Loading...
HomeMy Public PortalAbout197-2017 - Sanitary - Brackney - NW 13th Street Interceptor Basin Improvements - Part 2PERFORMANCE BOND CONTRACTOR (name and address): SURETY (name and address of principal place of Brackney, Inc. business): Fidelity & Deposit Co of Maryland 10028 US #52 1299 Zurich Way Brookville, IN 47012 Schaumburg, IL 60196 OWNER: Board of Sanitary Commissioners 2380 Liberty Avenue Richmond, IN 47374 CONSTRUCTION CONTRACT Effective Date of the Agree..ment: (2 ' 3 2-0 ( % Amount, S 10,731,236.00 Description: City of Richmond Sanitary District Northwest 13th Street.lnterceptor Basin improvements - Phase I BOND Banc! Number: PRF09065875 Date (not e-arrter;ha» 81w 5yeCvi'e Date of the Agr¢ewent of the Construction Contract): .December 13, 2017 Amount: $ 10,731,236.00 Modifications to this Bond Form: Ej None ❑ See Paragraph 16 Surety and Contractor, intending to be iegaliy botind hereby, subject to the terms set forth below, do each cause this Performance- Bond to be duly executed by an authorized officer, agent, or representative. [CONTRACTOR AS PRINCIPAL Brackney, Inc. (seal) Contractor's Name and Corporat eal Signature Print Name Title y ;Attest: _ �y/s 4 r Signature l/ XI Title SURETY Fidelity and Deposit Co of Maryland Surety's tame an Corporate feat Signature attach Power of attorney) Suzanne M. Rozek 47 t Print Naive Attorney -in -Fact Title Attest. • nature Account Manager Title Notes, (1) Provide supplemental execution by any additlanal parties, such as joint Venturers. (2) Any singular reference to Contractor, Surety, owner, ar other parry shall be considered plural where applicable, ESCOC$C-610;,Niforrea- 86nd copyright Q 2013 Natlanal Society of Profess'tanal engineers, Arfiedsarr council of Engineering toMpanies, and American Sacle—W of civit£r%lno- A. All rights reserved. 1, The Contractor and Surety, jointly and severally, bind themselves, their heirs; executors, administrators, successors, and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. 2. if the Contractor pti forms the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except when .applicable to participate in a conference as provided in Paragraph 3. 3, if there is no Owner Default under the Construction Contact, the Surety's obligation under this Bond shall arise after: 3,1 The Owner first provides notice to the Contractor and the Surety that the:Ownet is considering declaring a Contractor Default..5uth notice shall indicate whether the Owner is requesting a conference among the Darner, Contractor, and Surety to discuss the Contractor's performance, if the owner does not request a conference, the Surety may, within five (5) business days afterreceipt of the Owner's notice, request such a Conference: If the Surety timely requests a conference, the Owner shall attend. Unless the Owner agrees otherwise, any coriference requested under this Paragraph 3.1 shall be held within ten (10) business clays of the Surety`s receipt of the gwnees notice. if the Owner, the Contractor, and the Surety agree, the Contractor shalt be allowed a reasonable time to perform the Construction Contract, but such an agreement shall not wilve the Owner's right, if any, subsequently to declare a Contractor Default; 3.2 The Owner declares a Contractor Default, terminates the Construction Contract and notifies the Surety; and 3.3 The Owner has agreed to pay the Balance of the C,oittrar t Prim in accordance with the terms of the Construction Contract to the Surety or to a contractor selected to perform the Construction Contract. 4. Failure on the part of the Owner to comply with the notice requirement in Paragraph 3.1 shaft riot constitute a failure to comply with a condition ,precedent to the Surety`s 'obligations, or release the Surety Tram its oblfgatians, except to the extent the Surety demonstrates actual prelddice. S. When the Owner has satisfied the conditions of Paragraph 3, the Surety shall promptly and at the Surety's expegse take one of the following actions: 5A Arrange for the Contractor, with the consent of the Owner, to perform and complete the Construction Contract; 5,2. Undertake to perform and complete the Construction Corit<ragt itself, thorough its agents gt Independent contractors; 5.3 Obta:n bids or negotiated 'proposals from qualified Construction Contract, and pay to the Owner the amount of damages as described in Paragraph 7 in, excess of the Balance of the Contract Price incurred by the Owner as a result of the Contractor Default; or S.4 Waive its right to perform .and corplete, arrange for completion, or obtaln a new contractor, and with reasonable promptness under the circuinstances: 5AA After investigation, determine the amount for which it inay be liable to the Owner and, as soon as practicable after the amount is determined, make payment to the Owner; or 5.4.2 teeny liability in whole orin part and notify the Owner, citing the reasons for denial. 6. If the 5.urety does not proceed as provided in Paragraph 5 wYf reasonable promptness, the Surety shall be deerned to be in default on this Bond seven days after receiptof an additional written notice from the Owner to the Surety demanding that Lite Surety perform its obligations under ibis Bond, and ttte Owner shall be entitled to enforce any rerrledy 3vallabke'to the_Ourri e : If theSurety proceeds as provided In Paragraph5.4, and the Owner refuses the payment or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any re riedy available to the Owner. 