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HomeMy WebLinkAboutContract #: 004759 - From: To: - Exception - ExceptionSchool Department Administration Building North Andover, MA FORM OF SUB -BID t Pcz:t.-J".n `Z' j J Kang Associates, Inc. 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 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: dollars ($ 2� R22 -) For Alternate #1: Deduct $��� "" —dollars ($ Odd ) For Alternate • /J� ` i BG/! 7��Qrls� Add/ Deduct ���� dollars ($ ) $ .� For Alternate #3: Deduct $ �iIM99 - dollars ($ 4!22 For Alternate #4: Deduct $� dollars ($ 657' �� ) For Alternate #5: Deduct $ Z-gr-�i� 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 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 years. 2. Ever failed to complete any work awarded? 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 (a) Architect General Contractor FORM OF SUB -BID - 2 Amount of Contract School Department Administration Building North Andover, MA (b) (c) 4. Bank reference Kang Associates, Inc. January 2, 2014 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 fumish 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. Date (Name of Sub -Bidder) B • � ,per ignature and Title of Person Signing Bid .2.2 Business Addr s -sem .r1,4 City and Sate SUB -BIDDER'S CHECKLIST: ----IL/Addenda Recognized Z/ Bid Deposit DCAM Certificate of Eligibility / Sub -Bidder Update Statement Certificate of Corporate Bidder FORM OF SUB -BID - 3 School Department Administration Building North Andover, MA CERTIFICATE OF CORPORATE BIDDER Kang Associates, Inc. January 2, 2014 certify that I am the of the corporation named as Bidder in the Bid Form, and that �1Z1� - 2ys� Z. who signed the Bid Form on behalf of the Bidder was then the of said corporation and that I know his signature; that his sig ature thereto is genuine and th t 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 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. Signature i�- Date � ZD/ yy Print Name & Title rompany Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I 1,4Z authorized signatory for ' Name of individual Name of contrac do hereby certify under the pains and penalties of perjury that said contractor has cbraplied 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 Date 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. Signatu -7- ..5 , Print Name & Title f Company Name 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 -Z President Clerk of (Name of Corporatio whose principal office is located do hereby certify that the above named Corporation has file the State Secreta all certificates and ry annual reports required by Chapter 156B, Section 109 (Business Corporation), by Chapter 181, Section 4 P2 (Foreign Corporation), or by Chapter 180, Section 26A (non-profit Corporation) of the Massachusetts General Laws. SIGNED UNDER THE PENALTIES OF PERJURY this moi' day of , 20 Signature of responsible Corporate Officer FOREIGN CORP - 1 CERTIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the held on� . 7 it was VOTED, THAT Z" 4 L (Name) (Officer of ' r and hereby is authorized to execute contracts and bonds in the name and on behalf of said and affix its corporate seal hereto; and such execution of any contract or obligation in the name of n its behalf by such officer under seal ofshall be validand binding upon I hereby certify that I am the clerk of the above named ol and that 1' ,.;�� �2s�, is the duly elected officer as above of said and that the above vote has not been amended or rescinded and remains in full force and effect as the date of this contract. (Date) Certification of the Corporate Clerk DEVAL L. PATRICK GOVERNOR TIMOTHY P. MURRAY LIEUTENANT GOVERNOR Ile 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: 2761 GLEN SHOR SECRETARY, ADMINISTRATION & FINANCE This Certificate Shall Be Used for Submitting Filed Sub -Bids Only CAROLE CORNELISON COMMISSIONER 1. CERTIFICATION PERIOD: This Certificate is valid from 10/16/2013 to 10/16/2014 2. CONTRACTOR'S NAME: JM's Painting Corp. 3. CONTRACTOR'S ADDRESS: 22 Washington Street, Dedham, MA 02026 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: _J Acoustical Tile a HVAC i ] Miscellaneous & Ornamental Iron ❑ Terrazzo I Electrical Work Lathing & Plastering 'i/, Painting Tile Elevators L Marble �7j Plumbing L 1 Waterproofing, Damp i i1 Fire Protection Sprinkler Systems [ ; Masonry Work ; Resilient Floors proofing, and Caulking Ell Glass