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Agenda 06/10/2008 Item #16C 3 Agenda Item No. 16C3 June 10. 2008 Page 1 of 103 EXECUTIVE SUMMARY Recommend approval of the award of Bid #08-5064, Manhole and Lift Station Rehabilitation, and standard agreement between Collier County, Chaz Equipment Company, Inc, and Paints and Coatings Inc., in the estimated amonnt of 500,000.00 annually. OBJECTIVE: The public purpose of this project is to structurally restore and to eliminate extraneous flows to the sanitary sewers and manho les thereby enhancing the performance of the County's wastewater system. The action requested is to award annual agreements for manhole and lift station rehabilitation to contractors who will be utilized on an as needed basis. CONSIDERATIONS: The Wastewater Department has a continuing need for rehabilitation contracting services for repairing faulty sewer manholes and lift stations. Staff will identifY rehabilitation work projects requiring the applicable manhole and lift station rehabilitation method and issue work orders to authorize the work. Other County Departments can also utilize these agreements for work requiring similar structural rehabilitation in underground structures. Bid documents were prepared for two different categories of manhole and lift station rehabilitation methods with a mandatory third category fur common tasks applicable to the two methods of rehabilitation. A bidder was free to bid more than one category but would be evaluated on a category-by-category basis for lowest bid and the experience qualifications required as specified for each category. The three categories are: I) Category B: Sealing and Coating manhole and lift station with Resin Lining. 2) Category C: Cements Lining of manhole and lift station. 3) Category D: Bypass Pump setup with Bypass Piping On April 4, 2008, two hundred seventy-one vendors were notified to bid on this package that was issued, of which fifty-two showed interest by downloading the package. On April 25th, 2008, two bids were received as follows from Paints and Coatings, Inc and Chaz Equipment Company, Inc. The two bidders bid on one of the two Categories B, and C, as indicated in the table below and the attached bid tabulation. Upon review of the two bids, the following firms are being recommended for selection in each of the following two categories: Categorv B - One bid was received, of which Paints and Coatings, Inc was the one and only qualified bidder. Staff recommends awarding the Sealing and Coating with Resin Agreement to Paints and Coatings, Inc. - Agenda Item No. 16C3 June 10, 2008 Page 2 of 103 Catef;ory C - One bid was received, of which Chaz Equipment Company, Inc. was the one and only qualified bidder. Staff recommends awarding the Cements Lining agreement to Chaz Equipment Company, Inc. BID CATEGORY BIDDER B C Paints and Coatings, Inc. ($650 - Chaz Equipment Company, Inc. - ($623 "("= Bid Received; "-"= No Bid Category D: Staff recommends awarding the work common to the entire main manhole and lift station rehabilitation categories agreement to both awarded bidders, Paints and Coatings, Inc and Chaz Equipment Company, Inc. Although, one bid was received per category the prices compare from the previous bid are fairly equal. On May 27, 2004 for Category B - Paints and Coatings was awarded this contract as the lowest bidder, bid cost was $693.00 and for Category C Chaz Equipment Company, Inc. was awarded as the lowest qualified bidder, bid cost was $608.00. Staff recommends authorizing the Public Utilities Engineering Department Director to approve work orders as addressed within this summary. The agreement is for one year with three one-year renewal periods at the County's option. FISCAL IMPACT: The annual fiscal impact is planned to be $500,000. These funds are available in the FY08 Capital Budget approved by the Board of County Commissioners on September 20, 2007. Funds are budgeted in the Wastewater Department Project 73050 for County Sewer Capital Projects under Wastewater Capital Projects Fund 414. GROWTH MANAGEMENT IMPACT: This project meets current Growth Management Plan standards to ensure the adequacy and availability of viable public sanitary sewers and manho les. RECOMMENDATIONS: That the Board of County Commissioners (1) award manhole and lift station rehabilitation agreements to Chaz Equipment Company, Inc., and Paints and Coatings lnc; as described above and (2) authorize the Chairman of the Board to sign the standard agreements. PREPARED BY: James Sainvilus, Public Utilities Engineering Project Manager Page I 01'2 Agenda Item No. 16C3 June 10, 2008 Page 3 of 103 ~. COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: 16C3 Meeting Date: Recommend approval of the award of Bid #08-5064, Manhole and Lift Station Rehabilitation, and standard agreement between Collier County, Chaz Equipment Company, Inc. and Paints and Coatings Inc, in the estimated amount of $500,000 annually. project 73050. 6/10/200890000 AM Item Summary: Prepared By James Sainvilus Engineering Tech Date Public Utilities Public Utilities Engineering 5/15/20084:32:10 PM Approved By Jack P. Curran Purchasing Agent Date Administrative Services Purchasing 5/21/200810:23 AM Approved By Mike Hauer Acquisition Manager Date Administrative Services Purchasing 5/21/20082:25 PM .--- Approved By William D. Mullin, PE Principal Project Manager Date Public Utilities Public Utilities Engineering 5/23/20088:31 AM Approved By Steve Carnell Purchasing/General Svcs Director Date Administrative Services Purchasing 5/23/200811 :56 AM Approved By Thomas Wides Operations Director Date Public Utilities Public Utilities Operations 5/23/20084:53 PM Approved By Phil E. Gramatges, P.E. Sr. Project Manager Date Public Utilities Public Utilities Engineering 5/27/20083:03 PM Approved By Stephen L Nagy Wastewater Collections Manager Date Public Utilities WasteWater 5/27/20083:05 PM Approved By ,--- Dianna Perryman Contract Specialist Date Administrative Services Purchasing 5/27/20084:18 PM Approved By file:IIC:IAgendaTestIExportll 09-June%20 10,%2020081 16.%20CONSENT%20AGENDA 116... 6/4/2008 Page 2 01'2 Agenda Item No. 16C3 June 10, 2008 Page 4 of 103 James W. Delany Public Utilities Administrator Date Public Utilities Public Utilities Administration 5/29/2008 9:40 AM \ ) Approved By OMS Coordinator OMS Coordinator Date County Manager's Office Office of Management & Budget 5/30/20089:08 AM Approved By Susan Usher Senior ManagemenUBudget Analyst Date County Manager's Office Office of Management & Budget 6/3/200812:27 PM Approved By James V. Mudd County Manager Date Board of County Commissioners County Manager's Office 6/3/20082:01 PM \, .J " ,/ file://C:\AgendaTest\Export\ I 09-June%20 1 0, %202008\ 16.%20CONSENT%20AGENDA \ 16... 6/4/2008 Agenda Item No. 16C3 June 10, 2008 Page 5 of 103 COLLIER COUNTY PURCHASING DEPARTMENT 3301 Tamiami Trail East, Building "G", Naples, Florida 34112 (239) 252-8407, Fax (239) 0844, www.colliergov.neUpurchasing O'RIG INIrL IINVITATION TO BiOi DATE: April 4th, 2008 TO: Prospective Bidders FROM: Mr. Jack Curran Purchasing Agent RE: BID# 08-5064-- "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" As requested by the Public Utilities Engineering Department, the Collier County Board of County Commissioners Purchasing Department has issued this solicitation for the sole intent and purpose of obtaining fair and competitive bid responses on the above referenced solicitation. Please refer to the Public Notice included in this document for the time and date of the opening date and any applicable pre-solicitation conference. Any and all questions regarding this solicitation must be asked online on the Collier County Purchasing Department E-Procurement website: www.collieraov.netlbid. All answers to questions will be posted on the noted website with electronic notification to all prospective bidders. We look forward to your participation in Collier County's competitive procurement process. cc: James Sainvilus Note: All Bid Responses submitted manually must be submitted as one original, and one exact duplicate copy, including any required forms. c " I~~ c , c " ~ .. .,. Revised 2/08 Agenda Item No. 16C3 June 10, 2008 Page 6 of 103 BIDDERS'S NON.RESPONSE STATEMENT BID# 08-5064 "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" The sole intent of the Collier County Purchasing Department is to issue solicitations that are clear, concise, and openly competitive. Therefore, we are interested in ascertaining reasons why prospective Bidders did not wish to respond to this solicitation. If your firm is not responding to this BID, please indicate the reason(s) by checking any appropriate item(s) listed below and return this form via email, fax, or mail to: Collier County Purchasing Department, 3301 Tamiami Trail East, Naples, Florida 34112. We are not responding to this Solicitation for the following reason(s): D Services requested not available through our company. D Our firm could not meet specifications/scope of work. D Specifications/scope of work not clearly understood or applicable (too vague, rigid, etc.) D Project too small. D Insufficient time allowed for preparation of response. D Incorrect address used. Please correct mailing address: D Other reason(s): Name of Firm: Mailing Address: City, State, Zip: Telephone No: Email: By: Signature of Representative Revised 2/08 2 Agenda Item No. 16C3 June 10, 2008 Page 7 of 103 PUBLIC NOTICE Sealed bid responses for BI0#08-5064, "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" will be received electronically or manually only at the Collier County Purchasing Department Director's Office, 3301 Tamiami Trail East, Building "G", Naples, Florida 34112 until 2:30 p.m. Collier County local time on April 25, 2008. Bid responses received after the stated time and date will not be accepted. BI0#08-5064 "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" A non-mandatory pre-solicitation conference will be held on April 16, 2008, commencing promptly at10:00 AM, and held at Purchasing Department Building G, 3301 Tamiami Trail E, Naples, Florida 34112. Any and all questions regarding this solicitation must be asked online on the Collier County Purchasing Department E-Procurement website: www.collierqov.netlbid. All answers to questions will be posted on the noted website with electronic notification to all prospective bidders. All bid responses must be made on the official bid response form included as part of this solicitation and only available for download from the Collier County Purchasing Department E-Procurement website noted herein. Bidding Documents obtained from sources other than Collier County Purchasing may not be accurate or current. Collier County encourages bidders to utilize recycled paper on all manual bid response submittals. Collier County does not discriminate based on age, race, color, sex, religion, national origin, disability, or marital status. BOARD OF COUNTY COMMISSIONERS COLliER COUNTY, FLORIDA BY: /s/ Steve Carnell Steve Carnell, C.P.M. Purchasing/General Services Director Revised 2/08 3 Publicly posted on the Collier County Purchasing Department website: www.collierqov.netlDurchasinq and in the lobby of the Purchasing Building on April 4th, 2008. Agenda Item No. 16C3 June 10. 2008 Page 8 of 103 GENERAL BIDDING REQUIREMENTS ) 1. All bids must be made on the Bid form furnished by the County. No bid will be considered unless the Bid form is properly sioned. 2. Bidders must provide unit Drices any time unit prices are requested in the units reouested. These unit prices must be proper and balanced so as to allow fair adjustments in quantities as required by the County. All prices will remain firm for a period of one hundred and eighty (180) calendar days from date of bid opening. 3. Any transportation and/or any other charges incurred in delivering the product as specified must be included in the bid price. FOB destination shall apply unless exception is made in the specifications. 4. Any discounts or terms must be shown on the Bid form. Such discounts, if any, may be considered in the award of tie bids. In no instance should payment terms less than fifteen (15) calendar days be offered. 5. Bidders taking exception to any part or section of these specifications shall indicate such exceptions on a separate sheet entitled "EXCEPTIONS TO SPECIFICATIONS". Failure to indicate any exceptions shall be interpreted as the Bidders intent to fully complies with the specifications as written. Exceptions taken by the Bidder may be deemed grounds for rejection of bid response. 6. Bidders who qualify their bids will be rejected. Examples of bid qualification include, but not limited to: prices submitted are based on an all-or-none award, prices submitted based on receiving other awards firm is in contention for, prices submitted as today's price and changeable at time of delivery. ) 7. The County reserves the right to formally amend and/or clarify the requirements of the bid specifications where it deems necessary. Any such addendum/clarification shall be in writing and shall be distributed electronically to all parties who received the original bid specifications Drior to the deadline for submission of Bids. 8. The County reserves the right to reject any and all bids, to waive defects in the form of bid, also to select the bid that best meets the requirements of the County. 9. All bids shall be submitted manually or electronically to the County Purchasing Director, Collier County Government Complex, Purchasing Building "G", Naples, FL 34112, by the date and time as stated in the Legal Notice. The County assumes no responsibility for bid responses received after the due date and time, or at any office or location other than that specified herein, whether due to mail delays, courier mistakes, mishandling, inclement weather or any other reason. Late bid responses shall be returned unopened, and shall not be considered for award. 10. All bids submitted manually must be an original and one exact duplicate copy and placed in a sealed envelope, and plainly marked as follows: . The due date and time of receipt of the bids by the County Purchasing Director. . The number of the bid and the bid title. " ./ Agenda Item No. 16C3 June 10. 2008 Page 9 of 103 However, under no circumstances shall any part of, or pertaining directly to the Bidder's offer, be exposed on the outside of the bid offer. Special Note: All bids sent by courier service must have the bid number and title on the outside of the courier packet. 11. Collier County, Florida as a political subdivision of the State of Florida is exempt from the payment of Florida sales tax to its vendors under Chapter 212, Florida Statutes. A copy of Collier County's Certificate of Exemption (#85-8012621830C2) is available upon request. Corporations, individuals and other entities are impacted by Chapter 212, Florida Statutes according to the type of service, sale of commodity or other contractual agreement to be made with Collier County. By submittal of a properly executed response to a Bid from Collier County, Florida, the bidder is acknowledging that he is aware of his statutory responsibilities for sales tax under Chapter 212, Florida Statutes. Collier County is also exempt from most Federal excise taxes. By submittal of a properly executed response to a bid proposal from Collier County, Florida, the bidder is acknowledging that he is aware of his responsibilities for Federal excise taxes. 12. Tangible personal property purchased by Contractors in the performance of realty construction for the County is taxable, though the County is exempt on its own purchases. 13. In case of identical bids tying as low bid, the County shall ask vendors to submit certification that they have a drug-free workplace in accordance with Section 287.087 Florida Statutes. Should all yendors provide said certification; the County will give local vendor preference. 14. In compliance with Section 218.80, F.S., all permits necessary for the prosecution of the Work shall be obtained by the Contractor. In addition, the Contractor shall comply with all rules, regulations and laws of Collier County, the State of Florida, or the U.S. Government now in force or hereafter adopted. 15. When it is deemed by the County that a bid cannot be awarded as intended, the County reserves the right to award this bid through an approach which is the best interest of the Cou nty. 16. Alternate bids will not be considered unless authorized by the Invitation for Bids. 17. Bidders on any project must be qualified and directly responsible for 30% or more of the Bid amount for said work. 18. Payment will be made by the County in accordance with the requirements of the Florida Prompt Payment Act. Additionally, and as a payment option, the County may, at its sole discretion, use the Collier County Purchasing Card (VISA/MasterCard) credit network as a payment vehicle for goods and/or services Agenda Item No. 16C3 June 10, 2008 Page 10 of 103 purchased as part of this contract. ) 19. Any Contractor who is a recipient of County funds, or who proposes to perform an work or furnish any goods under this bid shall not discriminate against any worker, employee or applicant or any member of the public because of age race, color, sex, religion, national origin, disability or marital status nor otherwise commit an unfair employment practice. 20. Bidders who wish to receive copies of bids after the bid opening may view and download from the Collier County Purchasing Department E-Procurement site. 21. Any actual or prospective respondent to an Invitation to Bid, who is aggrieved with respect to the former, shall file a written protest with the Purchasing Director Drior to the opening of the Bid or the due date for acceptance of Proposals. All such protests must be filed with the Purchasing Director no later than 11 :00 a.m. Collier County time on the adyertised date for the opening of the Bid or the acceptance date for the Request for Proposals. 22. Bid award selection criteria is as follows: a. All questions on the Bid document shall be answered as to price(s), time requirements, required document submissions and electronic acknowledgment of addenda received by download. b. Award shall be based upon the responses to all questions on the Bid Response Page(s). '\ ./ c. Further consideration will include but not be limited to references, completeness of bid response and past performances on other County bids/projects. d. Prices will be read in public exactly as input on the electronic bid response form or written on the manually submitted Bid Response Page(s) at the time of the bid opening; however, should an error in calculations occur whenever unit pricing and price extensions are requested, the unit price shall prevail. Mathematical miscalculations may be corrected by the County to reflect the proper answer. 23. Award of contract will be made by the Board of County Commissioners in public session. Awards pertaining to the Collier County Airport Authority will generally be made by that agency's approval Board. Award shall be made in a manner consistent with the County's Purchasing Policy. Award recommendations will be posted outside the offices of the Purchasing Department as well as the Collier County Purchasing Department website on Wednesdays and Thursdays. Any actual or prospective respondent who desires to formally protest the recommended contract award must file a notice of intent to protest with the Purchasing Director within two (2) calendar days (excluding weekends and County holidays) of the date that the recommended award is posted. Upon filing of said notice, the protesting party will have five (5) days to file a formal protest and will be " .-/ Agenda Item No. 16C3 June 10, 2008 Page 11 of 103 given instructions as to the form and content requirements of the formal protest. A copy of the "Protest Policy" is available at the office of the Purchasing Director. 24. All firms are hereby placed on NOTICE that the County Commission does not wish to be lobbied...either individually or collectively...about a project for which a firm has submitted a proposal. Firms and their agents are not to contact members of the County Commission for such purposes as meetings of introduction, luncheons, dinners, etc. During the bidding process, from bid opening to final Board approval, no firm or their agent shall contact any other employee of Collier County with the exception of the Purchasing Department. 25. The Contractor shall employ people to work at County facilities who are neat, clean, well-groomed and courteous. 