7. if the Surety elects to act under Paragraph S.A. 5.2, or 5.3, then the responsiiilities of the Surety to the Oaw;ler shag not be gre Ater than those of the Contractor under the Construction Contract, and .the responsibilities ixf the Owner tb the Surety shah not be greater than those cf the Owner under the Construction Contract. Subject to the zorrimitment by the Owner to pay the Salarice of the Contract Price, the Surety is obligated, without duplication for! 7.1 the responsibilities of the Contractor for correction of defective work and completion of the Cont trur,:tion Contract, 7.2 additional legal, design professional, and belay costs resulting from the Contractor's.Defauit, anti resulting from the actions or failtire to act os the Surety under Paragraph 5; and 7.3 liquidated damages, or .lf no liquidated damages are specified in the i o'rfstructrgn Cgrrtracx, actual dama es caused by delayed performance or non-performance-ofthe Contractor. S. if the Sure ty elects tb pd unc?er Paragraph 5.1, 5.3, or 5.4, the Surety's liability is timited to the artaaunt of #his Bond. 9. The Surety shall not be Sable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Ccihtract'Prlce shall not be reduced ur set orlon account of any such unrelated oii)igations. No riht of action shall accrue on this Blind to arty person or entity other than the Owner or its heirs., executors, administrators, successors, and assigns. contractors acceptable to the owner for a contract for periorrrrariCe gild cornptetlan of tile Ctil i5ttuctioa Contract, 30. The Surety hereby waiWe s notice of any chailge, including charges arrange for a contract to be prepared for execution oy the Owner of time, to the t onstrifttiori contract or to related subcoritract% and a contractor selected with the Owners corseuirente; to be purchase orders, and other obligations. secured with performance and paVrneht ttonds executed by -a qualified surety equivipent to the bonds isstled on the F1COGa C-SSO, Performance Bond copyright Q M3 National Society of Professional Engineers, American Covndt of Engineering Companies, ai 4 American. of Civil. ridneers, Art rights reserved. C=13 11 Any proceeding, legal or equitable, sunder this Bond may be Irstituted in any Court. of competent jur€sdictiori in the location in which the work or part of ;the work is Iotated and shall be instituted Within twoyears after a declaration of Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or €ails to perform its obligations under this Bond, whichever occurs first. If the provisions of this paragraph are void or prohibited by lave, the minimum .periods .pf Pmitations available to sureties as a defense in the jurisdiction of the suit shall be applicable. 12. (Notice to the Surety, the Owner, or the Contractor shall be mailed cr delivered to the addtgss rho s n on the page on which their signature appears_ 13. When this Botrd has been furrrished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any prevision in this Boild conflicting With said statutory ar legal requirement shall be deemed deleted hetefrorri and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein, 'Rhen so furnished: the intent is that this Bond shall be construed as a statutory bond and not as a.common taw bond. 14. Definitions payments made to or on behalf of the Contractor under the Construction .Contract. 14l,2 Construetiian Contract: The agreement between the Civmer and Contractor Identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Docurnents, 1 .3 Contraapr Default; Failure of the Contractor, whfch has not been remedied or waived, to perform or otherMse to comply with a material term of the £onstructian contract. 14.4 0%4ner Defaul.c i aifure of the Owner, which has not been remedied or Waived to pay the Contractor as reclulsed under the CooWuction Contract or to perform and complete or comply with the other material terros of the Construction Contract.. 145 Contract Documents, Allthe documents that comprise the agreement between the Owmer and Contractor. IS. if this Bond is issued for an ae. Bement between? contractor and sued ntra0-er, the term Contractor to this Bob d shallbe deemed to be Subcontractor and the Perm Owner shall be deemed to be Contr--Octor. 14.1 Salanceofthe Contract Price: The total amount parable 10 ModlOcations to this Bond areas follows: by the Qwner to the Contractor under the Construction.Contract after all proper adjustments have been made including allowance for the Contractor for any amounts received or to be received by the Owner in settlementof ihsuFanre or other claims for damages to which the Contractor is entitled reduced by all valld and proper EJC4C1€;61%Perfamiance $and Copyright O 2023 .ryaripnai soclety of Professional Engineers, American Council' of Engineerin&Companies, and American Society of Civil Engineers. Ali rights reserved, ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by. MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Vicky L. DIELMAN, Kimberly A. NAGEL, Suzanne M. ROZEK, William G. HUMMER and Mario N. PROCACCINI, all of Toledo, Ohio, EACH its true and lawful agent and Attorney -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 and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York, the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 22nd day of September, A.D. 2016. ATTEST: 1 f,x-, /-), 15�1-� Secretary Eric D. Barnes ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND 9),Oel CAL 4 iI A.b Vice President Michael Bond State of Maryland County of Baltimore On this 22nd day of September, A.D. 2016, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and ERIC D. BARNES, Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ��hl,l 11111\�\ Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 142-4340A z FIDELITY AND DEPOSIT COMPANY OF MARYLAND 600 Red Brook Blvd., Suite 600, Owings Mills, MD 21117 Statement of Financial Condition As Of December 31, 2016 ASSETS Bonds............................................................................................................................................... $ 141,903,342 Stocks............................................................................................................................................... 22,845,654 Cash and Short Term Investments.................................................................................................... 3,080,053 Reinsurance Recoverable...................................................................................... ....... 13,996,720 .................... OtherAccounts Receivable.............................................................................................................. 27,147,872 TOTAL ADMITTED ASSETS........................................................................................................ $ 208,973,641 LIABILITIES, SURPLUS AND OTHER FUNDS Reserve for Taxes and Expenses...................................................................................................... 896,428 Ceded Reinsurance Premiums Payable............................................................................................. 40,193,693 Securities Lending Collateral Liability............................................................................................ 