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HomeMy WebLinkAboutBid Packet2016 MOWING EAST OF MERIDIAN TOTAL THIS IS TO BE THE FIRST PAGE OF ENTIRE BID. TOTAL BID AMOUNT THIS IS TO BE THE FIRST PAGE OF ENTIRE BID. y PROPOSAL PACKAGE FOR CITY OF CARMEL, INDIANA BY AND THROUGH ITS BOARD OF PUBLIC WORKS AND SAFETY PROJECT: Street Department 2016 MOWING EAST OF MERIDIAN BIDDER SHALL RETURN THIS ORIGINAL PROPOSAL AND ONE (1) COPY OF THE ENTIRE PROPOSAL PACKAGE WITH BID IF THERE ARE ANY QUESTIONS CONCERNING THE CONTRACT DOCUMENTS, PLEASE CONTACT DAVE HUFFMAN AT 733-2001 BIDDER'S ITEMIZED PROPOSAL AND DECLARATIONS City of Carmel Instructions To Bidders: This form shall be utilized by all Bidders. Except as otherwise specifically provided, all Parts shall be fully and accurately filled in and completed and notarized. Project: Street Department 2016 MOWING EAST OF MERIDIAN Proposal For: 2016 MOWING EAST OF MERIDIAN City of Carmel Date:(-"NaN a u oC d L To: City of Carmel, Indiana, Board of Public Works and Safety PART 1 BIDDER INFORMATION (Please Type or Print) 1.1 Bidder Name: �-� ��C[ l��/k x(10 SC,ROA 11C- 1.2 Bidder Address: Street Address: City:U---P-8rr,Q-k0 State: -a l" Zip: L4 &Q-) Y Phone#:�13 a9&-S1oQ7 Fax#:ply? $Q(o-ay"7l 1.3 Bidder is a/an [mark one]: Individual Partnership k Indiana Corporation; Foreign (Out of State) Corporation; State: ; Joint Venture Other: 1.4 [The following must be answered if the Bidder or any of its partners or joint venture parties is a foreign corporation. Note: To do business in or with the City of Carmel, Indiana, foreign corporations must register with the Secretary of the State of Indiana as required by the Indiana General Corporation Act as stated therein and expressed in the Attorney General's Opinion #2, dated January 23, 1958.] .1 Corporation Name: .2 Address: .3 Date registered with State of Indiana: .4 Indiana Registered Agent: Name: Address: PART 2 BID PROPOSAL 2.1 Proiect Bid. The undersigned Bidder proposes to furnish all necessary labor, machinery, tools, apparatus, materials, equipment, service and other necessary supplies, and to perform and fulfill all obligations incident thereto in strict accordance with and within the time(s) provided by the terms and conditions of the Contract Documents for the above described project, including any and all addenda the to, for the total sum of 1n,U fl2Eo Seu�ree RAT i-CM1100 Dollars ($ I C7 , ®3 c'_ 00 ). The Bidder acknowledge hat evaluation of the lowest Bid shall be based on such price. The Bidder further understands that all work which may result on the Contract shall be compensated for on a lump sum basis and that the OWNER cannot and does not guarantee the amount or quantity of any item of work to be performed or furnished under the Agreement. PART 3 CONTRACT DOCUMENTS AND ADDENDA 3.1 The Bidder agrees to be bound by the terms and provisions of all Contract Documents as defined in the Agreement attached hereto and incorporates such Contract Documents herein by reference. 3.2 The Bidder acknowledges receipt of the following addenda: ADDENDUM NUMBER LO e -A "n L-.,-Cn 1 DATE PART 4 EXCEPTIONS Instructions To Bidders: 4.1 The Bidder shall fully state each exception taken to the specifications or other Contract Documents in Section 4.3 of this Part. 4.2 Bidder is cautioned that any exception taken by Bidder and deemed by OWNER to be a material qualification or variance from the terms of the Contract Documents may result in this Bid being rejected as non-responsive. 