agenda item #3k-5 palm beach county board of ...2016/09/27  · name of design firm: palm beach...

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Meeting Date: Submitted For: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY September 27, 2016 Water Utilities Department Consent [X] Public Hearing [] I. EXECUTIVE BRIEF Regular [] Motion and Title: Staff recommends motion to approve: Work Authorization (Y\/A) No. 1 for Water Treatment Plant (WTP) No. 8, 12" Force Main along Jog Road (Project) with Johnson- Davis Incorporated in the amount of $326,311.48. Summary: On July 12, 2016, the Board of County Commissioners (BCC) approved the Pipeline Continuing Construction Contract (Contract) with Johnson-Davis Incorporated (R2016-0902). WA No. 1 provides for the installation of approximately 3,290-ft of 12" wastewater force mains along Jog Road from Belvedere Road to WTP No. 8. The Project will upsize existing wastewater mains and provide a new pipeline route to improve efficiency in the existing system. The Small Business Enterprise (SBE) participation goal established by the SBE Ordinance (R2002-0064) is 15% overall. The Contract with Johnson-Davis Incorporated provides for SBE participation of 3.28%. Work Authorization No. 1 includes 16.43% overall participation. The cumulative SBE participation, including WA No. 1 is 16.43% overall. Johnson-Davis Incorporated is a Palm Beach County company. The Project is included in the FY16 Capital Improvement Plan adopted by the BCC. (WUD Project No. 14-048) District 2 (MJ) Background and Justification: The existing lift station for WTP No. 8 is being replaced under the WTP No. 8 Anion Exchange System project (R2016-0372). The existing 4" force main for WTP No. 8 is too small for the proposed flow. The existing WTP No. 8 force main alignment is between homes in the Cam Estates sub-division _; which is not desirable. The new 12" force main will be installed parallel to Jog Road and will connect to an existing 12" force main at the intersection of Jog Road and Belvedere Road. Attachments: 1. Location Map 2. Two (2) Original Work Authorization No. 1 Recommended By: (\' ~artment Director Date Approved By: Assistant County Administrator

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Page 1: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

Meeting Date:

Submitted For:

Agenda Item #3K-5

PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS

AGENDA ITEM SUMMARY

September 27, 2016

Water Utilities Department

Consent [X] Public Hearing []

I. EXECUTIVE BRIEF

Regular []

Motion and Title: Staff recommends motion to approve: Work Authorization (Y\/A) No. 1 for Water Treatment Plant (WTP) No. 8, 12" Force Main along Jog Road (Project) with Johnson­Davis Incorporated in the amount of $326,311.48.

Summary: On July 12, 2016, the Board of County Commissioners (BCC) approved the Pipeline Continuing Construction Contract (Contract) with Johnson-Davis Incorporated (R2016-0902). WA No. 1 provides for the installation of approximately 3,290-ft of 12" wastewater force mains along Jog Road from Belvedere Road to WTP No. 8. The Project will upsize existing wastewater mains and provide a new pipeline route to improve efficiency in the existing system. The Small Business Enterprise (SBE) participation goal established by the SBE Ordinance (R2002-0064) is 15% overall. The Contract with Johnson-Davis Incorporated provides for SBE participation of 3.28%. Work Authorization No. 1 includes 16.43% overall participation. The cumulative SBE participation, including WA No. 1 is 16.43% overall. Johnson-Davis Incorporated is a Palm Beach County company. The Project is included in the FY16 Capital Improvement Plan adopted by the BCC. (WUD Project No. 14-048) District 2 (MJ)

Background and Justification: The existing lift station for WTP No. 8 is being replaced under the WTP No. 8 Anion Exchange System project (R2016-0372). The existing 4" force main for WTP No. 8 is too small for the proposed flow. The existing WTP No. 8 force main alignment is between homes in the Cam Estates sub-division_;which is not desirable. The new 12" force main will be installed parallel to Jog Road and will connect to an existing 12" force main at the intersection of Jog Road and Belvedere Road.

Attachments:

1. Location Map 2. Two (2) Original Work Authorization No. 1

Recommended By: (\' ~ ~artment Director Date

Approved By: Assistant County Administrator

Page 2: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

II. FISCAL IMPACT ANALYSIS

A. Five Year Summary of Fiscal Impact:

Fiscal Years 2017 2018 2019 2020

Capital Expenditures $326,311 Q Q Q External Revenues Q Q Q Q Operating Expenses Q Q Q Q In-Kind Match County Q Q Q Q

NET FISCAL IMPACT $326,311

# ADDITIONAL FTE Q Q Q Q POSITIONS (Cumulative)

Budget Account No.: Fund 4011 Dept 721 Unit W001 Object 6541

Is Item Included in Current Budget? Yes X No

B. Recommended Sources of Funds/Summary of Fiscal Impact:

One (1) time expenditure from user fees, connection fees, and balance brought forward.

C. Department Fiscal Review:

Ill. REVIEW COMMENTS

A.

B.

..

C. Other Department Review:

Department Director

This summary is not to be used as a basis for payment.

2021

Q Q Q Q

Q

Page 3: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

Palm Beach County Water Utilities

Department Service Area (SA) and

Major Facilities

Legend

* Aministration

~ C: ::l 0 (.)

~ "C C: Cl)

J:

~ Water Treatment Facility

• Water Reclaimation Facility

~ Reclaimation Facility

• • • • • Mandatory Reclaimed SA

- - • Palm Beach County Limits

P.B.C.W.U.D. Service Area

NOT TO SCALE

ATTACHMENT - I Project Name: WUD #14-048

Martin County ·~-~~~--------------------

County Road 880

Page 4: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

WORK AUTHORIZATION NO. 01

Palm Beach County Water Utilities Department Pipeline Continuing Construction Contract 16-013

Project Title: Water Treatment Plant No. 8-12" Force Main along Jog Road

Project No. WUD 14-048

District: 2

Budget Line Item No.: 4011-721-W001-6541

· THIS AUTHORIZATION No.01 to the Contract for Construction Services dated July 12, 2016 (R2016 -0902), by and between Parm Beach County and the Contractor identified herein, is for the Construction Services of this Work Authorization. The Contract provides for 3.28% SBE · participation overall. This Work Authorization includes 16.43% overall participation. The cumulative proposed SSE participation, including this authorization is 16.43% overall. Additional authorization will be utilized to meet or exceed the stated overall participation goal;

1. CONTRACTOR: Johnson-Davis Incorporated

2. ADDRESS: 604 Hillbrath Drive, Lantana, FL-33462

3. Description of Services (Scope of Work) to be provided by the Contractor:

See ATTACHMENT A.

4. Services completed by the Contractor to date:

See ATTACHMENT G.