26. If the bidder should be of the opinion that the meaning of any part of the Bidding Document is doubtful, obscure or contains errors or omissions he should report such opinion to the Purchasing Director before the bid opening date. 27. Bidder acknowledges, and without exception or stipulation, any firm(s) receiving an award shall be fully responsible for complying with the provisions of the Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et sea. and regulations relating thereto, as either may be amended. Failure by the awarded firm(s) to comply with the laws referenced herein shall constitute a breach of the award agreement and the County shall have the discretion to unilaterally terminate said agreement immediately 28. Any suit or action brought by either party to specifically enforce any of the terms and conditions of this contract shall be venue in the Twentieth Judicial Circuit in and for Collier County Florida, which has sole and exclusive jurisdiction on all such matters. Agenda Item No. 16C3 June 10, 2008 Page 12 of 103 Invitation to Bid ITB #08.5064 "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" ) 1) General Introduction/Overview Thank you for your interest in doing business with Collier County. We look forward to a very successful procurement process. Please take notice to the bid submittal requirements outlined in the solicitation. Make sure you read and follow the instructions very carefully, as any misinterpretation or failure to comply with these instructions could lead to your bid submittal being rejected as non-responsive. Any and all changes to this solicitation will be conveyed electronically through a notice of addendum or questions and answers to all vendors registered under the applicable commodity code(s) at the time when the original solicitation was released, as well as those vendors who downloaded the solicitation document. Additionally, all addendums are posted on the Collier County Purchasing Department E-Procurement website: www.collieroov.netlbid. Before submitting a bid response, please make sure that you have read all, understood clearly, and complied completely with any changes stated in the addendums as failure to do so may result in the rejection of your submittal. Bidding Documents obtained from sources other than Collier County Purchasing may not be accurate or current. ) 2) PurDose/Obiectiv8 As requested by the Public Utilities Engineering Department (hereinafter, the "Division, or Department"), the Collier County Board of County Commissioners Purchasing Department (hereinafter, the (County) has issued this Invitation to Bid (hereinafter, the "ITB, or Bid") with the sole purpose and intent of obtaining bid responses from interested and qualified firms offering Manhole and Lift Station Rehabilitation Services in accordance with the terms, conditions, and specifications stated and/or attached herein/hereto. The successful bidder will hereinafter be referred to as the "Contractor" 3) Pre-Solicitation Conference A non-mandatory pre-solicitation conference will be held on April 16, 2008, commencing promptly at10:00AM, and held at Purchasing Department Building G, 3301 Tamiami Trail E, Naples, Florida 34112. 4) Inauires Direct questions related to this ITB only to the Collier County Purchasing Department E- Procurement website: www.collieroov.netlbid. Questions will not be answered after the date noted on the solicitation. '" ../ Bidders must clearly understand that the only official answer or position of the County will be the one stated on the Collier County Purchasing Department E-Procurement Agenda Item No. 16C3 June 10, 2008 Page 1 3 of 103 website. For general questions, please call the referenced Purchasing Agent at (239) 252-6098. 5) Method of Source Selection The County is using the Competitive Sealed Bid methodology of source selection for this procurement, as authorized by Ordinance Number 87-25, and Collier County Resolution Number 2006-268 establishing and adopting the Collier County Purchasing Policy. The County may, as it deems necessary, conduct discussions with responsible bidders determined to be in contention for being selected for award for the purpose of clarification to assure full understanding of, and responsiveness to solicitation requirements. 6) Award The general criteria that will be used for the evaluation of this bid is set forth in the general bidding requirements along with the responses as stated on the bid proposal pages. Award of bid shall be made to the lowest, qualified and responsive bidder(s) based on formula listed below. The County reserves the right to award this contract through an approach which best serves the interests of the County; i.e., to a single vendor, multiple vendors, by a primary/secondary vendor basis, or on a category-by- category basis. Please note: Categories B or C (or more if the bidder can provide services for at least a combination of two or more of these first two categories) and Category D must be completed in order to be considered responsive. This means that a maximum of two primary contractors, one for each of the two technologies specified, may be selected with the following combinations described below: 1. Resin Seal-and-Coat Manhole/Lift Station Contractor (B plus D). 2. Cementitious Manhole/Lift Station Contractor (C plus D). The above two combinations suggested does not limit bidders to bidding for more than one (1) combination or category. For example, the Bidder for Combination No.1 (B plus 0) may be able to provide additional services for one or more of categories C and include them in their bid proposal. The County will evaluate this bid proposal on a category-by-category basis for lowest bid and experience qualifications, and make selections which are in the best interest of the County. The low bid for each of the three categories shall be determined from the tabulated total for each category. 7) Contract Term The construction lite contract term, if an award(s) is/are made is intended to be one (1) year with four (4) one (1) year renewal options. Agenda Item No. 16C3 June 10, 2008 Page 14 of 103 Prices shall remain firm for the initial term of this contract. Requests for consideration of a price adjustment must be made on contract anniversary date, in writing, to the Purchasing Director and must be based upon Increased costs to the vendor only. Verification of these increases, other than CPI, shall be furnished to the Purchasing Director with the written request for increase. ) Any upward price adjustment approved by the County shall impose upon the vendor the requirement to advise and extend credit to the County when costs' similarly decrease. 8) Inability to Provide Goods and/or Services In the event circumstances arise in which the Contractor is unable to supply the required goods and/or services within the County's needs. Contractor shall advise the Purchasing Director in writing of the circumstance and duration. The County may select an alternate supplier to provide required goods and/or services until such time that the Contractor is again able to supply these requirements. 9) Termination Should the Contractor be found to have failed to perform his services in a manner satisfactory to the County, the County may terminate this Agreement immediately for cause; further the County may terminate this Agreement for convenience with a seven (7) day written notice. The County shall be sole judge of non-performance. 10) Specifications/Scope of Work These speCifications are intended to provide the information by which prospective bidders may understand the requirements of Collier County relative to fumishing and delivering Manhole and Lift Station Rehabilitation Contracting Services. The intent of this bid is to obtain competitive prices in order to establish an annual contract with one (1) or more firms, for on-cali manhole and lift station rehabilitation contracting services, to include but not be limited to, wet wells and dry wells. The rehabilitation methods will be by trench less technologies, I.e., repairs will require no digging up, but will be in-situ. The successful Contractor(s) will be required to enter into a contract with the Board of County Commissioners, Collier County, Florida for these services. This project will provide the Owner with installation and repair work on sanitary manholes, lift stations, wet wells and dry wells as directed by the Owner. Typical projects which may be authorized are listed below. The list is only representative of possible projects. The Owner is not limited to authorizing only projects on this list. Likewise, any project listed below may not be authorized. Typical projects are as follows: 1. Repair manholes, lift stations, wet wells and dry wells by resin seal lining methods. 2. Repair manholes, lift stations, wet wells and dry wells by cementitious lining methods. Agenda Item No. 16C3 June 10, 2008 Page 15 of 103 MINIMUM QUALIFICATIONS The vendor must have been in business for the last eight (8) years in providing Manhole and Lift Station Rehabilitation Contracting Services and have rehabilitated a minimum of five thousand (5,000) sanitary sewer manholes and one hundred (100) lift stations in the State of Florida, Utilizing the product being proposed for this bid. The selected Contractor(s) will be responsible for providing complete rehabilitation services for a wide range of projects as may be required by Collier County. The selected Contractor(s) will be responsible for knowledge of and compliance with all relative local, state, and federal codes and regulations. REFERENCES The vendor must include in the bid, a list of twenty (20) customers, to which manhole and lift station rehabilitation contracting services have been provided within the last seven (7) years or less. At least ten (10) of these customer references must be current, within the last three (3) years or less. A contact person and telephone number mandatory that email for each reference shall be provided for each reference. This information shall be placed on page 21, Statement of Experience of Bidder. SUPERINTENDENT AND SUPERVISION For any work performed under this contract, the successful Contractor shall provide a competent superintendent and any necessary assistants, all approved by the Wastewater Department. The superintendent shall have a minimum of seven (7) years in the rehabilitation of sanitary sewer manholes and lift stations, and be present at all times while work is in progress. The superintendent shall represent the Contractor in his absence and all directions given to him shall be as binding as if given to the Contractor. MOBILIZATION AND DEMOBILIZATION The Contractor shall be responsible for mobilization and demobilization of labor, materials and equipment. Payment for mobilization and demobilization will be based on the unit price indicated in the Bid Proposal for mobilization and demobilization, depending on the work scope defined per work order. Mobilization and demobilization costs are a separate pay item, to be paid only if the work order requires less than ten (10) manholes or less than seven hundred fifty (750) square feet of wall to be rehabilitated. SCHEDULING Contractor shall plan the work and carry it out with minimum interference to the operation of the existing facilities. Prior to starting the work, the Contractor will confer with the Project Manager to develop an approved work schedule which permit the facilities to function normally. Agenda Item No. 16C3 June 10, 2008 Page 16 of 103 Work on existing structures and facilities shall be performed on a schedule and in a manner that will permit the existing facility to operate continuously. No work shall be started until the Contractor has sufficient manpower, equipment, and material to complete the project. No work shall commence without the express consent of the Project Manager or his designee. All projects must be started and completed as stated in the Work Order. SHUTDOWN OF EXISTING OPERATIONS OR UTILITIES The continuous operation of the Owner's existing sewer system is of critical importance. The Contractor's operation shall not result in the interruption of sewer services to any customer. PAYMENT AND PERFORMANCE BONDS Florida Statutes require payment and performance bonds for any project exceeding $200,000 and County Policy requires bonding for any project where payment will be spread out over a series of payments and/or where the project's duration will be in excess of thirty (30) days (Exhibit B). The Project Manager may, at his discretion, require payment and/or performance bonds for jobs in excess of fifty thousand dollars ($50,000). Payment and Performance Bonds must be recorded with the Collier County Clerk of Courts at the Contractor's expense prior to a purchase order being issued. Payment and Performance Bonds will be paid by the County to the Contractor at cost. SUBCONTRACTORS With the prior approval of the County, the Contractor may utilize specialty sub- contractors on those parts of any work which, under normal contracting practices, are performed by specialty Contractors. Subcontractor pricing shall be negotiated by the Project Manager or his designee and the Contractor. RELEASE OF CLAIMS Before final acceptance of the work and final payment by the County, the Contractor shall furnish to the County proper and satisfactory evidence, that all claims for labor and materials employed or used at the construction of said work have been sellled and there are no legal claim(s) against the County for such labor and materials. If such evidence is not furnished to the County, such amounts, as may be necessary to meet the unsatisfied claims, may be retained from monies due to the Contractor under this contract until the liabilities shall be fully discharged. See Exhibit C. ACTUAL WORK PERFORMED All work performed shall be warranted for a period of one (1) year from the date of final completion (see Exhibit E) ofthe Work Order and must meet or exceed the current or amended versions of the County Water-Sewer Ordinances and the Utility Standards Manual, and be done in a safe and professional manner. It is the Contractor(s)'s responsibility to become familiar with these documents. Agenda Item No. 16C3 June 10, 2008 Page 17 of 103 TECHNICAL SPECIFICATIONS The construction requirements and specifications for manhole, lift station, wet well and dry well rehabilitation are described in Exhibit A, Technical Specifications, for the various rehabilitation methods listed in the Contract Proposal Bid Form. All other related work requirements, not described herein, must meet or exceed the current or amended version County Water-Sewer Ordinances 97-17 and 98-53 and the Utility Standards Manual. WORK ORDERS Work shall be initiated by Work Orders pursuant to Exhibit D. Contractor(s) shall have seven (7) business days after request to provide a quotation for a Work Order. Should any project that is active extend past the contract termination date, that Work Order shall be extended until completion of such project. DEFECTIVE WORK All work done, when not in accordance with the intent of the plans and specifications, will be rejected and shall be removed immediately and replaced by suitable and satisfactory work at no additional cost to the County. DAMAGE TO WORK Until final acceptance of the work by the Wastewater Department, it shall be under the charge and care of the Contractor, and he shall take every necessary precaution against injury or damage to the work by action of the elements of for any other cause. The County will not be responsible or pay for damage while under construction. PROJECT RESTORATION All work sites will be restored to the condition they were in prior to the start of work on the project. Contractor(s) shall be responsible for payment of all debris disposal fees. 3. Repair existing sanitary manholes, lift stations, wet wells and dry wells at various locations by cast-in-place plastic lining method. 4. Repair manholes, lift stations, wet wells and dry wells by resin seal and coat or calcium aluminate lining methods. FINAL CLEAN UP Before the work is considered complete, all rubbish and unused material due to or connected with the construction must be removed and the premises left in a condition satisfactory to the County. All damaged areas shall be restored as directed by the County. Final payment shall be withheld until such work is completed. Agenda Item No. 16C3 June 10, 2008 Page 18 of 103 AVAILABILITY OF CONTRACTOR ) The Contractor, by signing the bid proposal, hereby agrees to give County projects first priority and to be available to the County within a reasonable period of time. The County hereby reserves the right to contract with a secondary Contractor. CONTRACTORS EMPLOYEES All employees of the Contractor shall be considered to be, at all times, the sole and exclusiye employees of the Contractor under his sole and exclusive direction, and not an employee or agent of Collier County. The Contractor shall supply competent and physically capable employees and Collier County reserves the right to require the Contractor to remove any employee it deems careless, incompetent, insubordinate, or otherwise objectionable from performing work on the County's premises under this Contract. SUBSTITUTE PERFORMANCE In the event the Contractor fails to perform any required service within the time schedule under the subsequent contract or work order, the County reserves the right to obtain substitute performance. Further, the County reserves the right to deduct the cost of such substitute performance from the Contractor's payments. The Contractor may be exempt from this provision if such exemption is granted by the Contract Manager or their designee, in writing, prior to any delays or as a result of an Act of Nature. , ) LIQUIDATED DAMAGES FOR LATE DELIVERY OF SERVICES Upon failure to deliver the product(s )/services in accordance with the speCifications and to the satisfaction of the County within the time stated, the bidder may be subject to charges for liquidated damages, but not as a penalty, an amount established in the Work Order for each and every calendar day that the service is not delivered/provided and accepted. The County shall have the right to deduct the said liquidated damages from any amount due or that may become due to the bidder under this agreement or to invoice the bidder for such damages if the costs incurred exceed the amount due the bidder. TERMINATION Should the Contractor be found to have failed to perform his services in a manner satisfactory to the County, the County may terminate this Agreement immediately for cause; further the County may terminate this Agreement for convenience with a seven (7) day written notice. The County shall be sole judge of non-performance. 11) Eaual Product Can Be Considered Manufacturer's name, brand name and/or model number are used in these specifications for the sole purpose of establishing minimum requirement of level of quality, standards of performance and design required, and is in no way intended to prohibit the bidding of other manufacturer's items of equal or similar material. An equal " I Agenda Item No. 16C3 June 10, 2008 Page 19 of 103 or similar product may be bid, provided that the product is found to be equal or similar in quality, standard of performance, design, etc. to the item specified. Where an equal or similar is bid, the Bid must be accompanied with two (2) complete sets of factory information sheets (specifications, brochures, etc.) and test results of unit bid as equal or similar. Samples, if required for evaluation and at no cost to the County, must be submitted with the Bid; provided, however, that the bidder must be given the opportunity to submit the samples to the County during the bid evaluation period if the submission is in the best interest of the County. The County shall be sole judge of equality or similarity, and its decision shall be final in the best interest. 12) Quantities The quantities listed in the Contract Proposal are approximate and are for the purpose of bid evaluation only. The County reserves the right to order such quantities as may be required during said period, but does not guarantee any minimum or maximum to be ordered during the period specified. 13) Insurance Reauirements The Insurance Requirements are included in this solicitation. Since this solicitation has insurance requirements, it should be noted by the bidder that in order to meet the County's insurance requirements, there may be additional insurance costs to the bidder. It is therefore imperative that the bidder discuss these requirements with their insurance agent so as any additional cost to bidder can be included in bid cost. . INSURANCE REQUIREMENTS o CONTRACTOR shall at its own expense, carry and maintain insurance coverage from responsible companies duly authorized to do business in the State of Florida. As described in the attached Contract Insurance Requirements form. o The OWNER shall procure and maintain property insurance upon the entire Project, if required, to the full insurable value of the Project. The property insurance obtained by OWNER shall, at a minimum, insure against the perils of fire and extended coverage, theft, vandalism, malicious mischief, collapse, flood, earthquake, debris removal and other perils or causes of loss as called for in the Contract Documents o OWNER and CONTRACTOR waive against each other and Owner's separate 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. CONTRACTOR and OWNER shall, where appropriate, require similar waivers of subrogation from Owner's separate Contractors, Design Consultants and Subcontractors and shall require each ofthem to include similar waivers in their contracts. Agenda Item No. 16C3 June 10, 2008 Page 20 of 103 o The OWNER shall be responsible for purchasing and maintaining, its own liability Insurance. o CONTRACTOR shall obtain and carry, at all times during its performance under the Contract Documents, insurance of the types and in the amounts set forth in this Article 3, and certificates attached as Exhibit B to this Agreement. Certificates must identify the specific Project name, as well as the site location and address (if any). o The General Liability Policy provided by CONTRACTOR to meet the requirements of this Agreement shall name Collier County, Florida, as an additional insured as to the operations of CONTRACTOR under this Agreement and shall contain a severability of interest's provisions. o Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE--The "Certificate Holder" should read as follows: . Collier County . Board of County Commissioners . Naples, Florida o The amounts and types of insurance coverage shall conform to the following minimum requirements with the use oflnsurance Services Office (ISO) forms and endorsements or their equivalents. If CONTRACTOR has any self-insured retentions or deductibles under any of the below listed minimum required coverages, CONTRACTOR must identify on the Certificate oflnsurance the nature and amount of such self- insured retentions or deductibles and provide satisfactory evidence of financial responsibility for such obligations. All self- insured retentions or deductibles will be Contractor's sole responsibility. o Coverage's shall be maintained without interruption from the date of commencement of the Work until the date of completion and acceptance of the Project by the OWNER or as specified in this Agreement, whichever is longer. o The CONTRACTOR and/or its insurance carrier shall provide 30 days written notice to the OWNER of policy cancellation or non-renewal on the part of the insurance carrier or the CONTRACTOR. CONTRACTOR shall also notify OWNER, in a like manner, within twenty-four (24) hours after receipt, of any notices of expiration, cancellation, non-renewal or material change in coverages or limits received by CONTRACTOR from its insurer and nothing contained herein shall relieve CONTRACTOR of this requirement to provide notice. In the event of a reduction in the aggregate limit of any policy to be provided by CONTRACTOR hereunder, CONTRACTOR shall immediately take steps to have the aggregate limit reinstated to the full extent permitted under such policy. o Should at any time the CONTRACTOR not maintain the insurance coverage's required herein, the OWNER may terminate the Agreement or at its sole discretion shall be authorizcd to purchase such coverage's and charge the CONTRACTOR for such coverage's purchased. If CONTRACTOR fails to reimburse OWNER for such costs within thirty (30) days after demand, OWNER "\ J Agenda Item No. 16C3 June 10. 