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R-1740 - 08/14/2018 - CONTRACTS - Resolutions Exhibits - REVIEW OF CONTRACTS Awarding Agency: e of Contract: l U ED . V Depa ment: Program/Account Number: Awarded Contract Price: Budgeted Amount: [] Under $20,000 $500,001 - $1,000,000 $20,000 - $500,000 Over $1,000,000 I Name'sea0 Date: Name:` J1. Date: 7 1cr �- Name: Date: 7-0 —le Name: x Date: Three (3) Originals signed other art Date/Initial Aq 1� g b y party Original provided to staff member for other party Date/Initials l� 1 Original provided to Official Files Date/Initial village of Oak Brook I Approved by Board of Trustees- Date/Initials: vGE OF 0qIr�90 Village of Oak Brook - Golf Course Cart Path Paving 0 Bid Package G + O 9�161 COUNT*i,•\'�\ May 2018 Table of Contents Section A. Notice to Bidders B. Bid C. Instructions to Bidders D. Specifications E. Special Conditions F. Statement of Bidder's Qualifications G. References H. Bid Certification I. Contract J. Contract Bond Section A Notice to Bidders Posted on the Village of Oak Brook website, Wednesday, May 23, 2018 The Village of Oak Brook will receive bids for: Golf Course Cart Path Paving Sealed bids will be received by Rania Serences, Senior Purchasing Assistant, Village of Oak Brook, 1200 Oak Brook Road, Oak Brook, IL 60523 until 11:00 A.M., Wednesday, June 6 2018, prevailing time, and publicly opened in the Samuel E. Dean Board Room at that time. Each bid shall be accompanied by a bank cashier's check, certified check (checks made payable to the Village of Oak Brook) or bid bond for not less than ten percent (10%) of the amount bid. Bidders are required to meet with the Village Representative for a site visit prior to submitting their bid. The Village Representative is Sean Creed and can be reached at 630-368-6460. A complete bid package, of which this legal notice is a part, is on file for inspection and may be downloaded from the Village's website www.oak-brook.org or picked up at the Butler Government Center, 1200 Oak Brook Road, Oak Brook, Illinois 60523, between the hours of 8 A.M. and 4:30 P.M. Monday through Friday. There is no charge for the package. No bid shall be withdrawn after opening of bids without the consent of the Village of Oak Brook for a period of ninety (90) days after the scheduled time of opening bids. The Village of Oak Brook reserves the right to reject any or all bids and to waive any informalities in bidding and to accept the bid deemed most advantageous to it. The Village shall not be committed to any minimum dollar purchase, and reserves the right to either increase or decrease the actual quantities ordered, at our sole option. Items will be ordered and delivered as needed throughout the year, in quantities determined by the Village. The Village also reserves the right to split the award based on categories or individual items contained in the bid. Charlotte Pruss Village Clerk Section B Bid 1. COST OF WORK: The undersigned, acting for and on behalf of contractor and having familiarized himself with conditions affecting the cost of the work and its performance and having carefully examined and fully understood the entire bid package, hereby affirms and agrees to enter into a contract with the Village of Oak Brook, Oak Brook, IL. To provide all supervision, labor, material, equipment and all other expense items to completely perform the work covered by all specifications for the work. The Village of Oak Brook reserves the right to reject any or all bids and to waive any informalities in bidding and to accept the bid deemed most advantageous to it. The undersigned submits herewith his lump sum bid as follows: Cart Path Paving ESTIMATED TONS UNIT PRICE/TON EXTENDED o� 1 Bituminous 361.5 $ ® $ � Concrete Surface Course Mixture C, Class 1, Type 3 2. COSTS: The undersigned contractor hereby affirms and states the prices quoted herein constitute the total cost to the Village for all work involved in the respective items and that this cost also includes all insurance, royalties, transportation charges, use of all tools and equipment, superintendence, overhead expense, all profits and all other work, services and conditions necessarily involved in the work to be done and materials to be furnished in accordance with the requirements of the contract documents considered severally and collectively. All bids shall be held valid for a period of forty-five (45) days after the bid due date. 3. PRE-BID MEETING: A pre-bid meeting will not be held. However, all prospective bidders are required to visit the site and meet with the Village Representative prior to submitting a bid. The Village Representative is Sean Creed, Golf Course Manager/Superintendent, and can be reached at 630-368-6460. 4. INSTRUCTIONS TO BIDDERS: The undersigned contractor shall comply with all provisions and requirements of this Bid Package. 5. TIME OF COMPLETION: The undersigned affirms and declares that if awarded the contract for this work he will completely perform said contract in strict accordance with its terms and conditions by November 1st, 2018, unless additional time shall be granted by the Village in accordance with the provisions of the specifications. Should the contractor fail to complete the work by said date or within such extended time as may have been allowed, the contractor shall be liable to the Village in the amount set forth in the specifications. 6. BID GUARANTEE: Accompanying this bid is a bid bond, or bank cashier's check or certified check for not less than ten percent (10%) of the amount of the Base Bid made payable to the Village of Oak Brook. The amount of the bid bond or check is vr�e=- ,L -fig'd-Ls4J—t4- -hLtw 2�- tea lI cc t%($ 3, `� �g1. If this bid 6 g/jQis accepted and the undersigne shall fail to execute a contract and the contract bond, provide acceptable Certificates of Insurance, and provide an acceptable Progress Schedule as required herein, it is hereby agreed that the amount of the bid bond or check shall become the property of the Village and shall be considered as payment of damages due to delay and other causes suffered by the Village because of the failure to execute said contract, contract bond, acceptable Certificate of Insurance and Progress Schedule; otherwise said bid bond or check shall be returned to the undersigned. Attach bid bond, bank cashier's check or certified check here. �;., ,:rta .�,.. - .. esr�rsfil�i),�iUt' : . : ` THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE J&R 1st in Asphalt, Inc. 7659 W 98th St Hickory Hills, IL 60457 as Principal, hereinafter called the Principal, and North American Specialty Insurance Company 5200 Metcalf OPN111 Overland Park KS 66202 - 1391 a corporation duly organized under the laws of the State of NH as Surety, hereinafter called the Surety, are held and firmly bound unto Village of Oak Brook 1200 Oak Brook Road Oak Brook, IL 60523 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has submitted a bid for Golf Course Cart Path Paving NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 6th day of June 2018 J&R 1st in Asphalt, Inc. (Principal) �tness) , B : t �r tie) `v��unttu�trrr�iJj� North Am rican Specialty Insurance Company UTY/NsJ4i, (Surety) fJ (Sea]) y;.Q�pp�r Christine Eitel SEAL n 1973 em l�LL <Q4+0� Altomey-in-Fact Kimb rly R. Holmes (rifle) AIA DOCUMENT A310• i IA•FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 J! 3 7 as �2�. r �fi T J i lie M. miAi 4 �'a.nn vo 14- <t sat p-" -W."I jal*94 Ow -ztt 10 Nvlavt�wil 0, Jov'�Sw -t-D twN'xd iz—, t"; vv -ulvk!e. !'w A, �'O b or lawl G-23248-B ss. STATE OF Illinois COUNTY OF Cook 1, Ann Marie Waters Notary Public of Cook County, in the State of Illinois ,do hereby certify that Kimberly R. Holmes Attorney-in-Fact, of the North American Specialty Insurance Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that he signed, sealed and delivered said instrument, for and on behalf of the North American Specialty Insurance Company for the uses and purposes therein set forth. Given under my hand and notarial seal at my office in the City of Lisle in said County,this 6th day of June A.D., 2018 CN-11� Notary Public Ann Marie Waters My Commission expires: July 5, 2021 `Q\FICiAt_ SEAQ" ,ANN 'ARIE WATERS NOTARY PUBLIC,STATE OF ILLINOIS ICY COMMISSION EXPIRES 715/2021 �.i".["` `Y. !`'' •4iveN �:1'. C�.g�� k i.',�;e R �i�i� .'�:' +> ffi�n` kk.w #`�.. i. 1 . - r +`..�.'V S` .'.s"i s4•d==.sM¢ .W .. .ie- Y „k .ir 'i-dwl+ne j,.x ice.. itSA SPoF Tk - %. .. �-i�' �.�� .,:''`��4 a. .,4iS£'�.;'`�S a`3��ir,�•.�:` �u�.:?i �L-�'v`'."'�a:w$.a^a". .,�a�„'1..��.� �i� :�"` { 7�'`�,.�°zt<;r#'-.+a:- tf-t. •.� 3 �...� a Fi`�w`"s$i:dP�kA. r.....,._ ,. ... �.Y i�:s�f��"�.#k `gym SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Overland Park,Kansas,and Washington Intemational Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park,Kansas,each does hereby make,constitute and appoint: Kimberly R. Holmes Principal: J&R 1 st in Asphalt,Inc. Bond Number: Bid Bond Obligee: Village of Oak Brook Bond Amount: See Bond Form Bond Description: Golf Course Cart Path Paving Its true and lawful Attorney-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington Intemational Insurance Company at meetings duly called and held on the 9th of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." `\\\\\1UuU+tl t�ilip� auwun b �R••. - :oBY JuA( Qf�JYbs'oG 4 Steven P.Anderson,Senior Vice President of Washington International Insurance Company a Z' S+�L F•�a� S5-x 1973 Qrni�^ &Senior Vice President of North American Specialty Insurance Company =o= m till By • flitM45.•``�O� o�yyC�.