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HomeMy WebLinkAbout1996 S Purchasing - D H Griffin -General Contractor SHSC Construction - -� -7/ ORIGINAL SIGNATURES COPY s FORM OF CONSTRUCTION CONTRARIST: ! (AIMXAV,1 MXMV ) MULTI-PRIME GENERAL CONSTRUCTION THIS AGREEMENT, made the 25th day of June in the year of 1996 by and between 13.H.i Griffin Construction Co. , LLC hereinafter called the Party of the First Part and the SxYaf }N=t�h�cxruwc)zt9.,im xxthruughcx:th�u County of Orange, Hillsborough, North Carolina hereinafter called the Party of the Second Part. WITNESSETH: That the Party of the First Part and the Party of the Second Part for the consideration herein named agree as follows: 1. Scope.of Work: The Party of the First Part shall furnish and deliver all of the materials, and perform all of the work in the manner and form as provided by the following enumerated plans, specifications and documents, which are attached hereto and made a part thereof as if fully contained herein: advertisement; Instructions to Bidders; General Conditions; Supplementary General Conditions; specifications; accepted proposal; contract; performance bond; payment bond; power of attorney; workmen's compensation; public liability; property damage and builder's risk insurance certificates; ate' xotxattoA �r, by,#� Sget �sn�, and drawings, titled: 'orange County Southern Human Services Center, Chapel Hill, NC' as modified by "Exhibit A", attached herein_ Consisting of the following sheets: See pages 00020-2 and 00020-3 of Specifications Dated: February 23, 1996. and the following addenda: Addendum No. 1 Dated 3/19/96 Addendum No. Dated Addendum No. 2 Dated 3/20/96 Addendum No. Dated Addendum No. 3 Dated 3/21/96 Addendum No. Dated Addendum No. Dated Addendum No. Dated 2. That the Party of the First Part shall commence work to be performed under this agreement on a date to be specified in a written order of the Party of the Second Part and shall fully comnplete all work hereunder within 425 _ consecutive calendar days from said date. For each day in excess ereo , qui ate damages shall be as stated in Supplementary General Conditions. The Party of the First Part, as one of the considerations for the awarding of this contract, has furnished to the Party of the Second Part a construction schedule setting forth pplanned progress of the project broken down by the various divisions or part of the work and by calendar days. If the Party of the First Part fails to begin the work under the contract within the time specified, or the progress of the work is not maintained on schedule, or the work is not completed within the time above specified, or fails to perform the work with sufficient workmen and equipment or with sufficient materials to ensure the prompt f completion of said work, or shall perform the work unsuitably or shall discontinue the prosecution of the work, or if the Party of the First Part shall become insolvent or be declared bankrupt or commit any act of bankruptcy or insolvency, or allow any final judgment to stand against him unsatisfied for a period of forty-eight (48) hours, or shall make an assignment for the benefit of creditors, or for any other cause whatsoever shall not carry on the work in an acceptable manner, the Party of the Second Part may give notice in writing, sent by certified mail, return receipt requested, to the Party of the First Part and his surety of such delay, neglect or default, specifying the same, and if the Party of the First Part within a period of fifteen (15) days after such notice shall not proceed in accordance.therewith, then the Party of the Second Part shall, declare this contract in default, and, thereupon, the surety shall promptly take over the work and complete the performance of this contract in the manner and within the time frame specified. In the event the surety shall fail to take over the work to be done under this contract within fifteen (15) days after being so notified and notify the Party of the Second Part in writing, sent by certified mail, return receipt requested, that he is taking the same over and stating that he will diligently pursue and complete the same, the Party of the Second Part shall have full power and authority, without violating the contract, to take the prosecution of the work out of the hands of said Party of the First Part, to_appropriate or use any or all contract materials and equipment on the grounds as may be suitable and acceptable and may