25.099 Brooklyn Senior Center Renovations BID V1 10.15.26.pdf

PROJECT MANUAL

TOWN OF BROOKLYN

CONNECTICUT

RENOVATIONS

SENIOR CENTER

69 SOUTH MAIN STREET

BROOKLYN, CT 06234

S/P+A PROJECT #25.099

VOLUME 1 OF 2

(Division 01 – Section 095113)

Issued for Bid: October 16, 2026

Architects | Engineers | Interiors Silver Petrucelli + Associates, Inc.

3190 Whitney Avenue, Hamden, CT 06518 311 State Street, New London, CT 06320

T A B L E O F CO N T E NT S

RENOVATIONS

Brooklyn Senior Center

69 SOUTH MAIN STREET

BROOKLYN, CONNECTICUT

Project ________

T I T L E

1.) Title Page 2.) Table of Contents

A. BID SOLICITATION:

1.) Invitation to Bid

B. BIDDING DOCUMENTS:

1.) List of Required Documents

NOTE: Each bid package must include one (1) set of the following forms and documents

(INCOMPLETE BID PACKAGES WILL NOT BE ACCEPTED)

2.) Bonding and Insurance Requirements

3.) BID SUBMITTAL:

REQUIRED SUPPLEMENTS TO BE SUBMTTED WITH BID FORM:

• Supplements to Bid Form Statement

• Appendix A – Work Performance

• Appendix B - List of Allowances

• Appendix C - List of Alternates

• Appendix D - List of Unit Prices

• Appendix E - Schedule of Values

• Appendix F - BABA Notification and Certification

• Appendix G - BABA Materials Certification Form

• Permitting Requirements

• Bid Bond (Refer to Bonding and Insurance Requirements for details)

• Non-Collusion Affidavit of Prime Bidder

• Statement of Contractor’s Qualifications (AIA Document A305-1986)

• CDBG Contractor’s Certification Concerning Labor Standards and Prevailing Wage Rates

• CDBG Subcontractor’s Certification Concerning Labor Standards and Prevailing Wage Rates

• Commission on Human Rights Bidder Notification to Bidders and Compliance Reports:

PART I - Bidder Information PART II - Bidder Nondiscrimination Policies and Procedures PART III - Bidder Subcontracting Practices PART IV - Workforce Analysis PART V - Bidder Hiring and Recruitment Practices

• Non-discrimination Laws/Executive Orders

• Equal Employment Opportunity (Executive Order 11246, as amended)

• General Contractor’s Certification of Bidding Regarding Equal Employment Opportunity

• Sub-Contractor’s Certification of Bidding Regarding Equal Employment Opportunity

• Section 3 Contractor Requirements

• General Contractor’s Section 3 Plan Certification

ADDITIONAL REQUIRED DOCUMENTS TO BE PROVIDED BY CONTRACTOR AT BID SUBMISSION:

• Contractor’s Current Trade License, i.e. Major Contractor, Plumber, Electrician, etc. as well as Asbestos Abatement Supervisor/Worker(s) if applicable in addition to all Apprentice Certificate(s) and Current Insurance Certificate(s).

• Contractor’s Insurance Certificate (contractor to supply) - Refer to Bonding and Insurance Requirements for details.

4.) SUPPLEMENTARY CONDITIONS AND WAGE REQUIREMENTS:

• D.O.H. Program Requirements (includes project sign)

• Federal Labor Standards Provisions

• Wage Rate Poster

• Section 31-53b: Construction Safety and Health Course

• Information Bulletin: The 10-Hour OSHA Construction Safety and Health Course

• Notice For All Mason Contractors Regarding Statute 31-53

• CT General Statute 31-55a

• CT General Statute 31-53 Wage Certification Documents

• Information Bulletin: Occupational Classification

• Wage & Workplace Footnotes

• Federal Labor Wage Decision

• State of Connecticut Prevailing Wage Rates

C. CONTRACT CONDITIONS AND FORMS REQUIRED AT CONTRACT SIGNING:

1.) Standard Form of Agreement between Owner and Contractor (AIA Document A101) 2.) General Conditions of the Contract for Construction (AIA Document A201) 3.) Instructions to Bidders (AIA Document A701) 4.) Performance Bond (AIA Document A312) 5.) Payment Bond (AIA Document A312)

D. DOCUMENTS TO BE SUBMITTED FOR ALL EMPLOYEES AND SUBCONTRACTORS PRIOR TO WORK:

• Permits as required by the Town of Brooklyn, CT.

• Information Bulletin: The 10-Hour OSHA Construction Safety and Health Course

• CDBG Subcontractor’s Certification Regarding Equal Employment Opportunity

• CDBG Subcontractor’s Certification Concerning Labor Standards and Prevailing Wage Rates

• Current Trade License, i.e. Major Contractor, Plumber, Electrician, etc. as well as Asbestos Abatement Supervisor/Worker(s) if applicable in addition to all Apprentice Certificate(s) and Current Insurance Certificate(s).

• All Social Security Numbers on company letterhead (last four digits are acceptable) .

E. CERTIFIED PAYROLL REQUIREMENTS:

1.) Items to be submitted with each Payment Application:

• Original Weekly Certified Payroll Forms

• State and Federal Statements of Compliance from General Contractor and all Subcontractors.

• Final Certified Payrolls must be clearly marked as “Final.”