4.3 Exceptions: A _ - Hittle Landscaping, Inc. INCOME STATEMENT Printed on: 03/01/16 4:33:44 PM January 2015 to December 2015 ACCOUNTS PROFIT CENTERS COMPANY Production Housing Maintenance Install -Design Build Snow Removal Imprelis Damage Install -Bid Build Administration TOTALS Income 40000 Sales Total Income Direct Cost 50000 Material 50100 Sales & Use Tax Expense 51.000 Direct Labor 52700 Other Job Costs 53000 Subcontractor Total Direct Cost Gross Profit Indirect Cost 54500 Bad Debt Expense 54550 Bidding Expense 54600 Benefit Labor -Field 54700 Indirect Labor-Load/Return to Shop 54701 Indirect -Shop 54702 Indirect -Nursery 54703 Ind i rest-Office/Train / Mtg 54704 Indirect -Snow 54705 Indirect -Travel 54800 Replacement Labor 54900 Indirect Labor-PM'S 55000 Premium Compensation -Field 56000 Payroll Tax -FICA 56250 Payroll Tax-SUTA 56500 Payroll Tax-FUTA 56550 Health Ins Expense 56560 401K Match 57250 Workers Compensation Insurance 57300 Replacement Materials 57400 Safety Expense 57450 Self -Insurance Expense 57455 Self Insurance -WC Claims 57500 Small Tools & Supplies 58550 Trash Removal -Job 58600 Uniform Expense -Field 59000 Uniform Pants -Field 60500 Depreciation Expense 61000 Shop Wages 61500 Equipment Rental 61900 Insurance -Vehicles 63000 Shop Uniforms 4,646,766.51 31% 5,567,663.58 38% 2,376,965.94 16% 178.00 0% 5,068.50 0% 2,160,670.94 15% 56,834.67 0% 14,814,148.14100% 4,646,766.51 31% ' 5,567,663.58 38% 2,376,965.94 16% 178.00 0% 5,068.50 0% 2,160,670.94 15% 56,834.67 0% 14,814,148.14 100% 1,637,326.66 11% 643,133.46 4% 592,736.58 4% 620.24 0% 868,238.87 6% 95,374.49 1% 3,837,430.30 26% 180.31 0% 403.45 0% 717.01 0% 33.87 0% 22.66 0% 15,992.16 0% 17,349.46 0% 727,195.42 5% 1,587,773.39 11% 321,069.93 2% 1,486.53 0% 1,621.26 0% 215,914.94 1% 8,924.73 0% 2,863,986.20 19% 1,172.15 0% 1,688.01 0% 4,850.69 0% 34.52 0% 161.17 0% 7,906.54 0% 160,372.42 1%. 103,171.92 1% 298,364.69 2% 155,098.24 1% 15,613.62 0% 732,620.89 5% 2,526,246.96 17% 2,336,170.23 16% 1,217,738.90 8% 2,140.64 0% 1,621.26 0% 1,239,309.23 8% 136,066.17 1% 7,459,293.39 50% 2,120,519.55 14% '3,231,493.35 22% 1,159,227.04 8% -1,962.64 0% 3,447.24 0% 921,361.71 6% -79,231.50 -1% 7,354,854.75 50% 1,758.81 0% 2,692.93 0% 9,035.57 0% 21,369.57 0% 6,000.00 0% 2,626.69 0% 43,483.57 0% 900.00 0% 900.00 0% 25,264.29 0% 60,288.21 0% 14,571.85 0% 11,245.44 0% 6,905.95 0% 118,275.74 1% 120,788.42 1% 195,246.07 1% 61,592.28 0% 27,053.10 0% 13,494.71 0% 418,174.58 3% 61.14 0% 26,456.39 0% 58.18 0% 24.70 0% 289.31 0% 522.96 0% 27,412.68 0% 4,051.08 0% 1,300.57 0% 1,920.26 0% 89.01 0% 873.38 0% 8,234.30 0% 8,951.07 0% 18,013.19 0% 3,339.38 0% 1,739.12 0% 1,846.56 0% 33,889.32 0% 6,110.00 0% 6,004.37 0% 2,974.69 0% 3,527.94 0% 1,038.90 0% 248.61 0% 19,904.51 0% 840.87 0% 283.03 0% 1,123.90 0% 21,706.30 0% 8,252.58 0% 29,011.67 0% 8,203.01 0% 67,173.56 0% 225,766.50 2% 283,147.69 2% 159,981.14 1% 2,686.73 0% 105,971.50 1% 645.27 0% 778,198.83 5% 81,376.47 1% 148,570.20 1% 27,265.61 0% 314.73 0% 0.82 0% 30,049.37 0% 2,419.68 0% 289,996.88 2% 115,399.24 1% 190,982.14 1% 59,297.36 0% 3,731.91 0% 119.42 0% 40,933.59 0% 18,415.59 0% 428,879.25 3% 19,273.84 0% 29,921.47 0% 10,651.88 0% 788.19 0% 34.75 0% 6,201.22 0% 1,585.50 0% 68,456.85 0% 2,646.91 0% 4,133.82 0% 1,448.61 0% 105.74 0% 5.33 0% 845.53 0% 207.56 0% 9,393.50 0% 62,485.29 