HomeMy WebLinkAboutContract #: 005350 - From: To: - Exception - ExceptionP-77
School Department Administration Building
North Andover, MA
Kang Associates, Inc.
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
WV,?(- Sc° B oN A30000 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:
7616ollars ($ J 2 9� ow ).
For Alternate #1:
Deduct $ Lc/G
For Alternate #2:
Add/ Ze/D
Deduct $
For Alternate #3:
Deduct $ 7 m
For Alternate #4:
Deduct $ Z e/o
For Alternate #5:
Deduct $ l e%
B. This sub -bid includes addenda numbered '
C. This sub -bid
❑ may be used by any general bidder except:
dollars ($ Q ).
dollars ($
dollars ($
dollars ($
dollars ($
❑ 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
N
NIS}
Class of Work
W(4
MA
Bid Price
IVIA
1014
(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 A I— years.
2. Ever failed to complete any work awarded? N 0
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) Nw(*Rnt 6.10rnnW Peg Are -A. Cey"'LW eons -p. 6/'0a0, b a 5
FORM OF SUB -BID - 2
School Department Administration Building
North Andover, MA
(b) 601 146W
Add. 2 het.
(c) iVltrr�v►1a�<<l�a �� V ut6resmter
4. Bank reference 011rIZ-C
D(etlt t - NK CMSt--
Sass o C917 ea .
Kang Associates, Inc.
January 2, 2014
� /, e6 5.0 3 0
1 1?7'f, kq I
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-AI-iy
Date
SUB -BIDDER'S CHECKLIST:
Addenda Recognized
Bid Deposit
DCAM Certificate of Eligibility
Sub -Bidder Update Statement
Certificate of Corporate Bidder
(Name of Sub -Bidder)
By:
i ature and Title of Person Signing Bid
?� JOnspin �Oa.d
Business Address
W rirn ('(1 g?'O n, j'1'114 p 16 $ 7
City and State
FORM OF SUB -BID - 3
School Department Administration Building
North Andover, MA
CERTIFICATE OF CORPORATE BIDDER
C�rfS
Bid Form, and that
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 -:F�'r S 10 en -f—
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.
-01
Corporate I
Secretary -Clerk
/- 01-1
Date
CORPORATE BIDDER - 1
CONTRACTOR:
(Name, legal status and address)
P.J. Dionne Co. Inc.
72 Jonspin Road,
Wilmington, MA 01887
OWNER:
(Name, legal status and address)
Town of North Andover
MA
BOND AMOUNT: $
i11
Document A31OTM - 20'10
Conforms with The American Institute of Architects AIA Document 310
SURETY:
(Name, legal status and principal place of business)
International Fidelity Insurance
Company
800 Hingham Street
Rockland, MA 02370
Five Percent of the Attached bid (5%)
This document has important
legal consequences. Consultation
with an attorney is encouraged
with respect to its completion or
modification.
Any singular reference to
Contractor, Surety, Owner or
other party shall be considered
plural where applicable.
PROJECT:
(Name, location or address, and Project number, ifany) School Department Administration Building; Section:
230000 HVAC
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind
themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period
as may be agreed to by the Owner and Contractor, and the Contractor either (l) enters into a contract with the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof. or (2) pays to the Owner the difference, not to exceed the amount of
this Bond, between the amount specified in said bid and such larger amount for which the Owner 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. The
Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the
bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection. with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other .legal requirement in the location of the Project, any provision in
this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed
as a statutory bond and not as a common law bond.
Signed and sealed this 21 St day of January, 2014
fitness)
_ _' F
P.J. Dionne Co. Inc. Q A.4 tin M.
(Principal) (Seal)
(Title)
International Fidelity Insurance Company
(Surety) (Seal)
(Witness)
(Title) AcTarn W. DeSanctis, Attorney -in -Fact
GREGORY D: JUWA, ADAM W ' DESAN:CT#S' MICHAEL T. GiLBE;RT, UiLILDER;PARK
JAMES J AXON, :MICHAEL E CARNEY BRYAN F JUWA, DAVID:A BOUTIETTE, P.;
CHRLSTINE;.B GALLAGHER, REBECCA SHAN:LEY, RICHARD F CARUSO
`Woburn MA<
t
\,NY as `fully and` amply, to all intents and purposes as it the same
ieir principal offices. .
I evoked;; pursuarit to and b authority of the ;.BV -Laws of "INTERNATI
14Y and is granted under and by authorly of: the foflowingresolufion adop#
auy: amxep
;. ; compared U
Power:of X41
of the said_(
1N TESTIM,
ler of the Boards>of Directors of said Companies
IN,TESTIMONY; WHEREOF .I have Hereunto sefirr
at the City of Newark New Jersey the day and year
TAS
A NOTARY PUROC OF
My Commission Expires,.
14
'�.+•c"`"4 CERTIFICATION
len revoked;and is how in full force and`effect
IL
day of hd)
1 Yl(. (. 0177moni ealfh OfHassachusejts,
frecutive O(flee fol Admi islYatio>� and f in
Di l.'lsi(),? of Capital altce
- l �,-..ct �-�ahagetnent c'l�d afart.re,la,i��
rc
DE1:AL L. PATRICk OTIC+�, ,l� !•.
assQ�.r�(serls 0110,Q
CC�s'ERtJnR
Bei i61,�i '2 8050 LEN5HnR
SECRETA, R•r ADMINISrRanQN &
1-1100TH r P A4uRRA1 Far. (61 J 5363
rINA.NrE
UEUTENardr rOVEP,r!pR
CAROLS CORNELISOi�
con�rv�ISS�aJEF
ailed Sub -Bid
Certlficafe of Cont1-actor Eligibzlit
Y
CONTRACTOR IDENTIFICATION NUMBER 614
ti Ce E' �cate�l Ro ed for Su itfin
'led Sub- 'ds On �
1- CERTIFICATION PERIOD; J'Itis Certificstte is �,alid frottl 4.131l
2. CONTRACTOR'S NAME 20;;3 to 4/13%2014
P.J. Dionne Co•. fnc
3- CONTRACTOR'S ADDRESS: 60 Jousfnin. Road, ""llning(on, PITA 0188
4, WORK CATEGORIES: This Contnictor is certified to File bids under Nlassachusetts ( e
Chapter 149A end Chapter ?5A in the followln ,neral (arcs Chapter 149.
g checked CategorleF of 11'r�rlt
Flcctr�al
�'-� I ;, till �'C •. I nr��u . '. t i, ;; •'• n. ,.,�! I' -: rt
Plarble L_i
L I 1 -ire ProtccUon E' Plumbing rile
ile Sprinkler .Systems
❑
Glass and GlaZin¢ [_, Recilicnl Floors E] Masonry work "'eterpreofin.R, Damp
I
Metal «'indov;,s Proofin
Roofing & Flashine g: at d
Caulking
S- EVALUATIONS: lumber o(.' Pr ojcct� h;,,,Inatcrl:
II
A<<era- Project I,
Number
Ratitlg; 92
Number of Projects Below Passing Score, 0
6. SUPPLIER DIVERSITY OFFICE CERTIFICATION: N/A
Term C igsb} General Counsel. _
forCar e J. Cornelison, Cmmnikooner
44v�_11113
4Pproval Date
NOTElO CON" OORS Co.. pie reAppllcotrons forRenetya/o
PRIOR to the ExplraUorn Date o f Contractor Eliglbylt ore of tile Certr"fcotion Period shok n above. Failure to submit Codm ue no later than three mo_nth�
result in a gap in Cerf/f caftan or o lapse In Certification altogether
pletedApplicatlans timely ma
for your company.
Reviewer's Initials