and Glazing r't Metal Windows F1 Roofing & Flashing 5. EVALUATIONS: 6. SUPPLI NOTE TO CONTRACTORS: Number of Projects Evaluated: 6 Average Project Evaluation Rating: 94 Number of Projects Below Passing Score: 0 CERTIFICATION: N/A Yaran Gr gsb3; General Counsel, for Cargle J. Cornelison, Commissioner to I �— Approval Date Applications for Renewal of Contractor Eligibility are due no later than three months twun ro me expirarron vote or the certification Period shown above. failure to submit Completed Applications timel result in a gap in Certification or a lapse In Certif/cation altogether for your company. Reviewer's Initi s 1 r #AIA Document A31 0"- 1970 ;$°bond BY THESE PRESENTS, that we lrir insert foul narnt and addrras or kgat tint of Coistractor) JM's Painting Corp 22 Washington Street Dedham, MA 02026 . as P&Cj*'hff'eMdWedw the Principal, and (Rtrt insert, t l ad addressor Legal title of Surety) Philadelphia Indemn'dy.)nsurance Company 251 S. Fake Ave., Suite 366r, Pasadena, CA 91101' f `ander tba laws of the State of PA as Surety, hereinaf%r � �� a r.�portbon.. csl6ed thaa S11,00tyjit W*d &mly bound unto t rtn>d esu or legal Utk of OWWO Town of NoithAndover,, .'- . 1211 Main Street North Andover, MA 01845 AIMMO:S ANO DELETt M: The WOW of this doraarrtertt has added Wor g*m needed for its mnplotlm The author may atao have revised Ute 1110 Of tfte CO* AIA standard tarn. An AdOurn end De%liona Report that notes added krform *m as wag as ra wotta to the standard forth taA is evallaIM from the author and should toe reviewed. A ver" Bee In the tett marflir► of ft doaenartt indicates where the audw has added neeesswy irtfortrratiorr and where the autlW t= added to or deleted from Mtv oripinai AIA text. This dowmrmt two important legal asl ee,'be fr4W the Obliges, in the sum of (E ' ), fort the payment ofcorasquqneaL Cortsttsst tt with an j ta+elt.,ftd0* t9ta_made, the said P611cipal and the said Surety, bind attorney is arwoaped With reaped 'administrators. su0©tsSM and assigns, jointly and to its canptetjon or rttoctiliea>lon, vtttae , our le saljjr, firmly by #646019& ' Five Percent (5%) of the Total Amount Sid Not to Exceed Two Thousand Seven Hundred Eighty -Five and 001100 Dollars. ($2,785.00) -Bee P9tlstetpial submitted a bid for {8ere lastrt fall awei ed*+s and description of projta) x it 1to0I Department Administtation$uilduig, North Andover, MA Painting and.!qoating-Section 09.90100'.. 900A'T RE, if tb';0b%p, shall accqt the bid of the Principal and the ;. e sit boil o:il ah+�ttrx �pto a �, the Obligee in acrordnnce with the terms of r, the bidding of Contract ttdbli lud, aad-giv�xis as may be specified � in of such Contact giants with goad ander surety for the fti ftA performance in t ardnfunislmd in the prosecution tcot, Of the ea evertof to raw ankh Corntraet and glut such bond or bonds, if the Pancipai s W pato the Oblive ft diffmnc a not to excxed the penalty lureof a eaoount speCifiod in.said bid and such longer amount for which the ` �ttbli$ee'msy i"n`gclostfaith contract with arb dW party to perform the work covered by d bid, thm 4& u�on shall be null sad void, otherwise to remain in full force and effect. Cqn*k01 w and 1910 by Dmin Awo ANSI– f 0'fb, 'Ctte Ane un urs .d Ard�e. AU rtp� rasalvl� WAi11�1G: This AFA' Ooctrrrterrt Is trot c�ta by UAL cavtMo►n tslrr Bad Mt«m onei Trermss tieuutt d r�ptoduL + or atabibudon at drs Au► aoe4wAK B ony poHroe or It may rendt in ee,ow dVU era erlamal tseroatros. and *t# be t>�uad to the mWdit— Oxtent PCdk under urea Iaw. tuts dotxorwtt wM vmd'+ 5Y AIA S*nm et 1 Sa0A3 on oWln I X uredo Order NIL 100094t290_t whth 00e6 ort 3/12020' 0, and is not for male. (t 335385UOA) UMrMobs: 2649 PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St. Asaph's Rd., Suite 100 Bala Cynwyd. PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNiTY INSURANCE COMPANY (the Company), a corporation organized and Kelly existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Kevin R. Cathcart, Steven A, Swartz, Specht, Lorie Mandel, and Nicki Swartz, Michael Herranen and Thomas C. Buckner of the City of San Clemente, State of California its true and lawful Attorney(s) in fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof issued in the course of its business and to bind the Company thereby, in an amount not to exceed 55,000,000.00 This Power of Attorney is granted and is signed and scaled by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE. COMPANY