SUGGESTED AMENDED AGENDA TAYLOR COUNTY BOARD OF COUNTY COMPISSIONERS PERRY, FLORIDA MONDAY, NOVEMBER 4, 2024 6:00 P.M. 201 E. GREEN STREET OLD POST OFFICE TAYLOR COUNTY ADMINISTRATIVE COMPLEX CONFERENCE LINE: 1-917-900-1022 ACCESS CODE: 32347# THIS IS NOT A TOLL-FREE NUMBER AND YOU MAY BE SUBJECT TO LONG DISTANCE CHARGES, ACCORDING TO YOUR LONG- DISTANCE PLAN. When the chairperson opens the meeting for public comment, please follow the below Ifyou wish to speak please dial *5. The moderator will unmute your line when iti is your turn to speak, and notify you by announcing the last 4 digits of your telephone number. Please announce your name and address. You will be allowed to speak for 3 minutes. instructions: NOTICE IS HEREBY GIVEN, PURSUANT TO. FLORIDA STATUTES 286.0105, THAT ANY PERSCNS DECIDING TO APPEAL ANY MATTER CONSIDERED AT THIS MEETING WILL NEED A RECORD OF THE MEETING AND MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THE TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE ANY PERSON WISHING TO ADDRESS THE BOARD REGARDING AN AGENDAED ITEM WILL BE GIVEN THREE (3) MINUIES FOR COMMENT. A COMMENTER MAY ONLY SPEAK ONE (1) TIME FOR EACH AGENDAED BASED. ITEM. 1. Prayer 2. Pledge of Allegiance 3. Approval of Agenda CONSENT ITEMS: 4. APPROVAL OF MINUTES SEPTEMBER 29, 2024, OCTOBER 7, 2024, OCTOBER 22, 2024. 5. EXAMINATION AND APPROVAL OF INVOICES, 6. THE BOARD TO CONSIDER APPROVAL OF STATE HOUSING INITIATIVE PARTNERSHIP (SHIP) ANNUAL REPORTS FOR 2021/2022 AND 2022/2023 AND THE ANNUAL REPORT AND LOCAL HOUSING INCENTIVES CERTIFICATION, AS AGENDAED BY MELODY COX, GRANTS WRITER. 7. THE BOARD TO CONSIDER APPROVAL OF REMOVAL OF SURPLUS INVENTORY, AS AGENDAED BY THERESA COPELAND, DIRECTOR OF TECHNOLOGY SYSTEMS. 8. THE BOARD TO CONSIDER APPROVAL OF ADVANCED BUSINESS SYSTEMS WITH AMENDMENT AGREEMENT, AS AGENDAED BY THE DIRECTOR OF TECHNOLOGY SYSTEMS. 9. THE BOARD TO CONSIDER AWARD AND APPROVAL OF ANDERSON COLUMBIA CONTRACT APPROVAL FOR THE SAN PEDRO ROAD SHEET FILE WALL PROJECT TO ADDRESS ROADWAI SUBSIDENCE RELATED TO SINKHOLE ACTIVITY, AS AGENDADD BY KENNETH DUDLEY, COUNTY ENGINEER. BIDS/PUBLIC HEARINGS: 10. THE BOARD TO RECEIVE BIDS FOR COMMERCIAL REFUSE COLLECTION SERVICES, SET FOR THIS DATE AT 6:00 P.M., OR.. AS. SOON THEREAFTER AS POSSIBLE. 11. THE BOARD TO RECEIVE STATEMENT OF QUALIFICATIONS (SOQ) FOR TAYLOR COUNTY, FLORIDA, KEATON BEACH AND STEINHATCHEE BOAT RAMOS BY-PASS FEASIBILITY STUDY, SET FOR THIS DATE AT 6:05 P.M., OR AS SOON THEREAFTER AS POSSIBLE, AS AGENDAED BY MELODY COX, GRANTS WRITER. PUBLIC REQUESTS: 12. TARA REYNOLDS FROM ANSERV TO APPEAR TO UPDATE THE BOARD ON THE STATUS OF HURRICANE IDALIA HHRP SHIP FUNDING. COUNTY STAFF ITEMS: 13. THE BOARD TO DISCUSS PROJECTS FOR THE EGISLATIVE LOCAL FUNDING INITIATIVE REQUESTS FOR FISCAL YEAR 2025-2026, AS AGENDAED BY THE GRANTS WRITER. 14. THE BOARD TO DISCUSS UPCOMING FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT) TRANSPORTATION ALTERNATIVES PROGRAM (TAP) F.INDING CYCLE AND POTENTIAL PROJECTS, AS AGENDAED BY THE GRANTS WRITER. COUNTY ADMINISTRATOR ITEMS: 15. THE BOARD TO CONSIDER APPROVAL OF WAIVER OF STORM REALIED PERMIT FEES THROUGH THE MONTH OF NOVEMEBER 2024, AS AGENDAED BY THE COUNTY ADMINISTRATOR. 16. THE BOARD TO CONSIDER APPOINTMENT OF ONE MEMBER TO THE TAYLOR COUNTY LICENSING BOARD, AS AGENDAED BY LAWANDA PEMBERTON, COUNTY ADMINISTRATOR. 1.7. THE COUNTY ADMINISTRAIOR TO DISCUSS INFORMATIONAL 18. COMMENTS AND CONCERNS FROM THE PUBLIC FOR NON-AGENDAED ITEMS. ITEMS: 19. BOARD INFORMATIONAL ITEMS: Motion to Adjourn FOR YOUR INFORMATION: THE AGENDA AND, ASSOCIATED DOCUMENTATION, IF APPLICABLE, IS. AVAILABLE TO THE PUBLIC ON THE FOLLOWING WEBSITE: www.taylorcountygov.com IF YOU ARE A PERSON WITH A DISABILITY WHO NEEDS ANY ACCOMODATION IN ORDER TO PARTICIPATE IN THIS PROCEEDING, YOU ARE ENTITIED, AT NO COST TO YOU, TO THE PROVISION OF CERTAIN ASSISTANCE. PLEASE CONTACT MARSHA DURDEN, ASSISTANT COUNTY ADMINISTRATOR, 201 E. GREEN STREET, PERRY, FLORIDA, 850-838-3500, EXT.7, WITHIN TWO (2) BALLOTS USED TO APPOINT CITIZENS TO ADVISORY COMMITTEES AND ADVISORY BOARDS ARE AVAILABLE FOR PUBLIC INSPECTION AFTER THE MEETING AND ARE. RETAINED AS PART CF THE PUBLIC RECORD. WORKING DAYS OF THIS PROCEEDING. TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: Board to approve the State Housing Initiative Partnership (SHIP) Annual Reports for 2021/2022 and 2022/2023 and the Annual Report and Local Housing Incentives Certification. MEETING DATE REQUESTED: Statement of Issue: November 4, 2024 Board to approve the SHIP Annual Reports and the Annual Report and Local Housing Incentives Certification. Recommended Action: Approve the SHIP Annual Reports and Certification. Fiscal Impact: Submitted By: Contact: The Annual Reports and Certification are a requirement to be eligible for SHIP funding. Melody Cox, Grant Writer Melody Cox SUPPLEMENTAL MATERIAL /ISSUE ANALYSIS History, Facts & Issues: The County is required to submit Annual Reports and Certifications on all open SHIP grants. The SHIP Program provides assistance to qualified homeowners for the rehabilitation of their homes, demolition and reconstruction of an existing home if the house is in 51% or more disrepair, and First Time Home Buyers Down SHIP Annual Reports for 2021/2022 and 2022/2023 and the Annual Report and Local Housing Incentives Certification. Payment Assistance. Attachments: State Housing Initiatives Partnership (SHIP)Program Annual Report and Local Housing incentives Certification On Behalf of Taylor County (Local Government), Ihereby certify that: 1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true and accurate for the closeout year. 2021-2022 andi interim years_ 2022-2023 2. The local housing incentives or local housing incentive plan have been implemented or are in the process of beingi implemented. Including, at a minimum: a. Permits as defined in s.163.3164 (15) and (16) for affordable housing projectsare expedited to a greater degree than other projects; and b. There is an ongoing process for review of local policies, ordinances, regulations, and plan provisions that increase the cost of housing prior to their adoption. 3. The cumulative cost per newly constructed housing per housing unit, from these actions is estimated to 4. The cumulative cost per rehabilitated housing per housing unit, from these actions is estimated to be Staff Member responsible for submitting annual report to FHFC: LaWanda Pemberton, County Administrator be $0 $0 winess Signature Date : gnatr Date Jamie English, Chairman iet WtressPinte: Name :c D1F r g ee Prirted Name Winesssignature Date Witness Printed Name or ATTEST (Seal) Signat-e Date . Fach ancer : recor:: eoc: ree. ceras prare ocal sovernment :. e aca: CoS iectad icial Dr ais or ner designee. ime ca: usng neprocess 'oail : v Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Report Status: Submitted Title: SHIP Annual Report Taylor County FY 2021/2022 Closeout Form 1 Page 1 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 SHIP Distribution Summary Homeownership Code 2 3 4 Expended $7,111.00 $67,118.05 $259,819.47 $334,048.52 Expended Amount. $334,048.52 Expended $35,000.00 $.00 $.00 $.00 3 Encumbered 1 1 1 3 Unencumbered Amount Strategy Purchase Assistance Rehabiliation Demolition/ Reconstruction Homeownership Totals: Amount Units. Amount Units Units Rentals Code Encumbered Amount Unencumbered Amount Strategy Rental Totals: Subtotals: Units Units Units 3 Additional Use of Funds Administrative Homeownership Counseling Admin From Program Income Admin From Disaster Funds Use Totals: $369,048.52 $.00 $.00 Total Revenue (Actual and/or Anticipated) for Local SHIP Trust Fund Source of Funds State Annual Distribution Program Income (Interest) Program Income (Payments) Recaptured Funds Disaster Funds Other Funds Amount $350,000.00 $73.10 $3,333.40 $.00 Carryover funds from previous year $8,173.38 $361,579.88 Carry Forward to Next Year: -$7,468.64 NOTE: This carry forward amount will only be accurate when all revenue amounts and all expended, encumbered and unencumbered amounts have been Total: added to Form 1 Form 2 Rental Unit Information Page 2 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 4Bed 881 881 1,408 2,115 2,467 Description Eff. 339 531 850 1,275 1,487 1'Bed 398 569 910 1,366 1,594 2Bed 575 683 1,092 1,641 1,914 3Bed 752 789] 1,262 1,894 2,210 ELI VLI LOW MOD Up to 140% Recap of Funding Sources for Units Produced ("Leveraging") Source of Funds Produced Amount of Funds Expended to through June 30th1 for Units SHIP Funds Expended Public Moneys Expended Private Funds Expended Owner Contribution Total Value of All Units Date % of Total Value $334,048.52 $.00 $.00 $.00 $334,048.52 100.00% .00% .00% .00% 100.00% SHIP Program Compliance Summary - Home Ownership/Construction/Renab FLS Statute 65% 75% Compliance Category Homeownership Construction/ /Rehabilitation SHIP Funds $334,048.52 Trust Funds %ofTrust Fund Minimum % $358,173.38 93.26% 91.28% $326,937.52 $358,173.38 Program Compliance - Income Set-Asides Income Category SHIP Funds Total Available Funds %* $.00 .00% $259,819.47 71.86% $67,118.05 18.56% $7,111.00 1.97% $.00 .00% 92.39% Extremely Low Very Low Low Moderate Over 120%-140% Totals: $334,048.52 Project Funding for Expended Funds Only Page 3 Form SHIP AR/2009 67-38.008 Effective Date: (5),FAC. 5/23/2017 Total SHIP Total# Funds Units Unit #s Expended $.00 0 0 $259,819.47 o $67,118.05 $7,111.00 0 $.00 0 0 $334,048.52 SHIP Total Funds Mortgages, SHIP TotalFunds Grants Grant Income Category Mortgages, Loans& Loans &DPL's DPLUnit#S Extremely Low Very Low Low Moderate Over 120%-140% $259,819.47 $67,118.05 $7,111.00 0 3 $.00 Totals: $334,048.52 Form 3 Number of Households/Units Produced List Unincorporated and Each Municipality Perry Perry Over 140% Total ELI VLI Low Mod Strategy Purchase Assistance Perry Demolition! Reconstruction Rehabiliation 1 1 Totals: Characteristics/Age (Head of Household) List Unincorporated and Each Municipality Perry Perry Total 025 26-40 41-61 62+. Description Purchase Assistance Perry Demolition! Reconstruction Rehabiliation Family Size 1 1 1 Totals: List Unincorporated and Each Municipality Perry Perry 2-4 5+ Person People People Total Description, Purchase Assistance Darry Demolition/ Reconstruction Rehabiliation 1 2 Totals: Race (Head of Household) List Unincorporated and Each Municipality Hisp- Amer- Other Total White Black anic Asian Indian Description Purchase Assistance Perry Page 4 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Demolition! Reconstruction Rehabiliation Perry Perry 1 1 2 3 Totals: Demographics (Any Member of Household) List Unincorporated 'and Each Municipality Perry Perry Farm Home- Worker less Elderly Total Description Purchase Assistance Perry Demolition/ Reconstruction Rehabiliation Special Target fire fighters, etc.) Set Aside 0 0 1 1 Totals: Groups for Funds Expended (i.e. teachers, nurses, law enforcement, Total # of Expended Units Speciai Target Group Expended Funds Description Form 4 Status of Incentive Strategies Description (If Other) Category Required Required Status impremented, 2009 inL LHAP Implemented, 2009 inLHAP Year Adopted for N/A) Incentive Expedited permitting ongong review process Support Services Homeownership Counseling- an 8 hour workshop 1s offered to those whom app1y for the Homebuyer the importance Assistance strategy. The workshop covers budgeting, home maintenance, credit reporting, a lender and the ofusing al home inspector when purchasing an existing home, using a realtor, finding application and closing process. Other Accomplishments N/A Availability for Public Inspection and Comments advertisement ran in the local newspaper to inform the public that Taylor County's SHIP Annual Alegal report is available for review upon request from the County's local Grants Office. Life-to-Date Homeownership Default and Foreclosure Total SHIP Purchase Assistance Loans: 39 Page 5 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Mortgage Foreclosures A. Very lowi income households in foreclosure: 0 B. Lowi income households in foreclosure: C. Moderate households in foreclosure: Foreclosed Loans Life-to-date: 0 0 0 SHIP Program Foreclosure Percentage Rate Life to Date: 0.00 Mortgage Defaults A. Very lowi income households in default: B. Lowi income households in default: C. Moderate households in default: Defaulted Loans Life-to-date: 3 0 0 3 SHIP Program Default Percentage Rate Life to Date: 7.69 Strategies and Production Costs Strategy Demaltlon/Reconsirucion Purchase Assistance Rehabiliation Expended Funds Total Unit Count: 3 Average Cost $129,909.74 $7,111.00 $67,118.05 Total Expended Amount: $334,048.52 Zip Expended FYifUnit Code Funds 32347 $7,111.00 32347 $119,346.32 2020-2021 32348 $140,473.15 32348 $67,118.05 Strategy Purchase Assistance Demolition/Recons Carolyn truction Demoition/Recons Edwina truction Rehabiliation Full Name Address City Already Counted Justin Welch 210 Judson Drive Perry 618W. Summer Perry Street 214V W. Folsom Street Street Florence Jackson Perry James Chester 1310 S. Sparrow Perry Administration by Entity Name Government Services Group, Inc. Program Income Business Type Strategy Covered Responsibility Amount Administration, Work Write Ups, Inspections Consultant All $35,000.00 Page 6 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Program Income Funds Loan Repayment: Refinance: Foreclosure: Sale of Property: Interest Earned: $3,333.40 $73.10 $3,406.50 Total: Number of Affordable Housing Applications Number of Affordable Housing Applications Submitted Approved Denied 3 3 0 Explanation of Recaptured funds Description Amount $.00 $.00 $.00 $.00 Total: Rental Developments Development Owner Name Address City Zip SHIP Amount SHIP Compliance Code Units Monitored By Single Family Area Purchase Price The average area purchase price of single family units: 135,000.00 Or Not Applicable Form 5 Page 7 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Special Needs Breakdown SHIP Expended and. Encumbered for Special Needs Applicants Expended Amount $140,473.15 Expended Amount $140,473.15 Encumbered Amount Code(s) Strategies Units Units DemolionReconsinucion Special Needs Category Breakdown by Strategy Encumbered Amount Strategies Special Needs Category Receiving Supplemental Units Units (4) Demolilon/Reconsiructon Security Income Provide a description of efforts to reduce homelessness: Taylor County will provide Down Payment Assistance to all eligible applicants as long as funds are available. Interim Year Data Page 8 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 Interim Year Data Interim Year1 State Annual Distribution Program Income Program Funds Expended Program Funds Encumbered Total Administration Funds Expended Total Administration Funds Encumbered Homeownership Counseling Disaster Funds 65% Homeownership Requirement 75% Construction / Rehabilitation 30% Very & Extremely Low Income Requirement 30% Low Income Requirement 20% Special Needs Requirement Carry Forward to Next Year $350,000.00 $140.06 $370,000.00 $35,000.00 $370,000.00 $370,000.00 $220,000.00 $150,000.00 $70,000.00 105.71% 105.71% 62.83% 42.84% 20.00% Page 9 Form SHIP AR/2009 67-38.008 (5), F.A.C. Effective Date: 5/23/2017 LG Submitted Comments: Page 10 TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: THE BOARD7 TO CONSIDER APPROVAL OF THE REMOVALOF SURPLUS INVENTORY AS AGENDAED BY TERESA COPELAND, DIRECTOR OF TECHNOLOGY SYSTEMS MEETING DATE REQUESTED: 11/04/2024 Statement of Issue: THE BOARD TO CONSIDER APPROVAL OF THE REMOVAL OF SURPLUS INVENTORY Recommended Action: APPROVE Fiscal Impact: Budgeted Expense: NONE NONE Submitted By: TERESA COPELAND Contact: (850) 838-3500 X 108 SUPPLEMENTAL MATERIAL /ISSUE ANALYSIS Attachments: SEE THE ATTACHMENTS County Inventory Removal Noveber 4, 2024 Clerk Number Asset Name of Item Make 3315 Motorgrader John Deere 4716 Tractor 4916 Water Cooler Holsey 5552 Truck 6040 SCBA 6041 SCBA 6042 SCBA 6045 SCBA 6311 PAYPHONE 6756 TRUCK 7073 TRUCK 7178 TV 7179 TVSTAND 7396 SLERS RADIO HARRIS 7397 SLERS RADIO HARRIS 7398 SLERS RADIO HARRIS 7399 SLERS RADIO HARRIS 7400 SLERS RADIO HARRIS 7401 SLERS RADIO HARRIS 7402 SLERS RADIO HARRIS 7403 SLERS RADIO HARRIS 7404 SLERS RADIO HARRIS 7406 SLERS RADIO HARRIS 7406 SLERS RADIO HARRIS 7407 SLERS RADIO HARRIS 7408 SLERS RADIO HARRIS 7409 SLERSRADIO HARRIS 7410 SLERS RADIO HARRIS 7411 SLERS RADIO HARRIS 7412 SLERS RADIO HARRIS 7413 SLERS RADIO HARRIS 7414 SLERS RADIO HARRIS 7415 SLERS RADIO HARRIS 7416 SLERS RADIO HARRIS 7417 SLERS RADIO HARRIS 7418 SLERS RADIO HARRIS 7419 SLERS RADIO HARRIS 7420 SLERS RADIO HARRIS 7421 SLERS RADIO HARRIS 7423 SLERS RADIO HARRIS DEPT.# 0301 0301 0160 0301 0191 0191 0191 0191 0160 0301 0301 0380 0380 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 New Holland 2WD GMC isi ISI ISI ISI H&H TELECOM CHEVROLET FORD SAMSUNG AVTEQ 7424 SLERS RADIO HARRIS 7425 SLERS RADIO HARRIS 7527 SLERS RADIO HARRIS 7528 SLERS RADIO HARRIS 7529 SLERS RADIO HARRIS 7530 AIR PACK 7531 AIR PACK 7532 AIR PACK 7533 AIR PACK 7534 AIR PACK 7535 AIR PACK 7536 AIR PACK 7537 AIR PACK 7538 AIR PACK 7539 AIR PACK 7540 AIR PACK 7541 AIR PACK 7542 AIR PACK 7543 AIR PACK 7544 AIR PACK 7545 AIR PACK 7546 AIR PACK 7547 AIR PACK 7547 AIR PACK 7874 TRUCK 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0192 0301 ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI ISI CHEVY DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 3315 Clerk Asset Number: Board Asset Number: DATE: TO: BOARD OF COUNTY COMMISSIONERS FROM: ROAD DEPARTMENT Department Name 09/18/2024 DEPT 0301 Number To Whom It May Concern: occurred in the property in my custody. This information should be entered on your The following changes have Property Record. DENTIFICATION DATA Room # Year Make Name of Item MOTOGRADER 770B JOHN DEERE Serial Number Model Other Description: Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA SURPLUS Type of Disposition: Custodian immediately. Expianation for Disposal: (required) Location: (required) * Properly that is missing or unable to locate shall be presented to the County Commission by the Properly BADMOTOR/NOTV WORTH THE EXPENSIVE TO REPLACE ROAD DEPARTMENT APPROVED D DENIEDDI By the Tayior County Board of Commission Date Chairman Signature County Adrinistrator Approval Department Head Date Removedi From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 47160 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS FROM: ROAD DEPARTMENT Department Name To Whom It May Concer: Property Record. Board Asset Number: DATE: 09/18/2024 DEPT 0301 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Year Name of Item TRACTOR 3930 Make NEWHOLLAND 2WD Model Serial Number 119211B Other Description: Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: SURPLUS Custodian immediately. Explanation for Disposal: (required) Location: (required) ** Property that is missing 07 unable to locate shall be presanted to the County Commission by the Properly BAD MOTOR/NOT WORTH THE EXPENSIVE TO REPLACE ROAD DEPARTMENT APPROVED D DENIEDDI By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 5552 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS FROM: ROAD DEPARTMENT Department Name To Whom It May Concern: Property Record. Board Asset Number: DATE: 09/18/2024 DEPT 0301 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Year 2002 Name of Item TRUCK SERRIA Make GMC Model Serial Number 1GTEK14Y522324149 Other Description: Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: SURPLUS Custodian immediately. Explanation for Disposal: (required) Location: (required) ** Properly that is missing or unable to locate shail be presented to the County Commission by the Properly BAD MOTORI /NOT WORTH THE EXPENSIVE TO REPLACE ROAD DEPARTMENT APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6040 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0191 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2003 Name of Item SCBA Model DLX Other Description: Make ISI Serial Number 117395040001 Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) ** Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDD By the Taylor County Board of Commission: Date Chairman Signature Department Head County Admipistrator, Approval 7D Fixed AssetsManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6041 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0191 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room# # Storage Year 2003 Name of Item Model DLX Other Description: Make ISI SCBA Serial Number 117395010002 Purchased with Grant: Yes/No? Yes No f'Yes' please expiain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compiiance APPROVED a DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 7P Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6043 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0191 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2003 Name of Item Make ISI SCBA Model DLX Other Description: Serial Number 117395010006 Purchased with Grant: Yes/No? LYes No If'Yes' please explain reason to allow disposition below. B6 DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Out tof Compliance APPROVED D DENIEDO By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval a 3 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6045 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0191 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2003 Name of Item Make ISI SCBA Model DLX Other Description: Serial Number 117395010008 Purchased with Grant: Yes/No? - Yes E3 No IfYes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage **F Property that is missing orunable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval TD Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6311 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS Board Asset Number: DATE: 9/12/2024 FROM: DEPT Department Name To Whom It May Concern: Property Record. Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATIONE DATA Room # Year Name of Item PAY PHONE Make Model Serial Number 2004 Other Description: Purchased with Grant: Yes/No? Yes D No Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: SURPLUS Custodian immediately. Explanation for Disposal: (required) Location: (required) COURTHOUSEL LOBBY a Property that is missing or unable to locate shall be presented to the County Commission by the Property APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature. County Department Head Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 6756 Clerk Asset Number: Board Asset Number: DATE: 09/18/2024 TO: BOARD OF COUNTY COMMISSIONERS ROAD DEPARTMENT Department Name DEPT 0301 Number FROM: To Whom It May Concern: occurred in the property in my custody. This information should be entered on your The following changes have Property Record. IDENTFICATIONDATA Room: # Year 2006 Make CHEVROLET Serial Number 1GCEC14X762240146 Name of Item TRUCK Model SILVERADO Other Description: TAG #TC3975 Purchased with Grant: Yes/No? Yes D No MYes' please explain reason to allow disposition below. DISPOSITION DATA SURPLUS Type of Disposition: a Properly that is missing Custodian immediately. Expianation for Disposal: (required) Location: (required) or unable to locate shall be presented to the County Cormission by the Properly BADMOTOR/NOTI WORTH THE EXPENSIVETO! REPLACE ROAD DEPARTMENT APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature County Administrator Approval Department Head Fixed Assets Manager Date Reroved From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7073 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS FROM: ROAD DEPARTMENT Department Name To Whom It May Concern: Property Record. Board Asset Number: DATE: 09/18/2024 DEPT 0301 Number The following changes have occurred in the property in my custody. This nformation should be entered on your DENTIFICATIONI DATA Room: # Year Name of Item TRUCK F-150 Make FORD Serial Number Model 2009 1FTRFI2W39K889800 Other Description: TAG#TB3381 Purchased with Grant: Yes/No? Yes - No fYes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: SURPLUS Custodian immediately. Explanation for Disposal: (required) Location: (required) ROAD DEPARTMENT * Property that is missing o7 unable to locate shall be presented to the County Commission by the Properly BAD MOTOR/NOT WORTH THE EXPENSIVE TO REPLACE APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approvai Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7178 Board Asset Number: DATE: 08-30-2024 TO: BOARD OF COUNTY COMMISSIONERS FROM: Health Department Department Name To Whom It May Concern: Property Record. Clerk Asset Number: DEPT Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Name of Item TV Room # Conference Room Year Make Samsung Serial Number Model Other Description: Purchased: with Grant: Yes/No? Yes D No lf'Yes' please explain reason to allow disposition beiow. DISPOSITIONE DATA Type of Disposition: removal VAUO * Property that is missing or unable to locate shall be presented to the Counly Commission the Custodian Immediately. Explanation for Disposal: (required) Location: (required) Health department by Property upgraded APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature LLAA County, Administrator Approval Fixed Assets Manager 00 / Department Head Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7179 Board Asset Number: DATE: 08-30-2024 TO: BOARD OF COUNTY COMMISSIONERS FROM: Health Department Department Name To Whom It May Concern: Property Record. Clerk Asset Number: DEPT Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Name ofl Item TVstand Room # Conference Room Year Make Unknown Serial Number Model Other Description: Rolling TV stand Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITIONDATA Type oi Disposition: removal - pDaL * Property that is missing or unable to locate shail be presented to the County Commission Custodian immediately. Explanation for Disposal: (required) Location: (required) Heaith department by the Property upgraded APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature ca Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7396 Board Asset Number: DATE: 9/10/2024 TO: BOARD OFCOUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000CF6 Purchased with Grant: Yes/No? - Yes No IfYes'please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inooerable on new system. radios replaced APPROVED a DENIEDDI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 70 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7397 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000D3A Purchased with Grant: Yes/No? Yes D No If'Yes' please expiain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios reoiaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7398 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTFIÇATIONDATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000D3B Purchased with Grant: Yes/No? Yes B No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radics replaced APPROVED D DENIEDOI By the Taylor County Board of Commission: Date Chairman Signature Department Head County, Administrator, Approval 70 Fixed AssetsManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7399 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000D40 Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on news system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval D Date Removed From Asset Records Fixed AssetsWanager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA ITA 7400 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO 5300 Other Description: Make Harris Serial Number A4012A000D3F Model Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITIONDATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator. Approval 7D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7401 Board Asset Number: DATE: 9/10/2024 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS DEPT 0192 Number FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. in custody. This information should be entered on your The following changes have occurred in the property my IDENTIFICATION DATA Room # Storage Year Make Harris Serial Number A4012A000AD1 Name of Item SLERS RADIO 5300 Other Description: Model If'Yes' please explain reason to allow disposition below. Purchased with Grant: Yes/No? Yes D No DISPOSITION DATA Type of Disposition: Surplus ** Property that is missing or unable Location: (required) Storage to locate shall be presented to the County Commission by the Property Custodian immediately. for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Explanation Date Chairman Signature County Administrator Approval Department Head D Fixed Assets Manager Date Removed From. Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7402 Board Asset Number: DATE: 9/10/2024 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS DEPT 0192 Number FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. in custody. This information should be entered on your The following changes have occurred in the property my IDENTIFICATION DATA Room # Storage Year Make Harris Serial Number A4012A000AD2 Name ofl Item SLERS RADIO 5300 Other Description: Model If'Yes' please explain reason to allow disposition below. Purchased with Grant: Yes/No? Yes No DISPOSITIONI DATA Type of Disposition: Surplus ** Property thatis missing or Expisnation for Disposal Location: (reqlred) Storage APPROVED a Property unable to locate shall be presented to the County Commission by the Custodian immediately. Gequired) Inooerable on new system. radios replaced DENIEDD By the Taylor County Board of Commission Date Chairman Signature County Administrator Approval Department Head B Fixed AsselsManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7403 Board Asset Number: DATE: 9/10/2024 COMMISSIONERS Clerk Asset Number: TO: BOARD OF COUNTY FROM: Fire Rescue DEPT 0192 Number Department Name To Whom It May Concern: occurred in the The following changes have Property Record. in my custody. This information should be entered on your property DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AD3 Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage shall be to the County Commission the Property * Property thati is missing or unable to locate presented by Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Head County Administrator. Approval Fixed AsseisManager % Department Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7404 Board Asset Number: DATE: 9/10/2024 COMMISSIONERS Clerk Asset Number: TO: BOARD OF COUNTY FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number This information should be entered on your The following changes have occurred in the property in my custody. DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AD4 Purchased with Grant: Yes/No? Yes D No If'Yes' please expiain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus ** Property thatis missing or unable to Custodian immediately. Location: (required) Storage locate to the County Commission the Property shall be presented by Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7405 Board Asset Number: DATE: 9/10/2024 COMMISSIONERS Clerk Asset Number: TO: BOARD OF COUNTY FROM: Fire Rescue DEPT 0192 Number Department Name To Whom It May Concern: occurred in the The following changes have Property Record. in custody. This information should be entered on your property my DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO 5300 Other Description: Make Harris Serial Number A4012A000AE4 Model Purchased with Grant: Yes/No? Yes D No If'Yes' piease explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus ** Properly, thati is missing or Custodian immediately. Location: (required) Storage unable locate shall be to to the County Commission by the Property presented Explanation for Disposal: (required). Incperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature County Administrator Approval Fixed Assets Manager Department Head Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7406 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AE5 Purchased with Grant: Yes/No? Yes No If"Yes' piease explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately, Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board ofCommission Date Chairman Signature Department Head County Administrator. Approval T) Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7407 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AE6 Purchased with Grant: Yes/No? Yes No If'Yes' please expiain reason to ailow disposition below. DISPOSITION DATA Type of Disposition: Surpius Custodian Immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable onnew system. radios replaced APPROVED a DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 00 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7408 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: DEPT 0192 Number FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. This information should be entered on The following changes have occurred in the property in my custody. your DENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AE7 Purchased with Grant: Yes/No? Yes - No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator. Approval 3D2 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7409 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000AE8 Purchased with Grant: Yes/No? Yes No If'Yes' please expiain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unabie to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED a DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval à Date Removed From Asset Records FixedAssets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7410 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B25 Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposai: (required) Inoperable on new system. radios replaced APPROVED L DENIEDO By the Taylor County Board of Commission Date Chairman Signature County Department Head Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7411 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B26 Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator. Approval Fixed Assets Manager A Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7412 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B27 Purchased with Grant: Yes/No? Yes No If'Yes' please explainreason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature County Départment Head Approval Date Removed From Asset Records Fixed Assets Manager F DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7413 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATIONI DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B28 Purchased with Grant: Yes/No? Yes D No If'Yes' piease explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7414 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B29 Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage * Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO Bythe Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7415 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B2A Purchased with Grant: Yes/No? Yes D No If'Yes' piease explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval T Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7416 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B2B Purchased with Grant: Yes/No? Yes - No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval (D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7417 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room: # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B2C Purchased with Grant: Yes/No? Yes DNo If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage * Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced. APPROVED a DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 7D) Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7418 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B2D Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 70 Fixed Assals-Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7419 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION. DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000B2E Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shail be presented to the County Commission by the Property Explanation for Disposal: (required) inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 7D Fixed AsselsManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7420 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000ACB Purchased with Grant: Yes/No? Yes L No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property, thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inooerable on new system. radios replaced APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature County Department Head Date Removed From Asset Records Fixed Assets T Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7421 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATIONI DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000ACC Purchased with Grant: Yes/No? Yes LS No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 00) Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7423 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO 5300 Other Description: Make Harris Serial Number A4012A000ACE Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately, Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 0 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7424 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO Model 5300 Other Description: Make Harris Serial Number A4012A000ACF Purchased with Grant: Yes/No? Yes D3 No If'Yes' please explain reason to allow disposition below. DISPOSITIONIDATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDD By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval 4B) Fixed Assels-Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7425 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year Name of Item SLERS RADIO 5300 Other Description: Make Harris Serial Number A4012A000ADO Model Purchased with Grant: Yes/No? Yes D No lf'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage * Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Inoperable on new system. radios replaced APPROVED D DENIEDO By the Taylor County Board ofCommission Date Chairman Signature Department Head County Administrator Approval () Fixed AsseisManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7527 Board Asset Number: DATE: 9/10/2024 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS DEPT 0192 Number FROM: Fire Rescue Department Name To Whom It May Concern: The following changes have occurred Property Record. in the property in my custody. This information should be entered on your DENTIFICATION DATA Room# # Storage Year 2014 Name of Item Make ISI Serial Number 168781050002 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus ** Property thati missing Custodian immediately. Location: (required) Storage is or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outo of Compliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature County Administrator Approval Department Head Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7528 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk. Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room: # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781050003 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes a No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator. Approval Fixed Assels-Manager / 0) Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7529 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: DEPT 0192 Number FROM: Fire Rescue Department Name To Whom It May Concern: have occurred in the property in my custody. This nformation should be entered on your The following changes Property Record. IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030005 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes D No IfYes' please explain reason to ailow disposition below. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage "Property that is missing or unable to locate shail be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature n : County Administrator Approval A Fixed Assets Manager Department Head Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7530 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 16878103003 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes DNo if'Yes' please explainreason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property, thatis missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 0 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7531 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 16878103013 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes No IfYes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED a DENIEDOI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator. Approval (0D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7532 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781030009 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED a DENIEDD By the Taylor County Board of Commission: Date Chairman Signature County Administrator. Approval D AsseisManager Department Head Date Removed From Asset Records Fixed DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7533 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781030011 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage * Property thatis missing or unable to locate shall be presented to the County Commission by the Properly Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7534 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information shouid be entered on your DENTIFICATION DATA Room: # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030007 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDO By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed-Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7535 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781030015 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage * Property that is missing or unable to locate shall be presented to the County Commission by the Property Expianation for Disposal: (required) OutofComoliance APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Fixed Assets Manager Removed From Asset Records Date DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7536 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030010 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDD By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval 7D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7537 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATIONI DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781050001 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITIONDATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Expianation for Disposal: (required) Out ofCompliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval T2y Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7538 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781050005 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explainreason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 7D Fixed. Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7539 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATIONI DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781030012 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately, Location: (required). Storage ** Property thati is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED a DENIEDDI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval 76 Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7540 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781050004 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes D No If'Yes' please expiainreason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDDI By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval 0y Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7541 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room: # Storage Year 2014 Name of Item Make ISI Serial Number 168781030014 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes ENo If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approvai D Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7542 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030006 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surpius Custodian immediately. Location: (required) Storage * Property thatis missing on unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofComoliance APPROVED D DENIEDO By the Taylor County Board of Commission: Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed AsseManager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7543 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Make ISI Serial Number 168781030002 Air Pack Viking Z7 Other Description: Model Purchased with Grant: Yes/No? Yes No IfYes' piease explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property thatis missing or unabie to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompliance APPROVED D DENIEDDI By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Fixed) Te ASsetsManager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7544 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your DENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030008 Air Pack Viking Z7 Other Description: Purchased wwith Grant: Yes/No? Yes D No If'Yes' please explain reason to allow disposition beiow. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing orunable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7545 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030006 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes a No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage **F Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7546 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030004 Air Pack: Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes No lf'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) Outof Compliance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature County Depastment Head Approval Removed From Asset Records Date Fixed Assets Manager DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7547 Board Asset Number: DATE: 9/10/2024 TO: BOARD OF COUNTY COMMISSIONERS Clerk Asset Number: FROM: Fire Rescue Department Name To Whom It May Concern: Property Record. DEPT 0192 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room: # Storage Year 2014 Name of Item Model Make ISI Serial Number 168781030001 Air Pack Viking Z7 Other Description: Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: Surplus Custodian immediately. Location: (required) Storage ** Property that is missing or unable to locate shall be presented to the County Commission by the Property Explanation for Disposal: (required) OutofCompllance APPROVED D DENIEDD By the Taylor County Board of Commission Date Chairman Signature Department Head County Adminstator Approval Fixed Assets Manager Date Removed From Asset Records DISPOSITION OF ASSET REPORT TAYLOR COUNTY, FLORIDA 7874 Clerk Asset Number: TO: BOARD OF COUNTY COMMISSIONERS FROM: ROAD DEPARTMENT Department Name To Whom It May Concern: Property Record. Board Asset Number: DATE: 09/18/2024 DEPT 0301 Number The following changes have occurred in the property in my custody. This information should be entered on your IDENTIFICATION DATA Room # Year Name of Item TRUCK Make CHEVROLET Serial Number Cau - 545.0444 Model 645754 Other Description: Purchased with Grant: Yes/No? Yes No If'Yes' please explain reason to allow disposition below. DISPOSITION DATA Type of Disposition: SURPLUS Custodian immediately. Expianation for Disposal: (required) Location: (required) * Property that is missing or unable to locate shall be presented to the County Commission by the Properly BAD MOTOR/NOT WORTH THE EXPENSIVE TO REPLACE ROAD DEPARTMENT APPROVED D DENIEDDI By the Taylor County Board ofCommission Date Chairman Signature Department Head County Administrator Approval Date Removed From Asset Records Fixed Assets Manager TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: THE BOARD TO CONSIDER APPROVAL OF ADVANCED BUSINESS SYSTEMS W/ AMENDENT AGREEMENT AS AGENDAED BY TERESA COPELAND, DIRECTOR OF TECHNOLOGY SYSTEMS. MEETING DATE REQUESTED: 11/04/2024 Statement of Issue: THE BOARD TO CONSIDER APPROVAL OF ADVANCED BUSINESS SYSTEMS W/ AMENDENT AGREEMENT Recommended Action: APPROVE Fiscal Impact: $131.00 PLUS TAX (63 MONTHS) Equipment Contract $49.50 ($1500.00) Monthly Allowance Maintenance ISupply Agreement Budgeted Expense: NONE Submitted By: TERESA COPELAND Contact: (850) 838-3500 X 108 SUPPLEMENTAL MATERIAL/ ISSUE ANALYSIS Attachments: SEE THE ATTACHMENTS Jhe Bishop Laa Jum, PCA. cHitouneys at. Laa CONRAD c. BISHOR,. JR. CONRAD c. "SONNY" BISHOP, III POST OPFICE BOX 167 PERRY, 411 N. WASHINGTON PLORIDA: $2348 STREET IN MEMORIAL OF FAX (850) (B50) 584-6113 584-2433 KATHLEEN MCCARTHY BISHOP 1966-2013 October 28, 2024 VIA E-MAIL Ms. Lawanda Pemberton County. Administrator County Offices 201 E. Green Street Perry, Florida 32347 Re: Lease on Copier Dear LaWanda: copy machine. Please be advised that Ireceived and read your 2 e-mails of 10/23/24 regarding the Icalled you on 10/25/24 and left a voicemail. Ifthat's the best deal you can get, the waiver of a jury trial bothers me, but not that much. If you have a question, please let me. know. Thank you and Ihope you are doing fine. Respectfully, Mic, CCB/kp Cc: Hon. Gary Knowles (via e-mail) Ms. Salina Grubbs (via e-mail) Amendment This Amendment amends that certain agreement by and between GreatAmerica Financial Services Corporation ("Owner") and County of Taylor ("Customer") which agreement is identified in the Owner's internal books and records as Agreement No. 2007777 (the "Agreement'). All capitalized terms used in this Amendment, which are not otherwise defined herein, shall have the meanings given to such terms in the Agreement. Owner and Customer have mutually agreed that the following modifications be made tot the Agreement. 1. The sentences in the section entitled' "LAWIFORUM which read "This Agreement and any claim related to this Agreement will be governed by lowa law. Any dispute will be adjudicated in a state or federal court located in "This Agreement and any claim related to this Agreement will be governed by Florida law. Any dispute Linn County, lowa," are hereby deleted in their entirety and replaced with the following: will be adjudicated in a state court located in Taylor County, Florida." Except as specifically modified by this Amendment, all other terms and conditions of the Agreement remain in full force and effect. If,a and to the extent there is a conflict between the terms of this Amendment and the terms of the Agreement, the terms of this Amendment shall control. This Amendment is not binding until accepted by Owner. The parties agree that the original hereof for enforcement and perfection purposes, and the sole "record" constituting "chattel paper" under the UCC, is either (a) the paper copy hereof bearing () the original or a copy of either your manual signature or an electronically applied indication of your intent to enter into this Amendment, and () our original manual signature or (b) the copy of this Amendment executed by the parties and controlled by us or our assignee or custodian in accordance with the Electronic Signatures in Global and National Commerce Act or any similar state laws based on the Uniform Electronic Transactions Act and other applicable law as electronic chattel paper under the UCC. Upon execution, the parties agree tol be bound to the terms hereof regardless of the medium or format in which this Amendment is maintained or controlled. CUSTOMER'S AUTHORIZED SIGNATURE (As Stated Above) CUSTOMER OWNER'S SIGNATURE GreatAmerica Financial Services Corporation X OWNER X SIGNATURE SIGNATURE PRINT NAME&TITLE PRINT NAME &1 TITLE DATE DATE ACCEPTED. Comefaper2Tass120Doushaxe PAGE10F1 AGREEMENT GREATAMERICAI FINANCIAL SERVICES CORPORATION PAYMENT ADDRESS: POBOXE 660831, DALLAS TX7 75266-0831 AGREEMENT NO.: 2007777 7GreatAmerica FINANCIAL SERVICES CUSTOMER CYOU-OR-YOUR" FULLLEGALNAME Taylor, County of ADDRESS: 201 E Green St Advanced Business Systems EQUIPMENT ANDE PAYMENT TERMS EQUIPMENTLOCATON, As Stated Above TERMI INI MONTHS: 63 ADDITIONAL TERMS AND CONDITIONS Perry, FL32347-2737 Tallahassee, FL VENDOR (VENDORIS NOT OUR AGENT ANDIS NOT AUTHORIZEDEYUS TO ACT ONOUR BEHALF ORT TOWAIVE OR ALTER ANY PROVISIONOF THIS AGREEMENT) TYPE, MAKE, MODEL NUMBER, SERIAL NUMBER, AND! INCLUDED ACCESSORIES SEEA ATTACHED SCHEDULE Toshiba 2525AC MONTHLYPAYMENT AMOUNT: $131.00 (*PLUS1 TAX) PURCHASE OPTION*: Fair Market Value AGREEMENT. You want us tor now pay) your Vendor for the equipment and/or software referenced INSURANCE. You agreet to maintain commercial general liabilily insurance acceptablet tous.Y You herein Equipment)and thea amountsy your Vendor Included ont thel invoicet tous! fort the Equipmentf for also agree to: 1)keep the Equipment fully Insured against! loss at its replacement cost, with us related installation, training, and/or Implementation costs, andy you unconditionally agree top pay us the named as loss payee; and 2) provide proof of insurance satisfactory to Us no! later than 30 days amounts payable undert thet ters ofthisa agreement (Agreement) each periodb by the due date. This following the commencement oft this Agreement, and thereafter upon our written request. lfyouf fail Agreement willl begin ont thec date the! Equipment is delivered toy you or any later date we designate. tor maintain property! loss Insurances satisfactorytou us andlor youf failtoti timely providep proof ofsuch Wer may chargey youaone-imec origination fee of$125.00. lfwe don notreceivet by thec due date, atthe insurance, we have the option, butr not the obligation, tos secure property loss insurance on the remittance address! Indicated ony your invaice, any amount payable to us, you wil pay, alate charge Equipment from ac carrier ofour choosing Ins such forms anda amounts asv we deem reasonable to equal to: 1)the greater oft ten (10) cents fore each dollar overdue or wenly-six dollars ($26.00); or2) protect our Interests. lfwes secure insurance ont the Equipment, wev willr notn name youa as ani insured NET AGREEMENT. THIS AGREEMENT ISI NON-CANCELABLE FOR THE ENTIRE AGREEMENT beh higher than the premlum you would pay # you obtained insurance, and which may resull ina TERM. YOU UNDERSTAND WE ARE PAYING FOR THE EQUIPMENT BASED ON YOUR profil to ust through ank Investment inr reinsurance. lfyou are curent in allofy your obligations under UNCONDITIONAL ACCEPTANCE OF m AND) YOUR PROMISE TOI PAY US UNDER THE TERMS the Agreement at thet time of loss, any insurance proceeds received wil be applied, ato ouro option, OF THIS AGREEMENT, WITHOUT SET-OFFS FOR ANY REASON, EVEN IF THE EQUIPMENT tor repalr or replace the Equipment, ort top pay us the remaining payments due or tob become due EQUIPMENT USE. Youv willk keep thel Equipment in good working order, usei itforb business purposes TAXES. We own the Equipmen. You wil pay when due, either directly or by reimbursing us, al only, and notr modify or move R from its Initial location without our consent. You must resolve any laxes and fees relating tot the Equipment and this Agreement. Sales or use tax dueu upfrontv will be this Agreement may Include amounts you owe your Vendor under a separate arrangement (for END OF TERM. Att the end ofthe term oft this Agreement (ora any renewal term) (the" "End Date"), maintenance, service, supplies, etc.), which amounts may bei invoiced by us ony your Vendor's behalf this Agreement willr renew montht tor month unless a)v wer receive written noticef fromy you, atleast6 60 SOFTWARE/DATA Except as provided in this paragraph, references to" "Equipment" Incude any Equipment to thel location designated by us, aty your expense. lfal Purchase Option is Indicated software referenced above ari inslalled on the Equipment. We dor not own thes software and cannot above andy youa arer noti in defauito ont the End Date, your may purchase the! Equipment from us" "AS transfer any Interest inittoy you. Wea aren notr responsible for the software or thec obligations afy youd or IS6 for the Purchase Opionp price. lthe retumed Equipmenti is noti immediately availablet fort use! by the! licensor under any! license agreement. You ares solely responsible for protecting andr removinge any another without need of repair,) you wil reimburse usf for allr repair costs. You cannot pay offt this NO WARRANTY. WE MAKE NO WARRANTIES, EXPRESS OR IMPLIED, INCLUDING may chargey you, in addifion toc other amounts owed, an early temination fee equal to 5%of the ACCEPTED THE EQUIPMENT "AS-IS". YOU CHOSE THE EQUIPMENT, THE VENDOR AND DEFAULTIREMEDIES. lfap payment! becomes 10+ days past due, arify you othervwise breach this ANYIALL SERVICE PROVIDER/S) BASED ON YOUR JUDGMENT. YOU MAY CONTACT YOUR Agreement, yous will beind defaull, andv wer may requiret thaty your retum the Equipment to us atyour VENDOR FOR A STATEMENT OF THE WARRANTIES, IF ANY, THAT THE MANUFACTURER OR expense and pay us: 1)all past due amounts and 2) al remaining payments fort the unexpired ASSIGNMENT. Your may not sell, assign ors sublease the Equipment ort this Agreement without our Equipment and use all other legal remedies available to us. You agree to pay all costs and written consenl. Wer may sell or assign this Agreement or ourr rights! Int the Equipment, inv whole orin expenses (ncluding reasonable attomey fees) we tncur in any dispute with you related to this part, toat thirdp party withoutn notice toyou.) You agree thatifwed dos so, thea assignee will have our rights Agreement. Youa agree topay usi Interesto ona alpast duea amounts atthe rate af1 1.5%pern month,or LAWIFORUM. This Agreement and any daim related to this Agreement willbeg govemed by! lowal law. UCC. You agree! thatt this Agreementi is (andor shall bet treateda as)a" "Financel Lease" ast thatt tem Any disputey will be adjudicated! inastated ort federalo court! locatedi inLinn Counly, lowa. Youc consent to isdefined InA Artide 2Aofthel Uniform Commercial Code( (UCC).) You agree tof forgot ther rights and personal jurisdiction and venue in such courts and waive transfer ofv venue. Each party waives any remedies provided under sections 507-5220fA Article: 2AC ofthel UCC. LOSS OR DAMAGE. You are responsible for any damage toc orl loss oft thel Equipment. Nos such loss Equipment and supersedes any prior representations or agreements, including any purchase or damage wilr rellevey youf from your payment obligations hereunder. We arer not responsible for, and orders. Amounts payable under this Agreement may indlude a profit to us. The parties agree that you will indemnify us against, any daims, losses or damages, indluding attomey fees, In any way the ariginal hereof for enforcement and perfection purposes, and the sole "record" consituting relating to the Equipment or data stored oni iL This Indemnily wil survive the expiration of this "chattel paper" under the UCC,Is thep paper copy! hereof bearing @ the original ora ac copy ofe either thehighesilawiuc charge, Hfless. parly, your interestsr may notb bef fully protected, andy you wil reimburse us the premium which may under this Agreement, plus our booked residual, both discounted at3%pera annum. DOES NOT WORK ORI ISDAMAGED, EVENIFITIS NOT YOURI FAULT. disputey you may have conceming the Equipment with ther manufaclurer or Vendor. Payments under payabled overt thet termv withaf finance charge. fory your convenience. days prior to the End Date, of your intent tor retum the Equipment, and b)y you timely retum the Agreement or relum the Equipment prior to thel End Date without our consent. lfwe consent, we term, plus our bookedr residual, discounted lat3%per annum; andy wer may disablec or repossess the confidential data/images stored ont the Equipment prior toitsr relumf for any reason. VENDOR ISF PROVIDING. WEA ASSIGN TOYOUA ANY WARRANTIES GIMVENTE TOUS. butwilnotb bes subjectb toa any daim, defense, or sel-offa assertable againstu usora anyone else. WARRANTIESOF! MERCHANTABILITY ORF FITNESSI FOR APARTICULAR PURPOSE. YOUI HAVE amounty wep paidi fort theE Equipment. atthe! highestr rate allowed! by applicable law, ifless. righttoajuryt trial. MISCELLANEOUS. This Agreemen! is the entire agreement between you and us relafing tot the your manual signature or an electronicaly appled indication of your Intent to enter into this Agreement, and (i) our original manual signature. ! any provision of this Agreement is unenforceable, the other provisions herein shall remain inf fulf force and effect tot thef fulleste extent permittedbylaw. Anyd changer must! beinwifings signedbyeach; party. CUSTOMER'S AUTHORIZED: SIGNATURE CUSTOMER: (As Stated Above) SIGNATURE: X PRINT NAME &TITLE: Agreement. Innoe event willv wet bel liable for any consequentialori indirect damages. OWNERNS-U-CuRT SIGNATURE: PRINT NAME &TITLE: SIGNATURE: X THIS AGREEMENT ISN NON-CANCELABLEFOR THE FULL AGREEMENT TERM. THIS/ AGREEMENT ISI BINDING WHENT WE EXECUTE1 THIS AGREEMENT ANDF PAYFORT THEI EQUIPMENT. OWNER: GreatAmerica Financial Services Corporation CERTIFICATE OF DELIVERY AND ACCEPTANCE DATE: DATE: DATE: The Customer! hereby cerfest thata allu thel Equipment: 1)has beenr received, Installed, and! Inspected, and2 2)isfuly operational and unconditionally accepted. NAME ANDTITLE: VG01(TL).0510 08/13/24 125 12361 North Monroe St . Tallahassee, FL32303 ADVANCED BUSINESS SYSTEMS P(850)222-2308 F(850)222-3684 www.a-b-s.com MAINTENANCE AND SUPPLY AGREEMENT - MSA equipment point ofsale. Does not include papero ors staples, unless otherwise: stated. Includes all parts, labor, toner, developer andf fuser oil. Drums andi masters are included when maintenance is purchasedat Monthly Minimum Charge Allowance $49.50 Monthly 1,500 Excess of Allowance Rate $0.0198 $0.0700 $ Starting Meter Reading 2 Type B&W Color Scan Other Total Monthly Minimum Charge Invoicing E Monthly Client Accepts:. scanning destinations. Client Accepts: M Yes! Mfg. 1.Toshiba 2525AC 2. 3. 1 3 $49.50 Equipment ID: Semi-Annual Quarterly Annual NetConnectProtection: Includes reinstallation of print drivers, user account control updates and reconnectionof Remote Support $9.99permonth) On-Site! Support ($29permonth) Client Declines: Remote Meter Readings: ABS will collectyour meter readings electronically. Includes autoi toner replacement. Not thanks Model Service Zone Agreement Period From: 1/ To: Serial Number Special Instructions: CLIENT# TC06 CLIENT# COMPANY SAME ADDRESS CITY PHONE COMPANY Taylor County Recycling ADDRESS 3750 US Highway 98 West CITY Tallahassee STATE FL ZIP3 32347 PHONE 850-838-3533 CONTACT Gary METERI REQUESISCONTACT: STATE CONTACT ZIP E-MAILI METERE REQUESTS1 TO: TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: BOARD OF COUNTY COMMISSIONERS TO CONSIDER AWARD AND ANDERSON COLUMBIA CONTRACT APPROVAL FOR THE SAN PEDRO ROAD SHEET PILE WALL PROJECTTO. ADDRESS ROADWAY SUBSIDENCE RELATEDTOSINKHOLE ACTIVITY. MEETING DATE REQUESTED: November 4, 2024 Statement of Issue: Construction Plans and Specifications were prepared and advertised to addresss roadway subsidence related to an adjacent karst feature along a portion of San Pedro Road. This information was presented as a Request For Proposals (RFP) but has yet to be awarded due to funding Recommended Action: The Board should award the San Pedro Rd Sheet Pile Wall project to deficiencies. Anderson Columbia as the lowest responsive Bidder. Fiscal Impact: Budgeted Expense: Submitted By: Contact: FISCAL YR 202425-S1.174963 ARPA Funding YES ENGINEERING DIVISION COUNTY ENGINEER SUPPLEMENTALMATERIAL/BSUE ANALYSIS History, Facts & Issues: Green Street/San Pedro Road was reconstructed in 2007 from the intersection of Green and Washington Street eastward to the Faulkner Road intersection. The project included resurfacing, widening, guardrail enhancements, and signage and pavement markings to modernize the road's safety standards. An additional aspect of the roadway project included addressing drainage features and stabilizing a shoulder area with a concrete gravity wall adjacent to the well-known Consistently since reconstruction and through most of year 2022, the San Pedro Road project performed as intended without any perceived issues. However, during September (2022), a section of guardrail and the roadway itself began translating and subsiding. Staff reached out and consulted with FDOT and some of its consultants knowledgeable of subsidence remediation. After considering, scheduling, completing and reviewing several subsurface Geotechnical borings, it was determined that the section of roadway would require substantial effort to work toward eliminating the potential for further degradation. Staff coordinated with one of our Consulting Engineering firms, George & Associates, to prepare a remediation and restoration plan that included installing 200 linear feet of Steel Sheet Pile wall. This wall will be embedded in the underlying rock surface to create a soil curtain that will prevent material from shifting under the roadway/shoulder towards the adjacent sinkhole. Although the current area of distress is less than this length, the added distance will ensure that a similar situation is less likely The BOCC approved the remediation project and advertised the San Pedro Road Retaining Wall Project Request for Proposals. On December 19, 2023, the Board received a single proposal from Anderson Columbia in the amount of$1,174,963. Although the AC Bid was found to be complete and consistent with the project advertisement, the Board has yet to formally award moving forward with the project as Spring Creek sinkholes. to occur along the eastern adjacent sinkhole. adequate funding remained unidentified. Since that decision, the Board more recently agreed at its September 17,2024 meeting to use American Rescue Plan Act Funding for both the construction effort and associated CEI services. Consistent with that decision, Staff questioned Anderson Columbia's continued interest in honoring their original bid terms and amount. Anderson agreed with the understanding that, due to the specialized subcontractor's restricted availability, they would not be able to commence the project until January 2025. Staff agreed to present the Contract to the Board with that condition and requested Anderson to forward the signed contract, Bonds and Insurance for the Board's consideration and approval. If approved and after full contract execution, a Purchase Order will be encumbered to meet the December 31, 2024 ARPA program obligation requirement. Options: 1) 2) Attachments: Award the San Pedro Road Sheet Pile Wall project to Anderson Columbia in the amount of Reject the proposed award and consider a proposal that represents Taylor County's best $1,174,963 using American Rescue Plan Act funding. interest as determined by the Board of County Commissioners. Anderson Columbia Contract for the San Pedro Road Sheet Pile Project SRIP- San Pedrol Road 2023-003-OEC AGREEMENT BETWEEN OWNER AND CONTRACTOR FOR CONSTRUCTION CONTRACT (STIPULATED PRICE) THIS AGREEMENT is by and between Taylor County Board of County Commissioners (Owner) and Anderson Columbia Co.. Inc. (Contractor). Owner and Contractor. in consideration of the mutual covenants set forth herein. agree as follows: ARTICLEI-WORK described as follows: 1.01 Contractor shall complete all Work as specified or indicated in the Contract Documents. The Work is generally San Pedro Road Retaining Wall Contract: The intent of this contract is to secure all labor and equipment required for the San Pedro Road Retaining Wall project in Taylor County, Florida. This project consists of installing 200 LF of Sheet Pile wall along a portion of San Pedro Rd to stabilize an area of subsidence due to an apparent underlying karst feature. Improvements will also include roadway reconstruction and restoration as well as roadside protective devices, as more fully detailed in the project plans and specifications. ARTICLE2-THE PROJECT described as follows: 2.01 The Project for which the Work under the Contract Documents may be the whole or only a part is generally This project is 10 a lump sum project, with add/deduct items as specified on the Bid Proposal. ARTICLE3-ENGINEERPROJECT ADMINISTRATION 3.01 The Project has been designed by: George & Associates Consulting Engineers, Inc. 1967 Commonwealth Lane, Suite 200 Tallahassee, Florida 32303 850.521.0344 3.02 The Project will be administered by: Taylor County Engineering Department 201 East Green Street Perry, Florida 32347 850.838.3500 (Engineer and Project Administrator), who is to act as Owner's representative, assume all duties and responsibilities, and have the rights and authority assigned to Engineer in the Contract Documents in connection with the completion of the Work in accordance with the Contract Documents. EJCDC C-520 Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright82 2002 National Society of Professional Engineers for EJCDC. All rights reserved. 00520-1 2 E SRIP San Pedro Road 2023-003-OEC ARTICLE4 4-CONTRACTTIMES 4.01 Time oft the Essence A. All time limits for Milestones, ifany, Substantial Completion, and completion and readiness for final payment as stated in the Contract Documents are of the essence of the Contract. 4.02 Days to Achieve Substantial Completion and Final Payment A. The Work will be substantially completed within 105 days after the date when the Contract Times commence to run as provided in Paragraph 2.03 of the General Conditions, and completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions within 115 days after the date when the Contract Times commence to run. 4.03 Liquidated Damages A. Contractor and Owner recognize that time is of the essence of this Agreement and that Owner will suffer financial loss ifthe Work is not completed within the times specified in Paragraph 4.02 above, plus any extensions thereof allowed in accordance with. Article 12 ofthe General Conditions. The parties also recognize the delays, expense, and difficulties involved in proving in a legal or arbitration proceeding the actual loss suffered by Owner if the Work is not completed on time. Accordingly, instead of requiring any such proof or calculation, Owner and Contractor agree that as liquidated damages for delay (but not as a penalty), Contractor shall pay Owner an amount consistent with Section 8-10 of the FDOT Standard Specifications for each day that expires after the time specified in Paragraph 4.02 for Substantial Completion until the Work is substantially complete. After Substantial Completion, if Contractor shall neglect, refuse, or fail to complete the remaining Work within the Contract Time or any proper extension thereof granted by Owner, Contractor shall pay Owner an amount consistent with Section 8-10ofthe FDOT Standard Specifications for each day that expires after the time specified in Paragraph 4.02 for completion and readiness for final payment until the Work is completed and ready for final payment. 4.04 Correction Period/Warranty date of final acceptance. ARTICLES-CONTRACTPRICE A. The Correction Period specified in Paragraph 13.07 of the General Conditions is modified to require that all workmanship and materials furnished to complete this project shall be warranted for no less than a three-year period after the 5.01 Owner shall pay Contractor for completion of the Work in accordance with the Contract Documents an amount in current funds equal to the sum ofthe amounts determined pursuant to Paragraphs 5.01.A below: A. For all Work other than Unit Price Work, a Lump Sum of: One Million One Hundred Seventy-Four Thousand Nine Hundred Sixty-Three Dollars and No Cents ($1.174.963) All specific cash allowances are included in the above price and have been computed in accordance with paragraph (words) (numerals) 11.02 ofthe General Conditions. ARTICLE6-FAYMENT PROCEDURES 6.01 Submittal and Processing of Payments A. Contractor shall submit Applications for Payment in accordance with Article 14 ofthe General Conditions. Applications for Payment will be processed by Engineer as provided in the General Conditions. EJCDC C-520 Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright82 2002 National Society of Professional Engineers for EJCDC. All rights reserved. 00520-2 SRIP- San Pedrol Road 2023-003-OEC 6.02 Progress Payments; Retainage A. Owner shall make progress payments on account of the Contract Price on the basis of Contractor's Applications for Payment on or about the 10th day of each month during performance of the Work as provided in Paragraphs 6.02.A.1 and 6.02.A.2 below. All such payments willl be measured byt the schedule of values established as provided in Paragraph: 2.07.A of the General Conditions (and in the case ofUnit Price Work based on the number of units completed) or, in the event there is 1. Prior to Substantial Completion, progress payments will be made in an amount equal to the percentage indicated below but, in each case, less the aggregate of payments previously made and less such amounts as Engineer may determine or Owner may withhold, including but not limited to liquidated damages, in accordance with Paragraph 14.02 oft the General no schedule ofvalues, as provided in the General Requirements: Conditions: a. 95%1 percent of Work completed (with the balance being retainage); and spmmafemcimsiaa and equipment noti incorporated in the Work (with the! balance beingr retainage). 2. Upon Substantial Completion, Owner shall pay an amount sufficient to increase total payments to Contractor to 95% percent of the Work completed, less such amounts as Engineer shall determine, or OWNER may withhold, in accordance with Paragraph 14.02.B.5 of the General Conditions and less Five percent (5%) of Engineer's estimate of the value of Work to be completed or corrected as shown on the tentative list ofi items to be completed or corrected attached to the certificate of Substantial Completion. 6.03 Final Payment A. Upon final completion and acceptance of the Work in accordance with Paragraph 14.07 of the General Conditions, Owner shall pay the remainder ofthe Contract Price as recommended by Engineer as provided in said Paragraph 14.07. ARTICLE7-INTEREST Zero percent (0%) per annum. 7.01 All moneys not paid when due as provided in Article 14 of the General Conditions shall bear interest at the rate of ARTICLE8-CONTRACTORS REPRESENTATIONS 8.01 In order to induce Owner to enter into this Agreement, Contractor makes the following representations: A. Contractor has examined and carefully studied the Contract Documents and the other related data identified in the B. Contractor has visited the Site and become familiar with and is satisfied as to the general, local, and Site conditions that C. Contractor is familiar with and is satisfied as to all federal, state, and local Laws and Regulations that may affect cost, D. Contractor has carefully studied all: (1) reports of explorations and tests of subsurface conditions at or contiguous to the Site and all drawings ofphysical conditions in or relating to existing surface or subsurface structures at or contiguous to the Site (except Underground Facilities) which have been identified in the Supplementary Conditions as provided in Paragraph 4.02 ofthe General Conditions and (2) reports and drawings ofal Hazardous Environmental Condition, ifany, at the Site which has been identified int the Supplementary Conditions as provided in Paragraph 4.06 of the General Conditions. E. Contractor has obtained and carefully studied (or assumes responsibility for doing so) all additional or supplementary examinations. investigations. explorations. tests. studies, and data concerning conditions (surface. subsurface. and Underground EJCDC C-520 Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Bidding Documents. may affect cost, progress, and performance ofthe Work. progress, and performance oft the Work. Copyrights 8: 2002 National Society of Professional Engineers for EJCDC. All rights reserved. 00520-3 SRIP San Pedro Road 2023-003-OEC Facilities) at or contiguous to the Site which may affect cost, progress, or performance of the Work or which relate to any aspect ofthe means, methods, techniques, sequences, and procedures of construction to be employed by Contractor, including any specific means, methods, techniques, sequences, and procedures of construction expressly required by the Bidding F. Contractor does not consider that any further examinations, investigations, explorations, tests, studies, or data are necessary for the performance of the Work at the Contract Price, within the Contract Times, andi in accordance with the other G. Contractor is aware of the general nature of work to be performed by Owner and others at the Site that relates to the H. Contractor has correlated the information known to Contractor, information and observations obtained from visits to the Site, reports and drawings identified in the Contract Documents, and all additional examinations, investigations, explorations, I. Contractor has given Engineer written notice of all conflicts, errors, ambiguities, or discrepancies that Contractor has discovered in the Contract Documents, and the written resolution thereofby Engineer is acceptable to Contractor. J. The Contract Documents are generally sufficient to indicate and convey understanding of all terms and conditions for Documents, and safety precautions and programs incident thereto. terms and conditions oft the Contract Documents. Work as indicated in the Contract Documents. tests, studies, and data with the Contract Documents. performance and furnishing of the Work. ARTICLE9- CONTRACT DOCUMENTS 9.01 Contents A. The Contract Documents consist oft the following: . This Agreement (pages Ito 6, inclusive). 2. Performance and Payment bond. 3. Standard General Conditions. 4. Supplementary Conditions. 5. Specifications as listed in the table of contents of the Project Manual. 6. Florida Department of Transportation Standard Specifications for Road and Bridge Construction (see plan set) 7. Drawings consisting of 28 sheets with each sheet bearing the following general title: San Pedro Road Retaining 8. Florida Department ofTransportation Standard Plans for Road and Bridge Construction (see plan set) Wal! [or] the Drawings listed on attached sheet index. 9. Addenda (numbers Ito 1. inclusive). 10. Exhibits to this Agreement (enumerated as follows): a. Contractor's Bid (pages Ito 46, inclusive). b. Documentation submitted by Contractor prior to Notice of Award (pages Ito 1, inclusive). Contractor's and Subcontractor's Valid Businesy/Contractor) Licensing/Regisration Information.. EJCDCC-520: Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright8 2002 National Society of Professional Engineers for EJCDC. Allr rights reserved. 00520-4 E SRIP- San Pedro Road 2023-003-OEC 11. The following which may be delivered ori issued on or after the Effective Date ofthe Agreement and are not attached hereto: Notice to Proceed. b. Work Change Directives. Change Order(s). B. The documents listedi in Paragraph 9.01.A are attached to this Agreement (except as expressly noted otherwise above). D. The Contract Documents may only be amended, modified, or supplemented as provided in Paragraph 3.04 ofthe General There are no Contract Documents other than those listed above in this Article 9. Conditions. ARTICLE I0-MISCELLANEOUS 10.01 Terms Conditions. A. Terms used in this Agreement will have the meanings stated in the General Conditions and the Supplementary 10.02 Assignment of Contract A. No assignment by aj party hereto of any rights under or interests in the Contract will be binding on another party hereto without the written consent oft the party sought to be bound; and, specifically but without limitation. moneys that may become due and moneys that are due may not be assigned without such consent (except to the extent that the effect ofthis restriction may be limited' by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. 10.03 Successors and Assigns A. Owner and Contractor each binds itself, its partners, successors, assigns, and legal representatives to the other party hereto, its partners, successors, assigns, and legal representatives in respect to all covenants, agreements, and obligations contained in the Contract Documents. 10.04 Severability A. Any provision or part of the Contract Documents held to be void or unenforceable under any Law or Regulation shall be deemed stricken, and all remaining provisions shall continue to be valid and binding upon Owner and Contractor, who agree that the Contract Documents shall be reformed to replace such stricken provision or part thereof with a valid and enforceable provision that comes as close as possible to expressing the intention of the stricken provision. 10.05 Preference To State Residents A. Chapter 2010-147. Section 50, Laws of Florida, providing for preference to residents of the State of Florida, is hereby made a part of this Contract: Each contract that is funded by state funds must contain a provision requiring the contractor to give preference to the employment of state residents in the performance of the work on the project if state residents have substantially equal qualifications to those ofnonresidents. As used in this Section, the term "substantially equal qualifications" means the qualification of two or more persons among whom the employer cannot make a reasonable determination that the qualifications held by one person are better suited for the position than the qualifications held by the other person or persons. EJCDC C-520 Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright8 82 2002 National Society of Professional Engineers for EJCDC. All rights reserved. 00520-5 SRIP San Pedro Road 2023-003-OEC 10.06 Public Records Provision A. In accordance with Section 119.0701, Florida Statutes, Contracts; Public records, Contractor shall specifically: a. Keep and maintain public records that ordinarily and necessarily would be required by the public agency in b. Provide the public with access toj public records on the same terms and conditions that the public agency would provide the records and ata a cost that does note exceed the cost provided in this chapter or as otherwise provided Ensure that public records that are exempt or confidential and exempt from public records disclosure d. Meeta all requirements for retaining publicr records andt transfer, at no cost, to thej public agencyall publicrecords inp possession oft the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the public agency in a format that is compatible with the information order to perform the service. by law. requirements are not disclosed except as authorized by law. technology systems of the public agency. 10.07 Indemnification and Insurance A. To the extent provided by law, Contractor, Subcontractor(s), Consultant(s), or Subconsultant(s) shall indemnify and hold harmless Owner and the State of Florida, Department of Transportation, including their respective officers and employees, from liabilities, damages, losses, and costs, including, but not limited to, reasonable attorneys' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct oft the Contractor, Subcontractor(s), Consultant(s). or Subconsultant(s) and other persons employed or utilized by the Contractor, Subcontractor(s). Consultant(s). or Subconsultant(s) in the performance of this Contract. B. This indemnification: shall survive termination of this Contract. 10.08 Other Provisions A. Venue for disputes arising from this contract shall be Taylor County, Florida. EJCDC C-520 Suggested Form of Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright8 82 2002 National Society ofProfessional Engineers for EJCDC. All rights reserved. 00520-6 E SRIP- San Pedrol Road 2023-003-OEC IN WITNESS WHEREOF, Owner and Contractor have signed this Agreement in duplicate. One counterpart each has been delivered to Owner and Contractor. All portions of the Contract Documents have been signed or identified by Owner and Contractor or on their behalf. This Agreement will be effective on OWNER: Co., 2024 (whiçh is the Effective Date of thelAg/eement, CONTRACTOR: Anderson Columbia Co., Inc. By: ER E.TonyWiys Jr. Taylor County Board of County Commissioners By: LaWanda Pemberton Title: County Administrator Attest: Gary Knowles Title: Taylor County Clerk ofCourt Address for giving notices: Title: Attest: Title: Vice President INV PORATESEAL) ICOUNTYSEAL) Contract Administrator gk Address for giving notices: 1087 North. Jefferson St., Suite 102, Perry, FL32347 871 NW Guerdon Street, Lake City,FL32056 P.O. BOX 1829, Lake City,FL3 32056 PH: 386-752-7585 ext 224; Fax 386-755-9132 License No.: CGC 060909 Agent for service or process: OR P.O. Box 620, Perry,FL32348 (IfOwner isa corporation, attach evidence ofa authority to sign. ifOwneri Is ap public body, attach evidence of authority to sign and resolution or other documents authorizing execution ofOwner-Contractor. Agrccment.) (Where applicable) (IfContractor is a corporation or a partnership, attach evidence ofauthority to sign.) EJCDCC-520: Suggested Form ofA Agreement Between Owner and Contractor for Construction Contract (Stipulated Price) Copyright82 2002 National Society ofProfessional Engineers for EJCDC. All rights reserved. 00520-7 SRIP- San Pedro Road 2023-003-OEC This document has important legal consequences; consultation with an attorney is encouraged with respect to its use or modification. This document should be adapted to the particular circumstances ofthe contemplated: Project andt the Controlling Law. STANDARD OF THE GENERAL CONDITIONS CONSTRUCTION CONTRACT Prepared by and ENGINEERS. JOINT CONTRACT DOCUMENTS COMMITTEE Issued and Published Jointly By National Society of Professional Engineers ASCE Prolessional Engineersk in Private Practice a practice division oft the American Society of Civil Engineers ACEC ar ATCAsG Corsas FcNERa PROFESSIONAL ENGINEERS IN PRIVATE PRACTICE NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS AMERICAN COUNCIL OF ENGINEERING COMPANIES AMERICAN SOCIETY OF CIVIL: ENGINEERS This document has been approved and endorsed by m The Associated General Contractors of America Kowledge lor Creating ands Sustaining teBUtE Emironment Construction Specifications Institute EJCDC C-700 Standard General Conditions oft the Construction Contract. Copyright o: 2002 National Society of Professional Engineers for EJCDC. Allr rights reserved. 00700-1 - E SRIP- San Pedrol Road 2023-003-OEC Supplementary Conditions These Supplementary Conditions amend or supplement the Standard General Conditions of the Construction Contract (No. C-700, 2002 Edition) and other provisions of the Contract Documents as indicated below. All The terms used in these Supplementary Conditions have the meanings stated in the General Conditions. Additional terms used in these Supplementary Conditions have the meanings stated below, which are applicable provisions which are: not sO amended or supplemented remain in full force and effect. to both the singular and plural thereof. SC-2.02 A. Delete Paragraph 2.02.A in its entirety and insert the following: Owner shall furnish to Contractor up to three printed or hard copies ofthe Drawings and Project Manual. Additional copies will be furnished upon request at the cost ofreproduction. Delete Paragraphs 4.02.A in its entirety and insert the following: SC-4.02 A. Reports and Drawings: Owner has contracted with and included a Geotechnical Investigation and Report of the Subsurface and Physical Conditions within the San Pedro Rd Retaining Wall project site. Such report prepared by Environmental and Geotechnical Specialists, Inc. is provided as technical data for the Contractor and is not aj part of the Contract Documents. SC-4.06 A. B. SC-5.04 C. Delete Paragraphs 4.06.A and 4.06.B in their entirety and insert the following: No reports on drawings related 10 Hazardous Environmental Conditions are known to Owner or Engineer. Not Used. Add the following new paragraph immediately after Paragraph 5.04.B: The limits ofliability for the insurance required by Paragraph 5.04 ofthe General Conditions shall provide coverage for not less than the following amounts or greater where required by Workers' Compensation, and related coverages under Paragraphs 5.04.A.1 and. 4.2ofthe Laws and Regulations: General Conditions: State 1. a. b. C. 2. Statutory Statutory $100,000 Applicable Federal (e.g.. Longshoremans 's) Employer 's Liability Contractor: 's General Liability under. Paragraphs 5.04.A.3 through. A.6ofthe General Conditions which shall include completed operations and product liability coverages and eliminate the exclusion with respect to property under the care, custody and control ofContractor: a. b. C. General. Aggregate $1.000,000 $1.000,000 $1.000.000 Products - Completed Operations Aggregate Personal and. Advertising Injury Supplementary Conditions 1 SRIP- San Pedro! Road 2023-003-OEC $1,000,000 d. e. f Each Occurrence (Bodily Injury and. Property Damage) Property Damage liability insurance will provide Explosion, Collapse, and Under- ground coverages where applicable. Excess or Umbrella Liability 1) General. Aggregate 2) Each Occurrence $1,000,000 $1,000,000 3. Automobile Liability under Paragraph 5.0-.A.6 of the General Conditions: a. b. C. Bodily. Injury: 1). Each person 2) Each. Accident Property. Damage: 1)Each Accident Combined. Single Limit of $1,000,000 81,000,000 $5 500,000 $1,000,000 4. The Contractual Liability coverage required by Paragraph 5.0-.B.+ ofthe General Conditions shall provide coverage for not less than the following amounts. a. Bodily Injury: 1)1 Each. Accident 2) Annual Aggregate Property Damage: 1) Each. Accident 2) Annual. Aggregate $1.000.000 $1,000,000 $1.000.000 S1.000.000 b. 5.04.B.1. Additional Insureds: Taylor County Board ofCounty Commissioners SC-6.06 Add a new paragraph immediately after Paragraph 6.06.G: H. The Contractor shall not award work valued at more thanj forty (40%). percent ofthe Contract Amount to Subcontractor(s), without prior written approval of the Owner. SC-6.10. Add a new paragraph immediately after Paragraph 6.10.A: B. Owner is exempt from payment of sales and compensating use taxes oft the State of Florida and ofcities and counties thereofon all materials to be incorporated into the Work which are. Direct Purchased by Owner. 1. 2. Owner will furnish the required certificates of tax exemption to Contractor for use in the purchase of Direct Purchased: supplies and materials to be incorporated into the Work. Owner' 's exemption does not apply to supplies, materials, or construction tools, machinery, equipment, or other propertyp purchased by or leased by Contractor, or to supplies or materials not incorporated into the Work. SC-6.13 Supplementary Conditions -2 3 T SRIP- San Pedro Road 2023-003-OEC Permits securedfrom the County, City, Florida Department of Transportation, Florida Department of Health, Suwannee River Water Management District, Army Corp of Engineers or the Florida Department of Environmental Protection and. specific requirements shall be strictly adhered to, including all requirements. for the protection ofwetlands and Manatees, ifapplicable. SC-9.03.A. Add the following language at the end of paragraph 9.03.A: 1. The County will provide Project Representative services for this project. All work performed for this project shall be inspected by an authorized representative of the Board of County Commissioners ofTaylor County on afive day, 8:00a.m. -5:00p.m., Monday through. Fridaywork week, excluding Counly-designated holidays. If weekend work becomes necessary, it must be authorized by the Coumy'srepresentahe at least three days prior to scheduling ofsuch work. a. The authorized representative shall be given no less than 2+ hours prior notice of the expected time and date of pertinent aspects ofthis project to include, but not be limited to, concrete pours, b.7 Thefollowing individuals, in the listedorder, will be the responsible agent(s)) for the County: material deliveries, lane closures etc. Kenneth Dudley, County Engineer Hank Evans, Public Works Department Director LaWanda Pemberton. County. Administrator SC-14.02.A.3 Add the following language at the end of paragraph 14.02.A.3: No payments will be made that would deplete the retainage, place in escrow anyfunds that are required for retainage, or invest the retainage for the benefit ofthe Contractor. SC-14.02.C.1. Delete Paragraph 14.02.C.1 in its entirety and insert the following in its place: 1. The Application for Payment with Engineer 's recommendations will be presented to the County for consideration. Ifthe Countyfinds the Application for Payment acceptable, the recommended amount less any reduction under the provisions ofParagraph 14.02.Dwill become due thirty days afier the Application, for Payment is presented to the County. and the County will make payment tot the Contractor. SC-16 The venue for all disputes shall be Taylor County, Florida. Supplementary Conditions- -3 SRIP San Pedrol Road 2023-003-OEC SUPPLEMENTAL SPECIFICATIONS 1. The Taylor County Board of County Commissioners is addressing subsidence along a portion of San Pedro Road under the Taylor County Secondary Road Improvement Program. The roadway and shoulder subsidence will be addressed by installing 200 LF of Sheet Pile wall along a portion ofSan Pedro Rd in an effort to stabilize effects from an apparent adjacent underlying! karst feature. Improvements will also include roadway reconstruction and restoration as well as roadside protective devices, as more fully detailed in the project plans and specifications. This project shall be completed in accordance with "Florida DepartmentofTransportation(FDOT) Standard Plans for Road and Bridge Construction", latest edition or "FDOT Standard Specifications for Road and Bridge Construction", latest edition and as amended or supplemented by these specifications, plans and Contract documents. In the event of conflicting provisions within the contract documents, the more restrictive requirement or provision as determined by the FDOT MODIFICATIONS - When "FDOT Standard Plans for Road and Bridge Construction" or "FDOT Standard Specifications for Road and Bridge Construction" refers to FDOT, Engineer, Department, Inspector, these items shall refer to Taylor County Engineer or authorized representative. When "FDOT Standard Plans for Road and Bridge Construction" or "FDOT Standard Specifications for Road and Bridge Construction" refers to Laboratory this item refers to an independent properly licensed testing lab selected by Contractor with approval of County and FDOT SPECIFICATIONS - When the specifications refer to the State of Florida or officials of the State it shall be interpreted as the County Commissioners or their authorized representative. WARRANTY - The Correction Period specified in Paragraph 13.07 of the General Conditions is modified to require that all workmanship and materials furnished to complete this project shall be warranted for no less than a three-year period after the date of final acceptance. The Performance Bond for this project may be reduced to 75% oft the contract amount after completion ofthe first All materials used shall meet all requirements of the Florida Department of Transportation Standard Specifications for Road and Bridge Construction, latest edition and methods of construction shall meet all requirements of the Florida Department of Transportation FDOT Standard Plans for Road and Bridge Construction, latest edition. Materials testing for this project shall be performed by an independent properly licensed testing lab selected by the Contractor with approval of the County and compensated by the Contractor. Results of required testing shall be forwarded and approved prior to covering work and prior to acceptance for payment. The Contractor shall be responsible for establishing all lines and grades together with all reference points as required by the various trades for all work under this Contract. All required layout shall be done using competent and experienced personnel under the supervision of a Land Surveyor registered in the State of Florida at the Contractor's expense. Control points established by the Owner and disturbed by the Contractor will be replaced by the Contractor at his expense. Survey monuments or markers which will be removed by construction shall be properly referenced to the right-of-way line prior to removal. Reference points shall bei installed and documentation provided 2. County shall prevail and be binding. 