0 TOTALLIAsurrms.................................................................................................................... $ 41,090,121 Capital Stock, Paid Up........................................................................................ $ 5,000,000 Surplus................................................................................................................ 162,883,521 Surplus as regards Policyholders...................................................................................................... 167,883,520 TOTAL....................................................................................................................................... $ 208,973,641 Securities carried at $62,166,344 in the above statement are deposited with various states as required by law. Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of market quotations for all bonds and stocks owned, the Company's total admitted assets at December 31, 2016 would be $209,350,832 and surplus as regards policyholders $168,260,711. I, DENNIS F. KERRIGAN, Corporate Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing statement is a correct exhibit ofassets and liabilities of the said Company on the 31st day of December, 2016. State of Illinois City of Schaumburg SS: Subscribed and sworn to, before me, a Notary Public of the State of Illinois, in the City of Schaumburg, this I' day of March, 2017. D!ARRYL JOINER OFFICIAL SEAL Notary RUic- St::to of Illinois My Commission G1B February lon Emir Secretary Notary Public BID DOCUMENTS 02016 by Commonwealth Engineers, Inc. All rights reserved. Reproduction by any method in whole or in part without permission is prohibited. EXHIBIT'A' - Page 1 of 154 v PART 9 BID DOCUMENTS TABLE OF CONTENTS 1. Contractor's Bid (Form No. 96, Revised, 2013) 2. Bid Form (EJCDC C-410) 3. Bid Schedule 4. Qualifications Statement (EJCDC C-451) 5. Bid Bond (EJCDC C-430) 6. Financial Statement for Bidders : 7. E-Verify Program 8. Certificate of No Investment Activities in Iran PAGE P- 1 —P-6 P-7—P-12 P-13 — P-14 P-15 - P-26 P- 27 — P-28 P- 29 — P-36 P- 37 P- 38 02016 Commonwealth Engineers, Inc. EXHIBIT'A' - Page 2 of 154 I Part of State Forth 62414 (R212-13)1 Form 96 (ReNsed 2013) BID OF BRACKNEY INC. (Contractor) 10028 US HWY 52 SOUTH (Address) BROOKVILLE. IN 47012 1761v PUBLIC WORKS PROJECTS • Fled Actiontaken EXHIBIT'A' - Page 3 of 154 7 4t CONTRACTOR'S BID FOR PUBLIC WORK - FORM 96 State Form 52414 (R2/ 2-13) / Form 96 (Revised 2013) Prescribed by State Board of Accounts PART (To be completed for all bids. please type or print) Date (month, day, year): 1d 1. Governmental Unit (Owner):�n.4.QD D� A) %r<�1kV C e��i�p-Y^.rJE,Ps 2. County: &)'q r ZQF 3. Bidder (Firm): Brackney Inc. Address 9nn7R I IG HWY 52 South City/State/Z1Pcode: Brookville, In 47012 4. Telephone Number: 513-312-1283 5. Agent of Bidder (if applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of 1lioRThtvcc �-rRrE7-:QTc�C. -? A-rR .j (Governmental Unit) in accordance with plans and specifications prepared by a1J1MDLWkJ and dated /1for the sum of The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the governmental unit. If the bid is to be awarded on a unit basis, the itemization of the units shall be shown on a separate attachment. The contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract. CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS (if applicable) 1, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel products made in the United States (I.C. 5-16-8-2). 1 hereby certify that I and all subcontractors employed by me for this project will use U.S. steel products on this project if awarded. i understand that violations hereunder may result in forfeiture of contractual payments. EXHIBIT'A' - Page 4 of 154 ACCEPTANCE The above bid is accepted this day of , subject to the following conditions: Contracting Authority Members: PART II (For projects of $150,000 or more — /C 36-1-12-4) Governmental Unit: I 1-21"'t Bidder (Firm) Brackney Inc. Date (month, day, year):y.E'ni�E.G� These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? Contract Amount Class of Work Completion Date Name and Address of Owner 8,168,000.00 Sewer 2-10-2016 City of Whitestown, IN 2,514,472.00 Sewer 10-7-2016 Williamsdale (Butler County), OH 900,000.00 Water '6-19-2015 1 City of Greenfield, IN 5,315,071.00 Storm L 11-15-2016 Tilden Rd, Brownsburg, IN 2. What public works projects are now in process of construction by your organization? Contract Amount Class of Work Expected Completion Date Name and Address of Owner 4,268,496.00 Water 3-1-2017 Miamisburg, OH 3,038,583.00 Sewer/Water 1 2-1-2017 1 Miamisburg, OH 1,535,910.00 Sewer 6-1-2017 Fall Creek Regional Waste District- Pendelton, IN 834,126.00 Sewer 4-1-2017 Edinburgh, IN EXHIBIT'A' - Page 5 of 154 3. Have you ever failed to complete any work awarded to you? __A-0 If so, where and why? 4. List references from private firms for which you have performed work. /U C- co C� 21 A 1 ^J� ` �aU G Gu oc�/ 6 LLG SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other Information which you believe would enable the governmental unit to consider your bid.) 2. Please list the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. EXHIBIT'A' - Page 6 of 154 3. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the governmental unit in the event that you subsequently determine that you will use a subcontractor on the proposed project. DRS D6t'���i�� � �,✓ry ��>, I�c�act�/o�i6s��� !I''lesToc %✓"T,,,4�Toc�s'. i aR- r eln ���er�6aTs oF�io y5�/zs ;��o��u�nbl,s 17 5452f�/ ��c,il.oZ5� u J ,237-,' i'A v i N6 A)Z&SID ND/.CID.uD �y' c�D 4. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, please explain the rationale used which would corroborate the prices listed. I c SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the governing body awarding the contract must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing the project if awarded.. EXHIBIT'A' - Page 7 of 154 SECTION IV CONTRACTOR'S NON — COLLUSION AFFIDAVIT The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to Include anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale. SECTION V OATH AND AFFIRMATION I HEREBY AFFIRM UNDER THE PENALTIES FOR PERJURY THAT THE FACTS AND INFORMATION CONTAINED IN THE FOREGOING BID FOR PUBLIC WORKS ARE TRUE AND CORRECT. ?d ! Dated at ,"Uthis Nv�Ek Brackney ACKNOWLEDGEMENT STATE OF Indiana ) ) ss COUNTY OF Franklin ) Before me, a Notary Public, personally appeared the above -named Kevin Brackney and swore that the statements contained in the foregoing document are true and correct. Subscribed and sworn to before me this day of Sae d in My Commission Expires: 5-12-24 County of Residence: Franklin EXHIBIT'N - Page 8 of 154 /6 PENAL SUM FORM BID BOND Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. BIDDER (Name and Address): Brackney, Inc. 10028 US #52 Brookville, IN 47012 SURETY (Name, and Address of Principal Place of Business): Fidel% & Deposit Co of Maryland 1299urich Way Schaumburg, IL 60196 OWNER (Name and Address): Board of Sanitary Commissioners 2380 Liberty Avenue Richmond, IN 47374 BID Bid Due Date: November 1, 2017 Description: City of Richmond Sanitary District Northwest 13th Street Interceptor Basin Improvements - Phase I BOND Bond Number: Date: November 1, 2017 Penal sum Five Percent of the Maximum Bid Amount********* $ 5% of bid******* (Words) (Figures) Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representative. BIDDER SURETY Brackney, Inc. (Seal) Fidelity & Deposit Co of Maryland (Seal) Bidder's Name and Corporate Seal Surety's Name and Corporate Seal BY By: Signature Signatu (Attach Po ®r of Attori y) Print Name Title Attest: Lk /,/J� Signature Title ` " Suzanne M. Rozek Print Name Attorne-in-Fact Title Attest: Si nature Title Account Manager Note: Addresses are to be used for giving any required notice. ORProvide execution by any additional parties, such as joint venturers, if necessary. EJCDC' C-430, Bid Bond (Penal Sum Form). Published 2013. Prepared by the Engineers Joint Contract Documents Committee. P•27 EXHIBIT'A' - Page 9 of 154 Zurich North America Surety 9229 Delegates Row, Suite 300 Indianapolis, IN 46240 http://www.zurtch.com Direct Phone i-800-876-26i6 317.826-4882 Direct Fax3z7-826-4899 0 ZURICH November 1, 2017 Board of Sanitary Commissioners 2380 Liberty Avenue Richmond, IN 47374 Re: Brackney, Inc. 10028 US Hwy 52, Brookville, IN 47012 Northwest I P Street Interceptor Replacement Project — Phase 1 Zurich American Insurance Company and/or its subsidiary, Fidelity and Deposit Company of Maryland, have provided surety credit to Brackney, Inc. for single projects of $15,000,000 and an aggregate uncompleted backlog of 25,000,000. Zurich/F&D is rated "A" (Excellent) with a financial size category of XV ($2 billion +) by AM Best and has a US Treasury Limit exceeding $300 million. If Brackney, Inc. is awarded a contract for the referenced project and requests that we provide the necessary Performance and/or Payment Bonds, we will be prepared to execute the bonds subject to our acceptable review of the contract terms and conditions, bond forms, appropriate contract funding and any other underwriting considerations at the time of the request. Our consideration and issuance of bonds is a matter solely between Brackney, Inc. and ourselves, and we assume no liability to third parties or to you by the issuance of this letter. We trust that this information meets with your satisfaction. If there are further questions, please feel free to contact me. Sincerely Zurich American Insurance Company Fidelity and Deposit Company of Maryland. t .c_ W. kgeZ Suzanne M. Rozek Attorney -In -Fact EXHIBIT'A' - Page 10 of 154 FIDELITY AND DEPOSIT COMPANY OF MARYLAND 600 Red Brook Blvd., Suite 600, Owings Mills, MD 21117 Statement of Financial Condition As Of December 31, 2016 ASSETS Bonds............................................................................................................................................... $ 141,903,342 Stocks............................................................................................................................................... 22,845,654 Cash and Short Term Investments.................................................................................................... 3,080,053 ReinsuranceRecoverable................................................................................................................. 13,996,720 OtherAccounts Receivable.............................................................................................................. 27,147,872 TOTAL ADMITTED ASSETS........................................................................................................ $ 208,973,641 LIABILITIES, SURPLUS AND OTHER FUNDS Reserve for Taxes and Expenses...................................................................................................... $ 896,428 CededReinsurance Premiums Payable............................................................................................ 40,193,693 Securities Lending Collateral Liability ............................................................................................ 0 TOTALLmiLITIEs.................................................................................................................... $ 41,090,121 CapitalStock, Paid Up........................................................................................ $ 5,000,000 Surplus................................................................................................................ 162,883,521 Surplusas regards Policyholders...................................................................................................... 