HomeMy WebLinkAboutCity of Tamarac Resolution R-95-2421
Temp. Reso. # 7208
CITY OF TAMARAC
RESOLUTION NO. R-95 C149t
A RESOLUTION OF THE CITY COMMISSION OF THE CITY
OF TAMARAC, FLORIDA, AUTHORIZING THE
APPROPRIATE CITY OFFICIALS TO ACCEPT AND
EXECUTE THE "CURED -IN -PLACE SECTIONAL LINERS
REPAIRS" CONTRACT PACKAGE "C" WITH VIDEO
INDUSTRIAL SERVICES, INC. FOR SANITARY SEWER
SYSTEM REHABILITATION UTILIZING THE
METROPOLITAN DADE COUNTY CURED -IN -PLACE
SECTIONAL PIPE LINING METHOD CONTRACT NO. S-612
(REVISED) AT A COST OF $60,116.70; AUTHORIZING
FUNDING FROM THE UTILITIES WEST CAPITAL
IMPROVEMENT (GRANT) FUND; PROVIDING FOR
CONFLICTS; PROVIDING FOR SEVERABILITY; AND
PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, Broward County Office of Environmental Services has conducted an
Inflow & Infiltration (I&I) Study identifying Tamarac as having an excessive amount of
I&I conveyed to Broward County Treatment Facility; and
WHEREAS, on May 10, 1995, Tamarac City Commission authorized Hazen and
Sawyer, P.C. to perform field evaluation and technical assistance for the City's
wastewater system in the Woodlands service area; and
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Temp. Reso. # 7208
WHEREAS, the Utilities Wastewater Division and Hazen and Sawyer, P.C. have
located and evaluated I&I sources in the Woodlands area (attached hereto in map form
as "Exhibit 1") which required sanitary sewer rehabilitation; and
WHEREAS, the City Commission of the City of Tamarac has approved Capital
Funding for an Inflow and Infiltration Program for FY 95 and FY 96 under Account Nos.
425-888-535-67A and 441-888-535-67A, entitled "Inflow and Infiltration Program" as
recommended by the Utilities Department; and
WHEREAS, the Utilities Department has conducted an I&I Study and has
assessed the financial impact on the Tamarac Utility West Wastewater System as being
approximately $500,000.00 annually; and
WHEREAS, recognizing that other South Florida Utilities have prepared bid
specifications and awarded contracts for Wastewater Collection System Sewer
Rehabilitation, the Utilities Director chose to utilize contract prices from other South
Florida Utilities as provided under City Code Section 6-154; and
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Temp. Reso. # 7208
WHEREAS, Video Industrial Services, Inc. has offered to extend the unit prices
under a Contract with Metropolitan Dade County to the City of Tamarac for
rehabilitation of sewers with Cured -in -Place Sectional Liners; and
WHEREAS, it is the recommendation of the Utilities Director that the "Cured -in -
Place Sectional Liners Repairs" be initiated utilizing Video Industrial Services, Inc.
under the Metropolitan Dade County Countywide Contract for Rehabilitation of Sanitary
Sewers by the Cured -in -Place Sectional Pipe Lining Method Contract No. S-612
(Revised); and
WHEREAS, the City Commission of the City of Tamarac, deems it to be in the
best interest of the citizens and residents of the City of Tamarac to accept and execute
a contract with Video Industrial Services, Inc. under the Metropolitan Dade County
Countywide Contract for Rehabilitation of Sanitary Sewers by the Cured -in -Place
Sectional Pipe Lining Method Contract No. S-612 (Revised) at a cost of $60,116.70.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA:
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Temp. Reso. # 7208
,SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this
resolution.
SECTIOb 2: The appropriate City Officials are hereby authorized to
accept and execute the Wastewater System Rehabilitation Cured -in -Place Sectional
Liners Repairs, Contract Package "C" (attached hereto as "Exhibit 2") with Video
Industrial Services, Inc. under the provisions of the Metropolitan Dade County
Countywide Contract for Rehabilitation of Sanitary Sewers by the Cured -in -Place
Sectional Pipe Lining Method Contract No. S-612 (Revised) providing for repairs to the
Woodlands Sanitary Sewer System at a cost of $60,116.70.
SECTION 3: That the City Manager or his designee be authorized to
make changes, issue change orders not to exceed $10,000 per Section 6-156 (b) of the
City Code, and close the contract award including but not limited to making final
payment and releasing bonds when the work has been successfully completed within
the terms and conditions of the contract and within the contract price.
SECTION 4: All Resolutions or parts of Resolutions in conflict herewith
are hereby repealed to the extent of such conflict.
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Temp. Reso. # 7208
SECTION 5: If any clause, section, other part or application of this
Resolution is held by any court of competent jurisdiction to be unconstitutional or
invalid, in part or application, it shall not affect the validity of the remaining portion or
application of the Resolution.
SECTION 6: This Resolution shall become effective immediately upon
adoption.
PASSED, ADOPTED AND APPROVED thisZgday of achher-
1995. .,
NORMAN ABRAMOWITZ
MAYOR
ATTEST:
CAROL A. EVANSCN,IC,i
CITY CLERK
RECORD OF COMMLW ON VOTE
I HEREBY CERTIFY that I have ;.MAYOR �ABRAMO
-AST. 1: V / M KATZ
ved this Resolution s to qST. 2. COMM. MISHKIN
tor 'ST. 3: COMM. SCHREIBER
3T. 4: COMM. MACHEK
MITCHELL S.
CITY ATTO
Utilities:mw
4i
�C- 9S--- o2yc;2-
CED-1N-PLACE SECTIONAL LINER,R,F,PAIRS
CONTRACT $$C"
CITY OF TAMARAC, FLORIDA
WOODLANDS AREA
WASTEWATER COLLECTION SYSTEM
SEWER REHABILITATION
UTILITIES DEPARTMENT
PROJECT NO. 95 - 01/C
THIS CONTRACT, made and entered into this --7_day of
in the year Nineteen Hundred Ninety Five (1995) by and between Videg In ial
Services. Inc.City _ jointly and severally hereinafter called the Contractor, and the Ci of
Tamarac, hereinafter called the Owner.