��t�e4F Michael to,Senior Vice President of WasshiingtonnternationaInsuranceT mpany �gJCmNtapt�ppu &Senior Vice President or North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington Intemational Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 12th day of October ,2017 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook Ss: On this 12th day of October ,2017before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M.KENNY Notary Public-State of Illinois My�2ro02021 "� M.Kenny,Notary Public I, Jeffrey Goldberg. the duly elected Assistant Secretary of North Americas Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a-true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington Intemational Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 6th &Y of June ,2018 Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company 841v k-ANOWl' V Usk Ns , { ,.�`, ,. .,rta.,,S��a &.., '�`;:.t 3{. y •$E' i if:, .� fir. r :�, -Xit 3".-10 z., ` .� i+-a. >�s},t,nrG,.1..F'�-. ... a„:,�"-., ci3 .�� #1a A3,.`r - �d: -�=3• ��;:.�+.� +;.u!'. e _i,4,;3:;�'. w.,-±..�.k .. . . :�'}. ja.$ss i” .v[` a;.'*? .. ! .,n ';.f '^rY"x r.+.ixtt cam`' .i3 .. #€3 ,��'« d..,i#• ,e< <_°TS.,+ r r y:... a-`.-. .._ .. .:. ,�"It?`s L. r, x'33.:. r m 'S -�td •i.�tie..t ,..f bb`s of--#,YS .Y:":,� P�.#• .4 4t4.jtYl.f .€,id.. xU'!--'Azt#t.r..^T #i r+$R �J '.€s 2`� ., „x� Tl��.r'S r` 6t't ,.Sft�"F=el:. .�.` .a*is i -•.' + x,7»: K'�3'1.'� k�"4°ia:.iF.ho '•''`.�• .;, t.. .,S:z>E'3a.'s,��t"�`' - lw'' t- ',n�,k�`..kC. -:,jz�.€�u t<F ` } 't ?.xi.•a 't'' KK. 2+e3`sr< "t' s. », tF,•,€7•] `� �s7,+ .fir. �.:n:: ; -., .• .. ? 'F,ai .1+ -.; •;a.,...,,_'a.t.:�•. 3 , „+ f??N. S _ .a,� +'+ "-fes.€a'.r`v�k'. f�. <#r':: r✓# _;. ,.x`a.. 4't�< .:akd`+ a£44fJas d a it4'4` �.5t-1 lb,-"; i£- V�7 -t`f;i df'mc- ? its+..`a >it s 'b�: e�, ..f,} e ,.'`a.t��,-1< sz,8? ? , �;{.�,f� .`? 5a..,; •fir -. ,..cti`t)i ._�"' {.�? .a.` .J.s'zt,',' .�ir' t'al =tsF.wF.�' At MFa+;;t'. 4�} #,. -:1"`= r s..a:F x. _ .., i.: 'rPrte+ ? -. si- - ..i a. :' ,3€t:t`s•"„ 8;::..- n9�.,k, ..-:s,� i',.i, i...l .wed €'JrTr'•,:>« 3's _..t a.,TP£: _+'Sk�k�- '?8 - t;-r seHI...''R a ..tr 11,art- oil arc ` �',d.`.S" to kj !. s �. - 4-_Y_ _ E, .."�F�'k8� i;,. '3��.4,�'iY.+. ,�`.6.J.;?•.rc'v s ..:. r ,. a....a -'•�-t�'r: t7 ate. .. w '�:t 1 _ r.�xr-ii r%f'�,a. .:r'' st '��s,� `�w.rM.'�w• nr- R. f, ';it,:: :_ 'a«� cia:l. ,,k S .t1�.,E i +... ! a _A A .3��, •,,. •� ° �--. _.7 a"arax,,��„ta # Qe;' _. ,,s a� ,��„��,�; _-#:. ? , - -' _- . �°� -.. .. :9 Y`2, _ ., .�:y _ _a 3r.e._ 4' _ f. .... &•_a.. v 'Y,evsA`aT4 N'”-t-f.^ a �A'K'.3:• .r �PS•h SYw V4 " max'- .�,._ a�3+''`: a. - w. . .t .• In the event that one bid bond or one check is intended to cover two or more bids, the amount must equal the sum of the proposal guarantees of the individual sections covered. The bid guarantees of all except the 2 lowest responsible bidders shall be returned after the President and the Board of Trustees of the Village of Oak Brook award the contract. The bid guarantees of the 2 lowest responsible bidders shall be returned after a contract, contract bond, acceptable certificate of insurance, and an acceptable progress schedule have been received from the successful bidder and approved by the Village of Oak Brook. The bid guarantee of all bidders shall be returned in the event that the President and Board of Trustees of the Village of Oak Brook reject all bids. 7- Firm Name: SL44- Address: City, State, ZIP: Signature: Name Printed: Title: Telephone: 0 g- 5��i -__7S 0 _3 Date: s ' If a Corporation: ATTEST: s Secretary Section C Instructions 1. RECEIPT OF BID: 6th day, June, 2018; 11:00 A.M. 2. BASIS OF BID: Sealed bids will be received until the above noted time and date. 3. PROJECT DESCRIPTION: Golf Course Cart Path Paving. A. Cart Paths The proposed improvement herein specified and described contemplates the use of a tacker before overlay and installing bituminous concrete surface course (1 '/2" compacted thickness for all areas). This work shall be accomplished using 6 wheelers and a spreader box. Larger trucks will not be allowed. 4. PREPARATION AND SUBMISSION OF BIDS: A. The Bid must be delivered to the office of the Purchasing Director, Village of Oak Brook, 1200 Oak Brook Road, Oak Brook, IL 60523 on or before Wednesday, at 11:00 A.M., prevailing time, June 6, 2018, at which time it will be publicly opened and read in the S. E. Dean Board Room of the Village Hall. Bids received after this time will not be considered and will be returned unopened. B. Each bid shall be submitted on the exact form furnished. All blank spaces for bid prices, unit costs and alternates must be filled in--in ink--in both words and figures (as stipulated). In case of any discrepancy in the amount bid, the prices expressed in written words shall govern. Bids which are noticeably unbalanced may be voided at the sole discretion of the Village. Each bid must be accompanied by a bank cashier's check, bid bond, or certified check in the amount of 10% of the bid (checks made payable to the Village of Oak Brook). C. Each bidder must complete, execute and submit with its bid a certification that the contractor is not barred from public contracting due to bid-rigging or bid rotating convictions on the form included with the bidding documents. D. Each bidder must submit a complete bid package, including the following items: 1. Bid 2. Bid Bond, or other Bid Security as required 3. Statement of Bidder's Qualifications 4. References 5. Bid Certification E. The Contract and Contract Bond (Performance and Payment) are provided as information, and will be completed by the successful bidder only upon acceptance of the bid by the Village. The surety company issuing the Contract Bond must be listed and approved by the U.S. Department of the Treasury. Letters of Credit will not be accepted in place of the Contract Bond. F. The bid shall be submitted in an opaque sealed envelope on or before the time stated and shall bear the name of the individual, firm, or corporation submitting the Bid and the Project Name: "Golf Course Cart Path Paving". G. Bidders may attach separate sheets to the bid for the purpose of explanation, exception, alternate bid and to cover unit prices, if needed. H. Bidders may withdraw their bid either personally or by written request at any time before the hour set for the bid opening, and may resubmit it. No bid may be withdrawn or modified after the bid opening except where the award of contract has been delayed for a period of more than forty-five (45) days. I. In submitting this bid, the bidder further declares that the only person or party interested in the proposal as principals are those named herein, and that the bid is made without collusion with any other person, firm or corporation. J. The bidder further declares that he has carefully examined this entire Bid Package and he has inspected in detail the site of the proposed work, and that he has familiarized himself with all of the local conditions affecting the contract and the detailed requirements of this work and understands that in making the bid he waives all rights to plead a misunderstanding regarding same. K. The bidder further understands and agrees that if his bid is accepted, he is to furnish and provide all necessary machinery, tools, apparatus, and other means to do all of the work and to furnish all of the materials specified in the contract, except such materials as are to be furnished by the owner (Village), in the manner and at the time therein prescribed, and in accordance with the requirements therein set forth. L. The Bidder declares that he understands that the quantities listed on the Bid and in the plans are approximate only and that they are subject to increase or decrease; and that he will take in full payment thereof the amount and the summation of the actual quantities, as fully determined, multiplied by the unit prices shown in the schedule of prices contained within the Bid. M. The Bidder further agrees that the unit prices submitted within the Bid are for the purpose of obtaining a gross sum, and for use in computing the value of extras and deductions. If there is a discrepancy between the gross sum bid and that resulting from the summations of the quantities multiplied by their respective unit prices, the latter shall apply. N. The bidder further agrees that if the Village decides to extend or shorten the work, or otherwise alter it by extras or deductions, including elimination of one or more of the items, as provided in the specifications, he will perform the work as altered, increased or decreased, at the contract unit prices. O. The bidder further agrees that the Village representative may at any time during the progress of the work covered by this Contract, order other work or materials incidental thereto and that all such work and materials as do not appear in the bid or contract as a specific item covered by a lump sum price, and which are not included under the bid price for other items in the Contract, shall be performed as extra work. P. The bidder further agrees to execute all documents within this Bid Package, obtain a Certificate of Insurance for this work and present all of these documents within fifteen (15) days after the receipt of the Notice of Award and the Contract by him. Q. The bidder further agrees that he and his surety will execute and present within fifteen (15) days after the receipt of the Notice of Award and the Contract, a Contract bond satisfactory to and in the form prescribed by the Village, in the penal amount of 100% of the Contract