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HomeMy WebLinkAboutSUPPLEMENTAL AGREEMENT BETWEEN AUGUSTA, GEORGIA AND SOUTHERN SERVICES FOR SANITARY SEWER CONNECTION SERVICES (2) This SUMPLEMENTAL AGREEMENT,made on the I day of yA..* ,20 1,8 ,to the AGREEMENT, approved by the Augusta Commission on October 18,2016 negotiated on the 30th of May 2018. by and between AUGUSTA, GEORGIA,BY AND THROUGH THE AUGUSTA-RICHMOND COUNTY COMMISSION,party of the first part,hereinafter called the OWNER, and Southern Services, party of the second part,hereinafter called the CONTRACTOR. WITNESSETH,that the Contractor and the Owner, for the considerations hereinafter named, agree as follows: ARTICLE I-SCOPE OF THE WORK- The Contractor hereby agrees to furnish all of the materials and all of the equipment and labor necessary, and to perform all of the work shown on the plans and described in the specifications for the - project entitled: SANITARY SEWER CONNECTION SERVICE—PHASE 2—GROUP 6-BID ITEM#18-194 and in accordance with the requirements and provisions of the Contract Documents as defined in the General and Special Conditions hereto attached,which are hereby made a part of this agreement. ARTICLE II-TIME OF COMPLETION The work to be performed under this Contract shall be commenced within 5 business days after the date of written notice by the Owner to proceed.All work shall be substantially completed within 30 calendar days with all such extensions of time as are provided for in the General Conditions. Substantial completion shall be defined as all lots awarded connected to the city sewer system, all septic tanks abandoned. Final completion shall be 10 days after substantial completion. Final completion shall be defined as a representative of each property has signed off on the completeness and acceptance of work,example included. It is hereby understood and mutually agreed,by and between the Contractor and the Owner,that the date of beginning, rate of progress and the time for completion of the work to be done hereunder are ESSENTIAL CONDITIONS of this contract. Contractor agrees that said work shall be prosecuted regularly, diligently, and uninterruptedly at such rate of progress as will ensure full completion thereof within the time specified.It is expressly understood and agreed by and between the Contractor and the Owner,that the time for completion of the work described herein is a reasonable time for completion of the same, taking into consideration the average climatic range and construction conditions prevailing in this locality. Wage ARTICLE III—PAYMENT (A) The Contract Sum The Owner shall pay to the contractor for the performance of the Contract the amount as stated in the BID FORM and Schedule of Items. No variations shall be made in the amount except as set forth in the specifications attached hereto. (B) Progress Payment On no later than the fifth day of every month,the Contractor shall submit to the Owner's Engineer an estimate covering the percentage of the total amount of the Contract which has been completed from the start of the job up to and including the last working day of the preceding month, together with such supporting evidence as may be required by the Owner and/or the Engineer.This estimate shall include only the quantities in place and at the unit prices as set forth in the Bid Schedule. On the vendor run following approval of the invoice for payment,the Owner shall after deducting previous payments made,pay to the Contractor 90%of the amount of the estimate on units accepted in place.The 10%retained percentage may be held by the Owner until the final completion and acceptance of all work under the Contract. ARTICLE IV-ACCEPTANCE AND FINAL PAYMENT (A) Upon receipt of written notice that the work is ready for final inspection acceptance,the Engineer shall within 10 days made such inspection, and when he finds the work acceptable under the Contract and the Contract fully performed,he will promptly issue a fmal certificate,over his own signature,stating that the work required by this Contract has been completed and is accepted by him under the terms and conditions thereof. The contract shall then submittal a final payment request for the entire balance found to be due the Contractor including the retained percentage. This payment shall be paid to the Contractor by the Owner within 30 days after the date of the receipt of the final payment request. (B) Before final payment is due,the Contractor shall submit evidence satisfactory to the Engineer that all payrolls, material bills, and other indebtedness connected