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HomeMy WebLinkAboutContract #: 004968 - From: To: - Exception - ExceptionSchool Department Administration Building North Andover, MA FORM OF SUB -BID To All General Bidders Except those Excluded: 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 Division 21 Fire Suppression 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: Seventy Five Thousand dollars ($ 75,000.00 ) For Alternate #1: Deduct $ dollars ($ ) For Alternate #2: Add/ Deduct $ dollars ($ ) For Alternate #3: Deduct $ dollars ($ ) For Alternate #4: Deduct $ Seventy Five Thousanddollars ($ 75, 000.00 ) For Alternate #5: Deduct $ dollars ($ ) B. This sub -bid includes addenda numbered One 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 North Andover, MA Kang Associates, Inc. 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 N/A 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 2 8 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 (a)CHA Lincoln Way TMP Architect . General Contractor Dimeo Const FORM OF SUB -BID - 2 Amount of Contract _$539,100.00 School Department Administration Building North Andover, MA (b)Franklin HS (c)Hingham MS 4. Bank reference Griffith & Vary Agostini Const Kang Associates, Inc. January 2, 2014 916,000.00 Griffith & Vary Brait Buidlers $165,000.00 TD Bank 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. 1/21/14 Encore Fire Protection/DBA Fire Suppression System: Date (Name of Sub -Bidder) SUB -BIDDER'S CHECKLIST: x Addenda Recognized x Bid Deposit x DCAM Certificate of Eligibility x Sub -Bidder Update Statement x Certificate of Corporate Bidder By: -- Signature a -n Title of Person Signing Bid ` C 70 Bacon Street _ Business Address Pawtucket, R.I. 02860 City and State FORM OF SUB -BID - 3 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 '/. Date 1/21/14 1. Crfris Johnson VAP Encore Fire Protection/DBA Fire Suppression Syster< Print Name & Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I Encore Fire Protection/DBA Fire Chris Johnson VP , authorized signatory for 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. Suppression Syste 1/21/14 Date CERTIFICATE OF VOTE At a duly authorized meeting the Board of Directors of the Encore Fire Protection held on 1/16/14 it was VOTED, THAT Chris Johnson (Name) Vice President (Officer) of Encore Fire Protectidae and hereby is authorized to execute contracts and bonds in the name and on behalf of said Corporation , and affix its corporate seal hereto; and such execution of any contract or obligation in the name of Encore Fire Proectct6ion its behalf by such officer under seal of Encore Fire Protectiqshall be valid and binding upon I hereby certify that I am the clerk of the above named Corporation and that Chris Johnson VP is the duly elected officer as above of said Coproration , and that the above vote has not been amended or rescinded and remains in full force and effect as the date of 1/21/14 (Date) Certification of the Corporate Clerk Jeremy 'Co or erk) School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER Jeremy O'Connor certify that I am the CEO of the corporation named as Bidder in the Bid Form, and that Chris Johnson VP who signed the Bid Form on behalf of the Bidder was then the Vice President of said corporation and that I know his signature; that his signature thereto is genuine and that the Bid Form was duly signed, sealed and executed for and in behalf of said corporation by authority of its governing body. Encore Fire Protection/DBA Fire Suppression Systems Corporate Seal Date CORPORATE BIDDER - 1 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 X Foreign (non -Massachusetts) Corporation Chris Johnson Kang Associates, Inc. January 2, 2014 Vice President Clerk of Encore Fire Protection/DBA Fire Suppression SystE (Name of Corporation) whose principal office is located 70 Bacon St. Pawtucket, R.I. 02860 do hereby certify that the above named Corporation has filed with the State Secretary all certificates and annual reports required by Chapter 1568, 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 21st day of January 20 14 Signature of responsible Corporate Officer - z, FOREIGN CORP - 1 A The C7nrr oml erllth of 'Alassachuseits 4 t'`S f1hG'C.'ll/11�C' Qf flL:'C? f01" riC�1111111Si7"ClPlr)11 CI!'1C�"It7C7i1C'L' . ivi,S7071 (inn M(dnlG'-nance i 0/w .9slthurtr.