amount, guaranteeing the faithful performance of the work and payment for labor, material supplies, and subcontractors in accordance with the terms of the Contract. R. The bidder further agrees to begin work not later than ten (10) days after receipt of the Notice to Proceed, unless otherwise provided, and to execute the work in such a manner and with sufficient materials, equipment and labor as will insure its completion within the time limit specified within the bid, it being understood and agreed that the completion within the time limit is an essential part of the contract. S. By submitting a bid, the bidder understands and agrees that, if his bid is accepted, and he fails to enter into a contract forthwith, he shall be liable to the Village for any damages the Village may thereby suffer. T. No bid will be considered unless the party offering it shall furnish evidence satisfactory to the Village that he has necessary facilities, ability and pecuniary resources to fulfill the conditions of the Contract. U. If any person contemplating submitting a bid for the proposed contract is in doubt as to the true meaning of any part of the plans, specifications or other proposed contract documents, he may submit to the Village a written request for an interpretation thereof. The person submitting the request will be responsible for its prompt delivery. Any interpretation of the documents will be made only by addendum duly issued by the Village, and a copy of such addendum will be delivered to each person receiving a set of such documents. The Village will not be responsible for any other explanation or interpretation of the Bid Package. 5. SUBSTITUTIONS: (Not Applicable) 6. CONDITIONS: The Village is exempt from Federal excise tax and the Illinois Retailer's Occupation Tax. This bid cannot include any amounts of money for these taxes. 7. BASIS OF AWARD: The Village of Oak Brook reserves the right to reject any or all bids and to waive any informality or technical error and to accept any bid deemed most favorable to the interests of the Village of Oak Brook. A Contract will be awarded to the lowest responsive and responsible bidder and, in addition to price, the Village will consider: A. Ability, capacity and skill to fulfill the contract as specified. B. Ability to supply the commodities, provide the services or complete the construction promptly, or within the time specified, without delay or interference. C. Character, integrity, reputation, judgment, experience and efficiency. D. Quality of performance on previous contracts. E. Previous and existing compliance with laws and ordinances relating to the contract. F. Sufficiency of financial resources. G. Quality, availability and adaptability of the commodities, services or construction, in relation to the Village's requirements. H. Ability to provide future maintenance and service under the contract. I. Number and scope of conditions attached to the bid/proposal. J. Record of payments for taxes, licenses or other monies due the Village 8. GUARANTEE: Contractor (successful bidder) will guarantee all work for a period of one (1) year against faulty material and/or workmanship. Consequently, the contractor's Contract Bond will extend to one (1) year past the date of final acceptance of the entire work by the President and Board of Trustees of the Village. If any defect appears within the one (1) year guarantee period, the contractor will repair any and all such defects solely at his cost and at no cost to the Village. 9. PAYMENT: The Village of Oak Brook authorizes the payment of invoices on the second and fourth Tuesday of the month. For consideration on one of these dates, payment request must be received no later than fourteen (14) days prior to the second or fourth Tuesday of the month. 10. INDEMNIFICATION: The Contractor shall protect, indemnify, save, defend and hold forever harmless the Village and/or its officers, officials, employees, volunteers and agents from and against all liabilities, obligations, claims, damages, penalties, causes of action, costs and expenses, including without limitation court costs, insurance deductibles and attorney's fees and expenses, which the Village and/or its officers, officials, employees, volunteers and agents may incur, suffer or sustain, or for which the Village and/or its officers, employees and agents may become obligated by reason for any accident, injury to or death of persons or loss of or damage to property, or civil and/or constitutional infringement of rights (specifically including violations of the Federal Civil Right Statutes), arising indirectly or directly in connection with or under, or as a result of, this or any Agreement by virtue of any act or omission of any of the Contractor's officers, employees, subcontractors, and/or agents, provided that the Contractor shall not be liable for claims, obligations, damages, penalties, causes of action, costs and expenses arising solely by any act or omission of the Village's officers, officials, employees, volunteers and/or agents. The contractor shall hold the Village harmless for any and all claims for labor, material, apparatus, equipment, fixtures or machinery furnished to the contractor for the purpose of performing the work under the contract; and the payment of all direct and indirect damages to any person, firm, company or corporation suffered or sustained on account of the performance of such work during the time the contract is in force. 11. INSURANCE: Certificates of Insurance shall be presented to the Village within fifteen (15) days after the receipt by the contractor of the Notice of Award and the unexecuted contract, it being understood and agreed that the Village will not approve and execute the contract nor will the bid guarantee be returned until acceptable insurance certificates are received and approved by the Village Attorney. Each contractor performing any work pursuant to a contract with the Village of Oak Brook and each permittee working under a permit as required pursuant to the provisions of Title I, Chapter 8 of the Code of Ordinances of the Village of Oak Brook (hereinafter referred to as "Insured") shall be required to carry such insurance as specified herein. Such contractor and permittee shall procure and maintain for the duration of the contract or permit insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work under the contract or permit, either by the contractor, permittee, or their agents, representatives, employees or subcontractors. A contractor or permittee shall maintain insurance with limits no less than: A. General Liability - $2,000,000 combined single limit per occurrence for bodily injury, personal injury and property damage, provided that when the estimated cost of the work in question does not exceed $5,000, the required limit shall be $500,000; B. Automobile Liability (if applicable) - $1,000,000 combined single limit per. accident for bodily injury and property damage; C. Worker's Compensation and Employer's Liability - Worker's Compensation limits as required by the Labor Code of the State of Illinois and Employer's Liability limits of$1,000,000 per accident. Any deductibles or self-insured retention must be declared to and approved by the Village. At the option of the Village, either the insurer shall reduce or eliminate such deductible or self-insured retention as respects the Village, its officers, officials, employees and volunteers; or the Insured shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses to the extent of such deductible or self-insured retention. The policies shall contain, or be endorsed to contain, the following provisions: D. General Liability and Automobile Liability Coverage - (1) The Village, its officers, officials, employees and volunteers are to be covered as additional insureds as respects: liability arising out of activities performed by or on behalf of the Insured; premises owned, occupied or used by the Insured. The coverage shall contain no special limitations on the scope of protection afforded to the Village, its officers, officials, employees, volunteers or agents. (2) The Insured's insurance coverage shall be primary insurance as respects the Village, its officers, officials, employees, volunteers and agents. Any insurance or self-insurance maintained by the Village, its officers, officials, employees, volunteers or agents shall be in excess of the Insured's insurance and shall not contribute with it. (3) Any failure to comply with reporting provisions of the policies shall not affect coverage provided to the Village, its officers, officials, employees, volunteers or agents. (4) The Insured's insurance shall apply separately to each covered party against whom claim is made or suit is brought except with respect to the limits of the insurer's liability. E. Worker's Compensation and Employer's Liability Coverage The policy shall waive all rights of subrogation against the Village, its officers, officials, employees, volunteers and agents for losses arising from work performed by the insured for the Village. Each insurance policy shall be endorsed to state that coverage shall not be suspended, voided, canceled by either party, reduced in coverage or in limits except after thirty (30) days prior written notice by certified mail has been given to the Village. Each insurance policy shall name the Village, its officers, officials and employees, volunteers and agents as additional Insureds. Insurance is to be placed with insurers with a Best's rating of no less than A: VII. Each Insured shall furnish the Village with certificates of insurance and with original endorsements effecting coverage required by this provision. The certificate and endorsements for each insurance policy are to be signed by a person authorized by that insurer to bind coverage on its behalf. The certificates and endorsements are to be on forms approved by the Village and shall be subject to approval by the Village Attorney before work commences. The Village reserves the right to require complete, certified copies of all required insurance policies, at any time. Each insured shall include all subcontractors as insureds under its policies or shall furnish separate certificates and endorsements for each subcontractor. All coverages for subcontractors shall be subject to all of the requirements stated herein. 