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Agenda 09/10/2024 Item #16C1 (Invitation to Bid ("ITB") No. 24-8239 "Rehabilitation of Pump Station 309.18" to Andrew Site Work, LLC - Project #70240)16.C.1 09/10/2024 EXECUTIVE SUMMARY Recommendation for Board of County Commissioners, as ex-officio the Governing Board of the Collier County Water -Sewer District, to award Invitation to Bid ("ITB") No. 24-8239, "Rehabilitation of Pump Station 309.18" to Andrew Site Work, LLC, in the amount of $1,253,850, approve an Owner's Allowance of $100,000, and authorize the Chairman to sign the attached Agreement. (Project Number 70240) OBJECTIVE: To bring outdated utility infrastructure into compliance with current standards while meeting the demand for service, protecting public health and safety, and providing a proactive environmental protection approach. CONSIDERATIONS: The proposed scope of work for the Rehabilitation of Pump Station 309.18 falls under Project Number 70240, "Collections Op TSP," is consistent with the FY2024 Capital Improvement Project Budget approved by the Board on September 21, 2023. This project is located at 4373 Mercantile Avenue. Pump Station 309.18 is more than 40 years old, and has reached the end of its useful life. The scope of work for this improvement project will include: • Demolition of existing wet well and wet well piping, existing valve vault, and valve vault piping. • Temporary bypass pumping system. • New polymer concrete wet well and wet well lid. • Furnish and install new control panel/electrical panel, new pumps, and hatch. • Furnish and install new wet well piping, vent/pump out combination, new above ground discharge piping/valves, and a new pump out on discharge piping. • Gravity main extension with external drops. • New telemetry antenna. • Furnish and install a new standby diesel engine driven power system. • Permanent and removable bollards. • Stabilized access. • Final grading, restoration, and installation of gravel fill. • Pump station start-up and testing. The improvements will: (1) update the pump station to meet current Collier County utility standards in a coordinated manner that will not interrupt sewer service, (2) improve the performance and reliability of the sewer system in the community, (3) improve safety during routine maintenance by the County's Wastewater Division staff, and (4) provide reliability and resiliency to the wastewater system in the event of power failures or severe weather events. On March 25, 2024, the Procurement Services Division issued ITB No. 24-8239, for construction of the Rehabilitation of Pump Station 309.18. The County received three bids by the May 9, 2024, deadline as summarized below: Company Name City County ST Base Bid Responsive/ Responsible Andrew Site Work, LLC Fort Myers Lee Fl $1,253,850 Yes/Yes Douglas N. Higgins, Inc. Naples Collier Fl $1,311,200 Yes/Yes Quality Enterprises USA, Inc. Naples Collier Fl $1,384,970 Yes/Yes County staff and the County's Engineering consultant, Bowman Consulting Group, Ltd., Inc., evaluated the bids and determined that Andrew Site Work, LLC ("ASW") met all qualifications required for the project and submitted the low bid. The bid provided by ASW is approximately five percent lower than the engineering consultant's probable cost opinion of $1,324,000. Packet Pg. 633 16.C.1 09/10/2024 ASW, a Florida Limited Liability Company established in 2008, is licensed in Florida as both a General Contractor and Underground Utility & Excavation Contractor, has been doing business in the County since 2012, and has its main office in Fort Myers. The bid specifications informed bidders that there may be unforeseen conditions associated with the project. Staff has allocated an Owner -directed project allowance of $80,000 for unanticipated costs including, but not limited to, un-located utilities and unforeseen conditions (no additional payment shall be made for rock excavation, replacement of fill material, or dewatering). Staff has also allocated an owner -directed project allowance of $20,000 for landscaping. Use of the allowance amounts will only be authorized as necessary and subject to the County's approval and direction, in accordance with the terms of the Agreement. County staff acknowledges that the Contractor's provided insurance expires on September 15, 2024, which is valid at the time of this construction award. County staff will obtain the updated certificate of insurance from the Contractor once available. County staff and Engineering consultant Bowman Consulting Group, recommends that the attached agreement be awarded to Andrew Site Work, LLC, the lowest responsive and responsible bidder, in the total contract amount of $1,253,850, and approve the Owner's Allowance in the amount of $100,000. FISCAL IMPACT: There is adequate funding in Project Number 70240 "Collections Op TSP" for this agreement. The source of funding is the Wastewater User Fee Capital Projects Fund (4014). GROWTH MANAGEMENT IMPACT: This project meets current Growth Management Plan standards to ensure the adequacy and availability of viable public facilities, and to remain in compliance with all regulatory programs. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To award Invitation to Bid ("ITB") No. 24-8239, "Rehabilitation of Pump Station 309.18" to Andrew Site Work, LLC, in the amount of $1,253,850, approve an Owner's Allowance of $100,000, and authorize the Chairman to sign the attached Agreement. (Project Number 70240) Prepared By: Lourdes Santiago, EI, Project Manager 11I, Public Utilities Department, Engineering and Project Management Division. ATTACHMENT(S) 1.24-8239 Bid Tabulation (PDF) 2.24-8239 BondRider Andrew Site Work, LLC (PDF) 3.24-8239 DELORA (PDF) 4.24-8239 Insurance_ Andrew Site Work, LLC (PDF) 5.24-8239 NORA (PDF) 6. Rehabilitation of PS 309.18 (PPTX) 7. [Linked] 24-8239 Vendor Signed _Andrew Site Work, LLC 8.24-8239 - Solicitation Package (PDF) 9.24-8239 Andrew Site Work, LLC Proposal -Quote (PDF) 10. 24-8239 Sunbiz E-Verify (PDF) 11. 24-8239 Licenses (renewed)_ (PDF) Packet Pg. 634 16.C.1 09/10/2024 COLLIER COUNTY Board of County Commissioners Item Number: 16.C.1 Doe ID: 29527 Item Summary: Recommendation to award Invitation to Bid ("ITB") No. 24-8239, "Rehabilitation of Pump Station 309.18" to Andrew Site Work, LLC, in the amount of $1,253,850, approve an Owner's Allowance of $100,000, and authorize the Chairman to sign the attached Agreement. (Project Number 70240) Meeting Date: 09/10/2024 Prepared by: Title: — Engineering and Project Management Name: Lourdes Santiago 07/27/2024 10:47 AM Submitted by: Title: Director — Engineering and Project Management Name: Matthew McLean 07/27/2024 10:47 AM Approved By: Review: Wastewater Robert Von Holle PUD Reviewer Public Utilities Operations Support Katrina Lin PUD Reviewer Public Utilities Department Vincent Dominach Level 1 Department Review Procurement Services Vanessa Miguel Level 1 Purchasing Gatekeeper Unknown Sarah Hamilton Other Reviewer Public Utilities Operations Support Joseph Bellone PUD Reviewer Engineering and Project Management Shon Fandrich PUD Reviewer Engineering and Project Management Matthew McLean PUD Reviewer Procurement Services Sandra Srnka Procurement Director Review County Attorney's Office Scott Teach Level 2 Attorney Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Public Utilities Department George Yilmaz Level 2 Division Administrator Review Community & Human Services Maggie Lopez OMB Reviewer County Manager's Office Ed Finn Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Completed 07/29/2024 7:56 AM Completed 07/29/2024 9:23 AM Completed 07/29/2024 11:16 AM Completed 07/29/2024 11:25 AM Completed 07/29/2024 12:04 PM Completed 08/05/2024 9:50 AM Completed 08/06/2024 2:54 PM Completed 08/06/2024 3:05 PM Completed 08/21/2024 10:26 PM Completed 08/26/2024 8:43 AM Completed 08/26/2024 8:47 AM Completed 08/26/2024 10:50 AM Completed 08/27/2024 5:42 PM Completed 08/30/2024 11:36 AM Completed 09/02/2024 6:33 PM 09/10/2024 9:00 AM Packet Pg. 635 Project Manager: Lourdes Santiago Procurement Strategist: Trevor Ada line Notifications Se Bids Received: 3 24-8211 Bid Tabulation REHABILITATION OF PUMP STATION 309.18 Andrew Sitework, LLC Douglas N. Higgins, Inc. Quality Enterprises USA, Inc. Engineer's Estimate SECTION 1- GENERAL CONDITIONS ITEM NO. DESCRIPTION QUANTITY UNIT UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE 1 Moblik,tlon/Demoblllo,tlon(NOT TO EXCEED 10% OF TOTAL BID AMOUNT) 1 ITS $98,200.60 $98,200.00 $130,000.00 $130,000.00 $128,538.00 $128,538.00 $115,000.00 $115'000.00 2 Maintenance of-ffic(Vehclle&Pedestrlan) 1 LS $32,350.W $32,150.00 $30,000.00 $30,000.00 $57,261.00 $57,261.00 $6,000.00 $6,000DC 3 Preconstruction Audio/Video Rewrding 1 IS $1,900.00 $1,900.00 $4,000.00 $4,000.00 $1,8V.00 $1,817.00 $6,0W.00 $6,000.00 4 Survey layout and Record Drawings 1 LS $21,450.00 $21,450.00 $11,000.00 $11,0W.00 $4,240.00 $4,240.00 $12,000.00 $12,000.00 5 Furnish and Install Construction Pool -Sign 1 LS $1,050.o0 $1,050.o0 $2,000.00 $2,000.00 $606.00 $606.00 $2,500.00 $2,500.00 6 Stornwater Pollution Plan 1 LS $1,750.00 $1,750.00 $5,000.00 $5,000.00 $1,840.00 $1,840.00 $4,500.00 $4,500.00 7 Bypass Pumping During Construcion 1 LS $147,300.00 $147,300.001 $50,000.00 $50,000.001 $119,135.00 $119,135.00 $65,000.00 $65,0orl SECTION I SUBTOTAL $303,800.00 $232,000.00 $313,437.00 $211,000.00 SECTION 2 - DEMOLITION ITEM NO. DESCRIPTION QUANTITY UNIT UNITPRICE EXTENDEDPRICE UNITPRICE EXTENDED PRICE UNITPRICE EMENDED PRICE UNITPRICE EXTENDED PRICE 8 General Site Clearing& —bluing 1 ITS $35,150.00 $35,150.00 $14,000.00 $14,000.00 $30,588.00 $30,588.00 $10,000.00 $10,0W.00 9 Wetwell and Lid Demolition 1 LS $29,950.D0 $29,950.00 $50,000.00 $50,000.00 $165,575.00 $165,57&00 $35,000.00 $35,000.00 10 Electrical Service/Components Demolition 1 IS $13,550.00 $13,550.00 $4,000.00 $4,000.00 $4,845.00 $4,845.00 $12,000.00 $12,000.00 11 Wetwell Above Grade Component Demolition 1 LS $15,450.W $15,450.00 $8,00o.00 $8,000.00 $7,443.00 $7,443.00 $6,000.o0 $6,o00.00 12 Wetwell Below Grade Component Demolition 1 IS $16,250.00 $16,250.00 $30,000.00 $30,000.00 $12,885.00 $12,886.00 $13,000.00 $13,000.00 13 Valve Vault and Furs Demolition 1 Ls $6,350.00 $6,3S0.00 $10,000.00 $10,000.00 $14,358.00 $14,158.00 $10,000.00 $10,0w.00 SEC ION 2-SUBTOTAL $116,700.00 $96,000.W $235,495.00 $86'ritio 0 SECTION 3 - PUMP STATION ITEM NO. DESCRIPTION QUANTITY UNIT UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE 14 Furnish and Install submersible Pumps 1 Ls $147,800.00 $147,800.00 $117,000.00 $117,000.00 $152,050.00 $152,050.00 $170,000.00 $170,000.00 15 Furnish and Install Discharge Piping and Valves 1 LS $57,000.00 $57,000.00 $98,000.00 $98,000.00 $39,377.00 $39,377.60 $70,000.00 $70,000.00 36 Furnish and lnstail Concrete Wetwell and Wetwell Top Slab with Hatches 1 LS $194,D00A0 $194,000.00 $268,OD0.00 $268,000.00 $215,824.00 $215,824.00 $165,00(1 $165,00(1 W Furnish and Install Vent/Pump Out Piping 1 IS $7,800.00 $7,800.00 $10,000.00 $10,000.00 $9,595.00 $9,595.00 $8,0W.00 $8,0o0.00 18 Furnish and Install Concrete Control Panel Pad 1 LS $5,600.00 $5,600.00 $5,000.00 $5,00o.00 $4,543.00 $4,543.00 $10,000.00 $101000.00 19 Furnish and install Discharge Piping Pad 1 IS $1),350.00 $1),350.00 $9,000.00 $9,0o0.00 $1,959.w $1,959.w $10,000.00 $10,0.00 20 Furnish and Install Bollard Port (FIXed) 4 EA $1,450.W $5,800.00 $1,800.00 $7,200.00 $L, .W $5,616.00 $1,000.00 $4,00000.00 21 Furnish and Install Bollard Post (Removable) 1 5 1 EA 1 $1,650.00 $8,250.001 $1,800.001 $9,000.001 $1,665.001 $8,325.001 $2,000.001 $30,000.00 22 Connectto Exlsting Forcet In 1 LS $6,350.00 $6,1sum $7,000.00 $7,000.00 $10,761.W $10,761.00 $12,000.00 $12,000.00 23 Furnish and Install Equipment Mounting Rack(Located by Wetwell) 1 IS $4,000.00 $4,000.00 $4,000.00 $4,000.00 $9,449.o0 $9,449.00 $37,000.00 $37,000.00 24 Furnish and Install Electrical Components 1 LS 6, Do 00 $46,400.00 $180,000.00 $180,000.00 $43,609.W $43,609.00 $180,000.00 $IWOW.W 25 Furnish and Install Antenna 1 IS $41,700.00 $41,700.00 $35,000.00 $35,000.00 $35,133.00 $35,133.00 $15,000.00 $15,000.00 26 Furnish and Install New Electrical Service to Site 1 Ls $15,000.00 $15,000.00 $20,000.00 $20,000.00 $13,519.00 $13,519.00 $30,000.00 $30,ow 00 27 Pump Station Startup and Testing 1 ITS $5,850.00 $5,850.00 $6,000.00 $6,000.00 $12,582.00 $12,582.00 $16,000.00 $161000..0 SECTION 3-SUBTOTAL $555,700.00 $775,200.00 $562,342.00 $737,000.00 SECTION 4 - GENERATOR SITE ITEM NO DESCRIPTION QUANTITY UNIT UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE UNITPRICE EXTENDED PRICE 28 Furnish and Install Reinforced Concrete Generator Pad 1 ITS $28,000.00 $28,nri $13,000.00 $13,000.00 $14,536.00 $14,536.00 $15,0W.00 $15,000.00 29 Furnish and Install Generator with Automatic TransferSwitch 1 Ls $231, 100.00 $231, 100.00 $170,000.00 $170,000.00 $237,599.00 $237,599.00 $200,00000 $200,00000 30 Generator Startup and Testing 1 ITS $5,850.00 $5,850.00 $3,000.00 $3,000.00 $8,448.00 $8,448.00 $25,000.00 $25,000.00 SECTION4-SUBTOTAL $264,950.00 $186,000.W $260,583.00 $240,000.00 SECTION 5-SITEWORK ITEM NO. DESCRIPTION QUANTITY UNIT UNITPRICE I EXTENDED PRICE UNITPRICE I EXTENDED PRICE I UNITPRICE I EXTENDED PRICE I UNITPRICE I EXTENDED PRICE 31 Furnish and Install Concrete Curb 1 Ls $4,150.00 $4,150.n0 $11,000.00 $11,0W.00 $2,631.00 $2,631.00 $10,000.00 $10,000.no 32 Furnish and Install stone Surface 1 Ls $8,550.00 $8,550.00 $11,00c.001 $11,00E.001 $10,4s2.001 $10,482.00 $,10,000.001 $40,000.00 SECTION 6-SUBTOTAL $12,700.00 $22,000.00 $13,113.00 $50,wooci COST SUMMARY SECTION I- GEN DEAL CONDITIONS $303,800.00 $232,000.00 $313,437.00 $M1,000.00 SECTION 2-DEMOLITION $116,700.00 $96,000.00 $235,495.00 $86,000.00 SECTION 3-PUMP STATION $555,700.00 $775,200.00 $562,342.00 $737,000.00 SECTION 4-GENERATOR SITE $264,950.00 $I86,NO.W $260,583.00 $240,000.00 SECTION 5-SITEWORK $12,700.00 $22,000.00 $13,113.00 $50'Woo0 TOTALBIDAMOUNT $1,263,M0.00 $1311,200.00 %,384,970.00 $1324,000.00 "-fi has allocated $80,000.00 in Owners Allowance and $20,000.00 in Ta,di—ping Allowance -for Owners Use as Directed. This Allowance will be used only at the Owners direction to accomplish work due to unforeseen conditions and/or by the Owner. Inclusion of the Allowance as part of [he Contract Price is not a guarantee that the Contractor will be paid any portion or the full amount of the Allowance. Eapenditures of Owners Allowance will be made through Change Ord, with proper documentation of Time and Materials supporting the change. Andrew Sitework, LLC Douglas N. Higgins, Inc. Quality Enterprises USA, Inc. REQUIRED FORMS AND DOCUMENTS Yes/No Yes/No Yes/No Bid Schedule Yes Yes Yes Bid Response Form (Form 1) Yes Yes Yes Contractors Key Personnel Assigned to Project - (Form 2) Yes Yes Yes Material Manufacturers (Form 3) Yes Yes Yes List of Major Subcontractors (Form 4) Yes Yes Yes Statement of Experience of Bidder (Form 5) Yes Yes Yes Trench Safety Act Acknowledgement (Form 6) Yes Yes Yes Bid Bond (Form 7) Yes Yes Yes Insurance and Bonding Requirements (Form 8) Yes Yes Yes Conflict of Interest Affidavit (Forth 9) Yes Yes Yes Vendor Declaration Statement (Form 10) Yes Yes Yes Immigration Affidavit Certification (Form 11) Yes Yes Yes Addendums(1) Yes Yes Yes E-Verify Yes Yes Yes W-9 Yes Yes Yes SunBiz Yes Yes Yes Licemsel Yes I Yes I Yes Opened By: Trevor Adaline Witnessed By: Justin Landgrebe Date: 5/09/2024 at 3:00 PM EST 00 r 0 M O V! a O r- O s Nd I.II M N I 14 N O Z I- N In N C O y,1 M 7 M cc m M N 1 N r- W E U M Q Packet Pg. 636 16.C.1.b INCREASE PENALTY RIDER BOND AMOUNT $1,253,850.00 BOND NO. 964235840 To be attached and form a part of Bond No. 964235840 dated the Day of 2024, executed by The Ohio Casualty Insurance Company as surety, on behalf of Andrew Site Work, LLC as current principal of record, and in favor of Collier County Board of County Commissioners, as Obligee for Rehabilitation of Pump Station 309.18, Bid No. 24-8239, and in the amount of One Million Two Hundred Fifty Three Thousand Eight Hundred Fifty Dollars and 00/100 ($1,253,850.00). In consideration of the agreed premium charged for this bond, it is understood and agreed that The Ohio Casualty Insurance Company hereby consents that effective from the Day of , 2024, said bond shall be amended as follows: THE BOND PENALTY SHALL BE INCREASED: FROM: One Million Two Hundred Fifty Three Thousand Eight Hundred Fifty Dollars and 00/100 ($1,253,850.00) TO: One Million Three Hundred Fifty Three Thousand Eight Hundred Fifty Dollars and 00/100 ($1,353,850,00) The INCREASE of said bond penalty shall be effective as of the Day of 2024, and does hereby agree that the continuity of protection under said bond subject to changes in penalty shall not be impaired hereby, provided that the aggregate liability of the above mentioned bond shall not exceed the amount of liability assumed by it at the time the act and/or acts of default were committed and in no event shall such liability be cumulative. Signed, sealed and dated this Zu'X�6ay of , 2024 Andrew Site Work, LLC PRINCIPAL BY \ACxN The Ohio Casualty Insurance Company SURETY BY ta,tri�; Brett Rosenhaus, ATTORNEY-IN-FACT�;''1 • °`° ` .'��, G t• isV, Packet Pg. 637 16.C.1.c Bowman June 6, 2024 Ms. Sarah Hamilton Procurement Strategist Collier County Procurement Services 3295 Tamiami Trail East Naples FL 34112--5361 RE: Design Entity Letter of Recommendation Award Solicitation No. 24-8239, Rehabilitation of Pump Station 309.18 Dear Ms. Hamilton: Bids were received for the above referenced project by Collier County on May 9. Bowman Consulting Group (FOR) has completed our review of the bid submitted by the lowest bidder for this project, the supplemental information submitted by the bidder, and we are pleased to provide the following award recommendation. The scope of the Rehabilitation of Pump Station 309.18 project consists of the replacement of the existing wastewater pump station with a new station. It will include demolition of the existing facility; new wet well with piping, valves, and pumps; miscellaneous Sitework; new electrical , and an emergency generator. Collier County Procurement's review of the bid tabulation determined that the apparent low bidder is Andrew Sitework, LLC with a bid of $1,253,850.00. A total of three bids were received ranging from $1,253.850.00 to $1,384,970.00. The N FOR was provided with the Bid Schedule for Andrew Sitework, LLC. Andrew Sitework, LLC bid is approximately 5% lower c than the Engineer's Opinion of Probable Construction Cost (OPQ of $1,324,000.00. z References were provided and the completed Vendor Reference Check Logs for the supplemental references are N In CD attached hereto. The project references provided by Andrew Sitework, LLC were all contacted, FOR determined the references contain sufficient relevant experience with similar projects to demonstrate the required successful experience to complete the project. O Andrew Sitework, LLC is a Florida Limited Liability Company formed in 2008. They are licensed by the State of Florida as both a General Contractor and Underground Utility & Excavation Contractor, Andrew Sitework, LLC has completed several water system construction projects with Collier County and the FOR has had previous experience with them in 2012. Based on that experience, the favorable performance reviews provided on the Vendor Reference Logs and its licensing, it appears that it is a qualified firm to conduct the requested work. Based on the above information, Bowman Consulting Group recommends Andrew Sitework, LLC be awarded the Rehabilitation of Pump Station 309.18 project in the amount of $1,253,850.00. Should there be any questions, please feel free to contact the undersigned. Sin rely David W. Schmitt, PE Senior Project Manager HV02312023003A\Ei \C Correspondence%C1 Client Correspondence\20240604 sh Letter of Recommendation Avrard DWS.doar 950 Encore Way, Napes, Florida 34110 239.254.2000 bowman.com Packet Pg. 638 16.C.1.c DWS:dlh Enclosures CC: Lourdes Santiago Collier County Shon Fradrich, PE Coller County Jared Mellein PE Bowman 0 z N In CD N bowman.com Packet Pg. 639 16.C.1.c Cofer County Procurement Services Division VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8239 Reference Check by: John Cwikowski Solicitation Title: Rehabilitation of Pump Station 309.18 Date: 06/05/2024 Bidder's Name: Andrew Sitework, LLC Phone: (239) 254-2008 Design Entity: Bowman REFERENCED PROJECT: Project Name: Lift Station 5507 Replacement I Project Location: I Matlacha, FL This project involved many moving parts with multiple contractors working in the same confined areas. The project involved replacing the existing lift station and 8" gravity sewer. Exploratory investigative efforts found some of the existing gravity could be salvaged. In addition, we found the existing wet well could be salvaged by hardening the lift station site. Refurbished the existing wet well, built a solid concrete retaining wall around the site, installed new pumps and plumbing at the site, and are currently awaiting Project Description: delivery of the new submersible panel. Completion Date: Completed per Lee County Contract Value: 1 $1,900,000.00 Project Owner/Title: Lee County 2959 Van Buren St, Fort Owner's Address: Myers, FL 33916 Phone: (239) 533-8261 Owner's Contact Person: Dewayne Tagg E-Mail: DTagg@leegov.com 1. Was project completed timely and within budget? (If not, provide detail) Yes, the project was completed on time and within budget. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes, the submittal and review process were performed satisfactorily. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes, the construction process was performed satisfactorily. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, the project went smoothly. There were some field changes that were required due to drainage and roadway construction. All changes went well and did not affect project installation. 5. Was the contract closeout process performed satisfactorily? (If not, provide detail) The contract closeout process was performed satisfactori 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues since closeout. 0 Z ti N Ln rn 21 Tab 2 - Appendix H2 — Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 640 16.C.1.c 7. Additional comments: ASW has been used on many projects with Lee County including emergency work. Lee County has always had great success without issues or problems using ASW. 0 z N N Tab 2 -Appendix H2 —Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 641 16.C.1.c CO 7BY County Procurement Services Division VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8239 Reference Check by: John Cwikowski Solicitation Title: Rehabilitation of Pump Station 309.18 Date: 06/04/2024 Bidder's Name: Andrew Sitework, LLC Phone: (239) 254.2008 Design Entity: Bowman REFERENCED PROJECT: Construction of Lift Station #2, Force Main Project Project Name: & Water Main Location: Port Charlotte The project included the demolition of an existing above ground pump station building containing asbestos. Performed asbestos abatement procedures prior to and during demolition process. Once complete, installed a by-pass piping system and by-pass pumps from the existing master manhole to a new force main. Installation of the new lift station included 8' diameter 24' deep wet well, access hatches and concrete top slab, new pumps, control panels, electrical improvements, diesel generator connection, odor control system, telemetry control unit, concrete retaining wall with aluminum safety railings and stairs, concrete access drive, chain link fencing with access gates, elliptical storm pipe, etc. The project also included approximately 2,100 LF of force main, 3,500 LF of new 8" water main and services, installation of communication conduits, and site restoration throughout the Project ROW including concrete driveways, asphalt road repairs, grading and shaping of the ROW Description: and final grassing. Contract Completion Date: 2021 Value: $1,348,532.00 Project Owner/Title: Charlotte County 3100 Loveland Blvd, Port Charlotte, FL Owner's Address: 33980 Phone: (941) 764-4565 Owner's Contact Person: Jody Pressley E-Mail: Jody.pressley@charlottecountyfl.gov 1. Was project completed timely and within budget? (if not, provide detail) Yes, the project was completed on time and within budget. 2. Was the submittal/review process performed satisfactorily? (if not, provide detail) Yes, the submittal and review process were performed satisfactorily. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes, the construction process was performed satisfactorily. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, the process ran smoothly. They were changes, nighttime force main work was added. 0 z ti N Ln rn Tab 2 - Appendix H2 — Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 642 5. Was the contract closeout process performed satisfactorily? (if not, provide detail) The contract closeout process was performed satisfactorily. 16.C.1.c 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? There have not been anv warranty issues since closeout. 