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HomeMy WebLinkAbout3 Red Cleveland BlvdPERMIT ADDRESS CONTRACTOR ADDRESS PHONE NUMBER , PROPERTY OWNER ADDRESS j 0 PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR _ PERMIT NUMBER MISCELLANEOUS CONTRACTOR _ FEE /- CITY OF SANFORD PERMIT APPLICATION �"�y,, Permit # �'t 1 d P Date: I—k\S Job Address: T i�``L/ 2e17 . ,Ec t_/�yJ p �L�i 1 - S/bJ FbrLD 0 3 � %3 Description of Work: (IU S 1 %kL A-n Cyr IJ AF BA 6i" ;r, kWJDL1 K36-1 .S\/.S Historic District: Zoning: Value of Work: $ �, } (�Q, O cU Permit Type: Building_ Electrical Mechanical X Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical Residential -` nNnn-Residential — Replacement -= New (Duct Layout & Energy Cale. Required) - Plumbing/ New Commercial: # of Fixtures — # of Water & Sewer Lines -f- # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial_ Industrial Total Square Footage: —' 1 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: n�n r p, t Y P Ct { A GA YNOT- 1 'I� (Attach Proof of Ownership p&&I%gat,Dcscription) Contractor Name & PJnaae & Faz:D t Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: d 76, ' L-tJ `T Uk,a+ Contact Person: Phone: L}() a' Sn `J `f'EZ=NJ- 4-7Sgy-TRr ) ,g -T<apt3 ssm A-L. 1)e. State License Number: -- r — — C, Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor or installation has commenced prior to the issuance of a permit and that all work will be performed to meet;standard's of s r�$u}}��tia traction in this jurisdiction. 1,understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBINQ,, SIGNS, W P�1 ti, CES, BOILERS,. HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 certify that all of the foregoip information WE Htt t w w'11•yHe done incompliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE C MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- -IF YOU IN A CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF `CO0AN NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable o-this'property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such tfatermaanagern t districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requi ents of Flflylda Lien I aw. FS 713. Qo Y0gnature of Owner/Agent Date % p v a-f, O<o y Owner/A ent's Name attire of Notary -State of Florida Date J7��O a.Iw w} o rc C3 m / QZ Owner/Agent is JZ Personally Known to Me or ProducedlD Print Con&actor/Agent's Name of Florida Contractor/Agent is _ Personally Known to Produced ID APPLICATION APPROVED BX-. Bldg �/ ` Zoning: ._ Utilities: (Initial & Date) (I itiad I & Date) Special Conditions: (Initial & Date) r 7" s C lE NOELL Notary P,,jbllc - State of, My-Ccm-, isztw E)#m May, Commission A D012' Bonded By National Notar � 3( FD: (Initial & Date) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES P ONE # 407-302-1091 * FAX #: 407-330-5677 DATE: 3 d� - PERMIT #: c) BUSINESS NAME / PROJECT: 1Er C rk t T ADDRESS: QC A CI e— 0e-I_ ark PHONE NO: --q cxsC$ FAX %0�7J `���.� _ / D-3 CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT ( J TENT PERMIT ] TAN PERMIT [ ] OTHER TOTAL FEES: $ (PER UNIT SEE BELOW) COMMENTS: t ,� Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prev ntion Division Applicant's Signature • Tl�l�1��J�IEf`C�d�RR1Cl`BI�����i�IENT procleA By Permit No. NAME Tax Folio No. State of Florida ADDR. ��` "D CA CNe.40ctv.d W . County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the prop rty and street address if available) Thrp-e_'Red C.tlLAP to,r�c� 6Atnfnrcl , FL- 2. General description of improvement: 3. Owner info ation G "-f. y a. Name and address C� POi Of { ���� +i l irKRll. l�fh f jPv i C)C:�, R-o-cA -�S L� rjC r a , l_ 3�-1 7S ri ORSE b. Interest in property fler:2 ,Lc_ rnv nr CIRCUiT.CGUR19 C. Name and address of fee simple titleholder (if other than Owner) 4. Contractor A a. Name and address <) A \",e a "q, �U `%�► � �d"r'"+ b. Phone number 3, - 7 -3 ? $3 Fax number _:?,- oC 5. Surety a. Name and address 6id6AM& i 6t6f c C Cc t Z b. Phone number /`fW ` Fax number `07 - '76 c. Amount of bond Z6-16. goo 6. Lender a. Name and address s� b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address Lctr r y A. E)c Lo Ce o Scir,-Cov-CA Pl So-VN+'0 Y FL 3 a-7'73 / b. Phone numbertax number 4 0-7 ;3aa - 3 Ll- 8. In addition to himself or herself, Owner designates I j2 k- -r-, CC'�Cv-e-- r-P 1- of I" lc,-rnLh CL CbCN-6-r, 1) A . to receive a copy of the Lieni is Notice as provided in Section 713.13(1)(b), orida