CC & T Construction, Inc. APPROVED, AS TO
FORM BY:
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AGREEMENT FOR PURCHASE OF GOODS AND SERVICES ("Agreement") is hereby
made and entered into by and between the City of Cannel, Indiana, acting by and through its Board of
Public Works and Safety, C'City") and ** , C'Vendor").
** C C & T Construction, Inc.
TERMS AND CONDITIONS
ACKNOWLEDGMENT, ACCEPTANCE:
Vendor acknowledges that it has read and understands this Agreement, and agrees that its
execution of same and/or its provision of any goods and/or services ("Goods and Service")
hereunder shall constitute Vendor's acceptance of all of the Agreement's terms and conditions.
PERFORMANCE:
City agrees to purchase the Goods and Services described in attached Exhibit A, which is
incorporated herein by this reference, and Vendor agrees to provide same and to otherwise perform
the requirements of this Agreement and to execute its responsibilities hereunder by following and
applying at all times the highest professional and technical guidelines and standards.
PRICE AND PAYMENT TERMS:
The total price for the Goods and Services contemplated herehi shall be no more than
$ 331 , 600.00 Vendor shah submit an invoice to City no more than once every thirty (30) days
detailing the Goods and Services provided to City within such time period. City shah pay Vendor
for such Goods and Services within thirty (30) days after the date of City's receipt of Vendor's
invoice detailing same, so long as and to the extent such Goods and Services are not disputed, are
in accordance with the specifications set forth in Exhibit A. Vendor has otherwise performed and
satisfied all the terms and conditions of this Agreement. Subject to the above, if the undisputed
invoice amount is not paid within thirty (30) days of its receipt by City, Vendor shah so notify City.
If such amount as is not disputed is not thereafter paid within ten (I0) business days tiom the date
such notice is received by City, then a late charge in a sam equal to one percent (1%) of such
unpaid and undisputed invoice amount shall accrue and be immediately due and payable by City to
Vendor as a separate debt for each month it rema'ms unpaid. In the event an invoice amount is
disputed, City shah so notify Vendor. If such dispute is not resolved to City's satisfaction within
ten (10) business days after notice Of such dispute is given, City shall pay such amount as is in
dispute, under protest, into the Cannel City Court, which court shall hold such monies until
provided with a settlemere agreement signed by both parties hereto or a final judgmem has been
entered thereon~
WARRANTY:
Vendor expressly warrants that the Goods and Services covered by this Agreement will conform to
the specifications, drawings, samples, instructions, directions and/or descriptions thereof fumished
to Vendor by City and/or by Vendor to and accepted by City, that the Goods and Services will be
delivered in a timely, good and workmanlike manner and free from defect. In addition, Vendor
acknowledges that it knows of City's intended use and expressly warrants that the Goods and
Services covered by this Agreement have been selected and provided by Vendor based upon City' s
stated use and will he fit and sufficient for the particular purposes intended by City.
TIME AND PERFORMANCE:
This Agreement shall become effective as of the last date on which a party hereto executes same
("Effective Date"), and both parties shah thereaf[er perform their obligations hereunder in a timely
manner. Time is of the essence of this Agreement.
PRICE TERMS:
All of the prices, terms and warranties granted by Vendor herein are at least as favorable to City as
those offered by Vendor to other customers purchasing the same or similar Goods and Services
under the same material terms and conditions.
DISCLOSURE AND WARNINGS:
If requested by City, Vendor shall promptly furnish to City, in such form and detail as City may
direct, a list of all chemicals, materials, substances and items used in or during the provision of the
Goods and Services provided hereunder, including the quantity, quality and concentration thereof
and any other information relating thereto. Prior to and with the delivery of the Goods and
Services provided hereunder, Vendor agrees to furnish to City sufficient written warning and notice
(including appropriate labels on containers and packing) of any hazardous material utilized in or
that is a part of Goods and Services.
FORCE MAJEURE:
Any delay or failure of either party to perform its obligations hereunder shall he excused if. and to
the extent, that it is caused by an event or occurrence beyond the reasonable control of the party
and without its fault or negligence, such as, by way of example and not by way of limitation, acts of
God, actions by any governmental authority (whether valid or invalid), court injunction, fires,
floods, windstom, explosions, riots, natural disasters, wars or sabotage; provided that notice of
such delay (includ'mg the anticipated duration thereof) is given by the affected party to the other
party within five (5) business days after discovery of the cause of such delay. During the period of
such delay or failure to perform by Vendor, City, at its sole option, may purchase some or all of the
same or similar Goods and Services from other sources and reduce those Goods and Services
provided by Vendor hereunder by such quantity, without liability to Vendor, or have Vendor
provide the Goods and Services from other sources in quantities and at times requested by City and
at the price set forth in this Agreement.
LIENS:
Vendor shall not cause or permit the filing of any lien on any of City' s property. In the event any
such lien is filed and Vendor fails to remove such lien within ten (10) days after the filing thereof,
by payment or bonding, City shah have the right to pay such lien or obtain such bond, all at
Vendor's sole cost and expense. Vendor shah indemnify and hold harmless City from and against
any and all liabilities, losses, claims, costs and expenses, including, but not limited to, attorney fees
incurred by City in connection with any such lien and/or the removal thereof. This indemnification
obligation shall survive the termination of this Agreement.
10.
DEFAULT:
In the event Vendor: (a) repudiates, breaches or defaults under any of the terms or conditions of
this Ageement, including Vendor's warranties; (b) fails to provide the Goods and Services as
specified herein; (c) fails to make progress so as to endanger timely and proper provision of the
Goods and Services and does not correct such fa'~ure or breach within five (5) business days (or
such shorter period of time as is commercially reasonable under the circumstances) aRer receipt of
notice from City specifying such fa'~ure or breach; or (d) becomes insolvent, files, or has filed
against it, a petition in bankruptcy, for receivership or other insolvency proceeding, makes a general
assignment for the benefit of creditors or, if Vendor is a partnership or corporation, dissolves. each
such event constituting an event of default hereunder, City shall have the right to (1) terminate all
or any parts of this Agreement, without liability to Vendor; (2) obtain, upon such terms and in such
manner as City deems appropriate in ks sole discretion. the same or similar Goods and Services
which were to be provided to City by Vendor, and Vendor shah be liable to City. for any excess
costs of the City in obtaining same; and (3) exercise any other rights or remedies as are available to
City at law and/or in equity.
11.
INSURANCE AND INDEMNIFICATION:
Vendor shall procure and maintain in full force and effect during the term of this Agreement. with
an insurer licensed to do business in the State of Indiana and reasonably acceptable to City. such
insurance as is necessary for the protection of City and Vendor from any and all clamas ti>r damages
or otherwise under any workers' compensation. occupational disease and/or unemployment
compensation act; for bodily injuries including, but not limited to, personal injury.. sickness. disease
or death of or to any and all of Vendor's agents, officers. employees. contractors, subcontractors
and other persons; becanse of any injury to or destruction of property. includ'mg, but not limited
loss of use resulting there~'om; or, otherwise. The coverage amounts shall be no less than those
amounts set forth in attached Exhibit C, which is incorporated herein by this reference. Vendor
shall cause its insurers to name City as an additional insured on all insurance policies, shah promptly
provide City, upon request, with copies of all such policies, and shall provide that such insurance
policies shall not be canceled without thirty (30) days prior notice to City. Vendor shah indemnify
and hold harmless City from and against any and all liabilities. claims, demands or expenses
(including, but not limited to, reasonable attorney fees) for injury, death and/or damages to any
person or property arising from or in connection with Vendor's provision of Goods and Services
pursuant to or under this Ageement, Vendor's use of City property. or otherwise. except for such
liabilities, claims or demands that arise directly and solely out of the negligence of City. Vendor
further agrees to indemnify, defend and hold harmless City and its officers. officials, agents and
employees from all claims and suits of whatever type, including. but not limited to. all court costs.
attorney fees, and other expenses, caused by any act or omission of Vendor and/or of any of
Vendor's agents, officers, employees. contractors, sui:x:ontractors and other persons in the
performance of this Agreement, or otherwise. These indemnification obligations shall survive the
termination of this Agreement.
12.
13.
14.
15.
16.
17.
18.
SETOFF:
In addition to any right of setoff provided by law, all amounts due Vendor shall be considered net
of indebtedness of Vendor to City; and City may deduct any amounts due or to become due from
Vendor to City from any sums due or to become due from City to Vendor hereunder.
GOVERNMENT COMPLIANCE:
Vendor agrees to comply with all present and future federal, state and local laws, executive orders,
rules, regulations, codes and ordinances which may be applicable to Vendor's performance of its
obligations under this Agreement, and all relevant provisions thereof are incorporated herein by this
reference. Vendor agrees to indemnify and hold harmless City from any loss, damage and/or
liability resulting from any such violation of such laws, orders, rules, regulations, codes and
ordinances. This indemnification obligation shah survive the termination of this Agreement.
