HomeMy WebLinkAbout24-08 L.C United Painting CoBID BOND
Contract Number 24-08-FERNUA
Date Bond Executed (Date of Contract or Later) January 29, 2024
PRINCIPAUCONTRACTOR (Legal Naine and Business Address)
L.C. United Painting Co,, Inc,
3525 Barbara'brive
5lerling Heights, MI 48310
1
SURETY(p) (Legal Name(s) and Business Address(es))
Westfield Insurance Company
One Park Circle, P.O. Box 5001
Westfield Center, OH 44251-5001
OWNER (Legal Name and Business Address)
CITY OF 0SHKOSI3
215 Church Avenue
110 Box 1130
Oshkosh, Wisconsin 54903-I130„
OBLIGATION
Oi, r 0 is;', s
V, <v,
CITY OF OSHKOSH
Type of Organization
_ Indic}idual ____ Partnership
X Corporation
.State of Incorporation
Michigan
Penal Sum of Bond
five percent of amount bid (5%)
The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors,
and assigns to the Owner for the amount of the penal sum identified above if the Owner accepts the bid of this
Contractor within the time specified in the Bid documents or within such time period as may be agreed upon
between the O%rner and the Contractor, and the Contractor shall Bull to execute the Contract within five (5) business
days of written notice to the Contractor and Surety of Owner's intent to make a claim upon this Bond.
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,
If the Contractor either enters into a contract with Owner in accordance with the terms of the Bid and gives such
bond(s) that may be specified in the Bidding documents far the faithful performance of the Contract and for the
prompt payment of labor, materials, and supplies furnished for the purpose thereof; or pays to the Owner the
difference between the amount specified in the Bid and such larger amount for which the Owner may in good faith
contract with another party to perform the work covered in such Bid, then the Surety and the Contractor shall have
no obligation under this Bond.
Page t of 2
Notice to the Contractor or Surety shall be deemed to have been given: (i) upon delivery to an officer or person
entitled to such notice, if hand delivered; or (ii) two (2) business days following deposit in The United States mail,
postage prepaid; (iii) upon delivery by a commercial carrier that will certify the date and time of delivery; or (iv)
upon transmission if by facsinule, e-mail, or other form of electronic transmission, Notices shall be provided to the
Owner, Surety, and/or Contractor at their address as specified on this Bond or to a facsimile, e-mail or other
electronic address that has been provided in -writing to the other party to be used for this purpose.
The laws of the State of Wisconsin shall. govern the interpretation and construction of this Bond. Winnebago
County shall be the venue for all disputes arising under this bond. Any provision in this Bond that may conflict
with statutory or other legal requirement shall be deemed deleted herefrom and provisions conforming to the
statutory or other legal requirement shall be deemed incorporated herein.
L.C. United Painting Co., Inc.
Name of Principal/Contractor
��4�s� ,
Title
Westfield Insurance Company
Name of Surety
Title lane M. Haller, Attorney -in -fa
Pate 2 of 2
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER # AND ISSUED PRIOR TO 00113123, FOR ANY PERSON OR PERSONS NAMED BELOW.'
POWER N0. 2142412 07
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
CERTIFIED COPYOhto Fairme'rs Insult ance Co.
stfid Center, Ohio
Know All Mien by Those Presonts, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
EARNERS INSURANCi C p PANY, corporations, harelnaRer referred to individually as a 'Company" and aoiiectlyely as Pt;iripanies,' duty
or tlniz' And e datingg Unofo ihs {diva of the State of Ohio, and having its prihcipal ottice In Westfield Center, Medina County, C7hip, do by these
pi 13sents Igake; constitute slid a�ipotht
DONN JOHNSCH, LORI A, pOWELI, CASEY b. LOPEx THOMA5 C, MOOLIA, RCBERT F. MOt;LtA, JR., JANE M. HALLER,
ASHLEY LAPARL, JENNIFER HUDSON, HALfY GYARt A71, TIFFANY D. GUNN, JOINTLY OR SEVERALLY
of BLOOMFIELD HILLS and State of MI its true and lawful Attorney(s)•ttt-Fact, with full power and authority hereby conferred in Its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instrumonts or contracts of
suretyship In any penal limit. .... ................. ... ... .................... .