F. LIEN WAIVERS AND RETAINAGE PAYMENT:

1.) Waiver of Lien Form

• Original Partial or Final Lien Waivers required from General Contractor; All Subcontractors and Major Suppliers are required beginning with submission of Payment Application #2.

• Original Final Lien Waivers from General Contractor, All Subcontractors and Major Suppliers with submission of retainage payment application.

• It is recommended that the form “Waiver of Lien” attached be used. If a substitution is used, please be sure it contains all the same information.

2.) List of Documents Required Prior to Submission of Retainage Payment Application:

• PAYMENTS INCLUDING THE STANDARD 5% RETAINAGE WILL NOT BE PROCESSED UNTIL ALL

REQUIRED DOCUMENTS ARE SUBMITTED. IF ANY EMPLOYEE OR SUBCONTRACTOR STARTS

WORK ON THE PROJECT PRIOR TO REQUIRED PAPERWORK BEING SUBMITTED, A PORTION OF

THE CONTRACT AMOUNT MAY BE DEDUCTED THROUGH A CHANGE ORDER.

ADDITIONAL REQUIRED DOCUMENTS TO BE PROVIDED BY CONTRACTOR:

• Certificate of Completion as required by the Town of Brooklyn, CT.

• Certificate of Substantial Completion.

G. TECHNICAL SPECIFICATIONS - GENERAL REQUIREMENTS:

T E C H N IC A L S P E C IF IC A T IO N S :

THIS PAGE IS INTENTIONALLY LEFT BLANK

(FOR DUPLEX PRINTING PURPOSES)

Section A

BID SOLICITATION

INVITATION TO BID

Sealed bids for furnishing all labor, materials, tools, services, and equipment necessary to complete the “Renovations at Brooklyn Senior Center” will be received at the Brooklyn First Selectman’s Office located at 4 Wolf Den Road, Brooklyn, CT 06234 until 1:00 p.m. on Thursday, November 5, 2026, at which time all bids received will be opened and read aloud. Bids received after 1:00 p.m. will not be opened.

The successful bidder will be required to furnish and pay for 100% Performance and Payment Bonds. The successful bidder must have the minimum insurance coverage required by the CT Department of Housing.

Bidders are required to furnish all labor, materials, tools, and equipment necessary to complete the project in accordance with the Contract documents, including plans and specifications dated October 16, 2026, as prepared by Silver Petrucelli + Associates, 3190 Whitney Ave, Hamden, CT 06518.

Contract documents, including plans, specifications and addenda can also be reviewed and/or purchased online starting Friday, October 16, 2026, at the Public Jobs Plan Room of Advanced Reprographics, 50 Corporate Drive.

Plainville, CT 06062; www.advancedplanroom.com or by calling them at 860-410-1020.

A mandatory pre-bid walk through will be held on site at the Senior Center, 69 S Main St, Brooklyn, CT 06234 at 9:00 a.m. on Thursday, October 22, 2026. All questions, discrepancies, or requests for clarification concerning the bid documents, drawings, or project scope must be formally submitted as a Request for Information (RFI). All RFIs must be submitted in writing via email to tcutolo@silverpetrucelli.com. The deadline for RFI submission is Thursday, October 29, 2026, at 4:00 p.m.

A satisfactory Bid Bond or Certified Check, in an amount equal to five percent (5%) of the base bid, shall be submitted with each bid. The Bid Bond shall be made payable to Town of Brooklyn and shall be properly executed by the Bidder and acceptable sureties. All bonds must be from sureties registered in the State of Connecticut.

This project is funded by the CT Department of Housing and requires compliance with the Equal Employment Opportunity provisions of Executive Order 11246; Non Discrimination Provisions of Title VI of the Civil Rights Act of 1964; labor Standards Provision of the Davis- Bacon Act and related acts and Contract Work Hours Standards Act;

Section 3 Contractor Requirements; DOH Program Requirements; Prevailing Wage determinations as issued by the Connecticut Department of Labor; and Prevailing Wage determinations as issued by the United States Department of Labor, and other provisions outlined in the bid documents.

Bids, to receive consideration, must be in the hands of the authorized representative no later than the day and hour mentioned above. No bids shall be withdrawn for a period of sixty (60) days after the opening of bids, without the consent of the above Authority.

The Town of Brooklyn and their designated agents reserve the right to accept or reject any or all options, bids, or proposals; to waive any technicality in any bid or part thereof, and to accept any bid deemed to be in the best interest of the Town of Brooklyn.

The Town of Brooklyn is an Affirmative Action/Equal Opportunity Employers, and encourage bid submissions from Section 3 firms, MBE’s, WBE’s and SBE’s.

Dated this 16th day of October 2026 Joe Bellevance, Brooklyn First Selectman http://www.advancedplanroom.com/ mailto:tcutolo@silverpetrucelli.com

Section B

BIDDING DOCUMENTS

LIST OF REQUIRED DOCUMENTS

Please use the following as a guide to be sure all required paperwork is submitted

EACH BID PACKAGE SHALL INCLUDE ONE SET OF THE FOLLOWING FORMS AND DOCUMENTS

Bid Bond (Refer to Bonding and Insurance Requirements for details)

• Bid Form

• Supplements to Bid Form:

o Appendix A – Work Performance o Appendix B – List of Allowances o Appendix C – List of Alternates o Appendix D – List of Unit Prices o Appendix E – Schedule of Values o Appendix F – BABA: “Build America, Buy America Act” (BABA) - Notification and

Certification.

o Appendix G – BABA: “Build America, Buy America Act (BABA) - Materials Certification Form.

