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HomeMy WebLinkAboutContract #: 004433 - From: To: - Exception - Exceptioni I TOWN OF NORTH ANDOVER 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Raymond T Santilli Assistant Town Manager Mr. Victor Fernandes, President Fernandes Masonry 1031 Phillips Road New Bedford, MA 02745 Dear Mr. Fernandes: NORTH OE tt�ic q"1ti0 O F 9gSACH 5E� March 4, 2014 TEL (978) 688-9516 FAX (978) 688-9556 Enclosed please find the bid bond/deposit submitted with your proposal in response to the Invitation for Sub -Bids for `School Department Administration Building' issued by the Town of North Andover. The bid bond/deposit is being returned since the contract was awarded to another vendor. If you have any .questions and/or concerns, please call me. Enclosure Sincerely, 807 -� l �F`fJ-k Raymond T. Santilli Assistant Town Manager THE AMERICAN INSTITUTE OF ARCHITECTS AIA Docuinent A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we Fernandes Masonry, Inc. 1031 Phillips Road, New Bedford, MA 02745 as Principal, hereinafter called the Principal, and Travelers Casualty and Surety Company of America One Tower Square, Hartford, CT 06183 a corporation duly organized under the laws of State of CT as Surety, hereinafter called the Surety, are held and firmly bound unto Town of North Andover North Andover Town Hall, 120 Main Street, North Andover, MA 01845 as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Amount Bid Dollars ($ 5% ), 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, North Andover, MA 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 hereof, 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 21 st of January r (A (Wit ess) (Witness) , 2014 . Fernandes Masonry, Inc. (Principal) (Seal) (Title) AIA DOCUMENT A310 • BID BOND • AIA ® • FEBRUARY 1970 ED • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 TRAVELERS ) POWER OF ATTORNEY 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 Surety Bond No. Bid Bond OR Project Description: School Department Administration Building, North Andover, MA St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Principal: Fernandes Masonry, Inc. Obligee: Town of North Andover 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 Shelly Andrade of the City of East Greenwich , State of RI , their true and lawful Attorney -in -Fact, to sign, execute, seal and acknowledge the surety bond(s) referenced above. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 10th day of September, 2012. 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 United States Fidelity and Guaranty Company GASU& TY 1977 I SEAL b' '3 58dL�� F CCtx Q n T89G State of Connecticut City of Hartford ss. By: Robert L. Raney, Senior Vice President On this the 10th day of September, 2012, 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. In Witness Whereof, I hereunto set my hand and official seal My Commission expires the 30th day of June, 2016. ffle* Marie C. Tetreault, Notary Public W This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farrr, ing±on 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, 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 21st day of January 2014 Kevin E. Hughes, Assistant Secretary ? GI.cUA��L'iYl�1 a`*a ''rLs J'� .°rw�M1 Na• ••O. �i - OJA1146�9 o1`#i •'.ce2�. +°o tip 1977� T.Sn°EA�xI�,y Toverify.the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Att�rrtey-In-fact number, the above-named Individuals and the details of the bond to which the power Is attached. I I 7 School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 To All General Bidders Except those Excluded: 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 121V A-Soti of the specifications and in any plans specified in such section, prepared by Kan6 Associates, Inc. for the School Department Administration Building,North Andover, MA for the contract sum of: ONE t-VNQ= r;:t4nHPjFlyE TWUSANQ dollars ($ �� Lebo }. stX VuN(pt-ep For Alternate #1: Deduct $ ' dollars ($ 1 ). For Alternate #2: educt $ 920- 00 dollars ($ C-16INrV T11 /S 0V,6 ). For Alternate #3: S/x tfv�ViC >�p Deduct $ dollars ($ ). For Alternate #4: Deduct $ dollars ($ 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 use4bthefollowinciaeneral 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 D. The undersigned agrees that, if he is selected as sub -bidder, he will within five days, Saturdays, 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 (Do not give bid price for any class or part thereof furnished by undersigned.) 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: 1. Have been in business under present business name IV years. 2. Ever failed to complete any work awarded? 