3. fully compensated by Contractor. 4. 5. year of warranty and then further reduced to 50% for the final year. 6. 7. tot the County upon project completion. Supplemental Specifications - I 7 SRIP- San Pedro Road 8. 2023-003-OEC Once each phase ofthis project begins, the Contractor shall maintain asphalt application efforts at one location at a time. Taylor County shall provide one (1)authorized representative to be on site during asphalt application. All material tickets shall be presented to this representative at time of Material Testing and Sampling shall be completed as required by the FDOT Standard Specifications, these Supplemental Specifications and the Construction Plans. Additional random material samples shall be collected and tests run at the discretion of Taylor County's authorized representative as part oft the mandatory testing requirements. All asphalt testing shall be based on 10. Unless otherwise authorized, regulate paving machine speed to no more than 70 feet-per-minute to obtain smooth, continuous surface free of pulls and tears in asphalt-paving mat. 11. Offset longitudinal, joints in successive asphalt courses a minimum of4i inches. Offset lateralj joints 12. LIMEROCK BASE: There shall be no adjustment or extra payment for additional width or 13. PRIME COAT: A prime coat shall be applied to the finished base course prior to the application of asphalt courses at the rate of0.10 gallon per square yard per asphalt course application. AEP is the preferred Prime material. Use of EPR-1 will be permitted as a Prime Coat with submission ofa FDOT pretest certification and when diluted at no less than a 3:1 water ratio and applied at 0.2-0.25 gal/sy. Unless otherwise authorized, NTSS-1hm, Trackless Tack, will not be permitted as a prime material. Prime coat shall include an approved cover material and be allowed to cure a 14. Correct all Asphalt areas in accordance with FDOT Standard Specification 330-9.5 that are beyond +/-10% ofthe Target Asphalt Spread Rate, Outside Table 330-3 Cross Slope Tolerances or beyond 15. SEEDING & MULCHING (Performance Turf): Permanent seed shall be (Bermuda @ 801 Ib/acre), temporary seed (Rye (October - March) or Brown Top Millet April - September) @ 201 Ib/acre) mixture and placement. Seed shall comply with Section 981 and be placed consistent with Section 16. SODDING (Performance Turf(SOD)): Roadway Sod shall be rolled Bermuda. Remaining areas may be pallet sod. Sod shall comply with Section 981 and be placed consistent with Section 570, FDOT Specifications, latest edition. Sod may be required to match adjacent type in and around 17. Unless noted otherwise, roadway improvements shall include providing & installing OM2V at 18. Unless noted otherwise, all D3 Street name signage shall be no less than an 8 inch high sign with 6 inch uppercase and 4 1/2 inch lower case lettering. Public Street names shall be placed on a green sign with white lettering and border. Private Streets shall use a blue background sign with 19. CONCRETE: Unless noted otherwise, all concrete shall use one of the curing materials consistent delivery and indicate required information (FDOT #, Tonnage, Temp, etc.). 9. a2,000 ton Lot size. in asphalt courses a minimum of24 inches. thickness of base material. minimum of 24 hours before paving commences. +/-3 3/16" (H/L) as measured by the rolling Straight Edge. 570, FDOT Specifications, latest edition. residential properties. each approach side ofall cross-drains throughout the projects limits. white lettering and border. Bottom D3 sign shall be post mounted. with Section 925, FDOT Specifications, latest edition. Supplemental Specifications-2 MODIFIED SPECIAL PROVISION Date: October2.2023 Letting Month: October 2023 District: Taylor County Type: Project Specific Project: San Pedro Road Specification being modified: 455 STRUCTURES FOUNDATIONS. Section A (455-1 Affected Pay Items: 455-133-3 SHEET PILING STEEL, NON-VIBRATORY PRESS-IN Project Description: Installation of sheet pile wall, removal of gravity wall, and Background Data: Two hundred feet of permanent sheet pile wall is proposed to be installed along the south side of the road to support and stabilize the roadway in the vicinity of a natural drainage feature. The vibration from dynamic sheet pile installation could cause loss of material to the likely karst area. Non-vibratory static installation means are proposed in these areas. One method uses a hydraulic press-in machine that clamps to the installed sheets to Name and PE: Number of PE signing and sealing the Modified Special Provision: through 455-2) and Section B (455-3 through 455-12) METHOD REQUIRED. SF reconstruction of roadway provide the reactive force for pressing in the next sheet. PEName: Stacy K. Johnson. P.E. Department ofTransportation. PE Number: 69826 Ihereby certify that this Specification was prepared under my responsible charge, and that it has been reviewed in accordance with procedures adopted and implemented by the Florida The official record of this Special Provision has been electronically signed and sealed using a Digital Signature as required by 61G15-23.004, F.A.C. Printed copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies. Professional Engineer: Date: Fla. License No.: Firm Name: Firm Address: City, State, Zipcode: Certificate of Authorization: 7879 Pages: Stacy K. Johnson, P.E. October 2, 2023 69826 George & Associates Consulting Engineers. Inc. 1967 Commonwealth Lane. Suite 200 Tallahassee, FL 32303 1-34 THIS ITEM HAS BEEN DIGITALLY: SIGNED. AND: SEALED ON1 THE DATE. ADJACENT TO1 THE SEAL. PRINTED COPIES OF THISI DOCUMENT. ARENOT CONSIDERED: SIGNED ANDT THE SIGNATURE MUST BE VERIFIED ON ANY ELECTRONIC CENSE No. 69828 STATEC OF ONAL ANDSEALED COPIES. GEORGE & ASSOCIATES CONSULTING ENGINEERS. INC. ATCONMONWEALTHLANE SUITE: 200 TALLAHASSEE. FL32303 CERTIFICATEOF. AUTHORIZATION: 7879 Stacy K. Johnson. P.E. NO. 69826 7 STRUCTURES FOUNDATIONS Section 455 is deleted and the following substituted: SECTION 455 Index STRUCTURES FOUNDATIONS A. General. B. Piling. C.Drilled Shafts D.Spread Footings. 455-1 through 455-2 455-3 through 455-12 Not Applicable Not Applicable E. Structures (Other Than Bridge) Foundations = Auger Cast Piles ..Not Applicable A. GENERAL 455-1 General. The Contractor may examine available soil samples and rock cores obtained during the 455-1.1 Monitor Existing Structures: Monitor existing structures in accordance with 455-1.2 Excavation: Complete all excavation of the foundations prior to installing piles or shafts unless otherwise authorized by the Engineer. After completing pile/shaft installation, remove all loose and displaced materials from around the piles/shafts, leaving a clean, solid surface. Compact the soil surface on which concrete is to be placed or which will support the forming system for the concrete to support the load of the plastic concrete without settling or end-bent piling/shafts, except when driving specified test piling in end bents or the Plans show precautions to prevent displacement of piles/shafts during placing and compacting fill materials within 15 feet of the piles/shafts or casing. Reference and check the position of the piles/shafts or casing at three approximately equal intervals during construction of the embankment. around the piles/shafts or casing. Compact embankment material within the 15 foot area adjacent tot the piles/shafts or casing to the required density with compaction equipment weighing less than 1,000 pounds. When installing piles/shafts prior to the completion of the surrounding fills, do not cap them until placing the fills as near to final grade as possible, leaving only the placement oft the fill, for all drilled shafts through mechanically stabilized fills (for example, behind proprietary retaining walls) for shafts installed after fill placement. Install temporary casings through the completed conventional fill when permanent casings are not required. soil boring operations at the appropriate District Materials Office. Section 108. causing the concrete to crack, or as shown in the Contract Documents. 455-1.2.1 Abutment (End Bent) Fill: Place and compact the fill before installing uncased piles through proprietary retaining wall fills. When installing piles/shafts or casing prior to placing fill, take necessary Place embankment material in 6 inch compacted lifts in the 15 foot area necessary working room for construction oft the caps. When shown in the Plans, provide permanent casings installed prior to Provide permanent casings, ifrequired, before the fill is placed extending as sufficient distance into the existing ground to provide stability to the casings during construction oft the abutment fill. 455-1.3 Cofferdams: Construct cofferdams as detailed in the Plans. When cofferdams are not detailed in the Plans, employ a qualified Specialty Engineer to design cofferdams, and to sign and seal the plans and specification requirements. Submit the designs to the Engineer for foundation enclosure or cofferdam when the Contract Documents require a seal for construction. Equip these divers with suitable voice communications, and have them inspect the foundation enclosure and cofferdam periphery including each sheeting indentation and around each piling or drilled shaft to ensure that no layers of mud or other undesirable materials were left above the bottom ofs seal elevation during the excavation process. Also have the divers check to make sure the surfaces oft the piles or drilled shafts are sufficiently clean to allow bond oft the concrete down to the minimum bottom of seal elevation. Ensure that there are no mounds of stone, shell, or unapproved backfill material left after placement and grading. Assist the Engineer as required to ensure that the seal is placed as specified and evaluate the adequacy of the foundation soils or rock. Correct any deficiencies found by the divers. Upon completion ofi inspection by the divers, the Department may also elect toi inspect the work before authorizing the Contractor to proceed with subsequent construction operations. Submit a written report by the divers to the Engineer indicating the results oft their underwater inspection before requesting authorization toj place the 455-1.4 Vibrations on Freshly Placed Concrete (Drilled Shafts and Piers): Ensure that freshly placed concrete is not subjected toj peak particle velocities greater than 1.5 inches per second from vibration sources located within 30 feet (from the nearest outside edge of freshly placed concrete to the vibration source) until that concrete has attained its final set as defined by ASTM C403 except as required to remove temporary casings before the drilled shaft elapsed their records before beginning construction. Provide a qualified diver and a safety diver to inspect the conditions oft the seal concrete. time has expired. 455-2 Static Compression Load Tests. 455-2.1 General: Employ aj professional testing laboratory, or Specialty Engineer with prior load test experience on at least three projects, to conduct the load test in compliance with these Specifications, to record all data, and to submit reports of the test results to the Engineer except when the Contract Documents show that the Department will supply a Geotechnical Engineer toj provide these services. Perform the load test by applying al load up to the load required in the Contract Do not apply test loads to piles sooner than 48 hours (or the time interval shown Allow up to four weeks after the last load test for the analysis of the load test data Documents or to the failure load, whichever occurs first. in the Plans) after driving of the test pile or reaction piles, whichever occurs last. and toj provide all the estimated production tip elevations. Ifthe Contractor is willing to construct production foundation elements in areas designated by the Engineer, tip elevations will be determined in these areas beginning seven days after the receipt of the load test data which compressive strength of3,400 psi. The Contractor may use high early strength concrete to obtain represents the designated area. Do not begin static load testing of drilled shafts until the concrete has attained a this strength at an earlier time to prevent testing delays. Load test piles/shafts in the order directed by the Engineer. Unless shown otherwise in the Contract Documents, provide all equipment, materials, labor, and technical personnel required to conduct the load tests, including determination of anchor reaction member depths. In this case, provide a loading apparatus designed to accommodate the maximum load procedures consistent with the latest approved practices for this work. Include with these safety procedures, adequate support for the load test plates and jack to prevent them from falling in the event ofai release of load due to hydraulic failure, test pile/shaft failure, or any other cause. supplied by the Department from their storage location to the job site and back. Handle these items with care. The Contractor is responsible for the safe return of these items. After completion oft the static load tests, return all Department furnished equipment in satisfactory operating condition. Repair all damage to the test equipment furnished by the Department to the satisfaction of the Engineer. Clean all areas ofrust on structural steel items, and recoat those areas in accordance with Section 560. Return all load test equipment supplied by the Department area until the time it is returned. During this time, insure the equipment against loss or damage for the replacement cost thereof (the greater of $150,000 or the amount shown in the Plans) or before beginning test pile installation, of the proposed testing schedule sO that items supplied by the Department may be reserved. Notify the Department at least ten working days before pick-up or return ofthe equipment. During pick-up, the Department will complete a checklist of all equipment placed in the Contractor's s possession. The Department will later use this checklist to verify that the Contractor has returned all equipment. Provide personnel and equipment to load or unload the equipment at the Department's storage location. Provide lifting tongs or nylon slings to handle Department owned test girders. Do not perform cutting, welding, or drilling on 455-2.2 Loading Apparatus: Provide an apparatus for applying the vertical loads as plus an adequate safety factor. While performing the load test, provide safety equipment, and employ safety Include in the bid the cost of transporting load test equipment and instrumentation within 30 days after completing the load tests. The Contractor is responsible for the equipment from the time it leaves its storage for the full insurable value if replacement cost insurance is not available. Notify the Engineer at the preconstruction conference, or no later than 30 days Department owned girders, jacks, load cells, or other equipment. described in one of the following: 1.As shown and described in the Contract Documents. 2. As supplied by the Contractor, one oft the following devices designed to accommodate a load at least 20% higher than the test load shown in the Plans or described herein Platform: Construct a test box or test platform, resting on a suitable support, over the pile, and load it with material with a total weight greater than the anticipated maximum test load. Locate supports for the weighted box or platform at least 6 feet or three pile/shaft diameters, whichever is greater, measured from the edge ofthe pile or shaft to the edge oft the supports. Insert a hydraulic jack with pressure gauge between the test pile or shaft and the underside of the reaction beam, and apply the load to the pile or shaft by operating the jack between the reaction beam and Against Anchored Reaction Member: Construct reaction member anchorages in accordance with for test loads: a. Load Applied by Hydraulic Jack Acting Against Weighted Box or the top of the pile or shaft. b.I Load Applied to the Test Pile or Shaft by Hydraulic Jack Acting article 6.3 of ASTM D1143. Attach a girder(s) of sufficient strength to act as a reaction beam to the upper ends of the anchor piles or shafts. Insert a hydraulic jack with pressure gauges between the head oft the test pile/shaft and the underside of the reaction beam, and apply the test load to the pile/shaft by operating the jack between the reaction beam and the pile/shaft head. locate the top of the bell ofa any reaction shaft anchorage at least three shaft diameters below the Ifusing drilled shafts with bells as reaction member anchorages, bottom of the test shaft. C. Combination Devices: The Contractor may use a combination of d. Other systems proposed by the Contractor and approved by the devices (a) and (b), as described above, to apply the test load to the pile or shaft. Engineer: When necessary, provide horizontal supports for loading the pile/shaft, and space them so that the ratio of the unsupported length to the minimum radius of gyration of the pile does not exceed 120 for steel piles, and the unsupported length to the least cross-section dimension does not exceed 20 for concrete piles or drilled shafts. Ensure that horizontal supports provide full to the shaft either separately or in conjunction with the vertical load. Apply the load to the test shaft by hydraulic jacks, jacking against Contractor provided reaction devices. After receiving the Engineer's approval of the proposed method ofl load application, apply the horizontal load in increments, and relieve iti in decrements as required by the Contract Documents. support without restraining the vertical movement of the pile in any way. When required by the Contract Documents, apply a horizontal load 455-2.2.1 Modified Quick Test: 1.Loading Procedure: Apply vertical loads concentric with the longitudinal axis of the tested pile/shaft to accurately determine and control the load acting on the pile/shaft at any time. Place the load on the pile/shaft continuously, in increments equal to approximately 5% of the maximum test load specified until approaching the failure load, as indicated by the measuring apparatus and/or instruments. Then, apply increments of approximately 2.5% until the pile/shaft "plunges" or attains the limiting load. The Engineer may elect to stop the loading increments when he determines the Contractor has met the failure criteria or when a settlement equal to 10% of the pile/shaft width or diameter is reached. Apply each load increment immediately after taking and verifying the complete set ofreadings from all gauges and instruments. Apply each increment ofl load within the minimum length of time practical, and immediately take the readings. Complete the addition of a load increment and the completion oft the readings within 5 to 15 minutes. The Engineer may elect to hold the maximum load. Remove each decrement ofl load within the minimum length of time practical, and immediately take the readings. Complete the removal of a load decrement and the taking of the readings within 5 to 15 minutes. The Engineer may also require up to two reloading cycles with five loading increments and three unloading decrements. Record the final recovery of the pile/shaft until movement is essentially complete for a period up to one hour after the last unload herein to establish the failure load. The failure load is defined as the load that causes a pile/shaft top deflection equal to the calculated elastic compression plus 0.15 inches plus 1/120 ofthe pile/shaft minimum width or the diameter in inches for piles/shafts 24 inches or less in width, and equal to the calculated elastic compression plus 1/30 of the pile/shaft minimum width or applied load up to one hour. Remove the load in decrements of about 10% of the maximum test interval. 2. Failure Criteria and Nominal Resistance: Use the criteria described diameter for piles/shafts greater than 24 inches in width. Consider the nominal resistance ofa any pile/shaft sO tested as either the maximum applied load or the failure load, whichever is smaller. 455-2.3 Measuring Apparatus: Provide an apparatus for measuring movement oft the 1. Wire Line and Scale: Stretch a wire as directed by the Engineer between two test piles/shafts that consists ofa all ofthe following devices: supports located at a distance at least: a. 10 feet from the center of the test pile but not less than 3.5 times the pile b. 12 feet from the centerline of the shaft to be tested but not less than Locate the wire supports as far as practical from reaction beam anchorages. At diameter or width. three shaft diameters. over-water test sites, the Contractor may attach the wire line as directed by the Engineer to the sides oft the service platform. Mount the wire with aj pulley on one support and a weight at the end of the wire toj provide constant tension on the wire. Ensure that the wire passes across the face ofas scale mounted on a mirror attached to the test pile/shaft sO that readings can be made directly from the scale. Use the scale readings as a check on an average oft the dial readings. When measuring both horizontal and vertical movement, mount separate wires to indicate each movement, horizontal or vertical. Measure horizontal movements from two reference wires set as detailed in the Plans or approved by the Engineer to independent supports. For piles, install the greater of3.5 times the pile diameter or width or 10 feet from the centerline of the test pile. For drilled shafts, install at the greater of three shaft diameters or 12 feet from the centerline of the shaft to be tested. Locate the reference beam supports as far as practical from reaction beam anchorages. For over-water test sites, the Contractor may attach the reference beams as directed by the Engineer between two diagonal platform supports. Attach dial gauges, with their stems resting either on the top oft the pile/shaft or on lugs or similar reference points on the pile/shaft, to the fixed beams to record the movement oft the pile/shaft head. Ensure that the area on the pile/shaft or lug on which the stem bears is a smooth surface which will not cause irregularities and with 2 inch minimum travel, placed at 90 degree intervals for measuring vertical or normal to each other in a horizontal. 2. Wooden Reference Beams and Dial Gauges: Attach wooden reference beams in the dial readings. horizontal movement. Provide a minimum of four dial gauges, each with 0.001 inch divisions 3. Survey Level: As a check on the dial gauges, determine the elevation ofaj point near the top of the test pile/shaft (on plan datum) by survey level at each load and unload interval during the load test. Unless approved otherwise by the Engineer, level survey precision is 0.001 foot. Alternately, the surveyor may read an engineer's: 50 scale attached near the pile/shaft head. Determine the first elevation before applying the first load increment; make intermediate readings immediately before al load increment or an unload decrement, and after the final unload decrement that completely removes the load. Make a final reading at the time of the last recovery Engineer, the Contractor shall drive an H pile through a 36 inch casing to provide a stable support for the level and to protect it against wave action interfering with level measurements. Provide a suitable movable jig for the surveyor to stand. Use aj jig that has a minimum of three legs. has a work platform providing at least 4 feet width of work area around the casing, and is reading or as directed by the Engineer. For over-water test sites, when shown in the Plans or directed by the approved by the Engineer before use. The described work platform may be supported by the protective casing when approved by the Engineer. 455-2.4Load Test Instrumentation: 1.General: The intent of the load test instrumentation is to measure the test load on top of the pile/shaft and, when provided in the Contract Documents, its distribution between side friction and end bearing to provide evaluation of the preliminary design calculations and settlement estimates and to provide information for final pile/shaft length design. Ensure that the any instrumentation supplied by the Department. Supply 110V,601 Hz, 30 A ofAC electric power in accordance with the National Electric Code (NEC) to each test pile/shaft site during the installation of the instrumentation, during the load testing, and during any instrumented redrives installation in the test shaft. Construct the rebar cage at least two days before it is required for construction of the test shaft. Provide assistance during installation ofinstrumentation supplied by the Department, including help to string, place, and tie the instrumentation and any assistance needed in moving or repositioning the cage to facilitate installation. Place the rebar cage in one segment complete with its instrumentation. The Engineer may require multiple lift points and/or asuitable "stiffleg" (length ofH pile or other suitable section) to get the cage in a vertical position without causing damage to the instrumentation. Successfully demonstrate the lifting and deliver the required test load to the pile/shaft unless shown otherwise in the Plans. Before load testing begins, submit a certificate from a reputable testing laboratory showing a calibration of gauge readings for all stages of jack loading and unloading for jacks provided. Ensure that the jack has been calibrated within the preceding six months unless approved otherwise. Recalibrate the jack after completing load testing if sO directed by the Engineer. Ensure that the accuracy of calibrated within the preceding six months. Provide an approved electrical readout device for the load cell. Submit a certificate from an independent testing laboratory showing a calibration of readings for all stages ofl loading and unloading for load cells furnished by the Contractor and obtain the approval oft the Engineer before beginning load testing. Ensure that the accuracy of the that consist of an unstressed steel rod placed, greased for reducing friction and corrosion, with appropriate clearance inside a constant-diameter pipe that rests on a flat plate attached to the end ofthe pipe at the point ofi interest shown in the Contract Documents. Construct telltales in accordance with the Contract Documents. Install dial gauges reading to 0.001 inch with 1 inch minimum travel as directed by the Engineer to measure the movement of the telltale with respect install strain gauges in the test shaft to measure the distribution of the load. Ensure that the type, number, and location oft the strain gauges are as shown in the Plans or as directed by the instrumentation is as described in the Contract Documents. When requested by the Engineer, provide assistance during installation of ordered by the Engineer. Place all of the internal instrumentation on the rebar cage before handling procedures before the installing instrumentation. 2. Hydraulic Jack and Load Cell: Provide hydraulic jack(s) of adequate size to the gauge is within 5% of the true load. Provide an adequate load cell approved by the Engineer that has been load cell is within 1% oft the true load. 3. Telltales: When shown in the Contract Documents, furnish and install telltales to the top of the pile/shaft. 4. Embedded Strain Gauges: When shown in the Contract Documents, furnish and Engineer. Use strain gauges that are waterproof: and have suitable shielded cable that is unspliced 455-2.5 Support Facilities: Furnish adequate facilities for making load and settlement readings 241 hours per day. Provide such facilities for the instrumented area, and include lighting 455-2.6Load Test Personnel Furnished by the Contractor: Provide a certified welder, together with necessary cutting and welding equipment, to assist with the load test setup and to make any necessary adjustments during the load test. Provide personnel to operate the jack, generators, and lighting equipment, and also provide one person with transportation to assist as required during load test setup and conducting of the load tests. Provide qualified personnel, as determined by a Specialty Engineer or testing lab, required to read the dial gauges, take level measurements, and conduct the load test, except when the Contract Documents show that the 455-2.7 Cooperation by the Contractor: Cooperate with the Department, and ensure that the Department has access to all facilities necessary for observation oft the conduct and the 455-2.8 Required Reports: Submit a preliminary static load test report to the Engineer within five days after completing the load test. When the Contract Documents do not require internal instrumentation, submit the final report within ten days after completing the load test. Submit the final report of test results for internally instrumented shafts within 30 days after completing the load test. Include in the report oft the load test the following information: readings, and the load and recovery readings taken during the loading and unloading of the pile/shaft top movement as measured by the average of the dial gauge readings, from wireline within the shaft. and shelter from rain, wind, and direct sunlight. Department will provide these personnel. results of the test. 1.A tabulation of the time of, and the amount of, the load and settlement 2.A graphic representation of the test results, during loading and unloading of 3.4 A graphic representation of the test results. when using telltales, showing 4.The estimated failure and safe loads according to the criteria described herein. 5. Remarks concerning any unusual occurrences during the loading of the 6. The names oft those making the required observations oft the results of the load 7.All supporting data including. jack and load cell calibrations and certificates and 8. When the Contract Document requires internal instrumentation oft the pile/shaft. readings and from level readings. pile/shaft compression and pile/shaft tip movement. pile/shaft. on the load test. test, the weather conditions prevailing during the load test, and the effect ofweather conditions other equipment requiring calibration. pile/shaft, furnish all of the data taken during the load test together with instrument calibration certifications. In addition. submit a report showing an analysis of the results of axial load and lateral load tests in which soil resistance along and against the pile/shaft is reported as a function collection and interpretation of the data, except when the Contract Documents show that the ofc deflection. Submit the necessary reports prepared by the Specialty Engineer responsible for Department will provide a Geotechnical Engineer. 455-2.9 Disposition ofl Loading Material: Remove all equipment and materials, which remains the Contractor's property, from the site. Clean up and restore the site to the satisfaction 455-2.10 Disposition ofTested Piles/Shafts: After completing testing, cut off the tested piles/shafts, which are not tol be incorporated into the final structure, and any reaction piles/shafts at an elevation 24 inches below the finished graded surface or as shown in the Plans. Take oft the Engineer. ownership oft the cut-offs and provide areas for their disposal. B.P PILING 455-3 Description. Furnish and install concrete, steel, or wood piling including driving, press-in, jetting, preformed pile holes, cutting off, splicing, dynamic load testing, and static load testing of piling. In the event aj pile is broken or otherwise damaged by the Contractor to the extent that the damage is irreparable, in the opinion of the Engineer, the Contractor shall extract and replace the pile at no additional expense to the Department. In the event that a pile is mislocated by the Contractor, the Contractor shall extract and replace the pile, at no expense to the Department, except when a design change proposed by the Contractor is approved by the Department. 455-4Classification. The Department classifies piling as follows: 1.Treated timber piling. 2. Prestressed concrete piling. 3. Steel piling. 4. Test piling. 5. Sheet piling. a. Concrete sheet piling. b.S Steel sheet piling. 6.F Polymeric Piles (see Section 471 for requirements). 455-5 General Requirements. 455-5.1 Predrilling of Pile Holes: Predrilled pile holes are either starter holes to the depth described in this Subarticle or holes drilled through embankment/fill material down to the natural ground surface at no additional cost to the Department. When using low displacement steel piling such as structural shapes, drive them through the compacted fill without the necessity ofdrilling holes through the fill except when the requirements for predrilling are shown in the Plans. When using concrete or other high displacement piles, drill pile holes through fill, new or existing, to at least the elevation of the natural ground surface. Use the range of drill diameters listed below for square concrete piles. 12 inch square piles 14 inch square piles 18 inch square piles 20 inch square piles 24 inch square piles 30 inch square piles 15 to 17i inches 18 to 20 inches 22 to 26 inches 24 to 29 inches 301 to 34 inches 36 to 43 inches For other pile sizes, use the diameter oft the drills shown in the Plans or approved by the Engineer. Accurately drill the pile holes with the hole centered over the Plan location of the piling. Maintain the location and vertical alignment within the tolerances allowed for the etc.) materials that may damage the pile during installation, predrill hole diameters approximately 2 inches larger than the largest dimension across the pile cross-section. Fill the annular space around the piles as described in 455-5.11.1 with clean A-3 sand or sand meeting holes to a depth up to 10 feet or 20% oft the pile length whichever is greater, unless required otherwise by the Engineer or the Plans. Where installing piles in compacted fill, predrill the holes to the elevation of the natural ground surface. With prior written authorization from the Engineer, the Contractor may predrill holes to greater depths to minimize the effects of vibrations on existing structures adjacent to the work and/or for other reasons the Contractor 455-5.2 Underwater Driving: Underwater driving is defined as any driving through When conducting underwater driving, provide a diver equipped with voice piling. For predrilled holes required through rock or other hard (i.e. debris, obstructions, the requirements of 902-3.3. In the setting of permanent and test piling, the Contractor may initially predrill proposes. water which is above the pile head at the time of driving. communications to aid in placing the hammer back on the pile for required cushion changes or for subsequent redriving, to attach or recover instrumentation the Engineer is using, to inspect the condition of the pile, or for other assistance as required. Select one of the following methods for underwater driving: 1. Accomplish underwater driving using conventional driving equipment and piling longer than authorized sO that the piling will extend above the water surface during final driving. When choosing this option, furnish a pile hammer that satisfies the requirements of the requirements of this Section and is approved by the Engineer. When choosing this option, provide at least one pile longer than authorized at each pile group, extending above the water surface at final driving. At each group location, drive the longer pile first. The Engineer will evaluate the adequacy oft the underwater driving system. The Engineer may use the pile tip elevation of the longer pile that the Contractor has driven and the Engineer has accepted, to evaluate the acceptability oft the piles driven with the underwater hammer. with a suitable approved pile follower. When choosing this option, provide at least one pile longer than required at each pile group, extending above the water surface at final driving. At each group location, drive the full length pile first without using the follower. The Engineer will evaluate the adequacy oft the follower used for underwater driving. The Engineer may choose to perform a dynamic load test on the first pile the Contractor drives with the follower in each group. The Engineer may use the pile tip elevation of the longer pile, that the Contractor has driven and the Engineer has accepted, to evaluate the acceptability ofthe piles driven with the approval along with the information required in 455-10. Include the weight, cross-section details, this Section for use with the longer pile. 2. Accomplish underwater driving using an underwater hammer that meets 3.Accomplish underwater driving using conventional driving equipment follower. Prior to use, submit details of the follower for the Engineer's evaluation and stiffness, type ofn materials, and dimensions of the follower. 455-5.3 Pile Hammers: All equipment is subject to satisfactory field performance. Use a variable energy hammer to drive concrete piles. Hammers will be rated based on the theoretical energy of the ram: at impact. Supply driving equipment which provides the required resistance at al blow count ranging from 3 blows peri inch (361 blows per foot) to 10 blows per inch (1201 blows per foot) at the end ofinitial drive, unless approved otherwise by the Engineer after satisfactory field trial. Ensure the hammer is capable of driving to ai resistance equal to at least 2.01 times the factored design load plus the scour and down drag resistance shown in the Contract Documents, without overstressing the piling in compression or tension and without reaching or exceeding 20 blows per inch. When the Engineer determines the stroke height or bounce chamber pressure readings do not adequately determine the energy of the hammer, provide and maintain a device to measure the velocity of the ram at impact. Determine the actual hammer energy in the field sO that it is consistent with the hammer energy used for each bearing capacity determination. When requested, submit to the Engineer all technical specifications and operating instructions related to providing at least two ram stroke lengths. The short ram stroke length shall be approximately half oft the full stroke for hammers with strokes up to 4 feet and no more than 2 feet for hammers with maximum strokes lengths over 4 feet. Operate and maintain air/steam hammers within the manufacturer's specified ranges. Use aj plant and equipment for steam and air hammers with sufficient capacity to maintain, under working conditions, the hammer, volume and pressure specified by the manufacturer. Equip the plant and equipment with accurate pressure gauges which are easily accessible to the Engineer. The Engineer will not accept final bearing on piles the Contractor drives with air/steam hammers unless the Contractor operates the hammers within 10% of the manufacturer'st rated speed in blows per minute, unless otherwise authorized by the Engineer. Provide and maintain in working order for the Engineer' s use an approved device to settings that will produce reduced strokes. Operate and maintain diesel hammers within the manufacturer'ss specified ranges. Determine the rated energy of diesel hammers using measured ram stroke length multiplied by the weight of the ram for open end hammers and by methods device to automatically determine and display ram stroke for open-end diesel hammers. pressure gauge, in good working order, mounted near ground level SO the Engineer can easily read it. Also, submit to the Engineer a chart, calibrated to actual hammer performance within 30 days prior to initial use, equating bounce chamber pressure to either equivalent energy or hydraulic control settings that provide for predictable energy or equivalent ram stroke. The shortest stroke shall be a maximum of2 feet for the driving of concrete piles. The remaining strokes shall include full stroke and approximately halfway between minimum and maximum that allows the Engineer to monitor, and the operator to read and adjust the hammer energy or hammer equipment. 455-5.3.1 Air/steam: Variable energy air/steam hammers shall be capable of automatically determine and display the blows per minute of the hammer. 455-5.3.2 Diesel: Variable energy diesel hammers shall have at least three fuel recommended by the manufacturer for closed end hammers. Provide and maintain in working order for the Engineer's use an approved Equip closed-end (double acting) diesel hammers with a bounce chamber stroke for the closed-end diesel hammer to be used. 455-5.3.3 Hydraulic: Variable energy hydraulic hammers shall have at least three stroke. Supply hammer instrumentation with electronic read out, and control unit equivalent ram stroke. When pressure measuring equipment is required to determine hammer amplitude) may be used to drive steel sheet piles and, with approval oft the Engineer, to drive steel bearing piles a sufficient distance to get the impact hammer on the pile (to stick the pile). The Engineer will determine the allowable depth of driving using the vibratory hammer based on site conditions. However, in all cases, use a power impact hammer for the last 15 feet or more of the final driving of steel bearing piles for bearing determinations after all piles in the bent/pier have been driven with a vibratory hammer. Do not use vibratory hammers to install concrete 455-5.4 Press-in: Provide non-vibratory static press-in sheet pile machine to press in steel sheet pile. Machine shall be able to press in sheet pile to desired elevation. energy, calibrate the pressure measuring equipment before use. 455-5.3.4 Vibratory: Vibratory hammers of sufficient capacity (force and piles, or to install support or reaction piles for a load test. 455-5.5 Cushions and Pile Helmet: 455-5.5.1 Capblock: Provide a capblock (also called the hammer cushion) as recommended by the hammer manufacturer. Use commercially manufactured capblocks constructed of durable manmade materials with uniform known properties. Do not use wood chips, wood blocks, rope, or other material which permit excessive loss ofhammer energy. Do not use capblocks constructed of asbestos materials. Obtain the Engineer's approval for all proposed capblock materials and proposed thickness for use. Maintain capblocks in good condition, and replace them when charred, melted, or otherwise significantly deteriorated. The Engineer will inspect the capblock before driving begins and weekly or at appropriate intervals determined by the Engineer based on field trial. Replace or repair any capblock which loses more than 25% ofits original thickness, in accordance with the manufacturer s instructions, before from being overstressed in compression and tension during driving. Use a pile cushion sized sO that it will fully fill the lateral dimensions of the pile helmet minus one inch but does not cover any void or hole extending through the top oft the pile. Determine the thickness based upon the hammer-pile-soil system. For driving concrete piles, use a pile cushion made from pine plywood or oak lumber. Alternative materials may be used with the approval of the Engineer. Obtain the Engineer' s approval for all pile cushions. Do not use materials previously soaked, saturated or treated with oil. Maintain pile cushions in good condition and replace them when charred, splintered, excessively compressed, or otherwise deteriorated to the point it will not protect the pile against overstressing in tension or compression. Protect cushions from the weather, and keep them dry. Do not soak the cushions in any liquid. Provide a new cushion for each pile unless either compressed more than one-half the original thickness, begins to burn, or as directed by the redrives. Use the same cushion to perform the set-check or redrive as was used during the initial driving, unless this cushion is unacceptable due to deterioration, in which case use a similar piling being driven. Use a pile helmet deep enough to adequately contain the required thickness of pile cushion and to assist in maintaining pile-hammer alignment. Use a pile helmet that fits permitting further driving. 455-5.5.2 Pile Cushion: Provide a pile cushion that is adequate to protect the pile approved otherwise by the Engineer after satisfactory field trial. Replace the pile cushion, if during the driving of any pile, the cushion is Reuse pile cushions in good condition to perform all set-checks and Engineer after field performance. cushion. 