• Non-collusion Affidavit of Prime Bidder

• Statement of Contractor’s Qualifications

• Contractor’s Certification Concerning Labor Standards and Prevailing Wage Rates

• Bidder Contract Compliance Reports:

Part I – Bidder Information

Part II – Bidder Nondiscrimination Policies and Procedures

Part III – Bidder Subcontracting Practices

Part IV – Workforce Analysis Part V – Bidder Hiring and Recruitment Practices

• Contractor’s Certification Regarding Equal Employment Opportunity

• General Contractor’s Section 3 Plan Certification

• CT Dept. of Labor Contractor’s Wage Certification Form

• Current Trade License, i.e. Major Contractor, Plumber, Electrician, etc. as well as Asbestos Abatement

Supervisor/Worker(s) if applicable in addition to all Apprentice Certificate(s) and Current Insurance

Certificate(s). Refer to Bonding and Insurance Requirements.

• Contractor’s Insurance Certificate (Refer to Bonding and Insurance Requirements for details)

LIST OF REQUIRED DOCUMENTS AT CONTRACT SIGNING

• Performance, Labor, and Materials Bonds

REQUIRED DOCUMENTS TO BE SUBMITTED FOR ALL EMPLOYEES AND SUBCONTRACTORS PRIOR

TO WORK COMMENCING

• Permits as required by the Town of Brooklyn, CT.

• The OSHA 10-hour Construction Safety and Health Course

• Subcontractor’s Certification Regarding Equal Employment Opportunity

• Subcontractor’s Certification Concerning Labor Standards and Prevailing Wage Rates

• Current Trade License, i.e. Major Contractor, Plumber, Electrician, etc. as well as Asbestos Abatement

Supervisor/Worker(s) if applicable in addition to all Apprentice Certificate(s) and Current Insurance

Certificate(s).

• All Social Security Numbers on company letterhead (last four digits is acceptable)

CERTIFIED PAYROLL REQUIRMENTS

• Original Weekly Certified Payrolls

• State and Federal Statements of Compliance forms from General Contractor and all Subcontractors

• Final Certified Payrolls must be clearly marked as Final

LIEN WAIVERS

• Original Partial or Final Lien Waivers required from General Contractor, All Subcontractors and Major

Suppliers are required beginning with submission of payment application #2

• Original Final Lien Waivers from General Contractor, All Subcontractors and Major Suppliers with submission of retainage payment application.

• It is recommended that the form located within the spec manual be used. If a substitution is used please be sure it contains all of the same information.

LIST OF REQUIRED DOCUMENTS PRIOR SUBMISSION OF RETAINAGE PAYMENT APPLICATION

• Certificate of Completion as required by the Town

• Certificate of Substantial Completion

PAYMENTS INCLUDING THE STANDARD 5% RETAINAGE WILL NOT BE PROCESSED UNTIL

ALL REQUIRED DOCUMENTS ARE SUBMITTED. IF ANY EMPLOYEE OR SUBCONTRACTOR

STARTS WORK ON THE PROJECT PRIOR TO REQUIRED PAPERWORK BEING SUBMITTED, A

PORTION OF THE CONTRACT AMOUNT MAY BE DEDUCTED THROUGH A CHANGE ORDER.

BONDING AND INSURANCE REQUIREMENTS

A state or local unit of government receiving a grant from the Federal Government which requires contracting for construction of facility improvement shall follow its own requirements relating to bid guarantees, performance bonds, and payment bonds, except for contracts or subcontracts exceeding

$100,000.00. For contracts or subcontracts exceeding $100,000.00 the Federal agency may accept the bonding policy and requirements of the grantee provided the Federal agency has made a determination that the Government’s interest is adequately protected. If such a determination has not been made, the minimum requirements shall be as follows:

a. A bid guarantee from each bidder equivalent to five percent (5%) of the bid price. The “bid guarantee” shall consist of a firm commitment such as a bid bond, certified check, or other negotiable instrument accompanying a bid as assurance that the bidder will, upon acceptance of his/her bid, execute such contractual documents as may be required within the time specified.

b. A performance bond on the part of the contractor for one hundred percent (100%) of the contract price.

A “performance bond” is one executed in connection with a contract to secure fulfillment of all the contractor’s obligations under such contract.

c. A payment bond on the part of the contractor for one hundred percent (100%) of the contract price. A

“payment bond” is one executed in connection with a contract to assure payment as required by law of all persons supplying labor and material in the execution of the work provided for in the contract.

d. Comprehensive General Liability. The contractor shall be covered under Comprehensive General

Liability insurance with a minimum coverage amount of $1,000,000.

e. Commercial Auto Liability. The contractor shall be covered under Commercial Auto Liability insurance with a minimum coverage amount of $1,000,000.

f. Contractor’s Protective Liability. The contractor shall be covered under Contractor’s Protective

Liability insurance with a minimum coverage amount of $1,000,000.

g. Worker’s Compensation & Employer’s Liability. (Note: when lead based and/or asbestos abatement work is undertaken, direct & indirect damages arising from these activities must be covered.) The contractor shall be covered under Worker’s Compensation & Employer’s Liability insurance with the following minimum coverage amounts: Bodily injury by accident, $1,000,000/accident; Bodily injury by disease, $1,000,000/employee; Bodily injury by disease, $1,000,000 policy limit or

$100,000/$500,000/$100,000 when not involving hazardous material abatement.

h. Certificates of Insurance for all subcontractors’ Workers Compensation & Employer’s Liability.

