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HomeMy WebLinkAboutContract ~: '1,. n (/) t3 w -:l ..... 0 a.... 0:: s u c.. 8 ~ ~ Cf'.J U- N , "- .~ 0 '.l... \ ... "i u. \, . u '0:: .. <II o ~ .....:.t. u. t) ~ '> 0 ~ ~ Q~ ~ "- S ~ <0 ...... ~ c 0. al co a' U Q) 0 ~ '- $ z '::)... ~ :J E ~ c Q ...... co 0 u.. :J ~ ~ ~ Cl. <t u:: r~ 8-107 " -' Prescribed by State Board of Accounts Form No. 96 (Revised 2000) r;-", I CONTRACTORS BID FOR PUBLIC WORK PART I (T 0 be completed for an bids) (Please type or print) . Date: g> "/S'''o 7 :Ie. f f,~ .s.., ",:lIe Address: C'-I"! .f C/o /' J( 7e 0..... 'e.., t"t*o':"J/ J,t-f; / 'I 91). io,-/ /'e;. ~ .fi. /17,.,., Lu . .$ tv Y ill( J , . " ,... ;. 9 y .. /;).5 ~ 1. Governmental Unit (Owner): 2. County: 3, Bidder (Firm): City/State: 4. Telephone Number: 5. Agent of Bidder (if applicable): r\---' Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete . ks f n,"1- .,.. -r.fl'rJ.~.J.'lk the public war project 0 L; r _ \I ~ \. and dated l: U G.")L+- lL...~...Jfiv' /J....J...JN.....,1. t..lf $ "3''''1''''}... S" Jo'07 ~f, S"oJ for the sum of (Governmental Unit) in accordance with plans and specifications prepared by The undersigned further agrees to furnish a bond or certified check witb this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. ... - 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 accepted by the Governmental Unit. If the bid is to be awarded on a unit basis, the itemization of the 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) ('.r--. 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. I understand that violations h'ereunder may result in forfeiture of contractual payments. 8-102 .. ACCEPTANCE r---. The above bid is accepted this "'2.. \ ~ day of A\.).e:o!.'T' following conditions: - ~t.J.e -.... I ~ "], subject to the Contracting Authority Members: ..Je(~ ~ ~ ~&r~~~,,^~~ . "4 ~\~t0 P ART II (Complete sections I, II, Ill, and IV for all state and local public works projects as required by statutes if project is one hundred thousand dollars ($100,000) or more. (IC 36-1-12-4) Govemmental Unit: C.. ~ tot J t f I ,,.) ." v: J 1(, , Bidder (Firm) It 0..... ~o"J./"l"rJ..~), J".L,.f. Date: f;,;-.07 r-. --.' €' . \ , These statements to be submitted under oath by each bidder with and as a part of his bid. i\ttach additional pages for each section as needed. SECTION I EXPl::.RIENCE QUESTIONNAIRE 1. What public works projects has your organization completed for the period of one (1) year prior to the date of the current bid? When Contract Amount Class of Work Completed Name and Address of Owner ?#/ ArrRlfl tIP I 2. What public works projects are now in process of construction by your organization? When to be Contract Amount Class of Work Completed Name and Address of Owner PElt 1'1111"( HE ~ r-'\.;~ i' . 8-103 1> r-', r.-- , ., L' '. .j I ..,.. 3. Have you ever failed to complete any work awarded to you? (I/o If so, where and why? 4. List referenced from private -firms for which you have performed work. t E fl, If rf If (/1' f LJ SECTION 1\ PLAN AND EQUIPMENT QUESTIONNAIRE 1 . Explain your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, completed the project, number of workers, etc. and any other information which you believe would enable the governmental unit to consider your bid.) ~TItJ(1., $'4N'.SE.....t~ t..J1t',t2~'N~ TIJ~ s~"'lta .RtJ~~t+,-,..,...., 2. If you intend to sublet any portionof 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. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. 3. What equipment do you have available to use for the proposed project? Any equipment to be used by subcontractors may also be required to be listed by the governmental unit. T'''' I1fl-o,i,/ 4. Have you entered into contracts or received offers for all materials which substantiate the prlces used in preparing your proposal? Otherwise, please explain the rationale used which would corroborate the prices listed. Y E's "-'. 9.104 .' r, r\ r'\ \ '.. SECTION III CONTRACTOR'S FINANCIAL STATEMENT I 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 goveming 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. p~ ~ 4-;-ncJc-~ SECTION IV OATH AND AFFIRMATION 1 hereby affirm under the penalties of pe~ury 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. :rh J 5 day of 0",Jraeh~ ~ (N Dated at JUUYiiJhiS I liJ Awf LLC I ~1J7 this By i ACKNOWLEDGEMENT STATE OF /J ~ ) ) ) COUNTY OF !YJlil.V/N C. LatI~AlS ~~h~ ~ ;fA all a..q l/r (Ti e) ~ being duly sworn, deposes and says that he is of the above UA-m G" /-r4c-h ~ ~ LLC- (Name of Organization) and that the answers to the questions in the foregoing questionnaires and all statements therein contained are true and correct. I r'11' day of Av 1 1 ']..IJd'1 . CsjL. ~Lr". lC;~ ~ Notary Public Subscribed and sworn to before me this My Commission Expires:. 2.' "2..~ 20 D f> County of Residence: '\A.P.s~~~ B-105 '.. ~~' r<-- , r\: ,-.. '", 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 include anyone to refrain from bidding, and that this bid is made 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 pe~ury that the foregoing facts and information are true and correct to the best of my knowledge and belief. Dated at fJr., to' ~J l~ this I I f"J, '007 By day of J1.v ~. . T~...M\ C,,,,I-..r,J""J, J.,1,e. .1k ~o:::-) o J: ~I'"' . f.-. "\ J fl ' ., r ., "-,, I (Title of Person Signing) I ACKNOWLEDGEMENT STATE OF :tAl COUNTY OF CL.'" It/( ) ) SS: ) fY) ( I ",;" J., Nt, 0;') J () , 'v. ty)CO'1e\' I' (litle) being duly sworn, deposes and says that he is of the above /e.,;'t'l C""".t""cf.''''''}J it e (Name of Organization) and that the statements contained in the foregoing bid, certification and affidavit are true and correct. ~ I".J. A Subscribed and swom to before me this /> day of ,or.. \ I ' 21lO0 J 1\ ~ />-:;_.~ !! ('. J'I 0./ I \, GY-'~~W( C~ NOtal=YP'ubIiC My Commission Expires: /). -Q - clDO B 'G" .- f \ ,..r.... r. ~ County of Residence: i0Qcj\tI",,-<W'-\., J B-1QS ~. '," r 12.0 BID FORMS NOTE: I INSERT AND ATTACH TO FORM 96, DO NOT USE THE CONTRACTOR'S BID SECTION ON FORM 96. BE SURE TO SIGN BID, NOTARIZE BID AND EXECUTE NON-COLLUSION AFFIDAVIT. CONTRACTOR'S BID FORM JEFFERSONVILLE SEWER BOARD CITY HALL 500 QUARTERMASTER COURT JEFFERSONVILLE, INDIANA 47130 RE: UTICA-SELLERSBURG RD.lSTATE RD. 62 SEWER & WATER LINE EXTENSION JOB NO. 0546A Gentlemen: We submit, herewith, our sealed proposal to furnish all necessary labor, material and equipment to construct the above captioned project, in accordance with the subject plans and r specifications at the unit prices listed herein. S:ISydneyIWPDOCS\OS\OS46Alsection A2(a),wpd A-205 ~ , '" UTICA-SELLERSBURG RD.!STATE RD. 62 SEWER & WATER JOB NO. 0546A ._---------------------------------~------------------------------------------------------------ ITEM APPROXIMATE DESCRIPTIONWITH UNITPRICE TOTALAMT. NO. QUANTITY UNiT PRICE WRITTEN IN FOR BID IN WORDS NUMBERS ITEM (: DIVISION A .----------------------------------------------------------------------------------------------- 1 o TONS Crushed Limestone (Misc. S~~~f' t ^ F or ..............~.................................. ...................................... Dollars Per Ton $ ",D- I~ - o $ 2 o TONS ----------------------------------------------------------------------------------------------- Bank Run Sand F T~~JtI(. or ..................... ............................ ...................................... Dollars Per Ton $ /;1 ~ o $ 3 lEA -----------------------------------~------------------------------~---------------------------- IO"x 8" Tapping Sleeve & 8" Valve F T 1.,'" ~~ J: 'I /.J.. '" "/-1 or ...................-i............................ ......,............................... Dollars Per Each -- .- 3(.DttI- $ .1, ~ f)f) - $ '-eo rl 4 OEA ----------------------------------------------------------------------------------------------- Air Release Valve For ..................... ............................ , ...................................... Do lIars Per Each .,.. $ fPe;,; -- $ o 5 766 LF ----------------------------------------------------------------------------------------------- 811 Water Main F or............T.~.~~.7....l.:..t....... ...................................... Dollars Per Linear Foot 6 lEA ----------------------------------------------------------------------------------------------- $ ""} r 6.." I? 'J~.'!!! ".. fill $ ~ .eo Fire Hfdrant Assembly F or ..........~.:~~...!..~~.~~.............. .....&..~~~............... Dollars Per Each ... $ "3, 30el - :1. 3 iN' ~ 'I' 'ft" 7 2EA ----------------------------------~------------------------------------------------------------ $ 8" Gate Valve & Box J. I F or...........~:~l~.t.....!.~.:.~....~..... .............:T.~.=:.~...~/........ Dollars Per Each ----------------------------------------------------------------------------------------------- $ r J () --.- ~{,"(;1!.: $ .-e- 8 1 EA Type 'A' Manhole F or .........f;(..1..f.~:~.............. ..../t.:'::.......'!................ Dollars ..... 't If e1(;1 .,,,: Per Each $ it I( fJ ~ - $ e- ----------------------------------j------------------------------------------------------------ S:\Sydney\WPDOCS\05\OS46Alsection A2(a).wpd A-206 f!..~, I~ r' ... J r! ;.--..;. UTICA-SELLERSBURG RD./STATE RD. 62 SEWER & WATER JOB NO. 0546A .----------------------------------------------------------------------------------------------- ITEM APPROXIMATE DESCRIPTION WITH UNIT PRICE TOTAL AMT. NO. QUANTITY UNIT PRICE WRITTEN IN FOR BID IN WORDS NUMBERS ITEM 9 1 EA .----------------------------------------------------------------------------------------------- Type 'B' Manhole F or .........;...{.r:!..~~..t..~.~.~...l~_~J..; ........ .............................. Do llars Per Each $ I i Of) It"" - $ /7()f7 10 5EA ----------------------------------------------------------------------------------------------- Type 'c' Manhole J F or.......T.~..!!......T..~'!..~.~..::. ...................................... Dollars eo' . .. --------------------------------~:!_~~~~----------------------~--~-~~-~-==---~--~-~~-~-~ 11 736 LF 15" PVC Gravity Sewer F or .........f..'!..~.~1_..f::.~.~........... ...................................... Dollars Per Linear Foot 12 77LF ----------------------------------------------------------------------------------------------- ..... $ f./J - .~ $ :J 311:2D -- 8" PVC Gravi~ Sewer F or.......I.~.~~.::;.....~::t............ ...................................... Dollars Per Linear Foot 13 1 LS ~ _________________~_-_------------------i------------------------------------------------------- $ -;2' ~ ~. $ -;2, 0 (;);2. - Debris & Metal Structure Removal, Replace 6" Concrete Slab fI. J,J F or.......l.!.~.!:f...t~.'!........~.... ...................................... Dollars Per Lump Sum $ 14 4EA ----------------------------------------------------------------------------------------------- .. ... 'I, ,).~cI - $ ~ ~() tJ - Property Service Connection Pipe with Cleanout including WyeF~~~:t~~,nJ For ................................................. ...................................... Dollars Per Each $ ". 9peJ - $ .* r!, "DO - 15 1 EA ----------------------------------------------------------------------------------------------- I Cons~cto~ ~n~r:~:',.J For ....................................... .......... Dollars Per Each $ ~ I (If.l '!...: $ 4 /0 D -..:::. -~~~~~~;;~;;~;;~~-~~~~-~;~~::~-~~~;~-~;~-------------------;--f"i;-s'-~ ~ ................................................ S:\SydneyIWPDOCS\0510546Alsection A2(a).wpd A-207 ~>1~L-U\/1. l /Vo-hwt ~ t? , '-- JOB NO. 0546a BID OPENING August 15, 2007 f' l I JOB TITLE S.R. 62 & Utica-Sellersburg Road Sewer & Water Line Extension JOB SPONSOR Jeffersonville Sewer Board BIDDERS Clark Temple & Dan Coffman Team MTN Nickles Temple Cristiani $88,598.00 $91,155.85 $98,475.00 $99,289.25 $100,201.00 $123,564.90 (\ WHF Excel TSI MAC $123,584.50 $133,802.00 $148,155.75 $159,722.00 (\ S:\SYDNEY\ WPDOCS\05\0546A \0546A-BID SHEET.DOC r r\ Z ~o o(i) o;Z.... U)Wo 0::-1-0 Oc><~ u.<CWIt) o .... 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U)Wo 0::-1-0 o!;ix~ U.OWIt) ZO::W~ OC)~CIO - ...I ~O::O::<C .J:JWCO :Jml-"d' m~<c1t) <Cw3:~ I-...ICO C...lZZ iii~<cm <ffiQ 5:23: I-w :JU) I ~ , , , , , , , , , , , , , , 0 E-< '" '" '" '" '" '" '" '" '" '" '" '" '" '" ~ ~ , , , , , , , , , , , , , 0 E-< '" '" '" '" '" '" '" '" '" '" '" '" '" '" ~ ~ , , , , , , , , , , , 0 E-< '" '" '" '" '" '" '" '" '" '" '" '" '" '" ~ ~ , , , , , , , , , , , 0 E-< '" '" '" '" '" '" '" '" '" '" '" '" '" '" ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 , , 0 , 0 0 0 0 0 0 0 0 0 0 0 0 ~ 0 0 0 0 0 0 <:5 N N oci 0 <:5 N 0 0 0 0 0 0 0 ".., "'" '" 0 0 '" r- '" '" "', '" 0 ".., '" o.n '" "'" :1 r- 0 ..0 00 '" - S '" ;! 0 ",' sf ..f' c\ '" \C V"\ E-< - \,,) '" '" '" '" '" '" '" '" '" '" '" '" '" '" '" '" ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 0 0 0 0 ..::; ~ 0 0 0 0 0 0 0 N ..::; oci 0 <:5 E-< - 0 o.n 0 o.n 0 0 0 00 "'" '" ~ 0 ~ r- '" '" '" 0 '" '" :1 ..0 ",' ::l' '" N ",' - '" '" '" '" '" '" '" '" '" '" '" '" '" '" '" >< in CI.l CI.l "'i' ~ 6 6 2ii 2ii < 2ii 2ii < 2ii 2ii < .... 5 5 5 CI.l 00 ~ E-< E-< ~ ~ o-l ~ ~ 0 0 - - \C - N - - ".., \C r- - "'" - \C '" r- ~ 0' r- r- 0;9 .~ S = '" .f .~ ~ ~ ~ ~ 8.~ " >- '" > s 0) .