455-5.5.3 Pile Helmet: Provide a pile helmet suitable for the type and size of loosely over the pile head and is at least 1i inch larger than the pile dimensions. Use a pile helmet 455-5.6Leads: Provide pile leads constructed in a manner which offers freedom of movement to the hammer and that have the strength and rigidity to hold the hammer and pile in the correct position and alignment during driving. When using followers, use leads that are long enough and suitable to maintain position and alignment ofthel hammer, follower, and pile 455-5.71 Followers: Obtain the Engineer's approval for the type of follower, when used, and the method of connection to the leads and pile. Use followers constructed of steel with an adequate cross-section to withstand driving stresses. When driving concrete piles, ensure that the cross-sectional area of the follower is at least 18% oft the cross-sectional area of the pile. When driving steel piles, ensure that the cross-sectional area of the follower is greater than or equal to the cross-sectional area of the pile. Provide a pile helmet at the lower end ofthe follower sized according to the requirements of455-5.5.3. Use followers constructed that maintain the alignment of the pile, follower, and hammer and still allow the pile to be driven within the allowable tolerances. Use followers designed with guides adapted to the leads that maintain the designed sO that it will not restrain the pile from rotating. throughout driving. hammer, follower, and the piles in alignment. adequacy of the follower and to determine pile capacity. Use information from dynamic load tests described in 455-5.15 to evaluate the 455-5.8 Templates and Ground Elevations: Provide a fixed template, adequate to maintain the pile inj proper position and alignment during driving with swinging leads or with semi-fixed leads. The Engineer may allow the use of templates attached to a barge ift the Contractor demonstrates satisfactorily that the pile alignment, and the elevation and horizontal position oft the template can be maintained during all pile driving operations. Where practical, place the template sO that the pile can be driven to cut-off elevation before removing the template. Ensure that templates do not restrict the vertical movement oft the pile. the Engineer, for determination oft the pile penetration. At the time of driving piles, furnish the Engineer with elevations of the original ground and template at each pile or pile group location. Note the highest and lowest elevation at each required location and the ground elevation at all 455-5.9 Water Jets: Use jet pumps, supply lines, and jet pipes that provide adequate pressure and volume of water to freely erode the soil. Do not perform jetting without prior warrant, with approval by the Engineer, perform jetting on the holes first, place the pile therein, then drive the pile to secure the last few feet of] penetration. Only use one jet for prejetting or jetting through piles constructed with a center jet-hole. Use two jets when using external jets. When jetting and driving, position the jets slightly behind the advancing pile tip (approximately 3 feet or as approved by the Engineer). When using water jets in the driving, determine the pile bearing only from the results of driving after withdrawing the jets, except where using jets to continuously eliminate soil resistance through the scour zone, ensure that they remain inj place as directed by the Engineer and operating during pile bearing determination. Where practical, perform jetting on all piles in a pile group before driving begins. When large pile groups or pile spacing and batter make this impractical, or when the Plans specifyajet-drive sequence, set Supply a stable reference close to the pile, which is satisfactory in the opinion of piles. approval by the Engineer or unless allowed by the Plans. Do not perform jetting in the embankment or for end bents. Where conditions check a sufficient number of previously driven piles in a pile group to confirm their capacity 455-5.10 Penetration Requirements: Measure the penetration of piles from the elevation of the natural ground, the existing surface, the deepest scour elevation shown in the Pile Data Table, or the bottom of excavation, whichever is lowest. When the Contract Documents show a minimum pile tip elevation, drive the tip of the pile to this minimum elevation. The Engineer will accept the bearing ofa pile only if the Contractor achieves the required bearing when the tip of the pile is at or below the specified minimum tip elevation and isa at least 10 feet into firm bearing material or at least 20 feet into soft material unless otherwise permitted by the Engineer. The Engineer may accept a penetration between 15 feet and 20 feet when there is an accumulation of five consecutive feet or more of firm bearing material. Firm bearing material is any material offering a driving resistance greater than or equal to 30 tons per square foot of gross pile area as determined by the Dynamic Load Testing (455-5.13.4). Soft material is any material offering less than these resistances. The gross pile area is the actual pile tip cross-sectional area for solid concrete piles, the product of the width and depth for H piles, and the area within the outside perimeter for pipe piles and voided concrete piles. Subarticle, provide penetration aids, such as jetting or preformed pile holes, when piles cannot be driven to the required penetration without reaching practical refusal. Contractor cannot practically penetrate by driving, jetting, or preformed pile holes, and the Contractor must remove the pile to obtain the required pile penetration, the Department will pay after completing all jetting. below the bottom of the preformed or predrilled pile hole. When the Plans do not show ai minimum tip elevation, ensure that the penetration Do not drive piles beyond practical refusal. To meet the requirements in this Ifthe Contractor encounters unforeseeable, isolated obstructions that the the costs for such removal as Unforeseeable Work. 455-5.11 Preformed Pile Holes: 455-5.11.11 Description: Preformed pile holes serve as a penetration aid when all other pile installation methods fail to produce the desired penetration and when authorized by the Engineer to minimize the effects of vibrations on adjacent structures. Preformed pile holes are necessary when the presence of rock or strong strata of soils will not permit the installation of piles to the desired penetration by driving or a combination ofj jetting and driving, when determined necessary by the Engineer, or when authorized by the Engineer to minimize the effects of vibrations on adjacent existing structures. The Engineer may require preformed holes for any type of pile. Drive all piles installed in preformed pile holes to determine that the bearing driving to the extent that the preformed hole does not serve its intended purpose, case the hole from the surface through caving material. After installing the pile to the bottom of the casing, remove the casings unless shown otherwise in the Plans. Determine bearing oft the pile after removing the casing unless shown otherwise in the Plans. Fill all voids between the pile and soil remaining after driving through preformed holes with clean A-3 sand or sand meeting the requirements of 902-3.3, after the pile has achieved the required minimum tip elevation, unless grouting of preformed pile holes is shown in the Plans. Ifpile driving is interrupted during sand placement, drive the pile at least 20 additional blows after filling all of the voids between the pile requirements have been met. For preformed holes which are required through material that caves during and soil with sand at no additional cost to the Department. 455-5.11.2 Provisions for Use of Preformed Pile Holes: The Department generally anticipates the necessity for preformed pile holes and includes directions in the Contract Documents. The Department will pay for preformed pile holes when the Contractor establishes that the required results cannot be obtained when driving the load bearing piles with specified driving equipment, or ifjetting is allowed, while jetting the piles and then driving or will make payment for preformed pile holes shown in the Plans, required by the Engineer or where the Contractor demonstrates that such work is necessary to achieve the required penetration without overstressing the pile. The Department considers, but does not limit to, the while jetting the piles during driving. 455-5.11.3 Conditions Under Which Payment Will Be Made: The Department following conditions as reasons for preformed pile holes: 1.I Inability to drive piles to the required penetration with driving and 2. To penetrate a hard layer or layers ofrock or strong stratum that the 3.To obtain greater penetration into dense (strong) material and into dense 4.To obtain penetration into a stratum in which it is desired to found the 5. To minimize the effects of vibrations or heave on adjacent existing 6.To minimize the effects of ground heave on adjacent piles. 455-5.11.4 Construction Methods: Construct preformed pile holes by drilling, or jetting equipment. Engineer considers not sufficiently thick to support the structure. material containing holes, cavities or unstable soft layers. structure. structures. driving and withdrawing a suitable punch or chisel at the locations oft the piles. Construct a hole that is equal to or slightly greater than the largest pile dimension for the entire length oft the hole and of sufficient depth to obtain the required penetration. Carefully form the preformed hole by using a drill or punch guided by a template or other suitable device, and do not exceed the minimum dimensions necessary to achieve the required penetration of the pile. When the Plans call for grouting the preformed pile holes, provide a minimum pile hole dimension 2 inches larger than the largest pile dimension. Construct the holes at the Plan position of the pile and the tolerances in location, and ensure the hole is straight and that the batter is the same as specified for the pile. Loose material may remain in the preformed pile hole if the conditions in 455-5.11.1 bearing piles, when the Plans require grouting after driving. Use grout that meets the requirements of 455-40 to 455-42 and has a minimum compressive strength of 3,000 psi at 28 days or as specified in the Plans. Prepare cylinders and perform QC testing in accordance with 455-43. LOT size and verification will be in accordance with 455-43. Pump the grout through three or more grout pipes initially placed at the bottom oft the preformed hole. The Contractor may raise the grout pipes when necessary to prevent clogging and to complete the grouting operations. Maintain the grout pipes below the surface of the previously placed grout. Continue grouting until the grout reaches the ground surface all around the pile. Provide divers to monitor grouting operations when the water depth is such that it is impractical to monitor from the ground surface. When grouting is shown in the Plans, include the cost in the price for piles. In the event that the Engineer determines the Contractor must grout and the required grouting is not shown in the Plans, the Department will pay for the grouting work as Unforeseeable Work. are satisfied. 455-5.11.5 Grouting ofl Pile Holes: Clean and grout preformed pile holes for 455-5.12 Bearing Requirements: 455-5.12.1 General: Drive piles to provide the bearing required for carrying the loads shown in the Plans. For all types of bearing piles, consider the driving resistance as determined by the methods described herein sufficient for carrying the specified loads as the minimum bearing which is accepted for any type of piles. Determine pile bearing using the Engineer may accept a driven pile when the pile has achieved minimum penetration and the minimum required bearing for 6 inches of consecutive driving, or when the minimum penetration is achieved, driving has reached practical refusal in firm material and the bearing capacity is the Engineer may accept a driven pile when the pile has achieved minimum penetration, the blow count is generally the same or increasing and the minimum required bearing capacity obtained for 24 inches of consecutive driving. At the discretion of the Engineer, the driven pile may be accepted when the minimum penetration is achieved and driving has reached practical refusal in dynamic load test is used to determine the actual soil resistance through the scour zone. Also, the Engineer may make modifications in scour resistance when the Contractor proposes drilling the Engineer will determine the bearing ofall piles using the data received from dynamic load testing equipment utilizing internally or externally mounted sensors according to the methods determine the number of blows required to provide the required bearing according to the methods described herein. Determine the pile bearing by computing the penetration per blow with less than 1/4 inches rebound averaged through 12 inches of penetration. When iti is considered necessary by the Engineer, determine the average penetration per blow by averaging the penetration per blow through the last 10 to 20 blows of the hammer. less than one inch penetration, with the hammer operating at the highest setting determined by the Engineer and less than 1/4 inches rebound per blow. Stop driving as soon as the Engineer method described herein or as shown in the Plans. For foundations requiring 100% dynamic testing of production piles, the obtained in all the refusal blows. For foundations not requiring 100% dynamic testing of production piles, firm material. The Engineer may modify the scour resistance shown in the Plans ift the and/or jetting to reduce the soil resistance in the scour zone. 455-5.12.2 Bearing Criteria: For foundations requiring 100% dynamic testing, described in 455-5.13.1. For foundations not requiring 100% dynamic testing, the Engineer will 455-5.12.3 Practical Refusal: Practical refusal is defined as 20 blows per inch or determines that the pile has reached practical refusal. 455-5.12.4S Set-checks and Pile Redrive: 1.S Set-checks: In the event that the Contractor has driven the pile to approximately 12 inches above cut-off without reaching the required resistance, the Engineer may require the Contractor to interrupt driving to perform a set-check. Provide an engineer's level or other suitable equipment for elevation determinations to determine accurate pile penetration during the set-checks. In the event the results of the initial set-checks are not satisfactory, the Engineer may direct additional set-checks. The Engineer may accept the pile as driven when a set-check shows that the Contractor has achieved the minimum required pile following working day from initial driving to determine time effects. to reestablish pile capacity bearing and has met all other requirements of this Section. 2.Pile Redrive: Pile redrive consists of redriving the pile after the due to pile heave, or for other reasons determined by the Engineer. Redrive piles as directed by Engineer may use, uninstrumented set-checks or uninstrumented pile redrives to determine whether a pile has sufficient bearing. The Engineer may consider the pile to have sufficient bearing resistance when the specified blow count criteria is achieved in accordance with considered necessary by the Engineer, dynamic load tests using at least 6 hammer blows will determine whether the pile bearing is sufficient. The Engineer may consider the pile to have sufficient bearing resistance when dynamic measurements demonstrate the static pile resistance exceeds the required pile resistance for at least one hammer blow and the average static pile resistance during the next five hammer blows exceeds 95% of the required pile resistance. Ift the pile is advanced farther, the static pile resistance during all subsequent blows must exceed 90% originally driven elevation. Drive the piles in an approved sequence to minimize the effects of heave and lateral displacement of the ground. Monitor piles previously driven in a pile group for possible heave during the driving oft the remaining piles. When required by the Engineer, take elevation measurements to determine the magnitude of the movement of piles and the ground surface resulting from the driving process. Redrive all piles that have heaved 1/4 inches or more unless the Engineer determines that the heave is not detrimental to pile capacity. The Department will pay for all work in conjunction with redriving piles due to pile heave under the pile redrive determines that the safe bearing capacity of any pile is less than the required bearing capacity, the Contractor may splice the pile and continue driving or may extract the pile and drive a pile of the Engineer. 3. Uninstrumented Set-Checks and Uninstrumented Pile Redrive: The 455-5.12.1 and 455-5.12.2. 4. Instrumented Set-Checks and Instrumented Pile Redrive: When ofthe required pile resistance. 455-5.12.5 Pile Heave: Pile heave is the upward movement ofa pile from its item. 455-5.12.6 Piles with Insufficient Bearing: In the case that the Engineer greater length, or, if SO ordered by the Engineer, drive additional piles. 455-5.13 Methods to Determine Pile Capacity: 455-5.13.1 General: Dynamic load tests using an externally mounted instrument system and signal matching analyses or embedded gauges will determine pile capacity for all structures or projects unless otherwise shown on the Plans. When necessary, the Engineer may require static load tests to confirm pile capacities. When the Contract Documents do not include items for static load tests, the Engineer will consider all required static load testing Unforeseeable Work. Notify the Engineer two working days prior to placement of piles within the template and at least one working day prior to driving piles. Do not drive piles without the system, allow the Engineer sufficient time to mobilize back-up equipment for performing presence of the Engineer. dynamic load testing. Ifthe internally mounted system fails to communicate properly with the receiving 455-5.13.2 Wave Equation: 1.Use Wave Equation Analysis for Piles (WEAP) programs to evaluate the suitability of the proposed driving system (including the hammer, follower, capblock and pile cushions) as well as to estimate the driving resistance, in blows per 12 inches or blows per inch, to achieve the pile bearing requirements and to evaluate pile driving stresses. Use Wave Equation Analyses to show the hammer meets the 2. Required Equipment For Driving: Hammer approval is based on requirements described in 455-5.3 and maximum allowed pile stresses are not exceeded. satisfactory field performance including dynamic load test results. In the event piles require different hammer sizes, the Contractor may elect to drive with more than one size hammer or with a variable energy hammer, provided the hammer is properly sized and cushioned, will not damage the pile, and will develop the required resistance. 3. Maximum Allowed Pile Stresses: a. General: The maximum allowed driving stresses for concrete, steel, and timber piles are given below. In the event dynamic load tests show that the hammer will overstress the pile, modify the driving system or method of operation as required to prevent overstressing the pile. In such cases provide additional cushioning, reduce the stroke, or make other appropriate agreed upon changes. determine the maximum allowed pile stresses: b. Prestressed Concrete Piles: Use the following equations to Supe =0.75-0.755r (1) Sw-630"+105 (2a) for piles less than 50 feet long Sw-3250/"-101 (2b) for piles 50 feet long and greater Sam-500 (2c) within 20 feet of a mechanical splice where: Sapc- maximum allowed pile compressive stress, psi Sapt maximum allowed pile tensile stress, psi fc= specified minimum compressive strength of concrete, psi fpe= effective prestress (after all losses) at the time of driving, psi, taken as 0.8 times the initial prestress force divided by the minimum net concrete cross-sectional area of stresses measured during driving are no greater than 0.9 times the yield strength (0.9f)ofthe stresses measured during driving are no greater than 3.6 ksi for Southern Pine and Pacific Coast Douglas Fir and 0.9 ofthe ultimate parallel to the grain strength for piles of other wood. signed and sealed by a Specialty Engineer which establishes the pile lengths for temporary piles. Submit for the Engineers approval, a Wave Equation analysis signed and sealed by a Specialty Engineer which establishes the driving criteria for temporary piles at least five working days prior to driving temporary production piles. The required driving resistance is equal to the sum of the factored design load plus the scour and down drag resistances shown in the Plans, divided by the pile (fpe- 0 for dowel spliced piles). c. Steel Piles: Ensure the maximum pile compression and tensile d. Timber Piles: Ensure the maximum pile compression and tensile steel. 455-5133Temporary Piles: Submit for the Engineers review. an analysis the appropriate resistance factor or the nominal bearing resistance shown in the Plans, whichever isp performed. However, a larger resistance factor may be applicable when additional testing is provided by the Specialty Engineer in accordance with Section 3.5.6ofVolume 1 oft the FDOT Structures Manual. Ifthe Contractor elects to perform 100% dynamic load testing submit a certification package prepared by the Specialty Engineer. The certification package shall include asigned and sealed letter by the Specialty Engineer that certifies the piles meet the load requirements and have no integrity deficiencies. The package shall also include the dynamic load test records, all signal matching analysis performed to determine pile capacities and a summary pile capacity by the analysis of electronic data collected from blows of the hammer during to the pile to determine its capacity. Use The Modified Quick Test Procedure in accordance with oft type or size of pile, either drive them full length or jet the piles to within 2 feet of cutoff and drive to cutoff elevation to seat the pile. The Engineer will not require a specific driving resistance unless noted in the Plans. Use methods and equipment for installation that do not damage the piles. Ift the method or equipment used causes damage to the pile, modify the testing or test piles, the Engineer will dynamically test the first pile(s) in each bent or pier at locations shown in the Plans to determine the blow count criteria for the remaining piles. When locations are not shown in the Plans, allow for dynamic load tests at 5% oft the piles at each bent or pier (rounded up to the next whole number). If the Engineer requires additional dynamic load tests for comparison purposes, the Contractor will be paid for an additional dynamic load test as complete the signal matching analyses and determine the driving criteria for the subsequent piles is higher. The maximum resistance factor is 0.45 when only wave equation analysis table that indicates the final capacity of every pile. 455-5.13.4 Dynamic Load Tests: Dynamic load testing consists of estimating 455-5.13.5 Static Load Tests: Static load testing consists of applying a static load 455-5.13.6 Fender Pile Installation: For piles used in fender systems, regardless driving of an instrumented pile in accordance with 455-5.15. 455-2.2.1. methods or equipment at no expense to the Department. 455-5.13.7 Structures Without Test Piles: For structures without 100% dynamic authorized by the Engineer in accordance with 455-11.5. Allow the Engineer one working day after driving the dynamic load tested piles to in the bent or pier. 455-5.14 Test Piles: 455-5.14.1 General: All test piles will have dynamic load tests. Drive piles of the same cross-section and type as the permanent piles shown in the Plans, in order to determine any or all of the following: 1.installation criteria for the piles. 2. nature of the soil. 3. lengths of permanent piles required for the work. 4. driving resistance characteristics oft the various soil strata. 5.a amount ofv work necessary to obtain minimum required pile penetration. 6. ability of the driving system to do the work. Because test piles are exploratory in nature, drive them harder (within the 7.need for point protection. limits of practical refusal), deeper, and to a greater bearing resistance than required for the permanent piling. Except for test piles which are to be statically or Statnamically load tested, drive test piles their full length or to practical refusal. Splice test piles which have been driven their full length without achieving the required bearing, and proceed with further driving unless driving of test piles until obtaining the required bearing capacity continuously, where the blow count is increasing, for 10 feet unless reaching practical refusal first. Drive test piles which are to be statically or Statnamically load tested as anticipated for the production piles. penetration, perform all work necessary to attain minimum penetration and the required bearing. Where practical, use water jets to break the pile loose for further driving. Where jetting is impractical, extract the pile and install a preformed pile hole through which driving will continue. The Department will consider the work of extracting the pile to be Unforeseeable preforming equipment available at the site and water jets as specified in 455-5.9 when jetting is test pile, two times for up to two hours and two additional times during the next working day of permanent piles at the designated locations. Ensure that all test piles designated to be statically load tested are plumb. In the event that all the piles are battered at a static load test site, the Engineer will designate an out-of-position location for driving a plumb pile for the static load driving test piles as for driving the permanent piles. Also use the same equipment to redrive 455-5.15 Dynamic Load Tests: The Engineer will take dynamic measurements during the driving of piles designated in the Plans or authorized by the Engineer. For concrete piles, install instruments prior to driving and assist the Engineer in monitoring all blows delivered to the pile. For steel production piles, the Engineer may accept instrumented set-checks or redrives. The Engineer will perform dynamic load tests to evaluate any or all of the following: otherwise directed by the Engineer. As ai minimum, unless otherwise directed by the Engineer, do not cease When test piles attain practical refusal prior to attaining minimum Work. When driving test piles other than low displacement steel test piles, have The Engineer may elect to interrupt pile driving up to four times on each allowed, ready for use, before the test pile driving begins. initial driving to determine time effects during the driving oft test piles. 455-5.14.2Location of Test Piles: Drive all test piles in the position of test. piles. 455-5.14.3. Equipment for Driving: Use the same hammer and equipment for 1.S Suitability of the Contractor's driving equipment, including hammer, capblock, pile cushion, and any proposed follower. 2. Pile capacity. 3. Pile stresses. 4. Energy transfer to pile. 5. Distribution of soil resistance. 6. Soil variables including quake and damping. 7. Hammer-pile-soil system for Wave Equation analyses. 8. Pile installation problems. 9. Other. Either install internal gauges in the piles in accordance with Standard Plans, Index 455-003 or attach instruments (strain transducers to measure force and accelerometers to measure acceleration) with bolts to the pile for dynamic load testing. Make each pile to be dynamically tested with externally attached instruments available to drill holes for attaching instrumentation and for wave. speed measurements. Support the pile with timber blocks placed at appropriate intervals. Ensure that the pile is in al horizontal position and does not contact adjacent piles. Provide a sufficient clear distance at the sides oft the pile for drilling the holes. The Engineer will furnish the equipment, materials, and labor necessary for drilling holes and taking the wave speed measurements. Ifthe Engineer directs dynamic load testing, instrumented set-checks or instrumented redrives, provide the Engineer safe access to the top oft the piles for drilling the attachment holes. After placing the leads provide the Engineer safe access to the piles to attach the instruments and for removal oft the equipment during driving to ensure the Contractor does not exceed the maximum allowed stresses. Ifnecessary, add additional cushioning, replace the cushions, or reduce the hammer stroke to maintain stresses below the maximum allowable. Ifdynamic test equipment measurements indicate non-axial driving, immediately realign the driving system. Ifthe cushion isc compressed to the point that a change in alignment of the hammer will not correct the problem, instruments after completing the pile driving. The Engineer will monitor the stresses in the piles with the dynamic test add cushioning or change the cushion as directed by the Engineer. Drive the pile to the required penetration and resistance or as directed by the When directed by the Engineer, perform instrumented set-checks or redrives. Do Engineer. not use a cold diesel hammer for a set-check or redrive unless in the opinion ofthe Engineer iti is impractical to do otherwise. Generally, warm up the hammer by driving another pile or applying at least 20 blows to a previously driven pile or to timber mats placed on the ground. 455-5.16 Pile Lengths: or as directed by the Engineer. 455-5.16.1 Test Pile Length: Provide the length of test piles shown in the Plans 455-5.16.2 Production Pile Length: 455-5.16.2.1 Structures With Test Piles: When test pile lengths are shown in the Plans, the production pile lengths are based on information available during design and are approximate. The Engineer will determine final pile lengths in the field which may vary provided as Production Pile Order Lengths in the Pile Data Table in the Structure Plans. Use determined by the Engineer based on all information available before the driving of the permanent piles, including, but not limited to, information gained from the driving of test piles, dynamic load testing, static load testing, supplemental soil testing, etc. When authorized by the Department, soil freeze information obtained during set checks and pile redrives may be used to determine authorized pile lengths for sites with extreme soil conditions. The Contractor may elect to provide piling with lengths longer than authorized to suit his method ofinstallation or schedule. When the Contractor elects to provide longer than authorized pile lengths, the Department will pay for the furnished length as either the originally authorized length or the length between cut-off elevation and the final accepted pile tip elevation, whichever is the longer significantly from the lengths or quantities shown in the Plans. these lengths for furnishing the permanent piling for the structure. 455-5.16.2.2 Structures Without Test Piles: Authorized lengths are 455-5.16.3 Authorized Pile Lengths: The authorized pile lengths are the lengths length. Within five working days after driving all the test piles, completing all load tests, completing all redrives, and receiving all test reports, the Engineer will provide an itemized list of authorized pile lengths. Use these lengths for furnishing the permanent piling for the structure. Ift the Contractor is willing to start the pile driving operations in zones consisting of at least four test piles designated by the Engineer, and ift the Contractor sO requests in writing at the beginning oft the test pile program, the Department will provide pile lengths for these designated phases within five working days after driving all the test piles, completing all load tests, completing all redrives, and receiving all test reports for those designated zones. The Engineer will provide the driving criteria for piles within three working days of furnishing pile lengths. Oni multiple phase projects, the Engineer will not provide pile lengths on subsequent phases until completing the piling on initial phases. 455-5.17 Allowable Driving Tolerances: 455-5.17.1 General: Meet the tolerances described in this Subarticle for the piles that are free standing without lateral restraint (after the template is removed). After the piles are driven, do not move the piles laterally to force them to be within the specified tolerances, except to move battered piles to overcome the dead load deflections caused by the pile's weight. When this is necessary, submit calculations signed and sealed by a Specialty Engineer that verify the elevation is no more than 3 inches, or 1/6 oft the diameter oft the pile, whichever is less, laterally does not deviate by more than 1/4 inches per foot from the vertical or batter line indicated in the than 1-1/2 inches above, or more than 4 inches below, the elevation shown in the Plans, however in no case shall the pile be embedded less than 8 inches into the cap or footing. tolerance of plus 0.0 inches to minus 2.0 inches using sawing or other means as approved by the tor meet the above tolerances, the Contractor may propose a redesign to incorporate out of tolerance piles into pile caps or footings, at no expense to the Department. Ensure the Contractor's Engineer of Record performs any redesign and signs and seals the redesign drawings and computations. Do not begin any proposed construction until the redesign has been 455-5.18 Disposition of] Pile Cut-offs, Test Piles, and Load Test Materials: amount of dead load deflection prior to moving any piles. 455-5.17.2 Position: Ensure that the final position of the pile head at cut-off 455-5.17.3 Axial Alignment: Ensure that the axial alignment of the driven piles 455-5.17.4 Elevation: Ensure that the final elevation oft the pile head is no more in the X or Y coordinate from the Plan position indicated in the Plans. Plans. For fender piles, cut off piles at the elevation shown in the Plans to a Engineer to provide a smooth level cut. 455-5.17.5 Deviation From Above Tolerances: When the Contractor has failed reviewed for acceptability and approved by the Engineer. 455-5.18.1 Pile Cut-offs: 1. Steel Piling: Unless shown otherwise in the Plans, the Department will 2. Other Pile Types: Upon completion of all work under the Contract in retain ownership of cut-off sections, or portions of cut-off sections, and unused piling. Remove connection with piling, unless shown otherwise in the Plan, take ownership of any unused cut-off lengths remaining, and remove them from the right-of-way. Provide areas for their disposal. them from the job, and dispose oft them. 455-5.18.2 Test Piles: Where sO directed by the Plans or the Engineer, cut off, or build-up as necessary, test piles, and leave them in place as permanent piles. Extract and replace test piles driven inj permanent position and found not suitable for use due to actions ofthe Contractor at no expense to the Department. Pull, or cut off at an elevation 2 feet below the ground surface or bottom of proposed excavation, test piles driven out of! permanent position, Contractor may elect to drive the test pile out of position, with the approval oft the Engineer, provided that a replacement pile is furnished and driven by the Contractor at no expense to the Department in the position that was to be occupied by the test pile. Under this option, the Department will pay for the test pile in the same manner as ifit were in permanent position. ownership of test piles that are pulled or cut off and provide areas for their disposal. and dispose oft the removed portion oft the test pile. When test piles are required to be driven in permanent pile positions, the Unless otherwise directed in the Plans or by the Engineer, retain 455-6 Timber Piling. 455-6.1 Description: Drive timber piles of the kind and dimensions specified in the Plans at the locations and to the elevations shown in the Plans, or as directed by the Engineer. 455-6.2 Materials: Meet the timber piling requirements of Section 953. Treat the piles according to the applicable provisions of Section 955. Treat all cuts and drilled holes in accordance with 470-3. 455-63Preparation for Driving: 455-6.3.1 Caps: Protect the heads of timber piles during driving, using a cap of 455-6.3.2 Collars: Provide collars or bands to protect piles against splitting and 455-6.3.3 Shoes: Provide piles shod with metal shoes, ofa design satisfactory to approved type, that will distribute the hammer blow over the entire cross-section of the pile. When necessary cut the head oft the pile square before beginning pile driving. brooming at no expense to the Department. according to the manufacturer's directions. the Engineer, at no expense to the Department. Shape pile tips to receive the shoe and install 455-6.4 Storage and Handling: Store and handle piles in the manner necessary to avoid damage to the piling. Take special care to avoid breaking the surface of treated piles. Do not use 455-6.5 Cutting Off: Saw off the tops ofall timber piles at the elevation indicated in the Plans. Saw off piles which support timber caps to the exact plane oft the superimposed structure sO that they exactly fit. Withdraw and replace broken, split, or misplaced piles. 455-6.6 Build-ups: The Engineer will not permit splices or build-ups for timber piles. Extract piles driven below Plan elevation and drive a longer pile. cant dogs, hooks, or pike poles when handling and storing the piling. 455-6.7 Pile Heads: 455-6.7.1 Piles with Timber Caps: On piles wider than the timber caps, dress off the part of the pile head projecting beyond the sides oft the cap to a slope of 45 degrees. Coat the cut surface with the required preservative and then place a sheet of copper, with a weight of 10 ounces per square foot or greater, meeting the requirements of ASTM B370. Provide a cover measuring at least 4 inches more in each dimension greater than the diameter of the pile. Bend the cover down over the pile and fasten the edges with large head copper nails or three wraps of No. 12 copper wire. 455-6.7.2 Fender and Bulkhead Piles: Paint the heads of fender piles and of bulkhead piles with preservative and then cover with copper as provided above for piles supporting timber caps. 455-7 Prestressed Concrete Piling. 455-7.1 Description: Provide prestressed concrete piles that are manufactured, cured, and driven in accordance with the Contract Documents. Provide piles full length without splices when transported by barge or the pile length is less than or equal to 120 feet. When piles are transported by truck and the pile length exceeds 120 feet or the maximum length for a 3-point pick-up according to Standard Plans, Index 455-001, and splicing is desired, provide minimal 455-7.2 Manufacture: Fabricate piles in accordance with Section 450. When embedded gauges will be used for dynamic load testing, supply and install in square prestressed concrete piles in accordance with Standard Plans Index 455-003. Ensure the embedded gauges are splices. Include the cost of the splices in the cost of the pile. installed by personnel approved by the manufacturer. 455-7.3 Storage and Handling: 455-7.3.1 Time of Driving Piles: Drive prestressed concrete piles at any time 455-7.3.2 Storage: Support piles on adequate dunnage both in the prestress yard 455-7.3.3 Handling: Handle and store piles in the manner necessary to eliminate after the concrete has been cured in accordance with Section 450, and the concrete compressive strength is equal to or greater than the specified 28 day compressive strength. and at the job site in accordance with the locations shown in the Standard Plans to minimize undue bending stresses or creating a sweep or camber in the pile. the danger of fracture by impact or ofundue bending stresses in handling or transporting the piles from the forms and into the leads. In general, lift concrete piles by means ofa suitable bridge or slings attached to the pile at the locations shown in the Standard Plans. Construct slings used to handle piles ofa fabric material or braided wire rope constructed of six or more wire ropes which will not mar the corners or the surface finish of the piles. Do not use chains to handle piles. During transport, support concrete piles at the lifting locations shown in the Standard Plans or fully support them throughout 80% or more of their length. In handling piles for use in salty or brackish water, exercise special care to avoid damaging the surface and corners of the pile. If an alternate transportation support arrangement is desired, submit calculations, signed and sealed by the Specialty Engineer, for approval by the Engineer prior to transporting the pile. Calculations must show that the pile can be transported without exceeding the bending moments calculated using the support locations shown in the Plans. 455-7.4 Cracked Piles: The Engineer will reject any pile that becomes cracked in handling to the point that a transverse or longitudinal crack extends through the pile, shows failure of the concrete as indicated by spalling of concrete on the main body oft the pile adjacent to the crack, which in the opinion of the Engineer will not withstand driving stresses or becomes damaged during installation. The Engineer will not reject any pile for the occasional minor extend through the pile cross-sectional area that are, or will be, below ground or water level at the end of driving. Remove and replace broken piles or piles cracked to the extent described above at no expense to the Department. The Engineer will accept cracks less than 0.005 inches which do not extend through the pile. Using approved methods, cut off and splice or build-up to cut-off elevation piles with cracks greater than 0.005 inches at the pile head or above ground or surface hairline cracking caused by shrinkage. Do not drive piling with irreparable damage, which is defined as any cracks that water level, and piles with cracks above ground or water level which extend through the cross- sectional area of the pile. The Engineer may require correction of pile damage or pile cracks by cutting down the concrete to the plane of sound concrete below the crack and rebuilding it to cut- off elevation, or the Engineer may reject the pile. Extract and replace rejected piles that cannot be repaired, at no expense to the Department. handling, transporting, or driving. Take appropriate steps to prevent the occurrence of cracking, whether due to 455-7.5 Preparation for Transportation: Cut strands flush with the surface ofthe concrete using an abrasive cutting blade before transporting the piles from the casting yard. Cut and patch the metal lifting devices in accordance with 450-9.2.1. 455-7.61 Method of Driving: Unless otherwise directed, drive piles by a hammer or by means ofac combination of water jets and hammer when jetting is allowed. When using. jets in combination with a hammer, withdraw the jets and drive the pile by the hammer alone to secure final penetration and to rigidly fix the tip end oft the pile. Keep. jets in place ift they are being used 455-7.7 Extensions and Build-ups Used to Increase Production Lengths:. necessary, construct splices and build-ups in accordance with Standard Plans, Index 455-002 to continuously eliminate the soil resistance in the scour zone. 455-7.7.1 General: Where splices, extensions and build-ups for concrete piles are These requirements are not applicable to specially designed piling. Make 455-7.7.2 Extensions to be Driven or Those 21 feet or Longer: Construct splices for special pile designs as shown in the Plans. extensions to be driven or extensions 21 feet or longer in length in accordance with the details shown in the Plans and in a manner including the requirements, sequences, and procedures outlined below: 1. Cast a splice section in accordance with Section 450 with the dowel 2. Drill dowel holes using an approved steel template that will position 3. Clean the drilled dowel holes by inserting a high pressure air hose to the steel in the correct position and alignment. and align the drill bit during drilling. Drill holes a minimum of2 inches deeper than the length of bottom of the hole and blowing the hole clean from the bottom upward. Eliminate any oil, dust, water, and other deleterious materials from the holes and the concrete surfaces to be joined. directions. Do not mix sand or any other filler material with the epoxy components unless it is prepackaged by the manufacturer for this specific purpose. Use adhesives meeting the the dowel to be inserted. 4. Place forms around joints between the pile sections. 5. Mix the adhesive components in accordance with the manufacturer's requirements of Section 926 for Type AB epoxy compounds. 6. After ensuring that all concrete surfaces are dry, fill the dowel holes 7. Insert the dowels of the spliced section into the adhesive filled holes of with the adhesive material. the bottom section and position the spliced section sO that the axes of the two sections are in concentric alignment and the ends of the abutting sections are spaced 1/2 inches apart. The Contractor may use small steel spacers of the required thickness provided they have 3 inches or more of cover after completing the splice. Fill the space between the abutting sections completely with the adhesive. 