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HomeMy WebLinkAboutContract #: 005437 - 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 26 Electrical 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: 06 t' a aiy loo Iwo 1- ubj&" g-opa 14- a�S11nCD youp �a n ollars ($ )• For Altemate #1: Deduct $ NC dollars ($ NC For Altemate #2: Add/ Deduct $ NC dollars ($ NC ) For Altemate #3: Deduct $ NC dollars ($ NC ) For Altemate #4: Deduct $ SPvPn Hundred dollars ($ 700-00 ). For Altemate #5: Deduct $ Seventeen Thousand dollars ($17 , 000.00 B. This sub -bid includes addenda numbered C. This sub -bid © may be used by any general bidder except: Suffolk Construction ❑ 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 NA NA NA NA (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 34 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 Worcester State College Prellwitz/Chilliski Assoc Consigli Construction Co. $1,406,564.00 (a) FORM OF SUB -BID - 2 School Department Administration Building North Andover, MA (b) Bedford High School SMMA Kang Associates, Inc. January 2, 2014 Brait Builders Corp $5,617,305.00 (c) Howe Manning School DiNisco Design CTA 4. Bank reference Nnrtb gbnra Rank $2,061,729.11 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 21, 2014 Date SUB -BIDDER'S CHECKLIST: Addenda Recognized —7 V/ Bid Deposit DCAM Certificate of Eligibility Sub -Bidder Update Statement Certificate of Corporate Bidder Jupiter Electric, Inc. (Name of By: / Signature an itle of Person Signing Bid 42 B L yette Road Business Address Salisbury, MA 01952 City and State FORM OF SUB -BID - 3 School Department Administration Building Kang Associates, Inc. North Andover, MA January 2, 2014 CERTIFICATE OF CORPORATE BIDDER 1, Wayne Marshall certify that I am the President of the corporation named as Bidder in the James E. Marshall who signed the Bid Form on behalf of the Bidder was then the '' "'AL C L 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. 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 January 21 201 James H Mars , Treasurer Jupiter Electric, Inc. Print Nam -e-& Title Company Name CERTIFICATE OF TAX COMPLIANCE Pursuant to Chapter 62C of the Massachusetts General Laws, Section 49A (b), I James E. Marshall , authorized signatory for Jupiter Electric, Inc. 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. January 21, 2014 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. Si James/E. Mars 11, Treasurer Print N me itle Date Janilary 21 . 2014 Jupiter Electric, Inc. Company Name The Commonwealth of Massachusetts Executive Office for Administration and Finance Division of Capital Asset Management and Maintenance One Ashburton Place DEVAL L. PATRICK Boston, Massachusetts 02108 GLEN SHOR GOVERNOR Tel: (617) 727-4050 SECRETARY, ADMINISTRATION& TIMOTHY P. MURRAY Fax: (617) 727-5363 FINANCE LIEUTENANT GOVERNOR CAROLE CORNELISON COMMISSIONER Filed Sub -Bid Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 0306 This Certificate Shall Be Used for Submitting Filed Sub -Bids Only 1. CERTIFICATION PERIOD: This Certificate is valid from 7/14/2013 to 7/14/2014 2. CONTRACTOR'S NAME: Jupiter Electric, Inc. 3. CONTRACTOR'S ADDRESS: 142 B Lafayette Road, Salisbury, MA 01952 4. WORK CATEGORIES: This Contractor is certified to rile bids under Massachusetts General Laws Chapter 149, Chapter 149A and Chapter 25A in the following checked Categories of Work: L� Acoustical Tile ❑ HVAC 0 Miscellaneous & Ornamental Iron Electrical Work ❑ Lathing & Plastering ❑ Painting =_l Elevators r] Marble ❑ Plumbing E ; Fire Protection Sprinkler Systems Masonry Work _� Resilient Floors �. Gliass and Glazing ] Metal Windows [� Roofing & Flashing S. EVALUATIONS: Number of Projects Evaluated: 5 Average Project Evaluation Rating: 93 Number of Projects Below Passing Score: 0 6. SUPPLI BIV OFFICE CERTIFICATION: N/A Taran Girl shy, General Counsel, for Carole . Cornelison, Commissioner !� Terrazzo Tile [] Waterproofing, Damp proofing, and Caulking 5-11-7 (?