enter into an agreement, either by public letting or negotiation, for the completion of said contract according to the terms and provisions thereof or use such other methods as in his opinion shall be required for the completion of said contract in an acceptable manner. All costs and charges incurred by the Party of the Second Part, together with the costs of completing the work under contract, shall be deducted from any monies due or which may become due said Party of the First Part and surety. In case the expense so incurred by the Party of the Second Part shall be less than the sum which would have been payable under the contract, if it had been completed by said Party of the First Part, then the said Party of the First Part and surety shall be entitled to receive the difference, but in case such expense shall exceed the sum which would have been payable under the contract, then the Party of the First Part and the surety shall be liable and shall pay to the Party of the Second Part the amount of said excess. 3. The Party of the Second Part hereby agrees to pay to the Party of the First Part for the faithful performance of this agreement, subject to additions and deductions as provided in the specifications or proposal, in lawful money of the United States as follows: Two million six hundred twenty thousand six hundred and eighty dollars ($ 2,620,680.00 ) . Summary of Contract Award: See attached Exhibit "A" 4. On or before the 20th day of each calendar month, the Party of the Second Part shall make payments to the Party of the First Part on the basis of a duly certified and approved estimate of work performed during the preceding calendar month by the First Party, less five percent (5%) of the amount of such estimate which is to be retained by the Second Party until all work has been performed strictly in accordance with this agreement and until such work has been accepted by the Second Party. The Second Party may elect to waive retamage reqquirements after 50 percent of the work has been satisfactorily completed on schedule as referred to in Article 31 of the General Conditions. - 5: Upon submission by the First Party of evidence satisfactory to the Second Party that all payrolls, material bills and other costs incurred by the First Party in connection with the construction of the work have been paid in full, final payment on account of this agreement shall be made within thirty(30) days after the completion by the First Party of all work covered by this agreement and the acceptance of such work by the Second Party. 6. It is further mutually agreed between the parties hereto that if at any time after the execution of this agreement and the surety bonds hereto attached for its faithful performance, the Second Party shall deem the surety or sureties upon such bonds to be unsatisfactory, or if, for any reason, such bonds cease to be adequate to cover the performance of the work, the First Party shall, at its expense, within five (5) days after the receipt or notice from the Second Party so to do, furnish an additional bond or bonds in such form and amount, and with such surety or sureties as shall be satisfactory to the Second Party. In such event no further payment to the First Party shall be deemed to be due under this agreement until such new or additional security for the faithful performance of the work shall be furnished in manner and form satisfactory to the Second Party. IN WITNESS WHEREOF, the Parties hereto have executed this agreement on the day and date first above written in six counterparts, each of which shall without proof or accounting for other counterparts, be dee med an original contract. Witness: D.H. .Griffin-constructionCo. , LLC Contractor: (Trade or Corporate Name) By: -L I i (Proprietorship or Partnership) Attest: (Corporation) Title: %��=s�G�� i✓�` (Owner, Partner, or Corp. Pres. or Vice Pres. only) By: � �< Title: �o o (Corp. Sec. or Asst. Sec. only) COUNTY OF ORANGE , NORTH CAROLINA (CORPORATE SEAL) The StaAmxot yNorAftxeavulizatxtkr=gh Witness: fAqMx a xjDxx xx&ntAX=) By: Title: ` EXHIBIT A FORM OF CONSTRUCTION CONTRACT - D. H. GRIFFIN CONSTRUCTION CO.,LLC ORANGE COUNTY SOUTHERN HUMAN SERVICES CENTER The following is a breakdown of cost for modifications from the bid documents. These modifications from the bid documents are described below and/or shown on the revised contract documents dated revision 1 (06-28-96). 