2040 IFB 17/18-16 Performance Bond Huffman/NuWaveNer
o No I IV elm
XANCE DEPARTMENT
Thursday, December 20, 2018
TO: City Clerk/Mayoi
RE: N� V6 \--I \ X?, -
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
n
Development Order
F1
Mayor's signature
n
Final Plat (original mylars)
El.
Recording
[-]
Letter of Credit
n
Rendering
F]
Maintenance Bond
c
Safe keeping (Vault)
F]
Ordinance
❑
Deputy City Manager
n
Performance Bond
❑
Payment Bond
n
Resolution
F]
City Manager Signature
❑
F]
City Clerk Attest/Signature
F1
City Attorney/Signature
Once completed, please:
❑ Return originals to Purchasing- Department
❑ Return copies
El
Special Instructions:
Uftot-y�y 6oja.-),zqev-
19MON
SharePoint FinancePurchasingForms - 2018.doc
--'aA \s I ,�
Date
1 V"
Bond No: 41397894
Executed in 3 Counterpart(s)
GRANT MALOY, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
CFN# 2019021317 Bk:9306 Page:4-15 (12Pgs)
REC: 02/28/2019 2:52:41 PM by jeckenroth
RECORDING FEES $103.50
SECTION 00605
PERFORMANCE BOND
(100% of Contract Price)
KNOW ALL MEN BY THESE PRESENTS that:
Huffman, Inc. DBA NuWave Pools & NuWave Concrete
(Name of CONTRACTOR)
2240 Northumbria Dr. Sanford, FL 32771
(Address of CONTRACTOR)
CONTRACTOR'sTelephone Number: (321) 246-8001
a Corporation
(Corporation, Partnership, or Individual)
hereinafter called "Principal", and Platte River Insurance Compan
(Name of Surety)
PO Box 5900, Madison, WI 53705-0900
(Address of Surety)
Surety's Telephone Number: (608) 829-4200
hereinafter called "Surety", are held and firmly bound unto CITY OF SANFORD, 300 N. Park
Ave, Sanford, Florida 32771, hereinafter called "CITY", in the sum of Four Hundred Thirty Six Thousand
Three Hundred Ten and 50/100------ DOLLARS ($436,310.50 ------------------- ) in lawful money of the
United States, for the payment of which sum well and truly to be made, we bind ourselves,
successors, and assigns, jointly and severally, firmly by these presents. The sum shall not be
less than one hundred percent (100%) of the Contract Price.
CITY's telephone number is (407) 688-5028. THE CONDITION OF THIS OBLIGATION is such
that whereas, the Principal entered into a certain Agreement with CITY, dated the
day ofV,, 20 tqa copy of which is hereto attached
and made a part hereof f r the construction of: IFB 17/18-69 Hidden Lake Drive & Live Oak Blvd Sidewalk,
Sanford, FL
The Project is located (Provide Legal Description. If in R/W, provide address or general
location):
Sanford, FL
General description of the Work: The CONTRACTOR is responsible for all labor, materials,
equipment, coordination, and incidentals necessary for IFB 17/18-69 Hidden Lake Drive & Live Oak Blvd Sidewalk,
Sanford, FL
00605-1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
This Performance Bond is being entered into to satisfy the requirements of Section 255.05,
Florida Statues, and the Agreement referenced above, as the same may be amended.
NOW, THEREFORE, the condition of this obligation is such that if Principal:
1. Promptly and faithfully performs its duties, all the covenants, terms,
conditions, and agreements of said Agreement including, but not limited, to the
guaranty period and the warranty provisions, in the time and manner prescribed
in the Agreement; and
2. Pays CITY all liquidated damages, losses, damages, delay damages,
expenses, costs, and attorneys' fees, including costs and attorneys fees on
appeal that CITY sustains resulting from any breach or default by Principal under
the Agreement
then this bond is void; otherwise it shall remain in full force and effect.
The coverage of this Performance Bond is co -equal with each and every obligation of the
Principal under the above referenced Agreement and the Contract Documents of which the
Agreement is a part, except that the coverage of the Performance Bond is limited to one
hundred percent (100%) of the Contract Price.
In the event that the Principal shall fail to perform any of the terms, covenants, and conditions of
the Agreement and the Contract Documents of which the Agreement is a part during the period
in which this Performance Bond is in effect, the Surety shall remain liable to CITY for all such
direct loss or damage (including reasonable attorneys' fees and costs and attorneys' fees and
costs on appeal) resulting from any failure to perform, up to one hundred percent (100%) of the
Contract Price and for indirect damages as determined by CITY up to an additional twenty
percent (20%) over the adjusted Contract Price.
In the event that the Surety fails to fulfill its obligations under this Performance Bond, then the
Surety shall also indemnify and hold CITY harmless from any and all loss, damage, cost, and
expense, including reasonable attorneys' fees and costs for all trial and appellate proceedings,
resulting from the Surety's failure to fulfill its obligations hereunder up to one hundred percent
(100%) of the Contract Price.
The Surety stipulates and agrees that its obligation is to perform the Principal's work under the
Agreement under this Performance Bond. The following preventative options by the Surety are
encouraged; however, preventative options shall not be considered under this Performance
Bond: (i) Surety's financing of the Principal to keep Principal from defaulting under the Contract
Documents; and (ii) Surety's offers to CITY to buy back this Performance Bond. The Surety
agrees that its obligation under this Performance Bond is to: (i) take over performance of the
Principal's work and be the completing Surety even if performance of the Principal's work
exceeds the adjusted Principal's Contract Price; or (ii) re -bid and re -let the Principal's work to a
completing contractor with Surely remaining liable for the completing contractor's performance
00605-2
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
of the Principal's work and furnishing adequate funds to complete the work. The Surety
acknowledges that its cost of completion upon default by the Principal may exceed the Contract
Price. In any event, the Principal's Contract Time is of the essence and applicable delay
damages are not waived by CITY.