0% 98,679.64 1% 33,342.89 0% 2,310.30 0% 85.90 0% 22,526.03 0% 1,213.48 0% 220,643.53 1% 15,537.94 0% 24,842.67 0% 8,081.12 0% 536.90 0% 12.92 0% 5,874.27 0% 1,149.18 0% 56,035.00 0% 52,934.34 0% 32,050.25 0% 22,470.20 0% 806.97 0% 68.45 0% 16,494.19 0% 1,534.35 0% 126,358.75 1% 43,666.64 0% 10,121.25 0% 35,348.52 0% 30,480.49 0% 119,616.90 1% 950.40 0% 9,249.31 0% 10,199.71 0% 14,489.25 0% 21,347.22 0% 6,542.16 0% 18,639.04 0% 5,889.28 0% 66,906.95 0% 1,684.74 0% 4,683.16 0% 808.91 0% 187.10 0% 664.66 0% 8,028.57 0% 11,589.12 0% 45,942.73 0% 7,010.87 0% 2,437.22 0% 1,670.38 0% 12,516.01 0% 81,166.33 1% 1,665.68 0% 1,665.68 0% 379.87 0% 681.64 0% 231.11 0% 114.49 0% 14,135.67 0% 15,542.78 0% 759.40 0% 1,283.18 0% 377.12 0% 21:14 0% 0.53 0% 274.71 0% 6,174.26 0% 8,890.34 0% 99,325.24 1% 89,683.84 1% 23,333.76 0% 10,289.88 0% 20,127.60 0% 107,756.67 1% 350,516.99 2% 38,387.38 0% 56,621.25 0% 19,685.72 0% 12,950.15 0% 13,012.22 0% 7,624.37 0% 148,281.09 1% 7,239.68 0% 25,084.13 0% 91877.20 0% 1,491.58 0% 1,544.91 0% 2,331.43 0% 47,568.93 0% 63,434.36 0% 63,434.36 0% 3,647.17 0% 3,647.17 0% 1 Hittle Landscaping, NCOME STATEMENT Printed on: 03/01/16 4:33:44 PM P 9� Inc.. January 2015 to December 2015 - ACCOUNTS 107.81 0% 4,496.81 0% 2,679.97 0% PROFIT CENTERS 117.39 0% 17,057.22 0% COMPANY 0% Production Housing Maintenance Install -Design Build Snow Removal Imprelis Damage Install -Bid Build Administration TOTALS 64000 Equipment Lease Expense 135,727.55 1% 248,061.77 2% 59,494.08 0% 35,622.00 0% 57,118.50 0% 536,023.90 4% 64100 Outside Equipment Maint. & Repairs 10,171.95 0% 10,364.80 0% 2,667.34 0% 0% 2,001.57 0% 9,777.13 0% 34,982.79 0% 64150 Parts Expense 34,506.54 0% 88,887.22 1% 15,103.17 0% 1,569.94 0% 6,195.17 0% 77,909.37 1% 224,171.41 2% 64200 Licenses & Taxes on Equipment 3,545.80 0% 6,705.80 0% 1,614.70 0% 1,126.20 0% 1,706.82 0% 14,699.32 0% 65000 Fuel & Oil Expense 105,524.20 1% 231,939.30 2% 39,981.94 0% 1,871.32 0% 22,233.40 0% 113,459.25 1% 515,009.41 3% 65100 Fuel Excise Taxes -59.01 0% 141.08 0% 71200 Gen'I Office Salaries & Wages 208,727.37 1% 213,799.66 1% 863.17 0% 863.17 0% 66000 Shop Maintenance 34,303.88 0% 608,325.38 4% 71250 Salaries -Sales 57,475.67 0% 94,394.83 1% 149.48 0% 149.48 0% 66500 Shop Tools & Supplies 1,200.62 0% 49.18 0% 71300 Employee Bonus 20,919.17 0% 20,968.35 0% 67000 Freight Expense 108,287.80 1% 14,649.17 0% 18,472.35 0% 179.88 0% 28,797.09 0% 145,454.76 1% 315,841.05 2% 67200 Inventory Cost Variance -145,943.70 -1% -38,435.15 0% -18,603.23 0% -4.00 0% -121,400.39 -1% -35,957.68 0% -360,344.15 -2% 69000 Nursery/ Purchasing Wages 57,870.24 0% 34,517.29 0% 39,773.51 0% 5,836.57 0% 29,321.97 0% 14,705.20 0% 182,024.78 1% 69100 Nursery Irrigation Expense/ Maintenance 26,639.18 0% 36.77 0% 72100 Legal Fees 10,293.46 0% 10,330.23 0% 69300 Scapped Plant Material 13,287.50 0% 36,848.61 0% 72105 Accounting Fees 10,502.68 0% 47,351.29 0% Total Indirect Cost 1,291,323.34 9% 2,021,446.62 14% 708,710.63 5% 51,481.79 0% 21,693.69 0% 375,401.54 3% 714,013.97 5% 5,184,071.58 35% Admin Cost 70000 Advertising -Marketing 107.81 0% 4,496.81 0% 2,679.97 0% 117.39 0% 17,057.22 0% 24,459.20 0% 70050 Adverstising-EE 5,980.00 0% 1,094.00 0% 25.00 0% 21,924.01 0% 29,023.01 0% 70100 Contributions 1,628.65' 0% 450.00 0% 1,400.00 0% 3,478.65 0% 70200 Meals & Entertainment 628.71 0% 1,410.61 0% 615.97 0% 197.05 0% 5,701.51 0% 8,553.85 0% 70250 Travel 1,100.04 