167,883,520 TOTAL....................................................................................................................................... $ 208,973,641 Securities carried at $62,166,344 in the above statement are deposited with various states as required by law. Securities carried on the basis prescribed by the National Association of Insurance Commissioners. On the basis of market quotations for all bonds and stocks owned, the Company's total admitted assets at December 31, 2016 would be $209,350,832 and surplus as regards policyholders $168,260,711. I, DENNIS F. KERRIGAN, Corporate Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing statement is a correct exhibit of the assets and liabilities of the said Company on the 31st day of December, 2016. Secretary State of Illinois City of Schaumburg SS; Subscribed and sivom to, before me, a Notary Public of the State of Illinois, in the City of Schaumburg, this 1" day of March, 2017. r Notary Public —DAM11. JOINER OFFICIAL SEAL Notary R,bao - Stcto of Illinois My Commission 4 Ires Fohruory 24,201II EXHIBIT'A' - Page 11 of 154 SETTLEMENT AGREEMENT The Commissioner of Labor (hereinafter referred to as "Commissioner") and Brackney, Inc. (hereinafter referred to as "Employer") hereby agree as follows: The Commissioner amends the Safety Order(s) and Notification(s) of Penalty, IOSHA Inspection No. 318011111 issued to the Employer on May 24, 2016 in the following manner: SAFETY ORDER 01: Item i : Deleted: Penalty is reduced to, $0, Item"2:. Deleted.. Penalty -i& reduced to $a. SAFETY ORDER 02: Item 1: Deleted. Penalty, is. reducod "to $0. In consideration of the above amendments the employer performed the following: 1. Employer added an addendum to the safety manual to ensure no pressure on newly constructed sewage lines. 2. Employer added checking pressure on manhole sewer lines to their toolbox talks. era . � R'ELD �'ENALTY �s�00 TI4E EMPLOYER IS SATISFIED WITH THE AMENDMENTS STATED ABOVE AND ACCORDINGLY WAIVES ITS RIGHT TO FILE A NOTICE OF CONTEST OF THE SAFETY ORDER(S) AND NOTIFICATION(S) OF PENALTY AS AMENDED AND AGREES TO WITHDRAW ANY PREVIOUSLY FILM NOTICFS OF CONTEST TN THIS MATTER. Upon full execution of this Settlement Agreement ("Agreement") the Employer will post this Agreement for three (3) working days or until abatement is completed, whichever period is longer. The total AGREED PENALTY is due and payable within fifteen (15) working days from the Employer's execution of this Agreement. The Employer further agrees that if the AGREED PENALTY is not paid within fifteen working days from the Employer's execution of this Agreement, that the full amount of the penalty initially assessed against the Employer in the Safety Order(s) and Notification(s) of Penalty which are the subject of this Agreement is due and payable immediately. The Safety Order(s) and Notification(s) of Penalty are, and shall be, herein a final and enforceable Order of the Board of Safety Review. EXHIBIT'A' - Page 12 of 154 Except for this Agreement, and IOSHA matters arising out of this Agreement, and any other subsequ-;nt IOSHA proceedings between the parties, none of the foregoing agreements, statements, findings, and actions taken by Employer shall be deemed an admission by Employer of the allegations contained within the Safety Order(s) and Notification(s) of Penalty. The agreements, statements, findings and actions taken herein are made in order to compromise and settle this IOSHA matter economically and amicably, and they shall not be used for any other purpose, except as herein stated. BRACKNEY, INC. COMMISSIONER OF LABOR By�% e �J By:— Title:_ RIP_6 "3I,4EN t Title: Date:_ Date: EXHIBIT'A' - Page 13 of 154 dark From: Alexander, Julie [JuAlexander@dol.IN.gov] 'Sent: Friday, July 15, 2016 3:23 PM ro: mebrackney@brackneyinc.com Subject: Brackney Inc 318011111 Attachments: Brackney Inc 318011111.doc Mark: Please find attached a proposed informal agreement based on the information presented at the informal on June 14, 2016. If the agreement is acceptable, then please sign and return to me by fax or email as soon as possible or the original proposed safety orders will become reinstated as a final order pursuant to Indiana law. If you return the signed agreement, then I will sign the agreement and send you a copy to post in the workplace for 3 days or until all abatement is complete whichever is the longest time period as required by Indiana law. Finally, If you click on this link: http://www.in.gov/dol/`insafeconsultation.htm then you will be able to request an INSAFE consultation online for help with the abatement portion of your agreement if needed. Below is more contact information to request an INSAFE consultation. INSafc 402 West Washington Street, Room W 195 Indianapolis, Indiana 46204 'hone: 317-.232-2655 Fax:317-233-3790 TTNoice: 800-743 -3 33 3 Email: insafe a,dol.in.gov If you have any questions, please contact me. Email is the best way to contact me. It was a pleasure working with you. Julie C. Alexander, J.D. Director, General hidustry-IOSHA and Whistleblower Unit Indiana Department of Labor IGC-S Room W-195 402 West Washington Street Indianapolis, Indiana 46204 jualexander@doldn.gov 317-232-1987 FAX: 317-233-3790 0 A Stave thatI*& 1 EXHIBIT'N - Page 14 of 154 15ƒt4tookL A log ••& k jf�° 0 §§ ;da § § {§ o z . ) kt§��MUSH �B© bkkk k�k§� ��� \ § �2 §§§2§ §§§ .�§ §Z�B§ §)e 7tt�/)0 f$§ § ;41 2) § m i§ § $) B , A m n 2 t 2 § § o 7 $ 4§a ms p § § $ r r} m �§ cr 0 k o k0 NBE +-� A S ¥,g cn -vr-� 10 CO- �° va0 V C- 2 C- O .0-1 p�rj7C C 00�m �yy-i°m ca Op �n�� p m� N �� v 3Z-DGo mZa� -{WrtI X °m � p'nM n 2 =m y-wC1O 'i �W� z _ zZ*rra M m M—U m v _i Z X m m r'n"o-I ;u vy0 3�"�,g0 m2moN,D'� 0 Xc C 3 AW jvw p 0mo N_O Z m: Zm °A..Ort�CC2 T l� m = AA C(,a Aft M �OZp � Z _ ?r0 o Z CDn m " �wo�WCZ N Z m O �0Zv m en 1 A v m A D0Z r _ z z W m -nvms.s 'nwM-n (n nv0Inai m0,"°c ay2{ m-02m 0)w vc 5 y'k� -0-02VG) m�� ro m I C R" � ¢j of -it �;a i& �2 4 lr,�Ox DC raO�ON..v 00o•�'iNyZN VL. "wow-yi {� w m�poO�z m m 70 z wo� STim v o- ptn mo'',zo,z C mn W�rmm Z2 z 2 z ��Z y a a Z 0- CWrC SN A<� z g O 0) fit ' O p z $ z m (q N bl N N 3 O tJ02 V co JY OD W A OODD r— —1 Z Go 40 G ..7AA► O p� O p O p O .� W m v o Cl ca w m o) a) 00 >q 0 V m N i EXHIBIT'N - Page 16 of 154 � 2 ~NN� -0 �' @Eon m�{yn' OD mGm OO�tl Y� moA lmD� 3CyG N eT< YS ggy;F{ .i DMOM111 i3 mpl °M'°' Z yp C O AN (0-0 w yfA11 Y S m - yyyw T n pilE3 5 T$($�" V ij Ctl 1m1� G7 IN w o� q !pEll m b � w 1(IZp�1 A N (yq p N N a N N ? S N u u w w b b w u r EXHIBIT'A' - Page 17 of 154 Any�A 'O.Ep OvCOm 20m pN 0�.0 y0M bpm 0 0,moo N m �v� mnO m O X z3m v mZ;u m A iA2 m 41 rn pasmON 0 X o t M_ -o m zm m m m N ;0 Nm Zz0 N) Rz OmN oS07 mmy BAmN iZ0; A m0r �N OOzq Mm'zZFZ0 aAv0i �m wV9.poN0 m =:;a op m -w ,TNv00ZO G�ZiC� 3fn rtn S 'm;MD X:cC 01m 1;zZp3 G).A TTZ-< GD 10Z fmNrn _ J Q � y;D ;u fn %O ;0 CO p M2 O =, Op p Am pz S N,- z " 0 NN W g r. 5 0 -1 G). O,n z N mD o 00'OZ1G) �^��m=i (4 G) 9 a)m=m$O zmirt-i a)m-oA O mNrtg�� -n-u mzE: z m �i MEm� Z�Z0 ,oi H. �M: Ty .i~oy � �m�uN, vy0� p 7zc DVV � Z m G)`G) J m 9) OVNS�.0 0 9 ID jT Ain�+CA �� c�io TqN m N A 1 y y N w w 400 ao S° c Z o b s s o 0 $ z ao 0 A A A A A A R1 v0 z A A A A A A y On 3 tc O/ y N fn N A O99 0 A m� r EXHIBIT 'A' - Page 18 of 154 ►tows 00VIAt CIM1101 00199SOC S kWVM 0s05•LC9Zt9m:l SzO1► NI'3IVON33HO WHMN33HO OOL►tLMZt91Hd 3nN3AV3O091015 MVW 30HOd SZOL► NI'3IVON33HO 3IVON3380d0 AUO X33HO SHMNVl WIN3Av 3009! 