The Surety, for value received, hereby stipulates and agrees that its obligations hereunder shall
be direct and immediate and not conditional or contingent upon CITY's pursuit of its remedies
against Principal; however, such obligation shall only arise upon a declaration of default of the
Principal and shall remain in full force and effect notwithstanding (i) amendments or
modifications to the Agreement entered into by CITY and Principal without Surety's knowledge
or consent; and (ii) the discharge of Principal as a result of any proceeding initiated under the
Bankruptcy Code of 1978, as the same may be amended, or any similar State or Federal law, or
any limitations of the liability of Principal or its estate as a result of any such proceeding.
Any changes in or under the Agreement and Contract Documents and compliance or non-
compliance with any formalities connected with the Agreement or the changes therein shall not
affect Surety's obligations under this Performance Bond and Surety hereby waives notice of any
such changes. However, in the event Change Orders (unilateral or directive change orders and
bilateral change orders) or other modifications to the Agreement and Contract Documents are
executed exceeding one hundred percent (100%) of the Contract Price, the Surety shall be
notified by CITY of such increased by CITY, and the Principal shall be required to increase the
sum of this Performance Bond to be commensurate with the increased Contract Price.
The Surety's liability to CITY shall not be reduced should CITY directly purchase for the purpose
for Sales Tax Recovery certain components and materials to be utilized in the work done by the
Principal pursuant to his obligations under the Agreement. Specifically, the Surety shall remain
fully liable and bound to CITY for the full compliance with the Contract Documents and full
performance and function and all warranties of all components and materials, notwithstanding
the fact that CITY may issue deductive Change Orders and directly purchase such items.
This Performance Bond and the Payment Bond and the covered amounts of each are separate
and distinct from each other.
This Performance Bond is intended to comply with the requirements of Section 255.05, Florida
Statutes, as amended, and additionally, to provide contract rights more expansive than as
required by statute.
IN WITNESS WHEREOF, this instrument is executed this day of
, 20
ATTEST: PRINCIPAUCONTRACTOR
Huffman. Inc. DBA NuWave Pools & NuWave Concrete
PRINCIP I CONNTRACT YR
y: ecretary By: CONiRACTO atoryAuthority
00605-3
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
Typed', ame,of Secretary
ra*.xryt.
'j,�I
•&0;.'00RA-TE S' Q
.�� 1 4i;.iNT ACTC
P i •
fame I
Typed Name
f
Typed Name and Title
2240 Northumbria Dr.
Address
Sanford, FL 32771
City, State, Zip
f,�1C (321) 246-8001 727-328-7718
Telephone No. Facsimile No.
(Surety Signature Page Follows)
00605-4
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
ATTEST. -
4,
(SURETY) Secretary
Susan L. Reich
Typed or Printed Name
00605-5
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
SURETY s
Platte River Insurance Company oo
SURETY
Witness as ETY
Tammy Jones
Typed or Printed Name
Witn s as to SU ETY
Jenna Pagan
Typed or Printed Name
Gloria A. Richards -V
Typed or Printed Name
Attorney -in -Fact & FL Lic Res. Agent
Title
PO Box 5900
Address
Madison, WI 53705-0900
City, State, Zip
(608) 829-4200 (800) 798-2029
Telephone No. Facsimile No.
Agency: Florida Surety Bonds, Inc
620 N. Wymore Rd Suite 200
Maitland, FL 32751
Inquiries: (407) 786-7770
NOTE: Date of this Performance Bond must not be prior to date of the Agreement. If
CONTRACTOR is a joint venture, all ventures shall execute this Performance Bond. If
CONTRACTOR is a Partnership, all partners shall execute this Performance Bond.
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's
most current list (Circular 570, as amended) and be authorized to transact business in the State
of Florida, unless otherwise specifically approved in writing by CITY.
All bonds shall be originals and issued or countersigned by a local producing agent who
is authorized to operate in the State of Florida. Attorneys -in -fact who sign Bid Bonds or
Performance/Payment Bonds must file with such bond a certified copy of their Power of Attorney
to sign such Bond. Agents of surety companies must list their name, address, and
telephone number on all Bonds.
END OF SECTION
00605-6
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
Bond No: 41397894
Executed in 3 Counterpart(s)
SECTION 00610
PAYMENT BOND
(100% of Contract Price)
KNOW ALL MEN BY THESE PRESENTS that:
Huffman, Inc. DBA NuWave Pools & NuWave Concrete
(Name of CONTRACTOR)
2240 Northumbria Dr. Sanford, FL 32771
(Address of CONTRACTOR)
CONTRACTOR's Telephone Number: (321) 246-8001
a Corporation
(Corporation, Partnership, or Individual)
hereinafter called "Principal", and Platte River Insurance Company
(Name of Surety)
PO Box 5900, Madison, WI 53705-0900
(Address of Surety)
Surety's Telephone Number: (608) 829-4200
hereinafter called "Surety", are held and firmly bound unto CITY OF SANFORD, 300 N. Park
Ave., Sanford, Florida 32771, hereinafter called "CITY", in the sum of Four Hundred Thirty Six Thousand
Three Hundred Ten and 50/100 ---DOLLARS ($436,310.50 ------------ ------ ) in lawful money of the
United States, for the payment of which sum well and truly to be made, we bind ourselves,
successors, and assigns, jointly and severally, firmly by these presents.
CITY's telephone number is (407) 688-5028. THE CONDITION OF THIS OBLIGATION is such
that whereas, the Principal entered into a certain Agreement with CITY, dated theday of 20
, a copy of which is hereto attached and made a part hereof for the construction of:IFB 17/18-69*
The Project is located (Provide Legal Description. If in R/W, provide address or general
location):
Sanford, FL
General description of the Work: The CONTRACTOR is responsible for all labor, materials,
equipment, coordination, and incidentals necessary for IFB 17/18-69 Hidden Lake Drive & Live
Oak Blvd Sidewalk Sanford FL
*Hidden Lake Drive & Live Oak Blvd Sidewalk, Sanford, FL
00610-1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
NOW, THEREFORE, the condition of this obligation is such that if Principal shall promptly make
payments to all claimants as defined in Section 255.05(1), Florida Statutes, supplying Principal
with labor, materials, or supplies, used directly or indirectly by Principal in the prosecution of the
work provided for in the Agreement, then this obligation shall be void; otherwise, it shall remain
in full force and effect subject; however, to the following conditions:
1. This Payment Bond is furnished for the purpose of complying with the requirements of
Section 255.05, Florida Statutes, as same may be amended.