NONDISCRIMINATION:
Vendor represents and warrants that it and all of its officers, employees, agents, contractors,
subcontractors and other persons shall comply with all existing and future laws of the United
States, the State of indiana and City prohibiting discrimination against any employee, applicant tbr
employment or other person in the provision of any Goods and Services provided by this
Agreement, with respect to the hire, tenure, terms, conditions or privileges of employment and to
any other matter directly or indirectly related to employment or subcontracting because of race.
religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status and/or Vietnarn
era veteran status. City reserves the fight to collect a penalty as provided in IC 5-I6-6-1 for any
person so discriminated against.
NO IMPLIED WAIVER:
The failure of ekher party at any time to require performance by the other of any provision of this
Agreement shall in no way affect the right of such party to require such performance at any time
thereafter, nor shall the waiver by any party of a breach of any provision of this Agreement
constitute a waiver of any succeeding breach of the same or any other provision thereof.
NON-ASSIGNMENT:
Vendor shall not assign or pledge this Agreement, whether as collateral for a loan or otherwise, and
shall not delegate its obligations under this Agreement without City's prior written consent.
RELATIONSHIP OF PARTIES:
The relationship of the parties hereto shall be as provided for in this Agreement, and Vendor and all
of its officers, employees, contractors, subcontractors, agents and other persons are not and shaB
not become employees of City, and the sole responsibility to pay to or for same all statutory,
contractual and other benefits shall remain exclusively with Vendor. The contract price set forth
herein to be paid hereunder by City to Vendor shall be the full and maximum compensation and
monies required of City to be paid to Vendor under or pursuant to this Agreement.
GOVERNING LAW; LAWSUITS:
This Agreement is to be construed in accordance with and governed by the laws of the State of
Indiana, except for its conflict of laws provisions. The parties further agree that, in the event a
lawsuit is filed hereunder, they waive any fights to a jury trial they may have, agree to file any such
lawsuit in an appropriate court in Hamilton County, Indiana only, and agree that such court is the
19.
20.
21.
22.
appropriate venue for and has jurisdiction over same.
SEVERABILITY:
If any term of this Agreement is invalid or unenforceable under any statute, regulation, ordinance,
executive order or other rnle of law, such term shall be deemed reformed or deleted, but only to the
extent necessary to comply with such statute, regulation, ordinance, order or role, and the
remaining provisions of this Agreement shall remain in full force and effect.
NOTICE:
Subject to paragraph 21 hereinbelow, any notice provided for in this Agreement will be sufficiem if
it is in writing and is delivered by postage prepaid U.S. certified mail, return receipt requested, to
the party to be notified at the address specified herein:
If to City:
City of Cannel
One Civic Square
Carreel, Indiana 46032
ATTN:
(with a copy to City Attorney,
One Civic Square, Carreel, IN 46032)
If to Vendor:
C C & T Construction, Inc.
5051 ProsDect Street
Indianapolis, IN 46203
ATTN: Tony Page
Notwithstanding the above, notice of termination under paragraph 21 hereinbebw shag be effective
if given orally, as long as written notice is then provided as set forth hereinabeve within three (3)
days ~om the date of such oral notice.
TERMINATION:
21.1 Notwithstanding anything to the contrary comained in this Agreement, City may, upon
notice to Vendor, immediately terminate this Agreement for cause, in the event of a default
hereunder by Vendor and/or if sufficient funds are not appropriated to pay for the Goods
and Services to be provided hereunder. In the evem of such termination, Vendor shall be
entitled to receive only payment for the undisputed invoice amount representing conforming
Goods and Services delivered as of the date of termination.
21.2
Either party hereto may terminate this Agreement at any time upon thirty (30) days prior
notice to the other party. In the event of such termination, Vendor shall be entitled to
receive only payment for the undisputed invoice amount of conforming Goods and Services
delivered as of the date of termination.
REPRESENTATIONS AND WARRANTIES
The parties represent and warrant that they are authorized to enter into this Agreement and that the
persons or entities executing this Agreement have the authority to bind the party which they
represent.
23.
24.
25.
26.
27.
28.
29.
ADDITIONAL GOODS AND/OR SERVICES
Vendor understands and agrees that City may, from time to time, request Vendor to provide
additional goods and/or services to City. When City desires additional goods and/or services from
Vendor, the Mayor or his duly authorized representative shall notify Vendor of such additional
goods and/or services desired, as well as the time frame in which same are to be provided. Vendor
shall then provide, at no cost to City, an estimated cost for such additional goods and/or services,
as well as the date by which same will be provided to City. Only after City has approved Vendor's
time and cost estimate for the provision of such additional goods and/or services shah Vendor be
authorized to provide same, the idenf~ication of which shall be set forth in documents which shall
be numbered and attached hereto in the order they are approved by City.
TERM
Subject to the termination provisions set forth in Paragraph 21 hereinabove, this Agreement shall be
in effect from the Effective Date through December 31, 2000, and shall, on the first day of each
January thereafter, automatically renew for a period of one (1) calendar year, unless otherwise
agreed by the parties hereto.
HEADINGS
All head'rag and sections of this Agreement are inserted for convenience only and do not form a
part of this Agreement nor limit, expand or otherwise alter the meaning of any provision hereo t2
BINDING EFFECT
City and Vendor, and their respective officers, officials, agents, partners, successors, assigns and
legal representatives, are bound to the other with respect to this Agreement and to such other
party's officers, officials, agents, partners, successors, assigns and legal representatives in all
respects as to all covenants, agreements and obligations of this Agreement.
NO THIRD PARTY BENEFICIARIES
Nothing contained herein shall be construed to give any fights or benefits hereunder to anyone
other than City or Vendor.
ADVICE OF COgSEL:
The parties warrant that they have read this Agreement and understand it, are fully aware of their
respective rights, have had the opportunity to obta'm the advice and assistance of an attorney
throughout the negotiation of this Agreement, and enter into this Agreement freely, voluntarily, and
without any duress, undue influence, coercion or promise of benefit, except as expressly set forth
herein.
ENTIRE AGREEMENT:
This Agreement, together with any exhibits attached hereto or referenced herein, constitutes the
entire agreement between Vendor and City with respect to the subject matter hereof, and
supersedes all prior oral or written representations and agreements regarding same,
Notwithstanding any other term or condition set forth herein, but subject to paragraph 19 hereof, to
the extent any term or condition contained in any extfibit attached to this Agreement conflicts with
any term or condition contained in this Agreement, the term or condition contained in this
Agreement shall govern and prevail, unless the parties hereto, or their successors in interest,
expressly and in writing agree otherwise. This Agreement may only be modified by written
amendment executed by both parties hereto, or their successors in interest.
[remainder of page intentionally left blank]
1N WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA
by and through ks Board of Public
Works and Safety
By: ~ ,,.
..~.~._ ~.t'Z. CL'~,-~J
· ~. 7:7, ,;oc2o
By:
si~2~"'r :~ )
Tony Page
Mary Ann Burke, Member
Date:
Date:
Date:
Printed Name
Vice President
Title
5/3/00
ATTEST:
~-/?- o~
Diana Cordray, I , asurer Date
BOND # B-80432400
CINCINNATI INSURANCE COMPANY
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS:
That c'C&T CONSTRUCTION INC., 5051 PROSPECT ST., INDIANAPOLIS, IN 46203
as Principal.
herejanitor called Contractor. and THE CINCINNATI INSURANCE COMPANY. a corporation organized and existing under the laws of the State of Ohio. as
Surety. heroinafter called Surety. are held and firmly hound mrto CITY OF CARMEL, ]~OARD OF PUBLIC WORKS
SAFETY, ONE CTVTC SQTTAY~R, C'ARMF. T,, TN
ae 0hligee, hereinafler called 0w.er. i. the amou.l of THREE HUNDRED THIRTY ONE THOUfinlaND CTY ,qrlNr)K,'~r)
DOLLARS AND 00/100 .................................... Dollars(.$ '~'~] ,6CLC).0(') ).
for the payment whereof Contractor and Surety bind themselves, their heirs. executors. administrators. successors and assigns. jointly and severally, firmly by
these presents.
WHEREAS. Contractor has by written agreement dated . 19 , entered into a contract with Owner for
PROJECT: 2000 CONCRETE REPLACEMENT PROGRAM
io accordance with drawings and specifications prepared hy
hereof. and is heroinafter referred to as the Carltract.
(liere insert full name. title and address)
which contract is by reference made a pad
NOW. THEREFORE. TIle CONDITION OF TIllS OBLIGATION is such that, i[ Contractor sitall promptly and faithfully podarm said Contract. then mis
obligation shaft be null and void. otherwise it shall remain in full Iorce and enact.
The Surely hereby waives notice of any alteration or extension of time made by the Owner.