9ZOl 05ct980r 'ONI'OMH33NION3 MHH OloZlll► ctovan ctOZ10C11 00'c9L -Ent S H31VM 83NMO MMS 9►9t-SISMS Z 3SVHd-3M1H31tlM ZOINrOMMHO NOl'9WVH 9COS► HO'NONV931 (IMUS330 "H030LLSNr90Y -V3HV NONV93I SH3NOISSM0030 OKISSOr OH8),INNOON3VWM Ytowzft CIQZME10t CtOZISSIL 00"OY 0Lt t S HUVM 00mm OSWIK S1N3W3AOHdWINNW -Zt9 NHLLS LIC MVHSIrVO NVO H31VMV3WIlM LLOOS ICOL►NI'NV11W 900 NI'SnOdVNV10Nl 3NVO h1 IMLN00 oSCOH 31tl1S'3 SIZL 3AOIOHMGWMZ"L SIIIHMISOOH =Hula H31tlM 'OM'SH33MON3 MHO Occ1980r IVN0103U 9IIIH H3ISOOH CtOZJStlI{ clomm MoZltll!) 00'SZ95LS H3M9S H3NMOSV3WVS H3OH3881HH0 IN3W3Wd3H 19191zct-LESMA 113M3SMANI SOU-9RICSINd OVOHH3IM01 S9CS►H01MRIX OZCIi80r 'IS IIOH13O HiHON tot VIN3Xd0 Ally clamv Clomn Ctoz m 0o'9zc Soz s H3M3S 00Z9-SiC Iltd I US" 9C09YHO'NONV8M I*GSY01HO'NAAOIW(W 1JVH1N0"3SVHd "OH VISMI009199 ZCSXO9'O"d OMSSOHO NNW 301AH3S ONRI33NION3 L0Rt1S10 H31vm 3OHOd 9zt'HS/YL 'IVIN3WNOHVIN3 4H3M331tlN0193H i 010i80r dIHSNM01 H31tlM3llHM 31V0 31V0 31V0 0I8 1Nnow 3dA1 2133NIVN3 ?l3NM0 NOI1dMS30 WOO ggnc 1DVMINOD IMIN00 80r EXHIBIT'A' - Page 19 of 154 -0w0zC- 0- MOO 000m0,-O —00n K �O zs*t 9D0 C. 000 Mzxm-p M- mmw ro O Z0={fno a "zm ""����mo -�IrZ�o �1�0 -mi�zoM m�2 Zm 4i z Z� zmO� vim= -p-pw0 Oz M0805 0CAO mmmm m Sir' N Comm U)0Sm F �;D ffg-j� ;0 O Z n .N-1 '0 �OOCG G) m w"-I --;u RZZZmLUNo 3 i �0�0 m X rnp x 0 W Z O a qs_ pj O` ^� ttoo z m�j p 0 W O� I Z W D 'n— N Z O D C�Ji -4 co? Z? (n W � Q 0 A O Q =�Z o-O- ca W (�j N Dm q q 0 m 0 mX � � -nm w0 co Oo2 'T mop m- Z''nZ xx_OW nos 0-n-U2-4G) ZX ONc* m a D WZ=mmgtnp m C= v - m m �o>Q<Cr� n "TO2 -4O D _V3:7MOO �&-m- ZOMvc rA -*Vm At� -40 Z AM A ooZ Z cm 00400'<Cii, co mZ "oZ�t�n m cnC' cM ox- �-n jm N� rn ; N c cyl Q o ;u co m m m m vi F» En en n O N W CA Z 1 V cn co W co V N U. 0 1 O C IJ -4 W 0 0 F p 0 o c m N N N N °O>0 00 0 0 0 0 W W N N 1 n ca D m 00 N 3 W 0 0 0 0 W .P N N EXHIBIT'A' - Page 20 of 154 /4-_:�— •p P -Gi• Vy^ C K O O tea [i o N M , �vGi L0t+; r'ii �i C C o S� 6 � a' o ro ML virc n ti e 6 < cu L X W o =+ C S e S o Lot cf o aQ �d o7C �y iia' C Li O R �i � y (A � ` ` � � : K N M O s E o co � N. p :; w... CA) a a o; P EXHIBIT'A' - Page 21 of 154 mOWryp0 7 a N n a 4C� 19=o o0iC 6i n Frv8� m�yop aa5$r n aito ti �a ro 'CLE g O la i N \ .l `, 1. :,�1 {� i� 0 () 1106 RJ& y 0 Q yp sq gp gQ d 0 0 0 0 tD • 0 I t 0 CO) �SHnd'widv) '(`l n C) .mil 0 C—) -(._.! {_J {� � Etin 4Nn!a' } �&' R�ondbonl C (I ( l l (+,,'�)1 L�! -(7) 0, -*:ti}l 0. .0 0 •{D ({) 1—D 0 r.,) 0 IIahGNII I `� J 0. 0 ti. 0 {� +0 I `\�j \YI < {'� <� '� ...'Itwin;ivn' a� ngetr, (� :(� {�. •!1 L.d ^ `•.., �IBI'.F••�"A' C) {,_.J -frr'l�age6''''�1 ) (-+ of l54 r, b 2 aP c og g ;v S (4 8 0 j o 0 `-'• R y IY `O7c R' Q �• 1 s o cr a s w a95 c�9 •• po a cr dg� a g A y o p u ON- CL MUL Er AF W �. o o a 1 R� & 0rr O N S 7 g s v' c a I"g g a ° CL m x OU WX n N 3 r(-A , 0. .h r �. N n y W W $ w ? o EXHIBIT'A' - Page 23 of 154 0OWp 0-ng� go o�mC ==a c_ =ss� ago a.. c19u°�e Fell 1 1 1 1 1 1 1 to Fall I 9 V O v 1W y3dnSpNd O W N��bry O O a t"�1 l4aoeiM� 0 v,wmtcr l dlale� 'tea o� 0 a 0 A 21 ?0 e O' O � ? $ _ o 9 m Z z z c ? `il N a CL m w > x to m a o m m 0 a m 0 C) 0 "i� 0 0 0`0 0 `? I- gga ' S4 •1mn U n 0 0 00 0 `,J 0,0 0 0Out f'% StiadiuiJa SD "" b 0 0 �! 0 o 0 0 0 -o o p a"n4tiva� ry` ram{ {{ �.-LXF�t181T 54 FQe 24•bf V IO 1(:11) „v 4� o 0 m�,on�o s� s d'<3iC �pmp gN�j�n a� C ";•a7C" G f�O 1p n ea9'/o O�w 1 0 aaNma a f �740'1p 4 � O _gym aR � ma OLO H -R K a 040 HM (p �0O � fl = Ma. r=- p 0 1 0 I" 0 1 0 10 o � o a N v c 3 G Sr OQ' ti o n g H o o �+► o 0? a a h S ° < Ile a r, ISM o°a $ 0 O co ' .. w tD x Oct o p a tj ,� w pp 3 V N .1 ,• 1�V t� A n .A. -I OR O EXHIBIT'A' - Page 25 of 154 . O N v I I I I I I I I IN I� O v "a a N o '0 y V O c x O a . z m C d �a C o Q Z O s D i lal 111 Ins� � � 3 N d � W7 0 o 0,0 1 o0 io r �:'. � � . i '� ';(� 1� �. �..! i � � 4• � J. � �' a �;; �. W 0 CD Idavyl N 0, 0 If^�f `., 0 0 ��- (7) 0 2 1n ^N.3lindif�dttl • ;yl t� ` `. J \ C - N Slindi.otdn 'n o ( 7 �� ,- ` - A PetN�. ° o Maul :� n IBIT-'A' t� ,-� age 6.0�154 ttNp-. g Fo d -+ y �N70 o0MFT N CIA_ 1pmoan C CD W ^ O. m w� "o w ..j L O :r T 0 1 n ' N o RI Z O o a 9. b 4 n Er b p v b EXHIBIT'A' - Page 27 of 154 its�Ly 1.H1a a S e � D I � 8 vLR D D O O O-o O O.O a O`O O 8 _ - D. O 0 'O �) .DOOD,ODOO.DO-pQ.D�.�, O D :D k3 o V W o ❑ .0 0 ❑ ❑ '0 ❑ ❑ ❑ ❑ ❑ ❑ N su at>oa, I ❑` 0 0: ,0, ❑ ❑ 0 0 ❑ ❑ ❑ .❑ ❑ !R su amN, '�:•� rdimn ron1GWn Q; `�1' , A WlrnNne ( ❑ ❑ . _.❑ . 0'. :❑�❑-_ ❑ �❑❑ ❑.,, ❑ ❑' .❑ Hndnpbrt ❑ ., a �❑ :0' �❑ a.. 0 - ❑' .0 - ❑:..''0" '0 . ❑ ,❑ .Yt N ui�iea . �i B O ❑ O '0' ❑ • 0 'b UkUJIT 1Q , Mg(ER8 q-Sr. ` , R s to a z o 0 Q � sa - e A• C q• � 24 n �e yC•� 4 � y �9° iP S N S s S �•g I I I I I I I I I I I 2c� I I I �•:� J 19, C _ � CD N sµ,.w:�., ❑ ❑ ❑ ❑ LJ C] L] Li L_l G L7 ❑ L7 � atma�ra« 8 �0 N V I4wpuNM. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ �, n �, 'i R Y EXHIBIT'A' - Page 30 of 1 4 -- g rotor, 3 I_ m = hjc $..o• G � e p c L � m N I � �• p � r � UZ s g• C3 c �2 �' off• [�' p A a r D 3 •i TICi p K I_ I GR• :� i "T �o u �• �-� `- - s' ��'� -.� "1 a � -}• N da = 9 •� aa -' aAd o; ���•, v 'm xax� N o g a� �° (giryp a 4 Q a i zN'O7p ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ �.❑ Q 151301 3,a3y3 O t6 gOs e x m o o W pr. �- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑, ❑ ❑_� aa�m�_ N- O O. O t • 'Vrol N ro � x g E• 'S � c .S .� E• .�' .5 E '� •S � 3 � n n 7 ; 3 CD a c a So IQ ❑ 0 ❑ O ❑ Omlorr i� Skma;rin,,•r I ❑ 1J ❑ ❑ ❑ ❑ L1'.:1 n '-_! ❑ ❑ f'I -jg stmJam., w la y ❑ rl ❑ ❑ ❑ ❑ ❑ C' Ci n 0 ❑ 17 ❑ ❑ ❑ ❑ C) 0 ❑ EXHIBU X"I Poe HB on&E Nl nrAn � • Q AL CONDITION O BRACKNEY, INC. _..