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HomeMy WebLinkAboutContract #: 004244 - From: To: - Exception - Exceptiona School Department Administration Building North Andover, MA FORM OF GENERAL BID To the Awarding Authority: / S n, m G r f:> Kang Associates, Inc. January2, 2014 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. S. This bid includes addenda numbered #1 dated 1/16/14, #2 dated 1/23/14, #3 dated 1/28/14 C. The proposed contract price is: �f�14"'to- 1�oL�u.�-mr�viS dollars ($ 06 G oo. 06 ). A10 40A rx For Alternate #1: Deduct $ dollars ($ l7, ooa . 00 For Alternate #2: Deduct $ Tom T -07-41 dollars ($ �2moo0. too } For Alternate #3: Deduct $ 4dollars ($ Oeo . ^0 } /Vu Gi.�.vs'S For Alternate #4: ��T/�.�r-/ �i�.� T1•M.o %SGao . o0 Deduct For Alternate #5: Deduct $ ����N��/ X-'utt=2o dollars ($ /lia CL4��lS 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: $ l 789 _4 7• oa Item 2. Sub -bids as follows: Bond req'd Sub -trade Name of Sub -Bidder Amount Yes/No Mason 04.7 .00 Cast Masonry 14+4 ��� -.9-.94 A" -'W 04.72.00 Cast Stone Masonry ;� $ _ Roofingg 07.31. Asphalt Shingles �D� � �� ��� 4zpOo. ow ee3 07.53.000 Elastomeric Membrane Roofing $ 09.51.23 Acoustical Tile Ceilings � � t�ocadr. 41!14& w FORM OF GENERAL BID - 1 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 Kang Associates, Inc. January 2, 2014 $0 ;w Total of Item 2: $ per° 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. January 30, 2014 Kinsmen Corporation Date (Name of General Bidder) By: S' ature and Title of Person Signing Bid ene R. Connor, Jr., President 35 Londonderry Turnpike. Suite A Business Address i Hooksett NH 03106 City and State FORM OF GENERAL BID - 2 _ . ...... ....................... ............ ... .... .... .............._...................... ................ ..................................._.. ... .... School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 GENERAL BIDDER'S CHECKLIST: x Addenda Recognized x Bid Deposit x Certificate of Corporate Bidder x_DCAM Eligibility x Update Statement x Certificate of Non -Collusion and Certificate of Tax Compliance x Certification of Labor Harmony and OSHA Training Requirements FORM OF GENERAL BID - 3 School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER 1, Michael P. Connor certify that I am the Secretary -Clerk of the corporation named as Bidder in the Bid Form, and that Eugene R . Connor , Jr. 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 Seal ` Secretary -Clerk ` Michael P. Connor janLary 30, 2 01 4 Date CORPORATE BIDDER -1 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. Signatur Eugene R. Connor, Jr., President Print Name & Title DateJanuary 30, 2014 Kinsmen Corporation Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I Eugene R. Connor Jr. authorized signatory for Kinsmen Corporation 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. January 30, 2014 Signatur Date Euge R. Connor, Jr., President CERTIFICATION LABOR HARMONY AND OSHA TRAINING REQUIREMENTS The undersigned certifies under penalties of perjury that he is able to fiunish 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. Si?'n ature,5�11Z Euqene R. Connor, Jr., President Print Name & Title Date January 30, 2014 Kinsmen Corporation Company Name CERTIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the Kinsmen Corporation held on January 14, 2014it was VOTED, THAT Eugene R. Connor, Jr. President (Name) (Officer) of Kinsmen Corporation be and hereby is authorized to execute contracts and bonds in the name and on behalf of said company , and affix its corporate seal hereto; and such execution of any contract or obligation in the name of Kinsmen Corporation on its behalf by such officer under seal of the company , shall be valid and binding upon this company I hereby certify that I am the clerk of the above named Clerk- Secretary and that Eugene R. Connor, Jr . is the duly elected officer as above of said company , and that the above vote has not been amended