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Form No. DPP-IFB-55-75 APPROVED Com. DPP October 30, 1974 REVISED: 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES 0 DEPARTMENT OF PROPERTY AND PROCUREMENT 0 INVITATION FOR BIDS fe) Invitation No. IFB017DOAT16 (C) Date: September 30, 2016 Pursuant to Laws of the Government of the Virgin Islands sealed bids in Quintuplicate ((1) original and (4) copies) for the work described herein will be received until Monday, October 17, 2016 at 10:00 a.m. at the Department of Property & Procurement and publicly open thereafter. Description of Work and Project Number: [FB017DOAT16 (C) Abattoir Roof Repairs A Pre Bid Conference will be held on Thursday, October 6, 2016 at 10:00 o’clock a.m., at the Department of Property and Procurement. A site visit will take place immediately after the meeting. Cost Per Set: $50.00 NON REFUNDABLE Liquidated Damage: $75.00 Completion time of Work: 90 calendar days Information regarding bidding documents Bidding Documents include the Public Notice, this Invitation to Bid, Non- Collusion Affidavit, Instruction to Bidders, Contractor’s Qualification Statement, the Contract, Performance, Bid and Payment Bonds, General Provisions, Special Provision, Supplemental Specifications, Plan and Specifications. All documents may be obtained from the Department of Property and Procurement. Each bid must be accompanied by a Bid Guarantee as provided for in Form No. P&P-ITB-CC-16-73 (Instruction to Bidders) which is hereby made a part of this Invitation and by this reference incorporated herein as fully and effectively as if set forth in detail. Bid Guarantee for Preferred Bidders will be a specified in 31 V.I.C. 236a (Act No. 2995 approved April 16, 1971) if Preferred Bidders Act applies. If Preferred Act Form No. DPP-IFB-55-75 APPROVED Com. DPP October 30, 1974 REVISED: 3-18-08 does not apply, failure to provide a Five (5%) percent bond will render the bid unresponsive. It is the Bidder’s responsibility to determine if the Act Applies. The Bid Guarantee for bidders not claiming or having the status of a preferred bidder will be Five (5%) per cent of the bid price. Bid Guarantee will be in the form of a Bond (Corporate or Individual Surety), Money Order, Certified Check, Irrevocable Letter of Credit. No Bidder will be allowed to withdraw his bond within a period of thirty (30) calendar days following the date set for the opening thereof. Preferred Bidder: Any bidder claiming eligibility as a “preferred bidder’ under the provision of the Preferred Bidder’s Act (31 VIC 236a — Act No. 2995, approved April 16, 1971) must request that his name be added to a preferred bidder’s list to be maintained by the Commissioner of Property and procurement. If a bidder has not previously filed a notarized Certificate with the Commissioner of Property and Procurement, copies thereof may be obtained from the Department of Property and Procurement, Division of Procurement, Building No. 1, Subbase, Third Floor, St. Thomas, Virgin Islands and/or from 3274 Estate Richmond, Christiansted, St. Croix, Virgin Islands. Certifies must be fully completed, notarized and filed in the Division of Procurement before the day and hour set for bid opening. Contractor’s Qualification Statement Each bidder must submit with his bid an executed copy of Contractor’s Qualification Statement which is hereby made a part of this Invitation and by this reference incorporated herein as fully and effectively as if set forth in detail. BONDS: A Bid Bond, Performance Bond and Payment each are required as follows: . Bid Bond: 5% of the Contract Performance Bond: 100% of the Contract Payment Bond: 100% of the Contract GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES —(-——_- DEPARTMENT OF PUBLIC WORKS 8244 SUB BASE ST. THOMAS, V.I. 00802-5805 SCOPE OF WORK The objective of this project is to remediate the spalling concrete roof from further deterioration. The spalling concrete ceiling will be chipped away and an epoxy paint will be applied to the exposed steel reinforcement. Hydraulic Cement will then be applied to patch the ceiling surface. A plywood roof will be constructed below the ceiling in selected areas as noted in the Plans. The exterior roof surface will be treated with a membrane fabric and acrylic adhesive to resist ultravoilent rays and ponding water. All work shall be done in accordance with the Plans, Manufactures Specifications, Bid Schedule the U.S. Virgin Islands Building Code, the International Building Code and the direction of the Project Architect in writing. 