(Note: when lead based and/or asbestos abatement work is undertaken, direct & indirect damages arising from these activities must be covered.) The contractor shall provide certificates of insurance for Worker’s Compensation & Employer’s Liability insurance with the following minimum coverage amounts: Bodily injury by accident, $1,000,000/accident; Bodily injury by disease, $1,000,000/employee; Bodily injury by disease, $1,000,000 policy limit or

$100,000/$500,000/$100,000 when not involving hazardous material abatement.

Upon award, the Town of Brooklyn, and CT Department of Housing must be listed as

Additional Insured on the contractor’s Certificate of Insurance.

BID FORM

DATE:

DELIVER TO:

Town of Brooklyn

First Selectman’s Office

4 Wolf Den Road

Brooklyn, CT 06234

ATTN: Bid for Renovations at Brooklyn Senior Center

FROM:

To Whom It May Concern:

The Contract award will be made to the lowest responsible bidder. The Authority reserves the right to reject all bids, and to waive any informality in the bids when such action is deemed to be in the best interest of the Authority. The Authority further reserves the right to increase or decrease the award, in accordance with the availability of funds. The Authority reserves the right to negotiate all Allowance, Alternate Price, and Unit Price bid amounts when, in the opinion of the Authority, those prices do not accurately reflect either quantity of work, current fair market value or competitive pricing. The Contract Award shall be made on available funds; the town reserves the right to add/deduct work based on the availability of funds.

BID OPENING:

Bid delivery is to Brooklyn Town Hall First Selectman’s Office. Bid opening will be at the Brooklyn Town

Hall.

The undersigned bidder, having examined the Contract Documents, the site, and being familiar with all of the conditions, hereby proposes to furnish and install, complete and in place, “Renovations at Brooklyn

Senior Center”, including all design services, plant, materials, supplies, machinery, equipment, tools, superintendence, labor, insurance, bonds, permits, construction stakeout, overhead, profit, and other accessories and services, in accordance in accordance with these Contract Documents, including all addenda, no exceptions taken, for the bid prices below. The final project price will be adjusted to reflect actual work performed and will be paid for at the unit prices identified in the bid.

BID FORM (cont’d)

Were hereby certify and affirm that the attached list includes all defects, errors, inconsistencies, and omissions in the bidding and proposed Contract Documents, of which we are aware, either directly or indirectly or by notification from any sub-bidder or material supplier. (If none, enter “NONE” below)

We hereby certify that we have received all Addenda (Addendum) inclusive, as follows

# Date

# Date

# Date

BASE BID

DOLLARS

(Base Bid Price in Words)

$ DOLLARS

(Base Bid Price in Figures)

Respectfully Proposed by: On:

Date

Company Name Signature

Company Address Typed Name

Title

SUPPLEMENTS TO BID FORM

Date:

Submitted by: (typed name)

(signature) ___

(full address)

The Supplements to Bid Form Appendices listed below shall be provided and considered an integral part of the Bid Form. These Appendices are as follows:

Appendix A – Work Performance: Include the names of all Subcontractors and the portions of the

Work they will perform.

Appendix B – Allowances: Include the costs on form provided.

Appendix C – Alternates: Include the costs on form provided.

Appendix D – Unit Prices: Include the costs on form provided.

Appendix E – Schedule of Values: Include an itemized list of the Bid Price applicable to the Work.

Appendix F – BABA: “Build America, Buy America Act” (BABA) - Notification and Certification.

Appendix G – BABA: “Build America, Buy America Act (BABA) - Materials Certification Form.

APPENDIX “A” – WORK PERFORMANCE

Herewith is the list of Subcontractors referenced in the bid submitted by:

(Bidder)

Dated and which is an integral part of the Bid Form.

In accordance with the bid documents, we hereby submit a proposed Work Performance List. The Owner reserves the right to reject a proposed Subcontractor for reasonable cause. Refer to AIA Article 5 of

General Conditions.

The following work is proposed to be self-performed/provided or performed/provided by

Subcontractors and coordinated by us.

WORK SUBJECT

SELF-

PERFORM

SUBCONTRACTOR CONTRACT VALUE

APPENDIX “B” – ALLOWANCES

The following is a list of Allowances referenced in the bid submitted by:

I certify that the following Allowance amount(s) listed below are included within the Base Bid Price total.

ALLOWANCES

Allowance #1: Metal Roof Deck Replacement $ ____________________

APPENDIX “C” – ALTERNATES

The following list of Alternates referenced in the bid submitted by:

The following amounts shall be added to or deducted from the Bid Price. This form requests a “difference” in bid price by adding to or deducting from the base bid price using the Alternates listed below.

ADD ALTERNATE #1: Front Entry Stair Replacement: Add to the Base Bid a Total of:

$ Dollars ($ .00).

written figure

The project schedule will be (increased/decreased) by _____ calendar days to complete the work indicated under Add Alternate #1.

ADD ALTERNATE #2: First Floor Window Replacement: Add to the Base Bid a Total of:

written figure

The project schedule will be (increased/decreased) by _____ calendar days to complete the work indicated under Add Alternate #2.