0% 874.05 0% 308.01 0% 150.01 0% 3,763.92 0% 6,196.03 0% 70260 Mileage & Tolls 988.99 0% 467.50 0% 4,768.36 0% 6,224.85 0% 70300 Uniforms & Clothing Allowance -Admin 200.09 0% -59.01 0% 141.08 0% 71200 Gen'I Office Salaries & Wages 208,727.37 1% 213,799.66 1% 64,642.40 0% 23,170.04 0% 63,682.03 0% 34,303.88 0% 608,325.38 4% 71250 Salaries -Sales 57,475.67 0% 94,394.83 1% 131,854.86 1% 2,417.62 0% 48,003.94 0% 1,200.62 0% 335,347.54 2% 71300 Employee Bonus 70,833.00 0% 70,833.00 0% 71900 Conventions & Meetings 274.25 0% 576.94 0% 374.85 0% 14.00 0% 57.00 0% 1,297.04 0% 71950 Special Events 3,049.09 0% 4,868.43 0% 1,493.19 0% 1,104.65 0% 14,839.32 0% 25,354.68 0% 72000 Credit Card Fees 26,639.18 0% 26,639.18 0% 72100 Legal Fees 2,680.00 0% 13,287.50 0% 15,967.50 0% 72105 Accounting Fees 19,800.00 0% 19,800.00 0% 72110 Other Professional Fees 1,140.00 0% 1,759.60 0% 4,475.00 0% 190.00 0% 37,510.00 0% 45,074.60 0% 72400 Bank Service Charges 197.69 0% 175.00 0% 175.00 0% 7,170.45 0% 7,718.14 0% 72420 Benefits Administration Fees 4,745.00 0% 4,745.00 0% 72500 Computer Expense 1,445.08 0% 3,308.39 0% 4,028.15 0% 1,225.08 0% 18,711.32 0% 28,718.02 0% 73200 Training, Classes and Seminars 280.00 0% 3,285.89 0% 1,030.00 0% 180.00 0% 360.00 0% 2,919.00 0% 8,054.89 0% 73300 Professional Dues & Subscriptions 8,865.00 0% 7,140.00 0% 2,205.00 0% 2,735.00 0% 24,893.44 0% 45,838.44 0% 74200 Postage and Delivery 11.70 0% 5,982.89 0% 5,994.59 0% 74300 Printing and Reproduction 1,050.35 0% 233.67 0% 4,592.61 0% 5,876.63 0% 74350 Trash Hauling/Dump Fees 276.40 0% 79.00 0% 986.00 0% 180.00 0% 66,965.30 0% 68,486.70 0% 74400 Utilities 40.00 0% 39,970.24 0% 40,010.24 0% 74440 Communications -Cell Phone 8,344.53 0% 20,980.83 0% 4,743.01 0% 64.38 0% 3,388.85 0% 26,516.73 0% 64,038.33 0% 74600 Office Expense 187.09 0% 2,064.15 0% 1,641.24 0% 111.98 0% 44,874.62 0% 48,879.08 0% 74700 Liability Insurance 80,766.88 1% 80,766.88 1% 75100 Building Maint, and Repairs 10,481.41 0% 10,481.41 0% 75200 Office Equipt- Lease & Repairs 4,996.41 0% 4,996.41 0% 75300 Rent - Office 154,003.06 1% 154,003.06 1% 75400 Lease on Nursery Land 32,410.44 0% 32,410.44 0% 76100 Property Taxes and Assessments 772.78 0% 2,243.74 0% 18,401.92 0% 21,418.44 0% 2 Hittle Landscaping, Inc. INCOME STATEMENT Printed on: 03/01/16 4:33:44 PM January 2015 to December 2015 ACCOUNTS 0% 74.70 0% 528.66 0% PROFIT CENTERS -1% -431.67 COMPANY 57.90 0% -498.84 Production Housing Maintenance Install -Design Build Snow Removal Imprelis Damage Install -Bid Build Administration TOTALS 77500 Depreciation Exp -Office 26,062.00 0% 26,062.00 0% 78000 Interest Expense 11,176.81 0% 8,091.58 0% 1,068.23 0% 332.14 0% 442.46 0% 38,746.15 0% 59,857.37 0% 78100 Late Pymt Chgs &Fees 1,935.24 0% 1,935.24 0% 79000 Vendor Discounts Taken -594.72 0% -9,692.44 0% -1,045.82 0% -0.17 0% 1,920.68 0% -5,398.60 0% -18,652.43 0% Total Admin Cost 303,456.00 2% 369,539.45 2% 223,560.23 2% 28,869.01 0% 120,156.76 1% 882,773.02 6% 1,928,354.47 13% Other Income & Expense 80900 Management Fee 81000 Other Income 84000 Miscellaneous Expense 85000 Gain/Loss on Sale of Fixed Asset 87000 Finance Charge Income 89990 Suspense Account Total Other Income & Expense Profit/Loss -114,999.00 -1% 453.96 0% -36,937.81 0% -431.67 0% -556.74 0% -37,926.22 0% 453.96 0% -114,999.00 -1% -114,999.00 -1% -170.35 0% -170.35 0% 74.70 0% 528.66 0% -94,636.00 -1% -131,573.81 -1% -431.67 0% 57.90 0% -498.84 