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 fo) DEPARTMENT OF PROPERTY AND PROCUREMENT 0 INVITATION FOR BIDS ) Invitation No. IFBO1IOPNRT16(C) Date: June 29, 2016 Pursuant to Laws of the Government of the Virgin Islands sealed bids in Quintuplicate (5) copies ((1) original and (4) copies) for the work described herein will be received until Thursday, July 28, 2016_at_ 10:00 a.m. at the Department of Property & Procurement and publicly open thereafter. Description of Work and Project Number: IFBO10PNRT16(C) Restoration of the Fort Christian Historical Museum Facility Courtyard. Pre Bid Conference: A Pre Bid Conference will be held on Wednesday, July 13, 2016 at 10:00 o’clock a.m., at the Department of Property and Procurement. Cost Per Set: $100.00 NON REFUNDABLE Liquidated Damage: $100.00 Completion time of Work: Ninety (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 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. ae Form No. DPP-IFB-55-75 APPROVED Com. DPP October 30, 1974 REVISED: 3-18-08 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 wit 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 BATEBOND EXECUTED (ust not be bier then Dit BID BOND opening date) OMB NO.: 9000-0045 (See instruction on reverse) | l 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 aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC O5. PRINCIPAL {Legal name and business address) TYPE OF ORGANIZAT ON (°X one) | -] INDIVIDUAL | PARTNERSHIP CO JOINT VENTURE Oo CORPORATION STATE OF INCORPORATION SURETY(IES) (Name and business address) PENAL SUM OF BOND | BID IDENTIFICATION fercnr AMOUNT NOT TO EXCEED BID DATE INVITATION NO, PRICE MILLION(S) THOUSANDS) HUNDREDS) [CENTS EOR (Construction, Suppites,or Services) OBLIGATION: 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, for 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 principel; or (b) in the event of failure to execute rane further 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 instrument 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 i 2. 2 SIGNATURE(S) (Seal) (Seal) (Seal) Corporate NAME(S) & ie 2: 3. Sea/ TITLE(S) (Typed) INDIVIDUAL SURETY(IES) 2, SIGNATURE(S) (Seal) (Seal) NAME(S) 1 + (Typed) | CORPORATE SURETY(IES) NAME & STATE OF INC. LIABILITY LIMIT (8) et | ADDRESS > 5a 2. F [SIGNATURE(S) Corporate = Seal m4 NAME(S) & |1, 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) re NAME & STATE OF INC. TIABILITY LINIT (3) T wo} ADDRES: e 1. 2. Fy |SIGNATURE(S} Corporate = Sea/ | NAME(S) & |1. 2. TITLEIS) (Typed) NAME & STATE OF INC. LIABILITY LIMIT ($) «@| ADDRESS - = ts Corporat 55 |SIGNATURE(S) 2 rate = eal | NAME(S) & [7 z TITLE(S) (Typed) NAME & STATE OF INC. LIABILITY LIMIT (3) o| ADDRESS i ‘4 a : Corporate by |SIGNATUREIS) ‘se a = | eal | NAME(S) & {7 2. TITLE(S) (Typed) NAME & STATE OF INC. LIABILITY LIMIT (8) w| ADDRESS - T. 2 | Corporate ly [SIGNATURE(S) : : 5 ea | NAMES) & 1 z: TITLE(S) (Typed) NAME & STATE OF INC, LIABILITY LIMIT (S) u.| ADDRESS c 2s Corporate tu |SIGNATURE(S) pon & 6a | NAMES) & 17. 2. TITLE(S) (Typed) NAME & STATE OF INC. LIABILITY LIMIT ($} «9| ADDRESS a 7 2. 55 ISIGNATURE(S) ee « | ea = NAME(S) & [7. 3. TITLE(S) (Typed 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 ca pacity (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 accompany 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." OREESFSERRTS IES SSE SSS STANDARD FORM 24 (REV. 10-98) BACK FORM - P&P-PB-20-73 GOVERNMENT OF THE VIRGIN ISLANDS | DATE BOND EXECUTED APPROVED: 3-26-73 REVISED 3-18.08 PERFORMANCE BOND COMM. OF PROP.