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HomeMy WebLinkAboutContract #: 004343 - From: To: - Exception - ExceptionSchool Department Administration Building North Andover, MA FORM OF SUB -BID To All General Bidders Except those Excluded: Z /q �/I�� s ©,-) r -/ Kang Associates, Inc. January 2, 2014 A. The undersigned proposes to furnish all labor and materials required for completing, in accordance with the hereinafter described plans, specifications and addenda, all work specified in o' ( oV'Ao of the specifications and in any plans specified in such section, prepared by Kang Associates, Inc. for the School Department Administration Building,North Andover, MA for the contract sum of: /JCY1�'�tl�' l�l►1$, ` Ou nce e1S> ►` ollars ($ 9a k0cl•0 0 ). For Alternate #1: Deduct $ For Alternate #2: /Vih dollars ($ (5 ). Deduct $ � � � dollars ($ IR D 00-60 ). For Alternate #3: Deduct $ 1 " h dollars ($ For Alternate #4 Deduct $ NIS dollars ($ 0 For.Alternate #5: Deduct $ dollars ($ ). B. This sub -bid includes addenda numbered C. This sub -bid ❑ may be used by any general bidder except: ❑ may only be used by the following general bidders: (To exclude general bidders, insert an "X" in one box only and fill in blank following that box. Do not answer C if no general bidders are excluded.) FORM OF SUB -BID - 1 School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 1 D. The undersigned agrees that, if he is selected as sub -bidder, he will within five days, Saturdays, �J Sundays, and legal holidays excluded, after presentation of a subcontract by the general bidder selected as the general contractor, execute with such general bidder a subcontract in accordance with the terms of this sub -bid, and contingent upon the execution of the general contract, and, if requested so to do in the general bid by such general bidder, who shall pay the premiums therefor, or if pre -qualification is required pursuant to section 44D 3/4, furnish a performance and payment bond of a surety company qualified to do business under the laws of the Commonwealth and satisfactory to the awarding authority in full sum of the subcontract price. E. The names of all persons, firms and corporations furnishing to the undersigned labor or labor and materials for the class or classes or part thereof work for which the provisions of the section of the specifications for this sub -trade requires a listing in this paragraph, including the undersigned if customarily furnished by persons on his own payroll and in the absence of a contrary provisions in the specifications, the name of each such class of work or part thereto and the Bid price for such class of work or part thereof are: Name Class of Work Bid Price tidN (Do not give bid price for any class or part thereof furnished by undersigned.) 1 F. The undersigned agrees that the above list of bids to the undersigned represents bona fide bids based on the hereinbefore described plans, specifications and addenda and that, if the undersigned is awarded the contract, they will be used for the work indicated at the same amounts stated, if satisfactory to the awarding authority. G. The undersigned further agrees to be bound to the general contractor by the terms of the hereinbefore described plans, specifications, including all general conditions stated therein, and addenda, and to assume toward him all the obligations and responsibilities that he, by those documents, assumes toward the owner. H. The undersigned offers the following information as evidence of his qualifications to perform the work as bid upon according to all the requirements of the plans and specifications: Have been in business under present business name 2. Ever failed to complete any work awarded? IJ years. NO 3. List one or more recent buildings with names of the general contractor and architect on which you served as a subcontractor for work of similar character as required for the above named buildings. M Building Architect . General Contractor Amount of Contract (a) 1fa�ll E: I* �%tff FORM OF SUB -BID - 2 0 School Department Administration Building North Andov MA (b) p'f' 4. Bank reference amt. KOwffl Kang Associates, Inc. January 2, 2014 534 o oo 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 of subcontracts subject to section 44F. The undersigned further certifies under penalties of perjury that this sub -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. I� 1-4-t mdubnry M& Date (Name of Sub -Bidder) SUB -BIDDER'S CHECKLIST: Addenda Recognized Bid Deposit DCAM Certificate of Eligibility Sub -Bidder Update Statement Certificate of Corporate Bidder By: - Signature and Title of Person Signing Bid 3qo Lm tobn A-viavu, - Business Address lh61g0k CitAnd State FORM OF SUB -BID - 3 BONI SED Bid Bond Contractors Bonding (Public Work) and Insurance Company 1213 Valley Street P.O. Box 9271 