HomeMy WebLinkAboutContract #: 005327 - From: To: - Exception - Exception41 1
'(e, PC ro-i-) r e -
School Department Administration Building Kang Associates, Inc.
North Andover, MA January 2, 2014
FORM OF SUB -BID
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
Division 23 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: -7
`{`w<^�l Stvtn ►vv dollars ($ 100c )
For Alternate #1:
B.
C.
Deduct $ N/A
For Alternate #2:
Add/
Deduct $
N/A
For Alternate #3:
Deduct $
N/A
For Alternate #4:
N/A
Deduct $
For Alternate #5:
N/A
Deduct $
This sub -bid includes addenda numbered 1
This sub -bid
❑ may be used by any general bidder except:
dollars ($ N/A )
dollars ($ N/A )
dollars ($ N/A
dollars ($ N/A
dollars ($
❑ may only be used by the following general bidders:
N/A
(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
AV%%d1(&& S ku� MG I
Class of Work
Bid Price
YGI+ Ae'-&l d ��o
j0 4, ( ��P��M(1� C �an'r�b IS 50.000
(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 27 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
(a) Dorchester Collegiate Kang Assoc. Federal Const. $392,000
FORM OF SUB -BID - 2
School Department Administration Building
North Andover, MA
N
(c)
4. Bank reference Reading Co—operative Bank
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 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.
January 20, 2014 Ambient Temperature Corporation
Date (Name of Sub -Bidder)
SUB -BIDDER'S CHECKLIST:
✓ Addenda Recognized
✓ Bid Deposit
DCAM Certificate of Eligibility
Sub -Bidder Update Statement
✓ Certificate of Corporate Bidder
By:
Signature Ad Title
11 River Street
Business Address
Middleton, MA 01949
City and State
FORM OF SUB -BID - 3
of Person Signing Bid (Russell H Stiles)
President
School Department Administration Building
North Andover, MA
Danielle Hartley
Clerk
Bid Form, and that
CERTIFICATE OF CORPORATE BIDDER
Russell H. Stiles
Kang Associates, Inc.
January 2, 2014
certify that I am the
of the corporation named as Bidder in the
who signed the Bid Form on
behalf of the Bidder was then the President of said
corporation and that I know his signature; that his signature thereto is genuine and that the Bid Form was
duly signed, sealed and executed for and in behalf of said corporation by authority of its governing body.
January 20, 2014
Date
CORPORATE BIDDER - 1
United Casualty and Surety Insurance Company
BID BOND Bond No: UC18659
KNOW ALL MEN BY THESE PRESENTS, that we
11 RIVER STREET SUITE 3
MIDDLETON MA 01949
AMBIENT TEMPERATURE CORPORATION
as Principal, hereinafter called the Principal, and UNITED CASUALTY AND SURETY INSURANCE COMPANY of
1250 Hancock Street, Suite 803N, Quincy, Massachusetts 02169, a corporation duly organized under the laws of the
State of Massachusetts as Surety, hereinafter called the Surety, are held and firmly bound unto
TOWN OF NORTH ANDOVER
120 MAIN STREET
NORTH ANDOVER, MA 01845
as Obligee, hereinafter called the Obligee, in the sum of NOT TO EXCEED 5 % OF ATTACHED BID -----DOLLARS ($------)
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
NEW SCHOOL DEPARTMENT ADMINISTRATION BUILDING
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the
Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract
Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor
and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give
such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount
specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the
Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect.
Signed and sealed this 14th of January 2014
1 AMBIENT TEMPE P RATION
a l �
Witness
,`�1{lilll/JJ/
SURETY
{ LREIYINIP 141"
�IO�P�:
v.