WITNESSETH: That whereas, the Owner has awarded to the Contractor the work
of performing certain construction:
NOW, THEREFORE, the Contractor and the Owner, for the consideration
hereinafter named, agree as follows:
ARTICLE 1. Scoge of Work: The Contractor shall furnish all of the labor,
materials, tools, equipment, and everything necessary to perform; and shall perform, in
accordance with the provisions of the Metropolitan Dade County, Florida Countywide
County Contract for Rehabilitation of Sanitary Sewers by the Cured -in -Place Sectional Pipe
is Lining Method, Contract No. S-612 (Revised)/Bid Documents and the terms of this
95-01 / "C" Video Industrial Services C - 1 Con501c0 951003
Contract, the Project known and identified as "Cured -in -Place Sectional Liner Repairs,
Project No. 95-011C and shall do everything required by this Agreement, the Proposal, the
General Terms and Conditions, the Supplemental General Conditions and Specifications.
ARTICLE 2. Time of CQmpletign: Construction work must begin within ten
(10) days from the date of receipt of official notice to proceed and shall be carried on at a
rate to insure its full completion within ninety (90) calendar days. The rate of progress and
the time of completion being essential conditions of this Agreement.
Deductign for Not Completing on Time: If the Contract work is not fully completed,
according to the terms of the Contract within the time limits herein stipulated, the
Contractor shall pay the Owner, not as a penalty, but as liquidated damages, the sum of
two hundred fifty dollars ($250.00) per day for each and every calendar day elapsing
between expiration of such time limit and the date of full completion, unless the time limits
herein stated are subject to extension without payment of damages, as provided in the
General Terms and Conditions.
Where any deductions from or forfeitures of payment in connection with the work
of this Contract are duly and properly imposed against the Contractor, in accordance with
the terms of this Contract, Federal Laws, State Laws, or governing ordinances or
regulations, the total amount thereof may be withheld from any monies due or to become
due the Contractor under the Contract and when deducted, shall be deemed and taken as
Payment in such amount.
ARTICLE 3. General: The Contractor hereby certifies that he has read each
and every clause of the Contract and Bid Documents and that he has made such
95-01 / "C- Video Industrial Services C - 2 Con501c0 951003
examination of the location of the proposed work as is necessary to understand fully the
nature of the obligation herein made; and will complete the same In the time limits specified
herein, in accordance with the Contract and Bid Documents.
All work under this Contract shall be done to the satisfaction of the Utilities Director
or his Assignee, who shall, in all cases, determine the amount, quality, fitness and
acceptability of the several kinds of work and materials which may arise as to the fulfillment
of the Contract on the part of the Contractor; and his decision thereon shall be final and
conclusive; and such determination and decision, in case any questions shall arise, shall
be a condition precedent to the right of the Contractor to receive any money hereunder.
Execution of this Contract shall include the Contractor depositing with the Owner a
Performance Bond providing for the satisfactory completion of the work and a Payment
Bond providing for payment of all persons performing labor in connection with this
Contract. Each of these bonds shall be one hundred percent (100%) of the Contract
amount. A Maintenance Bond in the amount of twenty-five percent (25%) of the Contract
price shall be required upon completion of construction guaranteeing the repair of all
damages due to improper materials or workmanship for a period of one year after the final
acceptance of work.
INSURANCE REQUIREMENTS: Contractor agrees that it will, in the performance
of work and services under this agreement, comply with all Federal, State and local laws
and regulations now in effect, or hereinafter enacted during the term of this Agreement that
are applicable to Contractor, its employees, agents or subcontractors, if any with respect
0 to the work and services described herein.
95-01 / "C" Video Industrial Services C - 3 Con501c0 951003
Contractor shall maintain in full force and effect during the life of the contract,
0
Workers Compensation insurance covering all employees in performance of work under
the contract. Contractor shall make this same requirement of any of its subcontractors.
Contractor shall indemnify and save the City harmless from any damage resulting
to them for failure to either Contractor or any subcontractor to take out or maintain such
insurance.
The following are required types and minimum limits of insurance coverage which
the Contractor agrees to maintain during the term of this contract:
COMPREHENSIVE GENERAL
LIABILITY
Comprehensive
Premises -Operations
• Contractual Liability
Personal Injury
Explosion and Collapse
Underground Hazard
Products/Completed Operations
Broad Form Property Damage
Independent Contractors
Cross Liability and Severability
of Interest Clause
AUTOMOBILE LIABILITY
Comprehensive
Owned
Hired
Non -Owned
WORKERS' COMPENSATION
PER OCCURRENCE
$ 1,000,000
PER OCCURRENCE
$ 1, 000, 000
STATUTORY
Neither Contractor nor any subcontractor shall commence work under this contract
95-01 / "C" Video Industrial Services C - 4 Con501c0 951003
until they have obtained all insurance required under this section and have supplied owner
with evidence of such
coverage in the farm of a Certificate of Insurance that provides for
a 30 day advance written notice of cancellation.
INDEMNIFICATION REQUIREMENTS: Contractor shall indemnify, hold the CITY,
its officers, employees and agents harmless and defend the CITY, its officers, employees
and agents from any and all claims, causes of action, damages, liability and expenses
including attorney fees, in connection with loss of life, bodily or personal injury, or property
damage, including loss of use thereof, directly or indirectly caused by, resulting from,
arising out of, or occurring in connection with Cured -in -Place .Sectional Liner Repairs.
Con r "C", Project No. 95-01/C, in the City of Tamarac.
The above provisions shall survive the termination of this Agreement and shall
pertain to any occurrence during the term of this Agreement, even though the claim may
be made after the termination hereof.
CONTRACTOR shall provide the CITY with the requisite document evidencing that
the signatory for the CONTRACTOR has the authority to enter into this Agreement.
This Agreement shall not be assigned without receiving City Commission approval.
Venue shall be in Broward County, Florida.
Any clause or section of this Contract or Specification which for any reason, be
declared invalid, may be eliminated therefrom; and the intent of this Contract and the
remaining portion thereof will remain in full force and effect as completely as though such
invalid clause or section has not been incorporated therein.