~ eo ,~ ~ ,~ 0 z CI.l 00 '" E-< :2 ~ ..,; o ,~ cS j ..g .." p:. '" ... o '" E-< ! " ~ '" ... Fii ~~ ~ ~ ~ ;. " " -s ~ " e " $ '" E g " iZl i!I CI.l i u eo U S ! " 1 " CI.l -El '" $ ,~ iZl " .S CI.l ] .Ef <: ~ <3 1 b ~ 0"0 "" .~ .S " ~ ~ 'S: 'E .=l '" ~ p. .. 11 ~ u S CI.l go ~ Cl '" ::s Jl .s " ~ ::s ::s Cl o-l ~ > '" '-1'1 E-< ... -tl ~ ~ €'il ~ "0 ~ &' " :.: e:< 9 u " Jl 00 1;i > ,13 0 1i~ ~ i3= " " " Po< ,.$ la 2 ~ '" d ~ ~ ~ Po< -13 ! o " ~ .l:l on ~o 0 U i!I 00 "'" 00 E-< - 00 Q u 'oN wall - '" '" "'" V"\ \C r- oo '" ::l - ;j ~ ;!; ~ - M 4-< o M ol) ~ p.., 1l ~ g ~ 1iI ,.. , ~ ~ ~ i R ~ "'" Gener31 Form No, 96-a Prescribed by the State Board of Accounts of Indiana. Revised 1949 STANDARD QUESTIONNAIRES AND FINANCIAL STATEMENT FOR BIDDERS Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 305, page 1248, Acts of 1947. r\ Submitted to C: J. y () f r (? 11.,/:> ., ^ v; / ~ I ~ ............................1......................................................................................................................... B T ~...... f!~~..J' /' · t f,' ^), l t e y ............ ........- ........ ....................... ..................... ........ .... ........... .............. ........... Address ......................Lt~...~..~.........~:.:.!..:,.~..~..~.,.Jt.:................................................................ ......................!!!~.~.J..!.::.!".....:!..~....r...?!..r..~.................................................................. Date submitted ....................................~.J.~........!...~......................................... 20...~...2....... Filed ............................................................................................................... .....................................................~~...~~..................................................-~........ ................................................................................................................... ............................................................................................................. A.E. BOYCE, MUNCIE, IND r, S:\Sydney\WPDOCS\05\OS46A\division B.wpd B-109 Submitted by, ~ ( 7 c . f'01 ~ 0.., .J 1". f, I t~) j.. /, C Ji A Corporation ................. .............. ...... ............... .... ......................... ...:..........1............. ............... ............... .................. .................. ...\ 0- partnership . I An Individual ~rinci al Office at } '1 C;/~ IZo"j".-tI( J~ fIj,..../J..;J,ZAI '17IY] ~, , p ...... ............. ......... ................. ......... .......... ........................ ..,t................... .... ..........J............... ........ ....... ......................................... .... ........ \1 i I ........................................................................................................................................................................................................................................................................... EXPERIENCE QUESTIONNAIRE The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories hereinafter mltde. 1. How many years has your organization been in business as a general contractor under your present business name? ..............;...................................!..i............................................................................................................................................................................................ How many years experience in construction work has your organization had (a) as a general contractor; and (b) as a subcontractor? ..........!.y............. ............................. ..................... ......... .................. ............ ....... ......... ......................... ...... ................... ........... ...... What projects has your organization completed? ........................................................................................................................................... 2. 3. CONTRACT AMOUNT CLASS OF WORK WHEN COMPLETED NAME AND ADDRESS OF OWNER . fill .r/J Hr rlt(/ ....................................................................... ................................................................... ................................................................ ................................................................. ..................................................................... .................................................................. .............................................................. .............................................................. . f'" '\ 1\ a. r What projects does your organization now have in process of construction? \ ! NAME AND ADDRESS JNTRACT AMOUNT CLASS OF WORK WHEN COMPLETED OF OWNER .................f.J.~......~.rT!!E!.t.. IJ . ............................................................... ..................................................................... ................................................................. ................................................................. ................................................................ ..................................................................... .................................................................. . 4. Have you ever failed to complete any work awarded to you? If so, where and why. ..............................................................................................-yt/i)........................................................................................................................................ .......................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................... 5. Has any officer or partner of your organization ever been an officer or partner of some other organization that failed to complete a construction contract? If so, state name of individual, other organization and reason therefor. .................................................................................................~.?!........................................................................................................................................ 6. H;.~..~;;y.;;ffi~~~.;;;.p-;;~tt;~;.~;Ty~~.;;~p;ti;;~.~;~~.fill~d.t~..~;;~p"i~t~.~..t~.~~~~ci~.~..t~.~tr~tt.h;~di~d.~..hi~ih~~.;;;~ name? If so, state name of individual, name of owner and reason therefor. ........................................................................................................~?!.................................................................................................................................. ......................................................................................................................................................~...................................................................................................... 7. In what other lines of business are you financially interested? r\ ........;.........;..;...........;......;0.............;.............................................~..~..\........................................................................................................................... ............................................................................................................................................................................................................................................................... S:ISydney\WPDOCS\OSI0546Aldivi.ion B.wpd B-ll 0 8. For what corpor.ations or individuals have you perfonned work, and to whom do you refer? .......................................................................................................................................................................................................................................................................... :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::f::~?:::::::~r:c.~F.!!.::~~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ..........................................:.....................................................................-.............'........................................................................................io............................................................................... 9. For what cities have you perfonned work and to whom do you refer? , ..............................................................................................-.....-.............................-................,;................:..............................................-......:......'........................................................... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::r.::t:l.:::::::f.i:i::'iA.:cii.:i.i?:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ...................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................ 10. For what counties have you perfonned work and to whom do you refer? ........................................................................................................................................................................................................................................................ .......................................................-.......................................................................................................................................................................................................... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::t.::t?::::::::'!!.:~:~:~:~:~:~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................................................................................................................................................................................................................................................ 11. For what State bureaus or departments have you perfonned work and to whom do you refer? ............................................................................................................................................................................................................................................................ ............................................................................................................................................................................................................................................................ .............................,......................................................f..f..e...........;;.rFIjr.Effl..:/l.................................................................................................... ....................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................................................................................... 12. Have you ever perfonned any work for the U.S. Government? If so, when and to whom do you refer? ........................................................................................................................................................................................................................................................................ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::tt~::::::::'itLf.if.r.:r.t.:r.P:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .~...~........~.....~..~.......-..:o:o................,;........'.........~.......:...~............~....................i.....-...........L.:.....................................................i.......................'...............................-.~i......:...:--.....:..................................... ...............................................................................:...~...-..:....:....-...~.......:.........~........................................:........................................................................................................................ .............................................................................................................................................................................................................................................................................. . ation? 13. What is the construction e erience of the rind al individuals of our or YEARS OF INDIVIDUALS PRESENT POSITION CONSTRUCTION NAME OR OFFICE EXPERIENCE MAGNITUDE AND IN WHAT CAPACITY TYPE OF WORK ...................................................... ................................................... ..................................................... ..................................................... ...................................................... :::::~:::::::=:::~~:::::~:::::~:~::::::~:::~::::~:::::::~:::::::::~::::::::l.::f.:::::::::::::~1i~~Z~:(:_.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~::::::::::::::::::::::::: ........................................................ ........................................................ ......................................................... ................................................. .................................................... ........................................................... .................................................... .................................................... .................................................... .................................................... ....................................................... ...................................................... ................................................... ...................................................... ....................................................... ...................................................... ................................................... .................................................... ...................................................... .................................................... ..................................................... ................................................... .................................................... ................................................... ...................................................... ..................................................... ........................................................ ..................................................... .................................................... ....................................................... r..,; \: , . S:\Sydney\WPDOCS\05\0546Aldivision B.wpd B-111 ;"1 ... f' PLAN AND EQUIPMENT QUESTIONNAIRE ("''''"be signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to interrogatories . _-:ereinafter made. \ 1 tn what manner have you inspected this proposed work? Explain in detail. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::::::9.~::J.:~~l~:::::::e(~::~:t:r:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .......................................................................................................................................................u............................................................................................................ ....................u.....................................................................................................u.....................................................................................u.................................. 2. Explain your plan or layout for performing the proposed work. ........................................................................................................................................................................................................................................................... =::::::::::=:::::::::::::::~::.~::::::=:::::::::::::::::~1~~f.:~~El.l:::::::::::::::::::::::::::::::::=::::::.::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:=~::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::t:~::t~:i:~:~::::~:€.i:t~::~:1.::~:~:~?::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................................................................................................................................u.............................................................................................................. .......................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... .......................................................................~....~~;.........".............,....'....................................................................................................................................... .......................................................................................................................................................................................................u........................................................ .................................................................................................................................................u...................................................................................................................... ...................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................... r' ......................................................................................................................................................................................................................................................................... Tbe work, if awarded to you, will have the personal supervision of whom? .............;;......,~..........."................,...........,..................t!'J.J...t.......b':..~...!.~...~.................................................................................................................... ..............................................................................~~......-~...~...~..'..~.:'....'.~~~~~.~.-.~.:l'~.~..'..~'~.~:.,.'.".;..;....~~..i..;..';....;......~...;.-........~:............................................;..........................................:................................................ * Do you intend to do the hauling on the proposed work with you own forces? . If so, give amount and type of equipment to be used. ' .........................................................................'I..~.~..:::.......1..~.......I!:..~c.~..~."!...~.'!.................................................................................................... ........................................................................................................................................................................................................................................................................ 5. * If you intend to sublet the hauling or perform it through an agent, state amount of subcontract or agent contract and, if known, the name and address of subcontractor or agent, amount and type of his equipment, and financial responsibility. ............................................................................................-14/1.,#,...................................................................................................................................... ......................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................... 6. * Do you intend to do the grading on the proposed work with your own forces? ............................................................................................................................................................................................................................................................ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:~::E::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ...................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................. *.....ii~;;;~.4;.5;.6.;;;d.7.;;,:~y.;;.;i.b.;.~ppii-.;~bl~i;;.~jlb~;id;;,i~;;~m;;~~.if';,-.;i:~t:............................................................................................................................................. ('\ S:\Sydney\WPDOCS\0510546Aldivision B,wpd B-112 7. * If you intend to sublet the grading or perform it through an agent, state amount of subcontract or agent's contract and, if known, the name and address of subcontractor or agent, amount and type of his equipment and financial responsibility. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::t:::~t:~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................................................................................................................................................................................................................................................ .........................................................u.......................................................................................................................'................................................................................ 8. Do you intend to sublet any other portions of the work? If so, state amount of subcontract and, if known, the name and address of the subcontractor, amount and type of his equipment and financial responsibility. ..................................................................................................)4/-0.................................................................................................................................... ............................................................................................................................................................................................................................................................. .....................................................................................................................................................................................................................................~...~........,........,:........ 9. F~~~.;hi~h..~~b~~;tt~~t~~;.~;.;g~;t;.d~..y~~.-;;q;~~t.t~.~~q~~.;.b~~d?................................................................................................. .~. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::r!).::t.t.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ................................................................................................................................................................................................................................................................. 10 What eqillpment do you own ........................................................................................................................................................................................................................................................................... that is available for the pro posed work;l DESCRIPTION, SIZE, CAPACITY, CONDITION ETC. YEARS OF SERVICE PRESENT LOCATION QUANTITY ITEM ............................................ ....................................... ............................................. ......................................... .......................................... ............................................ lr::...................................... ...................................... .................rf.Z.........~ "rT'''Ii''c''ff'i''~ ........................................ .......................................... '(' ~:"1"."''''''''''''''''.''''''''''''''' ....... ...................... ....... . .......... ...................... ........... ........................ ........ ........ ...... ...... .... ...... ..... ............. .. ................. ....................... ................................. ....................................... ............................................ ......................................... ........................................... .......................................... .......................................... ............................................ ................................................. ........................................ ......................................... ........................................... .................................................................................. ............................................... ............................................. .............................................. ..................................................... ..'....~..................................... ......................................... ................................................... .......................................... .......................................... ............................................. ............................................. .............................................. ................................................. ............................................... .......................................... ............................................ .................................................................................................................................. ........................................ ......................................... ............................................ ............................................ ........................................ ............................................... ......................................... ............................................. .......................................... .................................................................................... ................................................ ........................................... ........................................... ........................................... ............................................... ........................................... ................................................... .......................................... ........................................... ............................................. ............................................ ...................................... ................................................ ......................................... ............................................ .............................................. 0. S:\SydneyIWPDOCS\0510546A\division B.wpd B-113 ou intend to urchase for use on the ro osed work, should the contract be awarded to ou? APPROXIMATE COST ITEM DESCRIPTION, SIZE CAPACITY, ETe. .... . .... ......... ........... ............ .... .................. ............. ...... . .... .......... ...... ....f)// .1).............. .......................... .......... ......... ....... ................... ........ ....... ............... ........... .........'