12. SAFETY: The contractor and any subcontractors shall comply with all the provisions of the Federal Occupational Safety and Health Act of 1970 (84 Stat. 1590), as amended. 13. LIQUIDATED DAMAGES: It is also understood and agreed that if the Village determines the Contractor failed to perform either by observing the established schedule or failing to perform to the level of service established herein for more than two (2) consecutive working days, the Village shall reserve the right to impose liquidated damages for said failure to perform, but not as penalty. The Village will serve notice either personally or in writing stating the reasons for imposing liquidated damages on the Bidder providing twenty-four (24) hour notice to correct such items. If at the end of the twenty-four (24) hour period the Bidder has not made the necessary corrections, the Contractor shall pay liquidated damages to the Village in the amount of $500 per day. This failure to perform shall include repeated incidents of any of the following: failure to perform any of the items under the scope of services, failure to respond to or resolve Village complaints, failure to adhere to any and all terms and conditions specified in the contact documents. The Village reserves the right to attempt to work through these items prior to imposing liquidated damages. 14. PERFORMANCE CLAUSE: In the event the quality of service becomes unacceptable, the Village reserves the right to cancel the contract after giving thirty (30)day written notice. 15. EQUAL OPPORTUNITY: The Contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, ancestry, national origin, place of birth, age or handicap unrelated to bona fide occupational qualifications. 16. PREVAILING RATE OF WAGES: All wages paid by the Contractor and each subcontractor shall be in compliance with The Prevailing Wage Act (820 ILCS 130), as amended, except where a prevailing wage violates a federal law, order, or ruling, the rate conforming to the federal law, order, or ruling shall govern. The Contractor shall be responsible to notify each subcontractor of the wage rates set forth in this contract and any revisions thereto. If the Department of Labor revises the wage rates, the revised rate as provided by the public body shall apply to this contract and the Contractor will not be allowed additional compensation on account of said revisions. Contractor will comply with the Illinois prevailing wage law, as amended from time to time. Not less than the prevailing rate of wages as found by Owner or the Illinois Department of Labor shall be paid to all laborers, workers and mechanics performing work under the Contract. If the Department of Labor revises the prevailing rate of wages to be paid laborers, workers or mechanics under the Contract, Owner will notify Contractor and each Subcontractor of the change in the prevailing rate of wages; provided, however, regardless of whether Owner gives such notice, the revised prevailing rate of wages shall apply to the Contract and Contractor shall have the sole responsibility and duty to pay, and ensure that all Subcontractors pay, the revised prevailing rate of wages to each person to whom a revised rate is applicable. Revision of the prevailing wages shall not result in an increase in the Contract sum or other cost to Owner. Contractor shall indemnify, defend and hold Owner harmless from any loss, including but not limited to Owner's attorney's fees, resulting from Contractor's failure to comply with this prevailing wage clause. All bonds applicable to the Contract shall include a provision as will guarantee the faithful performance of the obligation to pay the prevailing rate of wages. The Contractor and each subcontractor shall make and keep, for a period of not less than 3 years, records of all laborers, mechanics, and other workers employed by them on the project; the records shall include each worker's name, address, telephone number when available, social security number, classification or classifications, the hourly wages paid in each period, the number of hours worked each day, and the starting and ending times of work each day. The Contractor and each subcontractor shall submit monthly, in person, by mail, or electronically a certified payroll to the public body in charge of the project. The certified payroll shall consist of a complete copy of the records. The certified payroll shall be accompanied by a statement signed by the contractor or subcontractor which states that: (i) such records are true and accurate; (ii) the hourly rate paid to each worker is not less than the general prevailing rate of hourly wages required; and (iii) the contractor or subcontractor is aware that filing a certified payroll that he or she knows to be false is a Class B misdemeanor. Upon 2 business days' notice, the contractor and each subcontractor shall make available for inspection the records to the public body in charge of the project, its officers and agents, and to the Director of Labor and his deputies and agents at all reasonable hours at a location within this State. The Contractor and each subcontractor shall permit his/her employees to be interviewed on the job, during working hours, by compliance investigators of the Department or the Department of Labor. 17. COPIES OF DOCUMENTS The number of copies of Contract and Bond required to be executed is as follows: a)Two (2) original counterparts of the Contract documents will be require to be executed. 18. EXECUTION OF DOCUMENTS The Contractor, in signing his Bid on the whole or on any portion of the work, shall conform to the following requirements: Bids signed by an individual other than the individual represented in the Bid documents shall have attached thereto a power of attorney evidencing authority to sign the Bid in the name of the person for whom it is signed. Bids which are signed for a partnership shall be signed by all of the partners or by an attorney-in-fact. If signed by an attorney-in-fact, there shall be attached to the Bid a power of attorney evidencing authority to sign the bid, executed by the partners. Bids which are signed for a corporation, shall have the correct corporate name thereof and the signature of the President or other authorized officer of the corporation manually written below the corporate name. If such Bid is manually signed by an official other than the President of the Corporation, a certified copy of a resolution of the board of directors evidencing the authority of such official to sign the Bid should be attached to it. Such Bid shall also bear the attesting signature of the Secretary of the corporation and the impression of the corporate seal. The Contract shall be deemed as have been awarded when formal notice of award shall have been duly served upon the intended awardee. 19. INDEPENDENT CONTRACTOR: There is no employee/employer relationship between the Contractor and the Village. Contractor is an independent contractor and not the Village's employee for all purposes, including, but not limited to, the application of the Fair Labors Standards Act minimum wage and overtime payments, Federal Insurance Contribution Act, the Social Security Act, the Federal Unemployment Tax Act, the Worker's Compensation Act (820 ILCS 305/1, et seq.). The Village will not (i) provide any form of insurance coverage, including but not limited to health, worker's compensation, professional liability insurance, or other employee benefits, or (ii) deduct any taxes or related items from the monies paid to Contractor. The performance of the services described herein shall not be construed as creating any joint employment relationship between the Contractor and the Village, and the Village is not and will not be liable for any obligations incurred by the Contractor, including but not limited to unpaid minimum wages and/or overtime premiums, nor does there exist an agency relationship or partnership between the Village and the Contractor. 20. ASSIGNMENT Neither the Village nor the Contractor shall assign or transfer any rights or obligations under this Agreement without the prior written consent of the other party, which consent shall not be unreasonably withheld. 21. GOVERNING LAW This Agreement shall be governed by the laws of the State of Illinois as to interpretation, performance and enforcement. The forum for resolving any disputes concerning the parties' respective performance or failure to perform under this Agreement shall be the Circuit Court for the Eighteenth Judicial Circuit, DuPage County, Illinois. 