ARTICLE 4. Cgntract Price: The Owner shall pay the Contractor as just
compensation for the performance of this agreement, subject to any additions or
deductions as provided in the Contract and Bid Documents, the following prices:
95-01 / "C" Video Industrial Services C - 5 Con501 c0 951013
D- I N-P LACE. -SECTIONAL LINEER—REPAIRS
C NTRAC
CITY OF TAMARAC, FLORIDA WOODLANDS
AREA
WASTEWATER COLLECTION SYSTEM SEWER REHABILITATION
UTILITIES DEPARTMENT PROJECT NO. 95 -
011C
SCHEDULE OF VALUES FOR WORK TASK
TASK
DESCRIPTION OF TASK (BID) ITEM QUAN UNIT
UNIT
TOTAL
ITEM
PRICE
C1
CURED- IN -PLACE SECTIONAL LINER REPAIRS
C1.1A
CIP 8" Sectional Liner up to 6 Ft. 38 EA
$ 1,310
$
49,780.00
C1.1 B
Additional CIP 8" Sectional Liner in Excess of 6 FL 114 LF
$ 26
$
2,964.00
C1.2A
CIP 10" Sectional Liner up to 6 Ft. 3 EA
$ 1,395
$
4,185.00
C1.213
Additional CIP 10" Sectional Liner in Excess of 6 Ft. 9 EA
$ 35
$ • 315.00
C1.3A
CIP 12" Sectional Liner up to 6 Ft. 0 EA
$ 1,450
$
0.00
C1.3B
Additional CIP 12" Sectional Liner in Excess of 6 Ft. 0 EA
$ 40
$
0.00
C1.4A
CIP 15" Sectional Liner up to 6 Ft. 0 EA
$ 1,620
$
0.00
C1.4B
Additional CIP 15' Sectional Liner in Excess of 6 Ft. 0 EA
$ 60
$
0.00
C2
BYPASS PUMPING OF SEWERS
C2.1
BYPASS 8 TO 12" SEWERS EA
$ 200
$
0.00
C2.2
BYPASS 15 TO 18" SEWERS " EA
$ 1,000
$
0.00
C7
WARRANTY TV SURVEY " LF
$ 2.25
$
0.00
C8
INDEMNIFICATION
C9.1
INDEMNIFICATION 1 LS
$ 10.00
$
10.00
TOTAL WORK TASK
$
67,254.00
5% CONTINGENCY
$
2,862.70
TOTAL CONTRACT
60 116.70
NOTE:
Quantities reflected in this schedule of " AS APPROVED BY OWNER
values are approximate and may vary
depending on actual field conditions.
Ni2ticeTo—Contractor
Contractor agrees that any unit price listed is to be multiplied by the approximate quantity
requirements in order to arrive at the total.
In the event of latent multiplication or addition errors, the Contractor recognizes that these
are clerical errors and may be corrected by the Owner.
For each payment item, Contractor agrees to furnish all labor, materials, tools and
equipment necessary to properly perform the work described herein and on the Project
95-01 / "C" Video Industrial Services C - 6 Con501 c0 951003
,C_r�-- V,;'-
Drawings.
GRAND TOTAL SCHEDULE OF VALUES FOR ALL WORK TASKS $ 60.
1.116.70
(Figures) Q.
GRAND TOTAL SCHEDULE OF VALUES FOR ALL WORK TASKS S'x Thousand
One Hundred Sixteen Dollars and 70 Cents (Written)
THE ENTIRE WORK SHALL BE COMPLETED WITHIN 90 CALENDAR DAY.$ FROM THE
DATE OF "NOTICE TO PROCEED."
ARTICLE 5. Progress Payments: On, not later than, the tenth day of every month,
except as provided for in the Supplemental General Conditions, the Contractor shall
prepare and submit on a form approved by the Utilities Director, a detailed estimate and
invoice to the Utilities Director covering the percentage of the total amount of the Contract
which has been completed from the start of the job up to and including the last day of the
preceding month, together with such supporting evidence as may be required by the
Owner and/or Utilities Director.
A Progress Payment Affidavit shall be submitted by the Contractor to the Director
with every monthly progress payment request indicating that all lienors under the
Contractor's direct contract have been paid in full.
On or about the twentieth day after receipt of invoice, the Owner will pay to the
Contractor the value based on the Contractor's estimate and invoice as approved by the
Director, less the percentage retained, less the aggregate of previous payment.
Progress R n: The percentage of estimated value to be retained shall
95-01 / "C- Video industrial Services C - 7 Con501 c0 951003
conform to the following schedule:
1. Retention for up to 10% of payments claimed.
2. When the project is substantially complete (operational or beneficial
occupancy), the retained amount shall be reduced to 5% to assure completion of the
Contract work.
The above retainages only apply when the Contractor's performance in the
judgement of the Utilities Director or the Engineer, is considered satisfactory. When
specific circumstances necessitate, a retainage of 10% will be applied at any time during
the construction period regardless of the stage of completion of construction. No progress
estimate need be made when, in the judgement of the Engineer, the total value of work
done since the last estimate amounts to less than five thousand dollars ($5,000) as set
0 forth under Progress Payments in the Contract.
Included with the Contractor's progress estimate requests shall be a complete
breakdown of the project components, the quantities completed and the amount due, in
accordance with the Schedule of Values requirements of the Contract, together with such
supporting evidence as may be required by the Engineer. Contractor shall submit with
each progress estimated, an updated construction schedule acceptable to Engineer and
a release of liens relative to the work which is the subject of the application.
ARTICLE 6. Acceptance and.Final Payment: When the work provided for under
this Contract has been fully completed, in accordance with the terms thereof, a final invoice
showing the amount of such work shall be prepared by the Contractor and filed with the
is Owner.
95-01 / 'C" Video Industrial Services C - 8 Con501c0 951003
•
The final invoice shall be accompanied by the required maintenance bond and by
a certificate of acceptance issued by the Owner, and stating that the work has been fully
completed to his satisfaction, in substantial compliance with the contract.
From the final payment shall be retained all monies expended by the Owner,
according to the terms of the Contract and thereunder chargeable to the Contractor, all
monies payable to the Owner as liquidated damages, and all deductions provided by the
Contract, Federal and State Laws, or governing. regulations.
Within thirty (30) days after receipt of the Engineer's final acceptance by the Owner,
the Owner will make a bona fide effort to pay the Contractor in the full amount of the
Engineer's final estimate. Payment of the invoice and acceptance of such payment by the
Contractor shall release the Owner from all claims of liability to the Contractor in
connection with this Contract. The Contractor shall upon acceptance of such payment
execute and deliver to the Owner the Final Release of Lien in a form identical to page FRL-
1 through FRL-4 attached to this Contract.
ARTICLE 7, The Co-ntractDocumenj: The General Terms and Conditions,
Supplemental General Conditions, Bid Documents, Bonds, Technical Specifications,
Drawings and all Addenda together with this Agreement form the Contract.
95-01 / "C" Video Industrial services C - 9 Con501c0 951003
0 IN WITNESSETH WHEREOF, the Parties hereto have executed this Agreement,
the day and year first above written.