............................................................................. .................................................................................................................................. ........................................... ............................................ .......................................... ................................................................................................................................ ........................................... ..................................................................................................................................................................................................................................... ............................................ ................................................................................................. .................................................................................................................................... ........................................... ............................................ .............................................. ..............................................................................06..................................................................... ........................................... ...........................-................. ............................................................................................................................................................................. ............................................... 12. ~:~..~~.~.=~:~..~.~.~~.~~:...~~~..~~..~~~~~~1~~~.~~.~~~............................................................................................................................ 13. Do you propose to rent any equipment for this work? If so, state type, quantity and reasons for renting. .................................................................................................................................................................................................................................................................................... ..............................................................................................1\7'..0....................................................................................................................................... ....................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................ .......................................................................................................................................................................................................................................................................... 14. Have you made contracts or received firm offers for all materials within prices used in. preparing your proposal? Do not give names of dealers or manufacturers. [ J ......................................................................................................,Y......................................................;................................................................................. ...................................................................................;..................1..............;.......;..................................................................................................................... Dated at .......!!!..~.~/...~.~.~.:!.+...-E~....this ..........!.~..:~.........................day of .......1...-:..5..~............................................ 20....t~..?......... 1 e - '"'" C.o""fr--t; .J.,.,,! L..l~ ....................................................................................../......................................... BY.............tf~..~~~~)_._......................................... ................................f!!./...~:..:........(!!.~.-::!...:)..~:.::......................................... (Title of Person Signing) . STATE OF .......~.~....:f..~.........................) COUNTY OF ..........~..~..':!.~..~................... ~ SS: .................!J.!...~.!...'!...:.~......~.~.-::::...':..':..~......................................................being duly sworn, deposes and says that he is a member of .......................!...~..~.......~.~.~!..~.:!Et~.~~...~..~..~.............................and that the answers to the questions in the foregoing (Name of Organization) questionnaire and all statements therein contained are true and correct.,4 7 Subscribed and sworn to me this . ,.................Q........!..E..~..............day of ...........................:J..~..................................20 ..~............................... r'vly commission expires .........:1::::2::::.~f?.~................................... ~C~ 0 ~ a!rD\ D.~kts ~~ S:\SydneyIWPDOCS\0510546Aldivision B. wpd B-114 " ~ " CONTRACTOR'S FINANCIAL STATEMENT Submitted by 7 e.o " CO" f,,~, .J.. ~ tv ~ ... .................... .................... .................. ............... .......:.. ....J.-I........ ........... ........... ............... .......... ................ ........... ership ,; ,.' """,,' ".'," "A I di'd 1 . principal office at ..............!..!.....~...~..?:::........~.~.~~.~.~..~..:..~........~~......f!!..~~/...~.::.~I......!..~.......'(.?!..r.J...:...~....=...~~........... ' To 1'1,"1-.. 61- It 1-1,,,,,.,,, v,'IJ~ .:;-- ..........................~..........1...................................................................................................................................,..,...................................................................... 17 €. ~ IrTT/fCIf c.tJ (j~ o Conditions at close of business 1 2 ASSETS Cash: (a) on hand ~..............................cb) in bank l..........................................cc) elsewhere l......................... Notes receivable (a) due within 90 days .......................................................................................................... (b) due after 90 days ........................................................................................................... (c) past due ...... ........... ........................ .............. ........ ...................... ............. ........... ................ Accounts receivable from completed contracts, exclusive of claims not approved for payment .............. 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 ............................................... Accounts receivable from sources other than construction contracts Deposits for bids or other guarantees (a) Rec6verable within 90.d~y;.......::::::::::::::::::::::::::::::::::::: (b) Recoverable after 90 days ..................................... Interest accrued on loans, securities, etc. .......................................................................................................... Real Estate: (a) Used for business purposes................................................................................................ (b) Not used for business purposes ..................................................................................... (a) Listed. present market value ......................................................................... (b) Unlisted. present value ......................................................................... Materials in stock not included in Item 4 (a) for uncompleted contracts (present value) .............. (b) other materials (present value) ........................... Equipment, book value ....... ................ .................... .............................. ........... ..................... ............ ............. .......... Furniture and fixtui:es, book value Other assets 3 4 5 6 7 ' 8 9 Stocks and bonds: 10 ....................................................................................................................... ................................................................................................................................................................... Total Assets LIABILITIES 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 ............................................................................................................... (b) Past due ....._... ............................................................ ............... ....... ......... ...... ........... 3 Real estate encumbrances ... ......... .......... .......... ................... .... ....................... .... ....... ..... ........... ................. ..... ...... 4 Other liabilities ....... ........... .......... ................ ........ ........... .......................... .... .............. ..... ........ .......... ............. ..... 5 Reserves.... ................. ..... .... ............. ............. ...... ....... ........... ............. ....... ...................... .................... ................. .... 6 Capital stock paid up (a) Common ........................................................................................................... (b) Common .......................... ............................. ............... ..... ............... ................. (c) Preferred ......... ................. .................. ............................ ......... ........... ............... (d) Preferred ..... ........... .......... ......... ......................... ................. ................... ........... 7 Surplus (net worth) ........ ..... .._... .................. .......... ............... .... ........................ .......... ............. ........ ......... ........ .......... Total Liabilities CONTINGENT LIABILITIES 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 othe~s ......................................................................... 5 Other contingent liabilities ......................................................................................T;i:;;i"C~~~~~~t.Li~bilici~~ S:\Sydney\WPDOCS\05\0546Aldivision B. wpd B-115 Dollars Cts. 1: .. .. DETAILS RELATIVE TO ASSETS (a) on hand ........................................... ........ ............ ................... ................. ....... ............... .... $ ... .............. ................. ........ ......... (b) deposited in banks named below........................................................................ $ ................................................... (c) elsewhere - (state where) ......................................................................................... $ ................................................... Cash NAME OF BANK LOCATION DEPOSIT IN NAME AMOUNT ................................................................. ................................................................. ................................................................ ................................................................. ..................................................................... ................................................................. ................................................................. .................................................................. ...................................................................... ................................................................ ................................................................ .............................................................. (a) due within 90 days ................................................................................... $ ................................................... 2* Notes receivable (b) due after 90 days ......................................................................................... $ ................................................... (c) past due ............................................................................................................. $ ................................................... itECEIV ABLES FROM: NAME AND ADDRESS FOR WHAT DATE OF MATURITY AMOUNT . HOW SECURED .......................................................................................................................:.... .......................... .......................................................... ...................................................... ........................................................................................................................... ........................... ............................................................. .................................................... ............................................................................................................................ .......................... ............................................................ ................................................. Have any of the above discounted or sold? If so, state amount, to whom, and reason. ........................................................................................................................................................................................................................................................................... , 3* Accounts receivable from completed contracts exclusive of claims not approved for payment .................................. NAME AND ADDRESS OF OWNER NATURE OF AMOUNT OF AMOUNT RECEIVABLE CONTRACT CONTRACT ( \ ! .................................................