with work have been paid, except that in case of disputed indebtedness of liens of evidence of payment of all such disputed amounts when adjudicated in cases where such payment has not already been guaranteed by surety bond. (C) The making and acceptance of the final payment shall constitute a waiver of all claims by the Owner, other than those arising from unsettled liens,from faulty work appearing within 12 months after final payment, from requirements of the specifications,or from manufacturer's guarantees.It shall also constitute a waiver of all claims by the Contractor except those previously made and still unsettled. (D) If after the work has been substantially completed, full completion thereof is materially delayed through no fault of the Contractor, and the Engineer, so certifies, the Owner shall upon certification of the Engineer,and without terminating the Contract,make payment of the balance due for that portion of the work fully completed and accepted. Each payment shall be made under the terms and conditions governing final payment,except that it shall not constitute a waiver of claims. 2iPagc IN WITNESS WHEREOF,the parties hereto have executed this Agreement in three(3)counterparts, each of which shall be deemed an original, in the year and day first mentioned above. OWNER: AUGUSTA,GEORGIA ATTEST: 46...07)17;7;111,,,:%%11,.] S 'AL 1 `"+ The Honorable Har s ie •avis,Jr. Lena J. c ' z ; ®' ii I r C Mayor Cler611 i ic o Qo s ;, %W,. s Date: ,L.kl% Date: Iii LI +'rix Arz, . A as i itr ` 4MaCIIIN '," 4. APPROVED AS TO FORM: DEPARTME By: i, A* By 4a ..1�.., .w„ Thomas D. Wiedmeier Attorney Director, Augusta Utilities Department Date: / 9 Date: 'i/L17 1 va `,��t111111,if/' CONTRACTOR: `,,h Nev;�/ �,J, _.''mission e4N. �� it ATTEST: _ _ ma . (a �► � 4 S O, :_�ammit S Pubs` ��. •C? BY .lite. s. By: \j_QIU/K1110ALUXIVA,Ntora• 2a.2 •• Name: (yam 6 r V. liF�'G_r�° - ( Name: c_ ,,,, ,CO�t`���`• ie�r, l�ev� 1 r� 'is/11111�o� Title: i t f,6 -(4--e.-4\4 Title: (\i' rt.) p 1A/J 1 IC- Date: CDate: `1-t i—G`� Date: -.l L1 Z? 3I Page Premium Based on Final Contract price. Bond No: SB 0610711 PERFORMANCE BOND (NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PAYMENT BOND ON PAGE 6, IN FAVOR OF THE OWNER CONDITIONED FOR THE PAYMENT OF LABOR AND MATERIAL.) KNOW ALL MEN BY THESE PRENSENTS: That George E. Petrea, Jr., Inc. DBA Southern Services as Principal, hereinafter called Contractor,and Pennsylvania National Mutual Casualty Insurance company a corporation organized and existing under the laws of the State of Pennsylvania ,with its principal office in the City of Harrisburg ,State of Pennsylvania , as Surety, hereinafter called Surety, are held and firmly bound unto AUGUSTA, GEORGIA BY AND THROUGH THE AUGUSTA COMMISSION as Obligee,herein after called the Owner, in the penal amount of Fifty Eight Thousand,Eight Hundred Six Dollars ($58,806.00'** ) for the payment whereof Contractor and Surety bind themselves,their heirs,executors,administrators,successors,and assigns,jointly and severally, firmly by these presents for the faithful performance of a certain written agreement. WHEREAS,Contract has by said written agreement dated /u.,b.' l 1 , 07,0(2 entered in to a contract with Owner for the Sanitary Sewer Connection Services Task Order Program in accordance with the drawings and specifications issued by the Augusta Utilities Department and the Augusta-Richmond County Commission, 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. 4IPa `:: c 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 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 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 18th day of July A.D. 2018 . `o"11111/,, %• 4'•• \ee nN bei /e, Witness o - eorge E.Petrea,Jr.,Inc.DBA Southern Services ( eal) ._' �' ' 'c_ , n (Contractor) - '°ubhC. i •. 9, 0 Z Attest /'',�O •Counti�'`��•� By Pres, e(\-+ (Seal) /iil l t t o t o0�` (Title) lq.., Witness -4 .4 tir Pennsylvania National Mutual Casualty Insurance Company v (Seal) Kathy S. Smith, itness (Surety) Wle.