construction manager skirball mer restoration pim # … · 2020. 9. 25. · the project entails...

March 27 2015

CONSTRUCTION MANAGER Skirball MER Restoration

PIM 11698

REQUEST FOR PROPOSALS

Introduction

NYU Langone Medical Center (NYULMC) seeks a qualified HVACMechanical firm to provide Construction Management (CM) services using a modified CM form of contract for Skirball MER Restoration (the ldquoProjectrdquo) CM services are required to assure that this Project is performed without disruption to active hospital and research operations in the building

It is our intention to award a contract for ldquoPart A - Pre-Construction Servicesrdquo for the Design and Pre-Construction as well as for ldquoPart B ndash Services During Constructionrdquo in accordance with the form of Construction Management Agreement(designated Attachment A) that will be provided as an addendum during the RFP process

I Project Description The Project entails replacing four large air handling units and all associate piping plumbing controls and electrical systems located in the cellar level mechanical room in the Skirball Institute located at 540 1st Avenue New York New York 10016 As a result of Superstorm Sandy these air handlers as well as several pumps electrical panels and compressors located below the flood plane were severely damaged This equipment has been temporarily recommissioned and now must be permanently replaced

The work entails

bull Replacing AHU-4 and AHU-5 (32000 CFM each) which feed the ground floor vivarium The existing humidifiers will be replaced with Clean Steam Generators

bull Replacing AHU-6 (43000 CFM) which feeds the Main Lobby bull Replacing AHU-7 (20000 CFM) which feeds the ground floor back of house spaces bull Replacing any electrical and control panels associated with the air handlers being

replaced as well as any electrical equipment that was submerged bull Replacing all pumps including condensate domestic water and sewage bull Replacing the vivarium reheat hot water pumps bull Replacing the lobby radiation hot water pumps bull Replacing lab vacuum system bull Furnish and install an additional control air compressor to be tied into the existing two

compressors to create a redundant system bull Provide temporary electrical mechanical and plumbing services as needed during

construction in order to ensure research and hospital activities can continue bull Complete any associated architectural work as described in the Architectural Narrative

in Attachment B Please refer to drawings in Attachment B for Preliminary Drawings Specifications and Narratives

The work is being performed in an active building and must not interfere with hospital or research operations All NYULMC policies must be followed All work schedules will be as directed by the Project Manager

II Construction Management Scope of Services

Scope of Services

The Construction Manager is to provide technical consultation and budgeting during the design stage of the Project and to provide the organization and direction of construction activities during the construction phase The Construction Manager operating as a member of the Owner ndash Architect ndash Construction Manager team will be responsible for cost estimates and cost control review of design for value engineering recommendations life cycle analyses consultation on construction techniques market conditions and material availability construction coordination and scheduling and direction of all construction activities The Construction Manager will also be responsible for developing a phasing and temporary services plan in order to ensure no interruption in research and hospital activities The Construction Management services shall include but not be limited to the following

A PART A ndash Pre-Construction Services Scope of Work

The Contractor shall perform the following pre-construction services

1) Prepare detailed cost estimates covering all anticipated costs of the Work and

provide on-going estimating services as the Project design is further developed

2) Provide Value Engineering analysis and consultation ndash Provide cost estimates for alternatives for all systems equipment and construction methods and material Provide life cycle cost analyses

3) Consult and meet with the Owner and Architect and their engineers and consultants and make recommendations with respect to selection of materials availability and cost of materials equipment and labor selection of building systems and equipment value engineering costs of alternative designs or materials and construction feasibility and alternative methods of construction necessary temporary and support facilities and utilities

4) Review the design documents as they are further developed and provide on-going critique of the design documents for completeness coordination and constructability

5) Arrange for additional site investigation as required

6) Prepare site logisticsmobilization and safety plans

7) Continue reviewing all existing conditions and operations and make additional recommendations regarding maintenance of operations phasing minimization of noise and vibration control of dust and management of other potential sources of disruption to the Ownerrsquos operations

8) In coordination with NYULMC and their representatives develop Construction Schedule and continually update and expand the Construction Schedule to incorporate additional information and details as they become available

9) Develop a procurement strategy for dealing with the effects of phased work and space constraints on site Procurement Strategy should also address site logistics and ongoing research and hospital operations

10) Provide advice and assistance regarding approvals and permits

11) Advise the Owner as to affirmative steps taken to provide Equal Employment Opportunities

12) Advise the Owner as to insurance requirements

13) Make recommendations regarding possible modification of the standard Subcontract forms

14) Prepare standard documentation and reporting forms to be used on the Project such as monthly status reports (including schedule updates) submittal logs anticipated cost reports requests for information (ldquoRFIrsquosrdquo) RFI logs and submittal and RFI tracking reports

15) Make recommendations regarding (i) the division of the Work in the drawings and specifications to facilitate bidding and award of Subcontracts (ii) the bid documents required for each Subcontract including without limitation the scope of Work and (iii) bidding and award of Subcontracts for possible initial or long-lead equipment or Work and for all other Work

16) Conduct competitive bidding for the Work (note that all sub-contractor bids are sealed and received at NYULMC and opened together by CM and NYULMC) Proposers may propose trade subcontractors from the approved list or subcontractors not on the approved list However all subcontractors that are not on the approved subcontractor list must be deemed qualified by NYULMC through a qualification process The Proposer must provide the proposed subcontractorrsquos RED+F Responsibility Qualification Questionnaire with the Proposal This questionnaire form is attached to this RFP NYULMC will review the subcontractorrsquos qualifications which may include a further background check to determine if the subcontractor is acceptable

17) Prepare a Guaranteed Maximum PriceSchedule Submission

18) Provide such other pre-construction services relating to the Project as the Owner

reasonably requests

B PART B ndash Construction Phase Please refer to the Construction Management Agreement for specific responsibilities

III Contract Requirements

A Selection of a CM shall be based on the evaluation criteria set forth below including fee proposal described herein and acceptance of contract language for construction services The successful proposer will enter into the the form of Construction Management Agreement (Attachment A) and shall agree to execute a GMPSchedule Amendment upon agreement regarding GMP and schedule As such any and all exceptions to contract provisions shall be included in response to this RFP and shall be an important criterion of the selection process Signed contracts shall be required prior to selection of a Construction Manager

B The Owner intends to enter into Part A of the form of Construction Management

Agreement with the firm submitting the proposal which in the judgment of the Owner price and other factors considered is most advantageous to the Owner Part A services will include services related to design consultation budgeting and preparation of the GMP until such time as the Owner formally accepts the Guaranteed Maximum Price offered by the Construction Management firm The award of Part A obligates the Construction Manager to proceed with Part B (Construction) upon authorization by the Owner and to execute a GMPSchedule Amendment

C Reimbursable costs and exclusions shall be as defined in the attached Construction

Management Agreement

IV Proposal Requirements

Technical Proposals are limited to 40 single-sided or twenty double-sided pages

A Please address the following in your proposal

1) Describe your view of the CMs role in the overall management of the project 2) Describe how you would organize and run the project 3) Demonstrate your commitment to staff your project team and how they will

contribute to the overall success of this project 4) Describe how you would manage costs in this market environment with a project

with so many moving parts particularly in an active hospital and research environment

5) Describe how you would phase the project keeping in mind the need for temporary services and space constraints for delivering and storing material

6) Prepare a draft high-level preliminary project schedule to serve as the basis of your approach to work and fee proposal