OWNER: KITTY QF TAMARAC. FLORIDA
By: 1 Q%*vw
Norman Abramowitz
Mayor, City of Tamarac
By:
Robert S. Noe,
City Manager
ATTEST:
Carol A. Evans,
City Clerk
APPROVE
L
Mitchell S. City Atto
CONTRACTOR: VIDEO INDUSTRIAL
SDI(; ES. INC.
BY: -
John S. Kulbitskas
President
ATTEST:
Arnold E. Stewart
Secretary
(CORPORATE SEAL)
ADDRESS FOR GIVING NOTICES:
113 Sheridan
Birmingham, Alabama 35214
License No.: �:-,?Z .2 y C - 03,
CURED- IN -PLACE SECTIONAL LINER REPAIRS
CQNTRACT "C"
CITY OF TAMARAC, FLORIDA
WOODLANDS AREA
WASTEWATER COLLECTION SYSTEM
SEWER REHABILITATION
UTILITIES DEPARTMENT
PROJECT NO. 95 - 01/C
95-01 1 "C" Video Industrial Services C - 10
Con501c0 951003
Bond No. 8 SB 100987342 BCM
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS: That We, Video Industrial Services Inc. as Principal and _-
AETNA CASUALTY & SURETY COMPANY OF AMERICA as Surety, are bound to the CITY OF
TAMARAC, FLORIDA herein called Obligee, in the sum of Sixly Thousand One Hundred Sixteen Dollars
and 70 Cents ($60.116.70) for the payment of which we bind ourselves, our personal representatives,
successors and assigns, jointly and severally.
WHEREAS, Principal has entered into a contract with the CITY OF TAMARAC, FLORIDA, dated
No 0 em b�ev- —7 , 1995, for the Cured -in -Place Sectional e e ai Contract "C"
Project No 95-01/C which contract is by reference made a part hereof, and is hereinafter referred to as the
Contract.
THE CONDITION of this bond is that if Principal:
1. Performs the Contract with the City of Tamarac, Florida dated ouem
1995 for the Cured -In -Place Sectional Liners Repairs Contract " ct No. 5-01/C in the time and
manner prescribed in the Contract; and
2. Promptly makes payments to all persons who are defined in Section 713.01, F.S., whose
claims derive directly or indirectly from the prosecution of the work provided for in the Contract, then this bond
shall be null and void and of no further force and effect; otherwise to remain in full force and effect.
This bond is furnished pursuant to the statutory requirements for bond on public works projects being
Florida Statute 255.05. Claimants are hereby notified that the Statute 255.05(2) specifically requires that
notice be given to contractor within 45 days after beginning to furnish labor, materials or supplies for the
prosecution of the work that claimant intends to look to the bond for protection. Further notice is hereby given
to claimants that written notice of non-payment within ninety (90) days after performance of the labor or after
complete delivery of the materials or supplies must be delivered to the Contractor and to the Surety. Further
notice is hereby given that no action for labor, materials or supplies may be instituted against the Contractor
or the Surety on the bond after one year from the performance of the labor or completion of delivery of the
materials or supplies.
Without modifying the foregoing, this bond shall be construed as requiring of the principal and Surety
95-01 / "C" Video Industrial Services PYB-1 Bond501c0 951002
•
no more and no less than is specified in F.S. 255.05.
SIGNED AND SEALED ON this 16thday of —
(Witness)
AFFIX SEAL
(Witness)
AFFIX SEAL
95-01 / "C" Video Industrial Services
October
1995.
-Video Industrial Services, In .
Principal
'~ (Seal)
JOHN S. KULBITSKAS/PRESIDENT
(Type NamerTtle)
AETNA CASUALTY & SURETY COMPANY OF AMERICA
Surety
By: Lcn�
(Seal)
Ann Caruso
(Type Name) Attomey-in-Fact
By:�� �s ►�
(Seal)
Thomas R. Kirstein
(Type Name) Resident Agent
PYB-2 Bond501c0 951002
_ 7 AETNA CASUALTY & SURETY COMPANY OF AMERICA
Hanford. Connecticut 06150
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYISIdN-FACT
KNOW ALL MEN BY THESE PRESENTS, THAT AETNA CASUALTY & SURETY COMPANY OF AMERICA. a eorpored , duly ergatdsed under the lawn of the
>i 00 of Conneatio m and having its principal offiaa In the City of Hartford, County of Hartford. State of C.a nectimt. path rrusda. eourtlturted and sppoimad
and doss by these presorts make, oweatet t end appolmG. G mgmy &Wd , Did ht F. Miller, David C. its, JWd= B- KIIRIM-
Wrin P. Nagel, JelwfM S. Stetson, Julie A. Jces, Ridwd K- Jof11x971, fidget C. aftw1 t, Daniel 0. Brown, Joseph A.
1arkini ge, Jeffrey S. Mdeoek, Wwhaal J. 3itpe, Terry.l- RadrNltlp, L.=eina Panuir9dd. Eilt rl II citt, Cecn1
Taeciotti, Am Canw, E11onne Otero, Kau- can M. Andersm, Adele M. Khmzak or Gmw Yillmawl.
Of Lamle, Illinois ,its true and lawful Attomeyrin-Fact. with full power end authority hereby eon/sr►ed
to sign, execute and acknowledge. at any place within the United State, or, if the following line be filled in, within the area there designated
, the following instrumemish
by his sole signature and act, any and all bonds, reeognizences, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance,
or conditional undertaking, and any and all consents incident thereto
STATE OF ILLINOIS
COUNTY OF GOOK ss' I- LORRAINE POZEZINSKI
a Votary Public in and for said County and State, do hereby cerrifv char
Resident Vice President. and
Resident Assistant Secretary.
"OFFICIAL SEAL" Ann CArvsO ,Attorney -in -Farr.
LORRAINE POZEZINSKI of AETNA CASUALTY & SURETY COMPANY OF AMERICA who is personally
Notary Public, State of Illinois known to me to be the same person,. -whose name- is -,
My Commission Expires 12/19/97 foregoing instrument, appeared before me this day in person, and acimowledged
j that he signed- sealed and delivered said instrument, for and on
behalf of AETNA CASUALTY & SURETY COMPANY OF AMERICA for the uses
and purposes therein set forth.
