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HomeMy WebLinkAboutContract #: 004088 - From: To: - Exception - ExceptionSchool Department Administration Building North Andover, MA FORM OF GENERAL BID Kang Associates, Inc. January 2, 2014 To the Awarding Authority: A. The undersigned proposes to furnish all labor and materials required for the School Department Administration Building, North Andover, Massachusetts, in accordance with the accompanying plans and specifications prepared by Kang Associates, Inc. for the contract price specified below, subject to additions and deductions according to the terms of the specifications. B. This bid includes addenda numbered 1 , 2 and 3 C. The proposed contract price is: Two Million Four Hundred dollars ($ 2,435,400 ) Thirty Five THousand Four Hundred For Alternate #1: Deduct $ Eleven Thousand Five dollars ($ -11,500 ) Hundred For Alternate #2: Deduct $ Forteen Thousand dollars ($ —14,000 ) For Alternate #3: Deduct $ Two Thousand dollars ($ —2,000 ) For Alternate #4: Deduct $ Seventy Fnur Thnusancl dollars ($ —74,500 )• Four Hundred For Alternate #5: Deduct $ Seventeen Thousand dollars ($ —17,000 ) D. The subdivision of the proposed contract price is as follows: Item 1. The work of the general contractor, being all work other than that covered by Item 2: $ 1,518,467 Item 2. Sub -bids as follows: Bond req'd Sub -trade Name of Sub -Bidder Amount Yes/No Masonry: 04.21.13 Brick Masonry LAL Masonry 04.72.00 Cast Stone Masonry 99,800 $ NO Roofing: 07.31.13 Asphalt Shingles MDM En 07.53.00 Elastomeric Membrane Roofing g $ 74,000 NO 09.51.23 Acoustical Tile Ceilings K&K Acxoustical $ 16,57n NO FORM OF GENERAL BID - 1 A School Department Administration Building North Andover, MA 09.90.00 Painting and Coating 14.42.16 Vertical Wheelchair Lifts Division 21 Fire Protection Division 22 Plumbing Division 23 HVAC Division 26 Electrical Division 28 Fire Alarm O'Byrne Paint. Kang Associates, Inc. January 2, 2014 $ 28,700 NO Ebacher Plumb. $ 74,000 NO Thomas Snowden Jupiter Electric $ 324,000 NO $ 214,900 NO Total of Item 2: $ 91 6 , 9 -3 E. The undersigned agrees that, if he is selected as general contractor, he will within five days, Saturdays, Sundays and legal holidays excluded, after presentation thereof by the awarding authority, execute a contract in accordance with the terms of this bid and furnish a performance bond and also a labor and materials or payment bond, each of a surety company qualified to do business under the laws of the commonwealth and satisfactory to the awarding authority and each in the sum of the contract price, the premiums for which are to be paid by the general contractor and are included in the contract price; provided, however, that if there is more than 1 surety company, the surety companies shall be jointly and severally liable. The undersigned hereby certifies that he is able to furnish labor that can work in harmony with all other elements of labor employed or to be employed on the work; that all employees to be employed at the worksite will have successfully completed a course in construction safety and health approved by the United States Occupational Safety and Health Administration that is at least 10 hours in duration at the time the employee begins work and who shall furnish documentation of successful completion of said course with the first certified payroll report for each employee; and that he will comply fully with all laws and regulations applicable to awards made subject to section 44A. The undersigned further certifies under the penalties of perjury that this bid is in all respects bona fide, fair and made without collusion or fraud with any other person. As used in this subsection the word "person" shall mean any natural person, joint venture, partnership, corporation or other business or legal entity. The undersigned further certifies under penalty of perjury that the said undersigned is not presently debarred from doing public construction work in the commonwealth under the provisions of section twenty-nine F of chapter twenty-nine, or any other applicable debarment provisions of any other chapter of the General Laws or any rule or regulation promulgated thereunder. 