B Complete and notarize the RED+F Qualification Questionnaire

C Provide a copy of your QAQC manual

D CompensationFee Proposal In addition to payments on account of the Costs of the Trade Work (as such terms are

defined in the Construction Management Agreement Proposer shall present one lump sum fee for services rendered as part of both Part A (Pre-Construction) and Part B (Construction)

The lump sum fee proposal shall include all of the following to be the basis of the ldquoFeerdquo

bull Pre-construction Services bull Construction Services including the following

o Purchasing o Project Management o Accounting personnel o Full-time site supervision o All main office expenses o Local travel and parking expenses o Computer cell phone and internet expenses o Software expenses o All overhead o Profit

In addition to the lump sum Fee presented above proposer should present Unit Prices for the following

bull ldquoExtra Work Feerdquo as a percentage of extra work

bull Insurance as a percentage of GMP

Note that the proposal should reflect the following assumptions

bull ldquoDead Bandrdquo is 5 of GMP bull Final fee shall reflect the net change to the GMP after accounting for the

ldquoDead Bandrdquo

E Indicate acceptance of form of Construction Management Agreement (Attachment A) or provide specific proposed modifications (provide an electronic red-lined document)

If the Proposer does not take any exceptions to the terms and conditions the Proposer

must submit a letter statement indicating that the Proposer takes no exceptions to any terms and conditions of this Contract or Agreement However if the Proposer takes exceptions to any of the terms and conditions Proposer must submit a red-lined document both hard copy and on CD which delineates the exceptions and proposes alternate language In general these terms and conditions are standard and as a rule will not be changed or waived

F There will be a mandatory walk-through and pre-proposal conference on Thursday April

2 2015 from 1200 to 100 PM Proposers should meet by the Security Desk in the Skirball Institute Lobby located at 550 1st Avenue Please limit the number of attendees to no more than 3 people Proposers must email their intent to participate in the pre- proposal conference including names of attendees no later than noon Tuesday March 31 2015 to Darryl Halickman at the email addresses in paragraph G below Attachment B Preliminary Drawings Specifications and Narratives can be obtained by sending an email to skirballdrawingsmacropmcom

G For purposes of this proposal all questions regarding this RFP should be transmitted via

email to Darryl Halickman at dhalickmanmacropmcom 1) Inquiries and questions will be accepted through 3 PM on Wednesday April 8 2015 2) NYULMC will issue responses to inquiries and any other corrections amendments

and the like which it deems necessary in written addenda which will be emailed to all Proposers

3) Proposers must acknowledge all addenda in their proposals 4) Proposers should not rely on any representations statements or clarifications not

made either in this RFP or a formal addendum

H RFP responses are due no later than 200 PM on Monday April 20 2015

I Please submit five (5) bound copies and one digital copy (CD or Thumb Drive are acceptable) in a sealed envelope with the words ldquoProposal for Skirball MER Restoration Projectrdquo clearly marked on the outside of the envelope Proposals should be directed as follows

Darryl Halickman RED+F Project Manager NYU Langone Medical Center 339 East 28 Street New York NY 10016

J Oral Presentations portraying an understanding of the assignment and the unique

challenges that NYULMC faces will be held at the discretion of NYULMC and if required Proposers will be notified a week in advance of their presentation

K NYULMC is anticipating that an award will be made in May 2015

V Evaluation Criteria - listed in descending order of importance

A Proposerrsquos understanding of the project and strategy for its successful execution B Qualification of Proposerrsquos personnel C Quality of QA and QC plan D Acceptance of the contract terms and conditions or willingness to negotiate same in a

timeframe consistent with NYULMCrsquos needs E Proposed pricing for the work

VI Minority and Women-owed Business Enterprises Although there are no Minority or Women-owned business enterprise goals for this project Proposers are strongly encouraged to take all necessary affirmative steps to assure that minority firms womenrsquos business enterprises and labor surplus area firms are utilized for the work when possible

Affirmative steps shall include 1) Placing qualified small and minority businesses and womenrsquos business enterprises

on solicitation lists 2) Assuring that small and minority businesses and womenrsquos business enterprises are

solicited whenever they are potential sources 3) Dividing total requirements when economically feasible into smaller tasks or

quantities to permit maximum participation by small and minority business and womenrsquos business enterprises

4) Establishing delivery schedules where the requirement permits which encourage participation by small and minority business and womenrsquos business enterprises and

5) Using the services and assistance of the Small Business Administration and the Minority Business Development Agency of the Department of Commerce

VIII Eligibility for Award

In order to be eligible for an award of Contract and notwithstanding its relative qualifications for purposes of the evaluation criteria and in other respects a proposer must demonstrate to the satisfaction of NYULMC that it is in all respects a responsible party ie that it has the integrity skill and experience to faithfully perform and complete the Contract and the necessary facilities and financial resources to do the Work in accordance with the Contract Documents and be otherwise qualified and eligible to receive an award under applicable laws and regulations

In making the determination as to which proposal offers the greatest value to NYULMC NYULMC will include in its evaluation the total cost to NYULMC Accordingly NYULMC may not necessarily make an award to the proposer with the highest technical ranking Further NYULMC reserves the right not to make an award to the lowest priced proposer in the event that NYULMC determines that the lowest price proposal does not offer the greatest value to NYULMC Although the price is not expected to be the controlling factor in the selection of a Contractor for this solicitation NYULMC wishes to ensure that it is paying the least amount possible for the Work that meets NYULMCs needs The degree of importance of price as a factor shall increase to the extent that competing proposals are otherwise determined to be substantially equal

In addition to the evaluation criteria listed above only a responsible proposer will receive an award To be considered responsible the proposer must demonstrate to the satisfaction of NYULMC that it is in all respects a responsible party this determination encompasses consideration of the proposers integrity skill experience necessary facilities and financial and other resources to do the work in accordance with the Contract Terms and Conditions

IX Negotiation NYULMC reserves the right to (i) reject all proposals submitted (ii) accept any proposal or alternate as submitted without negotiations (iii) require revisions to corrections of other changes to any proposal submitted as a condition to its being given any further consideration (iv) select for negotiations only the overall best proposal or alternate submitted as determined by NYULMC negotiate with those proposers whose acceptable proposals or alternates fall within the competitive range (v) negotiate with one or more proposers in any manner it deems fit In the event NYULMC chooses to negotiate with more than one proposer it may following the conclusion of all negotiations issue a revised RFP or portion thereof containing among other things any matter offer condition of enhancement elicited from or proposed or suggested by any proposer during the course of such negotiations and solicit Best and Final offers from such proposers or solicit Best and Final offers utilizing another appropriate procedure (vi) after receipt of Best and Final Offers if in the interest of NYULMC to do so to thereafter reopen negotiations (vii) accept improvements to enhancements of or other revisions to any proposal or alternate proposal at any time if it deems such to be in its best interest No proposer shall have any rights against NYULMC arising at any stage of the

solicitation from any negotiations that take place or from the fact that NYULMC does not select a proposer for negotiations

X This Request for Proposal (RFP) is not an offer by NYULMC but an invitation for vendor response No NYULMC contractual obligation whatsoever shall arise from the RFP process unless and until a formal contract is executed by duly authorized officers of NYULMC and the vendor Each party shall be entirely responsible for its own costs and expenses incurred while participating in the RFP preparation and negotiation processes