1) Eliminate curb and gutter at the parking area and provide concrete wheel stops (detail 19/C5 without "flow slots") at all parking spaces. Pavement markings at entrance drive will be with standard paint in lieu of thermoplaster. Deduct $16,700 2) Grading change: Lower the building pad elevation and revise grading($43,000), storm drainage ($1,560), unit pavers ($1,200), and height of east retaining wall to T-4" ($4,000). In reference to revised grading, it is the intent of the revised contract documents to balance the site by lowering the building's finished floor elevation by 2.5' and to provide an on-site excavation area in an open field adjacent to the building. It is also the intent to eliminate the need for any off-site fill material. Deduct $49,760 3) Reduce landscape materials, equipment and installation cost by revising landscaping sheets L-1 and L-2 as follows: Downsize: Abelia 5 gallon to 3 gallon Helleri 5 gallon to 3 gallon Wax Myrtle 7 gallon to 5 gallon Change: Armstrong Red Maple to Red Maple Neilie Stevens Holly to Greenleaf or Savannah. Delete: All 2" Hedera Helix, change to seeding. One London Plane Tree Deduct $13,440 4) Reduce extent of foundation drainage Deduct $9,000 5) Eliminate screenwalls, fencing and operable gate at service court. Deduct $72,800 6) Delete screenwall and pad at chiller Deduct $5,500 7) Reduce length of entrance canopy Deduct $12,900 8) Revise floor plan Deduct $34,230 9) Delete canopy at south face of building Deduct $10,000 10) Change roof system to ballasted single-ply EPDM, in lieu of mechanically attached. Specification for this change is to be mutually agreed upon between Owner's representative and Contractor. Contractor does not represent or is not responsible for design of roofing system. Deduct $14,490 11) Delete the on-site trailer, and all associated work, required for the architect in the supplementary general conditions section 00020-9 Deduct $3,350 12) Lower the hardware allowance to $61,000 by removing all hardware at aluminum doors from allowance. Hardware at aluminum doors in contract price can be described as follows: offset pivots, concealed overhead closer, lever handles, push/pull standard,threshold. Deduct $15,000 13) Revise carpet backing type to " Enhancer III Plus" and reduce attic stock to 2%. Deduct $6,200 14) Simplify the Greeter's desk(1 on A15) and Reception/Intake(8 on A15) and reception/intake (8 on Al 5). All cabinets and woodwork as shown are to be furnished and installed under section 06402 and not 12300. These items which are to be modified are to be mutually agreed between Owner's representative and Contractor. Deduct $2,500 15) Delete movable screenwalls at waiting area Deduct $2,100 16) On both operable partitions, reduce the required area of special writing surface to 8'x 4' with the balance to be standard covering. Deduct $1,850 17) Delete furniture allowance Deduct $64,500 18) Delete signage allowance Deduct $10,000 19) Add precast arch over main entrance Add $1,000 TOTAL ADJUSTMENTS DEDUCT $343,320 BASE BID $2,964,000 TOTAL CONTRACT AMOUNT $2,620,680 Form OC-13 eECTYON 307 FORK OF PM1FORXMC9 BOND No. B2735953 Date of Contract: _ June 25, 1996 Date of Execution: June 25, 1996 Name of Principal: D. H. Griffin Construction Co. , LLC (Contractor) Name of Surety: Reliance Insurance CgMi) ,n_y Name of Contracting Bodys County of Orange, North Carolina Amount of Bond-, _ $2,620,680-00 Projectt Orange County Southern Human Services Center KNOW ALL MEN BY THESE PRESENTS, that we, the.princi al and surety above named, are held and firmly bound unto the above named contractng body, hereinafter called they contracting body, in the penal sum of the amount stated above for the payment of which sum well and truly to be made, we bind, ourselves, our heirs, executors, administrators, and successors,jointly and severally, firmly by these presents. THE CONDITION OF THIS OBUGA ION 1S SUCH, that whereas the principal entered into a certain contract with the contracting body, identified as shown above and hereto attached: NOW, U EREEORE, if the Principal shall well and truly perform and fulfill all the undertakings, covenants, terms, conditions and agreements of said contract during the ongmal term of said contract and any extensions thereof that may be granted by the contracting body, with or without notice to the surety, and during the life of an guaranty required under the contract, and shall also well and truly perform and fulfill all the undertalan covenants' terms, conditions and agreements of any