Witness
:m_
Todd S. Carrigan ; v : Army-irfactb
O
Power No: UC18659
UNITED CASUALTY AND SURETY INSURANCE COMPANY
QUINCY, MASSACHUSETTS
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That UNITED CASUALTY AND SURETY INSURANCE COMPANY, a corporation of the Commonwealth of Massachusetts, does hereby
make, constitute and appoint
Todd S. Carrigan
its true and lawful Attorney -in -Fact, with full power and authority, for and on behalf ofthe Company as surety, to execute and deliver and affix the
seal ofthe Companythereto, if a seal is required, bonds, undertakings, reeogaizances, consents of surety or otherwritten obligations in the nature
thereof, as follows:
Any and all bonds, undertakings, recoguizances, consents of surety or other written obligations in the nature thereof
and to bind UNITED CASUALTY AND SURETY INSURANCE COMPANY, thereby, and all of the acts of said Attorney -in -Fact pursuant to
these presents, are hereby ratified and confirmed -
This power of attorney is signed and sealed by facsimile under and by authority of the following Resolutions adopted by the Board of Directors
of UNITED CASUALTYAND SURETY INSURANCE COMPANY at a meeting duly called and held on the I" day of July, 1993 which
Resolutions are now in full force and effect:
Resolved that the PresidcnC Treasurer, or Scmotary be and they are hereby audtoracd and empowered to appoint Attorneys -in -Fact of the Company, in its name and as its acts,
to execute and acknowledge for and on its behalf as surety any and all bonds, rec0gni2Mce, contracts of indemnity, waivers of citation and all other writings obligatory in the
nanuwhereof: with power to attach thereto the seal of the Company_ Any such writings so executed by such Attorneys -in -Fact shall be binding upon the Company as if they had been
duly executed and ado3aw1edged by the regularly elected officers of the Company in their own proper persons:
This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of
Directors of UNITED CASUALTYAND SURETY INSURANCE COMPANY, at a meeting duly called and held on the I" day of July, 1993:
That the signature ofany officer authorized by Resolutions of this Board and the Company seal may be affixed by facsimile to any power ofatromey or special power of aaomey or
certification of either given for the execution of any bond; undertaking, recognizance or other written obligation in the nature-thcrcof such signature and seal, when so wed bung
hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and
effect as though manually affixed-
IN
fhxcd
1N WITNESS WHEREOF, UNITED CASUALTY AND SURETY INSURANCE. COMPANY has caused these pWijtjiof
by its
proper officer and its corporate seal to be hereunto affixed this 14th day of July, 2010_ �� P�Q • /2 E��
A.,,.•CORP01��.
UNITED CAS U AND URETY INSURANCE COMPANY = •• y
AL •:rt,:
rn
Todd S_ Carrigan, Pre - = * - 1993
Commonwealth of Massachusetts, County of Su$olk ss: ��2 SACHUS aaR`
On this 14th day ofJuly in the year 2010 before me personally came Todd S. Carrigan tome known, who, being bY'm1J� }fit o • • ICId depose
and say_ that he resides in the Commonwealth of Massachusetts; that he is President of UNITED CASUALTYAND SURE1'INSURANCE
COMPANY, the corporation described in and which executed the above instrument; that he signed his name thereto by the above quoted
authority; that he knows the seal of said corporation; that said seat affixed to said instrument is such corporate seal, and that it was sa affixed by
authority of his office under the by-laws of said corporation
Caitlin L_ Flanagan
Notary Public
commonwealth of Massachusetts
My Commission Expires
*Nollubylic osr1412015
I, Timothy M_ Carrigan, Treasurer of UNITED_ CASUALTY AND SURETY INSURANCE COMPANY, certify that the foregoing power of
attorney, and the above quoted Resolutions of the Board of Directors of July 1, 1993 have not been abridged or revoked and are now in full
force and effect
Signed and sealed by its proper officer and its corporate seal to be hereunto affixed this day, 14th day of January, 2014