5. Contractor shall begin work promptly or deliver ordered materials within the following calendar days from the issuance of Notice to Proceed (NTP):

Substantial Completion 150 Calendar Days Final Construction Completion 180 Calendar Days Liquidated damages will apply as follows: ·$1,000.00 per day past substantial completion date. $500.00 per day past final completion date. (For Liquidated Damages Rates see ATTACHMENT B)

6. The compensation to be paid to the Contractor for providing the requested services in accordance with the Contract Bid Prices is $326,311.48

7. EXCEPT AS HEREBY AMENDED, CHANGED OR MODIFIED, all other terms, conditions and obligations of the Contract dated July 12, 2016 remain in full force and effect.

Page 5: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

WORK AUTHORIZATION NO:.....fil

Project No. WUD 14-048

Project Title: Water Treatment Plant No. 8 - 12" Force Main along Jog Road

IN WITNESS WHEREOF, this Authorization is accepted, subject to the terms, conditions and obligations of the aforementioned Contract.

PALM BEACH COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF FLORIDA

Sharon R. Bock, Clerk & Comptroller, Palm Beach County

ATTEST:

Signed: ___________ _

Typed Name: _________ _ Deputy Clerk

Approved as to Form and Legal Sufficiency

Signed: ___________ _

Typed Name: _________ _

County Attorney

Witness

(CORPORATE SEAL)

Palm Beach County, Board of County Commissioners

Signed: _________ _

Mary Lou Berger, Mayor

Date

s Cp/ ;" kf?/4r,V..i O.-if /'° ~ J /::) £ /V,;:-(Name and Titl6f

7

Page 6: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

LIST OF ATTACHMENTS

WORK AUTHORIZATION NO. 01

Palm Beach County Water Utilities Department Pipeline Continuing Construction Contract 16-013

ATTACHMENT -A

ATTACHMENT - B

ATT AC HM ENT - C

ATTACHMENT- D

ATTACHMENT - E

ATTACHMENT- F

ATTACHMENT- G

ATTACHMENT- H

ATTACHMENT - I

Compensation Summary (Scope of Work)

Rate for Liquidated Damages

Public Construction Bond

Form of Guarantee

Work Authorization Schedule of Bid Items

SBE Schedule 1 and Schedule 2

Authorization Status Report - Summary and Status of Authorizations

Authorization Status Report - Summary of SSE/Minority Business Tracking

Location Map·

Page 7: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

ATTACHMENT A

WORK AUTHORIZATION NO. 01

Palm Beach County Water Utilities Department Pipeline Continuing Construction Contract 16-013

SCOPE OF WORK FOR

Water treatment Plant No. 8 - 12" Force Main along Jog Road

INTRODUCTION

Palm Beach County (County) entered into an agreement entitled Contract for Pipeline

Continuing Construction Services - Palm Beach County Water Utilities Department

Project No. WUD 16-013 (CONTRACT) with Johnson-Davis Incorporated

(CONTRACTOR) to provide construction services for various general activities on the

Pipeline Continuing Construction Contract dated July 12, 2016, (R2016 - 0902). This

Work Authorization will be performed under that CONTRACT.

This Work Authorization encompasses providing services related to Water Treatment Plant No. 8 -12" Force Main along Jog Road.

SCOPE OF SERVICES

Contractor shall perform the engineering Scope of Services as described here Water

Treatment Plant No. 8 -12" Force Main along Jog Road which includes approx. 2, 840 If

of 12" PVC and DIP pipe, approx.450 If of 12" HOPE HOD, 12" aerial crossing and

. associated appurtenances and restoration.

COMPENSATION

Compensation shall not exceed $326,311.48 in accordance with the unit prices

established in the Contract for construction services dated July 12, 2016 as approved by

the Board of County Commissioners.

SBE PARTICIPATION

SBE participation is included in ATTACHMENT F under this Authorization. The attached

Schedule 1 defines the SBE applied to this Authorization/Contract and Schedule 2

establishes the SBE contribution from each subcontractor (Letter of Intent to perform as

an SBE).

Page 8: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

ATT AC HM ENT B

WORK AUTHORIZATION NO. 01

Palm Beach County Water Utilities Department Pipeline Continuing Construction Contract 16-013

Rates for Liquidated Damages

Palm Beach County Water Utilities Department shall establish liquidated damages rates for each Work Authorization based on the dollar amount and time sensitivity of the project. The rates shall be as follows according to a criticality rating of 1 through 3 assigned to each Work Authorization by the Department as established below:

Highly Important Project (Criticality 1 ): Liquidated Damages $1,500 per day after Substantial Completion Date $1,000 per day after Final Completion Date

Moderately Important Project (Criticality 2): Liquidated Damages $1,000 per day after Substantial Completion Date $500 per day after Final Completion Da!e

Low Important Project (Criticality 3): Liquidated Damages $500 per day after Substantial Completion Date $250 per day after Final Completion Date

Page 9: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

~Lihertx \P Mutual,

July 18, 2016

Palm Beach County Board of County Commissioners 301 N. Olive Avenue West Palm Beach, Florida 3340~

Liberty Mutual Surety

Re: Public Construction Bond #016069828 -Johnson-Davis, Incorporated

As the Surety Company for Johnson-Davis, Incorporated, permission is hereby granted for Palm Beach County to date the Bond, Power of Attorney, the Form of Guarantee and the Power of Attorney for the Form of Guarantee for the referenced bond(s) after executing the contract when the contract date is known.

If you have any questions, please contact me at (404) 261-3400

Sincerely,

Liberty Mutual Insurance Company

Page 10: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

PUBLIC CONSTRUCTION BOND

BOND NUMBER:

BQND AMOUNT:

016069828

$326,311.48

CONTRACT AMOUNT: $326,311.48

CONTRACTOR'S NAME: Johnson-Davis, Incorporated

CONTRACTOR'S ADDRESS: 604 Hillbrath Drive Lantana, FL 33462 (561) 588-1170 CONTRACTOR'S PHONE:

SURETY COMPANY:

SURETY'S ADDRESS:

OWNER'S NAME:

OWNER'S ADDRESS:

OWNER'S PHONE:

Liberty Mutual Insurance Company

175 Berkeley Street Boston, MA 02116

( 617) 357-9500

PALM BEACH COUNTY

8100 Forest Hill Boulevard West Palm Beach, FL 33413

( 561) 493-6000

DESCRIPTION OF WORK: Installing raw water mains, potable water mains, fire hydrants, water services lines, wastewater force mains, reclaimed water mains and all associated appurtenances

COUNTY'S PROJECT NUMBER: WUD 14-048, Work Authorization Number 01

PROJECT LOCATION:

LEGAL DESCRIPTION:

PROJECT NO. WUD 16-013

District 2

Water Treatment Plant No. 8 - 12" Force Main along Jog Road.