& PROC. (See Instructions on Reverse) PRINCIPAL SURETY PENAL SUM OF BOND (Express in words and figures) CONTRACT NO DATE OF CONTRACT KNOW ALL MEN BY THESE PRESENTS, That we, the PRINCIPAL and SURETY above named, are held and firmly bound unto the Government of the Virgin Islands, hereinafter called the government, in the penal sum of the amount stated above, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the principal entered into a certain contract with the Government, numbered and dated as shown above and hereto attached: NOW THEREFORE, if the principal shall well and truly perform and fulfill all the undertakings, covenants, terms, conditions, and agreements of said contract duringthe original term of said contract and any extensions thereof that may be granted by the Government, with or without notice to the surety, and during the life of any guaranty required under the contract, and shall also well and truly perform and fulfill all the undertakings, covenants, terms, conditions, and agreements of any and all duly authorized modifications of said contract that may hereafter be made, notice of which modifications to the surety being hereby waived, then, this obligation to be void; otherwise to remain in full force and virtue. IN WITNESS WHEREOF, the above-bounden parties have executed this instrument under their several seals on the date indicated above, the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. In Presence of: WITNESS INDIVIDUAL PRINCIPAL I See Ie eh Vr ge en yg ng OO Se Name ac te TE eerie st Te TY [SEAL] Se SA en PO Nn Mle Vere Noelle i ar 1211S sa al ale amc RR oa poe [SEAL] Ss (oe laa ViefetGiaee heal c oat gaat anmect ante comments ic eee ee aaa emer spear on Seat een Rak Soar aeAy [SEAL] = BATE ME MIAME Pela Rete ys Minnis eri ee BNO Sarre octet ha ese ag eas ng thee ant ee [SEAL] WITNESS INDIVIDUAL PRINCIPAL reel tr a awe fo miei a INIT com = I terre =! eh Net OT eth ae Loe I eae aa eit a [SEAL] Be ee eA JE Hee dt ack Pediat eRe ce eat Lo ee LN ease re Pra Oa a [SEAL] CORPORATE PRINCIPAL Attest BUSINESS ADDRESS BY AFFIX CORPORATE TITLE SEAL CORPORATE SURETY Attest BUSINESS ADDRESS BY AFFIX CORPORATE TITLE SEAL FORM - P&P-PB-20-73 GOVERNMENT OF THE VIRGIN ISLANDS DATE BOND EXECUTED REVISED: 216-00 PAYMENT BOND COMM. OF PROP.& PROC. (See Instructions on Reverse) PRINCIPAL SURETY PENAL SUM OF BOND (Express in words and figures) CONTRACT NO. DATE OF CONTRACT KNOW ALL MEN BY THESE PRESENTS, That we, the PRINCIPAL and SURETY above named, are held and firmly bound unto the Government of the Virgin Islands, hereinafter called the government, in the penal sum of the amount stated above, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the principal entered into a certain contract with the Government, numbered and dated as shown above and hereto attached: NOW THEREFORE, if the principal shall promptly make payment to all persons supplying labor and material in the prosecution of the work provided for in said contract, and any and all duly authorized modifications of said contract that may hereafter be made, notice of which modifications to the surety being hereby waived, then this obligation to be void; otherwise to remain in full force and virtue. IN WITNESS WHEREOF, the above-bounden parties have executed this instrument under their several seals on the date indicated above, the name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. In Presence of: WITNESS INDIVIDUAL PRINCIPAL Th rgb elitwclsnatodtapr tian Miele Me ee Mee RW eteys tetyet an Sy a tad oe ied calf oe rates [SEAL] _aRen ee ine ne Aetna mT en We Re tas ein Moe Me Sete he ie Ne Mae a Moi Nis ae [SEAL] Sacre Me oul uate cc uiceu tbe eiias