G
Timothy M_ Carrig , T asurer
TO CONFIRM AUTHENTICITY OF THIS BOND OR DOCUMENT CALL (800) 829-2663
6177278284 08:36:54 a.m. 01-21-2014 2/2
The Commonwealth of Massachusetts
Executive r7ff ce for Administration and Finance
Division of Capital Asset Management and Maintenance
011e Ashburton Place
DEVAL L. PATRICK Boston, Massachusetts 02108 GLEN SHOR
GOVERNOR Tel: (617) 727-4050 SECRETARY, ADMINISTRATION &
Fax: (617)727-5363 FINANCE
TIMOTHY P. MURRAY
LIEUTENANT GOVERNOR CAROLS CORNELISONCOMMISSIONER
Filed Sub -Bid
Certificate of Contractor Eligibility
CONTRACTOR IDENTIFICATION NUMBER: 2148
This Certificate_ Shall Be Used for Submitting Filed Sub -Bids Only
1. CERTIFICATION PERIOD: This Certificate is valid from 1/21/2014 to 1/21/2015
2. CONTRACTOR'S NAME:
Ambient Temperature Corporation
3. CONTRACTOR'S ADDRESS: 11 River Street, Suite #3, Middleton, MA 01949
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 W Plumbing ❑ Waterproofing, Damp
Fire Protection Sprinkler Systems
❑ Masonry Work ❑ Resilient Floors proofing, and Caulking
El Glass and Glazing
❑ Metal Windows ❑ Roofing & Flashing
S. EVALUATIONS: I Number of Projects Evaluated: 21
Average Project Evaluation Rating: 91
Number of Projects Below Passing Score: 0
6. SUPPLIER DIVERSITY OFFICE CERTIFMATION: N/A
ikeya S. Bernstein, Deputy General Counsel,
for Carole J. Cornelison, Commissioner
- I - /)- I / - L4
Approval Date
NOTE TO CONTRACTORS: Complete Applications for Renewal of Contractor Eligibility are due no later than three months
PRIOR to the Expiration Date of the Certification Period shown above. Failure to submit Completed Applicatlons timely may
result in a gap In Certification or a lapse In Certification altogether for your company.
Reviewer's Initials
EFFECTIVE MARCH 30, 2010
Commonwealth of Massachusetts
Division of Ca
ital 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 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.
January 21, 2014
Bid Date
School Dept. Admin Building
Project Name/No.
Town of North Andover
Awarding Authority
SIGNATURE*
Ambient Temperature Corporation
Print Name of Sub -bidder or Trade Contractor
11 River Street, Suite 3, Middleton MA. 01949
Business Address
978-646-0660
Telephone Nui
rized Representative
Division of Capital Asset Management Page 1 of 10
INSTRUCTIONS
INSTRUCTIONS TO SUB -BIDDERS
This form must be completed and submitted by all Filed
Sub -Bidders bidding on projects pursuant to M.G.L. c.
149, §44F and Trade Contractors bidding on projects
pursuant to M.G.L. c. 149A.
You must give complete and accurate answers to all
questions and provide all of the information requested.
MAKING A MATERIALLY FALSE STATEMENT IN THIS
SUB -BIDDER UPDATE STATEMENT IS GROUNDS
FOR REJECTING YOUR BID AND FOR DEBARRING
YOU FROM ALL PUBLIC CONTRACTING.
This Sub -Bidder Update Statement must include all
requested information that was not previously
reported on the Application used for your firm's
most recently issued (not extended or amended)
Sub -Bidder Certificate of Eligibility. The Sub -Bidder
Update Statement must cover the entire period since
the date of that Application, NOT since the date of
your Certification.
You must use this official form of Sub -bidder Update
Statement. Copies of this form may be obtained from
the awarding authority and from the DCAM Web Site:
www.mass.gov/dcam .
If additional space is needed, please copy the
appropriate page of this Sub -bidder Update Statement
and attach it as an additional sheet.
Division of Capital Asset Management
Sub -bidder Update Statement Effective March 30, 2010
INSTRUCTIONS TO AWARDING AUTHORITIES
Determination of Sub -Bidder Qualifications
It is the awarding authority's responsibility to determine
each responsible bidder. You must consider all of the
information in the bidder's Sub -bidder Update Statement
in making this determination. Remember: this
information was not available to the Division of Capital
Asset Management at the time of certification.
