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HomeMy WebLinkAboutContract #: 005478 - From: To: - Exception - ExceptionSchool Department Administration Building North Andover, MA FORM OF SUB -BID To All General Bidders Except those Excluded: "I n e Grk-Cill 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 260500 Electrical of the specifications and in any plans specified in such section, prepared by Kang Associates, Inc. for the School Department Administration Boilding,North Andover, MA for the contract sum of: 'Wo Avn�0J FAegn=-f EA e) QT'/ dollars ($ For Alternate #1: Deduct $ A% dollars ($ UUn P11? an 92_ ). For Alternate #2: Add/ /� Deduct $ �I/ 0- dollars ($ Noal ). For Alternate #3: Deduct $ ✓V Q�, dollars ($ C/� Ciqn }. 0 For Alternate #4: Deduct $ w r� s 0%_ k-\- dollars ($ a do o ). For Alternate 45: Deduct a, 2� dollars W ,/ dfi dd d }. B. This sub -bid includes addenda numbered C. This sub -bid ❑ may be used by any general bidder except: ❑ may only be used by the following general bidders: (To exclude general bidders, insert an "X" in one box only and fill in blank following that box. Do not answer C if no general bidders are excluded.) FORM OF SUB -1311)- i 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 premium-sitierefor, or if pre -qualification is required pursuant to section 44D 314, 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 fumished by persons on his own payroll and in the absence of a contrary provisions in the specifications, the name of each such class of work or part thereto and the Bid price for such class of work or part thereof are: Name Class of Work Bid Price (Do not give bid price for any class or part thereof fumished 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 fher&4 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 35 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. Buildingg Architect . General Contractor Amount of Contract Wellesley%igh School (a) Wellesley, MA Symmes, Maini, McKee Turner Construction $63069,000 FORM OF SUB -BID - 2 School Department Administration Building North Andover, MA Newton North High (b) School, Ne on, MA Dore & Whittier Hingham Elementary (c) School - Hingham. MA AB Architecture Dimeo Construction CTA Construction Kang.Associates, Inc. January 2, 2014 $11,028,000 $2,213,000 4. Bank reference Bank of America - 100 Federal Street, Boston, MA 02116 Thomas Brennan, Senior Vice President (617) 434-4512 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. Ild-111Y Wayne J. Griffin Electric, Inc. Date (Name of Sub -Bidder) SUB -BIDDER'S CHECKLIST: Addenda Recognized X Bid Deposit X DCAM Certificate of Eligibility X Sub -Bidder Update Statement X Certificate of Corporate Bidder By. &4& Ai�a ignature and Title of Person Signing Bid Gerard W. Richards, Director of Operations 116 Hopping Brook Road Business Address Holliston, MA 01746 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 I Jacqueline Griffm certify that i am the Corporate Secretary of the corporation named as Bidder in the Bid Form, and that . Gerard W. Richards who signed the Bid Form on behalf of the Bidder was then the Director of Operations 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 goveming body. Wayne J. Griffin Electric, Inc. Corporate Seal r. A i v Strcretary--Clerk Jacqueline Griffin A Date CORPORATE BIDDER -1 < , The Commonwealth of Massachusetts Executive Office fol" administration and Finance Division of Capital Asset Management and Maintenance One Ashburton Place _ Boston, Massachusetts 02108 DEVAL L. PATRICK Tel: (617) 727-4050 GLEN SHOR GOVERNOR SECRETARY, ADMINISTRATION Fax: (6.17) 727-5363 & FINANCE TIMOTHY P. MURRAY CAROLE CORNELISON LIEUTENANT GOVERNOR COMMISSIONER First Amended and Restated Filed Sub -Bid Certificate of Contractor Eligibility CONTRACTOR IDENTIFICATION NUMBER: 0753 This Amended and Restated Certificate Shall be Used for Submitting Filed Sub -Bids Only The prior Certificate of Contractor Eligibility with an Approval Date of 7/7/2013 is hereby