Resolution No. 2016-32 Awarding Bid 16-04-21-2 to Contracting Specialists, Inc. for Yacht Club Way Bridge Repairs - May 3, 2016 RESOLUTION NO. 2016-32
A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF
AVENTURA, FLORIDA AWARDING AND LETTING A BID/CONTRACT
FOR BID NO. 16-04-21-2, YACHT CLUB WAY BRIDGE REPAIRS TO
CONTRACTING SPECIALISTS, INC. SOUTH EAST AT THE BID PRICE
OF $55,565.00; AUTHORIZING THE CITY MANAGER TO EXECUTE
ASSOCIATED CONTRACTS; AUTHORIZING THE CITY MANAGER TO
TAKE NECESSARY AND EXPEDIENT ACTION TO CARRY OUT THE
AIMS OF THIS RESOLUTION; PROVIDING FOR THE
APPROPRIATION AND ALLOCATION OF FUNDS FOR SAID BID
AWARD; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the City Manager has, pursuant to the various laws of the State of
Florida and the Code of the City of Aventura, properly solicited and accordingly
accepted bids for BID NO. 16-04-21-2, Yacht Club Way Bridge Repairs; and
WHEREAS, sealed bids have been submitted to and received by the City
• pursuant to the City's Invitation to Bid/Notice to Bidders, specifications, proposals, and
requirements for the project/work as cited above; and
WHEREAS, staff has determined that Contracting Specialists, Inc. South East
submitted the lowest responsible and responsive bid for said project/work; and
WHEREAS, the City Commission, upon the recommendation of the City
Manager, is therefore desirous of awarding said bid/contract to said lowest responsible
and responsive bidder;
NOW THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF AVENTURA, FLORIDA:
Section 1: That bid/contract for BID NO. 16-04-21-2, Yacht Club Way Bridge
Repairs is hereby awarded to Contracting Specialists, Inc. South East in the amount of
$55,565.00.
Section 2: That the City Manager is hereby authorized to execute, on behalf of
9
City of Aventura Resolution No. 2016-32
the City, a contract by and between the parties embodying the terms, conditions, and
specifications as set forth in the subject Invitation to Bid/Notice to Bidders, bid
specifications, bid proposal and bid requirements, or if a City prepared contract was
part of said bid proposal, said parties shall execute said prepared contract on behalf of
the City.
Section 3: That the City Manager is hereby authorized and requested to take
all necessary and expedient action to carry out the aims of this Resolution in awarding
this bid/contract.
Section 4: That the funds to be allocated and appropriated pursuant hereto
and for the purpose of carrying out the tenets of this Resolution shall be from Budget
Line Item Number 120-5001-541-6305.
Section 5: This Resolution shall be effective immediately upon its adoption.
The foregoing resolution was offered by Commissioner Shelley, who moved its
adoption. The motion was seconded by Commissioner Holzberg, and upon being put to
a vote, the vote was as follows:
Commissioner Enbar Cohen Yes
Commissioner Teri Holzberg Yes
Commissioner Marc Narotsky Yes
Commissioner Robert Shelley Yes
Commissioner Howard Weinberg Yes
Vice Mayor Denise Landman Yes
Mayor Enid Weisman Yes
Page 2 of 3
City of Aventura Resolution No. 2016-32
PASSED AND ADOPTED this 3rd day of May, 2016.
/1
E WEISMAN, MAYOR
\1L1
I I I V' j
a,{ 5%4
ATTEST:
ELLISA L. HOR , M C
CITY CLERK
APPROVED AS TO LEGAL SUFFICIENCY:
CITY ATT NEY 11-4A-1\
Page 3 of 3
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•
SECTION 00410
SCHEDULE OF VALUES—BIDDER'S COMPANY NAME: Contracting Specialists Inc South East
Time to Substantial Completion: 60 calendar days upon issuance of the Notice to Proceed.
Time to Final Completion: 30 calendar days.