�Z3 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 Applications timely may result in a gap in Certification or a lapse in Certification altogether for your company. �) Reviewer's Initials JJ CONTRACTOR: (.rdame, legal status and address) Jupiter Electric, Inc. 142 B Lafayette Road, Salisbury, MA 01952 OWNER: (Name, legal status and address) Town of North Andover MA BOND AMOUNT: $ . A f:31� :�► Document A31OTM - 20'0 Conforms with The American Institute of Architects AIA Document 310 SURETY: (Name, legal status and principal place of business) Western Surety Company 53 State Street Boston, MA 02109 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, fang) School Department Administration Building; Section: Division 26&28 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 )hat if the Owner accepts the bid of the Contractor within the time specified in dte bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) 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 die 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 lite 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 (Witness) �\t - ovitness) Jupiter Electric, Inc. Michael F. Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Gregory D Juwa, Richard F Caruso, James J Axon, Michael F Carney, Wilder Parks Jr, Michael T Gilbert, Adam W De Sanctis, Christine B Gallagher, Bryan F Juwa, Paul A Patalano, David A Boutiette, Judy Dean, Rebecca Shanley, Individually of Woburn, MA, its true and lawful Attomey(s}in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By -Law printed on the reverse hereof, duly adopted, as indicated, by the shareholders of the corporation. In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 29th day of July, 2013. wEDa WESTERN SURETY COMPANY w ;z \Sf AV: P 4ih�i oia�� aul T. Bruflat, Vice President State of South Dakota ss County of Mmnehaha On this 29th day of July, 2013, before me personally came Paul T. Bruflat, to me known, who, being by me duly swom, did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires *""'"""""""'""""'"'"""'• J. MOHR June 23, 2015 SEAL NOTARY PUBLIC $EAS £ SOUTH DAKOTA } 4 +� CERTIFICATE djy)'A� J. Mohr, Notary Public I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By -Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this•Z� day of QDJ .0."r'�o WESTERN SURETY COMPANY r, POq •;4 _='W€voP gf�12= t +t`rfAv.P • L. Nelson, Assistant Secretary Form F4280-7-2012 Authorizing By -Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. 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 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 NA Project Number (or name if no number) Town of North Andover Awarding Authority Jupiter Electric, Inc. Print Name of Sub -bidder or Trade Contractor 142 B Lafayette Road, Salisbury, MA 01952 Business Address (978) 499-7776 Telephone Number SIGNATURE* 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 10 W U Z CO Z) W� Q WW J Q a Z W 02 UQ V =0 20 LU 9�0 N- Z ry, UJ OX L� W I� ao �Z WD W W Ow 2 C 0� �Z C:) W oW �w OO C Lu U� Oui J m QO J BZW OW �QO. DUW QCL n.Q J Q LL CD LL �0w WV Q 0 crW LT �rv1 J yr-- rv1 L a) c c Y O Cl) a) M N M Q E M M M M V— J T i T o T ti N (D T in T M 4- T p. 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C > O M a� Q Z c >O U -0 M O L M JL+ L Oc (D (B E Q) E O a) 0 L O A 10-6 A o 0 t=6 Q cn o N O U Q U 0 0 0 m L N Ul C � N U N WW N C C 2 m h � av a a U c o 's .6 oLr) 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 YEN 1 u ❑ any officer, partner or principal of your firm been an officer, partner or principal of another firm that was terminated or failed to complete aproject? 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 bankru tcy? 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 party under your ❑ ___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 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 El 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 "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.). VFC Nn I . Have any civil, judicial or administrative proceedings involving your firm or a 1 � 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 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 PARS' 4 -Legal or Administrative Proceedings; Compliance with saws (continued) 5. Have any judicial or administrative proceedings involving your firm or a principal r r.3lvv ❑ 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 1-1. Has your fum been sanctioned for failure to achieve DBE/MBE/WBE goals, ❑ workforce goals, or failure to file certified payrolls on any publicprojects? 