Ni ATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
A E OR BANK DEPOSITORY BONDS
and to'bjnd any:of the Corr+panlas tharepy as fully,agd to ttje'§dn4@ eittgnt qS li such bonds ware signed by the prosident, sealed with the corporate
aeai'of ine appl(cabid CoRiji$nY and dyly EHestec( by Its 5ecietary, iiefeby ratifying antl:Coi111rm(ng all that the said Attorhay(s)-3rrFaot may do In
the ppYeirdses `Bald appalntmdnt Is made unddt' tjt! by atilitority 9"(1m foilowing resolution adopted by the Board of Directora of each of the
WE5,TrIELO (N51)RANCE'CQMPANY, WEST IEI D ATIONAL IKSURAI QE COMPANY and OHIO FARMERS. INSURANCE COMPANY:
8e It Resolved, that till;; prasid¢ttt;, ny Sariior. Executive, any Skr-8 ry or any Fldeiity & surely bparations Wt. utiVo or other Executive shalt
be prd. (s hereby v4ssted with full power tthd'autkorlty to appoint any.ontt or more suitable persons ad Attbrney(s)-In rdct to represent and act lot'
and dtr bahali a1 tha Calnpaity supjact .to the folliMing provisions
7tlB' Atforl7oy-(ii Fact may taa.01"ri ('u(I 0Waf,0hd autitdrity fqt and in the,name of at f on behalf of the Comppany ,so executrs, acknowledge anti
deliver; anyarid all,bonds;'tacogn(x$rtcas, rorfttAats, a$regmakats af..Itt<te�tntiY and akher:ndltlonal'or obligatory undbriakingv:and 'any and all
notices and documentsndating or terftttnsing kf)e cdrtipattY's ilati))Ity theraundec, and any 'such {naiiuments, sa executed by .arty such
Attornayy (h Fagt,shaft ka sII`bind{ni upon tna Catitpsny 0 tt s(ijnod' b the Prasidant and sealed and attested -by the Corporate becrbtat:y,`
'Ba It ftirlirer'R$colVat, ;that ttto slgltu)ur+: of'any such ;daslgnated person 3tjdiha seaf'oi the Gotopany ti"e'ratofote..or hereafter WIIX4d to any
poujnr isf A Arumy or any pfiritticate relatlrig the etc by tacs4:t>2ii9, antl any power of altornay or certineate bearing facsimile signatures or facsimile
sealM�n te, uTll'i'ariri:(ilesrllnn tinnn.thn t nnirttoivwitH'rsneot"t& nTSv`bo'ndrawurScCHrtaklnsl to Which It Is anached,' tEarh'itdopted at a meeting
—In N itn0as worou, WE, INSURANCE COMPANY, WESTFIELD NATIONAL. INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have Caused those presents to be signed by their National Surely Loader and Senior Executive and their corporate seals to be hereto
affixed this 131h 'day of SEPTEMBER A.D., 2023 .
CorporalsNA
WESTFIELD INSURANCE COMPANY
}NSV r WESTFIELD NATIONAL INSURANCE COMPANY
Affixed];" tea.-s r`. A ! t OHIO FARMERS INSURANCE COMPANY
�. u
State at Otfio „ham. � �� �yy
County of Medina ss,: yGary W. Lumpur, `f1+atlQ�"�nIo�egly L pd a and
On this 131h day of SEPTEMBER A.D„ 2023 , before me personally came Gary W. Stumper to me known, who, being by me duly sworn,
did depose and say, that he resides in Medina, OH; that he is National Surely Leader and Senior Executive of WESTFIELD INSURANCE
COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the comparaes described in and Which
executed the above instrument; that he knows the seals of said Companies; that the seals affixed to said Instrument are such corporate seals; that
they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order.
Nol8Cla1 t,,,uu,w;yn
seal a d)A� .S. .
Affixed
State of Ohio o David A. Kotnik, Attorney at �:U¢�dilwt°�Ailiu
County of Medina ss, „ �, �� My Commission Does Not Expire (Sec. 147,03 Ohio Revised Code)
1, Frahk A. Carrinor;Secratary pf WESTf=tELQ iNSU.RANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY And OHIO rARMER5
INSURANCE COMPANY, a , hareby,;aeraiiy the., above et?d foaegoing is a'true and ;oorrt�6l:copy of a power of All' g3scute0 by said
Cbmpp,:anlas, which Is`Miil In full foese pod etfectj'and turthurriior+i, the rosotutiona of the Bp{tida''ot btractafa; sst ttut In th4 Ppiver of llttttrriey are
in fd11 tdree and affect. ,
in witness Wnereot, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 29th hay of
January A.D., 2024
AL) ?"AJA ALJ = , 11 �. s .; , 05 4-1 Frank A. Carrino, Secretary
�4V0'
BPOAC2 (combined) (03.22)
ARTICLE 5 — BID SUBMITTAL
5.01 BIDDER hereby submits this Bid through QuestCDN.com
Bidder: G • C . t1n t-le-d A g 6, X,1C,.
.((_typed or printed name of organization)
By: .