7. Additional comments: Looking forward to future prolects with ASW. 0 z N In CD N Tab 2 - Appendix H2 -- Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 643 16.C.1.c • CO T C01.11ty Procurement Services Division VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8239 Reference Check by: John Cwikowski Solicitation Title: Rehabilitation of Pump Station 309.18 Date: 06/04/2024 Bidder's Name: Andrew Sitework, LLC Phone: (239) 254-2008 Design Entity: Bowman REFERENCED PROJECT: Parkside CRA Utility Project Project Name: Improvements Location: Port Charlotte, FL The project included the replacement of an existing 6' diameter pump station. The new 8' diameter 18' deep station was designed to be installed in very close proximity to the existing station's location. Extensive by-pass pumping was required to maintain flow from the existing gravity system and direct it through a force main around the pump station site as the new station improvements took place. Replacement of the master manhole, pumps, electrical improvements, all panels, telemetry unit, FPL power supply and upgrades, top slab and hatches, and all sitework was inclusive. The project included complete infrastructure improvements throughout a residential neighborhood as well as commercial property. The crossing of US-41 with two large utility main lines, working closely with FDOT. A new 3,400 LH of 8-12" gravity sewer system 6' to 16' of cover. All new potable and reclaimed water mains and service lines. Complete road replacement throughout the neighborhood, pavement mill Project & overlay within the FDOT ROW, storm drain improvements, and the addition of an 8' multi - Description: use path. Contract Completion Date: 2019 Value: $4,270 3394.00 Project Owner/Title: Charlotte County 25550 Harbor View Road, Suite 1, Port Owner's Address: Charlotte, FL 33980 Phone: (941) 764-4364 Owner's Contact Dean Person: Campbell E-Mail: Dean.Campbell@charlottecountyfLgov 1. Was project completed timely and within budget? (if not, provide detail) Yes, the proiect was completed on time and within budeet. 2. Was the submittal/review process performed satisfactorily? (If not, provide detail) Yes, the submittal and review process were performed satisfactorily. Cheryl with ASW did a great job, very organized and focused. 3. Was the construction process performed satisfactorily? (If not, provide detail) Yes, the construction process was performed satisfactorily. 4. Did the process run smoothly? Were there any changes? Describe below. Yes, the process ran smoothly. They were some changes on the design by Charlotte County engineers to streamline process. 0 Z ti N Ln rn Tab 2 - Appendix H2 -- Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 644 16.C.1.c S. Was the contract closeout process performed satisfactorily? (If not, provide detail) Yes, the closeout process was performed satisfactorily. 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues since closeout. 7. Additional comments: ASW have great communication. Charlotte County is looking forward to continue working with ASW. 0 z N In CD N Tab 2 - Appendix H2 — Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 645 16.C.1.c Co Ter County Procurement Services Division VENDOR REFERENCE CHECK LOG Solicitation No.: 24-8239 Reference Check by: John Cwikowski Solicitation Title: Rehabilitation of Pump Station 309.18 Date: 06/04/2024 Bidder's Name: Andrew Sitework, LLC Phone: (239) 254-2008 Design Entity: Bowman REFERENCED PROJECT: Fort Myers Wastewater Interconnect, Phase 3- Project Project Name: Part-4 Location: Fort Myers, FL This project included the installation of approximately 4,000 LF of 16" force main, 5,55 LF of 24" RCP Storm Sewer Pipe improvements, and the Rehabilitation of (4) separate Pump Stations and the complete replacement of (1) Master Pump Station "Pump Station-B" replacement. Lift Station-1 Rehabilitation, Lift Station-2 Rehabilitation, Lift Station-10 Rehabilitation, Lift Station-170 Rehabilitation, and Lift Station-8 Replacement. Lift Station-8 included demo of the existing 6' wet well, site expansion, extensive by-pass pumping operation, installation of a new 12' diameter 24' deep wet well, a new master manhole, connection of existing 24" gravity sewer main, installation of a 16" above ground flow meter by-pass assembly, installation of an 18" force main with a cut in connection to the existing 36" force main. The station included extensive electrical and communications improvements, telemetry control systems, odor control system, a diesel generator, additional external fuel tank, earthwork, concrete slabs and hatches, concrete pipe Project Description: supports, site improvements, chain link fencing with access gates, etc. Completion Date: 2021 1 Contract Value: $3,319,000.00 Project Owner/Title: City of Fort Myers 2200 2"0 St, Fort Myers, FL Owner's Address: 33901 Phone: (239) 321-7459 Nicole Owner's Contact Monahan - Person: Setzer E-mail: nmonahan@cityftmyers.com 1. Was project completed timely and within budget? (If not, provide detail) Yes, the project was completed on time and under budget. 2. was the submittal/review process performed satisfactorily? (If not, provide detail) Yes, the submittal and review process was performed satisfactorily. 3. Was the construction process performed satisfactorily? (if not, provide detail) Yes, the construction process was performed satisfactorily. 4. Did the process run smoothly? Were there any changes? Describe below. The process went as smooth as possible since this project was big and involved many challenges. There were some changes due to the nature of the project but ASW adapted to any changes and performed well. 0 z ti N Ln rn F4 Tab 2 - Appendix H2 — Template - DELORA Vendor Reference Check Log - rev 02-14--20 Packet Pg. 646 5. Was the contract closeout process performed satisfactorily? (if not, provide detail) Yes, the contract closeout process was performed satisfactorily. 16.C.1.c 6. Any warranty issues since closeout? Were they responded to and performed satisfactorily? No warranty issues since closeout as far as Nicole was aware. 7. Additional comments: Currently working on another project for City of Fort Myers. ASW is well ahead of project schedule. Project has busy traffic but ASW has been handling the traffic well. Phenomenal job, no issues. 0 z N u7 CD N Tab 2 - Appendix H2 — Template - DELORA Vendor Reference Check Log - rev 02-14-20 Packet Pg. 647 Client#: 1462194 132ANDRESIT I16.C.1.d ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MI 7/15/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the certiticate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mary Hoshor, PCSR, AIAM McGriff Insurance Services LLC PHONE 239-433-7149 FAX 866-802-8680 12751 New Brittany Blvd A/C, No, Ext : A/C, No MHoshor@McGriff.com Suite 201 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Fort Myers, FL 33907 INSURER A: FCCI Insurance Company 10178 INSURED INSURER B : The North River Insurance Company 21105 Andrew Site Work LLC AXIS Surplus Insurance Company INSURER C : p P Y 26620 Andrew Underground LLC Brierfield Insurance Company INSURER D : P Y 10993 2511 Palm Avenue Fort Myers, FL 33916-5347 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X G 10008722500 9/15/2023 09/15/202 EACH OCCURRENCE $1 000 000 CLAIMS -MADE � OCCUR PREMISES ERENTED .0 nce $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: D AUTOMOBILE LIABILITY X X CA10008722700 9/15/2023 09/15/202 Ea aocid.n SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY $ B X UMBRELLA LIAB X OCCUR 5821220259 9/15/2023 09/15/2024 EACH OCCURRENCE s6,000,000 AGGREGATE s6,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N N / A X WC010006777504 04/01/2024 04/01/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Rented Equipment CM10008722600 9/15/2023 09/15/2024 $500,000 C Professional CM005598012024 04/19/2024 04/19/202 $1,000,000 Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE : Rehabilitation of Pump Station 309.18, Bid# 24-8239. Collier County Board of County Commissioners, Or Board of County Commissioners in Collier County, Or Collier County Government, Or Collier County are included as Additional Insured with respect to General Liability and Automobile Liability and coverage is Primary and Non -Contributory where required by written contract. CERTIFICATE HOLDER CANCELLATION Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples, FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CD of 0 M c O 0 to CL IL 4- 0 C O r r R t N Cl) N tb Iq N O Z N in On N © 1988-2015 ACORD CORPORATION. All ri hts reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD Packet Pg. 648 #S34901569/M34584985 H S I N G This page has been left blank intentionally. 16.C.1.d M 0 M C O cC E 3 d 4- 0 C O R r R t N Oi M N le N O Z ti N Ln M N U J J Y L O d 3 a� L a r_ m L CD M N le N r C d E t V 2 a Packet Pg. 649 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 084 (10 13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU - ONGOING OPERATIONS AND PRODUCTS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM bUHt_-UULt (Ur I IUN Name of Additional Insured Persons or Organizations (As required by written contract or agreement per Paragraph A. below.) Locations of Covered Operations (As per the written contract or agreement, provided the location is within the "coverage territory".) (Information required to complete this Schedule, if not shown above, will be shown in the Declarations.) A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement in effect during the term of this policy that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above; and 3. The particular person or organization, if any, scheduled above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" occurring after the execution of the contract or agreement described in Paragraph 1. above and caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured; or 0 z ti N Ln Cn N 3. Your work" performed for the additional insured and included in the "products -completed operations hazard" if such coverage is specifically required in the written contract or agreement. CGL 084 (10 13) Includes copyrighted material of the Insurance Services Offices, Inc. with its permission. Page 1 of 3 Copyright 2013 FCCI Insurance Group. Packet Pg. 650 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 084 (10 13) However, the insurance afforded to such additional insured(s) described above: 1. Only applies to the extent permitted by law; 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; 3. Will not be broader than that which is afforded to you under this policy; and 4. Nothing herein shall extend the term of this policy. B. The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. C. This insurance is excess over any other valid and collectible insurance available to the additional insured o0 whether on a primary, excess, contingent or any other basis; unless the written contract or agreement N requires that this insurance be primary and non-contributory, in which case this insurance will be primary and c non-contributory relative to insurance on which the additional insured is a Named Insured. z 1- D. With respect to the insurance afforded to these additional insureds, the following is added to Section III — ,N Limits of Insurance: Cn N The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. E. Section IV — Commercial General Liability Conditions is amended as follows: The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement must as soon as practicable: 1. Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result; 2. Send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions; and 3. Tender the defense and indemnity of any claim or "suit' to any provider of other insurance which would cover the additional insured for a loss we cover under this endorsement and agree to make available all such other insurance. However, this condition does not affect Paragraph C. above. CGL 084 (10 13) Includes copyrighted material of the Insurance Services Offices, Inc. with its permission. Page 2 of 3 Copyright 2013 FCCI Insurance Group. Packet Pg. 651 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 084 (10 13) We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or "suit'. F. This endorsement does not apply to any additional insured or project that is specifically identified in any other additional insured endorsement attached to the Commercial General Liability Coverage Form. 0 z r� N Ln Cn N CGL 084 (10 13) Includes copyrighted material of the Insurance Services Offices, Inc. with its permission. Page 3 of 3 Copyright 2013 FCCI Insurance Group. Packet Pg. 652 This page has been left blank intentionally. 16.C.1.d M 0 M C O cC E 3 d 4- 0 C O R r R t N Oi M N le N O Z ti N Ln M N U J J Y L O d 3 a� L a r_ m L CD M N le N r C d E t V 2 a Packet Pg. 653 16.C.1.d Andrew Site Work LLC COMMERCIAL GENERAL LIABIL CGL 088 (02 21) GL10008722500 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FIRST CHOICE CONTRACTORS LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM NOTE: The following are additions, replacements and amendments to the Commercial General Liability Coverage Form, and will apply unless excluded by separate endorsement(s) to the Commercial General Liability Coverage Form The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended as follows: SECTION I - COVERAGES, COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE is amended as follows: 1. Extended "Property Damage" Exclusion 2.a., Expected or Intended Injury, is replaced with the following: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This eo exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable N force to protect persons or property. c 2. Non -owned Watercraft z ti Exclusion 2.g. (2) (a) is replaced with the following: ,N an (a) Less than 51 feet long; and N 3. Property Damage Liability — Borrowed Equipment The following is added to Exclusion 2J. (4): Paragraph (4) of this exclusion does not apply to "property damage" to borrowed equipment while at a jobsite and not being used to perform operations. The most we will pay for "property damage" to any one borrowed equipment item under this coverage is $25,000 per `occurrence". The insurance afforded under this provision is excess over any other valid and collectible property insurance (including deductible) available to the insured, whether primary, excess, contingent or on any other basis. 4. Limited Electronic Data Liability Exclusion 2.p. is replaced with the following: p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate "electronic data" that does not result from physical injury to tangible property The most we will pay under Coverage A for "property damage" because of all loss of "electronic data" arising out of any one "occurrence" is $10,000. We have no duty to investigate or defend claims or "suits" covered by this Limited Electronic Data Liability coverage. The following definition is added to SECTION V — DEFINITIONS of the Coverage Form: "Electronic data" means information, facts or programs stored as or on, created or used on, or transmitted '` to or from computer software (including systems and applications software), hard or floppy disks, CD- ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 1 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 654 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) For purposes of this Limited Electronic Data Liability coverage, the definition of "Property Damage" in SECTION V — DEFINITIONS of the Coverage Form is replaced by the following: 17. "Property damage" means: G r a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss Cn of use shall be deemed to occur at the time of the physical injury that caused it; c b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it; f° c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly Q• manipulate "electronic data", resulting from physical injury to tangible property. All such loss of a "electronic data" shall be deemed to occur at the time of the "occurrence" that caused it. 4- 0 For purposes of this insurance, "electronic data" is not tangible property. _ 0 SECTION I — COVERAGES, COVERAGE B. PERSONAL AND ADVERTISING INJURY LIABILITY is amended as follows: Paragraph 2.e. Exclusions — the Contractual Liability Exclusion is deleted. SECTION I — COVERAGES, the following coverages are added: aS COVERAGE D. VOLUNTARY PROPERTY DAMAGE N 1. Insuring Agreement N We will pay, at your request, for "property damage" caused by an "occurrence", to property of others Z caused by you, or while in your possession, arising out of your business operations. The amount we will pay for damages is described in SECTION III LIMITS OF INSURANCE. N Cn 2. Exclusions F4 This insurance does not apply to: "Property Damage" to: a. Property at premises owned, rented, leased or occupied by you; b. Property while in transit; c. Property owned by, rented to, leased to, loaned to, borrowed by, or used by you; d. Premises you sell, give away, or abandon, if the "property damage" arises out of any part of those premises; e. Property caused by or arising out of the "products -completed operations hazard"; f. Motor vehicles; g. "Your product' arising out of it or any part of it; or h. "Your work" arising out of it or any part of it. 3. Deductible We will not pay for loss in any one "occurrence" until the amount of loss exceeds $250. We will then pay the amount of loss in excess of $250 up to the applicable limit of insurance. 4. Cost Factor In the event of a covered loss, you shall, if requested by us, replace the damaged property or furnish the Q labor and materials necessary for repairs thereto at your actual cost, excluding profit or overhead charges. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 2 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 655 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) The insurance afforded under COVERAGE D is excess over any other valid and collectible property or inland marine insurance (including the deductible applicable to the property or inland marine coverage) available to you whether primary, excess, contingent or any other basis. Coverage D covers unintentional damage or destruction, but does not cover disappearance, theft, or loss of use. The insurance under COVERAGE D does not apply if a loss is paid under COVERAGE E. COVERAGE E. CARE, CUSTODY OR CONTROL 1. Insuring Agreement We will pay those sums that the insured becomes legally obligated to pay as damages because of "property damage" caused by an `occurrence", to property of others while in your care, custody, or control or property of others as to which you are exercising physical control if the "property damage" arises out of your business operations. The amount we will pay for damages is described in SECTION III LIMITS OF INSURANCE. 2. Exclusions This insurance does not apply to: "Property Damage" to: a. Property at premises owned, rented, leased or occupied by you; b. Property while in transit; c z c. Premises you sell, give away, or abandon, if the "property damage" arises out of any part of those 1- premises; N Cn d. Property caused by or arising out of the "products -completed operations hazard"; F4 e. Motor vehicles; V f. "Your product" arising out of it or any part of it; or g. "Your work" arising out of it or any part of it. 3. Deductible We will not pay for loss in any one "occurrence" until the amount of loss exceeds $250. We will then pay the amount of loss in excess of $250 up to the applicable limit of insurance. 4. Cost Factor In the event of a covered loss, you shall, if requested by us, replace the damaged property or furnish the labor and materials necessary for repairs thereto at your actual cost, excluding profit or overhead charges. The insurance afforded under COVERAGE E is excess over any other valid and collectible property or inland marine insurance (including the deductible applicable to the property or inland marine coverage) available to you whether primary, excess, contingent or any other basis. The insurance under COVERAGE E does not apply if a loss is paid under COVERAGE D. COVERAGE F. LIMITED PRODUCT WITHDRAWAL EXPENSE 1. Insuring Agreement a. If you are a "seller", we will reimburse you for "product withdrawal expenses" associated with "your Q product" incurred because of a "product withdrawal" to which this insurance applies. The amount of such reimbursement is limited as described in SECTION III - LIMITS OF INSURANCE. No other obligation or liability to pay sums or perform acts or services is covered. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 3 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 656 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) a. This insurance applies to a "product withdrawal" only if the "product withdrawal" is initiated in the "coverage territory" during the policy period because: (1) You determine that the "product withdrawal" is necessary; or (2) An authorized government entity has ordered you to conduct a "product withdrawal". c. We will reimburse only those "product withdrawal expenses" which are incurred and reported to us within one year of the date the "product withdrawal" was initiated. d. The initiation of a "product withdrawal" will be deemed to have been made only at the earliest of the following times: (1) When you have announced, in any manner, to the general public, your vendors or to your employees (other than those employees directly involved in making the determination) your decision to conduct a "product withdrawal" This applies regardless of whether the determination to conduct a "product withdrawal" is made by you or is requested by a third party; (2) When you received, either orally or in writing, notification of an order from an authorized government entity to conduct a "product withdrawal; or (3) When a third party has initiated a "product withdrawal" and you communicate agreement with the a "product withdrawal", or you announce to the general public, your vendors or to your employees M (other than those employees directly involved in making the determination) your decision to cm participate in the "product withdrawal", whichever comes first. le N e. "Product withdrawal expenses" incurred to withdraw "your products" which contain: c z (1) The same "defect" will be deemed to have arisen out of the same "product withdrawal"; or ti (2) A different "defect" will be deemed to have arisen out of a separate "product withdrawal" if newly Ln determined or ordered in accordance with paragraph 1.b of this coverage. 2. Exclusions This insurance does not apply to "product withdrawal" expenses" arising out of: a. Any "product withdrawal" initiated due to: (1) The failure of "your products" to accomplish their intended purpose, including any breach of warranty of fitness, whether written or implied. This exclusion does not apply if such failure has caused or is reasonably expected to cause "bodily injury" or physical damage to tangible property. (2) Copyright, patent, trade secret or trademark infringements; (3) Transformation of a chemical nature, deterioration or decomposition of "your product", except if it is caused by: (a) An error in manufacturing, design, processing or transportation of "your product"; or (b) "Product tampering". (4) Expiration of the designated shelf life of "your product". b. A "product withdrawal", initiated because of a "defect" in "your product" known to exist by the Named Insured or the Named Insured's "executive officers", prior to the inception date of this Coverage Part or prior to the time "your product" leaves your control or possession. c. Recall of any specific products for which "bodily injury" or "property damage" is excluded under Coverage A - Bodily Injury And Property Damage Liability by endorsement. d. Recall of "your products" which have been banned from the market by an authorized government entity prior to the policy period. e. The defense of a claim or "suit" against you for "product withdrawal expenses". CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 4 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 657 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) 3. For the purposes of the insurance afforded under COVERAGE F, the following is added to 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit Condition under SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: e. Duties In The Event Of A "Defect" Or A "Product Withdrawal" (1) You must see to it that we are notified as soon as practicable of any actual, suspected or threatened "defect" in "your products", or any governmental investigation, that may result in a "product withdrawal". To the extent possible, notice should include: (a) How, when and where the "defect" was discovered; (b) The names and addresses of any injured persons and witnesses; and (c) The nature, location and circumstances of any injury or damage arising out of use or consumption of "your product". (2) If a "product withdrawal" is initiated, you must: (a) Immediately record the specifics of the "product withdrawal" and the date it was initiated; (b) Send us written notice of the "product withdrawal" as soon as practicable; and (c) Not release, consign, ship or distribute by any other method, any product, or like or similar products, with an actual, suspected or threatened defect. (3) You and any other involved insured must: (a) Immediately send us copies of pertinent correspondence received in connection with the Z "product withdrawal"; ti (b) Authorize us to obtain records and other information; and Ln (c) Cooperate with us in our investigation of the "product withdrawal". 