2008 Page 21 of 103 has the right to offset these costs from any amount due CONTRACTOR under this Agreement or any other agreement between OWNER and CONTRACTOR. The OWNER 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 the OWNER 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. o If the initial or any subsequently issued Certificate ofInsurance expires prior to the completion of the Work or termination of the Agreement, the CONTRACTOR shall furnish to the OWNER, renewal or replacement Certificate(s) ofInsurance not later than ten (10) calendar days after to the date of their expiration. Failure of the CONTRACTOR to provide the OWNER with such renewal certificate(s) shall be considered justification for the OWNER to terminate the Agreement. Agenda Item No. 16C3 June 10, 2008 Page 22 of 103 Co~er County ~""-- -- COLLIER COUNTY GOVERNMENT CONTRACT INSURANCE REQUIREMENTS TYPE LIMITS (Check) X Workers' Compensation Statutory Limits of Florida Statutes 440 and Federal Government Statutory limits and Reouirements x Emplover's Liability $500,000 x $1,000,000 X Commercial General $500,000 per occurrence X $1,000,000 per occurrence Liability (Occurrence Form) bodily injury and property bodily injury and property patterned after the current damage damage ISO form. Airport Liability Insurance $500,000 per occurrence $1,000,000 per occurrence bodily injury and property bodily injury and property damaoe damaQe Hanaarkeeoers Liabilitv $500,000 per aircraft $1 000,000 oer aircraft Aircraft Liability Insurance $500,000 per occurrence $1,000,000 per occurrence bodily injury and property bodily injury and property damaoe damaoe X Business Automobile $500,000 per occurrence X $1,000,000 per occurrence Insurance bodily injury and property bodily injury and property damaoe damaQe X Pollution Liability Insurance $500,000 per occurrence X $1,000,000 per occurrence bodily injury and property bodily injury and property damaae damaQe Builders Risk Insurance OWNER Will Purchase-Reolacement Cost- All Risks of Loss I I INDEMNIFICATION: To the maximum extent permitted by Florida law, the ContractorNendor/Consultant shall 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 ContractorNendor/Consultant or anyone employed or utilized by the ContractorNendorlConsultant in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be availabie to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier Countv. Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE-The "Certificate Holder" should read as follows: Collier County Board of County Commissioners Naples, Florida No County Division, Department, or individual name shouid appear on the Certificate. No other format will be acceatable. Thirty (30) Days Cancellation Notice required on Agreements. The contract name and number shall be included on the certificate of insurance. Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liabilitv and/or Airoort Liabilitv where reauired. "1 ) Agenda Item No. 16C3 June 10, 2008 Page 23 of 103 (;EBTIFI(;ATE OF INSURAN(;E SEw:<:RCoAT~ From: Velmore Johnson At: Gateway Insurance Agency FaxlD: 954-735-2852 To: Attn: Ms. Mary Jane Czajkowski Dat.: 411112@8ru:rad1l1Mn~, :2lOie3 June 10, 2008 Page 24 of 103 ACORD. OP 10 VJ DATE (MMIDOM'YYI CKAE 01 04/11/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIACATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ) CERTIFICATE OF LIABILITY INSURANCE PRODUCER Gateway Insurance Agency Fort Lauderdale Branch 2430 w. oakland Park Blvd. Fort Lau4erdale FL 33311 Phone: 954-735-5500 Fax:954-735-2852 INSURED INSURERS AFFORDING COVERAGE NAlC# Phoenix Insurance Co. INSURER A !INSlJRERB ,INSlJRERC INSURER D I~<SURER E 'h.'ul.n !-fO 1ft CI.....lt 'J'h.Chaftlfo.tr1nIrU Co 25615 25674 Chaz Equipment Company Attn: MS. Mary Jane Czajkowski 3180 Fairlane Farm6 Rd #1 Wellinqton FL 33414 COVERAGES 'fuvd.u'IOP.It:!C......l\;y Associated Industries THE POLICIES OF INSlJR.I.NCE LIStED BELOW HAVE BEEN ISSUE:J,O THE INSU'iED NAMED ,o.aOVE FOR THE POLICY PERIOD INDICATED NOTWllHSTAN~ING M<Y REQUIREro.Elo.T. TERM OR CCNJITION OF A'-JY CONTRACT OR OTH:R DOCIJWENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR M'l,Y PERTAIN. THE INSUR.llNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO I':...L THE TERMS, EXCLUSIONS AI'V CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS S~W'< MA,Y HAVE BEEN REOuCED BY PAiD CLAiMS "" NSR TYPE OF INSURANCE POLICY NUMBER I rOATE fMMlDONY) OA1'i(MMIDDIYY) U'"" GENERALLIA.BfllTY T EACH OCCUI<RENCE $1,000,000 ~ 01/01/08 01/01/09 PRl~ES(Ea occurenca) A X ""- 5ERCIALGEl>ERALLlABILlTY DTCOO126L639PHX08 '300,000 - CLAIMS IIADE ~ OCOJR MED EX? (Any OIla pe"'.;on) $: 5.000 K B1kt AI AI STATUS MUST BE PERSONi'.L&!>DV INJURY $1,000,000 & Waiver BY WRITTEN CONTRACT GEl'-ERALAGGREGAIE !$2,00O,OOO ~II AGGREril L~~~ APPnP~R FROOlICTS - COMP/OP AGG $2,000,000 POLICY IX JECT '_OC ~OMOSILE lIABIL.ITY , COMBINED SINGLE LIMIT $1,000,000 B ""- ,tINy ALTO DTB100126L639COF08 01/01/08 01/01/09 IEflAuidan:j ~ AlL OWNED AUTOS BODILY INJURY . SUICDULEO AUTOS (Par person I ~ ~ HIRED AUTOS BODILYIN-UlY , ~ NOr><-OVVNED AUTOS (Paraccidanl) r----- ---' I PfWPCRTY DAMAGE , i (par accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I, R""'AVO O~I->ER THPN EAACC ! $ AlJTOQNLY AGG : $ EXCESSIUMBRELLA I..IABILlTY , E,A,CH OCCU<RfNCE $ 3000000 C ~ OCCUR o a.AIMS MAUl:. DTSMCUP0126L639TIL08 01/01/08 01/01/09 AGGREGATE i $ 3000000 1 :, ;.:l ~EDUCTIBLE I :$ X RETENTION $10000 , WORKERS COMPENSATION AND i X !TORY LIMITS I I"E'< EMPLOYERS. LlASlLITY 2006336380 12/30/07 i 12/30/08 $ 1000000 D ANY PROPRIETORiPARTNERIEXEClfTlV::: I ~HACC1DlNI OFFICERWEMB:::R EXCLLOED? i E L DISEASE. EA EMPLOYEE $ 1000000 11 yes. ~eSC11be under EL OlSEASE.-POLlCYIIMIT i $1000000 SPECIAL PROVISIONS bel(Wj OTHER , E Leased Equipment I QT6606381L766TILoal 03/04/08 01/01/09 Leased 200000 1 DESCRIPTION OF OPERATIONS I LOCATIONS I ViH1CLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVlSIONS The Certificate Ho14er is listed as Additional Insured with respects to the General Liability Only. *10 Days Notice of Cancellation for non-payment of premium. ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POI..ICIES BE CANCELLED BeFORE iHE EXPIRATlON DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAlL ... 30 DAYS lNRlTTEN NOTICE TO THE CERTlFICATE HOLDER NAMED TO iHE LEFT, BUT FAILURE TO DO SO SHAlL IMPOSE NO 06LlGATlON OR LlAelLITY OF AN'( KIND UPON THE INSURER. rTS AGENTS OR REPRESENTATlVES AUTHOR ) COLC006 Collier County Board of county commissioners 3301 E. Tamiami Trail Naples FL 33962 SACORD CORPORATION 1988 ACORD 25 (2001/08) Agenda Item No. 16C3 June 10, 2008 Page 25 of 103 14) Assianment. Sublease, Sale. Etc. Should the Contractor sell or sublet this contract or any part thereof to any person or entity other than the awardee, the BCC shall be notified in writing immediately upon the transfer of ownership. The assignment of this contract or any part thereof shall require that its assignee be bound to it and to assume toward the Contractor, all of the obligations and responsibilities that the Contractor has assumed toward the County. In the County's best interest, and at its opinion, the service/commodity may be re-solicited, delivering a sixty (60) day written notice to the new owner(s). 15) Additional Items and/or Services During the contract term, Collier County reserves the right to delete and/or add items and/or services of like nature with the satisfactory price negotiated by the Project Manager and Contractor. 16) Conflict of Interest Bidder shall provide a list of any businesses and/or organizations to which the firm has any affiliation or obligations within the past five (5) years; whether paid or donated, which could be construed by the County as a conflict of interest. Disclosure of any potential or actual conflict of interest is subject to County staff review and does not in and of itself disqualify a firm from consideration. These disclosures are intended to identify and or preclUde conflict of interest situations during contract selection and execution. 17) Vendor Performance Evaluation Collier County has implemented a Vendor Performance Evaluation System for all contracts awarded in excess of $25,000. To this end, vendors will be evaluated on their performance upon completion/termination of agreement. 18) Deductions for Non-Performance The County reserves the right to deduct a portion of any invoice for goods not delivered, or services not performed in accordance with requirements, including required timeframe. The County may also deduct, or chargeback the Contractor the costs necessary to correct the deficiencies directly related to the Contractor's non- performance. 19) Offer Extended to Other Governmental Entities: Collier County encourages and agrees to the successful bidder/proposer extending the pricing, terms and conditions of this solicitation or resultant contract to other governmental entities at the discretion of the successful bidder/proposer. 20) Safety All contractors and subcontractors performing service for Collier County are required and shall comply with all Occupational Safety and Health Administration (OSHA), State Agenda Item No. 16C3 June 10. 2008 Page 26 of 103 and County Safety and Occupational Health Standards and any other applicable rules and regulations. Also all Contractors and subcontractors shall be responsible for the safety of their employees and any unsafe acts or conditions that may cause injury or damage to any persons or property within and around the work site. All firewall penetrations must be protected in order to meet Fire Codes. ) 21) Licenses The Contractor is required to possess the correct occupational license, professional license, and any other authorizations necessary to carry out and perform the work required by the project pursuant to all applicable Federal, State and Local Law, Statute, Ordinances, and rules and regulations of any kind. If required and/or requested, copies of the required licenses must be submitted with the proposal response indicating that the entity proposing, as well as the team assigned to the County account, are properly licensed to perform the activities or work included in the contract documents. A Contractor, with an office within Collier County is also required to haye an occupational license. If you have questions regarding professional licenses, please contact the Contractor Licensing, Community Development and Environmental Services at (239) 252-2431, 252-2432, or 252-2909. Questions regarding required Occupational licenses, please contact the Tax Collector's Office at (239) 659-5712. 22) Protection of Property ) The Contractor shall ensure that the service is performed in such manner as to not damage any property. In the event damage occurs to any property as a direct result of the Contractor or their Subcontractor in the performance of the required service, the Contractor shall repair/replace, to the County's satisfaction, damaged property at no additional cost to the County. If the damaged caused by the Contractor or their Subcontractor has to be repaired/replaced by the County, the cost of such work will be deducted from the monies due the Contractor. 23) Prohibition of Gifts to County Emplovees No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, the current Collier County Ethics Ordinance, and County Administrative Procedure 5311. Violation of this provision may result in one or more of the following consequences: a. Prohibition by the individual, firm, and/or any employee of the firm from contact with County staff for a specified period of time; b. Prohibition by the individual and/or firm from doing business with the County for a specified period of time, including but not limited to: submitting bids, RFP, and/or quotes; and, c. immediate termination of any contract held by the individual and/or firm for cause. 24) Invoicina "- ~ To ensure payments are made in accordance with the Florida Prompt Payment Act, Contractor's invoices should include: Agenda Item No. 16C3 June 10, 2008 Page 27 of 103 . Purchase Order Number . Reflect the goods delivered and/or services rendered . Send invoices to: Finance Department 2671 Airport Road South Naples, Florida 34112 25) Special Terms and Conditions Special Terms and Conditions supersede applicable General Terms and Conditions. The following Special Terms and Conditions are applicable to this solicitation only if the box (0) is checked (rzI). Backaround Checks Bidders shall be responsible for the costs of providing background checks for all employees that will provide services to the County under this contract. These background checks include: the checking of Federal, State, and Local law enforcement records, a State and FBI fingerprint check, credit reports, education, residence, employment verifications, and other related records required in this solicitation. The results of these checks will be kept on file by the Collier County Security Section until total completion of the denoted project or the contract period. Debris Contractor shall be responsible for the removal and disposal of all debris from the site and the cleaning of the affected areas. Contractor shall keep the premises free of debris and unusable materials resulting from their work and as work progresses; or upon the request of the County's representative, shall remove and dispose such debris and materials from the property. The Contractor shall leave all affected areas as they were prior to beginning work. Maintenance of Traffic Policy For all projects that are conducted within a Collier County Right-of-Way, the Contractor shall provide and erect Traffic Control Devices as prescribed in the current edition of the Manual On Uniform Traffic Control Devices (MUTCD), where applicable on local roadways and as prescribed in the Florida Department of Transportations Design Standards (DS), where applicable on state roadways. These projects shall also comply with Collier County's Maintenance of Traffic Policy, #5807, incorporated herein by reference. Copies are available through Risk Management and/or Purchasing Departments and available on-line at colliergov.neUpurchasing. The Contractor will be responsible for obtaining copies of all required manuals, MUTCD, FDOT Roadway & Traffic Design Standards Indexes, or other related documents, so to become familiar with their requirements. Strict adherence to the requirements of the Maintenance of Traffic ("MOT") policy will be enforced under this Contract. Agenda Item No. 16C3 June 10, 2008 Page 28 of 103 THIS SHEET MUST BE SIGNED BY VENDOR Board of County Commissioners Collier County, Florida Purchasing Department BIDDERS CHECK LIST IMP 0 R TAN T: Plea.e read carefully, sign in the spaces indicated and return with your bid proposal. 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. The payment terms have been indicated. 5. Any required drawings, descriptive literature, etc. have been included. 6. Any delivery information required is included. 7. If recuired, the amount of bid bond has been checked, and the bid bond or cashiers check has been included. 8. Any addenda have been signed and included. 9. The mailing envelope has been addressed to: Purchasing Director Collier County Government Center Purchasing Building 3301 East Tamiami Trail Naples, Florida 34112 10. The mailing envelope must be sealed and marked with: . Bid Number; . Bid Title; . Opening Date ) 11. The bid will be mailed or delivered in time to be received no later than the specified ooenina date and time. (Otherwise bid cannot be considered.) ALL COURIER DELIVERED BIDS/RFPS MUST HAVE THE BI IRFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET. DlIZ EtK '1. mENT CPI11MM,IIIIC. Company ) Agenda Item No. 16C3 June 10, 2008 Page 29 of 103 MATERIAL MANUFACTURES The Bidder is required to state below, material manufacturers he proposes to utilize on this project. No change will be allowed after submittal Bid. If substitute material proposed and listed below is not approved by the Project Manager, Bidder shall furnish the manufacturer named in the specification. Acceptance of this Bid does not constitute acceptance of material proposed on this list. THIS LIST MUST BE COPLETED OR BID WILL BE DEEMED NON-RESPONSIVE. MATERIAL 1. SEWPeKMr r€i MANUFACTURER ~,w~~t.~) 2. 3. 4. 5. 6. Dated: ),pI/... j1'f /?a7 By: r canH#rA ",..we. ~UJK()HJ.$'KI" ~.I:D1Ir Agenda Item No. 16C3 June 10, 2008 Page 30 of 103 LIST OF SUBCONTRACTORS The undersigned states that the following is a full a complete list of the proposed subcontractors on this Project and the class of work to be performed by each, and that such list will not be added to nor altered without written consent of the Project Manager. The undersigned further acknowledges its responsibility for ensuring that the subcontractors listed herein meet all legal requirements applicable to and necessitated by this Agreement, including, but not limited to, proper licenses, certifications, registrations and insurance coverage's. The County reserves the right to disqualify and bidder who includes noncompliance subcontractors in his bid offer. Further, the County many direct the bidder/Contractor to removelreplace any subcontractor that is found to be noncompliance with this requirement subsequent to award of the contract at not additional cost to the County. Subcontractor and address .BQfJ~ ~I01DE8 Class of Work to be Derformed 1. /1141 II!W~ ()F 71Jffftc, ~~I~ 2. 3. 4. 5. 6. 7. Date: Imt {}~ ?PO.F ./ CMI,9MJ /At. By: ~~~~~/~ Agenda Item No. 16C3 June 10, 2008 Page 31 of 103 (- STATEMENT OF EXPERIENCE OF BIDDER The Bidder is required to state below what work of similar magnitude is a judge of his experience, skill and business standing and of this ability to conduct the work as completely and as rapidly as required under the terms of the contract. 1. Proiect and Location Reference ~ 5J&e I/rr-1CllEl> tlSTtJF .?~t"r S. 2. 3. 4. 5. 6. 7. 8. Date: JlPRII- ~'I. 2Po~ , CZ1JRJt.J~~ lltesu>.qcIr Agenda Item No. 16C3 June 10. 2008 Page 32 of 103 CONTRACT PROPOSAL FROM: ell&. a;vlfj1/81r tlJ1l/11lV'~ JA/C. .1/31) 1f!t~ ~ ~ ~~li.33fff Board of County Commissioners Collier County Government Center 3301 E. Tamiami Trail Naples, Florida 34112 DUE: April 25, 2008 at 2:30 p.m. RE: BID No. 08-5064- "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" Dear Commissioners: The undersigned, as bidder, hereby declares that he has examined the specifications and informed himself fully in regard to all conditions pertaining to the work to be done for the annual contract for manhole and lift station rehabilitation contracting services as per the attached specifications. The Bidder further declares that the only persons, company or parties interested in this Proposal or the Contract to be entered into as principals are named herein; that this Proposal is made without connection with any other person, company or companies submitting a Bid or Proposal; and it is all respects fair and in good faith, without collusion or fraud. The Bidder proposes and agrees, if this Proposal is accepted, to contract with the County furnish work in full, in complete accordance with the attached specifications, according to the following unit prices: ..SEE FOLLOWING PAGES.. Any discounts or terms must be shown on the Proposal Form. Such discounts, if any, will be considered and computed in the tabulation of the bids. In no instance should terms for less than fifteen (15) days payment be offered. Prompt Payment Terms: ~ % /5 Days; Net .,30 Days Addenda received (if applicable): #1 #2_ #3 Yes V No ~::~ ~~ Yes~ No Material Manufactured? Statement of Experience of Bidder? List of Subcontractors? References Attached Proposal continued on next page.... I Agenda Item No. 16C3 June 10, 2008 Page 33 of 103 /.- ( B3.1 $ }JDJil?EA Mobilization/Demobilization if less than 10 manholes or less than 750 SF per job work order $ JJi.!JJL CATEGORY B TOTAL C MANHOLE/LIFT STATION REHABILITATION BY CEMENTITIOUS LINING Cl Manhole/Lift Station Rehabilitation by Cementitious Lining $ ~5.CIOYF Ct.! Cementitious Lining ofManholelLift Station - 48" diameter C 1.2 Cementitious Lining of ManholelLift Station - 60" diameter $ 2'J1.CIOYF C2 Lift Station Surface Rehabilitation by Cementitious Lining C2.1 Cementitious Lining Rehabilitation of Lift Station Surface $ .30.