2. It is a specific condition of this Payment Bond that a claimant's right of action on this
Payment Bond is limited to the provisions of Section 255.05, Florida Statutes, including, but not
limited to, the one (1) year time limitation within which suits may be brought.
3. This Payment Bond is conditioned that CONTRACTOR shall promptly make payments
to all persons defined in Section 713.05, Florida Statutes, whose claims derive from the
prosecution of the work provided for in the Agreement.
Therefore, a claimant, except a laborer, who is not in privity with the CONTRACTOR shall,
within forty-five (45) days after beginning to furnish labor, materials, or supplies for the
prosecution of the work, furnish CONTRACTOR with a notice that (s)he may look to this
Payment Bond for protection. A claimant who is not in privity with the CONTRACTOR and who
has not received payment for his/her labor, materials, supplies, or rental equipment within ninety
(90) days after final furnishing of the labor, services, materials, or equipment by claimant, deliver
to CONTRACTOR and to the Surety written notice of the performance of the labor or delivery of
the materials or supplies and of the nonpayment. No action for the labor, materials, or supplies
may be instituted against CONTRACTOR or the Surety on the bond after one (1) year from the
performance of the labor or completion of the delivery of the materials or supplies.
4. Any changes in or under the Agreement or Contract Documents and compliance or non-
compliance with any formalities connected with the Agreement or the changes therein shall not
affect Surety's obligations under this Payment Bond and Surety hereby waives notice of any
such changes. Further, Principal and Surety acknowledge that the sum of this Payment Bond
shall increase or decrease in accordance with the Change Orders (unilateral or directive change
orders and bilateral change orders) or other modifications to the Agreement or Contract
Documents. This Payment Bond shall not cover any components or materials directly
purchased and paid for by CITY pursuant to Sales Tax Recovery.
5. The Performance Bond and this Payment Bond and the covered amounts of each are
separate and distinct from each other. This Payment Bond shall be construed as a statutory
Payment Bond under Section 255.05, Florida Statutes, and not as a common law bond.
IN WITNESS WHEREOF, this instrument is executed this day of
, 20
ATTEST.- PRINCIPAUCONTRACTOR
Huffman, Inc. DBA NuWave Pools & NuWave Concrete
PRINCIPAL/ CONTRACTOR
00610-2
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
r /
,-By: ec Mary'
Ty060 ame of Se retary
�-- N R('� AT --E SEA
: X00
jtn4s t401 TR TOR)
^` t
(Witness to CONTRACTOR)
Typed Name
Typed Name and Title
2240 Northumbria Dr.
Address
Sanford, FL 32771
City, State, Zip
Authority
•�� `fir.-,.,�_
(321) 246-8001 727-328-7718
Telephone No. Facsimile No.
(Surety Signature Page Follows)
00610-3
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
ATTEST.'
(SURETY) Secretary
Susan L. Reich
Typed or Printed Name
00610-4
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
SURETY
Platte River Insurance Company
SURETY
Gj
" c7 1.t ►�
ld
��, I r\1-1,
Witness as tT
ETY
Tammy Jones
Type or Printed Name
a!�� -
WitrbOs as to SU ETY
Gloria A. Richards'
Typed or Printed Name
Attorney -in -Fact & FL Lic. Res. Agent
Title
*Inquiries (407) 786-7770
PO Box 5900
Address
Madison, WI 53705-0900
City, State, Zip
Jenna Pagan (608) 829-4200 (800) 798-2029
Typed or Printed Name Telephone No. Facsimile No.
Agency: Florida Surety Bonds, Inc
620 N. Wymore Rd Suite 200
Maitland, FL 32751
Inquiries: (407) 786-7770
NOTE: Date of this Payment Bond must not be prior to date of the Agreement. If CONTRACTOR
is a joint venture, all ventures shall execute this Payment Bond. If CONTRACTOR is a
Partnership, all partners shall execute this Payment Bond.
IMPORTANT: Surety companies executing bonds must appear on the Treasury Department's
most current list (Circular 570, as amended) and be authorized to transact business in the State
of Florida, unless otherwise specifically approved in writing by CITY.
All bonds shall be originals and issued or countersigned by a local producing agent who is
authorized to operate in the State of Florida. Attorneys -in -fact who sign Bid Bonds or
Performance/Payment Bonds must file with such bond a certified copy of their Power of Attorney
to sign such Bond. Agents of surety companies must list their name, address, and
telephone number on all Bonds.
END OF SECTION
00610-5
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
PLATTE RIVER INSURANCE COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska, having
its principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
-- -- LISA ROSELAND; TERESA L DURHAM; KIM E NIV; JEFFREY W REICH; SARAH K. O'LINN; CHERYL FOLEY ------
- SUSAN L REICH; GLORIA A RICHARDS; SONJA AMANDA FLOREE HARRIS; ROBERT P. O'LINN — ---------
its true and lawful Attorney(s)-in-fact, to make, execute, sea] and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sunt of
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED: 520,000,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of January, 2002.
"RESOLVED, that the President; Executive Vice President, Vice President, Secretary or Treasurer, acting individually or otherwise, be and they hereby
are granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and
other writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attomey(s)-in-fact, each appointee to have
the powers and duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any
such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures
or facsimile seal shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal
shall be valid and binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to
which itis attached. Any such appointment may be revoked, for cause, or without cause, by any of said officers, at any time."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts
required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner – Department of
Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused these presents to be signed by its officer undersigned and its
corporate seal to be hereto affixed duly attested, this 3rd day of May, 2017.