1. Prior to the commencement of Work by Contractor, contractor will have all applicable bonds, licenses, sureties and permits in place prior to the commencement of work. Nw Contractor shall be exclusively responsible for the safety, security, and condition of all of materials and equipment and personal stored/working on the construction site, and no such stored or loose materials shall be deemed a part of the Project until after the same have been properly installed by the Contractor in the Project, accepted and paid for by the Contractor. Contractor shall exclusively bear the risk of loss of such stored materials prior to proper installation even if the stored material has been paid for by the contractor. 3. Further, Contractor shall be responsible for any damages done to material, equipment or property by its workforce, subcontractors, or vendors. 4. Unless otherwise authorized in writing in advance by the Contractor, Contractor states that the Work performed under this Agreement will be performed by the Contractor and his regularly employed employees. 5. Not later than the time of delivery of materials to the job site, Contractor shall provide all “materials safety data sheets” pertaining to materials being brought onto the site. Contractor further agrees that it shall comply with all local, federal laws, ordinances and regulations in connection with the Contractor's Work including, but -not limited to OSHA Standards, Rules and Regulations. 6. During the term of this Agreement, Contractor shall pay particular attention to the daily clean up and removal of all trash and rubbish generated on the job site by the Contractor or its vendors. Contractor shall be responsible for the removal of all rubbish and trash it Contractor Initials DPW Initials Adi has generated, from its work area on a daily basis and place all such rubbish and trash in waste containers located throughout the Project. In the event Contractor fails to perform this daily cleaning and trash removal agreement, Contractor may assess a portion of the cost of daily clean up of the job site including, but not limited to, the cost of the maintenance of said trash and rubbish receptacles against the Contractor in the form of a negative change order after fair and prior notice has been given. 7. Upon the completion of the Contractor's Work, and when practical, the Contractor shall furnish the User Agency with a warranty acceptable in all respects to the User Agency to repair and/or -replace at the Contractor's sole expense all defects in materials and labor in the Contractor's Work appearing or occurring within one (1) year after the issuance of the certificate of occupancy of the premises upon which Subcontractor's Work is performed. Additionally, in the event the manufacturer of any material supplied by the Contractor to the Project exceeds the term of the Subcontractor's letter of credit or warranty, The Contractor shall further assign and deliver to the User Agency said manufacturer's warranty. Performance of warranty repair work and replacement of materials for defects occurring within the warranty period shall be the Contractor's sole and exclusive responsibility at the Contractor's sole and exclusive expense. 8. Any Work that is in addition to the work required by this Subcontract shall be construed as extra work ("EXTRA WORK"). Extra Work will be subject to prior written approval by the Department of Public Works and shall be granted or denied prior to the execution of any such Extra Work. Approved Extra Work shall be subject to the execution of a change order signed by an authorized representative of the Contractor and the Owner or Contractor which shall be executed prior to the furnishing of such materials or performance of such labor or both. Any Extra Work not so authorized in advance shall be performed or furnished at the sole expense of the Contractor, and neither the Contractor nor the Owner shall be liable or responsible to the Contractor for the payment of any such Extra Work. Extra work must be approved before it is done. 9. All materials supplied or used by the Contractor in the performance of its Work shall be as specified and approved by the Department of Public Works. Contractor shall submit all such materials to the Department of Public Works for approval prior to the installation thereof on the premises unless otherwise agreed or waived by the Department of Public Works in writing. All work and materials will be per the plans and specifications provided unless authorized in writing prior to starting the work. 10. If job is subject to inclement weather it is the responsibility of the Contractor to keep track of these days and present to the Department of Public Works on a weekly basis to compare against their daily log. Days that are in agreement will be placed in a change order format and will be presented with scheduled monthly payment. 