-......................................... .........................'........................... ................................................... .................................................................... i .. ......................................................................................... ............................................... .................................................. ......................................................................... ................................................................................................. ................................................ ................................................. .................................................................... ........................................................................................... .............................................. ................................................ ..................................................................... Have any of the above discounted or sold? If so, state amount, to whom, and reason. ...................................................................................................................................................................................................................................................................... Sums earned on uncompleted contracts, as shown by engineer's or architect's estimate 4* (a) Amount receivable after deducting retainage $ .............................................................. ................................................... (b) Retainage to date due upon completion of contract $ ................................................. .................................................... DESIGNATION OF AMOUNT OF AMOUNT AMOUNT RETAINAGE AMOUNT CONTRACT AND NAME EXCLUSIVE OF AND ADDRESS OF OWNER CONTRACT EARNED RECEIVED WHEN DUE AMOUNT RETAINAGE ............................................................... .................................. ............................ ................................ ............................. .......................... .................................... ............................................................... .................................. ............................ .................................. ............................. ........................... .................................... ............................................................. .................................. ............................ ................................. ............................ ........................... ........................................ ................................................................. ................................... .............................. ................................ ............................ ........................... ...................................... . Have any of the above been sold, assigned or pledged? If so, amount, to whom and reason. ....................................................................................................................................................................................................................................................................... * List separately each item amounting to 10 percent or more of the total and combine the remainder. {\ S:\Sydney\WPDOCS\05\0546A\division B.wpd B-116 r 5* 't;: "- e Accounts receivable not from construction contracts $ ....................................................... .......................................................... RECEIVABLES FROM: NAME AND ADDRESS FOR WHAT WHEN DUE AMOUNT .....................................................;.'................................................................... ............................................... ................................................. ......u....................................... ...................................................................................................... ................................................. .............................................. ............................................... ... ....................................................................................................... .............................................. ............................................... ................................................ . What amount, if any, is past due ................................................'............................................................................ $ 6* Deposits with bids or otherwise as guarantees $ .................................................................... ........................................................ DEPOSITED WITH: NAME AND ADDRESS FOR WHAT WHEN AMOUNT RECEIVABLE , ..... . ..-.. ....- .............................................. ................................................. ............................................... ................................................................................................................. ................................................................................................................... ................................................ .............................................. .................................................. ................................................................................................................ ................................................. .............................................. ......................................................... ...................................................................................................................... ................................................ ................................................. .................................................... 7 Interest accrued on loans, securities, etc. $ ; .................................................................................. ......................................................... ON WHAT ACCRUED TO BE PAID WHEN AMOUNT ....................................................................................................................'................................. .......................................................... ................................................ .................................................................................................................................................. ............................................................ ............................................... ..................................................................................................................,................................ .......................................................... ................................................ ................................................................................................................................................. ......................................................... ................................................. , "\ S Real estate { (a) used for business purposes $ ................................................................ ....................................................... book value (b) not used for business purposes $ ,........................................................ ....................................................... . IMPROVEMENTS DESCRIPTION OF PROPERTY NATURE OF TOTAL BOOK IMPROVEMENTS BOOK VALUE VALUE 1 ............................................................................................................ .................................................... ....................................... .................................................. 2 .................................................................................................-.............. .................................................... ...................................... .................................................... 3 ........................................................................................................... .................................................... ...................................... ............................................... 4 ................................................ ....................................................................................................... ................................................... ...................................... 5 ........................................................................................................... ................................................... ...................................... ................................................... 6 7 .......................................................................................................... .................................................. ...................................... ................................................. LOCATION HELD IN WHOSE ASSESSED AMOUNT OF NAME VALUE ENCUMBRANCES 1 ............................................................................................................ ...................................................... ..................................... ................................................. 2 ............................................................................................................. ................................................... ......................................... ................................................... 3 ......................................................................................................... .................................................... ........................................ .................................................... 4 ............................................................................................................... ................................................... ....................................................... ...................................... 5 ......................................................................................................... .................................................... ..................................... .................................................... 6 ................................................ 7 ............................................................................................................ ................................................... ...................................... .... . . I . * List separately each item amounting to 10 percent or more of the total and comlJine the remainder. (\, S:\SydneylWPDOCS\05\0546A\division B.wpd B-117 ~ " ~ DETAILS RELATIVE TO ASSETSlContinued) 9 Stocks and bonds (a) Listed - present market value $ ................................................ ........................................................ (b) Unlisted - present value $ ............................................................ ........................................................ "'\ ! LIST NT. OR PRESENT )ESCRIPTION ISSUING COMPANY DIV. PAID PAR MARKET QUANTITY AMOUNT VALUE DATE % VALUE 1 ............................ .......................... ........................... ............................. .......................... I...................................... ............................................................ 2 .......................... ............................ .............................. ............................ ......................................... .......................................................... ............................. 3 ............................ ............................ .............................. .......................... ....................................... ............................................................... .............................. 4 ............................ ........................... ............................. .......................... ...................................... ........................................................... ............................ 5 ........................... ........................... .............................. ......................... ....................................... ......................................................... ............................ 6 ...................................... ......................................................... .............................. ........................... ............................ ............................. ............................ 7 AMOUNT WHO HAS IF ANY ARE PLEDGED OR IN ESCROW, STATE FOR WHOM AND PLEDGED POSSESSION? REASON OR IN ESCROW 1 .. .. . ... ......................................... ........................................................................................................................................................................................... ......................... 2 ............................ ....................................... ................................................................................................................................................................................. 3 ...................................... ............................................................................................................................................................................................ ............................. 4 .............................................................................................................................................................................................. ......................... ....................................... 5 ........................... ...................................... ..................................................................................................................................................................................... 6 ......................... ........................................ .................................................................................................................................................................................. 7 . i .. Materials ill stock and not included ill Item 4, Assets: ~\. 10 (a) For use on uncompleted contracts (present value) $ ................................................................... ........................ (b) Other materials (present value) ................................................................ $ ....................................................................... PRESENT VALUE DESCRIPTION OF MATERIAL QUANTITY FOR UNCOMPLETED OTHER MATERIALS CONTRACTS ..................................................................................... ............................................... .............................................................. ................................................................ ......................................................................................... .............................................. ............................................................... .................................................................. ....................................................................................... ............................................. .................................................................. ..................................................................... ..................................................................................... .............................................. ............................................................... ................................................................... 11* Equipment at book value $ ............................................................................................................ ............................................................... QUANTITI DESCRIPTION AND CAPACITY OF ITEMS AGE OF PURCHASE DEPRECIATION BOOK ITEM PRICE CHARGED OFF VALUE ................................. ....................................................................................................... .................... ................................... .............................................. ..................... ................................ .......................................................................................................... ..................... ................................ ............................................ ..................... ................................. ............................................................................................................... .................... .................................. ............................................ ..................... . Are there any liens against the above? If so, state total amount .......................................................... $ ........................................................ . If two or more items are lumped above, give the sum of their ages. r S:\Sydney\WPDOCS\05\0546A\divi.ion B.wpd B-118 T .. 15 DETAILS RELATIVE TO ASSETS (Continued) 12 113 Furniture and fixtures at book value $ ...........:............................................................................. ........................................................... . ... O~~~ $ ................................................................................................................................................................................................. DESCRIPTION AMOUNT .................................................................................................................................................................................................... ................................................................. .................................................................................................................J.....;........;..,.......................................;...;.;.......................................................................... .. , I Total Assets: ! r (a) To banks, regular $ ........................................................................................................ ................................................... 1 { (b) To banks for certified checks $ ............................................................................... .................................................... (c) To others for equipment obligations $ .................................................................... ...................................................... (d) To others exclusive of equipment obligations $ ................................................ ............................................................ TO WHOM: NAME AND ADDRESS WHAT SECURITY WHEN DUE AMOUNT ......................................................................................................... ..................,................................. ....................................................... ................................................................. .........................;......................................'........................................... .................................................. ................................................... .................................................................. 2 { (a) Not past due $ ...................................................................................................................................... ............................................................ (b) Past due $ ........-..................................................................................................................................... ............................................................ TO WHOM: NAME AND ADDRESS FOR WHAT DATE PAYABLE AMOUNT .......................................................................................................... ................................................... .................................................. ......................................................................... ........................................................................................................-....... ............................................................ ......................................................... ........................................................................ '.,1 , ... . 3 Real estate encumbrances (see Item 8, Assets) $ ............................................................................. .................................................................... 4 Other liabilities $ .......................................................................................................................................................................... ..................................................................... DESCRIPTION AMOUNT ................................................................................................................................................................................................................................. ........................................................................... .............................................................................................................................................................................................................................. ....................................................................... 5 Reserves $ .............................................................................~.....~........................................~.~..............~............................................................ ...............................................................................~ INTEREST INSURANCE BLDGS & FIX PLANT DEPT. TAXES BAD DEBTS $ $ $ $ $ $ 6 up{ (a) Common $ Capital Stock paid ............................~.................................................................................................. ............................................................... (b) Preferred $ ....................................................~....................................~~................................ .................~..........................~..................... 7 Surplus I $ ...................................................~.......~~..................~...................................-........._.....~....................................................... ................................................................................... , Total Liabilities: DETAILS RELATIVE TO LIABILITIES (\ S:\Sydney\WPDOCS\OSIOS46A\division B.wpd B-119 ! If a coi:poratien, ~':11mer this: (A T-punt for which incorporated ...."I.~.~.:::}..l:J......rJ~.~..~..?~.~..~....J.?5!.H~;~?.....~..J....!:..~/.f.~.~.J............................................. l ~ .tal paid in cash :Ih.~t..~.......lbP..~.".:..~......D~").l0:.~?....~!.\J.......~~.!.?..~!'1.:\-;:'5............ $ .':?r?/?.??..I2...:.................................. When incorporated .............................~ ..:..~;::!..::. ..!..1..1..??:..:............................... .................. ................... .... ........................... ....... .............. ....... ...... ..... In what state ............._...1..~..Q.l.,~.~.................................................................................................................................................................................. Names and citles 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. .... ................... .......... ....... ..................!!J.. ~.!. r:!.:: .~.. ... t. .!...'::.. ::-::.. ?... .......... ................. ........................ .. ........................ .......... ..... ....... .. ............ ............... ... ............... X:,.. ,.,1" f., ""fi\ J .........:............................................................................{-......................................................~..........u........................................................................................................... C,"r.J ().J(t) ................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................................................................. Do you have the necessary "certificate of authority" to transact corporate business in tlUs state, under the terms of Chapter 215, Acts of 1929, and acts amendatory thereto? ............................................................................................................................... If a co-partnership, answer this: Date 0 f organiza cion ................. ................ ........... ................................... ................. ................... .............. ......... ....... ................ ..... ..... ........... ............. ........... State whether co-partnership is general, limited or association ............................................................................................................................... Give the names, addresses and proportional interests of all parties .................................................................................................................. NAME ADDRESS SHARE $ ........................................................................ .................................................................................................................... ................................................................ $ ....................................................................... ..................................................................................................................... ................................................................. $ ......................................................................... .................................................................-.................................................... .............................................................. $ ........................................................................ ........................................................................................................................ ............................................................... $ ....................................................................... ............................................................................................................................. .................................................................... $ ..................................................................... .................................................................................................................... .............................................................. $ ..................................................................................... ...................................................."................................................................... ............................................................... $ ~................................................................ ............................................................................................................................. .................................................................. S:\Sydney\WPDOCS\OSIOS46A\division B. wpd B-120 The name of th~ pa,ttfFC'>hip finn under which the above partners are operating is ................................................................................................................ Gi~~.~~~.~~rtiti~~.~f~p.~~~-;;~~.h~~g.~~th~ri..tY.t~.~~~~~t~.;~d.~~~cipt.~~tr;;;;t~.:;~;~h~~~..~~d.t~.~-;;~d~~t..~th~;.b~~~~.~.f~~.th~.p;;;m~~hip.:th; : signatures of whom are legally binding. r\t. ' ,'__~_...............................................;..................'".....................................L...............;............;.............................................................................................................. ............................................................................................................................................................................................................................................................ .........,.................................................................................................................'................................................................................................................................................... The undersigned hereby declares that the foregoing is a true statem~t of the financial condition of the individual, co-partnership or corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is submitted to award the submitter a contract; and that any depository, vendor or other agency herein named is hereby authorized to supply such party with any information ~i;:;:<;;;t;;~ =.:.::= o~= :/~::;u~ :::::::~1~::~:.:::::::~=:::~::~:::~::::::::=::=::: seal. ... ................ .............. ...... ..... ................ ..... .................... ..... ............... ............................................................................................................... Affidavit for Individual COUNTY OF ........................................................ ) " ) SS: .................... ..... ...... ......................... ) STATE OF .....l.....................................................................................................................being duly sworn, deposes and says thereof that the foregoing financial statement, taken from his books, is a true and accurate statement of his financial condition as of the date thereof and that the answers to the foregoing interrogatories are true. ........................................................................................... (Applicant must sign here) Subscribed and sworn to me this ...................................... day of ...................... 20 ............... ................................................................-................................................................ Notary Public Affidavit for Co-Partnership ir\c< A TE OF CuUNTY OF ......... ........................ ........... ........ .... ) ) SS: ........... ........................ ...... ...... ......... ) ...........................................................................................................................being duly sworn, deposes and says that he is a member of the firm of ...........................................................................................................................and that he is familiar with the books of said finn showing its financial condition; that the foregoing financial statement, taken from the books of said finn, is a true and accurate statement of the financial condition of said finn as of the date thereof and that the answers to the foregoing interrogatories are true. ...................................................................................... (Member of finn must sign here) Subscribed and sworn to me this ......................................day of ...................... 20 ............... ...................................................................................................................................... Notary Public .:r nl Affidavit for Corporation STATE OF ........................................................ ) COUNTY OF ............c:!..~.~.~.'!........................ ~ SS: ..............4~~..~:~:......~.~-:::...~.:...~.................................................being duly sworn, deposes and says that he is a member of the corporation of ...........................~.....~~.!:~.~.!.n..~~....k.~..L...........................described in and which executed the foregoing statement; that he is familiar with the books of said corporation showing its financial condition; that the foregoing financial statement, taken from the books of said corporation is :re~ =te ,htem<nt of rl,e fin>nciM <Ondi:= of ,,jd <o.pouOnn" of ili, date ilitt=f .~,:1;;t1~:,:::::~::: ~~:.~~.~~:::::::::~:'..:'.:::~!............. 20 .9.....7... (Ofli= mwt ,;go lrere) Notary Public S:\Sydney\WPDOCS\OS\OS46A\division B. wpd B-121 r, ~ 14912 Railroad Street Memphis, Indiana 47143 TEAM CONTRACTING, LLC Telephone 812-294-1258 Post Office Box 237 Memphis, Indiana 47143 Fax 812-294-3901 In Business Since 1995 RESUMES OF KEY EMPLOYEES Melvin C. LemonS - Operating Manager/Member. Melvin has 29 years construction experience, with 18 years being in a supervisory/field management level. As a founder, Mel has been with Team since its beginning in June, 1995. He was employed by MAC Construction & Excavating for 13 years with the responsibility of managing field operations of contracts totaling $15 Million. His expertise lies mainly with underground utilities and concrete paving, however he has successfully completed Multi-Million Dollar projects with various scopes of work such as, Bullitt County Rest Area (KYDOT, $5M); Caneyville Treatment Plant ($2M); New Castle, IN Concrete Road Construction & Underground Utilities (INDOT, $8M), Little Goose Creek Interceptors (MSD, $2M); Bishop Lane Water (LWC, $500,000). Operations, Scheduling & Safety Implementation are his primary responsibilities at Team. '" '" '" '" '" (\ Carol D. Oakes - Administrator. Carol has over 27 years construction administration experience. Carol has been with Team Contracting for the past 10 plus years, as Office Administrator, over seeing all functions of accounting and human resources. Her experience includes eight years at MAC Construction as job cost controller, three years at J. A. Jones Construction as an engineering assistant at the Savannah River Plant, Aiken SC, and five years as QA records engineer for electrical and HVAC contractors at the Marble Hill Nuclear Generating Station, Madison, IN. '" '" '" '" '" Bruce C. Parris _ Project Superintendent. Bruce has 33 years construction experience, 25 years in supervision. Bruce has been with Team since the start in June, 1995. He has over seen the construction of numerous MSD capitol projects ranging in valve up to $4 million and miscellaneous other projects ranging from $10,000.00 to $1 Million. He has previously worked for Six-R Construction (10 years), and MAC Construction & Excavating (9 years). Bruce traveled to Dobbins Air Force Base (Warner-Robins, GA) to complete a $500,000 Runway Removal project in 1992. Other projects which Bruce has completed are: Demolition projects for Six-R Construction, including preparation for 12-story building demolition by O'Rourke Wrecking w/CDI ($250,000), Indiana & Kentucky housing demolition ($300,000); Henryville Rest Area for MAC Construction. ($7M), Fort Knox Playgrounds, Corps of Engineers for MAC Construction ($460,000). Bruce has completed many projects for the Loui~ville Water Company, MSD, private developers, and government agencies. Bruce's expertise is in underground utilities, demolition, highway construction, and overseeing operations of large multi-phase, multi-scope projects. '" '" '" '" '" ~i ~, ' ~ Page One of Three I ------------~ - --- - ---------- --- --- - - - - ---- ---------- -- -~---~--------- -------- - Demolition - Conc-~ete - Site Development - Utilities Equal Opportunity Employer - M/F/HIV ~ TEAM CONTRACTING, LLC t' 14912 Railroad Street Memphis,lndiana 47143 Post Office Box 237 Memphis, Indiana 47143 - Telephone 812-294-1258 Fax 812-294-3901 In Business Since 1995 RESUMES OF KlfY EMPLOYEES (continued) Gerald E. Eger - Project Superintendent. Jerry has 28 years experience in the construction industry specializing in concrete constructi.on. Jerry has been with Team Contracting for over 10 years as Foreman and Project Superintendent. Jerry has worked for previous construction companies such as MAC Construction (6 years) and Kingsbury Concrete Company (7 years). He has supervised projects up to 3 million dqllars with full responsibility for project safety, planning, scheduling, layout and cost control Jerry has also received an award of excellence from the City of Louisville for completion of the 700 Block of Main Street reconstruction project. * * * * * David E. Oakes - Equipment Manager. Dave has 32 years experience in the construction industry specializing in the purchasing and maintenance of heavy equipment. Dave has been with Team since its founding in June, 1995 as the Equipment Manager and Shop Foreman. He was Shop Foreman for MAC Construction & i;xcavating for 8 years and was responsible for all shop operations, including maintaining a 5 million dollar equipment fleet. He was also a primary contributor to starting up a new trucking company for the owners of MAC. Dave also worked for Gohmann Asphalt for 7 years in asphalt construction operations and 3 years as asphalt plant operator at Gohmann's Outer Loop Plant in Louisville, Kentucky. * * * * * r Mark B. Crabtree _ Estimator/Project Manager. Mark has 33 years experience in both the civil construction and general contracting industries. Mark has been with Team contracting since November, 1998. Mark has been the Ch.ief Estimator for the past 4 years, and was the Project Manager prior to that. Mark's expertise involves negotiating and processing change orders, company safety, managing the company computer network, and the overall management of all projects at Team Contracting. Mark has worked for previous construction companies such as MAC Construction (8 years), Bluegrass Concrete Construction (7 years), and R.B. Banta Company (2 years). He has managed projects up to 6 million dollars. * * * * * Stanley T. Hammack Sr. - Job Supervisor. Stanley has 16 years total experience in the building and underground utility construction industry. His experience includes owning and operating his own business building homes. For the last 8 years he has been responsible for completing deep utility & heavy highway projects for Team Contracting, LLC up to $1 million dollars. These projects include work for N1SD, private developers, KDOT and local municipalities. * * * * * r\, Page Two of Three Demolition - Concrete - Site Development - Utilities Equal Opportunity Employer - M/F/HIV (\ ~ 14912 Railroad Street Memphis, Indiana 47143 TEAM CONTRACTING, LLC Post Office Box 237 Memphis, Indiana 47143 Fax 812-294-3901 Telephone 812-294-1258 In Business Since 1995 Edward D. Morris - Construction Manger. Ed has 33 years experience in the construction industry. He was formerly the Vice President I Chief Estimator for MAC Construction & Excavating and worked there for 21 years. He also worked previously for V. Powell Construction and E.H. Hughes Company. His primary areas of expertise include estimating and project management in utility construction (waterline, sewer, storm drainage), treatment plant construction, pump station construction, and road & bridge building. He has worked extensively on major construction projects ranging from 0.5 million up to 25 million dollar projects for Owners such as Louisville Water Co., Louisville Metropolitan Sewer District, Kentuucky Dept. of Highways, US Army Corps of Engineers, Regional Airport Authority of Louisville, and numerous private Owners and Engineering firms. r, {\ Page Three of Three resumes.wps (5/30/07) Demolition - Concrete - Site Development - Utilities Equal Opportunity Employer - M/F/HIV EXPERIENCE QUESTIONNAIRE SCHEDULE #1 What projects has your organization completed? r NAME & ADDRESS OF OWNER . CONTRACT CLASS OF WHEN (Prime Contractor and Owner listed if performed as AMOUNT WORK COMPLETED a Subcontractor on Project) $957,000 Water Aug-07 Owner: Louisville Water Company, 550 South