Whenever Contractor shall be, aod declared by Owner to be in dehult under the Contract. the Owner having performed 0wner's obligations thereunder.
the Surety may promptly remedy the default, or shall promp0y
(1) Complele the Contract in accordance with its ternis and conditions. or
{2) Obtain a bid or bids for completing the Conlract in accordance with its terms aod conditions. and upon determination by Surety of the lowest
responsible bidder. or if the Owner elects. upon determination by tile Owner and the Surety jointly of the lowest responsibie bidder, arrange. for a
contract between such bidder and Owner, and made aveliable as Work progresses {even though there should be a default or a succession of
defaults under the contract or contracts of completion miengod under Otis paragraph) sufficient funds to pay the cost of completion less the
balance of the contact price; but not exceeding. including other costs and damages for which the Surety may be liable hereunder. the amount set
forth in the first paragraph hereof. The term "balance of the contract price." as used in this paragraph. shall mean tile total amount payable by
Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor.
Any suit under this bond must be instituted before tile expiration a[ two {2) years from the date on which final payment under the Contract falls due.
No riglit of action shall accrue oe Ihis hood to or Ior the use of any person or corporation other than the Owner named heroin or the heirs. executors,
administrators or successors ef {he Owner.
Signed and sealed this _ 4TH day el ~_
9: tC ~
(Witease)
G'AIL LA~"LE~S~ (Witness)
S-2100-AIA (11/92)
~X 2000
_CC&T CONSTRUCTION, INC.
lq IPrioeipall
//~
By ', ~'1 / 4, ,,- ',';;
' ' -"' ~ (Tide~
SHI~E~' FLAIG (~tomey-C,,-Fact}
PRINTED IN COOPERATION WtTII Tile AMERICAN INSTITUTE 0F ARCHITECTS (AIA). BY THE CIN:;INNATI
COMPANY WtlO VOUCHES THE MNGUAGE IN TIllS DOCUMENT CONFORMS EXACTLY TO THE ~NGUAGi US~Q {N AIA-311
PERFORMANCE BOND. FEBRUARY 1970 EDITION
BOND ~B-80432400
'rim CINCINNATI INSURANCE COMPANY
CINCINNATI, OIllO
; LABOR AND MATERIAL BOND
d~atLt MEN BY THESE PRESENTS:
· CC&T CONSTRUCTION, INC., 5051 PROSPECT ST., INDIANAPOLIS, IN 46203
as Priocipaf.
/~;nafter called Principal, and THE CINCINNATI INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Ohio, as
Surety, hereinafter called Surety, are held and firmly bound unto C TrY OF CARNET,, BOARD OF PUBLIC WORKS &
~AFFTY, (3NR C'TVTP .qQTTARF., PARMET,, TN 46032
as Dbliges, heroinoffer called Owner, for the use and benefit of claimants as heroinbelow defined. in the amount of TRR K~ RTTT%TDR RD
THTI~TY RT~F q"T~RTT,~AND RT~ RTTNDWED DOT,T.A~ AND OO/1OO---Dollars ($ 333,600.00 ),
for the payment whereof Principal and Surety hind themselves, their heirs, executors, administrators. successors and assigns. jointly and severally, fiRely by
these presents.
WHEREAS. Principal has by written agreement dated ~_ , 19 . entered into a cDntract with Owner Ior
",PROJECT: 2000 CONCRETE REPLACEMENT PROGRAM
in accordance with drawings and specifications prepared by
hereof, and is heroinafter referred to as the Contract.
(Here insert full name. tide and address)
which contract is by reference made a pan
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that. if the Principal shall promptly make payment to all claimants as
heroinafter defined, for all labor and material used or reasonably required for use in the performance of the Contract. then this obligation shall be void;
otherwise it shall remain in full force and effect, subject. however, to the following conditions:
(1) A claimant is defined as one having a direct controd with the Principal or with a subcontractor of the Principal for [abor. material. or both. used
or reasonably required for use in the performance of the contract. labor and material being construed to include that patt of water. gas, power.
light, heat. oil, gasoline, telephone service or rental of equipment directly applicable to the Contract.
(2) 1te above-named Principal and Surety hereby jointly and soveragy agree with the Owner that every claimant as heroin defined. who has not been
paid in full before the expiration of a period of ninety (90) days after the date on which the last of such ciaimout's work or labor was done or
performed, or materials were furnished by such claimant. may sue on this bond for the use of such claimant. prosecute the suit to final judgmenl
for such sum or sums as may be justly due claimant, sad have execution thereon. The Owner shall not be liable for the payment of any costs or
expenses of any such suit.
(3) No suit or action shall be commenced hereunder by any claimnut,
{a) Unless claimant, other than one having a direct contract with the Principal. shall have given written notice to any two of the following: The
Principal, the Owner, or the Surety above named, within ninety (90) days aher such claimant did or performed the fast of the work or labor.
or fumished the last of ~e materials for which said claim is made. stating with substantial accuracy the amount claimed and the name of
the party to whom the materials were furnished. or for whom the work or labor was done or performed. Such notice shall be served by
mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Principal, Owner or Surety, at any
place where an office is regularly maintained for the transaction of business. or served in any manner in which legal process may be served
in the state in which the aforesaid project is located, save that such service need not be made by a public officer.
{b) After the expiration of one {1) year following the date on which Principal ceased work on said Contract. it being undermood. however. that if
any limitation embodied in this bond is prohibited by any law controlling the contraction hereof such limitation shall be deemed to be
amended so as to be equal to the minimum period of limitation permitted by such law.
(c) Other than in a state court of competent jurisdiction in and for the coun~ or other political subdivision of the state in which the proiect, or
any part thereof, is situated. or in the United States District Court for the district in which the project. or any part thereof, is situated. and
not elsewhere.
(4) The amount of this bond shaft be reduced by and to the extent of any payment or payments made in good faith hereunder. inclusive of the
payment by Surety of mechanics' liens which may be filed of record against said improvemenL whether or nor claim for the amount of such lien
be presented under and against this bond.
Signed and sealed this 4TH day of MAY
.._ ~X 9000
CCgT CONST~'T'CTTONr,
~ / '~ (Principal)
(Witness) " / {~tle)
/ THE C~NNATI INSURANCE COMPANY
(Witness) S~ZR~ ~AZG (~y-i.-~ ~ ,,
This bond is issued simultaneously with performance bond in favor of the Owner conditioned on the full and faithful performa,qc.~ of the Cent,act.
S-2150-AIA (11/92)
PRINTED IN COOPERATION WlTfl TIle AMERICAN INSTITUTE OF ARCNffECTS (AIA), BY THE CffiCINNATI If.;~UrJANEE
COMPANY WHO VOUCftES THE b~NGUAGE IN THIS DOCUMENT CONFORMS EXACTLY TO THE LANGDAILc USED IN AIA-al l
PERFORMANCE BOND. FEBRDARY 197(1 EOIT1r]r,I
THE CINCINNATI INSURANCE CONIPANY
Fairficld. Ohio
POWER OF ATTORNEY
L MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws
d
ate of Ohio. and having its principal office in the City of Fairfield. Ohio. oes hereby constitute and appoint
R. Gordon Miller; Shirley Flaig and/or Kyle McLeod
or' Columbus, Indiana its true and lawful Attorne.,,(sMn-Fact to signVexecute, 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
Five Million and No/100 Dollars ($5,000,000.00).
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 6th 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 he binding upon the Company as if they had been duly executed and acknowledged by the regularl? elected
officers of the Company."
This Po~er of Attorney is signed and sealed by facsimile under and b.,, the authority of the following Resolution adopted by the
Board of D/rectors of the Company at a meeting duly called and held on the 7th day of December. 1973.
"RESOLVED. that the signature of the President or a Vice President and the seal of the Company ma.,, be affixed by
ticsimile on any power of attorney granted, and the signature of the Secretary. or 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 pre~,entb to be bealed ;vith its
corporate seal. duly attested by its Senior Vice President this 28th day of April. t999.
~ T~ZS~C~/5~CE COMPANY
Senior ViLe President~
STATE OF OHIO ) ss:
COUNTY OF BUTLER )
On this 28th day of April. 1999. before me came the above-named Senior Vice President of THE CINCINLNAT1 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.
Z <': :b' '~'Ztk~. :':": : . _
'~ !.',..7.-.::?.: ER, Attorney at Law
, MARK d.
f NOTARY PUBLIC - STATE 0 OH 0
:. . ...,,:;,,-'~ - .,.,
[. the undersigned Secretary or Assistant Secretary of THE CINCINNATI [NSL'RANCE C()MPA-N~t. hereb> certit~ that
abo~e is a true and correct copy of the Original Pm~er of Attorney issued b.~ >aid Cornpan>. and do hercb> further certi% that the said
Po,.,.er of Attorney is still in full fin're and effect.
