R16-078RESOLUTION NO. R16 -078
A RESOLUTION OF THE CITY OF BOYNTON BEACH,
FLORIDA, APPROVING THE AWARD OF A CONTRACT TO
FLORIDA DESIGN DRILLING CORP FOR MASTER LIFT
STATION 309 IMPROVEMENTS, 033 - 2821- 16 /TP, IN THE
AMOUNT OF $1,832,000 PLUS A 10% CONTINGENCY IN THE
AMOUNT OF $183,200 FOR A TOTAL BUDGET
APPROPRIATION OF $2,015,200; AUTHORIZING THE CITY
1 MANAGER TO SIGN THE CONTRACT; AND PROVIDING AN
1 EFFECTIVE DATE.
1
1
1 WHEREAS, on May 17, 2016, bid proposals were received and publicly opened for
1$1 the Master Lift Station No. 309 Improvements project, Bid No. 033 - 2821- 16 /TP. Five (5)
141 bids were received, and Florida Design Drilling Corp. was identified as the apparent low
1TI bidder; and
1$1 WHEREAS, the City's staff and the City's Construction Manager for the project,
1 f I Mathews Consulting, reviewed and evaluated the bid proposals as a result of the bid
evaluation -due diligence performed staff is recommending the award of the contract to
2 FLORIDA DESIGN DRILLING CORP who was the lowest, most responsive,
2 responsible bidder who met all qualifications; and
2$I WHEREAS, the City Commission of the City of Boynton Beach upon
recommendation of staff, deems it to be in the best interest of the citizens of the City of
2 fl Boynton Beach to award a contract to FLORIDA DESIGN DRILLING CORP for master
lift station 309 improvements, Bid Number 033 - 2821- 16 /TP, in the amount of
2tJ $1,832,000.00 plus a 10% contingency in the amount of $183,200.00 for a total budget
appropriation of $2,015,200
361 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
{00135767.1 306-9001821)
THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
being true and correct and are hereby made a specific part of this Resolution upon adoption
hereof.
Section 2. The City Commission of the City of Boynton Beach, Florida does
hereby award a contract for MASTER LIFT STATION 309 IMPROVEMENTS, bid number
033 - 2821 -16 /TP to FLORIDA DESIGN DRILLING CORP in the amount of $1,832,000
plus a 10% contingency in the amount of $183,200 for a total budget appropriation of
$2,015,200. A copy of the contract is attached hereto as Exhibit "A ".
1�
1
1
1
1
Section 3. The City Manager is authorized to execute the contract on behalf of
the City Commission.
Section 4. This Resolution shall become effective immediately upon passage.
{REMAINDER OF PAGE INTENTIONALLY LEFT BLANK}
{00135767.1 306 - 90018211
PASSED AND ADOPTED this 21 day of June, 2016.
CITY OF BOYNTON BEACH, FLORIDA
YES NO
Mayor — Steven B. Grant
Vice Mayor — Mack McCray
Commissioner — Justin Katz
Commissioner — Christina L. Romelus 1�
Commissioner — Joe Casello
VOTE 5
ATTEST:
d '//
Ju 'th A. Pyle, CMC
Interim City Clerk
(Corporate Seal)
{00135767.1 306 - 9001821}
\ (C::> - c�'A 9
CONSTRUCTION CONTRACT
MASTER LIFT STATION 309 IMPROVEMENTS
THIS AGREEMENT is entered into between the CITY OF BOYNTON BEACH, a municipal
corporation, hereinafter referred to as "CITY', and _Florida Design Drilling Corp._, a corporation
authorized to do business in the State of Florida, hereinafter referred to as the "CONTRACTOR ".
WHEREAS, the CITY has awarded to the CONTRACTOR the work of performing certain
construction services.