4. For the purposes of this Coverage F, the following definitions are added to the Definitions Section a. "Defect" means a defect, deficiency or inadequacy that creates a dangerous condition. b. "Product tampering" is an act of intentional alteration of "your product" which may cause or has caused "bodily injury" or physical injury to tangible property. When "product tampering" is known, suspected or threatened, a "product withdrawal" will not be limited to those batches of "your product" which are known or suspected to have been tampered with c. "Product withdrawal" means the recall or withdrawal of "your products", or products which contain "your products", from the market or from use, by any other person or organization, because of a known or suspected "defect" in "your product", or a known or suspected "product tampering", which has caused or is reasonably expected to cause "bodily injury" or physical injury to tangible property. d. "Product withdrawal expenses" means those reasonable and necessary extra expenses, listed below paid and directly related to a "product withdrawal": (1) Costs of notification; (2) Costs of stationery, envelopes, production of announcements and postage or facsimiles; (3) Costs of overtime paid to your regular non -salaried employees and costs incurred by your employees, including costs of transportation and accommodations; (4) Costs of computer time; (5) Costs of hiring independent contractors and other temporary employees; (6) Costs of transportation, shipping or packaging; (7) Costs of warehouse or storage space; or CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 5 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 658 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) (8) Costs of proper disposal of "your products", or products that contain "your products", that cannot be reused, not exceeding your purchase price or your cost to produce the products; but "product withdrawal expenses" does not include costs of the replacement, repair or redesign of 'your product", or the costs of regaining your market share, goodwill, revenue or profit. e. "Seller" means a person or organization that manufactures, sells or distributes goods or products "Seller" does not include a "contractor' as defined elsewhere in this endorsement. The insurance under COVERAGE F does not apply if a loss is paid under COVERAGE G. COVERAGE G. CONTRACTORS ERRORS AND OMISSIONS 1. Insuring Agreement If you are a "contractor', we will pay those sums that you become legally obligated to pay as damages because of "property damage" to "your product", "your work" or "impaired property", due to faulty workmanship, material or design, or products including consequential loss, to which this insurance applies. The damages must have resulted from your negligent act, error or omission while acting in your business capacity as a contractor or subcontractor or from a defect in material or a product sold or installed by you while acting in this capacity. The amount we will pay for damages is described in SECTION III LIMITS OF INSURANCE. We have no duty to investigate or defend claims or "suits" covered by this Contractors Errors or Omissions coverage. This coverage applies only if the "property damage" occurs in the "coverage territory" during the policy "' period. z This coverage does not apply to additional insureds, if any. ti N Supplementary Payments — Coverage A and B do not apply to Coverage G. Contractors Errors and N Omissions. -- 2. Exclusions This insurance does not apply to: a. "Bodily injury" or "personal and advertising injury". b. Liability or penalties arising from a delay or failure to complete a contract or project, or to complete a contract or project on time. c. Liability because of an error or omission: (1) In the preparation of estimates or job costs; (2) Where cost estimates are exceeded; (3) In the preparation of estimates of profit or return on capital; (4) In advising or failure to advise on financing of the work or project; or (5) In advising or failing to advise on any legal work, title checks, form of insurance or suretyship. d. Any liability which arises out of any actual or alleged infringement of copyright or trademark or trade dress or patent, unfair competition or piracy, or theft or wrongful taking of concepts or intellectual property. e. Any liability for damages: (1) From the intentional dishonest, fraudulent, malicious or criminal acts of the Named Insured, or by any partner, member of a limited liability company, or executive officer, or at the direction of any of them; or (2) Which is in fact expected or intended by the insured, even if the injury or damage is of a different degree or type than actually expected or intended. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 6 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 659 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) f. Any liability arising out of manufacturer's warranties or guarantees whether express or implied. g. Any liability arising from "property damage" to property owned by, rented or leased to the insured. h. Any liability incurred or "property damage" which occurs, in whole or in part, before you have completed "your work." "Your work" will be deemed completed at the earliest of the following times: (1) When all of the work called for in your contract or work order has been completed; (2) When all the work to be done at the job site has been completed if your contract calls for work at more than one job site; or (3) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service or maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as complete. i. Any liability arising from "property damage" to products that are still in your physical possession j. Any liability arising out of the rendering of or failure to render any professional services by you or on your behalf, but only with respect to either or both of the following operations: (1) Providing engineering, architectural or surveying services to others; and (2) Providing or hiring independent professionals to provide engineering, architectural or surveying services in connection with construction work you perform. Professional services include the preparing, approving or failing to prepare or approve, maps, shop Z drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications. Professional services also include supervisory or inspection activities performed as part of any related N architectural or engineering activities. N But, professional services do not include services within construction means, methods, techniques, V sequences and procedures employed by you in connection with construction work you perform. J J k. Your loss of profit or expected profit and any liability arising therefrom. N I. "Property damage" to property other than "your product," "your work" or "impaired property." L 0 m. Any liability arising from claims or "suits" where the right of action against the insured has been m relinquished or waived. 3 n. Any liability for "property damage" to "your work" if the damaged work or the work out of which the a� damage arises was performed on your behalf by a subcontractor. Q o. Any liability arising from the substitution of a material or product for one specified on blueprints, work orders, contracts or engineering specifications unless there has been written authorization, or unless the blueprints, work orders, contracts or engineering specifications were written by you, and you have authorized the changes. p. Liability of others assumed by the insured under any contract or agreement, whether oral or in writing. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. 3. For the purposes of Coverage G, the following definition is added to the Definitions section: a. "Contractor" means a person or organization engaged in activities of building, clearing, filing, excavating or improvement in the size, use or appearance of any structure or land. "Contractor" does not include a "seller" as defined elsewhere in this endorsement. 4. Deductible We will not pay for loss in any one "occurrence" until the amount of loss exceeds $250. The limits of insurance will not be reduced by the application of the deductible amount. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 7 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 660 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) We may pay any part or all of the deductible amount to effect settlement of any claim or "suit", and upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us. 5. Cost Factor In the event of a covered loss, you shall, if requested by us, replace the damaged property or furnish the labor and materials necessary for repairs thereto at your actual cost, excluding profit or overhead charges. The insurance under COVERAGE G does not apply if a loss is paid under COVERAGE F. COVERAGE H. LOST KEY COVERAGE 1. Insuring Agreement We will pay those sums, subject to the limits of liability described in SECTION III LIMITS OF INSURANCE in this endorsement and the deductible shown below, that you become legally obligated to pay as damages caused by an "occurrence" and due to the loss or mysterious disappearance of keys entrusted to or in the care, custody or control of you or your "employees" or anyone acting on your behalf. The damages covered by this endorsement are limited to the: a. Actual cost of the keys; b. Cost to adjust locks to accept new keys; or o0 c. Cost of new locks, if required, including the cost of installation. N 6 2. Exclusions Z This insurance does not apply to: N a. Keys owned by any insured, employees of any insured, or anyone acting on behalf of any insured; N b. Any resulting loss of use; or J J c. Any of the following acts by any insured, employees of any insured, or anyone acting on behalf of any Y insured: 1) Misappropriation; 2) Concealment; 3) Conversion; 4) Fraud; or 5) Dishonesty. 3. Deductible We will not pay for loss in any one "occurrence" until the amount of loss exceeds $1,000. The limits of insurance will not be reduced by the application of the deductible amount. We may pay any part or all of the deductible amount to effect settlement of any claim or "suit" and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us. EXPANDED COVERAGE FOR TENANT'S PROPERTY AND PREMISES RENTED TO YOU The first paragraph after subparagraph (6) in Exclusion j., Damage to Property is amended to read as follows: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) a to premises, including the contents of such premises, rented to you. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 8 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 661 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) SECTION I - COVERAGES, SUPPLEMENTARY PAYMENTS — COVERAGE A and B is amended as follows: All references to SUPPLEMENTARY PAYMENTS — COVERAGES A and B are amended to SUPPLEMENTARY PAYMENTS — COVERAGES A, B, D, E, G, and H. 1. Cost of Bail Bonds Paragraph 1.b. is replaced with the following: b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Loss of Earnings Paragraph 1.d. is replaced with the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. SECTION II — WHO IS AN INSURED is amended as follows: 1. Incidental Malpractice Paragraph 2.a.(1)(d) is replaced with the following: (d) Arising out of his or her providing or failing to provide professional health care services. However, this 04 exclusion does not apply to a nurse, emergency medical technician or paramedic employed by you to le provide medical services, unless: N 6 (i) You are engaged in the occupation or business of providing or offering medical, surgical, dental, x-ray z or nursing services, treatment, advice or instruction; or N (ii) The "employee" has another insurance that would also cover claims arising under this provision, N whether the other insurance is primary, excess, contingent or on any other basis. 2. Broadened Who Is An Insured The following are added to Paragraph 2.: Subsidiaries e. Your subsidiaries if: (1) They are legally incorporated entities; and (2) You own more than 50% of the voting stock in such subsidiaries as of the effective date of this policy If such subsidiaries are not shown in the Declarations, you must report them to us within 180 days of the inception of your original policy. Additional Insureds f. Any person or organization described in paragraphs g. through k. below whom you are required to add as an additional insured on this policy under a written contract or agreement in effect during the term of this policy, provided the written contract or agreement was executed prior to the "bodily injury", "property damage" or "personal and advertising injury' for which the additional insured seeks coverage. However, the insurance afforded to such additional insured(s): (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the contract or agreement to provide for such additional insured; (3) Will not be broader than that which is afforded to you under this policy; (4) Is subject to the conditions described in paragraphs g. through k. below; and (5) Nothing herein shall extend the term of this policy. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 9 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 662 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) g. Owner, Lessor or Manager of Premises If the additional insured is an owner, lessor or manager of premises, such person or organization shall be covered only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by you or those acting on your behalf in connection with the ownership, maintenance or use of that part of any premises leased to you and subject to the following additional exclusions: (1) Any "occurrence" that takes place after you cease to occupy those premises; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. h. State or Governmental Agency or Subdivision or Political Subdivision — Permits or Authorizations If the additional insured is the state or any political subdivision, the state or political subdivision shall be covered only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit or authorization. This insurance does not apply to: (1) "Bodily injury", "property damage", or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (2) "Bodily injury" or "property damage" included within the "products -completed operations hazard". M i. Lessor of Leased Equipment cm If the additional insured is a lessor of leased equipment, such lessor shall be covered only with respect to le N liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in z part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). With respect to the insurance afforded to these additional insureds, this insurance does N not apply to any "occurrence" which takes place after the equipment lease expires. N j. Mortgagee, Assignee, or Receiver U If the additional Insured is a mortgagee, assignee, or receiver of premises, such mortgagee, assignee or J J receiver of premises is an additional insured only with respect to their liability as mortgagee, assignee, or L receiver and arising out of the ownership, maintenance, or use of the premises by you. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. k. Vendor 3 a� L If the additional insured is a vendor, such vendor is an additional insured only with respect to liability for "bodily injury" or "property damage" caused by "your products" which are distributed or sold in the regular Qi course of the vendor's business, subject to the following additional exclusions: (1) The insurance afforded to the vendor does not apply to: r- L (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in absence of the contract or agreement. (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in "your product" made intentionally by the vendor; (d) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 10 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 663 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: The exceptions contained in Subparagraphs d. or f.; or ii. Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. 3. Newly Formed or Acquired Organizations Paragraph 3. is amended as follows: a. Coverage under this provision is afforded until the end of the policy period. d. Coverage A does not apply to product recall expense arising out of any withdrawal or recall that occurred before you acquired or formed the organization. SECTION III — LIMITS OF INSURANCE is amended as follows: 1. Paragraph 2. is replaced with the following: 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; c. Damages under Coverage B; d. Voluntary "property damage" payments under Coverage D; e. Care, Custody or Control damages under Coverage E.; and f. Lost Key Coverage under Coverage H. 2. Paragraph 5. is replaced with the following: 5. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; b. Medical expenses under Coverage C; c. Voluntary "property damage" payments under Coverage D; d. Care, Custody or Control damages under Coverage E; e. Limited Product Withdrawal Expense under Coverage F; f. Contractors Errors and Omissions under Coverage G.; and, g. Lost Key Coverage under Coverage H. because of all "bodily injury" and "property damage" arising out of any one "occurrence". 3. Paragraph 6. is replaced with the following: CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 11 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 664 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) 6. Subject to Paragraph 5. above the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire or explosion, while rented to you or temporarily occupied by you with permission of the owner. The Damage to Premises Rented to You Limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. 4. Paragraph 7. is replaced with the following: 7. Subject to Paragraph 5. above, the higher of $10,000 or the Medical Expense Limit shown in the Declarations is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 5. Paragraph 8. is added as follows: 8. Subject to Paragraph 5. above, the most we will pay under Coverage D. Voluntary Property Damage for loss arising out of any one "occurrence" is $1,500. The most we will pay in any one -policy period, regardless of the number of claims made or suits brought, is $3,000. 6. Paragraph 9. is added as follows: 9. Subject to Paragraph 5. above, the most we will pay under Coverage E. Care, Custody or Control for "property damage" arising out of any one "occurrence" is $1,000. The most we will pay in any one -policy period, regardless of the number of claims made or suits brought, is $5,000. 7. Paragraph 10. is added as follows: c z 10. Subject to Paragraph 5. above, the most we will pay under Coverage F. Limited Product Withdrawal Expense for "product withdrawal expenses" in any one -policy period, regardless of the number of N insureds, "product withdrawals" initiated or number of "your products" withdrawn is $10,000. N 8. Paragraph 11. is added as follows: r, 11. Subject to Paragraph 5. above, the most we will pay under Coverage G. Contractors Errors and Omissions for damage in any one -policy period, regardless of the number of insureds, claims or "suits" brought, or persons or organizations making claim or bringing "suits" is $10,000. For errors in contract or job specifications or in recommendations of products or materials to be used, this policy will not pay for additional costs of products and materials to be used that would not have been incurred had the correct recommendations or specifications been made. 9. Paragraph 12. is added as follows: 12. Subject to Paragraph 5. above, the most we will pay under Coverage H., Lost Key Coverage for damages arising out of any one occurrence is $50,000. 10. Paragraph 13. is added as follows: 13. The General Aggregate Limit applies separately to: a. Each of your projects away from premises owned by or rented to you; or b. Each "location" owned by or rented to you. "Location" as used in this paragraph means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. 11. Paragraph 14. is added as follows: 14. With respect to the insurance afforded to any additional insured provided coverage under this endorsement: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 12 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 665 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance; whichever is less. This endorsement shall not increase the applicable Limits of Insurance. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. Subparagraph 2.a. of Duties In The Event Of Occurrence, Offense, Claim, or Suit is replaced with the following: a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. This requirement applies only when the "occurrence" or offense is known to the following: (1) An individual who is the sole owner; (2) A partner, if you are a partnership or joint venture; (3) An "executive officer" or insurance manager, if you are a corporation; (4) A manager, if you are a limited liability company; (5) A person or organization having proper temporary custody of your property if you die; (6) The legal representative of you if you die; or N (7) A person (other than an "employee") or an organization while acting as your real estate manager. Z To the extent possible, notice should include: N (1) How, when and where the "occurrence" or offense took place; N (2) The names and addresses of any injured persons and witnesses; and v J (3) The nature and location of any injury or damage arising out of the `occurrence" or offense. —J 2. The following is added to Subparagraph 2.b. of Duties In The Event Of Occurrence, Offense, Claim, or Suit: The requirement in 2.b.applies only when the "occurrence" or offense is known to the following: (1) An individual who is the sole owner; (2) A partner or insurance manager, if you are a partnership or joint venture; (3) An "executive officer" or insurance manager, if you are a corporation; (4) A manager or insurance manager, if you are a limited liability company; (5) Your officials, trustees, board members or insurance manager, if you are a not -for -profit organization; (6) A person or organization having proper temporary custody of your property if you die; (7) The legal representative of you if you die; or (8) A person (other than an "employee") or an organization while acting as your real estate manager. 3. The following is added to paragraph 2. of Duties in the Event of Occurrence, Offense, Claim or Suit e. If you report an "occurrence" to your workers compensation carrier that develops into a liability claim for which coverage is provided by the Coverage Form, failure to report such an "occurrence" to us at the time of the "occurrence" shall not be deemed a violation of paragraphs a., b., and c. above. However, you Q shall give written notice of this "occurrence" to us as soon as you become aware that this "occurrence" may be a liability claim rather than a workers compensation claim. CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 13 of 14 Copyright 2020 FCCI Insurance Group Insured Copy Packet Pg. 666 COMMERCIAL GENERAL LIABIL 16.C.1.d CGL 088 (02 21) 4. Paragraph 6. is replaced with the following: 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. Any error or omission in the description of, or failure to completely describe or disclose any premises, operations or products intended to be covered by the Coverage Form will not invalidate or affect coverage for those premises, operations or products, provided such error or omission or failure to completely describe or disclose premises, operations or products was not intentional. You must report such error or omission to us as soon as practicable after its discovery. However, this provision does not affect our right to collect additional premium charges or exercise our right of cancellation or nonrenewal. 5. The following is added to paragraph 8. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. 6. Paragraph 10. is added as follows: 10. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in the applicable state(s). 0 z r� N L 0) CGL 088 (02 21) Includes copyrighted material of the Insurance Services Office, Inc., with its permission Copyright 2020 FCCI Insurance Group Insured Copy Page 14 of 14 Packet Pg. 667 Andrew Site Work LLC CA10008722700 16.C.1.d FLORIDA AUTO ADVANTAGE COVERAGE ENDORSEMENT TABLE OF CONTENTS DESCRIPTION Auto Loan/Lease Gap Coverage ............................. BailBonds................................................................ Concealment, Misrepresentation or Fraud .............. Deductible................................................................ Duties in the Event of Accident, Claim, Suit or Loss Fire Department Service Charge ............................. Insured..................................................................... Loss of Earnings...................................................... Loss of Use Expenses ............................................. Transportation Expenses ......................................... of 0 M C PAGE O CU ................3 N a E ................2 a 4- 0 ................4 0 0 3 r ................3 a� ................2 c'M ................1 N ................2 0 z ................2 ti N LO ................2 N Packet Pg. 668 COMMERCIAL A 16.C.1.d CAU 003-FL (12 08) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. FLORIDA AUTO ADVANTAGE COVERAGE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM NOTE: The following are additions, replacements and amendments to the Business Auto Coverage Form, and will apply unless excluded by separate endorsement(s) to the Business Auto Coverage Form. With respect to coverages provided by this endorsement, the provisions of the Business Auto Coverage Form apply unless modified by this endorsement. The Business Auto Coverage Form is amended as follows: SECTION II — LIABILITY COVERAGE is amended as follows: A.1. Who Is An Insured provision is amended by adding the following: d. Any legally incorporated subsidiary of yours in which you own more than 50% of the voting stock on the 0 z effective date of this coverage form. However, "insured" does not include any subsidiary that is an N "insured" under any other liability policy or would be an "insured" under such a policy but for its Ln an termination or the exhaustion of its limits of insurance. In order for such subsidiaries to be considered insured under this policy, you must notify us of such subsidiaries within 60 days of policy effective date. V J J e. Any organization you newly acquire or form during the policy period, other than a partnership or joint venture, and over which you maintain sole ownership or a majority interest. However, coverage under `o this provision: (1) Does not apply if the organization you acquire or form is an "insured" under another liability policy or would be an "insured" under such a policy but for its termination or the exhaustion of its limits of insurance; (2) Does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and (3) Is afforded only for the first 90 days after you acquire or form the organization or until the end of the policy period, whichever comes first. Who Is An Insured is amended to include as an insured any person or organization except a person or organization that leases or rents "auto(s)" to you, but only to the extent of his, her, or its liability for whom you and such person or organization have agreed in writing in a contract or agreement, signed and executed by you prior to the loss for which coverage is sought, that such person or organization be added as an additional insured on your policy. Certificates of insurance will not be considered an Agreement to Insure. Such person or organization is an additional insured but only with respect to your negligent actions, which cause liability to be imposed on such person or organization without fault on the part of said person or organization. CAU 003-FL (12 08) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 1 of 4 Copyright 2008 FCCI Insurance Group. Packet Pg. 669 COMMERCIAL A 16.C.1.d CAU 003-FL (12 08) A.2. Coverage Extensions, Supplementary Payments a.(2) and a (4) are deleted and replaced with the following: (2) Up to $3,000 for cost of bail bonds (including bond for related traffic violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $350 a day because of time off from work. SECTION III — PHYSICAL DAMAGE COVERAGE is amended as follows: 4. Coverage Extensions a. and b. are deleted and replaced with the following: a. Transportation Expenses: We will pay up to $40 per day to a total maximum of $1,200 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type or light trucks with a gross vehicle weight of less than 10,000 pounds. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". b. Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally z responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: ,N an N (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for " hired "autos"; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for hired "autos"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for hired "autos" However, the most we will pay for any expenses for loss of use to any one vehicle is $40 per day, to a total maximum of $1200. The following Coverage Extension is added: c. Fire Department Service Charge When a fire department is called to save or protect a covered "auto", its equipment, its contents, or occupants from a covered cause of loss, we will pay up to $1,000 for your liability for fire department service charges: (1) Assumed by contract or agreement prior to loss; or (2) Required by local ordinance. No deductible applies to this additional coverage. CAU 003-FL (12 08) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Copyright 2008 FCCI Insurance Group. Page 2 of 4 Packet Pg. 670 COMMERCIAL A 16.C.1.d CAU 003-FL (12 08) Auto Loan/Lease Gap Coverage For those businesses not shown in the Declarations as "auto" dealerships, the following provisions apply: (1) If a long term leased "auto", under an original lease agreement, is a covered "auto" under this Coverage Form and the lessor of the covered "auto" is named as an additional insured under this policy, in the event of a total loss to the leased covered "auto", we will pay any unpaid amount due on the lease, less the amount paid under the Physical Damage Coverage Section of the policy; and less any: (a) Overdue lease payments at the time of the "loss"; (b) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (c) Security deposits not returned by the lessor; (d) Costs for extended warranties, Credit Life Insurance, Health Accident or Disability Insurance purchased with the lease; and (e) Carry-over balances from previous loans or leases. N (2) If an owned "auto" is a covered "auto" under this Coverage Form and the loss payee of the covered z "auto" is named a loss payee under this policy, in the event of a total loss to the covered "auto", we ti will pay any unpaid amount due on the loan, less the amount paid under the Physical Damage ,N Coverage Section of the policy; and less any; N (a) Overdue loan payments at the time of the "loss"; � (b) Costs for extended warranties, Credit Life Insurance, Health Accident or Disability Insurance purchased with the loan; and (c) Carry-over balances from previous loans. D. Deductible is deleted and replaced with the following: For each covered "auto", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations subject to the following: Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning, and, no deductible applies to glass damage to the side or rear windows if the glass is repaired rather than replaced. However, no deductible shall be applied to damage to the windshield of any covered "auto." SECTION IV — BUSINESS AUTO CONDITIONS is amended as follows: Loss Conditions A.2.a. Duties in the Event of Accident, Claim, Suit or Loss is amended to add the following paragraph: (4) This duty applies when the "accident', claim, "suit' or "loss" is first known to: (a) You, if you are an individual; (b) A partner, if you are a partnership; CAU 003-FL (12 08) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Page 3 of 4 Copyright 2008 FCCI Insurance Group. Packet Pg. 671 COMMERCIAL A 16.C.1.d CAU 003-FL (12 08) (c) An executive officer or insurance manager, if you are a corporation; or (d) A member or manager, if you are a limited liability company. General Conditions B.2. Concealment, Misrepresentation or Fraud is amended to include the following However, if you unintentionally fail to disclose any hazards at the inception of your policy, we will not deny coverage under this Coverage Form because of such failure. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. 0 z r� N Ln Cn N. CAU 003-FL (12 08) Includes copyrighted material of the Insurance Services Office, Inc., with its permission. Copyright 2008 FCCI Insurance Group. Page 4 of 4 Packet Pg. 672 This page has been left blank intentionally. 16.C.1.d M 0 M C O cC E 3 d 4- 0 C O R r R t N Oi M N le N O Z ti N Ln M N U J J Y L O d 3 a� L a r_ m L CD M N le N r C d E t V 2 a Packet Pg. 673 DocuSign Envelope ID: A09BBE94-E6F8-40D3-8949-98CE4DF358D4 16.C.1.e Cler Count y Procurement Services Division Notice of Recommended Award Solicitation: 24-8239 Title: Rehabilitation of Pump Station 309.18 Due Date and Time: May 9, 2024, at 3:00 PM EST. Respondents: Company Name City County State Bid Amount Responsive/Responsible Andrew Sitework, LLC Ft. Myers Lee FL $1,253,850.00 Y/Y Douglas N. Higgins, Inc. Naples Collier FL $1,311,200.00 Y/Y Quality Enterprises USA, Inc. Naples Collier FL $1,384,970.00 Y/Y Utilized Local Vendor Preference: Yes 0 No = N/A Recommended Vendors) For Award: On March 25, 2024, The Procurement Services Division issued Construction Invitation to Bid (ITB) No. 24-8239, Rehabilitation of Pump Station 309.18, to ten thousand and seventy-eight (10,078) vendors. The bid was advertised for a total of forty-five (45) days. Eighty-four (84) vendors viewed the bid package and the County received three (3) bids by the May 9, 2024, deadline. Staff reviewed the bids received and all bidders were deemed responsive and responsible, as shown above. Staff determined that Andrew Sitework, LLC is the lowest responsive and responsible bidder. Staff recommends the contract to be awarded to Andrew Sitework, LLC, the lowest responsive and responsible bidder, for a total bid amount of $1,253,850.00. In addition to the bid amount, staff has allocated $80,000.00 in Owner's Allowance and $20,000.00 in Landscaping Allowance, for Owner's use as directed. Contract Driven = Purchase Order Driven 0 Required Signatures &inept Services Director: 0 ,,aAAA.o, S Sandra Srnka 6/11/2024 Date Packet Pg. 674 a)O _ -J �J N O co U Q d (8V60£ uol;e;S dwnd 10 uol;e;!!!ge4aM `6£Z8-VZ 'ON : LZ56Z) 84'60£ Sd 10 uol;e;!!!geyaN :;uawLj3e44d ti CD Cb a. 4) i V m a. 4 � = = U) Q) 4 �- a-J a--i > _r a--i fo L. Q) E- (3) • — (n > 4-J . O L E w 4-j a--� 0 fa � 0-w -W L. 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V U) (o > L V = _ fo -0 0 fo X N U 4 O M 4-J 0 N 0 0 L E C C: O Q fu fu >, rD ro ra a--� > O O �_ 0 O O Q Q E .0 . L O Q C: —_ L 0) '� 4— O �- Q O O V) M _0 � -0 — }1 L _0 a-J V) 0) a-J ro• — V ♦ x _0 : -0(/) O c 4-, .� , J ^ (U 4-J Ja ru O O > Q •� O E O 4-; 4-1�% L x ru ul a u 0) •� N -0 4j ru• O E fo rU a-1 E � •N o) (n \ \ V) rll M L. p L��/ N N N 4-J O 0 za)�� ^ -0 > C: 0 Q � Q� 0 U .� a-J ra 00 00 0 Lr) a) p 00 .N 0 M L C M L n = O N 4-� � O ro 4-J ►V -0 �o � 0 �b-00F ro 4- E 0o a) -p 0 ro '� N fu 0 O N 4- L- m Oan Q a� N — U =-J �� �._ a- J 3: U ra p U p 1 = J = a- J J Q ro rl E V- cu a 0 U 7 16.C.1.h Co ler County Procurement Services Division COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS CONSTRUCTION INVITATION TO BID FOR REHABILITATION OF PUMP STATION 309.18 SOLICITATION NO.: 24-8239 LINDSEY MCNEAL, PROCUREMENT STRATEGIST PROCUREMENT SERVICES DIVISION 3295 TAMIAMI TRAIL EAST, BLDG C-2 NAPLES, FLORIDA 34112 TELEPHONE: (239) 252-5146 Lindsey.McNeal(ucolliercoun . fl. _ ov (Email) This proposal solicitation document is prepared in a Microsoft Word format (Rev 8/22/2017). Any alterations to this document made by the Vendor may be grounds for rejection of proposal, cancellation of any subsequent award, or any other legal remedies available to the Collier County Government. Construction Solicitation Doc rev 04152022 1 Packet Pg. 682 16.C.1.h Cots County Procurement Services Division INVITATION TO BID - COUNTY BID NO. 24-8239 Rehabilitation of Pump Station 309.18 00 Sealed bids for the construction of Rehabilitation of Pump Station 309.18 will be received electronically until 3:00 P.M. LOCAL CD TIME, on the 91h day of May 2024 on the County's on-line bidding system: https://www.bidsync.com/bidsync-cas/. All bids will be publicly opened and read aloud. Any bids received after the time and date specified will not be accepted and shall be C returned unopened to the Bidder. The anticipated project budget is: $1,424,000.00. Cn A non -mandatory pre -bid conference shall be held at the Procurement Services Division, 3295 Tamiami Trail East BLDG C-2, CL E Naples, FL 34112, Conference Room A, at 10 a.m. LOCAL TIME on the 91h day of April 2024, at which time all prospective a Bidders may have questions answered regarding the Bidding Documents for this Project. — Bids shall be received online by the Bid Date of May 9, 2024. No bid shall be considered unless it is made on unaltered Bid forms c C which are included in the Bidding Documents. One contract will be awarded for all Work. Bidding Documents may be examined M on the Collier County Procurement Services Division Online Bidding System website: https://www.bidsync.com/bidsync-cas/. Copies of the Bidding Documents may be obtained only from the denoted website. Bidding Documents obtained from sources t other than the Collier County Procurement Services Division website may not be accurate or current. Each bid shall be accompanied by a certified or cashier's check or a Bid Bond in an amount not less than five percent (5%) of the M total Bid to be retained as liquidated damages in the event the Successful Bidder fails to execute the Agreement and file the required cNo bonds and insurance within ten (10) calendar days after the receipt of the Notice of Award. The Successful Bidder acknowledges N and agrees that it shall execute the Agreement in the form attached hereto and incorporated herein. c Z The Successful Bidder shall be required to furnish the necessary Payment and Performance Bonds, as prescribed in the General I" Conditions of the Contract Documents. All Bid Bonds, Payment and Performance Bonds, Insurance Contracts and Certificates of N Insurance shall be either executed by or countersigned by a licensed resident agent of the surety or insurance company having its N place of business in the State of Florida. Further, the said surety or insurance company shall be duly licensed and qualified to do business in the State of Florida. Attorneys -in -fact that sign Bid Bonds or Payment and Performance Bonds must file with each R bond a certified and effective dated copy of their Power of Attorney. In order to perform public work, the Successful Bidder shall, as applicable, hold or obtain such contractor's and business licenses, L certifications and registrations as required by State statutes and County ordinances. Before a contract will be awarded for the Work o contemplated herein, the Owner shall conduct such investigations as it deems necessary to determine the performance record and a ability of the apparent low Bidder to perform the size and type of work specified in the Bidding Documents. Upon request, the .0 Bidder shall submit such information as deemed necessary by the Owner to evaluate the Bidder's qualifications. �o The Successful Bidder shall be required to finally complete all Work within Five Hundred Seventy (570) calendar days from and M after the Commencement Date specified in the Notice to Proceed. The final completion days includes substantial completion days cm of Five Hundred Forty (540) calendar days, with an additional Thirty (30) calendar days to final completion. Should Contractor 4 fail to achieve Substantial Completion within the number of calendar days established herein, Owner shall be entitled to assess, as N liquidated damages, but not as a penalty, Four Hundred Seventy -Five Dollars ($475.00) for each calendar day thereafter until m Substantial Completion is achieved. Unless otherwise specified, work will be limited to the hours of 7:00 a.m. to 7:00 p.m., Monday E through Friday, The Owner reserves the right to reject all Bids or any Bid not conforming to the intent and purpose of the Bidding Documents, and to postpone the award of the contract for a period of time which, however, shall not extend beyond one hundred eighty (180) days from the bid opening date without the consent of the Successful Bidder. Q BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA BY: /s/ Sandra Herrera Director, Procurement Services Division Construction Solicitation Doc rev 04152022 1 Packet Pg. 683 16.C.1.h FORM 1- BID RESPONSE FORM BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Rehabilitation of Pump Station 309.18 BID NO. 24-8239 Full Name of Main Business Address Cn Place of Business 0. E Telephone No. Fax No. 0 State Contractor's License # c 0 0 State of Florida Certificate of Authority Document Number 0 Federal Tax Identification Number t DUNS # CCR# Cage Code N To: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA N (hereinafter called the Owner) c z The undersigned, as Bidder declares that the only person or parties interested in this Bid as principals are those named N herein, that this Bid is submitted without collusion with any other person, firm or corporation; that it has carefully LO examined the location of the proposed Work, the proposed form of Agreement and all other Contract Documents and N Bonds, and the Contract Drawings and Specifications. m Bidder proposes, and agrees if this Bid is accepted, Bidder will execute the Agreement included in the Bidding Documents, to provide all necessary machinery, tools, apparatus and other means of construction, including utility and transportation services necessary to do all the Work, and furnish all the materials and equipment specified or referred to in the Contract Documents in the manner and time herein prescribed and according to the requirements of the Owner as therein set forth, furnish the Contractor's Bonds and Insurance specified in the General Conditions of the Contract, and to do all other things required of the Contractor by the Contract Documents, and that it will take full payment the sums set forth in the following Bid Schedule: Unit prices shall be provided in no more than two decimal points, and in the case where further decimal points are inadvertently provided, rounding to two decimal points will be conducted by Procurement Services Division staff. Upon notification that its Bid has been awarded, the Successful Bidder will execute the Agreement form attached to the Bidding Documents within ten (10) calendar days and deliver the Surety Bond or Bonds and Insurance Certificates as required by the Contract Documents. The bid security attached is to become the property of the Owner in the event the Agreement, Insurance Certificates and Bonds are not executed and delivered to Owner within the time above set forth, as liquidated damages, for the delay and additional expense to the Owner, it being recognized that, since time is of the essence, Owner will suffer financial loss if the Successful Bidder fails to execute and deliver to Owner the required Agreement, Insurance Certificates and Bonds within the required time period. In the event of such failure, the total amount of Owner's damages, will be difficult, if not impossible, to definitely ascertain and quantify. It is hereby agreed that it is appropriate and fair that Owner receive liquidated damages from the Successful Bidder in the event it fails to execute and deliver the Agreement, Insurance Certificates, and Bonds as required hereunder. The Construction Solicitation Doc rev 04152022 1 Packet Pg. 684 16.C.1.h Successful Bidder hereby expressly waives and relinquishes any right which it may have to seek to characterize the above noted liquidated damages as a penalty, which the parties agree represents a fair and reasonable estimate of Owner's actual damages at the time of bidding if the Successful Bidder fails to execute and deliver the Agreement, Insurance Certificates, and Bonds in a timely manner. Upon receipt of the signed and approved agreement and Purchase Order, the undersigned proposes to commence work at the site within five (5) calendar days from the commencement date stipulated in the written Notice to Proceed unless the Project Manager, in writing, subsequently notifies the Contractor of a modified (later) commencement date. The undersigned further agrees to substantially complete all work covered by this Bid within Five Hundred Forty (540) consecutive calendar days, computed by excluding the commencement date and including the last day of such period, and to be fully completed to the point of final acceptance by the Owner within Thirty (30) consecutive calendar days after Substantial Completion, computed by excluding commencement date and including the last day of such period. Acceptance and acknowledged by an Authorize Agent Signature: Title: Date: Construction Solicitation Doc rev 04152022 Packet Pg. 685 16.C.1.h FORM 2 - CONTRACTOR'S KEY PERSONNEL ASSIGNED TO THE PROJECT Rehabilitation of Pump Station 309.18 Name Bid No. 24-8239 Personnel Category Construction Superintendent Project Manager 0 z r� N W) Cn N Construction Solicitation Doc rev 04152022 Packet Pg. 686 16.C.1.h FORM 3 - MATERIAL MANUFACTURERS THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE All Bidders shall confirm by signature that they will provide the manufacturers and materials outlined in this Bid specifications, including compliance with Florida Statute 255.20 to provide lumber, timber and other forest products produced and manufactured in the State of Florida as long as the price, fitness and quality are equal. Exceptions (when equals are acceptable) may be requested by completing the Material Manufacturer Exception List below. If an exception for a manufacturer and/or material is proposed and listed below and is not approved by Engineer/Project Manager, Bidder shall furnish the manufacturer named in the specification. Acceptance of this form does not constitute acceptance of material proposed on this list. Complete and sign section A OR B. Section A (Acceptance of all manufactures and materials in Bid specifications) On behalf of my firm, I confirm that we will use all manufacturers and materials as specifically outlined in the Bid specifications. Company: — t Signature: Date: M N 00 Section B (Exception requested to Bid specifications manufacturers and materials) N 0 EXCEPTION MATERIAL EXCEPTION MANUFACTURER Z N 1. LO M N 2. am fC Y 3. c� a 4. r_ 0 5. 0 co Please insert additional pages as necessary. M N 00 le Company: - N c m Signature: Date E Q Construction Solicitation Doc rev 04152022 Packet Pg. 687 16.C.1.h FORM 4 - LIST OF MAJOR SUBCONTRACTORS THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE The undersigned states that the following is a list of the proposed subcontractors for the major categories outlined in the requirements of the Bid specifications. The undersigned acknowledges its responsibility for ensuring that the Subcontractors for the major categories listed herein are "qualified" (as defined in Ordinance 2017-08 and Section 15 of Instructions to Bidders) and meet all legal requirements applicable to and necessitated by the Contract Documents, including, but not limited to proper licenses, certifications, registrations, and insurance coverage. The Owner reserves the right to disqualify any Bidder who includes non -compliant or non -qualified Subcontractors in its bid offer. Further, the Owner may direct the Successful Bidder to remove/replace any Subcontractor, at no additional cost to Owner, which is found to be non -compliant with this requirement either before or after the issuance of the Award of Contract by Owner. (Attach additional sheets as needed). Further, the undersigned acknowledges and agrees that promptly after the Award of Contract, and in accordance with the requirements of the Contract Documents, the Successful Bidder shall identify all Subcontractors it intends to use on the Project. The undersigned further agrees that all Subcontractors subsequently identified for any portion of work on this Project must be qualified as noted above. Major Category of Work Subcontractor and Address 1. Electrical 2. Mechanical 3. Plumbing 4. Site Work 5. Identify other subcontractors that represent more than 10% of price or that affect the critical path of the schedule Company: Signature: Date: 0 z N LO N Construction Solicitation Doc rev 04152022 Packet Pg. 688 16.C.1.h FORM 5 - STATEMENT OF EXPERIENCE OF BIDDER THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON-RESPONSIVE/NON- RESPONSIBLE. SUPPLEMENTAL QUALIFICATION REQUIREMENTS — (The Supplemental Qualifications takes precedence, should there be conflicting language with this form.) The Bidder is required provide five (5) project references, stated below, of what work of similar magnitude completed within the last five (5) years is a judge of its experience, skill and business standing and of its ability to conduct the work as completely and as rapidly as required under the terms of the Agreement. 1. 2. 