22. COMPLIANCE WITH LAWS Contractor, in performing the work and fulfilling its obligations under the contract must comply with all applicable provisions of the federal, State, and local laws, regulations, rules, and orders. Section D Specifications 1. Scope of Work: • To provide approximately 1.5" of asphalt to existing cart path system. Approximately 40,000 square feet Approximately 361.5 tons • Provide prime tack coat to all overlay surfaces • New material will be rolled & vibra-compacted providing the compacted thickness per the scope described • Any exposed base will be re-graded and compacted - prepping for the replacement with new hot-mix material The golf course cart path around the following holes and other areas will be over layed with 1.5" minimum thickness of bituminous concrete surface course mixture. Provide prime tack coat. Each path is 8.5 wide 2. Specifications: Hole Sq. Ft Approximate Tons #1 tee 12625 115 #1 green 2500 23 #10 3966 36 #11 4947 45 #13 2422 22 #13 fwy trap 1360 12.5 #15 3825 35 #16 5270 48 # 9 2805 25 • In order to avoid damaging any part of the golf course due to weather conditions or any other unforeseen conditions, the contractor will coordinate with the golf course superintendent all paving of the cart paths and all truck routing to the cart paths to be paved. • Any area disturbed by the contractor outside the village designated truck route will be repaired by the contractor at his cost and to the satisfaction of the golf course superintendent • All Village designated truck routing damage, if any, will be repaired by village • Job days will be limited to Monday or Tuesdays as weather permits • Truck sizes will be limited to 6 wheel dump truck, no semis will be allowed Section E Special Conditions 1. EXPERIENCE: The Contractor shall have five (5) years of experience which is comparable in type and scope to this project, and be approved as an installer by the manufacturer. 2. COMMENCEMENT OF WORK: Any Contractor shall not commence work under this contract until he has obtained all insurance required, and such insurance has been approved by the Village and all other agencies impacted by the pending project. 3. SCHEDULING OF WORK RESTRICTED ACCESS ROUTES: In order to avoid damaging any part of the golf course due to weather conditions or any other unforeseen conditions, the Contractor will coordinate with the Village's Golf Course Manager/Superintendent all paving of the Cart Paths and all truck routing to the Cart Paths to be paved. Any area disturbed by the Contractor outside the Village designated truck route will be repaired by the Contractor, at his cost and to the satisfaction of the Village's Golf Course Manager/Superintendent. All Village designated truck routing damage, if any, will be repaired by the Village. 4. EMERGENCY 24 HOUR NAME AND TELEPHONE NUMBER: The Contractor shall provide the Golf Course Manager/Superintendent the name and telephone number of an individual in his direct employ who will be available twenty-four (24) hours a day, seven (7) days a week, to receive notification of any deficiencies regarding traffic control and protection and shall dispatch men, materials and equipment to correct any such deficiencies. The Contractor shall respond to any call from the Village concerning any request for improving or correcting traffic control devices and begin making the requested repairs within two (2) hours from the time of notification. 5. INSPECTION NOTIFICATION: The contractor shall give twenty-four (24) hour advance notice to the Sean Creed, Village Golf Course Manager/Superintendent (630) 368-6460 prior to starting work or any phase of the work. Other affected governmental and utility agencies must be notified in accordance with their notification procedures. If twenty-four (24) hour advance notice is not supplied to the Village Golf Course Manager/Superintendent for any or all construction activities, the contractor hereby agrees and allows the Village Golf Course Manager/Superintendent to stop any and all such un-notified construction activities until the proper 24 hour advance notice is given, all at no cost or penalty to the Village. 6. RECORD DRAWINGS: Contractor shall keep one copy of the approved specifications, drawings, addenda, modifications and shop drawings at the site in good order and annotated to show all changes made during the construction process. These plans shall be available to the Village upon completion of the project. 7. CERTIFICATE OF COMPLIANCE: When requested, the Contractor shall furnish the Village with Certificates of Compliance with the specifications for all materials used in the construction of this improvement. In the case of pipe, the certificate shall include test results and sketches showing compliance with the applicable ASTM Specifications. Section F Statement of Contractor's Qualifications All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he or she desires. T 1. Name of Bidder: `i' / S I 1 2. Permanent main office address: t 3. When organized: &,as� 0 A004 4. If a corporation, where incorporated: I 5. How many years have you been engaged in the contracting business under your present firm or trade name: // q y euc�s 6. Contracts on hand: (Schedule these, showing amount of each contract and the appropriate anticipated dates of completion) 7. General character of work performed by your c mpany: CEJ 1L ^Ai�� /&,V1, 8. Have you ever defaulted on a contract: A)O 9. List, on an attached sheet, the more important projects recently completed by your company, stating the approximate cost for each, and the month and year completed. Include a contact person and phone #for each. 10. List your major equipment available for this contract See- att—cig k 11. Experience in work similar in importance to this project:�_Stc_ 12. Background and experience of the principal members o your organization, including the officers. c� 13. Credit available: ��-Q-�— �✓� �C 14. Bank reference: 15. Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the Village of Oak Brook: —5 °— L,c PO Aw&v—b 0 Fion �� 16. The undersigned hereby authorizes and requests any person, firm, or corpor to furnish any information requested by the Village of Oak Brook in verification of the recitals comprising this Statement of Bidder's Qualifications. DATED at 0 , Illinois this 'day of �i•�-tib 2018. i sT K bk��a e- By: res;'d e Title STATE OF ILLINOIS ) ) SS. COUNTY OF ) —0h A l being duly sworn deposes and says that he is the Pr eS 1 den of %— u. �d p , I c and that the answers to the foregoing questions and all statements therein contained are true and correct. SUBSCRIBED and sworn to before me this `day of jam— 0/ 8 2018. Notary Public OFFICIAL SEAL DARCY S.GALLET NOTARY PUBLIC•STATE OF ILLINOIS MY COMMISSION EXPIRES JUN 29,2021 AIA DOCUMENT A305 CONTRACTOR'S QUALIFICATION STATEMENT 1986 EDITION This form is approved and recommended by The American Institute of Architects(AIA)and The Associated General Contractors of American(AGC)for use in evaluating the qualifications of contractors. No endorsement of the submitting party or verification of the information is made by the AIA or AGC. The Undersigned certifies under oath that the information provided herein is true and sufficiently complete as not to be misleading. SUBMITTED BY: J & R 1" in Asphalt, Inc. Corporation XX Partnership Individual NAME: Johanna Daly Joint Venture President Other ADDRESS: 7659 W. 98th St. Hickory Hills, IL 60457 TYPE OF WORK(file separate form for each Classification of Work): General Construction HVAC Plumbing Electrical XX Other_Asphalt/Paving` (please specify) Copyright 1964, 1979, 1986 by The American Institute of Architects, 1735 New York Avenue,N.W.,Washington,D.C.20006. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will be subject to legal prosecution. 1. ORGANIZATION 1.1 How many years has your organization been in business as a Contractor? 14 years 1.2 How many years has your organization been in business under its present business name: Date of incorporation: August 2004 1.2.1 Under what other or former names has your organization operated? J & R Number 1 in Asphalt, Inc. (previous owners) 1999-2004 J & R Asphalt, Inc. (previous owners) 1990-1999 1.3 If your organization is a corporation, answer the following: 1.3.1 Date of incorporation: August 2004 1.3.2 State of incorporation: IL 1.3.3 President's name: Johanna Daly 1.3.4 Vice-president's name(s): 1.3.5 Secretary's name: Paul Daly 1.3.6 Treasurer's name: 1.4 If your organization is a partnership, answer the following: 1.4.1 Date of organization: N/A 1.4.2 Type of partnership (if applicable): N/A 1.4.3 Name(s) of general partner(s): N/A 1.5 If your organization is individually owned, answer the following: 1.5.1 Date of organization: N/A 1.5.2 Name of owner: N/A 1.6 If the form of your organization is other than those listed above, describe it and name the principals: N/A AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 —, A—...(..., i..nT.r..T.- ...- A............. I^I Z Ai.-... vl.. A...-.....- At Rr III.n.....i...,.... — n '1nnnL 2. LICENSING 2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration of license numbers, if applicable. State of Illinois Paving Contractor 2.2 List jurisdictions in which your organization's partnership or trade name is filed. State of Illinois Various Municipalities and Counties 3. EXPERIENCE 3.1 List the categories of work that your organization normally performs with its own forces. Asphalt, Paving, Sealcoating and Striping 3.2 Claims and Suits. (If the answer to any of the questions below is yes,please attach details.) 3.2.1 Has your organization ever failed to complete any work awarded to it? No 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? No 3.2.3 Has your organization filed any lawsuits or requested arbitration with regard to construction contracts within the last five years? Yes — One small arbitration, that was recently settled in our favor, and not significant to our continued successful operations. 