0% 74.70 0% -94,748.45 -1% -247,145.01 -2% 525,740.21 4% 878,433.50 6% 226,502.22 2% 32,685.56 0% -18,246.45 0% 425,728.71 3% -1,581,270.04 -11% 489,573.71 3% PART 5 FINANCIAL STATEMENT Attachment of Bidder's financial statement is mandatory. Any Bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to OWNER must be specific enough in detail so that OWNER can make a proper determination of the Bidder's capability for completing the project if awarded. PART 6 ADDITIONAL DECLARATIONS 6.1 Bidder certifies for itself and all its subcontractors compliance with all existing laws of the United States and the State of Indiana prohibiting the discrimination against any employee or applicant for employment or subcontract work in the performance of the work contemplated by the Agreement with respect to hire, tenure, terms, conditions, or privileges of employment or any matter directly or indirectly related to employment or subcontracting because of race, religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran status. The City of Carmel reserves the right to collect a penalty as provided in IC 5-16-6-1 for any person so discriminated against. PART 7 NON -COLLUSION AFFIDAVIT The individual person(s) executing this Bid proposal, being first duly sworn, depose(s) and state(s) that the Bidder has not directly or indirectly entered into a combination, collusion, undertaking or agreement with any other Bidder or person (i) relative to the price(s) proposed herein or to be bid by another person, or (ii) to prevent any person from bidding, or (iii) to induce a person to refrain from Bidding; and furthermore, this Bid proposal is made and submitted without reference to any other bids and without agreement, understanding or combination, either directly or indirectly, with any persons with reference to such bidding in any way or manner whatsoever. PART 8 SIGNATURES [Signature by or on behalf of the Bidder in the spaces provided below shall constitute execution of each and every Part of this itemized proposal and declarations document. SIGNATURE MUST BE PROPERLY NOTARIZED.] Bidders Name: Written Signature: Printed Name: HR-f\Ca ►R22 Title: �S�ez'� DC -'_a i Important - Notary Signature and Seal Required in the Space Below STATE OF.n A COUNTY OF '�k P,(VU ✓_ i [JV) Subscribed and sworn to before me this aq— day of V;2Jn(`l,Aa , 20 lla j J � My commission expires: t4130 /•90,P a (Signed) K Printed: DzealA S K LAAgAQ Residing in -�Po ► LTun County, State of t (,,)p � ol: aAc THE CINCINNATI INSURANCE COMPANY CONTRACTOR (Name, legal status and address): Hittle Landscaping Inc. 17778 Sun Park Drive Westfield, IN 46074 OWNER (Name, legal status and address): CITY OF CARMEL, INDIANA 1 CIVIC SQ CARMEL, IN 46032 BOND AMOUNT: 10% of bid SURETY (Name, legal status and principal place of business): THE CINCINNATI INSURANCE COMPANY 6200 S. GILMORE ROAD FAIRFIELD, OHIO 45014-5141 This document has important legal consequences, Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. PROJECT (Name, location or address, and Project number, if any): West of Meridian Mowing & Maintenance, East of Meridian Mowing & Maintenance & Additional Mowing The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the wner the difference, not to exceed the amount of this Bond, between the amount specified in saidb d and such larger amount for which the Owner 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. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond the sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirements shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 2 day of March, 2016 Hittle Landscppin Inc ��� •� (Principp-l) (Seal) (Witness) a '.� (Title) THE �/ THE CINCINNATI INSURANCE COMPANY (.1144 / 7� (Surety) (Seal) (Wi ess) (Title) The Company executing this bond vouches that this document conforms to American Institute of Ardhitects Document A310,2010 Edition. S -2000 -AIA (11/10) PUBLIC TRE CINCINNATI IINSURANCE' COMPANY Fairfield, Ohio .POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Fairfield, Ohio, does hereby constitute and appoint Alan Thomas; Beth A. Boney; Suzanne M. Rozek; Cynthia A. Hiday; Shanna Grizzle; Vicky L. Dielman; Judy Anderson; Michele James and/or Denise Nelson of Findlay and Maumee, OH and Indianapolis, IN its true and lawful Attomey(s)-in-Fact to sign, execute, seal and deliver on its behalf as Surety, and as its act and deed, any and all bonds, policies, undertakings, or other like instruments, as follows: Any such obligations in the United States, up to Twenty Five Million and No/100 Dollars ($25,000,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 61, day of December, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys -in - Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke'any such appointment or authority. Any such writings so executed by such Attorneys -in - Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the Th day of December, 1973. "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary ot"Assistant Secretary and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." - IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Vice President this 101 day of May, 2012. \ E THE CINCINNATI INSURANCE COMPANY 4 ' u CORPORATE 3 SEAL OHIO STATE OF OHIO ) ss: Vice President COUN'T'Y OF BUTLER ) On this 101 day of May, 2012, before me came the above-named Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. p MARK J. H LLER, Attorney -at Law 4 /NOTARY PUBLIC - STATE OF OHIO 7 Q My commission has no expiration � date. Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby farther certify that the said Power of Attorney is still in full force and effect. GIVEN 9der my hand and seal of said Company at Fairfield, Ohio. this r�� day of .2A v CORPORATE• 3 SEAL OHIO BN -1005 (5/12) /C& � , � ? &, Assistant Secretary EXHIBIT D AMDAVIT �kaAz_ul,fl 2 , being first duly sworn; deposes and says that he/she is familiar with s ersonal knowledge of the facts herein and, if called -as a witness in this matter, could testify as follows: 1. I am over eighteen (18) years of age and am competent to testify to the facts contained herein. 2. 1 n n and at all times relevant herein have been employed by t p ► G (the "Employer") in the position of l 3. I am familiar with the employment policies, practices, and procedures of the Employer and. have the authority to act on behalf of the Employer. 4. The Employer is enrolled and participates in the federal E -Verify program. Documentation of this enrollment and participation is. attached and incorporated herein. 5. The Employer does not knowingly employ any unauthorized aliens. 6. To the best of my information and belief, the Employer does not -currently employ any unauthorized aliens. 