The sub -bidder's performance on the projects listed in
Parts 1 and 2 must be part of your review. Contact the
project references.
AWARDING AUTHORITIES ARE STRONGLY
ENCOURAGED TO REVIEW THE SUB -BIDDER'S
ENTIRE CERTIFICATION FILE AT THE DIVISION OF
CAPITAL ASSET MANAGEMENT. Telephone (617)
727-9320 for an appointment.
Correction of Errors and Omissions in Sub -bidder
Update Statements
Matters of Form: An awarding authority shall not reject a
sub -bidder's bid because there are mistakes or omissions of
form in the Sub -bidder Update Statement submitted with the
bid pursuant to M.G.L. c.149, §44D, provided the sub -bidder
promptly corrects those mistakes or omissions upon request
of the awarding authority. [810 CMR 8.13(1)].
Correction of Other Defects: An awarding authority may, in
its discretion, give a sub -bidder notice of minor defects and
omissions as to form in the Sub -bidder's Update Statement
and provide an opportunity to correct its Sub -bidder Update
Statement. However, the sub -bidder shall not be allowed to
make corrections to a Sub -bidder Update Statement if
material information about the sub -bidder was omitted from
the Sub -bidder Update Statement filed with the sub -bidder's
bid. The Awarding Authority shall advise DCAM of any
material omissions in a Sub -bidder's Update Statement..
[810 CMR 8.13(2)].
Page 2 of 10
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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.].
YES NO
1.
Has your firm been terminated on any contract prior to completing a project or has
❑
any officer, partner or principal of your firm been an officer, partner or principal of
another firm that was terminated or failed to complete a project?
2.
Has your firm failed or refused either to perform or complete any of its work under
❑
any contract prior to substantial completion?
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
❑
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 parry under your
❑
payment bond on any contract?
8.
Has any subcontractor filed a demand for direct payment with an awarding authority
❑
for a public project on any of your contracts?
9.
Have any of your subcontractors or suppliers filed litigation to enforce a mechanic's
❑
lien against property in connection with work performed or materials supplied
under any of your contracts?
10.
Have there been any deaths of an employee or others occurring in connection with
❑
any of your projects?
11.
Has any employee or other person suffered an injury in connection with any of your
❑ ❑
projects resulting in their inability to return to work for a period in excess of one
year?
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
❑
anyone with a financial interest in your firm been brought, concluded, or settled
relating to the procurement or performance of any construction contract including,
but not limited to, any of the following offenses: fraud, graft, embezzlement,
forgery, bribery, falsification or destruction of records, or receipt of stolen property?
3. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of any state's or federal procurement laws arising
out of the submission of bids or proposals?
4. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of M.G.L. Chapter 268A, the State Ethics Law?
Division of Capital Asset Management Page 8 of 10
Sub -bidder Update Statement Effective March 30, 2010
PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued)
5. Have any judicial or administrative proceedings involving your firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a violation of any state or federal law regulating hours of labor,
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 firm or a principal
❑
or officer or anyone with a financial interest in your firm been brought, concluded,
or settled relating to a claim of repeated or aggravated violation of any state or
federal law regulating labor relations?
8. Have any proceedings by a municipal, state, or federal agency been brought,
❑
concluded, or settled relating to decertification, debarment, or suspension of your
firm or any principal or officer or anyone with a financial interest in your firm from
public contracting?
9. Have any judicial or administrative proceedings involving your firm or a principal or
❑
officer or anyone with a financial interest in your firm been brought, concluded, or
settled relating to a violation of state or federal law regulating the environment?
10. Has your firm been fined by OSHA or any other state or federal agency for
® ❑
violations of any laws or regulations related to occupational health or safety? Note:
this information may be obtained from OSHA's Web Site at www.osha.gov
11. Has your firm been sanctioned for failure to achieve DBE/MBE/WBE goals,
❑
workforce goals, or failure to file certified payrolls on any public projects?