��•� /
(individuals signature)
Name: 70 G CiGsI T
Title: V^, r',7 If S lal1' /Y
Date: / — 0-6 ZV Z-�f
If Bidder is a corporation, a partnership, or a joint venture, attach evidence of authority to sign.
r
r
Attest:
(individual's signature)
Name:
Title:
Date: a`
Address for giving notices:
Bidder's Contact and Agent for Service or Process:
Name:
Title:
Phone:
Email:
(Email will be usedfor Electronic Document Transfer Protocol.)
All Business Entities
Date of Qualification to do business in [State Where Project is Located] is
-�—-AT. -
OSHKOSH - BID FORM - 5
�q
,'mmg,
r
City
Of
Oshkosh
TO: ALL CONTRACTORS
FROM: ENGINEERING DIVISION OF
CITY OF OSHKOSH DEPARTMENT OF PUBLIC WORKS
SUBJECT: DISCLOSURE OF OWNERSHIP FORM
Please review the attached Department of Workforce Development Disclosure of Ownership form. If Item 3 on this
Disclosure of Ownership form applies to your company, you must complete the Disclosure of Ownership form and
upload in the appropriate location on Quest V-Bid.
If Item 3 on the Disclosure of Ownership form does NOT apply to your company, you must complete the
information below and upload this page in the appropriate location on Quest V-Bid.
CERTIFICATION
I certify by my signature below that Item 3 of the attached Disclosure of Ownership form does NOT apply to my
firm, or a shareholder, officer, or partner of my firm.
Name
441 ' i'mo &,"Z— l
Printed Name
Title
Company Name
/- '--7 6 -.
Date
U\Engineering\Tracy Taylor\Public Works Contracts\Miscellaneous\Disclosure of Ownership Fomt_2-1- Page 1 of 1
17.dorx
City Hall, 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 http://www.ci.oshkosh.wi.vs
State of Wisconsin
Department of Workforce Development
Equal Rights Division
Disclosure of Ownership
The statutory authority for the use of this form is prescribed in Sections 66.0903(12)(d), 66.090400)(d) and 103.49(7)(d), Wisconsin
Statutes.
The use of this form is mandatory. The penalty for failing to complete this form is prescribed in Section 103.005(12), Wisconsin
Statutes.
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.040) (m), Wisconsin Statutes].
(1) On the date a contractor submits a bid to or completes negotiations with a state agency, local governmental unit, or
developer, investor or owner on a project subject to Section 66.0903, 66.0904 or 103.49, Wisconsin Statutes, the
contractor shall disclose to such state agency, local governmental unit, or developer, investor or owner, the name of
any "other construction business," which the contractor, or a shareholder, officer or partner of the contractor, owns or
has owned within the preceding three (3) years.
(2) The term "other construction business" means any business engaged in the erection, construction, remodeling,
repairing, demolition, altering or painting and decorating of buildings, structures or facilities. It also means any
business engaged in supplying mineral aggregate, or hauling excavated material or spoil as provided by Sections
66.0903(3), 66.0904(2), 103.49(2) and 103.50(2), Wisconsin Statutes.
(3) This form must ONLY be filed, with the state agency project owner, local governmental unit project owner, or
developer, investor or owner of a publicly funded private construction project that will be awarding the contract, if both
(A) and (B) are met.
(A) The contractor, or a shareholder, officer or partner of the contractor:
(1) Owns at least a 25% interest in the "other construction business," indicated below, on the date the contractor
submits a bid or completes negotiations; or
(2) Has owned at least a 25% interest in the "other construction business" at any time within the preceding three
(3) years:
(B) The Wisconsin Department of Workforce Development (DWD) has determined that the "other construction
business" has failed to pay the prevailing wage rate or time and one-half the required hourly basic rate of pay, for
hours worked in excess of the prevailing hours of labor, to any employee at any time within the preceding three (3)
years.
Other Construction Business
Business Name
Street Address or P O Box
City
State
Zip Code
Business Name
Street Address or P O Box
City
State
Zip Code
Business Name
Street Address or P O Box
City
State
Zip Code
Business Name
Street Address or P O Box
City
State
Zip Code
I hereby state under penalty of perjury that the information, contained in this document, is true and
mr,-"rnta arrnrriinn to my knnw1Pr1nP_ And ll]P_liP_f-
Print the Name of Authorized Officer
14
A a l'd `
Authorizz d Officer Signature
Date Signed
Corporation, Partnership or ole Proprietorship Name
Street Address or P O Box
City
State.