01/30/14 Date MASS CORP M. O'Connor Contracting, Inc. (Name of General Bidder) By: J-Vae-,N Signature and Title of Person Signing Bid President 19 Ledge Hill Road Business Address West Roxbury, MA 02132 City and State FORM OF GENERAL BID - 2 ft CERTIFICATION LABOR HARMONY AND OSHA TRAINING REQUIREMENTS The undersigned certifies under penalties of perjury that he is able to furnish labor that can work in harmony with all other elements of labor employed or to be employed at the work and that all employees to be employed at the worksite and in the work will have completed an OSHA -approved construction safety and health course lasting at least ten (10) hours. F' " I " J� / Signa Michael O'COnnor - President Print Name & Title Date_ _ 01/30/14 M. O'COnnor Contracting, Inc. Company Name CERTIFICATIONS CERTIFICATE OF NON -COLLUSION The undersigned certifies under penalties of perjury that this bid or proposal has been made and submitted in good faith and without collusion or fraud with any other person. As used in this certification, the word "person" shall mean natural person, business, partnership, corporation, committee, union, club or other organization, entity, or group of individuals. Signature;/d�Date 01/30/14 Michael O'COnnor - President M.O'Connor Contracting, InQ, Print Name & Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I Michael O'Connor , authorized signatory for M. O' Connor Contracting,"InO2 . Name of individual Name of contractor do hereby certify under the pains and penalties of perjury that said contractor has complied with all laws of the Commonwealth of Massachusetts, and the Town of North Andover, relating to taxes, permit or other fees, reporting of employees and contractors, and withholding and remitting child support. ilU a 01/30/14 Signature Date School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER Elizabeth O'Connor certify that I am the Corp Clerk of the corporation named as Bidder in the Bid Form, and that Michael O'Connor who signed the Bid Form on behalf of the Bidder was then the President of said corporation and that I know his signature; that his signature thereto is genuine and that the Bid Form was duly signed, sealed and executed for and in behalf of said corporation by authority of its governing body. Corporate Sea! r Qn- �e-cretary-)C-IerF 01/30/14 Date CORPORATE BIDDER, - 1 DEVAL L. PATRICK GOVERNOR TIMOTHY P. MURRAY LIEUTENANT GOVERNOR The Commonwealth c�� f'11�lassachusetts Executive Office^ for Administration and Finance Division of Capital Asset Man(lgelnenl and Maintenance One kliburtolzPlace Boston, Massachuselis 02108 nd1 (617) 727-4050 £'(t'`: (617) 727-5363 Prime/General GLEN SHOR SECRETARY, ADMINISTRATION & FINANCE CAROLE CORNELISON COMMISSIONER Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 0942 This Certificate Shall Tae Tjsed for Submittin Prime/General Bids Only 1. CERTIFICATION PERIOD: 'I`llis Certificate is valid from 8/1.2/2013 to 8/12/2014 2. CONTRACTOR'S NAME: M. O'Connor Contractittg, 1116. 3. CONTRACTOR'S ADDRESS: 19 Ledge Hill Road, P.O. Box 320277, West Roxbury, MA 02132 4. WORK CATEGORIES: This Contractor is certified to rile bids under Massachusetts General l.,mvs Chapter 149, Chapter 149A and Chapter 25A in the following checked Categories of $Fork: Alann Systems Asbestos Removal Deleading Demolition Doors & Windows Electrical Electronic Security Systems S. EVALUATIONS: Elevators Energy Management Systems Exterior Siding Fire Protection Sprinkler Systems Floor Covering -�% General Building Construction Historical Building Restoration Ilistorical Masorny _ Historical Painting Historical Roofing HVAC Masonry Mechanical Systems Modular Construction/Prelab Number of Projects Evaluated: 12 Average Project Evaluation Rating: 90 Number of Projects Below Passing Score: 1 6. PROJECT LIMITS: single Project Limit (SPL): Aggregate Work Limit (AWL): General .Building Construction Limit: 7. SUPPL15R DIVERSITY OFFICE C TIFICATION: NIA Freya S. BernsteM, Deputy General Counsel, for Carole J. Cornelison, Commissioner Painting Plumbing Pumping Stations Roofing Sewage B:Water Treatment Plants Telecommunication Systems Waterproofing $6,000,000.00 $12,000,000,00 $6,000,000.00 Approval Date NOTE TO CONTRACTORS: Complete Applications for Renewal of Contractor Eligibility are due no later than three months PRIOR to the Expiration mate of the Certification Period shown above. Failure to submit Completed Applications timely may result in a gap in Certification or a lapse in Certification altogether for your company. Reviewer's Initials tis Document A31OTM - 2010 Conforms with The American Institute of Architects AIA Document 310 CONTRACTOR: (Name, legal status and address) M.O'Connor Contracting, Inc. PO Box 320277, West Roxbury, MA 02132-0003 OWNER: (Name, legal status and address) Town of North Andover MA BOND AMOUNT: $ SURETY: (Name, legal status and principal place of business) Travelers Casualty and Surety Company of America 350 Granite Street - Suite 1201 Braintree, MA 02169 Five Percent of the Attached bid (5%) 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. PROJECT: (Name, location oraddress, and Project number, ifany) School Department Administration Building -New Construction The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such Ilia if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be d to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specked in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain die Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been fumishcd to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions confonning 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. Signed and sealed this 30th day of January, 2014 M.O'Connor Contracting, Inc. (Principal (Seal) (Witness) N D (Title) Travelers Casualty and a>=e Company of America aAA (Surety) (Seal) (Wetness) (Title) . aures J. on, Attorney -in -Fact WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER POWER OF ATTORNEY TRAVELERSFarmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 223844 Certificate No. 005522387 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Adam W. DeSanctis, Gregory D. Juwa, Bryan F. Juwa, James J. Axon, Michael F. Carney, Wilder Parks Jr., Michael T. Gilbert, Christine B. Gallagher, David A. Boutiette, Paul A. Patalano, Richard F. Caruso, and Rebecca Shanley of the City of Woburn , State of Massachusetts , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of June 2013 7th Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and GuarantyInsurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company GASU,F�1 Jy Fl0.E 6 *W INSGP,w.NS.JP�fY ANps p Y ..1TYI4_ �' ppPQq� L P . � •r QO: ; -.........9 J :......... � Z 1982' O 191! BCdIPpRgtED 6� = - m•€ �. f•�y 1�u +pGRPORATp'.1 0: a N/1RTFORD� i J HARIf6RD. eSs; O 1951 .�AGoi NN. ; SEALjD COr' OONN. in 1896 o SE > �O �y � tid �� � s�xANcec y..........�L a.••.. e s �a /w,. �Q �^nuuninm,� ISN.A� \.ts....�..: �d bf n,� • VM 'i/�ti(p' State of Connecticut City of Hartford ss. By: '44a� Robert L. Raney, enior Vice President On this the 7th day of June 2013 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. 00t4t#zA In Witness Whereof, I hereunto set my hand and official seal.My Commission expires the 30th day of June, 2016. 58440-8-12 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS Marie C. Tetreault, Notary Public WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance, Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Suiety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this day of 20 L dy. •X f ^ .�T •Y Kevin E. Hughes, Assistant Seciftary GI.SUA�r J '0.E p4� ..N INSG��,, ••'P•f �NSy'q ,,,� ZO%Nbr y19�c8t�S2� rN a�s;'o S1dpp°asfo H�1,,9p�5�,.1. aA��s'nhu xMY„"�`E c�o p ��Q`Od�'•S1.g.•E,P••ItiRlAdAL/d):F ailon / l j"oqd�J:J1,s•.P,•B_PO.AR_A �9'ay °;k t 1v A :;........ 0R 9�jRD S a............ 0.” 1\p 18Y9 '�641 0ED 4N'1 AMtd� Nq� To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUTTHE RED BORDER EFFECTIVE MARCH 30, 2010 Commonwealth of Massachusetts Division of Capital Asset Management PRIME/GENERAL CONTRACTOR UPDATE STATEMENT TO ALL BIDDERS AND AWARDING AUTHORITIES A COMPLETED AND SIGNED PRIME/GENERAL CONTRACTOR UPDATE STATEMENT MUST BE SUBMITTED WITH EVERY PRIME/GENERAL BID FOR A CONTRACT PURSUANT TO M.G.L. c.149, §44A AND M.G.L. c. 149A. ANY PRIME/GENERAL BID SUBMITTED WITHOUT AN APPROPRIATE UPDATE STATEMENT IS INVALID AND MUST BE REJECTED. Caution: This form is to be used for submitting Prime/General Contract bids. It is not to be used for submitting Filed Sub -Bids or Trade Sub -Bids. AWARDING AUTHORITIES If the Awarding Authority determines that the bidder does not demonstrably possess the skill, ability, and integrity necessary to perform the work on the project, it must reject the bid. BIDDER'S AFFIDAVIT I swear under the pains and penalties of perjury that I am duly authorized by the bidder named below to sign and submit this Prime/General Contractor Update Statement on behalf of the bidder named below, that I have read this Prime/General Contractor Update Statement, and that all of the information provided by the bidder in this Prime/General Contractor Update Statement is true, accurate, and complete as of the bid date. 01/30/2014 M O'Connor Contracting, Inc. Bid Date Print Name of Prime/General Contractor 19 Ledge Hill Road, West Roxbury, MA 02132 Project Number (or Business Address name if no number) Town of No Andover 617-327-3070 Awarding Authority Telephone Number SIGNATUREa Z". . A� Bidder's Authorized Representative Division of Capital Asset Management Page 1 of 10 INSTRUCTIONS INSTRUCTIONS TO BIDDERS This form must be completed and submitted by all Prime/General contractors bidding on projects pursuant to M.G.L. c. 149, §44A and M.G.L. c. 149A. You must give complete and accurate answers to all questions and provide all of the information requested. MAKING A MATERIALLY FALSE STATEMENT IN THIS UPDATE STATEMENT IS GROUNDS FOR REJECTING YOUR BID AND FOR DEBARRING YOU FROM ALL PUBLIC CONTRACTING. This Update Statement must include all requested information that was not previously reported on the Application used for your firm's most recently issued (not extended or amended) Prime/General Contractor Certificate of Eligibility. The Update Statement must cover the entire period since