Attest:
J n E. RzepinskiSUfin, PLATTE RIDDVER INSURANCE COMPANY
Vice President, Treasurer & CFO
4-A" oFc%o,
,b
'a��� �� Stephen J. Sills
Suzanne M. Broadbent \ CEO & President
Assistant Secretary
STATE OF WISCONSINNC133RAiog'
S.S.:
COUNTY OF DANE }
On the 3rd day of May, 2017 before me personally came Stephen J. Sills, to me known, who being by me duly sworn, did depose and say: that he resides
in the County of New York, State of New York; that he is President of PLATTE RIVER INSURANCE COMPANY, the corporation described in and
which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that it
was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
E�; ,
, "D J R£y.4,10
F
�' David J. Regele
STATE OF WISCONSIN Notary Public, Dane Co., WI
� �.,,�: �+
COUNTY OF DANE S.S.: My Commission Is Permanent
I, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska
Corporation; authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has
not been revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force.
Signed and sealed at the City of Middleton, State of Wisconsin the d1 01- 20
r;t1%14.a
r
Antonio Celii
Caic l, Vice President & Seccretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON GREEN SHADEC;0,B{1C�GS�R UN VI�T`H ei 1�5 A NUMBER W THE UPPER RIGHT HAND
CORNER. IF''YOU HAVE ANY QUESTIONS CONCERNING THE AUTHE' TI�IITY 11rJ I t�i N CA 800-475-4450.`: PK -POA (Rev. to-zot7}
4D
CITY OF
S ORD
FINANCE DEPARTMENT
Thursday, December 20, 2018
PURCHASING DEPARTMMMY
TRANsmITTAL MEMORANDUM
To: City Cler-- ayor
RE: '� r 1
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
F1
Development Order
❑
Mayor's signature
F1
Final Plat (original mylars)
Recording
F1
Letter of Credit
El
Rendering
F]
Maintenance Bond
Safe keeping (Vault)
n
Ordinance
❑
Deputy City Manager
F]
Performance Bond
❑
Payment Bond
n
Resolution
F]
City Manager Signature
El
El
City Clerk Attest/Signature
n
City Attorney/Signature
Once completed, please:
F] Return originals to Purchasing- Department
n Return copies
El
Special Instructions:
L-Uu" r3�"tzi4w
19 MON
SharePoint FinancePurchasingFoms - 201 8.doc
���`ICj
Date
Bond No. 41397894
SECTION 00615
MATERIAL AND WORKMANSHIP BOND
KNOW ALL MEN BY THESE PRESENTS:
THAT WE Huffman, Inc. DBA NuWave Pools* hereinafter referred to as "Contractor" and
Platte River Insurance Company , hereinafter referred to as "Surety" are held and firmly
bound unto City of Sanford , hereinafter referred to as the OWNER in
the sum of ten percent (10%) of the Contract Price as adjusted under the Contract Documents.
The Final Contract Price is $ 479,707.50 ------------------ , therefore Contractor and Surety are held
and firmly bound unto OWNER the sum of Forty Seven Thousand Nine ** Dollars ($ 47,970.75 ----
--------for the payment of which we bind ourselves, heirs, executors, successors and assigns,
jointly and severally, firmly by these presents.
WHEREAS, Contractor has constructed certain improvements, including Sidewalks
and other appurtenances in that certain Project known as IFB 17/18-69 Hidden Lake Drive
and Live Oak Blvd. Sidewalk, Sanford, FL , and
WHEREAS, the qlforesaid improvements were made pursuant to an Agreement dated
and filed with the Purchasing Office of
OWNER; and
WHEREAS, the Contractor warrants and guarantees to the OWNER that all work, labor,
materials, equipment and services furnished and performed has been done in a good and
workmanlike manner and is of the highest quality, free from defects; and
WHEREAS, Contractor is obligated to protect the OWNER. against any defects resulting
from faulty Materials or Workmanship of said improvements and to maintain said improvements
for a period of two (2) years from the date of Final Completion under the Contract Documents,
which is 04/30/2019
NOW THEREFORE, the conditions of this obligation is such that if Contractor shall
promptly and faithfully protect the OWNER against any Defects resulting from faulty Materials
and Workmanship of the aforesaid improvements and maintain said improvements for a period
of two (2) years from the date of Final completion, then this obligation shall be null and void,
otherwise it shall remain in full force and effect.
The OWNER shall notify the Contractor in writing of any Defect for which the Contractor is
responsible and shall specify in said notice a reasonable period of time within which Contractor
shall have to correct said Defect.
The Surety unconditionally covenants and agrees that if the Contractor fails to perform,
within the time specified, the Surety, upon thirty (30) days written notice from OWNER, or its
authorized agent or officer, of the failure to perform will correct such Defect or Defects and pay
the cost thereof, including, but not limited to engineering, legal and contingent costs. Should the
Surety fail or refuse to correct said Defects, the OWNER, in view of the public interest, health,
safety, welfare and factors involved, shall have the right to resort to any and all legal remedies
00615-1
* & NuWave Concrete
** Hundred Seventy and 75/100
Hidden Lake Drive & Live Oak Blvd Sidewalk Bid IFB 17118-69
against the Contractor and Surety and either, both at law and in equity, including specifically,
specific performance to which the Contractor and Surety unconditionally agree.
The Contractor and Surety further jointly and severally agree that the OWNER at its option,
shall have the right to correct said Defects resulting from faulty Materials or Workmanship, or,
pursuant to public advertisement and receipt of Bids, cause to be corrected any Defects or said
Defects in case the Contractor shall fail or refuse to do so, and in the event the OWNER should
exercise and give effect to such right, the Contractor and the Surety shall jointly and severally
hereunder reimburse the OWNER the total cost thereof, including, but not limited to,
engineering, legal and contingent costs, together with any damages either direct or consequent
which may be sustained on account of the failure of the Contractor to correct said defects.
