CTR064921_Contract_Amendment_Summary_Four__4_.pdf

ARIZONA DEPARTMENT OF TRANSPORTATION

1655 W. Jackson Street, MD 100P

Phoenix, AZ 85007 602.712.7211

Contract Amendment Summary CONTRACTOR: Mead & Hunt, Inc. AMENDMENT NO.: Four (4) DESCRIPTION: Airport Engineering Services at Grand Canyon National Park Airport (GCN)

Rev. 04/2020

Procurement

Pursuant to the Uniform Terms and Conditions, Section 5, Contract Changes, the above referenced contract is amended. Summary of changes is as follows:

1. The below subcontractor has been added in the Arizona Procurement Portal (APP) as follows:

a. IV0000004222

J Banicki Construction Inc.

4720 E Cotton Gin Lane Ste. 240 Phoenix, AZ 85040

2. All other terms, conditions and provisions of this contract remain unchanged.

Firm Profile

Contract No: CTR064921 Available online at https://app.az.gov/

Complete a Firm profile for your company and any proposed sub consultants. In the below attachment, provide a brief of descriptions of no more than three (3) relevant projects performed by your firm and/or your sub consultant that are comparable to upcoming ADOT projects outlined.

Firm Information

Firm Name J. Banicki Construction, Inc. Year Established 1991

Principal address (street, city, state)

4720 E. Cotton Gin Loop, Ste. 240

Entity type: C Corporation Structure:

Branch or Division: Parent:

Ralph L. Wadsworth Construction Co.

Years of experience providing services similar in scope as required by this Solicitation. 33

Years of experience performing services similar in size and scope as required by this Solicitation. 33

Years the organization has conducted business in Arizona. 33

Firm Professional Licenses/Certifications Description Issuer Number Expiration

1. Class A, General Commercial / General Engineering State of AZ ROC 091410 9-30-24

2.

3.

4.

5.

Relevant Project Experience #1

Project Title Location Year the Project was completed

CMAR: Scottsdale Runway 3/21 Reconstruction Scottsdale Airport August 2021

Brief description of project and role

Full reconstruction of airports runways as well as install new drainage, blast pads, and new runway & taxiway lighting. Project was completed in 39-days.

Indicate how the involvement in these projects is relevant to ADOT and how it will assist in providing services at GCN.

Provided Pre-Construction Services for Planning, Phasing, Constructability & Scheduling.

Start Date July

Target Finish Date

August

Actual Finish Date

August

Was the project completed within budget?

Yes

Was this project part of a multi-year, on-call contract? If so, provide the start and end dates of the on-call contract.

No Was this project completed using an alternative delivery method (ADM) – construction manager at risk (CMAR) or Design/Build? If so, which delivery method was it?

CMAR

Provide contact information for two (2) individuals employed by the airport sponsor at the time that are aware and familiar with the project and that can adequately comment on the quality of service provided by the individual.

Contact #1:

Name

Gary Mascaro Title Aviation Director

Company City of Scottsdale Phone Number 480-216-5751 Email Address gmascaro@scottsdaleaz.gov

Contact #2: Name

Mathew Johnson Title Acting Assistant Aviation Director – Operations & Maintenance

Company City of Scottsdale Phone Number 480-312-2674 Email Address mljohnson@scottsdaleaz.gov

Relevant Project Experience #2

Project Title Location Year the Project was completed

CMAR: T4 North Apron Reconstruction, GMP’s 1-6 PSHIA November 2021

Brief description of project and role

Project involved removal and replacement on 200,000 SY of concrete apron affected by Alkali-Silica Reaction.

Indicate how the involvement in these projects is relevant to ADOT and how it will assist in providing services at GCN.

Provided Pre-Construction Services for Planning, Phasing, Constructability & Scheduling.

Start Date March

Target Finish Date

March

Actual Finish Date

November

Was the project completed within budget?

$3M below budget

Was this project part of a multi-year, on-call contract? If so, provide the start and end dates of the on-call contract.

No Was this project completed using an alternative delivery method (ADM) – construction manager at risk (CMAR) or Design/Build? If so, which delivery method was it?