This RFP is proprietary and shall not be distributed or used for any purpose other than preparation of a proposal for submission to NYULMC Disclosure of any part of the information contained herein to parties not directly involved in providing the services requested could result in the disqualification of or legal action against the vendor All proposals and any work completed under contract on acceptance of a proposal become the property of NYULMC

XI FEMA Clauses

As certain funding for the project may be provided by or through the Federal Emergency Management Agency (FEMA) the Construction Management Agreement contains clauses specific to FEMA

XII List of Attachment

1) Attachment A Construction Management Agreement 2) Attachment B Preliminary Drawings Specifications and Narrative 3) Attachment C Milestone Schedule 4) Attachment D RED+F Qualification Questionnaire 5) Attachment E NYULMC Approved Sub-Contractor List 6) Attachment F General Conditions Workbook

Attachment A - Construction Management Agreement

(The Construction Management Agreement will be issued by addendum shortly)

Attachment B Preliminary Drawings Specifications and Narrative

Please request drawings by email to skirballdrawingsmacropmcom

Attachment C Milestone Schedule

327ndash Launch RFP

42 ndash Pre ndash Proposal Site Walkthrough

48 ndash RFI Deadline

420 ndash Bids Due

421 through early May ndash Bid review level and preparation of award memo

Mid- May ndash Award contract

Mid- June ndash Architect and Engineer to issue full construction and permit drawings

Construction schedule to be provided by CM

Attachment D RED+F Questionnaire

Attachment E NYULMC Approved Subcontractor List

Attachment F General Conditions Workbook

Skirball CM Trade Manager RFP 3 24 15 VCF FINAL FOR POSTING (2) r3-25

Skirball MER RFP Attachments A through F (3)

General Conditions

ampLampTimes New RomanRegularamp8 3 NYYLMC Bid Workbook - General ConditionsampCampTimes New RomanRegularamp8Page ampP of ampNampRampTimes New RomanRegularamp8Revised January 8 2010

RED+F Qualification Questionnaire of 11 Revised February 10 2015

RED+F QUALIFICATION QUESTIONNAIREINFORMATION TO BE FURNISHED BY A CONTRACTOR

(Note The term Contractor also refers to Consultants) All questions on this questionnaire must be answered do not leave blanks ndash where appropriate state ldquoNonerdquo or ldquoNot Applicablerdquo (NA) If additional space is required to fully respond to any questions please add sheets to this questionnaire and reference the questionsanswers appropriately) NYULMC reserves the right to inquire further with respect to any matter in this questionnaire or otherwise to determine the suitability of Contractor toreceive an award of a contract

PART I IDENTITY OF CONTRACTOR

A Contractorrsquos full legal name __________________________________________________

B Tax ID Number (ldquoTINrdquo) Employer Identification Number (ldquoEINrdquo) and Social Security Number (ldquoSSNrdquo) as applicable _______________________________________________

Dun amp Bradstreet DUNS (DUNS) (unique nine digit number) _____________________________

C Contractorrsquos form of legal entity (corporation joint venture sole proprietorship etc)____________________________________________________________________ If the Contractor is a Joint Venture or Partnership please list all partner firms andor parties to the Joint Venture below All partners andor parties listed are also required to individually complete a separate RED+F Qualification Questionnaire

(1) PartnerParty Name ____________________________________________________

TIN EIN or SSN_____________________________________________________

DUNS ____________________________________________________________ Percentage of Ownership _______________________________________________

(2) PartnerParty Name_____________________________________________________ TIN EIN or SSN_______________________________________________________

DUNS ____________________________________________________________ Percentage of ownership_________________________________________________

D State or country under whose laws Contractor is organized and year organized _________________________________________________________________________

F Does the Contractor now use or in the past ten (10) years has it used TIN EIN doing business as or ldquoDBArdquo name trade name or abbreviation other than the Contractorrsquos name or TIN or EIN number listed in Part IB above ________________________

E Number of employees - Company wide __________ Local office ___________

RED+F Qualification Questionnaire Page 2 of 11 Revised February 10 2015

G Contractorrsquos mailing address _________________________________________________ ndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndash ndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndashndash

H Contractorrsquos street address (complete only if different than ldquoFrdquo) ____________________________________________________________________________________________________

I Has contractor changed its address in the past five (5) years and if so what was the firmrsquosprior address(es)__________________________________________________________

J Contractorrsquos telephone number _______________ Fax number______________________Email address _____________________________________________________________

K Does the Contractor own or rent office space Please provide the details__________________ _______________________________________________________________________________ PART II IDENTITY OF PERSON COMPLETING THIS QUESTIONNAIRE

A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________

C Telephone number _________________________ Fax number______________________

D Email address _________________________________ Mobile number_______________

PART III CONTRACTOR REPRESENTATIONS If for any reason a representation on this questionnaire is not accurate and complete as of the time Contractor signs this form Contractor must identify the provision and explain the reason in detail on a separate sheet Absent such an explanation Contractor represents that the following statements are complete and accurate

The following questions apply to i) Contractor Contractorrsquos parent subsidiaries and affiliates of Contractor (if any) ii) any joint venture (including its individual members) and any other form of partnership (including its individual members) which includes Contractor or Contractorrsquos parent subsidiaries or affiliates of Contractor iii) Contractorrsquos directors officers principals managerial employees and any person or entity with a 10 or more interest in Contractor iv) any legal entity controlled or 10 or more of which is owned by Contractor or by any director officer principal managerial employee of Contractor or by any person or entity with a 10 or more interest in Contractor (If the answer to any question is ldquoYESrdquo Contractor must provide all relevant information on a separate sheet annexed hereto) Please check this box if a separate sheet is attached


(1) Within the past five (5) years has Contractor been declared not responsible to receive a public or private contract

NO YES

(2) Has Contractor been debarred suspended or otherwise disqualified from bidding proposing or contracting

NO YES

(3) Is there a proceeding pending relating to Contractorrsquos responsibility debarment suspension or qualification to receive a public or private contract

NO YES

(4) Within the past five (5) years has Contractor defaulted on a contract or been terminated for cause on a public or private contract

NO YES

(5) Has a public or private entity requested or required enforcement of any of its rights under a surety agreement on the basis of Contractorrsquos default or in lieu of declaring Contractor in default

NO YES

(6) Within the past five (5) years has the Contractor been required to engage the services of an Integrity Monitor in connection with the award of or in order to complete any public or private contract

NO YES

(7) Within the past five (5) years have Contractorrsquos safety practicesprocedures been evaluated and ruled as less than satisfactory by a public or private entity

NO YES

(8) Has Contractorrsquos Workers Compensation Experience Rating (also known as the Experience Modification Rate or EMR) been 12 or greater at any time in the last five (5) years If ldquoyesrdquo please explain

NO YES


PART IV QUESTIONS WHICH MUST BE ANSWERED BY ldquoYESrdquo or ldquoNOrdquo (In the event of a ldquoYESrdquo Contractor must provide all relevant information on a separate sheet annexed hereto)

To the best of your knowledge after diligent inquiry in connection with the business of Contractor or any other firm which is related to Contractor by any degree of common ownership control or otherwise do any of the following statements apply to i) Contractor Contractorrsquos parent subsidiaries and affiliates of Contractor (if any) ii) any joint venture (including its individual members) and any other form of partnership (including its individual members) which includes Contractor or Contractorrsquos parent subsidiaries or affiliates of Contractor iii) Contractorrsquos directors officers principals managerial employees and any person or entity with a 10 or more interest in Contractor iv) any legal entity controlled or 10 or more of which is owned by Contractor or by any director officer principal managerial employee of Contractor or by any person or entity with a 10 or more interest in Contractor

