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Home My WebLink AboutCONTRACT MANAGEMENT INC F I L E COpy SECTION NA NOTICE OF AWARD TO: Contract ManaQement Inc. 1827 KillinQsworth Rd. P.O. Box 3833 AUQusta. Ga. 30914 PROJECT DESCRIPTION: Fire Station #4 Replacement of Driveway, Apron and Engine Bay Floor for The Owner has considered the BID submitted by you for the PROJECT named above in response to its Bid Item Number 05-088 due on ADril 29 , 2005. You are hereby notified that your PROPOSAL has been accepted for items in the amount of ninety-three thousand, three-hundred and forty-five dollars ($ 93.345.00 ) based upon the Base Bid and Alternate(s) #1 You are to execute the AGREEMENT (Section A) and provide required bonds and proof of the specified insurance within Ten (10) calendar days from the date of this Notice to you. If you fail to execute said Agreement within Ten (10) calendar days from the date of this Notice, said OWNER will be entitled to consider all your rights arising out of the OWNER'S acceptance of your PROPOSAL as abandoned and as a forfeiture of your Bid Bond. The OWNER will be entitled to such other rights as may be granted by law. You are required to return an acknowledged copy of this NOTICE OF AWARD to the OWNER. Dated this s~ jt1 BY: Michael Rogers, Depu Chief Augusta Fire Department Project Manager ACCEPTANCE OF NOTICE Receipt of the above NOTICE OF AWARD is hereby acknowledged on this ~~ay of ,1111 Y _, _ 200 Page 4 of 3S SECTION NP NOTICE TO PROCEED TO C;;~~ 51 /!J./loj ~Y.3:J ~Ii.s~ rWI PROJECT: Replacement of the Drivewav. Apron and EnQine Room Floor at Fire DATE: ,.....Iy~~ Station #4 You are hereby notified to commence work in a~ordance with the Agreement dated_ (f,/~-t)r , 200~, within Ten (10) calendar days following this date, the date first written above. Construction submittals are to be completed not later than ?i--~Y , 200phe date set for completion of all work is J/- 2..z..,..~ ,200S:- BY~/ k--- Michael Rogers, Deputy Chief Augusta Fire Department Project Manager ACCEPTANCE OF NOTICE Receipt of the above NOTICE TO PROCEED is hereby acknowledged on this/~ of ~ ,20(t>~ Gregory Will a s TITLE: Operation's Page 12 of 3S SECTION A AGREEMENT ~ THIS AGREEMENT, made this L day of Augusta Georgia, a political subdivision of the State f Georgia, hereinafter called OWNER and Contract Manaaement Inc. doing business as a corporation hereinafter called the CONTRACTOR. ,200~ by and between WITNESSETH: That for and in consideration of the payments and agreements as hereinafter mentioned the sufficiency which is hereby acknowledged, the parties agree to as follows: 1. Project activities are as outlined in Bid Item # 05-088 and priced as shown on Exhibit I, Bid FO~b~itt~tn April 29 , 2005. including the Ba All work shall be completed withi~davs after Notice to Proceed is issued. 2. 3. The Contractor will furnish product data, any necessary drawings, material, supplies, tools, equipment, labor and other services necessary for the construction and completion of the project described herein. The term "Contract Documents" means and includft~the following: Advertisement for Bids Bid Item# cS"-OlJfj Bid Bond Performance/Payment Bonds Certificate of Owner's Attorney Notice to Proceed Change Order General Conditions Technical Specifications Supplemental General ConditioniA _, Special Conditions Addendum No. 1 , dated~. 200 !' Bid Form submitted April 29 ,2005 . Noti 4. 5. The Owner will pay to the Contractor in the manner and at such times as set forth in the General Conditions such amounts as required by the Contract Documents. 6. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors and assigns. The Contractor agrees to complete the project as described in items 1 through 6 above for the sum of ninety-three thousand. three-hundred and forty-five dollars ($93.345.00) IN WITNESS WHEREOF, the parties hereto have executed or caused to be executed by their duly authorized officials, this Agreement in Six (6) counterparts, each of which shall be deemed an original on the date first above written. OWNER: AUGUSTA, GEORGIA ATTEST: Page S of 3S ./1 BY.' ~ -. ~~ WITNESS: (SEAL) NAME/b~ 7l?