� By ,Ai.: AV* N . lb ena . Moss, i ness (Title) Robert M. Hrehor, Attorney-in-Fact: Premium Based on Final Contract Price. Bond No: SB 0610711 LABOR AND MATERIAL PAYMENT BOND (NOTE: THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND ON PAGE.4,IN FAVOR OF THE OWNER CONDITIONED FOR THE PAYMENT OF LABOR AND MATERIAL.) KNOW ALL MEN BY THESE PRENSENTS: That George E. Petrea, Jr., Inc. DBA Southern Services as Principal, hereinafter called Contractor,and Pennsylvania National Mutual Casualty Insurance company,a corporation organized and existing under the laws of the State of Pennsylvania ,with its principal office in the City of Harrisburg ,State of Pennsylvania , as Surety, hereinafter called Surety, are held and firmly bound unto AUGUSTA, GEORGIA BY AND THROUGH THE AUGUSTA COMMISSION as Obligee,herein after called the Owner, for the use and benefit of claimants as herein below defined in the amount of Fifty Eight Thousand,Eight Hundred Six Dollars ($58,806.00'"" ) for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors, and assigns,jointly and severally, firmly by these presents. WHEREAS,Contract has by written agreement dated -.1- 1 I t, gyp t`g entered in to a contract with Owner for the Sanitary Sewer Connection Services Task Order Program in accordance with the drawings and specifications issued by the Augusta Utilities Department and the Augusta-Richmond County Commission, 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 furnished by such claimant, may sue on this bond for the use of such claimant,prosecute the suit to final judgment 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. 6II' aUe (3) No suit or action shall be commenced hereunder by any claimant, (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 furnished 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(I)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 thio$tMti"li,, day of July A. D. : = . .�` een N0 1'4 . Witness _ _ ���:� ,. � .'AO 'et ea,Jr, •c.DBA Southern Servi Sea L o • '��� _ _ (Contractor) .3 pubho o .moi O•.:9'Or'. 2o1°j•OF) ` Attest moi;0 G. 29..� , ``� By 1 R (Seal) ��,���ott� �` ('Title) Witness +, Pennsylvania National Mutual Casualty Insurance Company �^ (Seal) S. Smith, Witness (Surety) Witn• /2/A ► I Alta By /, Mees `PIAe al) ena C. •ss, itness (Title) 7 p <I uj e Robert M. Hrehor, Attorney-in-Fact _. PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY Harrisburg, Pennsylvania POWER OF ATTORNEY Know All Men By these Presents,That PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY,a corporation of the Commonwealth of Pennsylvania,does hereby make,constitute and appoint Robert M. Hrehor ,of Lilburn, GA its true and awful Attorney-in-Fact to make,execute,seal and deliver for and on its behalf,as surety,as its act and deed: ANY AND ALL BONDS AND UNDERTAKINGS PROVIDED THE AMOUNT OF NO ONE BOND OR UNDERTAKING EXCEEDS THE SUM OF TIN MILLION DOLLARS ($10,000,000.00). Bond Number: SB 0610711 Principal: George E. Petrea, Jr., Inc. DBA Southern Services Obligee: Augusta, Georgia by and through the Augusta Commission ALL POWER AND AUTHORITY HEREBY CONFERRED SHALL HEREBY EXPIRE AND TERMINATE WITHOUT NOTICE AT MIDNIGH"ON OCTOBER 31,2020,AS RESPECTS EXECUTION SUBSEQUENT THERETO. And the exe cution of such bonds in pursuance of these presents shall be as binding upon said Company as fully and amply,to all intents and purposes,a::if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Harrisburg, Pennsylvania,in their own proper persons. This appointment is made by and under the authorization of a resolution adopted by the Board of Directors of the Company on October 24, 1973 at Harrisburg,Pennsylvania which is shown below and is now in full force and effect. RESOLVED,that(1) the President, any Vice President, the Secretary, or any Department Secretary shall have power to appoint, and to revoke the appointments of',Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney,and to execute on behalf of the Company,and affix the Company's seal thereto,bonds,undertakings,recognizance's,contracts of indemnity and other written obligations in the nature thereof or related thereto;and(2)any of such Officers of the Company may appoint and revoke the appointments of joint-control custodians, agents br acceptance of process,and Attorneys-in-Fact with authority to execute waivers and consents on behalf of the Company;and(3)the signature of any such Officer or of any Assistant Secretary or Department Assistant Secretary and the Company seal may be affixed by facsimile to any power of attome•r or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written obligation in the nature thereof or related thereto,such signature and seal when so used whether heretofore or hereafter,being hereby adopted by the Company as the original signature of such Officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. In Witness Whereof: PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY has caused these presents to be signed and its corporate seal to be hereto affixed on November 1,2016. 