Given tinder my hand and ocarial seal. s 16th October
19 d v of
. otary tibl1C
.la• 11 as -DI 10-70 CA T . 227102
AMINTE6 IN U.e +
try facsimile w any powst of attorney w to
any eartiResto relating thereto appointing Resident Vice Presidema. Resident Assistant Sacmariar or Attorneys -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 shell be valid and binding upon the Company and any such power ro executed and certified by such facsimile signature and
facsimile seal shell be valid and binding upon the Company in the future with reaped to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF. AETNA CASUALTY & SURETY COMPANY OF AMERICA has caused this instrument to be signed by its Visa Presidem. and its
corporateseal to be hereto affixed this 4t7 day of JKgNy .19 $
AETNA CASUALTY AND SURETY COMPANY OF AMERICA
. ! By �-
SIMS of Connecticut
Terry F. Lukew,
as. Hanford VIM President
County at Hartford
On this Ath day of JaTL=y 1995 , before me personally came TERRY F. LUKOW tome known, who. being by me duly
sworn. did depose and say. that he/she isvicsPraside mofAETNACASUALTYAND SURETY COMPANY OFAMERCA the corporation described in and which
executed the above instrument; that ha/she knows the coal of said corporation; that the seal affixed to the said instrument is such corporate seal: and that
he/she executed the amid instrument on behalf of the corporation by authority of his/her office under the Standing Resolutions thereof.
w w r AMesnr...wrw rrrr Mies+31, 1910 10wr1 n.ela
Dorothy 1. Marti
10 CERTIFICATE
1, the undersigned. Assistant Secretary of AETNA CASUALTY &SURETY COMPANY OF AMEItC1A, a steak corporation o(the State of Connecticut. DO HERE BY
CERTIFY that the foregoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked, and furthermore. that .
the Standing Resolutions of the Board of Directors, as set forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Company, in the CitV of Hartford. State of Connecticut. Dated tht< ].6th dsvof
October .19 95
By N -- l
Stephen R. Sawyer
Assistant Secretary
(a4
67+ r� L -- AETNA CASUALTY & SUIIETY COMPANY OF AMERICA
Hanford. COMACtIcut 66156
POWER OF ATTORNEY AND CUMF)CATE OF AUTHORITY OF ATTORNEY(S)4N-FACT
MOW ALL MEN BY THESE PMM MS, THAT An" CASUALTY & SURETY COMPANY OF MOW0, a Corm 11"n dtdy argartisad under the iawa of the
>isasteofCornrecdeuL,and having its principal of toeinthe City ofHertford. County ofHartford. StateefC.enneideue.kWhmade.cwwtlhrtadandaPPOM6+A
sad does by do** pra+aats make. son stitnte and appointG. Gnxjc ty 8frtles, D►d4t F. MJ]]er^, Otivid C_ &rft, Janina 8. K�.
Ketdn P. Mmo1, JWftW S. SGab1, "le A. Jq=, Ridind K. Jdnwt, Bridget C. JJneon, Derdel B. &on, J1OW 1 A-
94a, JW*y S. M fleaek, Mill J. Simper TeMy.J. P0*01P, LDlxnine Paindndd, Eileen LiEitt. OR-01
Tared, " Cnu=, Evora B=41, Kathleen M. Artier", Adele M. MECZ* Or GEE= MIMMMl — —
Of unie, ]],uncdS , IN true and lawful Attomeys4n•Fect with full power and authority hereby cc failed
to sign, execute and acknowledge, at any place within the United States, or, if the following line be filled in, within the *rea then designated
. the following imnrurnent(s):
by his sole signature and am any and all bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond. recognizance.
or conditional undertaking, and any and sit consents incident thereto
srdtebindAETNACASUALTY&SURETYCOMPANYOFAMERICA,thwobyashftwWtottreeameextwr m*thesamewmrealglnadbytMdutyauticorised
of 1mrs of AETNA CASUALTY & SURETY COMPANY OF AMEIW:& and all the arts of said Attomeys-in-Fam pursuant to the authority herein give0 . are
hereby ratdled and awnfiunnecL
This appoimmorrt is made under and by authority of the following Standing Resolutions of said Company which Rssolutione an now in full force and affect:
VOTED: That.soot of the following offh are. President. Any Executive Vice President, Any Senior Vice President, Any Vice President, Any Aroistrmt Vice
Presids"LAnySacmury.ArtyAssistantSo every,mayfromtimewtimeappokdReaidomVicePresider.ReskmmAsskuntSeeretodiss,AM ntayrirr-Fact,
and Agents to act for and on behalf of the Company and may give any such appointee such authority as his or her certificate of authority may prescribe to
sign with the Comparny's name and seal with the Company's seal bonds, raeogrrizsncn, contracts of indemnity. and other writings obligatory in the nature
of a bond, recognizance, or conditional undertaking, and any of said oificsn orthe Board of Directors may at anytime remove any such appointee end rsw it*
the power and authority given him or her.
VOTED: That any bond. nteognizanre, pone act of indemnity, or writing obligatory in the nature of a bond. nreopnizance. or conditional undertaking shall
be valid and binding upon the Comparrywhen (a) signed bythe President, an Executive Vice President. a Senior brine President. a Vice President. an Assistant
Vice PresidentorbyaResidentViceil-arrt,purwenttothepowerpneoribedinthamrdfommofauthori yofsuchResident Vice Presid*m,and duly *tNeud
and sealed with the Company's seal by a Secretary or Aceistant Secretary or by a Resident Assistant Secretary, Pursuant to the power P Wo bad In the
certificate of authority of such Resident Assistant Secretary; or Ibl duly executed lundar *set. if required) by one at more Arionw"4n-Fact Pursuant to the
poorer prescribed in his or her csnificsts or their osrtifiaates of authority.
TNs Power of Attorney and Cart WGW of Audierity is signed stud sealed by tawNrAW under and by audm ity of the follswing Standing Rnashrti+e veto
by *4 Board of Obse►ors of AETNA CASUALTY & SURETY COMPANY OF AMERICA tohid Rssohrd" it now in full fora and effort
VOTED. That the signature of each of the following officers: President. Any Executive Vice President, Any Senior Vice President. Any Vice President. Any
Assistant Vice President Any Secretary, Any Assistant Secretary, and the seal of "Company may be sffbcad by facsimile to any power of attorney or to
any certificate relating thereto appointing Resident Vice Presider. R"dent Assistant Seormanus or Ancenw mn-Fact for purposes only of executing and
renting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or 9M ti to beating such facsimile
signature or facsimile seal shell be valid and binding upon the Company and any such power se executed and certified by such facsimile signature and
facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is sdached.