~ IJe'A. . ~ Lena Bonner (Clerk) CONTRACTOR: Contract Management, Inc. ATTEST: BY: NAME: James Wi 11 i ams (Type or Print) TITLE: Pres i dent ADDRESS: 1827 Killingsworth Road P.O. Box 3833 Augusta, GA 30914 Page 6 of 3S (SEAL) ~ NAME: Gregory Wi 11 i amc; (Type or Print) TITLE: Operati ons Manager ( CERTIFICATE OF OWNER'S ATTORNEY I, the undersigned f)~ L,QlA- Z S; ~i>d authorized representative of Augusta, Georgia, do hereby certify as follows: and acting legal I have examined the attached Contract(s) and Surety Bonds, and the manner of execution thereof, and I am of the opinion that each of the aforesaid agreements has been duly executed by the proper parties thereto acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the respective parties named thereon; and that the foregoing agreements constitute valid and legally binding obligations upon the parties executing the same in accordance with the terms, conditions and provisions thereof. ~rzLb- L Stephen Shepard, Attorney Augusta, Georgia DATE l[Lc..r; Page 11 of 35 =rcm: Debbie Smi1h At East Mountain Insurors FaxlD: 770-978-7350 To: Contract Management. Inc. Date: 814105 03:37 PM Page: 1 of ACORD.. CERTIFICATE OF LIABILITY INSURANCE CSR DB CONTR-1 08/04/05 THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMAnON ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. OATeIMMoDOiVVYV. PRODUC:ER East 140untain Insurors P.O. Box 698 Snellville GA 30078 Phone: 770-979-3215 Fax: 770-978-7350 INSURERS AFFORDING COVERAGE Contract Hanagement, Inc. PO Box 3833 Augusta GA 30914 INSURER A U'SURER B: INSURER C: Auto-Owners Insurance NAIC# 18988 IN,URBI INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REOUlREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT \IVITH RESPECT TO WHICH THS CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE ElEEN REDUCED BY PAlO CLAIMS. I"S" ''''''L POuc:v NUMBER PD~r'::~~~~ rg~~I.~~~~~:' UMlTS LTR tfsRD TVPI OF 'N'URANC:I ~ERA~ UABIUN EACH OCCURRENCE $ 1, 000, 000 04/01/05 04/01/06 v~.~~ ~::. ~<'" <v A X COMMERCI"l GENE""llIABlUTY 0046184844918604 PREM:lSES (E<:t lJtlUII:'I!LI:') '\ 300000 I CW>JMS MADE ~ OCCUR MED 8<P (Am! one person) '\ 10,000 ~ERSO'W. &A[NUWRY $ 1,000,000 - GENER.~ AGGREGATE $ 1, 000,000 - GElf~ AGGREGATE UMIT APPUES PER. PRODVCTS-COMPfOPAI;G '\ 1,000,000 , n PRO. nLOC POUCY JECT AUTOMOBILE LWlIUTV COMBINED SINGLE LIMIT - $ 1,000,000 A 1f- ANY AUTO 4224600400 04/01/05 04/01/06 lEa accldentj AL~ OWNED AUTOS BOOlL Y INJURY - $ SCHEDUl.fO AUTOS (Per pl!nonl - X HIF<ED AUTOS e.OOlL'( tHJltRY f-=- '\ ~ NON..uWNED AUT08 (per aCCident) r-- P"OPERTY DAAlOGE '\ lF~, duldt'ut) GAIlAGE UAIILITY At'TO ONLY - fA ACCIDENT '\ R IoNY AUTO OTHER rw.N EA.A.CC $ AUTO ON~Y ..GG $ EXc:esSilJMeRIW UAIRJTV EACH OCCURRENCE $ 2,000 ,000 A o OCCUR D CW>JMS MAOE 4229687500 04/01/05 04/01/06 AGGREGATE $ 2,000,000 $ 8 DEDUcTIBLE $ X RETENTION $10,000 $ WORKERS COMPEN'ATlON AND I T;;'~/~T'; I !'"e;;- A EMPLOVER.' UAIlIUTY 00171848447813 04/01/05 04/01/06 $ 1000 000 ANY PROPRIETOR/l'ARTNEI;>JC'ECUTNE E.~. EA/.;HJ\lXIIJENT OFFICER/MEMBER. E'CUJDED? E L DISEASE. fA EMPLO'IEE $ 1000 000 It Yt'~. tJt:~lIjL~ UltlJ~1 $ 1000 000 SPEL:I.AL PRO\t1SlUN& below E L DISEASE - POUCY UMlT OTHER DESCRlI'llON OF OPERAll..... ,'lOc:ATI..... i \llNlCLE5 i IXCLUSIONS ADDED BV ENDORSEMENT i SPEC:IA~ PROVI.lOt,. Re: Bid Item 1#05-088 CERTIRCATE HOLDER CANCELLATION CITY-80 SIlCUlD ANY OF THE ABOVE DESCRIBED POU<:lE$ BE C:AHc:B.LED BEFORE THE EXrlRATlOII DATI 'IlCIIQOF. THE ISlUING IIlSUIl... WlU. ENDEAVOR TO MAL ~ DAY. WRITTIEN Ci. ty of Augus ta Procurement Dept. 530 Green St., Room 805 .Augusta GA 30911 NOTICI! TO 'Ill1 c:&IlTIFICATI HOLDER _ TO THE LEFT. BUT FAILUltI! TO 00 50 SMALL _0'."0 OBLIGATION OR UAaIUTV 01' ANV litHO UPON THE IIlSURI!ll. m AGENTS OR ACORD 25 (2001/08) 5srrA~ ~ @ACORD CORPORATION 198 DUPLiCATE ORIGINAL SECTION PB PERFORMANCE BOND Bond Number: B98818012326 (NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PAYMENT BOND ON PAGES 8.9, IN FAVOR OF THE OWNER CONDITIONED FOR THE PAYMENT OF LABOR AND MATERIAL.) KNOW ALL MEN BY THESE PRESENTS: That