7. FURTHER AFFIANT SAYETH NOT. _LA EXECUTED on the a Qday of _4e1DN_,L2 20 L Ln. 1 Printed: Aey-y i, -LA tQCVtze A I certify, under the penalties for perjury under the laws of the United States of America and the State of Indiana that the foregoing factual statements and representations are true and correct. Printed: et 2 en Client#: 72260 HITTLAN ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Huntington Insurance, Inc. 45 N. Pennsylvania St., 5TH Floor Indianapolis, IN 46204 800 284-6687INSURERS) CONTACT Michele James NAME: PHONE 317-639-7241 FA 877-205-2538 IC Na Et): A/C No (A/C, E-MAIL tn.comhuntinl icee. h ADDRESS: mI @ 9 AFFORDING COVERAGE NAIC # INSURER A: FCC[ 10178 INSUREDHittle Landscaping, Inc. Hittle Snow Company, Inc. 17778 Sun Park Drive INSURER B INSURER C INSURER D: X COMMERCIAL GENERAL LIABILITY Westfield, IN 46074 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY .REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP LIMITS MMIDD A GENERAL LIABILITY CPPOO16968 07/06/2015 07106/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocou ence $300,000 CLAIMS -MADE 5XI OCCUR MED EXP (Any one person) $10,000 X PD Ded:3,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY -X] PRO- JECT X LOC $ A AUTOMOBILE LIABILITY CA00246600 07/06/2015 MBINED SINGLE LIMIT 07/06/201 (CEO, accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS Ix PROPERTY DAMAGE $ AUTOS Per accident A X UMBRELLA LIAB X OCCUR UMB0017084 07/06/2015 07/0612016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED I X RETENTION $10000 $ A WORKERS COMPENSATION W000002232 07/06/2015 07/06/201 X WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Rented/Leased CPPOO16968 07/06/2015 07106/2016 $25,000 Limit Equipment $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) I.CK I Ir1UA 1 C rtULUCK GANGtLLAI WN City of Carmel One Civic Square Carmel, IN 46032 ACORD 25 (2010/05) 1 of 1 #S1169780/M1057901 SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LUAM VWerify - Employer Wizard - Company Information Page I of I Organization Designation: Employer Category; None of these categories apply NAICS Code: 238 - SPECIALTY TRADE CONTRACTORS View /Edit Total Hiring Sites: `- Ver' fy, 10 -1, wu W.1come 'JIMM Employment Eligibility Verification Marla Wallace 04:16 PM -03101/2016 Log Out �Click,ahy y for-heip-.--1,' Home Company Information My Cases New Case View Cases Company Name: Hittle Landscaping, Inc. Search Cases Company ID Number: 676909 MProfile y Doing Business As (DBA) Edit Profile Name: Change Password i DUNS Number: Change Security Questions My Company Physical Location: Mailing Address: Edit Company Profile Address 1: 17778 Sun Park Drive Address 1: Add New User Address 2: Address 2: View Existing Users City: Westfield City: Close Company Account i 1 State: IN State: My Reports Zip Code: 46074 Zip Code: View Reports 1County: HAMILTON My Resources View Essential Resources Additional Information: Take Tutorial Employer Identification Number: 352113152 View User Manual 4 Total Number of Employees: 100 to 499 Share Ideas Parent Organization: Contact Us Administrator: Organization Designation: Employer Category; None of these categories apply NAICS Code: 238 - SPECIALTY TRADE CONTRACTORS View /Edit Total Hiring Sites: I Total Points of Contact: 3 I View MOU I U.S. Department of Homeland Seventy- www.dhs.gov U.S. Citizenship and Immigration Services - www.uscis.gov Enable Permanent Toollips Accessibility DownloadViewers httDs://e-verify.uscis.gov/6m-p/Em-ployerWizard.'aspx 3/1/2016