GIVEN under my hand and seal of .qlid Cmnpany at Fairfield. Ohio.
this day of
4TH . MAY, 2000
Assistant Scoretar.,-
A'C_d, BD. CERTIFICATE OF LIABILITY INSURANCE
PRODUC[B
INSURE~
MILLER - EIAWES PHELAN
INSURANCE GROUP INC
P O BOX 1949
COLUMBUS IN 47202
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A
COMPANY
CCaT CONSTRUCTION INC. B
COMPN~Y
5051 PROSPECT STREET c
INDIANAPOLIS IN 46203 COMPANY
CINCINNATI INSURANCE COMPANY
CINCINNATI CASUALTY COMPANY
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POMCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMffS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY NUMBER
CPPEE29454AWR
CPP5529454AWR
CCC4457619
WC89616030E
04/m4/00 04/14/0m
4/14/00 4/14/01
4/14/99 4/14/02
4/14/00 4/14/01
GEnERAL AGGREGATE SU~LIMITED
PRODUCTS-COMP/OPAGG S2,000,000
PBRSONAL&ADVINJURY S1t 000# 000
EACH OCCURRENCE $1/000 1000
FiRE DAMAGE (Any one tim) $ 100,000
BED EXR (h~y or~ de~.l i $ 5,0 0 0
COMBINED SINGLE UMIT ]$11000t000
BODILY INJURY $
(Per de~on)
BODILY INJURY ~ S
(Per accident) r
EACHOCCUR.SCE S5,000,000
EL E~CH ACCSDE~T S 500,000
EL DISEASE-POLICY LIMIT $ 500 I 00 (D
EL DISEASB-EA EMPLOYEE $ 500 , O 0 O
SUBJECT TO POLICY TERMS AND CONDITIONS.
ADDITIONAL INSURED ATRIMA.
CITY OF CARMEL SHALL BE NAMED AS AN
CITY OF CARMEL, BOARD OF EXPIRATION DA~E 11~_REOF. THE iSSUING COMPANY WILL ENDEAVOR TO MAIL
PUBLIC WORKS a SAFETY 30 DAyS wRrrFa NOTICE TO THE CERTIRDAm HOLDER WAMED TO IHE LEFT,
ONE CIVIC SQUARE BUT F~m. URE TO M~aL SUCH NONCE SHAU. rePOSE NO OsUOa'"ON OR LL~D,UTY
IN46o32 ..;:.;; :.-..;:z oo.._. ';i D: TiBs'
CINCINNATI INSURANCE CO~IPANY
Bid Bond
KNOW ALL MEN BY THESE PRESENTS, that we CC&T CONSTRUCTTON, TNC.
5051 PROSPECT STREE NAPOLIS,
as Pri.cipal. ,,a,ei.a,,er ca,,ad ,he and T"E'"SUa/ NCEco,po,s,io. IN
duly
organized under the laws of the State of Ohio, as Surety, heroinafter called the Surety, are held and firmly bound unto
CITY OF CARMEL, BOARD OF PUBLIC WORKS & SAFETY, ONE CIVIC SQUARE
CARMEL IN ·
as Obl'gee, h reinafter called tile Obligee, in tile sum of 19% Of Bid Attached
Dollsrs(S 10% of Bid ),
for the payment of which sufn well and truly to be made. the said Principal and the said Surety, bind ourselves, our hairs,
executors, administralors. successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, tile Principal has submitted a bid for
PROJECT: 2000 Concrete Replacement
NOW, THEREFORE, if tile Obligee shall accept tile bid of the Principal and the Principal shall enter into a Contract
with the Obliges in accordance witit the terms of such bid, al~d 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 material furnished in tile prosecution lnereof, or in the event of tile failure of the Principal to enter
snch Contract end give such bond or bonds, if tile Priuclpal shall pay Io the Obligee the difference not to exceed the prorally
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, othe~ise to remain
in full force and effect.
Signed and sealed this 3rd day of May , 2000
J ~Z~ CC&T CONSTRUCTION, INC.
k~ff) y , ~ p~,jPrinCipsl) (Seal)
Wt
(Title)
tlat tl e la:guage in this docuuleut confor~ 19 exactly to the language*us tto 10
S-2~-AIA (10/92) PUBLIC
TIll?. CINCINNATI INSUI~,AiNCE COMI'/sNY
I:ahlield. (}hio
['O~VER OF ATTORNEY
KNOW AI.I. NFI{N fly TI IES[~ I'RESI~N I'S: 'thai TI lIE CINCINNATI INSUI{ANC'E COMPANY. a corporaltoe orgauized uutler the law~;
Of I(le Slate ,f O(do. and havh~g its pitattire{ oilice in Ihe City ,1' I:ai:ficld. Ohio. does hereby coast lute and appob~t
R. Gordon t.ltlfer; Shirley Flaj. g and/or Kyle McLeod
¢~ f Coj. umbus, Indiana its true aud lawful Attoruey(s)-in-Fact to sign. e~tecute, seal[
and deliver on its behalf as Surely. and ,s its act and deed. any and all bouds. policies, uudeaakings. or other like instrunleuts, as lbllows:
Any such obligations in the United States, up to
Two Million and No/lO0 Dollars ($2,000,000.00).
This alqmiu~nent is made uuder and by aulhoril~ of Ihe follo~viug resolutiou passed by die Board of Dimetom of said Company
at a nteeling held iu tile principal office of the C,mlmny, a qutuam being p~esen( and volt,g, ou the 6th day of December, 1958, which
reso[utiou is sill[ in effect:
"P, ESOI.VED. that tile l'lesideut or any Vice Presideat be beleby authorized, and empowered to appoint Attomeys-iu-
Fact of the Conlpauy to execute any and all bunds. policies, undeltakings, or other like instruments on behalf of the
Corporatiou, and lucy authorize any officer or any s,cll Attoruey-iu-Pact to affix the corporate seal; and may With or
without cause modify or revoke any such apl~ointmenl or authority. Any such wrilings so executed by such Attorneys-iu-
Fact shall be binding upon the Coralmay as if they lind beta duly executed and acknowledged by die regularly elected
' ' officers of tile Coulpany."
Tbi~ Power tff Altol uey is sigued and sealed by facsbnile under and by Ihe atflhority o[ the following Resolution adopted by the
Board of Directors of the Compauy ut a meeting duly called and held ou the 7th day of December, 1973.
"RESOI.VEIJ. dmt tile siguatnre ,f' the I'tcsidenl t~r a Vice Ihesltleut aad tile seal of the Compauy nlay bc affixed by
signature and seal shall be valid aud binding ou the Company. Any such power so executed aud sealed and certified by
celti~cnte so execuled and sealed shall, with respect Io any boad or uudertakblg to which it is attached, coutinue to
valid and binding on the Couqmuy."
IN WITNESS WIIEREO[:. TIlE CINCINNA'I I INSURANCE COMPANY has caused d~ese presents to be sealed with its
corporme seal. duly attested by its Senio~ Vice President this 201h day of October, 1997.
~ 'I'~~~ZCE COMPANY
Senior Vi~e Presid~
STATE OF OlllO ) ss:
COUNTY OF BUTLER )
On this 2Oth day of October, 1997, before me crone the above-named Senior Vice President of THE CINCINNATI iNSURANCE
COMPANY, to me perso,ally known to be the officer described betale. aud acknowledged that the seal affixed to the preceding inst~menl
is the corpornte seal of said Compaay and Ihe colporale seal and the signature of the officer were duly affixed and subscribed to said
instnnuent by tile audu)rity arid dieectiou of said
"'
~t "'.~ ~'~, ;2; ~* '~7:' '?Z' date, Section t47.03
I. Ibe undersigned Seenelegy uf '1 lIE CiNCiNNATI INSLIRANCE COMPANY, hereby carlily that the above is a Iruc and correct
copy u[ the Original Power of Attorney issued by said Company. and do I~erehy furdiet certify dmt die said Power of Atton~ey is still in full
force and el'feet.
GIVEN under my band aud seal of said Conq~aay at I:aidield. Olfio.
thi.~ 3rd day of May, 2000
BN-It)05 ~10/97)
Prescribed by the Sta!e Board of Accounts
CONTRACTORS BID FOR PUBLIC WORKS
Form No. 96 iRevised 195~7l
PART I
(To be completed for all bids)
(Please type or print)
1. Governmental Unit:
2. County:
3. Bidder (Firm):
Address:
City/State:
4. Telephone Number:
May 3,2000
City of Carmel-Board of Public Works
Hamilton
C C & T Construction, Inc.
5051 Prospect Street
Indianapolis, IN 46203
317-356-6385 FAX 317-356-2175
5. Agent of Bidder (If applicable):
Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works
projector City of Carmel (GovernmentalUnit) in accordance with plans and specifications of said unit for the
sum of * $_331,609 .'0~ undersigned further agrees to furnish a bond
or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, submit a proposal for each
in accordancewiththenotice. *Three hundred thirty-one thousand six hundred and
no/100
If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the
original contract. If the bid is to be awarded on a unit basis, the itemization of units shall be shown on a separate attachment. The
Contractor and his subcontractors, if any, shall not discriminate against or intimidate any employee, or applicant for employment, to
be employed in the performance of this contract, with respect to any matter directly or indirectly related to employment because of
race, religion, color, sex, national origin or ancestry. Breach of this covenant may be regarded as a material breach of the contract.
CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS
(If applicable)
I, the undersigned bidder or agent as a contractor on a public works project, understand my statutory obligation to use steel
products made in the United States. I.C. 5-16-8-2. I hereby certify that I and all subcontractors employed by me for this project will
use U.S~ Steel Products on this project if awarded. 1 understand that violations hereunder may result in forfeiture of contractual
payments.:
NON-COLLUSION AFFIDAVIT
The undersigned bidder or agent, being duly sworn on oath, says that he has not, nor has any other member, representative,
or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement
with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone
to refrain from bidding, and that this bid is n~ade without reference to any other bid and without any agreement, understanding or
combination with any other person in reference to such bidding.
