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Okaloosa County BOCC — May 4, 2013 — C12-1962-COR — reading text
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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__*
NAME(S) POSITION(S)
FIRM NAME: ABL Management, Inc.
BY (PRINTED):
BY (SIGNATURE):
TULLE:
ADDRESS:
PHONE NO.
Mr. JohrD. Applefon _
fw
Apa
fico, oreatde and CEO
Y
11224 Boardwalk, Suite B 1-5
Baton Rouge, LA 70816
225-272-6063
Last Revised — 02/29/2012 Page 23
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.
2. 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, | certify that this firm complies fully with the
above requirements.
DATE: April 10, 2012 se
C“O
r. John D. Appleton
COMPANY: ABL Management, Inc. NAME:
(Typed or Printed)
ADDRESS: 11224 Boardwalk, Ste. B 1-5
TITLE: Chairman, President and CEO
Baton Rouge, La 70816
PHONE NO.: 225-272-6063
Last Revised — 02/29/2012 Page 24
* 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.
® ABL Management, Inc.
Bidder’s Company Name
11224 Boardwalk, Ste. B 1-5
Baton Rouge, LA 70816
Authorized Sig 4fure — Manual
Mr. John D. Appleton
Physical Address Authorized Signature — Typed
P.O. Box 40486
Baton Rouge, LA 70835-0486 Chairman, President and CEO
Mailing Address Title
225-272-6063 225-273-2165
Phone Number FAX Number
225-954-9813 225-954-9813
Cellular Number After-Hours Number(s)
April 10, 2012
DATE
Fn
Last Revised — 02/29/2012 Page 25
April 13, 2012
Okaloosa County Correctional Facility
Board of County Commissioners of Okaloosa County, FL
c/o Purchasing Department
602-C North Pearl Street
Crestview, FL 32536
RE: ABL Management, Inc.
Inmate Food Service, RFP #COR 10-12, Crestview, Florida
To Whom It May Concern:
Western Surety Company is currently the surety for ABL Management, Inc. Please
accept this letter as confirmation that if ABL Management, Inc. is the successful bidder
on the above referenced project, Western Surety Company stands ready to issue the
necessary bonds on an annual basis, subject to satisfactory review of contract
documents and bond forms.
We are pleased to have the opportunity to assist this client.
Sincerely,
LOCKTON COMPANIES, LLC
_ __ \
7 Q jo
“OS
Debra J. Scarb , AFSB
Vice President
Surety Operations
LocKTON Companies, LLC
© Document A310 ™ — 2010
Conforms with The American Institute of Architects AIA Document 310
Bid Bond
CONTRACTOR: SURETY:
(Name, legal status and address) (Name, legal status and principal place of business)
ABL Management, Inc. Western Surety Company ~~ h
his document has important
PO Box 40486 P. O. Box 5077 legal consequences. Consultation
Baton Rouge, LA 70835-0486 Sioux Falls, SD 57117-5077 with amattemey Is encouraged
with respect to its completion or
OWNER: modification,
(Name, legal status and address) Any singular reference to
Okaloosa County Correctional Facility Contractor, Surety, Owner or
Board of County Commissioners of Okaloosa County, FL other party shall be considered
c/o Purchasing Department plural where applicable.
602-C North Pearl Street
Crestview, FL 32536
BOND AMOUNT: $ 5% Five Percent of Amount Bid
PROJECT:
(Name, location or address, and Project number, ifany)
Inmate Food Service, RFP #COR 10-12, Crestview, Florida
The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind
® themselves. their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this
Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period
as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with
the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in
the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt
payment of labor and material furnished in the prosecution thereof: or (2) pays to the Owner the difference, not to exceed the amount of
this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another
party to perlorm the work covered by said bid, then this obligation shall be null and void, otherwise lo remain in Cull force and ellect. The
Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the
bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time lor
acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety’s consent for an extension beyond
sixty (60) days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be
Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in
this Bond conllicting with said statutory or legal requirement shall be deemed deleted herelrom and provisions conforming to such
statutory or other legal requirement shall be deemed incorporated herein. When so fumished, the intent is that this Bond shall be construed
as a statutory bond and not as a common law bond.
Signed and scaled this 13th day of April, 2012
ABL Management, Inc.
Sr a TTT
(Witmess) f° (lf 4 Vy Xf
By: el WUAL/Y L )
(Title) Sandee Scott, Vice President, Secrefary-Treasurer
Western Surety Company
\N (Surety) (Seal)
(Vitness) \ — )
& By: “| @ AS
(Title)Debra J. joo fh Attorney-in-Fact
Surety PhoneNo._) 605-336-0850
(Seal)
S-0054/AS 8/10
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
@ Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
David M. Lockton, Ronald J. Lockton, Claudia Mandato, Debra J. Scarborough, Patrick T.
Pribyl, Christy M. McCart, Evan D. Sizemore, Mary T. Flanigan, Laura M. Murren, Nancy A.
Clover, Mark Duggan, Kathleen M. Coen, Charissa D. Lecuyer, Charles R. Teter III, Kathy
L. Fagan, Jeffrey C. Carey, Rebecca S. Gross, Individually
of Kansas City, MO, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this 10th day of February, 2012.
WESTERN SURETY COMPANY
. Bruflat, Senior Vice President
State of South Dakota ss
County of Minnehaha
On this 10th day of February, 2012, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that
he resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and
which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was
so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
Adib thats
acknowledges same to be the act and deed of said corporation.
.
,
My commission expires
D. KRELL
(SEAL) NOTARY PUBLIC Z—>
y~/ SOUTH DAKOTA
yy Oy Oy By Oy oy ig ig Oy Uo by Oy hg Sg Sg Uy hg Ug Og lg hy
November 30, 2012
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i
+ 99540656+
+ 94599564
7 D. Krell, Notiry Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this day of _APR J 3 2012 , .
WESTERN SURETY COMPANY
L. Nelson, Assistant Secretary
Form F4280-09-06
NOTICE TO BIDDERS
ADDENDUM #1
INMATE FOOD SERVICE
BID #: COR 10-12
The Okaloosa County Board of County Commissioners is submitting the following on
Specifications #COR 10-12 on Inmate Food Service. Bid will be due at 4:00 p.m., April 13, 2012.
Changes to General Conditions, Pg. 12, Paragraphs 1 & 4
EFFECTIVE DATE - The effective date of this contract would be effective upon signing a contract
agreement by both parties and would run through September 30, 2013. This contract may be
renewable for three 4) (3) additional 1-year periods upon agreement by both parties.
Add “No Contact Clause” Form, Pg, 21
GENERAL CONDITIONS
EFFECTIVE DATE - The effective date of this contract would be effective upon signing a contract
agreement by both parties and would run