�tr f'lrrcEc ,._. DEVAI. L. PATRICK la'ta.tilon, HassuchuSetts 02108 GLEN SHOR GOVERNOR Tel: (017) 727-4050 SECRETARY, ADMINISTRATION & FINANCE 1'ax (617) 727-5363 TIMOTHY P. MURRAY CAROLE CORNELISON LIEUTENANT GOVERNOR COMMISSIONER Filed Sub -Bid Certificate of: Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 2574 This Certificate Shall lie Used for Submitting) Filed Sub -rids Onix 1. CERTIFICATION PERIOD: This Certificate is valid from 8/19/2013 to 8/19/2014 2. CONTRACTOR'S NAME: Encore Holdings, LLC d/b/a Fire Suppression Systems 3. CONTRACTOR'S ADDRESS: 70 :Bacon Street, Pawtucket, RI 02860 4. WORK CATEGORIES: this Contractor is certifiecl to file bids under Nlassachusetts General Laws Chapter 149, S. EVALUATIONS: Number of Projects 1.valuated: 3 Average Project Evaluation Platin„: 93 Number of Projects Below Passing Scure: 0 6. SUPPLI DI SITY F10E CERTIFICATION: N/A r iJ an GrigYo(inellson, eneral Counsel, Approvil Date for Carole J 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. )r, Reviewer's Initials �J Chapter 149A and Chapter 25A in the Following checiced.Categories of Work: Acou.slit.+l T'itc 11% AC sMisceltanecnis& Urnssmental ]run TUTazzo Eleetrival Work 1 -tithing & Pla_�tcring fainting Tile EleNatori Marble Plurnbing «ratcrrruatin, T)atnp d Fire Protection Sprinkler Systerns Masonry Wort: Resilient Floors > I ')ruofinF and C wikiong Glass and Glazing Metal Windows Roaring & Flashing S. EVALUATIONS: Number of Projects 1.valuated: 3 Average Project Evaluation Platin„: 93 Number of Projects Below Passing Scure: 0 6. SUPPLI DI SITY F10E CERTIFICATION: N/A r iJ an GrigYo(inellson, eneral Counsel, Approvil Date for Carole J 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. )r, Reviewer's Initials �J THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, that we Encore Holdings LLC, dba Fire Suppression Systems 70 Bacon Street, Pawtucket, RI 02860 as Principal, hereinafter called the Principal, and CorePointe Insurance Company 401 S. Old Woodward Ave., Suite 300, Birmingham MI 48009 a corporation duly organized under the laws of State of �AI 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 Furnish and Install Sprinkler System in New Administration Building NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution 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 21s of January 2014 Encore Holdings LLC, dba Fire Suppression Systems P ncipal) Se2l1 (Witness) BY: CorePointe Insuranc (Title) (Seal) (Witness) IM Shelly (Title) Attorney -in -Fact AIA DOCUMENT A310 • BID BOND • AIA 0 • FEBRUARY 1970 ED • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 POWER OF ATTORNEY COREPOINTE INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS, that COREPOINTE INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Michigan, having its principal office at 401 S. Old Woodward Ave, Suite 300, Birmingham, Michigan, has made, constituted and appointed, and does by these presents make, constitute and appoint: William Hertel Shelly Andrade Kevin Racine Joan Mailhot Jim Mastors its true and lawful Attorney -in -Fact, to sign its name as surety as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifteen Million and 00/100 Dollars ($15,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Michigan, without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following resolutions, which were duly and validly adopted at a meeting of the Board of Directors of the Company held on December 6, 2012: RESOLVED, that all bonds, undertakings, powers of attorney, and other instruments for and on behalf of the Company which it is authorized to execute, may be executed in the name and on behalf of the Company by the Chairman of the Board or the President, jointly with the Secretary or an Assistant Secretary, under their respective designations, except that any one or more officers or attorneys -in -fact designated in any resolution of the Board of Directors, or in any power of attorney executed as provided for in these resolutions, may execute any such bond, undertaking, or other instrument as provided in such resolution or power of attorney. IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 22nd day of May, 2013. CorePoint ranee Co/fmpan (Seal) By . �V Jame Haan Its President STATE OF MICHIGAN ) ) ss: COUNTY OF OAKLAND ) Attest: By � rL� Thomas J. O'Brien Its Secretary Sworn to before me, a Notary Public in the State of Michigan, this 22nd day of May, 20 to be the President, and t he 37ccrctary, respeclve!y, of CorePointe Insurance Compaq. / (Seal) Thomas J. O'Brien who swore Mark l elia Notary Public, Itate of Michigan My Commission Expires February 21, 2015 I, the undersigned, Assistant Secretary of COREPOINTE INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and seal of the Company, this- X qday of '��U (Seal) Steven Coward EFFECTIVE MARCH 30, 2010 Commonwealth of Massachusetts Division of Capital Asset Management 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 ids: 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. 