BPM005719_Award_Documents.pdf

Our True North: Safely Home

ARIZONA DEPARTMENT OF TRANSPORTATION

1655 W. Jackson St. | MD 100P | Phoenix, AZ 85007 | azdot.gov

Rev. 08/2023

Procurement Katie Hobbs, Governor Jennifer Toth, Director

January 29, 2024

Dane Alsabrook Director of Contract Administration Ennis-Flint, Inc.

4161 Piedmont Parkway – Suite 370 Greensboro, NC 27410

Subject: Award of Contract No. CTR069747

Dear Mr. Alsabrook:

Please be advised that your company has been awarded the contract for Bulk Thermoplastic and Thermoplastic Preformed Pavement Markings as specified in solicitation BPM005719. The executed Offer and Acceptance is attached. The contract is effective February 2, 2024.

The Contract requires verification of insurance be provided prior to commencement of work. Therefore, insurance document(s) must be submitted in accordance with the requirements stated in the Contract’s Special Terms and Conditions, paragraph 21, Insurance Requirements.

The attached Contract Insurance Checklist is provided to help ensure that all required forms and endorsements are submitted. The required forms, endorsements and completed checklist must be received no later than February 2, 2024. These documents must be e-mailed to me at sahmed@azdot.gov.

If you have any questions regarding this contract, please contact me at (602) 712- 4458 or via email.

Sincerely, Shaimaa Ahmed Procurement Officer

Cc: File

Enclosures (Executed Offer & Acceptance and Insurance Checklist)

Rev. 08/2023

Risk Management

ADOT PROCUREMENT CONTRACT INSURANCE CHECKLIST

Instructions: This checklist is a tool provided to assist in expediting the review of the required insurance documents as outlined in the Special Terms and Conditions of your contract. This checklist is intended to clearly outline the required insurance documents that need to be added to your contract before orders can be placed. It is recommended that you provide this checklist and a copy of your ADOT contract to your insurance broker or agent. After your insurance broker or agent provides the required items identified below, check the box in the “Included” column for each document. Once this is completed, forward this checklist and the required documents to the Procurement Officer as indicated in your award letter.

Required Description of Insurance Requirement Included

Certificate of Insurance

Certificate of Insurance to include:

Certificate Holder to read: The State of Arizona/ADOT, 206 S. 17th Ave, Phoenix, AZ 85007

Description of Operations: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

General Liability

☒ Additional Insured Endorsement for Ongoing Operations ☐

☐ Additional Insured Endorsement for Completed Operations (Construction only) ☐

☒ Waiver of Subrogation Endorsement or Policy Verbiage ☐

☒ Primary and Noncontributory Endorsement ☐

Auto Liability

☒ Additional Insured Endorsement ☐

☒ Waiver of Subrogation Endorsement ☐

☐ Coverage provided for hazardous material transportation (if applicable) ☐

Worker’s Compensation

☒ Waiver of Subrogation Endorsement ☐

Professional Liability (if applicable)

☐ Policy limit meets contract requirements ☐

Contractor’s Pollution Liability (if applicable)

☐ Includes coverage for pollution losses arising out of completed operations ☐

☐ Additional Insured Endorsement ☐

☐ Waiver of Subrogation Endorsement ☐

☐ Primary and Noncontributory Endorsement ☐

Professional Environmental Liability (if applicable)

☐ Policy limit meets contract requirements ☐

Other Required Insurance (if applicable)

☐ Technology Errors and Omissions (no endorsements required) ☐

☐ Network Security (Cyber) and Privacy Liability (additional insured, waiver of subrogation, primary and noncontributory endorsements are required)

☐ Media Liability Coverage (no endorsements required) ☐

☐ Commercial Crime Policy or Blanket Fidelity Bond (loss payee endorsement is required) ☐

☐ Aviation/Aircraft Liability (endorsements to be determined by ADOT Risk as applicable) ☐

☐ Installation Floater (additional insured, loss payee, waiver of subrogation, primary and noncontributory endorsements are required)

☐ Builder’s Risk (additional insured, loss payee, and waiver of subrogation endorsements are required)

☐ Other:__________________________________ ☐

CTR069747

DocuSign Envelope ID: 9603C3A2-E9AB-43AB-9648-C1647587B44A

29 January 24

1/29/2024

Rev. 08/2023

Laura Clark President - Sales Geveko Markings, Inc.

1883 New Harvest Road Gainesville, GA 30507

Subject: Award of Contract No. CTR069748

Dear Mrs. Clark:

Please be advised that your company has been awarded the contract for Bulk Thermoplastic and Thermoplastic Preformed Pavement Markings as specified in solicitation BPM005719. The executed Offer and Acceptance is attached. The contract is effective February 2, 2024.