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. Building Architect . General Contractor Amount of Contract bG-4t 40kq (a) TAvhvrbw 1416ll b�44t lh 13AChN—AG�03T1Nj S_oa} off[) FORM OF SUB -BID - 2 School Department Administration Building North Andover, MA (b) (c) Kang Associates, I nc. January 2, 2014 4. Bank reference i L� iS� • I u�Q 1 2111 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. t 2 I Zvly a� Nhes Qs�►., y Date (Name of Sub -Bidder) By: Signature and Title of Person Signing Bid SUB -BIDDER'S CHECKLIST: Addenda Recognized Bid Deposit DCAM Certificate of Eligibility Sub -Bidder Update Statement Certificate of Corporate Bidder to 5 Bu iness A ress City and tate FORM OF SUB -BID - 3 School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER 1, bA--tD FeaNANDcs certify that I am the Gl Y�- of the corporation named as Bidder in the Bid Form, and that 1j1CTV12-- who signed the Bid Form on behalf of the Bidder was then the of said corporation and that I know his signature; t at 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 t'7.W(L Date CORPORATE BIDDER - 1 ,) CERTIFICATIONS CERTIFICATE OF NON -COLLUSION The undersigned certifies under penalties ofpellury 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, busnless, partnership, corporation, committee, union, club or other organization, entity, or group of individuals. Signature _ _. Date 1 TUt2 Print Name & Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (1)),1 y ► P>tb 1� I/1-��n/D S ,authorized signatory for fe gNANVrS f1pan / Alat;ie of individual Maine of Contractor I do hereby certify under the pains and penalties of perjury that said contractor has complied with all tares 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. I.2l • 2of� Signature Date CERTIFICATION LABOR HARMONY AND OSHA TRAINING REQ[�IREMENTS The undersigned certifies under penalties of perjury that he is able to furnish labor that can work in harruony 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. Signatt Vic,T-o2 KotVW0 3 l iNf Print Name & Title Date 1.7—t. zv14 ftV::va,NM Company Name CEWrIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the �eN sp 1`16 fPQ jY held on ZOO—it was VOTED, THAT (Name) (Officer) of N.S be and hereby is authorized to execute contracts and bonds in the name and on behalf of said F6- ,N8t �(1�3t�N� and affix its coiporate seal hereto; and such execution of any contract or obligation in the name of �WNRIYpo MA-. !t%" oil its behalf by such officer Wunder seal of VC-41!-NANt S NLZ-y . shall be valid and binding upon • ZON I hereby certify that I am the clerk of the above named V4W-t4AlNW M%►�tlt J aind thatyIMr?- ftYA& ill' S is the daily elected officer as above of said fl!�§jNLZ-Y and that the above vote has not been amended or rescinded and remains in full force and effect as the date of this contract. AEON �. r1 ?igl (Date) Certification of tile 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 _2!�_ Massachusetts Business Corporation Non-profit Corporation Foreign (non -Massachusetts) Corporation >` President Clerk ofNA�I �gVrv�•/ (Name of Corporation) Kang Associates, Inc. January 2, 2014 whose principal office is located iv -21' '^ " ' do hereby certify that the above named Corporation ha 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 Jl�/V� , 20 Signature of responsible Corporate Officer FOREIGN CORP - 1. DEVAL L. PATRICK GOVERNOR TIMOTHY P. MURRAY LIEUTENANT GOVERNOR The Commonwealth of Massachusetts Executive Office for Administration and Finance Division of Capital Asset Management and Maintenance One Ashburton Place Boston, Massachusetts 02108 Tel: (617) 727-4050 Fax: (617) 727-5363 Filed Sub -Bid Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 1771 GLEN SHOR SECRETARY, ADMINISTRATION & FINANCE This Certificate Shall Be Used for Submitting Filed Sub -Bids Onlv CAROLE CORNELISON COMMISSIONER 1. CERTIFICATION PERIOD: This Certificate is valid from 8/22/2013 to 8/22/2014 2. CONTRACTOR'S NAME: Fernandes Masonry, Inc. 3. CONTRACTOR'S ADDRESS: 1031 Phillips Road, New Bedford, MA 02745 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 ❑Miscellaneous &Ornamental Iron ❑Terrazzo ❑ Electrical Work ❑ Lathing & Plastering ❑ Painting ❑ Tile ❑ Elevators ❑ Marble ❑ Plumbing ❑ Waterproofing, Damp ❑ Fire Protection Sprinkler Systems W Masonry Work ❑ Resilient Floors proofing, and Caulking ❑ Glass and Glazing ❑ Metal Windows ❑ Roofing & Flashing S. EVALUATIONS: Number of Projects Evaluated: 18 Average Project Evaluation Rating: 91 Number of Projects Below Passing Score: 0 5. SUPPLIER DIVERSITY OFFICE CERTIFICATION: Minority Owned Business Enterprise reya S. Bernstein, Deputy 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 May 16, 2012 .Mr. Victor Fernandes Fernandes Masonry, Inc, 1031 Phillips Road New Bedford, MA 02745 Dear Mr., Fernandes: THE C0W,.4WEAITH OF MASSACHUSEITS Execufive`Office for Administration and Finance OPERATIONAL SERVICES,DIVISION One Ashburton Place, Suite 1017 Boston, MA 02108-1552 Deval L. Patrick Governor Thoth ' P: Page 2 5) A notarized: statement that