He further says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate,
fee, gift, commission or thing of value on account of such sale.
OATH AND AFFIRMATION
I affirm under the penalties of perjury that the foregoing facts and information are true and correct to the best of my
knowledge and belief.
Dated at Indianapolis this 3 day of May , ~ 2000
C C & T Construction, Inc.
STATE OF
Indiana
By
ACKNOWLEDGEMENT
)
Tony Page, Vice President
(Title of Person Signingl
Marion
COUNTY
) SS:
Tony Page
of the aboveCC&T Construction,
(Name of Organizationl
affidavit are true and correct.
Subscribed and sworn to before me this
My Commission Expires:
County of Residence:
3-25-01
Hancock
being duly sworn, deposes and says that he is Vice President
Title
Itildit-that the statements contained in the foregoing bid, certification and
3 day of May x,:~9 2000 .
The above bid is accepted this
ACCEPTANCE
day of ~
,19
, subject to the following conditions:
Contracting Authority Members:
PART II
/COMPLETE SECTIONS I, I1, III and IV for all state and local
public works projects as required by statutes.)
GovernmentalUnit: City of Carreel
Bidder(Firm}: C C &'T Construction, Inc.
Date: May 3, 2000
These statements to be submitted under oath by each bidder with and as a part of his bid. Attach additional pages
for each section as needed.
SECTION 1 EXPERIENCE QUESTIONNAIRE
1. What public works projects has your organization completed?
Contract Amount Class of Work When Completed
1,498,000. Concrete/subs 6/99
359,430. Curb/sidewalk 8/99
238,479. " 12/99
91,952. " 12/99
NameandAddressofOwner
City of Carmel
City of Carmel
City of Indianapolis
City of Indianapolis
2. What public works projects has your organization now in process of construction?
Contract Amount Class of Work When to be Completed
51,723. Curb/Sidewalk 6/00
297,641. " 6/00
739,929. " 10/00
3. Have you ever failed to complete any work awarded to you? NO
NameandAddressofOwner
Ind Dept of Transportation
City of ~ndianapolis
City of Indianapolis
If so, where and why?
4. Listre~rencesfromprivatefirms~rwhichyouhave~er~rmedWork.
Milestone - Gary Sparks or Greg Nolting
Calumet - Bob Everman
T & W Corporation - Greg Huey
SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE
I. Explain your plan or layout for performing proposed work. ViSit j obsite, review plans & Specifications.
2. If you intend to sublet any portion of the work, state the name and address of each subcontractor, equipment to be used by the
subcontractor, and whether you expect to require a bond. NO
3. What equipment do you intend to use for the proposed project? Backhoes, dump trucks, pick-ups, etc.
4. Have you made contracts or received offers' for all materials within prices used in preparing your proposal? Yes
SECTION III CONTRACTOR'S 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 the governing body awarding the contract
must be specific enough in detail so that said governing body can make a proper determination of the bidder's capability for completing
the project if awarded.
SECTION IV OATH AND AFFIRMATION
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid'for public works
are true and correct to the best of my knowledge and belief.
Dated at Indianapolis this 3
By
day of May _. k0x~2OO0
C C & T Construction, Inc.
Tony Page, Vice President
(Title of Person Signing)
Indiana
STATEOF
Marion
COUNTY
ACKNOWLEDGEMENT
)
) SS:
Tony Page
of the aboveCC&T Construction,
(Name of Organization)
affidavit are true and correct.
Subscribed and sworn to before me this
My Commission Expires:
3-25-01
being duly sworn, deposes and says that he is Vice President
Title
Ila~l.that the statements contained in the foregoing bid, certification and
3
day of May ,xtO. 2_000
County of Residence: Hancock
· ' C C & T CONSTRUCTION, INC.
BALANCE SHEETS
DECEMBER31, 1999 AND 1998
Current Assets:
Cash and cash equivalents
Contract receivables
Costs and estimated earnings in excess
of billings on uncompleted contracts
Income taxes recoverable
Other current assets
Total current assets
Properly and Equipment, net
1999
54,713
1,109,721
74,394
27,661
4.747
1,271,236
445.189
$ 1.716.425
LIABILITIES AND STOCKHOLDERS' EOUITY
Current Liabilities: Note payable to bank
Current maturities of long-term debt
Accounts payable
Billings in excess of costs and estimated
earnings on uncompleted contracts
Accrued expenses
Total current liabilities
241,199
75,333
369,856
30,742
41.668
758,798
Long-Term Debt
Deferred Income Taxes
565,380
29.875
1998
$ 190,386
1,584,171
324
38,516
7.510
1,820,907
419.818
$ 2.240,725
$ 303,847
109,553
1,170,650
-0-
63.553
1,647,603
212,291
28.495
Total liabilities
Stockholders' Equity:
Common stock, no par value; 1,000 shares authorized,
issued and outstanding
Additional paid-in Capital
Retained earnings
Total stockholders' equity
1,354,053
1,000
60,200
301.172
362.372
$ 1,716.425
1,888,389
1,000
60,200
291.136
352.336
$ 2,240.725
BOND 4~ B-80432400
'rm CINCINNATI INSURANCE COMPANY
PERFORMANCE BOND
KNOW ALL MEN BY TIIESE PRESENTS:
That CC&T CQNSTRUCTION INC., 5051 PROSPECT ST,, INDIANAPOLIS, IN 46203
as Principal,
hareinalter called Contractor. and THE CINCINNATi INSURANCE COMPANY, a corporation organized and existing under the laws of the State of Ohio. as
Surety, hereinafter called Surety, are held and firmly bound unto CZTY OF CARMEL
SAFETY. ONE CTVT(" .qQIIAR~, CARMRT., TN
as Obligee, hereleaflet called Owner. in the amount of THREE HUNDRED THIRTY ONE THOT]~Nn ~IY T~T'[NDK'ED
DOLLARS AND 00/100 .................................... Bollars ($ q~q , floe. n0 },
for the payment whereof Contractor and Surety bind themselves, their I~eits, executors. admioistratom. successors and assigns. jointly and severally. firmly by
these presents.
WHEREAS, Contrader has by written agreement dated . 19 ~ entered into a contract with Owner for
PROJECT: 2000 CONCRETE REPLACEMENT PROGRAM
in accordance with drawings and specilicatimls prepared hy ___
hereof. and is hereinaller rulerred to as the Contiact.
{Here iased full name, title and address)
which contract is by reference made a pad
NOW, THEREFORE. THE CONDITION OF TIllS OBLIGAIlON is such that. il Centtatter shall promptly and faithfully pedorm said Contract. then this
obligation shaft be hug end void. otherwise it shall remain in full force and ellact.
The Surety hereby waives notice of any alteration or extension of rime made by the Owner.
Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Owner having performed 0wner's obligations thereunder,
the Surety may promptly remedy the default, or shall prompHy
(1) Complete the Contract in accordance with its terms and conditions. or
(2) Obtain a hid or bids for completing the Contract in accordance with its terms and conditions. and upon determination by Surety of the lowest
responsibie bidder. or if the Owner elects. upon determetal;an by the Owner and the Surety ioin0y of the lowest responsible bidder. arrange for a
cantred between such bidder and Owner. and made avfilable as Work progresses {even though there should be a default or a succession of
defaults under the contract or contracts of completion auanged under this paragraph) sufficient funds to pay the cost of completion less the
balance of the contact price; but not exceeding. including other costs and damages for which the Surety may be liable hereunder. the amount set
fo,lh in the first paragraph hereof. The term "balance of the contract price," as used in this paragraph. shall mean the total amount payable by
Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor.
Any suit under this bond must he instituted before the expiration el two {2) years from the date un which final payment under the Contract falls due.
No right of action shall accrue on this hood to or for tile use el any person or corporation other than the Owner named herein or the heirs. executors,
administrators or successors qf ~e Owner.
Signed and sealed this ~_ day of ___M./L.Y
G'AIL LAWLES (Witness)
S-210B-AIA (~ 1/92)
~ [SX 2000
CC&T CONSTRUCTION, INC.
S~LAIG {~omey-in-Fact) ) {Seal)
PRINTED IN COOPE~TION WHII TIlE AMERICAN INSTITUTE OF ARCHITECTS (AIA). BY THE CINCINNATI INSURANCE
COMPANY WHO VOUCIIES TIlE ~NGUAGE IN TIffS DOCUMENT CONFORMS EXACTLY T0 THE ~NGUAGE USED IN AIA-3 i 1
PERFORMANCE BOND. FEBRUARY 1970 EDITION.