WHEREAS, at its meeting of _June 21 , 2016, by Resolution No.: , the CITY
Commission authorized the proper CITY officials to execute this Contract hereinafter referred to as
Contract No.: 033 - 2821 -16/TP , and;
NOW, THEREFORE, CITY and CONTRACTOR, in consideration of the mutual covenants
hereinafter set forth, agree as follows:
Article 1. SCOPE OF WORK
CONTRACTOR shall furnish all plant, labor, materials, and equipment and perform all the necessary
WORK in the manner and form provided in the Contract Documents entitled: MASTER LIFT STATION
NO. 309. Invitation to Bid #033 - 2821- 16/TP.
Article 2. CONSULTANT
Mathews Consulting, Inc. ( "CONSULTANT ") has designed the Project and will assume all duties and
responsibilities and will have the rights and .authority assigned to CONSULTANT in connection with
completion of the WORK in accordance with the Contract Documents.
Article 3. CONTRACT TIME; LIQUIDATED DAMAGES.
3.1 The WORK will be substantially completed within 270 calendar days from the date when the
Contract Time commences to run as provided in paragraph 2.3 of the General Conditions, and
completed and ready for final payment in accordance with paragraph 14.9 of the General
Conditions within 30 calendar days from the date of Substantial Completion.
3.2 Liquidated Damages. The CITY and CONTRACTOR recognize and acknowledge that time is
of the essence of this Contract and that the CITY will suffer financial loss if the WORK is not
completed within the times specified in paragraph 3.1 above, plus any extensions thereof
allowed in accordance with Article 12 of the General Conditions. Each of the parties
acknowledges that it has attempted to quantify the damages which would be suffered by the
CITY in the event of the failure of CONTRACTOR to perform in a timely manner, but neither
one has been capable of ascertaining such damages with a certainty. CITY and
CONTRACTOR also recognize and acknowledge the delays, expense and difficulties involved
in proving in a legal preceding the actual loss suffered by the CITY if the WORK is not
completed on time. Accordingly, instead of requiring any such proof, the CITY and
CONTRACTOR agree that as liquidated damages for delay (but not as a penalty)
CONTRACTOR shall pay the CITY, Twelve Hundred Dollars ($_1,200 ) for
each day that expires after the time specified in paragraphs 3.1 for substantial completion until
Boynton Beach Utilities — Master LS309 Improvements C -1
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the WORK is substantially complete. After Substantial Completion, if CONTRACTOR shall
neglect, refuse or fail to complete the remaining WORK within the Contract Time or any proper
extension thereof granted by the CITY, CONTRACTOR shall pay CITY _Three
Hundred Dollars ($_300.00 ) for each day that expires after the time specified in
paragraph 3.1 for completion and readiness for final payment.
Article 4. CONTRACT PRICE.
CITY shall pay CONTRACTOR, for faithful performance of the Contract, in lawful money of the United States
of America, and subject to the additions and deductions as provided in the Contract Documents, a total sum
as follows:
Based on the Contract prices shown in the Bid Form submitted to the CITY as
subsequently revised and as stated herein, a copy of such Bid Form being a part of the
Contract Documents, the aggregate amount of this Contract (obtained from either the
lump sum price, the application of unit prices to the quantities shown in the Bid Form
or the combination of both) not to exceed:
One Million Eight Hundred Thirty -Two Thousand Dollars and -0- cents
(Written)
$1,832,000
(Numerical)
Article 5. PAYMENT PROCEDURES
CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General
Conditions. CITY will process Applications for Payment as provided in the General Conditions.
5.1 Progress Payments. CONTRACT may submit an Application for Payment as
recommended by CONSULTANT, for WORK completed during the Project at intervals of
not more than once a month. All progress payments will be on the basis of the progress
of WORK measured by the schedule of values established in Paragraph 2.9.1 of the
General Conditions and in the case of Unit Price Work based on the number of units
completed or, in the event there is no schedule of values, as provided in the General
Requirements.
5.2 Prior to Substantial Completion progress payments will be made in an amount equal to
90% of WORK completed, but, in each case, less the aggregate of payments previously
made and less such amounts as CONSULTANT shall determine, or CITY may withhold,
in accordance with paragraph 14.5 of the General Conditions.