8. Secure the spliced sections in alignment until the adhesive is cured in accordance with the manufacturer's directions for the time appropriate with the prevailing ambient temperatures. Do not utilize the crane to secure the pile extension during the adhesive cure time. Utilize alignment braces to maintain the proper pile alignment during the epoxy cure time. 9. After curing is completed, remove alignment braces and forms and When dowel splices need to be driven, assist the Engineer in performing dynamic clean and dress the spliced area to match the pile dimensions. instrumentation during the driving ofeach dowel spliced pile to monitor and control the stresses and verify the splicing integrity. Replace any damaged pile splices in accordance with 455-3. Provide the Engineer 48 hours advance notification prior to driving spliced piles. Construct precast reinforced non-drivable build-ups less than 21 feet in accordance with the requirements oft this Subarticle, Section 346, and Section 400. Provide the same material for the form surfaces for precast build-ups as was used to form the prestressed piles. Use concrete oft the same mix as used in the prestressed pile and dimension the cross-section the same as piling being built up. Install build-ups as specified in 455-7.7.2(2) through 455-7.7.2(9). Apply to the build- 455-7.8 Pre-Planned Splices: Construct splices in accordance with the dowel splice method contained in the Standard Plans Indexes or using proprietary splices which are listed on the Department's Approved Product List (APL). Splice test piles in the same manner as the production piles. Include in the pile installation plan, the chosen method of splicing and the approximate locations of the splice. Generally, place the splice at approximately the midpoint between the estimated pile tip and the ground surface, considering scour ifa applicable. Stagger the splice location between adjacent piles by a minimum of 10 feet. Obtain the Engineer's approval prior to constructing any pile sections. Construct piles which are to be spliced using the dowel splice with preformed dowel holes in the bottom section and embedded dowels in the instrumentation during the driving ofeach dowel spliced pile to monitor and control the stresses and verify the splicing integrity. Replace any damaged pile splices in accordance with 455-3. Provide the Engineer 48 hours advance notification prior to driving spliced piles. the pile section unless shown otherwise in the Plans and capable oft being installed without 455-7.7.3 Precast Reinforced Non-Drivable Build-ups less than 21 feet: ups the same surface treatment or sealant applied to the prestressed piles. upper section. When dowel splices need to be driven, assist the Engineer in performing dynamic Mechanical pile splices shall be capable of developing the following capacities in damage to the pile or splice: 1.Compressive strength = (Pile Cross sectional area) x (28 day concrete 2. Tensile Strength = (Pile Cross sectional area) x 900 psi strength) Table 455-1 Pile Size (inches) 18 20 24 30 Bending Strength (kip-feet) 245 325 600 950 455-7.9 Pile Cut-offs: After the completion of driving, cut piles off which extend above the cut-off elevation with an abrasive saw. Make the cut the depth necessary to cleanly cut through the prestressed strands. Take ownership and dispose of cut-off sections not used elsewhere as allowed by this Section. 455-8 Steel Piling. 455-8.1 Description: Furnish, splice, drive, and cut off structural steel shapes to form bearing piles. Include in this work the preparation ofa smooth and square pile top meeting the requirements of ASTM A252 or API5L prior to driving, installation of structural steel bracing by bolting or welding, construction of splices and the filling of pipe piles with the specified materials in 455-8.9. 455-8.2 Material: For the material in steel piles, pile bracing, scabs, wedges, and splices, 455-8.3) Pile Splices: Order and use the full authorized pile length where practicable. Do not splice to obtain authorized lengths less than 40 feet except when shown in the Plans. Locate all splices in the authorized pile length in portions oft the pile expected to be at least 15 feet below the final ground surface after driving. When it is not practicable toj provide authorized pile lengths longer than 40 feet in a single length, use no more than one field splice per additional 40 feet of authorized pile length. Shop splices may be used to join single lengths of pile which are at least 20 feet in length. One shorter segment of pile may be used to achieve the authorized value or penetration, order an additional length of pile and splice it to the original length. with the general requirements of AWS D1.1 or American Petroleum Institute Specification 455-8.4 Welding: Make all welded connections to steel piles by electric arc welding, in accordance with details shown in the Plans and in compliance with the general requirements of AWS D1.5. Electroslag welding is not permitted. Welds will be inspected by visual methods. 455-8.5 Pile Heads and Tips: Cut off all piles at the elevation shown in the Plans. If meet the requirements of Section 962. pile length when needed. Where the pile length authorized is not sufficient to obtain the required bearing Make all splices in accordance with details shown in the Plans and in compliance 5L (API5L). using a cutting torch, make the surface as smooth as practical. Where foundation material is SO dense that the Contractor cannot drive the pile to the required penetration and firmly seat it without danger of crumpling the tip, reinforce the tips with approved cast steel point protectors, as shown in the Plans or required by the Engineer. Construct point protectors in one piece of cast steel meeting the requirements of ASTM. A27, Grade 65-35 heat treated to provide full bearing for the piles. Attach points by welding according 455-8.6 Pile Bent Bracing Members: Place structural steel sway and cross bracing, and all other steel tie bracing, on steel pile bents and bolt or weld in place as indicated in the Plans. Where piles are not driven into position in exact alignment as shown in the Plans, the Engineer may require the use of fills and shims between the bracing and the flanges of the pile. Furnish and place all fills and shims required to square and line up faces of flanges for cross bracing at 455-8.7 Coating: Coat exposed parts of steel piling, wedging, bracing, and splices in accordance with the provisions for coating structural steel as specified in Section 560. 455-8.8 Storage and Handling: While handling or transporting the piles from the point of origin and into the leads, store and handle in the manner necessary to avoid damage due to to the recommendations oft the manufacturer. no additional expense to the Department. bending stresses. In general, lift steel piles by means ofa suitable bridge or a sling attached to the pile at appropriate points to prevent damage. Lift the pile from the horizontal position in a manner that will prevent damage due to bending of the flanges and/or web. 455-8.9 Filling Pipe Piles: Ensure closed-end pipe piles are watertight. When required by the Plans, fill pipe piles with the specified materials. Use clean concrete sands and concrete meeting the requirements of Section 346. Place concrete in open ended pipes containing water using methods in accordance with 455-15.9 with modified tremie and pump line sizes. Concrete may be placed directly into pipes which are dry. Construct and place reinforcement cages in accordance with 455-16 except the minimum number of spacers per level is three. Reinforcement cages may be installed before concrete placement or after concrete placement is completed if proper alignment and position is obtainable. 455-9 Sheet Piling. Engineer. 455-9.1 Description: Leave permanent piling in place as part of the finished work and remove temporary piling after each construction phase unless otherwise authorized by the 455-9.2 Materials: Meet the following requirements: Concrete Bar Reinforcement, Prestressing Reinforcement Steel Sheet Piles* Section 346 Section 931 Section 933 Section 962 *For temporary steel sheet piles meet the requirements specified in the Plans. 455-9.3 Steel Sheet Piling: Drive or press-in steel sheet piling and cut off true to line and grade. Install steel sheet piling with a suitable hammer or press-in machine. Remove and replace any section damaged during handling and installation at no additional expense to the Department. 455-9.3.1 Method of Installation: Where rock or strong material is encountered such that the sheet piles cannot be set to grade by driving or press-in method, remove the strong material by other acceptable means, such as excavation and backfilling, drilling or by punching. Punching is not allowed where the press-in method is required. When the Plans do not indicate the existence ofrock or strong material, work of removing, drilling or punching the strong material or rock will be paid for as Unforeseeable Work. 455-9.4 Concrete Sheet Piling: 455-9.4.1 Description: Ensure that concrete sheet piling is of prestressed concrete 455-9.4.2 Manufacture of Piles: Ensure that the piles are fabricated in 455-9.4.3 Method ofInstallation: Jet concrete sheet piling to grade where construction and manufactured, cured, and installed in accordance with the requirements of the Contract Documents. accordance with Section 450. practical. The Engineer will require a minimum of two jets. Provide water at the nozzles of sufficient volume and pressure to freely erode material adjacent to the piles. Where encountering rock or strong material, such that the sheet piles cannot be set to grade by. jetting, remove the strong materials by other acceptable means, such as excavation and backfilling, drilling or by punching with a suitable punch. When the Plans do not indicate the existence ofrock or strong material and the piles cannot be set by, jetting, the Department will pay for the work of removing, drilling or punching the strong material or rock as Unforeseeable Work. 455-9.4.4 Grouting and Caulking: Concrete sheet piles are generally detailed to have tongues and grooves on their lower ends, and double grooves on their upper ends. Where sO detailed, after installation, clean the grooves of all sand, mud, or debris, and fully grout the grooves. Use approved plastic bags (sheaths) which will meet the shape and length of the groove tol be grouted to contain the plastic grout within the double grooves. Provide grout composed of one part cement and two parts sand. Use clean A-3 sand or sand meeting the requirements of Section 902 in this grout. In lieu of sand-cement grout, the Contractor may use concrete meeting the requirements of Section 347, using small gravel or crushed stone coarse aggregate. Deposit the grout through a grout pipe placed within a watertight plastic sheath (bag) extending the full depth oft the double grooves and which, when filled, completely fills the slot formed by the 455-9.5 Storage and Handling: Handle and store all sheet piles in a manner to prevent damage. Handle long sheet piles with fabric slings or braided wire rope constructed ofs sixor more wire ropes placed at appropriate lift points to prevent damage due to excessive bending. double grooves. 455-10 Pile Installation Plan. 30 days before driving the first pile. 455-10.1 General: Submit the completed Pile Driving Installation Plan Form (Form No. 700-020-01) with the following information at the preconstruction conference or no later than equipment, press-in equipment, jetting equipment, compressors, and preformed pile hole equipment. Include manufacturer's data sheets on hammers and press-in equipment. pile capacity. Include in the submittal necessary charts and recent calibrations for any pressure 1.I List and size of proposed equipment including cranes, barges, driving 2. Methods to determine hammer energy in the field for determination of measuring equipment. 3. Detailed drawings of any proposed followers. 4. Detailed drawings oft templates. 5. Details of proposed load test equipment and procedures, including 6. Sequence of driving of piles for each different configuration of pile 7. Details of proposed features and procedures for protection ofexisting 8. Proposed plan for monitoring settlements and vibrations of adjacent recent calibrations of jacks and required load cells. layout. structures. monitored. structures, identifying the proposed equipment, the structures and the specific points that will be 9. Required shop drawings for piles, cofferdams, etc. 10. Methods and equipment proposed to prevent displacement of piles 11. Methods to prevent deflection of battered piles due to their own weight 12. Proposed pile splice locations and details ofany proprietary splices 13. Methods and equipment proposed to prevent damage to voided or Notify the Engineer ofany test pile driving and production pile driving at least during placement and compaction of fill within 15 feet of the piles. and to maintain their as-driven position until casting of the pile cap is complete. anticipated to be used. cylinder piles due to interior water pressure. one week prior to beginning the installation operations of any pile. 455-10.2 Acceptance of Equipment and Procedures: All equipment and procedures are subject to satisfactory field performance. Make any required changes to correct unsatisfactory field performance. The Engineer will give final acceptance after the Contractor makes necessary modifications. Do not make any changes in the driving system after acceptance without authorization of the Engineer. A hammer repaired on site or removed from the site and returned is considered to have its performance altered (efficiency increased or decreased), which is considered a change in the driving system and is subject to a dynamic load test in accordance with 455-5.14 at no additional compensation. 455-11 Method of Measurement (All Piling). 455-11.1 General: No adjustments in the length, in feet, of piling will be made ifc cut-offs are required after the pile has been driven to satisfactory bearing. 455-11.2 Prestressed Concrete Piling: 455-11.2.1 Length: The length of precast concrete piles will be considered as the overall length from head to tip. Final pay length will be based on the casting length as authorized in accordance with 455-5.15.3 subject toj provisions of455-11.2.3, 455-11.2.4, 455-11.8, driven below cut-off and satisfactory bearing is not obtained, and additional driving is required after construction of a satisfactory splice, an additional 10 feet of piling will be paid for the additional driving. This compensation for driving of splice, however, will not be allowed for test without obtaining the required bearing, and the Engineer elects to have the pile extracted and a longer pile substituted, the pile will be paid for as Unforeseeable Work. In the event a pile is damaged or mislocated, and the damage or mislocation is determined to be the Department's responsibility, and the Engineer elects to have the pile extracted, the pile extraction will be paid for as Unforseeable Work. Ifa replacement pile is required. compensation will be made under the item for piling, for both the original pile and replacement pile. Redriving of an extracted and building-up a pile. In this event, the Contractor will be paid for the original authorized length of the pile, plus any additional length furnished by the Contractor up to the authorized length of the build-up, as piling. The Contractor will be paid 30 feet of piling as full compensation for underwater driving methods. payment will be made by selecting the applicable method from the will be made only for the authorized length at that location unless the length of pile from cut-off elevation to the final tip elevation is greater than the authorized length, in which case payment for piling will be made from cut-off elevation to final tip elevation. No payment will be made for pile splice, when this option is selected, unless the pile is physically spliced and the splice is 455-11.9, 455-11.12 and 455-11.13. 455-11.2.2 Driving ofUnplanned Epoxy-Bonded Dowel Splice: Ifa pile is piles that are spliced and redriven. 455-11.2.3 Extracting Piles: In the event that a pile is driven below cut-off undamaged pile will be paid for at 30% of the Contract unit price for piling. The Contractor may substitute a longer pile in lieu of splicing and extracting the original pile. 455-11.2.4 Underwater Driving: When the Contractor selects one of the optional following: 1. Using a pile longer than the authorized length: Measurement for piling driven below cut-off elevation to achieve bearing. 2. Using an underwater hammer or a pile follower: Measurement will be in accordance with 455-11.2.1. 455-11.3 Steel Piling: 455-11.3.1 Length: The length of steel piles will be considered as the overall 455-11.3.2 Point Protectors: The quantity to be paid for will be each for the total 455-11.4 Test Piles: The quantity to be paid for oftest piles of various types, will be the length, in feet, oft test piling furnished, driven and accepted, according to the authorized length extensions necessary to continue driving the pile for test purposes, as authorized by the Engineer, will be paid for as test piles. Other extensions of piles, additional length paid for splicing and build-ups will be included in the quantities of regular piling and will not be paid for as test 455-11.5 Dynamic Load Tests: Payment will be based on the number of dynamic load tests shown in the Plans, authorized by the Engineer, or required in 455-5.12.7, completed and accepted in accordance with the Contract Documents. No separate payment will be made for dynamic load tests used to evaluate changes in the Contractor's driving equipment. No payment will be made for dynamic load tests used to evaluate the integrity ofa pre-planned epoxy-bonded dowel splice. Include all costs associated with dynamically testing production piles with epoxy- bonded dowel splices under Pay Item No. 455-34. No payment will be made for dynamic load embedded gauges or attaching external gauges to each pile for dynamic load tests is included in embedded gauges or attaching external gauges to each production pile for dynamic load testing prior to initial driving, authorized by the Engineer, will be 20 feet ofa additional pile. No payment will be made for attaching dynamic testing equipment for set-checks or redrives. No payment will be made for dynamic load testing performed when driving using followers. No payment will 455-11.6 Steel Sheet Piling: The quantity to be paid for will be the plan quantity area, in square feet, measured from top of pile elevation to the bottom of pile elevation and beginning and end wall limits as shown in the Plans with no allowance for variable depth surface profiles. Approved alternate support structures would be paid for as plan quantity computed for sheet pile. Sheet piling used in cofferdams and to incorporate the Contractor' s specific means and methods, 455-11.7 Concrete Sheet Piling: The quantity to be paid for will be the product of the number of such piles satisfactorily completed, in place, times their lengths in feet as shown in the Plans or authorized by the Engineer. This quantity will be based upon piles 2-1/2 feet wide. in widths wider than shown in the Plans; then the number of piles shall be the actual number of 455-11.8 Pile Splices: The quantity to be paid for authorized drivable splices and build- ups greater than 5 feet in length in concrete piling, and test piling, which are made for the purpose of obtaining authorized pile lengths longer than shown as the maximum length in the length from head to tip. Final pay length will be subject to provisions of 455-11.8, ,455-11.9, 455-11.10, 455-11.12, and 455-11.13. of point protectors authorized, furnished, and properly installed. list, and any extensions thereof as approved by the Engineer. Test piles left in place as permanent piles will be paid for only as test piling. Any piling. tests on test piles. For structures with 100% dynamic testing, the cost of supplying and installing For structures without 100% dynamic testing, the cost of supplying and installing the cost of the pile and no separate payment will be made. be made for any dynamic load testing performed on temporary piles. and not ordered by the Engineer, will be paid for as required in Section 125. When the Engineer approves, the Contractor may furnish the concrete sheet piling units completed times the width used divided by the width in the Plans. Standard Plans Indexes, for obtaining greater lengths than originally authorized' by the Engineer, to incorporate test piling in the finished structure, for further driving of test piling, or for splices shown in the Plans, will be 30 feet of additional prestressed concrete piling under Pay Item quantity to be paid for will be 9 feet of prestressed concrete piling under Pay Item No. 455-34 as compensation for drilling and grouting the dowels and all other costs for which provision has not purpose of obtaining lengths longer than the lengths originally authorized by the Engineer, will No. 455-34. For concrete piles and test piles, where the build-up is 5 feet or less in length, the otherwise been made. The quantity to be paid for authorized splices in steel piling and test piling, for the be 20 feet of additional steel piling under Pay Item No. 455-35. 455-11.9 Set-Checks and Redrives: 455-11.9.1 Set Checks/Test Piles: There will be no separate payment for the initial four set-checks performed the day of and the working day following initial driving. For each additional set-check ordered by the Engineer and performed within the following working the initial two set-checks performed the day of and the working day following initial driving. For each additional set-check ordered by the Engineer and performed within the following working each, authorized by the Engineer. Payment for any pile redrive (test pile or production pile) 455-11.10 Pile Extraction: Piles authorized to be extracted by the Engineer and successfully extracted as provided in 455-11.2.3 will be paid for as described in 455-11.2.3. No payment for extraction will be made for piles shown in the Plans to be extracted or piling damaged or mislocated by the Contractor that are ordered to be extracted by the Engineer. 455-11.11 Static Load Tests: The quantity to be paid for will be the number ofs static load tests of the designated tonnages, each, as shown in the Plans or authorized by the Engineer, actually applied to piles, completed and accepted in accordance with the Plans and these day ofinitial driving, an additional quantity of10: feet of piling will be paid. 455-11.9.2: Set Checks/Production Piles: There will be no separate payment for day ofinitial driving, an additional quantity of1 10 feet of piling will be paid. ordered by the Engineer will consist of20 feet ofadditional piling. 455-11.9.3 Redrives: The quantity to be paid for will be the number of redrives, Specifications. 455-11.12 Preformed Pile Holes: The quantity added to the payment for piling will be 30% of the length of completed preformed pile holes from existing surface or the bottom ofany required excavation, whichever is lower, to the bottom of preformed hole acceptably provided, complete for the installation of the bearing piles, regardless oft the type of pile (test pile or production pile) installed therein. Only those holes authorized to be paid for, as provided in 455-5.10.3, will be included in the measurement for payment. The Engineer will authorize payment for preformed pile holes only when the pile has been placed in proper position and has 455-11.13 Grouted Preformed Pile Holes: The quantity added to the payment for piling will be 70% oft the length of grouted preformed pile holes from the bottom of preformed hole acceptably provided to the required top of grouting, regardless of the type of pile (test pile or production pile) installed therein. Only those holes required to be grouted, will be included in the achieved the required penetration. measurement for payment. 455-12 Basis of Payment (AII Piling). 455-12.1 Treated Timber Piling: Price and payment will be full compensation for labor, equipment, and materials required for furnishing, pile marking and installing all materials, including collars, metal shoes, copper cover sheets, preservatives and tar, and for wrapping pile 455-12.2 Prestressed Concrete Piling: Price and payment will be full compensation for all labor, equipment, and materials required for furnishing, pile marking and installing all reinforcing steel, predrilled holes, furnishing the material for and wrapping pile clusters with wire cable where sO shown in the Plans and grouting of preformed pile holes when shown in the 455-12.3 Steel Piling: Price and payment will be full compensation for all labor, equipment, and materials required for furnishing, marking, and installing steel piling, including welding and painting as specified and the cost of predrilling pile holes described in 455-5.1. The cost of any concrete fill and reinforcing steel in pipe piles will be included in the price for steel Bracing and other metal parts attached to or forming a part of] piling or bracing and not otherwise classified, will be measured and paid for as provided in Section 460. 455-12.4' Test Piles: Price and payment will be full compensation for all incidentals necessary to complete all the work of this item except splices, build-ups, pile extractions and preformed pile holes authorized by the Engineer and paid for under other pay items or payment methods. The cost ofall additional work not listed above necessary to ensure: required penetration and attain required bearing of the test piles will be included in the price bid per foot clusters with wire cable, where sO shown in the Plans. Plans. piling. oft test pile, including driving and all other related costs. 455-12.5 Dynamic Load Tests: 455-12.5.1 Dynamic Load Tests/ Test Piles: All test piles will require dynamic 455-12.5.2 Dynamic Load Tests/ Production Piles: Payment will be full load tests. Include all costs associated with assisting the Engineer in performing the dynamic compensation for all costs associated with assisting the Engineer in performing the dynamic load load tests in the pay items for test piles. tests. 455-12.6 Steel Sheet Piling: 455-12.6.1 Permanent Sheet Piling: Price and payment will be full compensation for all labor, equipment, and materials required for furnishing and installing steel sheet piling including preformed holes and coating, but will not include furnishing and placing anchors when an anchored wall system is designed and detailed in the Plans. In such cases, walls which are necessary to maintain the safety of the traveling public or structural integrity of nearby structures, roadways and utilities during construction, that are detailed in the Plans, price and payment will be full compensation for all labor, equipment, and materials required for furnishing and installing steel sheet piling including preformed holes when shown in the Plans, and including wales, anchor bars, dead men, soil anchors, prooftests, performance tests, creep tests, and other incidental items when an anchored wall system is required. Removal of the sheet piling, anchors, and incidentals will be included in the cost per square foot for steel sheet piling (critical temporary). When the temporary steel sheet pile walls are not detailed in the Plans, the cost of furnishing and installation shall be incidental to cost of other related items and furnishing and installing anchors will be paid for separately. 455-12.6.2 Temporary Sheet Piling: For critical temporary steel sheet pile walls, no separate payment shall be made. Ift the wall is not shown in the Plans, but deemed to be critical as determined by the Engineer, then a design shall be furnished by the Department and 455-12.7 Concrete Sheet Piling: Price and payment will be full compensation for all labor, equipment, and materials required for furnishing and installing concrete sheet piling, including reinforcing steel, grouting, filter fabric, preformed holes and installation. 455-12.8 Preformed Pile Holes: There is no separate pay item for preformed pile holes. Payment will be made as the unit price for piling of the applicable pile type. Payment will be full compensation for all labor, equipment, casings and materials required to perform this work. 455-12.9 Point Protectors: Price and payment will be full compensation for all labor, equipment, and materials required for furnishing and installing point protectors. 455-12.10 Static Load Tests: Price and payment will be full compensation for all labor, equipment, and incidentals required to perform this work, including instrumentation, data 455-12.11 Pile Cut-Off: Anticipate all piles will require cutting-off, and include all costs paid for separately under steel sheet piling (critical temporary). collection and professional services to prepare the report. associated with pile cut-off in the pay items for piling. 455-12.12 Payment Items: Payment will be made under: Item No. 455- 2- Treated Timber Piling per foot. Item No. 455-14- Concrete Sheet Piling per foot. Item No. 455- 34- Prestressed Concrete Piling - per foot. Item No. 455-3 35- Steel Piling per foot. Item No. 455- 36- Concrete Cylinder Piling - per foot. Item No. 455-119- Test Loads each. Item No. 455-120- Point Protection - each. Item No. 455-133- Sheet Piling per square foot. Item No. 455-143- Test Piles (Prestressed Concrete) - per foot. Item No. 455-144- Test Piles (Steel) - per foot. Item No. 455-145- Test Piles (Concrete Cylinder) - per foot. Bond No T: 108116465 SRIP- San Pedrn Road B: 47-SUR30012401-0431 2023-003-OEC PERFORMANCE BOND Any singular reference to Contractor, Surety, Owner, or other party shal! be considered plural where applicable. ÇONTRACTOR (Name and Address): Anderson Columbia Co., Inc. 871 NW Guerdon Street, Lake City, FL. 32056 OWNER (Name and Address): TAYLOR COUNTY BOARD OF COUNTY COMMISSIONERS 108 NORTHJ JEFFERSONST. PERRY FL. 32347 CONTRACT Date: SURETYYName and Address Travelers Casually and: Surety Berkshire Hathaway Specialty Company insurance gfAmerica Company One Tower) Square/1374 Douglas St Sulte 1400 Hartford, CT08183/Omaha, NE68102 ofPrincipal Place of Business): and Amount: $1,174,963:00. (Ore million one hundred seventy-tourthousand nine hundred sixty-three and 00/100-dollars) Description (Namé and Location): San: Pedro Road Retaining Wall Contract: The intent of this cantract is to: seçare all labor and" equipmént required for the San Pedro. Road Retaining Wall project in Taylor County, Florida. This praject consists ofi installing 200LF of Sheet Pile wall along a portion of San Pedro. Rd to stabilize an: area of subsidence due to an apparent underlying karst feature. Improvements will also include roadway reconstruction and restoration as well as roadside protective devices, as more fully detailed in the project plans and specifications. Datc (Not earlier than Contract Date): Modifications to this Bond Form: None BOND Bond Number: T: 108116465 B: 47SUR.00124.01.0431 Amount: $1,174,963.00 (One million one hundred seventy-four thousand nine hundred sixty-three and 00/100 dollars) Surety and Contractor. intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Performance Bond to be duly executed on its behalfby its authorized officer, agent, or representative. CONTRACTORASPRINCIPAL C: Company: Anderson ColumbiaCo.,! Inc. Name and Title: SURETY * 12 Sigpature: Travelers Casually and Surety, Company of America and Berkshire Hathaway Specialty Insurance Company Surety's Name and Corporate,Seal Signature and Title Kevin R. (Attach Power of Attorney) Attest: QE Signature and Title Amy Scott, Witness (Seal) S E.Tony Williams Jr., Vice Presidant By: Wojtowicz, Attorney-in-Fact (Spacéisprovided below for ignaturesofadditional parties, ifrequired.) CONTRACTOR AS PRINCIPAL Company: Signature: Name and Title: SURETY n/a Surety' 's Name and Corporate Seal By: n/a Signature and Title (Attach Power of Attorney) Attest: n/a Signature and Title: (Seal) (Seal) EJCDC No. C-610 (2002 Edition) Originally prepared through the joint efforts of the Surety Association of America. Engineers Joint Contract Documents Committee. the Associated Generai Contractors of America. and the American Institute of Architects. 00610-1 THE PROVISIONS ANDLIMITATIONS OF SECTION: 255.05 FLORIDA STATUTES, INCLUDINGI BUTNOTI LIMITED TO THE NOTICE. AND TIME LIMITATIONS IN SECTIONS Bond No. T: 108116465 SRIP- San Pedro Road B4/.SUR.0012401081 235050AND2550500., AREINCORPORATED IN THIS BOND BY REFERENCE. Any singular reference to Contractor, Surety, Owner, or other party shall be considered plural where applicable. 2023-003-OEC PAYMENT BOND CONTRACTOR (Name and Address): Anderson Columbia Go., inc. 871. NW Guerdon Street, Lake City, FL. 32056 none 386-752-7585 OWNERTName and Address): 1081 NORTH. JEFFERSONST. PERRY FL, 32347 Phone 850-838-3500 CONTRACT Date: SURETY (Name and Address ofPrincipal Place of Business): and Surety, Company of America and Hathaway Specially Insurance Company One Tower Square/1814 Douglas St. Sulte 1400 Phone 8027201402916300 Travelers Çasualty Berkshire TAYLOR COUNTY BOARD OF COUNTY COMMISSIONERS Hartford, CT 06183/0maha, NE 68102 Amount: $1, 174,963.00 (One million one hundred seventy-four thousand nine hundred sixty-three and 00/100 dollars) Description (Name and Location): San Pedro Road Retaining Wall Contract: The intent of this contract is to secure all labor and equipment required for the San Pedro Road Retaining Wall project in Taylor County, Florida. This project consists of installing 200LF of Sheet Pile wall along a portion of San Pedro Rd to stabilize an area of subsidence due to an apparent underlying karst feature. improvements will also include roadway reconstruction and restoration as well as roadside protective deviçes, as morc fully detailed in the project plans and specilications. Bond Number: T: 108116465 B:47-SUR-300124-01-0431 Date (Not earlier than Contract Date): Modifications to this Bond Form: Yes - See Section 16. BOND Amount: $1,174,963.00 (One million one hundred seventy-four thousand nine hundred sixty-three and 00/100 dollars) Surety and Contractor, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Payment Bond to be duly executed on its behalfby its authorized officer, agent, or representative. ANDCASA CONTRACTOR. AS PRINCIPAL Company: Anderson ColumbiaCo., Inc. SURETY Travélers Casualty and Surety Company of America and Berkshire Hathaway Specialty Insurance Company Surety's Name and Corporate Signature and Title Kevin R. Wojtowicz, Attorney-in-Fact (Attach Power of Attorney) Signature: - Namend! * 102 ifrequired.) (Seal) Seal U ETony Williams Jr., Vice President Bp By: (Space is provided below for signatures ofadditional parties. Attest: SURETY n/a Surety's' Name and Corporate Seal By: nla Signature and Title (Attach Power of Attorney) Attest: n/a Signature and Title: aBts Signature and Title Ally Scott, Witness CONTRACTOR AS PRINCIPAL Company: Signature: Name and Title: (Seal) (Seal) E.JCDC No. C-615 (2002 Edition) Originally prepared through the joint efforts of the Surety. Association of America, Engineers Joint Contract Documents Committee, the Associated General Coatractors of America, the American Institute of Architects, the. American Subcontractors Association, and the Associated Specialty Contractors. 00615-1 Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company St. Paul Fire and Marine Insurance Company TRAVELERSI POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casuaity and Surety Company of America, Travelers Casualty and Surety Company, and St. Paul Fire and Marine Insurance Company are corporations duly organized under the laws of the State of Connectiçut (herein acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or IN WITNESS WHEREOF. the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April. collectively called the' Companies"). and that the Companies dol hereby make, constitute and appoint KEVINRWO.JTOWICZ guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. of STI PETERSBURG Florida their true and lawful Attorney(s-in-Fact to sign, execute, seal and 2021. HARTFORD, CONN. State of Connecticut City of Hartford SS. By: dsy Robert L. Raney,"Senior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney, who acknowiedged himself to be the Senior Vice President of each of the Companies, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of said Companies by himself as a duly authorized officer. IN WITNESS WHEREOF, Ihereunto set my hand and official seal. My Commission expires the 30th day of. June, 2026 NOTARY eke PUBLIC hubkil Anna P. Nowik, Notary Public This Power of Attorney is granted under and by the authority of the foilowing resolutions adopted by the Boards of Directors of each of RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf oft the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President. any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by. the President, any Vice Chairman, any Executive Vice President. any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary: or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates ofa authority or by one or more Company officers pursuant to a written delegation of authority: anditis FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President. any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal oft the Company may be affixed by facsimite to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attomeys-in- Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or Kevin E. Hughes, the undersigned, Assistant Secretary of each of the Companies, do hereby certify that the above and foregoing is a the Companies, which resolutions are now inf full force and effect, reading as follows: remove any such appointee and revoke the power given him or her; andi itis that each such delegation is in writing and a copy thereofis filed int the office oft the Secretary: and itis understanding to whichi itis attached. true and correct copy of the Power of Attomey executed by said Companies, which remains inf full force and effect Dated this day of gn oat 2024. HARIROPD.) CONK. EKE Kevin E. Hughes, Assistant Secretary Toverify the authenticity of this Power ofAttorney, please call us at 1-800-421-3880. Please refer to the AoMAMAteSTOPd and the details of the bond to which this PowerofAttorney is attached. 475UR30012401-0431 Berkshire Hathaway Specialty Insurance bhl Power orAttorney BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY NATIONAL INDEMNITY COMPANY, / NATIONAL LIABILITY & FIRE INSURANCE COMPANY Knowa alln ment byt thesep presents, that BERKSHIRE! HATHAWAY: SPECJAITYINSURANCES COMPANY, a corporatione existing under and byvirtue ofthel laws oft thes State ofN Nebraska: andi havinga and office ato Onet Lincoin Street, 23rd Floor, Boston, Massachusetts 02111, NATIONALI INDEMNITY COMPANY, a corporation existing undera and by virtue oft thel laws oft the State of Nebraska and having an office at3 3024) Harney Street, Omaha, Nebraska 68131 and! NATIONAL LABIUTYRE FIREJ INSURANCE COMPANY,a corporation existing under and byv virtue oft thel laws oft thes State ofo Connecticut: and havinga and office at 100F First Stamford Place, Stamford, Connecticut 06902 (hereinafter collectivelyt the "Companies"). pursuant toa and byt thea authoritys granted ass setf forth herein, dok hereby name, constitute and appoint Kevin R.Woitowicz. 1000 Central Avenue, Suite 200 ofthes city ofst. Petersburg, State ofF Florida, their true and lawful attorneyls/-in-ract: ton make, execute, seal, acknowledge, ando deliver, fora ando ont their behalfa ass surety anda astheir acta and deed, any anda allu undertakings. bonds, ord other' such writings obligatory int ther nature thereof, inp pursuance oft these presents, the execution of whichs shall bea asbinding upan the Companies asifith has been duly signed and executed byt their regularly elected officers int their own proper persons This authority fort theA Attorney-in-Fact: shall bel limited to the execution oft thez attached bond(s)o oro others such writings Inw witness whereof, this Power ofA Attorney has beens subscribed bya ana authorized officer oft the Companies, andt the corporate seals oft the Companies have! beena affixed hereto this date ofA August2 24, 2023. This Power ofA Attorneyi is made ande executed pursuant to and bya authority oft the Bylaws, Resolutions oftheE Board of Directors, andd other Authorizations ofE BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY, NATIONAL INDEMNITY COMPANY and NATIONAL LIABILITY& FIREI INSURANCE COMPANY, which arei in full farce ande effect. each reading asa appears ont the back page oft this Power ofA Attorney, respectively The following seals oft the Companies ands signatures bya ana authorized officer oft the Companyr may bea affixed! byf facsimile or digitalf format, whichs shall be deemed the equivalent ofa ando constitute thev written signature ofs such officer of the Companies and original seals oft the Companies fora all purposes regarding this Power of Attorney, includings satisfaction ofa any signature ands seal requirements on any and allu undertakings, bonds, oro other: such writings obligatory int the naturet thereof, tov which this Power ofA Attorney: applies. obligatory int ther naturet thereof. BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY, Q4E NATIONALI INDEMNITY COMPANY, NATIONALI LIABILITY & FIRE INSURANCE COMPANY, QEE David Fields, Vice President By: By: David Fields, Executive Vice President NOTARY State of Massachusetts, Countyo ofSuffoik, 55: Ont this 24th day ofA August, 2023, before mea appeared David Fields, Executive Vice President of BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY and Vice President of NATIONALI INDEMNITY COMPANY and NATIONAL LIABILITY & FIREI INSURANCE COMPANY, whot being dulys sworn, sayst thath his capacity isaso designateda above fors such Companies; thath hek knows the corporate seals of the Companies; thatt thes seals affixed tot thef foregoingi instrument ares such corporate seals: that they were affixed byo order oft thet boardo of directors or others governing body ofsaid Companies pursuant: tai its Bylaws, Resolutions andc other Authorizations, and that hes signed. saidinstiument int thato capacity ofs saido Companies. [NotarySeal) JOHN C. SKINNER Notary Public, Commonwealth My Commission Expires Notary Public o/Massachusetts Jenuary2 22,2027 Raiphl Tortorella, the undersigned, Officer ofE BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY, NATIONAL INDEMNITY COMPANY and NATIONAL! LIABILITY& FIRE INSURANCE COMPANY, dol hereby certifyt that the above andf foregoingi isa true and correct copy oft theF Power ofA Attorneye executed bys said Companies whichisinf fullf force ande effect and has not beenr revoked. INT TESTIMONY WHEREOE: see hereunto affixedt thes seais ofs said Companies this 2024. Ralph Tortorella, Officer BHSIC, NICO & NLFPOA/(2023) DATE (MM/DDMYYY) 10/14/2024 CORD CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: Ift the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. IFSUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER P.O. Box 2196 Marietta GA 30061 INSURED Anderson Columbia Co., Inc. P.O. Box 1829 Lake City FL 32056 COVERAGES INSR LTR NAME: CONTACT Brittany Beck PHONE 404-809-2530 (AIC-NO.Ext: E-MAIL ADDRESS: bbeck@achisure.com INSURERA: Liberty Mutual Fire Insurance Company ANDECOL-02 INSURER B: RSUI Indemnity Company INSURER C: Indemnity National Insurance Company INSURERE: Safety National Casually Corporation Acrisure Southeast Partners Insurance Services LLC FAX (AC,No): 404-809-2531 INSURER(S) AFFORDING COVERAGE NAIC# 23035 22314 18468 15105 INSURER D: Endurance Ameriçan Specially Insurance Company 41718 INSURERF: CERTIFICATE NUMBER:11670639 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS. AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDLISUBR INSD! WyD POLICYEFF POLICYEXP (MM/DDMYYY) (MM/DDMYYY) 5/1/2024 5/1/2025 EACHOCCURRENCE TYPE OFI INSURANCE A X COMMERCIAL GENERALI LIABILITY X CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY XI PRO: JECT X LOC OTHER: AUTOMOBILEUABILIY ANYA AUTO OWNED AUTOS ONLY HIRED AUTOSONLY UMBRELLALIAB EXCESSL LIAB DED RETENTIONS WORKERS COMPENSATION ANDE EMPLOYERS LIABILITY ANYPROPRETORPARINEREXECUTIVE OPCEAMEMAEREACUOEDI (Mandatoryi in NH) ifyes. describe under DESCRIPTION OF OPERATIONS below POLICYNUMBER TB2651-289907-104 LIMITS $2,000,000 DAMAGE TORENTED PREMISES (Ea occurrence) $300,000 MED EXP (Any one person) $10,000 PERSONALSADVINAURY $2,000.000 GENERAL AGGREGATE $4,000,000 PRODUCTS -COMPIOP AGG $4,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident)! $ PROPERTY DAMAGE (Per açcident) Y A52-651-289907-084 5/1/2024 5/1/2025 (Ea COMBINED accident). SINGLELIMIT $2,000,000 SCHEDULED AUTOS X NON-OWNED AUTOS ONLY OCCUR CLAIMS-MADE TIN NIA $ $10,000.000 $10.000.000 ER OTH- $1,000,000 NHA600297 XS000122224 EXC30000098108 SP4066411 5/1/2024 5/1/2025 EACHOCCURRENCE 5/1/2024 5/1/2025 5/1/2024 5/1/2025 AGGREGATE 4/1/2024 4/1/2025 X STATUTE PER E.L. EACHACCIDENT E.L. DISEASE -EAE EMPLOYEE $1,000.000 E.L. DISEASE POLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, mayt be attachedi ifmore space is required) E: SAN PEDRO ROAD RETAINING WALL; TAYLOR CO. ACCI Project No. 524201 Taylor County Board of County Commissioners is added as additional insureds as required by written contract for General Liability and Auto Liability, per attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCEWITHI THE POLICY PROVISIONS. AUTRORLEDAEPAESEANE QAA Taylor County Board of County Commissioners 108N. Jefferson St. Perry FL 32347 01 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A52-651-28907-084 Issued by Liberty Mutual Fire Insurance Co THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Newly Acquired or Formed Organizations Employees as Insureds III. Lessor Additional Insured and Loss Payee IV. Supplementary Payments Increased Limits Fellow Employee Coverage VI. Personal Property of Others VIII. Airbag Coverage IX. Tapes, Records and Discs Coverage Physical Damage Deductible - Single Deductible XI. Physical Damage Deductible - Glass XII. Physical Damage Deductible Vehicle Tracking System XIII. Duties in Event of Accident, Claim, Suit or Loss XIV. Unintentional Failure to Disclose Hazards XV. Worldwide Liability Coverage - Hired and Nonowned Autos XVI. Hired Auto Physical Damage XVII. Auto Medical Payments Coverage Increased Limits XIX. Rental Reimbursement Coverage XX. Notice of Cancellation or Nonrenewal XXI. Loan/Lease Payoff Coverage XXII. Limited Mexico Coverage XXIII. Waiver of Subrogation I. II. V. VII. Additional Transportation Expense and Cost to Recover Stolen Auto X. XVIII. Drive Other Car Coverage - Broadened Coverage for Designated Individuals NEWLY ACQUIRED ORI FORMED ORGANIZATIONS Throughout this policy, the words you and) your also refer to any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership of more than 50 percent interest, provided: A. There is no similar insurance available to that organization; B. Unless you notify us to add coverage to your policy, the coverage under this provisioni is afforded only until: 1. The 90th day after you acquire or form the organization; or 2. The end of the policy period, whichever is earlier; and The coverage does not apply to an "accident" which occurred before you acquired or formed the organization. AC84070713 02013 Liberty Mutual Insurance. Allr rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 11 with its permission. Issued by Liberty Mutual Fire Insurance Co II. EMPLOYEES AS INSUREDS Paragraph. A.1. Who Is An Insured of SECTIONII- -LIABILITY COVERAGE is amended to add: Your "employee" is an "insured" while using with your permission a covered "auto" you do not own, hire or borrowi in your business or your personal affairs. III. LESSOR- ADDITIONAL INSURED AND LOSS PAYEE A. Any' "leased auto" will be considered an' "auto" you owna and nota an' "auto" you hire or borrow. The coverages provided under this section apply to any "leased auto" until the expiration date of this policy or until the lessor or his or her agent takes possession of the' "leased auto" whichever occurs first. B. For any "leased auto" that is a covered' "auto" under SECTION II- LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured provisioni is changed to include as an "insured" the lessor oft the' "leased auto". However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 1. You. 2. Any of your 'employees" or agents; or the permission of any of the above. 