ADD ALTERNATE #3: Site Lighting: Add to the Base Bid a Total of:

written figure

The project schedule will be (increased/decreased) by _____ calendar days to complete the work indicated under Add Alternate #3.

ALTERNATE #4: Voluntary Alternate

For the work, methods, procedures, or materials referenced below, we propose to (Add/Deduct) from the

Base Bid a total of

$ Dollars ($ .00).

written figure

The project schedule will be (added) (decreased) by _____ calendar days to complete the work indicated under Alternate #4.

Voluntary Alternate Summary Description:

APPENDIX “D” – UNIT PRICING

The following list of Unit Prices referenced in the bid submitted by:

We propose and agree that, should the amount of work required be increased or decreased, by a request of the Owner, the following Unit Prices will be the basic price for computing extra cost or credit. It is understood that the right is reserved by the Owner to reject or negotiate any or all the Unit Prices. Each

Unit Price includes all equipment, tools, labor, permits, fees, overhead and profit, etc. incidental to completion of the work involved and the disposal of surplus or unsuitable material in accordance with the

Plans and Specifications or as directed by the Architect. Unit Prices will be decreased ten percent (10%) if change requested is a reduction in work.

Item Description Unit Price

1.

Asbestos-containing valve with packing, non-disturbance, removal and disposal of entire valve as Asbestos Waste $ valve

2.

Asbestos-containing mudded pipe fitting insulation, removal and disposal as Asbestos Waste $ fitting

3.

Asbestos-containing pipe insulation, removal and disposal as

Asbestos Waste $ lf

4.

Asbestos-containing plaster, removal and disposal as Asbestos

Waste $ sf

5.

Asbestos-containing exterior caulk, removal and disposal as

Asbestos Waste and Presumed PCB Bulk Product Waste >50

PPM

$ lf

6.

Preparation of a small containment (for abating asbestos >3

LF/160 SF) with decontamination unit (including remobilization, if necessary)

$ containment

7.

Preparation of a large containment (for abating asbestos >260

LF/160 SF) with decontamination unit (including remobilization, if necessary)

$ containment

8. Spot repair asbestos removal and disposal as Asbestos Waste $ glovebag

9. Disposal of hazardous lead waste $ ton

$ T-pak

10.

Interior partition windows with glazing compound, removal and disposal as Presumed PCB Bulk Product Waste >50 PPM $ sash

11.

Exterior windows with glazing compound, removal and disposal as Presumed PCB Bulk Product Waste >50 PPM $ sash

12.

Exterior window caulk, removal and disposal as Presumed PCB

Bulk Product Waste >50 PPM $ sash

13.

Metal roof deck, thickness to match existing roof deck to be removed (including deteriorated roof deck removal, credit and add)

$ sf

14.

Add pressure treated wood blocking, as specified, cut to fit around roof structure and systems installed $ bf

15.

Deduct pressure treated wood blocking, as specified, cut to fit around roof structure and systems installed $ bf

APPENDIX “E” – SCHEDULE OF VALUES

The following is the Schedule of Values Itemization of the base bid submitted by:

Schedule of Values Itemization shall be based on individual specification sections. Provide breakdown for each building and provide total.

SPEC SECTION WORK SUBJECT CONTRACT VALUE

BID TOTAL $

Appendix F – BABA: “Build America, Buy America Act” (BABA) - Notification and Certification.

Attachment 4-16

PURPOSE: The “Buy America Certification Form” is used to certify that, as required by federal law, all of the iron, steel (for FY23 funded projects and forward) , specific construction materials – non-ferrous metals, lumber, composite building materials, plastic and polymer based pipe and tube, (for FY24 funded projects and forward), all construction materials, including manufactured products (for FY25 funded projects and forward) utilized in federally funded projects with an aggregate of $250,000 or more funds, including HUD CDBG funds, are produced in the United States in a manner that complies with the Build

America, Buy America Act, unless an applicable waiver applies or is granted by the Made in America Office of Management and Budget (MIAO).

GENERAL INFORMATION: BABA guidance requires the following Buy America preference: 1) All iron and steel used in the project are produced in the United States. This means all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States; 2) All listed manufactured products used in the project are produced in the United States. This means the manufactured product was manufactured in the United States, and the cost of the components of the manufactured product that are mined, produced, or manufactured in the United States is greater than 55 percent of the total cost of all components of the manufactured product, unless another standard for determining the minimum amount of domestic content of the manufactured product has been established under applicable law or regulation; and, for FY 2025 funded projects forward; 3) All (listed and non-listed) construction materials are manufactured in the United States. This means that all manufacturing processes for the construction material occurred in the United States. The Build America, Buy America preference only applies to articles, materials, and supplies that are consumed in, incorporated into, or affixed to an infrastructure project. As such, it does not apply to tools, equipment, and supplies, such as temporary scaffolding, brought to the construction site and removed at or before the completion of the infrastructure project. Nor does a Buy America preference apply to equipment and furnishings, such as movable chairs, desks, and portable computer equipment, that are used at or within the finished infrastructure project but are not an integral part of the structure or permanently affixed to the infrastructure project.

CERTIFICATION: I hereby certify the materials to be installed pursuant to the attached Bid Submittal conform to the Build America, Buy America Act (BABAA) requirements under Title IX of the Infrastructure

Investment and Jobs Act (“IIJA”), Pub. L. 177-58. Signing this document does not relieve the signee of providing evidence of compliance upon request by DOH or HUD.

