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Home My WebLink AboutRESPONSE - BID - 5737 UNION PACIFIC TRAIL DRAKE ROAD TO HORSETOOTH (8)SECTION 00300 BID FORM PROJECT: UNION PACIFIC TRAIL DRAKE ROAD TO HORSETOOTH ROAD; Bid No. 5737 Place i; TU o4 �t coy, s �P� ctios, Date lo�it/oti 1. In compliance with your Invitation to Bid dated Se�s(a� and subject to all conditions the: eo the undersigned n ` a * Cor oration, Limited Liability Company, Partnership, Joint Venture, or Sole Proprie r ** authorized to do business in the State of Colorado hereby proposes to furnish and do everything required by the Contract Documents to which this refers for the construction of all items listed on the following Bid Schedule or Bid Schedules. 2. The undersigned Bidder does hereby declare and stipulate that this proposal is made in good faith, without collusion or connection with any other person or persons Bidding for the same Work, and that it is made in pursuance of and subject to all the terms and conditions of the Invitation to Bid and Instructions to Bidders, the Agreement, the detailed Specifications, and the Drawings pertaining to the Work to be done, all of which have been examined by the undersigned. 3. Accompanying this Bid is a certified or cashier's check or standard Bid bond in the sum of rZ �/o, ($ in accordance with the Invitation To Bid and Instructions to Bidders. 4. The undersigned Bidder agrees to execute the Agreement and a Performance Bond and a Payment Bond for the amount of the total of this Bid within fifteen (15) calendar days from the date when the written notice of the award of the contract is delivered to him at the address given on this Bid. The name and address of the corporate surety with which the Bidder proposes to furnish the specified performance and payment bonds is as follows: t r\A 5. All the various phases of Work enumerated in the Contract Documents with their individual jobs and overhead, whether specifically mentioned, included by implication or appurtenant thereto, are to be performed by the CONTRACTOR under one of the items listed in the Bid Schedule, irrespective of whether it is named in said list. 6. Payment for Work performed will be in accordance with the Bid Schedule or Bid Schedules subject to changes as provided in the Contract Documents. 7. The undersigned Bidder hereby acknowledges receipt of Addenda No.1 through%. 7/96 Section 00300 Page 1 SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractor performing over 1,5' of the contract. ITEM SUBCONTRACTOR 7/96 Section 00430 Page 1 �� `''ZAK =.• Elder Reservoir Owner: Windsor Rervoir and Canal Company Engineer: Smith Geotechnical Contract Amount: $320,000 %Complete: 100% Scheduled Completion: July 1, 2001 Owner: Engineer: Contract Amount: %Complete: Scheduled Completion: CandieLight Ridpe Boulder Valley Investments Alliance Development Services $600,000 100% May, 2001 Plaza Dr./Dad Clark Gulch Water Quality lm9[Q ements Owner: Centennial Water and Sanitation District Engineer: CH2MHill Contract Amount: $576,639 %Complete: 100% Scheduled Completion: April, 2001 �i PAR 737 Owner: Metro Wastewater Reclaimation District Engineer: Metro Wastewater Reclaimation District Contract Amount: $239,000-00 %Complete: 100% Scheduled Completion: May, 2001 :: Foothills Reservoir Dain Rehabilitation Owner: Highland Ditch Company, Inc. Engineer: Smith Geotechnical Contract Amount: $746,746-00 %Complete: 100% Scheduled Completion: April, 2001 17th Ave, Underpass & Culvert City of Longmont City of Longmont $796,365.00 100% August, 2001 Union Ditch Diversion Dam Union Ditch Company. Engineer: Contract Amount: %Complete: Scheduled Completion Smith Geotechnical $460,214.00 100% April 2001 �.