I fiu-ther certify that the DAILY HERALD is a newspaper as defined in

Transcription

LE VILLAGE OF GRAYSLAKE E
BID NOTICE
of Gravslake, Lake Countv, Illinois,, 5 So,
rin9 sealed bids from consfruction contracfors for the fol-
The Village
lowing project:1015 Joint Pavement Markiny
This is a ioint bid for the Villages of Gravslake,
CERTIFICATE OF PUBLICATION
Paddock Publications TI1C.
Linden-
hursT, and Lake Villa. Sealed bids for this contract must be
received
before 11: 15 p.
m. on
March 13, 2015
ai
the Grays-
Iake Village Hall, 10 5. Seymour Avenue, Grayslake, Illinois 60030, at which time all tiitls will be publicly opened
and read aloud.
Copies of ihe biddfng documenis, including contract provi-
r
sions and specifications, mav be examined at the Grays-
lake Village Hall. Bid packefs may be obtained from the
Yillage
60030
of
GraYSlake, t0 S. Sevmour Avenue, GroYSlake,
or ww .
menfsthe
he loweat
i
illa
er
e f
o mee
ra
a
slake.com. It is the responsibilre4uirements of the btd docu-
espoosib ebidder mo 1 favoroblettoThe munie
ipalities, as determined by the municipalities. The municiPalities also reserve
the
right
to
reiect anv
bid
or part of o
bid that does not conform to the bidding requiremenis or to
modify or waive all
formalities
a
d technicalities in p bid,
or to reiect all bids.
Complionce
included in the. bid documenTs.
President and Board of Trustees
conditions are
Villageof Grayslake, nrno 5
By: VillageManager, Michael J. Ellis
Published in Doily Herald March 3, 2075( 4399881)
Corporation organized and existing under and by virtue of the laws of
tlle St1t0 Of IIIIriO1S, D
ES HE
BY CER7'IFY tlla2 lt 1S t}le pUbI1SIl C
of the DAILY HERALD. That said DAILY HERALD is a secular
newspaper and has been circulated daily in the Village( s) of
f]
OT1C] U1T1 E I1t10CY1, l T' illl
OTl He1
1tS, L UT'OT' a, BaIT111; t011,
Bai71ll$t011 H11IS L11Ce BaCC1Tl t011, North Barrin ton, South Barri.n ton,
Bartlett Batavia Buffalo Grove Burlineton, Cam ton Hills,
Carpentersville
Cary
Deer Park, D0S P1a.1110S, SOUtl1 EI
1
EilSt DUl1C 00,
Elburn El in Elk Grove Villa e Fox Lake, Fox River Grove, Geneva,
Gilberts Gravslake Green Oaks, Gurnee, Hainesville, Hampshire,
Hanover Park Hawthorn Woods, Hoffman Estates, Huntlev, Inverness,
Island Lake Kildeer Lake Villa, Lake in the Hills, Lake Zurich.
Libertyville Lincolnshire Lindenhurst, Long Grove, Mt.Prospect,
Mundelein Palatine Prospect Hei hts, Rollin
Meadows, Round Lake,
Round Lake Beach Round Lake Heights,Round Lake park, Schaumbur,
Slee v Hollow St. Charles, Streamwood, Tower Lakes, Vernon Hills,
Volo Wauconda Wheeling West Dundee, Wildwood, SuQar Grove,
North Aurora
County( ies) of Cook Kane Lake, McHenry
and State of Illinois, continuously for more than one year prior to the
date of the first publication of the notice hereinafter referred to and is of
general circulation throughout said Village( s), County( ies) and State.
I fiu-ther certify that the DAILY HERALD is a newspaper as defined in
an Act to revise the law in relation to notices" as amended in 1992
Illinois Compiled Statutes, Chapter 7150, Act 5, Section 1 and 5. That a
notice of which the annexed printed slip is a true copy, was published
in said DAILY HERALD.
March 3, 2015
IN WIT'NESS WHEREOF, the undersigned, the said PADDOCK
PUBLICATIONS, Inc., has caused this certificate to be signed by, this
authorized agent, at Arlington Heights, Illinois.
PADDOCK PUBLICATIONS, INC.
DAILY HERALD NEWSPAPERS
G.. '
BY
Authorized Agent
Control# 4399881
3,' 3
2015 Pavement Marking
Bid Tabulation
l]1
Bidder
S
o(
Bid Amount
Bid Bond
V
C
I
v .
o
2.(, 5 l Z .7 c7
PROPOSAL
VILLAGE OF GRAYSLAKE
VILLAGE OF LINDENHURST
VILLAGE OF LAKE VILLA
CONTRACT FOR
2015 JOINT PAVEMENT MARKING
BIDDER' S PROPOSAL
Full Name
of
Bidder _
Principal Office Address
Bidder")
'
Local Office Address
Jo
Contact Person
TO:
Village
of
1'
f°
J
Telephone `
Owner")
Grayslake
10 South Seymour Avenue
Grayslake, Illinois 60030
Attention: Michael J. Ellis
Bidder warrants and represents that Bidder has carefully examined the Work Site
described below and its environs and has reviewed and understood all documents included,
referred
to,
in this bound set of documents, including Addenda
mentioned
which are securely stapled to the end of this Bidder' s Proposal [ if none,
or
Nos._
write"
NONE"] (" Bid Package").
Bidder acknowledges and agrees that all terms capitalized in this Bidder' s Proposal shall
have the meaning given to them in the documents included in the Bid Package.
1.
Work Proposal
A.
Contract
and
Work.
If this Bidder's Proposal is accepted, Bidder proposes, and agrees,
that Bidder will contract with Owner, in the form of the Contract included in the Bid Package:
1) to
provide, perform and complete at
the
site or sites
described in the Bid Package (" Work
Site")
and in the manner described and specified in the Bid Package all necessary work, labor,
services, transportation, equipment, materials, apparatus, machinery, tools, fuels, gas, electric,
water, waste disposal, information, data and other means and items necessary for the Work
described
in
Attachment
A; ( 2) to
procure
and
15-
furnish
all
permits,
licenses
and
other
PROPOSAL
governmental approvals and authorizations necessary in connection therewith except as
otherwise expressly provided in Attachment A to the Contract included in the Bid Package;
3) to procure and furnish all Bonds and all certificates and policies of insurance specified in the
Bid Package; ( 4) to pay
all
applicable
federal,
state
and
local taxes; ( 5) to do all other things
required of Contractor by the Contract; and ( 6) to provide, perform and complete all of the
foregoing in a proper and workmanlike manner and in full compliance with, and as required by
or pursuant to, the Contract; all of which is herein referred to as the " Work."
B.
Additional Drawings or Specifications. Owner may, during construction,
furnish such additional Contract Drawings and Specifications or such other explanations as
Engineer may
consider
necessary to illustrate
or
explain
the
Work in further detail.
The
successful Bidder shall be required to comply with the requirements of all such additional
Contract Drawings and Specifications or other explanations, all of which shall be considered part
of the Contract and shall not be considered as indicating additional Work.
C.
Manner
and
Time
of
Performance.
If this Bidder's Proposal is accepted,
Bidder proposes, and agrees, that Bidder will perform the Work in the manner and time
prescribed in the Bid Package and according to the requirements of Owner pursuant thereto.
D.
GeneraL
If this Bidder's Proposal is accepted, Bidder proposes, and
agrees, that Bidder will do all other things required of Bidder or Contractor, as the case may be,
by the Bid Package.
2.
Contract Price Proposal
If this Bidder's Proposal is accepted, Bidder will, except as otherwise provided in
Section 2. 1 of the Contract, take in full payment for all Work and other matters set forth under
Section 1
including overhead and profit; taxes, contributions, and premiums; and
compensation to all subcontractors and suppliers, the compensation set forth on the following
Schedule
above,
of
Prices" (" Price Proposal"),
which Schedule of Prices Bidder understands and
agrees will be made a part of the Contract:
16-
SCHEDULE OF PRICES
COMPLETE TABLE AS INDICATED
For providing, performing, and completing all Work, the sum of the products resulting from multiplying the number of acceptable units of Unit
Price Items listed below incorporated in the Work by the Unit Price set forth beiow for such Unit Price Item:
ITEM NO.
I
T4
2
T6
3
APPROXIMATE
UNIT PRICE TTEMS
UNIT
ERMOPLASTIC PAVEMENT MARKING
4
LF
13, 639
LF
2 22
LF
938
LF
490
ERMOPLASTIC PAVEMENT MARKING
THERMOPLASTIC PAVEMENT MARKING
12
NUMBER OF UNTTS
p
$
,
EXTENSION
CE PER UN1T
3i' D
$
f
r
l„/'
$
1
LETTERS&
SYMBOLS
SF
1, 615
e`''
5
TOTAL CONTRACT PRICE:
j
5"
Wk-('
tn
f
1
i
Doii
2.
f
t-
in writing)
wnting)
V
in figures)
01—
a
Dollars
Cents
and
in figures)
Q.
I
D.
BASIS FOR DETERMINING PRICES
It is expressly understood and agreed that:
1.
If applicable, the approximate quantities set forth in this Schedule of Prices for each Unit Price Item are Owner's estimate
only, that Owner reserves the right to increase or decrease such quantities, and that payment for each Unit Price Item shall be made
only on the actual number of acceptable units of such Unit Price Item installed complete in place, measured on the basis defined in
the Contract;
2.
The Price Proposal includes allowances for contingencies as Bidder deems appropriate with respect to such risks and
changes in the Work that Bidder or Contractor, as the case may be, is responsible for dealing with under the Contract without any
equitable adjushnent in the Contract Price;
3.
Bidder or Contractor, as the case may be, sha11 be compensated only in accordance with the Contract and shall not be
entitled to equitable adjushnents in the Contract Price as a result of any claims by Subcontractors or Suppliers arising only under
their Subcontracts and not provided for in the Contract;
4.
Owner is not subject to state or local sales, use and excise taYes and no such taaces are included in this Schedule of Prices;
5.
All other applicable federal, state, and local ta ces of every kind and nature applicable to the Work as well as all tases,
contributions, and premiums for unemployment insurance, old age or retirement benefits, pensions, annuities, or other similar
benefits are included in this Schedule of Prices; and
6.
All costs, royalties, and fees arising from the use on, or the incorporation into, the Work of patented equipment, materials,
supplies, tools, appliances, devices, processes, or inventions are included in this Schedule of Prices.
All claim or right to( if applicable) dispute ar complain of any such estimated quantity, or to assert that there was any
misunderstanding in regard to the nature or amount of any Unit Price Item to be provided or performed, or to claim any additional
compensation by reason of the payment of any such taac, contribution, or premium or any such cost, royalty or fee is hereby waived
and released.
PROPOSAL
3.
Contract Time Proposal
If this Contract/ Proposal is accepted, Bidder proposals and agrees, that Bidder
shall
commence
Work
the
within
10 days following the Village' s accepted of this
Contract/Proposal provided Bidder shall have furnished to Owner all bonds and all insurance
certificates and policies of insurance specified in this ContracdProposal ( the " Commencement
Date"). If this Contract/Proposal is accepted, Bidder proposes, and agrees, that the Bidder shall
perform the Work diligently and continuously and shall complete the Work by the Completion
Date specified in Attachment A,
4.
Firm Pronosal
All prices and other terms stated in this Bidder's Proposal are firm and shall not be
subject to withdrawal, escalation, or change for a period of sixty ( 60) days after the date on
which any Bidder's Proposal is opened or such extended acceptance date for Bidder's Proposals
as may be established pursuant to Sections 10 and 13 of the General Instructions to Bidders.
5.
Bidder Renresentations
A.
No Collusion. Bidder warrants and represents that the only persons, firms,
or corporations interested in this Bidder's Proposal as principals are those named in Bidder's
Sworn Acknowledgment attached hereto and that this Bidder's Proposal is made without
collusion with any other person, firm or corporation.
B.
Not Barred. Bidder warrants, represents and certifies that it is not barred
by law from contracting with Owner or with any unit of state or local government.
C.
ualified.
Bidder warrants and represents that it has the requisite
experience, ability, capital, facilities, plant, organization and staff to enable Bidder to perform
the Work successfully and promptly and to commence and complete the Work within the
Contract Price
the
and
Contract Time Proposals
Sworn Work
set
forth
above.
In support thereof, Bidder submits
Staxement.
History
In the event Bidder is preliminarily deemed to be
one of the most favorable to the interests of Owner, Bidder hereby agrees to furnish upon
request, within two ( 2) business days or such longer period as may be set forth in the request,
such additional information as may be necessary to satisfy Owner that Bidder is adequately
attached
prepared to fulfill the Contract.
D.
Owner' s Reliance.
Bidder acknowledges that Owner is relying on all
warranties, representations and statements made by Bidder in this Bidder's Proposal.
6.
Suretv and Insurance
Bidder herewith tenders surety and insurance commitment letters.
18-
PROPOSAL
7.
Bid Securitv
Bidder herewith tenders
sum of
5%)
8.
,
of
dollars ($
,%
Bidder' s Price
rop
("
hier's Check, Certified Check, or Bid Bond for the
a
.
,
which is equal to at least five percent
Bid Security").
Owner' s Remedies
Bidder acknowledges and agrees that should Bidder fail to timely submit all
additional information that is requested of it; or should Bidder, if Owner awards Bidder the
Contract, fail to timely submit all the Bonds and all the certificates and policies of insurance
required of it; or should Bidder, if Owner awards Bidder the Contract, fail to timely execute the
Contract, Contractor's Certification and all other required documentation related to the Contract,
it will be difficult and impracticable to ascertain and determine the amount of damage that
Owner will sustain by reason of any such failure and, for such reason, Owner shall have the
right, at its option in the event of any such default by Bidder, to retain or recover as reasonably
estimated liquidated damages, and not as a penalty, the entire amount of the Bid Security or ten
percent of Bidder's Price Proposal, whichever is greater, or to exercise any and all equitable
remedies it may have against Bidder.
9.
Owner' s Rights
Bidder acknowledges and agrees that Owner reserves the right to reject any and
all Bidder's Proposals, reserves the right to accept or reject any item of any Bidder's Proposal and
reserves such other rights as are set forth in Section 13 of the General Instructions to Bidders.
10.
Bidder' s Obligations
In submitting this Bidder's Proposal, Bidder understands and agrees that it shall be
bound by each and every term, condition or provision contained in the Bid Package, which are
by this reference incorporated herein and made a part hereof.
DATED this
day
of
20
Attest/ Witness:
Bidder
By:
Title:
By:
-
Title:
1
SEE GENERAL INSTRUCTIONS TO BIDDERS, SECTION 7,
FOR SIGNATURE REQUIREMENTS
19-
dI
J
CONTRACT FOR
BIDDER' S SWORN ACKNOWLEDGEMENT
Deponent"),
being first duly sworn on
oath, deposes and state that the undersigned Bidder is organized as indicated below and that all
statements herein made are made on behalf of such Bidder in support of its Bidder's Proposal for
the above Contract and that Deponent is authorized to make them.
Deponent also deposes and states that Bidder has carefully prepared, reviewed
and checked its Bidder's Proposal and that the statements contained in its Bidder' s Proposal and
in this Acknowledgement are true and correct.
COMPLETE APPLICABLE SECTION ONLY
1.
Cornoration
of `
Bidder is a corporation that is organized and existing under the laws of the State
that is
ualified to do business in the State of Illinois, and that is operating
under the legal name of
The officers of the corporation are as follows:
TITLE
President
Vice President
NAME
ADDRESS
sv
U
J
Secretary
Treasurer
1-
l
ACKNOWLEDGEMENT
2.
the
Partnershin
State
of
Bidder is a partnership that is organized, existing and registered under the laws of
pursuant to that certain Partnership Agreement dated as of
that is qualified to do business in the State of Illinois, and that is operating
The general partners of the partnership are as follows:
NAME
3.
ADDRESS
Individual
Bidder is an individual whose full name is
whose residence
whose
business
address
address
is
and
is
If operating under a trade
or assumed name, said trade or assumed name is as follows:
4.
Joint Venture
Bidder is a joint venture that is organized and existing under the laws of the State
of
pursuant
to that
certain
Joint Venture Agreement dated
as of
that
is qualified to do business in the State of Illinois, and that is operating under the legal name of
The signatories to the aforesaid Joint Venture Agreement are as follows:
NAME ( and ENTITY TYPE)
ADDRESS
U
U
2-
ACKNOWLEDGEMENT
For
signatory, indicate type of entity ( Corporation = " C"; Partnership = " P"; and
Individual=" I") and provide, on separate sheets, the information required in Paragraph 1,
each
2, or 3 above, as applicable]
DATED this
day
I
of
J.
20
Attest/Witness:
1
1
V I '
idder
By:
By:
Title_'`
I
Subscribed
before
me
and
this
Sworn to
i
YI,
Title:
My Commission Expires:
da
20
of
c t.
a,.
o
t?
S
N
L]
t3oTaitv
MY,
Public
3-
A i E oF LL'Nas
r+.,Ci,.#{ :
x:
s.
zs. Zo s
ACKNOWLEDGEMENT
CONTRACT FOR
BIDDER' S SWORN WORK HISTORY STATEMENT
Deponent"),
oath, deposes and states that all statements made in this Sworn Work History Statement are made
on behalf of the undersigned Bidder in support of its Bidder's Proposal for the above Contract
and that Deponent is authorized to make them.
and checked this Sworn Work History Statement and that the statements contained in this Sworn
Work History Statement are true and correct.
IF NECESSARY FOR FULL DISCLOSURE, ADD SEPARATE SHEETS
JOINT VENTURES MUST SUBMIT SEPARATE
SWORN WORK ffiSTORY STATEMENTS FOR THE JOINT VENTURE
AND FOR EACH SIGNATORY TO THE JOINT VENTURE AGREEMENT
1.
Nature of Business
State the
2.
nature of
Bidder' s business:
r
Comuosition of Work
During the past three years, Bidder's work has consisted of:
Federal
As Contractor
Bidder's Forces
Other Public
As Subcontractor
Subcontractors
Private
3.
Materials
Years in Business
4-
ACKNOWLEDGEMENT
State the
has been continuously
4.
number of years
engaged
in the
that Bidder,
aforesaid
its current name and organization,
un
business:
years
Predecessor Or anizations
If Bidder has been in business under its current name and organization for less
than five years, list any predecessor organizations:
NAM
5.