the date of your Application, NOT since the date of your Certification. You must use this official form of Update Statement. Copies of this form may be obtained from the awarding authority and from the Asset Management Web Site: www.mass.qov/dcam. If additional space is needed, please copy the appropriate page of this Update Statement and attach it as an additional sheet. See the section entitled "Bidding Limits" in the Instructions to Awarding Authorities for important information concerning your bidding limits. INSTRUCTIONS TO AWARDING AUTHORITIES Determination of Bidder Qualifications It is the awarding authority's responsibility to determine who is the lowest eligible and responsible bidder. You must consider all of the information in the low bidder's Update Statement in making this determination. Remember: this information was not available to the Division of Capital Asset Management at the time of certification. The bidder's performance on the projects listed in Parts 1 and 2 must be part of your review. Contact the project references. AWARDING AUTHORITIES ARE STRONGLY ENCOURAGED TO REVIEW THE LOW BIDDER'S ENTIRE CERTIFICATION FILE AT THE DIVISION OF CAPITAL ASSET MANAGEMENT. Telephone (617) 727-9320 for an appointment. Bidding Limits Single Proiect Limit: The total amount of the bid, including all alternates, may not exceed the bidder's Single Project Limit. Aggregate Work Limit: The annual value of the work to be performed on the contract for which the bid is submitted, when added to the annual cost to complete the bidder's other currently held contracts, may not exceed the bidder's Aggregate Work Limit. Use the following procedure to determine whether the low bidder is within its Aggregate Work Limit: Step 1 Review Update Statement Question #2 to make sure that all requested information is provided and that the bidder has accurately calculated and totaled the annualized value of all incomplete work on its currently held contracts (column 9). SteD 2 Determine the annual dollar value of the work to be performed on your project. This is done as follows: (i) If the project is to be completed in less than 12 months, the annual dollar value of the work is equal to the full amount of the bid. (ii) If the project will take more than 12 months to complete, calculate the number of years given to complete the project by dividing the total number of months in the project schedule by 12 (calculate to 3 decimal places), then divide the amount of the bid by the calculated number of years to find the annual dollar value of the work. Step 3 Add the annualized value of all of the bidder's incomplete contract work (the total of column 9 on page 5) to the annual dollar value of the work to be performed on your project. The total may not exceed the bidder's Aggregate Work Limit. Correction of Errors and Omissions in Update Statements Matters of Form: An awarding authority shall not reject a contractor's bid because there are mistakes or omissions of form in the Update Statement submitted with the bid, provided the contractor promptly corrects those mistakes or omissions upon request of the awarding authority. [810 CMR 8.05(1)]. Correction of Other Defects: An awarding authority may, in its discretion, give a contractor notice of defects, other than mistakes or omissions of form, in the contractor's Update Statement, and an opportunity to correct such defects, provided the correction of such defects is not prejudicial to fair competition. 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J L c L o () O 0) +L+ L O L U I- 0 0 0) N N 0) c L (4 E 0 N 3 C m0 0 00 �+ Z 'C Z "0® ® C) N O %W o o W rn m �} a c a m L V Cl, 3 Q J -C N 0 U 0 o o O E 04 cc 0 M 0) O 0 0 M m X M N E c ,`�� M a) y c.0 21 o o 5 w f :. w o �° c�a a c 0 0) L O 0 Ql E 0 Eow c3 0_ E L O 0 rn >0-0 +,, C O +� C/) c0 0 c a > O. } V C t5 O 10 N 0 L Q) Q C 0'0 p +-CL' a) 3 «6 U c. N Cm E U t c _ U a) (D O.0 Z� a) m oaci 0 LO o A > o� 0 a V E '- o m E 0 0 0 oa c a) N U Q U `~ PART 3 - PROJECT PERFORMANCE For Parts 3 and 4, if you answer YES to any question, please provide on a separate page a complete explanation. Information you provide herein must supplement the Application for your most recently issued (not extended or amended) DCAM Certificate of Eligibility. You must report all requested information not previously reported on that DCAM Application for Prime/General Certificate of Eligibility. Include all details (project name(s) and location(s), names of all parties involved, relevant dates, etc.]. YES NO 1. Has your firm been terminated on any contract prior to completing a project or has any officer, partner or principal of your firm been an officer, partner or principal of another firm that was terminated or failed to complete aproject? 2. Has your firm failed or refused either to perform or complete any of its work under ❑ , any contract prior to substantial completion? 