BOND ~B~80432400
CINCINNATI INSURANCE COMPANY
CINCINNATI, 01110
LABOR AND MATERIAL BOND
KNOW ALL MEN BY INESE PHEBENIS:
That CC&T CONSTRUCTION, INC., 5051 PROSPECT ST., INDIANAPOLIS, IN 46203
as Principal,
hereirmfter called Principal, end THE CINCINNATI INSURANCE COMPANY. a corporation organized and existing under the laws of the State of Ohio, as
Surety, heretanNer called Surety, are held and firmly bound unto CITY OF CARMEL, BOARD OF PUBI,IC WORKS &
RA~RTY, ~NR (~TVTe. SQTTARR, CARMELt TN 46032
as Ohligee, hereirmHer called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of TFTt~F,I~ BTTNDRF;.D
TI4TWTV (~T~R TMC)FTRANB RTY MTTNDRRD DC}T.T,AI~R AND 00/100---Dollam(~ 331.600.00 ).
for the payment whereof Principal and Surely hind themselves, their heirs. executors, administrators. successors and assigns. jointly end leverally, firmly hy
these presents.
WHEREAS, Principal has by written agreement dated ___ , 19 . entered into a contract with Owner for
"'.PROJECT: 2000 CONCRETE REPLACEMENT PROGRAM
in accordance with drawings and specifications prepared by
hereof, and is hereinaRer retched to as the Contract.
(Here insert lull name, title and address)
which contrast is by ratefence made a part
NOW, THEREFORE, THE CONDITION OF THIS OBUGATION is such that, if the Principal shall promptly make payment to all claimants as
hereinafter defined, for ell labor end matedal used or reasonably required for use in the performance of the Contract, ~an this obligation shall be void;
.th..,. ,, sh.,. re..,. ,. ,.,, ,ore. and ho.v.,. ,0
(1) A claimant is defined as one having a direct contract with
or reasonably required rut use in the parformanca of the contract, labor end material being constread to include that part of water, gas. power,
I
light, hut, oil, roan inc, telephone sewice or rental of equipment direally applicable to the Contract.
(2) The above-named Principal and Bursly hereby oiutly and severally agree with the Owner that eval¥ claimant as heroin defined. who has not been
I
paid in fu I before ~e expiration of a period of ninety (90) days after the date on wh ch the last of such c aimont'a work or abor was done or
performed, or materials were furnished by such claimant, may sue on this bond for ~e use of such claimant, prosecute the suit to final judgment
h
for such sum or sums as may be justly due claimant, and ave execution thereon. The Owner shall not be lishle for the payment of any costs or
expenses of nay such suit.
(3) No suit or action shall be commenced hereunder by any claimant,
(a) Unless claimant, other than one having a direct contract with the Principal, shall have given written notice to any two of the following: The
d of the work or labor,
Principal, the Owner, or the Surety above named, within ninety (90) days offer such claimant did or performe the last
or furnished the last of the materials for which said claim is made, stating with substantial accuracy the arepunt claimed and the name of
the party to whom the materials were furnished, or for whom the work or labor was done or pealarmed. Such notice shall be sewed by
mailing the same by registered mail or certified mail, postage prepaid, in an envelope addressed to the Principal Owner or Surety, at any
place where an office is regularly maintained for the transaction ef business. or sewed in any manner in which legal process may be sewed
in the state in which the aloresmd prejed is located, save that such sereice need not be made by a public officer.
(b) After the expiration of one 1) year lollwing the date on which Principal ceased work on said Contract. it being understood, however, that if
any limitation embodied in this bond is proh b ted by say aw control ng ~e contraction hereof such limitation shell be deemed to be
amended so as to be equal to the minimum period of limitation permitted by such low.
(c) Other than in a state court of competent jurisdiction in and for the county or other political subdivision of ~e state in which the project. or
any part thereof, s situated, or in the United States District Court for the district in which the projecL or any part theran!, is situated, and
not elsewhere.
(4) The amount of this bond shall be reduced by and lu the extent of any payment or payments made in good faith hereunder. inclusive of the
payment by Surety of mechanics' liens which may be filed of record against said improvement, whether or not claim for the amount of such lien
be presented under and against this bond.
Signed and sealed this 4TH day of MAY
(Witness)
GAIL LAWL~ {Witness)
· l~x ?ooo
CCg. T CONSTWTIPTT{~N, TNC'.
(title)
This bond is issued simultaneously with performance bond in favor of the Owner conditioned on the full and faithful performseen of the Contract.
S-2150-AIA (11/92)
PRINTED IN COOPERAtiON WITII THE AMERICAN INSTITUTE OF ARCHITECTS (AIA), BY THE CINCINNATi If~SURANCE
COMPANY WHO VOUCHES THE LANGUAGE IN THiS DOCUMENT CONFORMS EXACTLY TO THE LANGUAGE USED IN AIA-31 I
PERFORMANCE BOND, FEBRUARY 1970 EDItiON.
THE CINCINNATI INSURANCE 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 nf Fairfield, Ohio. does hereby constitute and appoint
R. Gordon Miller; Shirley Flaig and/or Kyle McLeod
or Columbus, Indiana its true and lawful Attorney{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
Five Million and No/100 Dollars ($5,000,000.00).
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 6th 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
withoat cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys-in-
Fact ~,hall 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
Boai'd of Directors of the Company at a meeting duly called and held on the 7th 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 or 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 beating
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 Senior Vice President this 281h day of April, 1999.
) ss:
)
STATE OF OHIO
COUNTY OF BUTLER
T~~UCE COMPANY
Senior Vice PresidentS'
On this 281h day of April, 1999, before me came the above-named Senior 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.
I, the undersigned Secretary or Assistant Secretary of THE CINCINNATI INSURANCE COMPANY. hereb> certify that the
above is a truc and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said
Power of Attorney is still in full force and effect.
GIVEN under my hand and ~,eal of said Company at Fairfield. Ohio.
thi~4TH day of MAY, 2000 ~(~ ~
Assistant Secretary
BN-[005 14/q9)
ACO RD,.
PRODUCER
INSURED
CERTIFICATE OF LIABILITY INSURANCE
MILLER - }{AWES - PHELAN
INSURAIqCE GROUP INC
P O BOX 1949
COLUMBUS IN 47202
DATE (MM~)U 'YY)
:: !'~ ."C4 ".:):::
THIS CERTIFICATE IS ISSUED AS A MA'ITER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE
HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
A
COMPANY
CC&T CONSTRUCTION INC. S
COMPANY
5051 PROSPECT STREET C
INDIANAPOLIS IN 46203 coMPANY
CINCINNATI INSURANCE COMPANY
CINCINNATI CASUALTY COMPANY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TEE POLICY PERIOD
INDICATED, NO]~NITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITI-I RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY TEE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS.
CPP5529454AWR
CPP5529454AWR
DATE (MffiI30/YY) DATE (MM,1)D/YY}
04/14/00 04/14/01
4/14/00 4/14/01
GENERAL AGGREGAI~5
PRODUCTS - COMP/OP AGG
PERSON.IT. & ADV INJURY
EACH OCCURRENCE
FIRS DAMAGE (Art/~ fire)
MED EXP (Any ode person)
COMBINED SINGLE UMIT
sUNLIMITED
$2,000 000
$1,000 000
$1,000 000
$ 100 000
$ 5 000
1,000 000
$
BODILY INJURY
(Pet ac~i~nt} $
pROPERTY DAMAGE S
A EXCESSLIABLITY CCC4457619
B WO~KERBCOMPENSA'RONAND WC896160305
4/14/99 4/14/02
4/14/00 4/14/01
EACH OCCURRENCE $5,000,000
$
x '
EL EACH ACCIDENT $ 5 0 0 # 0 0 0
EL DISEASE-POLICY LiMiT $ 5 0 0 # 0 0 0
EL DISEASE-EA EMPLOYEE $ 5 O 0 , 0 0 0
SUBJECT TO POLICY TERMS AND CONDITIONS.
ADDITIONAL INSURED ATRIMA.
CITY OF CARMEL SHALL BE NAMED AS AN
CITY OF CARMEL, BOARD OF E]~BA'TION DATE '[MEREOF, THE ISUI4GI COMPANY WILL ENDEAVOR TOMAIL
PUBLIC WORKS &SAFETY 3Q DAyS WRITTEN NO~3DE TO ~T4E CERI1RCATE HOLDER NAMEN TO IHE LEFT,
ONE CIVIC SQUARE etrr FiRE TO MAIL SUCH NOTIC~ ~ IMp~OSE NO DeLlGAllON OR UABILITY
State board of Accounts City of Indianapolis
Form #102 M~'ion County, Indiana
Approved 12/88 Form #102
Standard Questionnaires and
Financial Statement for Bidders
For use in investigating the qualifications of bidders on public works contracts when the aggregate cost of s~uch contract will
be a hundred thousand dollars ($100,000) or more. This form may used for any other contract when the ordering department requests it.
These statements are to be submitted under oath by each bidder with and as a part of the' bid.
NOTE: THIS FORM BECOMES PART OF THE BID FILE, AND PURSUANT TO INDIANA'S PUBLIC RECORDS LAW (IND. CODE
SS5o14-3-1--5-14-3-10), WILL BE AVAILABLE FOR PUBLIC INSPECTION AND COPYING DURING CENTRAL PURCHASING'S
REGULAR BUSINESS HOURS WHEN THE TOTAL CONTRACT PRICE EXCEEDS $100,000.