IN WITNESS WHEREOF, this instrument is executed this the 1st day of May
------------------------------ 2019
ATTEST:
Secreta (C tractor)
ATTEST:
(Surety) Secretary
Susan L. Reich
Typed Name
(CORPORATE SEAL)
An'�a;�.r !x l/Lro u
1�l )
Witness as to Surety
00615-2
Hidden Lake Drive & Live Oak Blvd Sidewalk Bid IFB 17118-69
CONTRACTOR Signatory Authority
Huffman, Inc. DBA NuWave Pools & NuWave Concrete
Contractof,ftnatory Authority
Typed Name and Title'
2240 Northumbria Dr.
Address
Sanford, Florida 32771
City, State, Zip
(321)246-8001 (407)324-4848
Telephone No. Facsimile No.
Platte River Insurance Company
Surety
(608)829-4200 (800)798-2029
Telephone No. Facsimile No.
c�±' '
By:
Attorney -in -Fact& FL Licensed Resident Agent
Sarah Drinnan
Typed Name
Wit ss as to S rety -- —
Jenna Pagan
Typed Name
Teresa L. Durham, Inquiries: (407) 786-7770>
Typed Name
PO Box 5900
Address
Madison, WI 53705-0900
City, State, Zip
(608)829-4200 (800)798-2029
Telephone No. Facsimile No.
NOTE: Date of the Bond must not be prior to date of Agreement. If CONTRACTOR is a joint
venture, all venturers shall execute the Bond. If CONTRACTOR is Partnership, all partners
shall execute Bond.
IMPORTANT: Surety companies executing Bonds must appear on the Treasury Department's
most current list (Circular 570 as amended) and be authorized to transact business in the State
of Florida, unless otherwise specifically approved in writing by OWNER.
ATTACH a certified Power -of -Attorney appointing individual Attorney -in -Fact for execution
of Performance Bond on behalf of Surety.
END OF SECTION
9114M
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
PLATTE RIVER INSURANCE COMPANY 41409217
KNOW ALL MEN BY THESE PRESENTS, That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska, having
its principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
-- LISA ROSELAND; TERESA L DURHAM; KIM E NIV; JEFFREY W REICH; SARAH K. O'LINN; CHERYL FOLEY -
- SUSAN L REICH; GLORIA A RICHARDS; SONJA AMANDA FLOREE HARRIS-. ROBERT P. O'LINN
its true and lawful Attorney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings
and contractsofsuretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED: 520,000,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of PLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of January, 2002.
"RESOLVED; that the President, Executive Vice President, Vice President, Secretary or Treasurer, acting individually or otherwise, be and they hereby
are granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and
other writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attorney(s)-in-fact, each appointee to have
the powers and duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any
such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures
or facsimile seal shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal
shall be valid and binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to
which it is attached. Any such appointment may be revoked, for cause, or without cause, by any of said officers, at any time."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts
required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner – Department of
Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused these presents to be signed by its officer undersigned and its
corporate seal to be hereto affixed duly attested, this 3rd day of May, 2017.
Attest:
)J.n E. RzepinskiMSU
PLATTE PLATTE RIVER INSURANCE COMPANY
1V
Vice President. Treasurer & CFO
Suzanne M. Broadbent
Assistant Secretary
STATE OF WISCONSIN
COUNTY OF DANE S.S.:
C. RgTF
AL Stephen J. Sills
CEO & President
On the 3rd day of May, 2017 before me personally came Stephen J. Sills, to me known, who being by me duly sworn, did depose and say: that he resides
in the County of New York, State of New York; that he is President of PLATTE RIVER INSURANCE COMPANY, the corporation described in and
which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that it
was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
pl Cc
30,
David J. Regele
STATE OF WISCONSIN Notary Public, Dane Co., WI
S.S.:
COUNTY OF DANE My Commission Is Permanent
I, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska
Corporation, authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has
not been revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force.
Signed and sealed at the City of Middleton, State of Wisconsin this ' day of 1RV
' 20—
_
SEAL
; Antonio Celii
General Counsel, Vice President & Seceretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON GREEN SHADED BACKGROUND WITH A RED SERIAL NUMBER IN THE UPPER RIGHT HAND
CORNER. IF YOU HAVE ANY QUESTIONS CONCERNING THE AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4,450. PR -POA (Rev. 10-2017)
SECTION 00617
CONSENT OF SURETY TO FINAL PAYMENT
WE Platte River Insurance Company having heretofore executed
Performance and Payment Bonds No. 41397894 for the Project known as
Hidden Lake Drive & Live Oak Blvd. Sidewalk
, in the amount of $ 436,310.50 ------------------- * hereby agree that City of Sanford
------------------------------------------ , hereinafter referred to as OWNER may make full payment of
the final estimate, including the retained percentage, to the CONTRACTOR,
Huffman, Inc. DBA NuWave Pools
& Nuwave Concrete. The Surety concurs that full payment to the CONTRACTOR is appropriate and
the Surety expressly releases the OWNER from all liability to Surety resulting from full payment
to CONTRACTOR. It is fully understood that the granting of the right to the OWNER to make
payment of the final estimate to said CONTRACTOR and/or his assigns, shall in no way relieve
this surety company of its obligations under its bond, as set forth in the specifications, contract
and bond pertaining to the above project.
* = Dollar Value of Issued Performance and Payment Bonds
IN WITNESS WHEREOF, the Platte River Insurance Company has
caused this instrument to be executed on its behalf by its
Representative----------------------------------------------------------------------------------------------------------------------
-------------------------------- and its duly authorized attorney in fact, and its corporate seal to
be hereunto affixed, all on this 1st day of May
''jj 2019
✓`
Platte River Insurance Company c 0'
Surety Attorney -in -Fact & FL Licensed Resident Agent
Teresa L. Durham, Inquiries: (407) 786-7770
(Power of Attorney must be attached if executed by Attorney in Fact)
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged before me this 1st day of
--------------------------------- 2019 by Teresa L. Durham of
Platte River
Insurance Company ---------------------------------- (corporation), on behalf of the corporation, who
is personally known to me or has produced_
(Type of Identification) as identification and who
did (did not) take an oath.