teas stat ouetare BONS Mag oie elit Vari My) dn Sa a a [SEAL] Foal ee See) ies ates eee ami [2G ey a Se ne eee NESE ile Tm ee [SEAL] WITNESS INDIVIDUAL PRINCIPAL Ms oie ncaa epee ee uoaaas Ue teaeh 1 od Ae ORR eee aee Rei ST ds Oa TA a [SEAL] See ee a a es eek, TNL es i RS <1 eS Arteta Rear ne ir tea ote Cte eit oa lee ee [SEAL] CORPORATE PRINCIPAL Attest BUSINESS ADDRESS BY AFFIX CORPORATE TITLE SEAL CORPORATE SURETY Attest BUSINESS ADDRESS BY AFFIX CORPORATE TITLE SEAL DPP-NCA-52-75 REVISED: 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS DEPARTMENT OF PROPERTY AND PROCUREMENT NON-COLLUSION AFFIDAVIT CR tar meeramen eacereaincen na salealanOdieten nie Sauls TuaN Ve SAE LAE OR ademeiy ot aeiniol, being duly sworn, deposes and says that — (1) He is [owner, partner, officer, PEPICSCNIGEIVE, OF ABOUT, GP eco oe cn sa vennsiinrmsunivaneuewareuveereaceeoe, Pihciea ate. Loh eames Se etc ebat s ean serweee 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 ‘his 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................ MAN Te corte i eee Sorat daeitneaaie ca etvns Notary Public P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATE'S CONTRACTOR'S QUALIFICATION STATEMENT CON TRAC VOR: seisenisateeaeeusnie es PUD RESIS! svessates wyeei se oxas sans Ua ey dulanabed kane benetnvavastbonenduuceveneus DATE pecasnsacran eet antilis otilcwnitina ties slashes CG aullavat oatue tas ieasawnntiig P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 I. How many years experience in construction work has your organization had (a) As a General Construction SORES SSS RMR SRE a a a a eae: aR is oe Rasa age eS uiw eeoae a eue ye Ss, eatu le a ee ee re (b) As a Sub-Contractor EHLERS REECE Pe UTR SASS ARE ASI I a aR RAP RSS TUS a dtp aed wl maui imagee| carn rwseehives ar searece waren ie aS 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 wie 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 Our 2A. If so where and why? Se eee ee gr gr or a eee ee ee ee TUES SE EE CRE RS A SR A A aS aR eR atin RR AE Gi semi Ug Wo le beg mS neces doe de ae are ee ir eer ar eae ERE ERIN EERSTE SEB SESE EM SRL RR RMSE aC ASST Wea WA aaa aio gia hla Sgr cae een nid neca teu ndsaeei AH 4OR wobtela deena perc tated ap aaes eae ONS 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 reason therefore OE RSET ATR RRS RE SOR MAR SRM RNR ei aa a AN pp aay, BR eS wee wae esas mony acaeom cp iqeacks Baw ier ata aaialcaa SEES REBUT SSR SERN 2 SRS AG eSB SEN RE Wiel ET Sh ea a UR aeRO AEH op gg nS gaa ei nw §L4 DS. eh ened aniwidOwierg omowiancainrce aati ata uydos-wew arargva aveuremmaits EER EE EEE AER EERE AST NSS EESIE MSMR RO RA SSW LARNACA aie a a all a RA een ira Ro Yas vide ar Mita Sen URUWIwN Aah eicg aT UES WEN ATS SOG EES Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name? ei i ere er ea ae If so, state name of individual, name of Owner and reason therefore Pe ee ee eee PSE SSS SSS RRB A AE a NEA ASIA Mei a ML Se eae RES a a GG gloat Malle Sota Wie Td ela aio wr eve-cesgec menor e pamper mcmunsacavaceinoe TSE ERR BER IS SE SR EEA AR A ERC EAE A ER aa a RS Sl gla Be mp wR 8 ALA. dear opm pcm ates agp Ru a BOA een aaa CRS R ow wae pe ‘| In what other lines of business are you financially interested? ate ee ee ee a ee rs A ASR ES RS EEE SA RE RRR EAR A Naa wR RR i AA A SE RGB A Eat etm win wm SC ae oy eNO ptm iae ar iia RRL Rig AC RURRTOia ew MIRAE A MEST Ew WER TE EEE RRR RCRA Sb amg a a a a See aa aA aU he mgm ae ces acy ge ome mca ae wap Wie aa Me wave ele talere aaa atla aE paw Sw ale eS es OSS Yee Se TES ENERO AS ACR RR Rae em eae ma mar a a maa an ee ace Te pal jx WW A oa