Statutes. a. Phone number (Wp�) 3 �a- Fax number EL)� D Ln' L 9. Expiration date of notice o commencement (the expiration date is 1 year from the date of recording unless a different date is specified) f -z����, Vise-presdLe,t- Signature of Owner �� pCiln nis�Y(tti �� Sworn to (or affinned) and subscribed before me this ��day off Personally Known 1/ OR Produced Identification MARYANNE MORE, CLERK OF CIRCUIT CART" Time of Identification Produced 5EMINOLE COUNTY HK 05220 PIGS 1 NOGG-187a CLERK'S Ii 2004034653 / f RECORDED 03/88/aM 83138:17 p" • D 1A000ELINE M. COCKERHAMECORDINS FEES 66.00 NOTARY PUBLIC STATE OF RECORDED BY S O'Kelley ature of Public, State of Florida � ission Expires: EXPIRES 03/19/2006 4BONDED TNRU 1-8U-NOTARYi THE AMERICAN INSTITUTE OF ARCHITECTS Bond No.: 6102419724 AIA Document A312 Performance Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable CONTRACTOR (Name and Address): G & T Conveyor Company, Inc. 476 Southridge Industrial Drive Tavares, FL 32778, (352) 343-1500 OWNER (Name and Address): Orlando/Sanford International, Inca Three Red Cleveland Blvd., Suite 3200 Sanford, FL 32773, (407) 585-4500 CONSTRUCTION CONTRACT Date: February 04, 2004 Amount: $168,900.00 Description (Name and Location): SURETY (Name and Principal Place of Business): United States Fire Insurance Company 305 Madison Ave. Morristown, NJ 07960-1973, (973) 490-6842 Section 14500: Baggage Handling Conveying Systems per G&T's proposal number 04014A dated February 4, 2004 at Orlando/Sanford International Airport, Three Red Cleveland Blvd., Sanford, Florida BOND Date (Not earlier than Construction Contract Date): Amount: $168,900.00 Modifications to this Bond: CONTRACTOR AS PRINCIPAL Company: (Corporate Seal) G & T Conveyor Company, In Signature: Name and Title: (Any additional signatures appear on page 3) February 24, 2004 ❑ None SURETY Q See Page 3 Company: (Corporate Seal) United States Fir Insuranc Co pang Signature: f' Name and itle: Jennif cCarta L, Attorney -In- act & Flori a Licensed ident Ager<';' •: (FOR INFORMATION ONLY --Name, Address and Telephone) M AGENT or BROKER:� OWNER'S REPRESENTATIVE (Architect, Engg ineer or FT Guignard Company other party): N/A y� 1904 Boothe Circle Longwood, FL 32750 (407) 834-0022 AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND • • DECEMBER 1984 ED. *AIA ® A312-1984 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 THIRD PRINTING • MARCH 1987 I The Contractor and the Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. 2 If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except to participate in conferences as provided in Subparagraph 3.1. 3 If there is no Owner Default, the Surety's obligation under this Bond shall arise after: 3.1 The Owner has notified the Contractor and the Surety at its address described in Paragraph 10 below that the Owner is considering declaring a Contractor Default and has requested and attempted to arrange a conference with the Contractor and the Surety to be held not later than fifteen days after receipt of such notice to discuss methods of performing the Construc- tion Contract. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reason- able time to perform the Construction Contract, but such an agreement shall not waive the Owner's right, if any, subsequently to declare a Contractor Default; and 3.2 The Owner has declared a Contractor Default and formally terminated the Contractor's right to complete the contract. Such Contractor Default shall not be de- clared earlier than twenty days after the Contractor and the Surety have received notice as provided in Sub- paragraph 3.1; and 3.3 The Owner has agreed to pay the Balance of the Contract Price to the Surety in accordance with the terms of the Construction Contract or to a contractor selected to perform the Construction Contract in accor- dance with the terms of the contract with the Owner. 4 When the Owner has satisfied the conditions of Para- graph 3, the Surety shall promptly and at the Surety's ex- pense take one of the following actions: 4.1 Arrange for the. Contractor, with consent of the Owner, to perform and complete the Construction Contract; or 4.2 Undertake to perform and complete the Construc- tion Contract itself, through its agents or through inde- pendent contractors; or 4.