A Within the past ten (10) years has been convicted of or pleaded nolo contendre to (1) any felony or (2) a misdemeanor related to truthfulness in connection with business conduct

NO YES

B Is currently disqualified from selling or submitting bidsproposals to or receiving awards from or entering into any contract with any federal state or local government agency any public authority or any other public entity

NO YES

C Has within a ten (10) year period preceding the date of this Questionnaire been convicted of or had a civil judgment rendered against it for or in relation to (i) commission of fraud or a criminal offense in connection with obtaining attempting to obtain or performing a public (federal state or local) transaction or contract under a public transaction (ii) collusion with another person or entity in connection with the submission of bidproposals (iii) violation of federal or state antitrust statutes or False Claims Acts or (iv) commission of embezzlement theft forgery bribery falsification or destruction of records making false statements) or receiving stolen property

NO YES


PART V ADDITIONAL QUESTIONS In the event of a ldquoYesrdquo Contractor must provide all relevant information on a separate sheet annexed hereto

A List the name title and home and business address of each person or legal entity which has a 10 or more ownership or control interest in Contractor

Name____________________________________________________________________ Title_____________________________________________________________________ Home address_____________________________________________________________ _________________________________________________________________________ Business address___________________________________________________________

B List the name title and home and business address of each director and principal officer of Contractor


C In the past ten (10) years has Contractor entered into a consent decree deferred prosecution agreement or a non-prosecution agreement

NO YES

D In the past seven (7) years have any bankruptcy proceedings been initiated by or against the Contractor (whether or not closed) or is any bankruptcy proceeding pending by or against the Contractor regardless of the date of filing

NO YES

E In the past five (5) years have there been any judgments or tax liens of $100000 or more including but not limited to judgments based on taxes owed fines and penalties assessed by a government agency against Contractor at any time

NO YES

F During the past five (5) years has the Contractor failed to file any applicable federal state or local tax return NO YES

G Does any principal owner or officer of the Contractor or any member of hisher immediate family have an ownership interest in any entity that holds the title or lease to any real property used by the Contractor

NO YES


H Does Contractor share office space staff equipment or expenses with any other entities If ldquoYESrdquo please provide details

NO YES

I Contractor is required to provide a list of contracts as requested in (1) and (2) below For each of the contracts listed in (1) and (2) below Contractor shall provide a brief description of the work performed the contract number the dollar amount at award and at completion date completed and the name and telephone number of the ownerrsquos representative

(1) List all contracts completed during the last three (3) years that are relevant to the type of work you expect to perform at NYULMC If more than three (3) contracts have been completed in the past three (3) years list the last three (3) contracts completed here and attach additional pages for the remainder

a Brief description of work performed______________________________________________________________________________________________________________________________ ______________________________________________________________________________ Contract number ___________________________________________________ Dollar amount of award _____________________________________________ Date completed ____________________________________________________ NameTelephone number and email address of company and Ownerrsquos Representative __________________________________________________________________ Dollar Amount at completion __________________________________________

b Brief description of work performed _______________________________________________________________________________________________________________________________________________________________________________________________________Contract number ____________________________________________________Dollar amount of award ______________________________________________Date completed _____________________________________________________

NameTelephone number and email address of company and Ownerrsquos Representative __________________________________________________________________ Dollar Amount at completion __________________________________________

c Brief description of work performed ________________________________________________________________________________________________________________________________________________________________________Contract number ____________________________________________________Dollar amount of award _______________________________________________Date completed _____________________________________________________NameTelephone number and email address of company and Ownerrsquos Representative____________________________________________________________________________________________________________________________________Dollar Amount at completion __________________________________________

(2) List each contract completed by Contractor during the last three (3) years for which liquidated damages or penalty provisions were assessed against Contractor for failure to complete the work on time or for any other reason Contractor is required to provide an explanation of the circumstances for each contract

a Brief description of work performed _______________________________________


Contract number ______________________________________________________ Dollar amount of award _________________________________________________ Date completed ________________________________________________________ NameTelephone number and email address of company and Ownerrsquos Representative _____________________________________________________________________ Dollar Amount at completion _____________________________________________

b Brief description of work performed _______________________________________Contract number ______________________________________________________Dollar amount of award _________________________________________________Date completed ________________________________________________________NameTelephone number and email address of company and Ownerrsquos Representative_____________________________________________________________________Dollar Amount at completion _____________________________________________

c Brief description of work performed ____________________________________________________________________________________________________________Contract number _______________________________________________________Dollar amount of award _________________________________________________Date completed ________________________________________________________NameTelephone number and email address of company and Ownerrsquos Representative

_____________________________________________________________________ Dollar Amount at completion _____________________________________________

If none of the above situations occurred during the last three (3) years state ldquoNONErdquo here ___________

J Furnish the following information for each contract for which during the last three (3) years the Contractor was

(1) Terminated for default or (2) Sued to compel performance or (3) Sued to recover damages including without limitation upon an alleged breach of contract

misfeasance error or omission or other alleged failure on Contractorrsquos part to perform as required by the contract or

(4) Called upon a surety to perform the work or (5) Required to engage the services of an Integrity Monitor in connection with the award of or in

order to complete any public or private contract or (6) Required to draw on a letter of credit in lieu of a performance bond

a Brief description of work performed ______________________________________________________________________________________________________________Contract number ________________________________________________________Dollar amount of award ___________________________________________________Date completed _________________________________________________________NameTelephone number and email address of company and Ownerrsquos Representative______________________________________________________________________

If none of the above situations occurred during the last three (3) years state ldquoNONErdquo here________


PART VI ANNUAL REVENUE LAST 3 YEARS A Annual average revenues of firm for last 3 years _____________________________

1 Hospital medical research etc _____________________

2 Work performed in NYC_______________________

B New awards list the value and billing amount of new contracts awarded to your firm for the last 5 years

PART VII BACKGROUND

A Indicate if your business qualifies as one of the following

Minority Business Enterprise Disadvantaged Business Enterprise

Woman-owned Business Enterprise Small Business Enterprise

B Governmental Certification Expiration Dates

State of _____________________ City of _____________________

Dormitory Authority Port Authority of NYNJ School Construction Authority Health amp Hospitals Other _______________________ Attach a copy of your current certification)

C

D

Bonding Capacity ndash single job $______________ Aggregate $_______________Surety contact (Name address AgentBroker name email address phone number________________________________________________________________________________________________________________________________________________________

List any licenses your company holds Attach a separate sheet if necessary________________________________________________________________________________________________________________________________________________________

Contract Awards $ Billings

Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________

Three Years Prior 20_____ $_________________ $________________

Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY

A Workerrsquos Compensation Carrier _____________________ Policy Expiration Date______________

B Experience Modification Rate (EMR) OSHA Recordable and Lost Time information

List your firmrsquos EMR for the three most recent years Current __________________ Previous _________________ Two years prior ___________

C Please use your OSHA 200 logs (or insurance loss runs) to complete this section

Number of injuries and illnesses One Year Prior Two Years Prior Three Years Prior 1 Number of lost workday

cases incl restricteddays (columns 2 amp 9)

_________________ _________________ _________________

2 Number of OSHArecordable(columns 2 6 9 amp13)

_________________ _________________ _________________

3 Number of fatalities_________________ _________________ _________________

D Total employee hours worked One Year Prior Two Years Prior Three Years Prior

_________________ _________________ _________________

E Name of insurance company _______________________________________________________ Address________________________________________________________________________ _______________________________________________________________________________ Telephone _______________________ Contact name __________________________________