__ I Er fdentification Number (Federal Tax Number) 3 5— 1 8 7 ___... _ 2 5 9 0 ❑ An Individual ❑ A Partnership ® A Corporation Condition at Close of Business DECEMBER 31 2013 ASSETS DETAIL TOTALS Current Assets 1. Cash------------------------------------------------------ $ - - -- -- 1,224,171 2. Notes Receivable Due Within One Year _----------_____ ---_--__-_-- 3. Bid Deposits and Guarantees ------------------------------------ 4. Accounts Receivable from Completed Construction Contracts ------------- 3,980 5. Accounts Receivable from Incomplete Construction Contracts ------------- 2,113.039 6. Costs of Incomplete Contracts in Excess of related Billings ---------------- 7. Costs and Estimated Earnings in Excess of Billings on incomplete Contracts ___ 8. Equipment Rentals and Other Accounts Receivable ____________________ _ 932 9. Materials in Stock Not Included in Items 4 and 5----------------------- 1,200 10. Stocks, Bonds and Other Securities ________________________________ 11. Accrued Interest and Other Current Assets --------------------------- Subtotal, Current Assets ------------------------------------ $ 3,343_322 12. Construction Equipment - Net Book Value ------------------------- 1.638,316 Fixed and Other Assets 13. Other Plant and Equipment _____________ - 12.917 14. Real Estate_____________________________ 38,623 15. Cash Surrender Value of Life insurance Policies (Net of poricy loans) __ ___---- 16. Other Assets ------------------------------------------------- ---------------------------- 107,130 Subtotal, Fixed and Other Assets ------------------------------ 158,670 Total Assets ------------------------------------------- $ 5,140,308 LIABILITIES AND NET WORTH Current Liabilities 17. Notes Payable and Other Long Term Liabilities (Due Within One Year) ------- $ 244,030 18. Accounts Payable — 216,075 ------------------------------ 19. Billings on Incomplete Contracts in Excess of Related Costs -------------- 20. Billings on Incomplete Contracts in Excess of Costs and Estimated Earnings 21. Accrued Taxes and Other Liabilities Due Within One Year ---------------- 169,745 Subtotal, Current Liabilities __________________________________ $ Long -Tenn Liabilities 22. Notes Payable and Other long -Term Liabilities (Balance After One Year) ------ $ 120,645 23. Deferred income Taxes (Non -Current Portion) ------------------- Subtotal, Long -Term Liabilities -------------------------------- $ Net Worth 24. Individual or Partnership Capital ---------------------------------- $ 25. Capital Stock ----------------------------------------------- 26. Additional Paid -In Capital --------------------------------------- 27. Retained Earnings ---------------------------------------_-_-- Subtotal, Net Worth ---------------------------------------- Total Liabilities and Net Worth ------------------------- 28. Contingent Liabilities----------------------------------------- 550,988 3,400.614 0 $ 5,1 S 1 IMPORTANT: All items shown in the above FINANCIAL STATEMENT must be detailed in the schedules on subsequent pages. Do not change the descriptive title of any balance shoot item or supporting schedule. For item(s) not specifically listed, use the applicable schedule(s). EXHIBIT 'M' a 33 of 154 ONTRACTOR'S STATEMENT OF FINANCIAL CONDITION OF — •••••••--.-. - lose of business 2 5 9 0 DECEMBER 31 ASSETS 2014 Current Assets DETAIL TOTALS 1. Cash ------------------ ----- $ 2. Notes Receivable Due Within One Year 1.47§.243 _____ _________ - - ----- 3. Bid Deposits and Guarantees ___ 4. Accounts Receivable from Completed Construction Contracts __ _ ___ _ 5. Accounts Receivable from Incomplete Construction Contracts ^� - - 31,626 6. ------------- Costs of Incomplete Contracts In Excess of related Billings 2,457,008 .............. _______ _ -----..._.......... 7. Costs and Estimated Earnings in Excess of Billings on Incomplete Contracts _- 8. Equipment Rentals and Other Accounts Receivable 9. Materials in Stock Not Included in Items 4 and 5 10. Stocks, ....................... Bonds and Other Securities ------------ ___1.200 - 11. Accrued Interest and Other Current Assets ___ _______________""'-"'-' Subtotal, Current Assets _ ---------------------- 12. Construction Equipment - Net Book Value - - --_�_-^-�---�------ $ _._......_ 4,181,8q( ... ................ Fixed and Other Assets .........._._......:....; 1 792 81 i __ 13. Other Plant and Equipment 14, Real Estate _ '- `-----"--"" ................................................. 16 666 ........... •-•---- 15. Cash Surrender Value of Life Insurance Policies ( Net --•- 36,512 ofp y olio loans) 16, Other Assets --------_._.._....................._-----... Subtotal, Fixed and Other Assets ' '-r-� Total Assets 160,308 LIABILITIES AND NET WORTH Current Liabilities 17, Notes Payable and Other Long -Term Liabilities (Due Within One Year) $ _______ 18. Accounts Payable .. ... 41 41,364 » ._. 3 4 19, Billings on Incomplete Contracts in Excess of Related Costs 20. Blliings on Incomplete Contracts in Excess of Costs and Estimated Earnings ... _....... _........ `�"' 21. Accrued Taxes and Other LlabWlies Due Within One Year ___ --------• 439�837 Subtotal, Current Liabilities -`------------ --------------------------- 179.696 Long -Term Liabilities $ ......... _...... _ 1!480,777 22. Notes Payable and Other Long -Term Liabilities (Balance After one Year) $ ______ 23. Deferred Income Taxes (Non -Current portion " "- --- 79,281. Subtotal, Long -Term Liabilities ----------------- Net Worth $ .._..__.-.. •..........79281 24. Individual or Partnership Capital 25. Capital Stock •••.• ................._._....___._ --------------------------------•-- 26. Additional Paid -In Capital -'"�""--"`" ------------------------ 550,988 27. Retained Earnings -"-'--- ` - -----------_-•------------------- Subtotal, Net Worth ---' _ Worth ------------------ 4.023,879 ---------------------- Total Liabilities and Net Worth 4,574,867 _ __ ___ --------.-- - 28, ContingenLLlabilltles . --- --------------------- $ 6,134.925 -------------------- $ IMPORTANT- All items shown in the above FINANCIAL STATEMENT must be detailed In the schedules on subsequent pages. Do not change the descriptive title of any balance sheet item Or supporting schedule. For Item(s) not specifically listed, use the applicable schodule(s). Page 7 EXHIBIT'A' - Page 34 of 154 C�.)