Submitted to: City of Indianapolis, Central Purchasing
Address:
Representative:
Tenons Numbs;
Date S~m~ed:
TO THE BIDDER:
These forms, required by the City of Indianapolis and Marion County, Indiana, have been prescribed by
the State Board of Accounts.
They properly filled out and attested, must accompany each bid of a hundred thousand dollars ($100,000),
or more. If the ordering department requests it, they may be required for bids of lesser amounts as well.
The forms are designed to cover all public work Contracts/all other applicable situations and the bidder is
required to answer such questions as are pertinent to the work being bid/R.F.Q. The purpose of the questionnaire
is to enable the awarding body to determine the qualifications of the bidder to carry out successfully the contract if
the same is awarded to the bidder.
The bidder will find it to his advantage to answer fully all questions coming within the range of the work
being bid. Particular attention should be given to the "Financial Statement" and the details relative to the assets and
liabilities set out. This form is made in extensive detail so that the bidder may explain his assets and liabilities in
proper sequence and in a uniform manner. NOTE; FAILURE TO FILL OUT THESE FORMS COMPLETELY
MAY BE GROUNDS FOR DECLARING THE ENTIRE BID NON-RESPONSIVE.
EXPERIENCE QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories
hereinafter made.
I. How many years has your organization been in business as a general contractor under your present business name? /O
2. How many years experience in ~ o ~/~ ,~,~ 7'6' construction work has your organization had:
(a) As a general contractor /O Y,.~ ~' (b) as a sub-contractor /~ Y,e ~5
3. What projects has your organization completed?
CONTRACT AMOUNT CLASS OF WORK WHEN COMPLETED NAME AND ADDRESS OF OWNER
6 ova, eo.e sr6/sd s e/r/ oF
3A What projects has your organization now in process of construction?
CONTRACT AMOUNT CLASS OF WORK w~ms TO ss co~trnm NAME AND ADDRESS OF OWNER
4. Have you ever failed to complete any work awarded to you? /v/ D
If so, where and why?
5. Has any officer or partner of your organization ever been an officer or partner of some other organization that fa~ed to complete a
constracdon contract? /J/'~9 If so, state name of individual, other organization and reason therefor.
6. Has any officer or partner of your organization ever failed to complete a construction contract handled in his own name?
If so, state name of individual, name of owner and reason therefor.
7. In what other lines of business are you financially interested? /d'/~
-2-
For what corporations or individuals have you performed work, and to whom do you refer?
9. For what cities have you performed work and to whom do you refer?
C, / 'r" Y ~ ,c- r', ,~ ,~
d/.r Y aF 7'/P 7-a ,4
10. For what counties have you performed work and to whom do you refer?
11. For what State bureaus or departments have you performed work find to whom do you refer?
12. Have you ever performed any work for the U.S. Government?
If so, when and to whom do you refer?
13. What is the construction experience of the principal individuals of your organization?
YEARS OF
INDP?~DUAL'S NAME PRESENT POSITION CONSTRUCTION
OR OFFICE EXPERIENCE
GENIE ~'a~n/So~/ (oF~rrlt9 d ~g
PLAN AND EQUIPMENT QUESTIONNAIRE
The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to
interrogatories hereinafter made.
In what manner have you inspected this proposed work? Explain in detail.
V/,q / 7" ,.To ~,s / T E;
2. Explain your plan or layout for performing the proposed work
/n/,y Ps e
3. The work, ifawarded to you, will have the personal supervision ofwhom? e/'/A~/,..~
*4. Do you intend to do the hauling on the proposed work with your own forces? Y~ --~
Ifso, giveamountandtypeofequipmentused ~4MP
PA~
*5. If you intend to sublet the hauling or perform it through an agent, state amount of sub-contract or agent's contract, and if known,
the name and address of sub-contractor or agent, amount and type of his equipment and financial responsibility
* Items 4,5,6, and 7 may not be applicable in all building contracts; if not, omit.
*6. Do you intend to do the grading on the proposed work with your own forces?
If so, give type of equipment to be used
'7 ~fy~uintendtosub~etthegrading~rperf~rmit~h~~ughanagent~stateam~unt~fsube~ntract~ragent~sc~ntract'andifkn~wn~
the name and address of sub-contractor or agent, amount and type of his equipment and financial responsibility.
Do you intend to sublet any other portions of the work?
If so, state amount of sub-contract' and ff known, the name and address of the sub-contractor, whether subcontract is a minority
and/or women's business enterprise, amount, and type of his equipment and financial responsibility.
9. From which sub-contractors or agents do you expect to require a bond?
10. What equipment do you own that is available for the proDosed work?
QUANYITy ITEM DESCRIIrflON. SIZE CONDItiON
CAPACITY, ETC.
YLt~RS OF
SERVICE
/~/o
/O
I~10
d
,1.
PRESENT LOCATION
-5-
11. What equipment do you intend to purchas~ for use on the proposed work, should the contract be awarded to you? /I/o 4] 5
QUA~ 111 ~t ITEM DESCRIPHON, SIZE, CAPACITY, ETC. APPROXIMATE COST
12. How and when will you pay for the equipment to be purchased?
13. Do you propose to rent any equipment for this work?
If so, s~ate type, quantity and reasons for renting.
14. Have you made contxacts or received fm'n offers for all materials within prices used in preparing your proposal? Do not give names
of dealers or manufacturers
15. List all permits, licenses, or registrations which you have and are required by law to maintain in order to bid on this work. Please
include the type of the permit, license, or registration; the name of the issuing entity; the number of the licenses, permit, or
registration; and the expiration date.
Dated at /r/~>N9,4AP,~,L/,5' this
STATE OF
COUNTY OF
, SS:
By
being duly sworn, deposes and says that he is
of the above ~ e_. Q/7' 6~,'d.Y 7'_~d~7'/an/~
and that the answers to the questions in the foregoing questionnaires and all statements therein contained are hue and correct.
Subscribed and sworn to before me this ~ day of , t'tq~
My Commission expires ~ '~2d-- ~/ LYNN
C ission Expires: 03-25-01
-6- Residing County: Hancock
Submitted by
Principal Office at
To
Condition at close of business
ASSETS
1. Cash: (a) On Hand $ , (b) In bank $
2. Notes receivable (a) Due within 90 days
(b) Due after 90 days
(c) Past Due
CONTRACTOR'S FINANCIAL STATEMENT
Id~/~d,,oo, (c) Elsewhere $
3. Accounts receivable from completed contracts, exclusive of claims not approved for payment
4. Sums earned on uncompleted contracts as shown by engineer's or architect's estimate
(a) Amount receivable after deducting retainage
(b) Retainage to date, due upon completion of contracts
5. Accounts receivable from sources other than construction conu'acts
6. Deposits for bids or other guaranw~es: (a) Recoverable within 90 days
(b) Recoverable after 90 days
7. Interest accrued on loans, securities, etc.
8. Real Estate: (a) Used for business purposes
(b) Not used for business purposes
9. Stocks and bonds: (a) Listed-present market value
(b) Unlisted--present value
10. Materials in stock not included in Item 4 (a) For unCompleted ,contracts (present value)
(b) Other materials (present value)
~ P,~ ~e.~r9 7'*tO,g/
Total assets
11. Equipment, book vaine
12. Furniture and fixtures, book value
13. Other AssetS
[ [] An lndlVidual
,/~ 19 ftf
Dollars Cts.
11/70..~3
t /o
't/-./,,/-
LIABILErlES
1. Notes payable (a) To banks regular
(b) To banks for certified checks
(c) To others for equipment obligations
(d) To others exclusive of equipment obligations
2. Accounts payable (a) Not past due
Co) Past due
3. Real estate encumbrances
4. Other liabilities
5. Reserves
6. Capital stock paid up:
7. Surplus (net worth'}
(a) Common
Co) Common
(c) Preferred
(d) Preferred
CONTINGENT LIABILrrU~S'
1. Liability on notes receivable, discounted or sold
2. Liability on accounts receivable, pledged, assigned or sold
3. Liability as bondsman
4. Liability as guarantor on contracts or on accounts of others
5. Other contingent liabilities '
Dollars
,> a. 3 ,~ ~ I
I t2ofi
Total liabilities
/,
Totel contingent liabilities
Cts,
I Cash
DERAILS RELATIVE TO ASSETS
(a) on hand
(b) deposited in banks named below
(c) elsewhere--(State where)
NAj'~OFBANK
DEI~OSiTINNAMEOF
AMOUNT
Notes Receivable
(a) due within 90 days
(b) due after 90 days
(c) past due
Have any of the above been discounted or sold?