NYU LANGONE MEDICAL CENTER RED+F QUALIFICATION QUESTIONNAIRE

PART VI - AFFIDAVIT AND ACKNOWLEDGEMENT

STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)

On the___________ day of___________ 201_____ before me personally came and appeared __________________________by me known to be said person who swore under oath as follows

l I am_______________________________ of__________________________________(Print name and title) (Print name of firm)

2 I am duly authorized to sign this RED+F Qualification Questionnaire on behalf of said firm and dulysigned this document pursuant to said authorization

3 The answers to the questions set forth in the RED+F Qualification Questionnaire and exceptas set forth in the stated exceptions in Part III the representations set forth in this questionnaire aretrue accurate and complete I authorize NYU Langone Medical Center to verify any such informationand to conduct any background checks it deems appropriate

4 I acknowledge and understand that the RED+F Qualification Questionnaire includes provisions whichare deemed included n the contract if awarded to the firm

___________________________________________ Signature

Sworn to and subscribed to before me this_________day of _______________ 20____

______________________________________

Notary Public_____________________County My commission expires____________________


RED+F QUALIFICATION QUESTIONNAIRE PART13 VII13 ndashAFFIDAVIT13 OF13 NO13 CHANGE13

(If applicable13 complete and submit two original signed13 notarized affidavits of no change)STATE13 OF13 _____________________________13 )

)13 ssCOUNTY OF ___________________________ )

On13 the13 ________13 day13 of13 _____________13 20______13 before13 me13 personally13 came13 and13 appeared13 _________________________13 by13 me13 known to be said person who swore13 under oath as follows

1 I13 am13 __________________________13 13 13 13 13 13 13 13 13 13 13 of ________________________________________(Print name and title)13 13 13 13 (Print name13 of13 firm)

2 The firm is the BidderProposerContractor for Contract _________________ I am duly authorized tosign this Affidavit of No Change on behalf of said firm and duly signed this document pursuant to saidauthorization

3 The BidderProposerSubcontractor previously submitted a RED+F Qualification Questionnairewithin one (1) year prior to the date hereof to NYU Langone Medical Center (NYULMC)

4 Attached is an accurate and true copy of such previously submitted RED+F QualificationQuestionnaire

5 I hereby certify that there has been no material change in the information specified on such attachedRED+F Qualification Questionnaire except as follows (attach additional sheet as required)__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6 I acknowledge and understand that the previously submitted RED+F Qualification Questionnaireincludes provisions which are deemed included in the Contract if awarded to the firm

BidderProposerContractor must13 sign13 here13 ___________________________________Dated13 ___________________________________13

Sworn13 to13 and13 subscribed13 to13 before13 me13 this13 ____________13 13 13 day13 of13 ____________13 20__13

__________________________________(Notary13 Public)

Notary Public____________________ County

My commission expires ________

Untitled

Contractors full legal name

Number SSN as applicable

Dun Bradstreet DUNS DUNS unique nine digit number

etc

1 PartnerParty Name

TIN EIN or SSN

DUNS

Percentage of Ownership

2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2

Percentage of ownership

State or country under whose laws Contractor is organized and year organized

or TIN or EIN number listed in Part IB above

Contractors mailing address 1


Contractors street address complete only if different than F

G

prior addresses

Contractors telephone number

Fax number

Email address

J Does the Contractor own or rent office space Please provide the details 1


Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2

a Brief description of work performed

1

2

Contract number

Dollar amount of award

Date completed

NameTelephone number and email address of company and Owners Representative

b Brief description of work performed

Dollar Amount at completion 1


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Contract number_2

Dollar amount of award_2

Date completed_2

NameTelephone number and email address of company and Owners Representative_2

c Brief description of work performed

Dollar Amount at completion 1_2


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Contract number_3


Date completed_3

NameTelephone number and email address of company and Owners Representative 1


Dollar Amount at completion

Brief description of work performed

Contract number_4


Date completed_4


Dollar Amount at completion_2

Brief description of work performed_2

Contract number_5


Date completed_5





Contract number_6


Date completed_6



If none of the above situations occurred during the last three 3 years state NONE here


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Contract number_7


Date completed_7


If none of the above situations occurred during the last three 3 years state NONE here_2

City of

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Minority Business Enterprise Off

Disadvantaged Business Enterprise Off

Womanowned Business Enterprise Off

Local Business Enterprise Off

State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8

Workers Compensation Carrier

Policy Expiration Date

Current

Previous

Two years prior

cases incl restricted

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One Year Prior

Two Years Prior

Three Years Prior

Name of insurance company

Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201

by me known to be said person who swore under oath as follows

I am

of

201_2

this 1

this 2

day of_2

Notary Public

My commission expires

undefined_73

OF

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undefined_75

I am

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The firm is the BidderProposerContractor for Contract

Qualification 1

Qualification 2

Qualification 3

Dated

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Notary Public

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Notary Public_2

Commission expires

PersonPhone

Person email

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employees company wide

Employees - locally

bonding - single job

bonding - aggregate

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Approved Subcontractors

amp10Pre-Approved Subcontractors Revised 2-10 -15ampCalibriRegularamp16ampK000000

image1jpeg

RED+F Project Support OfficePre-Approved Subcontractor List

Trade Firm Address Contact Tel Cell E-Mail

Asbestos Affiliated Environmental Services 450 South River St Hackensack NJ 07601 Michael LoRusso

ETS Contracting 160 Clay Street Brooklyn NY 11222 Bob Middleton 7187066300 (blank) robertetscontractingcom

JVN Restoration 47 Foster Road Staten Island NY 10309 John Tardy 7186056256 9177164290 JohnTardyjvnrcom

Liro Engineers Inc (blank) (blank) (blank) (blank) (blank)

Par Environmental 313 Spook Rock Road Suffern NY 10901-5319 William Littner 8453697500 (blank) bwittlerpargroupnet

Pinnacle Environmental 64-54 Maurice Ave Maspeth NY 11378 Kevin Morianity 7183979292 (blank) salespinenvcom

Hazardous Elimination Corp 195 Central Ave Farmingdale NY 11735 (blank) 6317522898 (blank)

Pal Environmental 11-02 Queens Plaza South Long Island City New York 11101 Sanford Alper 7183490900 (blank) salperpalcorpcom

Tri-State Transfer Assoc Inc (blank) (blank) (blank) (blank)

Carpentry-Drywall Centre Street Systems 155 Centre Street Brooklyn NY 11231 Joe Decanio Jr 7188342987 (blank) jjdicaniocentrestreetsystemscom

Commodore Construction 158 West 27th Street New York NY 10001 Tamara Stewart 2126859121 (blank) tstewartcommodoreconstructioncom

Cord Contracting 80 Crossways Park Drive Ste 300 Bx NY 10454 Brian Anikstein 5166268800 (blank) briancordcocom

CW Brown 1 Labriola Court David Brown 9147411212 (blank) Dbrowncwbrowncom

Elite Interiors 79 Alexander Ave Unit 34A Bx ny 10454 Mark McMorrow 7184013706 (blank) eliteinteryahoocom

Glenn Partitions 78 Morton Street New York NY 10014 Glenn Nilsen 2122432800 (blank) gnilsenglennpartitionscom

Island Acoustics 518 Johnson Ave Bohemia NY 11716 Michael Weber 6315344500 (blank) mwisland-acousticscom