3. Any person, except the lessor or any" "employee" or agent of the lessor, operating a' "leased auto" with C. Loss Payee Clause 1. We will pay, as interests may appear, you and the lessor of the "leased auto" for "loss" to the covered 2. The insurance covers the interest of the lessor of the "leased auto" unless the "loss" results from 3. Ifwe make any payment to the lessor of a "leased auto", we will obtain his or her rights against any "leased auto". fraudulent acts or omissions on your part. other party. D. Cancellation 1. Ifwe cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. Ifyou cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. E. The lessori is not liable for payment of your premiums. F.F For purposes of this endorsement, the following definitions apply: including any "temporary substitute" of such "leased auto". "Leased auto" means an' "auto" which youl lease fora a period of six months or longer foru use in your business, AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 2of11 with its permission. Issued by Liberty Mutual Fire Insurance Co "Temporary substitute" means an "auto" that is furnished as a substitute for a covered "auto" when the covered "auto" is out of service because ofi its breakdown, repair, servicing, "loss" or destruction. IV. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS Subparagraphs A.2.a.(2) and A.2.a.(4) of SECTION II - LIABILITY COVERAGE are deleted and replaced by (2) Up to $3,000 for the cost of bail bonds (including bonds for related traffic law violations) required because (4) All reasonable expenses incurred by the "insured" at our request, including the actual loss of earnings up the following: of an' "accident" we cover. We do not have to furnish these bonds. to$ $500 a day because of time off from work. V. - FELLOW EMPLOYEE COVERAGE A. Exclusion B.5. of SECTION II- LIABILITY COVERAGE does not apply. B. For the purpose of Fellow Employee Coverage only, Paragraph B.5.0 OfBUSINESS AUTO CONDITIONS is changed as follows: This Fellow Employee Coverage is excess over any other collectible insurance. VI. PERSONAL PROPERTY OF OTHERS Exclusion 6. in SECTION II- LIABILITY COVERAGE for a covered "auto" is amended to add: This exclusion does not apply to "properly damage" or "covered pollution cost or expense" involving "personal property" of your "employees" or others while such property is carried by the covered "auto". The Limit of Insurance for this coverage is $5,000 per "accident". Payment under this coverage does not increase the Limit For the purpose of this section of this endorsement, "personal property". is defined as any property that is not of Insurance. used in the individual's trade or business or held for the production or collection of income. VI. ADDITIONAL TRANSPORTATION EXPENSE AND COST TO RECOVER STOLEN AUTO A. Paragraph A.4.a. of SECTION IlI - PHYSICAL DAMAGE COVERAGE is amended as follows: The amount we will pay is increased to $50 per day and to a maximum limit of $1,000. B. Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: If your business is shown in the Declarations as something other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen covered "auto" from the place where it is recovered to its usual garaging location. VIII. AIRBAG COVERAGE Exclusion B.3.a. in SECTION III- - PHYSICAL DAMAGE COVERAGE is amended to add: This exclusion does not apply to the accidental discharge of an airbag. AC84070713 02013 Liberty Mutual Insurance.. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 11 with its permission. Issued by Liberty Mutual Fire Insurance Co IX. TAPES, RECORDS AND DISCS COVERAGE Exclusion B.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaçed by the following: a. Tapes, records, discs or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar audio, visual or data electronic devices: (1) Are your property or that of a family member; and (2) Are in a covered "auto" at the time of "loss". The most we will pay for "loss" is $200. No Physical Damage Coverage deductible applies to this coverage. Paragraph D. in SECTION III - PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: X. PHYSICAL DAMAGE DEDUCTIBLE- SINGLE DEDUCTIBLE D. Deductible For each covered "auto", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. When two or more covered "autos" sustain "loss" in the same collision, the total of all the "loss" for all the involved covered "autos" will be reduced by a single deductible, which will be the largest of all the deductibles applying to all such covered "autos". XI. PHYSICAL DAMAGE DEDUCTIBLE - GLASS Paragraph D. in SECTION IlI - PHYSICAL DAMAGE COVERAGE is amended to add: No deductible applies to' "loss" to glass ify you elect to patch or repair it rather than replace it. Paragraph D.i in SECTION III- PHYSICAL DAMAGE COVERAGE is amended to add: global positioning device and that device was the method of recovery of the vehicle. XII. PHYSICAL DAMAGE DEDUCTIBLE- - VEHICLE TRACKING SYSTEM Any Comprehensive Coverage Deductible shown in the Declarations will be reduced by 50% for any "loss" caused by theft if the vehicle is equipped with a vehicle tracking device such as a radio tracking device ora XIII. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraphs A.2.a. and A.2.b. of SECTION IV- BUSINESS AUTO CONDITIONS are changed to: a. In the event of' "accident", claim, "suit" or' "loss", your insurance manager or any other person you designate must notify us as soon as reasonably possible of such "accident", claim, "suit" or "loss". Such notice must include: (1) How, when and where the "accident" or "loss" occurred; AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 4 of11 with its permission. Issued by Liberty Mutual Fire Insurance Co (2) The' "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. Knowledge of an "accident", claim, "suit" or "loss" by your agent, servant or "employee" shall not be considered knowledge by you unless you, your insurance manager or any other person you designate has received notice oft the "accident", claim, "suit" or' "loss" from your agent, servant or "employee". b. Additionally, you and any otheri involved' "insured" must: (1) Assume no obligation, make no payment or incur no expense without our consent, except at the (2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit". "insured's" own cost. concerning the claim or" "suit". (4) Authorize us to obtain medical records or other pertinent information. (5) Submit to examination, at our expense, by physicians of our choice, as often as we reasonably require. XIV. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. in SECTION IV-E BUSINESS AUTO CONDITIONS is amended to add the following: Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soonas reasonably possible after its discovery XV. WORLDWIDE LIABILITY COVERAGE- HIRED AND NONOWNED AUTOS Condition B.7. in SECTION IV- - BUSINESS AUTO CONDITIONS is amended to include the following: For "accidents" resulting from the use or operation of covered "autos" you do not own, the coverage territory a. Ifclaimi is made or' "suit" is brought against an' 'insured" outside oft the United States of America, its territories and possessions, Puerto Rico and Canada, we shall have the right, but not the duty to investigate, If we do not exercise that right, the "insured" shall have the duty to investigate, negotiate, and settle or defend the claim or "suit" and we will reimburse the "insured" for the expenses reasonably incurred in connection with thei investigation, settlement or defense. Reimbursement will be paid in the currency of the United States of America at the rate of exchange prevailing on the date of reimbursement. The "insured" shall provide us with such information we shall reasonably request regarding such claim or The "insured" shall not agree to any settlement of the claim or "suit" without our consent. We shall not means all parts of the world subject to the following provisions: negotiate, and settle or defend such claim or "suit". "suit" and its investigation, negotiation, and settlement or defense. unreasonably withhold consent. AC84070713 02013Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 5of11 with its permission. Issued by Liberty Mutual Fire Insurance Co b. Wea are notl licensed to write insurance outside oft thel United States of America, its territories or possessions, We will not furnish certificates of insurance or other evidence of insurance you may need for the purpose Failure to comply with the auto insurance laws of other countries may result in fines or penalties. This Puerto Rico and Canada. ofc complying with the laws of other countries relating to auto insurance. insurance does not apply to such fines or penalties. XVI. HIRED AUTO PHYSICAL DAMAGE thei following will apply: Ifr no deductibles are shown in the Declarations for Physical Damage Coverage for Hired or Borrowed Autos, A. We will pay for "loss" under Comprehensive and Collision coverages to a covered "auto" of the private passenger type hired without an operator for use in your business: 1. The most we will pay for coverage afforded by this endorsement is the lesser of: a. The actual cost to repair or replace such covered "auto" with other property of like kind and quality; or b. The actual cash value of such covered "auto" at the time of the' "loss". 2. An adjustment for depreciation and physical condition will be made in determining actual cash value in 3. Ifar repair or replacement results in better than like kind or quality, we will not pay fort the amount of the B. For each covered "auto", our obligation to pay for, repair, return or replace the covered "auto" will be reduced by any deductible shown in the Declarations that applies to private passenger "autos" that you own. Ifno applicable deductible is shown in the Declarations, the deductible will be $250. Ift the Declarations show other deductibles for Physical Damage Coverages for Hired or Borrowed Autos, the event of a total "loss". betterment. this Section XVI of this endorsement does not apply. C.F Paragraph A.4.b. of SECTION III- - PHYSICAL DAMAGE COVERAGE is replaced by: . Loss of Use Expenses For Hired Auto Physical Damage provided by this endorsement, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a private passenger vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay forl loss of use expenses (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for (2) Specified Causes of Loss only ift the Declarations indicate that Specified Causes ofl Loss Coverage (3) Collision onlyi if the Declarations indicate that Collision Coverage is provided for any covered' l"auto". caused by: any covered "auto"; is provided for any covered' "auto"; or AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 6of11 with its permission. Issued by Liberty Mutual Fire Insurance Co However, the most we will pay under this coverage is $30 per day, subject to a maximum of $900. XVII. AUTO MEDICAL PAYMENTS COVERAGE- - INCREASED LIMITS For any covered "loss", the Limit of Insurance for Auto Medical Payments will be double the limit shown in the Declarations if the "insured" was wearing a seat belt at the time of the "accident". This is the maximum amount we will pay for all covered medical expenses, regardless of the number of covered "autos", "insureds", Ifno limit of insurance for Auto Medical Payments is shown on the Declarations, this paragraph Section XVII of XVIII. DRIVE OTHER CAR COVERAGE-B BROADENED COVERAGE FOR DESIGNATED INDIVIDUALS premiums paid, claims made, or vehicles involved in the "accident". this endorsement does not apply. A. This endorsement amends only those coverages indicated with an "X" in the Drive Other Car section of the Schedule to this endorsement. B. SECTION II-L LIABILITY COVERAGE is amended as follows: 1. Any "auto" you don't own, hire or borrow is a covered "auto" for Liability Coverage while being used by any individual named in the Drive Other Car section of the Schedule to this endorsement or by his or a. Any" "auto" owned by that individual or by any member of his or her household; or her spouse while a resident of the same household except: b. Any "auto" used by that individual or his or her spouse while working in a business of selling, servicing, repairing or parking "autos". 2. The following is added to Who Is An Insured: Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her spouse, while a resident of the same household, are "insureds" while using any covered "auto" C. Auto Medical Payments, Uninsured Motorist, and Underinsured Motorist Coverages are amended as described in Paragraph B.1. of this endorsement. follows: The following is added to Who Is An Insured: Any individual named in the Drive Other Car section of the Schedule to this endorsement and his or her "family members" are' "insured" while "occupying" or while a pedestrian when struck by any "auto" you don't own except: Any" "auto" owned by that individual or by any "family member". D. SECTION III PHYSICAL DAMAGE COVERAGE is changed as follows: Any private passenger type "auto" you don't own, hire or borrow is a covered "auto" while in the care, custody or control of any individual named in the Drive Other Car section of the Schedule to this endorsement or his or her spouse while a resident of the same household except: 1. Any "auto" owned by that individual or by any member of his or her household; or AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 7of11 with its permission. Issued by Liberty Mutual Fire Insurance Co 2. Any' "auto" used by that individual or his or her spouse while working in a business of selling, servicing, E. For purposes of this endorsement, SECTION V-D DEFINITIONS is amended to add the following: "Family member" means a person related to the individual named in the Drive Other Car section of the Schedule to this endorsement by blood, marriage or adoption who is a resident of the individual's repairing or parking' "autos". household, including a ward or foster child. XIX. RENTAL REIMBURSEMENT COVERAGE A. Fora any owned covered' "auto" for which Collision and Comprehensive Coverages are provided, we will pay forrental reimbursement expenses incurred by you for the rental of an "auto" because ofa a covered physical damage "loss" to an owned covered "auto". Such payment applies in addition to the otherwise applicable amount of physical damage coverage you! have on a covered "auto". No deductibles apply to this coverage. B. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending with the earlier of the return or repair of the covered "auto", or the exhaustion of the coverage limit. Ourp payment is limited to the lesser of the following amounts: 1. Necessary and actual expenses incurred; or 2. $30 per day with a maximum of $900 in any one period. D. This coverage does not apply: 1. While there are spare or reserve "autos" available to you for your operations; or 2. Ifcoverage is provided by another endorsement attached to this policy. E. Ifa covered "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount ofy your rental reimbursement expenses which is not already provided for under Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE of the Business Auto Coverage Form or Section VII of this endorsement. XX.NOTICE OF CANCELLATION OR NONRENEWAL A. Paragraph A.2. of the COMMON POLICY CONDITIONS is changed to: 2. We may cancel or non-renew this policy by mailing written notice of cancellation or non-renewal to the Named Insured, and to any name(s) and address(es) shown in the Cancellation and Non-renewal Schedule: a. For reasons of non-payment, the greater of: (1) 10 days; or (2) The number of days specified in any other Cancellation Condition attached to this policy; or . For reasons other than non-payment, the greater of: AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyngnted material of Insurance Services Office, Inc., Page 8of 11 with its permission. Issued by Liberty Mutual Fire Insurance Co (1) 60 days; (2) The number of days shown in the Cancellation and Non-renewal Schedule; or (3) The number of days specified in any other Cancellation Condition attached to this policy, prior to the effective date of the cancellation or non-renewal. B. All other terms of Paragraph A. of the COMMON POLICY CONDITIONS, and any amendments thereto, remain in full force and effect. XXI. LOAN/LEASE PAYOFF COVERAGE The followingi is added to Paragraph C. Limit of Insurance of SECTION III- PHYSICAL DAMAGE COVERAGE: In the event of a total "loss" to a covered "auto" of the private passenger type shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on 1. The amount paid under the PHYSICAL DAMAGE COVERAGE SECTION of the policy; and the lease or loan for that covered "auto", less: 2. Any: a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance Security deposits not returned by the lessor; purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. This coverage is limited to a maximum of $1500 for each covered "auto". XXII. LIMITED MEXICO COVERAGE WARNING AUTO ACCIDENTS IN MEXICO ARE SUBJECT TO THE LAWS OF MEXICO ONLY - NOT THE LAWS OF THE UNITED STATES OF AMERICA. THE REPUBLIC OF MEXICO CONSIDERS ANY AUTO ACCIDENT A IN SOME CASES THE COVERAGE PROVIDED UNDER THIS ENDORSEMENT MAY NOT BE RECOGNIZED BY THE MEXICAN AUTHORITIES AND WE MAY NOT BE ALLOWED TO IMPLEMENT THIS COVERAGE AT ALL IN MEXICO. YOU SHOULD CONSIDER PURCHASING AUTO COVERAGE FROM Al LICENSED MEXICAN THIS ENDORSEMENT DOES NOT APPLYTO ACCIDENTS OR LOSSES WHICH OCCUR BEYOND 25 MILES CRIMINAL OFFENSE AS WELL ASAC CIVIL MATTER. INSURANCE COMPANY BEFORE DRIVING INTO MEXICO. FROM THE BOUNDARY OF THE UNITED STATES OF AMERICA. AC84070713 02013 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 9of11 with its permission. Issued by Liberty Mutual Fire Insurance Co A. Coverage 1. Paragraph B.7. of SECTION IV- BUSINESS. AUTO CONDITIONS is amended by the addition of the The coverage territory is extended to include Mexico but onlyi if all of the following criteria are met: a. The 'accidents" or' "loss" occurs within 25 miles of the United States border; and following: b. While on at trip into Mexico for 10 days or less. 2. For coverage provided by this section of the endorsement, Paragraph B.5. Other Insurance in The insurance provided by this endorsement will be excess over any other collectible insurance. SECTION IV- BUSINESS AUTO CONDITIONS is replaced by the following: B. Physical Damage Coverage is amended by the addition oft thet following: Ifa "loss" to a covered "auto" occurs in Mexico, we will pay for such "loss" in the United States. If the covered "auto" must be repaired in Mexico in order to be driven, we will not pay more than the actual cash value of such' "loss" at the nearest United States point where the repairs can be made. C.A Additional Exclusions The following additional exclusions are added: This insurance does not apply: 1. Ift the covered "auto" is not principally garaged and principally used in the United States. 2. Toa any "insured" who is not a resident of the United States. XXIII. WAIVER OF SUBROGATION Paragraph A.5. in SECTONIV-BUSNESS AUTO CONDITIONS does not applyt to any person or organization where the Named Insured has agreed, by written contract executed prior to the date of "accident", to waive rights of recovery against such person or organization. AC84070713 02013 Liberty Mutual Insurance.. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 10of11 with its permission. Issued by Liberty Mutual Fire Insurance Co Schedule Premium Liability Physical Damage Total Premium V. Fellow Employee Schedule of Employees: XVIII. Drive Other Car Name of Individual LIAB MP UM UIM COMP COLL XX. Notice of Cancellation or Nonrenewal Name and Address Number of Days: 60 AC84070713 020131 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 11of11 with its permission. IB2-651-289907-104 Issued by Liberty Mutual Fire Insurance Co. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ENHANCEMENT FOR CONTRACTORS This endorsement modifies insurance provided under thet following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items: Item 1. Reasonable Force Item 2. Non-Owned Watercraft Extension Item 4. Bodily Injury To Co-Employees Item 5. Health Care Professionals As Insureds Item 6. Knowledge Of Occurrence Item 7. Notice Of Occurrence Item 8. Unintentional Errors And Omissions Item 9. Bodily Injury Redefinition Item 10. Supplementary Payments - Increased Limits Item 11. Property In Your Care, Custody Or Control Item 12. Mobile Equipment Redefinition Item 13. Newly Formed Or Acquired Entities Item 3. Damage To Premises Rented To You Expanded Coverage Item 14. Blanket Additional Insured Where Required By Written Contract Lessors of Leased Equipment Managers or Lessors of Premises Mortgagees, Assignees or Receivers Owners, Lessees or Contractors Architects, Engineers or Surveyors Any Person or Organization Item 15. Blanket Additional Insured = Grantors Of Permits Item 16. Waiver Of Right Of Recovery By Written Contract Or Agreement Item 17. Other Insurance Amendment Item 18. Contractual Liability Railroads Item 1. Reasonable Force a. Expected Or Intended Injury Exclusion a. of Section I- Coverage A- Bodily Injury And Property Damage Liability is replaced by the following: "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Item 2. Non-Owned Watercraft Extension Paragraph (2) of Exclusion g. of Section I- Coverage A- Bodily Injury And Property Damage Liability is replaced by the following: (2) A watercraft you do not own that is: LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 1of9 with its permission. (a) Less than 551 feet long; and (b) Not being used to carry persons or property for a charge; Item 3. Damage To Premises Rented To' You - Expanded Coverage A. The final paragraph of 2. Exclusions of Section I- Coverage A- Bodily Injury And Property Damage Liability is Exclusions C. through n. do not apply to damage by fire, lightning or explosionorsubsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as replaced by the following: described in Section III Limits Of Insurance. B. Paragraph 6. of Section III -L Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning, explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You Limit is the greater of: a. $300,000; or b. The Damage To Premises Rented To You Limit shown on the Declarations. C. Paragraph 9.a. of the definition of "insured contract" in Section V - Definitions is replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or D. The paragraph immediately following Paragraph (6) of exclusion j. of Section 1- Coverage A - Bodily Injury Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water damage) to premises, including the contents of such premises, rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described temporarily occupied by you with permission of the owner is not an "insured contract". And Property Damage Liability is replaced by the following: in Section III - Limits of Insurance. Item 4. Bodily Injury To Co-Employees A. Paragraph 2. of Section II - Who Is An Insured is amended to include: Each of the following is also an insured: Your supervisory or management "employees" (other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company)): arei insureds while in the course of their employment or while performing duties related to the conduct of your business with respect to "bodily injury": (1) Toyou; LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 2 of9 with its permission. (2) To your partners or members (if you are a partnership or joint venture); (3) Toy your members (if you are al limited liability company); or (4) To a co-"employee" or "volunteer worker" while that co-"employee" or "volunteer worker" is either in the course of his or her employment by! you or while performing duties related to the conduct of your business Your "employees" (other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are al limited liability company)) or' volunteer workers" are insureds while in the course of their employment or while performing duties related (including participation in any recreational activities sponsored by you). to the conduct ofy your business for a Good Samaritan Act that results in' "bodily injury": (2) Toyour partners or members (if you are a partnership or joint venture); (3) Toyour members (ify you are a limited liability company); or (1) To you; (4) Toa co-"employee" or "volunteer worker" while that Co-'employee" or "volunteer worker" is either in the course of his or her employment by you or while performing duties related to the conduct of your business A Good Samaritan Act means an attempt to rescue or aid a person in imminent or serious peril, provided the However, none of these "employees" (including supervisory or management "employees") or "volunteer workers" are insureds for the providing or failure to provide professional health care services. B. The insurance provided by this Item 4. will not apply if the injured person's sole remedy for such injury is (including participation in any recreational activities sponsored by you). attempt is not recklessly made. provided under a workers' compensation law or any similar law. C. Other Insurance Thei insurance provided by this Item 4. is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. Item 5. Health Care Professionals As Insureds A. Paragraphs 2.a.(1)(a) and (d) of Section II- Who Is An Insured do not apply to' "bodily injury" or' "personal and advertising injury" arising out of the providing of or failure to provide professional health care services by any "employee" or "volunteer" of the Named Insured who is a' "designated health care provider" if the' "bodily injury" or "personal and advertising injury" occurs in the course and scope of the "designated health care provider's" B. With respect to' "employees" and' "volunteer workers" providing professional health care services, the following exclusions are added to Paragraph 2. Exclusions of Section I- Coverage A - Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section I- Coverage B - Personal And Advertising Injury employment by the Named Insured. Liability: This insurance does not apply to: (1) Liability assumed under an "insured contract" or any other contract or agreement; (2) Liability arising out of the providing of professional health care services in violation of law; (3) Liability arising out of the providing of any professional health care services while in any degree under the influence ofi intoxicants or narcotics; LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 3 of9 with its permission. (4) Liability arising out of any dishonest, fraudulent, malicious or knowingly wrongful act or failure to act; or (5) Punitive or exemplary damages, fines or penalties. C.The following definition is added to Section V- Definitions: "Designated health care provider" means any "employee" or "volunteer worker" of the Named Insured whose duties include providing professional health care services, including but not limited to doctors, nurses, emergency medical technicians or designated first aid personnel. D. Other Insurance The insurance provided by this Item 5. is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. Item 6. Knowledge Of Occurrence has knowledge of the "occurrence". Item 7. Notice Of Occurrence Knowledge of an "occurrence" by your agent, servant or "employee" will not in itself constitute knowledge by you unless your "executive officer" or "employee" or other third party designated by you to notify us of "occurrences" For purposes of Paragraph 2.a. of Section IV- Conditions, you refers to an "executive officer" of the Named Insured or to the "employee" designated by the insured to give us notice. Item 8. Unintentional Errors And Omissions us as soon as practicable after its discovery. Unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not be al basis for denial of any coverage afforded by this policy. However, you must report such an error or omission to This provision does not affect our right to collect additional premium or exercise our right of cancellation or non- renewal. Item 9. Bodily Injury Redefinition The definition of "bodily injury" in Section V- Definitions is replaced by the following: "Bodily injury" means: time; and a. Bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any b. Mental anguish, shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish means any type of mental or emotional illness or distress. Item 10. Supplementary Payments - Increased Limits Paragraphs 1.b. and 1.d. of Section I- Supplementary Payments - Coverages A And B, are replaced by the b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit" including substantiated loss of earnings up to $500 a day because of time off from work. following: LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 9 with its permission. Item 11. Property In Your Care, Custody Or Control A. Paragraphs (3) and (4) of exclusion j. of Section I- Coverage A - Bodily Injury and Property Damage Liability only apply to: 1. "Property damage" to borrowed equipment, or 2. "Property damage" to property in your care, custody and control while in transit. was specifically purchased by the insured to apply in excess of this policy. B. This insurance does not apply to any portion of a loss for which the insured has available any other valid and collectible insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance C. Limits of Insurance Subject to Paragraphs 2., 3., and 5. of Section IlI - Limits Of Insurance, the most we will pay for insurance provided by Paragraph A., above is: $10,000 Each Occurrence Limit $25,000 Aggregate Limit The Each Occurrence Limit for this coverage applies to all damages as a result of any one "occurrence" regardless of the number of persons or organizations who sustain damage because of that "occurrence". The Aggregate Limit is the most we will pay for the sum of all damages under this Item 11. Item 12. Mobile Equipment Redefinition The definition of "Mobile Equipment" in Section V- Definitions is amended to include self-propelled vehicles with permanently attached equipment less than 1000 pounds gross vehicle weight that are primarily designed for: (1) Snow removal; (3) Street cleaning. (2) Road Maintenance, but not construction or resurfacing; or Item 13. Newly Formed Or Acquired Entities Paragraph 3. of Section II- Who Is An Insured is replaced by the following: 3. Any organization, other than a partnership or joint venture, you newly acquire or form and over which you maintain majority ownership or majority interest will qualify as a Named Insured if there is no other similar insurance available to that organization. a. Coverage under this provision is afforded only until: (1) The 180th day after you acquire or form the organization; (2) Separate coverage is purchased for the organization; or (3) The end of the policy period, whichever is earlier. LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 9 with its permission. b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before formed the organization; and you acquired or formed the organization. Item 14. Blanket Additional Insured Where Required By Written Contract Paragraph 2. of Section II - Who Is An Insured is amended to add the following: e. Additional Insured by' Written Contract or Written Agreement provide them coverage as additional insureds under your policy: The following are insureds under the policy when you have agreed in a written contract or written agreement to (1) Lessors of Leased Equipment: The person(s) or organization(s) from whom you lease equipment, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such (2) Managers or Lessors of Premises: Any manager or lessor of premises leased to youi in which the written The coverage afforded to the additional insured is limited to liability in connection with the ownership, maintenance or use of the premises leased to you and caused, in whole or in part, by some negligent acts or omissions of you, your 'employees", your agents or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on Ifthe written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if the applicable law would allow you to indemnify the additional insured for liability arising out of the additional person(s) or organization(s). lease agreement obligates you to procure additional insured coverage. behalf of the additional insured, except as provided below. insured's sole negligence. This insurance does not apply to: (a) Any "occurrence" which takes place after you cease to be a tenant in that premises or to lease that land; or (b) Any premises for which coverage is excluded by endorsement. (3) Mortgagees, Assignees or Receivers: Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of your premises. This insurance does not apply to structural alterations, new construction and demolition operations (4) Owners, Lessees or Contractors: any erone)crongenzaton) to whom you are obligated by a written agreement to procure additional insured coverage, but only with respect to liability for "bodily injury", "property damage" or' "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of your' "employees", your agents, or your subcontractors, in the performance of This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of "your work" included in the' products-completed operations hazard" unless you are required to provide such coverage for the additional insured by the written agreement, and then only for the period of time required by the written agreement and only for liability caused, in whole or in part, by your acts or omissions or the acts or omissions of your "employees", your agents, or your subcontractors. performed by or for that person or organization. your ongoing operations. LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 60 of9 with its permission. There is no coverage fort the additional insured forl liability arising out oft the sole negligence oft the additional Ifthe written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only ifthe applicable law would allow you to indemnify the additional insured for liability arising out oft the additional This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, insured or those acting on behalf of the additional insured, except as provided below. insured's sole negligence. surveying services, including: surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. (5) Architects, Engineers or Surveyors: any architect, engineer, or surveyor engaged by you but only with respect to liability for" "bodilyi injury", "property damage" or" personal and advertisingi injury" caused, in whole ori in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In connection with your premises; or (b) In the performance of your ongoing operations. This insurance does not apply to' "bodily injury", "property damage" or' 'personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (a) The preparing, approving, or failing top prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architectural or engineering activities. (6) Any Person or Organization Other Than a. Joint Venture: Any person or organization (other than aj joint venture of which you are a member) for whom you are obligated by a written agreement to procure additional insured coverage, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations; or (b) In connection with premises owned by you. This insurance does not applyt to: those operating on your behalf; 1. Any construction, renovation, demolition or installation operations performed by or on behalf of you, or 2. Any person or organization whose profession, business or occupation is that of an architect, surveyor or engineer with respect to liability arising out of the preparation or approval of maps, drawings, opinions, reports, surveys, change orders, designs, specification or the performance of any other 3. Any person or organization more specifically covered in Paragraphs e.(1) through (5) above. The insurance afforded to any person or organization as an insured under this Paragraph 2.e.: professional services by such person or organization; or LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 70 of9 with its permission. (1) Applies only to coverage and minimum limits of insurance required by the written agreement or written contract, but in no event exceeds either the scope of coverage or the limits of insurance provided by this (2) Does not apply to any person or organization for any "bodily injury", "property damage" or "personal and advertising injury" if any other additional insured endorsement attached to this policy applies to that person or organization with regard to the "bodily injury", "property damage" or" "personal and advertising injury"; (3) Applies only if the "bodily injury" or "property damage" occurs, or offense giving rise to "personal and advertising injury" is committed, subsequent to the execution of the written agreement; and (4) Applies only if the written agreement is in effect ati the time the "bodily injury" or "property damage" occurs, or at the time the offense giving rise to the "personal and advertising injury" is committed. policy; Item 15. Blanket Additional Insured- - Grantors Of Permits Paragraph 2. of Section II- Who Is An Insured is amended to add the following: Any state, municipality or political subdivision with respect to any operations performed by you or on your behalf, or in connection with premises you own, rent or control and to which this insurance applies, for which the state, municipality or political subdivision has issued a permit. However, this insurance does not apply to: the state, municipality or political subdivision; 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for 2. Any "bodily injury" or' "property damage" included within the products-completed operations hazard", except 3. "Bodily injury", "property damage" or" 'personal and advertising injury", unless negligently caused, in whole or when required by written contract or agreement initiated prior to loss; or in part, by you or those acting on your behalf. Item 16. Waiver Of Right Of Recovery By' Written Contract Or Agreement The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - We waive any right of recovery because of payments we make under this policy for injury or damage arising out of your ongoing operations or "your work" included in the Products-completed operations hazard" that we may have against any person or organization with whom you have agreed in a written contract or agreement to waive your rights of recovery but only if the' "bodily injury" or' "property damage" occurs, or offense giving rise to "personal and advertising injury" is committed subsequent to the execution of the written contract or agreement. Conditions: Item 17. Other Insurance Amendment Ify you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person or organization that qualifies as an additional insured on this policy, this policy will apply solely ont the! basis required by such written agreement: and Paragraph4. Other Insurance of Section IV- Conditions will not apply. Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV - Conditions will govern. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment ofanendorsement to another policy providing coverage for thes same' "occurrence", claim or "suit". LC04430512 Item 18. Contractual Liability - Railroads 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc., Page 8 of9 withi its permission. Paragraph 9. of Section V-I Definitions is replaced by the following: 9. "Insured Contract" means: a. Ad contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; b. Asidetrack: agreement; Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; That part of any other contract or agreement pertaining to your business (including an indemnification ofa a municipality in connection with work performed for a municipality) under which you assume the tort liability ofanother party to pay for" "bodilyi injury" or" "property damage" to a third person or organization. Tort liability means a liability that would bei imposed by law in the absence of any contract or agreement. (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: Paragraph f. does not include that part of any contract or agreement: (a) Preparing, approving or failing to prepare or approve maps, shop' drawings, opinions, reports, (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or (2) Under which thei insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out oft the insured's rendering or failing to render professional services, including those listed in Paragraph (1) above and supervisory, inspection, architectural or engineering activities. surveys, field orders, change orders or drawings and specifications; or damage; or LC04430512 02012 Liberty Mutual Insurance. All rights reserved. Includes copyrighted material of Insurance Services Office, inc., Page 9 of 9 with its permission. COPY 2023-003-OEC Anderson Columbia Co., Inc. SRIP-S San Pedro! Road BID FORM Sau Pedro Road Retaining Wall 2023-003-OEC TABLEOF ARTICLES Article Article! No. ARTCIEI-BDRECPENI ARTICLE2-E BIDDERSACKNOWLEDGEMENIS. ARTICLE3-BIDDERS REPRESENTATIONS. ARTICLE4-FURTHER REPRESENTATIONS ARTICLES-BASIS OF BID. ARTICLE6-TME OF COMPLETION. AKTICET-ATTACIBENTS TOTHISI BID. ARTICLES-I DEFINED TERMS. ARTICLE9-BIDS SUBMITTAL. ARTICLEI- BDD RECIPIENT 1.01 This Bid is submitted to: Taylor County Board ofCounty Commissioners Clerk of Court I" Floor Courthouse, Suite 102 108i North. Jefferson S. Perry, Florida 32347 1.02 The undersigned! Bidder proposes and agrees. ifthis Bidi is accepted. to enter into an Agreement with Owner int the formi included in the Bidding Documents to perform all Work as specified ari indicated in the Bidding Documents for the prices and within the timesi indicated int this Bid and in accordance with the other terms and conditions ofthe Bidding Documents. ARTICLE2-1 BIDDER'SACKNOWLEDGEMENIS 2.01 Bidder accepis all ofthe terms and conditions ofthe Insmuctions tol Bidders. including without limitation those dealing witht the disposition ofBid security. This Bid will remain subject to acceptance for 60 days after the Bid opening. or for such longer period oft time that Bidder may agree toi in writing uponr request ofOwner. ARTICLE3 - BIDDER'S! REPRESENTATIONS 3.01 Ins submitting this Bid. Bidder represents that: A. Bidder has esamined and carefully studied the Bidding Documents. the other related data identifiedi in the Bidding Documents. and the following Addenda. receipt of which is hereby acknowledged. Addendum! No. I(One) Addentum Date 12/8/2023 EJCDC C-410 Suggested BidE Formf for Construction Contracts Copyright $: 2002 National Sociery afProfessional Eugineers for EJCDC.. Allr righis reserved. 00410-1 SRIP- San Pedrol Road 2023-003-OEC B. Bidder has visited the Site and become faniliar with and is satisfied as to the general. local and Site Bidder is familiar with and is satisfied as to all federal. state aud local Laws and Regulations that may D. Bidder bas carefully studied all: (I) reports of esplorations and tests of subsurface conditions at ar contiguous to the Site and all drawings of physical conditions in or relating tO existing surface or subsurface structures at or contiguous tQ the Site (except Underground Facilities) which have been identified in SC-4.02. and (2) reports and drawings of Hazardous Environmental Conditions that have Bidder has obtained and carefully studied (or accepts the consequences for no! doing so) all additional or supplementary examinations. investigations, explorations. tests. studies and data conceming conditions (surface. subsurface and Underground. Facilities)at or contiguous to the Sites which maya affect cost. progress. or performance of the Work or which relate to any aspect of the means. methods. techniques. sequences. and procedures ofconstruction to be employed! by Bidder. including applying the specific means. methods. techniques. sequences. and procedures of construction expressly Required by the Bidding Documents tot be employed! by Bidder. and safery precautions and programs incident thereto. Bidder does not consider that any finther examinations. investigations. explorations. tests. studies. or data are necessary for the determination of this Bid for performance of the Work at the price(s) bid and within the times andi in accordance with the other terms and conditions oft the Bidding Documents. Bidderi is aware of the general nature ofwork tol be perfonmed! by Owner and others at the Site that relates H. Bidder has correlared the information known to Bidder. information and observations obtained from visits to the Site. reports and drawings identified in the Bidding Documents. and all additional examinations. investigations. explorations. tests. studies. and data with the Bidding Documents. Bidder has givenl Engineer wriment cotice ofall conflicts. errors. ambiguities. or discrepancies that Bidder has discovered in the Bidding Documents. and the written resolution thercofby Engineer is acceptable The Bidding Documents are generally sufticient toi indicate and convey understanding of all terms and K. Bidder will submit written evidence ofitsauthority to do busiess int the state where the Prujectisk located conditions that may affect cost. progress. ànd performance of the Work. affect cost. progress and performance ofthe Work. beeni identifiedi in! SC-4.06. to the Work asi indicated in the Bidding Documents. to Bidder. conditions for the performance ofte Work for which this Bidi is submitted. nat later dan the date ofi iis execution of the Agreement. ARTICLE4- FLRTHER REPRESENTATIONS 4.01 Bidder further represents that: A uhis Bid is genuine and uot made in the interest of or 011 behalf of any undisclosed individual OE entity andi is not submitted in conformiry with any agreentent or rules of any group. association. organization B. Bidder las not directly or indirectly induced or solicited any other Bidder to: submit a false OF sham Bid: Bidder has not solicited ori induced any individual or entity to refrain from! bidding: and D. Bidder has not sought by collusion to obtain for itself any advantage over any other Bidder or over urd corporation: Owner. EJCDC C-410 Suggested Bid Form for Construction Contracts Copyrighr s: 2002 National Society of Prafessional. Engineers for EJCDC. All: rights reserved. 