total $0.00 $ 100.00 Alternates 2 SECTION V Page 16 of 19 Updated: 7/9/2025 SECTION V — Contract Documents Line Item Description Unit of Measure Percentage 1 OH&P percentage for materials purchased on a Time and Material (T&M) basis % 25% 2 OH&P percentage for general contractor for subcontractor services on additional work % 25% 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 17 of 19 Updated: 7/9/2025 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park PB-26-046_Anti Human Trafficing_Laws.pdf 6. Section V - Contract Documents* Please download the below documents, complete, and upload. • Section V - Contract Docume... PB-26-046_Bond. pdf 7. W-9* Upload your current W-9 form. (available at https://www.irs.gov/pub/irs-pdf/fw9.pdf) W9-_2026_Harbor Contracting.pdf PRICE TABLES. SR 60 TRAILHEAD PARK BASE BID The City anticipates making a single award for this solicitation. Alternative pricing is provided for informational and evaluative purposes only and shall not be considered part of the base bid. Line Item Description Quantity Unit of : Unit Cost Total Measure 1. General Conditions 1.A Mobilization 1 LS $30,000.00 $30,000.00 1.B Permits (2%) allowance 1 LS $1,000.00 $1,000.00 1.0 Equipment Support 1 LS $5,000.00 $5,000.00. [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 5 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park Line Item 1.D Description Quantity Unit of Unit Cost Total Measure Supervision 1 LS $10,000.00 $10,000.00 1.E Survey Quantities 1 LS $1,000.00 $1,000.00 2. Demolition 2.A Clearing and Grubbing 1 LS $10,000.00 $10,000.00 2.B Tree, to be removed (13"-241 3 EA $2,000.00 $6,000.00 2.0 Tree, to be removed (greater than 36"_ 1 EA $3,000.00 $3,000.00 2.D Landscape Material, to be removed 1 LS $6,000.00 $6,000.00 2.E Asphalt, to be removed 405 SF $5.00 $2,025.00 2.F Concrete (apron), to be removed 34 SF $5.00 $170.00 2.G Park furniture, bicycle repair station to be removed 1 LS $1,000.00 $1,000.00 3. Trailhead Park 3.A Grading 1 LS $5,000.00 $5,000.00 3.B Concrete Slab -on -Grade (6" min thickness, 3,000 psi w/ WWF) 1,000 SF $15.00 $15,000.00 3.0 Park furniture, bench install 2 EA $5,000.00 $10,000.00 3.D Park furniture, picnic table install 2 EA $2,500.00 $5,000.00 3.E Park Furniture, adirondack chair install (small) 6 EA $1,000.00 $6,000.00 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 6 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park Line Item 3.F Description Park furniture, adirondack chair install (large) Quantity 1 Unit of Measure EA Unit Cost $3,000.00 Total $3,000.00 3.G Park Furniture, trash receptacle install 2 EA $1,000.00 $2,000.00 3.H Park furniture, bicycle repair station install 1 EA $5,000.00 $5,000.00 3.1 Park furniture, dog waste station install 1 EA $1,500.00 $1,500.00 3.J Park furniture, bike rack install 1 .. EA $1,000.00 $1,000.00 3.K Water fountain with pet station install 1 EA $10,000.00 $10,000.00 3.L Park Signage 2 EA $10,000.00 $20,000.00 3.M Landscaping 1 LS $110,000.00 $110,000.00 3.N Irrigation 1 Is $60,000.00 $60,000.00 3.0 Civil/Utility work 1 LS $20,000.00 $20,000.00 3.P Silt fencing 80 LF $2.00 $160.00 4 Cleanup and Demobilization 1 LS $2,000.00 $2,000.00 5. 100% Performance and Payment Bond 1 LS $5,000.00 $5,000.00 TOTAL $355,855.00 CONTINGENCY [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 7 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park Line Item 1 Description Owner Contingency (10% of total above) Quantity 1 Unit of Measure LS Unit Cost Total $35,585.50 TOTAL $35,585.50 $35,585.50 ALTERNATES 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 $100.00 Line Item 1 ALTERNATES 2 Description OH&P percentage for materials purchased on a Time and Material (T&M) basis Unit of Measure Percentage 25% 2 OH&P percentage for general contractor for subcontractor services on additional work % 25% [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 8 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 FORMAS REQUIRED MAY DEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that: 1. The vendor, company, individual, principal, subsidiary, affiliate, or owner is aware of the requirements. of section 287.135, Florida Statutes, regarding companies on the Scrutinized Companies with Activities in Sudan List, the. Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaging in business operations in Cuba and Syria; and 2. The vendor, company, individual, principal, subsidiary, affiliate; or owner is eligible to participate_in this, solicitation. and is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Sector List, or engaged in business operations in Cuba and Syria; and 3. Business Operations means, for purposes specifically related to Cuba. or Syria, engaging in commerce' in any form in Cuba or Syria, including, but not limited to, acquiring, developing,maintaining, owning, selling,. possessing, leasing or operating equipment facilities, personnel, products, services, personal property,, real property, military equipment, or any other apparatus of business or commerce; and 4. If awarded the Contract (or Agreement), the vendor, company, individual,; principal; subsidiary, affiliate,, or owner will immediately notify the City of Clearwater in writing, no later than five (5) calendar days after any of its principals are placed on the Scrutinized Companies with Activities in dan List, the' Scrutinized' Companies. with Activities in the Iran Petroleum Sector List, or engaged in busines : }gip rationsin Cuba and Syria. Authorized Signature Anthony Cerullo Printed Name President Title Harbor Contracting,., LLC Name of Entity/Corporation STATE OF Florida COUNTY OF Hillsborough The foregoing instrument was acknowledged .before me byy means of 21 physical .presence or '0 online. notarization on, this �'t; day of % c 1:11 - 20 "1.-&, by 414 16,1,1 . C ')vt l'1 b (name of person whose signature is being notarized) as the VY-e.S'i d-e(title) of -\O.v1-JCY Cov`hraei- LLC (nameof corporation/entity), personally, known .or produced 0 L (type of identification). as identification, and who did/did not take an oath. ON. ANGELINA JEWELL MY COMMISSION # HH 724031 EXPIRES: September 23, 2029 My Commission Expires: NOTARY SEAL ABOVE Notary Public Ii net 1. Printed Name SCRUTINIZED COMPANIES FORMS SCRUTINIZED COMPANIES THAT BOYCOTT ISRAEL LIST CERTIFICATION FORM THIS FORM MUST BE COMPLETED AND SUBMITTED WITH THE BID/PROPOSAL. FAILURE TO SUBMIT THIS FORM AS REQUIRED MAY DEEM YOUR SUBMITTAL NONRESPONSIVE. The affiant, by virtue of the signature below, certifies that: 1. The vendor, company, individual, principal, subsidiary, affiliate, or owner is aware of therequirements of section 287.135, Florida Statutes, regarding companies on the Scrutinized Companies, that: Boycott Israel List, or engaged in a boycott of Israel; and 2. The vendor, company, individual, principal, subsidiary, affiliate, or owner is eligible to participate in this. solicitation and is not listed on the Scrutinized Companies that Boycott 'Israel List, or engaged in a boycott of Israel; and 3. "Boycott Israel" or "boycott of Israel" means refusing to deal, terminating business activities, or taking other actions to limit commercial relations with Israel, or persons or entities doing'business in Israel or in Israeli -controlled territories, in a discriminatory manner. A statement by a company that it is participating in a boycott of Israel, or that it has initiated a boycott in response to a request for a boycott. of Israel or in compliance with, or in furtherance of, calls for a boycott of Israel, may be consideredas evidence that a company is participating in a boycott of Israel; and 4. If awarded the Contract (or Agreement), the vendor, company, individual, principal,, subsidiary, affiliate, or owner will immediately notify the City of Clearwater in writing, no later than five (5) calendar days after any of its principals are placed on the Scrutinized Companies that Boycott-lsraelList,. or engaged in a boycott of Israel. STATE OF Florida Authorized Signature Anthony Cerullo, Printed Name President Title Harbor Contracting, LLC Name of Entity/Corporation COUNTY OF Hillsborough The foregoing instrument was acknowledged before me by means of 1 physical preseptce or El online notarization on, this '5 day of 0C`� et'?-�.N 20 2(., by O+-t:R.