at a meeting duly called the I' day of July, 2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attomey(s) in Fact and authorize the Attorney($) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove. at any time. any such Attorney -in -Fact and revoke the authority given. And, be it FtiRTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Powcr of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. TN TESTIN40NY WHEREOF. PHILADELPHIA TNDF,MNTTY IN SURANCF COMPANY HAS CAUSED THIS INSTRUMENT TO BE STONED AND iTS CORPORATE SEALTO BE AFFMD BY ITS AUTHORIZED OFFICE THIS 7"' DAY OF FEBRUARY 2013. (Seal) Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity insurance Company cding instrument, to me y known. and being On this 7" day of therein described oar 2013.tbefore ed officer the the PHILADELPHIA INDEr7tec Y INSURANCE COMPANY} that tthe seal affixed by said ns rument said at he i Corporate scat of said Company: that the said Corporate Seal and his signature were duly affixed. at= _P RAtii NotecY Pt� Ia�r�� Mar�2Q11 Notary Public: residing at: (Notary Seal) My commission expires: 16A14 k_- .... Bala Cygivyd. PA March 22 2016 PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that 1, Craig P. Keller, Executive Vice President, Chief Financial Officer and Secretary of the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this/ day of Craig P. Keller. Executive Vice President, Chief Financial Officer & Secretary SURANCE COMPANY PHILADELPHIA i. - INITY IN SiVW W d Wdgd dIJ3 20th dAy gi January , 2014 JM's Painting Corp (Seal) Philadelphia Indemnity insurance Company tow (Seal) ti Kevin R. Cathcart, Attorney -in -Fact • F . -ie. � .if. • t� i 'a s �b7 . A : 4, 3- . `U- I�y��Ay�y� ��yy iI@@�//•yya, yy��l,� / �// o IN3 and 1�y���The NNW4@n V*ftA,.dA AD:i�low IN*N .VftiVY WYmwlt I& Qt MG tl i.4.i10M43 Wvtra M under OrderND.i00M I �� On 311M end f�os. ftordwoufthof db AIX DoaW*K0rwyPWVW0l% n f Wwra . wft 55115 ) vi AM l (ice) UM NOW CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT :. STATE OF CALIFORNIA County of Orange On January 20 2014 before me, Lorie Mandel Notary Publ Here insert Name and Title of the Officer Date personally appeared Kevin R. Cathcart - Name(s� of Signer(si OPTIONAL Though the information below is not fraudulenremoval ired and reattalaw, it chment of thisrove form to anotherersons ydocumenon t. document and could prevent Description of Attached Document Title or Type of Document: Bid Bond Document Date: January 20 2014 _ Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signers Name: Kevin R. Cathcart ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General u Attorney in Fact ❑ Trustee C Guardian or Conservator ❑ Other: Signer Is Representing: Philadelphia Indemnity Insurance Company Number of Pages: Signer's Name. ❑ Individual ❑ Corporate Officer — Title(s) ❑ Partner -- ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RlG7kTtAU BPRINT iOF SI 'NER ; •• of z1,0 N3Uonzl Notary AS;i0oatr, 9"s.� be Soto Ave. P 0. sox 2aU • C ,asw,.r . CA 9t3,3 4a C2 • NVNJ,N Y onattJoiary.crg 11om' 5907 4jenrjer C..N Tclt-F oe t BG & ,_r who proved to me on the basis of satisfactory evidence to be the person(X) whose name(g) islga subscribed to the within instrument and acknowledged to me that her'9141909Y executed the same in his/)%W x authorized capacity*0. .. ..� ... --and LORIE MANDEL that by his/IX01 xsignature( ) on the instrument the person(w), or the entity upon behalf of which the person(ali A Cowl 1914573 {� NDrstrKIM -CALrMIA VI acted, executed the instrument. 0"M %?11r r .iDIc 2424, 2014 1 certify under PENALTY OF PERJURY under the laws of is trt.e the State of California that the foregoing paragraph and correct. Witness my hand pnd official seal. Signature Si g Place Notary Seal Abrnre Stgnawre of Notary Public OPTIONAL Though the information below is not fraudulenremoval ired and reattalaw, it chment of thisrove form to anotherersons ydocumenon t. document and could prevent Description of Attached Document Title or Type of Document: Bid Bond Document Date: January 20 2014 _ Signer(s) Other Than Named Above: None Capacity(ies) Claimed by Signer(s) Signers Name: Kevin R. Cathcart ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General u Attorney in Fact ❑ Trustee C Guardian or Conservator ❑ Other: Signer Is Representing: Philadelphia Indemnity Insurance Company Number of Pages: Signer's Name. ❑ Individual ❑ Corporate Officer — Title(s) ❑ Partner -- ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RlG7kTtAU BPRINT iOF SI 'NER ; •• of z1,0 N3Uonzl Notary AS;i0oatr, 9"s.