IN WITNESS WHEREOF, AETNA CASUALTY A SURETY COMPANY OF AMFRICA has caused this instrument to be signed by its Vim Praeidentt. and its
GWPWM seal W be herato affixed this 4t1 day of WLwy . 19 $
AETNA CASUALTY AND SURETY COMPANY OF AMERICA
�-
So" of Connecticut F. - I Tony Lukaw
sa Hanford VICE President
County 0. Hanford
On this 4th day of Jawmy 1995 , before me personally came TERRY F. LUKOW tome known. who. being by me duly
swam. did depose and say: thathoWw is Vi m Pesairlentdf AETNACASUALTY AND SURETY COMPANY OF AMOXA,the corporation described in wW which
executed the above instrument: that hehho knows the seal of said corporation: that the a" affixed to the said instrument is such corporate seal: and that
he/she executed the said instrument on behalf of the corporation by authority of hialher office under the Standing Resolution* thereof.
•.♦ = rMr ppm an. low rawer /YMK
Dorothy L. Marti
I,the undersigned. AesistantSacrapryot AETNA CASUALTY &SURETY COMPANY OF AMtatpA. s stock corporation of the State of Connaetieus: DO HEREBY
CERTIFY that the -foregoing and meched Power of Attorney and Certificate of Authority remains in full force and has not been revoked: and furthermore. that .
the Standing Resolutions of the Board of Directors. as set forth in the Certificate of Authority. are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford. State of Connecticut. Datod th:s 16 th dsyof
October .19 95 Adz—)
ev ^.^
O: Stephen R. Sawyer
' Assistant $80 - sty
Bond no. 8 SB 100987342 BCM'
• PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: That Video Industrial Services. Inc as Principal, hereinafter
called Contractor, and ARM XASUAr.TY 1C -qiiRF'ry CA,j11FRTr9
as Surety, hereinafter called Surety, are held and firmly bound unto the CITY OF TAMARAC, FLORIDA
as Obligee, hereinafter called Owner, in the amount of -Sixly Thousand -One Hundre-d-Sixteen Dollars and
70 Cents ($60.116.70) for the payment whereof Contractor and Surety bind themselves, their heirs,
executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, Contractor has by written agreement dated /Vie U. , 1995, entered into a
contract with Owner for construction of Cured -in -Place, Sectional Liners Repairs Contract "C" Project
No. 95-01/CT, in accordance with tasks and specifications prepared by the Owner and by _ Hazen and SaWer.
P.C., Engineers, which contract is by reference made a part hereof, and is hereinafter referred to as the
Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contractor shall
promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall
remain in full force and effect.
The Surety hereby waives notices of any alteration or extension of time made by the Owner.
Whenever Contractor shall be, and declared by owner to be in default under the Contract, the Owner
having performed Owners obligations thereunder, the Surety may promptly remedy the default, or shall
promptly:
1. Complete the Contract in accordance with its terms and conditions, or
2. Obtain a bid or bids for completing the Contract in accordance with its terms and conditions,
and upon determination by Surety of the lowest responsible Bidder, or, if the Owner selects, upon
determination by the Owner and the Surety jointly of the lowest responsible Bidder, arrange for a contract
between such Bidder and Owner, and make available as work progresses (even though there should be a
default or a succession of defaults under the contract or contracts of completion arranged under this
paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but not
48 exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set
95-01 / "C" Video Industrial Services PRB-1 Bond501c0 951002
forth in the first paragraph hereof. The term "balance of the contract price," as used in this paragraph, shall
mean the total amount payable by owner to Contractor under the Contract and any amendments thereto, less
the amount properly paid by owner to Contractor.
Any suit under this bond must be instituted before the expiration of two (2) years from the date on
which final payment under the Contract falls due.
No right of action shall accrue on this bond to or for the use of any person or corporation other than
the Owner named herein or the heirs, executors, administrators or successors of the Owner.
SIGNED AND SEALED ON this 16th day of October 1996
Wideo Indu ial Services, Inc.
Principal
B
(Witness) L11-Z
(Seal)
AFFIX SEAL _ JOHN S. KULBITSKAS/PRESIDENT
(Type NamefTitle)
(Witness)
AFFIX SEAL -
AETNA CASUALTY & SURETY COMPANY OF AMERICA
Surety
By: C&'—�
(Seal)
Ann Caruso
(Type Name) Attorney -in -Fact
(Seal)
Thomas R. Kirstein
0 (Type Name) Resident Agent
95-01 1 "C" Video Industrial Services PRB-2 Bond501c0 951002
le 2 '/'2--AEINA CASUALTY & SURETY COMPANY OF AMERICA
Hanford, Connection 05156
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYISI-IN-FACT
KNOW ALLMEN BY THESE PRESENTS, THAT AETNA CASUALTY & SURETY COMPANY OF AMERICA. a arparawon duly ergaulised under the laws of the
Stara of Conneetlotn, and having its principal afRee in the City of Hartford. Cowty of Hanford State of Cannecti ut. hash made. aorntitrrud and appekned.
and does by theme presim make. constitute and appointG. Grimy Beetles, Dldlt F- M U32r. OHvid C- elylks, Jtlydm S. Kapim.
Kevin P. NBcIel, JeEf w S. Sbetsm, Julie A. Japes, Ridmd L Johnocn, Bridget C. JolTlaul, Dacha] B. BrO n, Jzaph A.
1iactiufB. Jeftey S. M aleoek, MidWl J. SdOPB, TeEry -1. Pack". 1 ctrai a Pamzrtii, Eibm Litt, Caul.
TBeldotti, Am C xum, Eva v Btorn, Kethlew M. Arldamm, AcIele M. Kcr,zok or Greoe Villarreal - -
of LjAle, nl]rxd , its true and lawful Attorneys -in -Fact. with full power and authority hereby conferred
to sign, execute and acknowledge, at any place within the United States, or, if the following line be filled in, within the area there designated
, the following instrumernish
by his soie signature and act any and all bonds, recognizances. contracts of indemnity, and other writings obligatory in the nature of a bond. recognizance,
or conditional undertaking, and any and all consents incident thereto
STATE OF ILLINOIS
COUNTY OF COOK ss' LORRAINE POZEZINSKI
i.
a Notary Public in and for said County and State, do hereby cerrifv char
- Residanc Vice President. and
oved Resident Assistant Secretary,
ENo
FFICIAL SEAL" Ann CAruso Attorney -in -Farr.