CMAR

Provide contact information for two (2) individuals employed by the airport sponsor at the time that are aware and familiar with the project and that can adequately comment on the quality of service provided by the individual.

Contact #1:

Name

Candace Huff Title Deputy Aviation Director – Design & Construction Services

Company City of Phoenix Aviation Phone Number 602-273-2076 Email Address Candace.huff@phoenix.gov

Contact #2: Name

John Kliethermes Title Senior Construction Manager

Company Trace Consulting Phone Number 480-740-9077 Email Address jkliethermes@traceconsulting.us

Relevant Project Experience #3

Project Title Location Year the Project was completed

CMAR:PSHIA Infield Utility Vaults Access Upgrades & Paving GMP 1 & 2 PSHIA Still in Progress

Brief description of project and role Upgrade utility vaults and manholes across PSHIA South Airfield at Taxiway E & F

Indicate how the involvement in these projects is relevant to ADOT and how it will assist in providing services at GCN.

Provided Pre-Construction Services for Planning, Phasing, Constructability & Scheduling.

Start Date March

Target Finish Date

April

Actual Finish Date

Was the project completed within budget?

Still in progress

Was this project part of a multi-year, on-call contract? If so, provide the start and end dates of the on-call contract.

No

Was this project completed using an alternative delivery method (ADM) – construction manager at risk (CMAR) or Design/Build? If so, which delivery method was it?

CMAR

Provide contact information for two (2) individuals employed by the airport sponsor at the time that are aware and familiar with the project and that can adequately comment on the quality of service provided by the individual.

Contact #1:

Name

Candace Huff Title Deputy Aviation Director – Design & Construction Services

Company City of Phoenix Aviation Phone Number 602-273-2076 Email Address Candace.huff@phoenix.gov

Contact #2: Name

John Kliethermes Title Senior Construction Manager

Company Trace Consulting Phone Number 480-740-9077 Email Address jkliethermes@traceconsulting.us

Entity Details

Statutory Agent Information

Principal Information

Entity Name:

J. BANICKI

CONSTRUCTION, INC.

Entity ID: 02294490

Entity Type:

Domestic For-Profit (Business) Corporation

Entity Status: Active

Formation Date: 1/14/1991 Reason for Status:

Approval Date: 1/17/1991 Status Date:

Original Incorporation Date: 1/14/1991 Life Period: Perpetual

Business Type: Other - Construction Last Annual Report Filed: 2023

Domicile State: Arizona Annual Report Due Date: 12/14/2024

Years Due:

Origninal Publish Date: 2/4/1991

Name:

National Registered Agents, Inc.

Appointed Status: Active 12/24/2021

Attention:

Address:

3800 N Central Ave Ste 460, PHOENIX, AZ 85012, USA

Agent Last Updated: 11/17/2023

Attention: Mailing Address:

E-mail:

ct-statecommunications@wolterskluwer.com

County:

Title Name Address Date of Taking Office

Last Updated

Treasurer Ronald A.

Ballschmiede

4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Director

CON L

WADSWORTH

4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Director Michael D. Abraham 4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

In Good Standing

Arizona Corporation Commission Corporations Division Website Entity Detail. http://ecorp.azcc.gov/

Arizona Corporation Commission Page 1 of 2Page 1 of 2

8/1/2024 11:54:59 AM8/1/2024 11:54:59 AM

Entity Known Place of Business

Entity Principal Office Address

President Michael D. Abraham 4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Vice- President

CON L

WADSWORTH

4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Secretary Mark D. Wolf 4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Director Mark D. Wolf 4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Officer Tim McInnis 4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, Maricopa County, USA

11/17/2023

Address:

4720 E Cotton Gin Loop, Suite 240, PHOENIX, AZ, 85040, USA

County: Maricopa Last Updated: 11/17/2023

Address: County: Last Updated:

Arizona Corporation Commission Corporations Division Website Entity Detail. http://ecorp.azcc.gov/