� be Soto Ave. P 0. sox 2aU • C ,asw,.r . CA 9t3,3 4a C2 • NVNJ,N Y onattJoiary.crg 11om' 5907 4jenrjer C..N Tclt-F oe t BG & ,_r Z EFFECTIVE MARCH 30, 2010 Commonwealth of Massachusetts Division of Capital Asset Management SUB -BIDDER UPDATE STATEMENT TO ALL SUB-SIDDERS, 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. /t 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 complete as of the bid date. rwe-920-Z .1 20/y Bid Date Project Number (or name if no number) Awarding Authority SIGNATURE* Print Name of Business Address ctor 0" xw'of OZOZ� Telephone Nu r i er s AuirtHhorized Representative Division of Capital Asset Management Page 1 of 10 INSTRUCTIONS [NSTRUCTI4N5 TO SUB -BIDDERS This form must be completed and submitted by ail Filed Sub -Bidders bidding on projects pursuant to M.G.L. 149, §44F and Trade Contractors bidding on projectsc. 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/deam . 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 projected 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)). Correctionof Other Defects:iddAn awarding authority may, in its discretion, give a sub-ber 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.. 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CD N m r CA CD -, 0 0 m `v N1 0 a `l1 � o �o CD m ° tin °° O m `� m 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.]. 1. Has your firm been terminated on any contract prior to completing a project or has YEJ AU any officer, partner or principal of your firm been an officer, partner or principal of another fine that was terminated or failed to Complete a proiect9 2. Has your firm failed or refused either to perform or complete any of its work under ❑ any contract prior to substantial completion? 3. Has your fine failed or refused to complete any punch list work under any contract? ❑ 4. Has your firm filed for bankruptcy, or has any officer, principal or individual with a ❑ financial interest in your current finn been an officer, principal or individual with a financial interest in another firm that filed for bankruptcy? 5. Has your surety taken over or been asked to complete any of your work under any ❑ contract? 6. Has a payment or performance bond been invoked against your current firm, or has ❑ any officer, principal or individual with a financial interest in your current firm been an officer, principal or individual with a financial interest in another firm that had a payment or performancebond invoked? Wto 7. Has your surety made payment a materials supplier or other party under your ❑ CK payment bond on any contract? 8. Has any subcontractor filed a demand for direct payment with an awarding authority ❑ fora public project on any of your contracts? 9. Have any of your subcontractors or suppliers filed Iitigation to enforce a mechanic's ❑ lien against property in connection with work performed or materials supplied under any of your contracts? 14. Have there been any deaths of an employee or others occurring in connection with ❑ any of yourprojects? 11. Has any employee or other person suffered an injury in connection with any of your ❑ projects resulting in their inability to return to work for a period in excess of one yea'? Division of Capital Asset Management Page 7 of 10 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 "administrativeroceedin�" 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 interestin 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.). I. Have any civil, judicial or administrative proceedings involving your finn or a Y rnJ iV V ❑ principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to the procurement or performance of any construction contract, including but not limited to actions to obtain payment brought by subcontractors suppliers or others? 2. Have any criminal proceedings involving your firm or a principal or officer or ❑ anyone with a financial interest in your firm been brought, concluded, or settled relating to the procurement or performance of any construction contract including, but not limited to, any of the following offenses: fraud, graft, embezzlement, forgery, bribery, falsification or destruction of records, or receipt of stolen property? 