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Con- struction Contract, arrange for a contract to be pre- pared for execution by the Owner and the contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the amount of damages as described in Paragraph 6 in ex- cess of the Balance of the Contract Price incurred by the Owner resulting from the Contractor's default; or 4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: .1 After investigation, determine the amount for which it may be liable to the Owner and, as soon as practicable after the amount is deter- mined, tender payment therefor to the Owner; or .2 Deny liability in whole or in part and notify the Owner citing reasons therefor. 5 If the Surety does not proceed as provided in Paragraph 4 with reasonable promptness, the Surety shall be deemed to be in default on this Bond fifteen days after receipt of an additional written notice from the Owner to the Surety demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as provided in Subparagraph 4.4, and the Owner refuses the payment tendered or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any remedy available to the Owner. 6 After the Owner has terminated the Contractor's right to complete the Construction Contract, and if the Surety elects to act under Subparagraph 4.1, 4.2, or 4.3 above, then the responsibilities of the Surety to the Owner shall not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. To the limit of the amount of this Bond, but subject to commitment by the Owner of the Balance of the Contract Price to mitigation of costs and damages on the Construction Contract, the Surety is obligated without duplication for: 6.1 The responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; 6.2 Additional legal, design professional and delay costs resulting from the Contractor's Default; and resulting from the actions or failure to act of the Surety under Paragraph 4; and 6.3 Liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or non-performance of the Contractor. 7 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Con- struction Contract, and the Balance of the Contract Price shall not be reduced or off on account of any such unrelated obligations. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators or successors. 8 The Surety hereby waives notice of any change, includ- ing changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. 9 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation avail- AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND • . DECEMBER 1984 ED.. AIA ® A312-1984 2 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 THIRD PRINTING • MARCH 1987 able to sureties as a defense in the jurisdiction of the suit shall be applicable. 10 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the sig- nature page. 11 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions con- forming to such statutory or other legal requirement shall be deemed incorporated herein. The intent is that this Bond shall be construed as a statutory bond and not as a common law bond. 12 DEFINITIONS 12.1 Balance of the Contract Price: The total amount payable by the Owner to the Contractor under the Construction Contract after all proper adjustments have been made, including allowance to the Con - MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: tractor of any amounts received or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, re- duced by all valid and proper payments made to or on behalf of the Contractor under the Construction Con- tract. 12.2 Construction Contract: The agreement between the Owner and the Contractor identified on the sig- nature page, including all Contract Documents and changes thereto. 12.3 Contractor Default: Failure of the Contractor, which has neither been remedied nor waived, to per- form or otherwise to comply with the terms of the Construction Contract. 12.4 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Con- tractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. THIS BOND COMPLIES WITH THE TERRORISM RISK INSURANCE ACT OF 2002 (TRIA) (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name an Address: Signature: Name an AIA DOCUME PERFORMANCE BOND AND PAYMENT BOND • . DECEMBER 1984 ED.. AIA IdE-AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 THIRD PRINTING • MARCH 1987 A31 The fdllcwing notice is provided pursuant to Florida Statute 713.245: THIS BOND ONLY COVERS CLAIMS OF SUBCONTRACTORS, SUB -SUBCONTRACTORS, SUPPLIERS, AND LABORERS TO THE EXTENT THE CONTRACTOR HAS BEEN PAID FOR THE LABOR, SERVICES, OR MATERIALS PROVIDED BY SUCH PERSONS. THIS BOND DOES NOT PRECLUDE