WUD 14-048

Property Control Numbers: PBC Eng. Retention area PCN 00-42-43-

27-05-004-0072, PBC WUD Hiatus Track PCN 00-42-43-27-00-000-

.7010, LWDD L-2 Canal 00-42-43-27-00-000-1090, and PBC WUD

Water Treatment Plant No. 8 1500 North Jog Road PCN 00-42-43-27-

05-004-0053

BOND-1 Rev 1-8-14

Page 11: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

PUBLIC CONSTRUCTION BOND

This Bond is issued in favor of the County conditioned on the full and faithful performance of the Authorization dated on ____________ -3 20_.

KNOW ALL MEN BY THESE PRESENTS: that Contractor and Surety, are held and firmly bound unto

Palm Beach County Board of County Commissioners 301 N. Olive Avenue West Palm Beach, Florida 33401

as Obligee, herein called County, for the use and benefit of claimant as herein below defined, in the amount of

Three Hundred Twenty Six Thousand Three Hundred Eleven and 48/100 Dollars ($326,311 .48) · (Here insert a sum equal to the Contract Price)

for the payment whereof Principal and Surety bind themselves, their heirs, personal representatives, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.

WHEREAS,

Principal has by written agreement dated July 12, 2016, entered into a contract with the County for

Project Name: Pipeline Continuing Construction Contract 2016 Project No.: WUD 16-013 Project Description: Installing raw water mains. potable water mains, fire hydrants, water services lines, wastewater force mains. reclaimed water mains and all associated appurtenances Project Location: System-Wide

in accordance with Design Criteria Drawings and Specifications prepared by

Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm Beach, FL 33413 Phone: (561) 493-6000 Fax: (561) 493-6133

which contract is by reference made a part hereof in its entirety, and is hereinafter referred to as the Contract.

THE CONDITION OF THIS BOND is that if Principal:

1. Performs the contract dated July 12, 2016, between Principal and County for the design and construction of Water Treatment Plant No. 8 - 12" Force Main along Jog Road. Work Authorization No. 01, WUD 14-048 , the contract being made a part of this bond by reference, at the times and in the manner prescribed in the contract; and

2. Promptly makes payments to all claimants, as defined in Section 255.05, Florida Statutes, supplying Principal with labor, materials, or supplies, used directly or indirectly by Principal in the prosecution of the work provided for in the contract; and

3. Pays County all losses, damages (including liquidated damages), expenses. costs. and

PROJECT NO. WUD 16-013 BOND-2 Rev 1-8-14

Page 12: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

attorneys• fees, including appellate proceedings, that County sustains because of a default by Principal under the contract; and

4. Performs the guarantee of all work and materials furnished under the contract for the time specified in the contract, then this bond is void; otherwise it remains in full force.

5. Any changes in or under the contract documents and compliance or noncompliance with any formalities connected with the contract or the changes does not affect Surety1s obligation under this bond and Surety waives notice of such changes.

6. The amount of this bond shall be reduced by and to the extent of any payment or payments made in good faith hereunder, inclusive of the payment by Surety of construction liens which may be filed of record against said improvement, whether or not claim for the amount of such lien be presented under and against the bond.

7. Principal and Surety expressly acknowledge that any and all prov1s1ons relating to consequential, delay and liquidated damages contained in the contract are expressly covered by and made a part of this Performance, Labor and Material Payment Bond. Principal and Surety acknowledge that any such provisions lie within their obligations and within the policy coverage's and limitations of this instrument.

8. Section 255.05, Florida Statutes, as amended, together with all notice and time provisions contained therein, is incorporated herein, by reference, in its entirety. Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05(2), Florida Statutes. This instrument regardless of its form, shall be construed and deemed a statutory bond issued in accordance with Section 255.05, Florida Statutes.

9. Any action brought under this instrument shall be brought in the state court of competent jurisdiction in Palm Beach County, Flmida and not elsewhere.

Witness 17

Print name

Ryan Skibba Print name

PROJECT NO. WUD 16-013

Principal 0-U--N> 1~s-od

Print name tf .S-tfcF~/rM~-o,, µ~

Title U

(Seal)

~ Mutual Insurance Company

~4<~ Sure ~al)

Maria Signorile Print name

Attorney-in-Fact Title

BOND-3 Rev 1-8-14

Page 13: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

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l~ C > / ''• < ;\ }: ti} \ ~~"- < ? M;;:tp;;;,~::;;:-;,'~~::: . ·..• . ···•·· = ·•··••· -.· < ..... •. .•... ..· ... ·.··••.· . -H ~c:~]~ ~This flOW§lt~lP.~()rne{isrn~da_a~d ~x~cut~~plfrs~a~ttctan. }>ta~ho!i~ofjnl3 f6U~JJi~g.:_BY:•Jats ,m:9 ~_1:1t~ori3~tio~(9f J\m9:ri~c1fiFire~n~qas~atty.~o;mp~ny, 1-2e~()~oca5:¼alty:IRsuragce~ ·~~ •o •:ci•-~ _-_Company;_L1b~rty MutuaU1JsUr_aoce_Company, ana WestArnencan:ln~urance_-Co_mpanywh1ch.res_olutloDs·ar~nowmJul1Jorc~.and.effectread1DgasJollows;. -::: - :.:. ·c. .- _ ·· ·.·. • ~fi<?. i:n·ur :.: :::::- ::.:: :•-:: ·::::: ··< ::.::: ·::•=.-... =· <.-. :.::::.::::: >:::.· .:::::• :::=:::·••= .-::·• --~-... ::··:: .•:::: :::· ~·= ·• _: ::< •::: .•:::: :::::: -•:. : :· : ·•· . .- . • = =: : ~a, ~cu•e:. ::~RJ19L§ty ::-o_FFl~;R~~S~cfLor1:Ji P:9ift✓-er:9fJ\~6rQey.-:.i\riy offi_cefof otheroffic[al 6ffhe gorpor~tion:a~t!,~tt~ed_for t[af:pufp_o.sejlii,vrjtlr!Q oy the Qbairrn~n 0! lhe ~resiclerit, ancl subject: .o F l.J!t ::to _l,UCh liniitatior:\ as~e Chairman orthe:Pr~s[cle~t tflc:!¥ pte_scrib~; sbaJI appoin[such•a~otne_ys:in::facf, as. tn~y he"necessafyJo ac~in:b~half ()f th(Corporatio~ to makei:execute, s~al,: ~.t ·o_:~5~ ~acKn_g_wl~clge c311? dE!li\/er•98_:SUfe!}' a~y;and gll .~ndert~kjog~,_-b~nsl!, re~c~~ni~~l}CE!_s~an~:°-ther: S.lff~!roblig~tionr ~~c,h a~Qrneys_::in-iact, s_u~jecttothe limita~iqn~ set forth i~t~eir_-resp~ctive_ :§ .l E .. ar :powers C>f.9ttorn_ey,=:sbaH:h~veJull p_ower!o::.b1~d.._the:~orp_or_at1o_n byJhe1r~1gr1at~re anct.eJ<ec_ut1on::of.any s~ch m51trum_ents:_and to attaclltheretothe s~al ofthe Corporatton:vVh~n so. "cu· a, o-~cu :executed,suct\ inst(urneQts shaU be~as biodiilg as if signecltfy the Presiaentand attestedto bythe.Secretary:Ahy powecor: authority grantea to:any representative or-attorney,.in~fact under > .c i:~ }the.PfClVi§i§ns ... otthirttm~t·~e~t:{at f n:y tigi~ .. bzt~e· ~of rd~t~e.%h:~ir~~· .ttJ_e/r?!1eoJt ~.,e.~~rcef ~rO~Gr?I~n~n~s~tp~rer.rauthogty~-: __ i. •\- _ : .. ~. { i·~· :ci':C:: :~RTIC~E Xlll~~x~c~.t100 ~f qo~tra~ts_.7 §§C1!()_N. ~._§u[e1¥Bo11~s ~n~ U9dert~k1~git}\ny:9f_fic~(gf tbe~Gor:neany ~utlior!ze_[jfor tha_t pureose ~n wn~ng bY. th~ chai!rnan or:the P!es1g~nt,_ ~E .~ .>=! =and: subjeQttosvch:Hmita!ions asJhe_chairrnan grJhe:eresi9eht IIlaY prescri~~~shaU~aRpQintsych:attorrJeys~irMact,.as may;be=n~ce~sary::.tQ.c!ctin behalf oftbe Compar,y tp make,:.eix~cute,: .: .~· 'o· :i: :_seal,_ackn()Wl~dge a1d dEJlive(as SLJrElty any anctan .. u_ridertakings; b~lids;:recogngalicE!S an~ other.s~rety:§blig~ti~nf such c3tlO[fJey~~io-fa9f:su~ject to the]irnitaU9ns•s~t forth in_.their 'E ·.~. Z_• u: !esp~ctivepo~ers o! atto~ney, ~hall have full:pow~rtob_irid.the Co~pa~y'by=t~eir:.S!9~~~ur_e andex~cution:of ~nysuc~.in~tr.umen!.s andto~attac~tberetothe seaL~fthe90111p_anY:Wh~nso· 8 ~