Seattle, WA 98109-0271 INSURANCE For the CBIC branch nearest you, call Toll Free (888)283-2242 (888) 293-2242 FAX Premium: N/A Know all by these presents, That we, LAL Masonry, Inc. , as Principal, and Contractors Bonding and Insurance Company,as Surety, are held and firmly bound unto Town of North Andover, North Andover Town Hall, 120 Main Street, Office of the Town Manager, North Andover, MA 01845 , Obligee, in the sum of Five percent of amount bid Dollars, ($ 5016 of amount bid ) for the payment of which we bind ourselves, and our successors and assigns, jointly and severally, firmly by these presents Whereas, Principal has submitted or is about to submit a bid to the Obligee on a contract for New Brick Veneer- North Andover School Department Administration Building ("Project"). Now, Therefore, the condition of this bond is that if obligee accepts Principal's bid, and Principal enters into a contract with the Obligee in conformance with the terms of the bid and provides such bond or bonds as may be specified in the bidding or contract documents, then this obligation shall be void; otherwise the Principal and Surety will pay to the Obligee the difference between the amout of the Principal's bid and the amount for which the Obligee shall in good faith contract with another person or entity to perform the work covered by the Principal's bid, but in no event shall the Surety's and Principal's liability exceed the penal sum of this bond. Signed and sealed this 15th day of January 2014 LAL Masonry, Inc. _(Seal) Principal • By: Contractors Bonding and4-- urance Company ,2,,,t^p,ND ��S�R,•� By: co ; 1-' i-% m�vl. Lyons Attorney-inFact n cc • ♦ � y 9e 66 ••• 'J 01'-J • J BndBID.01-US032905 oo�op00 ' • •t,�r Contractors Bonding and Insurance Company c �c 3101 Western Ave., Suite 300 an RV Company Seattle, WA 98121 Know All Men by These Presents: POWER OF ATTORNEY Contractors Bonding and Insurance Company That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That Contractors Bonding and Insurance Company, a Washington corporation, does hereby make, constitute and appoint: John E. McLaughlin, Jr.. William B. Markhard Erin M Lyons jointly or severally in the City of Melrose , State of Massachusetts its true and lawful Agent and Attorney in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, the following described bond. Any and all bonds, undertakings, and recognizances in an amount not to exceed Ten Million and 00/100 Dollars ( $10,000,000.00 ) for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company. The Contractors Bonding and Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of Contractors Bonding and Insurance Company, and now in force to -wit: "All bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation shall be executed in the corporate name of the Corporation by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Corporation. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the Corporation. The signature of any such officer and the corporate seal may be printed by facsimile or other electronic image." IN WITNESS WHEREOF, the Contractors Bonding and Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affixed this 24th day of April 2013 `````,,,t%I 111111/// %%IAN Gig, .• •. hS �i 00011,gr •,• n� .o F •0- :=p•• State of Washingtonc ° • • 1979 SS �i���'wgSN 1�`N I 'I'll 1GS� County of King On this 24th day of April , 2013 before me, a Notary Public, personally appeared Rov C. Die , who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the Contractors Bonding and Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. Joseph B. uller Notary Public Notary Public State of Washington JOSEPH B. MULLER MY COMMISSION EXPIRES March 29, 2018 Contractors Bonding and Insurance Company Roy C. Die Vice President CERTIFICATE I, the undersigned officer of Contractors Bonding and Insurance Company, a stock corporation of the State of Washington, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney, is now in force. In testimony whereof, I have hereuntojjit my hand and the seal of the Contractors Bondinf d jns*Viilce mI►any this 15th ,day of January4��`,�lu •. i1 �e Contractors Bonding,Und IhSur ance Comp11ny ••tniV /p - .D Roy C. Die "��°dy•. �'' Vice President 2080503032912 `r`=l�Ym•t ' A0059511 CERTIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the Z. �� • r r'�dr� lV�i, held on NI/13 it was VOTED, THAT Par i 1� a-, LL wxmmk- (Name) Fri '(&&� (Officer) of L.41. M&10fl M&10be and hereby is authorized to execute contracts and bonds in the name and on behalf of said 4.4 • L AUOII r q , and affix its corporate seal hereto; and such execution of any contract or obligation in the name of l A. L . Al $16n ru on its behalf by such officer under seal of L • r m U4n rlL , shall be valid and binding upon 4.4-L . t' MOtw_ I hereby certify that I am the clerk of the above named L