( i..a't,llk) (name of person whose signature is being notarized) as the VJYfiSic ,* (title) of \-\GAVJV Co„ -c,raL k -1. -- LLC (name of corporation/entity), personally known , or produced nt. (type ofidentification) as identification, and who did/did not take an oath. ANGELINA JEWELL MY COMMISSION # HH 72403t EXPIRES: September 23, 2029 My Commission Expires: NOTARY SEAL ABOVE Notary Public Printed Name Compliance with Anti -Human Trafficking Laws Pursuant to Section 787.06 (13), Florida Statutes, this form must be completed by an officer or representative of a non-governmental entity when a contract is executed, renewed, or extended between the non-governmental entity and the City of Clearwater. The undersigned, on behalf of the entity listed below ("Entity"), hereby attests under penalty of perjury that: Entity does not use coercion for labor or services as defined in Section 787.06, Florida Statutes. The undersigned is authorized to execute this formon behalf of Enti Date: fo� , 20 76 Signed: _ Entity: APO( tOn 16 til L.LG Name: ArillAna P P Title: NO 11241" City of Clearwater Public Works Marcus Williamson, Department Director 100 South Myrtle Avenue, Clearwater, FL 33756 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park RESPONSE DEADLINE: October 7, 2026 at 2:00 pm Report Generated: Wednesday, October 7, 2026 Harbor Contracting, LLC Response CONTACT INFORMATION Company: Harbor Contracting, LLC Email: anthony@harborcontractingllc.com Contact: Anthony Cerullo Address: 13970 W Hillsborough Ave Tampa, FL 33635 Phone: (813) 712-0579 Website: harborcontractingllc.com Submission Date: Oct 7, 2026 12:02 PM (Eastern Time - New York) [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park ADDENDA CONFIRMATION Addendum #1 Confirmed Sep 23, 2026 11:00 AM by Anthony Cerullo QUESTIONNAIRE 1. Certified Business* Are you a Certified Small Business or a Certified Minority, Woman or Disadvantaged Business Enterprise? Yes CERTIFIED BUSINESS TYPE* Pick one of the following Certified Small Business CERTIFYING AGENCY* List the Agency that provided your certification. Pinellas County CERTIFICATION DOCUMENTATION* Provide a copy of your certification Letter_07-2024_to_07-2027. pdf [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 2 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park 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. 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 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 3 [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT ITB No. 26 -0052 -PR State Road (SR) 60 Trailhead Park 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. 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... COMPLETE_SCRUTINIZED_COMPANIES_FORMS.pdf 5. Compliance with Anti -Human Trafficking Laws* Please download the below documents, complete, and upload. • Compliance with 787.06 form... [HARBOR CONTRACTING, LLC] RESPONSE DOCUMENT REPORT Invitation To Bid - State Road (SR) 60 Trailhead Park Page 4 Pinellas County From: Pinellas County Economic Development, Small Business Enterprise Program July 2, 2024 Subject: Pinellas County Small Business Enterprise Program Application Approved Dear Cricket Vinson: Congratulations! Your Renewal application for designation as a Small Business Enterprise in the SBE Program is approved. The approval is contingent upon your firm successfully completing the eligibility listed below. We have designated Harbor Contracting LLC as eligible to continue to participate in the SBE program, and sheltered market program with an effective date of 7/1/2024. This certificate is specific to Pinellas County and covers only the company that is listed in this letter, not any other company with which you may be associated. Your firm will appear on the list of approved registered vendors. • As part of our SBE program, we do require you to register your business in our SBDC system as well. This registration will make it easier to sign up for classes and any time you need one-on-one free counseling for questions with procuring contracts with Government (County or Federal). Please visit our website, at https://www.pced.org/page/Consulting, to register 727-453-7200 for your consultation. During the registration process it will ask for nature of "counseling requested", select from any of the boxes you wish and then scroll down to the bottom and in the additional area please indicate "Pinellas County SBE with Aubri" in the text box. Failure to register