_0�5 CONTRACTOR'S STATEMENT OF FINANCIAL CONDITION OF BRACKNEY, INC. Employer Identification Number (Federal Tax Number) 3 5— 1 s 7 2 5 0 0 ASSETS Current Assets 1. Cash------ ---------------------------------------------- 2. Notes Receivable Due Within One Year ---------------- ------------ 3. Bid Deposits and Guarantees ------------------------------------ 4. Accounts Receivable from Completed Construction Contracts------------- 5. Accounts Receivable from Incomplete Construction Contracts------------- 6. Costs of Incomplete Contracts in Excess of related Billings ---------------- 7. Costs and Estimated Earnings in Excess of Billings on Incomplete Contracts _-_ 8. Equipment Rentals and OtherAccounts Receivable ----------- -------- 9. Materials in Stock Not included In Items 4 and 5 ----------------------- 10. Stocks, Bonds and other Securities -------------------------------- 11. Accrued interest and Other Current Assets --------------------------- Subtotal, Current Assets ------------------------------------ 12. Construction Equipment -Net Book Value ------------------------- Fixed and Other Assets 13. other Plant and Equipment -__»------------- __-___ 14. Real Estate------------------- ----- ----------------------- 16. Cash Surrender Value of Life insurance Policies (Not ofPollcyloans) __--_-_- 18. OtherAssets ------------------------------------------------ Subtotal, Fixed and Other Assets -----^----------------------- Totai Assets --------- ^------------ ^-------------------- LIABILITIES AND NET WORTH Current Liabilities 17. Notes Payable and Other Long -Tenn Liabilities (Due W44thin One Year) __-__-- 18. Accounts Payable ----------------------- -------------------- 19. Billings on Incomplete Contracts in Excess of Related Costs 20. Billings on Incomplete Contracts in Excess of Costs and Estimated Earnings --- 21. Accrued Taxes and Other Liabilities Due Within One Year ________________ subtotal, Current Liabilities ---------------------------------- Long Term Liabilities 22. Notes Payable and Other Long -Term Liabilities (Balance After One Year) ------ 23, Deferred income Taxes (Non -Current Portion) ------------------------ Subtotal, Long Term Liabilities -------------------------------- Net Worth 24. Individual or Partnership Capital ---------------------------------- 25. Capital Stock ----------------------------------------------- 26. AddHional Patd-In Capital ________________------_---------------- 27. Retained Earnings -------------------------------------------- Subtotai, Net Worth Total Liabilities and Net Worth ------------------------- 26. Contingent Liabilities _-___---_- ------------------------- DETAIL ......................... _.............. ...947 »»�4,566,964 1,211,044 932 ......................................... 1.200 ............................»........... 11.738 34,401 107,130 g .».».».-.....»....r1l17S.130 ........... .._... ..»_. ...... . . 1a258y910 » ................ 250,646 164,624. ._»....»............ _. ... ............................550s888 5,662,688 S S 5 S S ❑ An Individual ❑ A Partnership 10 A Corporation TOTALS IMPORTANT: Aii Items shown In the above FINANCIAL STATEMENT must be detailed in the schedules on subsequent pages. Do not change the descriptive title of any balance sheet item orsupporting schedule. For Item(s) not specifically listed, use the applicable achedule(a). Page 7 EXHIBIT'A' - Page 35 of 154 CONTRACTOR'S STATEMENT OF FINANCIAL CONDITION OF BRACKNEY, INC. Employer Identification Number(Federal Tax Number) 3 5— 1 8 7 Condition at Close of Business . DECEMBER 31 2 5 9 0 2016 ASSETS DETAIL TOTALS Current Assets 1. Cash ___ -_-- $ --------^--------------- ^__^---------- 5.eas,352 ^..^._.....840 2. Notes Receivable Due Within One Year ___-___---__--__ __________ _ ........._.................--_ 3. Bid Deposits and Guarantees --------------- r.------------------ .......... ............................... 4. Accounts Receivable from Completed Construction Contracts 44,450 5. Accounts Receivable from Incomplete Construction Contracts ------------ -- - _ -- 3.281,599 6. Costs of Incomplete Contracts in Excess of Related Billings ------------- - ... 7. Costs and Estimated Earnings In Excess of Billings on Incomplete Contracts _ _ 46,822 8. Equipment Rentals and Other Accounts Receivable ------------- ------ 6,053 9. Materials In Stock Not included In Items 4 and 5 ---------------------- _ 1,200 10. Stocks; Bonds and Other Securities------------------------------- .............. . ................ 11. Accrued Interest and Other Current Assets -------------------------- _-- 72.130 Subtotal, Current Assets _- s�2ss�s11 _... 12. Construction Equipment - Net Book Value76 ,877 z,2.... Fixed and Other Assets 13. Other Plant and Equipment .........mm 14. Real Estate ... 32i290 15. Cash Surrender Value of Life Insurance Policies (Net of policy loans) ------- ,,,,,,,„ .............................. .. 16. Other Assets _ 35,000 _ Subtotal, Fixed and Other Assets _________________________ 76.126 $ 11,651,614 Total Assets LIABILITIES AND NET WORTH Current Liabilities 17. Notes Payable and Other Long -Term Liabilities (Due Within One (1) Year) --_ $ z57,996 18. Accounts Payable ---------------------------------- -------- ..............................377,432 19. Billings on Incomplete Contracts in Excess of Related Costs ----- -------- .- ...................... ............. 20. Billings on Incomplete Contracts in Excess of Costs and Estimated Earnings __ ....................................... 2.190,842 21. Accrued Taxes and Other Liabilities (Due Within One (1) Year) ------------ Subtotal, Current Uabilities .....let Long -Term Liabilities 22. Notes Payable and Other Long Term Liabilities (Balance After One (1) Year) -_ $ _ 260,40E 23. Deferred Income Taxes (Non -Current Portion) _______________________ Subtotal, Long -Term Liabilities -_ ___ _ , 260,40t1 Net Worth 24. Individual or Partnership Capital --------------------------------- $... ........................... .......... 25. Capital Stock................. _s5a.96s 25, Additional Paid -In Capital -------------------------------------- _..._. ._ . ._.. _-.. 27. Retained Earnings -. 7.706,027 28. Other -------------------------------------------------- ............... _............ - -... 29. Other ------------------------------------ '-------------- 8.257,015 Subtotal, Net Worth ------------------------------------- - Total Liabilities and Net Worth ---------- _----------- $ 11,E6t,E1e 3o. Contingent Liabilities --------- —-------------- ---- ----------- $ IMPORTANT, All Items shown In the above FINANCIAL STATEMENT must be detailed in the schedules on subsequent pages. or schedule. For ilem(s) not specifically listed, use the applicable schodule(s). Do not change the descriptive title of any balance sheet Item supporting Page 9 of 28 EXHIBIT'A' - Page 36 of 154