YOU FROM SERVING A NOTICE TO OWNER OR FILING A CLAIM OF LIEN ON THIS PROJECT. Bond No.: 6102419724 AIA Document A312 Conditional Payment Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name and Address): G & T Conveyor Company, Inc. 476 Southridge Industrial Drive Tavares, FL 32778, (352) 343-1500 OWNER (Name and Address): Orlando/Sanford International, Inc. Three Red Cleveland Blvd., Suite 3200 Sanford, FL 32773, (407) 585-4500 SURETY (Name and Principal Place of Business): United States Fire Insurance Company 305 Madison Ave. Morristown, NJ 07960-1973, (973) 490-6842 CONSTRUCTION CONTRACT Date: February 04, 2004 Amount: $168,900.00 Section 14500: Baggage Handling Conveying Systems per G&T's proposal number Description (Name and Location): 04014A dated February 4, 2004 at Orlando/Sanford International Airport, Three Red Cleveland Bl d S f d F BOND v ., an or , lorida Date (Not earlier than Construction Contract Date): February 24th, 2004 Amount: $168,900.00 Modifications to this Bond: ❑ None Q See Page 6 CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) G & T Conveyor Company Inc. United States Fir Insurance ompany Signature: Signature: Name and Title: Name and it Jennif r . McCarta, 1 Attorney -In- act & Flori a Licensed .k6siderlt Agent .� (Any additional signatures appear on page 6) (FOR INFORMATION ONLY -Name, Address and Telephone) AGENT or BROKER: OWNER'S REP RESENTATIVE'(Architecti ` 1" Engineer,.tai�.:` NO GUIGNARD COMPANY other party): N/A ,,,,. , 1904 BOOTHE CIRCLE LONGWOOD, FL 32750 (407)834-0022 AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND . DECEMBER 1984 ED.. AIA ® A312-1984 4 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 THIRD PRINTING • MARCH 1987 1 The Contractor and the Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner to pay for labor, materials and equipment furnished for use in the perfor- mance of the Construction Contract, which is incorpo- rated herein by reference. 2 With respect to the Owner, this obligation shall be null and void if the Contractor: 2.1 Promptly makes payment, directly or indirectly for all sums due Claimants, and 2.2 Defends, indemnifies and holds harmless the Owner from claims, demands, liens or suits by any person or entity whose claim, demand, lien or suit is for the payment for labor, materials or equipment fur- nished for use in the performance of the Construction Contract, provided the Owner has promptly notified the Contractor and the Surety (at the address described in Paragraph 12) of any claims, demands, liens or suits and tendered defense of such claims, demands, liens or suits to the Contractor and the Surety, and provided there is no Owner Default. 3 With respect to Claimants, this obligation shall be null and void if the Contractor promptly makes pay- ment, directly or indirectly, for all sums due. 4 The Surety shall have no obligation to Claimants under this Bond until: 4.1 Claimants who are employed by or have a direct contract with the Contractor have given notice to the Surety (at the address described in Paragraph 12) and sent a copy, or notice thereof, to the Owner, stating that a claim is being made under this Bond and, with substantial accuracy, the amount of the claim. 4.2 Claimants who do not have a direct contract with the Contractor: Have furnished written notice to the Con- tractor and sent a copy, or notice thereof, to the Owner, within 90 days after having last performed labor or last furnished materials or equipment included in the claim stating, with substantial accuracy, the amount of the claim and the name of the party to whom the materials were furnished or supplied or for whom the labor was done or performed; and 2 Have either received a rejection in whole or in part from the Contractor, or not received within 30 days of furnishing the above no- tice any communication from the Contractor by which the Contractor has indicated the claim will be paid directly or indirectly; and Not having been paid within the above 30 days, have sent a written notice to the Surety (at the address described in Paragraph 12) and sent a copy, or notice thereof, to the Owner, stating that a claim is being made under this Bond and enclosing a copy of the previous written notice furnished to the Contractor. 5 If a notice required by Paragraph 4 is given by the Owner to the Contractor or to the Surety, that is suffi-cient compliance. 