Prime Contractor:

Phone Number:

Email:

The Prime Contractor is responsible for all subcontractors and for ensuring that all manufacturers and suppliers certify materials with the understanding that those certifying the material assume full legal responsibility of the material and are subject to providing documentation verifying the material meets all requirements upon demand. Any additional materials needed for the project should be itemized, specify if

BABA applies, and then certified by the engineer and submittal to DOH with an official Change Order.

* Attach the itemized cost estimate that identifies all materials subject to BABA.

Appendix G – BABA: “Build America, Buy America Act (BABA) - Materials Certification Form.

Attachment 4-17

This form is for information only at time of bidding.

This form must be completed by the contractor to which the project is awarded.

_____ initial here acknowledging the BABA Materials Certification Requirement.

Build America Buy America

Materials Certification

Grantee: Contract Number:

Contractor: Invoice Period:

Material Type (Steel, Iron, Manufactured

Goods, Construction Materials)

Description

Name of Manufacturer

Location of Product

By signing, I certify that the statements made above are true to the best of my ability and knowledge and that the listed materials for use in this project funded by federal dollars were produced in the United States of America.

Contractor Signature:

Print Contractor Name:

Contractor Company:

Permitting Requirements

● The awarding contractor and all subcontractors will be responsible for securing all necessary local permits from the Town of Brooklyn Building Department.

● Town Permit fees will be waived except for the State required education fee.

● Permits are to be properly displayed at the job location.

● A final inspection from the Brooklyn Building Official is required upon completion of all work.

● Copies of all permits and final inspections must be submitted to the project team immediately upon receipt.

PAYMENTS INCLUDING THE STANDARD 5% RETAINAGE WILL NOT BE

PROCESSED UNTIL ALL OF THE ABOVE DOCUMENTS ARE IN PLACE AND

SUBMITTED TO THE APPROPRIATE PARTIES. IF ANY EMPLOYEE OR

SUBCONTRACTOR STARTS WORK ON THE PROJECT PRIOR TO THE REQUIRED

PAPERWORK BEING FILED AND SUBMITTED, ALL WORK MUST CEASE AND A

PORTION OF THE CONTRACT AMOUNT MAY BE DEDUCTED THROUGH A

CHANGE ORDER.

BID BOND

KNOW ALL MEN BY THESE PRESENTS, that we the undersigned as Principal, and as Surety are held and firmly bound unto

"Owner", in the penal sum of Dollars, ($ ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the Accompanying Bid, dated 20 , for

NOW THEREFORE, if the Principal shall not withdraw said Bid within the period specified therein after the opening of the same, or within any extended time period agreed to by the Principal, Surety and Owner, or, if no period be specified, within thirty (30) days after the said opening, and shall within the period specified therefore, or if no period be specified, within ten (10} days after the prescribed forms are presented to him for signature, enter into a written Contract with the

Owner in accordance with the Bid as accepted, and give bond with good and sufficient surety or sureties, as may be required, for the faithful performance and proper fulfillment of such Contract;

then the above obligation shall be null and void and of no effect, otherwise to remain in full force or virtue.

Failure to comply with the aforementioned condition shall result in the forfeiture of this Bid

Bond as liquidated damages.

IN WITNESS WHEREOF, the above-bounded parties have executed this instrument under their several seals this day of , 20 , the name and corporate seal of each corporate party being hereto affixed and these presents signed by its undersigned representative, pursuant to authority of its governing body.

No extension of time or other modification of this Bid Bond shall be valid unless agreed to in writing by the parties of this Bond.

In presence of:

(SEAL)

(Individual Principal)

(Business Address)

(SEAL)

Attest: By:

(Corporate Principal)

By: (Affix Corporate

Seal)

Attest:

(Corporate Surety)

By: (Affix Corporate

Seal)

Countersigned By:

*Attorney-in-Fact, State of

*Power-of-Attorney for person signing for Surety Company must be attached to Bond.

NON-COLLUSION AFFIDAVIT OF PRIME BIDDER

State of )

County of )

, being first duly sworn, deposes and says that:

1. He is of , the bidder who has submitted the attached bid;

2. He is fully informed respecting the preparation and contents of the attached bid and of all pertinent circumstances respecting such Bid;

3. Such Bid is genuine and is not a collusive or sham Bid;

4. Neither the said Bidder, nor any of its officers, partners, owners, representatives, employees, or parties in interest, including this affiant has in any way colluded, conspired, connived or agreed, directly or indirectly with any other bidder, firm or person to submit a collusive or sham bid in connection with the contract for which the attached bid has been submitted or refrain from bidding in connection with such contract, or has in any manner, directly or indirectly, sought agreement or collusion or communication or conference with any other bidder, firm or person to fix the price or prices in the attached bid or of any other bidder, or to fix any overhead, profit, or cost element of the bid price or the bid price of any bidder, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the

(Owner), or any other person interested in the contract; and

5. The price or prices quoted in the attached bid are fair and proper and are not tainted by any collusion, conspiracy, connivance or unlawful agreement on the part of the bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant.

(Signature)

(Title)

Subscribed and sworn to before me, this day of , 20 .