11. The Contractor is contracted to provide complete construction, including code requirements, and workmanship of equal or better finishes based on the VI Building Code and to the intent of the contract documents. It is common and known that items of importance are sometimes overlooked in drawings and in specifications. If missing items would normally be included in a particular scope of work, or required for the completion of a particular trades work, then it is included in this contract and not an opportunity for change order. Contractor Initials __ ie DPW Initials \A 12. 14. 13: 16. Le. 18. 19. 20. 21, 22. 25, 24. Contractor Initials Contractor agrees to perform all work in a good and workmanlike manner and in accordance with the highest standards of the industry in their trades, and as a minimum, the work shall be in accordance with all local, national codes, laws, ordinance and regulations, whichever governs, whether or not so indicated in the plans and specifications. It is the intent that the work be completed in all respects for the use intended as a part of this general scope. . Contractor agrees to furnish all labor, supervision, fasteners, tools, taxes, equipment, fuel fees, licenses, insurance and all other costs as required to perform all work covered in the construction scope of the applicable division that this Contractor represents itself as having expert knowledge in and regular engagement with. Contractor shall call and cause all required inspections for his own work and convey all inspection results to the DPW Inspector/Engineer. If unsatisfactory results are discovered. this Contractor will immediately suspend its construction activities until such work is corrected and inspections are passed. Upon reward of this contract, Contractor shall perform due diligence and shall prepare all necessary basic diagrams or layouts outlining his/her concerns. If value engineering or alterations to the plans/specifications is involved, such shall be presented to the Department of Public Works prior to the execution of the contract. Contractor shall commence the work to be performed per the contract documents in accordance to the terms of this agreement commencing on the date specified and provided by the User Agency and shall complete all work by the finish date specified on the Construction Schedule or as adjusted from time to time by the Department of Public Works. Under NO CIRCUMSTANCES will there be additional money granted for extra work without previous written authorization and executed change order from the User Agency. Contractor shall be completely responsible and provide equipment for receiving, unloading, taking inventory, storing, protecting and signing for all materials installed under this agreement. This Contractor will verify all detail and dimensions for fit of work in all regards. Contractor acknowledges that he will provide the necessary manpower, required to maintain the project schedule in all phases of his work to include any required overtime. Hard Hats are a requirement of this contract. Provide Material Safety Data Sheets (MSDS) for all materials being provided or utilized under this Contract agreement. And its written OSHA policy and written Hazardous Materials Policy before work commences. Contractor will keep onsite material stockpiles and building workspace stockpiles to a minimum, organized and out of the way so as not to impede any other trades, and as directed by the Construction Manager. Contractor is responsible for loss, theft and damage of all materials installed or otherwise until such material has been installed, approved and paid for by Contractor. oer neve Wes DPW Initials _.. vel 25. 