superseded, amended and restated by this Certificate with changes to the information contained in the follwA ing Section(s): 5 1. CERTIFICATION PERIOD: This Certificate is valid from 7/7/2013 to 7/7/2014 2. CONTRACTOR'S NAME: Wayne J. Griffin Electric, Inc. 3. CONTRACTOR'S ADDRESS: 116 Hopping Brook Road, Holliston, MA 01746 4. WORK CATEGORIES: ❑ Acoustical Tile [Vj Electrical Work ❑ Elevators El Fire Protection Sprinkler Systems ❑ Glass and Glazing 5. EVALUATIONS: This Contractor is certified to file Filed Sub -bids under Massachusetts General Laws Chapter 149, Chapter 149A and Chapter 25A in the following checked Categories of Work: ❑ HVAC ❑ Miscellaneous & Ornamental Iron [I Lathing &Plastering ❑Painting ❑ Marble ❑ Plumbing ❑ Masonry Work I! Resilient Floors ❑ Metal Windows ❑ Roofing & Flashing Number of Projects Evaluated: 45 Average Project Evaluation Rating: 90 Number of Projects Below Passing Score: 0 6. SUPPLIER DIVERSITY OFFICE CERTIFICATION: N/A Freya S. Bernstein, Deputy General Counsel, for Carole J. Cornelison, Commissioner Terrazzo [ I Tile ❑ Waterproofing, Damp proofing, and Caulking 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 KS The Commonwealth of Massachusetts Executive Office for Administration and Finance t Division of Capital Asset Management and Maintenance One Ashhurton Place DEVAL L. PATRICK Boston, Massachusetts 02108 GLEN SHOR GOVERNOR Tel: (617) 727-4050 SECRETARY, ADMINISTRATION g Fax.- (617) 727-5363 FINANCE TIMOTHY P. MURRAY LIEUTENANT GOVERNOR CAROLE CORNELISON COMMISSIONER First Amended and Restated Prime/General Certificate of Contractor Eligibility g Y CONTRACTOR IDENTIFICATION NUMBER: 0753 This Amended and Restated Certificate Shall be Used for Submitting Prime/General Bids Only The prior Certificate of Contractor Eligibility with an Approval Date of 7/7/2013 is hereby superseded, amended and restated by this Certificate with changes to the information contained in the following Section(s): 5 1. CERTIFICATION PERIOD: This Certificate is valid from 7/7/2013 to 7/7/2014 2. CONTRACTOR'S NAME: Wayne I Griffin Electric, Inc. 3. CONTRACTOR'S ADDRESS: 116 Hopping Brook Road, Holliston, NIA 01746 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: ,VI Alarm Systems ❑ Asbestos Removal ❑ Deleading _' Demolition Q Doors & Windows W1 Electrical D Electronic Security Systems S. EVALUATIONS: Elevators ❑ Energy Management Systems FI Exterior Siding Fire Protection Sprinkler Systems ❑ Floor Covering General Building Construction Historical Building Restoration [] historical Masonry D Historical Painting (� Historical Roofing HVAC Masonry ❑ Mechanical Systems D Modular Construction/Prefab Number of Projects Evaluated: 78 Average Project Evaluation Rating: 90 Number of Projects Below Passing Score: 0 Painting ❑ Plumbing Pumping Stations ❑ Roofing E! !! Sewage & Water Treatment Plants Telecommunication Systems Waterproofing 6. PROJECT LIMITS: Single Project Limit (SPL): $55,040,000.00 Aggregate Work Limit (AWL): $300,000,000.00 General Building Construction Limit: N/A 7. SUPPLER DIVERSITY OFFICE CERTIFICATION: N/A Freya S. Bernstein, Deputy General Counsel, for Carole J. Cornelison, Commissioner Z r y -- Approval Date NOTE TO CONTRACTORS: Complete Applications for Renewal of Contractor Eligibility are due no later than three months PRIOR to the Expiration Date of the Certification Period shown above. Failure to submit Completed Applications timely may result in a gap in Certification or a lapse in Certification altogether for your company. Reviewer's Initials --L— THE AMERICAN INSTITUTE OF ARCHITECTS '9u.x AY AIA Document A310 KNOW ALL MEN BY THESE PRESENTS, that we WAYNE J. GRIFFIN ELECTRIC, INC. of 116 Hopping Brook Road, Holliston, MA 01746 as Principal, hereinafter called the Principal, and FEDERAL INSURANCE COMPANY —15 Mountain View Road, Warren, NJ 07061 a corporation duly organized under the laws of the State of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto the Town of North Andover, MA as Obligee, hereinafter called the Obligee, in