TOTAL CONTRACT TIME = 90 CALENDAR DAYS
Pay Estimated Description Unit Unit
scr
Item Quantity P Price Extended Price
100 1 General Conditions and LS $39,065.00 $39,065.00
Mobilization
101 5.9 Repair Mortar CF $2,500.00 $14,750.00
102 3 SY N/A N/A
103 42 Poured Joint Seal LF $35.00 $1,470.00
104 35 Penetrant Sealer SF $8.00 $280.00
TOTAL COST $55,565.00
*BIDS SHALL BE AWARDED BY THE CITY TO THE LOWEST RESPONSIVE AND
RESPONSIBLE BIDDER. IN ANALYZING BIDS, THE CITY MAY ALSO TAKE INTO
CONSIDERATION ALTERNATE AND UNIT PRICES. REFER TO SECTION 00710,
GENERAL CONDITIONS, ARTICLE 2.1.
Pay Item Notes
Contractor shall furnish and install all items, and provide work for all items described in Schedule
of Values.
The Contractor is responsible to properly coordinate all elements of the Work within each phase
of construction and to ensure that the work is completed in accordance with the contract
documents. The Contractor shall properly secure each work zone to restrict public access as
necessary, including, but not limited to utilizing barricades, temporary fencing, signage, etc. Any
changes to the proposed construction phasing plan shall be submitted and approved by the City of
Yacht Club Way Bridge Repairs
City of Aventura Bid No.16-04-21-2
CTA Project No. 01-0103.213
00410-4
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CITY OF AVENTURA
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CONTRACT DOCUMENTS
YACHT CLUB WAY BRIDGE REPAIRS
BID NO. 16-04-21-2 RESO. #2016-32
CONTRACTING SPECIALISTS, INC. SOUTH EAST
COPY - CITY CLERK
Prepared by: Indra Sarju, CPPB
,
SECTION 00510
NOTICE OF AWARD
TO: Mr. Wallace L. Frigon, Sr. Date: 5-- CIL
-
Chief Executive Office
Contracting Specialists,Inc. South East
1600 North Powerline Road
Pompano Beach, FL 33069
PROJECT DESCRIPTION:Yacht Club Way Bridge Repairs;Bid No.16-04-21-2,in accordance
with Plans and Contract Documents as prepared by Craven Thompson and Associates, Inc.
The CITY has considered the Bid submitted by you for the above described WORK in response to its
Advertisement for Bid and Instruction to BIDDERS.
You are hereby notified that your Bid has been accepted for the construction of Yacht Club Way
Bridge Repairs; Bid No. 16-04-21-2, in the lump sum amount of$55,565.00
You are required by the Instruction to BIDDERS to execute the Agreement and furnish the required
CONTRACTOR'S Performance Bond,Payment Bond and Certificates of Insurance within ten(10)
days from the date of this Notice to you.
If you fail to execute said Agreement and to furni h said Bonds within ten(10)days from the date of
this Notice, said CITY will be entitled to dis• i. ify the Bid, revoke the award and retain the Bid
Security.
BY:
TITLE: CITY MANAGE'
Dated this 6 day of M , 2016 .
V
00510-1
ACCEPTANCE OF NOTICE
Receipt of the above Notice of Award is hereby acknowledged by
£I4 es a.c* L . Fizz two At 14 .
this the 12 IM day of , 2016_
BY:
TITLE: -0
You are required to return an acknowledged copy of this Notice of Award to the CITY.
00510 2
SECTION 00526
AGREEMENT
THIS AGREEMENT,made and entered into on this 3rd day of May ,2016 ,by and
between Contracting Specialists,Inc.South East.Party of the First Part,and The City of Aventura,
Party of the Second Part:
WITNESETH:
That, the First Party, for the consideration hereinafter fully set out, hereby agrees with the Second
Party as follows:
1. That the First Party shall furnish all the materials,and perform all of the Work in manner and
form as provided by the following enumerated Drawings, Specifications, and Documents,
which are attached hereto and made a part hereof, as if fully contained here:
List Of Drawings Section 00015
Advertisements For Bids Section 00100
Instruction To Bidder Section 00210
Bid Form Section 00410
Award Preference for Identical Tie Bids Section 00420
Bid Bond Section 00432
List of Proposed Subcontractors Section 00434
Bidder Qualification Statement Section 00450
Non- Collusion Affidavit Section 00454
Request for Taxpayer Identification Number
and Certificate Section 00455
Sworn Statement Pursuant To Florida Section 00456
Statutes On Public Crimes
Notice Of Award Section 00510
Agreement Section 00526
Notice To Proceed Section 00550
00526- 1
Payment Bond Section 00612
Performance Bond Section 00614
OSHA Acknowledgment Section 00620
General Conditions Section 00710
Supplementary Conditions Section 00810
Technical Specifications Sections 01000 to 33000
2. That the First Party shall commence the Work to be performed under this Agreement on a
date to be specified in a written order of the Second Party and shall complete all Work
hereunder within the length of time stipulated in the Bid.