00410-2 SRIP- San Pedro Road 2023-003-OEC ARTICLES-BASIS OF BID 5.01 Bidder will complete the Work in accordance with the Coutract Documents for the following price(s): San Pedro Road Retaining Wall Project ONE! MILLION ONEI HUNDRED SEVENTY-FOURTHOUSAND Total Lmp Sun Bid Price NINE HUNDRED SIXTY-THREE DOLLARS 1,174,963.00 (uumerals) 1151 Days (words) Any and all specified cash allowances are included in the price(s) set forth above and bave been computed in Bidder acknowledges that estimated quantities are not guaranteed. aud are solely for the purpose of comparison of Bids. and final payment for all Unit Price Bidi items will be based on actual quantities. determined as provided in the Bidder also acknowledges that the award ofthis project or any portion thereof will be coutingent upon the availability of funds. Iffunding is not available to award the projecti ini its entirety, the Board of County Commissioners reserves the right to award portions thereof so as to remain within available funding. Such partial award will not relieve the Bidder from complying with the full requirements oft the awarded portions as more specifically detailed within these accordance with Paragraph 11.02 ofthe General Conditions. Contract Documents. specifications. ARTICLE 6-1 TIME OF COMPLETION 6.01 Bidder agrees that the Work will be substantially complete and will be completed and ready for final payment in accordance with Paragraph 14.07.B of the Geueral Conditions on or before the dates or within the number 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages in the event of failure to complete ofcalendar days indicated in the. Agreement. the Work within the Contract Times. ARTICLE7-ATTACHMENIS TO THIS BID 7.01 The following documents are atlached to and made a condition of this Bid: A. Required Bid security in the fomm of. BidBond. B. Certificate of Liability Insurance or Agency Statement Declaration Page form Workers' Compensation Insurance or Exemption Issued by the State ofFlorida D. Workers' Compensation Hold Harmless Agreement (Required when submittinga W.C. exenption) E. Public Entity Crimes Affidavit. sigued and notarized. as required by Chapter 287.133(3)(a). F.S. F. Non-Collusion Aftidavit Valid Businesy/Contractorl Licensing/Regsuation: Information conduct the scope ofwork outlined in these specifications. H. Proof of currènt qualification with the Florida Department of Transportation in Tallahassee. Florida to EJCDC C-410 Suggested Bldi Form for Conshuction Coatracts Copyrighe 9 2002 National Society of Professional Engineers for EJCDC.. All rights reserved. 00410-3 SRIP- San Pedro Road 2023-003-OEC Proaf of Contractor and any subcontractors enrollnent in and compliance with the Department of Homeland Security's E-Verify Employment Eligibility Verification system or a statement that such Eaefhepmaseotrason and portion ofwork provided (Include: Scope ofproposed Work. Value : ListofProposed: Suppliers (Include: List ofproposed supplies. Vahue of supplies. % oftotal) ListofProject References (Include: Project Cost. Completion date. Owner Contact infomation, etc.) compliance willl be prior achieved prior to contract execution. ofwork. % oftotal) ARTICLES-D DEFENED TERMS 8.01 Thet tems usedi int this Bid withi initial capital letters have the meanings statedi in thel Instructions to Bidders. the General Couditions. andt the Supplementary' Conditions. ARTICLE9- - BID SUBMITTAL 9.01 This Bids submitted by: IfBidderi is: An] Individual Name (typed or printed): By: lhdhvidual's. signature) Doing! business as:. Partnership Name: By: (SEAL) APartership (SEAL) (Signature ofgeneral parmer - attach eridence ofauthorin to sign! Name (typed or printed):. ACorporation Corporation Name: Anderson Columbia Co., Inc. State of Incorporatiou: Florida (SEAL) Type (Geuerg-Bsiness. Professional. Service. Limited Liability): Genera! Business By: A6 Name (typed or prinred):. E. Tony Williams Jr. EJCDC C410 Suggested BidForm for Coustruction Contracts Copyright a 2002 National Societyo ofE Professional Engineers for EJCDC. Allr rights reserved. 00410.4 SRIP. San Pedro Road 2023-003-OEC Title: Vice President Anest pAR Brian P. Schreiber, Secretary CORPORATESEAD) Date of Authorization to do business in FLORIDis 03 07 /1988. AJoint Vennure Name of Joint Venture: First. Joint Venturer Name: (SEAL) By: (Signature offirst joint venture, parmer - attach evidence of outhorin 10 sign) Name (typed or printed): Tite: Second Joint Venturer Name: (SEAL) By: (Signature ofsecond joint venture parmer - attach evidence ofauthoriry 10 signi Name (ryped or printed): Title: (Each joint vennurer must sign. The manner of signing for each individual. partnership. and corporation that is a parry to the joiut vennure: should be in the manner indicated above.) P.O. Box 1829, Lake City, FL. 32056 * 871NW Guerdon Street, Lake City, FL. 32056 Bidder's Business Address Phone No. 386.752.7585 Ext. 224 Fax No.. 386.755.9132 SLBMITTED on December 15th 20 23 State Contractor License No. CGC060909 (Ifapplicable) EJCDC C-410 Suggested Bid Form for Construction Contracts Copyright 03 2002 National Saciety ofE Professional! Eugineers for EJCDC.AI nghrs reserved. 00410-5 SRIP. San Pedro Rosd 2023-003-OEC HOLDHAEMLESS. RELEASE. ANDI INDEMNIY. AGREEMENT COMESNOW. Anderson Columbia Co., Inc. (Contractor). after bavingobtainedas State of Florida Workers" Compensation Exemption Certificate. ac copy of whichi is attached hereto and marked Exhibit' "A". andi in Consideration of Taylor County (Owner) baving accepted said Worker's Compensation exemption and Owner having agreed for Contractor to proceed with the following project. to-wit: San Pedro Road. Retaining Wall Taylor County, Florida Contract: The intent of this contract is to secure all labor and equipmeut required for the San Pedro Road Retaining Wall project in Taylor County. Florida. This project consists of installing 2001 LF ofs Sheet Pile wall along a portion of San Pedro Rd to stabilize an area of subsidence due to an appareat underlying karst feature. Improvements will alsoi mchude roadway reconstruction and restoration as well as roadside protective devices. as more fully detailed in the project plans and specifications. The term Contractor is hereby defined to include all owners. mamaging members. employees and successors The temm Owner is hereby defined toi include Taylor County Board lofCounty Commissioners. ito directors. employees. contracnually obligated to perform the above project. attomey(s). and designated representatives. Contractor hereby agrees toi indemnify. hold hamless and defend Owner from any liability. claim. demand, action. cause of action. suit, loss. damage. expense. cost. attorey fee. senlenent or judgmen! asa result of any injury while perforuing the above praject. Iwill not allow anyone to subcontracs and no other person will be allowed on the job site. C'ontractor also hereby agrees to indenuify. hold harmless and release Oner. from any liabiliry. claim. demand. action. cause of action. suit. loss. damnage. expense. cost. seniement or judgment for any medical. dental. orthopedic. surgery or any expense as aresult of any injury on said project. Contracior hereby agrees to release Owner from liability of thatever kand of nature as a result of anyi injury. on the above project. Page lof2 SRIP- San Pedro Road 2023-003-OEC 4. Contractor hereby agrees that venue of anyl litigation. as a result of this Hold Harmless Release and Contractor hereby agrees that they have relied on the legal advice of an attomey and that fhey fully Indemnity Agreement shall be exclusively in1 Taylor County. Florida and the laws of the State ofFlorida shall govern. understand this agreement and! have voluntarily execured sante. DONE. AND EXECUTED this 15th dayof_ December 2023 WITNESS: Bt (Siynature) E. Tony jams Jr., VicePresidert STATEOF FLORIDA COUNIY OF TAYLOR PR Ihereby certify that on this day personally appeared before me. and oflicer daly authorized toa administer oaths and take acknowledgments. E. Tony Williams Jr, to me well known and known to me to be the individual described in and who execured the foregoing. and acknowledged before me that they executed the same freelya and voluntarily for the pupose therein expressed. Witness my hand and official sea! this 15th day of December AMANDA Public. State ADAMS Notary ofFlorida Commission: HH 273353 My Comm. Expires Jun 7,2 2026 Bonded through National Natary Assn. NOTARY! PUBLIC Amanda Adams dhs My Commission Expires: June 7"h 2026 Accepted by Taylor County. Florida this dayof by_ Page 2of2 SRIP- San Pedro Road 2023-003-OEC SWORN: STATEMENT UNDER SECTION. 287.133(3)(a). ELORIDASTAIUIS ONE PUBLICI EVTITY CRIMES THIS FORM MUST BE SIGNED N THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER This swom statement is submitted with Bid. Proposal or Contract No. 2023-003-OEC AUTHORIZED TO ADMINISTER OATHS. for_ San Pedro Road Retaining Wall 2. This swom statement is submitted by. Anderson Columbia Co., Inc. (Name of entity submitting swom statement) Whose business address is_ P.O. Box 1829, Lake City, FL. 32056*871NW Guerdon Street, Lake City, FL. 32056 and (ifapplicable)i its Federal Employer Identification' Number (FEIN)is 59-2871935 (if the entiry has nol FEIN. include the Social Security Number oft the individual signing this swom statement:. My name is E.T Tony Williams. Jr. uame above is_ Vice President and my relationship to the entity understand thal a "public entity crime" as defined in Paragraph 287.133(1)8). Florida Statutes- means a violation of any state or federa! law by a person with respect to and directly related to the transaction of business with any! public entiry or witha ana agency or political subdivision ofa any other state or with the United States. including. but not limited to. any bid or contract for goods ar services to be provided to any public entiry or an agency or political subdivision ofany other state or oft the United States and involving antitrust. fraud. thef. bribery. collusion. racketeering. conspiracy. or material misrepresentation. 5. Iunderstand thal "convicted" or "conviction" as definedi in Paragraph: 287-133(1Xb). Florida Statutes, means af finding of guilt or a conviction ofa public entity crime. with or withour an adjudication of guilt. in any federal or state trial court or record relating to charges brought by indictment or information after July 1. 1989. asar result ofajury verdict. nonjury verdict. nonjury trial or entry ofap plea ofguilty or nolo contendere. 6. Iunderstand that an "affiliate" as defined in Paragraph 287.13341Xa). Florida Stanutes. means: Apredecessor or successor ofa person convicted ofap public entity crime: or Ane entiry under the control of any narural person who is activei in the management ofthe entiry and who has been convicted ofa public entity crime. The term "affiliate" includes those oflicers. directors. execulives. partuers. shareholders. employees. members. and agents who are in the managenent of an affiliate. The ownership by one person of shares constituling a controlling iteres! in: another person. or a pooling of equipment or income among persons when no! for fair market value under an arm's length agreement. shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint vennure with a person wwho has been convicted ofap public entiry crime in Florida during the preceding 361 months shall be considered: an lunderstand that a "persou" as definedi in Paragraph 287.13301)gNe). Florida Stanues. means any natural person ar entity organized mder the laws of anys state or the United States with the legal power to enter into abinding contract and which bids or applies (o! bid on contracis for te provisious of goods or services let by ap public entity. or which otherwise transacts or applics to transact business with a public entity. The tem "person" inchudes those officers. directors. executives. partners. shareholders. employees. members. and affiliate. agents who are active in management ofa an entiry. Page Lof? SRIP San! Pedrol Road 2023-003-OEC 8. Based on information and belief the statement. which Ihave marked below. is tne in relation to the entiry X Neither the entity submitting this swom statemen. nor any officers. directors. executives. parters. shareholders. employees. members or agents who are activei in management ofthe entity. nor affiliate ofthe entity has been charged with and convicted ofay public entiry crime subsequent to July 1. 1989. The entity submirting this swom siatement. or one or more of the oflicers. directors. executives. paytmers. share holders. employees. members. or agents who are active in managenient of the entity! has been charged witha and conictedofapublic- entity crime subsequent tol July 1. 1989 AND(Pleasei indicate which additional There has been a proceeding couceming the conviction before a hearine officer of the State of Florida. Division of Adnrinistrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy oft the final order). The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before abearing officeofthe State ofFlorida. Division of Administrative Hearings. The final order entered by thel hearing officer determined thati it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please anacha copy ofte final order.) Thep person or afhiliate has not beenplaced on the convicted vendor list. (Please describe any action submitting this swoms statement. (Please indicate which statement applies) statement: applies.) taken! by or pending with the Department of General Services.) s (Signarur. Tony' Williams Jr., Vicè'President 12/15/2023 (Date) STATE OF Florida COUNTY OF Columbia PERSONALLY. APPEARED BEFORE ME. the undersigned authority. E.Tony Williams Jr. (Name ofi individual signing) dr who. after first being swom by me. affised his/her signature int the space providedaboye on this _15th day of December 2023 NOTARY PUBLIC Amanda Adams My commission expires: June 7"h 2026 AMANCA ADAMS Notary Puclic. State af Fiorica Commission FH 271353 My Comm. Expires. Jur7. 2016 Sondect through Naticnal: Notaryatr. Page 2of2 SRIP. San! Pedro Road 2013-003-OEC NON-COLLUSIONAEFIDAVII (STATE OF FLORIDA, COUNTY OF Columbia) (1) He/She/They is/are the Vice President Anderson Columbia Co. Inc. circumstances respecting such Bid: (3) Such Bidi is gemine andi is not 8 collusive OE sham Bid: E. Tony' Williams Jr. being first duly swor. deposes and says dat: of (Owner. Parmer. Officer. Represenrative or Agent) the Bidder that has submitted the attached Bid: (2) He/She/They isiare filly informed respecting the preparation and contents of the attached. Bid and ofs all pertinent (4) Neither the said Bidder nor any ofi its officers. partuers. owners. agents. representatives. employees or parties in interest. including this aftiant. havei in any way colluded. conspired. connived or agreed. directly or indirectly. with any other Bidder. fir. or person to submit a callusive or sham Bidi in connection with the Work for which the attached Bid has been submitted: or to refrain from Bidding in connection with such Work: or have in any manner. directly or indirectly. sought by agreement or collusion. or commuication. or conference with any Bidder. fim. or person to fix any overbead. profit. or cost elements of the Bid or of any other Bidder. or to fix any overhead. profit. or cost elements ofthel Bid Price or the Bid Price of any other Bidder. or to secure through any collusion. conspiracy. comivance. or unlawful agreement any advantage against (Recipient). or any person (S) The price or prices quoted in the attached! Bid are fair and proper and are not tainted bya any collusion. conspiracy. comivance. or unlawful agreement on they part of the BIDDER or any other ofits agents. representatives. owners. interested in the proposed Work: employees or parties ofinterest including this affiant. Signed. sealed and delivened in the presence of: K By: Signature E.Tony Williams Jr., Vice President Print Name and Title undersigned Notary Public who STATE OF FLORIDA. (COUNTY OF Columbia) On this the 15th of December notary)_ E.Tony Williams Jr., Vice President Nan-Collusion. and he/she/they acknowledge tbat he/shothey WITNESS my hand and official seal. NOTARYPUBLIC: SEALOFOFFICE: Amanda Adams before me. the 2023 of individual(s) of the State of appeared day appeared Florida. before personally (Name(s) and whose/mamely) s(are subscribed to the within Affidavit of 6 Notary Public. State ofFlorida AMANDA ADAMS Notary Public- State ofF Florida Commission #HH 273353 My Comm. Expires Jun 7,1026 Sondec through National! Notary Assn. (Name of Notary Public: Print. Staimp or type as conmissioned) X Personally kuown to ne. or Personal identitication: Type of Identification Produced Did take an oath. or Did' Not take an oath. DATE (MMDDAYY 4/24/2023 ACORD CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: Ift the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisians or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on REPRESENTATIVE ORI PRODUCER, AND THE CERTIFICATE HOLDER. this certificate does not confer rights to the certificate! holder Inl lleu of such endorsements). PRODUCER PentaRisk Associates of Georgia 1870 The Exchange SW Suite 100 Atlanta GA 30339 INSURED Anderson Columbia Co., Inc. P.O. Box 1829 Lake City FL 32056 COVERAGES ENSRT TR CONTACT MAME Rctyn Byrd PHONE (AGNO.ExG. 404-809-2551. AH ADIRESS: tbyrd@penlansk, .com ESURERAL Liberly Mutual Fire Insurançe Company ANDECOL-C2 INBURERB RSUI Indemnity Company.. INSURERÇ Safely. Naticnal Casually Corporation INSURERD: Indemnity National Insurance Company GNo 404-809-2531. ESRERSIAFPOREPNO: ÇOVERAGE NAICC 23035 22314 15105 18468 CSURERE: Endurance American Specially Insurance Company 41718 INSURERF: CERTIFICATE NUMBER: 367200387 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL oW HAVE BEEN ISSUED rol THE INSURED NAMED ABOVE FOR THE POLICV PFRIOD INDICATED. NOTWITHSTANDING, ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED eY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TADDLISUIR Nsalon AGLCYEF POLICYERE TYPEOF INSURANCE CLAINS-MADE Xj OCCUR GENL AGGREGATELMIT APPLIES PER PCLCI ECT OTKER. AUTOWOBLELABAITY xJ ANY AUTO x OWNED AUTOSCNLY HIRED AUTOSCNLY UMBRELLALIAB XJ OCCUR x EXCESSUAB OED RETENTIONS C WORKERS COMPENSATION ANDE EMPLOYERS" UABILTY ANYPROPRIET TORPAATIMENEXECUTVE CFCEMAEMAEREACAUDEO) (Mandalory! In NH) Hyes. desenbi under DÉSCRIPTION OFOPERATIONS bolaw POLICYNUMBER LIMITS A X/COMMERCIAL GENERALU UABIUTY Y Y TB2-651-289907-103 5/1/2023 5/1/2024 EAC-OCCURRENCE 12,000,000 OAMAGET PREMISES TORENTEC" EAcEeaS) $300.000 MEDEXP (Any one penson) $10.000 PERSONALG ADVINJURY $2.000.0 .000 GENERAL AGGREGATE $4.000.000 PHODLCIS COMPIOF AGG $4,000,000 BODILYINJURY (Per person; s BODILY INJJRY (Por asacont) $ PRCERIYDAHAGE $ ParsEA) -Cc SCHEDULED AUTOS NCN-OWMED AUTOS CNLY CLAIMS-N MACE $ $2.000,000 $ $10,000.000 $10.000.000 $1,000,000 A52-651-239907-083 5/1/2023 5/1/2024 COEDSRRELr (Ea cokient) NHA102116 XS000122223 EXC30000098107 V SP4066411 5/1/2023 5/1/2024 EACHOCCURRENCE 5/1/2023 5/1/2024 5/1/2023 5/1/2024 AGGREGATE 4/1/2023 4/:12024 X LATATVTE EL CACH ACCIDENT SLOSEASE.FABHROME! $1,000.000 ELDISEASE. -POLICY LIMIT $1.000.000 DESCRIPTION OF OPERATIONS ILOCATIONS! IVEHICLES (ACORO 101,A Additional Remarks Schedulo, mayt be atlachedifmore space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCEWITH: THE POLICYPROVISIONS. AUTHORIZED REPRESENTATIVE Spatyr Evidence of Insurance 01988-2015. ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Local Business Tax Renewal Account Number New Business Date Local Business Tax Year 1031 Business Address ANDERSON COLUMBIA co CNC B71 NW GUERDON ST AKE CITY FL 32055 Units 145 Occupation BUSINESS TAX RECEIFT 7/26/1989 2023 Mailing Address ANDERSON COLUMBIA CO INC PO BOX 1929 AKE CITY EL 32056 Status ACTIVE RCCOCHI Local Business $30.00 Tax Fee Date Paid 7/10/2023 Receipt 1507662.0002 AmountPaid $30.00 FDOT Florida Department of Transportation RON DESANTIS GOVERNOR 605 Suwannee: Street Tallahassee, FL 32399-0450 April 14,2023 JAREDW.PERDUE,PE. SECRETARY ANDERSON COLUMBIA co. INC. 871 NW GUERDON STREET LAKE CITY, FLORIDA 32055 RE: CERTIFICATE OF QUALIFICATION The Department of Transportation has qualified your company for the mype of work indicated DEBRIS REMOVAL (EMERGENCKI, DRAINAGE, FENCING, FLEXIBLE PAVING, GRADING, GRASSING, SEEDING AND SODDING, GUARDRAIL, HOT PLANT-MIXED BITOM. COURSES, INTERMEDIATE BRIDGES, MAJOR BRIDGE BRIDGES OE CONVENTIONAL, CONSTRUCTION WHICH ARE OVER AI WATER DPENING OF 1,000 FEET OR MORE, MAJOR BRIDGE CURVED STEEL GIRDERS, MAJOR BRIDGE - MULTI-LEVEL ROADWAYS, MAJOR BRIDGE STEEL TRUSS CONSTRUCTION, MINOR BRIDGES, PORTLAND CEMENT CONCRETE ROADWAY PAVING, RSR INTERMEDIATE BRIDGES ("RGR" IS REPAIR AND REHABILITATE), RSR MAJOR BRIDGE - BRIDGES OF CONVENTIONAL CONSTRUCTION WHICH ARE OVER A WATER OPENING OF 1,000 FEET OR MORE, RGR MINOR Unless notitied otherwise, this Certificate of Qualification will expire 6/30/2024. Ins accordance with Section 337.14(4), Florida Statutes, cnanges to Ability Factor or Maximum Capacicy Rating will nos take effect until after the expiration of the current certificate In accordance with. Section 337.14(1 Florida Statutes, an application For qualification must be filed within 141 months of the ending date of the pplicant'sauaired annual Financial If the company's maximum capacity has been revised, 1E may be accessed by logging into the Contractor Prequallfication Application System via the following Link: HTIPS://fdotwpl. dot.s stfss/stractastaigmihatien Once logged in, select "View" for the most recently approved application, and then click the "Manage" and "Application Summary" cabs. The company may apply for a Revised Certiticate Of Qualification at any time prior to the expiracion date of this certificate according to Section 14-22.0041131. Florida Administrative Code F.A.C.l by accessing the most recently approved application as shown abdve and choosing "Update" instead of "View." IE certirication in additional classes of work is desired, documentation IS needed to snow that the company has performed such work. below. FDOT APPROVED WORK CLASSES: BRIDGES, ROADWAY SIGNING, SIDEWALK, UTILITY NORK of prequalification (IE applicable). statements. Improve. Safety, Enhance Mobility, Inspire Innovation www.fdot.gov ANDERSON COLUMBIA cO., INC. April 17, 2023 Page Two All prequalified contractors are required by Section 14-22.006(3), F.A.C., to certify their work underway monthly in order to adjust maximum bidding capacity to available bidding capacity- You can find the link to this report at the website shown above. Sincerely, gumu CTpede James E. Taylor II, Prequalification Supervisor Contracts Administration Office JTII:cg EVerilfy Company ID Number: 254136 THE E-VERIFY FOR EMPLOYERS ARTICLEI PURPOSE AND AUTHORITY MEMORANDUM OF UNDERSTANDING The parties to this agreement are the Department ofH Homeland Security (DHS) and the Anderson Columbia Co., Inc. (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee's eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. S1 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, "Employment Eligibility Verification" and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLEII RESPONSIBILITES A. RESPONSIBILITIES OF THE EMPLOYER 1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a. Notice of E-Verify Participation b. Notice of Right to Work 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the 3. The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee's E-Verify access if the employer is separated from representatives' contact information changes. the company or no longer needs access to E-Verify. Page 1of 17 E-Verify MOU for Employers Revision Date 06/01/13 Verify Company IDI Number: 254136 E-Verify User Manual. 4. The Employer agrees to become familiar with and comply with the most recent version of the 5. The Employer agrees that any Employer Representative who will create E-Verify cases will a. The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6. The Employer agrees to comply with current Form I-9 procedures, with fwo exceptions: complete the E-Verify Tutorial before that individual creates any cases. a. Ifane employee presents a' "List B"i identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8C.F.R. $ 274a.2(b)(1)(B) can be presented during the Form I-9 process to establish identity.) Ifa an employee objects to the photo b. Ifane employee presents al DHS Form 1-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy oft the document and to retain the photocopy with the employee's Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present anyl List A, or List B and List C, document(s) to complete the Form 1-9. 7. The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verifiçation number and attach it to the employee's Form I-9. 8. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-91 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a. The following modified requirements are the only exceptions to an Employer's obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2)' When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1XA)of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penaity between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) Ift the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption thati it has knowingly requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. other documents that activate the photo screening tool. Page 2of 17 E-Verify MOU for Emplayers! Revision Date 06/01/13 Verilfy Company ID Number: 254136 employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant isc civilly or criminally liable under any law for any action taken in good faith based on information b. DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of 9. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that ai firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. IfE-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make 10. The Employer agrees not to use E-Verify for pre-employment screening ofj job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User 11. The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12. The Employer agrees to follow appropriate procedures (see Article IlI below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions toe employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees ift they choose to contest the finding, while their case is still pending. Further, when employees contest at tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article II.B. below) to contact DHS with information necessary to resolve the challenge. 13. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8C.F.R. S 274a.1()) that the employee isn not work authorized. The Employer understands that an initial inability oft the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does sO, the employee may not be terminated or suffer any adverse employment consequences based upon the employee's perceived employment eligibility status provided through the E-Verify. E-Verify. inquiries during the period of unavailability. Manual does not authorize. Page 3of1 17 E-Verify MOU for Employers Revision Date 06/01/13 Verify Company ID Number: 254136 (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work inp poorer conditions, withholding pay, refusing to assign the employee to al Federal contract or other assignment, or otherwise assuming that he ors she is unauthorized to work) until and unless secondary verification by SSA or DHS has beèn completed and at final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismâtch ori if a seçondary verification. is completed and: a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee'sé employment. Employers or employees with questions about at final nonconfirmation may call E-Verify at 1-888-464- 14. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that suchi illegal practices can include selective verification or use of E-Verify except as provided in part DI below, or discharging or refusing to hire employees because they appear or sound "foreign" or have received tentative nonconfirmations. The Employer further understands that any violation of the mmigration-related unfair employment practices provisions in section 274B oft the INA: could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title' VII may also lead to the termination ofi its participation in E-Verify. If the Employer has any questions relating to the antl-discrimination provision, 15. The Employer agrees that it will use thei information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure thati it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that iti is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be 16. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verfy@dhs.ov. Please use Privacy Incident - Password" in the subject line ofy your email when 17. The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. S 552a(1)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose othert than as provided for in 18. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon 4218 (customer service): or 1-888-897-7781 (worker hotline). itshould contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). authorized in advance by SSA or DHS for legitimate purposes. sending a breach report to E-Verify. this MOU may be subject to criminal penalties. Page 4 of17E E-Verify MOUT for Employers Revision Date 06/01/13 Verify Company ID Number: 254136 reasonable notice, to review Forms 1-9 and other employment records and to interviewi it and its employees regarding' the Employer's use of E-Verify, and to respond in a prompt and accurate manner 19. The Employer shall not make any faise or unauthorized claims or references about its participation inE E-Verify on its website, in advertising materials, or othér media. The Employer shall not describe its services as ederally-approved, federally-certified, or ederaly-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not meant that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first 21. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see! M-795(Web) and, other than pursuant to the specific terms of such license, may not be used in any manner that mighti imply that the Employer's services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22. The Employer understands that ifi it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination ofi its to DHS requests for information relating to their participation in E-Verify. obtaining the prior written consent of DHS. participation in E-Verify according tot this MOU. B.F RESPONSIBILITIES OF FEDERAL CONTRACTORS 1. Ift the Employer is al Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that ifiti is al Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any" "employee assigned to the contract" (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer a. An Employer thati is note enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification ofr new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an may not create a second case for the employee through E-Verify. employee's assignment to the contract, whichever date is later. Page 50f1 17 E-Verify MOU for Employers Revision Date 06/01/13 EVerilfy Company ID Number: 254136 b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time ofa contract award must usel E-Verify to begin verification of employment eligibility for new hirés oft the Employer who aré working in the United Statès, whether or not assigned to the contract, within three business days after the date of hire. Ift the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify toi initiate verification, ofr new hires oft the contractor who are working in the United States, whether or not assigned to the contract. Such verification ofr new hires must be initiated within thrée business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the C. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under at takeover agreement entered into with a Federal agency under aj performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned tot the contract within 90 calendar days after the date ofe enrollment or within 30 days of an d. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working ini the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enroliment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify contract, whichever is later. employee's assignment to the contract, whichever date is later. case for an employee assigned to a contract as long as: That Form 1-9 is complete (including the SSN) and complies with Article II.A.6, ii. The Employer has reviewed the Form I-9i information either in person ori in communications with the employee to ensure that the employee's Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien f. The Employer shall complete ar new Form I-9 consistent with Article I.A.6 or update the The employee's work authorization has not expired, and having become a naturalized U.S. citizen). previous Form 1-91 to provide the necessary information if: The Employer cannot determine that Form 1-9 complies with Article H.A.6, ii. The employee's basis for work authorization as attested in Section 1 has expired or changed, or ii. The Form 1-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9i is otherwise valid and up-to-date and the form otherwise complies with Page 6of1 17 E-Verify! MOU for Employersi Revision! Date 06/01/13 "EVerilfy. Company ID Number: 254136 Article II.C.5, but reflects documentation (such as a U.S. passport or Form 1-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening toal described in Article I.A.5, subject to any additional or superseding instructions g. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee. under this MOU or to authorize verification of any existing employee by any Employer that is not al Federal contractor 3. The Employer understands that ifi iti is a Federal contractor, its compliance with this MOUisa performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer's compliance with that may be provided on this subject in the E-Verify User Manual. based on this Article. Federal contracting requirements. C.RESPONSIBILTIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer against SSA's database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA's 2. SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. S 552a), the Sociai Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. Ifthe employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. Ift the employee does not visit SSA in the time allowed, E-Verify may provide a final Note: If an Employer experiences technical problems, or has a policy question, the employer should database. the initial inquiry. E-Verify provides the information to the Employer. nonconfirmation to the employer. contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the a. Automated verification checks on alien employees by electronic means, and Employer to conduct, to the extent authorized by this MOU: Page7 7of17 E-Verify MOU for Employers] Revision Date 06/01/13 EVerify Company ID Number: 254136 b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses; and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Emplayer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify poliçies, procedures, and requirements for 4. DHS agrees to train Employers on all important changes made to. E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer ant-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, 6. DHS agrees to issue each of the Employer's E-Verify users a unique user identification number and 7. DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal 8.0 DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or. nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional both SSA and DHS, including restrictions on the use of E-Verify. U.S. Department of. Justice. password that permits them to log int to E-Verify. criminal laws, and to administer Federal contracting requirements. within three Federal Government work days of the initial inquiry. verification instructions. ARTICLE HI REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. Ifthe Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee's E-Verify Page 8of1 17 E-Venfy MOU for Employers! - Revision Date 06/01/13 EVerify Company IDI Number: 254136 case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative 3. After at tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification againi if this review indicates 4. The Employer will instruçt the employee to visit an SSA office within eight Federal Government work days. SSA wille electronically transmit the result oft the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. 1. Ifthe Employer receives at tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific tot the employee's E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee's response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a 4. Ift the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the nonconfirmation. a need to do so. updates. B. REFERRAL TO DHS nonconfirmation. tentative nonconfirmation. Page 90 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 EVerily Company ID Number: 254136 employee to contact DHS through its toll-free. hotline (as found on the referral letter) within eight 5. Ift the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy oft the employee's Form 1-551, Form I-766, U.S. Passport, or Federal Govemment work days. nonconfirations, generally. passport card to DHS for review by: a. Scanning and uploading the document, or b. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that ifit cannot determine whether there is a photo match/mismatch, the Employer must forward the employee's documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will 8. DHS wille electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case determine the photo match or mismatch. updates. ARTICLEIV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLEV MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources andi instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these parties. changes. Page 10cf 17 E-Verify MOU for Employers! I Revision Date 06/01/13 EVerilfy Company ID Number: 254136 B. TERMINATION 1. The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days 2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer's participation in E-Verify, with or without notice at any time if deemed neçessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach ofs system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that ifitis a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance ofi its contractual responsibilities. Similarly, the Employer understands that if itis in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the 3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non-Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer prior written notice to the other parties. Employer's business. is terminated from E-Verify. ARTICLEVI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or C. The Employer may not assign, directly or indirectly. whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, D.E Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, employees, or against the Employer, its agents, officers, or employees. or transfer any of the rights, duties, or obligations herein is void. Page 110f17 E-Verify MOU for Employers Revision Date 06/01/13 Verily Company ID Number: 254136 Congressional oversight, E-Verify publicity and media inquiries; determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act F. Thei individuals whose. signatures appear below represent that they are authorized to enter into this MOU on behalf oft the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided: to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination ofi its MOU and/or; (3) possible debarment or G.Thet foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer's Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. (FOIA). suspension. Page 12 of 17 E-Verify MOU for Employers Revision Date 06/01/13 Verilfy Company' ID Number: 254136 Approved by: Employer Anderson Columbia Co., Inc. Name (Please Type or Print) Tonya El Wasson Signature Electronically Signed Title Date 09/18/2009 Department of Homeland Security - Verification Division Name (Please Type or Print) USCIS Verification Division Signature Electronically Signed Title Date 09/18/2009 Page 13 of 17 E-Verify MOU for Employers Revision Date 06/01/13 EVerilfy Company IDI Number: 254136 Information Required for the E-Verify Program Information relating to your Company: Anderson Columbia Co., Inc. 871 Guerdon! Street Lake City, FL 32056 Company Name Company Facility Address POE Box 1829 Lake City, FL: 32087 Company Alternate Address County or Parish COLUMBIA Employer Identification Number 592871935 North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for 238 Anderson Columbia Co., Inc. 1,000 to2 2,499 3 Page 140f17 E-Verify MOU for Employersi Revision Date 06/01/13 EVerily Company IDI Number: 254136 Are you verifying for more than 1 site? Ify yes, please provide the number of sites verifled for in each State: FLORIDA GEORGIA TEXAS 1site(s) 1site(s) 1site(s) Page 150f17 E-Verify MOU for Employers Revision Date 06/01/13 EVerify Companyl ID Number: 254136 operational problems: Name Phone Number (386) 752-75856 ext. 231 Fax Number (386)755-9132 Email Address chiappinp@andersoncolumbia.com Name Phone Number (386) 752-7585 ext. 252 Fax Number (386) 755-9132 Email Address mee@maeencamaton Information relating to the Program Administrator(s) for your Company on policy questions or Patti A Chiappini Mark Resler Page 160 of1 17 E-Verify MOUf for Employers Revision Date 06/01/13 Verilfy. Company ID Number: 254136 Page intentionally left blank Page 17 of 17 E-Verify MOU for Employers Revision Date 06/01/13 ANDERSON COLUMBIA CO.. INC. P.O. BOX1829 . Lake City, FL32056-1829 386.752.7585 . (386)7 755-5430 FAX: CORPORATE RESOLUTION Ihereby certify that at a meeting, duly called, oft thel Board ofDirectors of Anderson Columbia Co, Inc., al Florida Corporation, held the Ist day of August 2003 at which said meeting a quorum was present ànd acting throughout, the following preamble and resolution was adopted and ever sincel has been and nowi isi in full force and effect and does not conflict with the by-laws ofs said Corporation: BEITRESOLVED that, Tony Williams, is a duly elected Vice. Presidents of Anderson Columbia Co., Inc. and is hereby authorized to execute and submit proposals and bid bonds on behalf of Anderson Columbia Co., Inc. The documents and other such instruments signed by him shall be binding upon the said corporation asi ito own acts and deeds. BPKR Brian P. Schreiber- Secretary D:1 Corporate Seal REFERENCES I. Company name. Cdumbla County Board of County Commissioners Address P.O. Box 1529, Lake City, FL 32056 Contact Name. Mr. Krauss- County! Manager Contact Phone ore-mail 386-755-4100 Short description of project. CR242V West Mlinga andr resurfacing. highways signing. pavement markings. perfamancet tur, etc. 2. Company name. Dixie County Board of County Commissioners Address, P.0. Drawer 2600, Cross Caty, FL32628 Contact Name. Duane Cannon- County Manager Contact Phone ore-mail 352-498-1206 Short description of project CR351Afrom CR2 251 North toCR3 351 Scuth. Clearing & Grubbing, Basev work, paving, drainagei improvements, tumout construction, guardrail, signing. grassinga and Pavement! Markings. 3. Company name. Hamilton County Board df Counly Commissioners Address 207N NEF First SL Jasper, FL.: 32052 Contact Name. Louie Gocdin Contact Phone ore e-mail. 386-798-6639 Shorto description of project. SRS 55th Drive andu US 1291 Modifications mling, paving, signs. pavementn markngs andg grassing. Reconstruct SWS 55th DR. &1 107th Ave; Construction: approx1 1400' ofa additional tumi lames onUs 129v with paved Shoulders, dearing and grubbing. basework, earthwork, ANDERSON COLUMBIA CO., INC. P.O. BOX1829 . Lake City, FL 32056-1829 386.752.7585 . (386)755-5430 FAX PROPOSED SUBCONTRACTORS-San Pedro Road Retaining Wall 1. Company Name DLE Inos osaDArIDas *SsonpG Address CAsAbEn FL Contact Phone Portion ofWork Provided Phess Ns SHGT hucsc Scope of WorkSHEET PuaigValue #200,000."9 ofTotal 2. Company Name Address Contact Phone Portion ofWork Provided Scope of Work Value_ % ofTotal 3. Company Name, Address Contact Phone Portion ofWork Provided Scope of Work Value %ofTotal FS23 E. Tony Williams Jr., Vice President ADDENDA TAYLORCOUNTYI BOCC To: ALL RESPONDENTS Date: December 8, 2023 Re: San Pedro Rd Retaining Wall Project 2023-003-ENG Addendum No. I From: Kenneth Dudley, Taylor County Engineering Department This memorandum is to serve as an Addendum to the San Pedro Rd Retaining Wall Project solicitation package to be received in the Clerk's Office by 4:00 pm on Friday, December 15,2023, and to be opened and read aloud by the Board of County Commissioners on December 19,2023. These responses are to be considered as ifo originally incorporated into the Solicitation Documents: 1. When is Duke Energy expected to begin and have the OH electric moved? A. The UWS with Duke gives them 142 days total, with 22 of them being during construction, after the Contractor has marked the project limits/ROW and alignment. The UWS was signed on 9/21/23. The Engineer of Record is following up to verify their progress. Information on their progress will be coordinated with the successful Bidder. 2. Is it possible to have the overhead power lines that transverse the west side of the proposed sheet pile wall dropped during sheet pile installation? Although the sheet piles can be installed in smaller sections and then welded together (spliced) to achieve the required sheet pile length, we will need to use the Silent Piler's integrated auger system in order to penetrate the hard limestone material consistently identified approximately 15ftbelow grade. The auger is a full length system, which means the auger will be a minimum of30 ft long and will prevent us from being able to splice A. See response to Question 1. The Contractual intent is to have the OH lines relocated the sheet piling in this area. prior to the installation oft the sheet pile wall. 3. There is a big oak tree in the way of the sheet pile wall installation? Did you intend tol have the Contractor Clear & Grub (complete stump removal) or cut offatground? A. There is a 19" live oak (Tree #770) approximately 5' (from the edge of the tree) to the sheet pile wall that is noted on the plans "Tol Be Removed". The Contractual intent is for the Contraçtor to be responsible to remove what is necessary to construct the wall, which depends on their method and equipment. Although the referenced tree is not in direct conflict, it was called out TBR in the case it interferes with the project. Removal of this Pageiof3 particular tree should be limited to only removing to ground level, leaving the stump in- place to retain the stability of the slope. 4. Pay Item Note 3 on Sheet 6 references *Limbing", to what extent are you expecting this to be performed? A. The Contractual intent is for any trees interfering or obstructing project completion to be limbed only as much as necessary to allow for project completion. The extent required will necessarily depend on the Contractor's means and methods. 5. Plan Note 61 found on Plan Sheet BW-3 indicates that sheet piles shall be embedded to meet both the minimum tip elevation provided in the data table and a minimum of5 ft into the hard limestone. What will the procedure be to achieve the required A. This would be the Contractor's means and methods in accordance with Modified additional length of sheet pile? Special Provision 455. 