Third Street, Louisville, Kentucky 40202 $1,290,484 Sewer Jul-07 Owner: City of Radcliff., KY $1,677,396 Sewer Dec-06 Owner: Town of Sellersburg. Indiana $1,805,200 Water Aug-06 Owner: Town ofLanesville, Lanesville, Indiama $132,300 Sidewalk Jul-06 Owner: City of Windy Hills, Louisville, Kentucky $43,969 Culvert Replacement Jun-06 Owner: City of St. Matthews, St. Matthews, KY $87,783 Sidewalk Jun-06 Owner: City ofJeffersonville; 501 East Court Avenue; Jeffersonville, Indiana 47130 $99,460 Sidewalk Mar-06 Owner: City of Lyndon, Lyndon, KY $148,860 Sidewalk Mar-06 Owner: City of Lyndon, Lyndon, KY $831,594 Site Development Nov-05 Owner: Eagle Pointe, LLC, Louisville, KY $401,311 Site Development Sep-05 Owner: Corydon Ridge Partners, Georgetown, IN $387,270 San. Sewer/Storm Sep-05 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $1,973,737 Water Sep-05 Owner: Louisville Water Company, 550 South Third Street, Louisville, Kentucky 40202 $3,609,590 San. Sewer/Storm May-05 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $79,988 Storm Drainage Apr-05 Owner: Greater Clark County Schools, Jeffersonville, IN 47130 $86,061 Sidewalk Feb-05 Owner: Town of Sellersburg, 316 East Utica St., Sellersburg, IN 47172 ~., $332,617 Sidewalk/Drainage Feb-05 Owner: City of Windy Hills, Louisville, Kentucky $5,563,000 Force Main Oct-04 Owner: City of New Albany, New Albany, Indiana 47150 $663,920 Force Main Sept-04 Owner: City of New Albany, New Albany, Indiana 47150 $1,533,522 Sewer Sept-04 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $315,027 SewerlLift Stations Sept-04 Owner: City of New Albany, New Albany, Indiana 47150 $748,955 Force Main Aug-04 Owner: City of New Albany, New Albany, Indiana 47150 $1,315,373 Force Main June-04 Owner: City of New Albany, New Albany, Indiana 47150 $72,798 Box Culvert Aug-03 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $552,738 Water/Sewer Aug-03 Owner: Town of Sellersburg, Sellersburg, Indiana $1,062,206 Sewer May-03 Owner: MSD, 700 West Liberty St., Louisville, KentuckY 40203 $1,086,710 Sewer May-03 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $553,250 Storm Drainage April-03 Owner: City of Charlestown, Charlestown, Indiama $1,163,000 Sewer Mar-03 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $167,103 Streetscape Sept-02 Owner: Town of Lanesville, Lanesville, Indiama $3,033,070 Sewer Sept-02 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $1,929,314 Sewer May-02 Owner: MSD, 700 West Liberty St., Louisville, KentuckY 40203 Owner: MSD; 700 West Liberty St.; Louisville, Kentucky 40203 Prime: $1,915,000 Sewer Nov-Ol Mid-State Surety Corporation; 102 Kercheval Avenue; Grosse Pointe Farms, MI 48236 $457,000 Force Main Sep-O 1 Owner: Oak Park Conservancy District; 4230 Portage Place; Jeffersonville, Indiana 47130 $1,899,500 Sewer Aug-O 1 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $825,045 Sewer Aug-Ol Owner: MSD, 700 West Liberty St.,Louisville, Kentucky 40203 \ i $806,774 Sewer Aug-Ol Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 > $783,113 Streetscape July-Ol Owner: City of Louisville, Kentucky $765,766 Sewer June-Ol Owner: MSD, 700 West Liberty St., Louisville, KentuckY 40203 f 1 of 3 EXPERIENCE QUESTIONNAIRE SCHEDULE #1 What projects has your organization completed? r , ' . NAME & ADDRESS OF OWNER CONTRACT CLASS OF WHEN (Prime Contractor and Owner listed if performed as AMOUNT WORK COMPLETED a Subcontractor on Project) $3,702,944 Sewer Sept-OO Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $4,900,093 Sewer Aug-OO Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $2,997,413 Sewer Feb-200Q Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $454,500 Railroad Mar-99 Owner: Louisville Riverport Authority, 6900 Riverport Drive, Louisville, Kentucky 40258 $45,000 Water Oct-98 Owner: Louisville Water Company, 550 South Third Street, Louisville, Kentucky 40202 $259,462 Highway Oct-98 Owner: KDOT, P.O. Box 37090, Louisville, Kentucky 40233 $684,190 Drainage Nov-98 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $681,720 Sewer Nov-98 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $117,172 Sewer Dec-98 Owner: City of New Albany, City-County Building, New Albany, Indiana 47150 $165,000 Sewer Mar-99 Owner: Louisville Riverport Authority, 6900 Riverport Drive, Louisville, Kentucky 40258 $605,095 Drainage Aug-98 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $274,881 Sewers Aug-98 Owner: Town of Sellersburg, 316 East Utica St., Sellersburg, IN 47172 $1,121,000 Sewers Jul-98 Owner: MSD, 700 West Liberty St., Louisville, Kentucky 40203 $1,626,082 Sewer Jan-98 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 $738,055 Utilities Dec-97 Owner: Louisville Riverport Authority; 6900 Riverport Drive; Louisville, Kentucky 40258 Prime: T+C Contracting, Inc.; 6301 Pendleton Road; Louisville, Kentucky 40272 $217,000 Drainage Sep-97 Owner: City of St. Matthews; 3940 Grandview Avenue; St. Matthews, Kentucky 40207 ~. , $286,547 Drainage Jul-97 Owner' Town ofClarksville; 2000 Broadway Street; Clarksville, Indiana 47130 " $279,871 Sewer Jul-97 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 , $400,000 Water Aug-97 Owner: Louisville Water Company; 435 South Third Street; Louisville, Kentucky 40202 $818,269 Sitework Aug-97 Owner: Louisville Metro Parks Dept.; 1297 Trevilian Way; Louisville, Kentucky 40205 $292,977 Drainage Apr-97 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 $250,000 Building Jun-97 Owner: Team Properties, Ltd.; 3151 Development Way; Sellersburg, Indiana 47172 $400,400 Drainage May-97 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 $292,977 Drainage Apr-97 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 $316,769 Roadway Jan-97 Owner: City of Louisville; 601 West Jefferson Street; Louisville, Kentucky 40202 $204,670 Drainage Mar-97 Owner: City ofSt. Matthews; 3940 Grandview Avenue; St. Matthews, Kentucky 40207 $144,145 Sewer/Drain Sep-96 Owner: New Bethel Assembly of God; 4998 Valley Station Rd.; Louisville, KY 40272 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 $160,652 Subdivision Sep-96 Owner: W. Randel Sharp; 1730 Dawn Drive; Louisville, Kentucky 40216 $238,199 Drainage Sep-96 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 $38,333 Sewer May-96 Owner: City ofJeffersonville; 501 East Court Avenue; Jeffersonville, Indiana 47130 $21,688 Water Feb-96 Owner: Louisville Water Company; 435 South Third Street; Louisville, Kentucky 40202 $47,780 SewerIW ater Aug-96 luwner; LOUISVille Klvenront ueve opmen ; :;.vv west Mam; LOUIsvlUe, .1\.en UCKy40202 Prime: Pierce Plumbing, Inc.; 4504 Poplar Level Road; Louisville, Kentucky 40218 $128,600 Sewer May-96 Owner: Louisville Riverport Authority; 6900 Riverport Drive; Louisville, Kentucky 40258 $302,065 Drainage Apr-96 Owner: Town of Sellersburg; 316 East Utica Street; Sellersburg, Indiana 47172 $147,343 Drainage Jun-96 Owner: MSD; 700 West Liberty Street; Louisville, Kentucky 40203 Prime: Flynn Bros. Contracting, Inc., P.O. Box 32065; Louisville, Kentucky 40232 ( , $57,127 Sewer/Drain Apr-96 Owner: Walgreens Drug Stores; 1930 Bishop Lane; Louisville, Kentucky 40218 Prime: KAT Construction; 402 Wyckcliff Avenue; Oti8Oo, Indiana 47163 $20,951 Sitework Aug-95 Owner: Speedway Petroleum, Inc.; 13815 Dixie Highway; Louisville, Kentucky 40272 Prime: C-Trax Contracting, Inc.; P.O. Box 1237; Jeffersonville, Indiana 47131-1237 2 of 3 EXPERIENCE QUESTIONNAIRE SCHEDULE #1 What projects has your organization completed? r NAME & ADDRESS OF OWNER CONTRACT CLASS OF WHEN (Prime Contractor and Owner listed if performed as AMOUNT WORK COMPLETED a Subcontractor on Project) $114,635 Sewer/Cone. Oet-95 Owner: The Kroger Company; 10168 Linn Station Road; Louisville, Kentucky 40223 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 $26,685 SewerlDrain Sep-95 Owner: NTS Development Corp.; 10172 Linn Station Road; Louisville, Kentucky 40223 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 $21,439 Earthwork Sep-95 Owner: Chris Nolan~ Post Office Box 1205; Jeffersonville, Indiana 47130 $44,533 Drainage Oet-95 Owner: Pinehurst Green/Sabak, Wilson, & Lingo; 315 W. Market; Louisville, KY 40202 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 $21,000 Water Oet-95 Owner: Louisville Water Company; 435 South Third Street; Louisville, Kentucky 40202 Prime: Flynn Bros. Contracting, Inc.; P.O. Box 32065; Louisville, Kentucky 40232 f\ 3 of 3 EXPERIENCE QUESTIONNAIRE SCHEDULE #2 rpublic Work projects in process of construction NAME & ADDRESS OF OWNER CONTRACT CLASS OF WHEN TO BE (Prime Contractor and Owner listed if performed as AMOUNT WORK COMPLETED a Subcontractor on Project) $2,335,000 San Sewer May-08 Owner: LaGrange Utilities Commission, LaGrange, KY 40031 $399,000 San Sewer Dec. 07 Owner~ City of Jeffersonville, IN Sewer Board $513,500 Water Dec. 07 Owner;, Titan Group, Louisville, Ky $550,000 Bridge Sept., 07 Owner: Ky Dept. of Transportation $329,161 Sanitary Sewer Nov., 07 Owner: Twon of Corydon, Indiana r 1 of 1 Attachment #1 r TEAM CONTRACTING LLC EQUIPMENT LOG 4/28/2006 DESCRIPTION UNIT # YEAR I MAKE J MODEL SERIAL # MACHINERY AND EQUIPMENT EXCAVATORS 731 2005 Caterpillar 308C-CR Zero Swing Exc KCX00731 157 2005 Caterpillar 314C-CR Zero SwinQ Aux Hvd CAT0314CTKJA00157 159 2005 Caterpillar 314C-CR Zero SwinQ Exc CA T0314CTKJA00159 1377 2004 Caterpillar 320CL Excavator PAB001337 0530 2005 Caterpillar 321C- LCR Zero SwinaExc CA T32!CEMCF00530 0414 2004 Caterpillar 322CL Excavator HEK00414 1171 2004 Caterpillar 330CL Excavator CAP01171 5780 2001 Link-Belt 34000 Excavator E7J15780 4440 2000 Link-Belt 34000 Excavator E7J04440 DOZERS 1517 1999 Fiat FD175 61517 4X19 1977 Caterpillar D6D Dozer 4X1931 0315 2004 Caterpillar D4GLGP TKL00315 BACKHOES 995 2005 Caterpillar 420-0 4X4 OFDP20995 972 2005 Caterpillar 420-0 4X4 Aux Hvd OFDP20972 1890 2005 Caterpillar 420-0 4X4 OFDP21890 145 2005 Caterpillar 420-0 4X4 Aux Hvd OFDP20145 435 2005 Caterpillar 420-0 4X4 OFDP20435 421 2005 Caterpillar 420-0 4X4 Aux Hyd OFDP20421 277 2005 Caterpillar 420-0 4X4 OFDP20277 2859 2005 Caterpillar 420-0 4X4 Aux Hvd OFDP22859 0687 2002 Case-Me I 580M Backhoe/Loader JJ G031 0687 Clarno On Forks 701 2005 CTI CL60 6000Lb 48" 6CL701 702 2005 CTI CL60 6000Lb 48" 6CL 702 Guest Clamp On Forks 6000lbs WHEEL LOADERS 1465 2000 Caterpillar IT24F Wheel Loader 4NN01465 0917 1998 Caterpillar IT24F Wheel Loader 4NN00917 0866 2004 Caterpillar 924-G Wheel Loader JOOA00866 TRACK LOADERS 2245 2005 Caterpillar 963C Track Loader BB002245 2111 2005 Caterpillar 963C Track Loader BB002111 SKID STEERS I ATTACHMENTS 2526 2003 Case 90XT JAF0392526 5107 1997 Bobcat 863H Series C 15107 1217 1996 New Holland LX565 Skid Steer Loader 891217 2700 1997 Bobcat 72" Broom (Retainer Type) 783702700 1398 2004 Gehl 72" Power Rake (501677) C021398 6761 1999 Gehl (Harlev) Power Rake 806761 0550 2003 Grouser 1300 - Dozer Blade 00550 r Attachment #1 r j, TEAM CONTRACTING LLC EQUIPMENT LOG 4/28/2006 DESCRIPTION UNIT# YEAR MAKE MODEL SERIAL # 3870 2003 Bradco 8509X Back-Hoe 83870 BROOM'S 8637 Rosco RB48 SWEEP 38637 8787 Rosco RB48 SWEEP 38787 BORING MACHINE 0505 2005 24 Bar-It Horizontal 240505 ROLLERS 0269 1999 InQersoll-Rand SO-70 Roller/Shell Kit 160268 2230 2000 Ingersoll-Rand 0024 162230 Pull Behind Sheepsfoot Roller Forklift 3517 2005 Case 588G Forklift JJG0293517 AIR COMPRESSORS 3397 2002 Compressor 5162100-201-6223397 2324 1983 I nQersoll-Rand 175 Air Compressor 132324 7498 2001 Sullair Compressor 004-127498 " HAMMERS f HOE PAC'S 5036 2006 Vermeer Hoe Hog 115036 0191 2005 Allied M-18 Hyd Hammer 140R100191 8420 2000 Allied 8700 Ho Pac Compactor 8420 8146 1997 Allied 8700 Ho Pac Compactor 8146 1142 Allied HC-30 Hoe Pac AT1142 0977 2004 Allied E-64 Hvd Hammer 2500lb 64AAB0977 0061 2000 Allied AS380 Hydraulic Hammer 0061 4233 1997 Allied 1000 Ft.-Lb. Hammer 730 4233 4233 1997 BurlinQton Hvdraulic Kit & Boom Guard GENERATOR 3880 2005 2800 Generator 1013880 4360 2004 Multiquip GA-6HZR / Generator 5494360 PUMPS 2005 Honda QP2TH / 2" Pump 9936 2004 Multiquip OP-301TH /3" Pump 19936 9857 2004 Multiquip OP-301 TH / 3" Pump 19857 9606 Hurco Hvdrostatic Test Pump 01029606 3307 1998 Multiquip POT3B / 3" Oiapharm Pump P3307 WELDERS 9403 2002 Miller Bobcat Welder LC089403 0055 300 Amp Welder TLW30055 STRAW BLOWER 0061 Lawn Straw Blower 20061 r r Attachment #1 n TEAM CONTRACTING LLC EQUIPMENT LOG 4/28/2006 DESCRIPTION UNIT# YEAR MAKE MODEL SERIAL # VIB PLATE I TAMPER 1041 2004 Multrquip MVC77H Vib Plate DL-131041 1960 2004 Multiquip MT65H Tamper M-1960 2005 MultiQuip MT65H Tamper M-2485 ManHole Blower 2005 General GP-8 H34055 Misc Attachments C&P 36" Bucket 2005 Exc Thumb 2005 Trimble LL-500 Laser Level 4059 2005 Trimble LL-500 Laser Level 34059 9656 2001 Dialqrade Pipe Laser and Transit 9656 8366 2001 Spectra Precision Pipe Laser Model 1280 8366 7667 2001 Dialqrade Pipe Laser and Accessories 7667 5649 2000 Topcon Pipe Laser 5649 , ..... . .. TPL2 I Topcon TP-L2 Laser Trench Boxes 9255 2004 Kundel Titan TP5 8X20 9255 6570 2003 Protek PR04-816D 16570 6571 2003 Protek PR04-816D 16571 1999 Trench Box 98121794-2 1999 Trench Box 9901128-2 1794 1999 GME Trench Box 98121794-2 9430 1997 Efficiency 820 HT6 Trench Box 9430 1166 1997 Trench Box 9701166 2001 Trench Box 1998 Trench Box 1511 Rock Box 1511 1794 1999 GME Stacker/Spreader 9901128-2 2000 Manhole Box 2001 Manhole Box 2000 Manhole Box 1999 Spreader 1999 Spreader {\