or rescinded and remains in full force and effect as the date of this contract. January 30, 201A -- (Date) Certification of the Corporate Clerk ,4�� ���� J (Clerk) Michael P. Connor TIMOTHY P. MURRAY LIEUTENANT GOVERNOR The Commonwealth ofMassachasetts Executive O ce for Administration and Finance Division of Capital Asset Management and Maintenance One Ashburton Place Boston, Massachusetts 02108 Tel. (617) 727-4050 Fax: (617) 727-3363 Prime/General GLEN SHOR SECRETARY, ADMINISTRATION & FINANCE Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 0047 This Certificate Shall Be Used for Submitting Prime/General Bids 0n1 CAROLE CORNELISON COMMISSIONER 1. CERTIFICATION PERIOD: This Certificate is valid from 1/21/2014 to 1/21/2015 2. CONTRACTOR'S NAME: Kinsmen Corporation 3. CONTRACTOR'S ADDRESS: 35 Londonderry Turnpike, Suite A, Hooksett, NH 03106 4. WORK CATEGORIES: This Contractor is certified to file bids under Massachusetts General Laws Chapter 149, Chapter 149A and Chapter 25A In the following checked Categories of Work: ❑Alarm Systems ❑Asbestos Removal ❑ Deleading F1 Demolition ❑ Doors & Viadows ❑ Electrical ❑Electronic Security Systems S.• • EVALUATIONS: 6. PROJECT LIMITS: 7. SUPPLI for ❑ Elevators. ❑ Energy Management Systems ❑ Exterior Siding ❑ Fire Protection sprinkler systems ❑ Floor Covering QGeneral Building Construction E] Historical Building Restoration ❑ Historical Masonry ❑ Historical Painting ❑ Historical Roofing []HVAC ❑ Masonry ❑ Mechanical Systems ❑ Modular CoMstructlen/Pmfab Number of Projects Evaiaatedi 17 Average Project Evaluation Rating: 90 Number of Projects Below Passing Score: 0 Single Project Limit (SPL): Aggregate Work Limit (AWL): General Building Construction Limit: CERTIFICATION: N/A ,sby, General Counsel, J Cornelison, Commissioner ❑ Painting ❑Plumbing © Pumping Stations E3 Roofing Sewage & Water Treatment Plants ❑Telecommunication Systems ❑ watcrprooring $14,438,000.00 $25,811,000.00 $14,438,000.00 I/ js-.?,v� Approval Date NOTE TO CONTRACTORS: Complete Applications for Renewal of Contractor Eligibility are due no later than three months PRIOR to the Expiration Date of the Certification Period shown above. Failure to submit Completed Applications timely may result in a gap In Certifcation or a lapse in certification altogether for your company. Reviewer's Initials r.._ BID BOND Conforms with The American Institute of Architects, A.I.A. Document No. A-310 KNOW ALL BY THESE PRESENTS, That we, Kinsmen Corporation 35TondonderryTurnpike, Hooksett, NH 03106 as Principal, hereinafter called the Principal, and the Fidelity and Deposit Company of Maryland of 100 High Street, Suite 1400, Boston, MA 02110 , a corporation duly organized under the laws of the State of Maryland as Surety, hereinafter called the Surety, are held and firmly bound unto Town of North Andover, Town Manager 120 Main Street, North Andover, MA 01845 as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Bid Amount Dollars ($ 5% of Bid Amount ) , for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for School Department Administration Building NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee 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. Signed and sealed this 30th day of January 2014 Kinsmen Corporation (Seal) Principal Witness {( Euge R. Connor, Jr., President Title Fidelity an posit Company of Maryland Witness { By imot . t. ons, Attorney -in -Fact b-uuo4/Uttr iyao FRP 7 :�t ... , � -1, ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint J. Barry DRISCOLL, Timothy P. LYONS, Claire A. CAVANAUGH, John C. DRISCOLL, George G. POWERS, Dennis W. DRISCOLL and Martin L. DONOVAN, all of Norwell, Massachusetts, EACH its true and lawful agent and Attorney -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 and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of November, A.D. 2013. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND 8BA)� o m► • tea'' 6� tecta Aor`a i I .......,..