HomeMy WebLinkAboutAgreement_General_4/9/2020_Thermal Seal FIRST ADDENDUM TO THE CONTRACT FOR ROOFING REPAIR AND MAINTENANCE BY AND BETWEEN THE VILLAGE OF TEQUESTA AND THERMA SEAL ROOF SYSTEMS,LLC THIS FIRST ADDENDUM,made and entered into this 5 day of March 2020,effective retroactively to January 12, 2020,by and between the Village of Tequesta, Florida, a municipal corporation organized and existing in accordance with the laws of the State of Florida with offices located at 345 Tequesta Drive,Tequesta, FL 33469, hereinafter referred to as the"Village", and Therma Seal Roof Systems, LLC, a Florida corporation with offices located at 1421 Oglethorpe Road, West Palm Beach, Florida 33405,hereinafter referred to as the"Contractor",both of whom agree that the current Master Contract for Roofing Repair and Maintenance,RFQ No.PW 06-16, (hereinafter the"Contract"), made and entered into by the Village and the Contractor on the 12th day of January,2017,is hereby amended in the following manner: Se ti 1: The above-referenced Contract regarding the provision of roofing repair, maintenance,and replacement for the Village is extended to run from January 12, 2020,through January 11, 2021. This is the first extension of the term of the Contract as permitted by the provisions of the Contract at page 4,within the Section titled'Other Special Terms.' Section 2: All other Sections and recitals of the above-referenced Contract shall remain in full force and effect. Section 3: This First Addendum shall be attached to the current Contract and shall become a part thereof. [REST OF PAGE INTENTIONALLY LEFT BLANK] IN WITNESS WHEREOF, the Contractor and the Village have signed and executed this First Addendum with an effective date as noted above. THERMA SEAL RO V Ems, X By: Michael Fugge --Vice President ANTES`!': (Corporate Seal) Corporate Secretary Sarah Minaya VILLA ,OF TEQUESTA By:Ab' ail rennan,Mayor (Seal) ..GOpkPORyQG Lori McWilliams, MMC Village Clerk ':INCORPORATED0 NA :` Village AT N- 'OFFICE Approve o i an egality By: Page 2 of 2 Request for Quote Vilrage of?equesw ,f 345 Tequesta Drive Tequesta Florida 33469 561-768-0483 R FQ: PW 06-16 Project or Service TIME:: Master Contract for Roofing Repair and Replacement The Village of Tequesta is soliciting one or more qualified and responsible contractors to provide, on an "as needed basis" all labor, material and equipment to complete minor and major roof repairs and or replacements for various buildings and structures in the Village. The Contractor(s) selected under this procurement may be awarded separate contracts with the Village of Tequesta. All Proposals must be delivered or mailed to: Village of Tequesta Clerk 345 Tequesta Drive Tequesta Florida 33469 Bid Submittal Deadline Day/ Date: November 17, 2016 Time: 10:00 a.m. Location: Village of Tequesta Clerk's Office 345 Tequesta Drive Tequesta Florida 33469 I � t THE VILLAGE_ OF TEQUESTA REQUEST FOR QUOTES MASTER CONTRACT FOR ROOFING REPAIR AND MAINTENANCE RFQ NO. PW 0616 The purpose of this. RFQ is to solicit one or more qualified and responsible contractors to provide; on an "as needed basis" all labor, material and equipment to complete minor and major roof repairs and or replacements for various buildings and structures owned by the Village of Tequesta. RFQ packages shall be submitted to the Village Clerk, 345 Tequesta Drive, Tequesta, Florida, 33469, no later than 10;00 A.M. EST on November 17, 2016,at which time the quotes will be opened publicly in the Council Chambers at 345 Tequesta Drive. No responses will be accepted after that time. RFQ packages shall include an original and one (1) copy in a sealed envelope/package addressed to the Village Clerk, Village of Tequesta, and marked "SEALED RFQ FOR MASTER CONTRACT FOR ROOFING REPAIR AND MAINTENANCE." At the time of RFO submission, respondents must be properly certified/licensed in the State of Florida for the purpose of providing the specified services and must attach the required documents as outlined in the bid packet. Additionally, responder must submit the"Schedule of Bid Items Pricing" and must check the website site for any addendums to the bid. Requests for Qualification Packages may be obtained from the Village's website or the Village of Tequesta's Village Clerk's Office, 345 Tequesta Drive, Tequesta, FL 33469. All questions and requests for additional information in connection with this Request for Qualifications and selection shall be directed to Doug Chambers:, Public Works. Supervisor, at 561-768-0483 or dchambers()-teauesta.org. Lori McWilliams, MMC Village Clerk PUBLISH: 11/5 and 11.112 2 i i SECTION 1 —SCOPE OF.WORK t. ffi� } Contractor shall provide all labor, material and equipment necessary to repair/replace roofs for Village owned buildings and structures. The bids will be for furnishing all materials, labor, supervision, equipment, supplies, fees, expertise and services necessary for remedial roofing repair, roofing maintenance and roof replacement on an "as needed basis". The Village is seeking contractors who.can,provide regular repair services and disaster recovery,services.The Village may contract with mor$'th'an one contractor to provide quotes for work as needed.All contracts form this bid will be on a non-exclusive basis. Regular Repairs: Contractor shall provide roof repair on an "as needed basis", as requested by the Village. No minimum amount of work or compensation will be guaranteed. Contractor will be required to respond within forty (48) hours of call. .Replacement: Contractor shall provide roof removal and replacement on an"as needed basis", as requested-by the Village. Ne minimum amount of work or compensation will be guaranteed. Contractor will be required to submit technical data and manufacturer's warranty information for roof replacement material prior to submittal of installation costs.All new roofing, or roof repairs in excess of 25%of the existing roof surface area, shall meet the requirements of.the Florida Building Code. Notice of Acceptance data verifying compliance with wind velocity shall be provided. Disaster. Response:In the event of a hurricane, tomado, tsunami,or other"act of God"or situations where roof