Precision Interiors 20 Railroad Street Huntington Station NY 11746 Joe Iaquinto 6315490211 (blank) picprecision1983com

Ronsco Interiors 312 Fifth Avenue 4th Floor New York NY 10001 Ron Zaretsky 2126270500 9179392763 inforonscoinccom

Woodworks Construction 400 E 54th Street NY NY 10022

Chemical Waste Triumvirate Environmental 42-14 19th Ave Astoria NY 11105 Quintin Seely 6177158959 (blank) qseelytriumviratecom

Concrete Castle Construction 27 Waverly Monmouth Junction NJ 08852 Anthony (blank) 7327180591 (blank)


Euro Tech Construction 532 W 30th St NY NY 10001 Noel Woods 6464531700 (blank) (blank)

Geo Tech Industrial Corporation 11 Rutland Ln Melville NY 11747 John Farmer 6316734646 5168075316 (blank)

RCC Concrete 74 State Westbury NY 11590 Jay Tang 5162796787 7188211965 salesrccconcretecom

Shamrock Construction 48-08 70th Street Woodside NY 11377 Larry 7184244175 (blank) larryshamrockconcreteincnycom

Structural Contracting Services 100 Pearl Street Mount Vernon NY 10550 Robert Anzilotti 9146685812 (blank) ranzilottiiscs1com

JP Hogan Concrete Cutters (blank) (blank) (blank) (blank) (blank)

Demolition All State Interior Demolition 242 Randolph Street Brooklyn NY 11237 Donnell Hatter 7187798400 (blank) dhatterallstatedemocom

Gateway Demolition Corp 5430 48th Street Maspeth NY 11378 Ronnie Monkowitz 7183591400 (blank) ronniegatewaydemolitioncom

Manhattan Demolition 8-16 43rd Avenue Long Island City NY 11101 Carlo Bordone 7183610397 (blank) cbmandemoaolcom

Manhattan Interior Contracting 79 Pleasant Ridge Rd Harrison NY 10523 Carlo Bordone 7183610397 (blank) cbmiccaolcom

Par Environmental 313 Spook Rock Road Suffern NY 10901-5319 Patrick Mahoney 8456424857 (blank) pbmahoneypargroupnet

Titan Contracting Group 60-00 Long Island Expwy Maspeth NY 11378 Carlo Casolino 7184240300 (blank) (blank)

Tri-State Dismantling 207 Dupont Street Brooklyn NY 11222 Rich Flamio 7183492552 (blank) richardgotsdcom

Statewide Demo (blank) (blank) (blank) (blank) (blank)

Design Services Jorritsma Design 429 Elizabeth St Burlington ON L7R 2L8 Canada David Jorritsma 9055924664 (blank) davidjorritsmadesigncom

Nicekern 47 Pierson Rd 3rd Fl Maplewood NJ 07040 Cesar Sanchez 9174066951 (blank) cesarnicekerncom

Doors and Windows Builders Hardware 555 Lordship Blvd Stratford CT 06615 Paul Leary 2033802122 (blank) bhsOKEEnet

Eastern Glass Resources Inc 770 Supor Blvd Harrison NJ 07029 Phil Fischer 9734838411 (blank) infoeglassrcom

JC Ryan Hardware 108 West 39th St Ste 405 NY NY 10018 Paul Selden 2129977700 (blank) pseldenjcryanebcocom

Skyline Windows 220 East 138th Street Bronx NY 10451 Tony Stanbridge 2124913000EXT 267 9173356154 infoskylinewindowscom

Weinstein amp Holtzman 29 Park Row New York NY 10038 Phil Hymowitz 2122334651 (blank) irah212hardwarecom

Liberty Doors (blank) (blank) (blank) (blank) (blank)

Mackenzie Auto Doors

Drywall (blank) (blank) (blank) (blank)

Electrical Albin Gustavfson 5 Tudor City Place NY NY 10017 John Kilgallen 2126971151 (blank) kmccarthyalbingustafsoncom

ASR Electrical John Casciano Jr 5164200101 johncjrasrelectricalcom

Bigman Electric 43-40 34th St Long Island City NY 11101 Michael Bigman 7187861421 9178079252 mbigmanbigmanelectriccom

Campbell amp Dawes 8448 129th StKew Gardens NY 11415 Gary Dawes 7184416300 (blank) garycampbellanddawescom

Commercial Electric 2150 Joshuas Path Ste 102 Hauppauge NY 11788 (blank) 6319521126 (blank)

DAL Electric 218 52nd Street Brooklyn NY 11220 Sal DAllesio 7184377176 (blank) sdalessiodalelectriccom

Egg Electric Inc 24 West 25th Street N Y NY 10010-2726 Ellen Aschendorf 2126339551 9173867634 Elleneggelectricinccom

E-J Electric Installation Company 46-41 Vernon Blvd Long Island City NY 11101 Peter Santella 7187869400 9174401388 psantellaej1899com

Fred Geller Electrical 3732 55th Street Woodside NY 11377 Alex Samilenko 7183503900 (blank) DFIELDSFGEUSACOM

Gilston Electrical Contracting Corp 338 East 95th Street New York NY 10128 Steve Konkowski 2124107800 (blank) stevekgilstonelectriccom

Lowy amp Donnath 10-37 49th Avenue LIC NY 11101 Chris Scala 7183928222 9174180702 cscalalowyanddonnathcom

Unity Electric 65-45 Fresh Meadow Lane Flushing NY 11365 Peter Striano 7185394300 (blank) pstrianounityigcom

Elevators Montgomery Kone Inc 47-36 36th Street LIC NY 11101 Dennis Kastanis 7183617200 (blank) Denniskastaniskonecom

Nouveau Elevator 74 Calyer Street Brooklyn NY 11222 Don Speranza 7183494770 (blank) dsperanzanouveauelevatorcom

Nustar Elevator(Division Of Nouveau) 18 West Street Brooklyn NY 11222 Richie Stella 7183494700 (blank) rstellanouveauelevatorcom

Otis Elevator 545 Greenwich St New York NY Jonathan Shankman 9143757804 (blank) jonathanshankmanotiscom

Schindler Elevator 1211 Ave Of Americans NY NY 10036 Douglas Jacobson 7183617200 (blank) Denniskastaniskonecom

Sierra Elevators Consultants 36 Maple Place Ste 206 Manhasset NY 11030 (blank) 5168690729 (blank)

Thyssen Krupp Elevator 519 8th Avenue 12 Floor NY NY 10018 Sean Brock 3472265215 (blank) Seanbrockthyssenkruppcom

Van Deusen And Associates 7 Penn Plaza Ste 404 NY NY 10001 Robert Castellano 2128689090 (blank) rcastellanovdassoccom

Environmental Consultant

Environmental Rooms Environmental Growth Chambers 510 East Washington Street Chagrin Falls Ohio 44022 Mike Kolbe 4402475100 (blank) mkolbeegccom

Harris Environmental Systems 11 Connector Road Andover MA 01810 Richard Haley 9784708600 (blank) haleyharrisenvcom

Sterling Environments Inc Veronica Yacono 8006089110 veronicasterlingenvironmentscom

Thermmax Scientific 2975 Advance Lane Colmar PA 18915 Jack Halloran or Kevin Murray 2673081680 (blank) jjhalloranthermmaxcomkmurraythermmaxcom

Firestopping Firestop Solutions Dawn Devine 631-563-4040 x14 ddevinefirestopsolutionscom