- SF ~ C3 Mobi lization/Demobil ization ~ 00 C 3.1 $ . EA MobilizationlDemobilization if less than 10 manholes or less than 750 SF per job work order $ 623.DO CATEGORY C TOTAL D SEWER BYPASS Dl Bypass Pump Setup with Bypass Piping -- Dt.! Bypass 8" Sewer Setup $ -" (X)(). EA . .. D1.2 Bypass 10" to 12" Sewer Setup $ 'i-~.EA t1I' DJ.3 Bypass t 5" to 18" Sewer Setup $4 IG\? EA D 1.4 Bypass 24" Sewers Setup $.3./50.1:A D2.1 Bypass 4" Pump $ .50.i';AY D2.2 Bypass 6" Pump $ 400.0~AY D2.3 Bypass 8" Pump $ "~'1>A Y D2.4 Bypass to" Pump $ "I05;'f)AY Agenda Item No. 16C3 June 10. 2008 Page 34 of 103 PROPOSAL (continued) Bid #08-5064 "Annual Contract for Manhole and Lift Station Contracting Services" The prices offered shall be based on a unit price amount. Where the Contractor is not able to provide a price for any item described, the Contractor shall indicate N.B. (no bid) in the space provided for that item's unit price. B MANHOLEILIFT STATION/WET WELL REHABILITATION BY SEAL AND COAT METHOD Bl ManholelLift Station/Wet Well Rehabilitation by Sealing and Coating witb Resin B1.I Seal and Coat Manhole/Lift Station - 48" diameter $ No 81PVF B1.2 Seal and Coat ManholelLift Station - 60" diameter $~VF B2 Lift Station and Wet Well Surface Rehabilitation by Sealing and Coating with Resin B 2.1 Seal and Coat Lift StationlWet Wells-Surface Rehabilitation $ No 8"~. SF B3 Moblization/Demobilization ) Agenda Item No. 16C3 June 10. 2008 Page 35 of 103 PROPOSAL CONTINUED The service to be furnished by us is hereby declared and guaranteed to be in conformance with the specifications of the County. The undersigned do agree that should this Proposal be accepted, to execute the form of contract and present the same to the County Purchasing Director for approval within fifteen (15) days after being notified of the awarding of the Contract. The undersigned do further agree that failure to execute and deliver said forms of contract within fifteen (15) days, will result in damages to the County. IN ~ITNESS WHEREOF, WE have hereunto subscribed our names on this .2!L day of t:t.eI?/t- , 2008 in the County of r~ .8&#CI/, in the State of ~/M- CII4Z ~tPtIIP/1'lJj',l{r ClJI1I~t We. Firm's Complete Legal Name ' Check one of the following: ~ Sole Proprietorship Corporation or P.A. State of ----.ILo~, 1>1+ Limited Partnership General Partnership BY: ~I CZA-JKf)WSIC./ Ty a and Written Signature f/(e.gIDeNr Title NOTE: If you choose to bid, please submit an ORIGINAL and ONE COPY of your proposal pages. CONTRACT PROPOSAL FROM: tlt1? CtR/Jlf>lJ1D1rCA>>lJINf /4Ic.. 3120 r$/M1lE ~Sf1:! ~ " fZ. 33'1/f C!~t!!Dlrllll Agenda Item No. 16C3 June 10. 2008 3180 Fairlane Fanns Road, sJ'rttllf 36 of 103 Wellington, Florida 33414 Tel: (561) 333-2109 Fax: (561) 333-2180 COMPANY MISSION HISTORY AND STATEMENT April 11, 2008 To whom it may concern, Chaz Equipment Company, Inc. is a full service State licensed Underground Utility Contractor, incorporated in 1988 by Gary Czajkowski. Since that time the company has delivered complete, "on-time" successful projects to a wide spectrum of public and private owners. Chaz Equipment established a sanitary manhole and lift station structure rehabilitation division in 1994. Our services include the replacement of piping, valves, fittings, pumps, electrical components, repairs to structural deterioration, custom retro-fit and design- build engineering and finally the application of SewperCoat PG for interior surface protection from biogenic corrosion and added structural strength. Within our fourteen (14) year rehabilitation service history, we have become the largest volume applicator of SewperCoat within the United States. We have rehabilitated over six hundred (600) lift station wet wells and over nine thousand (9000) manhole structures throughout the State of Florida, and have experienced no product or wor1<.manship failures to date. We currently operate three (3) full rehabilitation crews for State-wide mobilization. Our mission is to provide quality services with quality wor1<.manship. We pride ourselves in delivering to our customers a consistent and positive turn-key operation resulting in requests for our return. Our superior workmanship and professional attitude speak for themselves across every spectrum of the company. Please feel free to call our office in Wellington for contact names and telephone numbers of our custome~o you may verify our service record for yourselves. / ) / , ""':''':~ ~ Czajkowski resident SEw-ZIICO!IT~ ) Agenda Item No. 16C3 June 10, 2008 Page 37 of 103 14Z BIVI'IBIT ,~~,' Enainearlna Contractor History of SewperCoat Structural Rehabilitation and References Please find enclosed the list of some of our customers who have utilized our services rehabilitating their sanitary lift station wet wells, collection chambers and manholes over the last eleven (11) years through the sole-application of SewperCOIIt PG by Lafarge Calcium Aluminates, Inc. Our services also include; Structural repairs - minor or major, full bypass set-up & maintenance, infiltration repairs, pipe retro-fitting, pipe slip-lining, design-build improvements, bench & channel work, custom invert and drop pipe design, maintenance of traffic and removal of existing coatings. If you would like any details on any of the enclosed projects, their scopes, start/finish times or locations, please call us and we will gladly furnish this information for you. 3180 Fairlane Farms Road, Wellington, Florida 33414 (561) 333-2109 Fax: (561) 333-2180 C~Z ~8VlPIElT Agenda Item No. 16C3 June 10. 2008 Page 38 of 103 1. City of Ft. Myers (2000 to present) 6' -12' diameter wet wells + Coli. chambers completed: 20 4' & 5' diameter sanitary manholes completed: 155 Mr. Roger Thibodeau - Sewer Maintenance Supervisor Tel: (239) 332-6801/ Fax: (239) 461-3770 2. City of Miami Beach / via Madsen Barr 4' & 5' diameter sanitary manholes completed: Mr. John Barr - Madsen Barr Corp. Tel: (954) 401-6758/ Fax: (954) 491-5427 (1997 to 199B) 2,200 3. City of Miami Beach / via A. W.S. 4' & 5' diameter sanitary manholes compieted: Mr. John Rinehart - A.W.S. Tel: (954) 275-6259/ Fax: (954) 491-5427 (2003 to 2004) 30 4. Collier County Government 6', 8', 10' & 12' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Steve Nagy - Wastewater Collections Manager Tel: (239) 591-0186/ Fax: (239) 591-1611 (1999 to present) 265 2,775 5. City of Delray Beach 6' -12' diameter wet wells + Coil. Chambers completed: 4' & 5' diameter sanitary manholes completed: Mr. Richard Haskell - Director ESD, Utilities Tel: (561) 243-7328/ Fax: (561) 243-7060 (1996 to present) 16 67 6. City of Pompano Beach 6' & 8' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Peter Morongell - Senior Transmission Supervisor Tel: (954) 786-5510/ Fax: (954) 786-4003 (2002 to present) 18 368 C~!~J~VIPIElT [] 7. Citrus County 8' - 12' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Bob Merkel - Public Works Department Tel: (352) 527-7650/ Fax: (352) 527-7644 8. Rexel Mader Motor & Control (Contractor) 6' & 8' diameter wet wells completed: Mr. Dan Speas - Estimator / Project Manager Tel: (941) 360-8298/ Fax: (941) 36G-0400 Agenda Item No. 16C3 June 10, 2008 Page 39 of 103 (2002 to present) 12 34 (1999 to present) 10 9. Palm Beach County 6' & 10' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. James Hartman - Operations & Maintenance Supervisor (2003 to present) 36 406 Tel: (561) 493-6206/ Fax: (561) 493-6228 10. City of Oveido 6' - 8' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Tom King - Facilities Superintendent Tel: (407) 977-6066/ Fax: (407) 977-6033 11. City of Port Sl Lucie 6' & 8' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Sean Woods - Utility Systems Supervisor Tel: (772) 873-6400 / Fax: (772) 873-6405 12. Village of Wellington 6' & 8' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Ed Wasielewski - Director of l,)tilities Tel: (561) 791-4030/ Fax: (561) 753-2553 III (2002 to present) 2 10 (2001 to present) 13 199 (2002 to present) 12 36 C~~Z .!~~P.EIT 13. City of Venice (OMI) 4' & 5' diameter sanitary manholes completed: 6, 8' & 10' diameter sanitary wet wells completed: Mr. Gerald Boyce - Systems Manager Tel: (941) 480-3333/ Fax: (941) 480-3354 14. City of Lake Worth 6, 8' & 10' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Mike Thew, P.E. - Systems Superintendent Tel: (561) 586-1671/ Fax: (561) 586-1702 15. Sarasota County 6' & 8' diameter sanitary wet wells completed: 4' & 5' diameter sanitary manholes completed: Mr. Rodney G. Jones - Operations Supervisor Tel: (941) 861-0605/ Fax: (941) 861-0591 16. TLC Diversified, Inc. (Contractor) 6' & 8' diameter sanitary wet wells completed: Mr. Thurston Lamberson - President Tel: (941) 722-0621/ Fax: (941) 722-1382 17. City of Wilton Manors 4' & 5' diameter sanitary manholes completed: Mr. David J. Archacki - Dist. & Coli. Supervisor Tel: (954) 390-2100/ Fax: (954) 567-4212 18. City of Lake Wales 4' & 5' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Randell Britt - Lead Collection Supervisor Tel: (863) 678-4182/ Fax: (863) 678-4052 IV Agenda Item No. 16C3 June 10, 2008 Page 40 of 103 (2004 to present) 47 4 (2001 to present) 5 50 (2003 to present) 39 1,987 (2001 to present) 18 (2003 to present) 40 (2005 to present) 24 12 C~AZ .1~JPIENT 19. Muray Logan Construction 6' & 8' diameter sanitary wet wells completed: Mr. Kurt Kapsos - Project Manager Tel: (561) 686-3948/ Fax: (561) 686-7465 20. Strickler Brothers Construction, Ft. Myers 6' & 8' diameter sanitary wet wells completed: Mr. Steve Strickler - Project Manager Tel: (239) 267-2050/ Fax: (239) 267-5840 21. Vol usia County 6' & 8' diameter sanitary wet wells completed: 4' diameter sanitary manholes completed: Mr. Thomas May - utilities Operations Manager Tel: (386) 822-6417/ Fax: (386) 822-6466 22. Town of Palm Beach 4' & 5' diameter sanitary manholes completed: Mr. Larry Plimpton - Manager - W.W. Division Tel: (561) 838-5443/ Fax: (561) 838-5448 23. City of Punta Gorda 6' & 8' diameter sanitary wet wells completed: 4' diameter sanitary manholes completed: Mr. Bobby Legg - Supervisor of W.W. Collections Tel: (941) 628-4953/ Fax: (941) 575-5044 24. City of West Palm Beach 4' through 6' diameter sanitary manholes completed: Mr. Bill Galton - Supervisor of W.W. Collections Tel: (561) 822-2172/ Fax: (561) 822-2183 v Agenda Item No. 16C3 June 10, 2008 Page 41 of 103 (2004 to present) 28 Rehab 9 New Const. (2004 to present) 23 (2003 to present) 3 15 (2003 to present) 50 (2003 to present) 29 145 (2003 to present) 544 C!lZ _~IIIPIEI! 25. City of Melbourne 4' through 6' diameter sanitary manholes completed: Mr. Mike Brink - Operations Supervisor Tel: (321) 674-5726/ Fax: (321) 674-5750 26. City Fort Pierce (FPUA) 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. David Meller! - Environmental Engineer Tel: (772) 466-1600 / Fax: (772) 489-0396 27. City of Boca Raton 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Ken Goatley - System Supervisor Tel: (561) 338-7395/ Fax: (561) 338-7345 28. Mitchell & Stark Construction 14' X 14' X 12' deep sanitary wet well chamber: Mr. Russ Dejonge - Project Manager / Estimator Tel: (239) 597-2165/ Fax: (239) 566-7865 29. North Key Largo Utility Corp (Ocean Reef) 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Jeff Oeltjen, P.E. - Vice President Tel: (305) 367-7337/ Fax: (305) 367-4246 30. City of Boynton Beach 4' through 6' diameter sanitary manholes completed: Mr. Tony Lombardi - Utility Maintenance Manager Tel: (561) 742-6421/ Fax: (561) 742-6298 VI Agenda Item No. 16C3 June 10. 2008 Page 42 of 103 (2004 to present) 173 (2004 to present) 35 1 (2004 to present) 83 3 (2005 to present) 1 (2005 to present) 79 28 (2004 to present) 48 C~4Z ~~IPIE.T 31. City of Winter Park 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Craig Campbell - Utilities Division Chief Tel: (407) 599-3548/ Fax: (407) 691.Q453 32. City of Clermont 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Paul Billingsley - Utilities Supervisor Tel: (352) 241-0178/ Fax: (352) 241-0542 .- 33. Polk County 6' & 8' diameter sanitary wet wells completed Mr. Tim Todd - Design Engineer Tel: (863) 298-4191/ Fax: (863) 298-4210 34. St. Lucie County 6' & 8' diameter sanitary wet wells completed 4' through 6' diameter sanitary manholes completed: Mr. Wayne Davis - Project Manager Tel: (772) 462-1150 / Fax: (772) 462-1153 35. North Key Largo Utllties (Ocean Reef) 6' & 8' diameter sanitary wet wells completed 4' through 6' diameter sanitary manholes completed: Mr. Jeff Oeltjen - Vice President Tel: (305) 367-7337/ Fax: (305) 367-4246 36. North Miami Beach (City of) 4' through 6' diameter sanitary manholes completed: Mr. Pedro Melo - Division Manager Tel: (305) 624-1177 / Fax: (305) 620-3920 VII Agenda Item No. 16C3 June 10, 2008 Page 43 of 103 (2005 to present) 27 3 (2006 to present) 14 8 (2006 to present) 21 (2006 to present) 4 5 (2005 to present) 32 95 (2007 to present) 35 C~~Z ~_~~PIBn 37. City of Palmetto 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Frank Woodard - Deputy Director Tel: (941) 723-4580 1 Fax: (941) 723-4539 38. Veolia Water North America 4' through 6' diameter sanitary manholes completed: 6' & 8' diameter sanitary wet wells completed Mr. Ray Dauito - Project Manager Tel: (941) 723-61061 Fax: (941) 723-2579 Total number of sanitary manholes rehabilitated to date: Total number of sanitary wet wells rehabilitated to date: Agenda Item No. 16C3 June 10, 2008 Page 44 of 103 (2005 to present) 7S 2 (2006 to present) 9 1 9,612+ 669+ contact any of the individuals listed herein for references regarding Than ou, Ga Czajkowski, President Last update - April 10,2008 VIII C~~Z IIVIPIERT Agenda Item No. 16C3 June 10, 2008 Page 45 of 103 (;ONTRA(;TOR LIl:;ENSES UNDERGROUND UTILITY CONTRACTOR & GENERAL CONTRACTOR SEw-aCcvI:r 6J STATE OF FLORIDA Agenda Item No 16C3 June 10. 2008 Page 46 of 103 ) DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CZAJKOWSKI, GARY F CHAZ EQUIPMENT COMPANY INC 8035 DILLMAN RD WEST PALM BEACH FL 33414 ',jj.~'C"" jS~).1lt'OFiil:''''',;jj!fi!o~i'' "'~A'c"'fiIbrl~*~.... ~''''.:'t'c . .."vl'-"~ ''l:~f't;' ..,-r-"'''',f-II;,'' "'-:~' ~,J:', 't"P'C", _ 1 . 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"-~'T8-j~' :"'1",-; ~lt1"r:pj"::~";;;~:;; "\\';";:r~-';''''~-:'1/ LICENSE NBR , ;0 '1'"6 8 '.'~"O'6 6 b6 8]'B'319 3i', td&1i 5; 1!t~" i,e,'.i'lie S'tl'NI1~;RQ~?tiWJ~Jj:TIQ:ifTjf' &~~xdA VA nON CO :gNamed.J:i.e1ow; rg;;:l?ERTIf.%ED l(i';., "Under 'theprovTsions 'Cl'f Chapter 489 FS. ",~pir"tion, date: AUG. 31.... 2008 r%.~~ ~:tjf; r~ ~1;~~I'j ':~1~^J "'~' /~'CZA~QWSKI'i.~ GJ\,R$::F ~~i~~ .\'. "",i.CRAZ'i.EQUIPMENT,<iCOMI?ANYi INC'. .' 3380 FAIRLANE FARMS RD UNIT 16 ;!,' ~,LLll'<',qION .;,,,FL.'r33~,1A. " " t~?i:~i' g~~~~gg~lfijc~p~~r ~.':',~ C $ '1~~,~i ~{e~~ DISPLAY AS REQUIRED'BY LAW . DETACH HERE ''''~f?' " ((~~?tP.i~ri. w'jrf i"J!~ "'~. .r:~ '~:;::j,;i!~~~ !{jr.i~?~k ~"i- ~';. ~~:J.;]f&~Y ) l:~!~_ r:'~,~.!:~;,,~ I';{':-,: 'ffi':;l "d~,.'..' i.~\~ .~1: l,~~ t..:..,., ~~1,~1;.\.; ~t;~~ L~V;9F r~~ t:ill~ L fii:t :~!~ :_{ft4F~:~\ i~~,~~~ ~f .~ ;~""!J t~,\: t/ti,IZ" il'~' ."="'. ;t;!~- '~.~'-- .... fj" ~,0. .;.-it r.'." 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IzilZ: . ..011 .5& ' cC,.'l'ItJ O. ....'f. ii2;...:.O.~\,;:;" O':,.,!~;),'(r :!;;C1f~' ...J l>l u.~.. " ,".'. . ) 11..' 10. ". l:!I", . Oi:';llEl,,: , IIJ.,.U2'J!'4"." c t:; 'm""" '" ",," !lr.. . . "";0'" l>I 0..rI.\H'1Il ,.,Pl'i'.'.i:z; \'.'..'itlC;f:"'.' :.,....",t:!..;liol . ,..../ll,"III 0"" :z; ;'I"~ tl 8.,~ ....',- V,""',-,, '~,' : ~~{~.!};f>';:"i~' \< ~', . lll. O~ 1Il~ &'ll'i .IQI'I "..0": .' . l><t) ...,...:11/1 '." ..:I1Il ~,.,",.,'.O:t,,> ..,..,...IIL "'. '~: :<~.<., ,.. ',' ,. , ~i;,;'l . -' ~,,- ,', 0::: 5 J Agenda Item No. 16C3 June 10. 2008 Page 48 of 103 Pre.QDalifi~ation Safety ForDl ) '\ &wZllCOATlil ' .sJI; ~..ty Agenda Item No. 16C3 June 10, 2008 Page 49 of 103 "-, CONTRACTOR PRE-QUALIFICATION FORM This questionnaire shall be used as a basis for evaluating the safety, health and environmental qualifications of contractors and sub-contractors, who may wish to perform services for the Board of County Commissioners of Collier County Government. Once approved, qualification shall remain in effect for the duration of the specific project andlor service referenced below and re-qualification may be necessary for each additional project. Attach additional pages (typed or word processed only) where there Is not enough room to supply the requested information below. ~~~~H~~~:GE~~~::i~~~TR~J~lf~~ i~A~~LUER COUNTY GoVERNMENT'S 1-~Mld~2:~ OT~ I .,___ .__, ..__'__'_' ___ __~_,____________.._.,__m__' .__.' __.@____----, -il~i~:9n?Cb~~+r fC~~rn()J)hOk-~ Jd :f+ :3tod ;.onfthll-b..CQQ-/:l~i:L~~S~T c.'_,__, ,______,__ --- -~ ------------.---- ,--,~ Potential Scope of Work (Site-clearing, Demolition, Utilities, etc.): (Y)a.nhole e Ut'T Sta..-hOl StruCWroJ Re.bD..b. 'GompanyName: ,.,------TTy of CompanY:' ----'- 1 TYllof Business:- -- ----- (jJu.z rnoi (rICrTt ec,'j -:rrc. l ~ GenerallPrime Contractor ,;JJl Corporation 0 Joint Venture 3180 Tnll ia.rc Tarm s Rd siell [] Sub-Contractor i l.d e I Ii ng/tK11 R 334 1<4 '0 VendorlSupplier '[] Partnership 0 Sole Proprietor . ~r~Ap~r~i(l[)(:Tarms Rd~l! PhoneN~~r(S~I/,/"} Fax Number(s): VJelhllCliton,tL 33L\l:i. ! tiol-'3no-o< I..J"1 i tiol-033-BI80 --CilY:~f1'1 ;C'<3\-On-" ..-----.-r~tate:yL-- -~..- , -ziil:- 3 ?i-fiLf -.------ I Website:. . E-Mail: . wW\"",.Qha.z.eqlJlpmerrr. COrYl . %o..cleJfrIa.~'ll)~en+. com - Name of Owner/President/General Manager: (f.---- .'~ 't:-- .,-- -,------- i____ ",_.__._'___ Qr'l1..C:zOJ-!:':-----?--\. _ : Years in Business: : Local Address (If different than aBbve) I q . SECTION 1- BUSINESS OPERATIONS VERIFICATION , I Has your company ever worked for Collier County Government? If Yes, list the most recent project : ohES [NO below. I MoslRecent ProTect Name:--ieh;,b-C~t,f""O't':1l~i)- C;I1\;'~ ti-~'~~~~a~F-" '.:~~~~~c::f:~~:n~:~:~~~e;~\~~e::;~~~12f~~=p:~~f~~~~~;~~ ~~~ii your-- ~ILLD~~~~ORK--llII portion of your proposed work, list each work task/phase that will be sub-contracted: .1 D~I~ su..B ~OM~WOfl~__. o WILL SUB ALL WORK m ~ UNKNOWN AT THIS TIME IlII -Refer to above-question. If you plan (O-sub-contract any-p-ortJon o(proposed- work, do yo-ufully I understand that your company is equally responsible for ensuring that ALL sub-contractors performing work must.also meet the minimum_lluidelinessetforth Ylithinthis pre-qualification? . What is your company's Incident rate for the lasl3 years? 20!)'5 = I 20g] = 0 ..?eS n NO 0 N/A !!II 20~ =0 The formula for calculating your incident rate is as follows: (Number of injuries and illnesses X 200, 000) / Employee hours I i worked = Incidence rate. Information ml1)' also befound at http://www.bls.govmfloshev~.htm . ..____H_ .. What is your company's Experience Modification Rate (EMR) for the last 3 years? - An EMR should be issued to your company annually by your worker's compensl!!lon insurance carrier. Attach documentation from insurance carrier. u~O()1__= . ~' 202(0) = ,'8, 20125 = €22_____ ____ _ _ _ ___ _H __d___ Page 1 of 6 Agenda Item No. 16C3 June 10. 2008 ~Based on your company's EMR anlflR":as listed above,select ttiecategoryb610Wbasi"donthemostrece~t1e"a~~ 8~~f3 : Category Experience Incident Rate (IR) -II~" . ..... Selection Ratin'g . ~"'. - Modification A ~:~~()~~si_i' .......~~~:so._~~~b~utstanding : Prll.~.rre~tatus - --._~-~=-~~-=~;J ~ . 11gg 6:~gie' i-f 73;oO~UlP<<i735~6- ~ .. g~6b~~~~:~tb~~rr;:~~~~~d~~~~:xj:~b~~o a~I~~i:JI~:~f~-I': Insurance Company Name (If more than 1, attach additional pages and reference below): . A ."POC'.JOOI )(. __B.....Ct'o.xkY' ~_QI('e_::rns. _C.._ I r:Q,\I~j_e,r'j"D fts"iGCic:rled_rrJ...o. AgentJcontactName:~crle~ -Ulsuro.rce -1>>\1 id (Y)Q~\* Physical Address: -... . . "'1 ~one Number(s): .. !-Fa,a;luml:ler(s):'" Y5dy-e1\)I\OOb Rcl i '5lJl\ -ql.l)LI.q,ClO 5lo,..ql.QLD -1150a. city:kJesl /l..1~ ..-. -'State:~~L ..... -------ci;P:3i~-\ 5 ___ _ ~_r1,..lJ._. ..:bCh._~._______.__ _____ ---..-.--- .... -..-.--.--.--...--- ::::::~r coml'anyholtl any specialty licenses or Certification~~~~~~ cc~ yes. list below and/or allach additional pages and reference below: . S c NO L1Illk'>1(t.l.J (;;vr/w..cks (1{t.UU.e... -$;"'k.- of n,...;.dl<-- , ...._____. ...______' ._...,.'J__."__.____..._..._...___.__.____~_....._..__. .."_ . ...__..___.__.______.__~_________"'_ During the past S years, has your company or any of its personnel had any business related licenses, certifications andlor designations revoked or suspended? If yes, list the specific license. certificate or designation. its status and explain why it was revoked or suspended: . EX John Doe - Professional Engineer (P.E) - Suspended - Failed to meet minimum continuing education credits for renewal. Duling tI1apast 5yearS~ has your company or any ofltSpersoiiner I:l8ensusperlded, debarred, disqualified or otherwise declared ineligible to bid on any City, County, State or Federal Project? If yes, explain below: During the pasts years~ ha'-your company failedlOmeet scheduled pfojectcompletion datesi-If yes, explain below: . U YES r/NO II i ~VES ~O III i i 0 YES ~NO I ill SECTION II - CNVIRONMENT Al HCAl TH AND SAFETY VERIFICATION ',\IL L~L~,)r,k'F\-SI-iL!L~F\ ~j~, /- /I, 't 11<'" [ I, ' ~I'L ,'-~/I ' Il()F,~II!; {1t--"Nllt,-l~I'-. Does your company understand that all applicable environmental. health and safety regulations (OSHA, EPA, NFPA, NASI, etc.) MUST be followed at all times? If you answer no to this question, stop filling out this questionnaire, fill out the declaration information on Ihe last page and submit. i~ESDNO (iii I -t- I ~ES.~ NO n NlA II I i ~ame; };h1\.H~~at{k _um--Phone#~Q}~j='iJt7T _ .ui=~Malilvh"nieCJ,/,~~1pE'I!