5.3 CONTRACTOR shall submit with each Application for Payment, and updated progress
schedule acceptable to the CITY and a Warranty of Title /release of liens relative to the
Work that is the subject of the Application. Each Application for Payment shall be
submitted to the CITY for approval. The CITY shall make payment to the
CONTRACTOR within thirty (30) days after approval by the CITY of CONTRACTOR'S
Application for Payment and submission of an acceptable updated progress schedule.
5.4 Ten percent (10) of all monies earned by the CONTRACTOR shall be retained by CITY
until fifty (50) percent completion of the construction services purchased (defined as that
point at which fifty (50) percent of the construction of the work as defined in the Contract
Schedule of Values has been performed under the contract by the CONTRACTOR) has
been reached.
Boynton Beach Utilities — Master LS309 Improvements C -2
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5.5 After fifty (50) percent completion of the construction work purchased under the Contract
has been reached, five (5) percent of all monies earned by the CONTRACTOR shall be
retained by the CITY until Final Completion and acceptance by CITY.
5.6 The CITY may withhold, in whole or in part, payment to such extent as may be necessary
to protect itself from loss on account of:
a. Defective Work not remedied.
b. Claims filed or reasonable evidence indicating probable filing of claims by other
parties against CONTRACTOR.
c. Failure of CONTRACTOR to make payments properly to SUBCONTRACTORS
or for material or labor.
d. Damage to another CONTRACTOR not remedied.
e. Liquidated damages and costs incurred by the CITY for extended construction
administration.
When the above grounds are removed or resolved or CONTRACTOR provides a surety
bond or consent of Surety, satisfactory to the CITY, which will protect the CITY in the
amount withheld, payment may be made in whole or in part.
5.7 Final Payment. Upon final completion and acceptance of the WORK in accordance with
paragraph 14.10 of the General Conditions, CITY shall pay the remainder of the Contract
Price as recommended by CONSULTANT as provided in paragraph 14.10.
Article 6. CONTRACTOR GUARANTEE
CONTRACTOR warrants all work, materials and equipment shall be free from damages and /or defects
owing to faulty materials or workmanship for a period of one (1) year after completion of the WORK
covered by this Contract. The CONTRACTOR, free of all costs to the CITY, shall replace any part of the
equipment, materials, or work included in this Contract, which proves to be defective by reason of faulty
materials, damages, and /or workmanship within twelve (12) month period.
Article 7. CONTRACT DOCUMENTS
The Documents hereinafter listed shall form the Contract and they are as fully a part of the Contract as if
attached hereto:
7.1 Invitation to Bid
7.2 Instructions to Bidders
7.3 Bid Forms (including the Bid, Bid Schedule(s), Information Required of Bidder, Approved Bid
Bond, and all required certificates, affidavits and other documentation)
7.4 Contract
7.5 Contractor's Performance and Payment Bond
7.6 General Conditions
7.7 Special Conditions
7.8 Technical Specifications
7.9 Drawings
7.10 Addendum No. 1 Dated _5/5/16
Boynton Beach Utilities — Master LS309 Improvements C -3
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ARTICLE 8. NOTICE All notices required in this Contract shall be sent by certified mail, return receipt
requested and if sent to the CITY shall be mailed to:
City of Boynton Beach
Attn: Jose Huertas, Project Manager
124 E. Woolbright Road
Boynton Beach, FL 33435
Tel (561) 742 - 6487
Copy to: Procurement Services Division
Attn: Director of Finance
City of Boynton Beach
100 E. Boynton Beach Boulevard
Boynton Beach FL 33425
Tel (561) 742 -6310
Fax (561) 742 -6322
And if sent to the CONTRACTOR shall be mailed to:
Florida Design Drilling Corp
7733 Hooper Road
West Palm Beach, FL 33411
Attn: Jeffrey Holst
Tel: (561) 844 -2966
Cell: (561) 818 -3228
Email: jeff @fldrilling.com
Article 9. INDEMNITY
In consideration of Twenty -Five Dollars ($25.00) in hand paid and other valuable consideration, receipt of
which is hereby acknowledged, CONTRACTOR agrees to defend, indemnify and hold harmless the CITY, its
agents and employees, in accordance with paragraph 6.17 of the General Conditions which is incorporated
herein and made a part hereof as if fully set forth herein. It is the specific intent of the parties hereto that the
foregoing indemnification complies with Florida Statutes 725.06. It is further the specific intent and
agreement of said parties that all of the Contract Documents on this Project are hereby amended to include
the foregoing indemnification and the Specific Consideration.
