252728FB_Other_Contract_Forms.pdf

OTHER

CONTRACT

FORMS

CONSENT OF SURETY FORM PAGE CS-1

SARASOTA COUNTY GOVERNMENT

CONSENT OF SURETY TO FINAL PAYMENT

SURETY:

BOND NO.:

OWNER: SARASOTA COUNTY BOARD OF COUNTY COMMISSIONERS

PROJECT TITLE: RESURFACING ENGLEWOOD ISLES & OTHER SOUTH COUNTY ROADS

CONTRACT #

CONTRACTOR:

EFFECTIVE DATE OF BOND:

In accordance with the provisions of the Contract referenced above between the above Owner and Contractor, the Surety Company named below:

SURETY COMPANY NAME:

SURETY COMPANY ADDRESS:

under Bond with the Contractor named below:

CONTRACTOR NAME:

CONTRACTOR ADDRESS:

Hereby approves final payment by the Owner to the Contractor and agrees that final payment does not relieve the Surety of its obligations under the Bond to the Owner named below:

SARASOTA COUNTY COMMISSION

1660 RINGLING BOULEVARD

SARASOTA, FL 34234

IN WITNESS WHEREOF, the Surety has hereto set its hands on this date_________, 20__

Surety

Signature of Authorized Representative

Printed Name and Title Attest/Witness:

(Seal):________________________

Attached: Notarized Power of Attorney

LOCAL HIRING INITIATIVE FORM PAGE LHI-1

SARASOTA COUNTY

LOCAL HIRING INITIATIVE

Participation Form

Instructions:

In Sarasota County’s Local Hiring Initiative Resolution No. 2013-127, the CONTRACTOR is encouraged to work with Career Source Suncoast (formerly known as Suncoast Workforce, Inc.), or any other agency designated by the State of Florida as a Workforce development agency, to increase employment opportunities for local residents. Local residents are defined as “residents of Sarasota County,” but that definition may be expanded to include Manatee and Charlotte Counties if the requisite skill set is not available in Sarasota County.

Resolution No. 2013-127 establishes an aspirational goal for contractor and subcontractors to hire 15% minimum local residents as the new hires for construction and construction related projects.

The CONTRACTOR shall complete the information below to provide information on any new hires needed by the Contractor or their subcontractor(s) to complete the Project.

This information must be submitted as part of the monthly pay requests.

Date: ____________________________ Project Name: _____________________ Contract Number: _________________ Contractor: _____________________ Submitted by: ____________________

Report on New Hires – Please indicate Any New Hires during the past month.

- By checking this box, the CONTRACTOR hereby acknowledges Sarasota County’s Local Hiring Initiative and indicates that no New Hires were required by the CONTRACTOR or their subcontractor(s) to complete the Project.

County of Resident

Number of New Hires Required to Complete Project

Number New Hires Local Residents

Cumulative New Hires to Date (Include previous months totals)

Sarasota Manatee Charlotte Other

RELEASE OF LIEN PAGE RL-1

Standard Form For CONTRACTOR’S FINAL AFFIDAVIT & RELEASE of LIEN

STATE OF FLORIDA, COUNTY OF ______________

Before me, the undersigned authority, personally appeared , who, after being by me first duly sworn, deposes and says that:

1. He is of , (Title of Officer) (Name of Company) doing business in the State of Florida, hereinafter called "Contractor".

2. Contractor pursuant to a Contract dated ____________________________, hereinafter referred to as "Contract", with Sarasota County, Florida, hereinafter referred to as "County", has heretofore furnished or caused to be furnished labor, material and services for the construction of certain improvements as more particularly set forth in said contract.

3. Contractor represents that all work to be performed under the aforesaid Contract has been fully completed and that all persons and firms who furnished material, labor and/or services incident to the completion of said work have been paid in full except to the following:

(Write in "None" if all persons and firms have been paid in full)

NAME ADDRESS AMOUNT DUE

4. The undersigned affiant for and in consideration of final payment to him in the amount of $___________________, and all other previous payments paid by County to contractor, does hereby for and in behalf of the Contractor, waive, release, remise and relinquish the contractor’s right to claim, demand or impose a lien or liens for work done or materials and/or services furnished or any other class of lien whatsoever, on any of the premises owned by County on which improvements have been completed in connection with the aforementioned contract.

5. The affiant herein does hereby represent that he has authority to execute a full and final Release of Lien for and in behalf of the Contractor as set forth above.

6. The affiant herein makes this Affidavit and Release of Lien for the express purpose of inducing County to make final disbursement and payment to the Contractor in the amount of $_______________________.