- Park View Manor PUD Phase ll Owner: T.R.A.C. Engineer: Sear Brown Contract Amount: $522,290.00 %Complete: 85% Scheduled Completion: October 2002 �:- South Taft Hill Road Owner: City of Fort Collins Engineer: Sear Brown Contract Amount: $4,840,495.60 %Complete: 99% Scheduled Completion: October 2002 Owner: Engineer: �i- Wellington Capital Improvements Town of Wellington Contract Amount: %Complete: Scheduled Completion: Owner: VV Owner: Engineer: Contract Amount: %Complete: Scheduled Completion: Owner: Sear Brown $292,133.43 98% October 2002 Iv Cedar Mesa Cedar Mesa Ditch & Reservoir Co. Engineer: National Society of Professional Enqin. Contract Amount: $93,370.00 %Complete: 98% Scheduled Completion: October 2002 Zak Dirt,Inc. A& �� `1'ZAK KEY PERSONNEL: James S. Sewczak President 35 years experience in earthmoving, drainage and construction. Ownership of own business for 26years. Larry D. Crouch Vice President 30 years experience in earthmoving, pipeline and drainage construction. Ownership of own business for 7 years Kerry Sewczak, Secretary/Treasurer 15 years experience in accounts payable/receivable,payroll and insurance Ken Nokes EquinmentlSafety Mana er 40 years in construction industry. 21 years as Equipment Manager and 8 years in Construction Safety. Dan Sewczak, Project Manager/Estimator 8 years experience in earthwork, concrete structures, drainage, project management. graduate B.S. Civil Engineering, CSU Angelo Mancina Assistant Estimator/Project Manaz 5 years experience in earthwork,concrete structures, drainage, project management graduate B.S. Civil Engineering, S. Dakota School of Mines Tino Flores Field Manager 25 years experience in earthwork, concrete structures, drainage. Matt Kaun 7 years experience in the construction industry ( site utilities ) Arnuljo Hernandez 10 years experience in the construction industry, specializing in concrete structures. �\ `1'ZAK ZAK DIRT, INC. 14290 HILLTOP ROAD LONGMONT, CO. 80504 970-535-4657 Phone 970-535-4561 Fax 303-289-4406 metro line Credit References FED. ID # 84-0713877 CO. ID # 21-01930 D&B # 08-039-5619 Wagner Equipment Company US Filter 17667 East 881h Avenue Branch 228 Denver, CO. 80217 1910 38th Street 303/739-3000 Denver, CO. 80216 303/292-1112 Contact: David Perry Wear Parts &Equipment P.O. Box 470233 Aurora, CO. 80047-0233 303 / 287-1966 Aggregate Industries 21 South Sunset Longmont, CO. 80501 303 / 776-1003 Cox Oil Company 555 E. 8rh Street Greeley, CO. 80631 970/352-9208 Valley Bank & Trust 340 Lashley Longmont, CO. 80501 Mngr. Doug Scherrer 303/655-4475 (direct line) 303/659-4183 (fax) SECTION 00420 STATEMENT OF BIDDER'S QUALIFICATIONS All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he desires. 1. Name of Bidder: 2. Permanent main office address: 3. When organized: 4. If a corporation, where incorporated: 5. How many years have you been engaged in the contracting business under your present firm or trade name? 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) 7. General character of Work performed by your company: B. Have you ever failed to complete any Work awarded to you? If so, where and why? 9. Have your ever defaulted on a contract? If so, where and why? 10. Are you debarred by any government agency? If yes list agency name. 7/96 Section 00420 Page 1 11. List the more important projects recently completed by your company, stating the approximate cost of each, and the month and year completed, location and type of construction. 12. List your major equipment available for this contract. 13. Experience in construction Work similar in project: importance to this 14. Background and experience of the principal including officers: members of your organization, 15. 16. 17. Credit available: $ Bank reference: Will you, upon request, fill out a detailed any other information that may be financial statement and required by the furnish OWNER? 18. 19. 20. Are you licensed as a General CONTRACTOR? If yes, in what city, county and state? class, license and numbers? Do you anticipate subcontracting Work under If yes, what percent of total contract? and to whom? Are any lawsuits pending against you or your If DETAIL this Contract? firm at this time? What yes, 7/96 Section 00420 Page 2 21. What are the limits of your public liability? DETAIL What company? 22. What are your company's bonding limitations? 