~ =._ex~c~teq 1uchi~stf!!~ents[~haU:?e~g!Q1I~¥ ~JJf si_g~ed:Jt}~:rtr·e~1:~rn~t}~;t~!f~t}Pf/icI~ta~r<rtt\ ?f=?Fti{2?/{t}:;/:A. ~[:- : .~. ~ : -- )\ ... ~: _ ~. .:~ g :f-:cettificate.otoesignatiorf~ The Preslqi:Iqfqf the. C6mpafly;:'.~ijfi_tig . purskiahflo:the]:IylawiEoHt;le::9ompa~y;::i;iut.tiorizes :J;laiid: M;~()arey;J\ssi$t~i.i{-.$ecretary to appoint such attorneys~in- . .. -

>:b~g:::rb•uecesoa,xto• •tbe~f ;~}t't~~1;1;t iv~ seal, "9kn0WJ1~~f 1(~, :~~"11~ f ~ a!/~M~rffi,;;~r, re009nrzan00Sanij oft,er ~urew : ~Autl10ri~atio11 ~ Brnnanlmou~cOn$efit .oJ:tnt/:¢:qml)ani~:J~&~rg .otO.lf.~Iitorsith~tGOll}l)an,ccoo.t.\:f.f.iti:tbat ~¢.simif !3 pr rnecba..Glcany [epr9duceJJ; sig.oature of ahy.-assistantsecretary. of the.·

-~~t;zM·- .:· ..... · ~7~{-~-.,...·•~-... '"""_-~:·~~·-___ "":;'--~~-'" .. ______ ·.··._.~-:->_ .•.•. -·~.;..~-····. __ ,_··.•···_ ... ··'--.·•··-----~-~~:. ____ _

G_regor;y W _I:)a~e~port;Assi~ta~fSeI:n:~tafy:

Page 14: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

FORM OF GUARANTEE

Bond Number: 016069828

GUARANTEE FOR (Contractor and Surety Name)

Johnson-Davis, Incorporated, Contractor and Liberty Mutual Insurance Company, Surety

We the undersigned hereby guarantee that the Pipeline Continuing Construction Contract 2016, Project Number WUD 16-013, Work Authorization Number 01, WUD 14-048,Palm Beach County, Florida, which we have constructed and bonded, has been done in accordance with the plans and specifications; that the work constructed will fulfill the requirements of the guaranties . included in the Contract Documents. We agree to repair or replace any or all of our work, together with any work of others which may be damaged in so· doing, that may prove to be defective in the workmanship or

· materials within a period of one year from the date of Final Completion of all of the above named work by the County of Palm Beach, State of Florida, without any expense whatsoever to said County of Palm Beach, ordinary wear and tear and unusual abuse or neglect excepted by the County. When correction work is started, it shall be carried through to completion.

In the event of our failure to acknowledge notice, and commence corrections of defective work w.ithin five (5) calendar days after being notified in writing by the Board of County Commissioners, Palm Beach County, Florida, we, collectively or separately, do hereby authorize Palm Beach County to proceed to have said defects repaired and made good at our expense and we will honor and pay the costs and charges therefore upon demand.

County and ( contractor, engineer, architect as applicable) agree that the provisions of Florida Statute Chapter 558 shall not apply to this (contract, agreement as applicable).

DATED ________ _ (notice of completion filing date)

SEAL AND NOTARIAL ACKNOWLEDGMENT OF SURETY

Liberty Mutual Insurance Company (Seal) ,- (Surety)

~(b~ (S ~ature) Maria Signorile, Attorney-in-Fact

(Printed Name)

END OF SECTION

PROJECT NO.: WUD 16-013 GUARANTEE - 1 Rev 4-22-15

Page 15: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

1r•-:frAfs.Powet"to1=Iirr8RtiE,trsiifrr-tiuoiuNtf~sir,ffs~l~1NTitoti~eol~cRifr{oUN&{}:{.ti I[;=- jt·:?g.·rr· · :: : ==:~This~Pow;r ofAttoJrteyJimit~)he _ac_ts <?fibo~?named _6irefri;_::an~.tbeyJ1avli90 ~utho~ty t~bi_ncfthe t<?-lllP~iJY ix~epfl~ tbim~i1.ner~aJ1d toJhiexte.nt:_herein sjated~. . -. . . .