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes,please attach details.) No 3.4 On a separate sheet list major construction projects your organization has in progress, giving the name of project, owner, architect, contract amount, percent complete and scheduled completion date. 3.4.1 State total worth of work in progress and under contract: See attached. AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 T...- A......... i....m.r..r.- ...- A..............T.. 1� c wr.-.., v....., A...-...... xi All All nnnnc 3.5 On a separate sheet, list the major projects your organization has completed in the past five years, giving the name of project, owner, architect, contract amount, date of completion and percentage of the cost of the work performed with your own forces. 3.5.1 State average annual amount of construction work performed during the past five years: See attached. 3.6 On a separate sheet, list the construction experience and present commitments of the key individuals of your organization: 4. REFERENCES 4.1 Trade References: Gallagher Materials, Inc. K-5 Construction 18100 S. Indiana Ave. 999 Oakmont Plaza Dr. Thornton, IL 60476 Westmont, IL (708) 877-7160 (630) 257-5600 Denise Remec Katie Budde Vulcan Materials, Inc. Allied Asphalt 1000 East Warrenville Rd. 1100 Brandt Drive Naperville, IL 60563 Hoffman Estates, IL 60192 (630) 955-8500 (847) 695-9300 Dave Muno Dave Verdico 4.2 Bank References: Ms. Lucy Pawlikowski PNC Bank 10135 South Roberts Rd. Palos Hills, IL 60465 (773) 744-7611 AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 T...- A.,.-........ r..n T.T..n.- ...- A—11111111 I^I Z A!.-.., v...... A..r,....- — cv NIT, ......T..., r, n `lnnnt 4.3 Client References: Sara Creech Adam Theodosopoulos CenterPoint Properties Ingredion, Inc. 1808 Swift Drive 6400 S. Archer Ave. Oak Brook,IL 60523 Bedford Park, IL 60501 (630)586-8000 (708)563-5391 Tim Hauert Mr. Mark Olesen DCT Industrial Catholic Cemeteries 2215 York Rd. Ste.405 1400 S. Wolf Road Oak Brook, IL 60523 Hillside,IL 60162 (630)560-5006 (708)449-6100 Mr.Bill Lorenz Mr.Ross Burns Village of Evergreen Park Elanar Construction 9418 S. Kedzie 6620 W. Belmont Ave. Evergreen Park, IL 60805 Chicago,IL 60634 (708)422-1551 (773)628-7011 4.4 Surety: 4.3.1 Name of bonding company: North American Specialty Insurance 4.3.1 Name and address of agent: Bill Cahill Weible-Cahill Insurance 2300 Cabot Drive, Suite 100 Lisle, IL 60532 5. FINANCING 5.1 Financial Statement. Financial statements will be provided upon request. 5.1.1 Attach a financial statement, preferably audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income,deposits,materials inventory and prepared expenses); Net Fixed Assets; Other Assets; Current Liabilities (e.g., accounts payable, notes payable, accrued expenses provision for income taxes, advances, accrued salaries and accrued payroll taxes); AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 T...- A...-........ r..n..,.T..T.- n.- A.......T.-..Tn r^IOc l.T.-.., vi...., A...-.....- Ai \v Air nnnnc Other Liabilities(e.g., capital,capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). 5.1.2 Name and address of firm preparing attached financial statement,and date thereof: Chuck DiGiovanni, Calibre CPA Group 19615 S. LaGrange Rd. Suite B Mokena, IL 60448 (708) 995-7180 5.1.3 Is the attached financial statement for the identical organization named on page one? Yes 5.1.4 If not, explain the relationship and financial responsibility of the organization whose financial statement is provided (e.g., parent-subsidiary). 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction? Yes AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 T...- A...-...r.... l..n T.m..T.- ...- A..(.....n.-l.T.. t^/1c Ar.,... X7-- , A...-....., 1.r w III.......a.T.... Tl n nnnnc 6.0 SIGNATURE 6.1 Dated at Hickory Hills, Illinois this day of J I,, , 201 Name f Organization: J R 1St in Asphalt, Inc. By: Johanna Daly Title: President 6.2 Ms. Johanna Daly being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this �A day of �J�`✓ , 201 . Notary Public: M EALLET OF ILLINOIS JUN 29,2021 AIA DOCUMENT A305 * CONTRACTOR'S QUALIFICATION STATEMENT * 1986 EDITION * AIA * 1986 'T_....- A.......,..., I......-.r,,.,.. - AII'Ic TT.-.., 11--,, n...- NT All Al .............1., - 11 ' nnnI 3.4 WORK IN PROGRESS AS OF MARCH 2018 Location City,ST Owner Contract Amt. Completed Liberty Temple Church 2233 79th St. Chicago,IL Liberty Temple Church $106,995.00 0% Berwyn Gateway Plaza Harlem Ave. Berwyn,IL Berwyn Gateway Partners $57,260.00 90% Mt.Carmel Cemetery 1400 S. Wolf Rd. Hillside,IL Chicago Catholic Archdiocese $54,780.00 0% St.Adalbert Cemetery 6800 Milwaukee Ave. Niles,IL Chicago Catholic Archdiocese $27,100.00 0% Takiff Center 999 Green Bay Road Glenco,IL Glencoe Park District $65,562.00 0% Lester Elementary School 236 Indianapolis Ave. Downers Grove,IL Downers Grove SD#58 $37,150.00 0% Warwick Ave. Warwick&Naperville Rd. Westmont,IL Village of Westmont $90,240.00 0% Mid-States Graphics 1700 Drake Court Hanover Park,IL Mid-States Graphics $21,970.00 80% Circle K 255 N.Weber Rd. Bolingbrook,IL Circle K $38,600.00 0% Lakefront Trail Separation Ardmore to Montrose Chicago, IL Chicago Park District $443,330.00 0% St.Francis Xavier Rectory 2500 Arbeiter Rd. Crest Hill,IL Joliet Catholic Archdiocese $35,400.00 0% Carousel Checks 11152 Southwest Hwy. Palos Hills,IL Carousel Checks $99,500.00 0% 0% 0% TOTAL $1,077,887.00 TOTAL Schedule of Contractor's Equipment (Include new, used and fullyl depreciated equipment) See Appendix A of the rules for prequalification for equipment required No Description of Equipment Book Appraised Value List Make,Model,Year and Size or Capacity Purchase Depreciation Value of items Show:Serial Numbers on Major Production Items 1 Leeboy Tack Machine Model T250 S/N 70318 $ 2,000.00 2 Target Concrete Saw Model PR0651136 S/N 23218 $ 1,000.00 3 Case Roller Model 1102 S/N 68216 $ 20,000.00 4 VME Wheel Loader Model L70 S/N 61094 $ 17,000.00 5 (3)Miskasa Vibratory Plates S/N K7513, H2400, P4426 $ 2,400.00 6 Jackhammer Breaker Rammer S/N A0269 $ 1,200.00 7 Sweeper S/N 29036 $ 2,000.00 8 2007 Bomag Compacter Roller BW90AD S/N 05170 $ 16,000.00 9 1993 John Deere 672B Moter Grader $ 35,000.00 10 Target Concrete Saw Model 6510OM26 S/N 43909 $ 1,000.00 11 1999 Volvo L70 Loader S/N#L70CV16261 $ 48,000.00 12 2013 Dynapac CC324HF-Tandem Smooth Drum Roller $ 80,000.00 13 2014 New Holland L230 skidloader S/N NEM472964 $ 58,930.00 14 2015 Dynapak Roller CC1300 S/N 100000334JFA016600 $ 46,900.00 15 2016 New Holland L234 Skidsteer S/N JAFOL234LGM425129 $ 70,000.00 16 2016 Caterpillar Compactor CB36B S/N M3600149 $ 65,000.00 17 2016 Universal Cold Planer S/N 12893 $ 15,000.00 18 2017 New Holland C238 Track Loader S/N NHM437886 $ 78,000.00 19 2017 Leeboy Paver-Model#8616 S/N :8616-175048 $ 206,000.00 Printed 4/24/18 Page 9 of 26 BC 8 (Rev. 07/01/16) Section G References Bidder shall supply the following information listing customers for which the bidder has supplied a similar type of commodities, service, or construction. 1. Company Name: Address: C ` �l ©J Phone #: Contact: 2. Company Name: Address: Phone #: Contact: 3. Company Name: Address: _ Phone #: Contact: 4. Company Name: Address: Phone #: Contact: 5. Company Name: Address: _ Phone #: Contact: J (4) R 1 St in Asphalt, Inc. Current Reference list PROPERTY MANAGEMENT & MAINTENANCE Catholic Cemeteries- Mark Oleson 708-449-0011 1400 S.Wolf Road, Hillside, IL 60162 Paving,Sealcoating, striping,excavation, concrete,site work • St.James Cemetery • Holy Cross Cemetery • St. Michaels Cemetery • Holy Sepulchre Cemetery • St. Casimir Cemetery • Queen of Heaven Cemetery • Mt. Carmel Cemetery • Ascension Cemetery • St. Mary's Cemetery • St.Adalbert Cemetery • Maryhill Cemetery • St.Joseph Cemetery • Calvary Cemetery • Resurrection Cemetery CenterPoint Properties 630-586-8000 1808 Swift Drive, Oak Brook, IL 60523 Paving,Sealcoating, striping,excavation, concrete,turn-key general contracting(site work). • Danielle Radtke • Sara Creech • Susan Costello Ingredion Inc - Atham Theodosopoulos 708-563-5391 6400 S.Archer Ave., Bedford Park, IL 60501 Paving,Sealcoating, striping,excavation, concrete,site work • 380 acre industrial site-annual contract past 6 years Edward Hines Jr VA Hospital 708-202-8387 5000 S. Fifth Ave., Hines, IL 60141 Paving,Sealcoating, striping, excavation, concrete,turn-key general contracting(site work). • Veterans Hospital—Hines, IL Ford Motor Company-Sean Grant 313-337-8674 West Park center, 121C, Detroit, Mi. Paving,Sealcoating, striping, excavation, concrete, misc.site work • Existing facilities, maintenance and expansion Maxim Services LLC -Jerry Canada 317-290-1080 6550 North Guion Road,Suite B, Indianapolis, IN 46268 Paving,Sealcoating, striping,excavation, concrete,turn-key general contracting(site work). • Old Dominion Freight Line—Des Plaines 1 � J (* R 1 St in Asphalt, Inc. Jones, Lange LaSalle 630-561-3751 4320 Winfield Rd. Ste. 250 Warrenville, IL 60555 Paving,Sealcoating, striping, excavation, concrete,turn-key general contracting(site work). • The Pointe —Itasca Cushman &Wakefield of Illinois 847-518-9100 9500 Bryn Mawr Ave. St. 600. Rosemont, IL 60018 Paving,Sealcoating, striping, excavation, concrete,turn-key general contracting(site work). • 1200 Greenbriar—Addison • 161-171 S. Gary Ave.