23. The undersigned hereby authorizes and requests any person, firm or corporation to furnish any information requested by the OWNER in verification of the recital comprising this Statement of Bidder's Qualifications. Dated at this day of 20 Name of E By: Title: State of County of being duly sworn deposes and says that he is of (name of or and that ) the answers to the foregoing questions and all statements therein contained are true and correct. Subscribed and sworn to before me this day of 20 Notary Public My commission expires 7/96 Section 00420 Page 3 SECTION 00430 SCHEDULE OF SUBCONTRACTORS List all subcontractors for the work items listed below and all subcontractors performing over 15% of the contract. ITEM 7/96 SUBCONTRACTOR Section 00430 Page 1 Administrative Services Purchasing Division CITY OF FORT COLLINS ADDENDUM No. 2 BID #5737 UNION PACIFIC TRAIL DRAKE ROAD TO HORSETOOTH ROAD SPECIFICATIONS AND CONTRACT DOCUMENTS Description of Bid #5737 Union Pacific Trail Drake Road To Horsetooth Road OPENING DATE: October 16, 2002, 3:00p.m. (Our Clock) To all prospective bidders under the specifications and contract documents described above, the following changes are hereby made. DIVISION 2 SECTION 02900 - SITE REVEGETATION PART 1-GENERAL 1.01 Description of Work A. The work covered by this specification includes the furnishing of all materials and application of fertilizer, seed and mulch to areas defined in the plans or required by field condition. The work shall be completed in accordance with these specifications, accepted horticultural practice, and with the plans. 1.02 Related Work A. See appropriate sections for site work needed prior to work required in this section. Obtain approval from the Engineer prior to starting work required in this section. 1.03 Submittals A. Submit manufacturer's specifications and literature on all products. B. Submit materials list including quantities and description of materials. 1.04 Quality Assurance A. Source Quality Control: Manufacturer's test for purity and germination of seed, dated within six months of seeding. B. Certificates: Manufacturer's certification that fertilizer meets specification requirements. zio rvorrn mason otreet • ana moor • I:U. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 01 (Se 7/96 Zq�L 1>jt 10G CONTRACTOR BY:�a(. �CWL7�d... Ets ,.-ertoc aM-`Dc t. ADDRESS: BID SCHEDULE (Base Bid) Please use the attached Bid Schedule when submitting your bid. PRICES The foregoing prices shall include all labor, materials,. transportation, shoring, removal, dewatering, overhead, profit, insurance, etc., to cover the complete Work in place of the several kinds called for. Bidder acknowledges that the OWNER has the right to delete items in the Bid or change quantities at his sole discretion without affecting the Agreement or prices of any item s long as the deletion or change does not exceed twenty-five pent (25 ) of the total Agreement Price. Signature I�F/SP CTF[yhL9 SUBMITTED: 99 �// Date i Title License Number (If Applicable) i by gprporationA, ss /41250 !lm-'o00 keod Telephone 970 S3S=5�45`7 Section 00300 Page 2 PART 2 - MATERIALS 2.01 Grass Seed A. Grass seed shall be of the latest crop available. Seed shall meet Colorado Department of Agriculture Seed Laws, Chapter 35, Article 27. B. The seeding mixture shall be applied at a pure live seed (PLS) rate per acre AS SHOWN ON SHEET 4 OF 4. C. Do not use seed which has become wet, moldy, or otherwise damaged in transit or in storage. D. The Contractor shall compensate for percentage of purity and germination by furnishing sufficient additional seed to equal the specified pure live seed product. The formula for determining the quantity of pure live seed (PLS) shall be: Pounds of Seed (Bulk) x Purity x Germination E. Pounds of Pure Live Seed (PLS) F. The Contractor shall present to the Engineer a certificate of the PLS test of the grass seed which he intends to use. All grass furnished shall be delivered in sealed bags showing the weight, analysis and vendor's name. 2.02 Fertilizer A. Commercial fertilizer type and application rate shall be AS SHOWN ON SHEET 4 OF 4. 