-__ -~ -- - .. : -,-._- · .. -:.· ::· ·:•- - -_::_:_ ::- - - -:. _ _ - _ ~ : =:- - :: :: _ ~· < .·: --: -=-\certific~t~No.~735?irn:

-·- . -- A~er[c~n Fifoin<1 Qa§U~ltyC_orup~ny :.·~- ~ioerty~MlJtU~l l_n§ura~c;ete>mpaW:::.. - - -_ ____ _ __ -~ 1~ Qnio .Q~~u~l!y ln~iir~~ge _s~m(!apy::{ · - \t'VesfArnefiGan~:19_~urajicff~orfl~anyi

------- -- --·- ~:· --·• - - --- - -- - -- -- ._:_ - -- - -- - - ·--- - - -- ' - ---- - -- -- ----- -- ------- -·- ~-- -_·_--: ·."-::·:::: .~:·-:·::_·.~~-:.- :: - --_--. ----·--- --~-:=- ---- - --

iKJiwJAll;ERlo~S;B~ rt~s~;RE%ENrS:-rhaf~niJ!!!§?n1lf tf !fcf !t.oranctCo~~i.~ i,~tatiOnsdZ1yi~a¥ed rindert~e 1aV/S of• ::._:thiStateof New~H~_mpsh_ir~ tti~f Liti~tty Mtitua[losurance_:C9mpa~y i§ ~-coi-pbrajiQO· duly orga~ize(un~et the iaw~~f th~ St~fe:of Ma5:sa~b~~~tts, a[ld-:W~stArvefic~n Jhs~rance Company~ .• : >-is a_c9rp6n:1ticin1iuly:cirgarii~ed·urrder)he l~w_s of tl]e Stgte of fodi.~ria (her~in~c9ll~~.~iY.~!ic..s!llec!Jhe:;Gorrip~ri.ie,_s"), .P.~rs:Ua.1Jtto_ ?1.n_d bi~.!!t~~r~y fo~rein:5~t f~rthj d~e~ hElrebyngrne, ~onsti!ute:

~:+an~ ~pp~i~t. ~~.~J8:~:~s p~- D~~n:.:~;:~':~;!c~~?riJ~f Vf ~:.f:~.Y,~g. 0?~\~~~:(i.)E'.::PP::?~);t::~::::l/ --,::;··:::;:~'.;~:_;;~~~ .._ ····::.::::~::::~~--'.:"::~:'.;·~:'.::~;~'.~'..~;: ·::::._~:~::.:;_:~·.·· .. -·~ · · - · · · · ----~·· ·.: ...... :_ . .:.~~·::.-_--_/ - - . ~ . _·.-::: : ... :::·. -~...... . .... : .... -.... _..... .. . '···:· :.;::·:~--...... ,,. . . - -~- ....... ·::· .. ~::.·:.-.--- . ;. : ........... .

§; i~!J:lli;tt~rli_!_•_lt_,:_L_•_·_~_·_ - . :--:---.· : ·-·· .. ·;~.- X:/ ut/}:.;.{~:~.itG~h}irt~nd_Cas~altY _9omp~ny= ::

~The-:Qhio~CasualtyJn_sutanc~Compcmy; . ~ =ubertyMu!ual lilsu_rance CofnpanY:: · ! j'flle~t {l.rri~rica_rf lnsufari~e C~rnpanf ·;;

;0 ~·. ~ ..;;;;..::.7L~.L..:;;,~~=-'-'~--'~"-"-"--~--"'-'- .s :-~s ::- • - ~.. ··•· ... : - -~•-... ~ ::;~ ;~ ::ST[\TE Qf ~PEN_NSYl\/ANI[\ . -. _ cu g ; ::pq_u~rrQF.~gNJ~PM~RY::~~ ::... _ . > .··· .. ·· : • .._ : _ -:- _ ~ _ ~ : • ..__ . . . ... ~ ::. ·.. ~ -:: -: ~: : -...- -: :: . : .. ·· •. . .. · _ 1ij a .e·~ ~OnJbis 29th-> daiof April .. · . - -: :20_1 ~ '·gefori rne perso11glly"~appe-,:1r~d [)gvi(M. G_arey,:~ho:ackno01edg~d hirnselffo ~etth~)\ssistant Secretary otArrietfcan-Fire and:. (.) .... . ~ a,: Ca§ualtY: Corripc1ny;.U~ertx~Mutu~I l~s11raric~ C9mpa_~Y,:Tne~Ohio.CasualtyJiisurc1~cegom~any,·~ncf .WestAm~rican)n~urance.Co!1JJJany,-~md thatl}e, assuch1 ~eirig_autboriz~d:so to do; =>,~ ~.-;• :ex~c~te ~hef~.egoiog_instr~m~h!for:}~e p:.up.os_es_thJr~in ~~ntal~~d Qy~ig~ip_~ on~ehalJof!h~cre_orc3ti~ns_~thi1J1~elf~s? ~u~y a~tnbrii~~ Q~~et: - . - - - - - - :ee •a, >: . IN WITNESS WHEREOF, I-have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year:first above written. •.S •a. 1•1; ~- --=- - -- -- - - - --: --_ -sll- PAs!'.: -_ ---COMMONWEALTHOFPENNSYLVANlA -__ - b'Jii :~, >J:~;L~ ~ ~.~ _ .;.. "'C Notarial Seal ~ ~ • '5 ~ ii ~ :: e1y!J:~a;;;:,9~tiJ~t~i1!~,,: - By: ::Tere~a_Pastell;, Notary p~~lic -: . • i... -c