—Carol Stream DCT Industrial 630-560-5006 2215 York Rd. Ste.405 Oak Brook, IL 60523 Paving,Sealcoating,striping, excavation, concrete,turn-key general contracting(site work). • Home Depot Distribution Center—Romeoville • HH Greg Facility—Aurora • 410 Fullerton—Carol Stream • 785 Center St.—Carol Stream • 10 N. Mitchell—Addison • McCook Industrial Center—McCook • 1160 Crossroads Pkwy—Romeoville • 2392 Wolf Rd.—Des Plaines Insite Real Estate LLC 630-617-9100 1400 16th St. Ste. 300 Oak Brook, IL 60523 Paving,Sealcoating,striping, excavation, concrete,turn-key general contracting(site work). • 4100 W. 76th St.—Chicago • 1400 16`h St.—Oak Brook Prologis, L.P. —Lindsay Kindlon 847-292-3944 6250 N. River Road Ste. 1100 Rosemont, IL 60018 Paving,Sealcoating, striping,excavation,concrete,turn-key general contracting(site work). • 1120 N. Ellis-Bensenville • Classic Party Rental-McCook Torburn Partners—Adam Keldermans 847-562-1616 1033 Skokie Blvd. Northbrook, IL 60062 Paving,Sealcoating,striping, excavation, concrete,turn-key general contracting(site work). • 900 Business Center Dr. Mt. Prospect • 1421—1501 W.Shure Dr. Arlington Heights • 799 Biermann Court Mt. Prospect 2 � J * R 1St in Asphalt, Inc. PUBLIC& MUNICIPAL Forest Preserve District of Cook County—Tom Conlon 708-771-1343 69 W.Washington St. Ste. 2060 Chicago, IL 60602 Paving,Sealcoating,striping,excavation, concrete,site work • Sundown Meadow-Hodgkins • Plank Road-Lyons • Arrowhead Lake—Palos Heights • Schiller Woods—Schiller Park • Sauk Trail Woods#3/4&6 • Schiller Model Airplane Flying Field Chicago Ridge School District 127.5 708-636-2000 6135108 th St. Chicago Ridge, IL 60415 • School Parking Lot Hoefferle-Butler Engineering, Inc _708-599-8980 8714 South Roberts Road, Hickory Hills, IL 60457 Paving, Sealcoating,striping,excavation, concrete, misc.site work • The Village of Justice/7800 Archer Road Justice, IL 60458 Moraine Valley Community College—Rick Brennan 708-974-5388 9000 W.College Parkway, Palos Hills, IL 60465 Paving,Sealcoating, striping,excavation, concrete, misc.site work • College Parking Lot • Ring Road Joliet Junior College—Tri-State Enterprises 815-372-3033 1215 Houbolt Rd. Joliet, IL Paving,Sealcoating, striping, excavation, concrete, misc.site work. • College Parking Lot Roberts Park Fire Prevention Bureau 708-599-8905 8611 S. Roberts Road,Justice, IL 60458 Paving,Sealcoating, striping • Roberts Park Fire Station—Justice, IL 3 � J (* R 1St in Asphalt, Inc. Village of Evergreen Park-Bill Lorenz 708-422-1551 9418 S. Kedzie Ave., Evergreen Park, IL 60805 Paving,Sealcoating,striping, excavation,concrete,site work • (10)Alleys—Paving Project PRIVATE CONSTRUCTION Harlem-Irving Companies 708-697-6719 4104 N. Harlem Ave., Norridge, IL 60706 Paving,Sealcoating, striping • Kendall Marketplace—Yorkville Keeley Construction Inc. 630-833-8600 245 E.Sidney Court,Villa Park, IL 60181 Paving,striping • White Oaks Business Park—Naperville • Briarwood Business Center—Mt. Prospect Northern Builders 847-678-5060 5060 River Road,Schiller Park, 11 60176 Paving,Sealcoating, striping,excavation, concrete, misc.site work • Multiple projects-light duty commercial to heavy duty logistics Novak Construction 773-278-1100 3423 N. Drake, Chicago, IL 60618 Paving,striping • Target—Oak Lawn • CVS—Hickory Hills Plote Construction-Dave Verdico 847-695-9300 1100 Brandt Drive, Hoffman Estates, IL 60192 Paving • Peace Road Interchange(1-88) complete ramps J Track-Chuck Hall 815-521-3340 512 Twin Rail Dr.#400, Minooka, 11 60447 Paving,striping • Elwood Intermodal • PCA Building—Bedford Park • Big Timber Crossing-Elgin 4 � J (* R 1St in Asphalt, Inc. Vixen Construction, Inc. 708-728-1950 7600 W 79th St., Bridgeview, IL 60455 Paving,Sealcoating, striping, excavation • IDOT Bridge work • The Mathers Senior Housing—Evanston • 1555 Wabash • IDOT 59—Ryan Creek • 515`& Lawndale—Condominiums William A Randolph-Eric Handley 847-856-0123 820 Lakeside Drive,Suite 3,Gurnee, IL 60031 Paving,Sealcoating, striping • Wal-Mart-St. Charles • Wal-Mart—Villa Park Clark Construction Group LLC 312-474-5500 216 South Jefferson St. Ste. 502 Chicago, IL 60661 Paving,Sealcoating,striping • Argonne National Labs Elanar Construction Inc. 773-628-7011 6620 W. Belmont Ave. Chicago, IL 60634 Paving,Sealcoating,striping • Itasca Park District • Medinah Park District • Chicago Park District • Salt Creek Rural Park District • City of Evanston • Elmhurst Park District • Buffalo Grove Park District • Village of Carpentersville • Oak Brook Terrace Community Park District • Glencoe Park District • Glenview Park District • Darien Park District Pan-Oceanic Engineering Inc 773-601-8408 6436 W. Higgins Ave. Chicago, IL 60656 Paving,Sealcoating, striping • Mt. Greenwood Paths • Hamilton Park • Lakefront Trail Separation—Ardmore to Montrose-Chicago • Lakefront Trail Separation—North to Oak-Chicago 5 � Section H Bid Certification The undersigned, being first duly sworn an oath, deposes and states that he has the authority to make this certification on behalf of the bidder for the construction, product, commodity, or service briefly described as follows: "Golf Course Cart Path Paving" (A) The undersigned certifies that, pursuant to Chapter 720, Section 5/33E of the Illinois Compiled Statutes, 1993, the bidder is not barred from bidding on this contract as a result of a conviction for the violation of State of Illinois laws prohibiting bid-rigging or bid-rotating. (B) The undersigned states under oath that, pursuant to Chapter 65, Section 5/11- 42.1-1 of the Illinois Compiled Statutes, 1993, the bidder is not delinquent in the payment of any tax administered by the Illinois Department of Revenue. (C) The undersigned certifies that, pursuant to Chapter 775, Section 5/2-105., of the Illinois Compiled Statutes, 1993, the bidder has a written sexual harassment policy in place including the following information: 1. An acknowledgment of the illegality of sexual harassment. 2. The definition of sexual harassment under State law. 3. A description of sexual harassment, utilizing examples. 4. The contractor's internal complaint process including penalties. 5. The legal recourse, investigative and complaint process available through the Illinois Department of Human Rights and the Human Rights Commission. 6. Directions on how to contact the Department or the Commission. This business firm is: (check one) Corporation Partnership Individual Firm Name: �' ST LAA- A-5Pk, O-Lf1 U( t e Address: Las 4 °l ; �� City, State, ZIP: elo Y tA I S I L 0 17 Signature: J� Name Printed: Title: -Pne S+J Telephone: � C7_—) YO 3 Date: ATTEST: Gc- -SE - SUBSCRIBED AND SWORN TO before me this $,41, day of JLQU— , 20 I 40 Not Public OFFICIAL SEAL DARCY S.GALLET NOTARY PUBLIC•STATE OF ILLINOIS MY COMMISSION EXPIRES JUN 29,2021 Section I Contract Golf Course Cart Path Paving 1. THIS AGREEMENT, made and concluded this day of 2018 between the Village of Oak Brook, a municipal corporation, acting by 9nd through its President and Board of Trustees, known as VILLAGE, and Yi-� /sr III fi s p/,t� his executors, administrators, successors or assigns, known as CONTRACTOR. 2. WITNESSETH: That for and in consideration of the payments and agreements mentioned in the Bid hereto attached, to be made and performed by the VILLAGE, and according to the terms expressed in the Bond (if applicable) referring to these presents, the CONTRACTOR agrees, at their own proper cost and expense, to do all work, furnish all materials and all labor necessary to complete the work in accordance with the plans and specifications hereinafter described, and in full compliance with all of the terms of this Contract. 3. And it is also understood and agreed that the entire Bid P ck a heret attached, approved by the VILLAGE of the State of Illinois thiso- ay of 9'1 2018, are all essential documents of this contract and are a part hereof. 4. IN WITNESS WHEREOF, the said parties have executed these presents on the above mentioned date. ATTEST: LILLAGE OF O BROOK By t Charlotte K. Pruss iccardo F. Ginex Village Clerk Village Manager ATTEST: �� - Corporate Name By Secretary ntractor F�e,s;C� t Partners doing Business under (If a Co-Partnership) the firm name of Party of the Second Part (If an Individual) Party of the Second Part SEXUAL HARASSMENT CERTIFICATE �J 1 , I s-r I n A-,P i,,, i i, I t1C , hereinafter ref rred to as "Contractor" having submitted a bid/proposal for &&E Cavi PeA v,r to the Village of Oak Brook, DuPage/Cook Counties, Illinois, hereby certifies that sai Contractor has a written sexual harassment policy in place in full compliance with 775 ILCS 5/2-105(A)(4) including the following information: 1. An acknowledgment of the illegality of sexual harassment. 2. The definition of sexual harassment under State law. 3. A description of sexual harassment, utilizing examples. 4. The contractor's internal complaint process including penalties. 5. The legal recourse, investigative and complaint process available through the Illinois Department of Human Rights and the Human Rights Commission. 6. Directions on how to contact the Department of the Commission. 7. An acknowledgment of protection of a complaint against retaliation as provided in Section 6-101 of the Human Rights Act. Each contractor must provide a copy of such written policy to the Illinois Department of Human Rights upon request. B : Y horized Agent of Con0jilctor Subscribed and sworn to beforA me this d Pf day of P-J u S4- , 20 Notary P7rNOTARY OFFICIAL SEAL GAYLA P SMITH PUBLIC•STATE OF ILLINOIS OMMISSION EXPIRES APRIL 16,2021 CONTRACTOR'S CERTIFICATIONS (CONTRACT EXECUTION) 5T A �u..