leaks'are-creating an unsafe or destructive condition, Contractor shall provide roof repair services on a first priority:basis to the Village. Contractor shall be required to respond within three (3) hours of a call. Contractor shall comply with all FEMA regulations. Time-of Completion and Liquidated•Damages. The Time of Completion for the Work authorized under each Purchase Order will :be established as part of each individual project schedule and scope. Contractor acknowledges that failure to complete the work under project within.the allotted time may result in substantial damages to the Village, in an amount of which is difficult, .If•not impossible, to ascertain as of the date of the execution of this contract. If said work is not substantially completed within the specified times, the Contractor shall be.liable and hereby agrees to pay to the Village as.liquidated damages, and not as a penalty; the sum of one hundred fifty dollars($150) per calendar day for each and every day or part of a day-thereafter that said work remains incomplete. The Village shall and may deduct and retain the amount of such liquidated damages out of any money which maybe due under this Contract. Permits:and Fees. In accordance.with the Public Bid Disclosure Act FS 218.80,the Contractor may be required to make'payment to the Village of Tequesta for the following permits or licenses,.impact, inspection or other fees for a Project under this Contract: i Building permits Water Use fees Right-of Way Permits Licenses. The Bidder will be required to have at the time of bid submittal,the following current license(s): o State of Florida Certified Roofing Contractor The Bidder will also'be required, at the-time of contract execution, to have a business tax receipt or certificate of registration in accordance with the following: o No person, contractor or subcontractor may conduct business within the Village without a busine§s tax receipt or�certificate of registration: 3 • A contractor who holds a valid countywide contractors license, in addition to a county business tax receipt shall register with the Village Insurance Please refer to the minimum insurance requirements listed below Insurance Coverage Type Minimum Per Occurrence Minimum Annual :aggregate Limit limit General Liability $1,000,000 52,000,000 Auto Liability $1,000,000 $1,000,000 Pollution Liability $1,000,000 $1,000,000 Professional Liability $1,000,000 $1,000,000 Guilders Risk Total Value of Completed N/A Project Workers' Compensation Statutory Limits $1,000,000(Employer's Liability) Other Special Terms a. _Work Schedule and locations: • Contractors will provide services on an as-needed basis in accordance with work schedules provided in each Purchase Order. • Contractors will be required to work various Agency-owned facilities and locations b. Contractors are responsible for obtaining all permits prior to the start of work. c Contract Term • The Contractor shall be awarded a contract for thirty-six(36)months.At the sole option of the Village, the contract may be renewed for up to two(2) additional twelve(12)month periods. Options to renew will only be effective upon a written contract amendment executed by both parties Renewal terms and conditions will be the same as the base contract The Contract shall commence on the date when the contract is executed by the Village. Any renewals will be subject to the appropriation of funds by the Village. d. Contractor shall comply with all federal, state, and local regulations. Method Of Ordering (Purchase Orders) The Village of Tequesta will issue individual Purchase Orders on an "as needed" basis All terms and conditions of the bid are applicable. The individual orders will specify the work to be performed, its location, and not-to-exceed cost (based on the contract unit prices), and a schedule for completion. Upon completion of the work, the contractor will submit an individual invoice and a copy of the original Purchase Order. For any re-roofing project or repair project over $10,000; the project proposal will outline the proposed scope of work and present a not-to-exceed cost estimate based on the contract labor rates and material cost. Material costs will be substantiated with complete Bill of Materials from independent material supply houses. The Village reserves the right to request additional pricing and/or independently verify submitted material costs are reasonable. The Village will issue a Notice to Proceed to the selected proposer. at which time the selected proposer shall obtain bonds and insurance if required Warranty: Any leak or roof repairs shall be warranted for a period of one (1) year from the date of final inspection. Any roof replacement systems shall be warranted for a period of ten {10) years, unless a longer warranty period is required under the specific Purchase Order for that roofing system. 4 MINIMUM REQUIRMENTS AND EVALUATION FACTORS The Contractor shallprovide reference information for at least three(3)similar.projects in which Contractor served as Prime Contractor for a project that included roofing repair and replacement services. Contractors not meeting the minimum requirements wilt be disqualified. All decisions of the Village are final Minimum Requirements: The Contract will be awarded to the responsive Bidder qualified by experience to do the Work specified in the Contract,Documents. The Bidder shall submit, prior to award of Contract,satisfactory the of his experience in like Work and that he-is fully prepared with the necessary organization, capital, equipment and machinery to complete the Work to the satisfaction of the'Village within the stipulated Contract times.The Contractor shall meet the following minimum qualifications to be considered for selection. 1. Contractor shall be properly licensed to perform work as a Roofing Contractor in the State of Florida, Palm Beach County,and the Village of Tequesta. 2. Contractor shall have been in the Roofing contracting business and have been a, licensed .Roofing or General Contractor under the present name of the organization for at least the previous Five(5)years. 