L . Alki0111'(( and &11-1 C� &, that WMMMAL is the duly elected officer as above of said r , and that the above vote has not been amended or rescinded and remains in full force and effect as the d, 6011 � (Date) Certification of the Corporate Clerk School Department Administration Building North Andover, MA FOREIGN CORPORATIONS CERTIFICATION AFFIDAVIT OF COMPLIANCE Form AF -4A 1/78 EXECUTIVE OFFICE FOR ADMINISTRATION AND FINANCE The Commonwealth of Massachusetts /Massachusetts Business Corporation Non-profit Corporation Foreign (non -Massachusetts) Corporation Kang Associates, Inc. January 2, 2014 President Clerk of ' � I - Alum r (Name of Corporation) 9 (y whose principal office is located 3 9 o Ll n uln Awwu, do hereby certify that the above named Corporation has filed with the State Secretary all certificates and annual reports required by Chapter 156B, Section 109 (Business Corporation), by Chapter 181, Section 4 (Foreign Corporation), or by Chapter 180, Section 26A (non-profit Corporation) of the Massachusetts General Laws. SIGNED UNDER THE PENALTIES OF PERJURY this day of 20 . Signature of responsible Corporate Officer FOREIGN CORP - 1 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. ptur, a a, cu* MOM (Y., Ind. Print Name & Title 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. SignatureDate �Q % �lftarA�Iyf t �- L. !� L . V 1'1(�(.�UN0 Print Name & Title I Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the `Massachusetts General Laws, Section 49A (b), I PG r� UQ.1�/Y lLl�ll �IiPltlQvuthorized signatory for L . - L . M Qmit �n i� • 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. Signature r Date, i 1 •_J .vim. .., � ,w .a� 1-..�.. � :'••.i :�i r ��. School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER certify that I am the of the corporation named as Bidder in the Bid Form, and that �� �� -i��v 11F�-- who signed the Bid Form on behalf of the Bidder was then the r i hAl 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. r/oLofl Date CORPORATE BIDDER - 1 f� i '. (DSD OPERATIONAL SERWCESDIVISION SUPPIARANIMITY MCE Reginald Nunnaliy EKe*M" 00or. October 15, 2012 Ms. Patricia Chtaramonte L A L Masonry Co., Inc. 27 Femciiff Avenue Saugus, MA 01906 Dear Ms. Chiaramonte: THE COMMONWEALTH OF MASSACHUSEITS Executive Office for Adminl*ation and Finance OPERf1TiokM SERVICES DIVISION One - Ashburton Place, Suite 1D17 Boston, MA 02108-1552 Deval L. Patrick Governor Timothy P. Murray Ueutenard Governor Jay Gonzalez secretary Gary J. Lambert Assistant Seaptarylar Oporatlotral Services Congratulations on your recertficationi The Supplier. Diversity Office (SDO) is. pleased tonotify you that your firm was recertified as a woman -owned business enterprise (WB E) with the certified business description, MASON CONTRACTORS. Your company will be listed in both the SDO Directory and in the Massachusetts Central Register which are published at regular intervals. The SDO Directory is sent to other state agencies and private organizations that seek to fulfill WBE utilization requirements. Furthermore, you have a continuing duty to notify SDO of a change in any information that is relevant to the firm's certification eligibility and to ensure that the Information and documentation relied upon by SDO to certify or to maintain the certification of the business enterprise is accurate, complete and not misleading. You are required to notify SDO In writing of any change of such information or documentation within thirty calendar days. By way of example -and not limitation, any change in ownership, control, investment, ongoing or independence may be considered material. Failure to abide by the continuing duty requirements shall constitute -grounds for the business entity's decertification. Certification is not fixed designation and SDO-reserves the right to monitor your company, do random spot checks, site visits and to conduct periodic reviews of. your company's books, contracts, company structure, facilities, job locations; to seek other relevant information and documentation; and to revoke certification of your firm should this become necessary. Your company's certification automatically will expire two years from the date of certification. if your company continues to meet all applicable certification criteria, no later than thirty (30) business -days before your finn's certification renewal date of May 20, 2014, and'every two years thereafter, please send SDO the following documents to renew your certification: 1) All company financial statements since the date of the dompany's then most recent SDO certification; 2) All U.S. Tax Returns. and Schedules since the date of the company's then most recent SDO certification; Tel: (617) 720.3300 TDD: (617)727-2716 Fax: (617) 5028841 www.mass:gov/osd Follow us on Twitter. *Mass_OSD 3) Corporations must submit all Annual Certificates of Condition since the date of the company's then most recent certification; and 4) A notarized statement that Indicates: A. "I certify.under the pains and penalties of perjury that no significant changes affecting eligibility as a certified Minority/Minorky Women/Woman business enterprise have occurred since the date of the company's then most recent date of S00 certification as defined in State regulations 4Z5 CMR 2.00 The Supplier Diversity Office." 