444,,,......17, PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY ti;OzEkkt TAY/1 M9- 44z:zooMark F. g ,1d,Vice President-Surety 14 Commonwealth of Pennsylvania,County of Dauphin–ss: On Novem)er 1,2016,before me appeared Mark Fitzgerald to me personally known,who being by me duly sworn,did say that he resides in the New Jersey,that he is the Vice President–Surety of PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY,that he is the individual described in and who executed the preceding instrument,and that the seal affixed to said instrument is the corporate seal of said Company,.tnd that said instrument was signed and sealed on behalf of said Company by authority and direction of said Company,and the said office acknowled;;ed said instrument to be the free act and deed of said Company. LoP ck& COMMONWEALTH OF PENNSYLVANIA °t 's Notarial Seal •NOTARY aueuc• Tract A Kimmich,Notary Public ,,nn g City Of Harrisburg,Dauphin County [ i..1' `+°' „ r My Commission Expires Oct 31,2020 ;;; Notary Public Member,Pennsylvania Association of Notaries I,Mark Fitsgerald,Vice President–Surety of the PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY,a corporation.of the Commonwealth of Pennsylvania,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed b;,the said Company,which is still in full force and effect. toimi ua, In Witnes;.Whereof,I have hereunto set my hand and affixed the corporate seal of said Company on July 18, 201$`. es`.sin�"4��,�:°�'. 1 w- iht 1 ' TIF-1167-' /414/..... -',1111.111..- Vice Preside sl-(.g re ty 4,4, ,„Na7 0,«fiwmnun 78-190e(Rev 10/2012) SOUTH36 OP ID: K2 A4CoRa' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD1YYYY) 07/17/2018 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 706-868-1610 N,apCT Donald Skinner Jr ACHS Insurance PHONE P 0 Box 2897 (A1C,No,Ext):706-868-1610 I FAX(AICNo):706-860-5134 Evans,GA 30809 Rinkss:dskinner@achsinsurance.com Donald Skinner Jr INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Liberty Mutual Insurance 23035 INSURED Southern Services INSURER B:Builders Insurance 012026 P 0 Box 5549 Augusta,GA 30916 INSURER C:RLI 13056 INSURER D: 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 ADDL SUBR POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDOIYYYYI LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BKS1755867904 03/08/2018 03/08/2019 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIToAPPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY I I 28f LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000 000 (Ea accident) $ X ANY AUTO BA5970800 03/08/2018 03/08/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS pp BODILY INJURY(Per accident) $ X AU S ONLY X AUTOSpONEY PROPERTY pAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ B WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X STATUTE ER H ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N WCV002815313 10/24/2017 10/24/2018 1,000 000 FFICERJMEMg�R EXCLUDED? NI A E.L.EACH ACCI DENT $ i and iia in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C AugustaRichmond Co PRS1178939 05/16/2018 05/16/2019 Limit 20,000 License Bond DESCRIPTION OF OPERATIONS)LOCATIONS 1 VET-CLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITYAUG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Augusta GA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 535 Telfair St Augusta, GA 30901 A1UTTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD APPENDIX 1, Bid Document of Awarded Lots 2. Property Owner Acceptance SOUTHERN SERVICES-SSCP PHASE 2 GROUP 6 ADDRESS BID PRICE 1 2355 Basswood Dr,Augusta, GA 30815 $2,848.00 2 2714 Fairoak Ct, Hephzibah, GA 30815 $2,765.00 3 2715 Fairoak Ct, Hephzibah, GA, 30815 $2,174,00 4 2809 Pepperdine Dr, Hephzibah,GA, 30815 $2,560.00 5 2955 Willis Foreman Rd., Hephzibah, GA 30815 $4,674.00 6 3103 Blackmon Ct, Hephzibah, GA, 30815 $2,595.00 7 3304 Wombles Ct, Hephzibah,GA, 30815 $2,935.00 8 3307 Wombles Ct, Hephzibah, GA, 30815 $3,415.00 9 3308 Wombles Ct, Hephzibah, GA, 30815 $2,295.00 10 3417 Nance Blvd, Hephzibah, GA,30815 $3,678.00 11 3422 Nance Blvd, Hephzibah, GA, 30815 $3,324.00 12 3496 Byron PI,Augusta, GA, 30906 $2,600.00 13 3502 Barker Dr, Hephzibah, GA, 30815 $2,398.00 14 3517 Barker Dr, Hephzibah, GA, 30815 $4,024.00 15 3789 Fairington Dr, Hephzibah, GA,30815 $2,625.00 16 3797 Fairington Dr, Hephzibah, GA, 30815 $1,685.00 17 3847 Fairington Dr, Hephzibah, GA, 30815 $2,449.00 18 3872 Crest Dr,Hephzibah,GA, 30815 $2,389.00 19 4306 White Pine Ct,Augusta, GA, 30906 $2,824,00 20 4705 Broad Oak Ct,Augusta, GA, 30906 $4,549.00 TOTAL AMOUNT AWARDED: $58,806.00 UTILITIES DEPARTMENT Tom Wiedmeier,P.E. Marie Corbin,P.E. G .E'er 0 'R G I A Director Assistant