•O Assistant Secretary Vice President Eric D. Barnes Thomas O. McClellan State of Maryland City of Baltimore On this 4th day of November, A.D. 2013, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O. MCCLELLAN, Vice President, and ERIC D. BARNES, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 14, 2015 POA -F 063-21909 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time. CERTIFICATE I, the undersigned, . Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMO Y WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day o 20LV—. �a at. -O$ 0-04 NSt"R•�y, µ4u'WY i :zi io SISAL 4..... . Hyl. N*. •"�J'� ��` } sa- 47 e, James M. Carroll, Vice President 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. ANY M.G.L. c. 149A. ANY PRIME/GENERAL BID SUBMITTED WITHOUT AN APPRORIATE 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. January 30, 2014 Bid Date School Department Administration Building No. Andover, MA Project Number (or name if no number) Town Manager's Office No. Andover, MA Awarding Authority SIGNATUREb Kinsmen Corporation Print Name of Bidder 35 Londonderry Turnpike, Suite A P.O. Box 16117 Hooksett, NH 03106-6117 Business Address (603) 625-9199 Telephone Number Bidde � s Authorized Representative Eu ne R. Connor, Jr., President Division of Capital Asset Management Page 1 of 11 Prime/General Contractor Update Statement Effective March 30, 2010. 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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 your most recent 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 z 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 1 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 El z 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 0 contract? 6. Has a payment or performance bond been invoked against your current firm, or El 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 hada payment of performance bond invoked? 7. Has your surety made payment to a materials supplier of other party under your payment bond on any contracts? 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 El z 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 your ro'ects? 11. Has any employee or other person suffered an injury in connection with any of ❑ your projects resulting in their inability to return to work for a period in excess of one ear? Division of Capital Asset Management Page 9 of 11 Prime/General Contractor Update Statement Effective March 30, 2010 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 amended or extended) 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 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 judgement 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 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 or proposed? 4. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm bought, concluded, or settled relating to a violation of M.G.L. Chapter 268A, the State Ethics Law? Division of Capital Asset Management Page 10 of 11 Prime/General Contractor Update Statement Effective March 30, 2010 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 or ❑ z officer of 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 of federal law prohibiting discrimination in employment? 7. Have any judicial or administrative proceedings involving your firm or a principal or ❑ z officer or anyone with financial interest in your firm been brought, concluded, or settled relating to a claim of repeated or aggravated violation of any state of federal law regulating labor relations? 8. Have any proceedings by a municipal, state, or federal agency been brought, concluded, or settled relating to decertification, debarment, or suspension 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 ❑ officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of state of federal law regulating the environment? 10. Has your firm been fined by OSHA or any other state or federal agency for ❑ z violations of any laws or regulations related to occupational health of 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, ❑ workforce goals, or failure to file certified payrolls on any public projects? 