~ Ust all designations. certifications andlor education held by your company's safety staff that qualifies him/hilr to fill this I position (Attach additional pages, if necessary): J , , ~'I'\e..f S~ce.rl.f;~-0\>\1 C~~~4"SM CIN'f1-Rot4'iM Does your company have a full-time safety director, manager-orequivaient position?1i no or nla, explain below: . InadditiontofulI-ti,i".safetY slliff.does y()urcompany ensure that 'competent persons'-are available for all hazardous tasks? If no or nla, explain below: NOTE: THE COMPETENT PERSON : CHfclSLIs..T MUST.Bf.SUEJM/TT/~D PRiQRJ.o.A'I'!.AflP.of. A!f.,(f'F?OJfC[. T~ES 0 NOO:A ~ Page 2 of 6 ~boes your company haveS-docuI,uiiltecj'safe\y-cirientation program? Ifno,-expjain belOW: v'YES 0 NO l!!I -l5oes-your'compiinyhave a current written safety programs manual? Agenda Item No. 16C3 June 10, 2008 ,-~';'~,"..-=r;;~;nC:_ -Doesyoor'company'swrillen safety prograrTISmanlJaliiccou~rii foralTi}tpesof workthalwiilbe-- performed by your employees? If no, explain below: ,..].~._-,--~-~-~ ~S 0 NO III Does yourcompimy dev9iopsite:'speciii-cwrriien safety programs? If no, explain belOW:--- ~ES 0 NO 0 N/A III ~~~~~ourcompany develop and document site-specific safety orlenliitlonprograrTIs?-lfno;-explain-- -~.~~ ~- N~7~:'~ Does your company clevelopand -hold "site safety/toolbox talks.? Hyes, check frequency.below: I ~ -- . litYES 0 NO J NJA III! c~!:,u;:~~~~~a~y[m~i~i:i~~~~~o~!,;J~:"~:~~nce ~e~~~~n:::~!~~rr~en1 s~~~e~s ~ -l~---.~ but not limited to cranes, excavating equipment, scaffolding, etc? If no, explain below: l ~s 0 NO J NJA III ~~~~ t~~I~f~~~~~-conjjuclannuafdrlVing-recorcrreviewsorpersonnelWho drive motor vehiciesi~~~~-~~= N/A II . ~~;~:~~:~:~Yo~e~Hc~Ill:~:o~;HAfor ANY viol"tion in the pastS years? If yes, explain below U YES ~O III - ~t:t,~~ ~:;;:~~~~~:~ b~:~~ ~~~~~~~o~:~sS~~~~f~~~~~~W1L[FULviolations in the past-~~~~ ~~- !II Has your company experienced any work related death in the past 5 years? If yes; lisi'!he following _. and attach the most recent 3 years OSHA 300 logs and summary pages: - Type of work employee was performing at time of death: n YES INO III - Direct Cause of death (fall from height, crushing, etc.): - Root Cause(s) of death (no PPE, failure to train, etc.): -Does your company'undersiinifihetobteining-andusingall'appllcable environrroenta(heajihllnd -.-- -, safety related equipment, materials and personal protective equipment necessary to safeguard your employees is the responsibility of your company and/or your respective sub-contractors? ~ES 0 NO IiIl SECTION III ~ QUALITY ASSURANCE PROGRAI,' VFRIFICATION fJe' 't.:. 11U D('r /1,1 'LNt.'> h'L'-Lh'UV( LD r;;'/jll//V II/IS [,I I Ci~jr:,} 'ifl! ,'->UH IL{ T ~,jR[ t 11-,~ UPON REQUEST Does your company maintaIn a quality assurance program? If no or nla, explain below: I / ' [YESDNO~N/A II i ! If yes, dOeSYOUrc~~:~/~~:::n:e:~~;oj~g~r~tl1~~= ~~::~::i~f~I-. 6 i !will1in th~.comp_al1y~s~qualil}'_~ssurance Progra_"" __ ___~ ~ _... ___~_.. __ _ _..___ .J.[IYES 0 NO~~/~ III : '. A description of the organizational structure, . Personnel Training and Qualifications I; _d'~;-li€~!~~~~*i~:sp~~~~~~~:~_anc:l~guul1cti()ns,_ ! . Control ofdocumelllS ancfrE;cords -.- .-- ~~besign-proceaures-~-- --------------- ..". Work Processes ------"----- Page 3 of 6 Agenda Item No. 16C3 June 10. 2008 ~~._.___._~_ _.~...____ .______~._....~.____... .Eage.5.2.oUCl3. . Procure_ment _ __._ . ._I.'flroduct ide.!!tification andtraceabilitL.__ . ! 'InsPElction. and AcceptanceTesting.. . .._ __ . .....j. ContflJlof testi,,9.Elqui(llTlent .. i ~"trCJI..olnon-co.rl!.ormingprodu<:!...._.__ _.....:.::_=- .~~... Corrective and p~eventativeac:.tiOD~rot()s:ols _ .___~: . .....!:!.andlir1g,~tora9.e an.'! sh1EE.i!lllErocEldlJr~___. I' Mana..9.Elr:n.Elnt.assesslJ1.enL_._...._~~_~.. ' . Inde en dent assessment I . SEC liON IV - SUB~m I Al VERIf-ICATION t\/~Tr-..., !)i','F\~~<.,r,!I-,P!v'!r 1 \ " I 'I~'--<h' ,I) Irr~<...,!;,rl".l-..,\..",-I '1'/ ~!I (6) -FlEqU~~~i~~~tIION.. ! -Incident Rate]1~jQg~c~~~Jia~i~~lJ!=S"'EQ"2.~ .. ~ j_~~~A~~EJ> N1A , INITIA~ll..; i ... .~:~;~~:: ..~=-..r~~~ii~~~~~~:~~~ir:~:~;~~ii~~:R~ation-=l~;~-~~~.~;~ . ~ - L ~~t~~ :::---f~~~~e~~~:';;::~~~lt~~~~j~f(~f~~pt~~~i~ac~~~!i.~~;s+~~ ~ ~~ ~ ~~ : -----section .11 . ~~~~~~afetY Programs manual (ReqUireilifEMRIIR--[ ~lnJN6.cNiA. f .....~-~ -. .... ....!;ection. -1.1---... . ...... g~~~o~o~a.~-.~....~~DOCU mentali".-" ..- (fJ6 Vtii. 4'I'r1. -eNs !....O YES.JN('--~A. '. _. ...... L_'-___SeCti()n_:.II~.- ;08H.6.300 Logs & Summary P~~i(L~t.3 y",,-r-.sj~. :. YES J NO --0 NiC...._.... Sect~orl..-..III......_ . Quali!}' Assurans:e Prog@.!!'...____ _._._____...__---' vYES_.?_N~ D ~.. __' All pre-qualification submittals and attached documentation shall be delivered to Collier County's Purchasing Department ' atlhe following location: Collier County Government Purchasing Department 3301 East Tamiami Trail ; Naples, FL 34112 , Questions related to completion of this document can be obtained by contacting the EHS Manager and/or EHS Specialist @ 239-252-8461. THIS AREA INTENTIONALLY LEFT BLANK Page 4 of 6 Agenda Item No. 16C3 June 10, 2008 1 1 ..... SECTION V - DECLARATION OF ACCURACY AND ACKNOINLEDGMENT Ii /IS [}[Ci ,..,Fi'Ai/O/I; fI-1/}:-,'/ BL S/U/\/Fi' {'j i !;'L ( '>'i'iVLi,' rJiJL:<,['/ ,fI.,i/. (~Lf//~h,.~i. ";.?';IV,1~;Er:.. Oi~' 'I iE- ,'NDiL /i\piL ffOI.D;/,/C, li/L /;~/7h'JP,'?Y A/v'D F::ESPONS'fBit-I:C,- TO Ftv'SUF..L,'l_L 1/\/ Oh'/,/~- TiDN SUPPi/.~D is /lC,:'{/'{-.'!j 7/:..- r() rf-lE BESl ,j! TfiLir:, i<N:)YVLFtX..1L 1 h'IS f',y.x,-,"!/it.:L.'.,',: Sh'/iJ ;:;LS,~)B[ S/(;NFO h'r' THE C()/,-,~,n!ilc'YS Ffv'V/F,'('N,1IE^r:Ai .!-iF;:') 7.1-1 ~NU S',iJTTY /JiHU_';Oi< Me /\//1(;1.,1,' Of,' fUiJWALFN7"" !-,!ihFRl /1 !:JLL../IAH_ S~F{-:r\- Oh'(ilLSS,'CjNA. is I~/: )/,'\'ii/L,iF';L, ii ,,,"/ :-()NI),il~:', !i:L/lll-<)[.S' ,)f"/l-1/j!liADF/;,fLNr iil<'1,~' :-~,'OI)i...D UFfi'FSPON!-JBLF ror," /ILl {i-iS Fu.~'cn)/\i.(.,' Sf-i,',LL Si(JA.;' ;!;. . I;.... = I . I (printed full name) An YL.\ (''7 o',} kou)s~ am the (position or title)~es icie:t'l-r being first duly sworn, hereby declare that I of (company name) Ch:1r EOo; pr-nerl+- Co. :Jrc.. and that I am duly authorized to execute this declaration statement of behalf of this company. I acknowledge the! any known false, deceptive or fraudulent statements on this validation will result in denial of pre-qualification. I hereby state: 1.t'This pre-qualification application da I ;25i 0% is correct and current as submitted. ::J This pre-qualification applicatio is correct and current as submitted I except as _,!,~ifilld..bYll1e atta.E.h,,<!chan , SIGNATURE: 'ora<!<!iti"~"'-".!\lI~~Il<!p,,glls: .___' Safety Profess'ional'sp-""larati()l1.. I (printed full nam a r am the (position or title) ])rCSi &n't being first duly sworn, hereby declare that I of (company name) ChaztqUipn::nr Cfj..Irc.. and that I am duly authorized to execute this declaration statement of behalf of this company. I acknowledge that any known false, deceptive or fraudulent statements on this validation will result in denial of pre-qualification. I hereby state: ~is pre-qualification application dated." , ,;}5, O~ is correct and current as submitted. o This pre-qualification application date I I / . m"difie<! by the.attcJch,~d..~.h,,~gEls.and/o is correct and current as submitted, except as additio~al attcJ,,~e<!pages. THIS AREA INTENTIONALLY LEFT BLANK Page 5 of 6 SECTION VI- PRE-QUALIFICATION APPROVAL POints tota I . Section I: (Business Operations Verification) (?, g!~~_~_,:!.!!~~~3_4 pO_~l?J.~_!~ pgin_ts) Points total - Section II: (EHS Verification) (15 graded items/54 possible points) Points total - Section III: (Quality Assurance Verification) (? gr~de_d jt_E!_~S;/~_ p()S:s;j~l~ poin_ts) Points total - Section IV: (Document Submittal Verification) (6 possible points for all docs or none needed; 0 points for missing docs) Agenda Item No. 16C3 June 10, 2008 Paoe 54 of 103 SectIon Comments: -- ---- Section Comments: MUST SCORE 33 EHS POINTS MINIMUM (6096)TO PRE-QUALIFY REGAROLESS OF OVERALL SCORE ---- - -- - - -~,- Section Comments: Section Comments: _ 0 . Excellent ~ Preferred StatusC:ontractorNendor 90 -100% o Above Average - Good Standing ContractorNendor , 80 - 89% . ~ 0 Average - AcceptableContractorNendor 70 - 79% II". ,cLlv1l'1Jli.n._a.L: .EHS _Activ.iti.esn. e.e. d..s..ig_n..i.f.ic.an.t.im....p.r.ovement 60 - 69% o U""cceptable - Shou_l~not be.awarded project. __ . Belo"'..!l.o% Based on the score listed above and a thorough review of attached documents, the following actions have been taken in regard to this pre-qualification application: Pre-Qualification Score: (Maximum Points = 100) (Cut-Off Score = 60) o o Approved, with no conditions and/or restrictions - Company may be allowed to bid on the referenced project Approved, with the following conditions - Company may be allowed to bid on the referenced project, but must address the conditions listed below prior to project start date, should the bid be awarded, 1. 2. 3. ) o Rejected - Business Operations qualifications not met (see conditions below). o Rejected - EHS programs not acceptable (see conditions below). C Rejected - Required documentation is missing If your pre-qualification application was rejected, the following conditions must be met in order to attempt to re-qualify: 1. 2. 3. ALL RE-SUBMISSIONS SHALL INCLUDE ANY CORRECTED DOCUMENTS WITH HIGHLIGHTS SHOWING THE CORRECTED AREAS AND SHALL BE DELIVERED NO LATER THAN THE DATElTIME LISTED TO THE RIGHT. o MDT 0 W c TH 0 F / 20 __ __ @ 5:00 PM EHS SPECIALIST SIGNATURE EHS MANAGER SIGNATURE RISK MANAGER SIGNATURE" . blRECTOR OF RISK MANAGEMENT SIGNATUREu , ) Page 6 of 6 COMPETENT PERSON PRE-ENTRY CHECKLIST Agenda Item No. 16C3 June 10, 2008 Page 55 of 103 Date: Time: Job Name: Location /Description Expected Hazards Foreman On-Site Check off Traffic Safety o Are signs and barricades placed appropriately and in sufficient quantity? o Are personal wearing appropriate warning vests or reflective high visibility clothing? Hazardous Atmospberes: o Has the area been previously tested prior to entry? o Has proper respiratory protection and!or ventilation been provided? o Frequent testing of the atmosphere to ensure that the atmosphere remains safe? NAME OF GAS TESTER: % of Oxygen % of L.F.L. (GasNapor/Mist) Carbon Monoxide Aromatic Hydrocarbon Hydrogen Sulfide Sulfur Dioxide Ammonia Permissible Entrv Level 19.5% to 23.5% Less than 10% 35 ppm (8hr) 1 ppm (8hr) 10 ppm (8hr) 2 ppm (8hr) 25 ppm (8hr) Emergency Rescue Equipment: o Is emergency rescue equipment readily available? i.e. breathing apparatus, safety harness, tripod, first aid kit, fire extinguisher o Are employees who have entered a confined space equipped with harness! attached lifeline, and attended at all times? Competent Persons Signature: Print Name: * Also fill out Confined Space Entry Permit CONFINED SPACE ENTRY PERMIT Agenda Item No. 16C3 June 10, 2008 Page 56 of 103 ALL COPIES OF PERMIT WILL REMAIN AT JOB SITE UNTIL JOB IS COMPLETED. DATE LOCATION/DESCRIPTION OF CONFINED SPACE PURPOSE OF ENTRY EXPECTED HAZARDS COMMUNICATIONS ENTRY SUPERVISOR SPECIAL REQUIREMENTS BEFORE ENTRY, Lockout Oe-ener ize - Test and Verify Lines Broken - Capped or Blanked Purge - Flush and Vent Ventilation Secure Area (Post and Flag) Breathin Apparatus Resuscitator - Inhalator TIME EXPIRATION YES NO YES NO Escape Harness Required Tripod Emergency Escape Unit Lifelines Fire Extinguishers Li hting (Explosion Proof) Protective Clothing Respirator TEST(S) TO BE TAKEN/ACCEPTABLE ENTRY CONDITIONS TEST INTERVAL DO NOT ENTER IF PERMISSIBLE ENTRY DATE LEVELS ARE EXCEEDED. TESTER TIME Permissible Entrv level AM/PM .. .. .. .. .. .. .. .. ~ .. % of Oxycen 19.5% to 23.5% % of L.F.L.. (GasNapor/Mist) Less than 10% -~ Carbon Monoxide 35 ppm (8 hr.) Aromatic Hydrocarbon 1 ppm (8 hr.) Hydrogen Sulfide 10ppm (8 hr.) Sulfur Dioxide 2 pom (8 hr.) Ammonia 25 ppm (8 hr.) NAME OF GAS TESTER(S) NOTE: Continuous/periodic tests shall be established before beginning the job. Any questions pertaining to test requirements should be directed to TESTING INSTRUMENTS USED IDENTIFICATION NO. NAME TYPE AUTHORIZED ENTRANTS: AUTHORIZED ATTENDANTS: PERMIT AUTHORIZATION: I certify that all actions and conditions necessary for safe entry have been performed. NAME (Print) SIGNATURE "L.FL Lower flammable Level TIME DATE FIRE CALL ~ RESCUE CALL AMBULANCE CAU Feb. 1993 "'co'" 00 ,0"- ,N_ _0 OOr-- Z~U? E~Q) Q):J0l ~""""Jrf. C1l "0 C Q) Ol <{ (- o "- c: ~ VI ii! . 1. ii: " ~,8. u;i~ ... ..... U'I:" Q a:: en' III _I ~':g < "'l N LL. u:,.... ~Ll~ :S u _ a:: :; ~ ~.~ ~ Q,'; . CD .... .~ - (I) ~ c: .~ UJ II. 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W E R Agenda Item No. 16C3 June 10, 2008 Page 62 of 103 21 West Churctl Street Jacksonville, Florida 32202-3139 January 2, 2008 Chaz Equipment Co, Inc, Gary Czajkowski 3180 Fairlane Farms Rd Ste 1 Wellington, FL 33414 Subject: Safety Qualification Questionnaire Dear Gary Czajkowski, We have received and reviewed your safety qualification questionnaire. Your safety qualification status is Accepted, This status, in terms of safety, qualifies you to work on current JEA projects and continue to bid on new projects without the need to safety pre-qualify prior to bid openings, Please be aware that the Procurement Office may have additional qualification requirements for each bid. Thank you for your response in filling out the questionnaire. You may be asked to update the statistical information on an annual basi s, If you have any questions you may contact me at (904) 665-4486, WJ Paul Parsons CSMP Program Administrator cc: Paul Thomas, CSMP Program Coordinator _.~~-_.._._-~------_., ;::n<:(""'F'JVED I I ''i U 6 ! i .:-=.j gv. !.__ J.. Agenda Item No. 16C3 June 10, 2008 Page 63 of 103 Employee Safety Handbook CHAZ EQUIPMENT COMPANY, INC. A Guide to Safety Policies 80. Procedures to Support a Safety-Conscious Work Environment Provided by: CHAZ EQUIPMENT COMPANY, INC. Leaal Disclaimer ta users of this farm emolavee handbook: The materials presented herein are for general reference only. Federal, state or local laws, or individual circumstances may require the addition of policies, amendment of individual policies, and/or the entire Handbook to meet specific situations. These materials are intended to be used only as guides and should not be used, adopted, or modified without the advice of legal counsel. These materials are presented, therefore, with the understanding that the Company is not engaged in rendering legal, accounting, or other professional service. If legal advice or other expert assistance is required, the services of a competent professional should be sought. ,.~_._"". Employee Safety Handbook 1Wff~~!lIiI!~ 11 CHAZ EQUIPMENT COMPANY, INC. recognizes that our people drive the business. As the most critical resource, employees will be safeguarded through training, provision of appropriate work surroundings, and procedures that foster protection of health and safety. All work conducted by CHAZ EQUIPMENT COMPANY, INC.'s employees will take Into account the Intent of this policy. No duty, no matter what its perceived result, will be deemed more Important than employee health and safety. Agenda Item No. 16C3 June 10, 2008 Page 64 of 103 Preface CHAZ EQUIPMENT COMPANY, INC. Is firmly committed to the safety of our employees. We will do everything possible to prevent workplace accidents and we are committed to providing a safe working environment for all employees. We value our employees not only as employees but also as human beings critical to the success of their family, the local community, and CHAZ EQUIPMENT COMPANY, INC.. Employees are encouraged to report any unsafe work practices or safety hazards encountered on the job. All accidents/incidents (no matter how slight) are to be Immediately reported to the supervisor on duty. A key factor in implementing this policy will be the strict compliance to all applicable federal, state, local, and company policies and procedures. Failure to comply with these policies may result in disciplinary actions. Respecting this, CHAl EQUIPMENT COMPANY, INC. will make every reasonabie effort to provide a safe and healthful workplace that is free from any recognized or known potential hazards. Additionally, CHAl EQUIPMENT COMPANY, INC. subscribes to these principles: 1. All accidents are preventable through implementation of effective Safety and Health Control poliCies and programs. 2. Safety and Health controls are a major part of our work every day. 3. Accident prevention is good business. It minimizes human suffering, promotes better working conditions for everyone, holds CHAl EQUIPMENT COMPANY, INC. in higher regard with customers, and increases productivity. This is why CHAZ EQUIPMENT COMPANY, INC. will comply with all safety and health regulations which apply to the course and scope of operations. 4. Management Is responsible for providing the safest possible workpiace for Employees. Consequently, management of CHAZ EQUIPMENT COMPANY, INC. is committed to allocating and providing all of the resources needed to promote and effectively implement this safety policy. 5. Employees are responSible for following safe work practices and company rules, and for preventing accidents and injuries. Management will establish lines of communication to solicit and receive comments, information, suggestions and assistance from employees where safety and health are concerned. 6. Management and supervisors of CHAZ EQUIPMENT COMPANY, INC. will set an exemplary example with good attitudes and strong commitment to safety and health in the workplace. Toward this end, Management must monitor company safety and health performance, working environment and conditions to ensure that program objectives are achieved. 7. Our safety program applies to all employees and persons affected or associated In any way by the scope of this business. Everyone's goal must be to constantly improve safety awareness and to prevent accidents and injuries. Everyone at CHAZ EQUIPMENT COMPANY, INC. must be involved and committed to safety. This must be a team effort. Together, we can prevent accidents and injuries. Together, we can keep each other safe and healthy in the work that provides our livelihood. President [Crh:divl:_Jatc] Risk Manager [EFfcl..livl: dClll:] Page 2 Employee Safety Handbook !i1iIlI!lil~["mmJ~!.\l!r I PREFACE.. ............................ ................ ,.................................................. 2 TABLE OF CONTENTS ................................................................................ 3 EMPLOYEE SAFETY RESPONSIBIUTIES........................................................ 4 EMPLOYEE SAFETY RULES.............................. ........................ .................... 5-8 SAFETY COORDINATOR RESPONSIBILITIES ................................................. 9 SAFETY & HEALTH COMMITTEE RESPONSIBILITIES....................................... 10 CLIENT VISITS................................................................................. ........ 11 REPORTING INJURIES .........................._....... ............................... ............. 12 EMERGENCY ACTION PLAN ........................................................................ 13-14 EMERGENCY CONTACT INFORMATION......................................................... 15 FIRE PREVENTION PLAN & ELECTRICAL SAFETY ........................_.........._._..... 16 RETURN TO WORK PROGRAM..................................................................... 17 HAZARD COMMUNICATION ........................................................................ 18 OFFICE SAFETY & SECURITY ...................................................................... 19 SEXUAL HARASSMENT POLICy.................................................................. 20 CONSIDERATIONS FOLLOWING A SERIOUS INDUSTRIAL ACCIDENT .............. 21 BLOODBORNE PATHOGENS........................................................................ 22 VEHICLE USE POLICY ................................................................................ 23 EMPLOYEE ACKNOWLEDGEMENT FORM ......................._.................._............ 24 Agenda Item No. 16C3 June 10, 2008 Page 65 of 103 Table of Contents Page 3 Employee Safety Handbook lIilIIlll!llll!~~II!!llI:JlIiI Agenda Item No, 16C3 June 10, 2008 Page 66 of 103 Employee Safety Responsibilities The primary responsibility of the employees of CHAZ EQUIPMENT COMPANY, INC. is to perform his or her duties In a safe manner in order to prevent injury to themselves and others. As a condition of employment, employees MUST become familiar with, observe, and obey CHAZ EQUIPMENT COMPANY, INC.'s rules and established policies for health, safety, and preventing injuries while at work. Additionally, employees MUST learn the approved safe practices and procedures that apply to their work. Before beginning special work or new assignments, an employee should review applicable and appropriate safety rules. If an employee has any questions about how a task should be done safely, he or she is under instruction NOT to begin the task until he or she discusses the situation with his or her supervisor. Together, they will determine the safe way to do the job. If, after discussing a safety situation with his or her supervisor, an employee still has questions or concerns, he or she Is required to contact the Safety Coordinator. NO EMPLOYEE IS EVER REQUIRED to perform work that he or she believes is unsafe, or that he or she think is likely to cause injury or a health risk to themselves or others. Page 4 Agenda Item No, 16C3 June 10, 2008 Page 67 of 103 Employee Safety Handbook Employee Safety Rules 1\IIlilIIIII'li_li!ll"lau~.!J! 1. Conduct: Horseplay, 'practical jokes: etc., are forbidden. Employees are required to work in an injury-free manner displaying accepted levels of behavior. Conduct that places the employee or others at risk, or which threatens or intimidates others, is forbidden. 