The Contract requires verification of insurance be provided prior to commencement of work. Therefore, insurance document(s) must be submitted in accordance with the requirements stated in the Contract’s Special Terms and Conditions, paragraph 21, Insurance Requirements.

The attached Contract Insurance Checklist is provided to help ensure that all required forms and endorsements are submitted. The required forms, endorsements and completed checklist must be received no later than February 2, 2024. These documents must be e-mailed to me at sahmed@azdot.gov.

If you have any questions regarding this contract, please contact me at (602) 712- 4458 or via email.

Enclosures (Executed Offer & Acceptance and Insurance Checklist)

Rev. 08/2023

Risk Management

ADOT PROCUREMENT CONTRACT INSURANCE CHECKLIST

Instructions: This checklist is a tool provided to assist in expediting the review of the required insurance documents as outlined in the Special Terms and Conditions of your contract. This checklist is intended to clearly outline the required insurance documents that need to be added to your contract before orders can be placed. It is recommended that you provide this checklist and a copy of your ADOT contract to your insurance broker or agent. After your insurance broker or agent provides the required items identified below, check the box in the “Included” column for each document. Once this is completed, forward this checklist and the required documents to the Procurement Officer as indicated in your award letter.

Required Description of Insurance Requirement Included

Certificate of Insurance

Certificate of Insurance to include:

Certificate Holder to read: The State of Arizona/ADOT, 206 S. 17th Ave, Phoenix, AZ 85007

Description of Operations: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

General Liability

☒ Additional Insured Endorsement for Ongoing Operations ☐

☐ Additional Insured Endorsement for Completed Operations (Construction only) ☐

☒ Waiver of Subrogation Endorsement or Policy Verbiage ☐

☒ Primary and Noncontributory Endorsement ☐

Auto Liability

☒ Additional Insured Endorsement ☐

☒ Waiver of Subrogation Endorsement ☐

☐ Coverage provided for hazardous material transportation (if applicable) ☐

Worker’s Compensation

☒ Waiver of Subrogation Endorsement ☐

Professional Liability (if applicable)

☐ Policy limit meets contract requirements ☐

Contractor’s Pollution Liability (if applicable)

☐ Includes coverage for pollution losses arising out of completed operations ☐

☐ Additional Insured Endorsement ☐

☐ Waiver of Subrogation Endorsement ☐

☐ Primary and Noncontributory Endorsement ☐

Professional Environmental Liability (if applicable)

☐ Policy limit meets contract requirements ☐

Other Required Insurance (if applicable)

☐ Technology Errors and Omissions (no endorsements required) ☐

☐ Network Security (Cyber) and Privacy Liability (additional insured, waiver of subrogation, primary and noncontributory endorsements are required)

☐ Media Liability Coverage (no endorsements required) ☐

☐ Commercial Crime Policy or Blanket Fidelity Bond (loss payee endorsement is required) ☐

☐ Aviation/Aircraft Liability (endorsements to be determined by ADOT Risk as applicable) ☐

☐ Installation Floater (additional insured, loss payee, waiver of subrogation, primary and noncontributory endorsements are required)

☐ Builder’s Risk (additional insured, loss payee, and waiver of subrogation endorsements are required)

☐ Other:__________________________________ ☐

CTR069748

DocuSign Envelope ID: 9603C3A2-E9AB-43AB-9648-C1647587B44A

2429 January

1/29/2024

Rev. 11/2020

Donnie Kick President Crown USA Inc.

35 Industrial Park Drive PO Box 789 Woodbury, Georgia 30293

Re: BPM005719 -Bulk Thermoplastic and Thermoplastic Preformed Pavement Markings

Dear Mr. Kick:

This letter serves as notification that the above referenced solicitation has been awarded to:

Ennis-Flint Geveko Markings

Thank you for your efforts in submitting an offer. We look forward to your continued interest in providing service to the Department of Transportation.

If you have any questions or concerns, I can be reached at (602) 712- 4458 or via email.

Rev. 11/2020

Roxanne Brown QPL & Government Sales Specialist Preform, LLC 3845 Deerpark Blvd.

Elkton, Florida 32033

Re: BPM005719 -Bulk Thermoplastic and Thermoplastic Preformed Pavement Markings

Dear Ms. Brown:

This letter serves as notification that the above referenced solicitation has been awarded to:

Ennis-Flint Geveko Markings

Thank you for your efforts in submitting an offer. We look forward to your continued interest in providing service to the Department of Transportation.

If you have any questions or concerns, I can be reached at (602) 712- 4458 or via email.