Sworn to and subscribed to before me this Ist day of May,
2019 -------------------------------------------------------------------
7w _ -
(Signature)
E
Notary Public State of FloridaSarah M. Drinnan00617-1 My Commission FF 914823Expires 09/01/2019
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
Sarah M. Drinnan
(Print name) Notary Public in and for the County and State Aforementioned
My Commission Expires: 09/01/2019
=otiY voe� Notary Public State of Florida
Sarah M. Drinnan
vy c, _ �Q Aly Commission FF 914823
9j?'0 Fvd Expires 09l^112019
END OF SECTION
00617-1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
PLATTE RIVER INSURANCE COMPANY 41409216
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, That the PLATTE RIVER INSURANCE COMPANY, a corporation of the State of Nebraska, having
its principal offices in the City of Middleton, Wisconsin, does make, constitute and appoint
-- – LISA ROSELAND; TERESA L DURHAM; KIM E NIV; JEFFREY W REICH; SARAH K. O'LINN; CHERYL FOLEY --
- SUSAN L REICH; GLORIA A RICHARDS; SONJA AMANDA FLOREE HARRIS; ROBERT P. OTINN —
its true and lawful Attorney(s)-in-fact, to make, execute, seal and deliver for and on its behalf, as surety, and as its act and deed, any and all bonds, undertakings
and contracts of suretyship, provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of
ALL WRITTEN INSTRUMENTS IN AN AMOUNT NOT TO EXCEED: 520,000,000.00
This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors ofPLATTE RIVER INSURANCE COMPANY at a meeting duly called and held on the 8th day of January, 2002.
"RESOLVED, that the President, Executive Vice President, Vice President, Secretary or Treasurer, acting individually or otherwise, be and they hereby
are granted the power and authorization to appoint by a Power of Attorney for the purposes only of executing and attesting bonds and undertakings, and
other writings obligatory in the nature thereof, one or more resident vice-presidents, assistant secretaries and attomey(s)-in-fact, each appointee to have
the powers and duties usual to such offices to the business of this company; the signature of such officers and seal of the Company may be affixed to any
such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures
or facsimile seal shall be valid and binding upon the Company, and any such power so executed and certified by facsimile signatures and facsimile seal
shall be valid and binding upon the Company in the future with respect to any bond or undertaking or other writing obligatory in the nature thereof to
which it is attached. Any such appointment may be revoked, for cause, or without cause, by any of said officers, at any time."
In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts
required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation
making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the
Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner – Department of
Highways of the COMMODwealth of Kentucky at least thirty (30) days prior to the modification or revocation.
IN WITNESS WHEREOF, the PLATTE RIVER INSURANCE COMPANY has caused these presents to be signed by its officer undersigned and its
corporate seal to be hereto affixed duly attested, this 3rd day of May, 2017.
Attest: G
)Jn E. Rzepinski PLATTE RIVER INSURANCE COMPANY
Vice President, GTreasurer &CFO 41 eoRpogq �oFeo`6
Stephen J. Sills
Suzanne M. Broadbent \
CEO &President
Assistant Secretary %
STATE OF WISCONSIN eaansKa �`�
COUNTY OF DANE S.S.: nrnr��,:miinnrm�a�'
On the 3rd day of May, 2017 before me personally came Stephen J. Sills, to me known, who being by me duly sworn, did depose and say: that he resides
in the County of New York, State of New York; that he is President of PLATTE RIVER INSURANCE COMPANY, the corporation described in and
which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that it
was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order.
j PE
David J. Regele
STATE OF WISCONSIN Notary Public, Dane Co., WI
COUNTY OF DANE } S.S.: 0,r
lj My Commission Is Permanent
I, the undersigned, duly elected to the office stated below, now the incumbent in PLATTE RIVER INSURANCE COMPANY, a Nebraska
Corporation, authorized to make this certificate, DO HEREBY CERTIFY that the foregoing attached Power of Attorney remains in full force and has
not been revoked; and furthermore, that the Resolution of the Board of Directors, set forth in the Power of Attorney is now in force.
Signed and sealed at the City of Middleton, State of Wisconsin this I day of !� "i 20 6
GU
SEAL
Antonio Celii
Koy,> General Counsel, Vice President & Seccretary
THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON GREEN SHADED BACKGROUND WITH A RED SERIAL NUMBER IN THE UPPER RIGHT HAND
CORNER. IF YOU HAVE ANY QUESTIONS CONCERNING THE AUTHENTICITY OF THIS DOCUMENT CALL 800-475-4450. PR -POA (Re=. 10-2017)
SECTION 00647
SUBCONTRACTOR / SUPPLIER'S RELEASE OF LIEN (FINAL AND COMPLETE)
Before me, the undersigned authority in said County and State, appeared 1214 /
L'� A,6who, being first duly sworn, deposes and says that
,3 -he is of /v e &I a
company and/or corp6ration authorized to do business under the laws of the State of
and is a subcontractor/supplier/vendor on the Project known as
7/7/',F - 6 �' located in Seminole County, State
of Florida, whose OWNER is City of Sanford The work performed / materials
supplied for the Project was furnished to the CONTRACTOR,
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor / supplier and that all parts of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor / supplier or anyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands or compensation by contractor under the above contract.
IN WITNESS WHEREOF, I/we have executed this instrument under seal this day of
Aut
rized Represelitative (Signature)
(SEAL)
Printed Name and Title
STATE OF r- Z 0L i b A
COUNTY OF PA -4k) &Wd
The foregoing instrument was acknowledged before me this —day of Ziwt
-,-2 /-)/ C� $ by jZiL n9 / of
(corporation), on behalf of the corporation, who is
personaUr know to me or has produced (Type
of Identification) as identification and who did (did not) take an oath.