6 When the Claimant has satisfied the conditions of Paragraph 4, the Surety shall promptly and at the Surety's expense take the following actions: 6.1 Send an answer to the Claimant, with a copy to the Owner, within 45 days after receipt of the claim stating the amounts that are undisputed and the basis for challenging any amounts that are disputed. 6.2 Pay or arrange for payment of any undisputed amounts. 7 The Surety's total obligation shall not exceed the amount of this Bond, and the amount of this Bond shall be credited for any payments made in good faith by the Surety. 8 Amounts owed by the Owner to the Contractor under the Construction Contract shall be used for the performance of the Construction Contract and to satisfy claims, if any, under any Construction Performance Bond. By the Contractor furnishing and the Owner accepting this Bond, they agree that all funds earned by the Contractor in the performance of the Construction Contract are dedicated to satisfy obligations of the Contractor and the Surety under this Bond, subject to the Owner's priority to use the funds for the completion of the work. 9 The Surety shall not be liable to the Owner, Claimants or others for obligations of the Contractor that are unrelat- ed to the Construction Contract, The Owner shall not be liable for payment of any costs or expenses of any Claim- ant under this Bond, and shall have under this Bond no obli- gations to make payments to, give notices on behalf of, or otherwise have obligations to Claimants under this Bond. 10 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. 11 No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent juris- diction in the location in which the work or part of the work is located or after the expiration of one year from the date (1) on which the Claimant gave the notice required by Subparagraph 4.1 or Clause 4.2.3, or (2) on which the last labor or service was performed by anyone or the last mate- rials or equipment were furnished by anyone under the Con- struction Contract, whichever of (1) or (2) first occurs. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the signature page. Actual receipt of notice by Surety, the Owner or the Contractor, however accomplished, shall be sufficient compliance as of the date received at the address shown on the signature page. 13 When this Bond has been furnished to comply with a, statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming' to such statutory or other legal requirement shall be deemed incorporated herein. The intent is that this AIA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED. 0 AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 A312-1984 5 THIRD PRINTING • MARCH 1987 Bond shall be construed as a statutory bond and not as a common law bond. 14 Upon request by any person or entity appearing to be a potential beneficiary of this Bond, the Contractor shall promptly furnish a copy of this Bond or shall permit a copy to be made. 15 DEFINITIONS 15.1 Claimant: An individual or entity having a direct contract with the Contractor or with a subcontractor of the Contractor to furnish labor, materials or equip- ment for use in the performance of the Contract. The intent of this Bond shall be to include without limita- tion in the terms "labor, materials or equipment" that part of water, gas, power, light, heat, oil, gasoline, telephone service or rental equipment used in the MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: Construction Contract, architectural and engineering services required for performance of the work of the Contractor and the Contractor's subcontractors, and all other items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were furnished. 15.2 Construction Contract: The agreement between the Owner and the Contractor identified on the sig- nature page, including all Contract Documents and changes thereto. 