ART a Seow oe a eae pre cle Sra cals an Wel aC gig gly Puig ine eee -3- 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? Years of Present Position Individual’s Name or Office Construction Maviitude and Type In what Capacity Experience of Work 9. In what manner have you inspected this proposed work? Explain in detail. EEL LLL ILC ASE DN ERLE EA ESSE St HA Ra OR waa aU ene A Hine Aa aLN ar W Rial wah STANSTRRIRIGIE Graieie twa ca eae LUEE4 WB AS CE BS wb dat bw oot am nrece SESE NEE SET PY EELS ORG SANG A ma 8 Neh mm AA ALi a TIE ASE ew se HENTAIN IG WIS SNS AE Gy Gib Ta Sg aS WW wk palace w Drape rnin dewencgeecmramca niera 10. Explain your plan or lay out for performing the proposed work. CE Ny SERED TCE PS ERY eS RY RST AE Aa A MR NR AA ar SEG ge ACER Lly gl brag (pip eu cad STA dice we are ncaa’ cosice'y i'm gue recuiaiig 4 pan Meavandhateiar aa ecemuaeretas PICEA UE ESAS SR AS ic Rm Mme AR AAC Mp SSR img Ria ae we ad alent ay pace nae Ase W pe Wa catle Come wy wi nc le mumiend Sepeured-wie-alS ware Mucea. # WEN wala eee gales TRESS ERSTE SRE ESE: NSA RSS Mono aR owl ERS MEE RE arm ota aNSUR wi aac eiie a Slat Ae Ahae) nah add, gard ae weve Wim es mei saie Sulare Nea Ria Ree cig ow acl ST eS we SIE IIS EE LEE LES LEE LEE DLE ENTE GAS SESS BO ARAN ree Bom Ran neem ma a ine ba aoa Pla INT) GERI Dd Taee a a own Sk gS wala lp SSS SE BSS CLL ELIE ES EES SELES SNS ARTE IS OS. Br hh Rm IA bs cee ie ins ogee ac nl age PR TATE Ea Read SG SAY gig boonies DOBROAS Sallie caw odie bees acavane OEE ES EES NEE ASS SES A Rohs ee AMS on RRR RN NL a aa ee a aia are Mak a CE RTL Sa a aie a IE SS IE Sn Spyies val ee ave-clelevmm o-ale wcolate ecmsamace aa aa aa a a a ee eee ee ey arr ere eee ee ee ee ee re ee SRE SEERA PRS SREB IRTSA S Ab A RTRS AE EA RS ES tea Raa ahaa ak 2 i iie a Wah | 8A i gcmsase es sieiigr och cat wmr age Bp oe ew ere cas AW b btn" Wig HOS OS WATERSS EEE LPAI LAI LTS AN SOE RO SMEG lini 8 amo sn ipsa STOR Heal aw NR aia bg Wd GUD AD Boo a We RTS DE Deedes Mba a ecemesee On SPR SERSESSHNEL TANET EBB nan ite eect nines ene is Menara sn a ease aie al OES gee Mee ie en tng ea lakh aca wie 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? eee ee 12. Do you intend to do the transportation on the proposed work with your own equipment? 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. 14. Do you intend to do grading and foundation work with FOUL Gwe Torees) ont So 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. See ee IRENE Meera oi fared AAA TT BRUNE EN a Sh cat a Ghee day cs catiaolese sq aetiom 4b se ESE LISLE LE OETA IAAL C CS ESE Ee a et ince les Lees wacdWUODEDEAIR OE... 16. Do you intend to sublet any other portion of the work? P & P-COS-13-73 COMM. OF PROP. & PROC. APPROVED: 3-26-73 REVISED 3-18-08 17. Ifso, 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. SPEIER SSE SB ESE AN SERA SGI RIRS NM RHA A Nei BSG PST a RTS RAPT nl AV EGCG ha SWS la ala nce nog 9a. ood sw nceithnap Si dvarerdia: yaa SK Rue gw a ROUEN SURES eee PERE SSE REESE ERENCE SOR SPEC RL STRSTR DRESS GSAT Ba aU leh ig a Ciara aA ecw. carn ce nea aces witcan enous. arava avail elu eas Iw EMO AIT Vk OSG lg ME FE ELE EEL LE SELL EL ALE LET EN ALES SIE IM ERR tee aca winensis a nian tate pc hu cng Taga ar aN RW AL ORS ae WISTS TS RUE WES Wag oe «mere ate 18. From which sub-contractors do you expect to require a bond? ER RN a a a a ea We Sa tL See amp tate a gan arse aa RRS EES SOS S IS SRO set ace Ri Ret ce aR a cea a ina WRG NUT ESE sR PS ET. | wp vancusieargiy a arateeteva SE Sg Ma Een SS BE CS GME ERS SR ate SB RR MES aa cial dae Sha wm 0 ado oar ncn nae p malces mine wate ia mU