Zip Code
If you have any questions call (608) 266-6$,61
ERD-7777 (R. 01/2011)
SECTION 00 54 00
tP7 k:���.Y�b. wt4�E3 i. rr]�Y\41V
SCHEDULE OF VALUES
PART 1
1.01 LINE ITEMS
A. Bidder agrees to perform all work as described in the Contract Documents, including all
labor and material for the following items — Section 05 00 00:
1. MUD VALVE
3. ROOF PAINTER'
b
4. CLEAN -OUT LIT
5. WET INTERIOR LADDER
6. FALL PREVENTION DEVICES l
f 2t� L, era $ }-
7. FALL PREVENTION DEVICES — DRY INTERIOR — MARION TANK
8. FALL PRE V NTION DEVICES — WET INTERIOR—MARION TANK
6��, , 0 at D c' $ 5, 0-6 0
9. FALL PREVENTION DEVICES — DRY INTERIOR — SOUTHWEST TANK
10. FALL PREVENTION DEVICE5, — WET INTERIOR — SOUTHWEST TANK
B. Bidder agrees to perform all work as described in the Contract Documents, including all
labor and material for the following items — Section 09 00 00:
OSHKOSH - SCHEDULE of VALUES - 1
40-V--0
12.
13.
14.
C. Bidder agrees to perform all work as described in the Contract Documents, including all
labor and material for the following items — Section 13 00 00:
15.
D. Bidder agrees to perform all work as described in the Contract Documents, including all
labor and material for the following items — Section 16 00 00:
10
E. Bidder agrees to perform all work as described in the Contract Documents, including all
labor and material for the following items — Section 26 00 00:
17.
PROJECT TOTAL INCLUDING #1
1.02
T T(Tu H 17-
TOTALS
A. Project Total Base Bid is to match total Base Bid price supplied in Bid Form.
1.03 MISTAKES
A. Project Total of Schedule of Values paragraph should equal sum of individual items.
If the addition of individual items does not match the total, then each individual item
will be added again, and the math corrected.
OSHKOSH - SCHEDULE of VALUES - 2
B. A mistake in addition for schedule items cannot be used to increase lump sum bid. If
Bid correction results in an increased price, then Owner may request Bidder to reduce
all individual item prices proportionally, or may reject Bid.
C. Mistakes discovered after the Award, even after completion will adjust Price
downward only. It is the Bidder's responsibility to recheck prices prior to Award.
D. A mistake in the Schedule of Values may be used as evidence of error in any request
to withdraw bids because of error. Approval of request to withdraw bids is covered in
the Information for Bidders. This section is not intended to conflict with any portion
of the bid package. Approval of bid withdrawal will be based solely on the Owner's
interpretation of the severity of the mistake.
1.04 CHANGES in SCHEDULE of VALUES by OWNER
A. The Owner reserves the right to delete any line item of Part 1.01 adjusted line item;
except for coating work, at their sole discretion for any reason. All contract general
costs (mobilization, demobilization, bonds, etc.) should be evenly distributed over the
coating items which are not subject to deletion.
B. The Bidder is advised not to overload any specific deductible line item. It could
result in loss of profit if the overload item is deleted.
1.05 NON-DELETABLE WORK BEFORE and AFTER NOA
A. Any deletion of line items or increase or decrease in unit cost items deemed necessary
after the Notice of Award, will be completed through the Change Order procedure.
Prices used in the Schedule of Values will be used in the Change Order adjustment.
OSHKOSH - SCHEDULE of VALUES - 3
n°
CONTRACT 24-08
LIST OF PROPOSED SUBCONTRACTORS
Pursuant to Section 66.29(7), Wisconsin Statutes, the Bidder, as part of this Proposal, submits this full and
complete list of all the Subcontractors and the class of work to be performed by each. The
CONTRACTOR will be permitted to sublet a portion of the Contract, but shall perform with their
organization work amounting to at least thirty percent (30%) of the original Contract amount.
Work performed by the CONTRACTOR for any Bid Item that had been subcontracted will not be
included towards the thirty percent (30%) calculation.
If the CONTRACTOR shall sublet any part of this Contract, the CONTRACTOR shall be as fully
responsible to the CITY for the acts and omissions of their Subcontractor and of the persons either directly
or indirectly employed by their Subcontractor as they are by acts or omissions of persons directly
employed by themselves. All Subcontractors, if any, shall be listed in the spaces provided on the
Proposal Form and said list shall not be added to or altered without the written consent of the CITY.
Signed, final waivers of lien will need to be provided to the CITY prior to the release of the final retainage
to the CONTRACTOR.
When a Subcontractor and the class of work to be performed are not listed, it shall be considered that the
Bidder will perform the work themselves.
NAME OF SUBCONTRACTOR
d
CLASS OR ITEMS OF WORK
F � Y
PERCENT OF
CONTRACT AMOUNT
I hereby certify that the use of the names) of the above Subcontractor(s) was with the knowledge and
consent of the said Subcontractor(s).
Signature of Bidd
Page 1 of l