3. That the Second Party hereby agrees to pay to the First Party for the faithful performance of
this Agreement, subject to additions and deductions as provided in the Bid Form, in lawful
money of the United States, the amount of:
Fifty-five Thousand Five Hundred Sixty-five and zero cents
(Written Dollar Amount)
Dollars ($ 55,565.00), Lump Sum.
4. That the Second Party shall make monthly partial payments to the First Party on the basis of
a duly certified and approved estimate of Work performed during each calendar month by the
First Party,Less the retainage provided in the General Conditions,which is to be withheld by
the Second Party until Work within a particular part has been performed in accordance with
this Agreement and until such Work has been accepted by the Second Party.
5. That upon submission by the First Party of evidence satisfactory to the Second Party that all
payrolls, material bills, and other costs incurred by the First Party in connection with the
construction of the Work have been paid in full,final payment on account of this Agreement
shall be made within 60 days after the completion by the First Party of all Work covered by
this Agreement and the acceptance of such Work by the Second Party.
6. In the event that the Contractor shall fail to complete the Work within the time limit or the
extended time limit agreed upon, as more particularly set forth in the Contract Documents,
liquidated damages shall be paid at the rate of One Thousand and 00/100 Dollars($1000.00)
per day, plus any monies paid by the City to the Consultant for additional engineering and
inspection services associated with such delay.
7. It is further mutually agreed between the parties hereto that if,at any time after the execution
of this Agreement and the Surety Bond hereto attached for its faithful performance and
00526-2
payment, the Second Party shall deem the Surety or Sureties upon such bond to be
unsatisfactory,or if,for any reason such bond ceases to be adequate to cover the performance
of the Work,the First Party shall,at its expense within 5 days after the receipt of notice from
the Second Party so to do,furnish an additional bond or bonds in such form and amount and
with such Surety or Sureties as shall be satisfactory to the Second Party. In such event,no
further payment to the First Party shall be deemed to be due under this Agreement until such
new or additional security for the faithful performance of the Work shall be furnished in
manner and form satisfactory to the Second Party.
8. No additional Work or extras shall be done unless the same shall be duly authorized by
appropriate action by the Party of the Second Part.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement on the day and date
first above written,in two (2)counterparts, each of which shall,without proof or accounting for
the other counterpart be deemed an original Contract.
r1
W tea CONTRACTOR: c,45Z /
isa i�/��� BY: �il/vu...�. --FL--
L.M p NAME: 1,41•441.40./E- L. iSod Se .
TITLE: GCVO
OWNER: City of • -
BY:
NAME: Eric M. S►rok.
TITLE: CITY R
AUTHENTICATION:
BY: A A .P.r."
NAME: Ellisa L. Horvath
TITLE: CITY CLERKi1�T
APPROVED AS T 4 ORM: 2
� �3�frJT
BY: , '
NAME: _ s ,' ee,4
4 £o(9.0
TITLE: CITY ATTORN Y
00526-3
SECTION 00550
NOTICE TO PROCEED
TO: Mr. Wallace L. Frigon, Sr. DATE: (9- Lj - 14
Chief Executive Officer
Contracting Specialists, Inc. South East
1600 North Powerline Road
Pompano Beach,FL 33180
PROJECT DESCRIPTION:Yacht Club WayBridge Repairs;Bid No. 16-04-21-2;in accordance
P
with Plans and Contract Documents as prepared by Craven Thompson and Associates,Inc.
You are hereby notified to commence Work in accordance with the Agreement dated
513(16 ,on or before 6127lIL. .
And you are to complete the Work within 90 calendar days thereafter(equal 60 calendar days for
Substantial Completion plus 30 calendar ays to Final Completion). The date of completion of the
WORK in full is therefore q11-4116
City of Aventura
BY:
TITLE: CITY , ANA• R
00550- I
ACCEPTANCE OF NOTICE
Receipt of the above NOTICE TO PROCEED
is hereby acknowledged by vJ#LLkC E L• £(Czof,) Se.