26. Zi. 28. Contractor reserves the right, to supplement work after proper notification of non- performance has been given. Contractor will furnish the names of the Subcontractors it introduces to the project. Contractor will disclose the amounts of money owed to each subcontractor and submit proper lien waivers. Contractor shall make himself/herself available for either weekly or biweekly meetings (as mutually agreed upon with the Department of Public Works) to discuss project progress/concerns. Any problems deemed an emergency shall be IMMEDIATELY made known to the Department of Public Works. The undersigned Contractor shall furnish all labor, equipment, machinery, material and miscellaneous items for the completion of the Project as outlined in the Contact Drawings, Specifications and Bid Schedule. Contractor Initials __ cee ie DPW Initials a GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING Department of Agriculture Abattoir Roof Repairs - 2016 BID SCHEDULE No. DESCRIPTION UNITS QTY. PRICE TOTAL a Includes Insurance, Bonding, Staging of Equipment & Materials L.S. 1 Bane re 1 | ee Chip and Repair Spalled Concrete Ceiling with Epoxy Application to Exposed Steel; Finish with Hydraulic Cement S.F. b Construct Plywood Ceiling Below Interior Concrete Ceiling S.F. c Paint Ceiling Interior S.F. d Adjust Electrical Fixtures to Accomodate New Plywood Ceiling LS. Sub Total a Apply Roof Membrane Fabric with Elastomeric Roof Coating S.F. as per Manufacturers Specifictions *Provide Submittals Prior to Purchasing for Architect's Approval a Remove Damaged Concrete & Repair LS. Prepared by: hac aOR ana on bi te a EE 1,600 930 1,700 3,800 — ‘a Pi TOR Date Pagel 7 *8 | 3 3 gah i Pee i Be: =. ie: a Gs a « P “ se ANYG if eee Pi are uf ENN 4 KK ey AN \\ her ite ie aN \aaa AN . = ed —— \ vot }) A a} uf ,' a be ett (iia ee tome Pe ‘a on 4 Maes « tne ays Seat on > ae a ~~, FE s,4 \ We ee “A oa) yet Fe yf \ WN Al ~ ¥ te a | r i a SF. \aaa aN 4 we fh \ iY at | oe ee rl Lares \\ i * i: oe | a! BID BOND opening date) {See instruction on reverse} OMB NO.: 9000-0045 Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other erence of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC 0405, "PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION 1 °X” one] C] INDIVIDUAL CJ PARTNERSHIP | JOINT VENTURE CO CORPORATION STATE OF INCORPORATION SURETYI(IES) (Name and business address) PENAL SUM OF BOND | BID IDENTIFICATION Perce AMOUNT NOT TO EXCEED |BID DATE INVITATION NO. PRICE MILLION(S) THOUSAND(S) =|HUNDRED(S) [CENTS FOR (Construction, |Supphiesor Services) “UBLIGATION: We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally” as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, i? the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum. CONDITIONS: The Principal has submitted the bid identified above. THEREFORE: The above obligation is void if the Principal - (a) upon acceptance by the Government of the bid identified above, within the period specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond{s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the principal; or (b) in the event of failure to execute cba ata! contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid. Each Surety executing this instrurnent agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid. WITNESS: The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date. PRINCIPAL Ee 2. | 3. SIGNATURE(S) | (Seal} (Seal) (Seal) Corporate NAME(S) & iT 2. 3. Seal TITLE(S) (Typed) INDIVIDUAL SURETY(IES) 7, = SIGNATURE(S) (Seal) (Seal) NAME(S) 1, 2. (Typed) CORPORATE SURETY(IES) NAME & STATE OF INC. |LIABILITY LIMIT (8) | ADDRESS | > 1. a FF |SIGNATUREIS Corporate te x - Seal rr NAME(S) & /7, 2, TITLE(S) (Typed) AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 24 (rev. 10-98) Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(a) se 2 TS NAME & STATE OF INC, LIABILITY LIMIT ($) ADDRESS T. : SIGNATURE(S) Corporate Seal SURETY B NAME(S) & TITLE(S) {Typed} NAME & STATE OF INC, LIABILITY LIMIT ($) ADDRESS = Ls T. : SIGNATURE(S) pee erg eal SURETY C NAME(S) & |1. Zi TITLE(S) (Typed) NAME & STATE OF INC. LIABILITY LIMIT () ADDRESS | | 1. 2. ISIGNATURE(S) Corporate Seal NAME(S) & TITLES) (Typed) NAME & STATE OF INC, LIABILITY LIMIT ($) ADDRESS SURETY D ed T. 2. ISIGNATURE(S) a igs eal NAME(S) & TITLE(S) (Typed NAME & STATE OF INC, LIABILITY LIMIT ($) ADDRESS SURETY E = La 1. 2. SIGNATURE(S) ps gy ed. SURETY F NAME(S) & [1. 2. TITLE(S} (Typed) WARE & STATE OF INC. LIABILITY LINIT (5) ADDRESS 2. Corporate | Seal NAME(S) & |1. 2. TITLE(S) (Typed) 7 SIGNATURE(S} SURETY G INSTRUCTIONS 1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services. 2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved. 3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., (e.g., 20% of the bid price but the amount not to exceed dollars). 4. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitation listed therein. where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space designed "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties. (b) Where individual sureties are involved, a completed Affidavit of Individual surety (Standard Form 28), for each individual surety, shall ay the bond. The Government may require the surety to furnish additional substantiating information concerning its financial capability. 5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal"; and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals. 6. Type the name and title of each person signing this bond in the space provided. 7. Inits application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror." STANDA 4 (REV. 10-98) BACK DPP-NCA-52-75 REVISED: 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS DEPARTMENT OF PROPERTY AND PROCUREMENT NON-COLLUSION AFFIDAVIT en or ere Sn ae re TE ee ee en eae being duly sworn, deposes and says that — (1) He is [owner, partner, officer, representative, or agent] Of ...........-cccccccecccceeeeeeccceeceeseececccc Toupee AE ee Te eee ie SRNR fae EL eet Ol the bidder that has submitted that attached bid: (2) He is duly informed respecting the preparation and contents of the attached bid and of all pertinent circumstances respecting such bid: (3) Such bid is genuine and is not a collusive or sham bid: (4) Neither the said bidder nor any of its officers, partners, owners. agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, firm or person to submit a collusive or sham bid in connection with the contract for which the attached bid has been submitted or to refrain from bidding in connection with such contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached bid or of any other bidder, or to fix any overhead, profit or cost element of the price or the bid price of any other bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against The Government of the Virgin Islands or any person interested in the proposed contract: and (5) The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. Signature of Affidavit SUBSCRIBED AND SWORN to before me this..............., OUTST sie Cine ccoatnae Uiad ee nae cathe scancraat tty Notary Public COMM. OF PROP. & PROC. P & P-COS-13-73 APPROVED: 3-26-73 REVISED 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES CONTRACTOR’S QUALIFICATION STATEMENT CONTRACTOR i eee eee ee ee eee ee ee ee ee ee ery ADDRESS ee ee ee ee ee ee a DATE eee eee eee eee ee ee ee ee ee ey TEL. NUMBER he eee eee ee ee eee ee 2 2 CEL. NUMBER ie eee ee ee res P & P-COS-13-73 COMM. OF PROP, & PROC. APPROVED: 3-26-73 REVISED 3-18-08 1. How many years experience in construction work has your organization had (a) As a General Construction A ES ARES ESSE SR US SSDS A EEA aE A SES deh al 8 aa che Rw Wo mien! Bip erase gore tose aa da larig waa hata ere (b) As a Sub-Contractor ee ES Rt RSE SEIN AE AS eS Rm a a ag I RS 8p GE A Rca re paar dice aw oeitdiag egg Ma ATE ge wT 2. List the construction contracts your organization has under way on this date: Percent Contract Amount Class of Work Location Name of Owner Completed 3. List contracts your organization has completed in the past three years: Contract Amount Class of Work Completed Location Name of Owner ety Ae P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 4. Have you ever failed to complete any work awarded to you? .............. If so where and why? 5. Has any officer or partner of your construction ever been an officer or parent of some other organization that failed to complete a construction contract? ............. If so, state name of individual, other organization and PARE NOUR ONG tr siceaced mad bund Cnrdensesbrrminineeaseeeule ser Mauve, po ke Ae et al ty, | 6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his OVE IMEI 203 ni 2c raph leartinacaalarr eats If so, state name of individual, name of Owner and reason therefore ............0cc0cccceceee ceceeceeceeccceececce ee. 7. In what other lines of business are you financially interested? ......0....0..0ccccecccecececeeeceuceeecececcscecnceeeee P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 8. What is the construction experience of the principal individual of your organization? Present Position Years of Individual’s Name Construction Magnitude and Type or Office of Work In what Capacity Experience 9. In what