NEPOZEZINSKI of AETNA CASUALTY all SURETY COMPANY OF AMERICA who iS personallyblic, State Of Illinois known co me co be the same person whose name- -ASubscribed co the
sion Expires 12/19/97 fnregoislg rnstrtunenc, appeared before me this day in Person. and acknowledged
that he signed, sealed and delivered said instrument, for and on
behalf of AETNA CASUALTY b SURETY COMPANY OF AMERICA for the uses
and purposes therein set forth.
Given under my hand and notarial seal, s 16th d V of October
_ -
A , otary ubitc
.1a-11as-4u 10.70 CAT. 227102
PAINTEC IN U-S
amxad by fadsirnile to any mower of attorney Or to
any certificate roosting thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attams".in-Fact for purposes only of executing and
613setiag 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 meal shall be valid and binding upon the Company and any such paver so executed and certified by such facsimile signature and
facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached.
IN WITNESS WHEREOP, AETNA CASUALTY & SURETY COMPANY OF AMERICA has caused this Intnroment to be signed by its Vice President, and its
corporate seal to be hereto affixed this 4th day of JeR1gt�y ,19 $
AETNA CASUALTY SURETY COMPANY OF AMERICA
1AND
- -s
1 �• I...,rr�
By
Step of Connecticut l °ti,� Tent/ F. t1kaw
} ass. Hartford Vice President
County of Hartford ))
On this 4th day of Jlln jKy 1995 , before me personally came TERRY F. LUKOW tome known. who, being by me duly
sworn,diddeposeand say:thathelsheisViaPresidentofAETNACASUALTYAND SURETY COMPANYOFAMERICA thsOct ration described inandwhich
executed the above instrument that he/she knows the seal of said corporation: that the seal affixed to the said instrument is Such corporate "at; and that
he/she executed the said instrument on behalf of the corporation by authority of hi"ar office undertheStanding Resolutions thereof.
i �O�a• � r �1j •
,www 31. tees wow reels
a�'Nat� fir• D tathyLMani
eq,F
40
CERTIFICATE
1, the undersigned.Assiatant Secretary of AETNA CASUALTY ell SURETY COMPANY OF AMERCIA, a stock corporaion of the State of Connecticut OO HEREBY
CERTIFY that the foregoing and attached Power of Attorney and Certificate of AuthontV remains in full force and has not been revoked: and furthermore, that
the Standing Resolutions of the Board of Directors. as set forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Company, in the City of Hartford, State of Connecticut. Osted this 16 th day of
October • 19 95
�� / k! `1
By
Stephan R. Sawyer
Assistant Secretary
w a
iy
assss�r�er
AETNA CASUALTY & SURETY COMPANY OF AMERICA
Mutford.Cofd"MOCit 04156
r�
0
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(SHN-FACT
KNOW ALLMEN BY THESE PRESENTS, THAT AETNA CASUALTY & SURETY COMPANY OF AMERICA. a wparedeet duly e.gerdsed utedertlhe laws of tale
EEatmofCarMuatmt,andhawin hap ApaaaIII, intheCitye•HartfordCwM►tYofHartfordStateefCoeuwetiWLhWAeehade.saestihrtedandappoAtnd.
and does by ti presents make. aamt hm and appointG- Gragwy awtim, Dkdq t F. M131w, David C. Battle, Jwdm B- Wan,
Kevin P. NKpl, JaIlm S. SWSM, Julie A. J:9=, KWh3rd K. Jdnam, &W7t C. xTzm, Darnel B. Mm, Jai Wh A-
I ItbtlxOa, JEEBM S. Ma emk, Michol J. 9etlz, TeLxyaJ. RN*MP, LtasBorne Pbamkisid., Ei]m Lucitt, Cam,
Tamiat ti, Am Clain, EImm ftbn, KMJ'd at M. kx%rs>t 1, Adele M. Ko=zak W GLene VU181 e1 - -
of t sic, nurni,g , its true end lawful Attomuys4n-Fact with full power and authority hereby conferred
to sign, execute and acknowledge, at any piece within the United States, Or. If the following line be filled in, within the area there designated
, the following inatrument0h
by his sole signature and acL any and all bond& recognuences. contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance,
or conditional undertaking, and any and all consents incident thereto
end to bind AETNA CASUALTY & SURETY COMPANY OF AMMWJ4 thereby es hilly and to Me same eatOM ss Y the came were signed by the duly audherimad
effimsrs of AETNA CASUALTY & SURETY COMPANY OF AMERICA. and ell the seem of said Attenhey Wo,# L pursuant to the sutharity herein girwt, ere
herby miffled and sonfMrned.
This appointment is made under and by authority of the following Standing Resolutions of amid Company which Resolutions are now in full farce and ellwt
VOTED: That each of the following officers. President, Any Executive Vice President. Any Senior Vies President, Any Vic: President, Any Assistant Vice
President. Any Secretary, Any Assistant Secretary. may from timeto time appoint Resident Vios Presidents. Resident Assistant Secretaries. Atton""4 rFaet,
and Agents to act for and on behalf of the Company and may give any such appointee such authority as his or hew cartifieata of authority may preatsfbe to
sign with the Company's name and anal with the Campathya coal bonds, nmxwizmncea, contracts of indemnity. and other writings obligatory in the nature
of a bond. nh oognizanew, or conditional undertaking. and any of said officers orthe Board of Directors may at any time remove any such appoint" and revoke
the power and authority given him or her.
VOTED: That any bond, recognizance, contract of indemnity. or writing obligatory in the nature of a bond. rsestgnisancm, or conditional undertaking shell
bevalid and binding upon the Companywhen (a) signed by the PresideriL an Executive Vice President. a Senior Yyoa President, a Vice Pnaidem, an Assistant
VlcaPnsidentorbyaResidentVicePle ant. Pursuanttotheporwrpraat, bad inthegrtifkateofeudhorhyofwA hResidentViaPreddem.anddulyamsted
and sealed with the Company's seal by a Secretary or Assistant Secretary or by a Resident Assistant Secretary. pursuant to the power prescribed in the
osrNfiprte of authority of such Resident Assistant Sscnnry; or lb) duly executed lunder seal, it required) by one or more ARorne ra-in-Fawt pursuant to the
po-w prescribed in his or her eartifiests or their certificates of sudhority.