'L
*114 day of SVA , 20 1 a
BY: "V
TITLE: e EU
00550-2
BONDS and CERTIFICATES
SECTION 00620
ACKNOWLEDGMENT OF CONFORMANCE
WITH OSHA STANDARDS
TO The City of Aventura
We hereby acknowledge and
Ct1F,-f'ycc i ( q** /heok t exe triVi a Eget' ,agree that as Contractors
JP me Contractor)
For Yacht Club Way Bridge Repairs, Bid No. 16-04-21-2, as specified, have the sole
responsibility for compliance with all the requirements of the Federal Occupational Safety and
Health Act of 1970, and all State and local safety and health regulations, and agree to indemnify
and hold harmless the City of Aventura and Craven Thompson and Associates, Inc., and against
any and all liability,claims, damages losses and expenses they may incur due to the failure of
Al lir
(Subcontractor's Names)
to comply with such act or regulation.
• .� cw. • C aq -qd�'
•NTRACTOR
A 1-11,,,i 111 1
END OF SECTION
00620-1
� '
Bond No. 2205237
FORM OF PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS:
That,pursuant to the requirements of Florida Statute 255.05,we,Contracting Specialists, Inc.South East,
as Principal, hereinafter called Contractor, and Contracting Specialists, Inc-SE , as Surety, are bound to the
City of Aventura, Florida, as Obligee, hereinafter called City, in the amount of Fifty-five Thousand Five
Hundred Sixty-five Dollars ($ 55,565.00 ) for the payment whereof Contractor and Surety bind
themselves,their heirs,executors,administrators,successors and assigns,jointly and severally.
WHEREAS,Contractor has by written agreement entered into a Contract,Bid/Contract No.: 16-04-
21-2, awarded the 3'4 day of May , 2016 , with City of Aventura for Yacht Club Way Bridge
Repairs; in accordance with drawings (plans) and specifications prepared by Craven Thompson and
Associates, Inc. which Contract is by reference made a part hereof, and is hereafter referred to as the
Contract;
THE CONDITION OF THIS BOND is that if the Contractor:
I. Indemnifies and pays City all losses,damages(specifically including, but not limited to, damages
for delay and other consequential damages caused by or arising out of the acts, omissions or
negligence of Contractor), expenses, costs and attorneys fees including attorney's fees incurred in
appellate proceedings,that City sustains because of default by Contractor under the Contract;and
2. Promptly makes payments to all claimants as defined by Florida Statute 255.05(1) supplying
Contractor with all labor, materials and supplies used directly or indirectly by Contractor in the
prosecution of the Work provided for in the Contract,then this obligation shall be void;otherwise,
it shall remain in full force and effect subject,however,to the following conditions:
2.1 A claimant, except a laborer, who is not in privity with the Contractor and who has not
received payment for their labor, materials, or supplies shall, within forty-five (45) days
after beginning to furnish labor, materials, or supplies for the prosecution of the Work,
furnish to the Contractor a notice that they intend to look to the Bond for protection.
2.2 A claimant who is not in privity with the Contractor and who has not received payment for
their labor, materials, or supplies shall, within ninety (90) days after performance of the
labor,or after complete delivery of the materials or supplies,deliver to the Contractor and
to the Surety, written notice of the performance of the labor or delivery of the materials or
supplies and of the non-payment.
2.3 No action for the labor, materials, or supplies may be instituted against Contractor or the
Surety unless the notices stated under the preceding paragraphs 2.1 and 2.2 have been
given.
00612-2
2.4 Any action under this Bond must be instituted in accordance with the Notice and Time
Limitations provisions prescribed in Section 255.05(2), Florida Statutes.
The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and
compliance or noncompliance with any formalities connected with the Contract or the changes do not affect
the Surety's obligation under this Bond.
Signed and sealed this 25th day of May ,20 16 .
(1)Xf_ , •` Contracting Specialists,Inc-SE
(Name of Corporati. )
— — By:
Secretary (Signature 4.d Title)
(CORPORATE SEAL)
*He A-1-6111.0A,7rt +wer
(Type Name and Title signed above)
IN THE PRESENCE OF; INSURANCE COMPANY:
By:
*Agent : • ttome in-Fact Gail M Paling
Address:
(Street) 85 Main Street
(City/State/Zip Code) Easton MA 02356
Telephone No.: (mpg)23R-R77R
* (Power of Attorney must be attached)
004512-3
State of ilk
County of
—BOW—.