7. This Affidavit and Release of Lien is made by affiant with full knowledge of the applicable laws of the State of Florida. In addition to such rights as may be afforded to County under said applicable laws, affiant expressly agrees to indemnify and save County harmless from any and all actual costs and expenses, including reasonable attorney’s fees, arising out of claims by laborers, subcontractors or materialmen who might claim that they have not been paid for services or material furnished by or through the contractor in connection with the work performed under the aforementioned Contract.

RELEASE OF LIEN PAGE RL-2

Name of Corporation

By: _______________________________________ President

(CORPORATE SEAL)

ATTEST:

Name of Corporation

Secretary

Sworn to and subscribed before me this day

(date)

Notary Public

(NOTARY SEAL)

My Commission Expires:_______________________

STORED MATERIALS AFFIDAVIT PAGE SMA-1

STORED MATERIALS AFFIDAVIT

STATE OF FLORIDA, COUNTY OF __________________

Before me, the undersigned authority, personally appeared , who being duly sworn, says that he is a subcontractor for of , General Contractor for Project, and that all materials billed on the attached invoice are being held in the subcontractor’s warehouse at , Florida, for this project, and are fully insured against loss or damage.

(Subcontractor Firm Name) By:

(Name of Representative)

(Title of Representative)

SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20

Notary Public:

My commission expires:

FOR

General Contractor for this project states that the stored materials constitute a part of the Performance, payment and guarantee bond, and are for this project only.

SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20

Notary Public:

My commission expires:

SARASOTA COUNTY GOVERNMENT

PERFORMANCE AND PAYMENT BOND

In compliance with F.S. Chapter 255.05(1)(a)

15 July 09 Revision

PERFORMANCE AND PAYMENT BOND PAGE PB-1

BOND NO.:

CONTRACTOR NAME:

CONTRACTOR ADDRESS:

CONTRACTOR PHONE NO.:

SURETY COMPANY:

SURETY AGENT:

OWNER NAME: Sarasota County Board of County Commissioners OWNER ADDRESS: 1660 Ringling Boulevard

Sarasota FL 34236

OWNER PHONE NO.: 941-861-5000

BOND AMOUNT:

CONTRACT NO.: (if applicable)

DESCRIPTION OF WORK: Milling and paving of existing roadways.

Includes striping, signing, ADA modifications, base repairs, and traffic signal detection equipment installation.

PROJECT ADDRESS: Multiple locations as shown on the plans.

LEGAL DESCRIPTION: Multiple locations as shown on the plans.

By this bond, we, _____________________________________, as Principal and

________________________________, a corporation, as Surety, are bound to Sarasota

County Board of County Commissioners, herein called Owner, in the sum of

$_________________________________, for payment of which we bind ourselves, our heirs, personal representatives, successors, and assigns, jointly and severally.

The conditions of this bond is that if Principal:

In compliance with F.S. Chapter 255.05(1)(a)

15 July 09 Revision

PERFORMANCE AND PAYMENT BOND PAGE PB-2

1. Performs the Contract dated , between principal and Owner for construction of Resurfacing Englewood Isles & other South County Roads, Bid #252728FB the contract being made a part of this bond by reference, at the times and in the manner prescribed in the contract; and

2. Promptly makes payments to all claimants, as defined in Section 255.05 (1) Florida Statutes, supplying principal with labor, materials, or supplies, used directly or indirectly by principal in the prosecution of the work provided for in the contract; and

3. Pays Owner all losses, damages, expenses, costs, and attorney’s fees, including appellate proceedings, that Owner sustains because of a default by principal under the contract work; and

4. Performs the guarantee of all work and materials furnished under the contract for the time specified in the contract, then this bond is void;

otherwise it remains in full force.

Any changes in or under the contract documents and compliance or noncompliance with any formalities connected with the contract or the changes does not affect surety’s obligation under this bond.

Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05(2), Florida Statutes.

In compliance with F.S. Chapter 255.05(1)(a)

15 July 09 Revision

PERFORMANCE AND PAYMENT BOND PAGE PB-3

In witness whereof, the said Principal and Surety have signed and sealed this instrument this

(date)

Principal

By:

As President

(SEAL)

Surety

By:

Approved as to form and execution:

By: ____________________________________________

Attorney to Board of County Commissioners of Sarasota County, Florida

Any Claims under this bond may be addressed to (name and address of Surety):

Telephone No: ___________________________________________

Name and address of agent or representative in Florida if different from above:

Telephone No: ___________________________________