the sum of five percent of bid amount Dollars ($ 5% of bid amount), 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 School Department Administration Building — North Andover, MA 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 day of January, 2014. AIA DOCUMENT A310 • BID BOND • AIA ® • FEBRUARY 1970 ED . THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., WASHINGTON, D.C. 20006 WAYNE J. GRIFFIN ELECTRIC. INC. (Princi (Seal) (Title) Thomas F. Hughes, Contracts Manager FEDERAL INSURANCE COMPANY (Surety) (Seal) Ge rd W. Richards, Attorney -in -Fact Chubb POWER Federal Insurance Company Attn: Surety Department Surety OF Vigilant Insurance Company 15 Mountain View Road o�u®� ATTORNEY pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY a Wisconsin corporation, do each hereby constitute and appoint Jacqueline Griffin, Wayne J. Griffin and Gerard W. Richards of Holliston, Massachusetts each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bid bonds and bid undertakings not to exceed $3,000,000.00 (Three Million United States Dollars) given or executed in the course of business (but not to include any instruments amending or altering the same, nor consents to the modification or alteration of any instrument referred to in said bonds or obligations) on behalf of Wayne J. Griffin Electric, Inc. — as principal in connection with bids, proposals or contracts to or with the United States of America, any State or political subdivision thereof or any person, firm or corporation. And the execution of such bid bonds or bid obligations by such Attorney- in- Fact in the Company's name and on its behalf as surety thereon or otherwise, under its corporate seal, in pursuance of the authority hereby conferred shall, upon delivery thereof, be valid and binding upon the Company. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIG6ANT INSURANCE COMPANY attested these presents and affixed their corporate seals on this 29 day of May,. 2007. Kenneth C. Wendel, Assistant Secretary STATE OF NEW JERSEY ss. , and PACIFIC INDEMNITY COMPANY have each executed and County of Somerset On this 29th day of May, 2007 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponent's presence. Notarial Seal KATHERINE KALBACHER NOTARY PUBLIC OF NEW JERRY 0 F? y� No.2316683 40-0-0Commission Expires July 8, 2009 PUBitCi Zo Notary Public JERS� CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant. Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant:Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." ],Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (iii) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NJ this I� day of `�yVAAHpF �xrrr \y,SFC �to*eo�lfti �; D �DIANp' /yrfCDNS��' bEW Y�P�' jf� l � A9 !' C. Wendel N THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE ONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone C908) 903- 3493 Fax (908) 903- 3656 , e-mail: surety@ chubb.com Fonn I5-10- 015413- U i Ree. 10- 02) CORP CONSENT EFFECTIVE MARCH 30, 2010 Commonwealth of Massachusetts Msion 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. 1/21/14 Wayne J. Griffin Electric, Inc. Bid Date Print Name of Sub -bidder or Trade Contractor School Dept. Administration Bldg. 116 Hoppinq Brook Road, Holliston, MA 01746 Project Number (or Business Address name if no number) Town of North Andover (508) 429-8830 Awarding Authority Telephone Number SIGNATURE* Bidder's Authorized Representative Gerard W. Richards, Director of Operations 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 Contractus 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: vveww.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. 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'^� O U boUa;w U o z U •� U C� N b0 � � U .7 'b cd a� M cd o � U � � 64 n rrCd P-4 00 U �+ N N t. 3 00 � U o *OQC7UP. r-- 0 O O N O p O N bg0'N a 3 Cd O +� o y O U o°��Q 3a P, UE 7sL °�i U o � ti U U U +U U O U U U p; p; U a� U z Cd O O U bo O O F, Utj p x! ON OUCA; 69 U�� F-aQ U Cd v� $ v� t, 0 cd U go s + U 00 0 0 � �t0-! 