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 PART 5 m 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 Wayne Marshall TITLE OR FUNCTION President James E. Marshall Treasurer PART 6 e 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 Wayne J Marshall 20 Hammond Farm Road Haverhill, YA 01832 .EDUCATION. Graduate of Medford Vocational High School, 1979, Electrical Program ACCOMPLISHMENTS: Massachusetts Journeyman's License, April 1983 OSHA 10 -Hour Safety Certified Owner of Jupiter Electric, Inc., 1987 to Present WORK EAPERIENCE: 1987 to present Jupiter Electric, Inc. 142 B Lafayette Road Salisbury, MA 01952 ➢ Responsibilities as Owner and President -Supervision and management of 30 employees as well as all major projects. Other responsibilities include purchasing all material and equipment and estimating upcoming projects. 1979 to 1987 Middlesex Electric, Inc. Medford, MA ➢ Responsibilities included foremanlsupervisor, troubleshooting, rough installation, overhead wiring, lighting, fire alarm, control wiring, equipment installation and high voltage work REFERENCES Thomas Morse James DeCola, Building Inspector Division of Capital Asset Management Town of North Reading One Ashburton Place 235 North Street Boston, MA 02111 North Reading, MA 01864 Tel: 617-727-4050 ext. 244 Tel: 978-664-6040 Fax: 617-727-4043 Fax: 978-664-1713 Thomas. morsegstate. ma us idecola@.northreadingma.gov ov Paul Ford Alvin Robinson Division of Capital Asset Management RDK Engineering, Inc. One Ashburton Place 200 Brickstone Square Boston, MA 02111 Andover, MA 01864 Tel: 617-727-4050 ext. 380 Tel: 978-475-0298 Fax: 617-727-4043 Fax: 978-475-5768 Paul.ford9state ma us arobinsonQrdkengineers com Jeffrey Novak Gary Nangle, Owner Division of Capital Asset Management Nangle Engineering, Inc. One Ashburton Place 32 Prince Street Boston, MA 02111 Danvers, MA 01923 Tel: 617-727-4050 ext. 379 Tel: 978-777-7650 Fax: 617-727-4043 Fax: 978-777-7653 Jeffirev.novak&tate.ma us gpnangle@nangleengineering com Wayne Cyr Steve Kutney, Director Division of Capital Asset Management Woburn Housing Authority One Ashburton Place 59 Campbell Street Boston, MA 02111 Woburn, MA 01801 Tel: 617-727-4050 ext. 556 Tel: 781-935-0817 Fax: 617-727-4043 Fax: 781-937-0965 Wayne. cyr@state. ma. us SkutnevP_woburnhousing. org Ron Baker Phil Tuminelli Cambridge Seven Associates City of Somerville 1050 Massachusetts Avenue 93 Highland Avenue Cambridge, MA 02138 Somerville, MA 02143 Tel: 617-492-7000 ext. 233 Cell: 781-589-0210 Fax: 617-492-7007 ptuininelli@verizon.net rbaker@c7a.com kbuckleyna,kbaorchitects. com Andrew Stein Kevin Buckley 345 Heritage Ave. Ste 131 KBA Architects, Inc. Portsmouth, NH 03801 6 Thirteenth Street United States of America Charlestown, MA 02129 Tel: 603-427-6282 Tel: 617-241-2807 Fax: 603-427-6280 Fax: 617-241-285 astein(Z�email. uses. gov kbuckleyna,kbaorchitects. com James E. Marshall 1 Randall Road Middleton, MA. 01949 . EDUCATION: University of Massachusetts Attended night school (1987, 1989, and 1990) Methods of Teaching Howard University Attended night school in 1983 for Electrical Estimating Graduate of Medford Vocational High School 1969 — Electrical Program ACCOMPLISBMENTS: Massachusetts Journeyman's License, April 1972 Massachusetts Master License, May 1973 New Hampshire Master License, July 1977 New Hampshire Journeyman's License, July 1977 Owner -Partner of Jupiter Electric, Inc., 1980 to Present Member of International Association of Electrical Inspectors since 1983 Occupational Teachers Approval, January 1988 Massachusetts Dept. of Safety S -License, October 2009 Member of Massachusetts Electrical Contractor's Association (MECA) Fire Alarm License, City of Boston OSHA 10 -Hour Safety Certified WORK EXPERIENCE: 1980 to Present Jupiter Electric, Inc. 142 B Lafayette Road Salisbury, MA 01952 ➢ Responsibilities as Owner, Vice President, & Treasurer - Supervision and management of 30 employees, bookkeeping, payroll, estimating, and maintaining clientele. 