This Power of Attorney and Cwdfiete of Audwrity ls aigrhtd and cooled by facsimile under and by authority of the fallowing Standing Resehhtlen voted
bytrio Board of Dl --- of AETNA CASUALTY & SURETY COMPANY OP AMERICA which Resolution Is new le hill fors snd effeec
VOTED: That the signature of each of the following officaric President. Any Executive Vice President Any Senior Vita President, Any Viet President. Any
Assistant Vista President. Any Seavrtary. Any Assistant Secretary. and the seal of the Company may be affixed by facsimile to any power of mttornty or to
arty Certificate roledng thereto appointing Resident Vice Presidents. Resident Assistant Secretaries or Attwneyssin-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 c0nificate bearing such facsimile
sipnatwe or facsimile semi shall be valid and binding upon the Company and any such power sot executed and certified by suoh facsimile signature mod
facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it Is attached
IN WRNIERS WHEREOF, AETNA CASUALTY & SURETY COMPANY OF AMERICA has caused this instrumerntt to be signed by its Vie President. and its
corPWM meet to be hersto affixed this 4th day of jwuwy , 19 95
AETNA CASUALTY AND SURETY COMPANY OF AMERICA
State of Connwcut i Tony F. Lukow --
as. Hertford Vies Preddnrt
County of MSRford
On this 4th day of JNtiMfy 1995 , before me personally came TERRY F. LUKOW tome known. who. being by ms duly
swom, did depose and say: that heashe is Vine Pwaidmt of AETNACASUALTY AND SURETY COMPANY OF AMEW. A. the corporadon described in end which
executed the above instrument that hahhe knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; and that
hatOw executed the said instrument on behalf of the corporation by authority of his/her office under the Standing Resolution* thereof.
•ter tw►arwm.w�we.,.�Wrn31.IS= Mauryaaw.
Dorothy L Marti
CERTIFICATE
1, the undersigned. AssistantSecretary of AETNA CASUALTY & SURETY COMPANY OF AMERCIA. a stock corporation of the State of Connecticut; DO HEREBY
CERTIFYthat theforegoing and attached Power of Attorney and Certificate of Authority remains in full force and has not been revoked; and furtheemore. that
the Standing Resolutions of the Board of Directors. as oat forth in the Certificate of Authority, are now in force.
Signed and Sealed at the Home Office of the Comoany, in the City of Hartford. State of Connecticut. Dated the 16 th daVIof
October .19 95
aBy
Stephen R. Sawyer
Assistant Secretary
0 FINAL RELEASE OF LIEN BY CONTRACTQR
STATE OF FLORIDA
COUNTY OF BROWARD
•
The undersigned contractor, under a certain contract with the City of Tamarac, dated
199_, in connection with the following public work:
Cured-in-P,Igce Sectional Liners Repairs Contract "C"
City of Tamarac, Florida, Woodlands Area
Wastewater Collection System Sewer Rehabilitation
Utilities, Departm nt Project No. 95-Ol/C
does hereby acknowledge receipt of the full contract price of $ ,
as modified by change order, addenda, etc., and hereby releases and discharges all liens, lien
rights, claims or demands of any kind whatsoever which the undersigned contractor now has or
might have against the City of Tamarac arising out of said contract or in connection with the
aforesaid public improvement.
That all claims, liens or other entitlements for labor, services, materials or supplies
furnished, in connection with the aforesaid improvement have been fully paid. That an affidavit
on behalf of the contractor, signed by , has been furnished
to the City of Tamarac, as well as final releases of lien executed by all materialmen and
subcontractors regardless of their tier.
IN WITNESS WHEREOF, the contractor has caused this release to be executed in its name
and under its seal by its proper officers, this the day of , 1995.
Signed, Sealed and Delivered
in the Presence of:
M
(Corporate Secretary)
Fin
Video Industrial Services, Inc.
(Contractor)
(President)
(Type Name) (Type Name)
(SEAL)
95-01 /"C" Video Industrial Services FRL-1 Bond501c0 951002
rI
•
I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
to me known to be the person(s)
described in and who executed the foregoing instrument and acknowledged
before me that executed the same.
WITNESS my hand and official seal this day of ,199—.
( ) Personally known to me, or
( ) Produced Identification
NOTARY PUBLIC, State of Florida at Large
(Name of Notary Public: Print, Stamp or
Type as Commissioned)
Type of I.D. Produced
( ) DID take an oath, or ( ) DID NOT take an oath.
95-01 1 "C Video Industrial Services
FRL-2
Bond501c0 951002
•
C�
•
AFFIDAVIT ON BEHALF OF CONTRACTOR
STATE OF FLORIDA
COUNTY OF BROWARD
The undersigned, first being duly sworn, deposes and says on oath as follows:
(1) That Video Industrial Services. Inc. is a contractor in a certain contract with
ftr
City of Tamarac, Florida, dated , 1995 in connection with the
following public work:
Cure--in-Plage_Sectional_Liners Repairs Contract "C"
City of Tamarac. Florida. Woodlands Area
Wastewater Collection System Sewer Rehabilitation
Utilities Department Project No. 95-Ol/C
(2) That Affiant is
(President, Sole Proprietor or Partner)
of the above -named Contractor.
(3) That the work contracted to be performed has been performed and completed in
accordance with the plans and specifications, addenda, change orders and contract
documents, such work having been completed on
199_.
(4) That all persons who furnished labor, supplies or materials or did work in
connection with such improvement set out in the contract have been paid in full, including all
subcontractors, materialmen and laborers.
(5) This Affidavit is made for the purpose of obtaining final payment by the
contractor from the City of Tamarac.
(6) That the Affiant has the authority to represent the Contractor and to execute this
Affidavit on behalf of Contractor.
FURTHER, AFFIANT SAYETH NAUGHT.
95-01 / "C Video Industrial services
FRL-3
Affiant
Bond501c0 951002
C�
0
I HEREBY CERTIFY that on this day, before me, an Officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared
to me known to be the person(s)
described in and who executed the foregoing instrument and
cknowledged
before me that executed the same.
WITNESS my hand and official seal this day of ,199_.
( ) Personally known to me, or
( ) Produced Identification
NOTARY PUBLIC, State of Florida at Large
(Name of Notary Public: Print, Stamp or
Type as Commissioned)
Type of I.D. Produced
( ) DID take an oath, or ( ) DID NOT take an oath.
95-01 / "C" Video Industrial Services
FRL-4
Bond501c0 951002