3. The Contractor shall have completed three (3) similar projects. A"similar"project shall be considered to include Documentation to support compliance with the experience/qualifications required by the criteria set forth herein to the satisfaction of the Village and shall be provided and accepted by the Village prior to award. 4. During the'lifetime of the organization,as.presently named,the Contractor shall not have defaulted to a bonding company for the completion of any projects referenced under Item 3,above. 5 rr LETTER OF TRANSMITTAL NMEOW - DATE: 11/17/2016 ROOF SYSTEMS,LLC TO: ATTENTION: Village Clerk Village Clerk,Village of Tequesta 345 Tequesta Drive RE: Tequesta, FL 33469 JOB NO. PW 06-16 WE ARE SENDING YOU: ❑Attached [—]mailed F]Faxed ❑✓Hand Delivered ❑Shop Drawings ❑Prints El Plans ❑Samples ❑Copy of Letter E]Change Order ❑Other ❑Specifications COPES DATE.. NO: _ DS: RIPTION 1 11/17/16 Original RFQ package with license,W=9,and proof of insurance 1 11/17/16 Copy of RFQ package with license,W-9,.and proof of insurnace 1 11/17/16 Email from Janet McCorkle asking to"piggy back"the City of WPB contract 1 11/17/16 Letter allowing Village of Te uesta to"piggy back"the City of WPB contract THESE ARE TRANSMITTED as checked below: ❑For Approval&Execution ❑Approved as Submitted ❑Resubmit Copies for Approval ❑For Your Use ❑Approved as Noted E]Submit Copies for Distribution ❑As Requested ❑Returned for Corrections ❑Return Corrected Prints ❑For Review&Comment ❑Other ❑✓ FOR BIDS DUE 11/17/16 10:00am []PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO SIGNED: Main Office: 804 Old Dixie Highway Ste 6 * Lake Park,FL 33403 ■ Tei:561-223-2096 Fax:561444-2272 License#CCC1327862 Contractor's Prior Experience Form The Contractor shall provide reference information for at least three(3)similar projects in which Contractor served as Prime Contractor for a project that includes roofing repair, maintenance and/or replacement. A reference person must be someone who has personal knowledge of the Contractor's performance. The reference person must have been informed that they are being used as a reference as the Clerk may check references. NOTE: Failure to fully and accurately complete this Form Al evidencing compliance with minimum requirements shall be grounds for disqualification of Contractor's bid. Contractors not meeting all of the minimum requirements may be disqualified. All decisions of the Village are final. Contractor Name: Therma Seal Roof Systems, LLC. PROJECT 1: Name of Project: Wellington Gym and Roof Replacements Project Location: Village of Wellington Description of Project: Re-roof and repair of various buildings for the Village of Wellington. This project included: the gymnasium, concession stands, baseball, football, lacrosse, and hockey dugouts.. Describe the project elements completed by the Contractor,Sub-Contractors,and/or Suppliers: Tore off flat roofs and metal roofs on 13-15 buildings over the course of 2 years. We then installed new, code compliant roof systems. Lastly, we performed routine maintenance on buildings not re- roofed-Contract Amount: over$600.000.00 Project Start Date: 2014 Project End Date: 2016 Village/Contact Name: Marco Roselli Title: Operations Supervisor Phone Number: 561-2340785 6 Fax Number: 561-791-4045 Email Address: mroselli@wellingtonfl.gov PROJECT 2: Name of Project:_Re-Roof and Repairs for Department of Corrections Project Location:.South Florida Reception Center, Everglades, Martin County Description of Project: Re-roof and repairs at various Department of Correction facilities in Dade and Martin Counties. Describe the project elements completed by the Contractor,Sub-Contractors,and/or Suppliers: Repairs and re-roofs with unit pricing on 3 large facilities for the Department of Corrections. Job consisted of a tear-off and installation of new single-ply and modified roof systems on multiple buildings. These buildings included: administration, dormitories, holding cells, entry ways, infirmaries, and garages. Contract Amount: $1,000,000.00 + Project Start Date: 2013 Project End Date: 2016 VillagelContact Name: Chuck Bozeman Title: Director of Construction Phone Number: 1-850-717-3905 Fax Number: 1-850-488-7189 Email Address: Bozeman.Chuck@mail.dc.state.fl.us 7 i PROJECT 3: Name of Project: City of Tamarac Parks and Recreation Project Location: City of Tamarac Description of Project: Re-roof and repairs to the Parks and Recreation building Describe the project elements completed by the Contractor,Sub-Contractors,and/or Suppliers: Re-roof and repairs to existing flat and sloped roofs. Project consisted of stucco repairs, A/C replacement, painting, and solar panels. Contractor: Tore off and replaced modified and the roofs Sub: raised A/C units, remove and replace stucco, and painted Contractor: removed all solar equipment and replaced 2 skylights ContractAmount: $150,000.00 Project Start Date: 2015 Project End Date: 2015 Village/Contact Name: Bill Lewis Title: Supervisor of Construction Phone Number: 954-597-3723 Fax Number: 954-597-3565 Email Address: Bill.LewisMamarac.org 8 CONTRACTOR VERIFICATION FORM PRIME BIDDER: Name of Firm Therma Seal Roof Systems, LLC. Address: 1421 Oglethorpe Road West Palm Beach, FL 33405 Telephone: 561-223-2096 Email estimates@thermasealroofs.com GENERAL CONTRACTOR OF RECORD: Name: N/A Address: Email:. dwikel@thermasealroofs.com State License# CM 325862 (ATTACH COPY) County License# NSA (ATTACH COPY) Type of License: Roofing Unlimited yes (yes/no) If"NO", Limited to what trade? Is the General Contractor a full-time employee of Prime Bidder? Yes X No Will the General Contractor be in responsible charge of the work performed and installed under this contract? Yes X No i I 9 LEASE SEEATTAC'H EUI O R F RENCES LIST OF REFERENCES I Village's Name&Address: Project: Contact Person Telephone Fax E-Mail 2. Village's Name&Address: Project: Contact Person Telephone Fax: E-Mail: 3. Village's Name&Address: Project: Contact Person Telephone Fax E-Mail: 4. Village's Name&Address: Project: Contact Person Telephone Fax E-Mail: PCEAS: `S `E A�7�T CFf ".E TIAM- EE"E ENS 10 CORRECTION OF WORK 'DEFECTIVE MATERIAL, EQUIPMENT OR WORKMANSHIP. If any material,equipment or workmanship is determined by the Village, either during performance of the Work,during