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2018 IFB 17/18-56 Painting Servicesoth`�;eaxa,,��to � u �FS17.t8'1�. Thursday, December 20, 2018 The item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order ❑ Mayor's signature ❑ Final Plat (original mylars) ❑ . Recording ❑ Letter of Credit Rendering ❑ Maintenance Bond Safe keeping (Vault) ❑ Ordinance Deputy City Manager ❑ Performance Bond ❑ Payment Bond ❑ Resolution ❑ City Manager Signature ❑ ❑ City Clerk Attest/Signature ❑ City Attorney/Signature Once completed, please: ❑ Return originals to Purchasing- Department ❑ Return copies ❑ Special Instructions: Li,v�tyer� t3oja-d�ije�v� From SharePoint Finance_Purchasing Forms - 2018.doc '2-�2.S�\q Date a lof /Y 1�m (,/# AGREEMENT BETWEEN THE CITY OF EMPIRE WATER PROOFING, INC./IFB 17/18-56 PAINTING SERVICES &� .THIS EEM NT (hereinafter the "Agreement") is made and entered into this day of, 2018, by and between the City of Sanford, Florida, a Florida municipality, (hereinafter referred to as the "City"), whose mailing address is 300 North Park Avenue, Sanford, Florida 32771, and Empire Water Proofing, Inc., a Florida corporation, whose address is 1970 East Osceola Parkway, Suite 314, Kissimmee, Florida 34743, (hereinafter referred to as "EWP"). The City and EWP may be collectively referenced herein as the "parties". WITNESSETH: IN CONSIDERATION of the mutual covenants, promises, and representations contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: Section 1. Recitals. The above statements are true and form a material part of this Agreement upon which the parties have relied. Section 2. Authority. Each party hereto represents to the other that it has undertaken all necessary actions to execute this Agreement, and that it has the legal authority to enter into this Agreement and to undertake all obligations imposed on it. The persons executing this Agreement for each party certify that they are authorized to bind the party fully to the terms of this Agreement. Section 3. Scope of Agreement; Direction of Services. (a). This Agreement is for the services set forth in the attachments hereto and EWP agrees to accomplish the provision of goods and services and actions specified in the attachments for the compensation set forth in those documents relating to the provision of painting services with the first project to constitute the Fort Mellon Park project. Goods and services may be ordered and directed by the City by means of City purchase orders/work orders. (b). It is recognized that EWP shall perform services as otherwise directed by the City all of such services to include all labor and materials that may be required including, but in no way limited to, the services provided by subconsultants as may be approved by the City. (c). The City's contact/project manager for all purposes under this Agreement shall be the following: Ms. Marisol Ordonez Purchasing Manager Finance -Purchasing Division 1 I Page City of Sanford Post Office Box 1788 Sanford, Florida 32772 Phone: 407.688.5028 Section 4. Effective Date and Term of Agreement. This Agreement shall take effect on the date that this Agreement is fully executed by the parties hereto. This Agreement shall be in effect for a term of 1 year and, upon the exercise of an option to renew by the City, for 2 additional terms of 1 year each. In any event, this Agreement shall remain in effect until the services to be provided by EWP to the City under each work order have been fully performed in accordance with the requirements of the City; provided, however, that, the indemnification provisions and insurance provisions of the standard contractual terms and conditions referenced herein shall not terminate and the protections afforded to the City shall continue in effect subsequent to such services being provided by EWP No services have commenced prior to the execution of this Agreement that would entitle EWP for any compensation therefor. Notwithstanding the foregoing, the City may unilaterally terminate this Agreement in the event that the City is not satisfied with the goods or services provided by EWP within the 6 calendar months commencing on the first day of the first month after this Agreement commences. Section 5. Compensation. The parties agree to compensation as set forth in the attachments hereto and as may be set forth in each purchase/work order issued by the City. Section 6. Standard Contractual Terms and Conditions. All "Standard Contractual Terms and Conditions", as provided on the City's website, apply to this Agreement. Such Terms and Conditions may be found at the City's website (www. SanfordFL.gov). The parties shall also be bound by the purchasing policies and procedures of the City as well as the controlling provisions of Florida law. Work orders shall be used, in accordance therewith, in the implementation of this Agreement to the extent deemed necessary by the City in its sole and absolute discretion. Section 7. EWP's Mandatory Compliance with Chapter 119, Florida Statutes, and Public Records Requests. (a). In order to comply with Section 119.0701, Florida Statutes, public records laws, EWP must: (1). Keep and maintain public records that ordinarily and necessarily would be required by the City in order to perform the service. (2). Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law. 21Page_ (3). Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. (4). Meet all requirements for retaining public records and transfer, at no cost, to the City all public records in possession of EWP upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City in a format that is compatible with the information technology systems of the City. (b). If EWP does not comply with a public records request, the City shall enforce the contract provisions in accordance with this Agreement. (c). Failure by EWP to grant such public access and comply with public records requests shall be grounds for immediate unilateral cancellation of this Agreement by the City. EWP shall promptly provide the City with a copy of any request to inspect or copy public records in possession of EWP and shall promptly provide the City with a copy of EWP's response to each such request. (d). IF THE CONTRACTORIVENDOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, TRACI HOUCHIN, CMC, FCRM, CITY CLERK, CITY OF SANFORD, CITY HALL, 300 NORTH PARK AVENUE, SANFORD, FLORIDA 32771, TRACI.HOUCHIN a@SANFORDFL.GOV. Section 8. Time is of the Essence. Time is hereby declared of the essence as to the lawful performance of all duties and obligations set forth in this Agreement. Section 9. Entire Agreement/Modification. This Agreement, together with all "Standard Contractual Terms and Conditions", as provided on the City's website and the attachments hereto (the documents relative to the procurement activity of the City leading to the award of this Agreement) constitute the entire integrated agreement between the City and EWP and supersedes and controls over any and all prior agreements, understandings, representations, correspondence and statements whether written or oral in connection therewith and all the terms and provisions contained herein constitute the full and complete agreement between the parties hereto to the date hereof. This Agreement may only be amended, supplemented or modified by a formal written amendment of equal dignity herewith. In the event that EWP issues a purchase order, memorandum, letter, or any other instrument addressing the services, work, and materials to be provided and performed pursuant to this Agreement, it is hereby specifically agreed and understood that any such purchase order, memorandum, letter, 3 1 P a g e or other instrument shall have no effect on this Agreement unless agreed to by the City, specifically and in writing in a document of equal dignity herewith, and any and all terms, provisions, and conditions contained therein, whether printed or written or referenced on a Web site or otherwise, shall in no way modify the covenants, terms, and provisions of this Agreement and shall have no force or effect thereon. Section 10. Severability. If any term, provision or condition contained in this Agreement shall, to any extent, be held invalid or unenforceable, the remainder of this Agreement, or the application of such term, provision or condition to persons or circumstances other than those in respect of which it is invalid or unenforceable, shall not be affected thereby, and each term, provision and condition of this Agreement shall be valid and enforceable to the fullest extent permitted by law when consistent with equity and the public interest. Section 11. Waiver. The failure of the City to insist in any instance upon the strict performance of any provision of this Agreement, or to exercise any right or privilege granted to the City hereunder shall not constitute or be construed as a waiver of any such provision or right and the same shall continue in force. Section 12. Captions. The section headings and captions of this Agreement are for convenience and reference only and in no way define, limit, describe the scope or intent of this Agreement or any part thereof, or in any way affect this Agreement or construe any provision of this Agreement. Section 13. Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all of which, taken together, shall constitute one and the same document. Section 14. Binding Effect. This Agreement shall be binding upon and inure to the benefit of the successors in interest, transferees and assigns of the parties. Each party hereto represents to the other that it has undertaken all necessary actions to execute this Agreement, and that it has the legal authority to enter into this Agreement and to undertake all obligations imposed on it. The signatories hereof represent that they have the requisite and legal authority to execute this Agreement and bind the respective parties herein. Section 15. Remedies. The rights and remedies of the parties, provided for under this Agreement, are in addition to any other rights and remedies provided by law or otherwise necessary in the public interest. Section 16. Governing law, to be governed by the laws of the related to this Agreement shall be Seminole County, Florida. This Ac negotiations between the City and I and materially to the preparation of Venue and Interpretation. This Agreement is State of Florida. Venue for any legal proceeding n the Eighteenth Judicial Circuit Court in and for reement is the result of bona fide arms length WP, and all parties have contributed substantially the Agreement. Accordingly, this Agreement shall 4 1 P a g e not be construed or interpreted more strictly against any one party. than against any other party and all provisions shall be applied to fulfill the public interest. IN WITNESS WHEREOF, the City and EWP have executed this instrument for the purpose herein expressed. ATTEST. Traci Houchin, CIVIC, FCRM ('if ('InrV City AA Approved as to form and legal sufficiency. William L. Colbert, City Attorney ATTEST. Marvirk i!3rijalva Vice resident CITY OF SANFORD By: Jeff Triplett 10mor , , EMPIRE WATER PROOFING, INC. By: Byto'n-G'on-zilez President Dated:— 1111zq 5 1 P a g e 000000 000000 0 Ln gu!10OJd jajeAA ajidW300 Ln Ln F, Ln Ln Ln Ln F, tD CO en m CD 0 C) 9 10 0 C) ox 0 0 0 0 0 0 J91U3 12 Sulluled s,AjjeH 00000 :yl$l ;?o 0 0 Qd 0 0 0 0 0 0 -tt rl 0 r-4 0 .1 -4 ffloj lem snpul AejdslOH r-4 1-4 C14 Ln r1l S.. 0 0 CD 0 CD 0 C) C) 0 C) 0 0 0 00000 00000 0 w 0 CD C) C) 0 CD C) 0 0 0 0 0 0 0 C 0 0 0 CD CD 0 0 0 0 m tw ci Ln, Ln* . V) . V) . Ln . Ln . Ln . Ln . a . 0 . 0 . 0 6 6 6 6 6 ui In Li Ln Ui 6 O to r, r- r- t- fl, r r- r- 0 0 In 0 0 0 0 0 0 Ln r r, to LO 0 M I'* Id' tt Irr c* d ct wIt Ln " " 1-4 rq " " rq 00 0 0 NIz CJ' CSF eq N N eq 06 E 0. LU co 0 0 0 000 0 000000 00000 000000 txo y q q O q q q q 0 q q q q q O q q q q q q q q q q O = Ln " C14 " " r-4 " " r4 Ln o 6 ko 0 0 0 0 0 0 0 000 w ZD CO LD ZD w ZD w ID (.3 " Ln oo ri Ln Ln Ln Ln 0 rl ri rll� Cli rl� cl� C�!. cl� 1'1� Cl� 001-t 14� rl+, 00o000o0� ll � rq L en 0 0 CL rn Ln co 00 M us 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 a 0 0 0 0 0 0 0 0 0 0. 0. 0. Ln 4 z* It w r" r�- r,: r` r -z f-, r-, oo 0 c.i 4 r� 6 LA O (n -t* co oo oo co oo oo oo co In i, 1D -1 1* It ct R* co -4 r -I N 0 W Z� :,I cI cI al c1 al al al -1 r,� a1 c� n Ili m ff� n et C Ln r-1 1-4 V4 vii -4 rH . i -t rq 00 r" co co C* 00 rn rn co m 0 0 S Fu .2 x x x x x x x x x x x x x x x x I x x x x x 0 x .6 -6 LU =3 Ln .2 x cu O Ln m Qj 0 — 0 C3 an Z) U - ti 0 OL i4� U- 1-1 t3 41 CL sa its Z o 00 U- -C3 c Ln C3 Ln ti'0 4-1 4� LL N 4+ --jCL 41 CL E CU (v E CL E -c .0 0 0 0 m D- U CU U C: tn 0 un co o 1-1 r1i m -zT In w r� 00 0) E a m m m m *a M ao o w W> v 0. 0. a. n- 0 w w 0 0 0 0 0 0 0 0 0 CL "0 w 0 u u w E :3 3 :3 D m 4i Lj- M CL m a- m 0- m 0- m a. m a. m a- m a. m a. w a- Q) C) V) V) 41 Ln cin C: 0 0 L6 00 O O Ln ri 00 CLERK OF CIRCUIT COURT & COMPTROLLER CFN# 2019011498 Bk:9291 Page:1717-1728 REC: 01/31/2019 3:18:28 PM by cjones RECORDING FEES $103.50 Bond Number: CMGP0001939 .Premium Included in Performance Bond -S.-AIA Document A312 TM- 2010 Payment Bond CONTRACTOR: (Name, legal status and address) Empire Waterproofing, Inc. 1970 East Osceola Parkway, Suite 314 Kissimmee FL 34743 OWNER: (Name, legal status and address) City of Sanford 300 North Park Avenue Sanford FL 34743 CONSTRUCTION CONTRACT Date: December IOih, 2018 SURETY: Argonaut Insurance Company c/o CMGIA 20335 Ventura Blvd., Ste. 426 This document has important legal Woodland Hills, CA 91364 consequences Consultation with Amount: Seventy Five Thousand and 00/100 Dollars.($75,000.00) . . Description: (Name and location) Painting Services - Fort Mellon Park BOND Date: January 25th, 2019 (Not earlier than Construction Contract Dote) Amount: Seventy Five Thousand and 001100 Dollars ($75,000.00) Modifications to this Bond: ® None ❑ See Section 18 CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Empire Inc. Arg onaut Ins eCom pany, Em tie Signature: �' / Sign, Name r1 R.4_ Vf IJ it -r (�u_i t H Namhame Hope Shear and Title: Ef r'r t� - %'rrsi rc,'� and (Any additional signatures appear on the last page of this Payment Bond.) (FOR INFORMATION ONLY— Name, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: (Architect, Engineer or other party:) an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312-2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one form. This is not a single combined Performance and Payment Bond. ,,�rottiura,�,td kj �? �, F1 ATA � Document A312TM — 2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of Init. AIA Documents-on-DemandrO order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. 061010 5 § 1 The Contractor and 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 performance of the Construction Contract, which is incorporated herein by reference, subject to the following terms. § 2 If the Contractor promptly makes payment of all sums due to Claimants, and defends, indemnifies and holds harmless the Owner from claims, demands, liens or suits by any person or entity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract, then the Surety and the Contractor shall have no obligation under this Bond. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation to the Owner under this Bond shall arise after the Owner has promptly notified the Contractor and the Surety (at the address described in Section 13) of claims, demands, liens or suits against the Owner or the Owner's property by any person or entity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract and tendered defense of such claims, demands, liens or suits to the Contractor and the Surety. § 4 When the Owner has satisfied the conditions in Section 3, the Surety shall promptly and at the Surety's expense defend, indemnify and hold harmless the Owner against a duty tendered claim, demand, lien or suit. § 5 The Surety's obligations to a Claimant under this Bond shall arise after the following: § 5.1 Claimants, who do not have a direct contract with the Contractor, .1 have furnished a written notice of non-payment to the Contractor, stating with substantial accuracy the amount claimed and the name of the party to whom the materials were, or equipment was, furnished or supplied or for whom the labor was done or performed, within ninety (90) days after having last performed labor or last furnished materials or equipment included in the Claim; and .2 have sent a Claim to the Surety (at the address described in Section 13). § 5.2 Claimants, who are employed by or have a direct contract with the Contractor, have sent a Claim to the Surety (at the address described in Section 13). § 6 If a notice of non-payment required by Section 5. 