3. (project name) (project owner) (project location) (Owner's address) (project description) (Owner's contact person) (project start/completion dates) (contract value) (phone) (email) (project name) (project owner) (title) (project location) (Owner's address) (project description) (Owner's contact person) (title) (project start/completion dates) (contract value) (phone) (email) (project name) (project owner) (project location) (project description) (Owner's address) (Owner's contact person) (title) (project start/completion dates) (contract value) (phone) (email) Construction Solicitation Doc rev 04152022 Packet Pg. 689 16.C.1.h FORM 5 - STATEMENT OF EXPERIENCE OF BIDDER 4. (project name) (project owner) (project location) (Owner's address) (project description) (Owner's contact person) (title) (project completion date) (contract value) (phone) (email) 5. (project name) (project owner) (project location) (Owner's address) (project description) (Owner's contact person) (title) (project completion date) (contract value) (phone) (email) Company: Signature: Date: Construction Solicitation Doc rev 04152022 Packet Pg. 690 16.C.1.h FORM 6 - TRENCH SAFETY ACT THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE. Bidder acknowledges that included in the various items of the bid and in the Total Bid Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of Florida) effective October 1, 1990. The Bidder further identifies the cost to be summarized below: Trench Safety Units of Unit Unit Extended Cost Measure Measure(Quantity) Cost (Description) LF SY N M TOTAL Company: Signature: Date: 0 Z N LO M N Construction Solicitation Doc rev 04152022 Packet Pg. 691 16.C.1.h FORM 7 - BID BOND THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON-RESPONSIVE/NON- RESPONISBLE KNOW ALL MEN BY THESE PRESENTS, that we (herein after called the Principal) and , (herein called the Surety), a corporation chartered and existing under the laws of the State of with its principal offices in the city of and authorized to do business in the State of are held and firmly bound unto the (hereinafter called the Owner), in the full and just sum of dollars ($ ) good and lawful money of the United States of America, to be paid upon demand of the Owner, to which payment well and truly to be made, the Principal and the Surety bind themselves, their heirs, and executors, administrators, and assigns, jointly and severally and firmly by these presents. Whereas, the Principal is about to submit, or has submitted to the Owner, a Bid for furnishing all labor, materials, equipment, and incidentals necessary to furnish, install, and fully complete the Work on the Project known as Bid No. 24-8239 Rehabilitation of Pump Station 309.18. NOW, THEREFORE, if the Owner shall accept the Bid of the PRINCIPAL and the PRINCIPAL shall enter into the required Agreement with the Owner and within ten days after the date of a written Notice of Award in accordance with t the terms of such Bid, and give such bond or bonds in an amount of 100% the total Contract Amount as specified in the Bidding Documents or Contract Documents with good and sufficient surety for the faithful performance of the Agreement and for the prompt payment of labor, materials and supplies furnished in the prosecution thereof or, in the event of the N failure of the PRINCIPAL to enter into such Agreement or to give such bond or bonds, and deliver to Owner the required C? certificates of insurance, if the PRINCIPAL shall pay to the OBLIGEE the fixed sum of $ noted above N as liquidated damages, and not as a penalty, as provided in the Bidding Documents, then this obligation shall be null and c void, otherwise to remain in full force and effect. z IN TESTIMONY Thereof, the Principal and Surety have caused these presents to be duly signed and sealed this LO day of 120 I*-rd Countersigned Appointed Producing Agent for Principal (Seal) Surety (Seal) Packet Pg. 692 16.C.1.h FORM 8 - INSURANCE AND BONDING REQUIREMENTS The Vendor shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in FORM 8 of this solicitation. The Vendor shall procure and maintain property insurance upon the entire project, if required, to the full insurable value of the scope of work. The County and the Vendor waive against each other and the County's separate Vendors, Contractors, Design Consultant, Subcontractors, agents and employees of each and all of them, all damages covered by property insurance provided herein, except such rights as they may have to the proceeds of such insurance. The Vendor and County shall, r where appropriate, require similar waivers of subrogation from the County's separate Vendors, Design Consultants CD and Subcontractors and shall require each of them to include similar waivers in their contracts. 0 Collier County shall be responsible for purchasing and maintaining its own liability insurance. Cn Certificates issued as a result of the award of this solicitation must identify "For any and all work performed on behalf E of Collier County", or, the specific solicitation number and title. a 0 The General Liability Policy provided by Vendor to meet the requirements of this solicitation shall name Collier o County, Florida, as an additional insured as to the operations of Vendor under this solicitation and shall contain a severability of interests provisions. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County t Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. N The amounts and types of insurance coverage shall conform to the minimum requirements set forth in FORM 8 with N the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Vendor has any self- 0 insured retentions or deductibles under any of the below listed minimum required coverage, Vendor must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide N satisfactory evidence of financial responsibility for such obligations. All self -insured retentions or deductibles will be LO Vendor's sole responsibility. Coverageo shall be maintained without interruption from the date of commencement of the Work until the date of m Y completion and acceptance of the scope of work by the County or as specified in this solicitation, whichever is longer. a The Vendor and/or its insurance carrier shall provide thirty (30) days written notice to the County of policy 0 cancellation or non -renewal on the part of the insurance carrier or the Vendor. The Vendor shall also notify the County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non - renewal or material change in coverage or limits received by Vendor from its insurer and nothing contained herein .2 shall relieve Vendor of this requirement to provide notice. In the event of a reduction in the aggregate limit of any co policy to be provided by Vendor hereunder, Vendor shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. N Should at any time the Vendor not maintain the insurance coverageo required herein, the County may terminate the N Agreement or at its sole discretion shall be authorized to purchase such coverageo and charge the Vendor for such coverages purchased. If Vendor fails to reimburse the County for such costs within thirty (30) days after demand, m the County has the right to offset these costs from any amount due Vendor under this Agreement or any other agreement between the County and Vendor. The County shall be under no obligation to purchase such insurance, nor . shall it be responsible for the coverage(s)purchased or the insurance company or companies used. The decision of Q the County to purchase such insurance coverage(s) shall in no way be construed to be a waiver of any of its rights under the Contract Documents. If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Vendor shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Vendor to provide the County with such renewal certificate(s) shall be considered justification for the County to terminate any and all contracts. Packet Pg. 693 16.C.1.h Collier County Florida Insurance and Bonding Requirements Insurance / Bond Type Required Limits 1. ® Worker's Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers' Compensation coverage or a Certificate of Exemption issued by the State of Florida is required. Entities that are formed as Sole Proprietorships shall not be required to provide a proof of exemption. An application for exemption can be obtained online at https:Hgpps.fldfs.com/bocexempt/ 2. ® Employer's Liability $_1,000,000_ single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) patterned after the $_1,000,000_single limit per occurrence, $2,000,000 aggregate for Bodily Injury current ISO form Liability and Property Damage Liability. The General Aggregate Limit Shall be endorsed to apply per project. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor/ Vendor or anyone employed or utilized by the ContractorNendor in the performance of this Agreement. 5. ® Automobile Liability $_1,000,000_ Each Occurrence; Bodily Injury & Property Damage Owned/Non-owned/Hired; Automobile Included 6. ® Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ Per Occurrence ® Contractor's Pollution Liability $1,000,000 Per Occurrence ❑ Professional Liability $ Per claim & in the aggregate ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance $ Per Occurrence ❑ Cyber Liability $ Per Occurrence ❑ Technology Errors & Omissions $ Per Occurrence Packet Pg. 694 16.C.1.h 7. ® Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 8. ® Performance and For projects in excess of $200,000, bonds shall be submitted with the executed Payment Bonds contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A-" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 9. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to c meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance r_ provisions. 0 10. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other t insurance maintained by, or available for the benefit of, the Additional Insured and the Vendor's policy shall be endorsed accordingly. M 1 l . ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of o County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates N of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For c any and all work performed on behalf of Collier County. Z 12. ® On all certificates, the Certificate Holder must read: Collier County Board of Commissioners, 3295 LO Tamiami Trail East, Naples, FL 34112 CN m 13. ® Thirty (30) Days Cancellation Notice required. 14. Collier County shall procure and maintain Builders Risk Insurance on all construction projects where it is deemed necessary. Such coverage shall be endorsed to cover the interests of Collier County as well as the Contractor. Premiums shall be billed to the project and the Contractor shall not include Builders Risk premiums in its project proposal or project billings. All questions regarding Builder's Risk Insurance will be addressed by the Collier County Risk Management Division. GG — 2/7/24 Vendor's Insurance Acceptance By submission of the bid Vendor accepts and understands the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. The insurance submitted must provide coverage for a minimum of six (6) months from the date of award. Packet Pg. 695 16.C.1.h Cor County Procurement Services Division FORM 9 - CONFLICT OF INTEREST AFFIDAVIT The Vendor certifies that, to the best of its knowledge and belief, the past and current work on any Collier County project affiliated with this solicitation does not pose an organizational conflict as described by one of the three categories below: Biased ground rules — The firm has not set the "ground rules" for affiliated past or current Collier County project identified above (e.g., writing a procurement's statement of work, specifications, or performing systems engineering and technical direction for the procurement) which appears to skew the competition in favor of my firm. Impaired objectivity — The firm has not performed work on an affiliated past or current Collier County project identified above to evaluate proposals / past performance of itself or a competitor, which calls into question the contractor's ability to render impartial advice to the government. Unequal access to information — The firm has not had access to nonpublic information as part of its performance of a Collier County project identified above which may have provided the contractor (or an affiliate) with an unfair competitive advantage in current or future solicitations and contracts. In addition to this signed affidavit, the contractor / vendor must provide the following: 1. All documents produced as a result of the work completed in the past or currently being worked on for the above - mentioned project; and, 2. Indicate if the information produced was obtained as a matter of public record (in the "sunshine") or through non- public (not in the "sunshine") conversation (s), meeting(s), document(s) and/or other means. Failure to disclose all material or having an organizational conflict in one or more of the three categories above be identified, may result in the disqualification for future solicitations affiliated with the above referenced project(s). Z By the signature below, the firm (employees, officers and/or agents) certifies, and hereby discloses, that, to the best N of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity M (financial, contractual, organizational, or otherwise) which relates to the project identified above has been fully disclosed and does not pose an organizational conflict. Company Name Signature Print Name and Title State of County of The foregoing instrument was acknowledged before me by means of ❑ physical presence or ❑ online notarization, this day of (month), (year), by (name of person acknowledging). Personally Known OR Produced Identification (Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification Produced Packet Pg. 696 16.C.1.h AN CO 11'eY County Procurement Services Division FORM 10 — VENDOR DECLARATION STATEMENT BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all requirements to which the solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced Solicitation. Further, the vendor agrees that if awarded a contract for these goods and/or services, the vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub - vendor for any future associated with work that is a result of this awarded contract. IN WITNESS WHEREOF, WE have hereunto subscribed our names on this day of , 20_ in the County of , in the State of N 0 Firm's Legal Z Name: N Address: 'O N City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded Telephone: Email: Signature by: (Typed and written) Title: Packet Pg. 697 16.C.1.h Additional Contact Information Send payments to: (required if different Company name used as payee from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: Secondary Contact for this Solicitation: Email: Phone: 0 z r� N LO M N Packet Pg. 698 16.C.1.h Clew County Procurement Services Division FORM 11- IMMIGRATION AFFIDAVIT CERTIFICATION This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal solicitation submittals. Further, Vendors are required to be enrolled in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Vendor's bid. Acceptable evidence consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor's bid or within five (5) day of the County's Notice of Recommend Award. FAILURE TO EXECUTE THIS AFFIDAVIT CERTIFICATION AND SUBMIT WITH VENDOR'S PROPOSAL/BID MAY DEEM THE VENDOR NON -RESPONSIVE. Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ("INA"). Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA shall be grounds for unilateral termination of the contract by Collier County. Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration N Act and subsequent Amendment(s)) that it is aware of and in compliance with the requirements set forth in Florida ao Statutes W8.095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and N to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the c Department of Homeland Security in partnership with the Social Security Administration at the time of submission of z the Vendor's proposalibid. r� N LO M N Company Name a� �a Signature a c 0 Print Name and Title State of County of 0 co The foregoing instrument was acknowledged before me by means of ❑ physical presence or ❑ online notarization, o) CO) this day of (month), (year), by (name le of person acknowledging). N c m (Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Q Personally Known OR Produced Identification Type of Identification Produced Packet Pg. 699 16.C.1.h FORM 12 - BIDDERS CHECKLIST IMPORTANT: No bid shall be considered unless it is made on unaltered Bid forms which are included in the Bidding Documents. Please read carefully, sign in the spaces indicated and return with your Bid. FAILURE TO PROVIDED THE BID DOCUMENTS MAY BE GROUNDS TO DEEM YOU NON-RESPONSIVE/NON- RESPONSIBLE. Bidder should check off each of the following items as the necessary action is completed: 1. The Bid has been signed. 2. The Bid prices offered have been reviewed. 3. The price extensions and totals have been checked. 4. Bid Schedule has been completed and attached. 5. Any required drawings, descriptive literature, etc. have been included. 6. Any delivery information required is included. 7. The following on-line standard documents have been reviewed and accepted in BidSync: a. Construction bid instructions form b. Construction services agreement c. Purchase order terms and conditions 8. All of the following bid forms have been completed and signed: _ a. Bid Form (Form 1) b. Contractors Key Personnel (Form 2) c. Material Manufacturers (Form 3) d. List of Major Subcontractors (Form 4) rmi e. Statement of Experience (Form 5) N 00 f. Trench Safety Act (Form 6) v g. Bid Bond Form (Form 7) N h. Insurance and Bonding Requirements (Form 8) z i. Conflict of Interest Affidavit (Form 9) j. Vendor Declaration Statement (Form 10) N k. Immigration Law Affidavit Certification (Form 11) MUST be signed and attached with your N submittal. 1. Signed Grant Provisions and Assurances package in its entirety, if applicable, are executed and should be included with your submittal. Y 9. Copies of required information have been attached a. Business tax Receipt (Collier County Businesses Only) b. Company's E-Verify profile page or memorandum of understanding c. Certificate of Authority to Conduct Business in State of Florida (sunbiz.org) d. Any required professional licenses — valid and current (myfloridalicense.com) (ie: General Contractors license, Underground Utility and Excavation, Builders, Trade Contractors, etc., as applicable, requested and/or required.) e. Vendor W-9 Form 10. If required, the amount of Bid bond has been checked, and the Bid bond or cashier's check has been submitted. 11. Any addenda have been signed and acknowledgement form attached and included. 12. The Bid will be uploaded in time to be received no later than the specified opening date and time, otherwise the Bid cannot be considered. Packet Pg. 700 16.C.1.h ***FOR REVIEW ONLY -NOT REQUIRED UNTIL AWARD IS MADE -PLEASE SEE CONSTRUCTION AGREEMENT*** EXHIBIT B-1: PUBLIC PAYMENT BOND Rehabilitation of Pump Station 309.18 Bond No. Contract No. 24-8239 KNOW ALL MEN BY THESE PRESENTS: That bound to as we bind ourselves, our heirs, executors, personal representatives severally. as Principal, and , as Surety, located at (Business Address) are held and firmly Obligee in the sum of ) for the payment whereof successors and assigns, jointly and WHEREAS, Principal has entered into a contract dated as of the day of 20 , with Obligee for in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein as the Contract. THE CONDITION OF THIS BOND is that if Principal: Promptly makes payment to all claimants as defined in Section 255.05(1), Florida Statutes, supplying Principal with labor, materials or supplies, used directly or indirectly by Principal in the prosecution of the work provided for in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Sureties obligation under this Bond. The provisions of this bond are subject to the time limitations of Section 255.05(2). In no event will the Surety be liable in the aggregate to claimants for more than the penal sum of this Payment Bond, regardless of the number of suits that may be filed by claimants. IN WITNESS WHEREOF, the above parties have executed this instrument this day of 20 , the name of each party being affixed and these presents duly signed by its under -signed representative, pursuant to authority of its governing body. 0 z r� N LO N Packet Pg. 701 16.C.1.h Signed, sealed and delivered in the presence of: Witnesses as to Principal BY: NAME: ITS: PRINCIPAL STATE OF COUNTY OF The foregoing instrument was acknowledged before me this day of 20_, by as of ,a is personally known to me OR has produced My Commission Expires: I►N: ►l (AFFIX OFFICIAL SEAL) ATTEST: Witnesses to Surety corporation, on behalf of the corporation. He/she as identification and did (did not) take an oath. (Signature of Notary) (Legibly Printed) Notary Public, State of Commission No.: SURETY: (Printed Name) (Business Address (Authorized Signature) (Printed Name) Packet Pg. 702 16.C.1.h Witnesses STATE OF COUNTY OF As Attorney in Fact (Attach Power of Attorney) (Printed Name) (Business Address) (Telephone Number) The foregoing instrument was acknowledged before me this day of 920 , by , as of Surety, on behalf of Surety. He/She is personally known to me OR has produced as identification and who did (did not) take an oath. My Commission Expires: Name: (Signature) (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of: Commission No.: Packet Pg. 703 16.C.1.h ***FOR REVIEW ONLY -NOT REQUIRED UNTIL AWARD IS MADE -PLEASE SEE CONSTRUCTION AGREEMENT*** EXHIBIT B-2: PUBLIC PERFORMANCE BOND Rehabilitation of Pump Station 309.18 KNOW ALL MEN BY THESE PRESENTS as Principal, , as Address) are held and firmly bound to _ Obligee in That and _ Surety, the Bond No. Contract No. 24-8239 located sum at (Business as of ($ ) for the payment whereof we bond ourselves, our heirs, executors, personal representatives, successors and assigns, jointly and severally. WHEREAS, Principal has entered into a contract dated as of the day of 20 with Obligee for in accordance with drawings and specifications, which contract is incorporated by reference and made a part hereof, and is referred to herein as the Contract. THE CONDITION OF THIS BOND is that if Principal: 1. Performs the Contract at the times and in the manner prescribed in the Contract; and 2. Pays Obligee any and all losses, damages, costs and attorneys' fees that Obligee sustains because of any default by Principal under the Contract, including, but not limited to, all delay damages, whether liquidated or actual, incurred by Obligee; and 3. Performs the guarantee of all work and materials furnished under the Contract for the time specified in the Contract, then this bond is void; otherwise it remains in full force. Any changes in or under the Contract and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Sureties obligation under this Bond. The Surety, for value received, hereby stipulates and agrees that no changes, extensions of time, alterations or additions to the terms of the Contract or other work to be performed hereunder, or the specifications referred to therein shall in anywise affect its obligations under this bond, and it does hereby waive notice of any such changes, extensions of time, alterations or additions to the terms of the Contract or to work or to the specifications. This instrument shall be construed in all respects as a common law bond. It is expressly understood that the time provisions and statute of limitations under Section 255.05, Florida Statutes, shall not apply to this bond. In no event will the Surety be liable in the aggregate to Obligee for more than the penal sum of this Performance Bond regardless of the number of suits that may be filed by Obligee. Packet Pg. 704 16.C.1.h IN WITNESS WHEREOF, the above parties have executed this instrument this day of , 20 , the name of each parry being affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. Signed, sealed and delivered in the presence of: Witnesses as to Principal STATE OF COUNTY OF PRINCIPAL NAME: ITS: The foregoing instrument was acknowledged before me this as day of ,a corporation. He/she is personally known to me OR has produced as identification and did (did not) take an oath. My Commission Expires: (AFFIX OFFICIAL SEAL) corporation, (Signature) Name: (Legibly Printed) Notary Public, State of: Commission No.: , 20 , by of on behalf of the Packet Pg. 705 16.C.1.h ATTEST: Witnesses as to Surety Witnesses STATE OF COUNTY OF SURETY: (Printed Name) (Business Address) (Authorized Signature) (Printed Name) OR As Attorney in Fact (Attach Power of Attorney) (Printed Name) (Business Address) (Telephone Number) The foregoing instrument was acknowledged before me this day of 120 , by , as of , a Surety, on behalf of Surety. He/She is personally known to me OR has produced as identification and who did (did not) take an oath. My Commission Expires: (Signature) Name: (AFFIX OFFICIAL SEAL) (Legibly Printed) Notary Public, State of: Commission No.: Packet Pg. 706 16.C.1.i FORM 1- BID RESPONSE FORM BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Rehabilitation of Pump Station 309.18 BID NO.24-8239 Full Name of Bidder Andrew Sitework, LLC. Main Business Address 2511 Palm Ave Place of Business Fort Myers, FL 33916 Telephone No. 239-226-2606 Fax No. 239-226-1605 State Contractor's License # CGC1535669 / CUC1224664 State of Florida Certificate of Authority Document Num Federal Tax Identification N DUNS # 052740710 26-3291871 CCR# 2871154 L160811002695 Cage Code 6UH34 To: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA (hereinafter called the Owner) The undersigned, as Bidder declares that the only person or parties interested in this Bid as principals are those named herein, that this Bid is submitted without collusion with any other person, firm or corporation; that it has carefully examined the location of the proposed Work, the proposed form of Agreement and all other Contract Documents and Bonds, and the Contract Drawings and Specifications. Bidder proposes, and agrees if this Bid is accepted, Bidder will execute the Agreement included in the Bidding Documents, to provide all necessary machinery, tools, apparatus and other means of