RIALS SRS Oat NATE 19. What equipment do you own that is available for proposed work? Quantity Item Description, Condition Years of Present Location Size. Capacity, Etc. Service ae DPP-F5—64_75 Approved 3/7/75 Revised 3/18/08 Give Condensed Current Financial Statement Condition at Close of Business — Date ASSETS Dollars Cents 1. Cash (a) on hand $ ......0..000seccvecses (by In Bank ~ Swecsiecuwshe ne (c) Blsewhere “$.cciicscccc..o ce (0) Lotal Cash 8 -. saercemchy veaainse ontace 2. Notes receivable (a) Due within 90 days .............6..cccesssessssscsccsesesesces (b) Due after ......... GANS acsnen ue ae AG) PSE UE ges cece i ot came stead esate 3. Accounts receivable from completed contracts, exclusive of claims not SPDEOWEN TOE DAYTIME ea vacnaerunevccnexnstesod baie puamlen ew uacnanceyoteccasieies 4. Sums earned on uncompleted contracts as shown by Engineer’s or Architect’s estimate (a) Amount receivable after deducting retainage ...... 0.0.00... ccccece eee eeee ee (b) Retainage to date due to upon commencement of Contracts ............... 5. Accounts receivable from source other then commencement of 2 1 aR ee AR i ANE ne is Be oI MOB ra Me CERN 6. Deposits for bids or other guarantees: (a) Recoverable within .......... days (b) Recoverable after ......... 3151 NSH A nea DMMB EA 9k Oe AAT MEN RIO SCAR Ae 7. Interest accrued on Joan, securities, et. 2.00.20... ccc ccc ccceccuceccecceeeccecceece 8. Real estate (a) Used for business purposes .2.2.002.0c02.00005; ocd eceeccuccscvesss (b) Not used for business purposes ..........0.0ccccscelscsssessesseceeserees 9. Stocks and Bonds (a) Listed — present market value ........0........0c.0.00-0 0 (by Uniisted — present valid ia ccen tees tices doseses cues: 10. Materials in stock not included in Item 4 (a) For uncompleted controls (present value) ..............0cccecceeceeeeeceeeceee (b) Other: materials (present Valley a oxcccrcessoncsvesdes seein via veveseews cusses LL Bui priient BOOK VaIUG cc cesvimcveteg yy tag ei nueaayeG aed SEU niastoSeoaes 12; Furniture and fixttines; book value... .c0secossneetiennestenateehensssinwninednccnel A TBC eb 1 CA EMU ERIN OB A LEON nel cs Wee ZHI RE eR tes ol TOTAL ASSETS LIABILITIES L.. Notes payable (a). To banks regular ca iinciccsec get eae as (b) To bank for oértified CHECKS 2..o. fcc odes vis cissssie cage ivesceis vastosact ee (¢) To others for equipment obligations... :....0c.c0cesitsasiaes ovedodecsassnbe (d) To others exclusive of equipment obligations ...........0..0.0000.ccc esse eee 2. Accounts paynble (ay Not past duesiis, v.gs6 sein vecrsa ch evaad bvsdeaigeitse Meee al (hy) Past dure sce ao aed Seer eee Se pe 3, Real Estate @ncumbrances gi Codlus sti nanciein deat ote eas evens BOTH LADINO S 53 acias hacia Resevs ee cateane ed taeda ae ere ae Oh TRGB SWS ascot ned awamyrcaubunsuanier ted eSeeegera ees Bade oes ee Oa see 6.'Capital stock paid wp (a) Cominoti ccc. co ce.c ae seua can sao: asenekencalesibme (5) Com mien aise a sass ac cata te ea CE) POGOe 225 ccoetahs cat aunlas ot shan pce cus cence caeereey Cel) Preferred 55 sce rcs c scans tentesintelinediant pases one : dy Sure (Het worth) armed Wh ...ccnniioesncersovecvarssbecsisndartensuenenrecarncel Wneaened $iis 8s cieuwectis Rea age uae leowee a seas TOTAL LIABLITIES GIVE CONDENSED CURRENT FINANCIAL STATEMENT Cont CONTINGENT LIABILITIES Liability on notes receivable, discounted or sold Le ee ee er eee ee ] Liability on accounts receivable, pledged, assigned or sold Liability s bondman i ee eS ee ak ae ere ee ee ae eee en er ere Liability as guarantor on contracts or on accounts of others Other contingent liabilities