$ B • ... . •.· .. ·· . . . . . .......... ·.·.·•• ·•··•·. ...... •• ~~> · .... · .:f.t::i::::;p::,'~;:~ .. ..· . . ·.•. > ·•.· .· .. < ·.·.·· .. •··. . · l~ ~2. i :This-JJoWer' of Attorney is ~ade:and execuJed plli"~Llantto :id bia!Jth~rity of toe following_By~l;Ws ;rld A~tlloritationsof American Fite an~pasYalty Qdmpaty, The Ohi; Ca_s~alty ldsurance: ~ · ~ :: ar ~ --"company,Jiberty tv1utua[lnsurance Cgmpariy, an_d \JYe§t Am~ric__an lnsur~ncie_:_Company Whic::h_res_ofutio~s ar~ novfinJull)orce: and_-Elffect_r~ac:li_ng; as}ollmvs~ ... - . : . : . : = ~ :c,U,::: ··-- -::· :- . ·: -·:: ::: .::· :: ... :< -:>: -.:: -:: -•:: ->_ -:·:•: /- . ·:: ·::· :: - :- -::-: :·-• :: ::: . -_:_ . : •. :· ·: .. - . - . ··: . :: ·: : . lf-0) -:CU: f: :ARTICLE IV ---OFFICERS~ Seotion 12; l:owerof Atterrfey;Any officer.or_-otbetoffidal of the CorporationauthorizedJ6t thalpuJpbsEfin writing by theCnairman or JhePfesident, and subject •. 0 :C g,s; =to ~l!bh lfmitatio11 as_ fheJ;t,airrnan grJhe:Psesic:18-nt rngy PJElSCribe; shall appoinfs~ch:attorrif~ys~in:facfr:as rnay be:nec_es_sary.to actinbehalf of ttie=oorporatlqn to rnake,•_-ex~cute, seal,~ ~-t : o:.5 :acknowledge an_d d~liver'!3S: s~rety any:and ~11 Li_ngert~king~, pon~s, recogni~ancesan~ other SlJreff ()bligatio~s~: Such attorneys~in~fac;t, s_ubjec! to thelimit.ation~ s_etforth in tbei(respedive: :§ :.! E C1>: :powers otattor~ey,:_s~all_h~veJull po~erto bind:the: ~brp_oratior(by-their signature an~ exe~utioh_.of an_y such iostrumentsand to attaci;:Jh~r~to Jhe seal ottne Corpo(ationi IJVherfso: cu·. a, -0 ~1a· =executed, sucti irist[UIJJeJJts~:shall be as_ binding as_ if sigped_-by the [:resident and atwstElclJo ~yJhe Secr~tary)\ny pe>'Neror authprity granJed to any r_epresentatiVEl or-attorr,ey-in-fact.under > ·~ ;~ ~ :}heP[ovisi~ns:o! thiJ ~rti~e:m~ttJe re~ok~1at~o/ ti~~ b~th~ 8:o~rd)hJ 9~i~_c? t~:e_Pr~s~de~t t by~be office.~°-r or~er5:gran~pJ ~~r} p~~er ~r:auto~ity._\ >- · .. : .··. :· : .. -i .~ ~-~ :ARJIGL_E xm~.._Ex~9u~io~ et qo~tr~ts ~.~t=CTl()N §,:~U~ety Bgn~s ~nd,Hodert~kj~g~; ~ny:o_tfic~r~f t~ep~!llpanyaut~orizedJo.rJb~t purposE:i_~n WJitingJ>Y the chai(man Of: the 11residEmt,; :e: 1:9 ;:= ft :and ~ub1e~ths~ch:lir111ta~~ps:~s:the~cha1r_man o~the:pfes1d~n~ f!l~Y p~e~cng~ sn:alJ:app°:1nts[!ch a~9m_eys-,~~fa_ct, ~~ m~y b~.n~ces~artt?;actm be~~lf oJ the 9~-~pa.ny to f!lake, e~ecut~,:- ~. ~ o · :,• seal,:acknowtedge and deliver as surety :any ancLalLundertakrngs, bonds;:recogmzances and other surety obligations; SuGh att0meys0 rn-facf:subJect t0Jhe-hrn1tat1ons_set forth rn tflerr c ~ z (.,f (resp~cti\le-poi,ets olattqrney, :shall ha_ve f_ul~pOIJll~r to.bind the Cortipanyby:tbeir.siij_na!Ure an~execution_of ~ny s~9b in§tcumE:ints a_nd t9)~ac1Jther~t0 the §eat ~f th_e Con,~~ny. •\Nhen_so· 8 ·~

- :=ex~c~tegiuch~i~Str~rentfh~l8etti~!£t9 ~\!fslg~et~rt~ffe:tt~~Imt~:~1~tn{~:~:~:::~~cr~taJSSi?t?f/ }f{)Ihtit\tiit>~/ .. -_:{ -.· /. ·•·· ··. -_-: ... :: -- . -~:~

~-.~cer-tificc1te:oto~signati911:- The. P.r~&i.9.f?..flH>fth~ C9mpaf!Y;::~-~tit:'.fg. P.UtS.~:€!'.f:1Hp:tf1JtBYlaW$:;<lfJ.n~:-ConJparfy;::1,@borize§::O.a.W1fM:~Gar~Yi:/'i$.~Js.ta.n.t§ecretaty to ~ppoi[lt such. attQrneys-in~ · - ·

-- . ·-·~·.-:. ·:.:~·:::::.- ;_- .... ........ --- _- i:/ »:-·:: ;~~-~:~-~· .. __ ;· - ...... :-,,.::·:.::·: ·:· :.:··· ··.::·· ::··:· ~-

..... : ~"::.::: .· ...... _._ ...

: IN JEST~MOf'!Y::W~E_REO~, I b~ve_~teu_nt~ s~tmy _9a_!ld~a~_a a~xed_t~e se~ls ~f ~_ai~ Com_p~_nie=5 this- -_ _ ~/ay .er"'""~· --~~--'-,-~~~-~...,.....-~_-/.20_-~~--- - -.. ::·. :·: :-:: .. · =-. -··:·· ·:•:: - : ... ·-•·.

.- }~,: =:·~~· .. ··>··.···.~ ~y: ;;_;._--;..;;..··.;;..··.a..·•...;;...-_..:. ..... ·"-. ;;...---=-•-·-:_· ~·.·--·-'·~·a...··=-·"-. ...;,·:-'--· ---"'-'--'--"'----"--'--

~rego~.·w Pa~~t1pq~As_si_$ta11tSedrE:!tary.

Page 16: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

NO . . .

13

15

30

35

54

62

70

79

87

106

138a

187

207

210

211

214

215

216

219

221

222

223

225

230

NO.

287

288

289

ATTACHMENT E

SCHEDULE OF BID ITEMS

Palm Beach County Water Utility Department Pipeline Continuing Construction Contract - WUD 16-013

Work Authorization No.: 01 Contractor Name: Johnson-Davis Inc. Project Name: Water Treatment Plant No. 8 - 12" Force Main along Jog Road Project No.: WUD 14-048

BID ITEM {Furnish and Install with A[murtenances} QUANTITY UNIT UNIT PRICE

12" PVC Push-On Joint Water Main/Wastewater Force 2,170 L.F.

Main/Reclaimed Water Main $34.00

12" DIP Push-On Joint Wastewater Force Main 670 L.F. $75.00

Ductile Iron Fittings for Wastewater Force Main 1 Tons $8,000.00

12" HOPE Directional Drill Water Main//Reclaimed Water 450 L.F.

Main/Wastewater Force Main $100.00

12" DIP/PVC x HOPE Adapter 2 Each $725.00

12" Mechanical Joint Restraint for DIP 20 Each $400.00

12" Mechanical Joint Restraint for PVC 18 Each $425.00

12" Joint Restraint Gasket (Field Lock or Fast Grip) 5 Each $180.00

12" PVC Pressure Pipe Restraint Harness 5 Each $275.00

12" Gate Valve & Valve Box 2 Each $2 050.00

Aerial Crossing Complete (12" Wastewater Force Main, 1

Lump up to 20' Long) Sum $43,500.00

4" to 12" Diameter Connection to Existing Water Main/Reclaimed Water Main or Force Main (Joint 1 Each Restraint for existing pipe to be included) $2 800.00