Contract ManaQement Inc. , as Principal, hereinafter called Contractor, andAmeri can Southern Insurance, ~corporation organized and existing under the laws of the State of Kansas , with its principal office in the City of Topeka , State of Kansas, as Surety, hereinafter called Surety, are held and firmly bound unto Augusta, Georgia, as Obligee. hereinafter called the Owner, in the penal amount of DoUarn($ 93,345.00------) Ninety-Three Thousand, Three Hundred Forty-Five & 00/100-- for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successorn, and assigns. jointly and severally, firmly by these presents for the faithful performance of a certain written agreement. WHEREAS. Contractor has by said written agreement dated Jul y 5, 2005 entered into a contract with Owner for Replacement of the Drivewav. Apron and EnQine Room Floor, Augusta, Georgia, in accordance with the specifications issued by the Augusta Fire Department, which contract is by reference made a part hereof, and is hereinafter referred to as the CONTRACT. NOW. THEREFORE, the condition of this obligation is such that, if Contractor shall promptly and faithfully perform said CONTRACT, then this obligation shall be null and void; otherwise it shall remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the CONTRACT, the Owner having performed Owner's obligations thereunder, the Surety may promptly remedy the default. or shall promptly (1) Complete the CONTRACT in accordance with its terms and conditions, or, (2) Obtain a bid or bids for completing the Contract in accordance with its terms and conditions, and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible bidder, arrange for a contract between such bidder and Owner, 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 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 Page 7 of 35 IlJUP'"C " . .. '._I.Jl\ rE OR/GiN/~t paragraph. shall mean the total amount payable by Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. Any suit under this bond must be instituted before the expiration of two (2) years from the date on which final payment under the CONTRACT falls due. No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the heirs, executors, administrators or successors of the Owner. Signed and sealed this 3rd day of August ,200~. ~tnes~~~~~~ Contract Management, Inc. (Seal) (Contractor) (/hu4uJ~ By 1;:: Will i ams (Seal) President WdnessiClk jJ.;~ Ameri can Southern I nsurance Company (Seal) (Surety) t c. ne McCartha-Witness (Title) By Raymond Note: Date of Bond must be prior to date of Contract. If Contractor is Partnership, all partners should execute Bond. Page 8 of 35 DUPLICATE ORIGIf\JAL SECTION LMP8 LABOR AND MATERIAL PAYMENT BOND Rood Number: B98818012326 (NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND ON PAGES 6-7, IN FAVOR OF THE OWNER CONDITIONED FOR THE PERFORMANCE OF THE CONTRACT.) KNOW ALL MEN BY THESE PRESENTS: That Contract Management, I nc. , 8S Principal, hereinafter called Contractor, and Ameri can, Southern I nsurance Company a corporation organized and existing under the laws of the State of Kansas ,with its principal office in the City of Topeka , State of Kansas , as Surety, hereinafter called Surety, are held and firmly bound unto Augusta, Georgia, as Obligee, hereinafter called the Owner, for the use and benefit of claimants as hereinbelow defined in the amount of Ni nety- Three Thousand, Three Hundred ..Forty-Fi ve * OO/l:mlJars ($ 93,345. OO-----------------------------------)' for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS, Contractor has, by written agreement dated Ju 1 y 5, 2005 . entered into a contract with Owner for Replacement of the Drivewav. Apron and Enqine Room Floor, Augusta, Georgia, in accordance with specifications issued by the Augusta Fire Department, which contract is by reference made a part hereof, and is hereinafter referred to as the CONTRACT. NOW, THEREFORE, the condition of this obligation is such that, if the Contractor shall promptly make payment to all claimants as hereinafter defined, for all labor and material used or reasonably required to use in the performance