Arizona Corporation Commission Page 2 of 2Page 2 of 2

8/1/2024 11:55:00 AM8/1/2024 11:55:00 AM

J BANICKI CONSTRUCTION INC

Unique Entity ID

KERHM2NL2DM3

CAGE / NCAGE

1UWL7

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Jan 30, 2025

Physical Address

4720 E Cotton Gin Loop

STE 240

Phoenix, Arizona 85040-4825

United States

Mailing Address

4720 E. Cotton Gin LOOP, STE. 240

Phoenix, Arizona 85040-4825

United States

Business Information

Doing Business as

(blank)

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 03

State / Country of Incorporation

Arizona / United States

URL

http://www.banicki.com

Registration Dates

Activation Date

Feb 2, 2024

Submission Date

Jan 31, 2024

Initial Registration Date

Aug 10, 2001

Entity Dates

Entity Start Date

Feb 8, 1991

Fiscal Year End Close Date

Dec 31

Immediate Owner

CAGE

61UT6

Legal Business Name

RALPH L. WADSWORTH CONSTRUCTION

COMPANY, LLC

Highest Level Owner

CAGE

52T69

Legal Business Name

TEXAS STERLING CONSTRUCTION CO.

Executive Compensation

Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of

P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.

Proceedings Questions

Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.

Exclusion Summary

Active Exclusions Records?

No

SAM Search Authorization

I authorize my entity's non-sensitive information to be displayed in SAM public search results:

Yes

Entity Types

Business Types

Entity Structure

Corporate Entity (Not Tax Exempt)

Entity Type

Business or Organization

Organization Factors

(blank)

Profit Structure

Last updated by Karen Sampson on Jan 31, 2024 at 10:20 AM J BANICKI CONSTRUCTION INC

Jul 23, 2024 05:20:49 PM GMT https://sam.gov/entity/KERHM2NL2DM3/coreData?status=null Page 1 of 2

For Profit Organization

Socio-Economic Types

Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the

SBA supplemental pages during registration.

Financial Information

Accepts Credit Card Payments

No

Debt Subject To Offset

No

EFT Indicator

CAGE Code

1UWL7

Points of Contact

Electronic Business

MIKE ABRAHAM

4720 E. Cotton Gin Loop

Suite 240

Phoenix, Arizona 85040

United States

Government Business

MIKE ABRAHAM

4720 E. Cotton Gin Loop

Suite 240

Phoenix, Arizona 85040

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

237310

NAICS Title

Highway, Street, And Bridge Construction

221310 Water Supply And Irrigation Systems

221320 Sewage Treatment Facilities

237110 Water And Sewer Line And Related Structures Construction

237990 Other Heavy And Civil Engineering Construction

238110 Poured Concrete Foundation And Structure Contractors

238190 Other Foundation, Structure, And Building Exterior Contractors

238910 Site Preparation Contractors

Product and Service Codes

PSC PSC Name

C1BD Architect And Engineering- Construction: Airport Runways And Taxiways

C1LB Architect And Engineering- Construction: Highways, Roads, Streets, Bridges, And Railways

C1LZ Architect And Engineering- Construction: Parking Facilities

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Karen Sampson on Jan 31, 2024 at 10:20 AM J BANICKI CONSTRUCTION INC

Jul 23, 2024 05:20:49 PM GMT https://sam.gov/entity/KERHM2NL2DM3/coreData?status=null Page 2 of 2

Visit OpenBooks (https://openbooks.az.gov/)

Ombudsman-Citizens'

Aide (https://www.azoca.gov/) Get the facts on COVID-19 (https://azdhs.gov/covid19/index.php)

AZ.Gov (https://az.gov/search/google) (https://az.gov/) Arizona

Registrar of Contractors

(https://roc.az.gov/)

Login/Registe

(https://azroc

Home Contractor Search (https://azroc.my.site.com/AZRoc/s/contractor-search)

FAQ

Contractor Search

DISCLAIMER

The data supplied below is based on your specific request(s) and is correct to the best of our knowledge as of the date and time it was extracted from our data files. The information is provided without personal research or analysis. The data is subject to change on a daily basis. You may obtain additional public records related to any licensee, including dismissed complaints and nondisciplinary actions and orders, by contacting the ROC directly. If this information is required for legal purposes, you may request an affidavit or certified copies for a fee as specified in A.R.S. 32-1104A3 (https://www.azleg.gov/viewdocument/?docName=http://www.azleg.gov/ars/32/01104.htm). Please read our Standard Terms of Use at roc.az.gov/terms (https://roc.az.gov/terms)

Please note: The company or individuals listed on this license may hold other Arizona contracting licenses. To view information, status and complaint history for the past two years on other licenses held, go to the License Inquiry page and do a

"Company Name and Personnel" search by entering the name of the company or individuals listed on the license.

