Okaloosa County BOCC — August 19, 2014 — BOARDING BRIDGES CONTRACT — reading text

COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attomey, and the sald Dawn M, Chloros, being by me duly sworm, did depose and say that she Is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attomey are such corporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that she signed sald Power of Attomney as Assistant Secretary of sald Companies by like authority; and that she Is acquainted with Richard A. Ciullo, and knows him to be Vice President of said Companies; and that the signature of Richard A. Ciullo, subscribed to sald Power of Attomey is in the genuine handwriting of Richard A. Ciullo, and was thereto subscribed by authority of said By- Laws and In deponent’s presence, $5, Notarial & Ties WENDIE WALSH 3 Notary Public, State of New Jersey Expires April 18, 2018 Notary Public CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: “All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or @ Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attomeys- in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shatt be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which itis attached.” f, Dawn M. Chioros, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the “Companies”) do hereby certify that (i) the foregoing extract of the By- Laws of the Companies Is true and correct, (i) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S. Treasury Department; furlher, Federal and Vigilant are licensed In Puerto Rico and the U.S, Virgin Islands, and Federat is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and (ii) the foregoing Power of Attomey is true, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NUthis 18th — dayor June, 2014. Dawn M. Chloros, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903~ 3493 Fax (908) 903- 3656 e-mail: surety@chubb.com Form 15-10- 01548- SurePath (Rev, 03-13) CORP CONSENT Bid No. AP 49-14 DBE UTILIZATION SUMMARY (DBE percentage should reflect price plus any alternates) Boarding Bridges and Bag Lifts This list is attached to and is an integral part of the bid submitted by (BIDDER/FIRM NAME) ThyssenKrupp Airport Systems, Inc. The undersigned, hereinafter called "Bidder", lists below the names of the DBE subcontractors who will perform the indicated scope of work for the amounts listed. DBE Goal is 4.03% Dollar Name, Address, and Telephone Amount of Number of DBE Subcontractor Scope of Work Subcontract 1 Airport Contractor Services Barricades, Cranes, 8264 Shay Lynn Ct. Engineering, Apron Striping Auxilia ui t /C It: Orlando, FL 32810 dee eee ee oene eee g3 101.00 2. Davis Freight Management 13238 Broadway Alden, NY 14004 Equipment Transportation $27,635.00 3. 4. Only 60% of the dollars spent with a DBE Supplier will be counted toward participation in any category, and this amount can only satisfy 60% of the total needed to fulfill any goal. Total DBE Dollars: : $ $89,496.00 Total Project Bid (includes alternates): $_1,998,640.00 DBE Percentage of Total Bid: 4.48% (ATTACH ADDITIONAL SHEETS IF NECESSARY) Boarding Bridges and Bag Lifts Bid Proposal and Forms Northwest Florida Regional Airport May 2014 BF 9 of 35 Bid No. AP 49-14 Notes: 1. Work tasks and values of "subcontract" work to be performed by DBE firm(s) of a DBE Joint Venture must be listed hereon. 2. The Bidder certifies that all DBE subcontractors have been certified as DBE firms by the State of Florida. 3. The Bidder certifies that he/she is aware of the DBE provisions specified for this project and that the above list of DBE subcontractors and contract amounts are accurate and represent 4S percentage of the total bid. In witness, whereof, the Bidder has hereunto set his signature and affixed his seal this 24 _dayof__June |_ AD., 20.14 Ls i ie >, Se Signed: ilk et = (Affix) Title: shesllent/ CFO (Seal) 4 ATTEST: Title: Assistant Secretary Firm: ThyssenKrupp Airport Systems, Inc. Address: 3201 N. Sylvania Ave., Suite 117 Fort Worth, Texas 76111 The BIDDER shall submit, as part of his bid, a list of DBE businesses proposed to be used in completing this contract. That list, which shall be prepared on this form, shall include the following: the name and address of the subcontractor, type of work, and amount of the proposed subcontract. Within two (2) working days following bid opening, the apparent low bidder shall provide to the Engineer a written