3. Have any judicial or administrative proceedings involving your fine 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 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 258A, the State Ethics Law? Division of Capita! Asset Management Page 8 of to 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 YLb NU or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of any state or federal law regulating hours of labor, unemployment compensation, minimum wages, prevailing wages, overtime pay, equal pay, child labor or worker's compensation? 6. Have any judicial or administrative proceedings involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled relating to a violation of any state or federal law prohibiting discrimination in employment? 7. Have any judicial or administrative proceedings involving your fine or a principal ❑ or officer or anyone with a financial interest in your finn 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, debannent, or suspension of your finn or any principal or officer or anyone with a financial interest in your firm from public contractin ? 9. Have any judicial or administrative proceedings involving your firm or a principal or ❑ lei 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 finn been fined by OSHA or any other state or federal agency for ❑( violations of any laws or regulations related to occupational health or safety? Note: this information maybe obtained from OSHA's Web Site at www.oslia.gov 11. Has your firm been sanctioned for failure to achieve DBE/MBE/WBE goals, ❑ �� workforce oals, or failure to file certified payrolls on any publicprojects? 12. Other than previously reported in the above paragraphs of this Section I, have any ❑ D administrative proceedings or investigations involving your firm or a principal or officer or anyone with a financial interest in your firm been brought, concluded, or settled by any local, state or federal agency relating to the procurement or erfornance 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 S 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 R 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 J in 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 This 19`f' day of May, 201.1. By (signature): Print name: Iosifina Iosif Title or position: President SS. (co nty) (state) Before me; /V (e4 Lt , personally appeared and (notaryA�puc) known to me to be 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. (notary pffiblic signature) (print name My commission expires: f NANCY M PIERCE W" POk. cWO"O + d MUMkOb iy OW*dW 6*M&%h is, 2058 XX Upon completion of this Application and the two corresponding Excel Spreadsheets, save and email them to C`ertificationApplication.(Icama—o'.state.rnsa.us x 15 Al's Painting Corp 22 Washington Street Dedham. MA 02026 Phone: 781-381-012 7 Fax =: 781-381-016' May 18.2011 PAINTER SUPERVISORY PERSONNEL RESUME Mike Tampassidis Title : Managed all JM's Painting Corp Projects - 2007 -Present Cell number: 617-910-6320 PROFILE: A highly talented Painter with huge expere ce in performing skilled Painting work - applying paint solvents. sealants and caulk to wood,piaster, sheet rock. concrete and synthetic interior and external finishes involved in construction, maintenance, repair required to maintain facilities in safe and efficient condition. ABILITY TO: Operate and use variety of power tools and various sized and styles of forklift equipments skillfully and safely ; apply finishes to a wide variety of surfaces : estimate time and materials required on widely varied assignments ; keep computerized records and prepare reports ; perform heavy physical labor : coordinate work flow for multiple projects ; read, comprehend. and work ft-om plans and blueprints : train and direct the work of others: follow and give oral and lvritten instructions; maintain cooperative working relationships: demonstrate sensitivity to, and respect for a diverse population. KNOWLEDGE OF: Residential and Commercialf'Industrial practices and processes of the painting. trade; paints. varnishes. paint removers; and related materials and of their properties and application. applicable code requirements.