manner have you inspected this proposed work? Explain in detail. BREESE ES EST RE EES SARA AR REE Oa Re RINE Saale wie MAb rh aie alain Mipre slain iale aaa Opes MEMS Siva SSE 9 Case's, Motare-cie'gnein oie ds vecese'b samywrareie Wk ac cvida-aily De RIT RSE RIED nC US SRD MER Are RSNA ASM ar eg a Na bie week a ee aaa a aay Sialw 9 lst oid nr puelble! quad-a ‘9 am aya cule ace-atrs'n Bly od uence Mare avery garenernucele degen 10. Explain your plan or lay out for performing the proposed work. FEARS SAE EI PASS AR SCRE RI SE CENS ORa See Sig Se ah ecg aN Re SMA Re Oe dma A gaw One aisle d pelelu a eloee patie Wann Wibiaae'a'@ sce ow alot Mica Sean Tete eR eS Fe EE EE SE SE eA RS EE AH So Spe ee fale St a mea AR a eee Ri lara Pa eid Ey aie i ciee eSOR Ua Song a e VURIS AU Slava ata raae ro Se aE Su yaNia eee eee eh EEE SSS SRE SR SS SAR BEAT SS mene ecm ies einen mame ne ait A deca Rein anes Wie £ Ale wei Walch @ wi bpwie a Surg ae HRW Sie oF PEW GIRO Le. xe amcmeraveie be luy mew clas OEE EE SEED TSE Ae Bryn tht a Regen oe nn Rahm ee ee A AE a aa ie A RG aaa wat S ad doa Tan alle Sg, Wig wl wield GTA wus oS gestae esta aida lm actiecd eoavute adaereary claves SE ST URED SEES AGRE mA A IE ad AS Aaa Rae nn AGL 6 Oe Wg EE lar Ya gg gle Clee a Ag ge DU Siew nop enn ldo phe eral erd aon warns mee iprm-anied Graiareleatwcwes EERE SSSR PORES AE AEE SERIE EER ER A a i ea) Sr a a athe erie acai ese aNadal@ ate kA Galaga 0 Miele lererayea- alien acm Gores ame we paeisiels cee ial Slas alee cad tee notes wigtasy SS EE Ee ke Ee a Ne kee Se ATE ee le ee Eh oes baka dw de ew ey eR ECG 4a Bes FENNEL EELS CLE SSE STA WIS IS OLA peg AA Tia aA ba Rs a A mua i a aL mac dec! Wg a Era aba SCA IG FH Pea EU SER We DN SEES Sd IEICE ES ENS PROBS Ben prem cement ca i Bom a eae A a aS aa A a ol Ra SLL asa galing GSN GINGA bins glk wie aleid ine waterway ee a ey PSC SEE ESR TR SN ERS MM Re RE SR RI gga WON Se lair aR a Tam aaLS AAG area aa Sian AGN pad mms al became bass elnino wae twRCECa. omic iuapiliahe ene zuvacdataie oases ois es P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 11. The work, if awarded to you, will have the personal supervision of whom? Sa a ae Ag, ee ke Be ee ey wc ee ce Se EEE EAE SELES EE SETAE OSS SEES SNS RAGE Witney tinirit poalenealo re wenineineneamit eae te ale oi ee | Se EEL LENE TELL AANA SG AR OE NTRS HE LON RMU 5 PERTTI SEE BETS LL Lnaes 4g siale-einsy a'yontinweerunioaeaetmavh 12. Do you intend to do the transportation on the proposed work with your own equipment? ea BIT EEE SERN IESES YSSCEERT SESSA SEER Astin SES ATES NESE RI AEA NRC GALE Sta aa led mina edn wala Lau Gel wey we Ee aE Sue ATE FE TEES ROE SIE STERIL SEAR NOSE SE SESE RRR SSE SE SGI WS HSAI AAA un S vere gow hao mua ghana Ieee ce in amu ay ely te ROOT «dk loco 13. If you intend to sublet the transportation or perform it through an agent, stat estimated amount of sub-contract or agent’s contract, and , if known, the name and address of sub-contract or agent, amount and type of his equipment and financial responsibility. eer a aS eaeea BS SES OM mee ost ox ale in era anne id wR: aa WS A SANIT WY CEST, Ue we wsalydncecptmrarensautcatura’ snore devarute erence Spc TE ASEREER TCR SESE SENG Sar rem mec EES SG MEIGS Daan ATARI CSS PG STS STAG GIL a ana os auntie alae cabeaed rar gek 4 -aow'g ware area ge canmaecaeedls HR SREP SESE AOS STD: RUHL RS SATE RE RISB NR SES SSG SE A LSS OG Dll abo dag cae elas (eigen icustac ee ssw Wey agave SiaNRNE sega Up mSeiaere pees 14. Do you intend to do grading and foundation work with your own forces? ee ee If so, give type of equipment to be used. TES SERS SR TNS ROU: ee Se em RR ea: Rae RE a at ee ek ae ee ee ea, wt ge yee em aee een ecncas a ai OE III ONEROUS IES SCARIER EIS 0 ¥en AB NAH i bat la a Sepia ala aan ama aca tata UCC ral SECO SER oe Ng ned A SERS ICT a Su CN RAS BAR Some nor tones a ae aaa a Ru Seen aa a a ARNT OVID RON SUNG EA SUS SS oi," Lala ile la mem aras eis kwrmeiacewuietyn weird Ty RGA ESEE SSSA SETA ant MSCs ERG RaRO/ Bea ns aa nS ES a aS Eg er alr Sh Ria dl Soca weds Seale coneh ded ml pauniw d-ave ace varaiceensounesarebaranwie ons Oa 15. If you intend to sublet the grading and foundation work or perform it through sub-contract, give the name and address of sub-contractor, if known of his equipment and financial responsibility. TT ETE SAEED SSS Zt that rete cai anh Na a Te eas cae LUO SAR EOS RNG ae cla ee tae sae dhius arnse wmmacaura asarorainitieaaevaintoec PRESSES EE ASTER SA 8 