for consulting in the SBDC system could result in removal from the program. Form Name: Pinellas County Small Business Enterprise Program Application Business: Harbor Contracting LLC Contact: Cricket Vinson Submission Date: 7/1/2024 Review Date: 7/2/2024 Expiration Date: 7/2/2027 Your approved Pinellas County Small Business Enterprise Program Application will expire 7/2/2027. If there are changes to your business, please contact staff to ensure the most accurate representation of your business. This includes changes to your company contacts, products, or services. Thank you for your continued interest in participating with Pinellas County and the SBE Program. If you have any additional questions please email us at Businesshelp@pinellascounty.org or call 727-453-7200. PINELLAS COUNTY SMALL BUSINESS ENTERPRISE PROGRAM THIS CERTIFICATE IS AWARDED TO Harbor Contracting LLC HAS SUCCESSFULLY COMPLETED THE SBE Certification Requirements for: Construction, Utility and Underground Projects Certification Expires: 7/2/2027 Approved: 7/2/2024 SIGNED, Corey McCaster Pinellas �,-> County Form W-9 (Rev. March 2024) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. Print or type. See Specific Instructions on page 3. 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter;the.business/disregarded entity's name on line 2.) HARBOR CONTRACTING, LLC 2 Business name/disregarded entity name, if different from above, 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. il Individual/soleproprietor I. C corporation ❑ S corporation ■ Partnership • Trust/estate El LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . .S 4 Exemptions (codes apply onlyto certain entities, not individuals; • see.instructions on, page 3): Exempt payee code (if any) Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax• classification of the LLC, unless it is a disregarded entity. A disregarded entity, should instead check the appropriate box for the tax classification of its owner. • Other (see Instructions) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting, code (if any) 3b If on line 3a you checked "Partnership" or 'Trust/estate,"-or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions •, ,(Applies to accounts maintained outside the,United States.) 5 Address (number, street, and apt. or suite no.). See instructions: 13970 W. HILLSBOROUGH•AVENUE Re<Luester s name and aalress_(optiona» 6 City, state. and ZIP code TAMPA, FL 33635 7 List account number(s) here (optional) Part 1 Taxpayer Identification Number (TIN) Enter TIN in the box. The TIN the on line 1 to avoid Social security number your appropriate provided must match egiven 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 1, later. For other — — ,anv nvry w yci, TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. or Employer identification number 8 2 5 0 0 2 9 7 3 Part II Certification Under penalties of perjury, 1 certify that: 1. The number shown on this formis my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been itotified.by the Internal Revenue. Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the .IRS has notified -me that I am. no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that 1 am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently.subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2.does -not apply.,Formortgage interestpaid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments. other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions: for Part 11, later, Sign Here Signature of U.S. person General Instructions Section references are to the Intemal 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 dassification of its owner. Otherwise, it should check the "LLC" box and enter its appropriate tax classification. Date OI Ins W'. New line 3b has been added -to.this form. A.flow-through entity is required to complete this line ,to:indicate that it director indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entiW with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable repotting requirements. For example, a partnership that has any indirect, foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information retum with the IRS-is,giving you -this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024),