Concrete Sidewalk Removal & Restoration 10 Sq. Yd. $50.00

Floratam Sod 2,875 Sq. Yd. $5.00

Bahia Sod 4,160 Sq. Yd. $4.00

Record Drawing 3,290 L.F. $2.00

Construction Survey 3,290 L.F. $2.00

Preconstruction Video Taping 3,290 L.F. $0.50

Maintenance of Traffic Arterial Roadway 2,480 L.F. $2.00

Density Tests 28 Each $35.00

Proctor Tests 2 Each $90.00

Concrete 12"x6" Cylinder Tests 4 Each $75.00

Demucking with Imported Clean Fill 20 Cu. Yd. $20.00

Compacted Clean Fill 20 Cu. Yd. $12.00

SUBTOTAL BASE BID PRICE (Item 1-286)

ADDITIONAL QUANTITY UNIT

WORK/MOBILIZATION/DEMOBILIZATION UNIT PRICE Additional work not included in Bid Items (Max 15% of

1 Lump

Subtotal Base Bid Price) Sum $15 620.00

Mobilization (2.5% of Subtotal Base Bid Price) 1 Lump Sum 2.5%

Demobilization (1.0% of Subtotal Base Bid Price) 1 Lump Sum 1.0%

SUBTOTAL ADDITIONAL WORK/MOBILIZATION/DEMOBILIZATION BID PRICE (Item 287-289)

TOTAL BID PRICE

TOTAL

$73,780.00

$50,250.00

$8 000.00

$45,000.00

$1 450.00

$8,000.00

$7 650.00

$900.00

$1,375.00

$4 100.00

$43,500.00

$2 800.00

$500.00

$14 375.00

$16 640.00

$6 580.00

$6 580.00

$1 645.00

$4 960.00

$980.00

$180.00

$300.00

$400.00

$240.00

$300,185.00

$15 620.00

$7 504.63

$3,001.85

$26,126.48

. $326,311.48

Page 17: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

Palm Beach County Water Utility Department Pipeline Continuing Construction Contract - WUD 16-013

Work Authorization No.: 01 Contractor Name: __,J::..:o::..:.h.:..:.n.:.::s:.=o""'n,_,-D::.;a,:,;v:..:.is:::...:.:lne!.'c:e.:.. _______________ _

Project Name: __ ....:W.:.;a...,t=e.,_r ..,_T.:...:re:..::a,.,.tm=e.:.:.nt.::...P:.....:.::la.,.,n:.=..t .:...:N:..::o.:... • .:.8_-....::1=2_" .,_F..::.o.:...:rc"""e'-'M=a=in:....;a=l=o.:.:.n..._q-=J=o_,q...,_R..:.:o=a=d=---

Project No.: ___ W..::...:....:::U:..:D::....a..14.,_-=04..:.:8=------'-----

NO. BID ITEM {Furnish and Install with AmJurtenances) QUANTITY UNIT UNIT PRICE TOTAL

NO. ADDITIONAL WORK not included I Bid Items QUANTITY UNIT UNIT PRICE

287a Dowel & Connect to Existing Aerial Crossing 1 Lump Sum $4 500.00 $4,500.00

287b Conflict With Existing 24" RWM 1 Lump Sum $3,000.00 $3,000.00

287c Vac Trucks For Connection To Existing Main 5.0 Hours $200.00 $1,000.00

287d Dewatering in Detention Area 1,780 L.F. . $4.00 $7,120.00

SUBTOTAL ADDITIONAL WORK/MOBILIZATION/DEMOBILIZATION BID PRICE (Item 287 -289) $15,620.00

Notes 1) Plans do not indicate and prices do not include restraint of existing pipe. 2) Sod quantities are calculated at 20' wide. We will try to limit damage but due to the location of the main, it may also overrun.

3) Plans indicate our work to be far enough away from existing utility poles to avoid support. If support is necessary it will be extra.

4) Dewatering may be required due to the elevation of the detention area and rainfall amounts.

5) A small amount of demucking and compacted clean fill were added as a contingency.

Page 18: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

PROJECT NO, WUD 14·•048 PF{OJECT N!.\ME: Water Treatmetit Plant No. 8•., '121~ Force Main

alonq .Jog Roa__g

TO: __ :ral/J}J_Q.eJ ___ :__,//4.fL(J~kl~e-___ . ____ .__ __ _ (Name. of Pfirne Bickler)

The undsrsfgned is carUfiacl by Palm Beach County as a{n) -· (checl< 011,3 or nv::,re, as app!k;abl0):

Srnall BU$iness Enterprise _.1,___ Minority Busin0.% Enterpri$e ____ _

Black __ Hispanic~--·- Worrn-;;n ___ Ct-wcasian -X-0ther (Please Specify) ____ _

Date. of Palrn Beach County co·rtification: ""···;k/~i?.. /1., .. 6-:.:·'.···--·~-----... •,.,.i,j:zl/.l.,,£ _____ _ fhe undersi9ne9 is prepared io perforrn the following described wod< in connection wHh ihe above i)fojeci {Specify in det?iL p2 rt.lcu!ar work it.ems or p~ii:S thereof ~o b~. perf0rm'7!-l'.H~

urn~ ltemfLot No.

Item Oescription Qty I Units Unit Pric€< Total Price

at the following price s ~BDC>.oo

(Subcontractor's quote)

And will enter into a formal agreement for work wii.h you Gonuitioned upon y,Jpr ex£,cuUon of,~ contrnct withPa!rn Beach County. Ii' undf'.rsiunecl inl.ends to H1Jh~~H;beontr8ct any portion of this subcontract l'o a non~certitiefl SBE. subcontractor, lhH ernount of any sucil subcontract rnust be stated: $ _______ . ______ _

The undersigned subcontractor understands that the provision of this fo,rn to prime bidder does not prevent

subcontractor ·from providinH quota lions to other bidders /11 I Ctl ;J £ l. 18. 5C Ho Ji.4/-/ -t· ,45:56c:,.,, I .Ale. (Print Name of SBE-M/WBE Subcontractor)

By: __ /1:£~/5ib~¼ (Signature) .

MIC.HA li L t._2,,, 'SCflL>Rdl-l_ ... (Printrmme/tit!e of person execuling on

bt:;half of SB~-M/VVBE Subcontractor)

Date: ...... __ 2}:2-t!/4/p ........... ....... ..

Page 19: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

LETTER OF INTENT TO PERFORM AS AN SSE OR riil/WBE SUBCONTRi.\CTbR

PROJECT NAME: Water Treatment Plant No. 8.-'1211 Fo,ce Main PROJECT NO. Wl)D 14,,048 along Jog Road

ro: _____ ~~c:::;__M_'()_2»-,c__~._;;,,___--_· D=-=CN:;......;\=:...j~....._, 1:>-=--ii,.___.,-.-_L=---YJ_.__l--_._j ___ _ (Name of Prime Bidder)'

Tile undersigned is certified by Palm Beach County as a(n)-(check one or rm;;re1 as applicable):

SmaH Business -Enterp~ . Min9tity Business Enterprise __ _

Black __ Hispanic __ Women·~-- Caucasi~ •tiler (Please Specify} ____ _

Date of Palm Beach County Certificatlon: J&l4.J£: / CJ f #t 't------­The undersigned is prepared to. perform the following described work in co1mection with ihe above projecc (SpeGify 1n dstaiL oarficula.r work !terns or parts .thereof to be Performed):

Une Item/Lot No.