1.1 is given by the Owner to the Contractor, that is sufficient to satisfy a Claimant's obligation to furnish a written notice of non-payment under Section 5.1.1. § 7 When a Claimant has satisfied the conditions of Sections 5.1 or 5.2, whichever is applicable, the Surety shall promptly and at the Surety's expense take the following actions: § 7.1 Send an answer to the Claimant, with a copy to the Owner, within sixty (60) days after receipt of the Claim, stating the amounts that are undisputed and the basis for challenging any amounts that are disputed; and § 7.2 Pay or arrange for payment of any undisputed amounts. § 7.3 The Surety's failure to discharge its obligations under Section 7.1 or Section 7.2 shall not be deemed to constitute a waiver of defenses the Surety or Contractor may have or acquire as to a Claim, except as to undisputed amounts for which the Surety and Claimant have reached agreement. If, however, the Surety fails to discharge its obligations under Section 7.1 or Section 7.2, the Surety shall indemnify the Claimant for the reasonable attorney's fees the Claimant incurs thereafter to recover any sums found to be due and owing to the Claimant. § 8 The Surety's total obligation shall not exceed the amount of this Bond, plus the amount of reasonable attorney's fees provided under Section 7.3, and the amount of this Bond shall be credited for any payments made in good faith by the Surety. § 9 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 Surety under this Bond, subject to the Owner's priority to use the funds for the completion of the work. AIA Document A312T —2010. The American Institute of Architects. This document was created on 02/26/2012 11:24:44 under the terms of (nit. AIA Documents-on-DemandT order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. § 10 The Surety shall not be liable to the Owner, Claimants or others for obligations of the Contractor that are unrelated to the Construction Contract. The Owner shall not be liable for the payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligation to make payments to, or give notice on behalf of, Claimants or otherwise have any obligations to Claimants under this Bond. § 11 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. § 12 No suit or action shall be commenced by a Claimant under this Bond other than in a court of competent jurisdiction in the state in which the project that is the subject of the Construction Contract is located or after the expiration of one year from the date (1) on which the Claimant sent a Claim to the Surety pursuant to Section 5.1.2 or 5.2, or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under the Construction 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. § 13 Notice and Claims to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. Actual receipt of notice or Claims, however accomplished, shall be sufficient compliance as of the date received. § 14 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. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 15 Upon request by any person or entity appearing to be a potential beneficiary of this Bond, the Contractor and Owner shall promptly furnish a copy of this Bond or shall permit a copy to be made. § 16 Definitions § 16.1 Claim. A written statement by the Claimant including at a minimum: .1 the name of the Claimant; .2 the name of the person for whom the labor was done, or materials or equipment furnished; .3 a copy of the agreement or purchase order pursuant to which labor, materials or equipment was furnished for use in the performance of the Construction Contract; .4 a brief description of the labor, materials or equipment furnished; .5 the date on which the Claimant last performed labor or last furnished materials or equipment for use in the performance of the Construction Contract; .6 the total amount earned by the Claimant for labor, materials or equipment furnished as of the date of the Claim; .7 the total amount of previous payments received by the Claimant; and .8 the total amount due and unpaid to the Claimant for labor, materials or equipment furnished as of the date of the Claim. § 16.2 Claimant. An individual or entity having a direct contract with the Contractor or with a subcontractor of the Contractor to furnish labor, materials or equipment for use in the performance of the Construction Contract. The term Claimant also includes any individual or entity that has rightfully asserted a claim under an applicable mechanic's lien or similar statute against the real property upon which the Project is located. The intent of this Bond shall be to include without limitation 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 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. § 16.3 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and all changes made to the agreement and the Contract Documents. AIA Document A312TM — 2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of Init. AIA Documents -on -Demand"' order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for 7 onetime use only, and may not be reproduced prior to its completion. § 16.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 16.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 17 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. § 18 Modifications to this bond are as follows: air (Spgee is provided below for additional signatures of added parties, other than those appearing on the coverpage.) s CONTRACTOR AS PRINCIPAL SURETY Company: Empire Waterproofing, Inc (Corporate Seal) Signature: 1 ! 4 Name and Title: Il H 1 ' i J tA k V t' - V. f)_ Address: d E- (}S : i''x 9 is't rvttti1 cL14 -7 i Company: -----...._.., (Corporate Seal) Argonaut Inslo�om -- Signature: Name and Title: 4ephanie Hope Shear, Attorney -in -Fact Address: CIO CMGIA 20335 Ventura Blvd., Ste. 426 Woodland Hills, CA 91364 Init. AIA Document A312-- 2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandT order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. CMGP.0001939 Argonaut Insurance Company $2,520.00 Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Gabriella Grady, Shilo Lee Losino Stephanie Hone She Their true and lawful agent(s) and attomey(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided, however, that the Gpcnal sum of any one such instrument executed hereunder shall not exceed the sum of - $10.000.000.00 This Power of Attorney is granted and is signed and scaled under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has caused its official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May, 2017. Argonaut Insurance Company URA „ 9s SEAL:- r fr sas z by: • :ncrkot�: • �� *�Joshua C. Betz, Senior Vice President STATE OF TEXAS COUNTY OF HARRIS SS: On this 8th day of May, 2017 A.D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the 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 his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board of Directors of said Company, referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. scr +ill >wiXt `rn . ` Yi uj.ia 5KATHLEENNt MEEKS No.avr-p Public State at t'cxear " Comm. Exoiroci 07-11z-2021 (Notary Public) uta:y ID C,ltd7•H 1, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 25th day of January 2019 �'��oevort�roFn o - ✓ �* arah Heineman , VP -Underwriting Surety THIS DOCUMENT IS NOT VALID UNLESS THE WORDS ARGO POWER � 'FATTORNEYARE IN BLUE. IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (210) 321 - 8400. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On alAN 2-5 2099— before me, SHIRLEY GIGGLES, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEPHANIE HOPE SHEAR Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand a' d official seal. &Wf kotary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: D Corporate Officer — Title(s): D Partner — D Limited ❑ General D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: Signer's Name: D Corporate Officer — Title(s): D Partner — D Limited D General D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: fl V Y '� 'N `Y 'Y 'fl `d `Y !/ 'Y 'Y 'bi' 'IY 'N 'N' � 'Y `Y b� `N `Y 'Y N' tJ d `d `d' 'A• 'A° `d `y •�• •d -y -fir •v •d -sr � .ay -d . SHIRLEY GIGGLES r f.otary Public -California tq Los Angeles County Z Commission # 2163617 'v Uomm Expires Sep 7. 2020 s, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand a' d official seal. &Wf kotary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: D Corporate Officer — Title(s): D Partner — D Limited ❑ General D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: Signer's Name: D Corporate Officer — Title(s): D Partner — D Limited D General D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Other: Signer Is Representing: fl V Y '� 'N `Y 'Y 'fl `d `Y !/ 'Y 'Y 'bi' 'IY 'N 'N' � 'Y `Y b� `N `Y 'Y N' tJ d `d `d' 'A• 'A° `d `y •�• •d -y -fir •v •d -sr � .ay -d . Bond Number: CMGP0001939 Premium: $2,520.00 VAIA Document A312TM -2010 Performance Bond CONTRACTOR: (Name, legal status and address) Empire Waterproofing, Inc. 1970 East Osceola Parkway, Suite 314 Kissimmee FL 34743 OWNER: (Name, legal status and address) City of Sanford 300 North Park Avenue Sanford FI- 34743 CONSTRUCTION CONTRACT Date: December 10th, 2018 SURETY: Argonaut Insurance Company c/o CMGIA 20335 Ventura Blvd., Ste. 426 Woodland Hills, CA 91364 Amount: Seventy Five Thousand and 00/100 Dollars ($75,000.00) Description: (Name and location) Painting Services - Fort Mellon Park BOND Date: January 25th, 2019 (Not earlier than Construction Contract Dale) Amount: Seventy Five Thousand and 00/100 Dollars ($75,000.00) Modifications to this Bond: Rl None ❑ See Section 16 CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Empire Waterproofing, Inc. Argonaut Insurance Company V �� Signature: � � Signa re. Name I l)41L i','"I` iL i' A t tv 4 Name S phanie Hope Shear and Title: Vo Pres;d and Title: Attorney -in -Fact (Any additional signatures appear on the last page of this Performance Band.) (FOR INFORMATION ONLY— Name, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312-2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one form. This is not a single combined Performance and Payment Bond. .,A � w AIA Docufient A312T — 2010. The American Institute of Architects. This document was created on 0212&/201211:24:44 under the terms of AIA Documents-on-DemandT order no. 2008406923 , and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. D61010 § 1 The Contractor and 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 when applicable to participate in a conference as provided in Section 3. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation under this Bond shall arise after .1 the Owner first provides notice to the Contractor and the Surety that the Owner is considering declaring a Contractor Default. Such notice shall indicate whether the Owner is requesting a conference among the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not request a conference, the Surety may, within five (5) business days after receipt of the Owner's notice, request such a conference. If the Surety timely requests a conference, the Owner shall attend. Unless the Owner agrees otherwise, any conference requested under this Section 3.1 shall be held within ten (10) business days of the Surety's receipt of the Owner's notice. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable 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; the Owner declares a Contractor Default, terminates the Construction Contract and notifies the Surety; and the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the Construction Contract to the Surety or to a contractor selected to perform the Construction Contract. § 4 Failure on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to the extent the Surety demonstrates actual prejudice. § 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense take one of the following actions: § 5.1 Arrange for the Contractor, with the consent of the Owner, to perform and complete the Construction Contract; § 5.2 Undertake to perform and complete the Construction Contract itself, through its agents or independent contractors; § 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and a 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 Section 7 in excess of the Balance of the Contract Price incurred -by the Owner as a result of the Contractor Default; or § 5.4 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 determined, make payment to the Owner; or .2 Deny liability in whole or in part and notify the Owner, citing the reasons for denial. § 6 If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to be in default on this Bond seven 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 Section 5.4, and the Owner refuses the payment 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. Init. AIA Document A312TO — 2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. § 7 If the Surety elects to act under Section 5.1, 5.2 or 5.3, 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. Subject to the commitment by the Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for .1 the responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; 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 Section 5; and 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. § 8 If the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond. § 9 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reduced or set 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, successors and assigns. § 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 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 a declaration of 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 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 page on which their signature appears. § 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. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 14 Definitions § 14.1 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 Contractor 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, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. § 14.2 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Documents. § 14.3 Contractor Default. Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to comply with a material term of the Construction Contract. § 14.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. AIA Document A312TM —2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of Init. AIA Documents-onrDemandT order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one-time use only, and may not be reproduced prior to its completion. § 16 Modifications to this bond are as follows: t "1 }.: (Space is provided below for additional signatures of added parties, other than those appearing on the cover pgge, -; CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Sear) f Empire Waterproofing, Inc. _ Argonaut InsuranotCompanyp Signature: Signature: --_ Name and Title: M 1812 i % V11 ' VPName and Title: ephanie Hope Shear, Attorney-in-Fact Address: 10.7 0 Address: C/O CMGIA 20335 Ventura Blvd., Ste. 426 tf 344 j4 `:SSi M rpt ee r=L 3 y 7V 3 Woodland Hills, CA 91364 AIA Document A312TM - 2010. The American Institute of Architects. This document was created on o2/2&201211:24:44 under the terms of Inst. AIA Documents-on-DemandTM order no. 2oomG6923 , and is not for resale. This document is licensed by The American Institute of Architects for 4 one-time use only, and may not be reproduced prior to its completion. GMGP0001939 Argonaut Insurance Company $2,520.00 Deliveries Only: 225 W. Washington, 24th Floor Chicago, IL 60606 United States Postal Service: P.O. Box 469011, San