00647-1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
Sworn to and subscribed to before me this_ dav of 41,9 '
PATRICIA A. WESTON
Y P
Notary Public - State of Florida
Commission # FF 930113
,TeQFf,,oa;��My Comm. Expires Oct 22, 2019
(Print name) Notary Public in and for the County and State
Aforementioned My Commission Expires: M -1U � 0) / q
END OF SECTION
00647-2
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
,I 17111 , �� , '' , 1, 1 � '' '' 111 ;Irl
I , , �� W
[i I'Miii 11-71 1 El'
Before me the undersigned authority in said County and State, appeared
Ba:z ryw— who being first duly sworn, deposes and says that
he is - -V of 6�� V V1 ot-n a
company and/or corporation authorized to do business under the laws of the State of
'RDir-f6la , and is a subcontractor/supplierlvendor on the Project known as
id de vi 1-a 1,ce Qr A— L U R k M gide Egod kS located in Seminole County, State
of Florida, whose OWNER is City of Sanford . The work performed / materials
supplied for the Project was furnished to the CONTRACTOR, W 0 6,vr " W -
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor / supplier and that all parts of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor I supplier or anyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands or compensation by contractor under the above contract.
IN WITNESS WHEREOF, I/we have executed this instrument under seal this day of
Mcw
Authorizedkeft6ln-Ag Lve (Signaturp"
T On -
VP (SEAL)
Printed Name and Title
STATE OF V:J
PATRICLA GERINO
Commission # GG 158568
Expires November 7, 2021
COUNTY OF Pi '$0FFTW Bonded Thm Budget wtuysa-fl=
The foregoing instrument was acknowledged before me this I day of
M tj k 1 1 '7-01 —by D& %j i cl �nj_7 nv-% e Of
Juk6 MrA-o _(corporation), on behalf of the corporation, who is
personally known to me or has produced _(Type
of Identification) as identification and who did (did not) take an oath.
K*-
� Sys
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
Sworn to and subscribed to before me this—„—day
�7-019 -- -- -1 0
(Signature)
f , GCr-te) o
(Print name) Notary Public in and for the County and State
Aforementioned My Commission Expires: i 11:7 1; 1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
Before me, the undersigned
~^~ being first duly sworn, deposes and "
he AV*~0�
company and/or corporation authorized to do business under the laws of the �tate of t--),
, and is a subcontractor/SLIpplier/vendor on the Project known as
e- -6,\ -4 & I 3,D'1'A-'G5 located in Seminole County, State
of Florida, whose OWNER is City of Sanford . The work performed / materials
supplied for the Project was furnished to the CONTRACTOR, M, VJ
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor/ supplier and that all pails of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor / supplier oranyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands orcompensation bycontractor under the above contract.
|NWITNESS WHEREOF, kwe have executed thisinstrument under seal this .38 day of
Authorized Representative (Signature)
Notary Public State of Florida
E=n �ay Ogden
i"on GG 228051
Printed Name and -Title Expires 06/1 ZIM2
^
STATE OF f
dZ
COUNTY OF
iI�.
The foregoing instrument was acknowledged before rne this -�70�� day of
"vrak-e (corporation), oil behalf of the corporation, who is
personally known to me or has produced Z,-,> -4 1- n5 -le _(Type
of Identification) as identification and who did (E�D take an oath.
0Q647'
Hidden Lake Drive & Live Oak Blvd Sidewalk /Fe17nn-6u
N
SUBCONTRACTOR I SUPPLIER'S RELEASE OF LIEN (FINAL AND COMPLETE)
said County and State, appeared
; that
a
co an and/or corporation authorized to do business under ffie laws of the State of
F � OVfCIQ and is a subcontractor/supplier/vendor on the Project known as
Or -6 C)CA V_ A ) V CA located in Seminole County, State
of Florida, whose OWNER is City of Sanford The work r)erformed materials
supplied for the Project was furnished to the CONTRACTOR, _�k ty 11
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor / supplier and that all parts of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor / supplier or anyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands or compensation by contractor under the above contract.
IN WITNESS WHEREOF, Vwe have executed this instrument under sea[ this 2jIQ day of
Authorized R-e—p-r4entafive (Signature)
SAf VhCtntl�f, �q (A�jj r /A I
Printed Name and Title ( I cu L� Mr (SEAL)
STATE OF �, 0 6, 01Q
COUNTY OF E ii� � a rard-
The foreoin? instrument was acknowledged before rn� this —day ofIALLI
? 1) by 11 it C1, f of
corporation), on behalf of the corporation, who is
personally known to me or has produced (Type
of Identification) as identification and who did (did not) take an oath.
00647-1
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17/18-69
Swom to and subscr ed to before me this day of�
{Signatur
1PSYP�sr, BIBIANAIVONEAGUDIIO
' * MY COMMISSION #P GG 300225
{Print na ;, iian��+ai£ my and State
Aforementioned My Commission Expires:
END OF SECTION
00647-2
Hidden Lake Drive & Live Oak Blvd Sidewalk IFB 17118-69
Before me, the undersigned authority in said County and State, appeared c_
7— who be' g firs -duly swpLn, deposes and says that
he is � N e,5t d IP of �yurl_ a
company an, or corporation authorized to do business under the laws of the State of
ot* kc," d Isa subcontractor/supplier/vendor on the Project known as
cl�i�Niic located in Seminole County, State
of Florida, whose OWNER is City of Sanford The work performed / materials
supplied for the Project was furnished to the CONTRACTOR,
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor / supplier and that all parts of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor / supplier or anyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demands or compensation by contractor under the above contract.
IN WITN SS WHEREOF, I/we have ex ted this instrument under seal this) ,-) day Of
. . .........
Au, ized Repres ntative (Signature)
V1 - S.5 CA , , , . . Dr -4A -L - Wjp_s,,t Celnl+ (SEAL)
Printed Name and Title
STATE OF
'COUNTY OF C),--,) rr��D�a
The fore inL10,cl-
!�trument was acknowledged before me this ay of
(corporation), on behalf of the corporation, who is
Je-c. U neL-e_ OGM.-fl-U 91-6�36-0(Type
personally known to me or has produced
of Identification) as identification and who di(did not) take an oath.
MONICA OLIVERA
Notary Public - State of Florida
Commission # FF 227334]
y 1, 0
00647-1 My Comm. Expires May 21, 2019
Bonded through National Notary Assn.