-Oj �Itc , having executed a contract for Col �� & w with the VILLAGE, hereby certifies that said contractor is not barred from executing said contract as a result of a violation of either Section 5/33E of Chapter 720 of the Illinois Compiled Statutes. (DRUG-FREE WORKPLACE) Contractor deposes, states and certifies it will provide a drug free workplace by complying with Section 3 of the Illinois Drug Free Workplace Act, being 30 ILCS 580/3. Attest/Witness: SuccessnL4C0_A By: By: Nar#of Contractor's Ex ting J o�2A.v►ns� " -- --:-Officer II Title: 0,0 y-ptira_�c 5--air Title: Title of Contractor's Executing Officer Subscribed and Sworn to befor me this 444"- day o , 20s:22:i= 1� My Commission Expires Notary Pub OFFICIAL SEAL GAYLA P SMITH NOTARY PUBLIC•STATE OF ILLINOIS my COMmISSlON EXPIRES APRIL 16,2021 PREVAILING WAGE AFFIDAVIT I, J0ktL4,iro-- I=_)LJ� (name of signatory), on oath hereby state and certify that ��- ,;s r ifs Lp ku-li, I ke . (name of Contractor), pursuant to a Contract dated nn , 2018, with the Village of Oak Brook for the bof ? Uv"I!Troject, has complied and will comply with all laws, including those relating to the employment of labor, the payment of the current general prevailing rate of hourly wages for each craft or type of worker or mechanic needed to execute the Contract or perform such work, and also the current general prevailing rate for legal holiday and overtime work, as ascertained by the Illinois Department of Labor for DuPage County, Illinois, and those prevailing rates are paid and shall be paid for each craft or type of worker or mechanic needed to execute the aforesaid Contract or to perform such work. J� J_ vv. AS�OUA' (t -L _ (name of Contractor) has also complied and will comply with all record keeping requirements established in the Prevailing Wage Act (820 ILCS 130/0.01, et seq. CONTRACTOR: �- r 1� 4 ctA By: / Title: ►tet S{deAi— SUBSCRIBED AND SWORN TO BEFORE ME THIS )4' DAY OF Ise , 2018 NOTARY PUBLIC FFI AL SEAL GAYLA P SMITH ,eOTA,RY PUSuc-STATE OF ILLINOIS VY CC4.4b�iSSION EXPIRES APRIL 16,2021 CERTIFICATION OF PAYROLL RECORDS I, (name of person executing this certificate), do hereby certify that I am the duly qualified and acting ��s,c{ rc- (title) for /`" �'►� Hsn h� fit,( , (name of contractor) and, as such, am authorized to certify payroll records as true and accurate for such company in accordance with the requirements of Section 5 of the Prevailing Wage Act (820 ILCS 130/5) (the "Act"). I do hereby further certify that the following document is a true and accurate copy of the records of all laborers, mechanics, and other workers employed by l- ' sr (name of contractor) on the 2018 6oiF �� P�,i (the "Project") for the Village of Oak Brook (the "Village"), including each such work name, address, telephone number, social security number, classification or classifications; and the hourly wages paid in each pay period, hours worked each day, and the starting and ending times of work each day for each such worker on such Project. I do hereby further certify that the hourly rate paid to each worker is not less than the general prevailing rate of hourly wages required by the Act, and that 14 /= ; I, [ { -name of contractor), and I on behalf of such contractor, are fully aware that filing a certified payroll that we know to be false is a Class B misdemeanor. I further certify that upon two (2) business days' notice, if requested, we and any subcontractor hired by us shall make available for inspection the records required in the Act to the District, its officers and agents, and to the Director of Labor, his deputies and agents, at reasonable hours at a location within the State of Illinois. Date: At"x/ ' 2018 IhL (Name of Contractor) t (Sig ture) 0 I (Lillri (Printed Name C (Title) Subscribed and swo n to before me th i s J J"ay of �-F- , 2018. OFFICIAL�SI=AL Notary P blic GAYL GAYIA P SMITH NCTARY PUBIC.STATE OF ILLINOIS PFr CO1JMWION EXPIRES APRIL 16,2021 �. s 1 111 t Section J Contract Bond Golf Course Cart Path Paving Bond # 2271739 Subject to Adjustment Based on Final Contract Price We, J & R 1st In Asphalt Inc. as PRINCIPAL, and North American Specialty Insurance Company as SURETY, are held and firmly bound unto the Village of Oak Brook (hereafter referred to as "VILLAGE") in the penal sum of *** see Below Dollars ($ 32,245.80 }, lawful money of the United States, well and truly to be paid unto said VILLAGE, for the payment of which we bind ourselves, our heirs, executors, administrators, successors, jointly to pay to VILLAGE this sum under the conditions of this instrument. WHEREAS THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH that, the said Principal has entered into a written contract with the Village acting through its awarding authority for the above stated project, which contract is hereby referred to and made a part hereof, as if written herein at length, and whereby the said Principal has promised and agreed toep rform said work in accordance with the terms of said contract, including, but not limited to the term requiring the payment at the prevailing rate of hourly wage , and has promised to pay all sums of money due for any labor, materials, apparatus, fixtures or machinery furnished to such Principal for the purpose of performing such work and has further agreed to pay all direct and indirect damages to any person, firm, company, or corporation suffered or sustained on account of the performance of such work during the time thereof and until such work is completed and accepted, except as modified by the Guarantee section of the Bid; and has further agreed that this bond shall insure to the benefit of any person, firm, company or corporation, to whom any money may be due from the Principal, subcontractor or otherwise, for any such labor, materials, apparatus, fixtures or machinery so furnished and that suit may be maintained on such bond by any such person, firm, company, or corporation, for the recovery of any such money. NOW, THEREFORE, if the said Principal shall well and truly perform said work in accordance with the terms of said contract, and shall pay all sums of money due or to become due for any labor, materials, apparatus, fixtures or machinery furnished to him for the purpose of performing such work, and shall commence and complete the work within *** Thirty Two Thousand Two Hundred Forty Five and 80/100 the time prescribed in said contract, and shall pay and discharge all damages, direct and indirect, that may be suffered or sustained on account of such work during the time of the performance thereof and until the said work shall have been accepted, and shall hold VILLAGE harmless on account of any such damages and shall in all respects fully and faithfully comply with all the provisions, conditions, and requirements of said contract, then this obligation to be void; otherwise to remain in full force and effect. IN TESTIMONY WHEREOF, the said PRINCIPAL and the said SURETY have caused this instrument to be signed by their respective officers this 21st day of August 2018 xX °X PRINCIPAL J & R 1st in Asphalt Inc. (Com ny Name) (Company Name) By: By: (Si ature) (Signature) Pl-e!�J-,etzt (Title) (Title) (If PRINCIPAL is a joint venture of two or more contractors, the company names and authorized signatures of each contractor must be affixed.) SURETY North American Specialty Insurance Company By: (Name of Surety) (Signature of Attorney in Fact) Ann Marie Waters STATE OF ILLINOIS COUNTY OF DuPAGE I, Christine Eitel Notary Public of DuPage County, in the State of Illinois do hereby certify that Ann Marie Waters Attorney-in-Fact, of the North American Specialty Insurance Company who is personally known to me to be the same person whose name is subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that she signed, sealed and delivered said instrument, for and on behalf of the North American Specialty Insurance Company for the used and purposes therein set forth. Given under my hand and notarial seal at my office in the City of Lisle in said County, this 21st day of August A.D., 2018. (Notary Public) Christine Eitel My Commission expires: 05/26/2020 Notary Seal: "OFFICIAL SEAL" CHRISTINE EITEL NOTARY PllS�IC,STATE OF ILLINOIS MY COMMISSION EXPIRES 5/2612020 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Overland Park,Kansas,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park,Kansas,each does hereby make,constitute and appoint: WILLIAM CAHILL,KIMBERLY SAWICKI,ANN MARIE WATERS,LEIGH ANN FRANCIS, KIMBERLY R. HOLMES,KAREN A.RYAN,CHRISTINE EITEL and RICHARD A.FREEBOURN JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9`h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." \\�tltluluup// �� p11w Y///,//� `�gtprotlxanrrrury GapPOq,�T�G�z' eya2�C�ORPO•. M`rG�% By ° R°T�'Qn jE S�� ;m= Steven P.Anderson,Senior Vice President of Washington International Insurance Company SFA �{y g. 2: W s?�, 1973 tr.rn:0 4^ &Senior Vice President of North American Specialty Insurance Company =O: ;m s /q�bt7N r le \\�\N 41w_hM .. ... PS D /lllllll11111P\\ By �ta nMr�*iu!my- ,if Michael A.Ito,Senior Vice President o as ingtonnternation�rsuranceompany &Senior Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 25th day of JANUARY ,2018 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 25th day of JANUARY ,201 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL.SFAS M.KENNY : t d Notary public-State of Illinois 1. 1 Y My Commission Expires M.Kenny,Notary:Publio # 12toQ2021 I, Jeffrey Goldberg . the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 21st day of August 20 18 . Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company