2.03 Mulch A. Hydraulically spray or approved equal. 2.04 Topsoil A. Topsoil shall be select earth material of loose friable loam reasonably free of admixtures of subsoil, refuse stumps, roots, rocks, brush, weeds or other material which can be detrimental to the proper development of ground cover. PART 3-EXECUTION 3.01 General A. The pattern of seeding and mulching, and fertilization if required, shall be as detailed or as required by field conditions to provide a uniform stand of grass acceptable to the City. In no case shall revegetation occur within 30 days of the application of a chemical weed control substance. B. Warranty excludes replacement of plants after final acceptance because of injury by storm, drought, drowning, hail, freeze, insects or diseases. 3.02 Preparation A. Verify that soil preparation has been completed prior to seeding. B. Seed areas damaged by construction activities as directed by the Engineer. C. Apply by broadcasting or drillings at the rate specified herein. D. Selection of the time of seeding shall be Contractor's responsibility, consistent with erosion control. E. Rework previously prepared areas that have become compacted or damaged by rains or traffic. F. Do not drill or sow during windy weather or when ground is frozen or untillable. G. Cover seed to depth between'/< to %2 inch by raking or harrowing. H. Firm seed areas with roller weighing maximum of 100 lbs. per foot to width. 3.03 Hydraulic Seeding and Mulching A. Seed and fertilize in the amounts per acre designated. Wood cellulose fiber mulch at 2,000 Ibs/ acre. B. Combine with water to provide a slurry. Perform hydraulic application in such a manner that the liquid carrier will uniformly distribute the material over the entire area to be seeded at rates not less than indicated herein. Do not compact. Double the amount of seed per acre if seed and mulch are applied in a single application. 3.04 Drill Seeding A. Seed shall be applied in a minimum of two passes at 90 degrees two each other. 3.05 Reseeding and Repair A. Reseed and mulch areas where there is not a satisfactory stand of grass at the end of 60 days after seeding. B. Minimum satisfactory stand: 4 plants per square foot. 3.06 Areas to be Seeded A. All areas that have been damaged or disturbed by the Contractor's operation shall be reseeded according to these specifications and as indicated on the plans. 3.07 Maintenance A. No maintenance is required, UNLESS NOTED ON THE BID SCHEDULE. From Union Pacific Trail Specification Fertilizer and Seed Mix Commercial Fertilizer (18-46-0) Nitrogen Phosphorus Potassium Application rate of 250 Ibs per acre Percent available by weight 18 46 0 Buffalo Grass 40% 13 Blue Gramma 30% 14 Sheep's Fescue 30% 13 100 40 END OF SECTION If you have any questions please contact John Stephen, CPPB, Senior Buyer, at 970-221-6777. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED. Administrative Services Purchasing Division City of Fort Collins UNION City of Fort Collins Addendum No. 1 BID #5737 PACIFIC TRAIL DRAKE ROAD TO HORSETOOTH ROAD Specifications and Contract Documents Description of Bid # Bid No. 5737 Union Pacific Trail Drake Road to Horsetooth Road OPENING DATE: October 16, 2002, 3:00 pm (Our Clock) To all prospective bidders under the specifications and contract documents described above, the following clarifications are hereby made. 1. The contract period is 75 days for substantial completion and 90 days for final completion as stated in the Bid Documents, Section 00520, Article 3. 2. The crusher fines trail is not indicated on the Bid Schedule (Section 00300) and it is not indicated in Section 01800. Crusher fines trail is by others. Subgrade elevation is included in this contract. 3. Erosion control measures are inlet protection only as indicated on the drawing "Area Inlet Filter Gravel" page 5 of 6. Use this detail at the five pipe locations indicated on the drawings. No silt fence or other temporary measures are required. 