- 01
Hidden Lake Drive & Live Oak Blvd Sidewalk JFB 17/18-69
SECTION 00647
SUBCONTRACTOR / SUPPLIER'S RELEASE OF LIEN (FINAL AND COMPLETE)
Before me, the undersigned authority in said County and State, appeared PpS
who, being first duly sworn, deposes and says that
he is c� > of Tcrra-(,o-�, rA- - I a
company and/or corporation' authorized to do business under the laws of the State of p r- i dA,
and is a subContractor/su plier/vendor on the Project known as
-5
�h d rt r In I n Ic-F Qr'. a d Li Ve,.,L2 �5 1, V located in Seminole County, State
of Florida, whose OWNER is City of Sanford The work performed / materials
supplied for the Project was furnished to the CONTRACTOR, --NV W R V e,--C-(iyACye W .
Said deponent is duly authorized to make this affidavit by resolution of the Board of Directors of
said company and/or corporation; that deponent knows of his own knowledge that said contract
has been complied with in every particular by said subcontractor / supplier and that all parts of
the work have been approved by the Owner's Engineers; that there are no bills remaining
unpaid for labor, material, or otherwise, in connection with said contract and work, and that
there are no suits pending against the undersigned as subcontractor / supplier or anyone in
connection with the work done and materials furnished or otherwise under said contract.
Deponent further says that the final estimate which has been submitted to the Owner
simultaneously with the making of this affidavit constitutes all claims and demands against the
Owner on account of said contract or otherwise, and the acceptance of the sum specified in said
final estimate will operate as a full and final release and discharge of the Owner from any further
claims, demgpds or cqmpeimsation by contractor under the above contract.
IN PTN WH
,EOF, 1,1#e have executed this instrument under seal this 'Z Q'� day of
Au0oKz#'d R-e-prekentative (Signature)
Printed Name and Title
STATE OF � , 4)I (6
COUNTY OF Ora, -- hp
1i
(SEAL)
JULIAANN BROWN
NOTARY ROX STATE OF FLORIDA
MY COMMISSION# GG1832S4
ocAd EXPIRES: OZ1016=22
The foregoing instrument was acknowledged before me this day of A E4
d-()lq by KAof
y r41 ,ne. (corporation), on behalf of the corporation, who is
:gh 01� J1
personally known to me or has produced (Type
of Identification) as identification and who did (did not) take an oath.
00647-1
Hidden Lake Drive & Live Oak Blvd Sidewalk 1FB 17/18-69
Sworn to and subscribed to before me this d-6 4-1- day of AA L4, U I
I ,
6,",
(Sidnature)
&
(Print name) Notary Public in and for the County and State
Aforementioned My Commission Expires: —LL�l
JULIAANN BROWN
END OF SECTION
NOTARY KOX STATE OF FLORIDA
My COMMISSION # GG183294
EXPIRES: 02J06rz=
00647-2
Hidden Lake Drive & Live Oak Blvd Sidewalk 1FB 17118-69
Recording Requested by and Return to: Customer: HUFFMAN, INC.
FORTERRA PIPE k PRECAST, LLC Project:HIDDEN LAKE DRIVE & LIVE OAK BLVD.
Credit Department
Rec id:ED626C8B-20E4-4CDE-BE57-150694932223
511 E. JOHN CARPENTER FRWY, SUITE 600
Job #:10976040
IRVING, TX 75062
FLORIDA LIEN WAIVER AND RELEASE FORK
(Pursuant to F.S. 713.20)
WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT
The undersigned lienor, in consideration of the final payment in the amount of
$0.00, hereby waives and releases its lien and right to claim a lien for labor,
services or materials furnished to xuppxAN, INC. DBA NUWAVX CONCRETE on the job of
CITY OF SANFORD PUBLIC WORKS DEPARTMENT, to the following described property:
Said project commonly known as the HIDDEN LAKE DRIVE & LIVE OAK BLVD. project, located
at , SANFORD, FL 32773.
The specific contract information is for Customer Purchase Order #10976040, our
Job Or Invoice #10976040.
If paid by check, when the check has been Properly endorsed and has been paid by the bank
upon which it is drawn, this document shall become effective to release pro tanto any
mechanic's lien, stop notice or bond right the undersigned has on the job of CITY OF
SANFORD PUBLIC WORKS DEPARTmENT.
FINAL - PAID IN FULL SPECIAL INSTRUCTIONS THAT APPLY TO THIS RELEASE
Dated 05/22/2019 for FORT ZRRA PIPE & PRECAST, LLC Credit Department, 511 S. JOHN
CARPENTER FRWY, SUITE 600, IRVING, TX 75062
Signed BY:
CATHY ALTAMERO, NATIONAL LIEN ADMIN. Telephone: (469) 458-7973 Fax: (469) 275-9653
NOTICE: THIS DOCUMENT WAIVES AND RELEASES RIGHTS UNCONDITIONALLY AND STATES THAT YOU HAVE
BEEN PAID FOR GIVING Up THOSE RIGHTS. THIS DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU
SIGN IT, EVEN IF YOU HAVE NOT BEEN PAID OR YOUR CHECK HAS BEEN RETURNED By THE BANK.
IF
YOU HAVE NOT BEEN PAID, USE A CONDITIONAL RELEASE FORK.
(Notary Form Attached)
ACKNOWLEDGMENT BY NOTARY PUBLIC
State of Texas
County of DALLAS)
Before me, C. DONNESE HUNTER, NOTARY PUBLIC, personally appeared:
CATHY ALTAMERO,
known to me, or proved to m through:
(Describe Verification) - rA I
to be the person(s) whose name is subscribed to the foregoing instrument
and acknowledged to me that he/she/they executed the same for the
purposes and consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this:
Z?— _ day of A.D., Z019
C. DONNESE HUNTRJ,'
Signature 0, ,
(Seal)
CDONNESEHUNTER
0. Notary Public
Rate of Texas
6 # 1184023.4
MyComm.Ex iresOl-18-2020