5) A notarized statemeri that indicates either "A or B" as referenced below, A. "1 certify undefthe pains and penalties of perjury that (Insert your Company Name) has not received any contracts) as a result of having been SDO certified B. "I certify under the pains and penalties of perjury that: (insert your Company Name) has received a contracts) as a result of having been SDO certified." List all contract names, contract amounts and the names of the agencies.with which you have contracted from the date of your last $DO renewal' 6) A notarized statement that Indicates: A. "I certify under the pains and penaltie's of perjury that (Insert your Company Name) has (number) of employees for each year end given; include owners) Additionally, every six years, certified companies that wish to remain certified must undergo a substantive review of their certification status with a SDO certification specialist who will re-evaluate the company to determine whether It continues to meet the applicable certification criteria. If you wish to recertify your company when it becomes due -for substantive review, you will need to submit the applicable recertification application and all required Information and documentation to SDO no later than forty-five (45) business days prior to the date of certification expiration (i.e., the recertification date). At that.time, a certification speciaiist will be assigned to evaluate your company and will make a report and recommendation to the Certification Committee (CC) on whether or not the company continues to meet the applicable '680caation criteria. As provided. above in 425 CMR 2.00, if your company has a change of address or telephone number, please send a signed letter within thirty days of the change on company letterhead to notify SDO of the new address or telephone number. Very truly yours, Reginald A. Nunnally Executive Director TOTAL P.03 G� ! �/�f' l V I aje, .l (. zse, al�JV t�fi[// (j ✓ i'J-QwfLamlyUJ. el4s/ William Francis Galvin Secretary of the Commonwealth Date: October 29, 2013 To Whom It May Concern : I hereby certify that according to the records of this office, i LAL MASONRY, INC. is a domestic corporation organized on May 24, 1990 , under the General Laws of the Commonwealth of Massachusetts. I further certify that there are no proceedings presently pend- ing under the Massachusetts General Laws Chapter 1.561) section 14.21 for said corporation's dissolution; that articles of dissolution have not been filed by said corporation; that, said cor- poration has filed all annual reports, and paid all fees with respect to such reports, and so far as appears of record said corporation has legal existence and is in good standing with this office. :S In testimony of which, Ok I have hereunto affixed the Great Seal of the Commonwealth on the date first above written. Secretary of the Commonwealth Certificate Number: 13104697090 Verify this Certificate at: http://corp.sec.state.ma.us/CorpWeb/Certificates/Verify.aspx Processed by: tgr 11�'f1) �I MASSACHUSETTS DEPT. OF REVENUE PO BOX 7010 BOSTON, MA 02204 AMY A. PITTER, COMMISSIONER MICHAEL J. LIVIDOTI, DEPUTY COMMISSIONER o LAL MASONRY INC 27 FERNCLIFF AVE . SAUGUS MA 01906-2755 401C Notice 80619 T/P ID 043 091 868 Date 01/03/13 Bureau CERTIFICATE CERTJFICATE OF GOOD STANDING AND/OR TAX COMPLIANCE M The Commissioner of Revenue certifies as of the above date, that the above named individual or entity is in compliance with its tax obligations payable under M.G.L. c. 62C, including corporation excise, sales and use taxes, sales tax on meals, sales and use tax on Boats/RV, withholding taxes, room occupancy excise and personal income taxes, with the following exceptions. This Certificate certifies that individual taxpayers are in compliance with.income tax obligations and any sales and use taxes, sales tax on meals, withholding taxes, and/or room occupancy taxes related to a sole proprietorship. Persons deemed responsible for the payment of these taxes on behalf of a corporation, partnership or other business entity may not use our automated process to obtain a Certificate. This Certificate does not certify that the entity's standing as to taxes such as unemployment insurance administered by agencies other than the Department of Revenue, or, taxes under any other provisions of law. Taxpayers required to collect or remit the following taxes