DETAILS FOR

J Banicki Construction Inc

LICENSE NUMBER ROC 091410

This information is current as of 2024-08-01 11:52:16

Share this License or Send it to Yourself: Email | Save for

Later

If you are the contractor listed, feel free to contact our Licensing Department at (602) 542-1525 for more information.

CONTRACTOR LICENSE

Issued / Renewal

QUALIFYING PARTY & PERSONNEL

The Qualifying Party listed below is associated with this license. All other persons named, if any, are associated with the company. They are not all necessarily associated with this license.

Name : Michael David Abraham

Position : Qualifying Party

Other Positions : Director

Name : Christopher Alan Wittrock

Position : Director

Other Positions : Director

Name : Michael David Abraham

Position : Director

Other Positions : Director

COMPLAINT INFORMATION

Complaints against this contractor are listed below. Complaints that were cancelled, resolved or settled without a corrective work order or dismissed are not included. Contact the

Registrar of Contractors at 602-542-1525 or toll-free statewide at 1-877-My AZROC (1-877-692-9762) to identify the ROC office location you need to visit to view complete complaint documentation. This website does not display all public sanctions or public information concerning a license's disciplinary history. Obtain any additional public information by using the Public Records Request form to confirm the license's entire history.

Business Entity Name J Banicki Construction Inc

City and State Phoenix, AZ, 85040

Phone (480) 921-8016

Status / Action Active

Class & Description

General Commercial A General Engineering

Entity Type

Corporation

First Issued

1991-10-21

Renewed Through

2024-09-30

8/1/24, 11:53 AM Contractor Search https://azroc.my.site.com/AZRoc/s/contractor-search?licenseId=a0ot0000000NfQrAAK 1/2 https://openbooks.az.gov/ https://www.azoca.gov/ https://www.azoca.gov/ https://azdhs.gov/covid19/index.php https://az.gov/search/google https://az.gov/search/google https://az.gov/search/google https://az.gov/ https://az.gov/ https://roc.az.gov/ https://roc.az.gov/ https://roc.az.gov/ https://roc.az.gov/ https://azroc.my.site.com/AZRoc/s/login https://azroc.my.site.com/AZRoc/s/login javascript:void(0);

https://azroc.my.site.com/AZRoc/s/contractor-search https://azroc.my.site.com/AZRoc/s/contractor-search https://azroc.my.site.com/AZRoc/s/contractor-search https://www.azleg.gov/viewdocument/?docName=http://www.azleg.gov/ars/32/01104.htm https://www.azleg.gov/viewdocument/?docName=http://www.azleg.gov/ars/32/01104.htm https://roc.az.gov/terms https://roc.az.gov/terms javascript:void(0);

javascript:void(0);

javascript:void(0);

javascript:void(0);

©ROC 2021

AZ ROC

1700 W. Washington St.

Suite 105 Phoenix, Arizona

85007-2812

Find in Google Maps

(https://www.google.com/maps/place/1700+W+Washington+St,+Phoenix,+AZ+85

Phone: (602) 542-1525

Fax: (602) 542-1599 (https://twitter.com/az_RO

(https://www.facebook.com

(https://www.linkedin.com/ registrar-of-contractors/)

(https://www.instagram.co

(https://www.youtube.com

Open Cases

CLOSED CASES

Disciplined Cases

Resolved / Settled Cases

BOND INFORMATION

How to collect from a license bond (https://roc.az.gov/recovery-fund?targetclass=answer-question-collect#question-collect)

IF YOU EXPERIENCE A TECHNICAL PROBLEM, PLEASE CLICK HERE (mailto:Webmaster@roc.az.gov).