and all dul authorized modifications o said contract that may hereafter be made, notice of which modifications to the surety being hereby waived, then, this obligation to be void; otherwise to remain in full force and virtue. IN WITNESS WHEREOF, the above-bounden parties have executed this instrument under their several seals on the date indicated above, the name and corporate seal of each corporate -party being hereto affixed and these presents duty signed by its undersigned representative,pursuant to authority of Its governing body. Executed in _ six counterparts. Witness: D. U. Griffin Construction Co. LLC contractor: (Trade or Corporate Name) BY (Proprietorship or Partnership) Attest: (corporation) Title: (Owner, Partner, or Corp. Pros. or vice Pros. only) BY: Titles (Corp. Sec. or Asst. Sec. only) (Corporate seal) Reliance Insurance Company (Sure m any Wit s: By: Title: Lee McGriff, Attorney=! - act (Attorney in Fact) Count signedd-- B : U. /A (Surety Corporate Seal) Eva E. Mitchell (N.C. Licensed Resident Agent) McGriff, Seibels & Williams, Inc. P.O. Box 10265 Birmingham, AL 35202-0265 Name and Address-Surety Agency Reliance Insurance Company 4117 N. Roxboro Road Durham, NC 27704 Surety Company Name and N.C. Regional or Branch Office Address 138 L Form OC--10 SECTION 808 FORM OF PAYMENT BOND No. B2735953 Date of Contract: June 25, 1996 bate of Execution: June 25, 1996 Name of Principal: b H Griffin Construction Co., LLC (Contractor) Name of Surety: Reliance Insurance Company Name of Contracting Body: - o my of Orange,,,,Nnrtfi ('arol{ria Amount of Bond: $2.620,680.00 ' pro j ect z _ orange County Southern Human Services Center KNOW ALL MEN BY THESE PRESENTS, that we, the principal and surety above named, are held and firmly bound onto the above named contracting body, hereinafter called the contracting body, in the penal sum of the amount stated above for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the principal entered into a certain contract with the contracting body identified as shown above and hereto attached: NOW, THEREFORE, if the principal shall promptly, make payment to all persons supplying labor/material in the prosecution of the work provied for in said contract, and any and all duly authorized modifications of said contract that may hereafter be made, notice of which modifications to the surety being hereby waived, then this obligation to be' void; otherwise to remain in full force and virtue. IN WTCNESS WHEREOF, the above-bounden parties have executed this instrument under their several seals on the date indicated above, the name and corporate seal of each corporate arty being hereto affixed and these presents duly signed by its undersigned representative,pursuant to authority of its governing body. Executed in six counterparts. Witness: D. H. Griffin Construction CO-, LLC Contractor: (Trade or Corporate Name) (Proprietorship or Partnership Attest: (Corporation) Title: ���%i�'��,✓ x (Owner, Partner, or Corp. Pres. or vice Pros. only) Sys Title: ' (Corp. Sec. or Asst. Sec. only) (Corporate Seal) Reliance fInsurance Com an ur t \1 mpany wi ss: Bys Title: e M Griff III Attorney-in-Fact (Attorney in Fact) Count signed.- (Surety Corporate Seal) Eva E. Mitchell N.C. L tensed Resident Agent) eibels & Williams, Inc. P.O-. Box 10265 Birmingham, AL 35202-0265 ame and Address-Surety Agency Reliance Insurance Company 4117 N. Roxboro Road _Durham. NC 27704 Surety Company Name and N.C. Regional or Branch Office Address } RELIANCE SURETY COMPANY RELIANCE INSURANCE COMPANY UNITED PACIkTC INSURANCE COMPANY RELIANCE NATIONAL INDE fNITY COMPANY ADMINISTRATIVE OFFICE,PHILADELPHIA,PENNSYLVANIA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS. that RELIANCE SURETY COMPANY is a corporation duly organized under the laws of the State of Del- aware. and that RELIANCE INSURANCE COMPANY and UNITED PACIFIC INSURANCE COMPANY, are corporations duly organized under the laws of the Commonwealth of Pennsylvania and that RELIANCE NATIONAL INDEMNITY COMPANY is a corporation duty organized under the laws of the State of Wisconsin (heroin collectively called *the Companies') and that the Companies by virtue of signature and seals do hereby make, constitute and appoint Betty W. Bourque. Mark W. Edwards. A. Lee McGriff. Ill., of Birmingham. Alabama their true and lawful Attomey(s)-in-Fact, to make, execute. seal and deliver for and on their behalf.and as their act and deed any and all bonds and undertakings of