Article 10. REIMBURSEMENT OF CONSULTANT EXPENSES
Should the completion of this Contract be delayed beyond the specified or adjusted time limit,
CONTRACTOR shall reimburse the CITY for all expenses of consulting and inspection incurred by the CITY
during the period between said specified or adjusted time and the actual date of final completion. All such
expenses for consulting and inspection incurred by the CITY will be charged to CONTRACTOR and be
deducted from payments due CONTRACTOR as provided by this Contract. Said expenses shall be further
defined as CONSULTANT charges associated with the construction contract administration, including
resident project representative costs.
Article 11. FLORIDA'S PUBLIC RECORDS LAW.
The City is a public agency subject to Chapter 119, Florida Statutes. The Contractor shall comply with
Florida's Public Records Law. Specifically, the Contractor shall:
11.1 Keep and maintain public records required by the CITY to perform the service;
11.2 Upon request from the CITY's custodian of public records, provide the CITY with a
copy of the requested records or allow the records to be inspected or copied within a
reasonable time at a cost that does not exceed the cost provided in Chapter 119,
Florida Statue or as otherwise provided by law;
11.3 Ensure that public records that are exempt or that are confidential and exempt from public
record disclosure requirements are not disclosed except as authorized by law for the
duration of the contact term and, following completion of the contract, Contractor shall
destroy all copies of such confidential and exempt records remaining in its possession once
Boynton Beach Utilities — Master LS309 Improvements C -4
Revised 03/22/2016
the Contractor transfers the records in its possession to the City; and,
11.4 Upon completion of the contract, Contractor shall transfer to the CITY, at no cost to
the CITY, all public records in Contractor's possession. All records stored electronically by
Contractor must be provided to the CITY, upon request from the CITY's custodian of public
records, in a format that is compatible with the information technology systems of the CITY.
11.5 IF THE CONTRACTOR HAS QUESTIONS REGARDING
THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES,
TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS:
(CITY CLERK) 100 E. BOYNTON BEACH BOULEVARD.
BOYNTON BEACH, FLORIDA, 33435.
561 - 742 -6061.
PYLEJ @BBFL.US
Article 12. MISCELLANEOUS.
12.1 No assignment by a party hereto of any rights under or interests in the Contract
Documents will be binding on another party hereto without the written consent of the
party sought to be bound; and specifically but without limitation, moneys that may
become due and moneys that are due may not be assigned without such consent (except
to the extent that the effect of this restriction may be limited by law), and unless specifically
stated to the contrary in any written consent to an assignment no assignment will release
or discharge the assignor from any duty or responsibility under the Contract Documents.
12.2 CITY and CONTRACTOR each binds itself, their partners, successors, assigns and legal
representatives to the other party hereto, their partners, successors, assigns and legal
representatives in respect of all covenants, agreements and obligations contained in the
Contract Documents.
Boynton Beach Utilities — Master LS309 Improvements C -5
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IN WITNESS WHEREOF, the parties have hereunto set their hands and seals on the
day and year set forth below their respective signatures.
IN WITNESS WHEREOF, the parties hereto have executed this Contract in multiple copies,
each of which shall be considered an original on the following dates:
DATED this day of , 2016.
CITY OF BOYNTON BEACH
City Manager Contractor
Attest/Authenticated:
Title
(Corporate Seal)
City Clerk
Approved as to Form: Attest/Authenticated:
Office of the City Attorney Secretary
Boynton Beach Utilities — Master LS309 Improvements C -6
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APPENDIX "C"
ATTACHMENTS
Boynton Beach Utilities — Master LS309 Improvements
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: that
(Insert name of Contractor)
as Principal,
(Address or legal title of Contractor)
hereinafter called Contractor, and
(Name and address of Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto CITY OF BOYNTON
BEACH, P.O. BOX 310, BOYNTON BEACH, FLORIDA 33425 -0310 as Obligee, hereinafter
called Owner, in the amount of
Dollars
($ ), for payment whereof Contractor and Surety bind themselves,
their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by
these presents.