12. Other than previously reported in the above paragraphs of this Section I, have any
❑
administrative proceedings or investigations involving your firm or a principal or
officer or anyone with a financial interest in your firm been brought, concluded, or
settled by any local, state or federal agency relating to the procurement or
performance of any construction contract?
13. Are there any other issues that you are aware which may affect your firm's
❑
responsibility and integrity as a building contractor?
Division of Capital Asset Management Page 9 of 10
Sub -bidder Update Statement Effective March 30, 2010
U.S. department of Labor Inspection Number: 315871863
Occupational Safety and Health Administration Inspection Dates: 09/27/2011-09/27/2011 4
Issuance Date: IO!11/2011
F
Citation and Notification of Penalty
Company Name: Ambient Temperature Corp
Inspection Site: 600 Suffolk Street, Lowell; MA 01854
The alleged violations below have been grouped because they involve
similar or related hazards that may increase the potential for injury
resulting from an accident,
Citation 1 Item ]a Type of Violation: Serious
29 CFR 1926.350(a)(7): A suitable cylinder truck, chain, or other steadying device was not used to keep
compressed gas cylinder(s) frorn being knocked over while in use:
(a) Location - 600 Suffolk Street, Lowell, MA:
On or about 09/27/2011, the employer did not provide a cart or other steadying device for employees to
use while utilizing an acetylene gas cylinder.
Date By Which Violation Must be Abated: Corrected During Inspection
Proposed Penalty: $ 3300.00
See pages t through 4 of this Citation and Notification of Penalty for inforinanon on employer and employee rtghis and responsibilities.
Citation and Notification of Penalty Page 6 of 7 0SHA-2 (Rev 9'93)
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
Russell H. Stiles
President
Dan Simard
Project Manager
David Wilcox
Project Manager
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
ATCO
Management
Russell Stiles — Owner, President
Graduated North Reading High School 1982
Graduated Dean Junior College 1982-1984
Sheet Metal Mechanic — Hall Sheet Metal Works Inc. 1984-1988
Estimator -Project Mgr. — Hall Sheet Metal Works Inc. 1988-1994
Vice -President —Ambient Temperature Div. 1994-2000
President — Ambient Temperature Corp. 2000 -Present
Cathleen J. Young — Treasurer
Graduated North Reading High School 1987
Graduated University of N.H. 1987-1991
Master's Degree from Northeastern University 1991-1992
Accounting — Moynihan Lumber Co. 1992-1995
Comptroller — Ambient Temperature Corp. 1995 -Present
Danielle Hartley — Clerk
Graduated Acton-Boxboro Regional High School 1995
Graduated Emerson College 1999
Production Coordinator — MTV Networks 1999-2000
Production Coordinator — Global Television Network 2000-2001
Post Production Coordinator — Finish Editorial 2001-2003
Bookkeeper — Ambient Temperature Corporation 2003 -Present
Daniel Simard — Project Manager
Graduated Andover High School
1961
Wentworth Institute
1961-1962
40 + Years experience HVAC Trade
Most recent experience
E.A. Berman, Service Manager
1975-1980
J.C. Higgins Service, Tech
1997-2001
Bay State Mechanical, Tech
2001
Project Manager — Ambient Temperature Corp.
2002 -Present
11 River Street, # 3 Middleton, MA 01949 - Phone: 978-646-0660 - Fax: 978-646-0661
ATCO
AM131ENT TEMPERATURE CORPORATION
David Wilcox — Project Manager
Graduated Greater Lowell Technical High School
25+ Years experience HVAC Trade
Winchester Mechanical, Project Manager/Sales
Limbach Company, Project Manager
Corporate Mechanical, Project Manager
Mechanical Constr. Services, Project Manager/Estimator
Ambient Temperature Corporation
•:.
1997-2007
2007-2009
2009-2010
2010-2012
2012 -Present
11 River Street, # 3 Middleton, MA 01949 - Phone: 978-646-0660 - Fax: 978-646-0661
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