final inspection or during the warranty period, to be defective or not in compliance with the Contract Documents, the Village shall notify Contractor in writing that such material,equipment or Work is rejected and the Village reserves the right to withhold payment on any such item. Contractor shall commence correction of the Work within seven(7)calendar days of written notice by the Village. Contractor shall, at its own expense, immediately remove and .replace or correct such defective material, equipment or Work by making the same strictly comply with all requirements of the Contract Documents. All costs of correcting such rejected Work, including additional testing and inspections, uncovering and replacing, and compensation for the Village's services and expenses, material, equipment, clean up, debris removal, and safety precautions,shall be at Contractor's expense. If correction of the Work requires damaging work completed by other contractors,Contractor shall be responsible for the costs to replace such work. WARRANTY. Contractor further agrees to correct all Work found by the Village to be defective or not in conformance with the Contract Documents for a period of one year for repairs and ten years for replacement from the final inspection or for such longer periods of Alme as may be set forth with respect to specific warranties contained in the specifications. The Village shall provide Contractor with written notice of non-conformance, If Contractor fails to correct non-conforming Work within a reasonable time after receipt of notice, the Village may correct the Work and seek restitution from the Contractor for all costs incurred by the Village in performing the corrective work. ACCEPTANCE OF NON-CONFORMING WORK. If the Village deems a inexpedient to correct Work that has been damaged or that was not performed in accordance with the Contract Documents, the Village may accept such non-confirming work and an equitable deduction from the contract price shall be made for such work. Contractor shall warrant the accepted but non-conforming work in accordance with GC 6.2. The Contract Documents and the obligation of Contractor to perform corrective Work survive final completion of the Work and final payment. VILLAGE'S RIGHT TO CORRECT OR COMPLETE WORK. If Contractor should neglect to prosecute the Work diligently in accordance with the Contract Documents, or fail to correct defective or nonconforming Work, or fail to perform any provisions of the Contract Documents, the Village may, after ten (10) calendar days written notice to Contractor and opportunity to cure, make good these deficiencies and may deduct the cost thereof from payment due Contractor. A deductive Change Order shall be issued for the Village's reasonable costs of correcting or completing the Work, including the Village's expenses and compensation for its Engineer/Architect's services and expenses. The Change Order amount shall be subject to review and approval by the Village's Engineer/Architect. If payments due to Contractor are not sufficient to cover the Change Order, Contractor shall pay the difference to the Village. The Village's correction of the Work and acceptance of a deductive Change Order shall be without prejudice to any other remedies the Village-may have. WORK BY OTHERS AT SITE The Village reserves the right to perform construction or operations related to the Project with the Village's own forces, and to award separate contract in connection with other portion of the Project or other construction or operations on the site. Where the Village is utilizing its own forces or multiple contracts for the Project, Contractor shall provide reasonable advance notice to the Village and other contractors regarding the Project Schedule and the portions for work to be performed by them. Contractor shall coordinate its construction and operations with the Village and other contractors performing work on the Project. If part of the Contractor's Work depends for proper execution or results upon construction or operations by the Village or a separate contractor, the Contractor shall, prior to proceeding with that portion of the Work, promptly report to the Village's Engineer/Architect apparent discrepancies or defects in such other construction that would render it unsuitable'for such proper execution and results. Failure of the Contractor so to report shall constitute an acknowledgment that the Village's or separate contractors completed or partially completed construction is fit 1.I and proper to receive the Contractor's Work,except as to defects not then reasonably discoverable. Contractor shall reimburse the Village for costs incurred by Village payable t a separate contractor because of Contractor's delays, improperly timed activities, damage to the other contractor's work or defective construction. Village shall be responsible to Contractor for costs incurred by'Contractor because of a separate contractor's delays improperly timed activities, damage to Work or defective construction. If a dispute arises among Contractor and other contractors on site as to the responsibility to maintain the premises, correct work, clean up or take any other action, the Village may take the necessary action and the Village's Engineer/Architect will assess the costs to those deemed responsible by Engineer/Architect. INDEMNIFICATION. Contractor shall indemnify and hold harmless the Village, its commissioners, officers, employees and agents,from and against any and all claims,obligations, liability,expenses, losses and causes of action, including attomeys'fees and costs,to the extent the same are caused by: (i)an act, negligence, recklessness or intentional wrongful misconduct of Contractor or its subcontractors, or the commissioners, officers, employees or agents of either,while engaged in or about the performance of the Work; or while in or about the project site or premises; or (ii) arising from accident or any injury to Contractor or its subcontractors while engaged in or about the performance of the Work, or while in or about the project site or premises, not caused by act of the Village, the Village's agents, servants, or other contractors of the