FOR A LIST OF PENDING LICENSE APPLICATIONS CLICK HERE (https://roc.az.gov/posting-list#newAppsLicensesDiscipline)

If you are looking for a complete list of our current contractors, we highly recommend using our Posting List (https://roc.az.gov/posting-list) page.

For a list of contractors with their full information, please submit a Public Records Request through our Public Records Request One-Stop page. (https://azroc.my.site.com/AZRoc/s/roc-online-services) Thank you.

This resource is being provided for the information and convenience of the public. The listed businesses and their order of appearance do not constitute an endorsement, preference, or recommendation by the Registrar of Contractors.

While the Registrar of Contractors strives to make the information on this website as timely and accurate as possible, the Agency makes no claims, promises, or guarantees about the accuracy, completeness, or adequacy of the contents of this site, and expressly disclaims liability for errors and omissions in its contents. Please contact the Registrar at 877-692-9762 if you'd like to verify any of the information, or to report a discrepancy.

Bond Type : Surety

Bond Number : ND6549

Effective Date : 2014-12-18

Bond Company : Travelers Casualty & Surety Co

Amount : $ 100000

Paid : $ 0

Available : $ 100000

Status : Active

To find out if a contractor's ROC license is current and see other information related to the license, enter their 6 digit license number or their name below. If searching by a person's name, be sure to use first then last - for example: 'John Doe' instead of 'Doe, John'. You can also use the ADVANCED SEARCH functions by clicking the gray "Advanced Search" button below to search by

City, Classification, Status and more. Click to read the complete instructions.

If you are looking for a complete list of our current contractors, we highly recommend using our Posting List (https://roc.az.gov/posting-list) page.

Enter your search terms here*... Search

Advanced Search Clear

8/1/24, 11:53 AM Contractor Search https://azroc.my.site.com/AZRoc/s/contractor-search?licenseId=a0ot0000000NfQrAAK 2/2 https://www.google.com/maps/place/1700+W+Washington+St,+Phoenix,+AZ+85007/@33.448295,-112.0978899,17z/data=!3m1!4b1!4m2!3m1!1s0x https://www.google.com/maps/place/1700+W+Washington+St,+Phoenix,+AZ+85007/@33.448295,-112.0978899,17z/data=!3m1!4b1!4m2!3m1!1s0x https://twitter.com/az_ROC https://twitter.com/az_ROC https://twitter.com/az_ROC https://www.facebook.com/ArizonaROC https://www.facebook.com/ArizonaROC https://www.facebook.com/ArizonaROC https://www.linkedin.com/company/arizona-registrar-of-contractors/ https://www.linkedin.com/company/arizona-registrar-of-contractors/ https://www.linkedin.com/company/arizona-registrar-of-contractors/ https://www.linkedin.com/company/arizona-registrar-of-contractors/ https://www.linkedin.com/company/arizona-registrar-of-contractors/ https://www.instagram.com/az_registrarofcontractors/ https://www.instagram.com/az_registrarofcontractors/ https://www.instagram.com/az_registrarofcontractors/ https://www.youtube.com/channel/UC1jhQf99PCm1RLkyiRc26Ow https://www.youtube.com/channel/UC1jhQf99PCm1RLkyiRc26Ow https://www.youtube.com/channel/UC1jhQf99PCm1RLkyiRc26Ow https://roc.az.gov/recovery-fund?targetclass=answer-question-collect#question-collect https://roc.az.gov/recovery-fund?targetclass=answer-question-collect#question-collect mailto:Webmaster@roc.az.gov mailto:Webmaster@roc.az.gov https://roc.az.gov/posting-list#newAppsLicensesDiscipline https://roc.az.gov/posting-list#newAppsLicensesDiscipline https://roc.az.gov/posting-list https://roc.az.gov/posting-list https://azroc.my.site.com/AZRoc/s/roc-online-services https://azroc.my.site.com/AZRoc/s/roc-online-services https://azroc.my.site.com/AZRoc/s/roc-online-services javascript:void(0);

javascript:void(0);

https://roc.az.gov/posting-list https://roc.az.gov/posting-list