Item Description Qty/ Units

\

Unit Price Total Price

And will enter into a forma[ agreement for work wit!, you conditioned upon your execution of a contract with Palm BeaG11 County. If undersigned intends to sub-subcontract any portion .of this s~eontract to a non-certified .SBE subcontractor, the amount of any such subcontract must be stated: $ -~ . .

Date,J) J-l / ( {p .

Page 20: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

SCNEDUU::2

LETTER OF INTENT TO PERFORM AS AN SBE OR mlM!BE SUBCONTRACTOR

PROJECT NO. WUD 14-048 PROJECT NAME: Watm Treatment Plant No. 8-12" Force Main along Jog Road

TO: ~~--~.,.......__ 'b~i..._s (Name of Prime Bidder)

The undersigned is cs1iified by Palm Beaoti County as a(n)- (check one or more, as applicable):

Small Business Enterprise / Minority Business Enterprise __ _

Black __ Hispanic __ Women __ Caucasian __ Other (Please Specify) ____ _

Date of Palm Beach County Certification: _B,_~_7_+-_7,.._o..:.· --'('---~-=--------­

The undersigned is prepared io perform the following described work in conneclion with ihe above projeci: (Speclfy in detail, particular war!< items or parts thereof to be performed):

Line Item/Lot No.

Item Description Qty I Units Unit Price Total Price

r:il:TV"i::..t~ -~-o c. _. __ ...2A15'"'" 5 '/. .;; --i.:so -"' 77& 2 •. -q_1~0 ~'I' ~r-k{G.. :;i;ad I• ")o ·,,0·1 z-oc> ----

;t !he following price / ½ 8 3 :/~ 5 (} -(Subcontractor's quote)

And will enter into a formal agreement for work with you condiiioned upon your execution of a contract with Palm Beach County. If undersigned intends to sub-subcontract any portion of this ?bcontract to a non-certified SBE subcontractor, lhe amount of any such subcontract must be staled: $ ___ --'~1='---------·· · The undersigned subcontractor understands that ihe provision -of ihis fom1 to prlme bidder does not prevent subcontractor from providing quotations to other bidders ,&. ..-//.. J ~ ,.

(Plnf N:meo( s';iitwBESu~;~,f ~5 '~' ·

(Slgnature-)

-:1':> .'.> \--:i a_ld..!LJ;.,.; / f-c-:C • (Print name/lilfe of person executing on

behalf of SBE-M/WBE Subcontractor)

Date: 7- Z. f - / ~---

Page 21: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

ATTACHMENT F

SCHEDULE#1

LIST OF PROPOSED SBE-M/WBE PRIME/SUBCONTRACTORS

PROJECT NAME: Water Treatment Plant No. 8 - 12" Force Main along Jog Road PROJECT NUMBER: WUD 14~048 --------------NAME OF PRIME BIDDER: Johnson-Davis Incorporated ADDRESS: 604 Hillbrath Drive, Lantana, FL 33462

CONTACT PERSON: Bernie Vito PHONE NO. 561-588-1170 FAX NO. 561-585-5252

BID OPENING DATE: DEPARTMENT

PLEASE IDENTIFY ALL APPLICABLE CATEGORIES

Name, Address and Telephone (Check one or both Categories) Dollar Amount

Number of Minority Contractor Minority Business Small Business Black Hispanic Women Caucasian Other (Please Specify)

Michael B. Schorah & Associates Inc. Ph: 561-968-0080 D [j 1850 Forest Hill Blvd., Ste 206, West Palm Beach, FL 33406 $ $ $ $6,300.00 $

Palmwood Corporation Inc. Ph: 561-844-8740 • Q 831 W 13th Ct., West Palm Beach, FL 33404. $ $ $ $32,500.00 $

Agricultural Land Services Inc. Ph: 561-732-6105 • Q 12265 State Road 7, Boynton Beach, FL 33473 $ $ $ $14,834.50 $

• • • • D • • •

PRIME CONTRACTOR TO COMPLETE: TOTAL $0.00 $0.00 $53,634.50 $

BID PRICE: _$,__ ___ 3_2 .... 6, ..... 3_11_.4_8_ Total Value of SBE Participation: _____ $_5_3 __ ,6_3_4._5_0 _________ _

NOTE: 1. The amount listed on this form for a Subcontractor must be supported by price or percentage included on Schedule 2 or a proposal from each Subcontractor listed in order to be counted

toward goal attainment. 2. Firms may be certified by Palm Beach County as an SBE and/or an M/WBE. If firms are certified as both an SBE and M/WBE, please indicate the dollar amount under th eappropriate

category. 3. M/WBE information is being collected for tracking purposes only.

Page 22: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

ATT AC HM ENT G

AUTHORIZATION STATUS REPORT

Auth.

No. Description

SUMMARY AND STATUS OF

AUTHORIZATIONS

Status

1 Water Treatment Plant No. 8 - 12" Force Main along Jog Road Pending

Total

Revised (12-9-14)

Project

Total Amount

$326,311.48

$326,311.48

Date WUD No. Consultant's

Approved Assigned Project No.

14-048

Page 23: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

ATTACMENT H

AUTHORIZATION STATUS REPORT

SUMMARY OF

SBE / MINORITY BUSINESS TRACKING

Total SBE

Current Proposal 01

Value of Authorization No. 01 $326,311.48

Value of SBE - M/WBE Letters of Intent $53,634.50 $53,634.50

Actual Percentage 16.43% 16.43%

Signed/Approved Authorizations

Total Value of Authorizations $0.00

Total Value of SBE - M/WBE Signed Subcontracts $0.00 $0.00

Actual Percentage 0.00% 0.00%

Signed/Approved Authorizations Plus Current Proposal

Total Value of Authorizations $326,311.48

Total Value of Subcontracts & Letters of Intent $53,634.50 $53,634.50

Actual Percentage 16.43% 16.43%

GOAL 15.43% 16.43%

Revised (12-9-14)

Page 24: Agenda Item #3K-5 PALM BEACH COUNTY BOARD OF ...2016/09/27  · Name of Design Firm: Palm Beach County Water Utility Department Location of Firm: 8100 Forest Hill Boulevard, West Palm

Palm Beach County Water Utilities

Department Service Area (SA) and

Major Facilities

Legend * Aministration

ii Water Treatment Facility

• Water Reclaimation Facility

II Reclaimation Facility

• • • • • Mandatory Reclaimed SA

'.'" - • Palm Beach County Limits

P.B.C.W.U.D. Service Area

0 NOT TO SCALI!

Bolles Canal

\

ATTACHMENT- I Project Name: WUD #14-048

County Road llllO

·- - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - --'"""'=-"-....,_