15.3 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Con- tractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. THIS BOND HEREBY IS AMENDED SO THAT THE PROVISIONS AND LIMITATIONS OF SECTION 713.245, FLORIDA STATUTES ARE INCORPORATED HEREIN BY REFERENCE TO ALL NOTICE AND TIME LIMITATIONS THEREIN. ,THIS BOND SHALL BE CONSIDERED A STATUTORY BOND AND NOT A COMMON LAW BOND. THIS BOND COMPLIES WITH THE TERRORISM RISK INSURANCE ACT OF 2002 (TRIA) (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Name an Address: Signature: Name an Address: AIA DOCUMENT A312 PERFORMANCE BOND A ENT BOND DECEMBER 1984 ED. •A THE AMERICAN INSTITUTE OF ARCH 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 THIRD PRINTING • MARCH-188� A312-1984 6 POLICY NUMBER: 6102419724 IL 09 85 0103 THIS ENDORSEMENT IS ATTACHED TO AND MADE PART OF YOUR POLICY IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT OF 2002. THIS ENDORSEMENT DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT OF 2002 SCHEDULE* Terrorism Premium (Certified Acts) $ 0 Additional information, if any, concerning the terrorism premium: * Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. A. Disclosure Of Premium In accordance with the federal Terrorism Risk Insurance Act of 2002, we are required to provide you with a notice disclosing the portion of your premium, if any, attributable to coverage for terrorist acts certified under that Act. The portion of your premium attributable to such coverage is shown in the Schedule of this endorsement or in the policy Declarations. B. Disclosure Of Federal Participation In Payment Of Terrorism Losses The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals 90% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. IL 09 85 0103 © ISO Properties, Inc., 2003 Page 7 of 1 0 POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY 196014 PRINCIPAL OFFICE, NEW YORK, N.Y. KNOW ALL MEN BY THESE PRESENTS: That the UNITED STATES FIRE INSURANCE COMPANY a Corporation duly organized and existing under the laws of the State of New York, and having its administrative offices in the Township of Morris, New Jersey, has made, constituted and appointed, and does by these presents make, constitute and appoint J. W. Guignard, Bryce R. Guignard, M. Gary Francis, April L. Lively, Paul J. Ciambriello, Katie N. Flowers, Margie Morris, Brett Ragland, and Jennifer L. McCarta, of Longwood, Florida, each its true and lawful Agent(s) and Attomey(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: Any and all bonds and undertakings --------------------------------- ---- ----------------------- --------- and to bind the Corporation thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Corporation at its offices in Morris Township, New Jersey, in their own proper persons. This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous powers issued in behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 14c' day of July, 2003. Assistant Secretary David Pesce STATE OF NEW JERSEY) ss.: COUNTY OF MORRIS ) S ES SURANCE COMPANY enior Vice Preside t Peter J. Daly On this 14"' day of July, 2003, before the subscriber, a duly qualified Notary Public of the State of New Jersey, came the above -mentioned Vice President and Assistant Secretary of United States Fire Insurance Company, to me personally known to be the officers described in, and who executed the preceding instrument, and they acknowledged the execution of the same, and being by me duly sworn, deposed and said, that they are the officers of said Company aforesaid, and that t the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Company. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my seal at the Township of Morris, the day, and year first above written. - ��`��` A. (Signed) ��'T A `�� �Q• ••......••.�C9 �� (Seal) � �.�: Z /� 9 V��• i E5 Notary Public Catherine A Sincavage Notary Public of New Jersey My Commission Expires July 12, 2004 This Power of Attorney is, granted pursuant to Article IV of the By -Laws of the UNITED STATES FIRE INSURANCE COMPANY.as now in full force and effect. ARTICLE IV Execution of Instruments. "The Chairman of the Board, Vice -Chairman of the Board, President, or any Vice -President, in conjunction with the Secretary, or any Secretary, if more than one shall be appointed by the Board, or an Assistant Secretary, shall have power on behalf of the Corporation; (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any, powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation." This Power of Attorney is signed and sealed under and by the authority of Article III, • Section 9 of the By -Laws of the UNITED STATES FIRE INSURANCE COMPANY as now in full force and effect. ARTICLE III Section 9 Facsimile Signatures. "The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and -policies of insurance issued by the Corporation may be printed facsimile, lithographed, or otherwise produced ... The .Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons. who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may haveceasedto be such at the :time when such instruments shall be issued." CERTIFICATE L_____ __ DUAL OBLIGEE RIDER Bond No. 6102419724 WHEREAS, , as Contractor, has entered into a written contract with Orlando/Sanford International, Inc. as Obligee, for the construction of Section 14500: Baggage Handling Conveying Systems per G&T's proposal number 04014A dated February 4 2004 at Orlando/Sanford International Airport, Three Red Cleveland Blvd., Sanford Florida and WHEREAS, Contractor and United States Fire Insurance Company, a New Jersey corporation, as Surety, have executed a Performance and Payment Bond covering faithful performance by Contractor of its obligations under said Contract; and NOW, THEREFORE, in consideration of one dollar and other good and valuable considerations, receipt of which is hereby acknowledged, the undersigned hereby agree as follows: The Performance and Payment Bonds aforesaid shall be and are hereby amended as follows: The name of Sanford Airport Authority, One Red Cleveland Blvd Suite 200 Sanford FL 32773 One Red Cleveland Blvd Sanford, FL shall be added to said bonds as Additional Named Obligee. SUBJECT HOWEVER, to the following conditions: 1.. The rights of the Additional Named Obligee under the Performance and Payment Bonds are conditioned upon the faithful performance by or on behalf of the Obligee of all of the conditions of the Contract by him to be performed. 2. The aggregate liability of Surety and Contractor under said Performance and Payment Bonds to Obligee and Additional Named Obligee is limited in the aggregate to the amount of said Performance and Payment Bonds. 3. In the event of default by Contractor under the Contract, Obligee will continue to make payments to Surety in the Contractor's stead, so long as Surety shall continue to perform, or cause to be performed, the work under the Contract. 4. The rights of the Additional Named Obligee hereunder shall be subsequent to the rights of Obligee as primary Obligee of the said Performance and Payment Bond. 5. No right of action shall accrue hereunder to or for the use of any person, firm or corporation other than the Contractor, Obligee, Additional Named Obligee, and Surety named herein. 6. Surety may at its option make any payments under this Bond by check issued jointly to all Obligees. i SIGNED, S ED AT D DATED THIS 5th day of March, 2004. By: G&T ey r C pany, Inc. r Udited 5tates'Fire Usurance Company, Paul J. Ciambriello, Attorgety� W FUM, Florida Licensed Resident Agent (407�$3Y -0022, 1 1 i -A x . � 4 •. .. ,. ' Ord , re'• ltY,� • .I�L14 By: Orlando/Sanford POWER OF ATTORNEY 197358 UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE, WILMINGTON, DELAWARE KNOW ALL MEN BY THESE PRESENTS: That the UNITED STATES FIRE INSURANCE COMPANY a Corporation duly organized and existing under the laws of the State of Delaware, and having its administrative offices in the Township of Morris, New Jersey, has made, constituted and appointed, and does by these presents make, constitute and appoint J. W. Guignard, Bryce R. Guignard, M. Gary Francis, April L. Lively, Paul J. Ciambriello, Katie N. Flowers, Margie Morris, Brett Ragland and Jennifer L. McCarta, of Longwood, Florida, each its true and lawful Agent(s) and Attomey(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: Any and all bonds and undertakings ------- ------------------------_ ------------------ and to bind the Corporation thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Corporation at its offices in Morris Township, New Jersey, in their own proper persons. This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated. This Power of Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact named above. IN WITNESS WHEREOF the United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this V4 day of January 2004. Attest: UNI S FIRE URANCE CO PANY - sistant Secretary S or Vice President David Pesce Peter J. Daly STATE OF NEW JERSEY) ss.: COUNTY OF MORRIS . .) On this I" day of January, 2004, before the subscriber, a duly qualified Notary Public of the State of New Jersey, came the above -mentioned Vice President and Assistant Secretary of United States Fire Insurance Company, to me personally known to be the officers described in, and who executed the preceding instrument, and they acknowledged the execution of the same, and being by me duly sworn, deposed and said, that they are the officers of said Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and the said Corporate Seal and their signatures as officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Company. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my seal at the Township of Morris, the day and year first above written. (Signed) `�Q,.tSE;:•S/�,'�4��� (Seal) ,y.&B L`G•-k jr- its fi (l Notary Public Catherine A Sincavage Notary Public of 1`; e-,.v Jersey My Commission Expires July 12, 2004 This Power of Attorney is granted pursuant to Article IV of the By -Laws of the UNITED STATES FIRE INSURANCE COMPANY as now in full force and effect. ARTICLE IV Execution of Instruments. "The Chairman of the Board, Vice -Chairman of the Board, President; or any Vice -President, in conjunction with the Secretary, or any Secretary, if more than one shall be appointed by the Board, or an Assistant Secretary, shall have power on behalf of the Corporation: (a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings, recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the seal of the Corporation." This Power of Attorney is signed and sealed under and by the authority of Article III, Section 9 of the By -Laws of the UNITED STATES FIRE INSURANCE COMPANY as now in full force and effect. ARTICLE III Section 9 Facsimile Signatures. "The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issued by the Corporation may be printed facsimile, lithographed, or otherwise produced ... The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to be such at the time when such instruments shall be issued." CERTIFICATE State of New Jersey County of Morris I, the undersigned, Assistant Secretary of UNITED STATES FIRE INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing POWER OF ATTORNEY remains in full force and effect and has not been revoked and furthermore that the above quoted abstracts of Article IV and Article III, Section 9 of the By -Laws of the Corporation are now in full force and effect. In Testimony Whereof, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this 5 th day ofMarch 2004 Z. w Assistant c tary s , '"'tea id P she � s �A ii`.. far AteJ-.ems � �hu CITY OF SANFORD BUILDING DIVISION OWNERBUILDER AFFIDAVIT ELECTRICAL & FIRE ALARM SYSTEMS An owner of property making application for permit, supervising, and doing the work in connection with the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence for his or her own use and occupancy and not intended for sale or an owner of property when acting as his or her own electrical contractor and providing all material supervision himself or herself, when building or improving a farm outbuilding or a single-family or duplex residence on such property for the occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial building with aggregate construction costs of under $25,000 on such property for the occupancy or use of such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year after completion of same is prima facie evidence that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by such owner and who acts in the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner shall personally appear and sign the building permit application. State law requires electrical contracting to be done by licensed electrical contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical airing in a commercial building the aggregate construction costs of which are under $25,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 vear after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state lacy and by county or municipal licensing ordinances. I. 1Ii Cane_ Cre. W S do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. Owner/Builder Signature Date Dicz�,e Crews V � ce -Press cLQ,��t aT Acl�ti,�Y, � stro_t;�,.� Orford 1-lirpor orif�/ nt Owner/Builder e JACQUELINE M. COCKERHAM N TARY PUBLIC - STATE OF FLORIDA COMMISSION # DD100603 EXPIRES 03/18lM � ��. BONDED TMRU 1-866-WTARYI )Nviier gna e o otary—State rida Dat is Personally Known to Me or has Produced ID CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within I year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work'to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Ue W S , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. D��-- Owner/Builder Signature Date l>ianeCreLQs UiC-c-- slrc+���a� A i r nr-) r f Il l .er/tsuuaer Name 3 of Notary —State of Florida Date Owner is Personally Known to Me or has Produced ID JACQUELINE M. COCKERHAM NOTARY PUBLIC - STATE OF FLORIDA COMMISSION # D0100603 EXPIRES 03/19/2006 BONDED THRU 1-580-WTARY1