12. Other than previously reported in the above paragraphs of this Section I, have any 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? 13. Are there any other issues that you are aware which may affect your firm's ❑ responsibility and integrity as a building contractor? Division of Capital Asset Management Page 11 of 11 Prime/General Contractor Update Statement Effective March 30, 2010 School Department Administration Building No. Andover, MA January 30,2014 -Kinsmen Corporation 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 Eugene R. Connor, Jr. President, Project Manager Michael P. Connor Vice- President, Project Manager Ronald W. Ilomaki Project Manager PLEASE SEE ATTACHED 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 X❑ 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 -"Certificate" (Section J) containing the signature and date that the Completed Projects list (Section G) was submitted to the Division of of Capital Asset Management. Division of Capital Asset Management Page 12 of 11 Prime/General Contractor Update Statement Effective March 30, 2010 School Department Administration Building No. Andover, MA Part 5- Supervisory Personnel January 30, 2014, 2013 -Kinsmen Corporation Page 1 of 3 SUPERVISORY PERSONNEL Name: Eugene R. Connor, Jr. Position: President, Project Manager # of Years w/ Firm: 20 years Construction Experience: 37 Supervisory Experience: 30 Type of Work: Heavy & Building Education: BS Civil Engineering, University of NH Licenses: Licensed P.E. in MA, ME, NH Construction Supervisor- MA Projects: Value Water Treatment Plant, Contract 1, Rowley, MA $9,752,821.00 Phase 3, Misc. WTP Upgrades, Newburyport, MA $5,692,682.00 Phase 1, New Clearwell and Pump Station, Newburyport, MA $6,532,172.70 Filter Media Replacement, Ayer, MA $ 174,833.00 WWTF FBI Incinerator Modifications, Manchester, NH $3,784,310.00 Springvale Pressure Filter & Air Tower Media, Natick MA $ 423,916.00 Rte 107 Groundwater Treatment Facility, Seabrook, NH $7,749,457.00 Bedrock Supply Water Mains, Seabrook, NH $ 474,629.00 Airport Improvements, Hill 1102 Hazard Beacon Replacement, Keene, NH $ 140,002.00 Airport Hill Tank, St. Johnsbury, VT $1,070,126.00 Water Treatment Facilities, So. Dennis, MA $5,925,195.00 Crescent St & East St. WTP, East Bridgewater, MA $8,228,536.00 Conte Nano Cleanroom Lab Renovation, UMASS-Amherst, MA $2,621,013.00 Trace Metals Clean Room, Concord, NH $ 850,000.00 Membrane Filtration Facility -Hanover, NH $4,980,580.00 NH Veterans Home, Tilton, NH $ 670,000.00 Sawyer Street W.T.F., Templeton, MA $1,997,398.00 Wetmore Tech. Ctr., Gardner, MA $2,698,982.00 Flint's Pond MFP, Lincoln, MA $3,811,493.00 Sand Filter Rehab., Danvers, MA $ 585,585.00 Pump Station Rehab., Waltham, MA $ 343,600.00 New Police Headquarters and South Fire Station No. 2 Repairs, Lancaster, MA $2,009,572.00 Corrosion Control Fac., Blackstone, MA $1,181,976.00 Pump Station Addition, Groveland, MA $ 277,125.00 Public Safety Complex, Lincoln, MA $2,407,042.00 WSTP-II, NBAS, NH $ 272,800.00 Various Comm. Sites/Fac. $ 473,000.00 W.E.S.P.'s, Lynn, MA $1,238,000.00 West Side P.S., Manchester, NH $6,198,800.00 Interceptor Sewers, Lowell, MA $6,571,800.00 Frost Effects Research Facility, Army Corps, Hanover, NH $7,215,800.00 Util. Improvements, Dept. Navy, Naval Sub. Base, Groton, CT $5,891,800.00 Pumping Stations, E. Concord, NH $1,007,900.00 School Department Administration Building No. Andover, MA Part 5- Supervisory Personnel January 30, 2014, 2013 -Kinsmen Corporation Page 2 of 3 SUPERVISORY PERSONNEL Name: Michael P. Connor Position: Vice -President, Superintendent # of Years w /Firm: 20 years Construction Experience: 35 Supervisor Experience: 28 Type of Work: Heavy & Building Education: University of Lowell, MA Licenses: Construction Supervisor- MA OSHA 10 -HOUR Certification Projects: Value Phase 3, Misc. WTP Upgrades, Newburyport, MA $5,692,682.00 Phase 1, New Clearwell and Pump Station, Newburyport, MA $6,532,172.70 Sluice Gate at CSO 006, Nashua, NH $ 735,013.00 Bedrock Supply Water Main, Seabrook, NH $ 474,629.00 WWTF Fluidized Bed Incinerator Modifications, Manchester, NH $3,784,310.00 Airport Hill Tank, St. Johnsbury, VT $1,070,126.00 White Lodge WTF Dedham, Westwood, MA $ 235,400.00 Water Treatment Facilities, So. Dennis, MA $5,925,195.00 Crescent St. & East St. WTP, East Bridgewater, MA $8,228,536.00 Septage Receiving Facility, New Bedford, MA $1,715,009.00 Trace Metals Clean Room, Concord, NH $ 850,000.00 Center Water Storage Tank, Norton, MA $1,477,899.00 Callahan Wells Water Treatment Plant, Hadley, MA $5,078,184.00 Membrane Filtration Facility -Hanover, NH $4,980,580.00 West Side P.S., Manchester, NH $ 575,211.00 State Forest Water Booster, Dracut, MA $ 66,727.00 Sawyer Street W.T.F., Templeton, MA $1,997,398.00 Wetmore Tech. Ctr., Gardner, MA $2,698,982.00 Flint's Pond MFP, Lincoln, MA $3,811,493.00 Sand Filter Rehab., Danvers, MA $ 585,585.00 Pump Station Rehab., Waltham, MA $ 343,600.00 New Police Headquarters and South Fire Station No. 2 Repairs, Lancaster, MA $2,009,572.00 Corrosion Control Fac., Blackstone, MA $1,181,976.00 Public Safety Complex, Lincoln, MA $2,407,042.00 WSTP-II, NBAS, NH $ 272,800.00 Various Communications Sites/Fac $ 299,600.00 ASR -9 Radar Facility, Cumberland, ME $ 709,500.00 W.W.TP., Expansion, No. Andover, MA $5,113,600.00 Interceptor Sewers, Lowell, MA $6,571,800.00 School Department Administration Building No. Andover, MA Part 5- Supervisory Personnel January 30, 2014, 2013 -Kinsmen Corporation Page 3 of 3 Name: Position: # Of Years w Firm: SUPERVISORY PERSONNEL Ronald W. Ilomaki Superintendent 13 years Construction Experience: 33 Supervisory Experience: 27 Type of Work: Building Education: NH Community Technical College Licenses: Construction Supervisor- MA OSHA 10 -HOUR Certification Projects: Water Treatment Plant, Contract 1, Rowley, MA Bedrock Supply Water Main, Seabrook, NH Airport Improvements, Hill 1102 Hazard Beacon Replacement, Keene, NH Rte 107 Groundwater Treatment Facility, Seabrook, NH Grove Pond WTF, Ayer, MA Water Treatment Facilities, So. Dennis, MA Greensand Filtration Media, Maynard, MA White Lodge WTF- Dedham -Westwood, MA Crescent St. & East St. WTP, East Bridgewater, MA Conte Nano Cleanroom Lab, Renovation, UMASS-Amherst, MA Callahan Wells Water Treatment Plant, Hadley, MA Sand Storage Facility, Manchester Airport, Manchester, NH Water Filtration Plant, Groton, MA West Side P.S., Manchester, NH Sawyer Street W.T.F., Templeton, MA Wetmore Tech. Ctr., Gardner, MA Flint's Pond MFP, Lincoln, MA Sand Filter Rehab., Danvers, MA New Police Headquarters and South Fire Station No. 2 Repairs, Lancaster, MA Value $ 9,752,821.00 $ 474,629.00 $ 140, 002.00 $ 7,749,457.00 $ 75,668.00 $ 5,925,195.00 $ 73,800.00 $ 235,400.00 $8,228,536.00 $2,621,013.00 $5,078,184.00 $2,569,910.00 $1,870,833.00 $ 575,211.00 $1,997,398.00 $2,698,982.00 $3,811,493.00 $ 585,585.00 $2,009,572.00 J. Certification (notarization required) The undersigned, Eugene R. Connor. Jr. hereby certifies: (type name) That I am an owner or principal of Kinsmen Corporation, (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 Hooksett This 1st day of October, 2013. By (signature): Type name: Ez!g, e R. Connor, Jr. Title or position: President Rockingham ss. New Hampshire (county) (state) Before me, Karen L. Burden , personally appeared and (notary public) known to me to be Eugene R. Connor, Jr. ,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 act and deed of the firm. My commission expires: 8/22/17 (notary public signature) Karen L. Burden (print name) **Upon completion of this Application and the two corresponding Excel spreadsheets, save and email them to CertificationAuplication.dcam(aDstate.ma.us ** Page 16 of 16 Prime/General Revised March- 2011 Computer � d �E S28IL SG. 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