Village; or(iii) arising out of the violation of federal, state, county or municipal laws, ordinances or regulations by Contractor or its subcontractor; or(iv)arising from liens or claims for services rendered for labor or materials furnished in or for the performance of the Work. The extent of Contractor's indemnification shall be limited to one and one-half times the contract price or $1 million per occurrence, whichever is greater. This paragraph shall not be construed to require Contractor to indemnify the Village for the Village's own negligence, or intentional acts of the Village, its agents or employees. Nothing in this paragraph shall be construed as a contractual waiver by the Village of the limits of sovereign immunity under Sec 768.28, Florida Statutes. This paragraph shall survive the expiration or termination of the Contract. (725.06 F.S. and 768.28 F.S.) DISPUTES. Any disputes which may arise between the Contractor and any subcontractor must be resolved between the parties concerned. The Village will not undertake nor be in any way responsible for the resolution of such disputes between Contractor and its subcontractors. THE VILLAGE'S RIGHT TO TERMINATE FOR CAUSE. The Village may terminate the Contract for cause if Contractor: A. Fails to supply enough properly skilled workers or proper materials; B. Fails to cure deficiencies after notice as provided in the Contract Documents; C. Fails, except in cases for which extension of time is provided, to maintain an established schedule thirty(30)calendar days behind a critical path activity), D. Fails to make prompt payments to subcontractors or for material, equipment or labor; E. Disregards applicable laws, codes,ordinances, regulations or permit requirements; F. Fails to perform the Work consistent with the requirements of the Contract Documents; G. Materially fails to comply with substantial and final completion dates as required in the Contract Documents; H. Abandons or refuses to perform any portion of the Work; I. Is otherwise in substantial breach of the Contract Documents; J. Files a bankruptcy petition or has a bankruptcy action commenced against it that is not discharged within thirty(30)calendar days,or make an assignment for the benefit of its creditors,or has a receiver appointed to manage Contractor's assets, or is otherwise becoming insolvent. When any of the above reasons exist, the Village may, without prejudice to any other right or remedy, and after giving Contractor and its Surety seven (7) calendar days' written notice, terminate the employment of Contractor and, subject to any prior right of the surety: (i) Exclude the Contractor from the site and take possession of the premises and of all materials,equipment,tools and appliances thereon owned by Contractor; (ii) Accept assignment of subcontract pursuant to GC 13.2 and (iii) Finish the Work by whatever reasonable means the Village deems expedient. 12 When the Village terminates for cause, Contractor shall not be relieved from any of its obligations under the Contract Documents, and shall not be entitled to receive any further payment until the Village's costs to complete the Work is determined. In no event shall Contractor receive any payment for Work finished by the Village. The Village shall determine its costs incurred in completing the Work, including fees and charges to contractors,fees of the Village's Engineer/Architect,attorney and other professional fees, court costs and other damages incurred by the Village. The Village shall not be required to obtain the lowest price for the work to be performed, but the costs paid by the Village must be reasonable. If the unpaid balance of the contract price shall exceed the Village's costs to finish the Work,the excess shall be paid to Contractor. If the Village's costs exceed the unpaid balance, Contractor shall pay the difference to the Village. This obligation for payment shall survive termination of the Contract and final payment. Those Contract provisions which by their nature survive final acceptance shall remain in full force and effect. If Contractor's surety is directed or agrees to complete the Work, then all payments due after termination shall be made to the surety until the Work is complete and/or the Contract price has been expended. The surety shall then be responsible for all of the obligations and duties of Contractor under the Contract Documents and shall be bound by the conditions of the Contract Documents, this Contract and the Bond to fulfill all obligations of the Contract Documents for the contract price in effect as of termination. The surety may not assign those obligations without the written consent of the Village. The surety shall be responsible for the payment of all costs relating to the termination of the employment of Contractor. Contractor and its surety shall be jointly and severally liable for all costs in excess of the contract price for completion of the Work and for liquidated damages. If, upon termination for cause it is determined that Contractor was not in default,the rights and obligations of the parties shall be as if the notice of termination has been issued for the Village's convenience WARRANTY INSPECTION. Prior to expiration of the warranty period(s), Contractor shall conduct, at its expense,with the Village's Engineer/Architect, a warranty inspection. Additionally, upon receipt of notice from the Village of failure of any part of the guaranteed Work, equipment or materials during the guarantee period, the defective Work, equipment parts or materials shall be replaced promptly with new equipment parts (or new equipment) and materials by Contractor, at no expense to the Village. This provision shall survive expiration or termination of the Contract. LEGAL AND ETHICAL PROVISIONS NO VERBAL AGREEMENTS. No verbal agreement or conversation with any officer, agent or employee of the Village either before or after execution of the Contract shall affect or modify any of the terms or obligations contained in any of the documents comprising said Contract. All Contract amendments or Change Orders shall be written and executed by both the Village and Contractor. COMPLIANCE WITH LAWS. Contractor shall comply with all applicable City, State and Federal laws relating to the provision of services under this Contract, now or hereafter in effect. Contractor shall comply with all applicable City, State and Federal laws relating to wages, hours, and all other applicable laws relating to the employment or protection of employees, now or hereafter in effect. It shall not be grounds for a change order that Contractor failed to investigate the codes and regulations of all applicable government agencies with jurisdiction over the Work. INSPECTOR GENERAL. Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, review or investigations. All parties doing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority and.power. The inspector general has the power to take sworn statements, require the production of records and to audit, monitor, investigate and inspect the activities of the Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent and eradicate fraud, mismanagement, misconduct and abuses. 13 PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep and maintain this Agreement and any other records associated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, CONTRACTOR must provide the Village with copies of requested records, or allow such records to be inspected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the public records to the Village, or fails to make them available for inspection or copying,within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida Statutes. Further, CONTRACTOR shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as authorized by law for the duration of the Agreement term, and following completion of the Agreement if the CONTRACTOR does not transfer the records to the Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to the Village, all public records in possession of the CONTRACTOR, or keep and maintain public records required by the Village. If the CONTRACTOR transfers all public records to the Village upon completion of the Agreement,the CONTRACTOR shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the CONTRACTOR keeps and maintains public records upon completion of the Agreement, the CONTRACTOR shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the VILLAGE, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768-0685, OR AT ImcwilliamsAteguesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469. 14 This Contract shall be executed in two (2) original sets by the Village and Contractor. The Contract Documents are complementary, and wherever possible the provisions of the documents shall be construed in such manner as to avoid conflicts between provisions of the various documents. IN WITNESS WHEREOF, the parties execute this Contract through their duly authorized representatives. ATTEST: °OFT Village of Tequesta - `vPG.�FtPOq�OG�` v: --.--v EA v Lori McWilliams, Village letlfj,� L Abigai renn ayor C ORPORATED Date: ►I I a 20 1 �1 F 4 90 Villag�eerRO FICE Apprlegality By:, , l ATTESTContractor: T r ea o f Systems, LLC, j:- By: A By: CorpbTat,e Se a Print Name: Dave Wlke� Print Name: Dave Mel i 15 AlB I C b E F G H 1 2 3 Schedule of Bid Items Pricing 4 5 PROJECT TITLE:Master Contract for Roofing Repair and Replacement 6 Contractor Name: 7 Unit 00t Price. $ a - 77 9 LABOR- Hourly rates based on work occuring during.normal operating hours and includes all costs,includipg' 10 overhead,profit,benefits,insurances,taxes and other:costs regbired or,related to providing the-.labor'' Avg Max Min 11 1 Su ervisor HR $ 60.00 12 2 Foreman HR $ 55.00 13 3 Mechanic HR $ 50.00 14 4 Roofer HR $ 45.00 15 5 Laborer HR $ 35.00 16 6 Administrative/Clerical HR $ 25.00 17 CONTRACTOR CREW RATES �`£ 18 7 Minor Roof Repair(locate leaks,clean,patch,up to 500 sq ft) HR $ 100.00 8 Major Roof Repair(locate leaks,remove section of roof,clean, Day 19 patch) $ 1000.00 9 Roof Replacement(BUR/asphalt/membrane)less than 10,000 Day 20 sq.ft $ 2,000.00 10 Roof Replacement(BUR/asphalt/membrane)greater than Day 21 10,000 sq.ft $ 2,500.00 22 11 Roof Replacement(tile/shingles)less than 1,500 sq.ft Day $ 1,500.00 23 12 Roof Replacement(tile/shingles)greater than 1,500 sq.ft Day $ 2,000.00 24 13 1 Roof Replacement(metal roof)less than 10,000 sq.ft Day $ 2000.00 25 14 lRoof Replacement(metal roof)greater than 10,000 sq.ft Day $ 3,000.00 26 EMERGENCYRO _PING ANQ REPAIR,::. �!v Provide a three(3)person crew to repair leaks and damage. The hourly rate shall include all temporary plywood,tarps, 15 cleanup,removal of trees and debris,and all other equipment HR necessary to complete an emergency repair/installation. Crew to be available 24/7 and response shall be within three(3) 27 hours from the original call. $ 475.00 28 JROOF MANAGEMENT SERVICES. p 29 16 Roof Moisture Scan&Report Sq.Ft 0.08 30 17 Roof Inspection&Report Sq.Ft 0.05 18 14"x 14"Roofing General Core Analysis Per 31 Sample $ 250.00 19 2"x 2"Roofing Asbestos Core Analysis Per 32 1 1 Sample $ 250.00 331 IMAT—ERiALS 34 1 20 Markup on Materials(Percent)- shall include the percent markup Cost 15% for all materials used to complete the work plus 35 21 Disposal-shall include roofing material,general construction TBD 600.00 per 36 debris and/or hazardous materials disposal costs dumpster. 37 22 Permit/Fee TBD 3% 1381 1 ITB 14-15-122 Master Contract for ECR Roofing Repair and Replacement 1 Therma Seat Roof Systems, LLC 1421 Oglethorpe West Palm Beach, FL 33405 ROOF SYSTEMS, LLC. ATTACHMENT A Phone: (561) 223-2096 State License#CCC1325862 Fax: (561) 444-2272 REFERENCES Project: Paimland Villas Project Address: 1900 Palmland Avenue, Boynton Beach, FL 33436 Contractor: Therma Seal Roof Systems, I.I.C. Property Manager: Davenport Property Management—Ashley, LCAM Contact Information: 561-642-5080 Description: Re-roof of 15 buildings—tear off and replace flat decks with TPO single ply and sloped roofs with shingles Manufacturer: GAF Shingles/Flat Roof(GAF) Project: Ron de Lugo Federal Courthouse Project Address: 5500 Veterans Drive, Charlotte Amalie, US Virgin Islands Contract Amount: $1,850,000.00 Contractor: Schneider Electric Property Manager: Mr. Bhaskar Patel Contact Information: 614-519-1395 or bhaskar.patel@schneider-electric.com Description: Complete