2. Drugs and Alcohol: Use and/or possession of illegal drugs or alcohol on company property or on company time are forbidden. Reporting for work while under the influence of illegal drugs or alcohol is forbidden. 3. Housekeeping: The following areas must remain clear of obstructions: . Aisles/exits . Fire extinguishers and emergency equipment . All electrical breakers, controls, and switches . Eye wash/safety showers You are responSible to keep your work area clean and safe. Clean-up several times throughout the day, disposing of trash and waste in approved containers, wiping up any drips/spills Immediately, and putting equipment and tools away as you are finished with them. 4. Injury Reporting: All work-related injuries must be reported to your supervisor immediately. Failure to immediately report injuries can result in loss of Workers' Compensation benefits. After each medical appointment resulting from a work-related injury, you must contact your supervisor to discuss your progress. You must also give your supervisor any paperwork that you received at the appointment. CHAZ EQUIPMENT COMPANY, INC. provides Transitional Return to Work (light duty) jobs for persons injured at work. Transitional work is meant to allow the Injured employee to heal under a doctor's care while She/he remains productive. Employees are required to return to work immediately upon release. 5. Personal Protective Equipment (PPE): Inspect PPE prior to each use. Do not use damaged PPE. You are required to maintain and keep PPE clean. a) Safety Glasses - must be worn at all times in designated areas in this facility. b) Hard Hats - must be worn at all times in designated areas. c) Gloves - work gloves must be worn at all times when handling sharp or rough stock, welding, or performing other jobs, which could cause hand injuries. Synthetic gloves must be worn when handling chemicals. d) Welding - appropriate filter lens, welding helmet, gloves, and sleeves are required for welders at all times. e) Respirators - only employees trained and authorized to use respirators are allowed to do so. f) Hearing Protection - Is required in areas where noise exposure is more than 90dBA (85dBA If you already have experienced a hearing loss). 6. Equipment Operation: You must specifically be trained and authorized by your supervisor to operate the following: . Company vehicles, . Forklifts, . Machine and power tools, . Paint sprayers, . Welders, and . Cranes/hoists When operating machines: do not wear loose clothing, long hair should be tied up and back, remove jewelry, and sleeves should either be rolled all the way up, or all the way down. Page 5 Employee Safety Handbook I~U~ ~lRk.~L~ ]~:tfM U L Agenda Item No. 16C3 June 10, 2008 Page 68 of 103 Employee Safety Rules Never operate damaged or defective equipment. Turn the machine off and report it to your supervisor immediately. Never tamper with, remove, or deactivate machine guards or controls designed to ensure safe operations. Never reach into an operating machine or moving machine part. 7. Ladders: . Inspect all ladders prior to each use; . Ladders must be placed on secure footing; · Only one person is allowed on a ladder at a time; . Never stand on the top two steps of a stepladder; · Always maintain 3-point contact when working on ladders; . Never reach beyond arm length when working on a ladder; and · Never use metal ladders when working on or around electrical equipment. 8. Cranes/Hoists/Lifting Devices: a) Inspect all cranes, hoists and lifting devices (slings, hooks, etc.) prior to each use. Never use damaged equipment. b) Never walk under a ioad suspended from a hoist or crane. c) Keep all personnel clear of the 'fall zone' of the crane/hoist. d) Know the weight of material being lifted. Never overload a crane/hoist. 9. Lockout/Tagout - prior to working on any machinery when guards are removed, every energy source (electrical, hydraulic, chemical, mechanical, etc.) must be deactivated, stored energy dissipated, and the control iocked in the off (safe) position. Never remove or tamper with a lockout performed by another employee or contractor. A lockout could consist of a lock applied to a control such as a switch, breaker, or valve. A tag containing words such as "DANGER - DO NOT OPERATE" may also be used for lockout. If you see the lock, the tag, or both applied to an energy control device it means, "Keep your hands off." 10. Hazard Communication: a) All chemical containers must be labeled to identify contents and hazards. Most labels use numbers to rank the hazard level in three Important areas: -FIRE (red background color) - will the material burn? -HEALTH (blue background) - is the material dangerous to my body? -REACTIVITY (yellow background) - is the material dangerously unstable? After each hazard (Fire, Health, Reactivity), a number from 1-4 will be assigned. The number reflects the degree (or amount) of hazard: -0 Minimai -1 Slight -2 Moderate -3 Serious -4 Severe b) A Material Safety Data Sheet (MSDS) must be secured for all chemicals purchased or brought on site. You have a right to access MSDSs - ask your supervisor. c) Follow i!!.llabel and MSDS instructions - including amount instructions Page 6 Employee Safety Handbook WiIIII\WIl~~m"lliIlnJll~l~ o not m x c emica s un ess au orlze to 0 so. Agenda Item No. 16C3 June 10, 2008 Page 69 of 103 Employee Safety Rules e) Keep all chemicals in closed containers. f) Store all flammable liquids in safety cabinets or safety cans. Never use flammable chemicals around ignition sources such as smokers, pilot lights, or arcing/sparking electrical equipment. g) Wear required Personal Protective Equipment and minimize contact with the chemical. h) Do not eat, drink, or smoke while using chemicals. And always wash your hands after handling chemicals. 11. Confined Space Entry - Only trained and authorized employees are pennitted to enter confined spaces. If you believe that your job requires confined space entry, contact your supervisor prior to undertaking the work. (Confined spaces are areas not meant for human occupancy, have limited means of entry/exit, and have electrical, chemical, thermal, atmosphere, or entrapment hazards). 12. Emergencies: a) In the event of any serious injury or fire, call 911. Send someone to the facility entrance to meet the Fire Department. If in doubt, call 911. b) Upon discovering a fire, alert others in immediate danger and initiate facility-wide fire alarm. c) When the evacuation signal is given, all employees should Immediately turn off equipment, close doors, and evacuate to their designated evacuation areas. Attendance will be taken to account for all personnel. Stay together in the group until further Instructions are received. d) Do not attempt to fight any fire which is uncontained, too hot, too smoky, or if you are too frightened. e) To use a fire extinguisher, remember PASS: . P = Pull (the safety pin) . A = Aim (at the base of the fire) . S = Squeeze (the lever) . S = Sweep (side to side) If you use a fire extinguisher, remember: . Stay low, . Keep yourself between the fire and an exit, . Do not turn your back on a fire, and . Immediately report the use to your supervisor. d) Do not touch blood or any other bodily fluid during or following an incident. If you are trained to administer first aid, gloves and other barriers are located with the first aid equipment. If you think that you have been exposed to bodily fluid, notify your supervisor immediately. 13. Company Vehicles and Driver Safety: a) Only employees authorized by CHAZ EQUIPMENT COMPANY, INC. are permitted to operate CHAZ EQUIPMENT COMPANY, INC. vehicles. b) No 'side trips' or personal use of company vehicles are permitted. c) Seat belts/shoulder harnesses must be worn whenever the vehicle is In motion. d) All local and state traffic regulations and signs must be followed. e) No unauthorized riders, hitchhikers, etc., are allowed. f) All moving violations resulting in points being assigned to your license must be reported to your supervisor. Page 7 Employee Safety Handbook ~lllW_..i lit I~l Agenda Item No. 16C3 June 10, 2008 Page 70 of 103 Employee Safety Rules g) Driving while under the influence of alcohol or other drugs is forbidden. - Empioyees driving their personai vehicles on company business must fOllow steps 'c - g: shown above. 14. Electrical Safety: aJ Never operate or tamper with the electrical main switch or breakers. You are authorized only to operate switches/disconnects on/for individual machines. b) Report all eiectrical problems and suspected problems to your supervisor. c) All junction boxes, control boxes, connections, and other wiring must have covers securely installed to prevent accidental contact. d) Inspect l!!! plugs, cords, and portable equipment prior to use. e) Report any damaged electrical equipment to your supervisor. Only authorized personnel are permitted to make repairs. f) Extension cords are to be used only for temporary applications. Never stretch cords across aisles or areas where others may trip over them. Do not attach extension cords to the building or run them under rugs/mats or through walls. g) Any personal electrical devices must be approved by CHAZ EQUIPMENT COMPANY, INC. prior to use. 15. Lifting: aJ If you need help moving material, request assistance. bJ When you lift, use your leg muscles by squatting close to the load, preserving the curve in your back, spreading your feet, and lifting with your legs, keeping the load close to your body. c) When you turn holding an object, move your feet, and do not twist. 16. Staying Safe - Report any unsafe conditions or situations to your supervisor. If you have suggestions on improving any aspect of safety in the facility, discuss it. If you are unsure of how to operate a piece of equipment or complete an assignment, ask for help. Asking for help when you are unsure reduces the chance of injury. These rules are established to help you stay safe and injury free. Violation of the above rules, or conduct that does not meet minimum accepted work standards, will result in discipline, up to and including discharge. When working at a customer location, employees are required to follow the above rules, as well as all customer rules and procedures, and work in a manner that reflect5 positively on the company. Before operating any equipment at a customer location, permission must first be secured from the customer contact. Page 8 Employee Safety Handbook ~il!i!IIIIIIIII\\li!IMilJ'l!IIlilll1!i 11_ [Insert Name] is designated as CHAZ EQUIPMENT COMPANY, INC.'s Safety Coordinator. [Insert Name] Is designated as the Associate Safety Coordinator. The Safety Coordinator is responsible for implementation and compliance with the Safety and Health Policy of CHAZ EQUIPMENT COMPANY, INC. and is accountable for results as measured by criteria, such as incident rates. Agenda Item No. 16C3 June 10, 2008 Page 71 of 103 Safety Coordinator Responsibilities Other responsibilities include: 1. Resolve questions, approve and/or recommend necessary expenditures to correct unsafe conditions. 2. Make regular shop, warehouse, office and ground-job site tours, and safety inspections to determine jf safe work practices are being observedi ensure that unsafe conditions do not exist. 3. Actively participate and follow the safety and health programs. 4. Plan, coordinate, perform, or delegate all safety training and testing given to supervisors and employees. Review results to be sure they are satisfactory. Maintain appropriate records of training and testing. 5. Review disciplinary actions with the employees. 6. Personally perform safety inspections, and review safety inspection reports and unsafe conditions reported by supervisors, employees! or others. Make or obtain corrections as required to maintain a safe workplace and ensure compliance. 7. Conduct regular safety meetings with employees to promote safety awareness and compliance with the Safety and Health Policies. 8. Ensure safety awareness among workers through regular meetings. 9. Ensure compliance with safe work practices and CHAZ EQUIPMENT COMPANY, INC.'s safety rules. Take appropriate disciplinary action to ensure compliance. This includes safe working procedures in flange and fitting machine shop operations, saw shop operations, the warehouse, yard, and office operations. 10. Investigate accidents and assist with completion of accident report forms when required. 11. Review reports of first aid incidents and reportabie injuries to determine possible preventative actions. Take immediate corrective actions as required. 12. Ensure that speCific programs (I.e. hazard communication, protection from bloodbome pathogens, hearing conservation, forklift safety/operator certification) are implemented and complied with consistently. Page 9 Employee Safety Handbook ~!II!!lIII1~ :Jllfill.rml.. Agenda Item No, 16C3 June 10, 2008 Page 72 of 103 Safety & Health Committee Responsibilities In order to promote better communication between employees and management, a Safety & Health Committee has been established for CHAZ EQUIPMENT COMPANY, INC.'s operations. Its primary function is to serve as a two-way channel of communication and to promote safety awareness throughout the workplace. ORGANIZAnON: The Safety & Health Committee will consist of: Safety Coordinator Associate Safety Coordinator Production Manager Shop Supervisor Warehouse Supervisor Shipping Supervisor Two Machine Shop Employees One Warehouse Employee One Shipping Employee The Employee Safety & Health Committee will meet monthly. The meeting will be chaired by the Safety Coordinator or Associate Safety Coordinator. Should a scheduled meeting have to be postponed, it will be held later in the month, on a date and time determined by the Safety Coordinator. FUNCTION: The Safety & Health Committee has the follOWing functions: 1. Conduct Safety/Housekeeping inspection(s) of one or more departments as part of each meeting. 2. Review and update safety rules and safe operating procedures. 3. Review accidents and "near miss" incidents reported since the last meeting, and suggest means for preventing future occurrences. 4. Convey, review, and comment on safety suggestions submitted by employees. 5. Plan and carry out various safety promotion activities (such as contests, award programs, etc.). 6. Promote safety awareness among all employees through safe attitudes and day-to-day interactions. 7. Review safety impacts of equipment/facility changes and multi-shift operations. Take into account an employee's personal experience with safety when selecting Safety and Health Committee members. Someone from a specific work area with a history of accident or Injury problems can bring vaiuable insights to the committee. Volunteers or individuals who show they have an interest in safety are also good candidates. likewise, individuais with a good safety record can bring their own experience to the group. Rotate membership so that members exposed to Safety & Health Committee issues are "circulated" back Into the workforce and others are brought in. Occasionally, specialists or consultants may be added to the committee to address a specific situation or problem. Also, ad hoc subcommittees may be used to analyze and formulate recommendations on a particular problem. The Safety & Health Committee should also be involved with developing SAFETY INCENTIVE PROGRAMS and in recognizing individual employees who have contributed to safety efforts and positive results. Written documentation of Safety & Health Committee meetings should be maintained. A log or written minutes should be taken at each meeting, Meetings shouid follow a standard agenda. Page 10 Agenda Item No. 16C3 June 10, 2008 Page 73 of 103 Employee Safety Handbook Client Visits IIl'!IIlilIIIIi _ . ",,,bl.'1fIMYnJi,i 1. Employees of CHAZ EQUIPMENT COMPANY, INC. are required to follow all client safety and security procedures during client visits. 2. If your client host does not advise you regarding safety hazards consider the following: . Emergency exit locatlon(s); . Keep your eye on the path you are walking and avoid any tripping/slipping hazards. When on stairs maintain three point contact (hand on rail and feet on stairs); . When visiting manufacturing or construction sites, eye protection, hearing protection, and hard hats are frequently required. Ideally, this equipment will be in the possession of the CHAZ EQUIPMENT COMPANY, INC. employee and not provided by the client. If you will be touring a factory or construction site, dress appropriately. Wear shoes that support your feet and are slip resistant. Avoid clothing that is either constrictive or too loose; loose clothing be get caught in machinery or other equipment. Page 11 Agenda Item No. 16C3 June 10, 2008 Page 74 of 103 Employee Safety Handbook Reporting Injuries _!IIII!l!III!_~rl~~1Ii!Il: I JIJJ 1. Any work-related injury or suspected injury must be reported Immediately to your supervisor and to Human Resources. A [insert form name] form must be completed. Failure to promptly report an injury may result in disciplinary action. 2. Human Resources will issue a [insert form name] for the injured employee to take to the treating medical practitioner. The employee must return this form to Human Resources by the next business day. 3. After each practitioner appointment, the employee must report to his/her supervisor and Human Resources to review his/her progress. 4. CHAZ EQUIPMENT COMPANY, INC. provides light duty work for employees recovering from injury. Employees are required to return to light duty work immediately upon release. 5. An accident investigation will be conducted to determine the root cause of the accident. The injured employee will be asked to participate in the investigation. 6. Employees are urged to report hazardous conditions and "near miss" incidents to their supervisors before injuries result. 7. Any attempt to defraud CHAZ EQUIPMENT COMPANY, INC. with a false workers' compensation claim will result in disciplinary action. The case can also be referred to the district attorney for possible prosecution. ) Page 12 Employee Safety Handbook 1'iliIII!lIlIiI_1!1 B~j ~~w..,lmlfTrllIIUI Agenda Item No. 16C3 June 10, 2008 Page 75 of 103 Emergency Action Plan GENERAL EMERGENCY GUIDELINES: o Stay calm and think through your actions . Know the emergency numbers: Fire/Police/Ambulance 9-911 Internal Emergency Number (if applicable) Human Resources Page Operator '0" o Know where the stairwell exits are located o In the event of any emergency, do not take eievators, use the stairs o Do not hesitate to call/alert others if you believe that an emergency is occurring - you will not "get in trouble. . . Know where emergency equipment is located: (insert location) FIRE: 1. EVACUATION o Employees will be notified of a fire alarm either by the fire alarm system or by a paged announcement. o Upon becoming aware of a fire alarm, employees should immediately evacuate the building using the closest stairs. Do not delay evacuation to get personal belongings or to wait for co-workers. Also, all doors should be closed as the last person passes through. (Note: never use elevators during fire alarm situations). . Supervisors should be the last persons to leave the area. Check in conference rooms, lavatories, and offices to be sure that ail personnel have evacuated. . Any employee having a mobility, visual, hearing, or other condition, which may hinder them from becoming aware of an emergency or evacuating, should request special assistance through Human Resources. o Upon exiting the building, personnel should report to [insert meeting location] for a headcount. [Insert department] personnel should gather and be accounted for by [insert name]. [Insert department] personnel should gather and be accounted for by [insert name]. o If any employee is missing, an immediate report should be made to [insert name of incident commander] who will in turn report to the first available fire department officer. o Employees should stay together in a group so that periodic updates on the situation can be issued. o The order to re-occupy the building will be issued by [insert name of Incident commander]. . In the event of inclement weather, [insert name of Incident commander] will make arrangements for all personnel to move to shelter. 2. EMPLOYEE DISCOVERING A FIRE: . Alert other persons in the immediate hazard area. . Activate a fire alarm or call [insert name] to page an emergency announcement. . If you have been trained, you can decide to use a fire extinguisher following these instructions: -P=Pull the safety pin -A=Aim the nozzle at the base of the fire -S=Squeeze the operating lever -S=Sweep side to side covering the base of the fire *When using a fire extinguisher aiways stay between the fire and an exit; stay iow and back away when the fire ;5 extinguished. *Never feel that using a fire extinguisher is required. If the fire is too hot, too smoky or you are frightened, evacuate. o Have someone notify [insert name of incident commander] where the emergency is iocated. He/she will relay this information to the fire department. Page 13 Employee Safety Handbook ~I,I~,lj j ....,_. m II II! Agenda Item No, 16C3 June 10, 2008 Page 76 of 103 Emergency Action Plan 3. MEDICAL EMERGENCY: (chest pains, loss of consciousness, fall from a height, etc.) . Upon discovering a medical emergency, call 911. . Call the operator ("0") and report the nature of the medical emergency and location. . Stay with the person involved being careful not to come in contact with any bodily fluids, unless properly trained and equipped. . Send two persons (greeters) to the building entrance, [insert building entrance], to await the fire department. (One person should call and hold an elevator car. Often two fire department units will arrive, so the second greeter should wait at the entrance to receive the second unit while the first greeter escorts the fire dept. personnel to the scene). . Employees in the immediate vicinity of the emergency, but not directly Involved, should leave the area. . Human Resources will make any necessary notifications to family members of the person suffering the medical emergency. 