must submit a separate request to certify compliance: Alcoholic Beverage Excise, Cigarette Excise, International Fuels Tax -Agreement, Smokeless Tobacco or Ferry Embarkation. THIS IS NOT A WAIVER OF LIEN ISSUED. UNDER GENERAL LAWS, CHAPTER 62C, SECTION 52. Very truly yours, . G Robert O'Neill, Bureau Chief WCRIBMA :: Products - Experience Ratings Page 1 of 1 Applications Rang Status Key: ISS =Issued History and Forms Combo ID: 000388t78 Coverage ID: 0388178 not issued by WCRIBMA Assigned FEIN ID: 043o91868 ENT = Entered Manually Risk NCC = No Current Coverage Members Area Application Calculator Lal Masonry Inc 04/20/2013 04/20/2014 1.08 L25 CAL ISS 12/07/2012 N MWCARP 27FerncliffAve Application 04/20/2012 04/20/2013 1.09 L25 CAL Saugus, MA o1906 Status search Back to Ratings Search Results Circulars Pension Letters The WCRDiMA's Experience Rating System Rating Status is now defined with both Rating Status and Rating Result providing more Class Code detailed information. Rates and Lookup Experience Rating History Records Last Updated: 05/31/2013 Depopulation Rating Result Key: DNQ = Did not Qualify Rating Type N = Normal Reports Residual MER = Merit Rating Key: C = Contingent (missing USR data) Market ENT = A mod value entered P = Preliminary (pending rate Experience not system calculated revision) Rating, Special (normally an interstate rating) B - Both Preliminary andContingent ARAP and CAL = Experience rating mod Merit Rating or ARAP was calculated by Calculator the WCRIBMA Experience Rating Rang Status Key: ISS =Issued History (Blank) = Interstate rating not issued by WCRIBMA Manuals ENT = Entered Manually NCC = No Current Coverage Members Area Effective Date Expiration Date Factor ARAP Rating Result Rating Status Status Date Rating Type 04/20/2013 04/20/2014 1.08 L25 CAL ISS 12/07/2012 N MWCARP Application 04/20/2012 04/20/2013 1.09 L25 CAL ISS 11/18/2011 N Status search 04/20/2011 04/20/2012 1.16 1.2,5 CAL ISS 09/15/2011 N Pension Calculator As of Tuesday. May sr. lou Interstate Ratings are no longer available from this site. Rates and Interstate Ratings and Massachusetts ARAP factors associated with Interstate Ratings are available from: NCCI Rating Values For frequently asked questions, please click here. Back to Ratings Search Results Residual Market Premium Calculator Special Bulletins Voluntary Market Premium Calculator Classification Request Form https://www.weribma.orglmass/Products/ExpRatingSrchlsearch_detail.asp?cmb_id=00038... 5/31/2013 LAM -1 OP ID: SS _...y- CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED i IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain Policies nay require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Neu of such endomemen s . PRODUCER Insurance Agency Phone: 781.665-277 1128 Lynn Felfs Parkway Fax: 781_665_029 Melrose, MA 02176 John E McLaughlin Jr. •i i F No AL AFrametocavERacE NAIci wSUItERA:Acadia Insurance Company i i I NSURED LAL Masonry, Inc Joe Chfaramonte 27 Fenteliff Avenue Saugus, MA 01806 !` i wsuRfflc:Fireman's Insurance Co of Wash i OMMU R E : 04120H3 INSURERF: 1,000, { i LAM -1 OP ID: SS _...y- CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain Policies nay require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Neu of such endomemen s . PRODUCER Insurance Agency Phone: 781.665-277 1128 Lynn Felfs Parkway Fax: 781_665_029 Melrose, MA 02176 John E McLaughlin Jr. cK cTMcLau F No AL AFrametocavERacE NAIci wSUItERA:Acadia Insurance Company NSURED LAL Masonry, Inc Joe Chfaramonte 27 Fenteliff Avenue Saugus, MA 01806 e0jREae:Torus National insurance Com wsuRfflc:Fireman's Insurance Co of Wash aautERD:MA Work Com . Assign Risk Plan OMMU R E : 04120H3 INSURERF: 1,000, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF IIISIIRAIrCE POLICY NI1MBBt M� i GENERAL LIA8LnY EACH OCgAiRBrCE i A --- A tXm. CIALGENERALDABIUTY A6042117-10 11420113 0420114 �• Itu nas i CAIWWADE ❑O OCUR h6DEXPWdaaPW- S DMOWTON OF OPERAIMS ILOCATONS TVBIIC(ES (Attach ACORD 101, AM*nat Ramalkc sc wd^ Ir mm spws k ngAr c ) :videRoe of Inwaranos I:CKI IrltiA I C HUWtK CANGELLATION FORIN-1 .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INFORMATION ONLY THE EMRA110N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONSMA. AUTIr(OR DRFPRESENTATTVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY J'Ecr Loc Emp Ben- s C AUTOMOBLEU&BLffY ANY AUTO AT )( A UTOS X HIRED AUTOS X � 6041151-10 04120H3 04MR4 1,000, Y NAIRY(ParP�7 i E Y 111d1RY(PxaotlaslA t i i g AYIIftELLAlYIe__ EXCESS UAB. .. -OCCUR-- .. ._ ..-- ---------.._...... _...___.. ... 4354D131ALi __....... .. 0420113 ....:... ... . 0420114 OCCIIRRF1rCE--..-- 10.000 AOGREOATE i DEo X RETENnoNs 6000 D fYOR103tS'COrIPE1BATION ArrrwzoPRlErowP rvErrN .,IXauDmr MIA •. O13EISSUEDBYCARRIFR '04=3 04f20H4 VYC STaTU• Tl� E.L.FacHAcODEw i 110011100C �. ce.ec_e.aaw,rwc s 1.000 DMOWTON OF OPERAIMS ILOCATONS TVBIIC(ES (Attach ACORD 101, AM*nat Ramalkc sc wd^ Ir mm spws k ngAr c ) :videRoe of Inwaranos I:CKI IrltiA I C HUWtK CANGELLATION FORIN-1 .