Sagem A SSO RR: a RAM GSN PE SU Sa a ral gal So aah a ela Sa ceyeg ata ac andda vd ovate cel al im al ecven deactie va AIRIIG Nieetoeno eater FEES IE EAS EA RAIS ESSE ENR AE BARA aa ae N AEASRIS ole aa Ria a pia gia ln di Sagi ia ah aned wires vee, nmi wa eimhav rig Rica eabeal wala a saree aa Sctely oy mne wre GemEE ata AIM ats 16. Do you intend to sublet any other portion of the work? ROR RI mri a oa Re A ae ig a ee ae og ace mca eae eae Lo P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 17. If so, state amount of sub-contract, and if known , the name and address of the sub-contractor, amount and type of his equipment and financial responsibility. ey ee EE ESSE ENTE SUTIN Bais nsins tonasel sineerieon scenes eae AD pL | NT 8 ENS LEE LOE AIEEE ERG PODS KE LEAN RAS tne eked ng Ram Win w a es ML Ea CN Seg CRNA UN) ouain wrelersessetetnwlewnatths ovale’ ee a ae A EIODESESIES Pete tecaanictonensaigae i de amt EAE RIEL TUNER ANSE Sg SRE aT lace anata rial eicrclinen se iecnahnbaniine yeni 18. From which sub-contractors do you expect to require a bond? EEE SR ARR Sy ecm a a le aca aU A ay Mega Song oe oat er ae 0 SIRESTR SES SSE SSE ET SOT SS HSS RB SE aA a SANTA TESST ESHIG Ge PURINES SA GGLE ahd aon wiahuamol Desnannvere elated a'eeasninig ceo mabe mien GHENT ANCA g ramseneoe SS SES GE SERS SE SET RSE ST ALS SSI a Ra Sin mn ih ent hee hoe nari Mew nh ereata wachne PHoWNOSeMEG ae Ey teen, th 19. What equipment do you own that is available for proposed work? Quantity Item Description, Condition Years of Size, Capacity, Etc. Service Present Location Se DPP-FS—-64_75 Approved 3/7/75 Revised 3/18/08 Give Condensed Current Financial Statement Condition at Close of Business — Date ASSETS Dollars Cents LE Aasha) or tan Bodied bids asc (b) ln Bank ~~: Back caine (¢) Elsewhere $1. Svicops uses oes (0) Total Cash 8 .0i) cc Yisntssrbers 2. Notes receivable (a) Due within 90 days «0.00.00... .00.ccceccsesscessesssesveseese (b) Due after ......... CAVE ge k oes e Bee cdl sekin eee 1S As 2 2 eS ONC a COU Ne oF 3. Accounts receivable from completed contracts, exclusive of claims not Approved £00 PaYOSGNE:. cued osccssveacesertnws¥e ry Ula alee laleicaaNetoencca. ceases 4. Sums earned on uncompleted contracts as shown by Engineer’s or Architect’s estimate (a) Amount receivable after deducting retainage (b) Retainage to date due to upon commencement of Contracts 5. Accounts receivable from source other then commencement of OT acl es ancl ot Math alle erie at heaven Matin et 6. Deposits for bids or other guarantees: (a) Recoverable within .......... days (b) Recoverable after ......... DIE acdc damawse yawimeeatas Ce wieiits cade mluaw 7: Interest accrued. on loail, SODErEESy CE secs sc dscoucvesdule hice Se nbw ks dal.co 8. Real estate (a) Used for business purposes ........0...0..00cccececceceesceeece eee (b) Not used for business purposes .............6.ccsseesessesvesessseseeeees 9. Stocks and Bonds (a) Listed — present market value ............0..-.0cc0ceeeeees (b) Unlisted — present value accretion cerenncdceverses 10. Materials in stock not included in Item 4 (a) For uncompleted controls (present value) «0.0.0.0... 0.0. ccc0ccccccassecesevese (b) Other materials (present yale) os ccciics abc cuncoreacitn akecrvaeveisine LY Reqtipinicint, BOOK VAIS sasd.de ise viii biwiiean reonnerendiacebc civinnnnnsmanctlien d [2 Fotnture and fixtures, book: vale sc 0...ceerbsanccunacerasadvoveow cceyeeewudenced ts UR VET ARTA hcg at nica ent Mrcal one eaten ign! awe bees Nig sion pRpeM enna ieo aN TOTAL ASSETS LIABILITIES I. Notes payable (a) To banks regular :.....ccc5.csc¢s0cveceevFioevtovaniewene dicd (b)' To bank for certified Chocks 0.5. osc 2 vas Cac Bcc beach daa ental (c) To others for equipment obligations. .......c.0..0.<sucssssevievenseevvecceiess (d) To others exclusive of equipment obligations .........0..0...00.0c0ec0cc ceed 2, Accounts payable (a) Not past dae... ....00.53 0505022062 hen i cider ake dhacenubed UD PASE OE a tina ohl divas eters leer mest Meidtcesexctiian » Real Estate encumbranves......1.2...2...ss000essrues's ia ttued beri dlepeceg recedes! MONON SAAT sovasdcbesichs BA tags Sees Cee tuaal vagppiase tear nae ona awe eer atid se ROROIVEE sco cov seecrasia pire di beyoelaestvod Siena eda roup Peg icleaMatay terkis ies one | Oct tn fe (BD) CODON sree Pics ate dase eee sg aac aaa ates Ri) PROTRTGD occa Set eneaa eet ay aa, hae aoe oe (d) Protarreten cc ek So eis “ea ee pee cDUrpis (met worth) Famed Sh), .