contract/agreement executed between the prime and DBE subcontractor confirming the representation made in the bid proposal, if applicable the bidder(s) must also submit any and all documentation of his good faith efforts as required by Section 16.5.9 of the DBE policy, within the two day time limitation. Boarding Bridges and Bag Lifts Bid Proposal and Forms Northwest Florida Regional Airport May 2014 BF 10 of 35 Bid No. AP 49-14 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all Bidders/Proposers, must disclose if any Okaloosa Board of County Commissioner, employee(s), elected officials(s), of if any of its agencies is also an owner, corporate officer, agency, employee, etc., of their business. Indicate either “yes” (a county employee, elected official, or agency is also associated with your business), or “no”. If yes, give person(s) name(s) and position(s) with your business. YES NO X NAME(S) POSITION(S) FIRM NAME: Thyssenkrupp Airport Systems, Inc. ho f | BY (PRINTED): Mark bl Jones / Leandro Schmitz _ 5) ( ———— BY (SIGNATURE): (AL | : | TITLE: President_/ CFO ADDRESS: 3201 N. Sylvania Ave., Suite 117 Fort Worth, Texas 76111 PHONE NO. 817-210-5000 E-MAIL info.tkas.usa@thyssenkrupp.com Boarding Bridges and Bag Lifts Bid Proposal and Forms Northwest Florida Regional Airport May 2014 BF 16 of 35 Bid No. AP 49-14 DRUG-FREE WORKPLACE CERTIFICATION THE BELOW SIGNED BIDDER CERTIFIES that it has implemented a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. 4. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in, drug abuse assistance or rehabilitation program if such is available in employee’s community, by any employee who is convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. DATE: June 24, 2014 signature: _|//\//, COMPANY: ThyssenKrupp Airport Systems,Inc. NAME: Mark D. hes Leandro Schmitz (Typed or Printed) ADDRESS: 35201 N. Sylvania Ave., Suite 117 TITLE: _ President /CFO Fort Worth, TX 76111 E-MAIL: info.tkas.usa@thyssenkrupp.com PHONE NO.: _817-210-5000 Boarding Bridges and Bag Lifts Bid Proposal and Forms Northwest Florida Regional Airport May 2014 BF 17 of 35 Bid No. AP 49-14 INDEMNIFICATION AND HOLD HARMLESS To the fullest extent permitted by law, CONTRACTOR shall indemnify and hold harmless COUNTY, its officers and employees from liabilities, damages, losses, and costs including but not limited to reasonable attorney fees, to the extent caused by the negligence, recklessness, or intentional wrongful conduct of the CONTRACTOR and other persons employed or utilized by the CONTRACTOR in the performance of this Agreement. A A I WA I Af ’ \f f , —— ThyssenKrupp Airport Systems, Inc. Hh Upp j= Bidder’s Company Name Aythorized Signature — Manual 3201 N. Sylvania Ave., Suite 117 Fort Worth, TX 76111 Mark D ones/ Leandro Schmitz Physical Address Authorized Signature — Typed 3201 N. Sylvania Ave., Suite 117 Fort Worth, TX 76111 President / CF Mailing Address Title 817-210-5000 817-210-504 Phone Number FAX Number 817-917-3949 877-670-2937 Cellular Number After-Hours Number(s) June 24, 2016 DATE (REVISED: JANUARY 12, 2001) Boarding Bridges and Bag Lifts Bid Proposal and Forms Northwest Florida Regional Airport May 2014 BF 18 of 35 Bid No. AP 49-14 CERTIFICATION OF BIDDER REGARDING TRENCH SAFETY This certification is required pursuant to the Trench Safety Act, Chapter 90-98, Florida Statutes regarding Trench Safety. The Act specifically incorporates the Occupational Safety and Health Administration’s excavation safety standards, 29 CFR S. 1928.650 Subpart P as the state standard. Any revision to OSHA's safety standards that are consistent with the Florida Statues shall also be complied with upon its effective date. The act requires that any bidder or prospective contractor, or any of their prospective contractor, or any of their proposed subcontractors, shall provide written assurance that the contractor will comply with the applicable trench safety standards. NAME AND ADDRESS OF BIDDER (Include Zip Code) Thyssenkrupp Airport Systems, Inc. 3201 N. Sylvania Ave., Suite 117 Fort Worth, TX 76111 4), Bidder agrees that he is aware of the Trench Safety Act and the requirements of the Act. Yes X No 2. Bidder agrees to comply with all applicable trench safety standards as set forth in the Act and as referenced in the Act. Yes xX No NAME AND TITLE OF SIGNER (Please Print or Type) Mark D. Jones - presigent / Leandro Schmitz - CFO