of the CONTRACT, then this obligation shall be void; otherwise it shall remain in full force and effect, subject. however, to the following conditions: (1.) A claimant is defined as one having a direct contract with the Contractor or with a subcontractor of the Contractor for labor, material, or both, used or reasonably required for use in the performance of the contract, labor and material being construed as to include that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental of equipment directly applicable to the CONTRACT. (2) The above named Contractor and Surety hereby jointly and severally agree with the Owner that every claimant as herein defined, who has not been paid in full before the expiration of a period of ninety (90) days after the date on which the last of such claimant's work or labor was done or performed, or materials were fumished by such claimant, may sue on this bond for the use of such claimant, prosecute the. suit to final judgement for such sum or sums as may be justly due claimant, and have execution thereon. The Owner shall not be liable for the payment of any costs or expenses of any such suit. (3) No suit or action shall be commenced hereunder by any claimant, Page 9 of 3S DUPUCATE OI1'GINAl~ (a) Unless claimant, other than one having a direct contract with the Contractor, shall have given written notice to any two of the following: The Contractor, the Owner, or the Surety above named, within ninety (90) days after such claimant did or performed the last of the work or labor, or fumished the last of the materials for which said claim is made, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were furnished, or for whom the work or labor was done or performed. Such notice shall be served by mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Contractor, Owner or Surety, at any place where an office regularly maintained for the transaction of business, or served in any manner in which legal process may be served in the state in which the aforesaid project is located, save that such service need not be made by a public officer. (b) After the expiration of one (1) year following the date on which Contractor ceased work on said CONTRACT, it being understood, however, that if any limitation embodied in this bond is prohibited by any law controlling the construction hereof, such limitation shall be deemed to be amended so as to be equal to the minimum period of limitation permitted by such law. (c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of the state in which the project, or any part thereof, is situated. or in the United States District Court for the district in which the project, or any part thereof, is situated, and not elsewhere. (4) The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder, inclusive of the payment by Surety of mechanics' liens which may be filed of record against said improvement, whether or not claim for the amount of such lien be presented under and against this bond. Signed and sealed this 3rd day of August ,2002,. Witness~~~~~~~ (Contractor) By (Seal) ,t(}~ Wi 11 i ams ent (Seal) Ameri can Southern Insurance Com(Seal) Note: Date of Bond must be prior to date of Contract. If Contractor is Partnership, all partners should execute Bond. Page 10 of 35 AMERICAN SOUTHERN INSURANCE COMP~~LlCATEORIGJNAl Home Office: 200 S.W. 30th Street Topeka, Kansas 66611 Mailing Address: 3715 Northside Pkwy, NW Bldg 400, Ste 800 Atlanta, Georgia 30327 GENERAL POWER OF A TIORNEY Know all men by these Presents, that the American Southern Insurance Company had made, constituted and appointed, and by these presents does make, constitute and appoint C. Wayne McCartha, Raymond E. Cobb, Jr.; or M. Kathryn McCartha-Powers all of Columbia, South Carolina, EACH as its true and lawful attorney for it and its name, place and stead to execute on behalf of the said company, as surety, bonds, undertakings and contracts of suretyship to be given to all obligees provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount of the sum of $1,000,000 (one million dollars). This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted pursuant to due authorization by the Executive Committee of the Board of Directors of the American Southern Insurance Company on the 26th day of May, 1998: RESOLVED, that the Chairman, President or any Vice President of the Company be, and that each or any of them hereby is, authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to execute in behalf of the American Southern Insurance Company bonds, undertakings and all contracts of suretyship; and that any Secretary or any Assistant Secretary be, and that each or any of them hereby is, authorized to attest the execution of any such Power of Attorney, and to attach thereto the seal of the Company. 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 valid and binding upon the Company when so affixed and in the future, with respect to any bond undertaking or contract of suretyship to which it is attached. In Witness Whereof, the American Southern Insurance Company has caused its official seal to be hereto affixed, and these presents to be signed by its President and attested by its Secretary this 10lh day of December, 2004. Atteu / II ~~~ STATE OF GEORGIA SS: COUNTY OF FULTON On this 101h day of December, 2004, before me personally came Scott G. Thompson to me known, who being by me duly swom, did depose and say that he resides in Atlanta, in the County of Fulton, State of Georgia, at 421 Hollydale Court; that he is the President of American Southem Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of the said corporatipn; that the seal affixed to the said instrument is such corporate seal; that it was so affixed and that he ~_~ .hiS-'l3! thj'fto Pj~uant to due authorization. &(rili~ul'~ ~/ STATE OF GEORGIA Notary Public, State of Georgia SS: Qualified in Cobb County COUNTY OF FULTON Commission Expires September 7, 2006 I, the undersigned, a Vice President of American Southern Insurance Company, a Kansas Corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attomey remains in full force and has not been revoked; and, furthermore, that the Resolution of the Executive Committee of the Board of Directors set forth in the Power of Attorney is now in force. Signed and sealed at the City of Atlanta, Dated the 3 rd day of August 2005 Number 5 d.. 7 r; d- Jerry A. Underwood Vice President ~ rnerican 15~nl ~SURANCE COMPANIES DUPUCATE ORIGINAL 3715 Northside Parkway, Building 400, 8th Floor, Atlanta, GA 30327 / 800-241-1172 IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act 0(2002 (the "Act"). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 90% of the amount of covered losses caused by certain acts of terrorism that is in excess of American Southern Insurance Company statutorily established deductible for that year. The Act also caps the amount of terrorism- related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium. charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. I EXHIBIT I ..CITY OF AUGUSTA COMMISSION BID ITEM #05-088 BID FORM PROJECT NAME Replacement of Driveways, Apr(m and Engine Bay Floor for Fire Station #.4 . CLOSING DATE 4/29/05 CLOSING TIME Ham .. =========~==========~~~==========~~============================ . SECTION I .;.. BID FORM Name of Firm Contract Management, Inc. (CHI) Address 1827 Killingsworth Rd., P.O. Box 3833, Augusta, GA Zip 30914 Phone (706) 667-9033 Date Established 12/15/95 Section II - Cost A- Engine Bay Floor Replacement The above firm proposes to undertake the referenced project at the following. quote price: $ 0 I, 11 ~ct) .. J -rt0.;;' O~"'J D IV€' , Hu.NJAAXi <;eu,~:;''ue f XX f I r:l:J Dollars B- Driveway and Apron Replacement The above firm proposes to undertake the referenced project afthe following quote price: $ tD ~, 170. on . .. . ... . S,V+y~~-r~),I".