Flooring amp Carpet Architectural Flooring 135 West 27th St 6fl NY NY 10001 Doug Evelly 2122900200 (blank) dougAFRNYcom

Asbestolith Mfg Corp 257 Kent Street Brooklyn NY 11222 George Huntington 7183895550 (blank) georgeasbestolithcom

Chelsea Floor Covering Acquisition Corp 139-41 West 19th Street New York NY 10011 Rob Anders 2122430375 (blank) randerschelseafloorscom

Consolidated Carpet Assoc 45 West 25th Street 8th floor NY NY 10010 (blank) 2122264600 (blank) mailconsolidatedcarpetcom

D Magnan And Co Inc 32 Courtland Street Mt Vernon NY 10550 Michael Magnan 9146640700 (blank) michaelmagnanDMAGNANCOCOM

Elite Flooring 691 Saw Mill River Road Yonkers NY Ray Colabtistto 9149652515 (blank) rayelitefloorsincnet

Floor Works Inc 505 8th Avenue Suite 12A06 NY NY 10018 Rich Colucci 2122442599 (blank) richardfloorworkNYCcom

Interior Design Flooring 251 East 137th St Bronx NY 10457 Ben Cohen 7186650753 (blank) bcohenidfnycom

Platinum Terrazzo 120 Broadway NY NY 10271 Mark Antonucci 2125359700 (blank) MANTONUCCIPLATINUMTERRAZZOCOM

Pyramid Flooring 38 Harbor Park Drive North Steve Degaray 5169327200 (blank) seanpyramidfloorscom

Resource NJ (Formerly Shehady) 66 Ford Road Suite 141 Denville NJ 07834 Joseph DiPaolo 9733250715 (blank) jdipaoloresourcenjcom

Sherland And Farrington 253 West 28th St NY NY 10001 Dwayne Sherland 2122067500 (blank) dwaynesherlandcom

Spina Floor Covering Inc 14 Vender Venter Ave Port Washington NY 11050 Sal Spina 5168834277 (blank) salspinafloorcoveringcom

Stuart Dean Co Inc 4350 10th Street LIC NY 11101 Gene Degan 7184721326 (blank) genedstuartdeancom

VAL Floors 100 Hollister Road Teterboro NJ 07608 (blank) 2016729320 (blank) infovalfloorscom

Food Service Bailey Refrigeration Co 2323 Randolph Ave Avenel NJ 07001 Trevor Christman 7323821225 (blank) tchristmanbaileycocom

Commercial Kitchen Design 237 Randolph Street Brooklyn NY 11237 Dale Balsamo 7183861086 (blank) dalebckdnycom

H Weiss 12 Labriola Court Armonk NY 10504 Jim Weiss 9142734400 (blank) saleshweissnet

Ideal Restaurant Supply 80 Cutter Mill Road Great Neck NY 11021 Estimating Dept 5164827000 (blank) idealrscaolcom

Sam Tell And Sons 1375 Broadway Ste 502 NY NY 10018 Arthur Fisher 6468849417 2034941380 afishersamtellcom

Freelance Services 52X Consulting 460 Park Ave South 12 fl NY NY 10016 Ruben Cano 6468456126 (blank) rcano52xconsultingcom

Elizabeth Stoltenberg 473 18th St Brooklyn NY 11215 Elizabeth Stoltenberg 9175720164 (blank) elizabethfreestandingnet

Michael Racz Creative Visual Services 6613 Ft Hamilton Pkwy 2D Brooklyn NY 11219-5864 Michael Racz 9178160622 (blank) M_Raczearthlinknet

Roy Gurraya 351 Stegman Pkwy Jersey City NJ 07305 Roy Gurraya 9174403120 (blank) royinstallationhotmailcom

The Wellstone Group 435 Centre Island Road Oyster Bay NY 11771 Laura Sweeney 5169228081 (blank) laurasweeneywellstonenet

Fume Hood Certification Technical Safety Services Inc 40 Burt Drive Suite 9 Deer Park NY 11729 Phil Alesia 8665365656 5168704405 plesiatechsafetycom

Furniture Refinish BampG Relocation Services 420 Lexington Ave Ste 1732 New York NY 10170-1702 Micki Giordano 2123701475 (blank) mg2299aolcom

Du-Well Wood Restoration Corp 888 E 233rd Street Bronx NY 10466-3209 (blank) 7188427600 (blank) (blank)

Furniture Rental Associates 149 Madison Avenue Suite 303 New York NY 10016 (blank) 2128680300 (blank) infofrarentscom

Office Facilities Services 230 W 55th St Suite 60 NY NY 10009 David Bruce 2129418637 (blank) (blank)

Thomas Amato Co 443 Greenwich St NY NY 10013 Gary Regnell 2129253639 (blank) (blank)

Glass and Glazing Champion Metal And Glass Inc 45 East Industry Court Deer Park NY 11729 Larry Torsiello 6312542560 (blank) larrytlynbrookglasscom

Glass Solutions Unlimited Corp 212 South William Street Newburgh NYT 12550 George Distefano 8455690001 (blank) webmailglassolutionscom

Infinite Glass And Metal 201 New York 59 Suffem NY 10901 Bill DiSiena 8453681089 (blank) billdinfiniteglassandmetalcom

Jerome Glass

Service Glass 630 West Merrick Rd Valley Stream NY 11580 Lewis Cohen 5168239400 5166590200 serviceglassoptonlinenet

W And W Glass LLC 300 Airport Executive Park Nanuet NY 10954 Dan Stokes Mike Haber Owen McCarthy 8454254000 (blank) mikehwwglasscom owenmwwglasscom

HVAC Mechanical AD Winston 43-15 36th Street Long Island City NY 11101 Dee Camp 7187867848 (blank) deecampadwinstoncorpcom

Automated Logic Of NYNJ 100 Delawanna Avenue 400 Clifton NJ 07014 Matt Devins 9735694700 (blank) mdevinsalcnynjcom

BMS Security 11 Penn Plaza New York New York 10001 (blank) 2127140004 (blank) eporchbmsllccom

Botto Mechanical 95 Commercial Street Plainview NY 11803 John Botto 5163493000 (blank) bottonetmongernet

Donnelly Mechanical 96-59 222nd Street Queens Village NY 11429 Steve Croteau 7188861500 9178366293 scroteaudonnellymechcom

Fresh Meadow 65-01 Fresh Meadow Lane Fresh Meadows NY 11365 Dennis Bekatoros 7189616634 (blank) dennisbfmmcorpcom

JT Falk amp Company 227 West 19th St NY NY 10011 (blank) 2129246900 (blank) cathrynjtfalkcom

Marlin Mechanical 352 Seventh Avenue New York NY 10001 (blank) 212-967-2121 (blank) mpellinomarlinhvaccom

Martin Associates 6 Denton Avenue Garden City Park 11040 Mike Baez 5162481234 6467727366 mbaezmartin-hvaccom

Matrix Mechanical Corp 47-15 35th Street LIC NY 11101 Glenn P Boyd 7187070900 9179291283 glennbmatrixmechanicalcom

Nelson Air Device Corp 46-28 54th Avenue Maspeth NY 11378 Mark Steele 7187293801 (blank) msteelenadcwcom

Orion Mechanical 11-02 37th Avenue Long Island City NY 11101 Louis Del Bono 7184724800 (blank) Infoorionmechcom