<cch..cnnvedawukescduav lees dursnneesabaniea esses) CRA RAONE Se cits avaahstsdc iene eas yan ea Os Ores. ~J TOTAL LIABLITIES GIVE CONDENSED CURRENT FINANCIAL STATEMENT Cont CONTINGENT LIABILITIES Liability on notes receivable, discounted or sold i iri ie es Liability on accounts receivable, pledged, assigned or sold Liability s bondman 2s eee ee ee eee 2 8 ee ee ee ee oa ces eee wee ee eee Liability as guarantor on contracts or on accounts of others Te ee ee tee Other contingent liabilities ee ee ee ee ee eee ee ee TOTAL CONTINGENT LIABILITIES include all amounts owing subcontractors for all work in placed and accepted on completed and uncompleted contracts, including retainage. This is to certify that the information herein reported is to the best of our knowledge true and accurate. ke ee ee ee ee ee ae Name of Company Print Name ee ee ee ee ee ny Signature ee ee ee ee er ie Telephone Number / Cell Phone Number ie Form P & P - A45-1-73 Approved 3-28-73 AFFIDAVIT OF INDIVIDUAL SURETY onan setae ie (See Instructions on Page 2) STA ) ) ) ss: COUNTY OF ) ) ) MY NAME (first, middie, last) MY ADDRESS (street and number, city and State) TYPE AND DURATION OF MY OCCUPATION NAME OF MY EMPLOYER MY BUSINESS ADDRESS (Street and number. city and State) Amount | am worth in Real Estate and Personal Property over and above (1) All my debts and liabilities owing and incurred. (2) Any property exempt from execution (3) Any pecuniary interests | have in the business of the principal on said bond. And (4) Any interest | have in any so-called community property. LOCATION AND DESCRIPTION OF REAL ESTATE OF WHICH | AM SOLE OWNER IN FEE SIMPLE (not exempt from seizure and sale under any homesiead law, cornmunity or marriage law, or upon attachment, execution, or judicial process) FAIR VALUE OF SUCH REAL ESTATE ASSESSED VALUE OF SUCH REAL ESTATE FOR TAXATION PURPOSES ALL MORTGAGES OR OTHER ENCUMBRANCES AGAINST ABOVE REAL ESTATE. THERE BEING NO OTHERS {if none, so state) MY LIABILITIES OWING AND INCURRED Do NOT EXCGEED| Amount | am worth In Real Estate and Personal Properly over THE AMOUNT OF Personal property subject to execution and sale. This amount being additional to the real estate above described THE ABOVE PERSONAL PROPERTY CONSISTS OF THE FOLLOWING ALL OTHER BONDS ON WHICH IAM SURETY (state character and amount of each bond: Ifnone so state) MY SIGNATURE AS SURETY Subscribed and sworn to before me this date at OFFICIAL SEAL (Signature) | (Title of ficial administering oxth) (Date) CERTIFICATE OF SUFFICIENCY | HEREBY CERTIFY, that the surety named herein is personally known to me; that, in my judgment, said surety is responsible, and qualified to act as such; and that, to the best of my knowledge and belief, the facts stated by said surety in the foregoing affidavit are true. NAME (typewritten) SIGNATURE OFFICIAL TITLE ADDRESS INSTRUCTIONS 1. This form shall be used whenever sureties on bonds to be executed in connection with Government contracts are individual sureties. There shall be no deviation from this form except as authorized by the Department of Property and Procurement. 2. A firm, as such, will not be accepted as a surety, nor a partner for copartners or for a firm of which he is a member. Stockholders of a corporate principal may be accepted as sureties provided their qualifications as such are independent of their stockholdings therein. Sureties, if individuals, shall be citizens of the United States or Resident Aliens who have declared their intention to become United States Citizen. 3. The individual surety shall justify, under oath, in a sum not less than the penalty of the bond, according to the form appearing on the face hereof, before a notary public, or some other officer having authority to administer oaths generally. If the officer has an official seal, it shall be affixed, otherwise the proper certificate as to his official character shall be furnished. Where citizenship is not required, as provided in paragraph 2 of these instructions, the affidavit may be amended accordingly. 4. The certificate of sufficiency shall be signed by an officer of a bank or trust company, under Oath by two persons not related to the surety. 5. By signing this affidavit, the individual Surety agrees to assign to the Government of the Virgin Islands as security for performance by the Principal such real and/or personal Property as the Government of the Virgin Islands shall designate having a fair market value of three times the bonded amount.