On this, the day of Al , 201 �J , before me, the undersigned Notary Public
of the State of the foregoing'- i •ent was acknowledged by J � , �� ,ARL (name of
corporate officer), 4j Uire,4. (itle), of i,, _ q name of corporation), a
(state of corporation)corporation,on . •alf of the corporation.
WITNESS my hand
and official seal I /'
Notary ,(
Public,State of
AIWA //. //(,,i-.h.0
Printed, typed or stamped name of Notary Public exactly as
commissioned
E Personally known to me,or
❑ Produced identification:
>�h awh
(type of identification produced)
[W1)id take an oath,or
❑ Did not take an oath
00612-4
CERTIFICATE AS TO CORPORATE PRINCIPAL
I. L.L. M' DA. , certify that I am the Secretary of the corporation named as Principal in the
foregoing PaymentMond; that Mikkft , who signed the Bond on behalf of the
Principal,was then T'rt ue:e../te— of said corporation; that I know his/her their signature; and his/her
their signature thereto is genuine; and that said Bond was duly signed, sealed and attested to on behalf of said
corporation by authority of its governing body.
i
(CORPORATE SEAL) ` j _ _- ' �A
OC411142C dltee141/ {� the- C /c?tit
(Name of Corporation)
END OF SECTION
00612-5
Bond No.2205237
FORM OF PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That, pursuant to the requirements of Florida Statute 255.05, we, Contracting Specialists, Inc.
South East, as Principal,hereinafter called Contractor,and Contracting Specialists, Inc-SE , as suety,are
bound to the City of Aventura, Florida, as Obligee, hereinafter called City, in the amount of Fifty-five
Thousand Five Hundred Sixty-five Dollars($ 55.565.00)for the payment whereof Contractor and Surety
bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally.
WHEREAS,Contractor has by written agreement entered into a Contract,Bid/Contract No.: 16-04-
21-2,awarded the r day of May. 2016 with City for Yacht Club Way Bridge Repairs, in
accordance with drawings (plans) and specifications prepared by Craven Thompson and Associates, Inc.,
which Contract is by reference made a part hereof,and is hereafter referred to as the Contract;
THE CONDITION OF THIS BOND is that if the Contractor:
I. Fully performs the Contract between the Contractor and the City for construction of Yacht Club
Way Bridge Repairs, Bid #16-04-21-2 within 90 calendar days after the date of Contract
commencement as specified in the Notice to Proceed and in the manner prescribed in the Contract;
and
2. Indemnifies and pays City all losses, damages (specifically including, but not limited to, damages
for delay and other consequential damages caused by or arising out of the acts, omissions or
negligence of Contractor), expenses, costs and attorney's fees including attorneys fees incurred in
appellate proceedings,that City sustains because of default by Contractor under the Contract;and
3. Upon notification by the City, corrects any and all defective or faulty Work or materials which
appear within one and one half(1 and 1/2)year,and:
4. Performs the guarantee of all Work and materials furnished under the Contract for the time
specified in the Contract,then this Bond is void,otherwise it remains in full force.
Whenever Contractor shall be, and declared by City to be, in default under the Contract, the City
having performed City's obligations thereunder, the Surety may promptly remedy the default, or
shall promptly:
4.1 Complete the Contract in accordance with its terms and conditions;or
4.2 Obtain a Bid or Bids for completing the Contract in accordance with its terms and
conditions, and upon determination by Surety of the best, lowest, qualified, responsible
and responsive BIDDER, or, if the City elects, upon determination by the City,and Surety
jointly of the best, lowest, qualified, responsible and responsive BIDDER, arrange for a
Contract between such BIDDER and City, and make available as Work progresses(even
though there should be a default or a succession of defaults under the Contract or
Contracts of completion arranged under this paragraph)sufficient funds to pay the cost of
00614-6
completion less the balance of the Contract Price;but not exceeding,including other costs
and damages for which the Surety may be liable hereunder,the amount set forth in the first
paragraph hereof. The term "balance of the Contract Price." as used in this paragraph,
shall mean the total amount payable by City to Contractor under the Contract and any
amendments thereto,less the amount properly paid by City to Contractor.