WHEREAS,
Contractor has by written agreement dated , 20 , entered
into a contract with Owner for in
accordance with drawings and specifications prepared by
which contract is by reference made a part of hereof, and is hereinafter referred to as the Contract.
Boynton Beach Utilities — Master LS309 Improvements PFB -1
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
NOW THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall
promptly and faithfully perform such Contract, then this obligation shall be null and void;
otherwise it shall remain in full force and effect.
The Surety hereby waives notice of any alteration or extension of time made by the Owner.
Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the
Owner having performed Owner's obligations thereunder, the Surety may promptly remedy the
default, or shall promptly:
1. Complete the Contract in accordance with its terms and conditions, or
2. Obtain a bid or bids for completing the Contract in accordance with its terms and conditions,
and upon determination by Surety of the most responsible bidder, or, if the Owner elects,
upon determination by the Owner and the Surety jointly of the most responsible bidder,
arrange for a contract between such bidder and Owner, and make available as work
progresses (even though there should be a default or a succession of defaults under the
contract or contracts of completion arranged under this paragraph) sufficient funds to pay
the cost of completion less the balance of the contract price; but not exceeding, including
other costs and damages for which the Surety may be liable hereunder, the amount set forth
in the first paragraph hereof. The term "balance of the contract price ", as used in this
paragraph, shall mean the total amount payable by Owner to Contractor under the contract
and any amendments thereto, less the amount properly paid by Owner to Contractor.
Any suit under this bond must be instituted before the expiration of one (1) year from the date
on which final payment under the Contract falls due.
No right of action shall accrue on this bond to or for the use of any person or corporation other
than the Owner named herein or the heirs, executors, administrators or successors of the
Owner.
This bond is issued in compliance with Section 255.05, Florida Statutes as may be amended. A
claimant, except a laborer, who is not in privity with the Contractor and who has not received
payment for its labor, materials, or supplies shall, within 45 days after beginning to furnish labor,
materials, or supplies for the prosecution of the work, furnish the Contractor with a notice that he
intends to look to the bond for protection. A claimant who is not in privity with the Contractor and
who has not received payment for its labor, materials, or supplies shall, within 90 days after
performance of the labor or after complete delivery of the materials or supplies, deliver to the
Contractor and to the Surety written notice of the performance of the labor or delivery of the
materials or supplies and the nonpayment. No action for the labor, materials, or supplies may be
instituted against the Contractor or the Surety unless both notices have been given. No action
shall be instituted against the Contractor or the Surety on the bond after one (1) year from the
performance of the labor or completion of delivery of the materials or supplies.
Boynton Beach Utilities — Master LS309 Improvements PFB- 2
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
Signed and sealed this day of , 2016.
Principal (Seal)
Witness
Title
Surety
Witness
Attorney -in -Fact
END OF PERFORMANCE BOND
Boynton Beach Utilities — Master LS309 Improvements PFB- 3
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
N1Y O
o r . u
p
w
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF
THE OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE
CONTRACT
KNOW ALL MEN BY THESE PRESENTS: that
(Address or legal title of contractor)
hereinafter
called
(Insert name of Contractor)
as Principal,
Principal, and
(Name and address of Surety)
as Surety, hereinafter called Surety, are held and firmly bound unto CITY OF BOYNTON
BEACH, P.O. BOX 310, BOYNTON BEACH, FLORIDA 33425 -0310 as Obligee, hereinafter
called Owner, for the use and benefit of claimants as here below defined, in the amount of
Dollars ($ ), for payment whereof Principal and Surety bind themselves, their
heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
WHEREAS, Principal has by written agreement dated ,
20165, entered into a contract with Owner for
in
accordance with drawings and specifications prepared by
which contract is by reference made a part of hereof, and is hereinafter referred to as the
Contract.