4. Any tree work required will be performed by the City. If you have any questions please contact John Stephen, CPPB, Senior Buyer, at 970- 221-6777. RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED BY A WRITTEN STATEMENT ENCLOSED WITH THE BID/QUOTE STATING THAT THIS ADDENDUM HAS BEEN RECEIVED. 215 North Mason Street • 2nd Floor • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6775 • FAX (970) 221-6707 ATTENDANCE RECORD PREBID CONFERENCE Project: Union Pacific Trail Time: 10:00a.m. Date: October 3, 2002 Location: At the intersection of Parklake Drive and Centennial Road SAME FIRM NAME ADDRESS ELEPHONE FAX # E-MAIL ADDRESS 7a-W�2Y C Alllow 6��f CF! dbytt p 6+ L 4,r-/Z G � r� 6�/ V , Gyre/ n/ t7oli-&,x g ✓C v 1IC� i ` `IRY9 �, 303•- 3�3—�` ZI . p I z .co sP�wzi 735 �- (plor }h.0 54 oBfr�l-OV 3c3-`h{2-1 io l 3°3_142._2.-L eSPe rfPlme.4ePriSest� . Co. Soy October 10, 2002 CITY OF FORT COLLINS PLANHOLDERS LIST FOR BID #5737 UNION PACIFIC TRAIL G R CONSTRUCTION BRIGHTON LANDSCAPING 1908 MEADOW VALE ROAD 397-S 24T" AVE LONGMONT, CO 80504 BRIGHTON, CO 80601 PH 303-678-1127 PH 303-654-0840 FAX 303-678-5341 FAX 303-654-0161 BURKE CONCRETE AQUATIC & WETLAND 2900 SUMAC STREET, #3 9999 WELD COUNTY RD. 25 FT. COLLINS, CO 80526 FT. LUPTON, CO 80621 PH 970-308-1115 PH 303-442-4766 FAX 970-484-1062 FAX 303-857-2455 WALSH CONSTRUCTION WORK-A-HAULICS 5828 N ST. LOUIS AVE 820 E COUNTY RD. 58 LOVELAND, CO 80538 FT. COLLINS, CO 80524 PH 970-622-8227 PH 970-484-0888 FAX 970-278-9396 FAX 970-484-9082 L & M ENTERPRISES G L HOFF P O BOX W P O BOX 7448 BERTHOUD, CO 80513 LOVELAND, CO 80537 PH 970-532-3706 PH 970-669-3255 FAX 303-442-2231 FAX 970-663-1566 TLM CONSTRUCTORS EXPRESS CONCRETE P O BOX 336638 5305 ZIEBLER RD GREELEY, CO 80634 FT. COLLINS, CO 80528 PH 970-346-8323 PH 970-225-1287 FAX 970-346-8324 FAX 970-229-0846 BROWN CONSTRUCTION SINNETT BUILDERS P O BOX 1048 P O BOX 1969 WESTMINSTER, CO 80036-1048 FT. COLLINS, CO 80522 PH 303-430-8935 PH 970-493-1770 FAX 303-430-8940 FAX 970-482-4532 H & L CONCRETE 651 28T" COLORADO CONSTRUCTORS ST GREELEY, CO 80631 6810 N BROADWAY, SUITE B PH 970-356-7909 DENVER, CO 80221 PH 303-427-0868 FAX 970-356-0887 FAX 303-427-0882 Project: Union Pacific Trail BID SCHEDULE (BASE BID) Bid items are described in Section 01800 BID ESTIMATED UNIT ITEM ITEM # DESCRIPTION QUANTITY UNIT PRICE TOTAL 1 Mobilization 1 LS $ $ General Conditions 1 LS $ \21-1b' $ �a18 2 Traffic Control 1 LS $ \2 00 0l $ \a 3 Demolition 1 LS $2 16zo $� $ 4 Topsoil Removal/Replacement 1420 CY $—� 5 Erosion Control 1 LS $ 73.'�175 J $ aQ� 6 Earthwork: Cut 102 CY T � 7 Earthwork: Import Fill 490 CY $ aQ $ 98�°a 8 Various Pipe Extensions 1 LS $ \O C�o� $ 9 Concrete Trail 10' wide, 5" thick 49820 SF $ a-g3 $ iy0 0 10 Handicap Ramp 2 LS $ \goy $ 36 11 Fine Grading 1.72 AC $ \90�3= $ 16A0�o 12 Metal Gate 2 LS $ %75�' $ \{,SO"' 13 Seeding 1.72 AC $ a5ao $ TOTAL OF BASE BID rL �\®yS�n� 0t,'- (written) �oA�ncy o.- a S;,�T,,V "^1,5 $ 1`11\O5 Figure Section 00300 Page 3 SECTION 00400 SUPPLEMENTS TO BID FORMS 00410Bid Bond 00420Statement of Bidder's Qualifications 00430 Schedule of Subcontractors 7/96 Section 00410 Page 1 SECTION 00410 BID BOND KNOW ALL MEN BY THESE PRESENTS: that we, the undersigned as Principal, and as Surety, are hereby held and firmly bound unto the City of Fort Collins Colorado as OWNER, in .the sum of $ for the payment of which, well and truly to be made, we hereby jointly and severally bind ourselves, successors, and assigns. THE CONDITION of this obligation is such that whereas the Principal has submitted to the City of Fort Collins Colorado the accompanying Bid and hereby made a part hereof to enter into a Construction Agreement for the construction of Fort Collins Project, UNION PACIFIC TRAIL DRAKE ROAD TO HORSETOOTH ROAD; Bid No. 5737. NOW THEREFORE, (a) If said Bid shall be rejected, or (b) If said Bid shall be accepted and the Principal shall execute and deliver a Contract in the form of Contract attached hereto (properly completed in accordance with said Bid) and shall furnish a BOND for his faithful performance