No right of action shall accrue on this Bond to or for the use of any person or corporation other than the City named
herein.
The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and compliance
or noncompliance with any formalities connected with the Contract or the changes do not affect Surety's obligation
under this Bond.
Signed and sealed this 25th day of May ,20 16
WITNESSES: Contracting Specialists,In -SE
(Name of Corporation S
/ " (121 BY= � i '�J'tGlr
1 �
Secretary Signature : 4 Title)
(CORPORATE S'AL)
(Types Name and Title signed above)
IN THE PRESENCE OF: INSURANCE COMPANY:
By:
*(Agent and A✓ttort ey-in-Fact) Gail M Paling
Address:85 Main Street
(Street) Easton MA 02156
City/State/Zip Code
Telephone No.: (508) 238-8778
* (Power of Attorney must be attached)
00614-7
State of
All--
County of 8li )
On this,the 2�' day of aik ,201 0 ,before me,the under ion tI Notary Public of
the State of he , the foregoing ifstrument was ac owledged by 6 me of
corporate officer), flt f,,g -4 V (title), of tie, (n e of corporation), a
(state of corporation)corporation,on behalf of the corporation.
WITNESS my hand
and official seal
/Lift
Notary Public, to of AA
1 /jr
, 4. Al r A,r
Printed,typed or stamped name of Notary Public
exactly as commissioned
'ersonally known to me,or
❑ Produced identification:
bwh
(type of identification produced)
11Y6id take an oath,or
0 Did not take an oath
Bonded by: I[►1 G L'1L .a
00614-8
CERTIFICATE AS TO CORPORATE PRINCIPAL
I, AidJ/ t G aA, • certi that I am the secretary of the corporation named as principal in the
foregoing Performanc:j:Ind;that iL.,A . a, who signed the Bond on behalf of the Principal,
was then T rj4esikei of said corporation; that I know his/her/their signature; and his/her/their
signature thereto is genuine;and that said Bond was duly signed,sealed and attested to on behalf of said corporation
by authority of its governing body.
(CORPORATE SEAL) iaglec:/ /'
(3% U' ctrl/ hk/ ic €rt-
(Name of Ci oration)
END OF SECTION
00614-9
•
• NAS SURETY GROUP
NORTH AMERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL ROWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under
laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International
Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of
Schaumburg,Illinois,each does hereby make,constitute and appoint:
JOSEPH J LANE,
and GAIL M.PALING
•
JOINTLY OR SEVERALLY
Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver, for and on its behalf and as its act and deed,bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by
law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of:
11N I Y MILLION($50,000,000.00)DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 9th of May,2012:
"RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President,
the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached."
y.:}�PPt1ijG,9$•CY y Ci, f-shPDj
FiPoBy •lit
r' SEAIng
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P. ngadnal
Ie,uranec Company 2 S AL
s 1973 41,csji &Senior Vice President of North American Specialty Insurance Company
;0ONtIfRUNt�`�� �J+y,••'.hiVdP �re
By . . 1 ,�'
David M.Layman,Vice President of Washington international Insurance Company
&Vice President of North American Specialty Insurance Constantly
IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed,and these presents to be signed by their authorized officers this26th day of March ,20 1 4 ,
North American Specialty Insurance Company
Washington International Insurance Company
State of Illinois
County of Cook ss:
On this 26th day of March ,20 14 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman,
Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company,
personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and
acknowledged said instrument to be the voluntary act and deed of their respective companies.
SEAL""OFFICIAL �Q. , ..�,
"OFFICIAL1
14,44,0
I DONNA D.SKLENS fr
!Notary Public,State of Illinois t Donna D.Sklens,Notary Public
My Commietioa Expires 10/06/2015 1
I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington
International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney giver by said North
American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect,
IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies thisL day of !�^( ,20 ,>-
Jeffrey Goldberg.Vice President&Assistant Sc.:re a y o'
Washington Intemational Insurance Company&North America.:Specialty Insure:e Company
Form W-9 Request for Taxpayer Give Form to the
(Rev.December2014) Identification Number and Certification requester.Do not
Department of the Treasury send to the IRS.