tear off of a 40,000 SF of flat and sloped roofing. Install new single ply TPO—Carlisle and Peterson aluminum standing seam roof Manufacturer: Carlisle Project: South Florida Reception Center(SFRC)Re-Roof Project Address: 14000 NW 41st Street, Doral, FL 33025 Contract Amount: $825,000.00 Owner: Florida.Department of Corrections Owner Contact: Mr.Hans Gregersen Contact Information: 850-717-3934 or gregersen.hans@mail.dc.state.fl.us Description: Tear off 60,000 SF and install GAF insulation,080 TPO membrane. Project included a 30 year warranty. Manufacturer: GAF Solutions Driven. Customer Focused. Project: Dolphin Mall Project Address: 11401 NW 12th Street,Miami, FL 34470 Contract Amount: $465,000.00 Contractor: The Whiting-Turner Contracting Company Project Manager: Mr.Joel Roehl Contact Information: 772-519-2374 or joel.roehl@whiting-turner.com Description: New construction of 50,000 SF modified roofing Manufacturer: Flat Roof(Johns Manville) Project: Stuart Lodge Assisted Living Project Address: 1301 SE Palm Beach Road,Stuart, FL 33994 f Contract Amount: $385,000.00 Contractor: Core Construction Company Project Manager: Mr. Bret Barry Contact Information: 941-445-3866 or bretbarry@coreconsiruction.com Description: New construction of 20,000 SF of single ply and 56,000 SF of asphalt shingles Manufacturer: Carlisle Project: Broward County Public Safety Project Address: 2601 West groward Blvd, Fort Lauderdale, FL 33312 Contract Amount: $860,000.00 Contractor: West Construction, Inc. Project Manager: Mr. Matt West Contact Information: 561-588-2027 or mwest@westconstructioninc.net Description: Complete tear off and reroof of four(4)buildings totaling 40,000 SF. Installed new Fibertite single ply membrane over tapered insulation. Project: AMLI at Miramar Park Project Address: 11000 Miramar Blvd, Miramar, FL 33025 Contract Amount: $790,000.00 Contractor: Amli Development Project Manager: Mr.John Harris Contact Information: 561-630-9998 or j.harris@amli.com Description: New construction of a new tile 200,000 SF roof Solutions Driven. Customer Focused. Project: Village Place Apartments Project Address: 720 NE 4th Avenue, Fort Lauderdale, FL 33304 Contract Amount: $165,000.00 Contractor: Current Builders Project Manager: Mr.Scott Remer Contact Information: 954-977-4211 or sremer@currentbuiiders.net Description: 60,000 SF of light weight concrete and Carlisle single ply membrane Manufacturer: Carlisle Project: Barcelona Luxury Apartments Project Address: 1030 N. Military Trail,Jupiter, FL 33458 Contract Amount: $758,620.00 Contractor: Kast Construction Project Manager: Kahlik Campbell Contact Information: 561-662-9283 or kcampbeil@kastbuild.com Description: 140,000 SF of new tile Project: Pembroke Pines City Center Project Address 10700 City Center Blvd.,Pembroke Pines, Fl.33026 Contract Amount: $854,969.00 Contractor: Suffolk Construction Project Manager: Alan Barroso Contact Information: 786-804-4406 or abarroso@suffolk.com Description: 900,000 SF of new tile Solutions Driven. Customer Focused. i RICK SCOTT,GOVERNOR jrtrm LHVv.ouiJ ,-omahceAh-1 .�._ -'. _....._. .--_ .STATE gFFL'ORID•A ..`�"._� -. -.,_._ .____. : ..�.�.� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUGTIONiNDU$tRY LICENSING BOARb -Cq.& 862. y 1 Tije ROOFING:CONTRACTOR: Named belo_w'!S CERTIFIED .Under the:prouisitns tifChapter 489 FS. EXp"iration''date:-AU .31,,'2018'" " - l •'•. .... •. •it �� r 7r - ��,'-' •�1,4 •�•'.t V111KEL;:t)A1/E y THERMASEAL RLESLf11-OOF S_Y is .1421'OGLETHORPE'. R —0 _` •� r ,�� j; WESTPAL(tlI 13EACi4 3 0 - bca ;_'` �' -- x . . , ,,'.• Jf 11 "r' •'�""7�` rr r� �:' r"' 'f r _ ..,i.}:.ce.�.'�{ i ra.. �!. �+gy,-5'�, a '����!ir.•�iq-e ` - �. -1` , � .� • - •�ISSl�ED..--b131� DfSPIA -A�°E2�k�'CQI�{ b B --•; EQ#-L-9808980001986=—���•--^� ANNE M. G.AN1V O N RO.Bbx 3353,West Palm Beaph;FL 33402-3353 '"LOCATED AT" qCONSTITAL yT10NTAX COLLECTOR Www•pbctax;com Tel:(5s)365-2264 142'f::QGLETHORPE.RD ServtitgPaIM-Beach County WE $ PALM BEACH„FL 33405 Serving;you. TYPEOFBUSINESS OWNER CERTIFICATI6Nt1 RECE1VT-#QATEPAID I WT PAID_ 611.L# 11-MI'ROOFING COWRACTOR VIAKELDAVELESUE CCC1325 816,506066=d812 S. E27;bU 8401&1182 This docUment.is valid only when redeipted F y the Tax Collector's Office. STATE,OF FLORIDA PALM BEACH COUNTY g01612017 LOCAL;BUSINESS TAX RECEIPT THERMA SEAL ROOF SYSTEMS LLC LBTR Number..: 201-360538 - THERMA SEAL ROOF SYSTEMS LLC EXPIRES::SEPTEMBER 30.,2017 1421 OGLETHORPE RD WEST'PALM BEACH,FI-33405 This receipt grants the privilege of engagfng in_or �I II I III i l managltlg ahy.business pr-ofesston or bccupation within its jurisd_icUon and'MUST be conspicuously dipptayed:atttle piece of business and in such a manner as to be open to the view'Df the public. n Gy ANNE M. G.A,N N O N P.O.Boxmw,West Palm Beach,.FL 33462-3353 *'l.00ATF.D AT"` 7 COIYSTlTUTIONAL TAX.COLLECTOR www.pbetax:eom Tel:(561)355.2264 1421 OGLEfHORPE RD Serving.Pahn Beaeti'Countrj WEST PALM BEACH,FL 33405 Serving you. TYPE OF BUSINESS OWNER CERTIFlCAT10N# I RECEIP-YjVUATE PAID A_MT PAID SILL:O. 234125 CW ROOFINd CONTRACTOR _ WIKEL DAVE LEWE CCC73*sw 1 81%604067, 5185.95 _ 840164161 This document is valid only when receipted by the Tax WIddlors Office. STATE OF FLORIDA .PALM BEACH-COUNTY 201612017.LOCAL BUSINESS TAX RECEIPT THERMA SEAL ROOF SYSTEMS LLC LBTR.Number: 20'['360539 THERMA SEAL ROOF SYSTEMS LLC EXPIRES SEPTEMSER 30,2017 1421910LETHORPE RD WEST'PALM BEACH,FL 33405 This•receipt-giants the prlvilecpe of 4nga9wg in or managing any,bustness profession or occupation uuhtifnits,jurisdiction and MUST be oonspiauously disptayed;af:the piece of owness and in such a manner'as to be open to the view of the public• A60RLIP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD"YYY) 16. . 