NOW THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Principal shall
promptly make payment to all claimants as hereinafter defined, for all labor and material used or
reasonably required for use in the performance of the Contract, then this obligation shall be null
and void; otherwise it shall remain in full force and effect, subject, however, to the following
conditions:
Boynton Beach Utilities — Master LS309 Improvements PYB- 1
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
I . A claimant is defined as one having a direct contract with the Principal or with a
subcontractor of the Principal for labor, material or both, used or reasonably required for use
in the performance of the Contract, labor and material being construed to include that part of
water, gas, power, light, heat, oil, gasoline, telephone service or rental of equipment directly
applicable to the Contract.
2. The above named Principal and Surety hereby jointly and severally agree with the Owner
that every claimant as herein defined, who has not been paid in full before the expiration of
a period of ninety (90) days after the date on which the last of such claimant's work or labor`
was done or performed, or materials were furnished by such claimant, may sue on this bond
for the use of such claimant, prosecute the suit to final judgment for such sum or sums as
may be justly due claimant, and have execution thereon. The Owner shall not be liable for
the payment of any costs or expenses of any such suit.
3. No suit or action shall be commenced hereunder by any claimant:
a. Unless claimant, other than one having a direct contract with the Principal, shall have
given written notice to any two of the following: the Principal, the Owner, or the Surety
above named, within ninety (90) days after such claimant did or performed the last of the
work or labor, or furnished the last of the materials for which such claimant is made,
stating with substantial accuracy the amount claimed and the name of the party to whom
the materials were furnished, or for when the work or labor was done or performed. Such
notice shall be served by mailing the same by registered mail or certified mail, postage
prepaid, in an envelope addressed to the Principal, Owner or Surety, at any place where
an office is regularly maintained for the transaction of business, or served in any manner
in which legal process may be served in the State in which the aforesaid project is
located, save that such service need not be made by a public officer.
b. After the expiration of one (1) year following the date on which Principal ceased work on
such Contract, it being understood, however, that if any limitation embodied in this bond
is prohibited by any law controlling the construction hereof such limitation shall be
deemed to be amended so as to be equal to the minimum period of limitation permitted
by such law.
c. Other than in a State Court of competent jurisdiction in and for the County or other
political subdivision of the State in which the Project, or any part thereof, is situated, or in
the United States District Court for the district in which the Project, or any part thereof, is
situated, and not elsewhere.
4. The amount of this bond shall be reduced by and to the extent of a payment or payments
made in good faith hereunder, inclusive of the payment by Surety of mechanics liens which
may be filed of record against such improvements, whether or not claim for the amount of
such lien be presented under and against this bond.
5. This bond is issued in compliance with Section 255.05, Florida Statutes, as may be
amended. A claimant, except a laborer, who is not in privity with the Contractor and who has
not received payment for its labor, materials, or supplies shall, within 45 days after
beginning to furnish labor, materials, or supplies for the prosecution of the work, furnish the
Contractor with a notice that he intends to look to the bond for protection. A claimant who is
not in privity with the Contractor and who has not received payment for its labor, materials,
or supplies shall, within 90 days after performance of the labor or after complete delivery of
Boynton Beach Utilities— Master LS309 Improvements PYB- 2
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
the materials or supplies, deliver to the Contractor and to the Surety written notice of the
performance of the labor or delivery of the materials or supplies and the nonpayment. No
action for the labor, materials, or supplies may be instituted against the Contractor or the
Surety unless both notices have been given. No action shall be instituted against the
Contractor or the Surety on the bond after one (1) year from the performance of the labor or
completion of delivery of the materials or supplies.
Signed and sealed this day of , 2016.