1/21/14 Encore Fire Protection/DBA Fire Suppression Systems Bid Date Print Name of Sub -bidder or Trade Contractor chool Dept. Administration Building Project Number (or name if no number) Town of North Andover Awarding Authority SIGNATURE* 70 Bacon St.Pawtucket,R.I. 02860 Business Address 401-723-7301 Telephon >'i er Bidder's Autrized ,Representativd 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 A&t PUBLIC CONTRACTING. 9 This Sub -Bidder. Update Statement must include all requested Infonnation 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 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 ($17) 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, §440, provided the sub -bidder promptly corrects those mistakes or omissions upon request of the awarding authority. [810 CMR 8.13(1)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)). Page 2 of 10 CL W U Z , �m w� I-� p UJ UJ J � �Z �W Om UQ co � =O �o LL Z �F- 0X OW } H 1. O Z O to 2(D of, >. oZ 0 oV LU W Oo H2 Ur LLI OO R• � Q0 � L LL >Ow CL 0 0ULL' Qn.¢ U L LL aC)W WV Q0W J F- OCl 0 w O c ¢a 0 ri O ri r♦ u1 N W L) I M I N N I I 1.11 O v cq w d �.. 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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 X any officer, partner or principal of your firm been an officer, partner or principal of another firm that was terminated or failed to coplde aproject? 2. Has your firm failed or refused either to perform or complete any of its work under L1 x any contract 2rior to substantial coin letion? 3. Has your firm failed or refused to complete any punch list work under any contract? 4. Has your firm filed for bankruptcy, or has any officer, principal or individual with a financial interest in your current firm been an officer, principal or individual with a financial interest in another firm that filed for bankruptcy? 5. Has your surety taken over or been asked to complete any of your work under any Li D contract? 6. Has a payment or performance bond been invoked against your current firm, or has any officer, principal or individual with a financial interest in your current firm been an officer, principal or individual with a financial interest in another firm that had a payment or performance bond invoked? 7. Has your surety made- payment to a materials supplier or other party under your a ent bond on any contract? 8. Has any subcontractor filed a demand for direct payment with an awarding authority EJ fora public project on any of your contracts? 9. Have any of your subcontractors or suppliers filed litigation to enforce a mechanic's lien against property in connection with work performed or materials supplied under any of your contracts? 10. Have there been any deaths of an employee or others occurring in connection with El D my of your 2rojects9 11. Has any employee oz other person suffered an injury in connection with any of your projects resulting in their inability to return to work for a period in excess of one ear? Division of Capital Asset Management Page 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 �] 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 rX7 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 Iimited to, any of the following offenses: fraud, graft, embezzlement, forge ,. bribery, falsification or destruction of records, or receipt of stolen roe ? 3. Have any judicial or administrative *proceedings involving your firm or a principal x 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 El B or officer or anyone with a financial interest in your firm been brought, concluded, or settled relatinE to a violation of M.G.L. Chapter 268A, the State Ethics Law? Division of Capital Asset Management Page 8 of to Sub -bidder Update Statement Effective March 30, 2010 PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued) xrV Q Mn 1\V 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, unemployment compensation, minimum wages, prevailing wages, overtime pay, e uaI py, child labor or worker's com enation? 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 em to ent? 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 contractin ? 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 violations of any laws or regulations related to occupational health or safety? Note: this information mM 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 pqrolls on an publicprojects? 12. Other than previously reported in the above paragraphs of this Section I, have any ET 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 07 responsibility and integrity as a building contractor? Division of Capital Asset Management Page 9 of 10 Sub -bidder Update Statement Effective March 30, 2010 ,F. 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. NAME TITLE OR FUNCTION . Thomas O'Connor President Jeremy O'Connor Vice President Chris Johnson Vice President Operations. 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 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