Director Sanitary Sewer Connection Program Final Liability Waiver and Release Address of property for which consent for entry and access being granted: Relationship to property: (i.e., owner, owner's representative, tenant, etc.) OWNER NAME: MAILING ADDRESS: :?HONE NUMBER&E-mail: The undersigned is (are) the owner(s), their representative(s), or otherwise control the real 3roperty at the location described above. I, the property owner listed above, participated in the Augusta, Georgia Sanitary Sewer Connection Program, and as such, consented to and authorized employees and authorized representatives of the Augusta Utilities Department, and employees And authorized representatives Of Universal Plumbing, Southern Services Stark Plumbing, and/or Earl Babbitt Plumbing to access my property in order to perform the required actions to complete the following: 1. verify location and depth of my sewer service;verify 2. location and depth of my septic tank; survey my property for the sole purpose of collecting the necessary data to determine if or 3' how I could be connected to the Augusta sewer; abandonment of Septic Tank; 4. rerouting of plumbing to connect to Augusta,Georgia's sewer system;restoration of 5. landscaping and property to original state;and; 6. (Other) 7. I understand and acknowledge that Sanitary Sewer Connection Program (SSCP) is a program through which the Augusta Utilities Department (AUD) engaged plumbers pursuant to RFQ 16- 205 to abandon my septic tank and reroute the plumbing to connect to Augusta's sewer system; I acknowledge that the cost I paid, or have been invoiced and agree to pay, to participate in the SSCP was a flat rate of Ten Dollars ($10.00) to be paid by the property owner, and further that thereafter, the property owner/occupant will receive and be responsible for paying a monthly sewer bill; I understand and acknowledge that the improvements shall remain with the property thus belonging to the property owner and therefore shall become the responsibility of the property owner to maintain. The work will be guaranteed by a one (1) year warranty between the plumber (Universal Plumbing, Southern Services, Stark Plumbing, and/or Earl Babbitt Plumbing) and the homeowner. Augusta shall not be responsible for the maintenance or repair of the private sewer I acknowledge that I was provided the opportunity to review the work for the SSCP and have executed a Final Inspection form and provided any and all concerns and issues related to work done to my property in regards to the SSCP has been satisfactorily completed, and there are no remaining issues at this time; Therefore, I agree to the following as it relates to the following entities or persons: Augusta, Georgia, its Mayor, its Commissioners and their directors, officers, employees, contractors, representatives, and agents; Universal Plumbing, Southern Services, Stark Plumbing,and/or Earl Babbitt Plumbing, their officers, employees, directors, contractors, representatives, and agents, (collectively referred RELEASEES): I (we) understand, agree, and acknowledge that Augusta, Georgia, its Mayor, its Commissioners and their directors, officers, employees, representatives, and agents are NOT responsible for the errors, omissions, acts, or failure to act to any party or entity as it relates to injury or property damage in regards to the above listed services in accordance with the AUGUSTA, GEORGIA SANITARY SEWER CONNECTION PROGRAM; I (we) WAIVE, RELEASE, AND DISCHARGE RELEASEES from any and all liability, including, but not limited to liability arising from the negligence or fault of the entities or persons releases, for personal injury, property damage, property theft, or actions of any kind which may hereafter occur in regards to the performing of the services as it relates to the; I (we) agree to HOLD HARMLESS AND PROMISE NOT TO BRING LEGAL ACTION against the RELEASEES from any and all liabilities or claims made as a result of participation in the Sanitary Sewer Connection Program; I (we) ASSUMED ALL OF THE RISKS OF PARTICIPATING IN THE AUGUSTA, GEORGIA SEWER CONNECTION PROGRAM; This release and waiver of liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. j CERTIFY THAT I HAVE READ THIS DOCUMENT. AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. In witness thereof, this agreement has been executed on the date and place so written. PROPERTY OWNER AUGUSTA, GEORGIA Janice Allen Jackson Printed Name Printed Name Signature Signature Date Date Engineering Division 452 Walker Street, Suite 200 Augusta, GA 30901 Phone: (706) 312-4154 www.augustaga.gov