suretyship and to bind the Companies thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the Companies and sealed and attested by one other of such officers,and hereby ratifies and confirms all that their said Attomey(s)4r*-Fact may do in pursuance hereof. This Power of Attorney is granted under and by the authority of Article VII of the By-Laws of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY. UNITED PACIFIC INSURANCE COMPANY, and RELIANCE NATIONAL INDEMNITY COMPANY which provisions are now in full force and effect,reading as follows: ARTICLE Va•EXECUTION Of BONDS AND UNOE"AKING3 1. The Beard of Directen,the President,the Chairman d the Be"arty Senior Vie Preaidanr,arty Nee President or Assistant Nd President or other otf w designated by the Board of Directors shad have power and authority to lal appoint AflemllyW fs"and to aupnrite them to exeflea*n behalf of the Company.bonds and undertakings•resopnitancea,contracts of indemnity and etfr writings obligatory in the nature thereof.and Ibl to remove any such Atterry(sl-ir►Feet at any tkm will revoke the power and authority given to them. L Atternavis)-i -Fact shall haw power and autherity.sublaet to the terms and WnRapee at the Power of Attorney argued to them, to execute ddnw on behalf of the Compao y.bonds and ixderalimiM Malignances.cemracte of indemnity and other wnww obligatory in the nesre thereof. The corporate seal is net necessary for the v.iidtty of amt bode and undetakings. meopnalincss,cateoea of indemnity and other wnidrngs obligatory in the nature thereof. 3. AttomovisHn-Fe:t shall haw power end authority to execute afflfwas required to be attached to bonds,reeocnizances, contracts of indemnity or other conditional or obligatory undertakings and they shad also have power and suth ncy to certify the fktaned statement of tM Comperry and to tallies of the By-Caws of the Company or arty artiels or aetien thereof. This Power of Attorney is signed and sealed by fac unile under and by aWfrity of the following resolution adopted by the Executive and Finance Committees of the Boards of Directors of Reliance Insurance,Company, United Pectic Insurance Company and Reliance National I dennty Company by Urennmotal Consent dated as of February 29, 1994 and by the Executive and Finanaal Committee of tM Baud of Matson of Reliance Surety Company by Utnrwnrs Consent dated as of Mardi 31.1994. 'Resolved then the signatures of such directors and*(flows and the seal M the Company may be affixed to pry such Power of Attorney or arty certificates relating thereto by facaintile.and any suen Power of Attorney at o'rtificate bearing such facsimile sitPemes or facalmlle aal shall be valid and binding upon the Company and pry such Power so executed anti cartirned by facsimile signatures and faoimiie seal dad be valid and binding upon the Company,in the funs*with reepea to any bud or undertaking to wnich it is ettseled.' IN WITNESS WHEREOF, the Companies have caused these presents to be signed and their corporate seals to be hereto affixed, this April 4, 1994. RELIANCE SURETY COMPANY +•e"••' mo ° RELIANCE INSURANCE COMPANY r 1 UNITED PACIFIC INSURANCE COMPANY RELIANCE NATIONA f I1NDDEUNrrX COMPANY s SEAL ` :'t $Fi1l. nee• sv ?\�,L}I/- ' `'�+v�'` �j0ea+".�h O2Awp� rl.n.••'. �p STATE OF Pennsylvania COUNTY OF Philadelphia as. On this,April 4. 1994, before me, Valencia Wortham, personally appeared Charles B.Schmalz, who acknowledged himself to be the Executive Vice President of the Reliance Surety Company, and the Vice President of Reliance Insurance Company, United Pacific Insurance Company, and Reliance National Indemnity Company and that as such, being authorized to do so, executed the foregoing instrument for the purpose therein contained by signing the name of the corporation by himself as its duly authorized officer. In witness whereof. I hereunto set my hand and official seal, G%A NCT.:FiIAL ScAL �� '''> �/Y1C.�•L-����� VAL_eUC:a wCFITi;ALI.recta a OF :; t- ry• ubrrc City of?hilaceign:1.F'iia County Notary Public in and for the State of Pennsylvania My Camm�.sie t E�ares f:uv. gig, ;_or y Residing at Philadelphia I, Anita Zippert, Secretary of RELIANCE SURETY COMPANY, RELIANCE INSURANCE COMPANY, UNITED PACIFIC INSURANCE COMPANY, and RELIANCE NATIONAL INDEMNITY COMPANY do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is still in full force and affect. IN WITNESS WHEREOF, I have hereunto sat my hand and affixed the seals of said Companies this 25 t1day of June is 96 "-t Sec etary jµ,n `%err nee aI:7 all SLkL t ::::s:::: ISSUE DATE / YY MM DD/ ( ) PRODUCER:.;:.;:.:................................................. ........................... 