3/17/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMCO TAE• T Sandra LaRue Frank S. Furman, Inc. PHONE (954)943-5050 FAX Nn:(954)942-6310 1314 East Atlantic Blvd. ADDIREsssandra@furmaninsuraace.com P. O. BOX 1927 INSURER(S)AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURERA:Gemini Insurance C2Many 10833 INSURED INSURERBMAPFRE Ins CO FL 34932 Therma Seal Roof Systems LLC INsuRERC:Commerce & Industry Insurance Cc 19410 Therma Seal Roof Systems - Residential, LLC INSURER D:Brid efield Employers Ins Co 110701 1421 Oglethorpe Rd INSURER E: West Palm Beach FL 33405 INSURER F: COVERAGES CERTIFICATE NUMBER-CL1621557993 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOMIDD EFF MNOIILDD EXP YYYl LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS MADE OCCUR DAMAGE PREMISES Ea occurrence) $ 50,000 vNGP001215 3/1/2016 3/1/2017 MED EXP(Any one person) S PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 HPOLICY JET ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Me acGdentS G E $ 1,000,000 B % ANY AUTO BODILY INJURY(Per person) $ AULTOS 4ED SCHEDULED 4150160012469 3/1/2016 3/1/2017 BODILY INJURY(Per accident) S NON-OWNED PR PERTY DAMAGE S HIRED AUTOS R AUTOS Per accident $ $ R UMBRELLA LIAB R OCCUR EACH OCCURRENCE $ 5,000 000 C EXCESS UAS CLAIMS-MADE AGGREGATE $ 51000,000 DED I I RETE IO S IBE060293510 3/1/2016 3/1/2017 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? FilN I A D (Mandatory In NH) 0830-52359 3/1/2016 3/1/2017 E,L.DISEASE-EA EMPLOYE $ 1 000 000 H es,RIPTIOdescribe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached Q more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof Of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk DeJOng/SL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/�tH40tt Forza W-9 Request for Taxpayer Give Form to the (Rev.December 2014): requester.Do not 10 ant ofthe Treasury Identification Number and Certification Send tb the IRs. Internal Remus Service 1 Name(as shown on your income tax return).Name is required on this fine;do not leave this line blank. Therma Seal Roof Systems,LLC N 2 Business namejdisregarded entity name,ff different from.above m. m 3•Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply,only to ❑Indiiridual/sote proprletor.or ❑ C Corporation ❑S Corporation ❑ Partnership Trust/estate certain entities,not individuals;see. y. P ❑ �Instructions on page.3): m o• single-member LLC Exempt payee code(if any) Q Limited liability company.Enterthe tax classification-(C=C corporation,S=S corporation,P=partnership)► S 0 Note.For a sin fe-member LLC that is disregarded,. do not check LLC:check the . Exemption from FATCA reporting o g , appropriate box in the line abovefor 46, q the tax classification of the single-member owner. cads Of any) ac •� ❑Other(see'tnstruciens)► -rgoar•sroexamrsmehmainedoursra•u»usJ S Address(number,street-and apt.or suite no.) Requester's name and address(optionap N 1421 Oglethorpe Road 6 City,stata,and ZIP code w West Palm Beach,Florida 33405 7 List account number(s)here(optionaq JUM Taxpayer Identification Number MN) Fater your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Socfallsecuritynumber backup withholding.For individuals,this d d entity,see t social security number(SSN).However,fora resident alien,sate proprietor,or disregarded entity,see the Part 1 instructions on page 3.For other entities,it your employer identification number(Elm.It you do not have a number;see How 10 get a Mon page 3. or Note.If the account is fru more than one name,see the instructions for line 1 and-the chart on page'4 for Moyer identification number guidelines on whose number to enter. M,4 � - 1 1 9 1 9 1 0 1 83 7 • Certification Under penalties of perjury,.1 certify that: 1. The number shown on this form is my correct taxpayer identification number(or i am waiting for a number to be issued to me);and 2. I ant not subject to backup withholding because:(a)I am exempt from-backup withholding,or(b)I have not been notified by the Internal Revenue Service QRS)that I am subject.to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;.and 3. 1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form Qf any)indicating that'll am exempt from FATCA reporting is correct. Certification instructions.You must cross out item above H you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report'a9': and dividends on your tax return For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or aba9d nment of ecured party,can n7lo ebt,contributions to an individual retirement:arrangement(INA);and generally;payments other tui merest and pride ,you are no uir d. `sign the.certification,.but you must provide your correct TIN:See the instructions on page 3. Sign re of Here 1U.S.prso.n Data,. 11/15/16 I Form 1098'(homa mortgage Interest),1096-E(student loan interest)r1098 T General instructions • Quldon) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt) Future developments.Information about developments affecting Form W-9(such .Form 1099-A(acquisition or abandonment of secured property) as legislation enacted afterme release it)is at wwwrrs govlfwg. Use Form•W4oniy ifyou are a U.S.person Including a resident alien),to Purpose of form provide your correct TIN. An individual or entity(Forth W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup•wfthho1*ig.See What is backup withholding?on page 2. which may be your social security number(SSM,individual taxpayer identification By signing the filled-cut farm,you: number(MR.adoption taxpayer identification number(ATTR,or employer 1.Certify that the TIN you are giving is correct(or you are waiting for a number identification number(EIN)to report on an information return the amount paid to to be issued), you,-or other amount reportable on an information.return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not•subject to backup withholding,or •Form 1099-WT Interest.eamed or paid) 3.Claim exemption from backup withholding It you are a U.S.:exempt payee.If •Form 1099-DIV(dividends,,including those from stocks or mutual funds} applicable,you are also certifying that as a US.person your allocable share of any partnership income from a U.S.trade or business is not subject to the •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of effectively connected income,and •Form 1099-B(stock or mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form It any)Indicating that you are brokers) exempt from the FATCA reporting,Is correct.See What is FATCArepormg?on •form 1089-3(proceeds from real estate transactions) page 2 for further information. •Form 1089-K(merchant card and third party network transactions) Cat.No.10231X Form W-8(Rev.12-2014)