ADDRESS
YEARS
Business Licenses
List all business licenses currently held by Bidder:
ISSU NG AGENCY
6.
TYPE
NUMBER
EXPIRATION
Related Exnerience
List three projects most comparable to the Work completed by Bidder, or its
predecessors, in the past five years:
PROJECT ONE
PROJECT TWO
Owner Name
U1
Owner Address
1
e-r ' '
I1
Ck
Type of Work
5-
i
J' `{
77V
Q '
1 l(`
u
r--
C n
Telephone Num
11, _
I' UIS '
UU •
I"
Reference
PROJECT THREE
l
'
l
Q1L
CC'
1
J' C
I,,-
3
C.
ACKNOWLEDGEMENT
PROJECT ONE
PROJECT TWO
PROJECT THREE
Contractor
If Bidder was)
Subcontractor)
Amount
of
y >`
Contract
f,
Jkj
„
D
J ja+Q(•
c
A
Date Completed
DATED this
day
I
of
i
,
20
r1 ¢
Attest/ Witness:
Bidder
By:
By;
Title:
tQ;
Subscribed
before
me
an
this
worn
to
Title:
My
2
of
p`
Commission Expires:
"/
da
s
caa. s
r
r oYO
SEfA L7 q cY p IgLIC- STATE OF ILLINt715
Nota
PUbI1C
SI{ N EXPIRE3 FEB. 23. 2018
FOR SIGNATURE REQUIREMENT
6-
PROPOSAL
CONTRACT FOR
2015 JOINT PAVEMENT 1VIARKING
BIDDER' S PROPOSAL
Full Name
of
aSic
Bidder
p
Y1
a,,( (
Contact Person,
TO:
Village
Q
of
o j`Z
j
',
j
L
t_
aZ
Bidder")
rq("
J
Principal Office Address_
p'^
e
Telepi
i
ane
g47-
C{ '(
(
`
Z
Grayslake
Owner")
Bidder warrants and represents that Bidder has carefully egamined the Work Site
referred
to,
or
Nos.
rnentioned
in
this
bound
set
of
documents,
including Addenda
write"
NONE"] (` Bid Package").
1.
Work Proposal
A.
Contract
and
Work.
1) to
Site")
provide, perform and complete at the site or sites
described
in Attachment A; ( 2) to
procure
and
15-
furnish
all
permits,
licenses
and other
PROPOSAL
all applicable
federal,
state and
or pursuant to, the Contract; all of which is herein referred to as the" Work."
B.
Engineer may
consider
or
explain
the Work in
further detail.
The
C.
Manner
and
Time
of
Performance.
rescribed in the Bid Package and according to the requirements of Owner pursuant thereto.
D.
General.
by the Bid Package.
2.
Contract Price Pronosal
Section 1 above, including overhead and profit; taxes, contributions, and premiums; and
Schedule
of
16-
PROPOSAL
SCHEDULE OF PRICES
COMPLETE FOLLOWiNG PAGE
17-
SCHEDULE OF PRICES
For providing, performing, and completing ali Work, the sum of the products resulting from mulriplying the number of acceptable units of Unit
Price Items listed below incorporated in the Work by the Unit Price set forth below for such Unit Price Item:
ITEM NO.
i
2
UNTT PRICE TPEMS
THERMOPLASTIC PAVEIvIENT MARKING
4
NUMBER OF UNTTS
LF
13, 639
LF
2, 227
LF
938
LF
490
6
3
APPROXIMATE
U
p
CE PER UNTI'
f,
$
y,
L
THERMOPLASTIC PAVEMENT MARKIN
5
C ']
i. J
LETTERS&
SYMBOLS
SF
$
V
12
SO
o`
$ '
F ^
4t t1t7Dollars
and
in wrifmg)
in figures)
1(',
/
Cents
in writing)
C9, ',r
O
Dollars
L,
iZ
$Z
j
Z
$`
•
°
L B•
J C1 J°
1, 615
y
I
i
5
Ye'I"
EXTENSION
and
p
in figures)
Cents
s(
PROPOSAL
3.
Contract Time Proposal
If this ContractfProposal is accepted, Bidder proposals and agrees, that Bidder
shall
commence
the
Work
within
ContractlProposal provided Bidder shall have furnished to Owner all bonds and all insurance
ertificates and policies of insurance specified in this ContractlProposal ( the " Commencement
Date"). If this Contract/Proposal is accepted, Bidder proposes, and agrees, that the Bidder shall
Date specified in Attachment A.
4.
Firm Proposal
All prices and otner terms stated in this Bidder's Proposal are firm and shall not be
5.
Bidder Renresentations
A.
No Collusion. Bidder warrants and re resents that the only persons, firms,
B.
C.
ualified.
Contract Price
the
attached
and
Sworn Work
set
forth
above. In support thereof, Bidder submits
History Statement. In the event Bidder is preliminarily deemed to be
D.
Owner' s Reliance.
6.
18-
PROPOSAL
7.
Bid Securitv
Bidder herewith tenders a Cashier's Check, Certified Check, or Bid Bond for the
dollars ($
sum of
S%)
8.
of
Bidder' s Price Proposal ("
Bid Security").
Owner' s Remedies
required of
it;
or should
Bidder, if Owr
er awards
Bidder the Contract, fail to ti
ely
exec
te
e
ercent of Bidder's Price Proposal, whichever is greater, or to exercise any and all eq itable
9.
Clwner' s Ri hts
ali Bidder's Praposals, reserves the right ta ac ept ar reject any it m of any Bidder's Proposai and
10.
Bidder' s ObliEations
bound by each and every term, condition ar provision contained in the Bid Package, which are
DATED this
(Z
day
of-
,
20
Attest/ Witness:
ti-°
i
Bidder
By:
T tle:
B.
1.
d..
T tl:
U
19-
BID B
ND
AMCO Insurance Company
Nationwide Mntual Insurance Company
Allied Property& Casualty Insurance Company
1100 Locust St., Dept 2006 Des Moines, IA 50391- 2006
866) 387- 0457
CONTRACTOR:
SURETY:
Precision Pavement Markings, Inc.
AMCO Insurance Company
P. O. Box 705
1100 Locust St., Dept. 2006
Elgin, IL 60121
Des Moines, IA 50391- 2006
OWNER:
Village of Grayslake, 10 S. Seymour Avenue, Grayslake, IL 61146
Village of Lindenhurst, 2301 E. Sand Lake Road, Lindenhurst, IL 60046
Village of Lake Villa, 65 Cedar Avenue, Lake Villa, IL 61146
BOND AMOUNT:
Five Percent( 5%)
PROJECT:
2015 Joint Pavement Marking
Village of Grayslake, Village of Lindenhurst, and Village of Lake Villa
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractar
and Surety bind themselves, their heirs, executors, administrators, successars and assigns, jointly and severally, as provided
herein. T'he conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in
the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either
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 thereo£ or( 2) pays to the Owner the difference, not to exceed the amount of this Bond,
between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with
another pariy to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in
full farce 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 aceept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding
sixty( 60) days in aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and
Contractor shall obtain the Surety' s consent far 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 a Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been fiunished to comply with a statutory ar 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
aled
this
9th
day
March
of
2015
Precision Pavement Markings; Inc.
Principal
Seal)
Witness)
Title)
Bil
Salazar,
re.
AMCO Insurance
i:°
Company
Sur )
Se
L;
tl
1i.'
Witness)
TI
This document
conforms
to American Institute
of
Architects Document A310, 2010
Jennifer D . Allard ,
edition
A tcrney-in- Fac*_
Power of Attorney
KNOW ALL MEN BY THESE PRESENTS THAT:
Nationwide Mutual Insurance Company, an Ohio corporation
Farmland Mutual Insurance Company, an lowa corporation
Nationwide Agribusiness Insurance Company, an lowa corporation
AMCO Insurance Company, an lowa corporation
Allied Property and Casualty Insurance Company, an lowa corporation
Depositors Insurance Company, an lowa corporation
hereinafter referred to severally as the" Company" and collectively as the" Companies," each does hereby make, constitute and appoint:
Brett Lundstrom, Craig Flynn, Jennifer Allard, Susan Onori
each in their individual capacity, its true and lawful attorney-in- fact, with full power and authority to sign, seal, and execute on its behalf any and all bonds and undertakings,
and other obligatory instruments of similar nature, in penalties not exceeding the sum of
One Million Dollars
and
No/ 100
1, 000, 000. 00
and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and ail acts of said
Attorney pursuant to the authority given are hereby ratified and confirmed.
This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company:
RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys-in- fact of the Company, and to authorize
them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of
indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in nature thatthe business of
the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall
in no way limit the authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company."
RESOLVED FURTHER, that such attorneys- in- fact shall have full power and authority to execute and deliver any and all such documents and to bind the Company
subject to the terms and limitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be
necessary for the validity of any such documents."
This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company.
Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved
documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief
executive officer, president, treasurer or secretary; provided, however, the signature of any of them may be printed, engraved, or stamped on any approved document,
contract, instrument, or other papers of the Company.
IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the
13`h day of Februarv, 2014.
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Terrance Williams, President and Chief Operating Officer of Nationwide Agribusiness Insurance Company
and Farmland Mutual Insurance Company; and Vice President of Nationwide Mutual Insurance Company,
AMCO Insurance Company, Allied Property and Casualty Insurance Company, and Depositors Insurance
I
Com p an Y
ACKNOWLEDGMENT
I
1\,
w!...,'"*
ax,.`
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waPO
STATE
Oh IOWA, COUNTY OF POLK: ss
On this 13 day of Februarv, 2014, before me came the above- named officer for the Companies aforesaid, to
F'•`•
SEAL;
SEAL:
p`
a
NO xis;`
me personally known to be the officer described in and who executed the preceding instrument, and he
acknowledged the execution of the same, and being by me duly sworn, deposes and says, that he is the officer
Pi
of the Companies aforesaid, that the seals affixed hereto are the corporate seals of said Companies, and the
said corporate seals and his signature were duly affixed and subscribed to said instrument bythe authority and
direction of said Companies.
us,,,
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SEAL
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Sandy Alitz
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Notarial Seal— Iowa
SEAL;
Commission Number 152785
p+
My Commission
E
cpires
Notary Public
My Commission Expires
March, 24, 2017
CERTIFICATE
March 24, 2017
I, Robert W Horner III, Secretary of the Companies, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued by the
Company; that the resolution included therein is a true and correct transcript from the minutes of the meetings of the boards of directors and the same has not been reyoked
or amended in any manner; that said Terrance W illiams was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies, and
the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of direc[ors; and the foregoing power of
attorney is still in full force and effect
IN WITNESS WHEREOF, I have hereunto
of
G ,
20
subscribed
my
name as
Secretary,
and affixed
the
corporate seals of said
1.
L/ ,y/ _
d
w
Secretary
This Power
of
Attorney
BDJ 1( 03- 14) 00
Expires
March 24, 2017
Companies this
day
CONTRACT FOR
2015 JOINT PAVEMENT MARI ING
Deponent"),
V
i
oath, deposes and state that the undersigned Bidder is organized as indicated below and that all
statements herein made are made on behalf of such Bidder in support of its Bidder's Proposal or
and checked its Bidder's Proposal and that the statements contained in its Bidder's Proposal and
1.
of:
Corporation
, that is qualified to do business in the State of Illinois, and that is operating
legal name of_
Q,
nC ,
Q'(\,,-,.
n,yS
Ll inpa S
under
the
TITLE
NAME
ADDRESS
President
Vice President
ce
o
Secretar}'
Treasurer
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ACKNOWLEDGEMENT
2.
the
Partnershia
State
of
NAME
3.
ADDRESS
Individual
whose residence address
whose
business
address
is
and
is
4.
Joint Venture
of
pursuant
to that
certain
as of
that
NAME ( and ENTITY TYPEI
ADDRESS
U
U
2-
ACKNOWLEDGEMENT
For each signatory, indicate type of entity ( Corporation = " C"; Partnership = " P"; and
DATED this_
day
of (
Y.,,
,
201
AttestlWitness:
J
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Bidder
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Title:
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n r
Title:
My
t
Commission Expires:
1
e this TZ day
20 (`j
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SEAL
otary Public
FICIAL SEAL
GUADALUPE B MORAIES
NOTARY PUBLIC- STATE OF ILLINOIS
MY COMMISSiON EXPIRES: 08l13117
3-
ACKNOWLEDGEMENT
VILLAGE 4F LINDENHURST
CONTRACT FOR
BIDDER' S SWORN WORK ffiSTORY STATEMENT
1.. 4.
2
Deponent"),
oath, deposes and sta.tes hat all statements made in this Sworn Work History Statement are made
an behalf of the undersigned Bidder in support of its Bidder's Proposal for the above Contract
SWORN WORK HISTORY STATEMENTS FOR TAE JOINT VENTURE
1.
Nature of Business
State the
2.
nature of
Bidder' s business:
Pn,vp Me),({`
C L ,
Composition of Work
Federal
As Contractor
Bidder's Forces
Other Public
As Subcontractor
Subcontractors
Private
3.
Materials
Years in Business
4-
ACKNOWLEDGEMENT
State the number of years that Bidder, under its current name and organization,
4.
engaged
in the
aforesaid
business: _
years
NAME
5.
ADDRESS
YEARS
Business Licenses
ISSUING AGENCY
6.
EXPIRATION
NUMBER
TYPE
Related Experience
List t ree projects most comparable to the Work completed by Bidder, or its
PROJECT ONE
Owner Name
Qc
Owner Address
1
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PROJECT TWO
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PROJECT THREE
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PROJECT ONE
PROJECT THREE
PROJECT TWO
Contractor
If Bidder was)
Subcontractar)
Amount
of
G
Contract
DOO
Q fc j
Date Completed
DATED this
day of
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20
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AttestlWitness:
V/
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Bidder
By:
By:
d.11. i/lt
Title:
Subscribed and Sworn to
before e this 1` z day of
U
C`
Title:
My
3
Commis ion Expires:
OFFICIAL
20 `,
GUADALUPE g MqZq„
NOTARY PUBUC-
S
Nota
ublic
57A' tE pF
S
i S iMISStON EXpiRES:08/13/17
6-
S
Bartlett Tree Experts
TREE & SHRUB CARE PROPOSAL
Printed on: 2/ 6/ 2015
Client: 9401167
Bartlett Tree Experts
Village
of
Todd Schara- Representative
Grayslake
1960 Old Willow Rd.
Attn: Brent Kryska
Northbrook, IL 60062
10 S Seymour Avenue
Grayslake, IL 60030
Business: 847- 559- 9424
Business: ( 847) 223- 2860
Business: ( 847) 223- 8515 ( Village Hafl)
Fax 1Vumber: 847- 559- 9423
Fax Number: (847) 223- 4821
Property Address: Village of Grayslake, Grayslake, IL 60030
The following program is recommended for certain trees and shrubs on your property. In addition to a thorough plant health care
program, Bartlett Tree Experts recommends having a qualified arborist inspect your property periodically to assist you in identifying
potential risks or hazardous conditions relating to your trees or shrubs. THIS 1S NOT AN INVOICE.
Pest Management
Work Description
Eastside and westside of Atkinson Road from Center Street to Washington Street
Disease Management: Treat( 34) Austrian pine and( 23) Scot's pine to suppress diplodia
tip blight.
Provide 2 treatments at 682.00 per treatment.
Estimated dates of completion: 6/ 16/ 2015, 6/ 30/ 2015.
Amount:$ 1, 364. 00
Total for' Pest ManagemenY
Amount:$ 1, 364. 00
Tota/ Amount:$ 1, 364.00
Check here
to schedule an inspection of your trees for their pruning, fertilization and other
needs.
The F.A. Ba tlett Tree Expert
Company
Page 1
of
2
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tlettTree
e
Ba
Sch
odd
167
Dldwillow Rd'
1960
60 6
hbrook,
940
No{
Client:
g47- 559-9424
Grayslake
a9 e
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Brent
A
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Number$
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relating
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roPe''
YTH1S' S
e y 1penodE. ally to
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NOT
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or
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ount:_$'
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Am._--
611612015,
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on:
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omp1et
dates
of c,
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Est
Amount:
Total
Tota
for'
Pest
other
fertilizat on and
ir
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needs•
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Tree
EXP
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St
f
PROPOSAL
CONTRACT FOR
2015 JOINT CRACK SEALING
BIDDER' S PROPOSAL
Full Name
of
Bidder
Bidder")
INC.
gNSTRUCTtON,
u
N. 0. BOX 503
p$
Ler
Contact Person
TO:
Village
Tele p hone'_
y
of
V
Owner")
Grayslake
referred
to,
or
write"
mentioned
in
this
bound
set
of
documents,
including Addenda
Nos.
NONE"] (" Bid Package").
1.
Work Proposal
A.
Contract
and
Work.
If this Bidder' s Proposal is accepted, Bidder proposes, and agrees,
1) to
the
site or sites
and in the n anner described and specified in the Bid Package a11 necessary work, labor,
Site")
described
in
Attachment
A; ( 2) to
procure
and
furnish
all
permits,
licenses
and
other
15-
PROPOSAL
all applicable
federal,
state and
or pursuant to, the Contract; all of which is herein referred to as the " Work."
B.
Engineer may
consider
or
explain
the Work in further detail.
The
C.
Manner
and
Time
of
Performance.
D.
GeneraL
by the Bid Package.
2.
Section 2. 1 of the Contract, take in full payment for al1 Work and other matters set forth under
Section 1
Schedule
above,
of
16-
SCHEDULE OF PRICES
For providing, perfonning, and completing all Work, the suin of the products resulYing from multiplying the number of acceptable units of Unit
Price Ite ns listed below incorporated in the Wark by the Unit Price set forth below far such[ Jnit Price Item:
APPROXIMATE
1TEM NO.
UNIT PRICE ITEMS
UNIT
1
CRACK SEALING
POUND
P
CE PER UNIT
18, 300. 00
$
6 3'1`
$
ic.
Y
S/ x
i
(
NQ
G
lfi3l/
and
inwn'
tmg
V
in figures)
1 0
Dollars
EXTENSION
NUMBER OF UNITS
g
a
and
in figures)
Cents
Cents
1.
If applicable, the approximate quantities set forth in this Schedule of Prices for each Unit Price ltem are Owner's estimate
only, that Owner reseroes the right to increase or decrease such quantities, and that payment for each Unit Price Item shall be made
only on the actual number of acceptable units of such Unit Price Item installed complete in place, measured on the basis defined in
the Contract
2.
The Price Proposal includes allowances for contingencies as Bidder deems appropriate with respect to such risks and
changes in the Work that Bidder or Contractor, as the case may be, is responsible for dealing with under the Contract without any
equitable adjushnent in the Contract Price;
3.
Bidder or Contractor, as the case may be, shall be compensated only in accordance with the Contract and shall not be
entitled to equitable adjustments in the Contract Price as a result of any claims by Subcontractors or Suppliers arising only under
tbeir Subcontracts and not provided for in the Contract;
4.
Owner is not subject to state or local sales, use and excise taxes and no such taxes are included in this Schedule of Prices;
5.
All other applicable federal, state, and local taxes of every kind and nature applicable to the Work as well as all taxes,
contributions, and premiums for unemployment insurance, old age or retirement benefits, pensions, annuities, or other similar
benefits are included in this Schedule of Prices; and
6.
All costs, royalties, and fees arising from the use on, or the incorporation into, the Work o£ patented equipment, materials,
supplies, tools, appliances, devices, processes, or inventions are included in this Schedule of Prices.
All claim ar right to( if applicable) dispute or complain of any such estimated yuantity, or to assert that there was any
misunderstanding in regard to the nature or amount of any Unit Price ftem to be provided or performed, or to claim any additional
compensation by reason of the payment of any such tax, conMbution, or premium or any such cost, royalty or fee is hereby waived
and released.
i7
PROPOSAL
3.
Contract Time Pronosal
If this Contract/ Proposal is accepted, Bidder proposals and agrees, that Bidder
shall commence the Work within 10 days following the Village' s accepted of this
certificates and policies of
insurance
in this Contract/ Proposal ( the " Commencement
specified
Date"). If this Contract/ Proposal is accepted, Bidder proposes, and agrees, that the Bidder shall
4.
Firm Proposal
5.
Bidder Representations
A.
B.
C.
ualified.
Contract Price
and
set
forth
above.
the
attached
Sworn Work
Owner' s Reliance. Bidder acknowledges that Owner is relying on all
D.
6.
Surety and Insurance
18-
PROPOSAL
7.
Bid Security
Bidder he ewith tenders a Cas ier's Check, Certified Check, or Bid Bond for the
sum of
5%)
'
of
8.
1
o
S
dollars ($
Bidder' s Price Proposal("
Bid Security").
Owner' s Remedies
Contract, Contractor' s Certification and all other required documentation related to the Contract,
9.
Owner' s Rights
10.
Bidder' s Obli ations
DATED this
d``
day
of
,
,
20.
SKC GONSTRUCTION, IN.C.
Attest/Witness:
i
By:
By:
Title:
Title:
vCCf-
j
er
R Y K.
R
Ar
19-
IS
Document A314 TM -
2010
Confarms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR:
aute,
lega/. slcnrrs
SURE' fY:
l,''crnte, / egrrl s7alus andprincipul placc fh ccine.:ti}
j
and addi e...
International Fidelity Insurance Company
SKC Construction, Inc.
One Newark Center
695 Church Road
Newa k, NJ 07102- 5207
Elgin, IL 60123
Mailillg
Add'
ess
7his document has important
legal consequences. Cansuitation
fol' NOtiGes
with an attorney is encvuraged
with respect to lts completio ot
Same
as
Above
modiflcatlon.
OWNER:
1Vmuc, le
Village
alstafrrs a rd addi css)
of
GrayslakelVillage
of
Any singular refe ence to
Go tractor, Surety, Owne or
other pariy shall be considered
Lindenhurst
10 S. Se Y CTIOUf
Grayslake, IL 60030
piural where applicabie.
5%
BOND AMOUNT: $
Five Percent of Amount Bid
PROJECT:
anre, localiouoraddre>
ss n rd!' ro,ject rtrr rbc r, ifa 1}
2015 Joint Crack Sealing
Thc Contractor a id Surcty atc botutd ta thc Q vncr in thc amount sct farth nbavc, for thc paymc tt of vhich tlia Cantracior And Surct} bind
themscl es, thcin c irs, c ccutors, administrators, succcssors and assigus, jointly And sc crally, ls providcd hcrcin. Thc conditions of t(us
Bond nre such that if tbc O ncr acccpts thc bid of thc Contractor« ithin thc timc spccificd in thc bid documcnts, ar
itl in such timc period
As moy be agreed to b}• the U r•ner and Cw tractor, and thc Con2ractor eithe[( 1) cutcrs itlto n contract« ith thc Uwner in accordancc vith
the terms of sucli bid, and gi es sucli bond or Uoiids as niay be specitied in the bidding or Coirtract llocuments, vith u suretr Adaiitted in
tho,iurisdiction of the 1' roject and otber• ise acceptablc to tlte U ner, for the fAithful perforniance of siwh Contract and for the prompt
payment of labor and material fumished in the prosecution thereof; or( 2) pays to tl a U ner the difterencc, not to exceed the umount of
this 3ond, bet een tlie amount specitied in said bid And sucl larcer mount for' I11C 1 lI1C U« 110ilIlAY IA$ OOCI PA1jI1 C01111'ACt Itll A]1O1116P
nart}' tci pertimn the tvork c: overed by suid bid, the i this bligution shatl e nul) and void, c thettvise tc remain in lui) li rc ancl ll ct. Thn
vai e!; any noticG of un agreement bet veen Aie O vner
bid, WaiverofilUllCC hV lI1C SlliClV ti 1AII IIQI a 7( lIy lt>III1V eXl6flR1011 B
Surety hereby
und
C<mtructur t>
Cee( lit
til
C(
l
nd the time in vhich the
vner muy accept he
IiiVti 1( 1 l te ii$ 1' CV iile heyond the time liir
ext
acceplanc ul' bids specilied in the bid documents; und llie Otivner and Canlruclor shall oMuin ihe Su ely' s cc nx n! li r un e lensian beyond
si t,r•(60) dayti.
If tl is Bond is issucd in conncction tvith: s stibcontractor's bid to 1 Contractor, thc tenn Coniractor in this Bond sliAll bc dccmcd to bc
Subcontr ctar and thc tcnn 0' ncr shall bc dccmcd to bc Contractor.
When lhiti 13ond has heen li rnished to c<nnply wilh a statutory e r e ther legul reyttirement in th tiwation of the Pruject, uny mvision in
this T3ond conllictit g uith suid stututc ry or leeal requiremet t shall b deemed del ted hereli'otn tanJ pro isicros c<>nli miinu to such
xtututory ar other legal requirement shull bC deemed incorporuted berein. When sea litmished, the intent is thui lhis T3ond tihall be coit: trued
ati u statutnq• bonci und nol ux a contmun la v bond.
Signcd
m
d
scalcd
this
13th
day of MarCh, 2015
SKC Construction, Inc.
r
Seaq
Pr7ncipal)
i' inressJ Theres
J Tabor
By:
r17 .
J
r
International
i.,....
t
me.s. y
S:tic
.
ergq
st
nt
Fidelity Insurance Company
Sef1!)
Kathleen Weaver
Q
o
o
y
jy
d,
sEAI "
9
JERS
li,.
rT r 4
n----__
S-OOSA/ AS 8/ 10
4a' PORq,
i 1Hs
p.
m
o
3''
State
of
County
Illinois
of
DuPage
SURETY ACKNOWLEDGEMENT (ATTORNEY- IN- FACT}
I,
do
Sharon A. Foulk
hereby
insurance
Notary
certify that
Public
Haroid Miiier
company
County,
DuPage
of
in the State
iiiinois
of
Attorney-in- Fact, of the International Fidelity
r.
who is personally known to me to be the same person whose
name is subscribed to the foregoing instrument, appeared before me this day in person, and
acknowledged that ne
Intemational
for the uses and purposes therein set forth.
Fidelity Insurance Gompany
Given
said
signed, sealed and delivered said instrument, for and on behalf of the
Caunty,
under
thlS
my hand
13th
day
and notarial seal at
of
my
office
March
in the
2015
City
of
Itasca
.
4'+,
J.
g..'".,
Notary
`"
Public
My Commission
Sharon A. Foulk
December 8, 2o s
expires:
OFFICIAL SEAL
FlAR
a Ft IJLK
NOTARY
tIC- S7AfiE OF ILl.IN01S
MY COMMiSSION EXPIRES: 12I08/18
in
POWER OF ATTORNEY
INTERNATICINAL FIDELITY INSURANCE COMPANY
HOME OFFICE: ONE NEWARK CENTER, 20TH FLOOR
NEWARK, NEW JERSEY 07102- 5207
KNOW ALL MEN BY THESE PRES NTS: That INT RNATIONAL FIDELITY INSURANCE COMPANY, a corporation organized and existing
laws of the State ofNew Jersey, and having its principal of6ce in the City of Newark, New Jersey, does hereby constitute and appoint
Harold Miller Jr.
as attorney- in- fact to execute the following band:
Surety Bond Number: Bid Bond
Principal: SKC Construction, Inc.
Obligee: Village of Grayslake/Village of Lindenhurst
and the execution of such instrument( s) in pursuance of these presents, shall be as binding upon the said INTERNATIONAL
FIDBLITY INSURANCE COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and
acknowledged by its regularly elected officers at its principal office.
This Power of Attorney is executed, and may be revoked, pursuant to and by authority of Article 3- Section 3, of the By-Laws adopted by the Board of
Directors of INTERNATIONAL FIDELITY INSURANCE CQMPANI' at a meeting called and held on the 7th day of February, 1974.
The President or any Vice President, Executiva Vice President, Secretary or Assistant Secretary, shall have power and authority
1) To appoint Attorneys-in- fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and
undertakings, contracts of indemnity and ather writings obligatory in the nature thereof and,
2) To remove, at any time, any such attorney-in- fact and revoke the authority given
Further, this Power of Attomey is signed and sealed by facsimile pursuant to resolution of the Board of Directors of said Company adopted at a meeting
duly called and held on the 29th day of April, 1982 of which the foUowing is a true excerpt:
Now therafore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by
facsimile, and any such power of attomey or certificate bearing such facsimile signatures or facsimite seal shall be valid and 6inding upon the Gompany and any
such power so executed and certi6ed by facsimile signatures and facsimile seal shall be valid and binding upon the Gompany in the future with respect to any
bond or undertaking to which it is attached.
IN TESTIMONY WHEREOF, INTERNATIONAL FIDELITY INSUEtANCE COMPANY has caused this instrument to be
jY N
s'G
QE
signed and its corporate seal to be affixed by its authorized officer, this 12 day of March, 2012.
PQ
SEAL le^
d'
m
COMPANY
O
STATE OF NEW JERSEY
County of Essex
a
1NI
INTERNATIONAL FIDELITY INSURANGE
G'(
iv^
G,
Robert W. Minster, Executive Vice-President
On this 12'" day of March, 2012., before me came the individual who executed the preceding instniment, ta rne personally known, and, being bp me duly
swom, said the he is the therein described and authorized officer of the INT RNATIONAL FIDELITY INSURANCE COMPANY; that the seal a
xed to
said instrument is the Corporate Seal of said Company; that the said Corporate Seal and his signature were duly affixed by order of the Board of Directors of
said Company.
1N TESTIMONY WHEREOF, I have hcrcunto set my hand a xed my Of icial Seal,
at the City of Newark, New Jersey the day and year first above written.
G
NOTARY
O
Pueuc
p
1f
A NOTARY PUBLIC OF NEW JERSEY
JE S
My Commission Expires Nov. 21, 2015
CERTIFICATION
I, the undersigned officer of INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the
Power of Attorney and aftidavit, and the copy of the Section of the By-Laws of said Company as set foRh in said Power of Attorney, with the ORIGINALS ON
IN THE HOME OFFICB OF SAID COMPANY, and that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Pawer
of Attorney has not been revoked and is now in full force and effect
IN TESTIMONY WHEREOF, I have hereunto set my hand this 13th day ofMarch, 2015
t.
a/+
Assistant Secretury
SurePath 08/ 13
CONTRACT FOR
Deponent"), being first duly sworn on
1' 1- f u .- '
oath, deposes and states tl at the und r gned Bidder is organized as indicated below and that all
l.
Corporation
of
v;
,
that is
qualif e
s
p
of Illinois, and that is operating
i
TITLE
President
ADDRESS
NAME
e, ,
51
7
YU `'
n
c..
(
r'
b
Vice President
Secretary
1
i'
Treasurer
1-
i
t
L- 3
l,
4/ 1
ACKNOWLEDGEMENT
2.
the
Partnershiu
State
of
NAME
3.
ADDRESS
Individual
whose residence
whose
business
address
address
is
and
is
4.
Joint Venture
of
pursuant
to that
certain
as of
that
ADDRESS
U
U
U
2-
r
ACKNOWLEDGEMENT
signatory, indicate type of entity ( Corporation = " C"; Partnership = " P"; and
For
each
DATED this
day
C-{° ,
of
201
KC CONSTRUCTION, IN.C,
Attest/ Witness:
B' dder
By:
By:
Title:
Subscribed
before
of /__
Q..(
Q
me
Sworn to
and
Title:
My
l. F
K.
RCQ
Commission Expires:
,
ST
l
20.
vI
v
Notary
t
day
this
I
Q/
SEAL
OFFICIAL SEAL"
TH R S J.' ABOR
Notary Pubiic, State of Illinois
Public
My Commission Expires 3- 29-2016
3-
ACKNOWLEDGEMENT
CONTRACT FOR
l 6'',
oath,
deposes
and states
th
("
11 statement made in this Sworn Work History Statement are made
Deponent"),
SWORN WORK HISTORY STATEMENTS FOR THE JOINT VENTURE
1.
Nature of Business
State the
Y`(-
2.
nature of
Q
Bidder' s business: ``
a.
f
Composition of Work
b %As
Federal
Other Public
Contractor
a%
Subcontractors
As Subcontractor
Materials
Private
3.
Bidder's Forces
Years in Business
engaged
in the
aforesaid
business: _
4-
years
ACKNOWLEDGEMENT
4.
Predecessor Organizations
NAME
5.
YEARS
ADDRESS
Business Licenses
List a11 business licenses currently held by Bidder:
ISSUING AGENCY
6.
TYPE
NUMBER
EXPIRATION
Related Experience
PROJECT TWO
PROJECT ONE
Owner Name
CV
Owner Address
Reference
Telephone Number
Type of Work
5-
PROJECT THREE
Record of Past Experience
New Applications- List major projects performed by the contractor's own forces for the previous three( 3) fiscal years, incFuding Federal, State, County, City and
private work. The total doliar amounts and work category doilar amounts must be listed for each project. Do not include work performed by subcontractors
Renewal Applications- List major projects per(ormed by the contractor's own Torces for the previous fiscal year, including Federal, State, County, City and private
work. The total dollar amoun[ s and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Please see Appendix" A" of the rules for prequalification to determine the appropriate category for completed work.
Name, Address
Totai
Phone Number
and
of
Year
Reference
Blt.
In
Earth-
PCC
Plant
work
Paving
Mlx
7000' s}
ca
UNITED AIRLINES
2014
ca
395
c$
cs
Agg.
BAM
Bases
Struct.
Drain.
Elect.
ca
ca
MiSC.
PAINT
Conc.
P,avEMENr
8 SUI'f.
ta
c$>
MARKING
c$
c$
ca
PAINT PAVEMENT MARKING
395
2014
5 PAINT PAVEMENT MARKING
5
2014
5
P. O. BOX 66140
CHICAGO, IL 60666
2014 TERMINAL STRIPING
ROBERT HEATHERINGTON 773- 601- 3301
ALBERTSONS, INC.
1955 W. NORTH AVENUE
MELROSE PARK, IL 60160
VARIOUS STORE STRIPING
HERB FULTON 630-948- 6407
AMERICAN AIRLINES
P. O: BOX 66033 MD400
CHICAGO, IL 66140
2014 PARKING LOT STRIPING
TYRONE HAMILTON 773-894- 6869
DELTA AIRLINES, INC.
2014
49
49
2014
43
43
2014
12
P. O. BOX 20706
ATLANTA, GA 30320
O' HARE AIRPORT GATE STRIPING
CLIFTON BLACK 404- 715- 3660
GENEVA CONSTRUCTION CO.
P. O. BOX 998
AURORA, IL 60507
GENEVA CUSD MULTIPLE SITES
BRIAN CRISMAN 630- 892- 4357
SCHROEDER ASPHALT SERVICES. INC.
P. O. BOX 831
HUNTLEY, IL 60142
HUNTLEY HIGN SCHOOL- CS0158
BRENT SCHROEDER 815-923- 4380
Sub- Total
509
509
Sub- Total( pg 6)
1, 995
1, 995
Total( s)
2, 504
2, 504
5
a....,-
3==.._.,
e=
r.'
X a'.;
w-s.i
v_ , _._..:.:
a
h:.-. ,.. .,+.=?#"*
SW..`.'.
aw .
s ... ... , ..
.....
.. _.,,..^`...,.
Q
r r-...
3e`_ .. ..
k`-; ,,
.
.
r
.
New Applications- List major projects performed by the conhactor's own forces for tbe previous three( 3j fiscal years, including Federal, State, County, City and
privaEe work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Renewal Applications- List major projects performed by the contractor' s own forces for the previous fiscal year, including Federai, State, County, City and private
work. The total dollar amounts and work ca[ egory dollar amounts must be listed for each projecL Do not i clude work performed by subcontractors.
Name, Address
and
Phone Number
of
Total
Year
Reference
Bit.
In
Earth-
PCC
Plant
1000' s)
work
Paving
Mix
ca
ca
s
c$
GENEVA CONSTRUCTION CO.
Agg.
BAM
Bases
Struct.
Drain.
cs
cs
Elect
8 Surf.
ca>
ca>
Misc.
COVER
Conc.
8 SEAL
COATS
c$ $
ca
2014
10
COVER 8 SEAL COATS
10
2014
10 COVER 8 SEAL COATS
10
2014
12 COVER& SEAL COATS
12
2014
23
SEAL COATS
23
2014
27 COVER 8 SEAL COA7S
27
2014
7 COVER 8 SEAL COATS
7
P. O. BOX 998
AURORA, IL 60507
GENEVA CUSD MULTIPIE SITES
BR AN CRISMAN 630-892- 4357
VILLAGE OF ADDISON
1 FRIENDSHIP PLAZA
ADDISON, IL 60101
2014 VILLAGE HALI SEALCOAT
J. CHRYSOGELOS 630- 543-4100
AMERICAN AIRLINES
P. O. BOX 66033 MD40
CHICAGO, IL 66140
PVT. MAINT. AREAS- PRKG LOTS- O' HARE AIRPOR7
TYRONE HAMII. TON
773- 894- 6869
SCHROEDER ASPHALT SERVICES, INC.
COVER&
P. O. BOX 831
HUNTLEY, IL 60142
HUNTLEY HIGH SCHOOL- CSD158
BRENT SCHROEDER 815- 923- 4380
AC PAVEMENT STRIPING CO.
695 CHURCH RD.
ELGIN. IL 60123
2013/ 14 SCHAUMBURG MFT STREET MAINT.
SCOTT KLINE 847- 214- 9500
ROSSI CONTRACTORS
201 W. LAKE ST.
NORTHLAKE, IL 60164
VARIOUS 2014 PROJECTS
TOM FITZGERALD 708- 562-2700
Sub- Total
89
gg
6
New Appiications- List major projects pertormed by the contractor' s own forces for the previous three( 3) fiscal years, including Federol, State. County, City and
private work. The total dollar amounts and work category dollar amounts must be listed for each project: Do not i clude work performed by subcontractors.
Renewal App{ications- List major projects performed by the contractor's own forces for the previous fiscal year, including Federal, State, County, City and private
work. The totai dollat amounts and work category dollar amounts must be listed for eacR project. Do not include work performed by subcontractors.
Phone Number
of
Year
In
1000'
Reference
s)
2014
Earth-
PCC
Plant
wark
Paving
Mix
ts
s
c$
c$
MCHENRY COUNTY DIV OF TRAN
Agg.
Bit.
Total
Name, Address
and
BAM
Bases
Struct.
Drein.
cs
cs
Elect.
Misc.
CRACK
Conc.
SEAI
t$
ta
8 Surf.
t$>
c$
c$>
CRACKSI OINTS
180
SEAL CRACKS/ JOINTS
37
180 C EAN& SEAL
16111 NELSON RD.
WOODSTOCK, IL 60098
2014 CRACK ROUTING&
SEAI
KEN BAKER 815334-4960
CITY OF PERU
2014
37
CLEAN&
2014
39
CLEAN 8 SEAL CRACKS/ JOINTS
2014
39 CLEAN 8 SEAL CRACKS/ JOINTS
2014
88 CLEAN& SEAL CRACKS/ JOINTS
1901 FOURTH STREET
PERU, IL 61354
2014 CRACK SEAL PROJECT
MIKE PERRY 815-223- 3344
NAPERVILLE TOWNSHIP ROAD DISTRICT
39
31W331 North Aurora Road
NAPERVI LE, IL 60563
21i14 CRACK SEAL PROJECT
STAN WOJTASIAK 630- 978- 0380
VILLAGE OF PALATINE
39
200 E. WOOD STREET, PUBLIC WORKS
PALATINE, IL 60067
MARK GRABOWSKI 847- 705- 5262
MISSOURI PETROLEUM CO.
1620 WOODSEN ROAD
ST. LOUIS, MO 63114
VI'
OAK P RKIRNER
OREST 201
MIGR() MRAf,KGILL NRO 1
ROMAN BABINSKI( VLG. R. E.) 708- 358- 5727
CITY OF NAPERVIIIE
2014
388
CLEAN 8 SEAL CRACKSIJOINTS
P. O. BOX 3020
NAPERVILLE, IL 60566
2014 CRACK FILLING PROGRAM
PETER ZIBBLE 630- 420- 6720
Sub- Totdl
771
6
388
New Applications- List major projects performed by the contractor' s own forces for the previous three( 3) fiscal years, including Federal, State, County, City and
private work. The total dotlar amounts and work category dollar amounts must be listed fo each project. Do not include work performed by subcontractors.
Renewal Applications- List major projects performed by the contractor' s own forces for the previous fiscal year, including Federal, State, County, City and private
work. The total dollar amounts and work category dollar amounts must be listed for each project Do not include workperformed by subcontractors.
Name, Address
I
and
Phone Number
of
Total
Year
Reference
Bit.
In
1000' s)
cs
CITY OF FREEPORT
j
Earth-
PCC
Plant
work
Paving
Mix
ca>
$
ca
Agg.
BAM
Bases
Struct.
Drain.
Elect.
cs>
cs>
at
Misc.
CRACK
Conc.
SEAL
8 Surf.
ca
ca
c$
ca1
2014
47
2014
262 CLEAN& SEAL CRACKSlJOINTS
2g2
2014
184 CLEAN 8 SEAL CRACKSIJOINTS
184
2014
51 CLEAN& SEAL CRACKSIJOINTS
51
2014
49 CLEAN 8 SE,4L CRACKS/ JOINTS
q9
524 W. S7EPHENSON ST., SUITE 330
FREEPORT. IL 61032
SHAUN GALLGHER 815- 297- 1166
VILLAGE OF BOLINGBROOK
375 WEST BRIARCLIFF ROAD
BOLINGBROOK, IL 60440
PRATIK PATEL 630- 226- 8852
MCHENRY COUNTY DIV. OF TRANS.
I
16111 NELSON RD.
WOODSTOCK, IL 60098
2014 CRACK SEAUNG/ PAINT PROG.
KEN BAKER 815- 334- 4960
Ii
CITY OF SYCAMORE
535 DEKALB AVE
SYCAMORE, IL 60178
2014 CRACK SEALING PROJECT
JOHN SAUTER 815- 895-4515
VILLAGE OF PLAINFIELD
14400 COIL PLUS DRIVE
PLAINFIE D, IL 60544
RANDALL JESSEN 815- 730-3444
VILLAGE OF CAROL STREAM
2014
116
116
500 N. GARY AVENUE
CAROL STREAM, IL 60188
BILL CLEVELAND 630- 871- 6220
Sub- Total
7pg
7pg
6
New Applications- List major projects performed by the contractor's own forces for the previous three( 3) fiscai years, including Federal, State, County, City and
private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not inciude work performed by subcontractors.
Renewal Applications- List major projects performed by the contractor' s own forces for the previous fiscal year, including Federal, State, County, City a d private
work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subconEractora
Phone Number
of
Bit.
Total
Name, Address
and
Year
Reference
M
1000' sj
PCC
Plant
work
Paving
ta
Mix
ts
c$
WHEATLAND TOWNSHIP ROAD DISTRICT
Earth-
c$
Agg.
BAM
Bases
Struct.
Drain.
Elect.
ta
s
ca
Misc.
CRACK
Conc.
SEAL
8 Surf.
ta
cs
c$
cs
2014
30 CLEAN& SEAL
CRACKSIJOINTS
30
2014
37
2014
60
60. 00
2014
85
CLEAN 8 SEAL CRACKSIJOINTS
5
2014
34
2014
27 CLEAN& SEAL CRACKS/ JOINTS
2
4232 Tower Court
NAPERVILLE, IL 60564
2pt4 CRACKFILL& PVT. MKG. PROJECT
JEFFREY STRZALKA. HR GREEN, INC. 815- 385- 7778
VILLAGE OF INVERNESS
1400 W. BALDWIN ROAD
PALATINE, IL 60067
2013CRACKSEALPROJECT
JASON DOLAND 847- 358- 7740
VILLAGE OF ADDISON
1 FRIENDSHIP PLAZA
ADDISON, IL 60101
2014 CRACK SEAL PROGRAM
J. CHRYSOGELOS 630- 543- 4100
VILLAGE OF OAK BROOK
1200 OAK BROOK ROAD
OAK BROOK, IL 60523
2014 CRACK SEALING PROGRAM
JIM BOSMA 630-990- 3000
CURRAN CONTRACTING CO.
286 MEMORIAL COURT
CRYSTAL LAKE,
L 60014
CITY OF DEKALB 2014 NON- MFT PROJ.
MARK FRAME 815- 455- 5100
VILLAGE OF RIVERSIDE
27 RIVERSIDE ROAD
RIVERSIDE, IL 60546
EDWARD BAILEY 708- 442- 3590
Sub- Total
2 3
273
6
r
New Applications- List major projects performed by the contractor' s own forces for tbe previous three( 3) fiscal years, including Federal, State. County, City and
private work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
Renewal Applications- List maJor projects performed by tbe contractor's own forces for the previous fiscal year, including Federal, State, County. City and private
work. The total dollar amounts and work category dollar amounts must be listed for each project. Do not include work performed by subcontractors.
and
Phone Number
of
Year
In
1000' s)
Reference
P
Earth-
PCC
work
Paving
Mix
cs
ca>
s>
cs
D CONSTRUCTION
Agg.
Bit.
Total
Name, Address
ant
2014
24 CLEAN&
SEAL CRACKSIJOINTS
2014
20 CLEAN 8
SEAL CRACKS/ JOINTS
2014
2014
2014
19 CLEAN 8 SEAL
2014
50 CLEAN 8 SEAL CRACKS/ JOINTS,
BAM
Bases
Struct.
Drain.
ta
ca
Elect.
Misc.
CRACK
Conc.
SEAL
Surf.
s>
c$ f
c$
c$
c$>
24
1488 S. BROADWAY
COAL CITY, IL 60416
VILLAGE OF MINOOKA 2014 MFT
KEN WILHELMI815- 458- 3411
VILLAGE OF LAGRANGE
20
53 S. LAGRANGE ROAD, PO. BOX 668
LAGRANGE, IL 60525
RYAN GILLINGHAM 708- 579- 2328
CITY OF GENOA
20
100 MADISON STREET
GENOA, IL 60135
JANICE MELTON 815- 784- 2271
C1TY OF PLANO
20
17 E. MAIN ST.
PLANO, IL 60545
JOHN MCGINNIS 630- 669-0619
D CONSTRUCTION
CRACKSlJOINTS
9
1488 S. BROADWAY
COAL CITY, IL 6Q416
VILLAGE OF COAL CITY 2014 MFT
D CONSTRUCTION
50
1488 S. BROADWAY
COAL CITY, IL 60416
CITY OF YORKVILLE 2014 MFT
Sub- Total
153
153
6
t
i
s
ACKNOWLEDGEMENT
PROJECT THREE
PROJECT TWO
PROJECT ONE
Contractor
If Bidder
was)
R
Subcontractor)
Amount of Contract
Date Completed
I,.,
DATED this
V ,`
C
day of
,
205.
SKC CONSTRUCTION, I.N,C.
Attest/ Witness:
Bi
By:
By:
1
Title:
i
C
Subscribed
before
er
me
G
and
Sworn to
this
ct
pf
FREY K.
R
UIST
Title:
My
Commission Expires:
o
day
20.
of_,
OFFICIAL SEAL"
1
SE
Notary
]
Public
THERESE J. TAB R
Notary Public, taY f! i{ inois
MY Commission Expires 3-2- 018
6-
Z
ti
ATTACHMENT A
SPECIAL PROVISIONS
The following Special Provisions Supplement the " Standard Specifications for Road and Bridge
Construction", Adopted January 1, 2012 or latest edition, the latest edition of the " Manual on
Uniform Traffic Control Devices for Streets
and
H.ighways", and the " Manual of Test Procedures
of Materials" in effect on the date of invitation of bids, and the Supplemental Specifications and
Recurring Special Provisions indicated on the Check Sheet included here in which apply to and
govern the construction of the 2015 Crack Sealing Pro ram, and in case of conflict with any part,
or parts, of said Specifications, the said Special Provisions shall take precedence and shall
govern.
L
AWARD OF CONTRACT
The Contract shall be awarded to the lowest, responsible bidder for performance of the
Work as listed in the Schedule of Prices.
The total Contract Price is defined as Bidder' s Proposal for making Entire Improvements
as in the Schedule of Prices.
II.
CONTRACT TIME and START DATE
Contractor shall complete the Work between May 15, 2015 through September 1, 2015.
Upon receiving the Notice To Proceed, the contractor has 10 consecutive working days
to complete the project.
III.
DESCRIPTION OF WORK
The Work described in these specifications consists of performing Crack Sealing for the
Villages of Grayslake and Lindenhurst.
IV.
SCOPE OF WORK
As directed by the Village Representative, Contractor shall complete Crack Sealing in the
locations determined
provided a
list
and
laid
out
of addresses and or
by
map
the Village Representative.
of all
the
work
locations.
Contractar will be
ATTACHMENT A
V.
CRACK SEALING
All
work
be done in
shall
Specifications. This
accordance
work shall
be
paid
with
for
at
Sections 451 &
452 of the Standard
the contract unit price
per pound (
lb.) for
CRACK SEALING regardless of the type of existing pavement surface.
The sealing compound shall be of rubber-asphalt hot-poured type conforming to ASTM
D6690, Type II and Federal Specification SS- S- 164. The contractor shall submit the
manufactures specifications for the hot-poured rubber- asphalt materials at least seven ( 7)
days prior to the start of any work.
Primary transverse and/ or longitudinal working cracks shall be routed, cleaned, dried and
sealed. Any adjacent secondary cracks shall be only cleaned and sealed. Cracks shall be
routed as
nearly
as possible
in
a straight
line, approximately
3/
4"
wide
by 3/ 4" deep as close
to a one- to-one ratio as possible. After routing is completed and prior to filling, dust and
debris shall be blown from the crack with compressed air and the crack area shall be
exposed to a heat lance in order to ensure the crack is completely dry.
A cover material consisting of dry sand approved by the Engineer or his designee shall be
applied immediately to the hot-poured rubber-asphalt sealant to minimize tracking by
vehicular traffic. The cost of this work shall be considered incidental to the contract. No
additional compensation wi11 be paid for application of a cover coating.
Within 48- hours of completion of the roadway crack filling operations, the work areas
shall be cleaned of any debris created from the crack routing and crack sealing process at
no additional cost. A sweeper unit shall be utilized capable of sweeping and vacuuming
any accumulated debris created from the contractors operations.
The price for CRACK SEALING shall include routing, cleaning, drying the cracks,
furnishing and pouring the sealant, cover coating, sweeping, and all incidentals necessary
to complete the work as specified.
This work shall be paid for at the contract unit price per POLTND of CRACK SEALING.
VI.
TRAFFIC CONTROL
The Contractor shall obtain, erect, maintain, and remove all signs, barricades, flagmen,
and other traffic signal devices as may be necessary far the purpose of regulating,
warning, or guiding traffic and pedestrians. Placement and maintenance of all traffic
control devices sha11 be in accordance with the applicable parts of Article 107. 14 of the
Standard Specifications and shall conform to all applicable sections of the Manual on
Uniform Traffic Controls for Streets and Highway Construction, Maintenance, Utility
and Incident Management Operations. All traffic protection will be considered incidental
to the
cost of
the
contract and will not
be
paid
for separately.
ATTACHMENT A
SCHEDULE OF QUANITIES
The table below represents estimated quantities provided by each Owner. The quantities listed
below are the quantities included in the Schedule of Prices. The approximate quantities set forth
in the table below for each item are the Owner's estimate only and that Owner reserves the right
to increase or decrease such quantities based on the Standard Specifications.
Crack Sealing
Municipality
Unit
Quantity
Grayslake
Lbs.
2, 300
Lindenhurst
Lbs.
16, 000
A310TM
-
2010
Document
Bid Bond
CONTRACTOR:
1Vame, legal status
SURETY:
Name, legal status and principal place
and address)
of business) '
Patriot Pavement Maintenance
Old Republic
825 Seegers Road, Ste F '
P. O. Box 1635
Des Plaines, IL 6006
Milwaukee,
ADDITIONS AND DELETIONS:
Surety Company
The author of this document has
added information needed for its
53201
WI
completion. The author may also
have revised the text of# he original
OWNER: "
AIA standard form. An Additions and
IVame, legal status and address)
of Grayslake& Lindenhurst
De/ etions Report that notes added
Village
10' S.
information as weH as revisions to
Seymour St.'
Grayslake, IL
the standard form text is available
6QU30
from the author and should be
reviewed. A vertical line in the left
BOND AMOIlNT:$' Five Percent
of
Accompanying Bid—(
5%
of
Bid)
margin of this document indicates
where the author has added
PROJECT:
I
necessary information and where
1Vame, location or address, and Project number,
2015 Joint' Crack Sealing
the author has added to or deleted
if any)
from tne origina a A text.
This document has important legal
consequences. Consultation with an
Surety are bound to the Owner in the amount set forth above, fOi the
payment of which the Contractor and Surety bind themselves, their heirs, executors,
administrators, successors and assigns, jointly and severally, as provided herein. The
conditions of this Bond are such that if the Owner accepts the bid of the Cantractar
The Contractor
within
and
the tirne specified in the bid
the Owner
documents,
or within such
Contractor, and the Contractor
rime period
1)
as
may be
into
by
contract with the Owuer in accordance with the terms of such bid, and gives such bond or
agreed
to
and
either(
enters
attorney is encouraged with respect
to its completion or modification.
Any singular reference to
Contractor, surety, owner or other
party shau be considered p ural
Where applicable. -
a
bonds as rnay be specified in the bidding or Contract Documents, with a surety admitted
in the jurisdicUon of the Project and otherwise acceptable to the Owner, for the faithful
performance of such Contract and for the prompt payment of labor and material furnished
in the prosecution thereof; or( 2) pays to the Owner the difference, not to exceed the
amount of this'Bond, between the amount specified in said bid and such larger amount
for which'the Owner may in goc d 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 sha11 not apply to any extension exceeding sixty( 60) days in the '
aggregate beyond the time for acceptance of bids specified in the bid documents, and the
Owner and Contractor shall obtain the Surety' s consent for an extension beyond sixty
60) days.
If this Bond is issued in connection with a subcontractor' s bid to a Cantractor, 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 locafion of the Project, any provision in this Bond conflicting with said statutory or
legal requirement shall be deemed deleted herefrom and provisions confornung to such
statutory or other legal requirement shall be deemed incorporated herein. When so
2010. Copyright 6 1963, 1970 and 2010 by The American Institute of Architects. Ail rights reserved. WARNCNG: This AIA
pacument is protected by U. S. Go yright Law and Internationa! Treaties. Unauthorized reproduction or distribufian ofthis A1A t7ocument, ar any
partion of it, may resu9t in severe civil and criminal penatiies, and wiil be prasecuted to 4he maxicnum exfent possibte under the law. This documeM
AIA Document A310"'—
Init.
was produced by AIA soflware at 09:26: 55 on 03/10/2015 under Order No. 5936073427_ 1 which expires on 06/25/ 2015, and is not for resale.
userNotes:
aozasaos7>
r
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 13th
day of March
,
2015
Patriot Pavement Maintenance
Con
t.
Witness
tor as
Principal)
eai)
Tit e)
Old Republic Surety Company
a'
Su
5eal)
t') '
i e)Kevin J. Scanlon, Attorney-infact
tness)'
F<
x;
e:
ff.
s
5
j, ..
F,.. .
y
7
AIA Document A370'"'-
Mit
pp
ument
is
protected
2010. Copyright m 1963, 1970 and 2010 by The American Institute of Architects. Ail righta reserved. WARNING: This AtA`
by
U. S. Gopyright Law
ansl
international Treaties. Unauthorixed
r
productian or distribufion of#his
AiA
Document,
or
any
portion of it, may result in severe civii and eriminat penalties, and wiii be prose¢uted ta 4he maxlmum eae4ent posxible under the Iaw. This doeument
was produced by AIA software at 09:05: 55 on 03H 0/2015 under Order No. 5936073427_ 1 which expires on 06/25/2015, and is not for resale.
UserNotes:
1513308982)
2
SURETY
1
COMPANY
P0111EER OF ATTORNEY
,
s
KNOW RL,L 1kfBN BY THESE PRESE FTS:= 'i'hat OLD REPUBLIC SUIt Ti' COMPANY, a Wisconsin stock insurance corporation l
s
ake, constitute and
appoint
GARY A. E/ tTQN, R. L. MCWETHY, KEVIN J." SG thItQN; OF NEW LENOX, IL
ts hue and lawful Attorney( sj-in- act, with full power and autho
ver
iry, not exceeding$ SO, OOO, ai for and on behalf of the co pany as surety, to execute an€
and affix the seal of the company thereto( if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,( other than bail
bonds, bank depository bonds, mortgage deficiency bonds, mortgage guarauty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers
compensation# zonds guaranteeing payment of benefits, asbestos abatement contract bonds, wastemanagement onds, hazardous waste remediation bonds or black lung
bonds), as fallow
ALL
IfITTEN_INSTRUMENTS IN AN AM4UNT NOT TO EXCEED AN-AGGREGATE OF
SEVEN MILLION FIVE HUNDRED THOUSAN($
7; 500, 000)---------
FOR ANY SINGLE
OBLIGATIOI f, REGt4FtDLESS OF THE NUMBER OF INSTRUMENTS ISBUED FQR THE OBLIGATIQN.
an
to
bind OLD REPUBLI
U iETY COMPANY thereby, and all of the acts of said Attorneys- n-Fact, pursuant to these presents, are ratified and confir ed
is document is not valid unless grintedon coloredbackground and is multi- colared. This appointment is made under and by auf ori of the boazd of dir tcars
af'a special meeting held on February 18, 1982: This Power of Aftorney is signed and sealed by facsimile under and by the authority o the following resolutions
adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18, 1982.
RESO,
ED that, the president, any vice-president, or assistant vice presidenY, in conjunction with the secr Eaiy or any assistant secreta y,_nay appoint
author ty as defin d or limited in the instrwnent evidencing the appointmeflt in each case, for and on be
fof th comp ny to
execute and deliver and affix the seal of the company to bonds, undert kings, recognizances, and suretyship obligations of all kinds; and said c liceis may remove
any such attomey-in- fact or agent and revok any Fower of Attomey previousiy granted to such person.
attorneys in- fact or agents with
FURTHER, at any bond, undertaking, recog izance, or suretys ip obligation shali be valid and bit di g upa the Company
i) when signed by the president; any vice president or assistant vice president, and attested and sealed( if a seal be requu ed)_by any secretary or assis
RESOLVED
t
secretary; or
ii) when signed by the president, any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed( if a seal be
required) by a duly authorized attorney-in-fact or agent; or
iii) when duly executed and sealed( if a seal be required) by one or more attorneys- in-fact or agents pursvant to and within the limits of t e authority
evidenced by the Power of Attorney issu d by the company to such person or persons.
RESOLVED FLIRTHER, that the signature of any;authorized officer and the seal of the company may be affixed by facsimile to any Power ofhtfi rney or
certification-thereof authorizing the executiQn and deliv ery of any bond, undertaking; recognizance, or othe suretyship,obligations of the cc npa y and such
r__..,.......
a.
a'._
STATE OF
o+
4...,.
Rt-.n nuallv affiseA._
Illinois
ss.:
COUNTY OF
Will
On this
personally
being by
surety
13th
day
Kevin J.
appeared
me
duly sworn, did depose
March
of
2015
Scanlon
and
he_
that
reside( s) at
he_
Company
Acknowledgment
of_
in
Old Republic
Suretv Company
and which executed and annexed
before me
to me known, who,
say: that_
New Lenox Illinois
,
is/
are the
Attornev- in- fact
the corporation described
instrument; that_
he_
know(s) the corporate seal of said
corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed
by
order of the
Board
of
Directors
of said corporation;
that_
he_
signed the same name( s)
thereto by like order; and that the liabilities of said corporation do not exceed its assets as
ascertained in the manner provided by law.
os
a
o. e oso o:
e.
QF ICIAL SEAL"
s
e
u
Notar
±
N{y Commissawt Expires 06I3tJ12Q18;
oeo..+•
Bond- 3768-A
Qn.
tate f t!1'trtois
Public,
o•••°°
(
Notary
Public in and for the
nn„........,,.,,.,...... ,..._.___
...,,...,....
ve County and State)
-
2015 Crack
3 /
Sealing
Bid Tabulation
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Bid Amount
Bid Bond
Bidder
i,,
z
,22 g
Z ', "
Z,
l02
LEGAL NOTICE/ PUBI. IC NOTICE
VILLA6E OF 6RAYSLAKE
BID NOTICE
Tha sealed
Viilagebitls
o# Grayslake,
Lpke CouM, Illinois
is solicitfrom construction
ro
ing
eon ra
o,
lowing proiect:4U75 PAVENIENT pATCHING
This is
a
joint bitl for pavement patcbing
with
h@ fo,-
CERTIFICATE OF PUBLICATION
Graysiake,
Fox River Grove, Lakemoor and Lake Villp. Seq etl bids
for this contract musY be received: before 11: 0p a, m. on
March 10,Grays
2015 atake,
the Grayslake
Villagewhfch
Hal4 10 S, Seymour
Avenue,
Illinots 60IXi0,
will. be
at
Paddcek Publicallons, I11C.
time all bids
publicry opened ond read aloutl.
1I
Capies of ihe bidding documents, including contract provisions and proieci drawings and specif cations, may be exqminetl atfrom
the Graysiake
Hall. Bid packets may be
obtained
the Village Villags
of Gravslake, l0 S,
nue,
Grayslake; IL 60030
or
.
vi 1
Sevmour Aveeofe eyslnke com,
It is the responsibility
of th oiaaer ro mee p. eq re,.
documents.
The Vtlla e of Grayslake eserves ihe right to accepT ihe
the V Iq e es dQtermin eqsthotthe Yiilaee TherVb lage
ments of the bid
also reserves the
does
not confQrm
to reiect anY bitl or part of
to The bitltling requiremenis or
right
a bid that
to motlify
ore waive
ran e all
a5. formalities antl techniCalities in q bid, or to eeComplianceconditionsare
inclutled
President and Boartl of T ustees
inthebiddocumeMS.
Putilished° DaiglyrHerald Fetiruar y25, 2015(
i
Corporation organized and existing under and by virtue of the laws of
10 Stclte Of IlI111015, DOES HEREBY CERTIFY that it is the publisher
of the DAILY HERALD. That said DAILY HERALD is a secular
news PaPer and has been circulated daily in the Village(s) of
Algonauin. Antioch Arlin ton Hei hts Aurora Barrington
B$TI'lIl I0IlH11IS LakeBarrin ton NorthBarrington SouthBarrin IOri
Villa9e of Grayslake, Il inois
B
p
4399356J
B
lett. Batavia Buffalo Grove Burlin ton Camnton Hills
Carpentersville Carv Deer Park Des Plaines South El in East Dundee
Elburn, Elem,Elk Grove Villa e Fox Lake Fox River Grove Geneva
Gilberts. Gravslake Green Oaks Gurnee Hainesville Hampshire
Hanover Park Hawthorn Woods Hoffman Estates
Huntle
Inverness
Island Lake Kildeer Lake Villa Lake in the Hills Lake Zurich
Libertyville,Lincolnshire Lindenhurst Lon Grove Mt Prospect
Mundelem,Palarine. Prosnect Hei hts Rollin Meadows Round Lake
Round Lake Beach Round Lake Heiehts Round Lake park Schaumbure
Sleepy Hollow, St. Charles Streamwood Tower Lakes Vernon Hills
Volo. Wauconda. WheelmQ West Dundee Wildwood Sugar Grove
North Aurora
County( ies) of Cook. Kane. Lake McHenrv
and State of Illinois, contmuously for more than one year priar to the
date of the first publication of the notice hereinafter referred to and is of
general circulation throughout said Village(s), County(ies) and State.
I further certify that the DAILY HERALD is a newspaper as defined in
an Act to revise the law in relation to notices" as amended in 1992
Illinois Compiled Statutes, Chapter 7150, Act 5, Section 1 and 5. That a
notice of which the annexed printed slip is a true copy, was published
2/ 25/ 15 in said DAILY HERAI,D,
IN WITNESS WHEREOF, the undersigned, the said PADDOCK
PUBLICATIONS, Inc., has caused this certificate to be signed by, this
authorized agent, at Arlington Heights, Illinois.
PADDOCK PUBLICATIONS, INC.
DAII-Y HERALD NEWSPAPERS
d'
BY
C'
Authorized Agent
Control# 4399356
i
2015 Joint Pavement Patching
Bid Tabulation
Cl ydo .
Bidder
Bid Amount
Bid Bond
c
i
i,•
1/.''
i
j
.
24D, S,
te S
FROPOSAL
VILLAGE OF FOX RIVER GROVE
VILLAGE OF LAKEMOOR
3•«'
BID DA
CONTRACT FOR
BID TIME/
3 O
WITH PRINTS
2015 PAVEMENT PATCHING
YES NO
CCiMPLETE DATE/ DAYS: s"
r
BIDDER' S PROPOSAL
Full Name
Chicagoland
of Bidder
Paving
Contractors Inc.
Bidder")
225 Telser Road
Lake Zurich, lL 60047
Principal Office Address_
Contact Person `
TO:
Village
u
1 S' p S6 g1
Telephone
S
Owner")
of Grayslake
10 South Seymaur Avenue
Attention: Michael3. Ellis
described below and its envirans and has reviewed and understood all documents inctuded,
referred
Nos.
write"
in
bound
documents,
including Addenda
vc which are securely stapled to the end of this Bidder' s Proposal [ if none,
to,
or
mentioned
this
set
of
NONE") (" Bid Package").
1.
Work Proposal
A.
Contract
and
Work. If this Bidder's Proposal is accepted, Bidder proposes, and agrees,
1) to
the
site or sites
Site")
described
in
Attachment
A; ( 2) to
procure
and
15-
furnish
all
r
permits,
licenses
and
other
PROPOSAL
3} to procure and furnish all Bonds and all certificates and policies af insurance specified in the
Bid Package; ( 4} to pay
all applicable
federal,
state and
required of Contractor by the Cantract; and ( 6) to provide, perform and complete all of the
B.
Additional Drawin s or Specifications. Owner may, during construction,
furnish such additional Contract Drawings and Specificatians or such other explanations as
Engineer may
consider
or
explain
The
successful Bidder shall be required to comply with the requirements of alt such additional
of the Contract and shall nat be considered as indicating additional Work.
C.
Manner
and
Time
of
Performance.
idder proposes, and agrees, that Bidder will perform the Work in the manner and time
D.
General.
by the Bid Package.
2.
Contract Price Pronosal
Section 1
Schedule
above,
of
16-
PROPOSAL
SCAEDULE OF PRICES
COMPLETE FOLLOWING PAGE
17-
SCFIEDULE OF PRICES
For providing, performing, and comple6ng all Work, the sum of the products resulting from mulriplying the number of acceptable units ofUnit
I - Base Bid
APPROXIMATE
TI' EM
T PRICE ITEMS
NO.
i7NIT
PRICE PER IJNIT
NIJMBER OF
EXTENSION
UNITS
i
CLASS D PATCHES, 4 INCH- TYPE II
SY
320
2
CLASS D PATCHES, 4 INCH- TYPE III
SY
1, 245
3
CLASS D PATCHES, 4INCH- TYPE IV
SY
1, 425
4
SY
250
Q C
S
3
ITEM
PRICE PER UNTT
iTNIT
1
SY
$
2
CLASS D PATCHES, 6 INCH- TYPE IV
SY
$
3
SI,
COURSE
4
"
Q q —
O 1
REPAIR AND PREPARATION OF BASE
/ / —
j
AGGREGATE BASE REPAIR
Supplemental Item Unit Prices
$
shall not
TON
be
used
to
S
3
determine lowest bid.
$
q
II- Supplemental Item Unit Prices*
IT PRICE ITEMS
6'
j• 0
S'3 6•'
TOTAL BASE BID$
NO.
$ "`
3 S g".
1 y 7s
U
OC
1.
If appticable, the approximate quantities set forth in this Schedule of Prices for each Unit Price Item are Owner's estimate only, that
Owner reserves the right to increase or decrease such quantiries, and that payment for each Unit Price Item shall be made only an the actual
number of acceptable units of such Unit Price Item insta(led complete in place, measured on the basis defined in the Contract;
2.
The Price Pmposal includes allowances for contingencies as Bidder deems appropriate with respect to such risks and changes in the
Work that Bidder or Contractor, as the case may be, is responsible for dealing with under the Contract without any equitable adjustment in the
Contract Price;
3.
Bidder or Contractor, as the case may be, shall be compensated only in accordance with the Contract and shall not be entitled to
equitable adjustments in the Contract Price as a result of any claims by Subcontractors or Suppliers arising only under their Subcontracts and not
pmvided for in the Contract;
4.
Owner is not subject to state or local sales, use and excise taxes and no such taxes are included in this Schedule of Prices;
5.
All other applicable federal, state, and local ta ces of every kind and nature applicable to the Work as well as all taxes, contributions, and
premiums for unemployment insurance, old age or retirement benefits, pensions, annuities, or other similar benefits are included in this Schedale
of Prices; and
6.
All costs, royalries, and fees arising from the use on, or the inwrporation into, the Work of patented equipment, materials, supplies, tools,
appliances, devices, processes, or inventions aze included in this Schedule of Prices.
All claim or right to( if applicable} dispute or complain of any such estimated quantiTy, or to assert that there was any misunderstanding in regard
to the nature or amount of any Unit Price Item to be provided or performeci, or to claim any additional compensation by reason of the payment of
any
such
tax,
contriburion, or premium or
any
such cost,
royalty
or
fee is hereby
waived and released.
PROPOSAL
3.
Contract Time Proaosal
If this Contract/Proposal is accepted, Bidder proposals and a,grees, that Bidder
shall
commence
Work
the
within
ContractlProposal provided Bidder shall have furnished to Owner all bonds and all insurance
certificates and policies of insurance specified in this Contract/ Proposa.l (the " Commencement
Date"). If this ContractlProposal is accepted, Bidder proposes, and agrees, that the Bidder shall
4.
Firm Proposal
subject to withdrawal, escalation, or change for a period of sixty ( 60) days after the date an
which any Bidder's Proposal is apened or such extended acceptance date for Bidder's Proposals
5.
Bidder Rearesentations
A.
No Collusion. Bidder warrants and represents that the anly persons, firms,
Sworn Acknowiedgment attached hereto and that this Bidder's Proposal is made without
B.
C.
ualified.
Contract Price
and
set
forth
above.
the attached Sworn Work
such additional information as may be necessary to satisfy Owner that Bidder is adequate(y
D.
Owner"s Reliance.
6.
18-
PROPOSAL
7.
Bid Securitv
surn of
5%)
8.
1
Bidder herewith tenders a Cashier's Check, Certified Check, or Bid Bond for the
dollars ($
lrac,_
of Bidder' s
Price Proposal("
Bid Security").
Owner' s Remedies
Bidder acknowledges and agrees that should Bidder fail to timely submit atl
9.
Owner' s Rights
10.
Bidder' s Obligations
DATED this
day
of
r
,
20 /
l"
Attest/ Witness:
Bidder
BY
Title:
G
C. '.
s-
S'
c....
c
J=--
By:
Title:
iU
to. nl
,
7'
U •P
19-
S
Chicagoland Pa ring Contractors, lnc.
Lake Zurich, IL 60047
225 Telser Road
Fax: 847- 550- 9684
Phone: 847- 550- 9681
CERTIFICATE QF RESOLUTION
I, KEVIN MEARTZ, President of CHICAGOLAND PAVING CONTRACTORS, INC.,
an Illinois corporation( the Corporation) hereby certifies that the following resolutions
were unanimously adopted by the Shareholders and Directors of the Corporation by
consent of the Shareholders and Directors dated May 26, 1988:
RESOLVED, that CHICAGOLAND PAVING CONTRACTORS, INC., an Illinois
Corporatian( the Corporation) authorizes WILLIAM BOWES, to have the authority to
sign and enter into a contract on behalf of CHICAGOLAND PAVING
CONTR.ACTORS, INC.
FURTHER RESOLV D, that an3 one or mere of Yhe Presi e t and any Secretary r
Assistant Secretary of the Corporation are authorized, empowered and directed to execute
and deliver on behalf of the Corporation, such documents and agreements as they or any
of them deternvne to be necessary or advisable to effectuate the faregoing resolutions.
Executed in Lake Zurieh, IL on May 26, 1988
r
r
By:
K.EVIN MEARTZ, President
VILLAGE OF LAKEMOOR
CONTRACT FOR
BIDDER' S SW4RN ACKNOWLEDGEMENT
cM
_
ow
Deponent"),
5
oath, deposes and states that the undersigned Bidder is organized as indicated below and that all
COMPLETE APPLICABLE SECTICIN ONLY
1.
Cornoration
of
.
under
the legal name
of
C4:
cc
ow.M
olar.
Co-
t'
rs`
,.. ,
TITLE
NAME
President
k e,
n
ADDRESS
6bc
MP---}'2..
1
on
S,
G,
r°CS --6
Vice President
W\`
G
pS
..
1
a
k\.
o._
fxx-(
Secretary
11 cM
Treasurer
pJ
Q,
(
1f
,,,
5
PC,—'''Z
1-
ACKN4WLEDGEMENT
2.
the
Partnershiu
State
of
pursuant to that certain Partnership Agreement dated as af
The general partners ofthe partnership are as follows:
NAME
3.
ADDRESS
Individual
whose residence address
whose
business
address
is
and
is
ar assumed name, said trade or assumed name is as follows:
4.
Joint Venture
of
pursuant
to that
certain
as of
that
NAME(
and
ENTITY TYPE)
ADDRESS
U
U
z-
ACKNOWLEDGEMENT
For each signatory, indicate type of entity ( Corporation = " C"; Partnership = " P"; and
Individual= " I") and provide, on separate sheets, the information required in Paragraph l,
2, or 3 above, as applicable)
DATED this
day
of
h
,20.
Attest/ Witness:
c Q
,
Bidder
L.
By:
Title:
Subscribed
before
of
5...
G,..,'-,
Sworn to
and
me this /
ho..-
,
L'."- /
By:
Titie:
My
W,
n•
Commission Expires:
a
p day
20I' •
FlCi l SEAL
C
No
d,. AS
,_ (
li? RMAN
rNIY(
ry Public
sTA
pSS10M E
c K a as
IRES:10/ 18118
SEE GENERAL INSTRUCTIONS TO BIDDER5, SECTION 7,
3-
tJ P
g' I
r
. ..
ACKNOWLEDGEMENT
VILLAGE OF GRAYSLAI{ E
VILLAGE OF LAKE VILLA,
VILLAGE OF LAKEMOOR
CONTRACT FOR
Deponent"), being first duly sworn on
Z, . ^
("
u(,(
cM
(
1.
Nature of Business
State the
nature of
o
2.
c
Bidder' s business:
;
p,. 9(a
ccx--
CaC
ts',
F
Composition of Work
During the past three years, Bidder's work has consisted o£
S %Federal
Other Public
As Contractor
S%
As Subcontractor
Private
3.
7$ %Bidder's Forces
Subcontractors
o % Materials
Years in Business
4-
ACKNOWLEDGEMENT
4.
engaged
in the
aforesaid
business:
ag"
years
than five years, list any predecessar organizations:
NAME
5.
YEARS
ADDRESS
Business Licenses
ISSUING AGENCY
S
6.
TYPE
NUMBER
EXPIRATION
n.o.o.
Related Ezaerience
List three projects mast comparable to the Work completed by Bidder, or its
PR
Owner Name
p.
JECT ONE
gQ
PROJECT TWO
Sp-O
o
C? wner Address
Reference
Telephone Number
Type of Work
5-
(•..
_
PROJECT THREE
ACKNOWLEDGEMENT
PROJECT ONE
PROJECT TWO
PROJECT THREE
Contractor
If Bidder was)
Subcontractor)
Amount of Contract
ate Completed
DATED this_
day
of
/
i',-
f , 20
AttestlWitness:
r
G,,,,,
nc
(;
Bidder
By:
_
By;
W;,1i
Title:
,,,
Subscribed
before
rne
of
(,.,
J/ a- .
and
this
e .
Sworn to
!
l.,
nr
w'' S
.
Title: ,. .
My
Commission Expires:
c
a day
,20 C .
OF' lCIAL.
R.".;.
x- a
ERI1
JULI'
N^ 7A.RY
a;
C,,°
Iy pUbI1C
7
Lf
,
TE
101S
PIRES:t01 8I18
6-
'
c
Street Pr ject Li t
Stonington Condominium Association
Village of Wiimette
8tonington
2012 MFT Street Resu acing
Roadway Reconstruction
Contract Rmount: $ 449, 900. OQ
Mr. Todd Shaffer
Contract Amount: $ 724,900.00
Fiaeger
Village of Wilmette
Engineering
847- 230- 3180
City
of
847- 853- 7621
Evanston
2012 MFT
Mr.
1, 1d9, 900. 00
Chokshi
Pankaj
of
Viilage of Bedford Park
Resurfacing Project
ContractAmount:
City
Evanston
of
2012 Residentiai Street Improvements
GontractAmount: $ 1; 365,OOQ. 00
Mr. Nicholas Christie
Engineering
847- 980- 3400
City
Mr. Daniel Manis
Hoefferle- But(er Engineering
708- 599- 89802
Evanston
Vi! lage of Oak Park
Church Street Improvement! Dodge& Lake Streetscape
2Q12 Resurfacing of Various Streets
Contract Amount: $ 899, 900. 04
Contract Amount: $ 1, 397.876:00
Mr. Sat Nagar
City
of
Evanston
Mr. Roman Babinski
Engineering
847- 980- 3400
Village
of
Village
f Qak Park P! bli Works
708- 358- 5127
Palatine
Gity of Evanston
Bothvve!! Street& Railroad Avenue lmprovements
2012 Adsiitional Strse# Resurtac9n
Contract Amount: $ 319, 900. OQ
Contract Amount: $ 689,606.44
Mr. David Bottcher
Mr. Sat Nagar
Bollinger, Lach& Associates
City of Evanston Engineering
262- 770- 64Q5
Village
of
47- 98Q- 34? Q
Northfeld
Shadowood Lane
Roadway
Village of Gurnee
Improvements
Con±rac# Amount: $ 109, 900A
2012 Capital Roadway Rehabilitation
Contract Amount: $ 4Q9, 998. 27
Mr. Lucas Deferoille
Mr. David Pino
Gewalt Hamilton AssQCiation
Viilage of Gumee
847- 478- 9700
847- 539- 7554
Warrsn
Vi! lage of H wthorn WQOds
ownship
2012 Intermittent Pavement
Patching
Contract Amount: $ 54, 852. 34
Old Lake Road Paving 8 Sequoia Drive Patch
Contract Rmount: $ 46, 850. 00
Mr. Patrick J. Bleck
Erika Frable
Bleck
Vi!lage of Havvthorn Woc ds
Engineering
847- 295- 5200
847- 438- 5500
rr
Document A310 - 2010
Bltl80ntl
Bond Number: 2279914
CONTRACTOR:
N
SURETY:
legal status and acldress)
e,
Name, legal status andprirtcipalplace
f Sin SS
Chicagoland Paving Contractors, Inc.
225 Telser Road
West Bend Mutual(
Lake Zurich, IL 60047
8401
OWNER'
1Vame, legal,status ancl address)
Middleton, WI 53562
Village
of
nsurance
Greenway Blvd, Suite
ADDITtON3 AND DELETIONS:
T
author of riis document has
Company
1100
Graysiake, IL 60030
PROJECT:
Name, location
a,
AIA standard form. An Additiona and
Delefions ftepoi# that note
dded
ir# cxm i as well as revisions fo
Grayslake
10 S. Seymour
BONti AMOtiNT:
i
a
corr tetion. The put#rormay also
have revhsed Nie te d of the originaf
10%
of
Total Bid Amount( Ten Percent
of
tlte st ndard 4'orm text
Total Bid Amount)
t
o
e
aiva abie
d ahould be
rev wed. A vortica ne in tl e k t
or
c
ess, and
f'roject m
mber,
mar n cd tnis docwnsnt ind+ca es
if any)
whore
e a
a Mas added
naesssary irtfamatior
Grayslake, Fox River Grove, Lake Villa& Lakemoor
2015 Pavement Patching
The
C
txact
P Yment
dmini
and
of which
Surety
re
the Contr
raW s, auccessors
bound ta
tcx
and
e a
has
added
nd+ah
de
o
e
ted
irom Ehe ai nal AlA text.
Owner m the mount set forth above, for
Sarety bind themselves, thtir heirs, executors,
the
nd assigns, jaintiy
or
tlte
Thi: doaimertt has knpatant I gai
consequer.
attaney
Conau
ion with. n
e axa9 d w+th r
p cct
provided herein. The
severally,
O F eorn I iar w mod' c f.
cariditions of tkis Band re uch that if the( Jwner
accepts the bid ofthe Gai ract
wittiin the time apexif d in the bid documents,
Any singu re er e to
within such time peridd as may be
greed to by the Owner nd C
tractor, and the C tractor eitt er( l) entea into
Contraator>Sur ty, Clam r er other
contract with the thvner
ccflrdance:with Ehe terms of uch bid, and iv such b td or
P Y ahan be corasidered ptur i
b ds as m y be specifi
in the bidriing ar Gcmtract Documents, with a
+ hers app cab e.
surety dmitted
in the,}
nd
as
i dictio ofthe Projxt snd otherwise acceptable to the Owner, f the f ithful
performance of uch
in
the
osectation
C
tract and
f;(
thex
2)
for the
pron pt
yment of Iabar
s d materiai fitrnished
y to We() vuntr the ctif ertnce, nad to excced the
amcxmt of thia Bond, between the amo mt specified' m aid bid and such l rger amount
for which the Owner may in good f ith c ntr ct with anather party to perfarm the wrxk
covercd
by s id bid, then this obligatian shall be null and void, othetwise to remam in full
f ce
d effect. The Surety hereby waives ny notice of sn greemens between the
ner and Contractor to extend the time in which the Owner may accept the bid. Waiver
ofaatice bythe Serety hatl xtot apply to ny extension exceeding sixty{ 60) days in the
aggreg
te bey d the time fa acceptance ofhids specified in the bid documents, nd the
Owntr and Contractor
shali ohkain
b0) daYs.
the
Surety' a consent
for
an extensi
beyond sixt}+
If this Band is issued in connectior with subcontractor' S bid to a Contr ctor, the term
Contractor in this B d sh ll be deemed to be Subcontractor and the term Owna sh ll be
deemed to be G ttr ctor.
When is Bond has'bcen furnished to comply with a statutc y or othe Iegai requuement
in dit location ofehe
Project, ny provisi
in his Bond eonflicting with said st tutorp or
leg l r quiran tt shatll rbe deemed tdeletcdbeh refiom and prouisions conf ming to such
atatutory or ther}
t
eg
uirem
shall
deetn
incorporated Aerein. Wtten so
furnished, the t nt is that this Bond shall be c strued as statutory b d nd not as a
commott taw band.
AN Etocum nt I13t0'-
291Q. C yright O 1963, f970 and 10 by The Nnerica hs8tt to qt Architoeta. Ap ri Mta nssn,sd. VypRNING. This AIA°
Oocumenf is prateeted by U.3, Copyright Law and International Treaties. Unauthorized repraJuction or distribuUon oi this AIA° Document; or any
portion of It, may resutt tn severe civil and eeiminal penakies, and will be prosecuted to the maximum extent posslble underths taw. FAis document
was
P o C d by AIA aoftware at 12:1) 5i38 on 04H1ROt 1 tmder Orde l b. 44t69414_1 whlch expir s ai 02l16/301Z, ar f not kx rosals;
IIfKN6bi:
14 i917 59)
,
Signed and sealed this o y f M rch, 2015
Chicagoland Paving Contractors, Inc.
f
a
as
Priy
Sear1
al}
U
ess)
Title) w.11
c w' S
nr .
West Bend Mutual Insurance Company
Surety)
Witness)
htit.
A Doeumlrft
A31lTM—
2@1$. CoDY
Luke
raxmarer( Attorney-in- Fa
1 63. 1970 and 2070 by Thd AmeriCan Mstkute of Archi Cts. Aq ff F t; t4s rved. WAftNING: This fUA
Daeument
protected
of is may
resr by U,3. CopyrigM Law and Intemational T eaBes. Unautho ized repracluction ot dlst ibution ofthls AIA° Doeument,or any
possible under
7his
portion
i
TttleJ
it,
k in severe
ctvil and crimYnal penatties,
and
will
be prosetuted to the maacimum
extent
the Iaw.
was produced
sb by AIA soflyraro at 12:05.3d pri p4/t t/2011 urµler prc r do:p3q4169414 1 wfikh expiros on 02l1 2012, and is not fa resaFe.
documenf
Us r No
14i1917558)
2
i""`
A PiUTUA,
3
ft!ISUl4ANG
2279914
C"
COMPANY*'
Power of Attorney
Know all men by these Presents, That West Bend Mutual Insurance Company, a corporation having its principal office in
the City of West Bend, Wisconsin does make, constitute and appoint:
LUKE F PRAXMARER
lawful Attorney(s)- in-fact, to make, execute, seal and deliver for and on its behalf as surety and as its act and deed any
and
all bonds, undertakings and contracts of suretyship, provided that no bond or undertaking or contract of suretyship
executed under this
authority
shall exceed
in
amount the sum of: Seven Million Five Hundred Thousand Dollars($ 7, 500, 000
This Power of Attorney is granted and is' signed and sealed by facsimile under and by the authority of the following
Resolution adopted by the Board of Directors of West Bend Mutual Insurance Company at a meeting duly called and held
on the 21 st day of December, 1999.
Appointment of Attorney-In-Fact. The president or any vice president, or any other officer of West Bend Mutual Insurance
Company may appoint by written certificate Attorneys-in- Fact to act on behalf of the company in the execution of and
attesting of bonds and undertakings and other written obligatory instruments of like nature. The signature of any officer
authorized hereby and the corporate seal may be a xed by facsimile to any such power of attorney or to any certificate
relating therefore and any such power of attorney or certificate bearing such facsimile signafures or facsimile seal shall
be valid and binding upon the company, and any such power so executed and certified by facsimile signatures and
facsimile seal shall be valid and binding upon the company in the future with respect to any bond or undertaking or other
writing obligatory in nature to which it is attached. Any such appointment may be revoked, for cause, or without cause,
by any said officer at any time.
In witness whereof, the West Bend Mutual Insurance Company has caused these presents to be signed by its president
undersigned and
its
corporate
al
to be hereto
duly
attested
by its secretary th'
1
st
day
arch, 2009.
ji......;.,
Attest
Ja
e
Se
cA
J. Pa
tary
u. ,`
rF
i°:
Kevin A. Steiner
SEAL % , Chief Executive Officer/ President
State of Wisconsin
County of Washington
On the 1st day of March, 2009 before me personally came Kevin A. Steiner, to me known being by duly sworn, did
depose and say that he resides in the County of Washington, State of Wisconsin; that he is the President of West Bend
Mutual Insurance Company, the corporation described in and which executed the above instrument; that he knows the
seal of the said corporation; that the seal affixed to said instrument is such corporate seal; that is was so a xed by order
of the board of directors of said corporation and that he signed, his name thereto by like order.
aF. D(j%
y`
NOTARY '•:*':
PUBUC ;?;
John .
well
Executive Vice President- Chief Legal Officer
2y Notary Public, Washington Co. WI
9Fyy SG•
My Commission is Permanent
The undersigned, duly elected to the office stated below, now the incumbent in West Bend Mutual Insurance Company, a
Wisconsin corporation authorized to make this certificate, Do Hereby Certify that the foregoing attached Power of
Attorney remains in full force effect and has not been revoked and that the Resolution of the Board of Directors, set forth
in the Power of Attorney is now in force.
Signed
and sealed at
West Bend, Wisconsin this
o
day
of
March
2015
J J.."'••.
dc. L.
ORPORATF`:.
'
SEAL''
Dale J. Kent
Executive Vice PresidentChief Financial Officer
NOTICE: Any questions concerning this Power of Attorney may be directed to the Bond Manager at NSI, a division of West Bend Mutual Insurance Company
8401
Greenway
Blvd.
Suite 1100
P. O. Box 62097G
Middleton, WI
535G2
ph (
608) 410- 3410
www.
thesilverlining. com
B
W
Mutu l
td
WSURANCE CY?MPANY* TIME TESTEI) SINC 1894
190U SQUTH 18TH AVENUE+ WEST"BENI7, WI 53095'
ACKNOWLEDGMENT OF CORPORATE SURETY
STATE OF
Illinois
ss
County
of
Cook
10
On this
day
March
of
Luke F. Praxmarer
2p
15
,
before me appeared
to me personally known, who being by me duly sworn,
did say that he/she is the aforesaid officer or attorney in fact of the WEST BEND MUTUAL INSURANCE COMPANY, a corporation; that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and
that said instrument was signed and sealed on behalf of said corporation by the aforesaid officer( or Attorney- inFact), by authority of its Board of Directors; and the aforesaid officer( or Attorney- in- Fact), acknowledged said instrument
to be the free
CS
Nr, a!
My Commission
Expir
ERS
R
Fr- sciA_ sta
y'..+ b! ic. Statc; of Illinois
N; y C.amm ssion Ex ir s
.'
July 17, 2018
h;
Notary Public
July
17
20
18
County
of
Cook
State of
Illinois
MICHIGAN ONLY: This policy is exempt from the filing requirements of Section 2236 of the Insurance Code
of 1956, 1956 PA 218 and MCL 500.2236.
NB 0017 10 03
Page 1
of
1
r<
_
a
PROPOSAL
VILLAGE OF LAKEMOOR
CONTRACT FOR
BIDDER' S PROPOSAL
Full Name
of
Bidder
Schroeder
P• O.
Micah
ContactPerson
TO:
Village
of
Box
11022
Asphalt
S.
831,
IL
Huntley,
Grant
Higgins
60142
Marengo,
Hwy. ,
Bidder")
Inc.
Services,
IL
60152
815/ 923- 4380
Telephone
Owner")
Grayslake
Attention:. Michael J. Ellis
write
in
documents,
including Addenda
" NONE" J ( Bid Package").
to,
referr
Nos.
or
mentioned
this
bound
set
of
1.
Work Pronosal
A.
Contract
and
Work.
1) to
the
site or sites
Site")
described
in
Attachment
A; ( 2) to
procure
and
15-
furnish
all
permits,
licenses
and
other
y.
a
PROPOSAL
all applicable
federal,
state and
B.