- methods equirements:methods and practices followed in the maintenance of tools. machinery, and equipment. occupational hazards of the painting trade and precautionary measures to be observed. SKILLS: More than fifteen years experience. Hardworking. Knowledge of tools and equipments used in painting. Krimviedge of chemicals and color combinations. Extensive skill in applying coatings and,'or caulking and completing repairs to exterior and interior surfaces. Excellent ability to maintain physical condition appropriate to the performance of assigned duties and responsibilities. Profound ability to communicate with others and to assimilate and understand information. in a manner consistent with the essential job functions. Proven ability hand and power tools applicable to the trade. Enviable skill in wood surface preparation. staining. and/or sealing techniques. High School Diploma. Trained new employees and monitored their performance during probationary period. DUTIES AND RESPONSIBILITIES: 1. Maria cements and supervisory the scope of the "ork to the most JM's Painting, Corp Projects. 2. Inspect work sites to take dimensions. la}out work. and estimates time and materials required. 3. Cleans and prepares surfaces to be painted by use of sandpaper. steel wool. scraper. or soap and eater. DUTIES AND RESPONSIBILITIES: 1. Supervising all projects. 2. Maintaining files. 3. Handling incoming and outgoing calls. 4. Preparing bidding documents; certificates of payroll reports ; invoices and other related documents. S.Researches, purchases materials. 6. General correspondence. i. Responds to routines and emergency cal is for repairs and services. S.Updating and reporting of the details of each project. 9. Maintain appointment calendar. conferences and meetings. 10.Performed other general duties . such as phone coverage, photocopying. fazing. and mail distribution. JM's Painting Corp 22 Washington Street Dedham. MA 02026 Phone �: 781-381-0127 Fax 781-381-0164 PRINCIPAL PERSONNEL RESUMES Date : May IS.. 2011 Iosifina losif 22 Washington Street Dedham. MA 02026 Phone -: 781-381-0127 E-mail Title : Principal of JM's Painting Corp - 2007 - present JIM's Painting. Corp is High end Residential and Commercial Painting Company specializing in the interior/exterior painting, plastering, taping. skirn coating, and the proper application of surface finishes. Working under strict time schedules and with the attention to detail was aicn a\s the main focus on our projects. PROFILE: Dynamic and creative professional seeks position in the construct ion "coati ngs industry. Consistently demonstrated ability to lead as well as function as team member.. perform under stress and within strict time frames. well -organized, personable, highly motivated self- starter. Special talent for using innovative and resourceful methods in problems solving. gine management and scheduling. Dependable, enthusiastic worker with more than four years of experience. dedicated to achieving high quaint results. ABILITY TO : In - depth ability to make sound decisions in a manner consistent with the essential job functions : estimate time and materials required on widely varied assignments : keep computerized records ; read. comprehend, and work from plans and blueprints; follow and ;ive oral and written instructions: maintain cooperative working relationships ; review and analysis of project specifications and."or plans ; Offers assistance and advice on materials ; ability to prepare construction documents. bidding. negotiations. material purchasing. scheduling. project budget. project development and quality control: Demonstrated ability to plan work schedules and assign duties. SKILLS: * Accuracy - attention to detail. More than 4 years experience. Hardworking. Ability to carry out problem assessment and; solving. r Excellent management and organizational sills. * Unquestionable ability to read, understand. follow and enforced safety procedures. Reliabilitv, sincere. Stress tolerate. Proficiency communication and computer skills. Maintained office scheduling and event calendars. r Good analytical, logical and mathematical skills. In depth knowledge of material quality and material cost. University graduation. 4. Repairs surfaces to be painted including lalastering and sheetrock finisl;1110. 5. Applied undercoats and finish coatings of paint using brushes. rollers or sprax gun. b. Maintain working area clean from impurities that can hinder the cork and «et paint. 7. Used warning signs on wet surface to prevent external contact on wet paint. 8. Informed Principal daily of the process of the work. 9 -Performed other duties as assigned. Mike managed all works listed on the attached Section F. completed projects of.IM's Painting Corp: and 1 attached copies of the evaluation forms that I received from the A\ arding Authorities. Sincerely, Iosifina Iosif. President