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR INFORMATION ONLY THE EMRA110N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONSMA. AUTIr(OR DRFPRESENTATTVE ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD Page: 6 of 8 4/22/2013 12:37:59 PM PST (GMT -8) FROM, 100005 -TO: 17812311811 I !� I i I I :! i I i I COVERAGES CERTIFICATE NUMBER: 160897 1 REVISION NUMBER: 1� I I � 1 I I 1 , I I { ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD its °cezt�i��cate canceldseand22supersedesLA'iPa�reviously issued certificates. A�co�o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. ff SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not cornier rights to the certificate holder in lieu of such endorsements . PRO— THE MCGLAUGNLIN AGENCY CONTACT NAME• 828 LYNN FELLS PARKWAY PHONE MELROSE, MA 02176 E -MNL ADDRESS: INSURER(S) AFFORDING COVERAGE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NrSR TYPE OF INSURANCE AWL SUER POLICY NUMBER POLICY EFf Y EXP NAIC>! NSURERA: INs� MASONRY INC 27 FERNCLIFFAVENUE SAUGUS MA 01906 NsuRERB: NsuRERc: NsuRERD: NSURERE: NsuRERP: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NrSR TYPE OF INSURANCE AWL SUER POLICY NUMBER POLICY EFf Y EXP �� GENERAL LJIteILrrY (:OIAAERgAL GYRAL LIABILITY CLAM64AADE QOCCUR EACH ocrx>RRENce i ISES a oeoxrente f MED EXP (Any onepason) f PERSONAL AADV INJURY GENERAL AGGREGATE f GENLAGGREGATE LIMIT APPLIES P6t: POLICY �D- Loc PRODUCTS•COMPlDPAGG f f AUTOMOBILE LIAel11Y ANYAiJr'0 ALL OWNED SCH®ULA AUTOS AUTOS MIRED AUTOS a I f BODILY INJURY (Per pMson) f BODILY INJURY (PareCCideix) f f f 1gAeRH1A UAB EXCESS LIAB OCCUR CIAMSMADE EACH OCCURRENCE f AGGREGATE f DED RETENTION t f i f A wOPJwm Atm EMPIAYERS' LIAaR.ITY ANY PROPRETORPARTNER�EXECUTNE YIN OFFICERlMEMBER EXCUAED7 ❑N (Manm(ay M NH) If yyeess,desorbe under DESORPTION OF OPERATIONS below NIA WC2-31S-390252-013 4/2012013 4/20/2014 wcsTATu- IMRS E.L EACH ACCIDENT f 100000 EL. DISEASE • EA EMPLOYE S 100000 ICY LMR Is � 1 OOOOO E.L. DISEASE • POL77 DESCRPTpN OF OPERATIONS lLOCATIONS lVEHICLES (ARaeh ACORD 101, AddUlonal Remarks fichedule.lf mom sp�ukrcgdred) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION . - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jeff Eldridge The Commonwealth of Massachusetts Executive Office for Administration and Finance Division of Capital Asset Management and Maintenance One Ashburton Place DEVAL L. PATRICK Boston, Massachusetts 02108 GLEN SHOR GOVERNOR Tel: (617) 727-4050 SECRETARY, ADMINISTRATION & FINANCE Fax: (617) 727-5363 TIMOTHY P. MURRAY CAROLE CORNELISON LIEUTENANT GOVERNOR COMMISSIONER Filed Sub -Bid Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 1941 This Certificate Shall Be Used for Submittine Filed Sub -Bids Only 1. CERTIFICATION PERIOD: This Certificate is valid from 7/24/2013 to 7/24/2014 2. CONTRACTOR'S NAME: L.A.L. Masonry Co., Inc. 3. CONTRACTOR'S ADDRESS: 27 Ferncliff Avenue, Saugus, MA 01906 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: Acoustical Tile ❑ HVAC [71 Miscellaneous & Ornamental Iron ❑ Terrazzo ❑ Electrical Work ❑ Lathing & Plastering ❑ Painting ❑ Tile ❑ Elevators ❑ Marble ❑ Plumbing ❑ Waterproofing, Damp Fire.Protection Sprinkler Systems 0 Masonry Work ❑ Resilient Floors proofing, and Caulking ❑ Glass and Glazing ❑ Metal Windows ❑ Roofing & Flashing 5. EVALUATIONS: Number of Projects Evaluated: 7 Average Project Evaluation Rating: 88 Number of Projects Below Passing Score: 0 6. SUPPLIER DIVERSITY OFFICE CERTIFICATION: Woman Owned Business Enterprise ±n'-' C' - "", h _�- / �- / /3 Fria S. Bernstein, teputy.General Counsel, Approval Date for Carole J. Cornelison, Commissioner 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 Certification or a lapse in Certification, altogether for your company. -- Reviewer's Initials EFFECTIVE MARCH 30, 2010 Commonwealth of Massachusetts Division of Capital Asset ManaemF SUB -BIDDER UPDATE STATEMENT TO ALL SUB -BIDDERS, TRADE CONTRACTORS AND AWARDING AUTHORITIES A 'COMPLETED AND SIGNED SUB -BIDDER UPDATE STATEMENT MUST BE SUBMITTED WITH EVERY FILED SUB -BID PURSUANT TO M.G.L. c.149, §44F AND EVERY TRADE SUB -BID PURSUANT TO M.G.L. c. 149A. ANY FILED SUB -BID OR TRADE SUB -BID SUBMITTED WITHOUT AN APPROPRIATE SUB -BIDDER UPDATE STATEMENT IS INVALID AND MUST BE REJECTED. Caution: This form is to be used for submitting Filed Sub -Bids and Trade Sub -Bids. It is not to be used for submitting Prime/General Contract bids. AWARDING AUTHORITIES If the Awarding Authority determines that the sub -bidder is not competent to perform the work as specified on the project, it should reject the bid. SUB -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 Sub -bidder Update