Internal Revenue Service
1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
CONTRACTING SPECIALISTS INC SOUTH EAST
N 2 Business name/disregarded entity name,if different from above
m
a 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to
° certain entities,not individuals;see
❑Individual/sole proprietor or ❑ C Corporation 2S Corporation ❑ Partnership ❑Trust/estate
to instructions on page 3):
C single-member LLC Exempt payee code(if any)
❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)►
o 2 Note.For a single-member LLC that is disregarded,do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting
_ the tax classification of the single-member owner. code(if any)
c c
a
U Other(see instructions) (appaestoaccounts maintained outsieathe U.S)
• 5 Address(number,street,and apt.or suite no.) Requester's name and address(optional)
a
S. 1600 NORTH POWERLINE ROAD
6 City,state,and ZIP code
• POMPANO BEACH FLORIDA 33069
7 List account number(s)here(optional)
Part I Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding.For individuals,this is generally your social security number(SSN). However,for a
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other - -
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN on page 3. or
Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer Identification number
guidelines on whose number to enter.
2 0 — 0 7 3 4 3 2 9
Part II Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding;and
3. I am a U.S.citizen or other U.S.person(defined below);and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed t. eport all intere- and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage
interest paid,acquisition a ab donment.f secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments oth r th. l n r== •' '•ends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3.
Sign Signature of �,�
Here U.S.person Date I.
General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T
(tuition)
Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt)
Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property)
as legislation enacted after we release it)is at www.irs.gov/fw9.
Use Form W-9 only if you are a U.S.person(including a resident alien),to
Purpose of Form provide your correct TIN.
An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject
return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2.
which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you:
number(ITIN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number
identification number(EIN),to report on an information return the amount paid to to be issued),
you,or other amount reportable on an information retum.Examples of information
returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or
•Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If
•Form 1099 DIV(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of
any partnership income from a U.S.trade or business is not subject to the
•Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and
•Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporting?on
•Form 1099-S(proceeds from real estate transactions) page 2 for further information.
•Form 1099-K(merchant card and third party network transactions)
Cat.No.10231X Form W-9(Rev.12-2014)
•
t----"Tha CONTR-1 OP ID:SB
A�ORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNY
05/25/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
Atlantic Paclflc-Stuart NAME: Thomas N.Tardonia
620 SE Central Parkway (MCC,,N,Em:772-223.0400
FAX
No): 772-223-1919
Stuart,FL 34994 EMAIL
Thomas N.Tardonla ADDRESS: •
INSURER(S)AFFORDING COVERAGE NAIC I
INSURERA:Bridgefield Employers Ins. Co. 10701
INSURED Contracting Specialists,Inc. INSURERS:Gemini Insurance Co
Southeast INSURER C:FCC/ Insurance Co. 10178
1600 Powerline Road
Pompano Beach,FL 33069 INSURER D:Travelers Excess and Surplus
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADM SUER POLICY EFF POLICY EXP
/NSD WVD POLICY NUMBER (MMIDDIYYYY) (MMDDIYYYY) LIMITS
B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR X VFGP001980 03/23/2016 03/23/2017 DAMAGETO RENTED
PREMISES(Ea occurrence) $ 100,000
MED EXP(Any one person) $ Excluded
PERSONAL&ADV INJURY $ 1,000,000
GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
POLICY X JECOT LOC PRODUCTS-COMPIOP AGG $ 2,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident
C ANY AUTO CA0013182 8 03/22/2016 03/22/2017 BODILY INJURY(Per person) $
ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS _
X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $
AUTOS (Per accident)
$
X UMBRELLA LAB _ OCCUR EACH OCCURRENCE $ 3,000,000
D EXCESS LAB CLAIMS-MADE ZUP12T5493816NF 03/23/2016 03/23/2017 AGGREGATE $ 3,000,000
DED X RETENTION 10,000 $
WOPo(ERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY STATUTE ER
YIN
A AFROPRIEIORRARTNEREXECUOVE
NY 083048657 08/06/2015 08/06/2016 E EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? NI A
(Mandatory In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000
II yes,describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
P b
Project:
ojec:Yacht
Clltuba ayy ridge Repairs, Bid No. 16-04-21-2, 19801 E Country
33180
The City o(Aventura and Florida Department of Transportation (FDOT)are
listed as an additional insured regarding the operations of the insured.
CERTIFICATE HOLDER CANCELLATION
AVENTUI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cityof Aventura THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
19200 West County Club Drive
Aventura,FL 33180 AUTHORIZEDREPrtESENTATNE
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD