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Home My Public Portal AboutBullard Excavating Inc-FY 2017 Asphalt OverlayCITY OF CRESTVIEW DEPARTMENT OF PUBLIC SERVICES FY-2017 ASPHALT OVERLAY Bid No. 17-0626 Brona D. Steele Director of Public Services i SECTION 00020 ADVERTISEMENT FOR BIDS FOR CITY OF CRESTVIEW FY-2017 ASPHALT OVERLAY BID NO. 17-0626 NOTICE IS HEREBY GIVEN: That sealed bids will be received by the City of Crestview, at the City Clerk's Office 198 N. Wilson Street, Crestview, Florida 32536; until June 26, 2017 at 2:00 p.m. Any bids received after the above time will not be accepted under any circumstances. Any uncertainty regarding the time a bid is received will be resolved against the bidder. Bid opening will be promptly at 2:00 p.m. on June 26, 2017 at the City Hall Council Chambers, 198 N. Wilson Street, Crestview, Florida 32536, at which time all bids received will be publicly opened and read aloud. DESCRIPTION OF WORK: All work for the Project shall be awarded and constructed, if award is made, under one Contract. Bids shall be submitted for the Work described: This bid shall include all work incidental to the supply and laying of approximately 1,940 tons of Type "S.P.-9.5" asphaltic concrete material or equivalent, to be paid for by the ton, a bid that includes 10 different street locations. Contractor will be responsible for traffic management and will provide a schedule to the city for public service announcements. The construction sites will require complete cleanup upon completion. Bidders are urged to make on -site inspections of streets listed. If you have any questions, contact Danny Bowden or Allen Hallford of the Street Division at 715 N. Ferdon Blvd., Crestview, FL or call 850-682-6132 ext. 105 or 106. BIDDING DOCUMENTS can be obtained and reviewed at: Department of Public Services 715 N. Ferdon Blvd. Crestview, FL 32536 (850)682-6132 FY-2017 ASPHALT OVERLAY 00020-1 06/26/2017 Bid No. 17-0626 INSTRUCTIONS TO BIDDERS [ General BIDS will be received by the City of Crestview (herein called the "OWNER") as specified in the Invitation to Bid. The BIDS will be publicly opened and read aloud at the designated time and place. Each BID must be submitted in a sealed envelope addressed to the City of Crestview. Each sealed envelope containing a BID must be plainly marked on the outside with the name and the number of the project for which the BID is submitted; and the envelope should also show on the outside, the BIDDER'S name and address. BIDDERSmust satisfy themselves as to the accuracy of the estimated quantities in the BID schedule by examination of the site and a review of the drawings and specifications including any addenda. After BIDS have been submitted the BIDDER shall not assert that there has been any misunderstanding concerning the quantities of work or of the nature of the work to be done. All BIDS must be made on the required BID form. All blank spaces for BID prices must be filled in, in ink or typewritten, and the BID form must be fully completed and executed when submitted. Only one copy of the BID form is required. The Bid form is the only document to be completed and signed at the bid opening. No BID Bond is required. A BIDDER may not modify its BID after BID opening. Errors in the extension of unit prices stated in a BID or in multiplication, division, addition, or subtraction in a BID may be corrected by the Director of Public Services prior to award. In such cases, unit prices shall not be changed. Any BID may be withdrawn prior to the above scheduled time for the opening of BIDS or authorized postponement thereof. Any BID received after the time and date specified shall not be considered. No BIDDER may withdraw a BID after the actual date of the opening thereof. The OWNER may waive any informalities or minor defects or reject any and all BIDS. A conditional or qualified BID may not be accepted. BID tabulations will be posted for review on the city website: W, cit\,ofcrestvieNA.org The OWNER may make such investigations as deemed necessary to determine the ability of the BIDDER to perform the work, and the BIDDER shall fumish to the OWNER all such information and data for this purpose as the OWNER may request. The OWNER reserves the right to reject any BID if the evidence submitted by, or investigation of, such BIDDER fails to satisfy the OWNER that such BIDDER is properly qualified to carry out the obligations of the AGREEMENT and to complete the work contemplated herein. The low BIDDER will be required to perform at least fifty percent (50%) of the contract work with his/her own employees. The BIDDER to whom the contract is being awarded shall supply the names and addresses of major material suppliers and subcontractors when required to do so by the OWNER. A PERFORMANCE BOND and PAYMENT BOND each in the amount of 100 percent of the contract price, with a corporate surety approved by the OWNER, will be required for the faithful performance of the contract, when the AGREEMENT is executed. Attorneys -in -fact who sign PAYMENT BONDS and PERFORMANCE BONDS must file with each BOND a current certified copy of their power of attorney. FY-2017 ASPHALT OVERLAY 17-0626 00100-1 INSTRUCTIONS TO BIDDERS A FORMAL WRIT"1'EN PROTEST SHALL BE FILED WITHIN SEVEN (7) BUSINESS DAYS AFTER THE FILING OF NOTICE OF PROTEST. A FORMAL WRI1"1'EN PROTEST SHALL STATE WITH PARTICULARITY THE FACTS AND THE LAW ON WHICH THE PROTEST IS BASED. NOTICE OF PROTEST AND FORMAL WRITTEN PROTEST OF PLANS OR SPECIFICATIONS FOR OR THE AWARD OR INTENDED AWARD OF A CONTRACT SHALL BE FILED WITH THE CITY CLERK OR HER DESIGNEE. FAILURE TO FILE A NOTICE OF PROTEST OR FAILURE TO FILE A FORMAL WRITTEN PROTEST WITHIN THE TIMES FERMI ITED SHALL CONSTITUTE A WAIVER OF PROCEEDINGS. FY-2017 ASPHALT OVERLAY -end- 00100-3 17-0626 11 Orr, -1G Ilp.•.(.)(i S . - 01 JO SUJUPV WWI Al`.1}1d 1"J - 11‘. tiled Peilflun ti Ilemod swept' woo Amid sexaL Z ainiead 0 wnwad yalny0 ledoosid3 AueLidici3 053 Buijesunoo a3uelliy pue6ei arz-.); • ; r i0-4 . - - d,--: .ii ,,...._ ..,-- .*:..-‘.-- r ,......,r: ..5.:. . .. ,- • ...... _ ..i .111..... ...1 40 i -.7.: • ' --I- - --iv- --,,- , 1' I tett) snort JC4 uoviposep dew pagRun dew Inof..10 vow d'ev -060 pu3 of auid - 6uuds N filed Pe119141 + 41ed pal�!lufl *: pu3 0l au!d - 61-uds 'N t Z aanieaj ainlead qp pua6a-1 a -dew inoA uogdposep e ewm dew paimun -clew 1,110ik Jo} uogdIps deity pe CITY OF CRESTVIEW Director Department of Public Services Telephone No. (850) 682-6132 Brona D. Steele 715 Ferdon Boulevard North Fax No. (850) 682-7359 E-Mail: steelrautvofcrestvlew.orq Crestview, Flonda 32536 E-Mail: oubl,cserv,ces 4cvfiara.accoxmail,com BID FORM BID # 17-0626 BIDDERS NAME: Bull arcl tkca.01105 ,'dyke. ADDRESS: 132104 Eva Drive , Andab-103'Po. , Pd. 3(.4a0 PROJECT: FY-2017 ASPHALT OVERLAY Bid#17-0626 for the City of Crestview, Florida The Bidder proposes (to furnish all labor, materials, equipment and supplies) to perform all work incidental to the supply and laying of approximately 1,940 tons of Type "S.P.-9.5" asphaltic concrete material or equivalent, to be paid for by the ton, a bid that includes 10 different street locations for the following price: Item Description Qty Unit Unit Price Total Price I Texas Parkway — Adams Drive to Powell Drive 9605x24' 190 tons %I , 99 1 /, 09 S .10 2 Butler Circle & Coleman St - 1700'x24' 375 tons 89.gq 33, i41,,.25 3 Phillips Drive & GilAva Ave. —Texas Pkwy to Adams Dr. 550'x24' 105 tons � ct99 cl, U 4$ . 95 4 W. First Ave. — Lindberg St. to Mapoles St. — 2270504' 500 tons Sq ,9q 414,995.0o 5 N. Spring St — Pine Ave. to End — 470'x24' 105 tons $9 .99 9 , 4 y8.95 6 W. Pine Ave. — Savage St. to Spring St. — 565'x24' 125 tons 569.99 II, 243 , 15 7 Mirage Ave. — Crosson Dr. to Ferdon Blvd. — 520'x24' 100 tons 89,g9 g,/ 99 ,00 8 Wildhorse Drive — 1000'x24' 220 tons g9.99 19,I9i.a0 9 Aqua Drive—465'x24' 105 tons 49, q9 9 ,44 $ ,c15 10 Upia Drive —520'x24' 115 tons 19.99 10131-18,$5 Grand Total 1,940 tons $ I14,5$0,b0 Total Lump Sum Bid (Numerals)S 174 , 5 $ O . tc O Bullard Excavail Print Name of utr76tor Author'zed Representative or ontractor's Signature jf0,,,,k_rb \--Q-0i--Q- Witness 2017 ASPHALT OVERLAY Page 1 33y-222-L1332 Phone D(o- 2co-a 01' Date as-a4 -a01-7 Date 17-0626 SECTION 00500 AGREEMENT CITY OF CRESTVIEW, FLORIDA CONTRACT FY-2017 ASPHALT OVERLAY BID # 17-0626 On ) , 2017 THE CITY COUNCIL OF THE CITY OF CRESTVIEW, FLORIDA, herein referred to as the City, accepted the bid of 1. u ltU. ,,.t r herein referred to as the Contractor, in the amount of, ' i j `� r'r` I,•- L to lay approximately 1,940 tons of Type "S.P.-9.5" asphaltic concrete material or equivalent, to be paid for by the ton over 10 different city street locations. TERMS AND CONDITIONS OF CONTRACT FOR THE FY-2017 ASPHALT OVERLAY: I. Entire Contract: This Agreement represents the entire and integrated Contract between the City and Contractor and supersedes all prior negotiations, representations or contracts, either written or oral. The Advertisement for Bids, Instructions to Bidder, Bid Form, Insurance Requirements, Performance Bond, Payment Bond and Notice of Award are included in the contract documents binding the parties. Provisions of this Contract may be amended only by written instrument approved by the Crestview City Council and signed by the City Clerk and Contractor. 2. Intent of Contract: This Contract shall include all work incidental to the supply and laying of approximately 1,940 tons of Type "S,P.-9.5" asphaltic concrete material or equivalent, to be paid for by the ton. A bid that includes 10 different street locations. Contractor will be responsible for traffic management and will provide a schedule to the city for public service announcements. The construction sites will require complete cleanup upon completion. 3. Term of Contract and Time Extensions: 3.1 The Work will be substantially completed within 60 days after the date when the Contract Time commences to run as provided by the Notice to Proceed date. 3.2 Liquidated Damages. OWNER and CONTRACTOR recognize that TIME IS OF THE ESSENCE in this Agreement and that Owner will suffer financial loss if the work is not Page 1 of 2017 ASHALT OVERLAY 17-0626 8. Performance of Work/Responsibilities: The Contractor shall commence work in a reasonable length of time and shall complete the work in an expeditious manner. In emergency situations, the Contractor shall endeavor to commence work immediately. All work shall be done under the supervision of the City's Public Service Director or designated representative. The performance of Work and responsibilities hereto are outlined and made a part hereof as identified in "Description of Work". 9. Termination for Default: The Contract will remain in force for the full period specified and until the City's Public Services Director or his designee determines that all requirements and conditions have been satisfactorily met. However, the City Public Services Director will have the right to terminate this Contract sooner if the Contractor has failed to perform satisfactorily the work required or comply with the other requirements of the Contract. In the event the City Public Services Director decides to terminate this Contract for the Contractor's failure to perform satisfactorily or meet its other responsibilities under the Contract, the City Public Services Director will give the Contractor five (5) days' notice, whereupon the Contract will terminate, unless during the notice period the Contractor cures the failure to perform or meets its other responsibilities under the Contract to the satisfaction of the City Public Services Director. Upon Contract termination for the Contractor's failure to provide satisfactory contract performance, the Contractor will be entitled to receive compensation for Contract services satisfactorily performed by the Contractor and allocable to the Contract and accepted by the City Public Services Director or his designee prior to such termination. However, an amount equal to all additional costs required to be expended by the City to complete the Work covered by the Contract, including costs of delay in completing the project, shall be either subtracted from any amount due or amount charged to the Contractor in the event the City Public Services Director terminates the Contract. Except as otherwise directed by the City Public Services Director, or in the case of termination for default (in which event the Contractor may be entitled to cure, at the option of the City Public Services Director), the Contractor shall stop work on the date of receipt of the notice or other date specified in the notice, place no further orders or subcontract for materials, services, or facilities except as are necessary for the completion of such portion of the work not terminated, and terminate all contractor and subcontracts and settle all outstanding liabilities and claims. In the event that any termination for default shall he found to be improper or invalid by any court of competent jurisdiction, then such termination shall be deemed to have been a termination for convenience. Plg,e 3 of 7 2017 ASHALT OVERLAY 17-0626 13.3 PUBLIC ACCESS. Contractor shall comply with the requirements of Florida's Public Records law. In accordance with Section 119.0701, Florida Statutes Contractor shall: a. Keep and maintain public records that ordinarily and necessarily would be required by the City of Crestview in order to perform the service. b. Upon request from the public agency's custodian of public records, provide the public agency with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided under Florida's Public Law or as otherwise provided by law. c. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of this contract if Contractor does not transfer the records to the public agency: and d. Upon completion of the contract, transfer, at no cost, to the public agency all public records in possession of Contractor or keep and maintain public records required by the public agency to perform the service. If Contractor transfers all public records to the public agency upon completion of the contract, Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If Contractor keeps and maintains public agency, upon request from public agency's custodian of public records, in a format that is compatible with the information technology systems of the City of Crestview. e. If Contractor has questions regarding the application Chapter 119, Florida Statutes, to Contractor's duty to provide public records relating to this Agreement, Contractor shall contact the Custodian of Public Records at: City Clerk, City of Crestview 198 North Wilson Street P.O. Box 1209 Crestview, Florida 32536 (850) 682-1560 Extension 250 cityclerk ancityofcrestview.orq f. In the event the City of Crestview must initiate litigation against Contractor in order to enforce compliance with Chapter 119, Florida Statutes, or in the event of litigation filed against the City of Crestview because Contractor failed to provide access to public records responsive to a public record request, the City of Crestview shall be entitled to recover all costs, including but not limited to reasonable attorneys' fees, costs of suit, witness, fees, and expert witness fees extended as part of said litigation and any subsequent appeals. Pago 5 of 7 2017 ASHALT OVERLAY 17-0626 SECTION 00650 CERTIFICATE OF INSURANCE A. INSURANCE REQUIREMENTS 1. Contractor shall purchase and maintain such comprehensive general liability and other insurance as required by this document. Should any of the required insurance policies be canceled before the expiration date thereof, the insuring company shall provide written notice to each insured 30 days prior to cancellation. B. CERTIFICATE OF INSURANCE FORM I. The Certificate of Insurance submitted to the Owner and Engineer shall be on the Insurance Company's form with a format similar to the popular ACORD Corporation form. 2. The Owner's project name and project number shall be shown on the Certificate. 3. Three (3) Certificates shall be submitted along with the executed Contract Agreement. A. Minimum Scope of Insurance: Coverage shall be at least as broad as: 1. Insurance Services Office Form No. CG 0001 (11/85) or CG 0002 (2/86) Commercial General Liability; and Insurance Services Office Form No. GL 0404 (5181) Broad Form Comprehensive General Liability; endorsement, and 2. Insurance Services Office form No. CA 0001 (Ed. 1/87) covering Automobile Liability, code 1 "any auto", and CA 0002 (1/87), and 3. Workers' Compensation as required by the State of Florida and Employers' Liability insurance: B. Minimum Limits of Insurance: Contractor shall maintain coverage's and limits as follows: 1. General Liability: Aggregate Limit: $1,000.000. Products and completed operation aggregate limit: $500,000. Personal and advertising injury limit: N/A. Each occurrence limit: $500,000. Fire damage limit: $50,000 any one fire. 2017 ASPHALT OVERLAY 00650-1 17-0626 such conviction. 5. Impose a sanction on, or require the satisfactory participation in, a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. IN WITNESS, WHEREOF, the City hereunto caused these presents to be subscribed and the Contractor has affixed their name and seal, this day of , 20 17. Date: 1'2.y-l7 Contractor: I�l Euavatin Signed by: , 1 �L• (Authorized Representative) Date: By: AT EST: , David Cadle Mayor ti el 7/ 1 Elizabeth Roy, City Clerk APPROV AS TO LEGAL FORM: rik Ben Holley, City Attorney END OF SECTION E',1 ;e / of / 2017 ASHALT OVERLAY 17-0626 PAYMENT AND PERFORMANCE BOND (Florida Public Works) Travelers Casualty and Surety Company of America Hartford, CT 06183 Bond No.: 106747992 Bond MUST be recorded in public records of County where improvement is located Principal (Contractor) : Bullard Excavating, Inc. Address: 13264 Eva Drive Andalusia, AL 36420 Telephone: 334-222-9223 Surety: Travelers Casualty and Surety Company of America Address: One Tower Square Hartford, CT 06183 Telephone: 800-842-8496 Owner: City of Crestview Address: 715 Ferdon Boulevard North Crestview, FL 32536 Telephone: 850-682-6132 Contracting Public Entity (if different from Owner): city of crestview Address: 715 Ferdon Boulevard North Crestview, FL 32536 Telephone: 850-682-6132 Contract Number: Bid #I7-0626 Project DescriptlOn: FY-2017 Asphalt Overlay; Supply & laying of approximately 1,940 tons Type S.P.-905 Asphaltic Concrete Material to various locations. NOTE: Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05(2), Florida Statutes. KNOW ALL BY THESE PRESENTS, That we, Bullard Excavating, Inc. , called the Principal, and Travelers Casualty and Surety Company of America , a Connecticut corporation, called the Surety, are held and firmly bound unto City of Crestview , called the Obligee, In the sum Of One hundred seventy four thousand five hundred eighty dollars and sixty cents Dollars ( S174,580.60 ) for the payment whereof said Principal and Surety bind themselves firmly by these presents. WHEREAS, the Principal has entered into a contract with the Obligee, dated 1-2�200, as described above ("Contract'). The Contract is referred to herein for the limited purpo of defining the work to be performed, and its terms are not incorporated herein. NOW, THEREFORE, the condition of this obligation is such that if the Principal performs the Contract and, subject to the conditions and limitations set forth herein, makes payment to all Claimants, as defined in Section 713.01, Florida Statutes, whose claims derive directly or indirectly from the prosecution of the work provided for in the Contract, then this obligation shall be null and void; otherwise to remain in full force and effect. 1. No suit or action for labor, materials, or supplies shall be instituted hereunder against the Principal or the Surety unless both of the following notices have been given by the Claimant: A Claimant, except a laborer, who is not in privity with the Principal and who has not received payment for his labor, materials, or supplies shall, before commencing or not later than 45 days after commencing to furnish labor, materials, or supplies for the prosecution of the work, furnish the Principal with a notice that he intends to look to the bond for protection. A Claimant who is not in privity with the Principal and who has not received payment for his or her labor, materials, or supplies shall deliver to the contractor and to the surety written notice of the performance of the labor or delivery of the materials or supplies and of the nonpayment. The notice of nonpayment may be served at any time during the progress of the work or thereafter but not before 45 days after the first furnishing of labor, services, or materials by the claimant, or, with respect to rental equipment, not later than 90 days after the date that the rental equipment was last on the job site available for use. No action for the labor, materials or supplies may be instituted against the Principal or Surety unless both notices have Performance and Payment Bond — Page 1 or 2 been given. An action, except for an action exclusively for recovery of retainage, must be instituted by a Claimant against the Principal and/or the Surety under the payment provisions of this bond within 1 year after the performance of the labor or completion of delivery of the materials or supplies. An action exclusively for recovery of retainage must be instituted against the Principal or the Surety within 1 year after the performance of the labor or completion of delivery of the materials or supplies, or within 90 days after the contractor's receipt of final payment (or the payment estimate containing the owner's final reconciliation of quantities if no further payment is earned and due as a result of deductive adjustments), whichever comes last. 2. Any claim by the Obligee under this bond shall accrue no later than the first to occur of: (a) the date the Obligee declares the Principal to be in default under the Contract; (b) the date final payment is made under the Contract (or the date of the payment estimate containing the owner's final reconciliation of quantities if no further payment is earned and due as a result of deductive adjustments); or (c) the date Obligee makes claim against this bond. 3. The amount of this bond shall be reduced by and to the extent of any payment or payments made by Surety in good faith hereunder whether made directly to Obligee or Claimant(s) or otherwise in discharge of Principal's obligations. The Surety's liability hereunder to the Obligee and all Claimants is limited, singly, or in the aggregate, to the penal sum of the bond set forth herein. The Surety may, at its option, discharge all obligations under this bond by interpleading into the registry of any court of competent jurisdiction of the full unexonerated penal sum of this bond, or such portion thereof which will satisfy the obligations owed to the Obligee and/or the Claimant(s). This bond shall not be liable for any liability of the Principal for tortious acts, whether or not said liability is direct or is imposed by the Contract, and shall not serve as or be a substitute for or supplemental to any liability or other insurance required by the Contract. 4. This bond IS CONDITIONED UPON the same being properly recorded in the Public Records of the County where the improvement is located in accordance with Florida Statutes §255.05(1)(a). In the event this bond is not so recorded it shall be NULL AND VOID. 5. This bond has been furnished to comply with the statutory requirements of Florida Statutes 255.05 et. seq. Any provision in this bond conflicting with or expanding the protections available under Florida Statutes 255.05 et. seq. shall be deemed deleted herefrom and provisions conforming to such statutory or legal requirements shall be deemed incorporated herein by this reference. The intent is that this bond shall be construed as a statutory bond and not as a common law bond. Signed and dated this I — day of 2017 Bullard Excavating, Inc. (Principal) By. ,1/Gt Travele s asualty and Surety Comp ny of America r By: A ItA2X. t�— Francis Ware , Attorney -in -Fact Performance and Payment Bond — Page 2 or 2 WA : THIS POWER OF ATTORNEY IS INVALID WITHOUT TI D BORDER POWER OF ATTORNEY TRAVELERS Attorney -In Fact No. Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 227446 St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. O 07160187 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St Paul Fire and Marine Insurance Company, St Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc , is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint James Harold Barber, Jr., Debra Sanders, Lane Milam, and Francis Ware of the City of Montgomery , State of Alabama their true and lawful Attorneys) -in -Fact. each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other wntings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of March 2017 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company SI. Paul Guardian Insurance Company State of Connecticut City of Hartford ss. By: 22nd St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company G Robert L Raney. Senior Vice President On this the 22nd day of March 2017 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc , St. Pau) Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company. and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June, 2021. W K/" C • V Mane C Trreault, Notary Public 58440-5-16 Printed in U.S.A. WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNINI ; POWER OF ATTORNEY IS INVALID WITHOUT THE RE RDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Famungton Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St Paul Guardian insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or wrung obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (al signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attomey or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this I, // day of Kevin E. Hughes, Assistant Sectary 20��. To verify the authenticity of this Power of Attomey, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above -named individuals and the details of the bond to which the power is attached. WARNING THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER 1 A�!RD' CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YYYY) 7125/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Palomar Insurance Corp. Palomar Insurance Corporation 4525 Executive Park Drive, Ste 202 Montgomery AL 36116 CONTNAME: Allison Allison Strause PHONE 334-409-3146 FAX Frtp (Arc.No): 334-323-0557 E-MAIL ADDRESS: allisons@palomarins.com INSURER(S) AFFORDING COVERAGE NAIC # ,NSURERA:Acadia Insurance Company 31325 INSURED BULLEXCA Bullard Excavating, Inc 13264 Eva Dnve Andalusia AL 36420 INSURER B :Alabama Self -Insured Work Comp Fund INSURER C : Midwest Employers Casualty Co. 23612 INSURERD: INSURER E : INSURER F : 898529536 EVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DONYYY) POLICY EXP (MWDD/YYYYI LIMITS A COMMERCIAL GENERAL LIABILITY CPA4297621 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED' PREMISES (Ea occurrence) $100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY OTHER X LIMIT APPLIES M l _ PER LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILELIABILITY x X ANY AUTO OVVNED x X SCHEDULED AUTOS NON -OWNED AUTOS ONLY Car CPA4297621 7/1/2017 7/1/2018 NEDSINGLEIT Ea BILIFI $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPER DAMAGE (Per accident) $ $ A X UMBRELLALIAB EXCESS LIAB X O OCCUR CLAIMS -MADE CPA4297621 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 $ DED 1 RETENTIONS B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below Y/N NIA WC10003616002017A PNAL129001 1/1/2017 1/1/2017 1/1/2018 1/1/2018 X SPER TATUTE OERH EL EACH ACCIDENT $1,000,000 E L DISEASE - EA EMPLOYEE $1,000,000 E L DISEASE - POLICY LIMIT $1,000,000 A Leased/Rented Equip CPA4297621 7/1/2017 7/1/2018 Per Item 100,000 Ded 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROJECT: FY-2017 Asphalt Overlay, Bid No.0626, Crestview, FL CERTIFICATE HOLDER CANCELLATION City of Crestview 715 Ferdon Blvd North Crestview FL 32536 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR ED REPRESENTATIVE "02/ ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BULLARD EXCAVATING, INC. 13264 Eva Drive • Andalusia, Alabama 36420 • Phone (334) 222.4332 • Fax (334) 222-8256 • E-mail: bullardexcavating@gmail.com July 31, 2017 Ms. Elizabeth Roy City Clerk City of Crestview P.O. Box 1209 Crestview, FL 32536 RE: FY-2017 Asphalt Overlay Bid No. 17-0626 Crestview, FL Dear Ms. Roy: Please find enclosed the executed Contract Agreements along with the Payment and Performance Bond, and a copy of our insurance certificate for the above -referenced project. Please note that the bonds are undated and will need to have the correct date completed on the forms. Please let me know if you have any questions. Sincerely, aren Dubose Contract Administrator