construction, including utility and transportation services necessary to do all the Work, and furnish all the materials and equipment specified or referred to in the Contract Documents in the manner and time herein prescribed and according to the requirements of the Owner as therein set forth, furnish the Contractor's Bonds and Insurance specified in the General Conditions of the Contract, and to do all other things required of the Contractor by the Contract Documents, and that it will take full payment the sums set forth in the following Bid Schedule: Unit prices shall be provided in no more than two decimal points, and in the case where further decimal points are inadvertently provided, rounding to two decimal points will be conducted by Procurement Services Division staff. Upon notification that its Bid has been awarded, the Successful Bidder will execute the Agreement form attached to the Bidding Documents within ten (10) calendar days and deliver the Surety Bond or Bonds and Insurance Certificates as required by the Contract Documents. The bid security attached is to become the property of the Owner in the event the Agreement, Insurance Certificates and Bonds are not executed and delivered to Owner within the time above set forth, as liquidated damages, for the delay and additional expense to the Owner, it being recognized that, since time is of the essence, Owner will suffer financial loss if the Successful Bidder fails to execute and deliver to Owner the required Agreement, Insurance Certificates and Bonds within the required time period. In the event of such failure, the total amount of Owner's damages, will be difficult, if not impossible, to definitely ascertain and quantify. It is hereby agreed that it is appropriate and fair that Owner receive liquidated damages from the Successful Bidder in the event it fails to execute and deliver the Agreement, Insurance Certificates, and Bonds as required hereunder. The Construction Solicitation Doc rev 04152022 Packet Pg. 707 16.C.1.i Successful Bidder hereby expressly waives and relinquishes any right which it may have to seek to characterize the above noted liquidated damages as a penalty, which the parties agree represents a fair and reasonable estimate of Owner's actual damages at the time of bidding if the Successful Bidder fails to execute and deliver the Agreement, Insurance Certificates, and Bonds in a timely manner. Upon receipt of the signed and approved agreement and Purchase Order, the undersigned proposes to commence work at the site within five (5) calendar days from the commencement date stipulated in the written Notice to Proceed unless the Project Manager, in writing, subsequently notifies the Contractor of a modified (later) commencement date. The undersigned further agrees to substantially complete all work covered by this Bid within Five Hundred Forty (540) consecutive calendar days, computed by excluding the commencement date and including the last day of such period, and to be fully completed to the point of final acceptance by the Owner within Thirty (30) consecutive calendar days after Substantial Completion, computed by excluding commencement date and including the last day of such period. Acceptance and acknowledged by an Authorize Agent ai M N Silynature• -� N Title: President Z ti N Date: May 9, 2024 `n o� N Construction Solicitation Doc rev 04152022 Packet Pg. 7 8 16.C.1.i 24-8239 Bid Schedule PUMP STATION 309.19 REHABILITATION GENERAL CONDITIONS ITEM NO. DESCRIPTION QUANTITY UNIT I UNIT PRICE EXTENDED PRICE 1 Mobilization/Demobilization (NOT TO EXCEED 10% OF TOTAL BID AMOUNT) 1 LS $98,200.00 $98,200.00 2 Maintenance of Traffic (Vehcile & Pedestrian) 1 LS $32,150.00 $32,150.00 3 Preconstruction Audio/Video Recording 1 LS $1,900.00 $1,900.00 4 Survey Layout and Record Drawings 1 LS $21,450.00 $21,450.00 5 1 Furnish and Install Construction Project Sign 1 LS $1,050.00 $1,050.00 6 IStormwater Pollution Plan 1 LS $1,750.00 $1,750.00 7 1 Bypass Pumping During Construction 1 LS $147,300.00 $147,300.00 SECTION 1 SUBTOTAL $303,800.00 SECTION 2 - DEMOLITION ITEM NO. DESCRIPTION QUANTITY UNIT I UNIT PRICE EXTENDED PRICE 8 General Site Clearing & Grubbing 1 LS $35,150.00 $35,150.00 9 Wetwell and Lid Demolition 1 LS $29,950.00 $29,950.00 10 Electrical Service/Components Demolition 1 LS $13,550.00 $13,550.00 11 Wetwell Above Grade Component Demolition 1 LS $15,450.00 $15,450.00 12 1 Wetwell Below Grade Component Demolition 1 LS $16,250.001 $16,250.00 13 IValve Vault and Piping Demolition 1 1 LS $6,350.001 $6,350.00 SECTION 2-SUBTOTAL $116,700.00 SECTION 3 - PUMP STATION ITEM NO. DESCRIPTION QUANTITY UNIT UNIT PRICE EXTENDED PRICE 14 Furnish and Install Submersible Pumps 1 LS $147,800.00 $147,800.00 15 Furnish and Install Discharge Piping and Valves 1 LS $57,000.00 $57,000.00 16 Furnish and Install Concrete Wetwell and Wetwell Top Slab with Hatches 1 LS $194,000.00 $194,000.00 17 Furnish and Install Vent/Pump Out Piping 1 LS $7,800.00 $7,800.00 18 1 Furnish and Install Concrete Control Panel Pad 1 LS $5,600.00 $5,600.00 19 Furnish and install Discharge Piping Pad 1 LS $10,350.00 $10,350.00 20 Furnish and Install Bollard Post (Fixed) 4 EA $1,450.00 $5,800.00 21 Furnish and Install Bollard Post (Removable) 5 EA $1,650.00 $8,250.00 22 Connect to Existing Force Main 1 LS $6,150.00 $6,150.00 23 Furnish and Install Equipment Mounting Rack (Located by Wetwell) 1 LS $4,000.00 $4,000.00 24 Furnish and Install Electrical Components 1 LS $46,400.001 $46,400.00 25 1 Furnish and install Antenna 1 LS $41,700.00 $41,700.00 26 Furnish and Install New Electrical Service to Site 1 LS $15,000.00 $15,000.00 27 1 Pump Station Startup and Testing 1 LS $5,850.00 $5,850.00 SECTION 3 - SUBTOTAL $555,700.00 SECTION 4 - GENERATOR SITE ITEM NO. DESCRIPTION QUANTITY UNIT UNIT PRICE EXTENDED PRICE 28 Furnish and Install Reinforced Concrete Generator Pad 1 LS $28,000.00 $28,000.00 29 Furnish and Install Generator with Automatic Transfer Switch 1 LS $231,100.00 $231,100.00 30 Generator Startup and Testing 1 LS $5,850.00 $5,850.00 SECTION 4-SUBTOTAL $264,950.00 SECTION 5-SITEWORK ITEM NO. DESCRIPTION QUANTITY UNIT UNIT PRICE EXTENDED PRICE 31 Furnish and Install Concrete Curb 1 LS $4,150.001 $4,150.00 32 Furnish and Install Stone Surface 1 LS $8,550.001 $8,550.00 SECTION 6 - SUBTOTAL $12,700.00 COST SUMMARY SECTION 1- GENERAL CONDITIONS $303,800.00 SECTION 2 - DEMOLITION $116,700.00 SECTION 3 - PUMP STATION $555,700.00 SECTION 4-GENERATOR SITE $264,950.00 SECTION 5 - SITEWORK $12,700.00 TOTAL BID AMOUNTI $1,253,850.00 ' Staff has allocated $80,000.00 in Owner's Allowance and $20,000.00 in Landscaping Allowance— for Owners Use as Directed. This Allowance will be used only at the Owner', direction to accomplish work due to unforeseen conditions and/or by the Owner. Inclusion of the Allowance as part of the Contract Price is not a guarantee that the Contractor will be paid any portion or the full amount of the Allowance. Expenditures of Owners Allowance will be made through Change Orde with proper documentation of Time and Materials supporting the change. O Z ti N Lfl 0) N Packet Pg. 709 16.C.1.i FORM 2 -CONTRACTOR'S KEY PERSONNEL ASSIGNED TO THE PROJECT Rehabilitation of Pump Station 309.18 (aid No. 24-8239 Name *Resumes Attached* Personnel Category Construction Superintendent Danny Dutton Project Manager TBD - Resume Attached 0 z r� N O� N Construction Solicitation Doc rev 04152022 Packet Pg. 710 16.C.1.i Brian Paul Brandfass 437 NW 14t' Terr, Cape Coral, FL 33993 (239) 826-3884 brianCa?A►+drewsitework.com brianb4snookehotmail.com General Manager with over 2t) years of experience in general management, project management, project estimating, inspection and testing, construction, maintenance and supervision of multi -million -dollar municipal projects. Ambitious to apply my knowledge in the underground and sitework construction field and enforce strict safety guidelines to successfully manage a posilion with your organization. PROFESSIONAL EXPERIENCE ANDREW SITEWORK LLC, FORT MYERS, FL General Manager, October 2009 — Present • Oversee daily activities and coordinate projects with general and site superintendents. • Performed a variety of managerial duties involved in prime contracts between the company and the municipality including, execution of contracts, creating and executing subcontracts & ai M and N purchase orders, conducting negotiations or buyouts, overseeing project management staff 00 estimators, reviewing bids and change orders, invoicing, budgeting and cost tracking of $10 million+ in municipal projects annually, including residential neighborhood infrastructure o rehabilitations, installation of new potable, reclaimed, & reuse water, force mains, gravity and low Z pressure sewer, storm drains, plant rehabs, Lift Stations, and general site improvements. , • Strictly adhere to the company's safety rules, regulations, and procedures, thereby ensuring the N safety of my coworkers. Schedule and assist in quarterly safety meetings. Ul) Responsible, strong communication, organization, and record keeping skills. Attention to detail. N Always willing to tackle any task and help others to improve their skills as well. m 0 TITAN GOLF SERVICES. INC. Surveying Technician / Forman, September 2007 — September 2009 • Operated Top -Con GPS Survey equipment and instruments along with CAD files and blue print plans to provide layout of both new construction and renovations of existing golf courses and ball fields throughout the State of Florida. • Operated both light and heavy equipment necessary to excavate, grade, and shape ball fields and golf courses and site work construction. Accurately read and interpreted print, maps, sketches, Survey Instrumentations, as -built • provided by Owner, Engineers, and Developers. Drawings, CPM Schedules, charts and graphs • Track daily productions for billings and schedule planning. ALLIED ENGINEERING & TESTING INC. Geotechnical Exploration Technician and Inspector, February 2002 —August 2005 Provided inspection services including Pile Driving monitoring, Sheet Pile Placement Monitoring, Structural Steel Placement and installation inspections, Water Turbidity daily monitoring, to contractors in the Collier, Lee, Charlotte, Sarasota, Desoto, and Glades County areas. • Worked Directly with and on projects managed by both FEMA and the Army Corp of Engineers conducting inspection services in the development of temporary housing facilities in both the City Of Arcadia, and City of Indian Town Okeechobee FL. These were twenty -four-hour operations requiring strenuous hours and impeccable tracking of test and lab results. Brian P. Brandfass 437 NW 14th Ter. Cape Coral, FL 33993 (239) 826-3884 brianb4snook@hotarail.c0m Packet Pg. 711 16.C.1.i EDUCATION Estero High School Graduate, Estero FL. Diploma, Received May 2005. ADDITIONAL SKILLS & CERTIFICATIONS • Ability to track productions and manage budgets. • Outstanding organization skills. • DEP, Stormwater Management Inspector Qualification, No. 27909 • FDOT Advanced Maintenance of Traffic Course Certificate Holder, "No. 22281" • Troxler Radiation Safety Training Certified (Expired) • NCI, National Concrete Institute Certification Training. • HDPE Pipe Fusion Certification "ISCO Industries° • Confined Space Entry Training Certification. • Excavation Safety Training Certification. • Lee Memorial Health Systems (AHA) First Aid Training Certification Holder. • US EPA MVAC Refrigerant Recovery and Recycling Training, Card No. MVAC C391484 • Ed Chlopfer School of Real Estate Residential Inspection Certification. Brian P. Brandfass 437 NW 14th Ter. Cape Coral, FL 33993 (239) 826-3884 brianb4snook@h0trnail.c0m Packet Pg. 712 16.C.1.i Chad M. Baker 4584 Winkler Ave, Apt #306 Fort Myers, FL 33916 (239)-462-3189 Chad@andrewsitework.com Construction worker with 8+ years of experience in the construction, maintenance, repair of multi -million - dollar municipal projects. Possess a CDL license and an OSHA Certification. PROFESSIONAL EXPERIENCE ANDREW SITEWORK, LLC, FORT MYERS, FL Project Estimator / Project Manager, February 2016 — Present • Identify, evaluate and implement new ideas to increase organizational efficiencies and cost savings. • Supervise day-to-day work activities by delegating authority, assigning and prioritizing activities and monitoring operating standards. • Monitor performance improvements of the contract. • Conduct bid review meetings with the Project Manager to finalize bid, markup, and strategies. • Responsible for RFQ'S from receipt, through pricing and review to final submittal. ANDREW SITEWORK, LLC, FORT MYERS, FL o z Equipment operator / foreman, December 2014— January 2016 Manage and make decisions related to the performance of work, scheduling, delivery, quality• t` N LO control and employee staffing levels. M • Manage the work to ensure that it is completed in compliance with and conforms to the approved contract documents. • Responsible for scheduling, quality of work and daily reporting of progress. • Manage field staff, actively work in the field, and operate specialized installation equipment for Ci execution of construction projects. `° Operate a variety of equipment and trucks for the purpose of street and utility repair projects. oa •0 EDUCATION Cypress Lake High School, Fort Myers, FL Diploma, May 2011 ADDITIONAL SKILLS & CERTIFICATIONS • Experience providing detailed budgetary estimates ranging from $25K to $5M on a wide variety of construction projects. • CDL Class A License • HDPE Fusing Certified • OSHA Excavation Certification 4584 Winkler Ave Apt 306, Fort Myers, FL 33916 (239)-4G2-3189 chad@andrewsitework.com Packet Pg. 713 16.C.1.i Cheryl Robinson 12601 Panasoffkee Drive North Fort Myers, FL 33903 (239) 851-7473 Ckr5479@hotmail.com Performance driven construction project manager with 5+ years of experience successfully overseeing all phases of multi -million dollar underground utility projects. Expertise in civil site and infrastructure construction, primarily working with municipal and government contracts. Proven results of early completion, under -budget, high -quality projects. Licensed Underground Utilities and Excavation Contractor, State of Florida Certified Women's Business Enterprise/Disadvantaged Business Enterprise. PROFESSIONAL EXPERIENCE ANDREW SITEWORK, LLC, FORT MYERS, FL Project Manager, March 2014 — Present • Proficiently managed all aspects of underground utility construction projects including budgeting, financial forecasting, scheduling, specification compliance, facilitating and tracking Requests for M Information, change orders, and purchase orders. Projects managed ranged in size up to $5.3 N Million. N • Effectual knowledge and experience with construction legal matters including contracts, subcontracts, Federal labor standards, certified payroll, Davis -Bacon, and EEOC compliance. o z • Resourceful in negotiating with Owners, engineers, subcontractors, and suppliers. Proactive at identifying and resolving problems on projects before they became major issues. N o) N BISTRO 41, FORT MYERS, FL Manager, February 2010 — March 2014 • Drove consistent year over year revenue increases in a fine dining restaurant. Supervised daily financial operations, sales, cost control, labor, inventory management, and budgeting. Responsible for supervision and development of 50+ employees. • Reduced controllable liquor, wine and beer losses to within 1.0% of ideal cost (24%) vs. 28% (November 2011) and 32% (November 2010). Lowered labor cost as a percentage of sales to 11- 13% from an average of 17% by eliminating unnecessary labor costs and increasing workforce efficiency. • Improved employee work ethic, productivity, and reduced staff turnover by initiating systems for accountability and by implementing effective training programs. EDUCATION Florida Gulf Coast University Master of Business Administration, Finance, April 2006 Florida Atlantic University Bachelor of Arts in Business Administration, Finance, December 2001 ADDITIONAL SKILLS & CERTIFICATIONS • Licensed Florida Underground Utility and Excavation Contractor • Certified Florida Stormwater, Erosion, and Sedimentation Control Inspector • Advanced FDOT Maintenance of Traffic Certification • State of Florida Certified Women's Business Enterprise/ Disadvantaged Business Enterprise Packet Pg. 714 16.C.1.i Danny Lyn Dutton 30488 Holly Rd. Punta Gorda Fl. (239)494-0002 Danny@andrewsitework.com Construction worker with 20+ years of experience in the construction field supervised large capital projects. Aspiring to apply my deep knowledge of construction management techniques, and safety guidelines to successfully serve as an assistant general superintendent on your team. Possess a 30 Hr. OSHA Certification /Advanced MOT Certification / QC manager Asphalt level one and two / CPR Certification / PROFESSIONAL EXPERIENCE ANDREW SITEWORK INC. Superintendent, September 2017 — Present • Performed a variety of construction duties from job supervision of large multi -million dollar projects to smaller project that include underground utilities, roadway construction, and concrete M N • Strictly adhere to the company, OSHA, and municipal safety rules to ensure a safe work � environment for my workers and the traveling public N • Submit all proper paperwork to bill jobs in a timely manner, Review timesheets and daily 6 foreman's paperwork to ensure proper pay and information supplied by Foreman is correct. .. • Assist office review bids before they get submitted r` N LO a) N BONNESS INC General Superintendent, September 2007 — 2016 • Performed a variety of construction duties involved in the maintenance of $2 million+ municipal projects, including residential roads, highways, and private charter schools • Strictly adhere to the company's safety rules, regulations, and procedures, thereby ensuring the safety of my coworkers. • Submit all jobsite and timesheet records on time and fully complainant with company standards. EDUCATION CHARLOTTE HIGH SCHOOL Graduated in 1993 ADDITIONAL SKILLS & CERTIFICATIONS • Ability to operate a variety of heavy equipment: loader, track hoe, motor grader, dozer, box blade, self -load pan, skid steer, etc. • QC. Manager Certification Asphalt Level One And Level Two, Osha Certification, CPR Certification, MOT Advance Certification • Conversant in Spanish 30488 Holly Rd, Punta Gorda, FL 33982 (239) 494-0002 danny@-drewsitework.com Packet Pg. 715 16.C.1.i Lyssa Lott 421 NE 15'h Street Cape Coral, FL 33909 239-850-1587 Lyssa@andrewsitework.com Project Manager with over 10 years of experience in the utility industry, with most of the time spent in the Public Sector. Has successfully overseen all phases of multi -million dollar treatment plant and underground utility projects. Well organized, responsible, attentive, and strong communication skills. PROFESSIONAL EXPERIENCE ANDREW SITEWORK, LLC, FORT MYERS, FL Project Manager, May 2023 — Present Construction Project Manager overseeing utility, drainage, and roadway construction projects. LEE COUNTY UTILITIES, FORT MYERS, FL Project Manager, October 2014 — May 2023 • Saw through initiation, budget, establishment of scope, design, construction, and project N 00 projects closeout ranging in cost from $25,000 to $50,000,000. N N • Reviewed plans, technical reports/studies, technical specifications, permits, easements, shop drawings for water/wastewater facilities, distribution, and collection projects. o Z submittals, • Reviewed and negotiated scope and fees, contracts, RFI's and change orders with consultants and for CMAR and Design -Build contracts. Oversaw coordination between IocaUstate/federal agencies, the public, internal staff, other N County stakeholders, consultants, and contractors. Was involved in Hurricane damage assessment after Hurricane Irma and Hurricane Ian; including c site inspections with FEMA after Hurricane Ian. Cl COLLIER COUNTY PUBLIC UTILITIES, PLANNING AND PROJECT MANAGEMENT DEPARTMENT, N NAPLES, FL Associate Project Manager, May 2013 — September 2014 with engineers to update PLC software,• 0. 0 a • Reviewed proposals, wrote work orders, worked v Updated PLC's and supervised installations/repairs.• Coordinated between vendors and other county departments for projects and worked with J water/wastewater to have fiber installed throughout the county. Y EDUCATION University of Miami, Coral Gables, FL Bachelor of Science in Civil Engineering, May 2012 Fort Myers High School, Fort Myers, FL, Graduated in May 2007 ADDITIONAL SKILLS AND CERTIFICATIONS • AutoCAD/AutoCAD 3D • ArcGIS • Reviewing plans, schematics, and specifications • Microsoft Office Suite Packet Pg. 716 16.C.1.i FORM 3 - MATERIAL .%IANUFACTURERS THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE All Bidders shall confirm by signature that they will provide the manufacturers and materials outlined in this Bid specifications, including compliance with Florida Statute 255.20 to provide lumber, timber and other forest products produced and manufactured in the State of Florida as long as the price, fitness and quality are equal. Exceptions (when equals are acceptable) may be requested by completing the Material Manufacturer Exception List below. If an exception for a manufacturer and/or material is proposed and listed below and is not approved by Engineer/Project Manager, Bidder shall furnish the manufacturer named in the specification. Acceptance of this form does not constitute acceptance of material proposed on this list. Complete and sign section A OR B. Section A (Acceptance of all manufactures and materials in Bid specifications) On behalf of my firm, I confirm that we will use all manufacturers and materials as specifically outlined in the Bid specifications. Company: -�And w Siteworx LLL. N Signature: Date: 05/09/2024 N ti N Section B (Exception requested to Bid specifications manufacturers and materials) rn N EXCEPTION MATERIAL EXCEPTION MANUFACTURER m 0 1. N/A U N/� ' 2. 0 a 0 L 3. a U J 4. J Y L 5. 0 Please insert additional pages as necessary. Company: Andrew Sitework, LLC. Signature: Date 05/09/2024 Construction Solicitation Doc rev 04152022 Packet Pg. 717 16.C.1.i FORM 4 - LIST OF MAJOR SUBCONTRACTORS THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE The undersigned states that the following is a list of the proposed subcontractors for the major categories outlined in the requirements of the Bid specifications. The undersigned acknowledges its responsibility for ensuring that the Subcontractors for the major categories listed herein are "qualified" (as defined in Ordinance 2017-08 and Section 15 of Instructions to Bidders) and meet all legal requirements applicable to and necessitated by the Contract Documents, including, but not limited to proper licenses, certifications, registrations, and insurance coverage. The Owner reserves the right to disqualify any Bidder who includes non -compliant or non -qualified Subcontractors in its bid offer. Further, the Owner may direct the Successful Bidder to remove/replace any Subcontractor, at no additional cost to Owner, which is found to be non -compliant with this requirement either before or after the issuance of the Award of Contract by Owner. (Attach additional sheets as needed). Further, the undersigned acknowledges and agrees that promptly after the Award of Contract, and in accordance with the requirements of the Contract Documents, the Successful Bidder shall identify all Subcontractors it intends to use on the Project. The undersigned further agrees that all Subcontractors subsequently identified for any portion of work on this Project must be qualified as noted above. Major Category of Work Subcontractor and Address 1. Electrical MG Electrical Developers, Inc. 2. Mechanical N/A 3. Plumbing Paints & Coatings, Inc. 4. Site Work Self Performed 5. Identify other subcontractors that represent more than 10% of price or that affect the critical path of the schedule N/A Company: Signature: Sitework, LLC. t • l4�/�t,�d.T� Construction Solicitation Doc rev 04152022 Date: 05/09/2024 0 z ti N LO M N Packet Pg. 8 16.C.1.i FORM 5 - STATEMENT OF EXPERIENCE OF BIDDER THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON-RESPONSIVE/NON- RESPONSIBLE. SUPPLEMENTAL QUALIFICATION REQUIREMENTS — (The Supplemental Qualifications takes precedence, should there be conflicting language with this form.) The Bidder is required provide five (5) project references, stated below, of what work of similar magnitude completed within the last five (5) years is a judge of its experience, skill and business standing and of its ability to conduct the work as completely and as rapidly as required under the terms of the Agreement. 