3. Has your firm failed or refused to complete any punch list work under any contract? 4. Has your firm filed for bankruptcy, or has any officer, principal or individual with a ❑ financial interest in your current firm been an officer, principal or individual with a financial interest in another firm that filed for bankruptcy? 5. Has your surety taken over or been asked to complete any of your work under any ❑ contract? 6. Has a payment or performance bond been invoked against your current firm, or has ❑ any officer, principal or individual with a financial interest in your current firm been an officer, principal or individual with a financial interest in another firm that had a payment or performance bond invoked? ❑ 7. Has your surety made payment to a materials supplier or other party under your payment bond on any contract? 8. Has any subcontractor filed a demand for direct payment with an awarding authority fora public project on any of your contracts? 9. Have any of your subcontractors or suppliers filed litigation to enforce a mechanic's ❑ lien against property in connection with work performed or materials supplied under any of your contracts? ❑ 10. Have there been any deaths of an employee or others occurring in connection with any of yourprojects? 11. Has any employee or other person suffered an injury in connection with any of your ❑ 1z projects resulting in their inability to return to work for a period in excess of one Yea'? Division of Capital Asset Management Page 7 of 10 .,---__ 1 i... -4- ca.,a.,., -m C: f—fivc hAnrrh 3n gn1n PART 4 - Legal or Administrative Proceedings; Compliance with Laws Please answer the following questions. Information must supplement all judicial and administrative proceedings involving bidder's firm, which were instituted or concluded (adversely or otherwise) since your firm's Application for your most recently issued (not extended or amended) Certificate of Eligibility. You must report all requested information not previously reported on that DCAM Application for Prime/General Certificate of Eligibility. The term "administrative proceeding" as used in this Prime/General Contractor Update Statement includes (i) any action taken or proceeding brought by a governmental agency, department or officer to enforce any law, regulation, code, legal, or contractual requirement, except for those brought in state or federal courts, or (ii) any action taken by a governmental agency, department or officer imposing penalties, fines or other sanctions for failure to comply with any such legal or contractual requirement. The term "anyone with a financial interest in your firm" as used in this Section "I", shall mean any person and/or entity with a 5% or greater ownership interest in the applicant's firm. If you answer YES to any question, on a separate page provide a complete explanation of each proceeding or action and any judgment, decision, fine or other sanction or result. Include all details (name of court or administrative agency, title of case or proceeding, case number, date action was commenced, date judgment or decision was entered, fines or penalties imposed, etc.). YES NO 1. Have any civil, judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to the procurement or performance of any construction contract, including but not limited to actions to obtain payment brought by subcontractors, suppliers or others? 2. Have any criminal proceedings involving your firm or a principal or officer or [] anyone with a financial interest in your firm been brought, concluded, or settled relating to the procurement or performance of any construction contract including, but not limited to, any of the following offenses: fraud, graft, embezzlement, forgery, bribery, falsification or destruction of records, or receipt of stolen property? 3. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of any state's or federal procurement laws arising out of the submission of bids orproposals? 4. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of M.G.L. Chapter 268A, the State Ethics Law? Division of Capital Asset Management Page 8 of 10 PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued) YES NO 5. Have any judicial or administrative proceedings involving your firm or a principal Q or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of any state or federal law regulating hours of labor, unemployment compensation, minimum wages, prevailing wages, overtime pay, equal pay, child labor or worker's compensation? ❑, 6. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of any state or federal law prohibiting discrimination in employment? 7. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a claim of repeated or aggravated violation of any state or federal law regulating labor relations? brought, ❑ 8. Have any proceedings by a municipal, state, or federal agency been concluded, or settled relating to decertification, debarment, or suspension of your firm or any principal or officer or anyone with a financial interest in your firm from public contracting? 9. Have any judicial or administrative proceedings involving your firm or a principal or El_ officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of state or federal law regulating the environment? 10. Has your firm been fined by OSHA or any other state or federal agency for ({ violations of any laws or regulations related to occupational health or safety? Note: this information may be obtained from OSHA's Web Site at www.osha.gov 11. Has your firm been sanctioned for failure to achieve DBE/MBE/WBE goals, Q workforce goals, or failure to file certified payrolls on any publicprojects? 12. Other than previously reported in the above paragraphs of this Section I, have any D administrative proceedings or investigations involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled by any local, state or federal agency relating to the procurement or performance of any construction contract? firm's Q 13. Are there any other issues that you are aware which may affect your responsibility and integrity as a building contractor? Division of Capital Asset Management Page 9 of 10 — -- `.__.-__•__ i i. j-4 oa .+ CK ti..e KA—h W) 9010 PART 5 - SUPERVISORY PERSONNEL List all supervisory personnel, such as project managers and superintendents, who will be assigned to the project if your firm is awarded the contract. Attach the resume of each person listed below. NAME TITLE OR FUNCTION Eddie O'Connor Project Superintendent I Joseph O'Connor I Project Superintendent I Michael O'Connor Jr Project Manager I Krystal Burrows I Project Manager I PART 6 - CHANGES IN BUSINESS ORGANIZATION OR FINANCIAL CONDITION Have there been any changes in your firm's business organization, financial condition or bonding capacity since the date your current Certificate of Eligibility was issued? ❑ Yes ® No If YES, attach a separate page providing complete details. PART 7 - LIST OF COMPLETED CONSTRUCTION PROJECTS SUBMITTED TO THE DIVISION OF CAPITAL ASSET MANAGEMENT. Attach here a copy of the list of completed construction projects which was submitted with your firm's DCAM Application for your most recently issued (not extended or amended) DCAM Certificate of Eligibility. The Attachment must include a complete copy of the entire Section G - "Completed Projects" and the final page - "Certification" (Section J) containing the signature and date that the Completed Projects list (Section G) was submitted to the Division of Capital Asset Management. Division of Capital Asset Management Page 10 of 10 MICHAEL F. O'CONNOR — Project Manager M. O'Connor Contracting, Inc. — since 2000 Residence: 79 Bonad Road Brookline, MA 02467 Education; Boston College, Class of 2000, B.A. Economics Construction Experience: 2000 — Present — Project Manager for M. O'Connor Contracting, Inc. 1994 — 2000 — Worked Summers and Vacations M. O'Connor Contracting. Projects: Thayer Homestead Project Owner: Town of Medway Description: Renovation and Addition to Community Hall Project Cost: $2,379,000 Current Project Chelmsford DPW Owner: Town of Chelmsford Description: Renovation to two Historical Town Halls. Project Cost: $2,645,000 Completion Date: August 2013 Center and North Town Halls, Chelmsford, MA Owner: Town of Chelmsford Description: Renovation to two Historical Town Halls. Project Cost: $4,600,915 Completion Date: August 2012 Rockport Community House, Rockport, MA Owner: Town of Rockport, MA Description: Renovation to Historical Community House. Project Cost: $1,875,000 Completion Date: January 2011 Bolton Public Library, Bolton, MA Owner: Town of Bolton, MA Description: Renovation & Addition to Historical Public Library Project Cost: $5,700,000 Completion Date: February 2010 KRYSTAL BURROWS - Project Manager M. O'Connor Contracting, Inc. since 2006 Residence: 6 Fuller Street Plainville, MA 02762 Education: Northeastern University Construction Management — Non -Degree Construction Experience: 2006 -Present M. O'Connor Contracting, Inc. Estimator - Project Manager Projects: North Attleboro High School Science Lab Owner: Town of No. Attleboro — School Department Description: Upgrade and Modernization of Science Department Project Cost: $4,850,000 Completion Date: 09/30/2013 Winter Gardens Apartments Owner: Neighborhood Housing of South Shore Description: New Construction of 23 Units of Housing Project Cost: $4,788,440 Completion Date: October 2012 Center and North Town Halls Owner: Town of Chelmsford Description: Upgrade of Two Historical Town Halls Project Cost: $4,600,915 Completion Date: August 2012 Hillcrest Oaks Apartments Owner: Attleboro Housing Authority Description: Exterior Modernization. Project Cost: $5.5 M Completed: June 2012 EDWARD G. O'CONNOR — Project Supervisor M. O'Connor Contracting, Inc. since 1987 Residence: 26 Rock Street Woburn, MA 01801 Education: Local Schools, Kerry, Ireland Apprenticed Carpentry, Ireland Construction Experience: 1987 -Present M. O'Connor Contracting, Inc. Project Supervisor — Field Representative for Firm Licenses: Commonwealth of Massachusetts, Construction Supervisor Projects: Thayer Homestead Project Owner: Town of Medway Description: Renovation & Addition to Community Hall Project Cost: $2,379,000 Current Project Chelmsford DPW Owner: Town of Chelmsford Description: Renovation to two Historical Town Halls. Project Cost: $2,645,000 Completion Date: June 2013 Center and North Town Halls, Chelmsford, MA Owner: Town of Chelmsford Description: Renovation to two Historical Town Halls. Project Cost: $4,600,915 Completion Date: August 2012 Salem State College — Trade Shop Fit Up, MA and IT/Facilities Fit Up Owner: Salem State College Description: Interior Fit Up to existing brick building for office use. Project Cost: $1,372,500 and $1,427.500 Completion Date: January 2011 Rockport Community House, Rockport, MA Owner: Town of Rockport, MA Description: Renovation to Historical Community House. Project Cost: $1,875,000 Completion Date: January 2011 Bolton Public Library, Bolton, MA Owner: Town of Bolton, MA Description: Renovation to Historical Public Library and complete 11, 000 SF Addition. Project Cost: $S,700,000 Completion Date: February 2010 Please Enter Your Firm's Name Here: Section G. Highest Value Completed Projects & Completed Projects M. O'CONNOR CONTRACTING, INC. Do Not Convert This Form to PDF GA V0 �4 oac �o �a Caa �o, k � 9� # o' ```0 °t ok�4�� a ? o oel .4D 0 c �JS CPc 4ig aa� �P Sample Project Boston City Hall Renovation General Building ;1,200,000.00 Roofing ;400,000.00 Masonry ;200,000.00 ;4,000,000.00 1/15/2008 5/15/2010 City of Boston Mr. John Smith (617) 111-1111 123 Main Street Boston Construction Highest Value Single Project AHA Hillcrest Modernization General Building Attleboro Housing Phase II Construction $5,776,716.00 $5,776,716.00 6/15/2010 6/6/2012 Authority Mr. John Zambarano 508 222-0151 80 South Ave Attleboro Second Highest Value Single General Building Historical Building Project Bolton Public Library Construction $5,711,779.00 Restoration $5,711,779.00 $5,711,779.00 10/16/2008 1/16/2010 Town of Bolton Mr. Robert White 617 451-2717 112 South Street Boston General Building 1 Winter Garden Apartments Construction $4,788,440.00 Painting $76,500.00 Roofing $73,500.00 $4,788,440.00 8/15/2011 10/12/2012 NHS of the South Shore Mr. Robert Corley 61 770-2227 422 Washington St Quincy Chelmsford North and Center General Building Historical Building 2 Town Halls Construction $4,407,231.00 Restoration $4,407,231.00 Roofing $118,000.00 $4,407,231.00 7/1/2011 9/1/2012 Town of Chelmsford Mr. Gary Persichetti 978 244-3379 50 Billerica Road Chelmsford General Building Historical Building 3 Lexington Town Hall Construction $1,343,611.00 Restoration $1,343,611.00 $52,000.00 $1,343,611.00 2/1/2011 9/24/2012 Town of Lexington Mr. Mark Barrett 781-274-8990 201 Bedford Street Lexington Salem State University Trade General Building --Painting 4 Shop Fit Up Construction $1,390,486.00 Painting $32,000.00 Roofing $20,000.00 $1,390,486.00 8/3/2010 12/30/2010 Salem State College Mr. Phil Merkle 978 542-7700 70 Loring Ave Salem Salem State University IT General Building 5 Facilities Fit Up Construction $1,486,117.00 Roofing $45,000.00 Painting $32,000.00 $1,486,117.00 8/12/2010 12/30/2010 Salem State College Mr. Phil Merkle 978-542-7700 70 Loring Ave Salem General Building 6 Rockport Community House Construction $1,986,500.00 Painting $90,000.00 $1,986,500.00 12/10/2009 12/27/2010 Town of Rock ort Mr. Joseph Parisi 978 546-3525 34 Broadway Rockport General Building New Bedford Housing 7 Brickenwood Family Housing Construction $1,343,800.00 $1,343,800.00 10/16/2009 11/15/2010 Authority Ms. Anne Shoemaker 508 997-4825 725 Pleasant Street New Bedford General Building 8 Oxford Police Headquarters Construction $3,694,270.00 $3,697,270.00 5/23/2008 7/31/2009 Town of Oxford Mr. Richard Donais 508 987-6030 325 Main Street Oxford Chelmsford High Stair General Building 9 Enclosure Construction $686,922.00 $686,922.00 7/7/2008 11/1/2008 Town of Chelmsford Mr. I Gary Persichetti 978 2443379 50 Billerica Road Chelmsford General Building Historical Building 10 Fairbanks Town Hall Construction $2,247,700.00 Restoration $2,247,700.00 $2,247,700.00 4/7/2007 4/1/2008 Town of Ashburnham Mr. Don Bucchianeri 978 621-1595 32 Main Street Ashbumham Southeast Rehab & Skilled General Building 11 Care Center Construction $1,500,000.00 Masonry $150,000.00 $1,500,000.00 6/27/2007 4/1/2008 Easton Health Group Mr. John Struccuzzi 508 