Notary Public Signature

My Commission Expires:

AIA Document A305 ™ – 2020

Contractor's Qualification Statement

AIA Document A305™ – 2020. Copyright © 1964, 1969, 1979, 1986, and 2020 by The American Institute of Architects. All rights reserved. The “American

Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission.

This draft was produced by AIA software at 11:11:28 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (812071029)

THE PARTIES SHOULD EXECUTE A SEPARATE CONFIDENTIALITY AGREEMENT IF THEY INTE

INFORMATION IN THIS A305-2020 TO BE HELD CONFIDENTIAL.

FOR ANY OF THE

A TIONS AND DELETIONS: The a or of this document has a d information needed for i completion. The author

TYPE OF WORK TYPICALLY PERFORMED

(Indicate the type of work your organization typically performs, such as general contracting, construction manager as constructor services, HVAC contracting, electrical contracting, plumbing contracting, or other.)

THIS CONTRACTOR’S QUALIFICATION STATEMENT INCLUDES THE FOLLOWING:

(Check all that apply.)

[ « » ] Exhibit A – General Information

[ « » ] Exhibit B – Financial and Performance Information

[ « » ] Exhibit C – Project-Specific Information

[ « » ] Exhibit D – Past Project Experience

[ « » ] Exhibit E – Past Project Experience (Continued)

CONTRACTOR CERTIFICATION

The undersigned certifies under oath that the information provided in this Contractor’s

Qualification Statement is true and sufficiently complete so as not to be misleading.

Organization’s Authorized Representative Signature

Date

Printed Name and Title

NOTARY

State of: « »

County of: « »

Signed and sworn to before me this « » day of « » « »

Notary Signature

My commission expires: « » may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed.

This document has important legal consequences.

Consultation with an attorney is encouraged with respect to its completion or modification.

ELECTRONIC COPYING of any portion of this AIA® Document to another electronic file is prohibited and constitutes a violation of copyright laws as set forth in the footer of this document.

ND

DDI

uth dde ts

SUBMITTED BY: SUBMITTED TO:

(Organization name and address.) (Organization name and address.)

« » «Town of Brooklyn

4 Wolf Den Road Brooklyn, CT 06234 » mailto:copyright@aia.org

AIA

A

Document A305™ – 2020

Exhibit

AIA Document A305™ – 2020 Exhibit A. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:11:57 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (1383622992)

General Information

This Exhibit is part of the Contractor’s Qualification Statement, submitted by « » and dated the « » day of « » in the year « »

(In words, indicate day, month and year.)

§ A.1 ORGANIZATION

§ A.1.1 Name and Location § A.1.1.1 Identify the full legal name of your organization.

§ A.1.1.2 List all other names under which your organization currently does business and, for each name, identify jurisdictions in which it is registered to do business under that trade name.

§ A.1.1.3 List all prior names under which your organization has operated and, for each name, indicate the date range and jurisdiction in which it was used.

a d information needed for i completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed.

This document has important legal consequences.

Consultation with an attorney is encouraged with

§ A.1.1.4 Identify the address of your organization’s principal place of business and list all office locations out of which your organization conducts business. If your organization has multiple offices, you may attach an exhibit or refer to a website.

§ A.1.2 Legal Status § A.1.2.1 Identify the legal status under which your organization does business, such as sole proprietorship, partnership, corporation, limited liability corporation, joint venture, or other.

.1 If your organization is a corporation, identify the state in which it is incorporated, the date of incorporation, and its four highest-ranking corporate officers and their titles, as applicable.

.2 If your organization is a partnership, identify its partners and its date of organization.

.3 If your organization is individually owned, identify its owner and date of organization.

another electronic file is prohibited and constitutes a violation of copyright laws as set forth in the footer of this

AIA Document A305™ – 2020 Exhibit A. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:11:57 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

.4 If the form of your organization is other than those listed above, describe it and identify its individual leaders:

§ A.1.2.2 Does your organization own, in whole or in part, any other construction-related businesses? If so, identify and describe those businesses and specify percentage of ownership.

§ A.1.3 Other Information § A.1.3.1 How many years has your organization been in business?

§ A.1.3.2 How many full-time employees work for your organization?

§ A.1.3.3 List your North American Industry Classification System (NAICS) codes and titles. Specify which is your primary NAICS code.

§ A.1.3.4 Indicate whether your organization is certified as a governmentally recognized special business class, such as a minority business enterprise, woman business enterprise, service disabled veteran owned small business, woman owned small business, small business in a HUBZone, or a small disadvantaged business in the 8(a) Business

Development Program. For each, identify the certifying authority and indicate jurisdictions to which such certification applies.

§ A.2 EXPERIENCE

§ A.2.1 Complete Exhibit D to describe up to four projects, either completed or in progress, that are representative of your organization’s experience and capabilities.

§ A.2.2 State your organization’s total dollar value of work currently under contract.

§ A.2.3 Of the amount stated in Section A.2.2, state the dollar value of work that remains to be completed:

§ A.2.4 State your organization’s average annual dollar value of construction work performed during the last five years.

§ A.3 CAPABILITIES

§ A.3.1 List the categories of work that your organization typically self-performs.

§ A.3.2 Identify qualities, accreditations, services, skills, or personnel that you believe differentiate your organization from others.

AIA Document A305™ – 2020 Exhibit A. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:11:57 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

§ A.3.3 Does your organization provide design collaboration or pre-construction services? If so, describe those services.