Antonio, TX 78246 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the Argonaut Insurance Company, a Corporation duly organized and existing under the laws of the State of Illinois and having its principal office in the County of Cook, Illinois does hereby nominate, constitute and appoint: Gabriella Grady, Shilo Lee Losino, Stephanie Hone Shear Their true and lawful agent(s) and attomey(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on its behalf as surety, and as its act and deed any and all bonds, contracts, agreements of indemnity and other undertakings in suretyship provided, however, that the penal sum of any one such instrument executed hereunder shall not exceed the sum of: $10,000,000.00 This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of Argonaut Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vice President, Secretary, Treasurer and each of thein hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged by any officer or attorney, of the Company, qualifying the attorney or attorneys named in the given power of attorney, to execute in behalf of, and acknowledge as the act and deed of the Argonaut Insurance Company, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Argonaut Insurance Company has caused its 'official seal to be hereunto affixed and these presents to be signed by its duly authorized officer on the 8th day of May, 2017. .a,,..6-. ...... 1, Argonaut Insurance Company SEAL:: by. ,saa ••<<UNOt�: �Y+ STATE OF TEXAS COUNTY OF HARRIS SS: Joshua C. Betz, Senior Vice President On this 8th day of May, 2017 A.D., before me, a Notary Public of the State of Texas, in and for the County of Harris, duly commissioned and qualified, came THE ABOVE OFFICER OF THE COMPANY, to me personally known to be the individual and officer described in, and who executed the preceding instrument, and he acknowledged the execution of same, and being by me duly sworn, deposed and said that he is the officer of the 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 his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said corporation, and that Resolution adopted by the Board of Directors of said Company, referred to in the preceding instrument is now in force. IN TESTIMONY WHEREOF, I have hereunto set my hand, and affixed my Official Seal at the County of Harris, the day and year first above written. ,aarrrrr.,,, KATHLEEN M.�MEEK$ ya ,pu,V Y Public", State rad Texan (Notary Public) ' %^= Comm, Exl>irus 07-1+r-2021 p"�iriiriap. Nulary ID 557902.8 I, the undersigned Officer of the Argonaut Insurance Company, Illinois Corporation, do hereby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy is still in full force and effect and has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand, and affixed the Seal of said Company, on the 25th day of January , 2019 ,itl': sir. )„ �v;C UF2AV a +ec� "r RPR 'fi ,sos _ C..M,,. / •� . �: ^' Sarah Heineman , VP -Underwriting Surety THIS DOCUMENT IS NOT VALID UNLESS THE WORDS ARGO POWER VAT ORNEYARE IN BLUE. IF YOU HAVE QUESTIONS ON AUTHENTICITY OF THIS DOCUMENT CALL (210) 321 - 8400. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On JAN 2 5 2019 before me, SHIRLEY GIGGLES, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared STEPHANIE HOPE SHEAR Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my and an ,fficial seal. SHIRLEY GIGGLES t` s , Notary Public - California Los Angeles County r ,, Signatu < d Cornmissron #21o3d17 Signatu Notary Public x, fvly Comm. Expires Sep 7 020 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 The undersigned acknowledges receipt of the following addenda to the solicitation document(s) (Give number and date of each): Addendum No. 1 Addendum No. Addendum No. Addendum No. _ Addendum No, Dated: 10/01/2018 Dated:! 0/03/2018 Dated: Dated: Dated: By the signature(s) below, Uwe, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "G", Addendum Receipt Acknowledgement Certification, is truthful and correct at the time of submission. Bidder/Contractor Name: EMPIRE WATERPROOFING INC. Mailing Address: 1970 E. OSCEOLA PARKWAY STE. 314 KISSIMMEE FL. 34743 Telephone Number: 407 334 8104 Fax Number: 321 697 70 54 E-mail Address:mgrijalva@empirewaterproofingfl.com Signatory MARVIN GRIJALVA Printed Name J V f % 14 Date FEIN: 36-4601525 PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE `I Failure to submit this form may be grounds for disqualification of your submittal`' 46 Rev 03/2016 City of Sanford I Finance Department CITY OF Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 Fax: 407-688-50211 Email: SANJ'ffu-%JRDurchasin sanfordfl. ov FINANCE DEPARTMENT PAINTING SERVICES -FT MELLON PARK DATE: October 3. 2018 TO: All Bidders/Proposers FROM: MarisolOrdofiez City of Sanford Purchasing Division SUBJECT: IFB 17/18-56 Painting Services- Fort Mellon Park I ADDENDUM #2 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. QUESTIONS AND ANSWERS Q 1. Regarding the (2) curved shade structures; Are we to paint the top and underside of the roof panels? Al. No, you do not need to paint the roof structure. The main support columns are to be pressure washed, sanded, prime and painted per manufactures instruction. Just pressure wash and protect the roof from overspray or paint drops. II. CLARIFICATIONS Exhibit A revised for the second time to include Pavilion # 9. III. ATTACHMENTS a. Exhibit "A" Revised Bid Schedule Form in excel form ��Tcie�r�FINANCE DEPARTMENT City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 50301 Fax: 407-688-50211 Email: PAINTING SERVICES -FT MELLON PARK ADDENDUM #2 Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Purchasing Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Acknowledgment is hereby made of Addendum #2 to IFB 17/18-56 Painting Services- Fort Mellon Park. EMPIRE WATERPROOFING INC. Name of Firm/Company 1970 E. OSCEOLA PARKWAY KISSIMMEE FL.34743 Street Address 407 334 8104 Telephone Number mgrijalva@empirewaterproofingfi.com Contact Email 6 �55v'1e.5— - 3Y7 X04 City, State, Zip Code 321 6977054 Fax Number MARVIN GRIJALVA VICE PRESIDENT Authorized Person Printed Name Authorized Person Title Autho ferson Signature /0—g— l i Date of Signature ��.,roxeb �t • r�Sr.a#s� City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 50301 Fax: 407-688-50211 Email: PAINTING SERVICES -FT MELLON PARK Respondents must acknowledge receipt of this Addendum by signing this form below and returning it to the Purchasing Division prior to the hour and date specified for receipt of bids/proposals or by including this Addendum with your submittal. Failure to comply may result in disqualification of your response. Acknowledgment is hereby made of Addendum #1 to IFB 17/18-56 Painting Services- Fort Mellon Park. EMPIRE WATERPROOFING INC. Name of Firm/Company mgrijalva@empire waterproofingfl.com Contact Email 1970 F OSC EO A PARKWAY STE 314 KISSIMMEE FI 44743 Street Address City, State, Zip Code 407 334 8104 Telephone Number MARVIN GRIJALVA Authorized Person Printed Name l�F7 — Authorize erson Signature i Uv. J 1/LV 10 l�97 7D S(` Fax Number VICE PRESIDENT Authorized Person Title Date of Signature DATE: October 1,_2018 TO: All Bidders/Proposers City of Sanford I Finance Department Purchasing Division 300 N. Park Avenue Suite 236, Sanford, Florida 32771 Phone: 407-688-5028 or 5030 1 Fax: 407-688-50211 Email: PAINTING SERVICES -FT MELLON PARK FROM: MarisolOrdoiiez City of Sanford Purchasing Division SUBJECT: IFB 17/18-56 Painting Services- Fort Mellon Park ( ADDENDUM #1 ADDENDUM #1 This addendum is issued to provide additional information, clarification, corrections, additions, deletions and/or answers to questions concerning the above referenced solicitation. All information provided in this addendum is incorporated into the solicitation document as set forth therein. All other parts of the solicitation have been maintained as originally distributed. This addendum supersedes any verbal and/or other instructions given to any bidder/proposer qualified to respond pursuant to the requirements set forth in the solicitation document. I. QUESTIONS AND ANSWERS Q 1. Would you