indicates either "A or B as.referenced below, A. "1 certify under the pains and penalties of perjury that (insert your Company Name) has not received any contract(s) 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 contract(s) 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 SDO renewal:" 6) A notarized statement that indicates: "I certify under the pains and penalties of perjury that (Insert your Company Name) has (number) of employees for each year end given; include owner(s)," 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 ovirnecship;.control;.investrnen; ongoing or- independenee `may=be considered material. Failure to abide by the continuing duty requirements -shall constitute grounds for the business entity's decertification. 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 anddocumentation to SDO no iater than forty-five (45) business days prior to the date of certification expiration (i.e.., the recertification date):. At that time; a certification specialist . Mill 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 certification 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. During he period of your certification, if you have any furtherer#torts reaardarig:.your_ certification renewal., ---. -`p1 a e dire there tb Ms. Neem D. White-_ Specialist, at (617) 502-8852, Very truly yours, Reginald A. Nunnally Executive Director 0KRAVORAL SERVIC, ESS DIVIS40INI SOPPMONIMIMOFFICE Reginald Nunrially Executive Director October 17, 2013 Mr. Victor Fernandes Fernandes Masonry, Inc. 1031 Phillip! Road New Bedford, MA 0274.5 Dear Mr. Fernandes: Deval L. Patrick Governor Glen Shor Secretary Gary J. Lambert Assistant Secretary for Operational Services 'Corib-latulations!. The Supplier Diversity Office (SDO), onbehalf of the Massachusetts Unified, Certification Program- (MassUCP)., is pleased to notify you we. have renewed your company as a disadvantaged business. enterprise -(C315,E). Your company continues to be assigned NAICS Code(s) 238140 with the certified business description of MASONRY SUBCONTRACTOR: FULL SERVICES TO INCLUDE ., �BLOCK, BRICK AND STONE, and WW'remain listed . in our certified business directory. This letter serves as sole and exelusive proof of your firm$ DOE certification, Asa DBE, you must inform SDO in writing of any change in circumstances affecting your ability to meet size, disadvantaged status, ownership, control requirements dy On en s any material change in the information , .provided in your application form. Changes in management rei.pomibility among members of a limited _1 liability company are covered by this requirement. You must attach supporting documentation describing in detail the nature of such changes. The notice mist take the form of an affidavit sworn to b authorized y the owners: of the: firm before: a parson Who it authdri d.. try state: law to administer oaths or of an un -sworn declaration executed under penalty of perjury of the laws of the United States. You must provide the written notification within 36 days ofthe occurrence of the change. If you fail to make timely notification of such, a change, ,you will be deemed to have failed to cooperate under 49 CFR 26.109(c). To renew your firm's DBE certification and if it continues to meet the applicable criteria, on or before your firm's certification anniversary date of October 21.1, 26141 and each year thereafter, please send SDO the following , documents: (1) Notarized originals of No ChangeAffidavit (2) 'A §WMd copy of your company's; and all of its affiliates!, and, attachments for theyearns) indicated. (3). Asigned copy of your Personal Tax Returns www.tmass.9"Osid TDD: (617) 72142-716 S. Tax Returns including all schedules FOX: (617) 502-8841 us on Twitter:' @Mass—MD (4) If a: sole proprietor, a - si�qped,copy of your: complete tax; return including the Schedule C. for years) indicated. (5) Ali I financial statements of your company ,for the year(s) indicated (6) A notarized statement of the number of full- and part-time employees (including owner) for each year ea: indicated. (7) Completed Personal Financial Statement and Statement of Disadvantage Forms. (see attached forms with instructions). (8) For.out.of state companies, please provide a copy of your most recent certification letter from your home state. If you have changed your company name or address, :please: notify Ms. Nedra D. White, in writing on the company's letterhead in order to: update your state vendor file. 'SDO-reserves. the -right -10: monitor,, perform random sootohecks..,: re-evaluate the firrnr or''revoke the firm's certification if it no longer meets the certification criteria. During the period of your certification, if you have further questions regarding annual reviews, please contact. Ms. Nedra D. White, Director of Certification, at (617) 502-8852. Very truly yours, Reginald A. Nunnally Executive Director