~ Q,\.P. -N~ ~/ 'JXlliiJ Dollars . I . c- Driveway and Apron Repair The above firm proposes to undertake the referenced project at the following quote price: ! S~~~OO .. _, '_ . ._ hHy ~--lv...ou~~ ,. t=.l~ym.. ft>.?i;r ~ '#~JC Dollars Section III - References O} Pat Ellis - DJJ-GA - (706) 792-7503 (2) Pat Elrod -BechtelSRS -(803) 952-9823 (3) B.i11wisenbaker - LeQin - (803) 642-8688 (4) Robert Wilson - Gracewood - (706) 792-7H **Note: If you need more references; please., feel free to contact us. ** **Acknowledge Ad~endum411 - 4/21/05** ., - 9 - . SECTION IV;. COMPANY IDENTIFICATION AND OWNERSHIP DISCLOSURE .. Contact. Person Gregory Williams Company Contract Management, I ~c ~ , (CMI ) Title .. Operations Man.ager Address 1827 Kill ingsworth Rd., P.O. Box 3833, Augusta, GA 30914 Telephone Number Indicate. Which: (706)- 667-9033 Consortium *Minority Owned/Controlled Business Yes....!!... No Partnership Sole Proprietorship Small Business Y e~ XX No *Minorities are defined asBlacks, Hispanics, Asians, or Pacific Islanders,'American Indrans, Alaskan" Natives, and Women. Organized under the la~s of the State of .. Georgia Principalplaceofbusinessat 18lTKnlingsworth Rd., Augusta, GA.30904 Following are the names and addresses. of all persons having ownership interest of 3% ormore in the Company: (Attach more sheets if necessary) . NAME ADDRESS James Williams 3638,.JamaicaDrive,Augusta, GA 30909 SECTION V - CONFLICTS OF INTEREST Standards of conduct for public officers and employees of agencies, defined in the Georgia Statutes. The Offeror ( ) is (XX) is not aware of any information bearing on the existence of any potential organization conflict of interest. SECTION IV - COLLUSION I certify that this Bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a bid fdrthe same services, materials, supplies, or equipment, and is in all respects -fair and without collusion or fraud. I understand collusive bidding is a violation of the State and Federal law and can result in fines, prison sentences, and civil damage awards. I hereby certify that the responses to the above r.epresentations, certifications, and other statements are accurate and complete. I agree to abide by all conditions of this Invitation to Bid and certify that I am authorized to sign for the Offeror. Date 4/29/05 Title Operations Manager OFFEROR MUST RETURN THIS COMPLETED FORM WITH THE BID - 10- 1.6;: ~:c.,:_..____ EMPLOYEE CONFLICT OF INTEREST: It shall be unethical for any City of Augusta business or participant directly or indirectly in a procurement contract when the employee or officiallmows that:.. . , (a).the employee or official or any n1~ber of the employee's or official's immediate family ,bas a substantial interest or financial interest pertaining to the procurement contract; . except that .the purcill:J.se of goods and services frombusinesses which a member of the Commission or otht::rCi~ of Augusta employee has a financial interest is authoriZed as per a.c.G.A. 36-1-14~ or the procurement contract is awarded pursuant to a.c.G.A. 45-10-22 and 45-10-24, or the transaction is excepted from .said restrictions by a.c.G.A. 45-10-25; (b) .. Any other person, business, or org~ation with whom the employee or official of any member. of an employee's or officials immediate family is negotiating or has anatrangement concerning prospective employment is invol,:,ed in the procurement contract. Any employee or official or any member of an employee's or officiaJ. mediate family who holds a -t;ubstantial interesf or financial interest in a disclosed blind trust shall not be deemed ~o have a conflict of interest with regard to matters pertaining to tha.t substantial interest or financial interest; . USEOF CONFIDENTIAL INFORMATION 1-10-15 It shall be unethical for any Augusta, GA County eniployee or official to knowingly use confidential information for actual or anticipated personal gain, or for the actual or anticipated gain for any other person. Date: 4/29/05 Title: Operations Manager Company: Contract Management, Inc. (CMI) THIS SHEET IS REOUffiED TORE IN SUBMITTAL. - 3 - v THE Atv\ERICAN INSTITUTE OF ARCHITECTS " AlA Document A310 Bid. Bond Bond Number: 52738 KNOW ALL MEN BY THESE PRESENTS, thatwe Contract Management, Inc. (Here insert full name. and addr."s or legal lille of Contractor) 1827 Killingsworth Road, Augusta, Georgia 30904 as Principal, hereinafter called the Principal, and American Southern Insurance Company (Here insert full name and address or legal trlle of Surely) 3715 Northside Pkwy, NW, Bldg 