6. Plan Note 61 found on Plan Sheet BW-3indicates that sheet piles shall be embedded to meet both the minimum tip elevation provided in the data table and a minimum of5 ft into the hard limestone. If the required hard limestone is not encountered at all, A. Should hard limestone not be encountered, the sheet pile wall should be driven to the minimum tip elevation, plus an additional 4 feet, as long as voids are not encountered during wall installation. Deviations from this must be approved by the EOR. what is the maximum length ofs sheet pile that will be required? 7. Plan Note 61 found on Plan Sheet BW-3 indicates that sheet piles shall be embedded to meet both the minimum tip elevation provided in the data table and a minimum of5 ftinto the hard limestone. If the sheet pile is installed to the proposed minimum tip elevation and still has not achieved the required 5ft of hard limestone penetration, how will the contractor be compensated for the additional length of sheet pile A. See response to Question 6 pertaining to required wall depth. The Project Engineer will document added depth/length as a cost overrun, offset with any underruns at the end, required? and then paid as Unforeseeable Work. Page 2of3 8. Plan Note 6 found on Plan Sheet BW-3 indicates that sheet piles shall be embedded to meet both the minimum tip elevation provided in the data table and a minimum of5 ftinto the hard limestone. Since the sheet piles will be coated, how will the additional lead time required to have the additional length of sheet piles coated be addressed? A. See response to Question 6 pertaining to required wall depth. Sheet Pile Coal Tar- Epoxy Coating shall strictly adhere to the Coating Manufacture's requirements, FDOT Standard Specification 560 and any noted Project requirements. The 30 days between completion of Phase 1 and Phase 2 may be used to address added-length pile coating with a24 hour expected recoat time. Ihereby acknowledge receipt of Addendum No. 1: Name: Company: Date: E.Tony! Anderson Columbia Co., Inc. 12/15/2023 S516 Page 3of3 WORKERS COMPENSATION, ANDI EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE WA5-65D-289907-113 WA5-65D-289907-112 5-289907 Liberty Mutual. INSURANCE 1756 Berkeley Street Boston, MA 02116 Issued by! LMI Insurance Corporation (a stock company) 27243 Policy Number Renewal Of Account Number 1. Insured and Mailing Address Anderson Columbia Company, Inc. PO Box 1829 Lake City FL: 32056 Status Corporation mailing address. 3. Coverage Issuing Office Lewiston, ME Issue Date 05/11/2023 Sub Account 0002 FEIN 59-2871935 Risk ID 421801134 Other workplaces not shown above: See Item 4. Premium- Extension of Information Page 2. Policy Period: The policy period is from 05/01/2023 to 05/01/2024 12:01 A.M. standard time at the Insured's A. Workers Compensation Insurance: Part One oft the policy applies to the Workers Compensation Law of the B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The states! listed here: NCSCTX limits of our liability under Part Two are: Bodily Injury by Accident $ Bodily Injury by Disease $ Bodily Injury by Disease $ 1,000,000 each accident 1,000,000 policy limit 1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, ifa any, listed here: AlI States except those listedi in Item 3.A andt the States of: ND OHWAWY information Page Classifications D. This policy includes these endorsements and schedules: See Item 3. Coverage D- Extension of 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. Alli information required belowi is subject to verification and change by audit. Code Number Premium Basis Total Rate per $100 Estimated Annual EstimatedAnnual Remuneration of Remuneration Premium 357,352 357,352 See Extension of Information Page Minimum Premium $562 (SC) Premium will be billed Monthly Producer 0002 013706 SERVICES LLC PO BOX 2196 MARIETTA GA3 30061 Total Estimated Annual Premium $ Deposit Premium $ ACRISURE LLCD DBAI PENTARISK INSURANCE WC 000 0001A Ed. 07/01/2011 @1 1987 National Council on Compensation Insurance, Inc. WC 000001B(CA) Pageiofi AII Rights Reserved LM Insurance Corporation Item 3. Coverage D - Extension of Information Page Miscellaneous Form and Endorsement Schedule Policy Notices and Applications Form Number SNW 42 03 05 20 SNW 04 14 01 23 CNW 90 15 09 22 GPO 4756 R5 SNW 42 01 10 13 Form Number WC 00 00 00 C WC 00 00 01 A GPO 4741 PA 505 GPO 2923 GPO 4162 R1 Form Number wC99 20 16 WC 00 03 03 C WC 00 03 13 WC 00 04 14 A WÇ 00 04 19 WC 00 04 19 A WC 00 04 21 F WC 00 04 22 C WÇ 00 04 24 WC 00 04 25 WC 32 03 01 D Form Name Have a Workers' Compensation Complaint Or Need Help? Liberty Mutual Privacy Notice - California Liberty Mutual WC Privacy Practices Disclosure Notice Sanction Notice Texas Risk Control Services Policy Schedules Form Name Policy Jacket Information Page Workers Compensation And Employers Liability Insurance Miscellaneous Form and Endorsement Schedule Premium Summary Report by State Item 4. Premium Extension of Information Page Named Insured Link Schedule Policy Endorsements Comments Form Name Named Insured Endorsement Employers Liability Coverage Waiver of Our Right to Recover From Others Endorsement 90-Day Reporting Requirement Norification of Change in Ownership Premium Due Date Endorsement Part Five - Premium Amendatory Catastrophe (Other Than Certified Acts of Terrorism) Premium Terrorism Risk Insurance Frogram Reauthorization Act Disclosure Audit Noncompliance Charge Experience Rating Modification Factor Revision North Carolina Amended Coverage Policy No. A5-65D-285907-) GPO 4741 Ed.01/01/2001 Page 1cf 2 WC 00 00 01 A LM Insurance Corporation Item 3. Coverage D Extension of Information Page Miscellaneous Form and Endorsement Schedule Continued: Form Number WC 34 03 01 C WC 39 06 01 WC 42 03 01 J WC 42 03 04 B WC 42 04 07 WC 99 06 27 R2 WC 99 06 54 WC 99 16 69 WC 99 16 71 WC 99 20 39 A WC 99 20 54 WC 99 20 58 A WC 99 20 63 WC 99 20 85 Policy Endorsements Comments Form Name Ohio Employers Liability Coverage South Carolina Cancellation and Nonrenewal Texas Amendatory Texas Waiver of Our Right to Recover From Others Texas Audit Premium and Retrospective Premium Deductible Endorsement Texas Deductible Endorsement Knowledge and Notice of Occurrence Endorsement Unintentional Errors and Omissions Endorsement Washington Amendatory Participating Provision Washington Deductible North Dakota Amendatory Wyoming Amendatory Policy No. #AS-65D-28907-113 Page 2of 2 WC 00 00 01 A GPO 4741 Ed.01/01/2001 State Premium Summary Payroll Exposure Total Premium Assessment &S Surcharge State North Carolina North Dakota Ohio South Carolina Texas Washington Wyoming Totals 0 0 0 0 23,510,000 0 0 93 o 0 113 357,146 0 0 357,352 0 0 0 0 0 0 0 0 23,510,000 Policy No. A5-65D-289907-113 PA 505 Ed. 11/01/2001 Page No. 1 Item 4. Premium Extension of Information Page Encries in this icen,. except as specifically provided elsewhere 1n Ehis policy. do not nedify any of the oche: Classification. of Cperations Premiur Basis Payroll Urless ocherwise indicated Per 5100 Class a) Flat Charge Code bPer Capica Passenger Seat Prenium Otner Rate Payoll- provisiors of this pol:cy. Estimated Premium North Carolina Contractor Project Manager, Construction Executive, Construction Manager or Construction Superintendent Waiver of Subrogation Premium Large Deductible Credit Experience dificationd.s3 FNL) 5606 If Any] .40 0 0930 9664 9898 d) 100 (39) 32 $93 $93 0 0 $93 .388 61 Modified Premium Standard Premium Terrorism Catastrophe (other than Certified Acts of Terrorism) North Dakota Subject to Endorsement Total Payroll Terrorism 9740 9741 .004 .008 Total Premium for North Carolina Supplemental Employers Liability 0003 9740 If Any .06 .00 o 0 Policy No. AS-65D-289907-13 GPO 2923 Ed. 01/01/2001 Page No. 1 wc0000017 A Item 4. Premium - Extension of Information Page Entries in chis item, except as specifically provided elsewhere in Ehis policy, do acc modify any of che other Classificarior of Cperacions Premium Bas:s Payroll Uniess otherwise indicated Per $100 Class al Flat Charge Code bl Per Capita Passenger Seat Premium e) Other Rate Payroll- provisions of cais policy. Bstima:ed Prenium Continued: Ohio Subject to Endorsement Total Payroll Terrorism South Carolina Supplemental Employers Liability 0003 9740 If_Any .05 .00 0 Contractor - Project Manager, Construction Executive, Construction Manager or Construction Superintendent Street or Road Construction: Subsurtace Work & Drivers Clerical Office Employees NOC Waiver of Subrogation Premium Large Deductible Credit Experience Modification(1.53 FNL) 5606 5507 8810 0930 9664 9898 a) IAny .51 0 0 0 100 (26) 39 $113 $113 0 o $113 If_Any 2.01 If Any .08 .2634 74 Modified Premium Standard Premium Terrorism Catastrophe (other than Certified Acts of Terrorism) 9740 9741 .004 .008 Total Premium for South Carolina Policy No. #AS-65D-28907-113 GPO 2923 Ed. 01/01/2001 Page No. 2 WC 00 00 01 A Item 4. Premium Extension of Information Page Entries in this item, excepe as specifically provided Classification. of Operations Premium Basis Payzo.l Ualess aFlat Charge Code b) Per Capita Passenger Seat Premiun Ocher Rate Payroll- elsewhere in this policy. do not rodify any of the other Class stherwise indicated Per $100 prov:sions of tais policy. Escimaced Premium Continued: Texas Corpus Christi: 1402 Holly Rd 78417 Clerical Office Employees NOC Weslaco: 2210 vo Tech Dr 78596 Big Wells: Highway 85 West 78830 Asphalt Works & Drivers Sand and Gravel Production - Commercial Plants & Drivers Analytical Chemist Concrete Construction - Bridges & Drivers Concrete Construction NOC & Drivers 5213 Street or Road Construction - All Operations & Drivers Contractor - Executive Supervisor or Construction Superintendent Sewer Construction - All Operations & Drivers Contractor's Permanent Yard Clerical Office Employees NOC Artificial Turf Installation & Drivers, Chauffeurs & Their Helpers NOC - Commercial Salespersons, Collectors or Messengers - Outside Executive Officers NOC - Performing Clerical or Outside Salespersons Ducies Only Waiver of Subrogazion Premium Employers Liability Increased Limics Premium Policy No. AS-65D-289907-113 GPO 2923 Ed. 01/01/2001 8810 If Anyl .03 0 TX 1463 4000 4511 5203 5506 5606 6306 8227 8810 5220 7380 8742 8809 1,425,000 4.11 1,700,000 1.08 525,000 1,275,000 2.41 300,000 1.23 9,250,000 1.74 2,675,000 275,000 1.59 1,475,000 2,570,000 1,500,000 1.18 If_Any) 1.20 165,000 375,000 58,568 18,360 1,155 30,728 3,690 160,950 6,153 4,373 9,145 771 17,700 0 116 188 $311,897 6,238 4,367 Page No. 3 WC 00 000 01 A .22 .23 .62 .03 Drivers .07 .05 Manual Premium 0930 9812 .014 Item 4. Premium - Extension of Information Page Ertries in this icem, excepc as apecifically provided Classificacion a: Operacions Premium Basis Payro.l Unless a' Flat Charge Code bPer Capica Passenger Seat Premium Other Race Payroll- elsewhere in this pelicy. do noc rodify any of the ocher Class otherwise indicated Per $100 provisions ot tais policy. Estimated Premium Continued: Texas Corpus Christi: 1402 Holly Rd 78417 Experience Modification(1.53 FNL) Large Deductible Credit Expense Constant Terrorism Catastrophe (other than Certified Acts of Terrorism) Washington Subject to Endorsement Total Payroll Terrorism Wyoming 9898 d) 9663 0900 9740 9741 322,502 170,926 $493,428 (136,482) $356,946 200 o o $357,146 Modified Premium Standard Premium .2766 23,510,000 23,510,000 .00 .00 Total Premium for Texas Supplemental Employers Liability 0003 9740 IfAnyl .05 .00 o 0 Subject to Endorsement Total Payroll Terrorism Supplemental Employers Liability 0003 9740 If Any .06 .00 o 0 Policy No. WAS-65D-289907-113 GPO 2923 Ed. C1/01/2001 Page No. 4 WC 00 00 01 A NAMED INSURED LINK SCHEDULE Name Link Code Insured Name/Location 001 Anderson Columbia Company, Inc. 001 Telephone Number: (386) 752-7585 001 FEIN: 59-2871935 001 Legal Status: Corporation No Specific Location No Specific Location No Specific Location No Specific Location No Specific Location No Specific Location Highway 85 West 2210 Vo Tech Dr City State Zip 001 001 001 001 001 001 001 001 NC ND OH SC WA WY TX 78830 TX 78596 Big Wells Weslaco 002 Haas-Anderson Construction, LTD. 002 Telephone Number: (386) 752-7585 002 FEIN: 33-1001988 002 Legal Status: Corporation 1402 Holly Rd 003 Haas-Anderson Management LC 003 Telephone Number: (386) 752-7585 003 FEIN: 01-0666137 003 Legal Status: Limited Liability Company 1402 Holly Rd 004 HAC Equipment LTD 004 Telephone Number: (386) 752-7585 004 FEIN: 33-1001990 004 Legal Status: Corporation 1402 Holly Rd 005 HAC Materials LTD 005 Telephone Number: (386) 752-7585 005 FEIN: 68-0504138 005 Legal Status: Corporation 1402 Holly Rd 006 HAC Holdings LP 006 Telephone Number: (386) 752-7585 006 FEIN: 74-2212956 006 Legal Status: Limited Partnership Policy No. WAS-65D-28907-113 GPO 4162 R1 Page lof 2 Ed. 11/01/2004 002 Corpus Christi TX 78417 003 Corpus Christi TX 78417 004 Corpus Christi TX 78417 005 Corpus Christi TX 78417 NAMED INSURED LINK SCHEDULE Continued: Name Link 006 Code Insured Name/Location 1402 Holly Rd 007 ELDT Investment LTD 007 Telephone Number: (386) 752-7585 007 FEIN: 74-2403159 007 Legal Status: Corporation 1402 Holly Rd City Corpus Christi State Zip TX 78417 007 Corpus Christi TX 78417 Policy No. A5-65D-289907-113 GPO 4162 R1 Page 2of 2 Ed. 11/01/2004 NAMED INSURED ENDORSEMENT Item 1oft the Information Page includes the following firms or organizations as insureds. Insured Name FEIN No. 59-2871935 Dept. of Labor No. Anderson Columbia Company, Inc. Haas-Anderson Construction, LTD. 33-1001988 Haas-Anderson Management LC 01-0666137 HAC Equipment! LTD 33-1001990 HAC Materials LTD 68-0504138 HAC Holdings LP 74-2212956 WC890601 Ed. 09/01/2010 02010, Liberty Mutual Group of Companies. AII Rights Reserved. WC 99 20 16 Page 1 of 2 ELDT Investment LTD 74-2403159 Issued! by LMI Insurance Corporation. 27243 Fora attachment to Palicy! No. WAS65D-289907-13 Issued to Anderson Columbia Company, Inc. Effective Date Premium $ Wc 890 0601 Ed.0 09/01/2010 02010, Liberty Mutual Group of Companles. AILF Rights Reserved. WC 992016 Page 2 of 2 SRIP- Sau Pedro Road 2023-003-OEC DAMAGESFORM BID BOND Any siugular reference 1o Bidder. Surety. Owier. or other party shall be considered plural wiere applicable. BIDDER (Name and. Address): Anderson Columbia Co., Inc. P.O. Box 1829, Lake City, FL. 32056*8 871 NW Guerdon Street, Lake City, FL. 32056 SURETY (Name and. Address ofPriucipal Place of Business): One Tower Square, Hartford. CT 06183 OWNER (Name and. Adcress): 108 NORTH. VEFFERSO.N: ST. PERRY FL. 32347 BID Bid Due Date: December 15. 2023 Travelers Casualty and Surety Company of America and Berkshire Hathaway Specialty Insurance Company and 1314 Douglas St.. Suite 1400, Omaha, NE 68102 TAYLOR COUNTYI BOARD OF COUNTY COMMISSIONERS Projecr (Brief Description Including Locatiou): San Pedro Road Reraining Wall Contracr The intent of this contract is to secure all labor and equipment required for the San Pedrol Road Retaining' Wall project in Taylor County. Florida. This project consists of installing 200 LF of Sheet Pile wall along a portiou of San Pedro Rd to stabilize an area of subsidence due to an apparent iderlying karst feature. Iuprovements will also include roadway reconstruction and restoration as well as roadside protective devices. as more filly detailed in the projecr plans and specifications. BOND Bond Number: Bid Bond Date (Not later than Bid due date):December 15, 2023 Penal Sum. Five percent of the amount bid 5% of the amount bid (Figures) (Words) Sturery and Bidder. mtending to be legally bound hereby. subject ro the tems printed on the reverse side hereof, do each cause' this Bid Bond to be duly executed on its behalfby irs authorized officer. agent. or representative. - BIDDER SURETY Travelers Casualty and Surety Company of America and Berkshire Hathaway Specialty Insurancé Company (Seal) Surety'sName and Corporate Seal Anderson Columbia Co., Inc. Bidier'sNane and Corporate Seal (Sea!) :! -0 By Signarwe and Aitesl. Signatie andl Title By: Vw Signarure and Title Kevin R. Wojtowicz. Attorney-in-Fact (Arach Power of Attomey) Artest: Akt Signature and TitlelAmy Scoll, Witness E 6AkR Brian P. Schreiber, Secretary Note: dhori adiresses are to be used for giving requured notice. oi ECDC NO C-35(200. Echtiun) 00435-1 Travelers Casualty and Surety Company of America Travelers Casualty and Surety Company St. Paul Fire and Marine Insurance Company TRAVELERSJ POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That Travelers Casualty and Surety Company of America, Travelers Casualty and Surety" Company, and St. Paul Fire and Marine insurance Company are corporations duly organized under the laws of the State of Connecticut (herein acknowiedge any and all bonds. recognizances. conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of çontracts and executing or IN WITNESS WHEREOF, the Companies have caused this instrument to be signed, and their corporate seals to be hereto affixed, this 21st day of April, collectively called the' Companies). and that the Companies dol hereby make, constitute and appoint KEVINRWOJTOWICZ guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed byl law. of STI PETERSBURG 2021. Florida their true and lawful Attomey(a)-n-Fact to sign, execute, seal and SROR State of Connecticut City of! Hartford ss. By:. dk RobertL. Raney,Senior Vice President On this the 21st day of April, 2021, before me personally appeared Robert L. Raney. who acknowledged himself to be the Senior Vice President of each of the Compantes, and that he. as such, being authorized so to do, executed the foregoing instrument for the purposes theren contained by signing on benalf of said Companies by himself as a duly authorized- officer. IN WITNESS WHEREOF. inereunto set my nand and official seal. My Commission expires the: 30th day of. June. 2026 NOYARY * PUSLIG hubhik Annal P. Novik, Notary Public This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of each of RESOLVED, that the Chairman, (he President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President. the Treasurer. any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf oft the Company and may give such appaintee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond. recogrizance, or conditional undertaking. and any of said oficers or the Board of Directors at any time may FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President. any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided FURTHER RESOLVED, that any bond, recognizance. contract of indemnity, or writing obligatory in the nature of a bond, recognizance. or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary ar any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary, or (b) duly executed (under seal, if required) by one or more Alloreys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates ofa authority or by one or more Company officers pursuant toay written delegation ofa authority; anditis FURTHER RESOLVED, that the signature of each of the following officers President, any Executive Vice President, any Senior Vice President. any Vice President. any Assistant Vice President, any Secretary, any Assistant Secretary. and the seal oft the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in- Fact for purposes only of executing and attesting bonds and undertakings and olher writings obligatory in Ihe nature thereof, and any such Power of Attomey or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upont the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or Kevin E. Hughes. the undersigned. Assistant Secretary of each of the Companies do hereby certify that the above and foregoing is a the Compantes which resolutions are now in full forçe and effect. reading as follows: remove any such appointee and revoke the power given him or her: anditis thate each such delegation isi inv writing and a copy thereofi is filed in the office oft the! Secretary: anditis understanding tov whichi itis attached. true and correct copy of: the Power of A:torey executed by said Companies. which remains inf full force and effect. Dated: this 15th day of December 2023 6Kevin E. Hughes. KEKE Secretary To verify the authenticity oft this Power ofAttorney, please call us at 1-800-421-3880. Please refer to the above-named Attorneylsl-in-Fact. and the details of the bond to which this PowerofAttomey is attached. 37424: Berkshire Hathaway Specialty Insurance bh Power Of Attorney BERKSHIRE HATHAWAY SPECIALTY! INSURANCE COMPANY NATIONAL INDEMNITY COMPANY, / NATIONAL LIABILITY & FIRE INSURANCE COMPANY Know alin men! byt these presents. that BERKSHIRE! HATHAWAY: SPECIALTY INSURANCE COMPANY acorporations existing under and bys virtue oft the lawso ofthes Statec of Nebraska and having and office at One Lincaln Street, 23rd Floar, Boston, Massachusetts 02111, NATIONALI INDEMNITY COMPANY, corporation: existing under and! by virtue ofthe! laws afthe Stated of Nebraska andh havinga an officea at: 3024) Harney Street, Omaha. Nebraska 68131 and NATIONALI LIABILITY&E FIRE INSURANCE COMPANY ac corporation existing under and byv virtued ofthela lawso oft thes State oFC Connecticutz and havinga and office at1 100F Firsts Stamford Place, Stamford, Connecticut 06902 (hereinafter collectively the Companies). pursuantt toa andt cyt thea authority granteda as setf forth herein, dah hereby name, constitute anda appoint: Kevin RV Woitowicz, 1000Central Avenue Suite 2000 ofthes dityofs St.Petersburg. State ofFlorida. theirt true: andk lawful attorneyls)-in-fact: tor make, execute, seal, acknowledge.: ando deliver, fora and ont theirt behalf ass surety anda ast their acta anddeed, any anda allu undertakings. bonds, oro ather suchy writings obligatoryi int ther naturet thereof, in pursuanced oft these presents, thes execution of whichs shail bea asb binding upont the Companies asifithast been dulys signeda ande executedt byt their regularly elected officers in their own propers persans. This authority fort theA Attorney-in-Fact: shallbel limited tot thee execution oft thea attaçhed bond(s) aro others suchs writings Iny witness whereat, this Powers ofA Attorney hast beens subscribedt oy ana autharizedo officer oft the Companies. andt the corporates seais oft thec Companies have beena affixed! heretot thisc date ofA August2 24,2 2023. This Power ofA Attorneyisn made: ande executed; pursuantt to andbya authority oft the Bylaws, Resolutions ofthe Board of Directors, ando other Authorizations ofB BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY, NATIONALI INDEMNITY COMPANY andN NATIONALI LIABILITY&I FIRE! INSURANCE COMPANY, which: arei inf full force ande effect, each reading as appears ont thet back page oft this Power ofA Attorney, respectively. Thef following seals oft the Companies ands signatures bya ana authorizedo officero oft the Company may bes affixed byf facsimile ord digitalf format, whichs shall bec deemedt the equivalent ofa ando constitutet thes writtens signature ofs sucho officer of the Companiesa and originals seals oft the Companies fora all purposes regardingt thisP PowerofA Attorney, includings satisfaction ofa anys signaturea ands seal requirements onz anya anda allu undertakings, bonds, or other: suchy writings obligatoryi in ther naturet thereof, tov whicht thisF Power ofA Attorney applies. obligatoryi int ther nature thereof. BERKSHIRE! HATHAWAY: SPECIALTY INSURANCE ÇOMPANY, DEE NATIONAL INDEMNITY COMPANY, NATIONALI LIABILITY& FIRE INSURANCE COMPANY, DAE David Fields, Vicel President By: By: David Fields, Executivel Vice President NOTARY State of Massachusetts, CountyofSuffalk, S5: Ont this 24tho days ofA August. 2023, before me appeared David Fields. Executive Vicer President ofB BERKSHIRE HATHAWAY: SPECIALIY INSURANCE COMPANY andy Vice President OFN NATIONALI INDEMNITY COMPANY andN NATIONAL LIABILITY &F FIRE INSURANCE COMPANY, who being dulys sworn, sayst thath hiso capacity isas designated above fors such Companies: that hek knows thec corporates seals of the Companies: thatt thes seais affixed tot thef foregoing instrument ares such corporate seais; thatt they were affixed! by order oft thet boardi of directors oro other governing body ofsaid Companies pursuant to itsB Bylaws, Resolutions and other Authorizations, and thath hes signed said) instrument in thato capacity ofs said Companies. [Notary Seal! JOHN C. SKINNER NotayP Pubic, Comsensthakassums) My Commission Expires January22, 2027 Notary Public Ralph Tortcrella, thes undersigned, Officer of BERKSHIRE HATHAWAY: SPECIALTY INSURANCE COMPANY, NATIONALI INDEMNITY COMPANY andN NATIONALI UABILITYAF FIRE INSURANCE COMPANY, don nereby certifyt thatt thea above and foregoingisat truea ando correct copy oftne Power ofA Attorney executedb bys said Companies whichisit infull force ande effect andh hasr nott been revoked. INTESTIMONY WHEREOF see hereunto affixed thes seals ofs said Companies this December 15,2023. Ralph Tortorella, Officer BHSIC, NICO & NLF POA (2023) 10 TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: Board to receive Statement of Qualifications (SOQ) for the Keaton Beach and Steinhatchee Boat Ramps By-Pass Feasibility Study Project. MEETING DATE REQUESTED: Statement of Issue: November 4, 2024 Board to receive SOQ's for the Keaton Beach and Steinhatchee Boat Ramps By-Pass Feasibility Study at 6:05 p.m. or as soon thereafter. Recommended Action: Receive SOQ's. Rankings and recommendations of the Bid Committee to be made at the November 19, 2024 Board The project will be 100% grant funded with US Dept. of Treasury/Gulf Consortium Pot 3 funds. The County was awarded a grant in the amount of $383,665 with the County receiving $350,000. The remainder of the grant award is retained by the Gulf Consortium for the Gulf Consortium General Manager, the Balmoral Group fees and legal services. The County will not be providing a cash match. meeting. Fiscal Impact: Budgeted Expense: Submitted By: Contact: The project is budgeted. Melody Cox, Grants Writer Melody Cox SUPPLEMENTAL MATERIAL/ISSUE ANALYSIS History, Facts & Issues: Both the Board and the Balmoral Group and associated legal counsel approved the SOQ as required by the grant contract. Recommendation will be made to the Board at the November 19, 2024 meeting. Not Applicable ati this time. Attachments: TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: Tara Reynolds from ANSERV to appear to update the Board on the status of Hurricane Idalia HHRP SHIP funding. MEETING DATE REQUESTED: Statement of Issue: Recommended Action: Fiscal Impact: Submitted By: Contact: November 4, 2024 Tara Reynolds of ANSERV to update Board on the status of Hurricane Idalia HHRP SHIP funds. Not Applicable Nota applicable Melody Cox Melody Cox SUPPLEMENTAL MATERIAL/ISSUE ANALYSIS History, Facts & Issues: The County received $3,050,000 in Florida Housing HHRP Hurricane Idalia SHIP funding which is to be used for the rehabilitation or demolition and reconstruction of homes damaged by Hurricane Idalia. The Board did approve using the funding for the removal of mobile homes and construction of site-built homes for qualified recipients. ANSERV is administering the funds on behalf of the County. ANSERV also administers "regular" SHIP funds for the County. Attachments: Not applicable TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item Initiative Requests for Fiscal Year 2025-2026. SUBJECT/TITLE: Board to discuss projects for the Legislative Local Funding MEETING DATE REQUESTED: Statement of Issue: November 4, 2024 Local Funding Initiative Requests (Budget Appropriations) for FY 2025-2026 are traditionally due late November of each year. Board to discuss and develop a list of proposed and/or potential projects or requests. Requests for FY 2025-2026. Not Applicable at this time. Recommended Action: Board to discuss and develop a list of potential Legislative Fiscal Impact: Budgeted Expense: Submitted By: Contact: Not Applicable at this time. The County is not providing any cash match for the proposed projects. Melody Cox, Grant Writer Melody Cox SUPPLEMENTAL MATERIAL /ISSUE ANALYSIS History, Facts & Issues: Board to discuss and develop a list of Local Funding Initiative Requests (Legislative) to be submitted for FY 2025-2026. Attachments: Not applicable at this time. 132 TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: Board to discuss upcoming Florida Department of Transportation (FDOT) Transportation Alternatives Program (TAP) funding cycle and potential projects. MEETING DATE REQUESTED: Statement of Issue: November 4, 2024 The FDOT TAP funding cycle is currently open. Board to discuss potential eligible projects. Recommended Action: Board to discuss potential TAP projects and set date for required public hearings for selected and/or potential Not applicable at this time. The County will not be required to provide a cash match for selected projects. projects. Fiscal Impact: Budgeted Expense: Submitted By: Contact: Not applicable. Melody Cox, Grants Writer Melody Cox SUPPLEMENTAL MATERIAL/ISSUE ANALYSIS History, Facts & Issues: The Board submitted two projects in January 2024. The to the West Ash Street sidewalk project, and the construction of a sidewalk along Plantation Road from Old Dixie Highway to US 19. The FDOT Transportation Alternatives applications are submitted a minimum of five years in advance. Transportation Alternatives funds can be used for numerous pedestrian and bicycle projects including but not limited to: the construction sidewalks; bicycle infrastructure; pedestrian and bicycle signals; safety related infrastructure; ADA compliance measures; turnouts; overlooks and; viewing areas. A maximum of two applications can be submitted each funding cycle. The County will be required to hoid a public hearing to receive public input for each selected project prior to submitting the funding application. Attachments: Information on the TAP funding cycle. FDOT Florida Department of Transportation RON DESANTIS GOVERNOR 1109 South Marion. Avenue Lake City. Florida 32025 DISTRICT TWO JARED W.PERDIE,P.E. SECRETARY MSTRANSPORTATION. ALTERNATIVES (TA) SET-ASIDE FY2026-FY2031 TENTATIVE WORK PROGRAM October 23, 2024 District Two is pleased to notify you of the upcoming Transportation Alternatives (TA) Set-Aside application cycle for FY: 2026-F FY2031Tentative Work Program. General Information: Ac continuation of the Surface Transportation Block Grant, TA funding is by contract authority from the Highway Trust Fund, subject to the overall federal-aid obligation limitation determined by the Federal Highway Administration (FHWA). Projects must support surface transportation, be competitively solicited, and comply with the provisions of the FDOT Work Program Instructions and the Bipartisan Infrastructure Law (BIL), enacted as the Infrastructure Investment and. Jobs Act (IJA) [S 11109; 23 United States Code (U.S.C.) 133(h)). All Counties in District 2 are eligible to apply. Notification of the TA: Set-Aside Program is sent to the attention of each previously designated Transportation Alternatives Set-Aside Program contact and/or respective recipient. Each entity is required to prioritize project(s) and submit directly to the Department. The Department will only be reviewing the top two (2) priorities for each entity. Iflocated within a Transportation Planning Organization (TPO) area, the applicant must submit project(s) tot the proper TPO to collectively prioritize frsubmittal to the Department. All 2025 applications will be submitted into GAP, directions on how to submit using GAP are attached. Once an application package is received, it will be evaluated by the Department. Ifthe project is selected, it will be added to the Department's Tentative 5-Year Work Program and the sponsoring agency will be notified. Ifthe project is not programmed, the sponsoring agency may resubmit during the next solicitation cycle if the project remains a priority. Eligible Projects: 1. Construction, planning and design of on and off-road facilities for bicyclists, pedestrians, and other forms ofr non-motorized 2. Construction, planning and design of infrastructure-related transportation. projects/systems to provide safe routes for non-drivers including children, older adults and individuals with disabilities. 3. Conversion and use of abandoned railroad corridors for non-motorized 4. Construction of turnouts, overlooks, and viewing areas. 5. Inventory, control, or removal of outdoor advertising. uses. 6. Historic Preservation and rehabilitation of historic transportation facilities. 7. Vegetation management practices in transportation rights of way. 8. Archaeological activities relating to impacts from transportation projects. 9. Environmental mitigation activities. 10. The Safe Routes to School Program - A: separate application form must be filled out and inçluded with the Transportation Alternatives application. Because of the extensive nature of the Safe Routes to School application, an additional year may be needed before a Safe Routes to School project can be 11. Maintenance of current trail facilities to include, but not limited to, resurfacing programmed. and ADA enhancements. Evaluation Criteria: The Department must consider, but is not limited to, the following criteria for evaluation of projects for the TA: Set-Aside Program: 1. Is the project within a TPO area? If yes, is the application submitted through 2. Is the project outside a TPO area? If yes, is the application submitted and prioritized through the Board of County Commissioners? 3. Has the project been submitted previously for TA and not selected 4. Have previous work phases or work in progress been identified the TPO with a priority ranking? for funding? where applicable? same scope of work? identified? itisi in public use? 5. Has the project been submitted to additional programs for funding for the 6. Has in kind-match, such as right-of-way donations and private funds, been 7. Has right-of-way ownership been identified and verified that 8. What is the return on transportation investment? Note the Following Submittal Items: 1. A completed application with priority number. 2. The "Certification of Project Sponsor" on the last page of the application must be filled out and signed for the project to be programmed. 3. A scaled Aerial Location Map depicting the project limits and any project- 4. Project details, including typical sections and other engineering 5. Right-of-way details, including ownership information, the amount required to complete the project and a right-of-way map, if available. 6. Completed cost estimate using the provided format (one Excel file-attached) prepared by a Professional Engineer using DOT pay items. 7. Ifa available, public support letters, private support letters & public meeting related drawings or pictures (if available). information. documentation. Further Considerations: 1. Projects off the State Highway System must be performed by the Sponsoring 2. Ify you have a partially funded project in the 5-year Work Program, please reach out to the Department SO we can discuss what is needed to move forward with 3. IfALL the right-of-way necessary to construct the project is not currently in public ownership, please do not apply until you speak with the Department. Agency via a Local Program (LAP) agreement. the project. NOTE: Also, attached is the updated pdf application, and directions on how to submit into GAP. These forms are also available ini the GAP system. If you do not have access please contact The program cycle will open on Wednesday, October 23, 2024. Applications are due to the Department no later than Thursday, January 23, 2025 at 2:00 pm. Please submit all materials in the GAP system before the due date. We will NOT accept any e-mailed or hard copies of application packages. We will not be allowed to accept any applications packages Ifyoul have any questions or comments or need further clarification, you may reach Amy the Department: as soon as possible to get set upi in the system. after the deadline date. Roberson at (386)961-7793, or e-mail: Thank you for your participation in this program. 2025 Transportation Alternatives Application.pdf TA Engineers Cost Estimate.xisx Attachments TAYLOR COUNTY BOARD OF COMMISSIONERS County Commission Agenda Item SUBJECT/TITLE: The Board to consider appointment of one member to the Taylor County Licensing Board. MEETING DATE REQUESTED: Statement of Issue: 11/04/2024 The Board to consider approval of appointment of one member to the Taylor County Licensing Board. Recommended Action: Approve Fiscal Impact: Budgeted Expense: Submitted By: Contact: N/A N/A LaWanda Pemberton 850-838-3500 ext 6 SUPPLEMENTAL MATERIAL /ISSUE ANALYSIS History, Facts & Issues: The current term for one Board appointment is vacant due to resignation of one member. Staff advertised the Licensing Board Vacancy in the Perry News Herald, October 11th and 18th editions. One application was received. Staff requests the Board consider approval of appointment of one member to the Taylor County Licensing Board. Options: Approve/Deny Attachments: Application Newspaper Advertisement Licensing Board Roster TAYLOR COUNTY LICENSING Chrislapher Gater O/21z4 BOARD APPLICATION Name: Mailing Address: City: Home Phone: Work Phone: Email: Employer: Job Title: 2355 Magan vhdd Rd Pewy State: Florida Zip Code: 32347 (850245-2725 plzza.gosd 135@gm.com Amped Elceh Sarveos uR Eef.n Number of years residing in' Taylor County: Are you ai resident of Taylor County? Are you willing to attend all board meetings? Are you familiar with the building trade? 18 YES: YES: YES: NO: NO: Layperson: Education: Are you a High School Graduate? YES: NO: Name of School: Post-Secondary Education: Name of School: NEcC Technical Training: Taylor Co. Kyl Name of School: TylorCo. Vocatrnt Do you or any family member have any affiliation with any business that has a vendor relationship with the Taylor County BCC or any other contractual relationship with the Taylor County Board of County Commissioners? YES: NO: 7 IYes, explain: Why do you wish to serve on the Taylor County Licensing Board? To Serve O Connihy and to help Set (+ gyrow and toke Shupe as deSred 5y Hose that make s up, Have you ever been charged with a misdemeanor or felony in any state or federal court? YES: NO: X If Yes, explain in detail: Explain what knowledge or interest qualifies you for consideration for appointment to this Kepd by example. Horer our Heawlg fhar (u hhe neme Board. Attach additional sheets if needed. of Christ Jesns Iunderstand the duties and responsibilities of this Board and pledge that I will faithfully attend the meetings, carry out the duties of a Board member, and abide by all Board rules should Ibe appointed. a. 2, 2024 C55 a Chrshaph Coh Date Signature Print Name A8 Perry News-Herald October11-12.2024 FFA's 'Fall Round Up' Monday, Oct.21 Obiouaries Visitation will be held Friday. Ot. Evans-Walker sis brothers. (Caroldean) James and Lockett Cal notice. Lockett. rooks Cynthia Brooks Joe Allan" Tarrh orfamily. held Suturday. Joe Allan Tarhd diedOct. information, For please H am. ew private memorial call(850)5 584-5513. ollowed by interment held at Springhill Cemetery. Taclerts sunts isaccpting applicationsfara LICENSINGI BOARD) MEMBER harge ements. slated Funcralllome. She : surived by: Obituary Taylor County Lyntoria Colson. Pbeips. Policy Fall Round Up" will Flanders Jr. and Perry Newspapers be held Monday. Taylr County Oer. Jermaine Flanders Sr: does not charge for Middle School (TCMS) two a standard death lunchuroom. obituary An is extended available roup. Membery fora charge based Adviser equired to attend." Grubbs FFA on length, with wording as provided Hotdogs. bythe funeral home and "Come leam abour FFA Jessica oenNe bunt ing reyuirel, lutlding Mpit pplicationsis Tuculas. O. 51 The Friends Taylor County ALE Friends Preside: James North Street Perry. Deadlinetor LOUD, CLEAR, FREE. PGC meets Wednesday Diane Whitield from Turkey Roost Nunery will present native plants selr" the ednevday. Oct. .meting Perry GardenClub. thering willhegin 0:30 Manly Linla cttiePagewill MkCuilbugh e menhs sofder 300-222-3448 Fonda ommunications elay ne. E FTRL.ORG/FREE Whitfi from Turkey Roost Nursery VOTE BYI MAIL BALLOTS Any registered voter may request as mail ballot. Request can be accepted only from the voter. a member of the voter's immediate Family ara legal guardian. Please, call the elections office at 350-833- 3515 tot request a mail ballot. You can aiso visit our website The Supervison of Elections office is currently mailing bailots to all bes mailed for the November General Election is tor make a request. Hag Marina owners and employees and families SeallagMarina askingford teheippaye employers hikei theyx Mruggleiorchuildo once again. A most of you know. Huricane Helene t sith 150 19. foot Sca Hag Marina and mostol Sieinhatchee desastited." owners Charlie and Danielle sad. The rentals. the Norvonis home. and londeds ther and destroyed. hames and busineves in Steinhatchee were crewat that are like and wurking tirekasslyt tolvage marepair heen "Without destrayed. regular Sea Flag won he able ertainly notpay hens Charlie shat iclle say worth." Danielle geal statel. py Nov: uravold drink he I you 10 donate to our GoFundMe far empleyees. Marna's Empleyees and Vamilies Rescue Fund" on GolundMe. voters who have request on file. The last date to request al ballotto Marina rescue fund for : BOLETAS! DEVOTO POR CORREO para realizar una solicitud. Cuaiquier votante registrado puede solicitar una boleta por corren. S6los se experienced The destruction and frankly is heyund hrd amything we have descrihe," ever puede. aceptar la solicitude del votante, unt miembro des sul familia inmediatao Daniclles suid." Butit the vakea un tutor legal, Llamea alas oficina clectorai ai $50-338-3515 para solicitar una SeaHaga "Wehave arerighting boleta pors corroa. Tambièn puede visitar muestros sitio wweb Actualnente. las offcina dei Supervisor de Blectiones osta envianda Saietas pors correo todas los votantes que tienen una solicitud en arthivo. Las ditima payour arken heir fecha paras solicitar eis enies pors correo des unat boieta paral las Blecciones Generaies der noviembre. es el S 13155 9 A4 Perry News-Herald October 18-19,2024 Religion Church celebrates 9th anniversary this Sunday Victory Interational Prophetic musical guests" "Thellawkins Singers." & Fellowship Ministries willa celebrateits Chier ninth cherch anniversary Sunday. Oct. 20. Jr. and Supervisar Lakeshin M. Guest preacher fortheo occasion willbe The churchi is locuelar 604V Wetlulia Chief/ ArtesB. Rambon withs spocial Street. Sunday services return to regular times at Calvary Calvary Baptist Church at 9:45 am: lowever. October. will resume on announced Wednesday that Sunday School small Wednssaay.Nov.6 leginning this Sunday. Oct. groups remain suspended The church will host 20. services will aetil 10:45a m. Breakfa il served has been sspended in years in ministry Sunday Litiest. JohnMissionary Calvary Baptist Churchin Elder Michuel Sneed Apostle Dr. Willie Anderon Andersoni inviteseveryone: oattend. Tidbits Pray - talk with God Sa,oFaundRase. What ahout the pcopie who owhes reminder (friendly. at that are But Treatevent most. Pleasee Gatistryingntell Heknows and knows Him. But omething Hev toren God's peop! foughr Together, BySarahHall weare delinition simplest sad. owcasing. while shether kneeling. and praises. standing. in: moitation. privately orina our request in time. Our Bihles teach without ceasing" (I er shoula any ime. any placeand e pray, the getta strengthens relationship know. His ways His Holy Spint. There prayer. ow leam topray? Justdo i ahout everything. Pray all the praying mood. thanks for allt things. thes goxdand Thanks and praiscs wark. thmugh our dalprayfor! Intercessery prayer Lat them God ifor peron. others the for others. There always someuneor case or noed) to There koowaynot willofGod. This whata yourtime wecare whaGod His Kingdom. The mei God the Father,. SoGud's There isnalimit.P Pray You dida't United. Ministries' on Wednesday. Oct. 30. program, which startingatopm. Little St.John marks 96 spocial. because web oclong to Him rowd, God listening. waiting Baptist Church be the special of Monticcilo will be God's celchrate its special guest. speaker llthe anniversary sixth upcoming founh pastors sary Sunday Oct. 27) program. will also Dewayne Scarcy. of lam. Obioarics Aivin Franklin wasan Taylor County Sports impo father grandfather Harry randdaughters. precedeu wwhata AlvinfFrapkimHany.? 70. ie the US. liedOct. 4.2024. and Mae Parker: memorial sister. Satuntay. Oct. nephew. Lewis Mitler. 9.at 1 m. Boyd Afterward. he attended nis wife. Cathy: MeLennan Shana Brancher Colleye son. Shawn; and grand- Reed). daughers, They were Poppa will be deeply image likeness" afGodiny Dave loved which ways by wbese image" and" likenes" reveals different becoming avarioas times aylor A Celebration of Life County's senvicwilthehekF Friday. The author af Genesis means for as tackle. the chapel Crosspoint be like God. While we know God DavidA Allan Parker His nobbics BaptistFellowship. working, with hands. Beygs Puneral Home creatures our possession of of Perry Chapel handling meral David Allan nd which 1850-473- Parker 58). coreot Our amily S saddened He You Godis ythe passing David ntegral Allan Fnday. Ot. 3024, Prior his Perry Taylor construction of as04n5a St. omsCinstanralowsui 6050F Pucket Road Sunday Sundyttdtam.senite PasrCocy MeNese Everyone has bad days. Don't giver up. Pause. Rest. Reset. Restart. But, never quit. Alwways pick yowrself upp and keep going. HOPE Make Church Going a Habit sPcCemgrs Carpet. Tlex JantoraiSerices. 359335-1305-3 35013431813 BGCUe MEES 1 : Goodman's 5 BBQ buitea infosnation and BASNN 1943781 BEATANTNA every ruest Thes eryingours othes strong Humanity. Vice Regents Orer Creation Wehsters detine humanity" squality prayers. or henng human. being Here God gives men and This the have been debate whether the Dave urvived by: feclings. dispositions and sympathies. vital in our prayer life. Pray for pects or human destiny: but they are mber opray. mindisset Cieator undr radically different irm cures for. His world. His peuple. His ands piritual states: Her mustd Jothes worko ofHins of human natre. Praying always with all prayer and neaning can reduce or nemove supplicatien the Spirit. Ephesians being re Iesetogniy. must love. Let une another and Gody love alHivsains: exert loving autberity over canhly letuspay withs lovent thelove tasirranns ppis Monsierk LICENSINGE BOARD) MEMBER Deparment for fag and Oct. 18, at pm. to know that humans were created things of God. We must letothers sAtwIE urwekr LOUD, CLEAR, FREEIg shp a Contac Ma fa diaplay yorc. 800-222-3448 shou gou sppat. (850)584-5513 FTRI.ORG/FREE LICENSING BOARD B.J. HIRES DENNISI WIGGLESWORTH ANNA KING MICHAEL KINSEY ERIC GRIFFIS EXPIRES 09/30/2024 09/30/2024 08/27/2026 08/27/2026 08/27/2026 EXPIRED RESIGNED