4. SEVERE WEATHER: . The receptionist will monitor a weather alert radio. If a severe weather report is Issued, she/he will immediately page the following announcement: [insert announcement]. (This announcement will be repeated three times). . Employees will shut down office equipment and will be instructed where to go for safety. . The receptionist will take the weather radio with her/him. When the severe weather warning is cancelled, She/he will send runners to advise that it is safe to retum to office areas. A general announcement will also be made. 5. WORKPLACE VIOLENCE: . Any employee who feels that she/he has been threatened should immediately report their concem to their manager and to Human Resources. . If any person is observed exhibiting threatening behavior or making threatening statements, the person discovering the situation should warn others in the area and Immediately notify Human Resources and stay away from the person exhibiting threatening behavior. . Depending upon the level of concern, the [insert police department] (911) should be called immediately. . Never attempt to confront any person exhibiting threatening behavior. *If you have reason to believe that events in your personal life could result in acts of violence occurring at work, you are urged to confidentially discuss the issue with Human Resources so that a prevention plan can be developed. ) Page 14 Employee Safety Handbook I!ilIIIIiIIII!Illlml~1lI!IIIIII11 r FIRE DEPARTMENT: TELEPHONE: Agenda Item No. 16C3 June 10, 2008 Page 77 of 103 Emergency Contact Information POLICE DEPARTMENT: TELEPHONE: EMERGENCY MEDICAL SERVICES (AMBULANCE): TELEPHONE: HOSPITAL: TELEPHONE: DOCTOR: TELEPHONE: ADDRESS: JOBSITE TELEPHONE NUMBERS: PROJECT NAME/NUMBER: ADDRESS: TELEPHONE: SITE SUPERINTENDENT: HOME TELEPHONE: CLIENT CONTACT: OFFICE TELEPHONE: HOME TELEPHONE: Page 15 Agenda Item No, 16C3 June 10, 2008 Page 78 of 103 Employee Safety Handbook _~~i!:~l~ _ Fire Prevention Plan & Electrical Safety 1. Smoking Is not allowed In any interior area of the building. Smoking is only allowed in designated exterior smoking areas. 2. No candles or open flames are allowed within the facility. 3. Hot work: contractors performing hot work (welding, grinding, flame cutting, brazing, soldering, etc.) must contact [insert name] for approval prior to the start of the work. 4. Only space heaters provided by the company are approved for use within the facility. Employees using space heaters are responsible to turn the heater off when leaving their desk for extended periods of time (lunch, end of the workday, etc.). 5. No flammable chemicals are allowed inside the building at any time. If you feel that there is a work-related need to use a flammable chemical, contact Human Resources for guidance. 6. Electrical safety: . With the exception of independently fused multi-tap cords for computers, extension cords are not allowed. . Keep electric cords out of areas where they will be damaged by stepping on/kicking them. . Turn electrical appliances off with the switch, not by pulling out the plug. . Turn all appliances off before ieaving for the day. . Radios/tape/CD players and PDAs are the only personal electrical devices allowed to be used in offices/cubes. These devices must be in good repair. CHAZ EQUIPMENT COMPANY, INC. reserves the right to instruct you to remove personal electrical devices at any time. . Never run cords under rugs or other floor coverings. . Any electrical problems should be reported immediately to [insert name]. 7. The foliowing areas must remain clear and unobstructed at all times: . Exit doors, . Aisles, . Electrical panels, and . Fire extinguishers. Page 16 Employee Safety Handbook ~l!II'ftmlll'~'liI~iUI\llI..._JllIl! It is our goal to prevent work-related injuries from happening. We are always concerned when one of our employees is injured or ill due to a work-related condition. We believe that such absences cost both CHAl EQUIPMENT COMPANY, INC. and Its employees. We want our Injured employees to get the best posslbie medical treatment immediately to assure the earliest possible recovery and return to work. CHAl EQUIPMENT COMPANY, INC. has a workers' compensation program available for employees who have suffered work-related Injuries. The program's administrator will determine, based upon their guidelines, whether you are eligible for wage loss or medical expenses under that program. Agenda Item No. 16C3 June 10, 2008 Page 79 of 103 Return to Work Program CHAl EQUIPMENT COMPANY, INC. wants to provide meaningful work activity for all employees who become unable to perform all, or portions, of their regular work assignment. Thus, we have implemented a Return to Work program, which includes transitional or light duty work. The Return to Work program is temporary, not to exceed six months. EmDlovee Procedures . All work-related injuries should always be reported immediately to your supervisor no later than the end of the shift on which the injury occurs. . If a post-accident drug screen is not performed the same day as the injury, the employee will only be paid up to one hour while taking time out to have the drug screen sample collected. . You must compiete and sign a Report of Injury or Illness form. . When medical treatment is sought, the injured employee must advise their supervisor that they are seeking treatment and obtain a Return to Work Evaluation form. Regardless of the choice of physicians, the Return to Work form must be completed for each practitioner visit. CHAl EQUIPMENT COMPANY, INC. will not accept a general note stating that you are only to be off of work. . Under this program, temporary light duty work is available for up to sixty (60) days (with a review of your progress every 30 days) while you are temporarily unable to work in your regular job capacity. Transitional or light duty work beyond sixty (60) days, up to a maximum of six (6) months, will be evaluated on a case-by-case basis. . If you are unable to return to your regular job, but are capable of performing transitional duty, you must return to transitional duty. Failure to do so will result in your not being eligible for full disability benefits under the workers' compensation program, and may result in disqualification for certain employee benefits and, in some cases, be a basis for termination. . Employees who are unable to work and whose absences CHAl EQUIPMENT COMPANY, INC. approves must keep us informed on a weekly basis of their status. Failure to do so will result in a reduction In benefits available and discipline, up to and including termination from employment. . If you are unable to return to your regular job or transitional duty, your absence must be approved under the Family Medical Leave Act (FMLA) program. For this purpose, you need to complete a Family Medical Leave Request form and submit it to the Human Resources Department. You must also have your practitioner complete both the Return to Work Evaluation form and Return to Work Request I Physician's Authorization form. . Employees who are not eligible for leave under FMLA must return to light duty or regular work if at all possibie. If you are unabie to return to any available work, your job position may be filled after a reasonable time. When able to do so, you will be entitled to return to a suitable position, if available and consistent with any limitations. However, you must keep us regularly informed of your status and any changes in your condition. . Employees must provide a Return to Work form indicating they are capable of returning to full duty. Permanent restrictions will be evaluated on a case-by-case basis and relate to the performance of essential job functions. No permanent light duty positions will be created. . Cooperate with our third-party administrator and provide accurate and complete Information as soon as possible so that you receive all benefits to which you are entitled. If you have problems or concerns, please contact your Job Site Foreman and the Human Resources Department. Page 17 Employee Safety Handbook ~__ta l"lif.,.~Mi..llli11 Agenda Item No. 16C3 June 10, 2008 Page 80 of 103 Hazard Communication 1. All CHAZ EQUIPMENT COMPANY, INC. employees have a right to know what chemicals they work with, what the hazards are, and how to handle them safely. 2. Material Safety Data Sheets (MSDS) are documents provided by the supplier of a chemical. MSDS detail the chemical contents, associated hazards, and general safe handling guidelines. At CHAZ EQUIPMENT COMPANY, INC., the MSDS collection is located at [insert location]. Employees are free to utilize the MSDS as needed. 3. General rules for handling chemicals in an office environment are: . Read all label warnings and instructions. . When changing toner cartridges, consult with an experienced employee if you are unsure how to proceed. . Follow instructions for quantity. More is not better. . Minimize contact with chemicals. Use double layer cloths or gloves to protect your skin and keep your face clear of the area to reduce inhalation. . Always wash your hands after handling chemicals. . If a chemical enters your eyers) immediately hold open the injured eyers) and rinse It/them with clean, cool water for 15 minutes. Then be sure to report the Injury immediately. . Any questions or concerns regarding chemicals should be reported to Human Resources. Page 18 Employee Safety Handbook I!IliIillfIlIIIlllI!IlIiilil"i!I!Itl'ffiIflll1llll- Agenda Item No, 16C3 June 10, 2008 Page 81 of 103 Office Safety & Security Office Safety: 1. Never leave file drawers open, or open multiple file drawers at once. 2. Do not stack heavy or bulky objects on top of cabinets. 3. Do not store frequently used objects above shoulder height or below knee height. 4. Never reach Into office machines without turning them off and unplugging them if possible. 5. Keep your work area free of trip hazards such as storage In walkways, cords across aisles, and damaged fioor coverings. 6. Inspect step stoolS/ladders before use. Be sure to keep a stationary object in front of you when using a step stool to provide stability. 7. Never use defective or broken equipment. Report these problems to your supervisor. Security: 1. Always be aware of your surroundings. Keep your head up and hands out of your pockets while walking to and from your car. 2. Immediately report any suspicious activity or persons to [insert name]. And immediately report any theft to [insert name]. 3. When parking, remove all valuables from sight and lock car doors. 4. Do not enter an elevator car if you are concerned about other riders; instead, wait for the next car. 5. Keep all valuables (money, purse, jewelry, etc.) out of sight when at your desk. Do not bring large sums of money or other valuables into the building. 6. Secure laptop computers, PDAs, and other small electronic devices before leaving your workspace for extended periods oftime (lunch, meetings, etc.). 7. If you are working alone and are in the office before or after regular business hours, on weekends, or holidays, observe these additional guidelines: . Be sure doors close and lock after you. . Turn on lights as you move through the building. . Always be aware of the closest telephone (do not hesitate to call 911 if you feel threatened). . Be sure that someone at home knows that you are at work and is expecting you to check In by a specified time. . As you leave the office, be sure to turn off all equipment, lights, etc., after use. 8. Weapons, including firearms, knives with blades longer than two inches, bow/arrow, pepper spray (mace, tear gas), and clubs, are not allowed on CHAZ EQUIPMENT COMPANY, INC. property. Page 19 Employee Safety Handbook iI!IIIII!lIJIlIlIiiIllI!I. .ll,lli!i', III Agenda Item No. 16C3 June 10, 2008 Page 82 of 103 Sexual Harassment Policy CHAl EQUIPMENT COMPANY, INC. does not tolerate harassment of our job applicants, employees, clients, guests, vendors, customers, or persons doing business with CHAl EQUIPMENT COMPANY, INC.. Any form of harassment related to an employee's race, color, sex, religion, national origin, age, citizenship status, veteran status, or handicap is a violation of this policy and will be treated as a disciplinary matter. For these purposes, the term harassment includes, but is not limited to, slurs, jokes, or other verbal, graphic, or physical conduct relating to an individual's race, color, sex, religion, or national origin; sexual advances; requests for sexual favors and other verbal, graphic, or physical conduct of a sexual nature. Violation of this policy by an employee shall subject that employee to disciplinary action, up to and including immediate discharge. Sexual harassment, one type of prohibited harassment, has been defined according to CHAl EQUIPMENT COMPANY, INC. gUidelines as: . Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature when: . Submission to such conduct is made a term or condition, either explicitly or Implicitly, of an individual's employment; . Submission to or rejection of such conduct by an individual is used as a factor in decisions affecting that individual's employment; or . Such conduct has the purpose or effect of substantially interfering with an individual's work performance or creates an intimidating, hostile, or offensive working environment. Examples of conduct prohibited by this policy Include but are not limited to: . Unwelcome sexual flirtation, advances, or propositions; . Verbal comments related to an individual's age, race, gender, color, religion, national origin, disability, or sexual orientation; . Explicit or degrading verbal comments about another individual or his/her appearance; . The display of sexually suggestive pictures or objects in any workplace location including transmission or display via computer; . Any sexually offensive or abusive physical conduct; . The taking of or the refusal to take any personnel action based on an employee's submission to or referral of sexual overtures; and . Displaying cartoons or telling jokes that relate to an individual's age, race, gender, color, religion, national origin, disability, or sexual orientation. Harassment of our employees in connection with their work by non-employees may also be a violation of this policy. Any employee who becomes aware of any harassment of an employee by a non-employee shouid report such harassment to his or her supervisor. Appropriate action will be taken with respect to violation of this policy by any non-empioyee. If you believe that you are being subjected to workpiace harassment, you should: 1. Tell the harasser that his or her actions are not welcome and they must stop, if you feel comfortable enough to do so. 2. Report the incident immediately to your supervisor/manager, the site Human Resources representative, or the Employee Relations Department. 3. Report any additional incidents that may occur to one of the above resources. Any reported incident will be investigated. Complaints and actions taken to resolve complaints will be handled as confidentially as possible, given CHAl EQUIPMENT COMPANY, INC.'s obligation to investigate and act upon reports of such harassment. Retaliation of any kind against an employee who reports a suspected incident of sexual harassment is prohibited. An employee who violates this policy or retaliates against an employee in any way will be subject to disciplinary action up to and including termination. Page 20 Agenda Item No. 16C3 June 10, 2008 Page 83 of 103 Employee Safety Handbook l:il1l.~\f$t<!lJ!mi~:$I!iI~!I\II'It Considerations Following a Serious Industrial Accident Any work-related accident resulting in serious injury or the death of an employee presents significant emotional challenges for management. Following are some guidelines, which may reduce the effects on fellow employees and minimize the impact from regulators, such as OSHA. 1. Be prepared to talk to local police officials, district attorney investigators, coroners, and OSHA compliance officers. Be aware that police and district attorneys can conduct criminal investigations. Be truthful but do not speculate or offer unsolicited opinions, information, or theories. Also be prepared for contacts from local news media. Consult with legal advisors if in doubt. (Operate under the assumption that OSHA will investigate. Take steps to be sure that your entire facility is as prepared as posslbie). 2. Fatalities and incidents resulting in three or more employees receiving inpatient hospitalization must be reported within 8 hours to the closest OSHA area office. If after hours, the incident can be reported to OSHA at: 1-800-321-6742. 3. Have a representative of your company contact the employee's next of kin to inform her/him of the circumstances. If possible, this contact should be made in person. Offer to provide transportation and/or other support. (For example, providing a CHAZ EQUIPMENT COMPANY, INC. representative at the hospital will convey the company's concern). 4. 5. - 6. 7. 8. g. Get all witnesses names. If some witnesses are not employees, be sure to get full addresses and phone numbers. Render safe any hazards created by the accident scene. (I.e. material that may fall, leaking chemica is, etc.). Rope off or otherwise isolate the accident scene early on to prevent it from becoming a "tourist attraction." Conduct an initial Investigation. If equipment and/or duties directly involved In the accident are duplicated elsewhere in the company, take immediate steps to assure that there will be no re-occurrence of the accident. Take pictures to document the scene. Note anything that may help you identify specific equipment involved such as serial numbers, license plate numbers, etc. FOllOW CHAZ EQUIPMENT COMPANY, INC.'s procedure for bloodborne pathogens in cleaning any bodily fluid spills. Consider meeting with employees In small groups to discuss, in general terms: a) The serious accident that occurred. b) That all the necessary steps were taken to care for the person involved. c) That an accident investigation Is being performed. d) That all employees will be kept informed. e) The availability of the Employee Assistance Program (EAP) (if applicable). f) Provide encouragement and request that employees work safely. 10. Request your supervisors be alert for employees who may not be paying full attention to their jobs and thereby jeopardizing their own safety. During these discussions, do not discuss fault, discipline, opinions, etc. 11. If your company has a physician on contract, have him/her fOllOW the case. Page 21 Employee Safety Handbook ~1ii1I'~l.ll11ll Agenda Item No. 16C3 June 10, 2008 Page 84 of 103 Bloodborne Pathogens 1. Blood and other bodily ftuids can carry pathogens, which are capable of causing diseases in others. This includes HIV, which leads to AIDS and hepatitis. 2. Because we cannot tell by looking at a person if they are infected with a pathogenic disease, we must take precautions following an Illness or injury when bodily ftuids are released. 3. In the event of a person losing bodily ftuids, stay away from the area and warn others to also do so. You can stili stay close to the III/injured person to support him/her, just be sure to stay out of contact any bodily ftuids. 4. In the event that you find spilled bodily fiuids, a syringe, or other medically contaminated materials, do not attempt clean up by yourself. Call Human Resources immediately for instructions. Page 22 Employee Safety Handbook 1IIIIliIIIIi!II~~;.U L. 11lJUIIII Agenda Item No. 16C3 June 10, 2008 Page 85 of 103 Vehicle Use Policy To: All drivers of CHAl EQUIPMENT COMPANY, INC. Effective: [Effective_Date] . This policy applies to: _ Vehicles owned, leased, or rented to CHAZ EQUIPMENT COMPANY, INC.. _ Personally owned vehicles driven by employees on behalf of CHAl EQUIPMENT COMPANY, INC.. The following policy has been established to encourage safe operation of vehicles, and to clarify Insurance Issues relating to drivers and CHAl EQUIPMENT COMPANY, INC.. . All drivers must have a valid driver's license. . Motor Vehicle Records wili be checked periodically. Driving privileges may be suspended or terminated if your record indicates an unacceptable number of accidents or violations. Should your record fall into our insurance carrier's guidelines of an, 'unacceptable driver,' our employment may be terminated. . Your supervisor must be notified of any change in your license status or driving record. When operating your own vehicle for CHAl EQUIPMENT COMPANY, INC. business: . Your Personal Auto Liability insurance is the primary payer. CHAl EQUIPMENT COMPANY, INC:s insurance is in excess of your coverage. . You should carry at least $[enter amount] per occurrence liability coverage. Evidence of insurance coverage is to be provided to either CHAl EQUIPMENT COMPANY, INC. each year, by a copy of your policy's Declaration page or a Certificate of Insurance. . CHAl EQUIPMENT COMPANY, INC. is not responsible for any physical damage to your vehicle. You must carry your own collision and comprehensive coverage. . Report your mileage for expense reimbursement. In the event of an accident: . Take necessary steps to protect the lives of yourself and others. . Comply with police instructions. . Do not assume or admit fault. Others will determine liability and negligence after thorough investigation. . Report the accident to CHAZ EQUIPMENT COMPANY, INC. as soon as possible. By signing this document you are agreeing that you have read and understoodthe Vehicle Use policy, and will comply. Employee's Signature Date Page 23 '.