400, Ste 800, Atlanta, Georgia 30327 a corporation duly organi.zed under the laws of the State of Kansas as Surety, hereinafter called the Surety, are held and firmly bound unto Augusta, Georgia Commission (Here insert full name and address or legal lille of Owner) Procurement Department, 530 Greene Street, Room 605, Augusta, Georgia 30911 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent (10%) of the attached bid*** Dollars ($10% of bid***), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. ' / WHEREAS, the Principal has submitted a bid for Bid No. 05-088 - Replacement of Drive- . lJiere insert full name. address and description of project) way, Apron & Engine Bay Floor for Fire Station '/'4 for the Augusta Fire Department .\ NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract wllh.he Obligee in accordance With the terms of such bla, ana gIve suCh bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful.performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, orin the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty . . hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith. contract with. another party to perform .the Work covered by said bid, then this obligation shall be' null and void, otherwi5~to remain in full force and effect. . . . Signed and sealed this 29th day of April, 2005 I (Seal) (Seal) AlA DOCUMENT AnO . BID BOND ~ ^I^ ~ . FEBRU^RY 1970 ED . THE ^MERIC^N INSTITUTE Of ^RCHITECTS, 1735 N.Y.^VE., N.W., W^SHINGTON, D. C. 20006 1 ~~~nl ~SURANCE COMPANIES 3715 Northside Parkway, Building 400, 8th Floor, Atlanta, GA 30327 / 800-241-1172 IMPORTANT DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002 (the "Act"). The Act establishes a short-term program under which the Federal Government will share in the payment of covered losses caused by certain acts of international terrorism. We are providing you with this notice to inform you of the key features of the Act, and to let you know what effect, if any, the Act will have on . your premium. Under the Act, insurers are required to provide coverage for certain losses caused by international acts of terrorism as defined in the Act. The Act further provides that the Federal Government will pay a share of such losses. Specifically, the Federal Government will pay 90% of the amount of covered losses caused by certain acts of terrorism that is in excess of American Southern Insurance Company statutorily established deductible for that year. . The Act also. caps the amount of terrorism- related losses for which the Federal Government or an insurer can be responsible at $100,000,000,000.00, provided that the insurer has met its deductible. Please note that passage of the Act does not result in any change in coverage under the attached policy or bond (or the policy or bond being quoted). Please also note that no separate additional premium charge has been made for the terrorism coverage required by the Act. The premium charge that is allocable to such coverage is inseparable from and imbedded in your overall premium, and is no more than one percent of your premium. AMERICAN SOUTHERN INSURANCE COMPANY Home Office: 200 S.W. 30th Street Topeka, Kansas 66611 Mailing Address: 3715 Northside Pkwy, NW Bldg 400, Ste 800 Atlanta, Georgia 30327 GENERAL POWER OF ATTORNEY Know all men by these Presents, that the American Southern Insurance Company had made, constituted and appointed, and by these presents does make, constitute and appoint C. Wayne McCartha, Raymond E. Cobb, Jr.; or M. Kathryn McCartha-Powers all of Columbia, South Carolina, EACH as its true and lawful attorney for it and its name, place and stead to execute on behalf of the said company, as surety, bonds, undertakings and contracts of suretyship to be given to all obligees provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount of the sum of $1 ,000,000 (one million dollars). This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted pursuant to due authorization by the Executive Committee of the Board of Directors of the American Southern Insurance Company on the 26th day of May, 1998: RESOLVED, that the Chairman, President or any Vice President of the Company be, and that each or any of them hereby is, authorized to execute Powers of Attorney qualifying the attorney named in the given Power of Attorney to eXecute in behalf of the American Southern Insurance Company bonds, undertakings and all contracts of suretyship; and that any Secretary or any Assistant Secretary be, and that each or any of them hereby is, authorized to attest the execution of any such Power of Attorney, and to attach thereto the seal of the Company. 