please provide "old" construction drawings or as -built drawings for the structures being painted on this project? Al. Ft. Mellon Park Floor Plans attached as Exhibit B; Rivewalk Swing Pavilion Floor Plans attached as Exhibit C. Q2. Could you revise the bid schedule to reflect pricing per linear foot of crack repair at stucco? A2. Revised Bid Schedule Form attached as Exhibit A. Q3. Regarding the (2) curved shade structures; Are we to paint the top and underside of the roof panels? A3. The Excel document has been revised to include the shade structure in the calculation. The remaining items are per square foot for stucco, wood, and drywall. II. CLARIFICATIONS Included in addendum # 1 Exhibit A through C; Revised Bid Schedule form; Ft. Mellon Park floor plans, and the Riverwalk Swing Pavilion floor plans. Revised Bid Schedule form to reflect per linear foot of cracking repair at stucco. III. ATTACHMENTS a. Exhibit "A" Revised Bid Schedule Form in excel form b. Exhibit `B" Ft. Mellon Park Floor Plans c. Exhibit "C" Riverwalk Swing Pavilion Floor Plans Kev. 11 /lU 16 in n. Address of "Certificate Holder" is City of Sanford; P O Box 1788 (300 N. Park Avenue); Sanford, Florida 32771; Attention Purchasing Manager; Phone 407.688.5028/5030 Fax 407.688.5021. All certificates of insurance, notices etc. must be provided to the above address. In the description of the certificate of insurance please also add the solicitation number and project name. i-, AFFI NATURE MARVI GRIJALVA. Typed 4ame of AFFIANT VICE PRESIDENT Title STATEOF tQ14 COUNTY OF fhe,foregoing ins ment was exec te�. before me this z1 day of 6e -r— 20Al aur V t t �. VOL as V. of ��M tY -- Y Personally swore ora armed that he/she is authorized to execute this document and thereby bind the*Coration, and who who personally known to me OR has produced K as identification.is MARIA Stam MY COM1LtiSSiC1 FFy NOTAR PUBLIC, State of (stamp) =� r * EXPIRES FsbttraTy 72 t OTI'J9$g759 ,20 Fkriae atarygeMct can The City reserves the unilateral right to modify the insurance requirements set forth at any time during the process of solicitation or subsequent thereto. PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE '�P' Failure to submit this form may be grounds for disqualification of your submittal 40 Rev 03/2016 City of Sanford I Finance Department I Purchasing Division CITY OF 300 N. Park Avenue 2°a Floor Suite 236 Sanford, Florida 32771 S ORD Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 FINANCE DEPARTMENT INVITATION FOR BID (IFB) TERM CONTRACT TITLE: PAINTING SERVICES- FORT MELLON PARK Attachment 11C" Public Entity Crimes Statement SWORN STATEMENT UNDER SECTION 287.133(3) (a), FLORIDA STATUTES: THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. A. This sworn statement is submitted with Bid, or Contract Number IFB 17/18-56, titled Painting Services- Fort Mellon Park. B. This sworn statement is submitted by MARVIN GRIJALVA whose business address is [Name of entity miffing sworn statement] 1970 E. OSCEOLA PARKWAY STE. KISSI MEE FL 34743 Employer Identification Number FEIN is 36 460 1525 and (if applicable) its Federal ( ) (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 1 ONE C. My name is and my relationship to the above is hey�pr-Gf [Please print name of individual signing] _J D. I understand that a "public entity crime" as defined in section 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity in Florida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. E. I understand that "convicted" or "conviction" as defined in section 287.133(1) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contenders. F. I understand that "affiliate" as defined in section 287.133(1) (a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding thirty-six (36) months shall be considered an affiliate. G. I understand that a "person" as defined in section 287.133(1) (e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. H. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting this sworn statement. [Please indicate with a check mark (✓) which statement applies]. 41 Rev 03/2016 City of Sanford I Finance Department I Purchasing Division CITY of 300 N. Park Avenue 2nd Floor -Suite -236 Sanford, Florida 32771 �S ORD Phone: 407.688.5028 or 5030 ( Fag: 407.688.5021 FINANCEDEPARTh1ENT INVITATION FOR BID (IFB) TERM CONTRACT TITLE: PAINTING SERVICES- FORT MELLON PARK Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who is active in the management of the entity, nor any affiliate of the entity have been convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND [Please indicate which additional statement applies]. There has been a proceeding concerning the conviction before a judge or hearing officer of the State of Florida, Division of Administrative Hearings, or a court of law having proper jurisdiction. The final order entered by the hearing officer or judge did not place the person or affiliate on the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate was placed on the convicted contractor list. There has been a subsequent proceeding before a court of law having proper jurisdiction or a judge or hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the judge or hearing officer determined that is was in the public interest to remove the person or affiliate from the convicted contractor list. [Please attach a copy of the final order.] The person or affiliate has not been placed on any convicted vendor list. [Please describe any action taken by or pending with the State of Florida, Department of Management Services.] By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "C", Public Entity Crimes Statement, is truthful and correct at the time of submission. AFFIA SI MARV GRIJALVA 1 yped Name of AFFIANT VICE PR SID NT Title STATE OF P L044t) pf COUNTY OF 115 c�c` The foregoing i strulment was executed before me this day o K 2p 110 g, by V)6" �� as \).?. ofd (�0. who personally swore or affirmed that he/she is authorized to execute this document and thereby ind the orporation, and who is personally known to me OR has produced � as identification. MSA (stamp) •.. . :"- MY COMMISSION # FF1'i9� � NOT Y PUBLIC, State of 0lq- ,�� " EXPIRES February 12, 2419'• (407) 30a-0153 FIgrkt8 0tarySerft11-0 n PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE '3 Failure to submit this form may be grounds for disqualification of your submittal"O 42 Rev 03/2016 City of Sanford I Finance Department ( Purchasing Division CITY OF 300 N. Park Avenue 2nd Floor Suite 236 Sanford, Florida 32771 S ORD Phone: 407.688.5028 or 5030 1 Fax: 407.688.5021 FINANCE DEPARTMENT INVITATION FOR BID (IFB) TERM CONTRACT TITLE: PAINTING SERVICES- FORT MELLON PARK Attachment I'D" Conflict of Interest Statement A. I am the VICEPRESIDENT of EMPIRE WATERPROOFING INC with a local office in [Insert Title] [Insert Company Name] and principal office in KISSIMMEE FL. B. The entity hereby submits an offer IFB 17/18-56, titled Painting Services- Fort Mellon Park. C. The AFFIANT has made diligent inquiry and provided the information in this statement affidavit based upon its full knowledge. D. The AFFIANT states that only one submittal for this solicitation has been submitted and tendered by the appropriate date and time and that said above stated entity has no financial interest in other entities submitting a proposal for the work contemplated hereby. E. Neither the AFFIANT nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion or collusive activity, or otherwise taken any action which in any way restricts or restraints the competitive nature of this solicitation, including but not limited to the prior discussion of terms, conditions, pricing, or other offer parameters required by this solicitation. F. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise prohibited from participation in this solicitation or any contract to follow thereafter by any government entity. G. Neither the entity nor its affiliates, nor anyone associated with them, have any potential conflict of interest because and due to any other clients, contracts, or property interests in this solicitation or the resulting project. H. I hereby also certify that no member of the entity's ownership or management or staff has a vested interest in any City Division/Department/Office. I. I certify that no member of the entity's ownership or management is presently applying, actively seeking, or has been selected for an elected position within City of Sanford government. J. In the event that a conflict of interest is identified in the provision of services, I, the undersigned will immediately notify the City in writing. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "D", Conflict of Interest Statement, is truthful and correct at the time of submission. GNATURE IJALVA of AFFIANT Title' STATE OF t t�pt2fL� 1� COUNTY OF�� e" gore ofr}� ns ment was executed. before me this day of Q 20 1<2 by �Tl dr%, G, as V• V. of r1h who personally swore or affirmed that he/she is authorized to execute this document and thereby bind the Co ration, and who is personally known to me OR has produced as identification. LEON MMAM y x,Nw MY Cq@RP�lISSifa1V#3 (stamp) EXPIRES Fep �� NOTARY PUBLIC, State of 1 (iG7) $ a9 0153 �w,re>vo„ LETE AND SUBMIT WITH YOUR IFB RESPONSE may be grounds for disqualification of your submittal`s 43 Rev 03/2016 City of Sanford I Finance Department I Purchasing Division CITY OF 300 N. Park Avenue 2"d Floor Suite 236 Sanford, Florida 32771 SFORD Phone: 407.688.5028 or 5030 ( Fax: 407.688.5021 FINANCE DEPARTMENT INVITATION FOR BID (IFB) TERM CONTRACT TITLE: PAINTING SERVICES- FORT MELLON PARK Attachment "E" Drug -Free Workplace Certification When applicable, the drug-free certification form below must be signed and returned with the IFB response. In order to have a drug-free workplace program, a business shall: A. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. B. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. C. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in the first paragraph. D. In the statement specified in the first paragraph, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893, Florida Statutes, or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. E. Impose a sanction on, or require the satisfactory participation in, a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. F. Make a good faith effort to continue to maintain a drug-free workplace through implementation of the foregoing provisions. By the signatures) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachme Ems_ rkplace Certification, is truthful and correct at the time of submission. MARVIV GRIJALVA Typed ame of AFFIANT VIC PRESIDENT ^ STATE OF �=0._ � COUNTY OF �he� foregoing �' _sstrume t was executed before me this � day of �<:�U� 20 l by _�` V\ 6;tS as � -P- • of who personally swore or affirmed that he/she is authorized to execute this document and thereby bi the Corpcuhtion, and who is personally known to me OR has produced x as identification. MAm LEON (stamp) ','. R ,,, „ 9,�sEosv # FFygg322 NOTARY BLIC, State of SUBMIT WITH YOUR IFB RESPONSE — (if applicable) 44 Rev 03/2016 1 Please included the Total Lump Sum below from Exhibit A 2. TOTAL LUMP SUM PRICE $ 40,900.00 I/we, the undersigned, as authorized signatory to commit the firm, do hereby accept in total all the terms and conditions stipulated and referenced in this IFB document and do hereby agree that if a contract is offered or negotiated it will abide by the terms and conditions presented in the IFB document or as negotiated pursuant thereto. The undersigned, having familiarized him/herself with the terms of the IFB documents, local conditions, and the cost of the work at the place(s) where the work is to be done, hereby proposes and agrees to perform within the time stipulated, all work required in accordance with the scope of services and other documents including Addenda, if any, on file at the City of Sanford Purchasing Division for the price set forth herein in Attachment "F" Bid Price Schedule and Acceptance of Bid Terms and Conditions. The signature(s) below are an acknowledgment of my/our full understanding and acceptance of all the terms and conditions set forth in this IFB document or as otherwise agreed to between the parties in writing. Bidder/Contractor Name: EMPIREWATERPROOFING INC. Mailing Address: 1970 E. OSCEOLA PARKWAY STE. 314 KISSIMMEE FL 34743 Telephone Number: 407 334 8104 Fax Number: 321 697 7054 STATE OF T4A a-1 b A COUNTY OF V50.0 p V6`:_ MARVIN GRIJALVA Printed Name /0--0-,g Date E-mail Address: grijalva.marvin$gmail.com FEIN: 36-460 1525 T e foregoing 'ns ment was executed before me this da o �Y 20 1 a by L t k\ a._ as \j • of ewwho personally swore or affirmed that he/she is authorized to execute this document and thereby bi the Girporation, and who is personally known to me OR has produced x as identification. MARIA LECOWN stamp) MY COMMISSION !# FFI"34, NOTAR UBLIC, State of _ ( EXPIRES Febah 12, 2U1.9, (407) 9-C'.53 F1o4d3N0rarySe"AMC0 a BMIT WITH YOUR IFB RESPONSE '�I'Failure to submit this form may be grounds for disqualification of your submittal`s 45 Rev 03/2016 Attachment "H" Organizational Information The Bidder must include a copy of their State Certificate of Good Standing/Articles of Incorporation, which lists the corporate officers. In addition to the aforementioned documents the Bidder/Bidder must include necessary information to verify the individual signing this proposal/bid and or any contract document has been authorized to bind the corporation. Examples include: A. A copy of the Articles of Incorporation listing the approved signatories of the corporation. B. A copy of a resolution listing the members of staff as authorized signatories for the company. C. A letter from a corporate officer listing the members of staff that are authorized signatories for the company. TYPE OF ORGANIZATION (Please place a check mark (✓) next to applicable type) X Corporation Partnership Non -Profit Joint Venture Sole Proprietorship Other (Please specify) State of Incorporation FLORIDA STATE Principal Place of Business (Enter Address) 1617 HARBOUR COURT KISSIMMEE FLORIDA 34743 Federal I.D. or Social Security Number 36-460-1525 By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "H", Organizational Information, is truthful and correct at the time of submission. Bidder/Contractor Name: EMPIRE WATERPROOFING INC. -- Mailing Address: 1970 E. OSCEOLA PARKWAY KISSIMMEE FL. 34743 Telephone Number: 407 334 8104 Fax Number: 321 697 7054 E-mail Address: MARVIN GRIJAI VA Auth 'zed Signatory Printed Name VI E PRESIDENT Title Date FUR mumnalls PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE -Failure to submit this form may be grounds for disqualification of your submittal's 47 Rev 03/2016 ® No Subcontracting (of any kind) will be utilized on this project. Solicitation Number: IFB 17/18-57(%) Title: PAINTING SERVICES — FORT MELLON PARK Total Project Amount: $ Subcontractor Minority Code (if applicable) Federal ID Company Name Address Phone, Fax, Email Trade, Services or Materials portion to be subcontracted Perc Scope/Contract Dollar Value A Asian/Pacific Islander W Woman H Hispanic SDVBE Service Disabled Veteran PERCENTAGE TOTALS FOR SUBCONTRACTOR PARTICIPATION N/A PERCENTAGE TOTALS FOR MINORITY SUBCONTRACTOR PARTICIPATION N/A Code Code Description Minori Code Code Description -Minority AA African American NA Native American A Asian/Pacific Islander W Woman H Hispanic SDVBE Service Disabled Veteran When applicable, the Bidder, will enter into a formal agreement with the subcontractors identified herein for work listed in this schedule conditioned upon execution of a contract with the City. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "I", Proposed Schedule of Subcontractor Participation, is truthful and correct at the time of submission. Bidder/Contractor Name: EMPIRE WATERPROOFING INC. Mailing Address: 1970 E. OSCEOLA PARKWAY KISSIMMEE FL.34743 Telephone Number: 407 334 8104 Fax Number: 321 697 7054 E-mail Address:mgrijalva@empirewaterproofingfl.coml MARVIN GRIJALVA FEIN: 36-46-01525 Auth ized Sign ory Printed Name 111V.0 e, f Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE Failure to submit this form may be grounds for disqualification of your submittal 48 Rev 03/2016 As the person authorized to sign on behalf of the Bidder, I hereby certify that the company identified below in the section entitled "Bidder/Contractor Name" is not listed on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. I understand that pursuant to section 287.135, Florida Statutes, the submission of a false certification may subject the successful Bidder to termination of the awarded Agreement, civil penalties, attorney's fees, and/or costs. By the signature(s) below, I/we, the undersigned, as authorized signatory to commit the firm, certify that the information as provided in Attachment "J", Contractor Certification Regarding Scrutinized Companies, is truthful and correct at the time of submission. Bidder/Contractor Name: EMPIRE WATERPROOFING INC. Mailing Address: 1970 E. OSCEOLA PARKWAY KISSIMMEE FL. 34743 Telephone Number: 407 334 8104 Fax Number: 321 697 70 54 E-mail Address: mgriialva(c_Dempirewaterproofin1 MARVIN GRI JAI VA FEIN: 36-46p 1525 Aut o zed -Si natory Printed Name VICE PRESIDENT Title Date PLEASE COMPLETE AND SUBMIT WITH YOUR IFB RESPONSE (when applicable) 'IFailure to submit this form may be grounds for disqualification of your submittal -'a' 49 Rev 03/2016 Attachment "K" References Bidder shall submit as a part of their bid response, a minimum of five (5) of the most significant projects similar in size and scope which were performed within the last three (3) years. The contact person shall be someone who has personal knowledge of the Bidder's performance for the specific requirements listed and is aware the City may be contacting them. Project Name: BREWSTER CENTER VOLUSIA COUNTY Type of Project/Service: EXTERIOR RESTORATION, PAINTI N G Address: 200 N CLARA AVE. DELAND FL. Contracting Agency/Client: HJ HIGH CONSTRUCTION Contact Name and Phone #: 407 422 8171 Contact Email Address and Fax #: CGRAYSON HJHIGH.COM Contract Amount 405.000.00 Start Date: 2/20/16 End Date: 9/20/2016 Project Name: DIXIE COUNTY HIGH SCHOOL Type of Pro'ect/Service: Address: Contracting Agency/Client: AMBACK MASONRY COMPANY Contact Name and Phone #: 3,52343510 Contact Email Address and Fax #: Contract Amount: $F7 nnn nn Start Date: End Date:1 E Pro'ectName: TOHOPEKALIGA HIGH SCHOOL Type of Project/Service: Address: 3675 BOGGY CREEK RD KISSIMMEE EL. 34743 Contracting Agency/Client: KELLEY GLASS Contact Name and Phone #: 407 299 1774 Contact Email Address and Fax #: BOBKNOX KELLEYGLASS.COM Contract Amount: $125,000.00 1 Start Date: End Date:77777777, ot 1 /2 r Project Name: Type of Project/Service: SAND BLASTING PAINTING JOINT SEALANT Address: 88 W.HIGHBANKS RD DEBARY FL.32713 Contracting Agency/Client:. HJHIGH CONSTRUCTION Contact Name and Phone #: 407 422 8171 Contact Email Address and Fax #: Contract Amount: $60,000.00 Start Date: 7/2017 End Dte:a8/1/2017 Project Name: FLORIDA H PITAL WAUCH-ULA FL. Type of Project/Service: WINDOW SEALANTANT Addre— WAUCHULA FL. Contact Name and Phone #: 407 299 1774 Contact Email Address and Fax #: BOBNOX(gKELLEYGLASS.COM Contract Amount: 17,000.00 Start Date: 3/2016 End Date: 8/2016 PLEASE COMPLEIE AN1) JUt51v111 witn xuun irn mJu' 'Failure to submit this form may be grounds for disqualification of your submittal'® 50 Rev 03/2016 Bid Schedule of Values (See Excel Form) 51 mu� —1— „ O m m w fa a ° m O` v v d = v w v w v a) 'a a) w "a 0 "a a) o v -O a-+ '6 m Qj Y 'a i L.. v12 "O LF. 'a 'a •N - '0 o v CL 12 +L+ a N Oj 7 a O,0 a OD _ M 7 00 = 00 = 00 O OO O y C aQj O LY O y O y o y N O Y O 0) O 5 3 a) O E 7 a) O E 7 a) o 5 a) 3 �'. 00 Oa c .y 00 Oa . 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G Ln V) in Ln a Y a o � v ¢ W Nm u y O Q :E p+ G -� iO c h LL a a v a dG N C 77 s L d LL a• a v m J m CN a i m 0 cCL c O Y e -i N N cr n- N d a° m C r- — 4 0 0 — 0 — 0 — m a •� 0, V a m 0 rl N M d' N l0 h co O 00 'O Z m •m • •m N Oat CL m C: c c c c c c c c o Ix 0 a v m a -,o a — 0 v v Tu o 0 0 — 0 — 0 — 0 — 0 — 0 — 0 = o a Z ' o to On Oa m m 3 o 1 0 Yi 0 0 > > > > > > > > > V E o u m 3 c c c c o o v m )i m 0_ m om m 0_ m d m O.. m d m d m d m d m D: m d. N v .a 3 N 3 N 3 N 3 N D N N ♦` S Form - Request for Taxpayer (Rev. November 2017) Identification Number and Certification Department of the Treasury Internal Revenue Service ► Go to www.irs.90vfForm1#9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. EMPIRE WATERPROOFING INC. 1 a1/uibreyaroeo enmy name, it different from above 1970 E. OSCEOLA PARKWAY STE. KISSIMMEE FL.34743 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. ❑ Individual/sole proprietor or ❑ C Corporation Q S Corporation ❑ Partnership ❑ Trust/estate single -member LLC ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC the is disregarded from the owner should check the appropriate box for the tax classification of its owner. F-1 Other Isee instntctinn.cl Do- , , street, and apt. or suite no.) See 6 City, state, and ZIP 7 List account numbe Requester's name Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see Now to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Give Form to the requester. Do not send to the IRS. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (f any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) (optional) Social security number _m or Employer identification num Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. 1 am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. tl:__ --- "11 " I Signature of Here U.S. person ► General Instructions Section references are to the Intern Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/F0rmW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (interest earned or paid) Date► • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding, See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 11-2017) Date. 1018118 To: PURCHASING DEPT. from: Marvin Grijolva CITY OF SANFORD FL. Empire Waterproofing Inc. 1970 E. Osceola Parkway #. 314 Kissimmee fi.34743 TITLE PAINTING SERVICES FORT MELLON PARK. ITB. 17/18-56 PLEASE ACCEPT THIS CHECK-IN THE AMOUNT OF BID BOND, FOR THE ABOVE PROJECT. THE AMOUNT OF THE CHECK IS $2,045.00 THANKS MARVIN GRIJALVA VICE PRESIDENT. OF THE TOTAL BID ASA FORM OF A Osceola1970 E. , empirewaterproofingfl@yahoo.com * Please keep this copy for your record of the transaction * The laws of a specific state will consider these funds to be "abandoned" if the Cashier's Check is not cashed by a certain time - Please cash/deposit this Cashier's Check as soon as possible to prevent this from occurring - In most cases, the funds will be considered "abandoned" before the "Void After" Date * Placing a Stop Payment on a Cashier's Check - Stop Payment can only be placed if the Cashier's Check is lost, stolen, or destroyed - We may not re -issue or refund the funds after the stop payment has been placed until 90 days after the original check was issued * Please visit a Chase branch to report a lost, stolen, or destroyed Cashier's Check or for any other information about this item FOR YOUR PROTECTION SAVE THIS COPY Customer Copy CASHIER'S CHECK 1177713652 10/09/2018 Void after 7 years Remitter: EMPIRE WATER PROOFING, INC $** 2,045.00 ** Pay To The CITY OF SANFORD PURCHASING DIVISION Order Of: Memo: -------------------------------------------------------------- Drawer. JPMORGAN CHASE BANK, N.A.--- NON NEGOTIABLE Note: For information only. Comment has no effect on bank's payment. 282111107 NEW 01/08 8810004306 HOLD DOCUMENT. UP. TO THE LIGHT. TO VIEW TRUE WATERMARK r i i HOLD. DOCUMENTUP TO THE LIGHT TO VIEW TRUE CASHIER S CHECK 1177713652 25-3 CHASE(`-- --___ Date 10/09/2018 Void after 7 years 440 Remitter: EMPIRE WATER PROOFING, INC Pay To The CITY OF SANFORD PURCHASING DIVISION Order Of: Pay: TWO THOUSAND FORTY FIVE DOLLARS AND 00 CENTS $** 2,045.00 ** Drawer. JPMORGAN CHASE BANK, N.A. Do not write outside this box t --7` Memo:�_ Sol Gindi, Chief Administrative Officer Q Note: For information only. Comment has no effect on bank's payment. JPMorgan Chase Bank, N.A. Ls 1 110LL77?L365211' 1:04400003?1: ?5866L32611'