7/26/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND BIRMINGHAM CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE MCGR I F F , SE I BE LS AND W I L L I AMS POLICIES BELOW. P.O. BOX 10265 COMPANIES AFFORDING COVERAGE BIRMINGHAM, AL 35202-0265 205-252-9871 LT A CALIFORNIA COMPENSATION INS C COMPANY INSURED LETTER B GENSTAR INDEMNITY COMPANY D. H. Griffin Construction LLC COMPANY 1049—B Bullard Court LETTER C HARTFORD INSURANCE COMPANY Raleigh LETMERNY D KEMPER INSURANCE COMPANY NC 27615 LT E INSURANCE COMPANY OF PA ....................... ! ........................................................... .... :...... .................................. ::: :::>:::::>::::>::.<::::>..:::>::>::>::>::>::::;::;:.;:.;:.:.::..:;..................::.;:...........:.;:.>::>::>::>::>::>::>:: ............................................................................................................................................................................................................................................. 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 CONTRACT OR 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 B X COMMERCIAL GENERAL LIABILITY lYG341782 5/10/96 5/10/97 PRODUCTS-COMP/OP AGG. $ 1000000 CLAIMS MADE FX OCCUR. PERSONAL & ADV. INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 50000 MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C X ANY AUTO 21UENLD3319 9/30/95 9/30/96 1000000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ 20 ,000 ,000 E X UMBRELLA FORM 4696-8934 5/10/96 5/10/97 AGGREGATE $ 20 ,000 ,000 __.... OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION X STATUTORY LIMITS A AND 81UB755K681395 11/07/95 11/07/96 EACH ACCIDENT $ 1000000 DISEASE-POLICY LIMIT $ 1000000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 1000000 OTHER D Builders Risk 3AT638091 7/26/96 7/26/97 $15 ,000 ,000 Limit $5 ,000 Deductible DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLESISPECIAL ITEMS Re: Orange County Southern Human Services Center , Chapel Hill NC ....................:.::::....::..:....:::.:.:::::::::.:........:....................::...... e...#FI ft1 'Fi �IJI t::€:i€:;.;;;;;:[:>:::>:::'.;::>::` °? €€€ .................: : AN. I .A. ................................................................................... ...............................................::::::.................................................................................................................................................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE County of Orange LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 132 E . King Street LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Hillsborough NC 27278 AUTHORIZED REPRESENTATIVE 022107502 005 �. ::>;, »»:.::.>::: .;.;:.:. ............. THIS APPENDIX MUST BE SUBMITTED WITH BID APPENDIX_D MBE UTILIZATION COMMITMENT We, D. u. 04RjF'FiN CONST-eaC-r'jot! Co. , LLC do certify that (Bidder) on the QR0AJfflE COun.J'r:l SC)UTH-E�7 n1 4U1qAA1 sLRVleCS Ce-A�R (Project Name) C FweL- i -ic_L1 AJC . 91��, dQQ, �0 , will expend a minimum of a ( ollar 'amount of bid) of the total dollar amount of the contract with minority business enterprises. MBE's will be employed as construction subcontractors, vendors, suppliers or providers of professional services. Such work will be subcontracted to the firms listed below. If the bidder intends to subcontract, this form must be completed regardless of the amount or lack of participation attained. Name/Phone Number/ Is firm an Description of Dollar value of Contact Person of MBE? Work work to be done by firm listed Use additional sheets as necessary. The undersigned will enter into a formal agreement with Minority i Firms for work listed in this schedule conditional upon execution y of a contract with the County of Orange, North Carolina. Failure to fulfill this commitment may constitute a breach of the contract. The undersigned hereby certifies that he/she has read the terms of this commitment and is authorized to bind the bidder to the commitment herein set forth. X7, N09&tF-R-'r µe5r-7�R , -TR . Date: "RRCj4 .9 601, !q'3<o Name of Authorizedd Officer Signature: Title: Cv P. PR1=-5,© T MBE UTILIZATION COMMITMENT - APPENDIX D -1 END OF PROPOSAL FORMS MP - 15