1988 to 1995 Lynn Vocational Technical Institute Lynn, MA. ➢ Responsibilities as a teacher for 15 hour Electrical Code Update Course, 300 hour Apprentice Course and 100 hour Master Course (evenings) 1969 to 1971 Veteran, United States Navy Seabee's Cuba, Philippines, Vietnam Construction Electrician E-4, Honorable Discharge References Available Upon Request. ADDITIONAL WORD HISTORY: 1980 to present Jupiter Electric, Inc. 142 B Lafayette Road Salisbury, MA 01952 Owner, Vice President & Treasurer 1993 to 1998 Town of Middleton Middleton, MA. 01949 Middleton Wiring Inspector 1988 to 1995 Lynn Vocational & Technical Institute 80 Neptune Blvd, Lynn, MA. Teacher 1984 to 1988 Northeast Institute of Industrial Technology 41 Phillips Street; Boston, MA. ➢ Teacher (Department Head) 1977 to 1980 Middlesex Electric, lnc. Medford, MA. A Electrical Foreman 1975 to 1977 James E. Marshall Electric, Co. North Reading, MA. ➢ Owner (Self Employed) 1971 to 1975 Davis & Sons Electrical Arlington, MA. ➢ Electrical Foreman 1969 to 1971 United States Seabee's Cuba, Philippines, Vietnam Construction Electrician REFERENCES Thomas Morse James DeCola, Building Inspector Division of Capital Asset Management Town of North Reading One Ashburton Place 235 North Street Boston, MA 02111 North Reading, MA 01864 Tel: 617-727-4050 ext. 244 Tel: 978-664-6040 Fax: 617-727-4043 Fax: 978-664-1713 Thomas. morsega state ma us 'decolu@northreadinzn7a.gov Paul Ford Alvin Robinson Division of Capital Asset Management RDK Engineering Inc. One Ashburton Place 200 Brickstone Square Boston, MA 02111 Andover, MA 01864 Tel: 617-727-4050 ext. 380 Tel: 978-475-0298 Fax: 617-727-4043 Fax: 978-475-5768 PauLfbr6@state.ma.us arobinson@rdkengineers com Jeffrey Novak Gary Nangle, Owner Division of Capital Asset Management Nangle Engineering, Inc. One Ashburton Place 32 Prince Street Boston, MA 02111 Danvers, MA 01923 Tel: 617-727-4050 ext. 379 Tel: 978-777-7650 Fax: 617-727-4043 Fax: 978-777-7653 Jemmy. nova& state.ma us gpnangleQnangleengineering.com Wayne Cyr Steve Kutney, Director Division of Capital Asset Management Woburn Housing Authority One Ashburton Place 59 Campbell Street Boston, MA 02111 Woburn, MA 01801 Tel: 617-727-4050 ext. 556 Tel: 781-935-0817 Fax: 617-727-4043 Fax: 781-937-0965 Wayne. cyrna,state. ma. us Skutneyaa,woburnhousing. org Ron Baker Phil Tuminelli Cambridge Seven Associates City of Somerville 1050 Massachusetts Avenue 93 Highland Avenue Cambridge, MA 02138 Somerville, MA 02143 Tel: 617-492-7000 ext. 233 Cell: 781-589-0210 Fax: 617-492-7007 ptuininelligverizon. net rbaker(a�c7a. com a Andrew Stein Kevin Buckley 345 Heritage Ave. Ste 131 KBA Architects, Inc. Portsmouth, NH 03801 6 Thirteenth Street United States of America Charlestown, MA 02129 Tel: 603-427-6282 Tel: 617-241-2807 Fax: 603-427-6280 Fax: 617-241-285 asteinna,email. usbs. goy kbuckley,kbaarchitects. com ` " m mZ coE` u N a° u aLL b ol H a §:nn .- Oci N O w p kmmm r w $ o ,o1� 1613 g, Lo ao- - - - ffi _ 5 To 75 W W W W '' v c 2 N - x m� =m xy a��p `c _ 15 <2 yp xE �w� = m 2 a°mZN -° `m o u 0 0 m W Ir, m i LLo a o m 0 :!Fvu H O 9Q. d N O O N mei t$ E- E" E EH Em .22 E� YOa�W o=S n �N mN uN USN mN a FN o'°oJ a� a JO. J o� S °O. JJko 3... _ t _ x _ m E 5 E m E e o l� A 4S�S$AA _ J� -.. n N v N a N v y m m' m' `�+ N N m N N 12 .'. m m E c'o weo m° mIE y N m a w' �N iN O u iQ �- m 2 �o 0 rn �j Via° 4 O. v a z" � - � Yn m "o m a � � o Y• m B� m = a 15 a� J obo i - Isc -/ - D c• U E U U '- c 9 - mFxU,:. a of = c w ci w 2 w ¢ D E ro w < w - ':'.: !D Z c U Z J a O/A 4cJ P. a � m a x m E o o o e E a " m° m s m° 3 m o t o i m m p N d y Z d > IS occ m fA N In o lo y J. Certification (notarization required) The undersigned, James. E. Marshall hereby certifies: (type name) That I am an owner or principal of Jupiter Electric Inc., (company name) and that all answers and all statements contained in the attached application (including SectionsF and G) for certificate of eligibility are complete, true and correct. Providing false or misleading information or failure to provide all required information will be considered grounds for denial, decertification and/or debarment. I attest to the accuracy of all information contained in this application and verify that the information submitted is in fact complete, accurate and true, under oath. Signed and Sworn under the Pains and Penalties of Perjury. Dated at 411113 This IS` day of April, 2013. By (signature): Type name: Ja s E. Marshall Title or positio Treasurer Essex ss Massachusetts (county) (state) Maureen Dube Before me, . , personally appeared and (notary.public) known to me to be James E. Marshall ,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. / ' ' / M commission expires: 1/25/2019 Y (notary public signature) Maureen Dube (print name) **Upon completion of this Application and the two corresponding Excel spreadsheets, save and email them to CertificationApplication.dcam(astate.ma us ** Page 16 of 16 Prime/General Revised March 2011