Additional Drawings, or Specifications. Owner may, during construction,
Engineer may
consider
or
explain
The
Contract Drawings and Specifications ar other explanations, all of which shall be considered part
C.
Manner
and
Time
of
Performance.
D.
General.
by the Bid Package.
2.
Section 1 above, including overhead and profit; taxes, contributions, and premiums; and
Schedule
of
16-
PROPOSAL
SCHEDULE OF PRICES
COMPLETE FOLLOWING PAGE
17-
SCHEDULE OF PRICES
For providing, performing, and completing all Wark, the sum of the products resulting from multiplying the number of acceptable units of Unit
I - Base Bid
APPROXIMATE
ITEM
UNIT PRICE ITEMS
NQ
EXTENSION
PRICE PER UNIT
NUMBER OF
UNIT
UNITS
1
2
3
SY
SY
CLASS D PATCHES, 4 INCH- TYPE N
G
r
320
Q`
d
1, 245
SY
O`Q
$
QO
`
U
1, 025
SY
QO
250
TOTAL BASE BID$
O
i
/,
1
II - Supplemental Item Unit Prices*
ITEM
UNIT PRICE ITEMS
NO.
PRICE PER UNIT
UNIT
1
SY
$
2
CLASS D PATCHES, 6 INCH- TYPE N
SY
$
3
4
O.
0
Q
REPAIR AND PREPARATION OF BASE
COURSE
AGGREGATE BASE REPAIR
Sy
$
TON
$
D`
Z /'1
J l/
Supplemental Item Unit Prices
shall not
be
used
to determine lowest bid.
1.
g,
$
O
/
A
lfrvtJ
O
4
g
O\ `
$
O+
v'
r
1.
If applicable, the approximate quantities set forth in this Schedule of Prices for each Unit Price Item are Owner's estimate only, that
Owner reserves the right to increase or decrease such quantities, and that payment for each Unit Price Item shall be made only on the actual
number of acceptable units of such Unit Price Item installed complete in place, measured on the basis defined in the Contract;
2.
The Price Proposal includes allowances for contingencies as Bidder deems appropriate with respect to such risks and changes in the
Work that Bidder or Contractor, as the case may be, is responsible far dealing with under the Contract without any equitable adjustment in the
Contract Price;
3.
Bidder or Contractor, as the case may be, shall be compensated only in accordance with the Contract and shall not be entitled to
equitable adjustments in the Contract Price as a result of any claims by Subcontractors or Suppliers arising only under their Subcontracts and not
provided for in the Contract;
4.
Owner is not subject to state or local sales, use and excise taxes and no such taxes are included in this, Schedule of Prices;
5.
All other applicable federal, state, and local taa es of every kind and nature applicable to the Work as well as all ta ces, contributions, and
premiums for unemployment insurance, old age or retirement benefits, pensions, annuities, or other similar benefits are included in this Schedule
of Prices; and
6.
All costs, royalties, and fees arising from the use on, or the incorporation into, the Work of patented equipment, materials, supplies, tools,
appliances, devices, processes, or inventions are included in this Schedule of Prices.
All claim or right to( if applicable) dispute or complain of any such estimated quantity, or to assert that there was any misunderstanding in regard
to the nature or amount of any Unit Price Item to be provided or performed, or to claim any additional compensation by reason of the payment of
any
such
tax,
contribution, or premium or
any
such cost,
royalty
or
fee is
hereby
waived and released.
PROPOSAL
3.
Contract Time Prouosal
If this ContracdProposal is accepted, Bidder proposals and agrees, that Bidder
shall
commence
Work
the
within
certificates and policies of
insurance
in this Contract/ Proposal ( the " Commencement
specified
Date"). If this Contract/ Proposal is accepted, Bidder proposes, and agrees, that the Bidder shall
4.
Firm Pronosal
All prices and other terms stated in this Bidder's Proposal are ftrm and shall not be
subject to withdrawal, escalation, or change for a period of;.sixty ( 60) days after the date on
5.
Bidder Representations
A.
B.
C.
ualified.
Contract Price
and
set
forth
above.
the attached Sworn Work History Statement. In the event Bidder is preliminarily deemed to be
D.
Owner' s Reliance.
6.
18-
PROPOSAL
7.
Bid Securitv
Bidder herewith tenders a Cashier' s Check, Certified Check, or Bid Bond for the
Five
sum of
5%)
8.
of
Percent
dollars ($
Bidder' s Price Proposal ("
5%
Bid Security").
Owner' s Remedies
9.
Owner' s Rights
10.
Bidder' s Obli ations
DATED this
l Oth
day
of
March
2015 ,
Schroeder
Attest/ Witness:
Asphalt
Services,
Inc.
dder
By:
T1t10:
By:
Micah
Higgins/
Corp.
ret
y
Title:
Karen
chroeder
/
President
19-
ti
r
VILLAGE OF LAKEMOOR
CONTRACT FOR
Karen
Schroeder
Deponent"),
oath, deposes and states that the undersigned Bidder is organized as indicated below and that all
1.
of
Cornoration
Bidder is a corporation that is arganized and existing under the laws of the State
,
Illinois
under
the legal
name of
Schroeder Asphalt
Services,
Inc .
TITLE
NAME
President
Karen
Vice President
Brent
Secretary
Micah
Higgins
Treasurer
Karen
Schroeder
ADDRESS
Schroeder
14010
Schroeder
911
i
N.
14010
1-
Harmony
Spring
Rd. ,
Dr,
Summit
Ave.,
Harmony
Rd.,
Huntley,
Marengo,
villa
IL
60142
IL
60152
Park,
Huntley,
IL
zL
6olai
60142
ACKNOWLEDGEMENT
2.
Partnershin
the
State
of
NAME
3.
ADDRESS
Individual
whose residence
whose
business
address
address
is
and
is
4.
Joint Venture
of
pursuant
to that
certain
as of
that
ADDRESS
U
U
U
2-
ACKNOWLEDGEMENT
For each signatory, indicate type of
entity ( Corporation = " C"; Partnership = " P"; and
Individual= " I") and provide, on separate sheets, the information required in Paragraph 1,
DATED this
l Oth
day
March
of
Attest/ Witness:
, 2015 .
Schroeder
Asphalt
Micah
Title:
Corp.
Subscribed
and
ecretary
Sworn to
Higgins
By:
Title:
" '
Inc .
B dder
r
By
Services,
f
"
C)/ Karen
Schroeder
President
before me this lothday
of
March
2Q 15:
i
aI'y
PU Il
JENNIFER GRIEBEL
OFFICIAL SE
r
Notary Public, State o
My Commission Expires
April 03, 2017
3-
ACKNOWLEDGEMENT
VILLAGE OF LAKEMOOR
CONTRACT FOR
Karen
Schroeder
Deponent"),
1.
Nature of Business
State the
2.
Bidder' s business:
Pavement
nature of
Bituminous
Excavation,
Aggregate
Base,
Comnosition of Work
During the past three years, Bidder's wark has consisted of:
Federal
Other Public
p%
3.
b %
As Contractor
Bidder's Forces
As Subcontractor
o v %
Subcontractors
D%
Private
Years in Business
4-
Materials
ACKNOWLEDGEMENT
4.
engaged
in the
aforesaid
business:
17
years
NAME
YEARS
ADDRESS
N/ A
5.
Business Licenses
ISSUING AGENCY
6.
TYPE
NUMBER
EXPIRATION
Related Exnerience
PROJECT ONE
OwnerName
See
Attached
PROJECT TWO
References
Owner Address
Reference
Telephone Number
Type of Work
5-
PROJECT THREE
ACKNOWLEDGEMENT
PROJECT ONE
PROJECT THREE
PROJECT TWO
Contractor
If Bidder was)
Subcontractor)
Amount of Contract
Date Completed
DATED this lOth
day
of
March
, 2( L5,
Attest/ Witness:
Schroeder
Asphalt
Services,
Inc.
Bidder
C
By
B}:
icah Higgins
Title:
Se
Corp.
Subscribed
and
tary
Karen
Title:
Sworn to
President
before me this lOthday
March
of
20 15,
3
1ENNIFER GRfEBEL
OFFICIAL SERL
NotaryPublic, StateofNiinois
G` ;,. .'
MyCommission
y;
N ta
Pub
pg,
ApriV 03, 20
c
i
6-
Schroeder
q
;
r
s
1*"': .
4, 3 3
3t
s'
iNiMma m Mh4wv`?rt?:
e,(F
P
'
W..
M2
aN.u'.
831
ITLEY. I
N"+
.
ah"R5n'cV
pT Ul I+..'
i 3I; Y)
1 2
F' R;:
J.,?
t 1)
JOB REFERENCES
Company:
Village of Arlington Heights
33 S. Arlington Heights Rd.
Arlington Heights, IL 60005
Project( s):
Amount( s):
Engineer:
2013& 2014 HMA Restoration
2013-$ 83, 000. 00( 6/ 10— 6/ 23/ 13)/ 2014-$ 325, 000.00( 6/ 10— 11/ 16/ 14)
Village of Arlington Heights
Jeff Musinski— 847/ 368- 5806
musinski @ vah. com
Company:
Village of Streamwood
301 E. Iroing Park Road
Streamwood, IL 60107
Project( s):
Amount( s):
2008& 2009 MFT Resurfacing
2013& 2014 Roadway Maintenance Program
2008-$ 456, 759. 00( 5/ 1 — 10/ 31/ 08)/ 2009-$ 399,298.00( 6/ 4— 9/30/ 09)
2013-$ 630, 503.68( 4/ 30— 10/ 20/ 13)/ 2014-$ 766,572. 20( 5/26— 8/ 31/ 14)
Engineer:
Village of Streamwood
Matt Mann- 630- 736- 3800
Mmann @ streamwaod. orq
Company:
Village of Vernon Hills
290 Evergreen Dr.
Vernon Hills, IL 60061
Project( s):
Amount( s):
2012, 2013,&
2014 Bituminous Patching Program. i Year Renew
2012-$ 43, 639. 04( 6/ 25— 7! 6/ 12)/ 2013-$ 43, 072. 86( 7/ 1 — 7/ 7/ 13)/
2014-$ 58, 957.50( 8/ 11 — 11/ 16/ 14)
Engineer:
Village of Vernon Hills
David Brown- 847/ 918- 3591
Company:
Village of Palatine
200 E. Wood St.
Palatine, IL 60067
2012 Palos Avenue Phase 2, ENG 12- 401
323, 290.25( 4/30— 10/ 31/ 12)
Village of Palatine
Project( s):
Amount( s):
Engineer:
Matt
Grenning-
Mcarenninq@
847/359- 9044
palatine. il. us
i-'
iCJ
3- 438
Company:
Village of Downers Grove
5101 Walnut Ave.
Downers Grove, IL 60515
Project( s)
Amount( s):
2012&
Engineer:
Village of Downers Grove
Nate Hawk- 630/ 434- 5467
2013 Fall Roadway Patching Project
2012-$ 82, 839.30( 10/ 23— 10/ 26/ 12)/
2013-$ 229,348. 45( 10/ 27— 11/ 17/ 13)
nhawkC downers. us
Company:
City of Wood Dale
404 N. Wood Dale Rd.
Wood Dale, IL 60191
Project( s):
Amount( s):
Engineer:
Royal Oaks Subdivision Improvements
4, 044, 753. 80( 4/ 29/ 13— 11/ 27/ 13)
Baxter&
Woodman Consulting Engineers
Craig D. Mitchell- 815/ 459- 1260
cmitchell G ba
Company:
erwoodman. com
Winfield Township Road District
30W575 Roosevelt Rd.
P. O. Box 617
Project( s):
West Chicago, IL 60186-0617
2012, 2013, & 2014 Road Maintenance Program
Amount( s):
2012-$ 478, 599. 80( 10/ 29— 11/ 4/ 12)/ 2013-$ 505, 610. 04( 9/ 16— 10/ 20/ 13)/
2014-$ 339, 421. 39( 10/ 27— 11/ 9/ 14)
Engineer:
Wintield Township Road District
John Dusza- 630/ 231- 8850
RoadDistrict Q W infieldTownsh ip. com
olumblan
Date:
March 5, 2015
Attn:
To whom it may concern
Agency
From: Kevin J. Scanlon
RE:
Schroeder Asphalt Services, Inc., P.O. Box 831, Huntley, IL 60142
Please be advised that we will be able to provide insurance as required in the contract
documents for the Village of Grayslake ( 2015 Pavement Patching) if the job is awarded to
the above insured.
Any questions, feel free to contact our offce. Thank you!
Kevin J. Scanlon
s^--^--
KJS/ mh
100
815. 485. 4100 •
Lar
wtz`
R.oad
•
Nc`
Fa*;: n1a. 485. 2936 •
Lcnox, IL 61 451
tii« cti. columbianagenc'. com
Columb
an
A g ency
March l U, 2015
Village of Grayslake
10 S. Seymour Ave.
Crrayslake, IL 6b030
Re: Schroeder Asphalt Services, Inc.— 2015
Pavement Patching
To Whom It May Concern:
As Surety for Schrceder Asphal#Services, Inc., Hudson jnsurance Company of New Yark, NY&
subject to our normal underwriting consideratians will issue the required performance and
payment bonds on the forms prescribed in the bid documents, in the full amaunt of the contract. It
is understood that a surety relationship is strictly a matter between the surety and the
principai and we cannot be held respansible to any third parties or to our principal itself if
for whatever reason we elect not to execute a band.
Hudson Insurance Company has a group rating of A XV according to A.M. Best, is listed in the
U.S. Treasury Circular as an approved surety and is licensetl to transact surety business in all of
the United States.
If you should need further clarification please call he office.
Sincerely,
Hu3son Insurance Company
R
U!•_
Kevin 3. Scanion, Attorney-in-fact
1( 3 5 Lai way Rt
R15dRSd1( ltl .
ad
F'ax• R15 LRi
New I.enox, TL 6Q=151
U fi .
wwwrnlnmhinn:
srPn
v
nm
Affidavit of Availability
t"tfi1PJ'1t
1110LS
1'ran
l
n
l.etting date)
Bureau of Construction
2300 South Dirksen
Springfield, II
Part I.
IIIOIS
3/ 9/ 2015
For the l.etting of
Parkway/ Room
Instructionr. Complete this form by eithertyping or using biack ink.
322
Authorization to Bid" will not be issued unless both sides ofthis form are
62764
completed in detail. Use additional forms as needed to list aii work.
Work Under Contract
List below all work you have under contract as either a prime contractor or a subcontractoc It is required to inciude all pending low bids not yet awarded or
rejected. In a joirrt venture, list only that portion of the woric which is the responsibility of your company. The uncompleted dollar value is to be based upon the most
recent engineer's or owners estimate, and must indude work subconVacted to others. if no work is contracted, show NONE
1
2
3
Pending
Pending
palatine
McHenry County
Vernon Hills
06115N5
08/ 07115
08/ 15N5
Contract Number
Contract With
LCDOT
Estimated Compietion Date
05/ 15/ 15
r ington
O6( 15/ 15
Accumulated
Total Contract Price
725, 497. 67
44, 680. 00
562, 549. 5
70, 9179
1, 405, 375.0
24, 980. 00
44, 680. 00
562, 549. 5
70, 917. 7
1, 405, 375.0
Totals
Uncompleted Dollar Value if Firm is the
Prime Contractor
2,108,502.3
Uncompleted Doliar Value if Firm is the
Subcontractor
0. 00
Total Value
of
Ail Work
2, 108, 502. 3
Part Ii. Awards Pending and Uncompleted Work to be done with your own forces.
List below the
uncompleted dollar value of work
for
each
contract and awards
pending to be completed
with your own
forces. Ail
work
ACCUmulated
subcontracted
towork
others will be listed on the reverse of this fortn. 1n a joint venture, list only that portion of the work to be done by your
If
is contracted;
no
company.
show
NONE.
Earthwork
167, 368. 6
Portland Cement Concrete
Totals
164, 151A
Paving
0. 00
HMA Plant Mix
HMA
0. 00
Paving
17, 900. 00
33, 140. 00
164, 714. 5
64, 850. 2
543, 900A
Clean& Seal Cracks/ Joints
824,504. 7
A. 00
Aggregate Bases& SurFaces
Highway, R. R, and Waterway
331, 520. 11
107, 209. 9
5, 610. 00
13, 981J0
Structures
126, 801. 6
0. 00
Draina9e
0. 00
Electrical
0. 00
Gover
and
Seal Coats
0. 00
Concrete Construction
0. 00
Landscaping
0. 00
Fencing
0. 00
Guardrail
0. 00
Painting
0. 00
Signin9
0. 00
Cold Milling,
Planning& Rotomiiling
7, 080. 00
457. 50
11, 540. 00
105, 332. 5
124, 410.0
Demolition
0.00
Pavement Markings( Paint)
0.00
Other Construction( List)
0.00
T
0.00
affic
Control
0. 00
Totals
24, 980.00
439, 293. 1
44, 680. 00
70, 917. 7
827, 365. 71
1, 407,236.5
Disclosure of this infortnation is REQUIRED to accompiish the statutory purpose as outlined in the" Iilinois Procu ement Code". Failure to compiy will
result in non-issuance of an" Authorization To Bid." This form has been approved by the State Forms Management Centet
Printed 3/ 9/ 2015
Page 1
of
4
BC 57( Rev. 08117/ 10
Part ill. Work Subcontracted to Others
For each contract described in Part I, list all the work you have subcontracted to others.