§ A.3.4 Does your organization use building information modeling (BIM)? If so, describe how your organization uses

BIM and identify BIM software that your organization regularly uses.

§ A.3.5 Does your organization use a project management information system? If so, identify that system.

§ A.4 REFERENCES

§ A.4.1 Identify three client references:

(Insert name, organization, and contact information)

§ A.4.2 Identify three architect references:

§ A.4.3 Identify one bank reference:

§ A.4.4 Identify three subcontractor or other trade references:

AIA Document A305™ – 2020 Exhibit B. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:12:01 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (1786263909)

AIA Document A305™ – 2020

Exhibit B

Financial and Performance Information

(In words, indicate day, month and year.)

§ B.1 FINANCIAL

§ B.1.1 Federal tax identification number:

§ B.1.2 Attach financial statements for the last three years prepared in accordance with

Generally Accepted Accounting Principles, including your organization's latest balance sheet and income statement. Also, indicate the name and contact information of the firm that prepared each financial statement.

§ B.1.3 Has your organization, its parent, or a subsidiary, affiliate, or other entity having common ownership or management, been the subject of any bankruptcy proceeding within the last ten years?

a d information needed for i completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed.

This document has important legal consequences.

Consultation with an attorney is encouraged with

§ B.1.4 Identify your organization’s preferred credit rating agency and identification information.

(Identify rating agency, such as Dun and Bradstreet or Equifax, and insert your organization’s identification number or other method of searching your organization’s credit rating with such agency.)

§ B.2 DISPUTES AND DISCIPLINARY ACTIONS

§ B.2.1 Are there any pending or outstanding judgments, arbitration proceedings, bond claims, or lawsuits against your organization, its parent, or a subsidiary, affiliate, or other entity having common ownership or management, or any of the individuals listed in

Exhibit A, Section 1.2, in which the amount in dispute is more than $75,000?

(If the answer is yes, provide an explanation.)

§ B.2.2 In the last five years has your organization, its parent, or a subsidiary, affiliate, or other entity having common ownership or management:

(If the answer to any of the questions below is yes, provide an explanation.)

.1 failed to complete work awarded to it?

.2 been terminated for any reason except for an owners’ convenience?

another electronic file is prohibited and constitutes a violation of copyright laws as

AIA Document A305™ – 2020 Exhibit B. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:12:01 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (1786263909)

.3 had any judgments, settlements, or awards pertaining to a construction project in which your organization was responsible for more than $75,000?

.4 filed any lawsuits or requested arbitration regarding a construction project?

§ B.2.3 In the last five years, has your organization, its parent, or a subsidiary, affiliate, or oth ownership or management; or any of the individuals listed in Exhibit A Section 1.2:

(If the answer to any of the questions below is yes, provide an explanation.)

.1 been convicted of, or indicted for, a business-related crime?

ntity having common

.2 had any business or professional license subjected to disciplinary action?

.3 been penalized or fined by a state or federal environmental agency?

er e

AIA Document A305™ – 2020 Exhibit C. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:12:07 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

User Notes: (1700873073)

AIA Document A305™ – 2020

Exhibit C

Project Specific Information

(In words, indicate day, month and year.)

PROJECT:

(Name and location or address.)

CONTRACTOR’S PROJECT OFFICE:

(Identify the office out of which the contractor proposes to perform the work for the

Project.)

TYPE OF WORK SOUGHT

(Indicate the type of work you are seeking for this Project, such as general contracting, construction manager as constructor, design-build, HVAC subcontracting, electrical subcontracting, plumbing subcontracting, etc.)

a d information needed for i completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed.

This document has important legal consequences.

Consultation with an attorney is encouraged with

CONFLICT OF INTEREST

Describe any conflict of interest your organization, its parent, or a subsidiary, affiliate, or other entity having common ownership or management, or any of the individuals listed in

Exhibit A Section 1.2, may have regarding this Project.

§ C.1 PERFORMANCE OF THE WORK

§ C.1.1 When was the Contractor’s Project Office established?

§ C.1.2 How many full-time field and office staff are respectively employed at the

Contractor’s Project Office?

§ C.1.3 List the business license and contractor license or registration numbers for the

Contractor’s Project Office that pertain to the Project.

§ C.1.4 Identify key personnel from your organization who will be meaningfully involved with work on this Project and indicate (1) their position on the Project team, (2) their office location, (3) their expertise and experience, and (4) projects similar to the Project on which they have worked.

another electronic file is prohibited and constitutes a violation of copyright laws as

«25.099 MEP Renovations at Brooklyn Community Center»

«Brooklyn, CT»

§ C.1.5 Identify portions of work that you intend to self-perform on this Project.

AIA Document A305™ – 2020 Exhibit C. Copyright © 2020 by The American Institute of Architects. All rights reserved. The “American Institute of

Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are registered trademarks and may not be used without permission. This draft was produced by AIA software at 11:12:07 ET on 08/12/2022 under Order No.2114290393 which expires on 02/20/2023, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail copyright@aia.org.

§ C.1.6 To the extent known, list the subcontractors you intend to use for major portions of work on the Project.

§ C.2 EXPERIENCE RELATED TO THE PROJECT

§ C.2.1 Complete Exhibit D to describe up to four projects performed by the Contractor’s Project Office, either completed or in progress, that are relevant to this Project, such as projects in a similar geographic area or of similar project type.