Statement on behalf of the bidder named below, that.I have read this Sub -bidder Update Statement, and that all of the information provided by the bidder in this Sub -bidder Update Statement is true, accurate, and co plete as of the bid date. 1 Jw It 4 L.A.L. Masonry Inc ^-gid Drt Print Name of Sub -bidder or Trade Contractor J� 1. ,Qu,��dln 00 27 Ferncliff Ave. Saugus, MA 01906 Project Number (or Business Address name me if no number) JOV'W 781 231 1844 warding Authority Telephone Number SIGNATURE*,° Bidder's Authorized Representative Division of Capital Asset Management Page 1 of 10 INSTRUCTIONS INSTRUCTIONS TO SUB -BIDDERS This form must be completed and submitted by all Filed Sub -Bidders bidding on projects pursuant to M.G.L. c. 149, §44F and Trade Contractors bidding on projects pursuant to 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 SUB -BIDDER UPDATE STATEMENT IS GROUNDS FOR REJECTING YOUR BID AND FOR DEBARRING YOU FROM ALL PUBLIC CONTRACTING. This Sub -Bidder 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) Sub -Bidder Certificate of Eligibility. The Sub -Bidder Update Statement must cover the entire period since the date of that Application, NOT since the date of your Certification. You must use this official form of Sub -bidder Update Statement. Copies of this form may be obtained from the awarding authority and from the DCAM Web Site: www.mass.gov/dcam. If additional space is needed, please copy the appropriate page of this Sub -bidder Update Statement and attach it as an additional sheet. Division of Capital Asset Management Sub -bidder Update Statement Effective March 30, 2010 INSTRUCTIONS TO AWARDING AUTHORITIES Determination of Sub -Bidder Qualifications It is the awarding authority's responsibility to determine each responsible bidder. You must consider all of the information in the bidder's Sub -bidder 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 sub -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 SUB -BIDDER'S ENTIRE CERTIFICATION FILE AT THE DIVISION OF CAPITAL ASSET MANAGEMENT. Telephone (617) 727-9320 for an appointment. Correction of Errors and Omissions in Sub -bidder Update Statements Matters of Form: An awarding authority shall not reject a sub -bidder's bid because there are mistakes or omissions of form in the Sub -bidder Update Statement submitted with the bid pursuant to M.G.L. c.149, §44D, provided the sub -bidder promptly corrects those mistakes or omissions upon request of the awarding authority. [810 CMR 8.13(1)]. Correction of Other Defects: An awarding authority may, in its discretion, give a sub -bidder notice of minor defects and omissions as to form in the Sub -bidder's Update Statement and provide an opportunity to correct its Sub -bidder Update Statement. However, the sub -bidder shall not be allowed to make corrections to a Sub -bidder Update Statement if material information about the sub -bidder was omitted from the Sub -bidder Update Statement filed with the sub -bidder's bid. The Awarding Authority shall advise DCAM of any material omissions in a Sub -bidder's Update Statement.. [810 CMR 8.13(2)]. 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C C O C L U C L ru 03 v v1 v cu 3 o L u c li u z t 3 N �oY L New C C N-am-0X� C U 0 H— U V) (7 U O W m 0 i } N C > C >, CL f0 z ° Q T XI L � C >Z °s E� �� o} O @ L � L O T E E C O L -C !? O m U •i' t v Q) ++ N to O H 0J L C O "a O C •mO L 4, 4, L N U fL9 O l0 E C L1 m G O LL V O w N C +, C '` v- o N "a o v- 0 C o Qo vi > C= on v +, C 30 u Q o 3 C 3 o Q m v �_ Y 3 f6 m O f6 Q F- m Q J ♦— U V) O 0) J G0 L C o O L L L L _ -C � (� �••� v L L L � L C C 'H Q)— � c � qp C L c pp C . 3 Ln O - U > ate1 � 0) 0 3 0J 3 0J U 3 01 U a i fis O D Q O D Q O D C7 O D C7 01 L 1Z 0 C O }' =A co U O L y., c0 L _ O a3 C 4-1 O '� .>D _ > 01 L C U 0) E a� m W L L 3 3 N i 01 O �0m0 Fo- ip O O O v C 4+ L U T Q U t 0 4L-+ f0 C] lu L U wL >, C O1 O O LO LL O LL N Q 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) Sub -Bidder Certificate of Eligibility. You must report all requested information not previously reported on that Application. Include all details [project name(s) and location(s), names of all parties involved, relevant dates, etc.]. Division of Capital Asset Management Page 7 of 10 Sub -bidder Update Statement Effective March 30, 2010 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 a project? 2. Has your firm failed or refused either to perform or complete any of its work under any contract prior to substantial completion? K 3. Has your firm failed or refused to complete any punch list work under any contracts ❑ 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 y financial interest in another firm that filed for bankruptcy? r 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 hada pLyment 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 '❑ '� ; for a 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 your projects?