1
2
3
Subcontractor
Type
Work
of
Pending
Pending
DeVinci
DiNatale
Sewer
Concrete
Subcontract Price
24, 550. 00
513, 861. 2
Amount Uncompleted
24, 550. 00
513, 861. 2
Subcont
Type
actor
Precision Pavt Markings
HOro2 TOW @ EIOCt iC
Striping
Electric
Work
of
Subcontract Price
Amount Uncompleted
Subcontractor
Type
of
9,308. 00
2, 598. 50
9,308. 00
Fredy' s Landscaping
Norridge
Landscape
Sewer
Work
Price
Subcontract
2, 598. 50
Amount Uncompleted
14, 378. 00
46, 800. 00
14, 378. 00
46,800. 00
Subcontractor
DiNatale
Superior Road Striping
Type of Work
Concrete
Striping
Subcontract Price
g1, 72g, gp
8, 050. 10
Amount Uncompleted
81, 729. 90
8, 050. 10
Subcontrector
Type of Work
Subcontract Price
Amount Uncompleted
Subcontractor
Type of Work
Subcontract Price
Amount Uncompleted
Subcontractor
Type of Work
Subcontract Price
Amount Uncompleted
Total Uncompleted
0.00
123, 256A
0. 00
0. 00
578,019. 3
i, being duly sworn, do hereby declare this affidavit is a true and correct statement relating to ALL uncompleted contracts of
the undersigned for Federal, State, County, City and private work, inciuding ALL subcontract work, ALL pending low bids not
yet awarded or rejected and ALL estimated completion dates
Subscribed and sworn to before me
this
day
of
20
Type
or
Print Name
MICBh HlggiClS
S@Cf@tary
Officer or Director
Notary Pubiic
Title
Signed
My commission expires
company Schroeder Asphalt Services, Inc.
rvotary seaq
Address P. O. Box 831
Nuntley, IL 60142
Printed 3/ 9l2015
Page 3
of
4
BC
57( Rev. 08/ 17/ 10
of
Affidavit of Availability
@pal"'tt'1' IE J'1t
II'IOLS
For the
Transportation
BUf@8U
Of
Springfield,
ItIOIS
Parkway/ Room
6/20/ 2014
of
Letting date)
COf1StfUCtI0f1
2300 South Dirksen
Letting
Instructions: Complete this form by eithertyping or using black ink.
322
Authorization to Bid" will not be issued unless both sides of this form are
completed in detail. Use additio al forms as needed to list all work.
G27F>
4
Part I. Work Under Contract
List below all work you have under contract as either a prime contrector or a subcontractor. It is required to include all pending low bids not
yet awarded or rejected. In a joint venture, Iist only that portion of the work which is the responsibility of your company. The uncompleted dollar
value is to be based upon the most recent engineer's or owners estimate, and must indude work subcontracted to others. If no work is
contracted, show NONE.
Pending
Pending
Pending
Winnetka
Northbrook
Wood Dale
07/ 31/ 15
10l30/ 15
06/30/ 15
9
10
Contract Number
Contract With
Estimated Completion Date
Accumulated
Total Contract Price
1, 474, 310. 7
523, 130. 0
247, 439.
Totals
7, 474, 310. 7
523, 130. 07
247, 439.
4,353, 382.7
Prime Contractor
Subcontractor
0. 00
Total Value of All Work
4, 353, 382.7
Part II. Awards Pending and Uncompleted Work to be done with your own forces.
List below the
uncompleted
dollar
value of work
for
each contract and awards
pending to be
completed with your own
forces.
All work
ACCUmulBted
Subcontracted
to others
will be listed on the
Yeverse of this form. In a joint venture, list only that portion of the work to be done by your
is
company. If
NONE.
no work
contracted, sfiow
Earthwork
72, 135.40
Portland Cement Concrete
Totals
23, 040. 00
426, 695. 51
Paving
0. 00
HMA Plant Mix
HMA
0. 00
Paving
Clean&
470, 343. 9
230, 073. 2
1, 70T,020. 3
182, 098.3
Seal Cracks/ Joints
Aggregate Bases&
Highway,R.R.
and
0. 00
Surfaces
126, 841. 1
39. 50
Waterway Structures
0.00
Drainage
0.00
Electrical
Cover
and
0. 00
Seal Coats
0. 00
Concrete Construction
0.00
Landscaping
0.00
Fencing
0.00
Guardrail
0.00
Painting
0.00
Signing
0.00
Cold
Milling, Planning& Rotomilling
115, 807A
38, 767. 20
52, 919A
331, 903.7
Demolition
Pavement Markings(
0.00
Paint)
0.00
Other Construction( List)
0.00
Pavement Markings Thermo
0. 00
0. 00
Totals
658, 286. 8
306, 032. 2
220, 905A
0. 00
0.00
2, 592, 460.7
Disclosure of this information is REQUIRED to accomplish the statutory purpose as outlined in the" Illinois Procurement Code". Failure to comply will
result in non- issuance of an" Authorization To Bid." This form has been approved by the State Forms Management Centec
Printed 3/ 9/ 2015
Page 2
of
4
BC 57( Rev. 08l17/ 10
Part ill. Work Subcontracted to Others
For each contract described in Part I, list all the work you have subcontracted to othe s.
Pending
Pending
Pending
Trialta
Norridge
Trialta
Concrete
Sewer
Concrete
Subcontractor
Type
of
Work
9
Subcontract Price
377, 763. 50
64, 000. 00
22, 984.5
Amount Uncompleted
377, 763. 5
64, 000. 00
22, 984. 55
Subcontractor
Type
Fredy' s Landscape
Utility Dynamics
Fredy's Landscaping
Landscape
Electrical
Landscape
Work
of
Subcontract
Price
Amount Uncompleted
Subcontractor
Type
15, 240. 00
3, 550. 00
22, 220. 00
15, 240. 00
3, 550. 00
Norridge
Trialta
Sewer
Concrete
Work
of
22, 220. 00
Subcontract Price
395, 440A
101, 733. 50
Amount Uncompleted
395, 440. 00
701, 733. 50
Subwntractor
Type
Superior
Work
of
Road
Striping
WOOdland
Striping
Landscaping
Subcontract Price
20, 608. 40
7, 100. 00
Amount Uncompleted
20, 600. 40
7, 100. 00
Subcontractor
ype of
Superior Road Striping
Work
Striping
Subcontrect Price
Amount
10
5, 197. 50
Uncompleted
5, 197. 50
Subcontractor
Type of Work
Subcontract Price
Amourk Uncompleted
Subcontractor
TYPe of Work
Subcontract Price
Amount Uncompteted
Total Uncompleted
816, 023. 9
193, 271. 0
26, 534. 5
0. 00
D. 00
I, being duly swom, do hereby declare this affidavit is a true and co rect statement relating to ALL uncompleted contracts of
the undersigned for Federai, State, County, City and private work, including ALL subcontract work, ALL pending low bids not
yet awarded o rejected and ALL estimated completion dates
Subscribed and swom to before me
this
day
of , ( "'
20 5 .
,
Type
C``;,v-^
Pubiic
or
Print Name
MiCBh J. Hi
Officer
ifiS
or
S@CPBta
irecto
Title
2f_
..
Signed
My commission expires
-
comPany Schroeder Asphalt Servic ,
Notarysea)
JENNlFER 6RIEBEL
OFFIGIAL SEAL
u
w
.
Address P. O. BOx831
NotaryPublic, Stateoflllinois
Huntley, IL60142
Yfy Commission Expires
Aprit 03, 2017
Printed 3/ 9/ 2015
Page 4
of
4
BC 57(
Rev. 08/ 17l10
4. t
Y
TY
O O.
Document A31
w* ,'
Bid Bond
SURETY:
CONTRACTOR:
IVame, legal status and aaldress)
Name, Iegul stattrs and pri tcipal place
of business}
ADDITIONS AND DELETlONS:
Schroeder Asphalt SerNic,es, Inc.
Hudson Insuranca
PO Box 831
17 State St, 29th Floor
Huntley,
Company
rne author of this document has
added intamation needed for its
New Yark, NY 100(?4
lL 60142
completion. The author may a so
have revised the tex of the original
WNER:
AIA standard torm. An Addl3lons and
Name, lega!
Village
of
stalus a
d address}
Dektior+s Report that notes added
Grayslake
intamation as well as revisions to the
10 S. Seymottr
standard form text is available lrorn
Grayslake, IL 50030
the author and should be revewed. A
vertical line in the left margin of.this
I
Fi
BOND AMOUNT:$--
e
Percent
of
Accompanying
Bid--- 5%
of Bid---
document ndlcates where the autha
has added necessary information
and where the author has added to or
PROJECT:
Name, lacation
or address, and
Project
rrumber,
delsted from the originai AIA text.
if any)
20 i 5 k' avement PatChing
Viliage of GTayslake, IL
This document has Important I
al
consequences. Consultation with an
ariorney is encouraged with respect
to its cornpletion or modiflcation.
The Contractor and Surety are bound to the Owner in the amount set forth above, for the
payment ot' which
the Contractor ar d
administrators, successars a
conditi
s of this
Bond
d
5urety bind themselves,
assign5,
are such
that
their heirs,
executors,
jointly and serrerally, as pravided herein.
if the Owner
accepts the
bid
af the
l'he
Cantractor
within
Any singular reference to Contractor,
Surety. Owner w other party shail be .
CO g'
ered plural where applicabie.
the time specified in the bid documents, or within such time period as may be agreed to by
the Owner and Contractor, and the Cantractor either( 1) enters int4 a eontract with the
Owner in
accordance with
the terms of such bid,
d gives such bond ar bos ds as may be
specified' m the bidding ar Contract D uments, with a s ety admitteri in
ejurisdiction
of fhe Project and otherwise acceptable to the Owner, for the faithful performance af such
Contrac#and for the prompt payment of labnr and material fumished in the prosecution
thereof; or( 2} pays to the Qwner the dif' erence, 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 eontract with anoth' party to perform the work covered by said bid, then this
o,bligation shali be null and void, otherwise to remain in full force and effect. Tha Surety
hereby waives any notice of an agreement between the Owner and Cantractar to extend the
time in which the Owner rnay accept the bid. Waiver ofnotice by the Surety shall not apply
to
y extension exceeding sixty( 60) days in the aggregate beyond the time for acceptance
of bids specified im the bid docum
Surety' s consent
for
an extensi
ts, and the Owner and Contractor shall obtain the
beyand sixty( fi0) days.
lf this Bond is issued in connection with a subcontractar' s bid ta a Contractor, the term
Contractor in ihis Bond shail be deemed to be Su6cantractor and the term Owner sha11 be
deemed tp be COntractOr.
When this Baid has been furnished to camply with a statutory or ather legal requirement in
the locatia of the Praject, any provision in this Bond conflicxing wiih said statutory or
legai requirement shall be deemed deleted herefrom and provisions canforming to such
statutory or other legal requirement shail be deemed incorporated herein. When so
nit.
A
1863, 1970 and 2010 byThe American k stltuta of Arthi Cts. N rights roserved. WARNING: Th7s AdA Document
ument A3i4*"— 2010. CopyrigM
is protected by U. S. Copyright Law and Intematlonal 7reatiss. UnauNwraed rapraduction or diatributlon of th AIA6 Document, or any portion of it,
may resull in severe civil and crlminal penaltiex, and wili be proSecuted ta tha ma cimum extent passible underthe law, This document was produced by
r
AIA saflware aS 09:38: 25 on 03/06/2015 under Order No•5936073427 1 which expires on 06 225l2015, and is nOt fiDr resale.
UserNotes:
863268966j
r
furnished, the intent is thaf this Bond shall be construed as a statutory bond and rot as a comman law bond.
Signed
and sealed
this 10'
h
day of March, 2015
Schroed
A
Contr
tor as
halt Services, Inc.
n
Seal)
aI) ;
Jc
Wltness)
i
itle)
Hudson Insurance Company
Surety)
Witnes
TFtIeJKevin .
SealJ
Scanlon,, 4ttorney-infuct
i
i
I
I
Init.
AIA Document RS10ri— 2074. CopyrigMO1963, 1970 and 20f0 byTheAmeriGarl qtStitutB OfArChit2CtS. All eigMs reserved. WARNING: 77 is AIA' DocUm9nt
is
prplecte l hy
may esult in s
U. S. GopyNgl t l.aw and Mtemational Treaties. Unauthorizad reproduclion
AIA saftware at 09: 36_25 on 0310B/2015 unda OrQer b.
UserNotes:
or
distri6utton
of
tbis AIA
Rocumant,
or
ere cSvil and criminal penaEtJes, and wiil be prosec ded ta the maximum axtent possibla under the law. This docum
any
poYiion of
twas pral
it.
ed by
36073427 1 which expires on 08125/ 2015, and is not for resals.
863268986).
2
Illinois
STATE O
ss..
Wil1
COUNTY OF
lOth
On this
personally
being by
day
Kevin J.
appesred
me
duty
swom,
did depose
and
S
a
he_
tfiat_
reside(s) at
he_
is/ are the
Cflmpany
Acknowledgment
Insurance
Comna
of
Hudson
in and
which executed and annexed
, be#ore me
to me knawn, who,
lon
say: that_
New Lenax Illinois
Surety
2415
March
of
Attornev- in-fact
the corporation descr+bed
v
instrurnent; that
he,
know( s) the corporate seal of said
corporation; that the seal affixed ta said instrument is such corporate seal; that it was so af ixed
by
orcier of
the 8aard of Directors of said
corporatian;
that
he
signed the same name( s}
the eto by like orcier; and that the liabilities of said corporation da not exceed its assets as
ascertained in the manner pro ided by law.
t_
t
QFFICIAL SEAL"
SU1
BOTTO
L 1!
Np1' 1y PubGC, St8 8 Of 111' IOi9
18
13
4bmmission E i a
Myf
sond375& A
aae
Natery Public in
and
for th
a
ve County and State)
5
My
commissi0n expires
30/ 2 18
t asu r r c} urt.
BID BUND POWER OF ATTORNEY
KNOW AI.L MEN BY THESE PRESENTS: That HUDSOI+I iNSURANCE COMPANY, a corporatian of; he Statc of Delaware, with
100 William Stneet, New York, New York, 10036, has
offices at
by
made, constituttd and appointed, and
settts, dces makc, constitufe
these
and appoint
Koria J. Scsnla. Ric6ard L. MeWet6y, Cary A. Eatoa, Ja, Robtrt W. Kcglty, Jr.
of fhe Sbte of lilinois
iis true and lawful Attomry{s} in-Fact, ai New Y k Ciry in the Statc ofNew York, each afthem aloac W heve full poFrcr to act wiAtout tt othex
or others, to make; execute assd deliver on its behalf, as Surery, bid bonds for any and all purposea
Such bid.bo is, when duly executcd by said Attorn y(s} in-Fact, shalk be binding upon said Ca nparry as fuly and to the same cxtent ss
if signed by the President of said Corapany ander its corporate seal.attested by its Seeretsry.
In Witness Whe of, HURSON IT{SURANCE COMPANY has caused these preserds to 1 e of its Senior Vice Pre,sident thercunto
z
d,
on
day
this 13th
of
November
at Now York. New York.
20 t4
,
t1lJDSOCV lNSURANCB CONEPANY
t
fA
...._.
D
Din
ay.......... ........................
.. ./••_.••.••••--• . ..... ...
la
s,
Corporate
MieAael P. Glesson, Senior Vice Prasidart
laay
STATB OF NEW YO tK
S5.
COIJNTY OF NHW YORK
20 14
.
befare mo personally cmne Micl sl P. Glee on to me k
13th day of Navember
described lx
5enia Vicc PresideM of HUASON INS[ 1RANCE COMPANY, the C
say+ fhat ho is a
a1e seal of' '
insWment is the
C
tl at he knows ihe seal otsaid CompanY, tbat the seal sflixed ro said
On ttie
depose
ir
and
suurntnt,
the Board of Direclors
of said
q U1 i N N// j
J4iPNY
Q':
ein and wQrich exautcd Use abuvc
pany. Ihat il was ao sf ced by ordw of
and that be signed hes narsx lhereto by I ke ordes.
Co
i
J..•••••,
Notaria! Seal
vv, who bei g by me duly swom did
ANIY M. MU
i
1U,
HY
Notary Public, S1ate of Ncw Y
:
L
No. 01MU6067553
Qualifiud in Nassau County
a
Caamission Expir
1
De+
cember 10, 201
s' •
CERT FICATION
STA7' E OF NEW Y
''••+•''
COUNTY QF NEW YO
t
,'
l
N
s
7'he undersignod Uisa Daslc l ll is hereby certifies:
THAT! he uriginal re lution, oFwhich the taltowins is a true and correet aopy. was duh' adopted bY unmumous w tt n ca sent of Ihe Board of Dircetors
of Fi tdson I aurance Comp ny daDU! JWy Z7ih, 20DT. and has wt since baen mrokod, amended or modifed:
RESULVED, that Ihe Preside, the Executive Vice Prasidents,! Ae 3enior Vice Presidents arai the Vice Pvesidc s shaN have 9ue autl oriry sud
dis retioq to
appoiM such agent or agents, or
aUanq«
atto rtwys-in-faet. for tl c purpose ofcarrying an this Comp ny' s swety b ineas, and tu emppwer
such agent or agenls, or adorney or aUarncys-i s- facl, to execute snd deliver, urxier Ihis Company' s seal or Wloerw se. bonds oblig,alioras, apd
r ogni nces, whelher mwde by this Comparry as surcty fherean ar othawise, indemnity contracts, conhacts snd certificates, artd any ark{ all other
made in 1he coursc of Ihis Compnny' s surety business. aid renewals, cxtensions, s greemenls, waivers, co mts q stipulaRia s
contracls and undertaki
regardie g undertakings so mad
aed
FURTHER RE50VLED, that du signature oC arry sush OFficer of Ux Company and the Compa y' s seel may be affixed by facsim 7e to any power
of attomey or certificalion given for Ibe execution of aay 6ond, undutaking,
rxognizancc,
coo tcac of irxlcmnity or otherbywriltea
oWigalion inIheIheoriginal
natwe
Ihe Camppny
herratkr, heing hereby
neretofore
thereof or related
thereW,
such signalur
aQoptod
a
and sal whex sa used wlaetl er
signature ot such officer snd the origimal seal of the Company. lo be valid end binding upon the Compmiy witi thz same Face and effcet as tbough
tnanut ily at' ixed."
9' NAT Ifie
said
Power
of
abme and
Auomey is
stilt
Coregoi
in full force
is a full, uue antl correct capy of Power of AUomey issued by said Company, and of tl e wtwfe of tha origi l and Ihat the
and etYoci and
hes
not
been
rcvoked, and
iurthermae thst the R
olution of
the
Board
of
Direcb
s, see
iorth in
e said
Power of AttMney is now in force.
yp."
e.
9i$
onn
Witness du hand
the
undnrsigned and
1he seal
ofsaid
Company
lhis
lOth
day of
2,,`_.
4!. ..............
By...... . .. .. .................. ..
a Daskalakis, Ca porate Sccrelary
. ti=
B id 8 20 l0(
of
v
l)
i

I fiu-ther certify that the DAILY HERALD is a newspaper as defined in

Transcription

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