of said Contract, and for payment of all persons performing labor or furnishing materials in connection therewith, and shall in all other respects perform the Agreement created by the acceptance of said Bid, then this obligation shall be void; otherwise the same shall remain in force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal amount of this obligation as herein stated. The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its BOND shall be in no way impaired or affected by any extension of the time within which the OWNER may accept such Bid; and said Surety does hereby waive notice of any such extension. Surety Companies executing bonds must be authorized to transact business in the State of Colorado and be accepted by the OWNER. 7/96 Section 00410 Page 2 IN WITNESS WHEREOF, the Principal and the Surety have hereunto set their hands and seals this day of , 20 , and such of them as are corporations have caused their corporate seals to be hereto affixed and these presents to be signed by their proper officers, the day and year first set forth above. PRINCIPAL Name: Address: By: Title: ATTEST: By: (SEAL) 7/96 sm Title: SURETY (SEAL) Section 00410 Page 3 SECTION 00420 STATEMENT OF BIDDER'S QUALIFICATIONS All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The Bidder may submit any additional information he desires. 1. Name of Bidder: ZAK DIRT, INC. 2. Permanent main office address: 14290 HILLTOP ROAD LONGMONT. CO. 80504 3. When organized: 1976 4. If a corporation, where incorporated: COLORADO _ S. How many years have you been engaged in the contracting business under your present firm or trade name? 26 YEARS 6. Contracts on hand: (Schedule these, showing the amount of each contract and the appropriate anticipated dates of completion.) 7. General character of Work performed by your ccmpany: EARTHWORK, CONCRETE STRUCTURES, PIPE WORK, 8. Have you ever failed to complete any Work awarded to you? If so, where and why? NO 9. Have your ever defaulted on a Contract? NO If so, where and whv? 10. Are you debarred by any government agency? NO If yes list agency name. 7/96 Section 00420 Page 1 ll. List the more important projects recently completed by your company, stating the approximate cost of each, and the month and vear location and type of construction. completed, 17. TLst your major equipment available for this contract. 150 LOADER/210 JOHN DEERE/416 TIB/ D-6 DOZER 13. Experience in construction Wor'v, similar in importance to this preject: TRAIL/ EARTHWORK i i4. Background and experience of the principal members of your organization, including officers: 15. Credit available: $ 500 Don no I . ln. Eank reference: SEE ATTACHED SHEET 17, ill you, upon request, fill out a detailed a n V c=her information financial statement d furnisOWNERh that may be required by the i0. Are you licensed as a General CONTRACTOR? YES 11 yes, in what city, county and state? class, license and numbers? CDOT UNT T •TTED DENZER,COLQRAD0 805.4 _What i9. Do you anticipate subcontracting Work under If this Contract? :es, what percent of total contract? 1% ---YES and tc ,,hcm? CARNES TRAFFIC CONTROL 20. Are any lawsuits pending :;cainst you or your firm Tt at this time? NO DE:ATL_ yes, 7/96 Section 00420 Page 2 21. What are the limits of your public liability? DETAIL What company? TRAVELERS !NStTRANCE 22. What are your company's bonding limitations? _ $?non_nnn nn 23. The undersigned hereby authorizes and requests any person, firm or corporation to furnish any information requested by the OWNER in verification of the recital comprising this Statement of Bidder's Qualifications. VV Dated at 0 ..r, this day of OCfchct 200->. Nam o Bi er By: O1 54 1e� Title: State of Lp�o:a County of W'"� of being duly sworn deposes and says that he is and that (name of organization) the answers to the foregoing questions and all statements therein contained are true and correct. Subscribed and sworn to before me this U; — day of No ary P My commission expires Mr Commission Expires Janurary 31, 2005 i f 7/96 Section 00420 Page 3