7Ou 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 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 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 erformance 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 ❑ M 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 ❑ .E. 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 " P', 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 0 ❑ 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 stolenproperty? 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 orproposals? 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 WAYNE J. GRIFFIN ELECTRIC, INC. THE COMMONWEALTH OF MASSACHUSETTS DIVISION OF CAPITAL ASSET MANAGEMENT SUB -BIDDER UPDATE STATEMENT — SUBMITTED INFORMATION The following information is submitted as part of Wayne J. Griffin Electric, Inc.'s ("the Company") Update Statement: Summary — The following is a summary of the items listed as part of the disclosure for Part 4 — Legal or Administrative Proceedings. Question #1 Two (2) matters are pending. Detailed descriptions of the items are attached. Update Statement Attachment —1.16.14 WAYNE J. GRIFFIN ELECTRIC, INC. THE COMMONWEALTH OF MASSACHUSETTS DIVISION OF CAPITAL ASSET MANAGEMENT SUB -BIDDER UPDATE STATEMENT — SUBMITTED INFORMATION Part 4 — Legal and Administrative Proceedings: Question 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? Response: Yes. The following are matters that arose subsequent to our previous DCAM applications for a Certificate of Eligibility: 1. Payment Bond Lawsuit — In November 2013, the Company filed suit in Federal Court in Georgia against the surety companies that provided a payment bond to a general contracting joint venture, and the joint venture, concerning an Army Reserve Training Center project in Georgia. The Company is seeking to be paid for an overdue contract balance, some change orders and for some extra work. Settlement talks are scheduled. 2. Administrative Procedure — In December 2013, a general contractor, Daniel O'Connell & Sons, filed a request for an Administrative Procedure with the Massachusetts DALA on a project in Salem, MA. The request was made to help resolve numerous outstanding requests for reimbursement of Change Order work which involved the Company. The matter is pending and the company is hopeful that a settlement may be reached. Update Statement Attachment —1.16.14 PART 4 - Legal or Administrative Proceedings; Compliance with Laws (continued) YES NO 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 ❑ Z. 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, ❑ z workforce goals, or failure to file certified payrollson any public projects? 12. Other than previously reported in the above paragraphs of this Section 1, have any El z 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 to Sub -bidder Update Statement Effective March 30, 2010 PART 5 - SUPERVISORY PERSONNEL List all supervisory personnel who will be assigned to the project if your firm is awarded the contract. Attach the resume of each person listed below. NAME TITLE OR FUNCTION James Gardner Director of Construction Jesse Kurtz 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 1 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 G iff i eia Me_m_ble� James Gardner I Director of Construction Certification & Training OSHA 10 -Hour Certified Licenses Journeyman's License: Massachusetts Experience Wayne J. Griffin Electric, Inc. DIRECTOR OF CONSTRUCTION James Gardner i Director of Construction 1982—Present 2007—Present In his present capacity, Jim is an integral part of the Executive Management Team responsible for managing the business operations. He provides guidance for and development of the Region and Project Managers; interfaces with clients; and monitors client satisfaction as it relates to the construction process and completion. In addition, Jim is responsible for enforcing the company policy, promoting professionalism among field and office staff, and assigning