-'--.---.- Agenda Item No, 16C3 June 10, 2008 Page 86 of 103 Employee Safety Handbook liIl!IIilI!lt.!~i !l'Ifl'~a. J t Employee Acknowledgement Form CHAl EQUIPMENT COMPANY, INC. is firmly committed to your safety. We will do everything possible to prevent workplace accidents and are committed to providing a safe working environment for you and all employees. We value you not only as an employee but also as a human being critical to the success of your family, the local community, and CHAl EQUIPMENT COMPANY, INC.. You are encouraged to report any unsafe work practices or safety hazards encountered on the job. All accidents/incidents (no matter how slight) are to be immediately reported to the supervisor on duty. A key factor in Implementing this policy will be the strict compliance to all applicable federal, state, local, and CHAl EQUIPMENT COMPANY, INC. policies and procedures. Failure to comply with these policies may result in disciplinary actions. Respecting this, CHAl EQUIPMENT COMPANY, INC. will make every reasonable effort to prOVide a safe and healthful workplace that Is free from any recognized or known potential hazards. Additionally, CHAl EQUIPMENT COMPANY, INC. subscribes to these principles: 1. All accidents are preventable through implementation of effective Safety and Health Control policies and programs. 2. Safety and Health controls are a major part of our work every day. 3. Accident prevention is good business. It minimizes human suffering, promotes better working conditions for everyone, holds CHAl EQUIPMENT COMPANY, INC. in higher regard with customers, and increases productivity. This is why CHAl EQUIPMENT COMPANY, INC. will comply with all safety and health regulations which apply to the course and scope of operations. 4. Management is responsible for providing the safest pOSSible workplace for Employees. Consequently, management of CHAl EQUIPMENT COMPANY, INC. is committed to allocating and providing all of the resources needed to promote and effectively implement this safety policy. S. Employees are responsible for following safe work practices, company rules, and for preventing accidents and injuries. Management will establish lines of communication to solicit and receive comments, information, suggestions, and assistance from employees where safety and health are concerned. 6. Management and supervisors of CHAl EQUIPMENT COMPANY, INC. will set an exemplary example with good attitudes and strong commitment to safety and health in the workplace. Toward this end, management must monitor the company's safety and health performance, working environment, and conditions to ensure that program objectives are achieved. 7. Our safety program applies to all employees and persons affected or associated in any way by the scope of this business. Everyone's goal must be to constantly improve safety awareness and to prevent accidents and injuries. Everyone at CHAl EQUIPMENT COMPANY, INC. must be involved and committed to safety. This must be a team effort. Together, we can prevent accidents and injuries and keep each other safe and healthy in the work that provides our livelihood. By signing this document, I confirm the receipt of CHAl EQUIPMENT COMPANY, INC.'s employee safety handbook. have read and understood all policies, programs, and actions as described, and agree to comply with these set policies. Employee Signature Date Page 24 Agenda Item No. 16C3 June 10, 2008 Page 87 of 103 THIS SHEET MUST BE SIGNED BY VENDOR Board of County Commissioners Collier County, Florida Purchasing Department BIDDERS CHECK LIST IMP 0 R TAN T: Please read carefully, sign in the spaces indicated and return with your bid proposal. Bidder should check off each of the following items as the necessary action is completed: 1, The Bid has been signed. V V' 2. The Bid prices offered have been reviewed. / 3, The price extensions and totals have been checked. 4. The payment terms have been indicated.v' 5. Any required drawings, descriptive literature, etc. have been included. ./ 6. Any delivery infonnation required is included."" 7. If reauired, the amount of bid bond has been checked, and the bid bond or cashiers check has been included. 8. Any addenda have been signed and included. 9. The mailing envelope has been addressed to: Purchasing Director Collier County Government Center Purchasing Building 3301 East Tamiami Trail Naples, Florida 34112 10. The mailing envelope must be sealed and marked with: . Bid Number; , . Bid Title; / / . Opening Date 11. The bid will be mailed or delivered in time to be received no tater than the specified oDeninq date and time. (Otherwise bid cannot be considered.) ALL COURIER DELIVERED BIDS/RFPS MUST HAVE THE BID/RFP NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET. c.. esident ORIGINAL Agenda Item No. 16C3 June 10. 2008 Page 88 of 103 MATERIAL MANUFACTURES The Bidder is required to state below, material manufacturers he proposes to utilize on this project. No change will be allowed after submittal Bid. If substitute material proposed and listed below is not approved by the Project Manager, Bidder shall furnish the manufacturer named in the specification. Acceptance of this Bid does not constitute acceptance of material proposed on this list. THIS LIST MUST BE COPLETED OR BID WILL BE DEEMED NON-RESPONSIVE. MATERIAL MANUFACTURER tis/and &1.f'm/w Avar-rli W{(ltction4.( 1. :IBt 2. All o.nt (bflJ/.lJ; 2--0 2- 3. 4. 5. 6. Dated: Jipn \ - )./ , UJ () '6 PAINTS I COATINGS. INC. 4461 Hancock Sri kwy. N. Fort M,yer F By: ORIGINAL Agenda Item No, 16C3 June 10, 2008 Page 89 of 103 ( LIST OF SUBCONTRACTORS The undersigned states that the following is a full a complete list of the proposed subcontractors on this Project and the class of work to be performed by each, and that such list will not be added to nor altered without written consent of the Project Manager. The undersigned further acknowledges its responsibility for ensuring that the subcontractors listed herein meet all legal requirements applicable to and necessitated by this Agreement, including, but not limited to, proper licenses, certifications, registrations and insurance coverage's. The County reserves the right to disqualify and bidder who includes noncompliance subcontractors in his bid offer. Further, the County many direct the bidder/Contractor to remove/replace any subcontractor that is found to be noncompliance with this requirement subsequent to award of the contract at not additionai cost to the County. Subcontractor and address Class of Work to be performed 1. 2. -- -1./ (J/Le , . 3. 4. ~ ;!//) 17 L / 6. 7. Date:~h t PAINTS & COATINGS, INC. 4461 Hancock Brfdge Pkwy. N. Fort Myers, FL 33903 ) .OJ er By: . GINAL Agenda i!~Q,~ 16Ct3 June 10, 2008 Page 90 of 103 STATE~IENT OF EXPERIENCE CF BIDDER 7ne Bidder is required to state below what work of similar magnitude is a judge of his experience, skill and business standing and of this ability to conduct the work as completely and as rapidly as required under the terms of the contract. Proiect and Location Reference 1.1Jowntown Fort., l'Nje.rs w pm Southern Vie l4erin SJC.1j vmer'tnSlcy rP wpme><:c. com 23~ - 5bl-1?5 33 2 ()'\.t:u'\hol0 ~ venice, oj. LU::J..y,-fif'.ld IYIA;T CONTRAC- TIN(.., - JohnY)je., jedrd1rds@rYVJjLOI1in1c::hY'Q.CDm d:~./1-707- b7R 7 3.&n'lta.. ~ng.') RehCLb oonihi 'SpnngS U-bIit7eS- seo.n MC1br+Jin srYlcpcn-tl in r'i!, bs (), uS ;1.3'1- <1'12 - 01(1 4.~~'7~~ ~/'vICu\h00 Rencib' Sanil:;el~ ctwe cjin8 . .'. . ~~YY1~sa.ni0eJ.um 239-4-72-/636 5. Irnmo \<(Llee Lift S-hti--DnRell1b Ni tcrell i- S-lzLyK Qons-t. -Russ , ' ~~n~ rdejOrigPJ0J, m itchp, I I srCLrk . com 2..?f1- 57 Z - 002 '1: 6. f'r\2ddm l.o..ne..- fYlMhole..s Rthab steven.\' .... Lo..tjfo n Qm\fu..Sphn~J::;' FL ~ 'DU..Ln, 239- 693-1400 7.~otzlCo()n-hJ Rehab Rud J3 DaV!S Uft S-ttttions g4 (- '8 J ;L- OILfg 8.5:::Jnomo.. f'I'Yl.nhole.s '(S ~xco.. ScuusottL- q41-?/7!-~021 ste Date: Hp.cil cQ 3/ 2005 - steve.." K:of1dor OY""@ wilSone.'I0va.:tors. COm Bidder PAlm & COATINGS. INC. Bridge Pkwy. II. Fort Myers, Fl 33903 Oh;QINAL Agend~~.46tf33 June 10, 2008 Page 91 of 103 c STATEMENT OF EXPERIENCE OF BIDDER The Bidder is required to state below what work of similar magnitude is a judge of his experience, skill and business standing and of this ability to conduct the work as completely and as rapidly as required under the terms of the contract. Project and Location Reference 1. II~ AVe..-l.I.nth Terrva. R~b Souft1west Uh {,-he s cape" (!..orcLl RiCK mo..vGh 2?/1-b33-749b 2. h-e.high UfilifyS iLC- DiversiFiecl: In6. Emd Dorenka.mp "'-e.h,'gh Acr~s '7LfI-72z..ob~dorf:nf<afYlpe+lcd;ve.Ys;.fr'ed. com 3. 3 fY\(JJ'\holeJ ReJ1CLbS In C.o.I::D.no.. Cnns-!:YUc.t7on ~ Coru..! KeN CA b:::i..no.. 259 - 332- I bb5 ,4. Cllf()'. coreLl p1a.nt HeadworKS titlj of CClp~ CDro...l - Rcv0~ &ott vscotttil, mpemraJ. cvt't 23CJ - 701- '5 l2.b . 5.Ke-B We-sf; Reho..h ..D.N. Higg"rl S - Dan 1+i99ins . dnh"9SinS @.,aol. com 23i-llY - 3130 . 6. Prospecl @ Telle..vast freLie..riCk Deer q., C-o. - Ralj Rogers Chro.SDtrL -Q41-g0q. 073'l VTL~ @.-we.deMCI< DP{JYCOrrp.a.ny. com 7. fovt Mljer8 l-iH s:to..+ion ReJ1'J.h lee.; C.oun~ UhllfieS DMid SCLbiston 0?Y-P-705b 6e.mYal C-ontrachf\(] - J. MATZ- . 047 SI II 8. Vef1jre, Sompl1S /'rtIs-fer (Y\t1Jlholp.l f<eh1b 'JU\iffi Date:~r11 25; 2.o0S ORIGiNAL Ager&~~~1.clc:f :fu~~ 10, 2008 Page 92 of 103 STATEMENT OF EXPERIENCE OF BIDDER The Bidder is required to state below what work of similar magnitude is a judge of his experience, skill and business standing and of this ability to conduct the work as completely and as rapidly as required under the terms of the contract, Proiect and Location Reference 1. liff S-ftt.fton-t~1. NOrn..jPORT C-ify of f'Jor+hpor-t- ~ frw1K C0ocSon QLf/-Lj.?.h- q=:,OO ~'(lC1CSOn(i2 cJfyfffnorfhpnrt. wm 2. l-iermOSrL. Lift Stofron t1eYMnnO CocntylHilitif.S- Enx:e'&titen ~o Co()()-f:8 "NJ/J&u 352-3'1'1-5'109 bl-Y:1tfen~co.fmw-do.f'J. US 3. fus-rel/t1.. JP rY){)rphg, InC,. Ji'm FOrt ~ers .2 =FI- Lf /5 - c.foo I 4. Z mClfihDles -for _r<; Ilebrew Bi 1/ -rhomClS 'PolK CDun~ ' y,b3-701~Ol, 73 ' bill@Killebvewinc.ne:c 5. Sc:DI-h Co\ ne.R B\ vd. QlXJJi~ Enterprises - 'Bi 1 flJtoler CDllie.r c..oun-ty 2?/i-177-LNlb bufsler~ge.-usct./U)m 6. 1jft- s+o-t1 on '* 31CJ Reh1b Sa.raso~ L.a..nc1 Sev-vice S - Mitch Ll0Jd 13ro.denfon QL.j(-144- 0/ /I wd I~ usa. net 7. 5ebvlY\t]--ilianhnlf/ 'Re.hJ.b n ENVIRONMerl-tZU - nnnlG 'Bm..nch 8ebving - :2.:li-(oQi../-:3310 x lOll- fbrflJY.h@_ ~tes.com 8. .t:tl1LN. - D(,dv STA TLe'l CoNTYrlGinrS - CAey ste I/o.. Brootsvi Ile '141-156- 4700 + @..hoh 1 Corn Date:.&pril 23) wn 6' PAINTS & COATINGS, INC. Brfdge Pkwy. N. Fort Myers, Fl 33903 ORiGINAL Agenda Item No. 16C3 June 10, 2008 Page 93 of 103 Board of County Commissioners Collier County Government Center 3301 E. Tamiami Trail Naples, Florida 34112 CONTRACT PROPOSAL FROM: Ib /frls z' 0cd7'~,~ Li<l(d flCrlca (<... D)(ld'" PK<7 .IIi F'i'/n'ji'.n. M DUE: Acril 25, 2008 at 2:30 C.m. 3!J"103 RE: BID No. 08-5064- "Annual Contract for Manhole and Lift Station Rehabilitation Contracting Services" Dear Commissioners: The undersigned, as bidder, hereby declares that he has examined the specifications and informed himself fully in regard to all conditions pertaining to the work to be done for the annual contract for manhole and lift station rehabilitation contracting services as per the attached specifications. The Bidder further declares that the only persons, company or parties interested in this Proposal or the Contract to be entered into as principals are named herein; ,that this Proposal is made without connection with any other person, company or companies submitting a Bid or Proposal; and it is all respects fair and in good faith, without collusion or fraud. . The Bidder proposes and agrees, if this Proposal is accepted. to contract with the County furnish work in full, in complete accordance with thE; attached specifications, according to the following unit prices: ..SEE FOLLOWING PAGES- Any discounts or terms must be shown on the Proposal Form. Such discounts, if any, will be considered and computed in the tabulation of the bids. In no instance should terms for less than fifteen (15) days payment be offered. Prompt Payment Terms: lD--% /~ Days; Net 3.Q. Days Addenda received (if applicable): #1 ~ #2~ #3 ~ Yes 0- No Yes / /' No Yes .././ No Yes /' No Material Manufactured? Statement of Experience of Bidder? List of Subcontractors? References Attached Proposal continued on next page.... ,~ Oi:. u;PJAL Agenda Item No. 16C3 June 10, 2008 Page 94 of 103 PROPOSAL (continued) Bid #08-5064 "Annual Contract for Manhole and Lift Station Contracting Services" The prices offered shall be based on a unit price amount. Where the Contractor is not able to provide a price for any item described, the Contractor shail indicate N.B. (no bid) in the space provided for that item's unit price. B MANHOLEILIFT STATIONIWET WELL REHABILITATION BY SEAL AND COAT METHOD BI ManholelLiCt StationJWet Wen Rehabilitation by Sealing and Coating with Resin BlI B1.2 Seal and Coat Manhole/Lift Station - 48" diameter $15 UWF $ 3 X?'OVF Scal and Coat Manhole/Lift Station - 60" diameter B2 Lift Station and Wct Wen Surface Rehabilitation by Sealiug and Coatiog with Resin B 2.1 Seal and Coat Lift StatiowWet Wells-Surface Rehabilitation $12 VOSF B 3 Moblization/Demobilization Oh:~iNAL B 3.1 $~EA' Mobilization/Demobilization if less than 10 manholes or less than 750 SF per job work order $650 CATEGORY B TOTAL C MAi'lHOLEILIFT STATION REHABILITATION BY CEMENTITIOUS LINING Cl ManholelLift Station Rehabilitation by Cementitious Lining Cementitious Lining of Manhole/Lift Station - 48" diameter $ VF $ -VF C 1.1 C!.2 Cementitious Lining of Manhole/Lift Station - 60" diameter C2 Lift Station Surface Rehabilitation by Cementitious Lining C 2.1 Cementitious Lining Rehabilitation of Lift Station Surface SF $ C3 Mobil,ization/Demobilization C 3.1 $ -EA Mobilization/Demobilization if less than 10 manholes or less than 750 SF per job work order $ CATEGORY C TOTAL D SEWER BYPASS Dl Bypass Pump Setup witb Bypass Piping 01.1 Bypass 8" Sewer Setup $ 1500 EA 0!.2 Bypass 10" to 12" Sewer Setup $ 1~ 00 EA 01.3 Bypass 15" to 18" Sewer Setup $10<>0 EA OIA Bypass 24" Sewers Setup $ 35'00 EA 02,1 Bypass 4" Pump $ ?f~OOAY 02.2 Bypass 6" Pump S~OAY 02.3 Bypass 8" Pump $ 500 DAY o 2A Bypass 10" Pump $ ~ 00 DAY Agenda Item No. 16C3 June 10, 2008 Page 95 of 103 OR:C,'NAL Agenda Item No. 16C3 June 10, 2008 Page 96 of 103 PROPOSAL CONTINUED The service to be furnished by us is hereby declared and guaranteed to be in conformance with the specifications of the County. The undersigned do agree that should this Proposal be accepted, to execute the form of contract and present the same to the County Purchasing Director for approval within fifteen (15) days after being notified of the awarding of the Contract. The undersigned do further agree that failure to execute and deliver said forms of contract within fifteen (15) days, will result in damages to the County. IN WITNESS ~ WHEREOF, WE have hereunto subscribed our names on this .:J4..u., day of , 2008 in the County of ,.1... ~ , in the State of Je..rwi.... R in Do.A'1'n S .Ine Firm's Complete Legal Name Chyck one of the following: v' ,S~ C.O r p o Sole Proprietorship o Corporation or P.A. State of o Limited Partnership o General Partnership Phone No. ~ - q ~l- <) FAX No. .?-3'1- Q'l1-11l1 Pkw'( ~ ignature Corl A l...-a[f\dara... B Type ~t'Sl ol~t1 Title NOTE: If you choose to bid, please submit an ORIGINAL and ONE COPY of your proposal pages. CONTRACT PROPOSAL FROM: PDifl1s ~ C~o.h'J'13S, ..Inc. O""''''''NAL iil~iI 8ouchard-Fort Myers 8191 co11eqe Pkwy Suite 202 Fort Myer. FL 33919 phone:239-489-3232 rax:239-489-1084 INSUReo INSURERS AFFORDING COVERAGE INSURER A FeCI INSURANCE CO NAlC # 101.18 From: Gege Fleming At. Bouchard Insurance FaxlD: To: CHERYl/BECKY Dale~~~tll8.m,.NIM 1ll.R , of 2 June 10, 20Ni Page 97 of 103 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 G DATE (MMIDDfYYYY) PAINT-2 04/24/08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AODUCER Paints' CoatinQs, Inc. 4461 Hancock Br1dQe Parkway North Ft Myers FL 33903 INSURER 8 INSURER C INSURER D INsuRER E: COVERAGES THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAlVED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY Rf:OUIREMENT, TERM OR CONDITIOt, OF ANY CONTRACT OR OTI-1ER DOCUWENT WITH RESPECT TO WHICH THIS CERTIFICATE M.A.Y BE ISSUED OR ~Y PERTAIN, ,HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLSJECT TOJl.,LL THE TERMS, EXCLUSIONS N<D CONDITIONS OF SUCH PQ1CIES. AGGREGATE LIMITS SHOWN w\Y HAVE BEEN REDUCED BY PAID CLAIMS L TR NSR TYPE OF INSURANCE GENERAL LIABILITY A X X COMMERCIAtGENERAlllASILlTY GL00045J.2-0J. CLAIMS MADE ~ OCCUR POLICY NUMBER PATE {MMfOPlYYl OATE (MMIOOIYYI L1MIT8 09/10/07 EACH OCCURRENCE $ 1,000,000 09/10/08 PREMISESIEtloccuronca} $ J.OO, 000 MED EXP (An", one pe~on) $ 5 , 000 PERSONAL i ADV INJURY $ 1. I 000 ,000 GENERAL AGGREGATE f 2 , 000 , 000 PRODUCtS - COMPfOPAGG $ 2 ,000,000 LOC A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS X Hired Auto Ph sical Dama e GARAOe LIABILITY CA000263S-0S 09/10/07 09/10/08 COMBINED SINGLE LIMIT [Eaaccic:l"nt} $1,000,000 BODtL Y INJURY (Per person) BODILY INJURY (Pllrllce,dentl PROPERTY DAM.A.GE (Perlleclc:lent) AUTO ONLY' EA ACCIDENT eXCESSIVMBReLLA LIABILITY OCCUR D CLAIMS MADE EACH OCCURRENCE AGGREGATE . EAACC $ , . . . AGG ANY AUTO I'OTHER~ ' AUTO ONLY A DEDUCTIBLE RETENTION WOFI:I<eRS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORJPARTNERlEXECUTIVE OFflCERIMEMBER EXCLUDED' If Y"'~, d~Gcnb", und'?f SPECIAL PROVISIONS MIoW OT~ER WC08A-$9466 03/19/08 03/19/09 X TORY LIMITS ER EL EACH ACCIDENT $ 100,000 '100,000 , SOO,OOO E L DIS8'.SE - EA EMPLOYEE E L DISEASE. POLICY LIMIT A Contractors Equip. CM-0002621-01 09/10/07 09/10/08 Rented & Leased $200,000 CESCRIPTlON OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I specIAL PROVISIONS Collier County Board of County Commissioners is named as Additional Insured pertaininq to the General Liability.-l0 day notice of cancellation applies tor non-payment o~ premium. COLLI-2 CANCELLATION SHOULD AN'( Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE T~liR&:Oj:, T~1i ISSUING INSUR&:R WILL &:NO&:AVOR TO MAIL 30 * DAYS WRITT&N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO CO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR RePRESENTATIVES. AUTHOR e> ACORD CORPORATION 1988 CERTIFICATE HOLDER Collier County BOCC ~ax: 239-'32-0844 Attn: Lyn M. Wood 3301 Tami~ Trail East Naples FL 341.1.2 ACORD 25 (2001'08) Or" -', !~fAL ' I .' , r OIUl/'V From: Gege Fleming At. Bouchard Insurance FaxlD: To: CHERYL/BECKY DaI.A@ilMboat~~-l€M W~ 2 of 2 June 10, 2008 Page 98 of 103 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policY(les) must be endorsed, A statement on thIs certifIcate does not confer nghts to the certificate holder in Ileu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the poiicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s). authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 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'" lU ~ a: >->->- ~ ,.,,- Q) '" i!!~>->->- C)~ ::;: J!l '" Q) ~~>->->- ';; '" W o u a: W c.. en >->->- a:: W o o ii5 u.. o ~I~ ~ II~~ =>1-- ....Ua: ~I~~ I~ u......r;) al =>,Z ~1'8~ ! ::;:ml- J2 ....I:~z ~ <:cnw - -tu..::! co a:OIW ." ~1-1- 5i <(en;:: ." 12::; en ~ ~ >- >- >- >- I I . >- >- \, / -e !.8 I'" .0 mOl lU:I: 'O.. '" " II!! rn a:len ..... '" III I i!l .s I';;: ~ I . M - o M Ql '" lU c.. I : I I I i Agenda Item No. 16C3 June 10, 2008 Project MgeBid<l106i6S6iflVM1ual Contract for Manhole Lift Station Rehabilitation Contracting SeN4il~ SMIlbma3 Date Posted: 4-4-08 Packages Downloaded: 52 Date Due: 4-25.08 Bids Received: 2 Chaz Equipment Com pan ,Inc. B MANHOLE/LIFT STATIONIWET WELL REHABILITATION BY SEAL AND COAT METHOD Manhole/Lift StationlWet Well Rehabilitation by Sealing B1 and Coating with Resin B 1.1 Seal and Coat Manhole/Lift Station. 48" Diameter VF $ 251.20 No Bid B 1.2 Seal and Coat Manhole/Lift Station. 60" Diameter VF $ 376.80 No Bid Lift Station and Wet Well Surface Rehabilitation by Sealing B2 and Coatina with Resin B2.1 Seal and Coat Lift StationlWet Wells. Surface Rehabilitation SF $ 22.00 No Bid B3 Mobilization/Demobilization Mobilization/Demobilization if less than 10 manholes or less B 3,1 than 750 SF per job work order EA No Bid No Bid CATEGORY B TOTAL $ 650.00 No Bid MANHOLE/LIFT STATION REHABILITATION BY C CEMENTITIOUS LINING Manhole/Lift Station Rehabilitation B Cementitious Lining Cementitious Linin of Manhole/Lift Station - 48" Diameter Cementitious Lining of Manhole/Lift Station - 60" Diameter No Bid No Bid $ $ 295.00 297.00 C2 Lift Station Surface Rehabilitation by Cementitious Lining ~ICementitious Lining Rehabilitation of Lift Station Surface ISF INo Bid 1$ 30.00 I C3 Mobilization/Demobilization Mobilization/Demobilization if less than 10 manholes or less C 3.1 than 750 SF per job work order EA No Bid $ 1.00 CATEGORY C TOTAL No Bid $ 623.00 D SEWER BYPASS D1 Bypass Pump Setup with Bypass Piping D 1.1 Bypass 8" Sewer Setup EA $ 1,500.00 $ 3,000.00 D 1.2 Bypass 10" to 12" Sewer Setup EA $ 1,500.00 $ 3,050,00 D 1,3 Bypass 15" to 18" Sewer Setup EA $ 2,000.00 $ 3,100.00 D1.4 Bypass 24" Sewer Setup EA $ 3,500.00 $ 3,150.00 D 2.1 Bypass 4" Pump DAY $ 450.00 $ 50.00 D 2.2 Bypass 6" Pump DAY $ 450,00 $ 400.00 D 2.3 Bypass 8" Pump DAY $ 500.00 $ 405.00 D2.4 Bypass 10" Pump DAY $ 600.00 $ 405.00 . Purchasing Agent: Jack Curran Agenda Item No. 16C3 June 10, 2008 Project MgeBidl#Oei6Sei~W_1Ual Contract for Manhole Lift Station Rehabilitation Contracting SeN4ilill/llS ffifllbf2l'!J3 Date Posted: 4-4-08 Packages Downloaded: 52 Date Due: 4.25-08 Bids Received: 2