1. Immokalee Water Main Replacement Ph-4 (project name) i•J 3. Immokalee, FL (project location) Immokalee Water & Sewer District (project owner) 1020 Sanitation Way, Immokalee, FL (Owner's address) See Attachment - Project 41 Gary Ferrante Engineer (project description) (Owner's contact person) (title) 2018/2019 (project start/completion dates) (contract value) Underground Fire lines Phase II (project name) 239-437-4601 ext. 3201 FerranteGna,wseinc.com v N (phone) (email) o z ti N u7 M City of Cape Coral N (project owner) 0 Cape Coral, FL 815 Nicholas Parkway E, Cape Coral, FL (project location) (Owner's address) See Attachment - Project #2 (project description) Jeff Pearson Utility Director (Owner's contact person) (title) 2019/2020 $ 2,862,424.00 239-574-0700 jpearson(a?,capecoraLgov (project start/completion dates) (contract value) (phone) (email) Hancock Bridge Pkwy NE 16th to SE 24th Ave Lee County DOT / Engineering (project name) (project owner) Lee County, FL 1500 Monroe Street - 3rd Floor, Fort Myers, FL 33901 (project location) (Owner's address) See Attachment - Project #3 Steve Fort Sr. Project Manager (project description) (Owner's contact person) (title) 2019/2020 $ (project start/completion dates) (contract value) 239-533-9300 SFort@leegov.com (phone) (email) Construction Solicitation Doc rev 04152022 Packet Pg. 719 16.C.1.i 4. FORM 5 - STATEMENT OF EXPERIENCE OF BIDDER Burnt Store Road Widening Phase II (project name) Burnt Store Road, Port Charlotte, FL (project location) See Attachment - Project #4 (project description) Charlotte County (project owner) 18500 Murdock Circle, Suite 344, Port Charlotte, FL (Owner's address) John Elias Director of Public Works (Owner's contact person) (title) 2020 $ 3,350,000.00 941-575-3600 ohn.clias@charlottecountyfl.gov charlottecountyfl.gov (project completion date) (contract value) (phone) (email) 5. Parkside CRA Utility Improvements (project name) Port Charlotte, FL (project location) See Attachment - Project #5 (project description) 2019 (project completion date) Charlotte County (project owner) 25550 Harbor View Road, Suite 1, Port Charlotte FL (Owner's address) Dean Campbell Engineering Projects Manager (Owner's contact person) (title) $ 4,270,394.00 941-764-4364 Dean.Campbell@charlottecountyfl.gov (contract value) (phone) (email) Company: Andre itework, LLC. Signature: Date: 05/09/2024 ,C?4Q c 0 z ti N LO M N Construction Solicitation Doc rev 04152022 Packet Pg. 720 16.C.1.i ANDREW SITEWORK, LLC FORM 5- STATEMENT OF EXPERIENCE OF BIDDER SCOPE OF WO R K: POTABLE WATER MAIN PROJECT I —WATER MAIN REPLACEMENT PH4 (IMMOKALEE WATER & SEwER) project description: The city of Immokalee water main replacements Phase-4 was one of (4) phases of construction. ASW performed phase-4 for Immokalee Water and Sewer District with great success. You will find the district was very impressed by our ability to manage the project and complete the work in record time. The project scope included upwards of 46,000 Feet of new 4 to 12" water main, as well as many water services, fire hydrant assemblies, and gate valves. Project Scope Included: • Installation of approx. 750 linear feet of 4" PVC water main by open cut. • Installation of approx. 33,885 linear feet of 6" PVC water main by open cut. • Installation of approx. 7,820 linear feet of 8" PVC water main by open cut. • Installation of approx. 2,500 linear feet of 10" PVC water main by open cut. M • Installation of approx. 2,020 linear feet of 12" PVC water main by open cut. N • Installation of approx. 700 new residential and commercial water services. N • Installation of approx. 100 new Fire Hydrant Assemblies and Gate Valves. o • Replacement of numerous driveway aprons and concrete sidewalks throughout the site. z • Complete site restoration from ROW line to ROW line, swale grading, grassing, and misc ti N LO O� N Project 2 — UNDERGROUND FIRE LINES PHASE II (City of Cape Coral) project description: This project consisted of approximately 20,000 linear feet of watermain installation by open cut within residential roadways, including associated fire hydrants, and water service connections. Project Scope Included: • Installation of approx. 1,000 linear feet of 4" PVC water main by open cut. • Installation of approx. 1,000 linear feet of 6" PVC & DIP water main by open cut. • Installation of approx. 10,000 linear feet of 8" PVC water main by open cut. • Installation of approx. 1,000 linear feet of 10" PVC & DIP water main by open cut. • Installation of approx. 4,000 linear feet of 12" PVC water main by open cut. • Installation of approx. 90 new residential and commercial water services. • Installation of approx. 40 new Fire Hydrant Assemblies and Gate Valves. • Replacement of numerous driveway aprons and concrete sidewalks throughout the site. • Complete site restoration from ROW line to ROW line, Swale grading, grassing, and roadway ,'age t Packet Pg. 721 16.C.1.i ANDREW SITEWORK, LLC FORM 5- STATEMENT OF EXPERIENCE OF BIDDER SCOPE OF WORK: STORM WATER / DRAINAGE Project 3 Hancock Bridge Parkway from NE 16th Place to SE 24th Ave (Lee County DOT) project description: This project included the installation of new Storm drain, box culverts and water main including all equipment, labor and materials required for a complete installation, including open excavation near residential properties, and roadway, sheet and bracing, dewatering, laying and jointing pipe, disposal of excess or waste materials, backfilling and restoring to surface grade, restoration of surface features such as signs or fences, roadway restoration & sod restoration. Project Scope Included • Installation of approx. 200 linear feet of 15-inch RCP by open cut. • Installation of approx.3,000 linear feet of 18-inch RCP by open cut. • Installation of approx. 200 linear feet of 24-inch RCP by open cut. • Installation of approx. 200 linear feet of guard railing. N • Installation of 1-mile of 5' wide concrete sidewalk. v • Installation of 60 drainage structures. • Installation & extension of an existing box culvert within an existing water way. Heavy sheeting N Z & shoring including concrete barrier wall. • 1 mile of swale grading & sodding. N U) O� N Project 4 — BURNT STORE ROAD WIDENING — PHASE II (Charlotte County) project description: Wright Construction Group was the prime GC on this project and subcontracted Andrew Sitework, LLC to perform the storm drain installation. Our subcontract included the complete installation of over 18,000 linear feet of storm. Project Scope Included • installation of 140 drainage structures. 176 LF of 12x18 CL III ERCP. • 500 LF of 14x23 CL III ERCP • 1,000 LF of 1900 CL III ERCP. 100 LF of 29x45 CL III ERCP. • 400 LF of 34x53 CL III ERCP. • 600 LF of 38x60 CL III ERCP • 200 LF of 15" RCP CL III • 1,300 LF of 18" RCP including (5) Mitered End Sections. • 6,500 LF of 24" RCP including (2) Mitered end sections. 1,300 LF of 30" RCP including (1) Mitered end section. • 4,000 LF of 36" RCP including (18) Mitered end sections. • 1,800 LF of 42" RCP including (6) Mitered end sections. • 600 LF of 48" RCP. Page 2 Packet Pg. 722 16.C.1.i ANDREW SITEWORK, LLC FORM 5- STATEMENT OF EXPERIENCE OF BIDDER Pro meet 5—Parkside CRA Utility Improvements project description: This project included the construction of a new wastewater force main/transmission main between two pump stations, a new reclaimed water main, a new potable water system with service connections, replacement of an existing gravity sewer system, construction of a new lift station, and removal or abandonment of the old asbestos -cement water mains, gravity sewer, and existing lift station. Partially through the contract, the owner added additional scope including reshaping or removal of the existing swales, installation of an T wide concrete multi -use path and misc. improvements within the county ROW. Proiect Scope Included: O • Approximately 4,100 linear feet of 24-inch PVC force main installed by open cut, including a a jack and bore crossing of the FOOT ROW under US 41/Tamiami Trail. • Approximately 5,100 linear feet of 6 & 8-inch PVC gravity sewer, including numerous sewer laterals w/cleanout assemblies, including approx. 9 precast concrete manhole installations. • Construction of a new 25 ft deep 8' diameter master lift station with new panels, telemetry, access drive and fencing, as well as the decommissioning and abandonment of the existing station. N • Approximately 6,00 linear feet of both 8-inch and 6-inch PVC potable water mains including v water services, fire hydrants and the removal & disposal of the existing asbestos -cement potable water N main piping. Z • Construction of a new 4" reclaimed water main approx. 4, 100 linear feet. • Complete reconstruction of approx. 3600 LF of roadway throughout the neighborhood. N This scope included cutting and compacting subgrade, placement, and compaction of 8" of base rock, N final cut/grading, and tack & pave with 2" SP-12.5 Asphalt. • Construction of a new 8' wide concrete multi -use pedestrian trail. The scope included driveway c apron replacement with drainage pipe installation and swale reconstruction for positive flow. 3 • Restoration from ROW line to ROW throughout the neighborhood to meet or exceed owner, Cl engineer, and homeowners' expectations. o 1,3gE 2 Packet Pg. 723 16.C.1.i FORN16 - TRENCH SAFETY ACT THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON -RESPONSIVE. Bidder acknowledges that included in the various items of the bid and in the Total Bid Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of Florida) effective October 1, 1990. The Bidder further identifies the cost to be summarized below: Trench Safety Units of Unit Unit Extended Cost Measure Measure uanti Cost (Description) LF SY Simple Slope LF j00 $1.00 V 100.00 j, 0 2. Sheeting /Shoring SY 300 $1.50 1450. 0 3. 4. 5. Company: Signature: Andrew Sitework, LLC. , XA Construction Solicitation Doc rev 04152022 TOTAL, $ 550.0 O Date: 05/07/2024 of 0 M C 0 �a Cn a E 3 d 0 c 0 �a as o: M N Iq N 0 z r� N LO 0) N Packet Pg. 724 16.C.1.i FORM 7 - BID BOND 6 THIS FORM MUST BE COMPLETED OR BID MAY BE DEEMED NON-RESPONSIVE/NON- RESPONISBLE KNOW ALL MEN BY THESE PRESENTS, that we Andrew Site Work, LLC (herein after called the Principal) and The Ohio Casualty Insurance Company , (herein called the Surety), a corporation chartered and existing under the laws of the State of New Hampshire with its principal offices in the city of Boston, MA and authorized to do business in the State of Florida are held and firmly bound unto the Collier County Board of County Commissioners (hereinafter called the Owner), in the full and just sum of Five Percent of Amount Bid dollars ($ 5% ) good and lawful money of the United States of America, to be paid upon demand of the Owner, to which payment well and truly to be made, the Principal and the Surety bind themselves, their heirs, and executors, administrators, and assigns, jointly and severally and firmly by these presents. Whereas, the Principal is about to submit, or has submitted to the Owner, a Bid for furnishing all labor, materials, equipment, and incidentals necessary to furnish, install, and fully complete the Work on the Project known as Bid No. 24-8239 Rehabilitation of Pump Station 309.18. NOW, THEREFORE, if the Owner shall accept the Bid of the PRINCIPAL and the PRINCIPAL shall enter into the N required Agreement with the Owner and within ten days after the date of a written Notice of Award in accordance with 00 the terms of such Bid, and give such bond or bonds in an amount of 100% the total Contract Amount as specified in the N Bidding Documents or Contract Documents with good and sufficient surety for the faithful performance of the Agreement o and for the prompt payment of labor, materials and supplies furnished in the prosecution thereof or, in the event of the Z failure of the PRINCIPAL to enter into such Agreement or to give such bond or bonds, and deliver to Owner the required r` Five Percent of N certificates of insurance, if the PRINCIPAL shall pay to the OBLIGEE the fixed sum of $ Amount Bid (s %) noted above LO as liquidated damages, and not as a penalty, as provided in the Bidding Documents, then this obligation shall be null and N void, otherwise to remain in full force and effect. a; IN TESTIMONY Thereof, the Principal and Surety have caused these presents to be duly signed and sealed this 9th day of May , 2024 . m The Ohio Casualty Insurance Company Brett Rosenhaus, Attorney -in -Fact & Florida Licensed Agent Countersigned N/A Appointed Producing Agent for The Ohio Casualty Insurance Company Principal (Seal) Surety (Seal) Packet Pg. 725 16.C.1.i This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. _Liberty Liberty Mutual Insurance Company Mutual. l.ual. The Ohio Casualty Insurance Company Certificate No:8200821-964020 SURETY West American Insurance Company POWER OF ATTORNEY 00 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that 7 Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint, D. A. Belis; Cl) Brett Rosenhaus C O R all of the city of Delray Beach state of FL each individually if there be more than one named, its true and lawful attorney -in -fact to make, cn execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance 0- of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper E persons. a IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed p thereto this 1st day of April 2019 1= Liberty Mutual Insurance Company 2 P� 1NSLI P%11Y INS& %NSU�gq The Ohio Casualty Insurance Company +� 3`oaPO�Toym Q 3°oaP°Rv,F�y� ioOvk 0 �'roy, West American Insurance Company cc 1912 n c 1919 1991 Cn C6 d,>l �34CNlI i> y�y HAMPS,aD�O `(s �N°IAN� daBy: LIB N ei� * �� �yi , *� �,H * td BY rn David M. Carey, Assistant Secretary M State of PENNSYLVANIA > � � County of MONTGOMERY ss m 4 tT C N > (1) On this 1st day of April 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o i @ Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes Z i > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. LU . . a)E r` :3 IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written. a) fl. � _a Pq .2 co 0) N NW STF� COMMONWEALTH OF PENNSYLVANIA Q s— �GO�gM r Notarial Seal O OF Teresa Pastella, Notary Public � , ®®- ' v�2�� `CU O j Upper Marion Twp., Montgomery County By: My Commission Expires March 28, 2021 E = L .y NSyLvv o Teresa Pastella, Notary Public o co CY Member, Pennsylvania Association of Notaries a C> CO n a) This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual Or) N O Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows: o a) 0 aS ARTICLE IV — OFFICERS: Section 12. Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the U President may prescribe, shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety > ov J ) C any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall c4 " m have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such " °O Y :3 instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings. U' Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, F- shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Q Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- M fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety 04 obligations. ' Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the N Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. d I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do t hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. r IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 9th day of May 2024 Q P� 1NS(J POSY INS& d \NSUI. J 2`0 aP0 �Toy0 �Jr°0a -14ToRyyC' `V r4OIL PONgTo�y�cn f U 1912 n o 1919 0 2 1991 0 " S O Q O B Yd� SS'OCHU`�.da SONAMP`�a� �( �NorANO' aS� y•. * a Renee C. Llewellyn, Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi Co_062018 Packet Pg. 726 16.C.1.i FORM 8 - INSURANCE AND BONDING REQUIREMENTS The Vendor shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida as set forth in FORM 8 of this solicitation. The Vendor shall procure and maintain property insurance upon the entire project, if required, to the full insurable value of the scope of work. The County and the Vendor waive against each other and the County's separate Vendors, Contractors, Design Consultant, Subcontractors, agents and employees of each and all of them, all damages covered by property insurance provided herein, except such rights as they may have to the proceeds of such insurance. The Vendor and County shall, where appropriate, require similar waivers of subrogation from the County's separate Vendors, Design Consultants and Subcontractors and shall require each of them to include similar waivers in their contracts. Collier County shall be responsible for purchasing and maintaining its own liability insurance. Certificates issued as a result of the award of this solicitation must identify "For any and all work performed on behalf of Collier County", or, the specific solicitation number and title. The General Liability Policy provided by Vendor to meet the requirements of this solicitation shall name Collier County, Florida, as an additional insured as to the operations of Vendor under this solicitation and shall contain a severability of interests provisions. The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County v Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance c14 must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all o work performed on behalf of Collier County. Z ti The amounts and types of insurance coverage shall conform to the minimum requirements set forth in FORM 8 with rn the use of Insurance Services Office (ISO) forms and endorsements or their equivalents. If Vendor has any self - CM insured retentions or deductibles under any of the below listed minimum required coverage, Vendor must identify on the Certificate of Insurance the nature and amount of such self- insured retentions or deductibles and provide p satisfactory evidence of financial responsibility for such obligations. All self -insured retentions or deductibles will beCY Vendor's sole responsibility. CoverageLss,) shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the scope of work by the County or as specified in this solicitation, whichever is longer. The Vendor and/or its insurance carrier shall provide thirty (30) days written notice to the County of policy cancellation or non -renewal on the part of the insurance carrier or the Vendor. The Vendor shall also notify the County, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non - renewal or material change in coverage or limits received by Vendor from its insurer and nothing contained herein shall relieve Vendor of this requirement to provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by Vendor hereunder, Vendor shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. Should at any time the Vendor not maintain the insurance coverageUs) required herein, the County may terminate the Agreement or at its sole discretion shall be authorized to purchase such coverageUs and charge the Vendor for such coverageo purchased. If Vendor fails to reimburse the County for such costs within thirty (30) days after demand, the County has the right to offset these costs from any amount due Vendor under this Agreement or any other agreement between the County and Vendor. The County shall be under no obligation to purchase such insurance, nor shall it be responsible for the coverages purchased or the insurance company or companies used. The decision of the County to purchase such insurance coverage(s) shall in no way be construed to be a waiver of any of its rights under the Contract Documents. If the initial or any subsequently issued Certificate of Insurance expires prior to the completion of the scope of work, the Vendor shall furnish to the County renewal or replacement Certificate(s) of Insurance not later than ten (10) calendar days after the expiration date on the certificate. Failure of the Vendor to provide the County with such renewal certificate(s) shall be considered justification for the County to terminate any and all contracts. Packet Pg. 727 16.C.1.i Collier County Florida Insurance and Bonding Requirements Insurance / Bond Type Required Limits 1. ® Worker's Compensation Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Statutory Limits and Requirements Evidence of Workers' Compensation coverage or a Certificate of Exemption issued by the State of Florida is required. Entities that are formed as Sole Proprietorships shall not be required to provide a proof of exemption. An application for exemption can be obtained online at https://apps.fldfs.com/bocexempt/ 2. ® Employer's Liability $_1,000,000_ single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability (Occurrence Form) patterned after the $ 1,000,000_single limit per occurrence, $2,000,000 aggregate for Bodily Injury current ISO form Liability and Property Damage Liability. The General Aggregate Limit Shall be endorsed to apply per project. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the Contractor/Vendor shall defend, indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the Contractor/ Vendor or anyone employed or utilized by the ContractorNendor in the performance of this Agreement. 5. ® Automobile Liability $_1,000,000_ Each Occurrence; Bodily Injury & Property Damage, Owned/Non-owned/Hired; Automobile Included 6. ® Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Maritime Coverage (Jones Act) shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ Per Occurrence ® Contractor's Pollution Liability $1,000,000 Per Occurrence ❑ Professional Liability $ Per claim & in the aggregate ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance $ Per Occurrence ❑ Cyber Liability $ Per Occurrence ❑ Technology Errors & Omissions $ Per Occurrence Packet Pg. 728 16.C.1.i 7. ® Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 8. ® Performance and For projects in excess of $200,000, bonds shall be submitted with the executed Payment Bonds contract by Proposers receiving award, and written for 100% of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as "A-" or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders' surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 9. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. 10. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. This insurance shall be primary and non-contributory with respect to any other insurance maintained by, or available for the benefit of, the Additional Insured and the Vendor's policy shall be endorsed accordingly. 11. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County. The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 12. ® On all certificates, the Certificate Holder must read: Collier County Board of Commissioners, 3295 Tamiami Trail East, Naples, FL 34112 13. ® Thirty (30) Days Cancellation Notice required. 14. Collier County shall procure and maintain Builders Risk Insurance on all construction projects where it is deemed necessary. Such coverage shall be endorsed to cover the interests of Collier County as well as the Contractor. Premiums shall be billed to the project and the Contractor shall not include Builders Risk premiums in its project proposal or project billings. All questions regarding Builder's Risk Insurance will be addressed by the Collier County Risk Management Division. GG — 2/7/24 Vendor's Insurance Acceptance By submission of the bid Vendor accepts and understands the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. The insurance submitted must provide coverage for a minimum of six (6) months from the date of award. Packet Pg. 729 16.C.1.i C o*r County Procurement Services Division FORM 9 — CONFLICT OF INTEREST AFFIDAVIT The Vendor certifies that, to the best of its knowledge and belief, the past and current work on any Collier County project affiliated with this solicitation does not pose an organizational conflict as described by one of the three categories below: Biased ground rules — The firm has not set the "ground rules" for affiliated past or current Collier County project identified above (e.g., writing a procurement's statement of work, specifications, or performing systems engineering and technical direction for the procurement) which appears to skew the competition in favor of my firm. Impaired objectivity —The firm has not performed work on an affiliated past or current Collier County project identified above to evaluate proposals / past performance of itself or a competitor, which calls into question the contractor's ability to render impartial advice to the government. Unequal access to information — The firm has not had access to nonpublic information as part of its performance of a Collier County project identified above which may have provided the contractor (or an affiliate) with an unfair competitive advantage in current or future solicitations and contracts. In addition to this signed affidavit, the contractor / vendor must provide the following: eo 1. All documents produced as a result of the work completed in the past or currently being worked on for the above- N mentioned project; and, p 2. Indicate if the information produced was obtained as a matter of public record (in the "sunshine") or through non- Z public (not in the "sunshine") conversation (s), meeting(s), document(s) and/or other means. N Failure to disclose all material or having an organizational conflict in one or more of the three categories above be N identified, may result in the disqualification for future solicitations affiliated with the above referenced project(s). By the signature below, the firm (employees, officers and/or agents) certifies, and hereby discloses, that, to the best of their knowledge and belief, all relevant facts concerning past, present, or currently planned interest or activity (financial, contractual, organizational, or otherwise) which relates to the project identified above has been fully disclosed and does not pose an organizational conflict. State of FL County of Lee AndreW Sitework LLC. Company Name Signature Ralph C. Andrew III - President Print Name and Title The foregoing instrument was acknowledged before me by means of IN physical presence or ❑ online notarization, this 9th day of Ma , 2024 (year), by Ralph C. Andrew III (name of • CAS:lExpires E n `Srpv aoei' ;g ;Notary Public-Stateda Commission N H6 (Signature of Notary Public - State of Florida) My Commission�;;s^��'November 08 V e,Cc�t� �c rt (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Personally Known Type of Identification Produced Packet Pg. 7 0771 16.C.1.i COilier County Procurement Services Division FORM 10—VENDOR DECLARATION STATEMENT BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted, to execute a Collier County document for the purpose of establishing a formal contractual relationship between the firm and Collier County, for the performance of all M requirements to which the solicitation pertains. The Vendor states that the submitted is based upon the documents � listed by the above referenced Solicitation. Further, the vendor agrees that if awarded a contract for these goods Iq and/or services, the vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub- N vendor for any future associated with work that is a result of this awarded contract. O Z IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 9th day of May 2024 in N the County of Lee , in the State of FL rn N Firm's Legal Andrew Sitework, LLC. Name: G Address: 2511 Palm Ave CY City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR # or CAGE Code *Only if Grant Funded Telephone: Fort Myers, FL 33916 CGC153669 / CUC1224664 26-3291871 6UH34 239-226-1606 Email: ralph(aandrewsitework.com Signature by: (Typed and written) Title: President Packet Pg. 731 16.C.1.i Additional Contact Information Send payments to: Andrew Sitework, LLC. (required if different Company name used as payee from above) Contact name: Ralph C. Andrew 111 Title: President Address: 2511 Palm Ave City, State, ZIP Fort Myers FL 33916 Telephone: 239-226-1606 Ext. 2 239-226-1605 (F \X) Email: ralph(aandrewsitework.com Office servicing Collier County to place orders (required if different from above) Contact name: N/A Title: Address: City, State, ZIP Telephone: Email: Secondary Contact for Brian P. Brandfass - General Manager this Solicitation: Email: briars@andrewsitework.com Phone: 239-226-1606 Ext. 3 of 0 M C 0 �a a E 3 d 0 c 0 �a t m ci M N OP v N 0 z r� N LO 0) N Packet Pg. 732 16.C.1.i Collier County Procurement Services Division FORM 11- IMMIGRATION AFFIDAVIT CERTIFICATION This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal solicitation submittals. Further, Vendors are required to be enrolled in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the Vendor's bid. Acceptable evidence consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company which will be produced at the time of the submission of the Vendor's bid or within five (5) day of the County's Notice of Recommend Award. FAILURE TO EXECUTE THIS AFFIDAVIT CERTIFICATION AND SUBMIT WITII VENDOR'S PROPOSAL/BID MAY DEEM TIIE VENDOR NON -RESPONSIVE. Collier County will not intentionally award County contracts to any Vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e) of the Immigration and Nationality Act ("INA"). Collier County may consider the employment by any Vendor of unauthorized aliens a violation of Section 274A (e) N of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of the INA ao N shall be grounds for unilateral termination of the contract by Collier County. N O Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986 Immigration Z Act and subsequent Amendment(s)) that it is aware of and in compliance with the requirements set forth in Florida r` Statutes W8.095, and agrees to comply with the provisions of the Memorandum of Understanding with E-Verify and N to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the N Department of Homeland Security in partnership with the Social Security Administration at the time of submission of m the Vendor's proposal/bid. o Andre\ Sitework, LLC. �? Company Name N 0 a 0 A� C_��aL1ZG Signature ii U Ralph C. Andrew III - President J Print Name and Title he L State of FL o County of Lee The foregoing instrument was acknowledged before me by means of IN physical presence or ❑ online notarization, this 9th day of May (month), 2024 (year), by Ralph C. Andrew III (name of person acknowledging). �p (Signature of Notary Public - State of Florida) Personally Known OR Produced Identification Personally Known Type of Identification Produced (Print, Type, or Stamp Commissioned Name of Notary Public) "O....... n",,, VERONICA CASTERLINE :Notary Public -State of Florida Commission # HH 196316 ;�' My Commission Expires November 08, 202' Packet Pg. 733 16.C.1.i FORM 12 - BIDDERS CHECKLIST IMPORTANT: No bid shall be considered unless it is made on unaltered Bid forms which are included in the Bidding Documents. Please read carefully, sign in the spaces indicated and return with your Bid. FAILURE TO PROVIDED THE BID DOCUMENTS MAY BE GROUNDS TO DEEM YOU NON-RESPONSIVE/NON- RESPONSIBLE. Bidder should check off each of the following items as the necessary action is completed: 1. The Bid has been signed. 2. The Bid prices offered have been reviewed. 3. The price extensions and totals have been checked. 4. Bid Schedule has been completed and attached. 5. Any required drawings, descriptive literature, etc. have been included. 6. Any delivery information required is included. 7. The following on-line standard documents have been reviewed and accepted in BidSync: a. Construction bid instructions form b. Construction services agreement c. Purchase order terms and conditions 8. All of the following bid forms have been completed and signed: M M a. Bid Form (Form 1) 00 N b. Contractors Key Personnel (Form 2) 4 c. Material Manufacturers (Form 3) N d. List of Major Subcontractors (Form 4) z Z e. Statement of Experience (Form 5) ti f. Trench Safety Act (Form 6) N g. Bid Bond Form (Form 7) o� h. Insurance and Bonding Requirements (Form 8) i. Conflict of Interest Affidavit (Form 9) m j. Vendor Declaration Statement (Form 10) G k. Immigration Law Affidavit Certification (Form 11) MUST be signed and attached with your CY 1. submittal. Signed Grant Provisions and Assurances package in its entirety, if applicable, are executed and N o should be included with your submittal. a 0 �. Copies of required information have been attached a. Business tax Receipt (Collier County Businesses Only) b. Company's E-Verify profile page or memorandum of understanding c. Certificate of Authority to Conduct Business in State of Florida (sunbiz.org) d. Any required professional licenses — valid and current (myfloridalicense.com) (ie: General Contractors license, Underground Utility and Excavation, Builders, Trade Contractors, etc., as applicable, requested and/or required.) e. Vendor W-9 Form 10. If required, the amount of Bid bond has been checked, and the Bid bond or cashier's check has been submitted. 11. Any addenda have been signed and acknowledgement form attached and included. 12. The Bid will be uploaded in time to be received no later than the specified opening date and time, otherwise the Bid cannot be considered. Packet Pg. 734 16.C.1.i CotMr COMUty Procurement SeMbes Wsion Date: April 24, 2024 Email: Trevor.Adaline@colliercountyfl.gov Telephone: (239) 252-8941 Addendum #1 From: Trevor Adaline, Procurement Strategist To: Interested Bidders Subject: Addendum #1 Solicitation #24-8239 Rehabilitation of Pump Station 309.18 The following clarifications/changes are issued as an addendum: BidSync Question #3 What are the anticipated flows and pressures that the bypass system will need to provide? Answer The bypass pump system shall be in compliance with the Collier County Utility Standards, Project Supplemental Requirements and Special Project Requirements (Plan Set). The system shall be minimal capable of pumping a flow of 380 Gallons per minute at a total head of 32 feet. If you require additional information, please post a question on our Bid Sync (www.bids�nc.com) bidding platform under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced licitation. 5/9/2024 (Signature) Date Andrew Sitework, LLC. (Name of Firm) Packet Pg. 735 dwnd 10 uol;e;!!!geLjeM `6EZ8-VZ 'oN : LZ5;6Z) o;ont-!esodOM O-1-1 `MJOM o;!S moapud 6EZ8-tiZ :;uewLj I i4ll ^LLn z O L cz v V N F- Q J w� vi v v W J Q z 0 0 O V) Lu L1_ � J U OZ a 0 Q LLI F_ FF_ to z - D m Ou" o z c v W O V F- 4 Q a 0 0 w Q� n w F- cl. W Z) i a 't 110 1�o N �N U. yU W z'; w, to �W _! qq- N O N 0 a W E c a� u 0 0 +j a� U) c u aU ca 4-1 t aD t 0 0 0 4- 4— Ln N u i 0 .N fN dwnd 10 uol;e;!!!geLjeM `6EZ8-VZ 'oN : LZ5;6Z) o;ont)-!esodOM O-1-1 `MaoM o;!S moapud 6EZ8-tiZ :;uewLj3ejjv ro 0 L Z 0 41 4 Q L J V N N W vi a z 0 to a W w 0 W -j a w p O Z W a ~ w Fa- Z �M W U. o c Z W o F- DC aN 0 0 w M W = a W z W m Q D Q: z Lu •Q cn Z., W ', w �u0. 0'.. . LLJ °z LIJ Z �Q(I v'��� 0 Z 0 p O L ,�A 1 0 l F, W i Z w � 0 w CL V mr'TI'w V YAM � w OU- �. Q _jLn. + V Q a w��-; = w W Y ONp' as L.L , N O N e-i M D w O a a W I 72 Itt N O N co cl w D V) u O N t N 7 O 4-1 V) c .(U t t N O N C O co L- O 4— Co .N (U V) C N O .V) 0 Fq 16.C.1.i FDOT Florida Department of Transportation )ARED W. PERDUE, P.E. RON DESANTIS 605 Suwannee Street SECRETARY GOVERNOR Tallahassee, FL 32399-0450 April 17,2024 ANDREW SITE WORK LLC 2511 PALM AVE. FORT MYERS, FLORIDA 33916 RE: CERTIFICATE OF QUALIFICATION The Department of Transportation has qualified your company for the type of work indicated below. FDOT APPROVED WORK CLASSES: DRAINAGE, FENCING, GRADING, GRASSING, SEEDING AND SODDING, SIDEWALK, Underground Utilities (Water & Sewer) Unless notified otherwise, this Certificate of Qualification will expire 6/30/2025. In accordance with Section 337.14(4), Florida Statutes, changes to Ability Factor or Maximum Capacity Rating will not take effect until after the expiration of the current certificate of prequalification (if applicable). In accordance with Section 337.14(1), Florida Statutes, an application for qualification must be filed within (4) months of the ending date of the applicant' s audited annual financial statements. If the company's maximum capacity has been revised, it may be accessed by logging into the Contractor Prequalification Application System via the following link: HTTPS: //fdotwpl.dot.stae.fl.us/ContractorPreQualification Once logged in, select "View" for the most recently approved application, and then click t the "Manage" and "Application Summary" tabs. The company may apply for a Revised Certificate of Qualification at any time prior to the expiration date of this certificate according to Section 14-22.0041(3), Florida Administrative Code (F.A.C.), by accessing the most recently approved application as shown above and choosing "Update" instead of "View." If certification in additional classes of work is desired, documentation is needed to show that the company has performed such work. All prequalified contractors are required by Section 14-22.006(3), F.A.C., to certify their work underway monthly in order to adjust maximum bidding capacity to available bidding capacity. You can find the link to this report at the website shown above. JTII Sincerely, �, 44 James E. Taylor II, Prequalification Supervisor Contracts Administration Office Improve Safety, Enhance mobility, Inspire Innovation www.fdot.gov Packet Pg. 7 8771 i 1 W2020 G-Verify mrnpinyer Wizard - rCOE,IPWy fn(or tl 111011 16.C.1.i Everify Welcome Ralph Andrew Company Information Company Name Andrew Sitework Company ID Number 399745 Doing Business As (DBA) Name DUNS Number Physical Location Address 1 2511 Palm Ave Address 2 City Fort Myers State FL Zip Code 33915 County LEE Mailing Address Address 1 Address 2 C ity State Zip Code itttps eventy€taCi5.cjrnrlrebrEnµilayr:r'P/tzrtrd.aspx MENU 0 M C O R Q E a O r- O m CM N N O Z ti N LO a) N Packet Pg. 739 1. `1:,2021) - V�!j ly employer i'Azlyd � (;,)rnp3ny Infvin- t 16.C.1.i Additional information Employer Identification Number 263291871 Total Number of Employees 20 to 99 Perform Verifications for Your Company's Employees Yes Parent Organization Organization Designation Employer Category None of these categories apply Vieww / Ed it NAICS Code 221 -UTILITIES View Ed -,t Total Hiring Sites 1 View / Edit Total Points of Contact 1 View! Edit View Original M10U Template *r /° R .� - � , III►lu Last Login: 06 22'2020 11.09 AM u.S Department of Homeland Security nape ,e-verily kivts.gov/web,'Lmployer'Pnzard a;px 00 CD 0 M a O to a E 3 d O C O �a as ai M N Iq N O Z ti N LO 0) N Packet Pg. 740 16.C.1.i 7 L)jv!: I{Jt i if org'r�;1;��1�, Department of State / Division of Corporations / Search Records / Search by Officer/Registered Agent Name / Detail by Officer/Registered Agent Name Florida Limited Liability Company ANDREW SITE WORK, LLC Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Event Effective Date Principal Address 2511 Palm Ave. FORT MYERS, FL 33916 Changed: 04/14/2015 Mailing Address 2511 Palm Ave. FORT MYERS, FL 33916 L08000082353 26-3291871 08/28/2008 08/27/2008 FL ACTIVE CORPORATE MERGER 12121 /2015 NONE Changed: 04/14/2015 Registered Agent Name & Address Andrew, Ralph C, III 2061 SE 28th Terrace Cape Coral, FL 33906 Name Changed: 02/04/2013 Address Changed: 01/07/2019 Authorized Persons) Detail Name & Address Title Manager 0 Cl) C R Q a 0 c 0 t m ai CM N CD N 0 z r` N LO rn N ANDREW, RALPH Chancey, III Packet Pg. 741 2061 SE 28th Terr Cape Coral, FL 33906 Annual Reports Report Year Filed Date 2020 01/16/2020 2021 01 /29/2021 2022 01 /31 /2022 Document Images 01/31/2022 —ANNUAL REPORT View image in PDF format 01/29/2021 —ANNUAL REPORT View image in PDF format 01116/2020 — ANNUAL REPORT View image in PDF format 01/07/2019 — ANNUAL REPORT View image in PDF format 02/07/2018 — ANNUAL REPORT View image in PDF format 01/06/2017 — ANNUAL REPORT View image in PDF format 01/22/2016 — ANNUAL REPORT View image in PDF format 12/21/2015 — Merger 04/14/2015 — ANNUAL REPORT View image in PDF format View image in PDF format 12/18/2014 — CORLCDSMEM View image in PDF format 01/29/2014 — ANNUAL REPORT View image in PDF format 02/04/2013 — ANNUAL REPORT View image in PDF format 03/20/2012 — ANNUAL REPORT View image in PDF format 01/05/2011 --ANNUAL REPORT View image in PDF format 01/28/2010 — REINSTATEMENT View image in PDF format 08/28/2008 — Florida Limited Liability. View image in PDF format DI -;film; Packet Pg. 742 I 16.C.1.i I C I lent#: 1462194 132AN DRESIT ' DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 9/15/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy( ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). NAMEACT Mary Hoshor PRODUCER PHONE FAX 866-802-8680 McGriff Insurance Services LLC A/c, No, Ext : 239-433-7149 wc, No 12751 New Brittany Blvd aooRess: MHoshor@McGriff.com Suite 201 INSURER(S) AFFORDING COVERAGE NAIC # Fort Myers, FL 33907 INSURER A : FCCI Insurance Company 10178 21105 INSURED 177= h River Insurance Company Andrew Site Work LLC rplus Insurance Company 26620 Andrew Underground LLC 2511 Palm Avenue Fort Myers, FL 33916-5347 CERTIFICATE NUMBER: REVISION NUMBER: COVERAGES 1.0 Mn Tr) TPP wqt ]RFD NAMED ABOVE FOR THE POLICY PERIOD THIS INDICATED. CERTIFICATE EXCLUSIONS LTR A IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH TYPE OF INSURANCE INSR X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X OCCUR Ur IINSUKA114UM POLICIES. ADDL SUBR X THE WVD X L101.. u�wry ,. .•" •••---- TERM OR CONDITION OF ANY CONTRACTOR INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER 100087225 POLICIES REDUCED BY POLICY EFF MM/DD 09/15/2023 OTHER DOCUMENT DESCRIBED HEREIN PAID CLAIMS. POLICY EXP MM/DD 09/15/202 WITH RESPECT IS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE $1 OOO,OOO DAMAGE TO RENTED PREMISES Ea occurrence $1O0 OOO MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1�1 PRO - POLICY LOC POLICY PRODUCTS -COMP/OP AGG $ 2,000,000 $ A OTHER: AUTOMOBILE LIABILITY X X 100087227 09/15/2023 09/15/202 COMBINEDSINGLELIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5821220259 9/15/2023 09/15/202 EACH OCCURRENCE s6,000,000 AGGREGATE $6 00O 000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N A N / A WC010006777503 04/01/2023 04/01/202 X PER D E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Rented Equipment 100087226 9115/2023 091151202 $500,000 C Professional CM005598012023 4/19/2023 04/19/202 $1,000,000 Liability DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) When required by a written contact, Andrew Site Work LLC is included as Additional Insured on a primary and non-contributory basis with regards to General Liability including ongoing and completed operations. Andrew Site Work LLC and [Name of Owner],[Name of General Contractor],are included as Additional Insured in regards to auto liability. A Waiver of Subrogation applies in favor of the Additional Insureds for General Liability and Workers Compensation. It is agreed that this insurance will not be canceled, materially (See Attached Descriptions) ^A -CI 1 A'r1ntd TE ** PROPOSAL PURPOSES for: Andrew Site Work LLC Andrew Underground LLC 2511 Palm Avenue Fort Myers, FL 33916 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE tb of O Cl) c 0 Q E a 0 c 0 to t d CM N CD 1* N O Z I` N L1'> N ©1988-2015 ACORD CORPORATION. All rights reserveu, ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD TOLE #S32882917/M32882671 Packet Pg. 743 16.C.1.i Form 9 (Rev. October 2018) Department of the Treasury Internal Revenue Service (9 a) rn m a c 0 Ul a) C 0.2 0 o � C N C (L 0 0 at Q to nD m C0 Request for Taxpayer Identification Number and Certification ► Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Andrew Site Work, LLC 2 Business name/disregarded entity name, if different from above Andrew Sitework 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. ❑ C corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate ❑✓ Individual/sole proprietor or p single -member LLC ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC the is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) ► dress (number, street, and apt. or suite no.) See 2511 Palm Ave 6 City, state, and ZIP code Fort Myers, FL 33916 7 List account number(s) here (optional) Give Form to the requester. Do not send to the IRS. 4 Exemptions (codes apply only io certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) Requester's name and address Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. social security number I .4 Z or ti Employer identification number N L0 o� M26 r3l 2 19FI 8 7 1 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am Service (IRS) that I am subject to backup withholding as a 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 currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign Signature of Here I U.S. person ► General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date ► • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Forn Packet Pg. 744 16.C.1.i J� ?atronts Jelin Gaft BURF"AU CIF cmzF V9(ANCL4L0 F'ICER Catherine Thrasher Jul= Hshs wETY PROGRAM MANAGER DIMONDIRLCTOR FLORIDA DEPARTMENT OF RNANCTAL SERVICES DIMION OF STATE FIRE MARSHAL 200&UTOAWS=W-MMIMENkF1cr1&3W9 CI C Te193441346W CERTMCA.TE OF COMPETENCY OFFICIAL COPY THIS CERTIFIES THAT: Ralph C Andrew 2511 Patin Avenue Ft. Myers FL 33916 BUSIlVESS ORGANIZATION. Andrew Site Mork LLC Contractor V means a contractor whose business is limited to the execution of contracts requiring the ability to fabricate, install, inspect, alter, repair and service the underground piping for a fire protection system using water as the extinguishing agent beginning at the point of service as defined in the act and ending no more than 1 foot above the finished floor. Issue Date: Type: Class: County: License/Permit k Expiration Date: 07/01/2022 09 14 119776-0001-2009 06/30/2024 Chief Financial Officer 0 z ti N O� N Packet Pg. 745 dwnd 10 uo!;e;!I!ge49M `6£Z8-tiZ 'oN : LZ96Z) a}ont)-!esodoad 3-1- ` VOM a}!g mG.apuV 6£Z8-tiZ :;uaua43e;}d Mi W W F a U Q a Q F F � v .a � F o z U O O > W d U U W ti r� W z 0 V o O CO i�i � W A rTi o z o rJ 0 N p 0 0 o GI) n �t 0 O z o a G a It N N r► u O � Q O U W v oc -+ 0 z U M iy .Q Z M W M >a O x M 0 o p ¢ ¢¢w 18 ... v; �Z �OGv� �Nw Q QNw �.:�ROTECTION Adh&Department of 16.C.1.i Environmental Protection FLOR Q 2600 Blair Stone Road, M.S. 3570 Tallahassee, Florida 32399-2400 vovember 28, 2012 :ongratulations on successfully completing the Florida Stormwater Erosion and Sedimentation Control Inspector "raining Program. I greatly appreciate your participation in and successful completion of this course. I hope that it has yelped you to better understand Florida's stormwater problems and the importance of proper design, construction, and maintenance of erosion and sediment controls during construction, in order to assure the proper long-term operation nd maintenance of stormwater systems after construction is completed. ,ttached you will find your numbered certificate and wallet card. Please let me know if there are any errors in the ertificate or card, or in the grading of your exam. If I can be of urther assistance, please do not hesitate to contact me at �50/245-8294 or via email: halton.lunsford@dep.state.fl.us Brian Brandfass Andrew Site Work LLC 4696 Elevation Way Ft. Myers, FL 33905 DEPARTMENT OF ENVIRONMENTAL PROTECTION STORMWATER EROSION -AND SEDIMENTATION CONTROL INSPECTOR TRAINING.' PROGRAM Brian Brandfass Class Date: Inspector Number November 1,"2012 27909 QUALIFIED STORMWATER MANAGEMENT INSPECTOR QUALIFIED STORMWATER MANAGEMENT INSPECTOR The undersigned hereby acknowledges that r\1 Brian Brandfass � has successfully met all requirements necessary to be fully qualified through the Florida Department of -Environmental Protection Stormwater Erosion _ .� and Sedimentation Control Inspector Training Program j 6 November 1, 2012 \\ Inspector Number 27909 Hal Lunsfor Kristine Jones Packet Pg. 747 1 I 16.C.1A I American Management Resources Corporation Certifies that Ralph Andrew Has successfully completed the 8 Hour OSHA Course for handling Z 11. Class II Asbestos -Containing Materials I ok i�, cmLO CCLASSHASBESTOS WORK I o8 Hour OSHA Course i M March 25, 2011 Course Date G Jack Snider III, , Course Instructor March 25, 2011 Exam Date 4391 Certificate Number Training Provided By A1btRC 5230 Clayton Court • Fort dryers • Florida • 33907 • (239) 936-8266 Packet Pg. 748 16.C.1.j DIVISION OF CORPORA ml ujfiriu! 51!!ly u/'F'luritlu websi�e Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ANDREW SITE WORK, LLC Filing Information Document Number L08000082353 FEI/EIN Number 26-3291871 Date Filed 08/28/2008 Effective Date 08/27/2008 State FL Status ACTIVE Last Event CORPORATE MERGER Event Date Filed 12/21/2015 Event Effective Date NONE Principal Address 2511 Palm Ave. FORT MYERS, FL 33916 Changed: 04/14/2015 Mailing Address 2511 Palm Ave. FORT MYERS, FL 33916 Changed: 04/14/2015 Registered Agent Name & Address Andrew, Ralph C, III 2061 SE 28th Terrace Cape Coral, FL 33906 Name Changed: 02/04/2013 Address Changed: 01/07/2019 Authorized Persons) Detail Name & Address Title Manager r1A a� W N c co CD M N OP Irt N c a� E z U 2 r Y Q Packet Pg. 749 1 ANDREW, RALPH Chancey, III 2061 SE 28th Terr Cape Coral, FL 33906 Annual Reports Report Year Filed Date 2022 01 /31 /2022 2023 02/06/2023 2024 02/12/2024 Document Images 02/12/2024 --ANNUAL REPORT View image in PDF format 02/06/2023 --ANNUAL REPORT View image in PDF format 01/31/2022 --ANNUAL REPORT View image in PDF format 01/29/2021 --ANNUAL REPORT View image in PDF format 01/16/2020 --ANNUAL REPORT View image in PDF format 01/07/2019 --ANNUAL REPORT View image in PDF format 02/07/2018 --ANNUAL REPORT View image in PDF format 01/06/2017 --ANNUAL REPORT View image in PDF format 01/22/2016 --ANNUAL REPORT View image in PDF format 12/21/2015 -- Merger 04/14/2015 --ANNUAL REPORT View image in PDF format View image in PDF format 12/18/2014 -- CORLCDSMEM View image in PDF format 01/29/2014 --ANNUAL REPORT View image in PDF format 02/04/2013 --ANNUAL REPORT View image in PDF format 03/20/2012 --ANNUAL REPORT View image in PDF format 01/05/2011 --ANNUAL REPORT View image in PDF format 01/28/2010 -- REINSTATEMENT View image in PDF format 08/28/2008 -- Florida Limited Liability View image in PDF format Florida Department of State, Division of Corporations N L d LU N_ C 7 CD M N IV N r+ C N E t u M r r Q Packet Pg. 750 i 1 W2020 E-VA, -fy b tNir yer INIzard - Company fnfor 11 tr'1� 16.C.1.j E-Verify Welcome Ralph Andrew Company Information Company Name Andrew Sitework Company ID Number 399745 Doing Business As (DBA) Name DUNS Number Physical Location Address 1 2511 Palm Ave Address 2 City Fort Myers State FL Zip Code 33915 County LEE Mailing Address Address 1 Address 2 C ity State Zip Code httf5�i verity€t Ci5.cjrnrlrebrEnµilayrr'Pltztrd.aspx MENU to N_ C 3 CO CD n N le N a+ c m E t M .r Q Packet Pg. 751 1. `1:,2021) - V�!j ly employer i'Azlyd � (;,)rnp3ny Infvin- t 16.C.1.j Additional information Employer Identification Number 263291871 Total Number of Employees 20 to 99 Perform Verifications for Your Company's Employees Yes Parent Organization organization Designation Employer Category None of these categories apply Vietwl Edit NAICS Code 221 -UTILITIES View Ed -,t Total Hiring Sites 1 View / Edit Total Points of Contact 1 View! 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