personnel to construction projects based on their experience and expertise. Due to the company's strong commitment to safety, Jim assists the Foremen and Safety Coordinators to consistently and properly implement and deliver safety programs for each construction project. Should a problem arise in the process of construction with an affiliated construction team (General Contractor, Architect, Owner, etc.), Jim is responsible for overseeing a fair and quick resolution to the issue. CONSTRUCTION MANAGER 2001-2007 SENIOR PROJECT MANAGER 1988-2001 PROJECT MANAGER 1986-1988 FOREMAN 1985-1986 ELECTRICIAN 1982-1985 Jim oversees many high-profile jobs across a variety of industries including: • Corporate/Commercial • Municipal/Government/Corrections Retirement/Residential • Educational/Institutional • Public Interest/Public Use Transportation • Medical/Pharmaceutical/Biotech • Retail HAVNEJ, - ;RiFFtN ELECPRIC: Jesse Kurtz I Project Manager C�lff� ea e 1 er Jesse Kurtz I Project Manager Certification & Training OSHA 10 -Hour Certified NCCER — Project Management Academy Experience Wayne J. Griffin Electric, Inc. 2006—Present PROJECT MANAGER 2011—Present In his role as Project Manager, Jesse uses his years of management experience to successfully oversee projects from inception to completion. Leading and directing Foremen, Electricians, Assistant Project Managers and Engineers are a main responsibility of the Project Manager. Jesse works closely with the Engineer, Architect, and General Contractor to monitor job progress and resolve problems. Experienced in project budgeting, accounting procedures, and contract terms, Jesse is capable managing all financial aspects of the job. In addition, he is responsible for staffing manpower for each assigned project and tracking labor for the project. ASSISTANT PROJECT MANAGER 2008-2011 PROJECT ENGINEER 2006-2008 Mass Electrical 2005-2006 FIELD ENGINEER Canal Fulton Electrical Service 2003-2005 ELECTRICIAN Canal Fulton Enterprises 2000-2003 ELECTRICIAN Examples of Jesse's projects while at Griffin Electric: RDU Terminal C Renovation & Expansion—Morrisville, NC $35.3M Moore County Public Safety & Detention Center—Carthage, NC $4.3M Progress Energy—Raleigh, NC $4.2M '! N'AYN b (1 -t3) GRIFFIN1ELECTRIC W. -v- Jesse Kurtz I Project Manager G �ffi eam e_m_ .leers Wilders Grove Service Center Solid Waste Facility—Raleigh, NC $3.4M Freudenberg IT—RTP, NC Duke University, Keohane 4 Residence Hall—Durham, NC $1.8M $1.4M University of North Carolina Campus Police Building—Greensboro, NC $1.2M Elon University, Global Neighborhood Dining Hall—Eton, NC $1.OM Cary Community Arts Center—Cary, NC $0.9M Buffaloe Road Aquatics Center—Raleigh, NC $0.5M Rex Hospital, EP Lab & Recovery—Raleigh, NC $0.4M GRIFFIN ELECTRIC INv`. -v- I Certification (notarization required.) The undersigned, Wayne J. Gri {in hereby certifies: (type name) That 1 ain an owner or principal of Wayne .1. Griffin Eleatic, Inc., (company name) and that all answers.and all statements contained in the aitached-application (including Sections F and G) for certificate of eligibility are complete, true and correct.. Rioviding 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. infonuation submitted is in fact complete, accurateand true- under oath. Signed and S--ATorn..under the Pains and Penalties of Perjury. Dated at Holliston, MA This -!.2 day ofrr,:'20 13 By (signature), - Type name: Title or positiom 4:�<T*TmTTT��r�* (County) (state) Before me, - �V',_(J : , -C { , personally appeared. and (notary public) known to me to be �yxC tip1 . XZ� 4 E CN .based -( arne of officer) on satisfactory evidence. which yeas 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. `',LXAA. I,F, { U Y L i Ct �'�a _ ._ (not y public signaturi) - cHs1°�.! P0. C�4 a ff ��•O (P int name) **Upon completion of this Applieatioh and"cis+ Fiy F ... email them to G`e:-Eifieatia .o ,,_ expires:,lx� - '.{i�I. Excel spreadsheets, save -and ;*-- G„n 4�_ ** Page 16 -of 16 Prime/General Revised March 2011 �. Computer int``