Accounts receivable from completed contracts exclusive of claims not approved for payment
N~E, AN~ t~mass oF owNm
AMOUNt[ OF
AMOUNT
RECEIVABLE
Have any of the above been assigned, sold. or pledged? /1/,0 If so, state mount, to whom and reason
Sums earned on uncompleted contracts~ as showB by engineer's or architect's estimate:
(a) Amount receivable after deducting retainage
(b) Retainage to date due upon completion of contract
DESIGNATION OF CONTRACT AND NAME AMOUNT OF AMOUN'F AMOUNT
A,N~D ADDRESS OF OWNER CONTRACF EARNED RECEIVED WHEN AMOUNT
IXJE
AMOUNT EX-
CLUSIVE OF
RETAINAGE
Have any of the above been sold. assigned, or pledged? If so, state amount, to whom, and reason
DETAILS RELATIVE TO ASSETS (continued)
Accounts receivable not from construction contracts
What mount, if any, is past due
6 Deposits with bids or otherwise as guarantees
FOR WHAT
Interest accrued on loans, securities, etc,
ONWHATACXZRUB3
$
AMOUNF
2.
3.
4.
5.
6.
7.
1.
2.
3.
4.
5.
6
7.
Real estate (a) Used for business purposes
book value (b) Not used for business purposes
IMPROVb~IFNrS
LOCATION HELD LN WHOSE NAME
BOOKVALUE.
ASSESSED
VALUE
s ~otoo.
TOTAL BOOK
VALUE
foFoo.
AMOUNT OF
IYCUMBIL~NCES
9
2.
3.
4.
5.
6.
7.
2.
3.
5.
6.
7,
Stocks and bonds
DESCKIFYION
WHO HAS POSSESSION
DETAILS RELATIVE TO ASSETS (continued)
(a) Listed--present market value
(b) Unlisted--present value
$
AMOUNT
IF ANY ARE PLEDGED OR IN ESCROW, STATE FOR WHOM AND PEASON
10
Materials In stock and not included in Item 4, Assets: (a) For use on uncompleted contracts (present value)
(b) Others materials (present value)
DESCRIFFION OF MATER1AL
QUANTIFY
PRESENT VALUE
FOR UNCOM- OTHER
PI27ED MATERIALS
CCgql'RACIx3
11 [ Equipment at book value
QUAN-
$ ,%, eoa, a.
DEPRECIATION BOOK
(]tARGFD OFF V~
Are there any liens against the above?
~/,ffS' If so, state total amount
,3? ~7d.
12
13
DETAILS RELATIVE TO ASSETS (continued)
Furniture and fixtures at book value
Other Assets
$
I
TOTALASSETS$ /~1,66. a~a. aa I
Notes payable
(a) To banks, regular
(b) To banks for certified checks
(c) To others for equipment obligations
(d) To others exclusive of equipment obligations
..c)e.e, 7-,s' .e,s'etf~ ~/,q e~e' Loolm ,CoB
AMOUNt
4'od / v;f,
Accounts payable (a) Not past due
(b) Past Due
3 Real estate encumbrances (see Item 8, Assets)
4 Other liabilities
DESO~N
$
AMOUNY
5 Reserves
Capital stock paid up (a) Common
(b) Preferred
$ /Ooa.
Surplus
~ TOTALLIABILH'IES$ ,L.~l,/,.,~?d.~a I
-12-
If a corporation answer this:
Amount for which incorporated
Capital paid in cash
When incorporated
In what state
$
Names and titles of all persons having authority to execute and receipt estimate vouchers and to conduct other business for the
corporation, including its officers, the signatures of whom are legally binding.
Do you have necessary "certificate of existence" (or certificate of authorization for a foreign corporation) to transact corporate business
in this slate, under the terms of Public Law 149, Acts of 1986, and acts amendat0ry thereto?
If a co-partnershlp answer this:
Date of organization
State whether co-partnership is general, limited or association
Give the names, addresses and proportional interesLs of all paxties:
Name
Address
The name of the partnership fu'm under which the above partners are operating is
Share
$
$
$
$
$
$
$
$
Give names and titles of all having authority to execute and receipt estimate vouchers and to conduct other business for the partnership,
the signatures of whom are legally binding.
Affidavit for Individual
STATE OF
COUNTY OF }
being duly sworn, deposes and says that the
foregoing financial statement, taken from hjs books, is a a'ue and accurate statement of his financial condition as of the dam thereof and that the
answers to the foregoing interrogatorles are hue.
Subscribed and sworn to before me this
day of
19
STATE OF
COUNTY OF
Affidavit for Co-Pazmership
SS:
being duly sworn, deposes and says that he is
a member of the fm of ; that he is familiax with the books of
the said ftrrn showing its financial condition; that the foregoing financial statement, taken from the books of the said fh':m, is a true and accurate
slatemerit of the fmanclal condition of the said firm as of the date thereof and that the roBwets to the foregoing interrogatorles are hue.
Subscribed and sworn to before me this
(Me~rabe~ of finn must ~ign her~)
day of 19
Norax'/Public
Affidavit for CorI~ration
STATE OF /.a/
COVNTYOF / }ss:
7"g~ ~/f /0/). ~ ~ ~g duly swo~ de~s~ ~d says ~at he is
d~d ~ ~d w~ch ex~umd ~e foregong s~mment; ~at he is f~i~ wi~ ~e ~ of ~e said collation show~g i~ fin~ci~ ~n~fion;
~at ~e foregong fm~ci~ sta~en~ ~en 5m ~e ~o~ of ~e s~d ~ratinn, is a ~e ~d a~urate s~tement of ~e fm~cial ~nditlon of said
co~a~on
Subbed ~d sworn
d or Y Aooo
Common Expires: 03-25-01 N
Resld]nS County: Hancock
PART 6
ADDITIONAL DECLARATIONS
6.1
Bidder certities for itself and all its subcontractors compliance with all existing hws 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 employmere 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 Carreel reserves the right to collect a penalty as provided in IC
5-16-6-1 for any person 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 B E PR OPERL Y NOTARIZED. ]
Bidders Name:
Written Signature:
Printed Name:
Title:
Tony Page
Vice President
Important - Notary Signature and Seal Required in the St, ace Below
STATE OF Indiana
COUNTY OF Marion
Subscribed and swom to before me this
20__0.0
My comtnission expires: 3 - 25 - 01
Residing~ Hancock
3 yof
(Signed)
Printed:
County, State of
May , 2000
Lynn G. Hardin
Indiana
PART 1
BIDDER INFORMATION
(Please Type or Print)
1.1
1.2
1.3
Bidder Name: C C & T Construction,
BidderAddr~s: StreetAd&e$: 5051 Prospect Street
C~.Indianapoligtate:
317-356-6385
Phone #: ( )
IN Z~: 46203
317-346-2175
Fax#:( )
Bidder is a/an [mark one J:
__ Individual __ Parmership x Indiana Corporation;
__ Foreign (Out of State) Corporation; State:
Joint Venture Other:
1.4
[The following must be answered if the Bidder or any of its parreefs or joim
venture parties is a foreiR°n corporation. Note: To do business in or with the City of
Carmel, Indiana, foreign corporations must register with the Secretary of the State of
Indiana as required by the Indiana General Corporation Act as stated therein and
expressed in the Attorney General's Opinion #2, dated January 23, 195&]
· 1 Corporation Name:
.2 Address:
.3 Date registered with State of indiana:
,4 Indiana Registered Agent:
Nan~:
Address:
BIDDER'S ITEMIZI~D PROPOSAL
AND DECLARATIONS
City of Carmel
Instructions To Bidders:
This form shall be utilized by all Bidders. Except as otherwise specifically provided, all
Parts shall be fully and accurately filled in and completed and notarized.
Project: Street Department
2000 CONCRETE REPLACEMENT PROJECT
Proposal For: STREET DEPARTMENT 2000 CONCRETE REPLACEMENT PROJECT
Date: May 3, 2000
To: City of Cannel, Indiana, Board of public Works and Safety
PART. 2
BID PROPOSAL
2.1 Project Bid.
The undersigned Bidder proposes to fumLsh all necessary labor, machinery, tools,
apparatus, materials, equipment, service and other necessary supplies, and to perform
and ridfill all obligations incident thereto in strict accordance with and within the
time(s) provided by the terms and conditions of the Contract Documems for the
above described Project, includ'mg any and all addenda thereto, for the Total Sum of
Three hundred thirtV-one thousand six hun~r~ ~n~ n~]lO0
__Dollars ($ 331,600.00 ). The Bidder acknowledges that 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 Contract.
CITY OF CARMEL
BID TABULATION SHEET
Project Name: 2000 Concrete Replacement
Bid Date: May 3rd, 2000
Substantial Completion De~e: September 15, 2000
Final Completion Date: September 30, 2000
ITEM #
DESCRIPTION
UNIT ~ QUANTITY
UNIT PRICE
AMOUNT
1
2
3
Concrete curb replacement If.
Concrete road replacement sq.yd.
11,910
2,890
18.50
38.50
220,335.00
111,265.03
4
6
TOTALS 331. 600.07
3.1
3.2
PART 3
CONTRACT DOCUMENTS AND ADDENDA
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.
The Bidder acknowledges receipt of the following addenda:
ADDENDUM DATE
NUMBER
Nonc
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 fxom the terms of the Contract Documents
may restfit in this Bid being rejected as non-responsive.
4.3 Exceptions:
None