Principal (Seal)
Witness
Surety
Witness
Attorney -in -Fact
END OF PAYMENT BOND
Boynton Beach Utilities— Master LS309 Improvements PYB- 3
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
AT AWARD
Sy p
STATE OF FLORIDA
CITY OF BOYNTON BEACH
WARRANTY OF TITLE
COUNTY OF , being first duly sworn, deposes and says ,
as follows:
He is
of
(Title)
a Florida Corporation
a Florida General Partnership
a Florida Limited Partnership
a Sole Proprietor
( ) Check One
which is named in Construction Contract dated the day of
20 , between such corporation as the CONTRACTOR and the City of Boynton Beach, Florida
as the OWNER, for the construction of
and Affiant is authorized to make
this Affidavit as, or on behalf of, the Contractor as named above.
Title to all work, materials and equipment covered by the attached Final Application for
Payment dated , passes to the Owner at the time of payment free and
clear of all liens, and all laborers, material men and subcontractors have been paid for performing
or furnishing the work, labor or materials upon such Contract work covered by the aforesaid Final
Application for Payment.
This statement under oath is given in compliance with Section 713.06 Florida Statutes.
Sworn to and subscribed before me this
day of , 2016.
Notary Public, State of Florida at Large
My Commission expires:
(SEAL)
(Name of Corporation or Firm)
Affiant
END OF WARRANTY OF TITLE
Boynton Beach Utilities — Master LS309 Improvements WT - 1
THIS FORM SHALL BE EXECUTED BY CONTRACTOR AND SUBMITTED
WITH FINAL APPLICATION FOR PAYMENT
City of Boynton Beach
Risk Management Department
INSURANCE ADVISORY FORM
Under the terms and conditions of all contracts, leases, and agreements, the City requires appropriate coverages
listing the City of Boynton Beach as Additional Insured. This is done by providing a Certificate of Insurance listing the
City as "Certificate Holder' and "The City of Boynton Beach is Additional Insured as respect to coverages noted."
Insurance companies providing insurance coverages must have a current rating by A.M. Best Co. of "B +" or higher.
(NOTE: An insurance contract or binder may be accepted as proof of insurance if Certificate is provided upon
selection of vendor.) The following is a list of types of insurance required of contractors, lessees, etc., and the limits
required by the City: (NOTE: This list is not all inclusive, and the City reserves the right to require additional
types of insurance, or to raise or lower the stated limits, based upon identified risk.)
TYPE (Occurrence Based Only)
General Liability
Commercial General Liability
Owners & Contractor's Protective (OCP)
Liquor Liability
Professional Liability
Employees & Officers
Pollution Liability
Asbestos Abatement
Lead Abatement
Broad Form Vendors
Premises Operations
Underground Explosion & Collapse
Products Completed Operations
Contractual
Independent Contractors
Broad Form Property Damage
Fire Legal Liability
MINIMUM LIMITS REQUIRED
General Aggregate $ 1,000,000.00
Products - Comp /Op Agg. $ 1,000,000.00
Personal & Adv. Injury $ 1,000,000.00
Each Occurrence $ 1,000,000.00
Fire Damage (any one fire)$ 50,000.00
Med. Expense (any one person) $ 5,000.00
Automobile Liability
Any Auto
All Owned Autos
Scheduled Autos
Hired Autos
Non -Owned Autos
PIP Basic
Intermodal
Combined Single Limit $ 300,000.00
Bodily Injury (per person) to be determined
Bodily Injury (per accident)to be determined
Property Damage to be determined
Trailer Interchange $ 50,000.00
Garage Liability
Auto Only, Each Accident
$ 1,000,000.00
Any Auto
Other Than Auto Only
$ 100,000.00
Garage Keepers Liability
Each Accident
$ 1,000,000.00
Aggregate
$ 1,000,000.00
---------------------------------------------------------------------------------------------------------------------------------------
Excess Liability
Each Occurrence
to be determined
Umbrella Form
Aggregate
to be determined
--------------------------------------------------------------------------------------------------------------------------------------
Worker's Compensation
Statutory Limits
Employer's Liability
Each Accident
$ 100,000.00
Disease, Policy Limit
$ 500,000.00
Disease Each Employee
$ 100,000.00
Property
Homeowners Revocable Permit
Builder's Risk
Other - As Risk Identified
$ 300,000.00
Limits based on Project Cost
to be determined
INSURANCE ADVISORY FORM