> 11. Has any employee or other person suffered an injury in connection with any of, ❑ our projects resulting 1n their inability to return to work for period in excess of Y p j g� Y one year?a r 2 Division of Capital Asset Management Page 7 of 10 Sub -bidder 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 extended or amended) Sub -Bidder Certificate of Eligibility. You must report all requested information not previously reported on that DCAM Application. The term "administrative proceeding" as used in this Sub -Bidder 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 [ h_ 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? f 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, `° A forgery, bribery, falsification or destruction of records, or receipt of stolen M property. a 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 V out of the submission of bids or proposals? 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? ,zA Division of Capital Asset Management Page 8 of 10 Sub -bidder Update Statement Effective March 30, 2010 PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued) 5. 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 regulating hours: of labor, u. unemployment compensation, minimum wages, prevailinwages, 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? 8. Have any proceedings by a municipal, state, or federal agency been brought, 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 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 s 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, workforce goals, or failure to file certified payrolls on any publicprojects? ' 12. Other than reviousl re orted in the above ara ahs of this Section I, have any p Y- P p i p r � r 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 p responsibility and integrity as a building contractor? Division of Capital Asset Management Page 9 of 10 Sub -bidder Update Statement Effective March 30, 2010 PART 5 - SUPERVISORY PERSONNEL List all supervisory personnel who will be assigned to the project if your firm is awarded the contract. Attach the resume of each person listed below. 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 ALONG WITH CERTIFICATION PAGE. Attach here a copy of the list of completed construction projects which was submitted with your firm's Application for your most recently issued (not extended or amended) Sub -Bidder Certificate of Eligibility. The Attachment must include a complete copy of the entire Section F — "Completed Projects" (Section G — "Completed Projects" for firms certified based upon their Prime/General Application), and the final page — "Certification Page", (Section I in the Sub -bidder Application or Section Jin Prime/General Application) containing the signature and date that the Completed Projects list (Section F or G) was submitted to the Division of Capital Asset Management. Division of Capital Asset Management Page 10 of 10 Sub -bidder Update Statement Effective March 30, 2010 IV Patricia E. Chiaramonte 27 Ferncliff Avenue Saugus, MA 01906 781-233-1574 PatricialaI@comcast.net Education:. Edgewood High School West Covina, CA Graduate, Class of 1974 Employment: 04/09-6/10/11 Fia Beauty Salon Newton, MA Receptionist Appointment bookings, telephones, customer contact 07/07 —02/09 North Suffolk Mental Health Somerville, MA Program Assistant Receive and direct all incoming calls, monthly reports, Insurance verifications, billing, scheduling, all other related - office duties. 01/07 - 07/07 TO City Mental Health Lynn, MA In -take Coordinator Scheduled appointments for therapists and psychiatrist, obtained insurance authorizations, regular office duties. 4/04-11/05 CAB Health & Recovery Danvers, MA Direct Care Staff Assisted in-house clients at this 24 hour facility with daily activities and rehabilitation. Promoted to Direct Care Supervisor 10/04. Responsible for a staff of 25, scheduling, reviews, etc. 1975-1979 AVCO Financial Services Lynn, MA Cashier Re -located to Monrovia, CA as cashier, transferred to Pasadena, CA office to accept promotion to Branch Manager, overseeing office staff of five 1983 — Present L.A.L. Masonry, Inc. Saugus, MA Owner/President All phases of running a small union business and bidding projects for various municipalities; A/P, A/R, certifications, etc. Company incorporated in 1990. Joseph R. Chiaramonte, Jr. 27 Ferncliff Avenue Saugus, MA 01906 781-233-1574 781-389-4159 (cell phone) joelal@comcast.net Education: Somerville High School Graduate, Class of 1972 Employment: 1970-1976 Toland's Market Manager 1977-1982 R. Cooke Construction Mason 1983 — Present L.A.L. Masonry, Inc. Project Manager/Estimator Union bricklayer since 1993 30 years of masonry experience Somerville, MA Somerville, MA Monrovia, CA Saugus, MA