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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 1 1 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 2 1 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: 3 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. !I 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