295-1040 184 Lincoln Street No Easton General Building Boyes-Watson 12 Hancock Street Condos Construction $1,451,382.00 Painting $36,000.00 Masonry $20,000.00 $1,451,382.00 8/1/2009 4/1/2010 Architects Mr. Mark Bo es -Watson 617 629-8200 Thirty Bow Street Somerville 13 14 15 16 17 18 19 20 a° Important: If Applying for General Building , 0 ay ok y�cm �,�� yea tiQ Construction, list the �ar�aLk°Qti� �o� 0 p0� y�t�c a p0� yw c0� p°� c0� three largest sub -trades $A g° $�0 ems°' $�� you subbed out and/or O° O° p° self -performed and GG (� �° GO pP AGI &I vG' Include contract costs for yea �Q G°cC�°c G* G� G+1 G� G1+1 G�1 each. Sub -trade 1 Sub -trade 1 Contract S Amount Sub -trade 2 Category Sub -trade 2 Contract $ Amount Sub -Trade 3 Category Sub -trade 3 Contract S Amount MA 01234 ABC Construction Management, Inc. Ms. Jane Jones (781) 000-0000 466 Elm Street Anytown MA 01567 Plumbing $400,000.00 Electrical $300,000.00 HVAC $250,000.00 MA 02703 Helene -Karl Architects, Inc Mr. Greoa Yanchenko 978 449-0470 61 Skyfields Dr Groton MA 01450 Roofing $290,940.00 Electrical $269,201.00 Painting $226,272.00 MA 02111 Lerner Ladds & Bartels Inc Mr. Drayton Fair 401-421-7715 2360 Hope Street Providence RI 02906 HVAC $598,000.00 Electrical $590,000.00 Structural Steel $408,000.00 MA 02169 Elton + Hampton Architects Mr. William Barrett 617 708-1071 103 Terrance Street Roxbury MA 02120 Electrical $336,000.00 Plumbing $265,000.00 HVAC $234,600.00 MA 01824 BH+A Mr. Thomas Scarlataa 617 350-0450 300A Street Boston MA 02210 Electrical $476,799.00 HVAC $450,000.00 Elevators $259,000.00 MA 02420 BH+A Mr. Jack Glassman 617 350-0450 300A Street Boston MA 02210 Electrical $82,000.00 Plumbing $59,700.00 HVAC $55,000.00 MA 01970 Winter Street Architects Mr. Paul Durand 978 744-7379 209 Essex St, Suite 300 Salem MA 01970 HVAC $183,310.00 Electrical $120,300.00 MAsonry $78,000.00 MA 01970 Winter Street Architects Mr. Paul Durand 978 744-7379 209 Essex St, Suite 300 Salem MA 01970 HVAC $338,500.00 Electrical $168,900.00 Plumbing $60,800.00 MA 01966 McGinley Kalsow & Associates Inc Mr. Wendall Kalsow 617 625-8901 324 Broadway Somerville MA 02145 HVAC $210,000.00 Electrical $154,000.00 Elevators $99,369.00 MA 02740 Arnold Jacobsen Associates Inc Mr. Charles Hiller 781 935-2500 12 Walnut Hill Park Woburn MA 01801 Electrical $151,000.00 Plumbing $142,500.00 Fire Protection Sprinkler Systems $126,000.00 MA 01540 Reinhardt Associates Mr. Mike Lizee 413 789-9600 430 Main Street Agawam MA 01001 Electrical $488,000.00 Masonry $225,000.00 HVAC $288,000.00 MA 01824 Flansbur h Architects Mr. Jay Williams 617 367-3970 77 No Washington Street Boston MA 02114 Masonry $99,300.00 Roofing $57,700.00 Electrical $37,289.00 MA 01430 Kang Associates Inc. Ms. Jennifer Pinkus 978 443-6383 410 Boston Post Road Sudbury MA 01776 HVAC $241,000.00 Electrical $179,000.00 Masonry $169,100.00 MA 02356 Donahue Associates Architects Mr. Brian Donahue 617 479-4122 21 McGrath Highway Quincy MA 02169 HVAC $100,000.00 Plumbing $95,000.00 Structural Steel $58,000.00 MA 02143 Bo es -Watson Architects Mr. Mark Bo es -Watson 617 629-8200 Thirty Bow Street Somerville MA 02143 HVAC $82,000.00 Plumbing $55,000.00 Electrical $52,000.00 � �' �m �� w J a� �« L o c H O � � J L i � a j .� a a L Y � J m � m Z J � o Y � m E 2 � � e 0 V Certification (notarization required) The undersigned, Michael O'Connor hereby certifies: (type name) That I am an owner or principal of M. O'Connor Contracting, Inc, (company name) and that all answers and all statements contained in the attached application (including Sections F and G) for certificate of eligibility are complete, true and correct. Providing false or misleading information or failure to provide all required information will be considered grounds for denial, decertification and/or debarment, I attest to the accuracy of all information contained in this application and verify that the information submitted is in fact complete, accurate and true, under oath. Signed and Sworn under the Pains and Penalties of Perjury. Dated at 9:00 am This 11th day of March , 2013. By (signature): , la -ad Type name: Michael O'Connor Title or position: President k ss. (county)�tt^ (state) Before me, �J i 1 \personally appeared and n tory public known to me to be & &Ak- --..--,based (name of officer) on satisfactory evidence which was his/her driver's license and acknowledged that he/she is authorized to execute the foregoing and that its execution is his/her free act and deed and the free ar,t,and deed of the firm. �--�, My commis n expires: (notary public signature) H A. 0'C h COMMtiNyYE11CCN OF rent name MY' 2017 "Upon completion of this Application and the two corresponding Excel spreadsheets; s7ve and email them to CertificationAnnlication.dcamfa,state. ma us xx Page 16 of 16 Prime/General Revised March 2011 f mmnkstar i