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 valid and binding upon the Company when so affixed and in the future, with respect to any bond undertaking or contract of suretyship to which it is attached. In Witness Whereof, the American Southern Insurance Company has caused its official seal to be hereto affixed, and these presents to be signed by its President and attested by its Secretary this 10lh day of December, 2004. Atteu ,.. J! ~4~ STATE-6F 6E6R61A COUNTY OF FULTON SS: On this 10th day of December, 2004, before me personally came Scott G. Thompson to me known, who being by me duly swom, did depose and say that he resides in Atlanta, in the County of Fulton, State of Georgia, at 421 Hollydale Court; that he is the President of American Southern Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed and that he ~e~ .hiS ~ thnto pursuant to due authorization. ~~UI'~ ~./ STATE OF GEORGIA NotaryPublic, State of Georgia SS: Qualified in Cobb County COUNTY OF FULTON Commission Expires September 7,2.006 I, the undersigned, a Vice President of American Southern Insurance Company, a Kansas Corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attomey remains in full force and has not been revoked; and, furthermore, thai the. Resolution of ttie Executive Committee of the Board of Directors set forth in the Power of Attorney is now in force. Signed and sealed at the City of Atlanta, Dated the 29th day of Apr il , 2005 Number 5:278g Jerry A. Underwood Vice President Addendum for Bid #05-088 Clarification to bid specifications Concrete specifications ~/ 6 inches of Portland heavy duty concrete rated at 4000 p.s.i. with 1.5#/c.y polypropylene fibrous reinforcement over 10 mil vapor retarder over 6 inches compacted gravel base. Tint Color for Emdne Bay Concrete Color tinting material shall be 1.5#/ c.y. Tint color shall be gray. Concrete Sealant for finished concrete floor Type SL Silicone sealant for concrete shall be applied. Trench Drains /" Manufactured pre-sloped 6 inch trench drains with heavy duty cast iron slotted grate with appropriate traps and exterior cleanouts will be installed in engine bay. Drains shall meet all required building codes for this type of drain system. Engine room concrete floors shall be sloped to the trench drains to insure proper drainage.Drains shall be a minimum of 40 feet in length and centered in each engine bay. En2ine Room Bay Floor Area /' The bay floor shall be installed flush to the existing engine room wall, excluding stairwell and storage area entering the station kitchen. En2ine Room Bay Floor Trim .........------.. Engine room bay trim shall 6 inch vinyl trim, color to match bay floor as close as possible. Pavin2 of Driveway and Apron Area Alternate #1 Alternate #1 shall include the entire pavin of the driveways and apron. (Designated sections A, B and C on diagram.) Sectio D shall not be included. Alternate #2 Alternate #2 shall include the paving of the driveways. (Designated sections B and C on diagram.) Sections A and D shall not be included. Concrete Construction Joint Specifications Page 1 5/1 0/2005 Addendum for Bid #05-088 Set construction jointsat side and end terminations of pavement and at locations where pavement operations ae stopped for more than one half hour unless pavement terminatesat isolation joints. Appropriatejoint filler materials and sealant shall be applied. Testine: A compression strength test shall be performed in compliance with industry standards associated with project type and be submitted to the owner at the completion of the project. ~~()Mt'//# ~"'I' ()f y Page 2 5/1 0/2005