Peepels Mechanical 10-27 Jackson Ave LIC NY 11101 David Katzen 7187844300EXT 201 (blank) dkatzenpeepelscom

Penguin Air Conditioning Corp 26 West St Brooklyn NY 10009 Scott Keller 7187066500 (blank) servicepenguinaccom

PJ Mechanical

Sounds Air Conditions (blank) Bob Gulmi 5167475678 (blank) infosoundaccom

Locksmith AAA Architectural Hardware Corp 44 West 46th Street NY NY 10036 William Brown 2128403939 (blank) serviceandsalesaaahardwarecom

Central Lock 345 Park Avenue Level 1B NY NY 10154 RichieMike 2129352534 (blank) richardcentrallockcom

Midway Locksmith

Trade Center Hardware Inc 45 New St New York NY 10004 (blank) 2129621086 (blank) (blank)

Weinstein amp Holtzman Inc (blank) (blank) (blank) (blank) (blank)

Guardian 24 Maiden Lane4th floor NY NY 10038 Peter Agrese 2124831330 (blank) guardianloaolcom

Masonry and Fire Proofing Eurotech Construction 532 West 30th Street NY NY 10001 (blank) 2125947474 (blank) infoeurotechnycom

Harbor Island Contracting Mark McClafferty 9146646600 mmcharborislandcontractingcom

Johnson Controls (NYU Fire Alarm) 60 East 42nd Street NY NY 10165 6469586700 (blank) (blank) (blank)

Navillus Contracting Inc 575 5th Avenue NY NY 10017 Mark Kelly 2127501808 (blank) mkellynavillusinccom

The Genadier Corporation 1590 East 233 Street Bronx NY 10466 Robert Delmonico 7183243700 (blank) connectgrenadiercorpcom

Firestop Solutions 1655 Sycamore Ave Bohemia NY 11716 (blank) 6315634040 (blank)

Atomic Masonry 16 Hasty Ln Greenlawn NY 11740 (blank) 6312610554 (blank)

Metals Shelving Datum 89 Church Road Emigsville PA 17318 Rachel Arnold 7177646350 (blank) salesdatumfilingcom

Modern Office Systems 45 West 36th Street New York NY 10018 Robert Medwin 2122900440 6464324247 rmedwinmodernofficesystemscom

Spacefile 1145 Fewster Drive Mississauga ON L4W1A2 John Harkness 9056255539 (blank) infospacefilecom

Tab Products Co 201 West 70th Street New York NY 10023 Pam Chase 2125950761 (blank) pchasetabcom

Millwork Bauerschmidt amp Sons 119-20 Merrick Blvd Jamaica NY 11434 Fred Bauerschmidt 7185283500 (blank) infobauerschmidtus

EC Wood amp Company 415 Withers Street Brooklyn New York 11222 Joseph Fontana 7183882287 (blank) jfontanaecwoodcompanycom

Holden And Flynn Universal Contractor (blank) (blank) (blank) (blank) (blank)

Island Architectural Woodwork 31-33 Howard Place Ronkonkoma NY 11779 Ed Rufrano 6317370020 6312915834 erufranoislandwoodworkcom

Miller Blaker 620 E 132nd St Bronx NY 10454 John Breen 7186653434 (blank) jbreenmillerblakercom

Nordic Interior Inc 56-01 Maspeth Ave Flushing NY 11378 David Kleinworm 7184567000 (blank) estimatingmillerblakercom

Perry Cohen Carpentry 15 W 75th Street NY NY 10023 Perry Cohen 2125791010 (blank) perryperrycohencarpentrycom

Petersen Geller Spurge 32 Hickory Lane Hudson NY 12534 Doug Geller 5188282608 (blank) dgellerpgsmillworkcom

Prospec Interiors 98 Park Ave Bablon Village NY Karl Uevelacker 6314222289 (blank) kuprospecinteriorscom

Ralph Dimaio Woodworking Co 12 Bright Place Yonkers NY 10705 Ralph DiMaio Jr 9144761937 (blank) (blank)

MampD Millwork (blank) (blank) (blank) (blank) (blank)

Movers Astro Moving 30 Jefferson AveSt James New York 11780 Ken Robson 8009921015 6316648956 infoAstroMovingcom

Central Moving amp Storage Co Inc 605 WEST 27TH STREETNEW YORK NY 10001 (blank) 2122688989 (blank) infocentralnyccom

Certified Moving amp Storage 21 East 40th Street New York NY 10016 John Kolmer 2128892700 (blank) jkolmercertifiedmovingcom

Eagle Transfer Corp 23-02 49th Avenue | Long Island City NY 11101 (blank) 7186630400 (blank) saleseagletransfercom

Globe Storage amp Moving Co Inc 36 Bleeker St NY NY 19912 Glen J Preslier 2129253555 (blank) (blank)

Time Moving And Storage 628 West 45th Street Brooklyn NY 10036 Jim Dowse 7188557100 (blank) infotimemovingcom

Business Asset Relocation 1350 Broadway Suite 1608 New York NY 10018 Glenn Preslier
admin admincontact name on two separate moving companies one may be outdated 212-244-6677 gpreslierbarnortheastcom

Metroplex Services na

Total Relocation 436 Spencer St Staten Island NY 10314 Chris Marzo (718) 477-5968 chrismarzototalreloservicescom

All Season Movers 12 Breiderhoft Rd Kearny NJ 07032 (201) 997-8034 infoallseasonmoverscom

Universal Moving amp Storage Co 114-02 15th Avenue College Point NY 11356 Bob Koncelik Jr 7185394480 (blank) (blank)

Shadow Transport Inc 3 Stepar Place Huntington Station NY 11746 Samantha Williams 6313510505 Samanthashadowtransportinccom

Ornamental Metal Artistic Metal Works Corp 199 Seventh Avenue Hawthorne NJ 07506 Dominick Minevina 9733040600EXT 11 (blank) Domenickartisticmetalnjcom

International Creative Metal Inc 37-26 61st Street POBox 77661 Setrak O Agonian 7188997306 71842481797188997663 (blank) icmetalincaolcom

Noris Metals(Displays) 231 Kent Street Brooklyn NY 11222 Fritz Lindner 7183836478 (blank) (blank)

Superior Jamestown Corporation 154 Fairmount Ave Jamestown NY 14701-2866 Bob Johnson 7164831551EXT 218 (blank) (blank)

WailandS Inc 453 W 17th Street NY NY 10011 Neil Wainland 2122437717 (blank) (blank)

Painting Antovel Gelberg Painting Group 21-52 45th Ave LIC NY 11101 Grant Albert 7189373520 (blank) (blank)

Baxter Painting Co 525 West 23rd St 2nd Fl NY NY 10011 (blank) 2122061469 (blank) (blank)

Bevmax Painting Corp 126 West 22nd St NY NY 10011 (blank) 2122432552 (blank) (blank)

Bond Painting 42 West 38th Street Suite 902 NY NY 10018 Stuart Feld 2122054006 (blank) Stuartbondpaintingcom

Brookside Painting 475 Fifth Avenue Ann Venus 9147380103 (blank) bpestimatingbrooksidepaintingcom

Cosmopolitan Decorating Co Inc 111 John St 1700 New York NY 10038-3114 Lou Gallo 2125866438 9174168069 (blank)

Forum Painting 3131 47th Street Astoria NY 11103 (blank) 7187771213 (blank) (blank)

GampG Painting 132 East 43rd St Ste 500 NY NY 10017 john Gjonbalaj 2128831900 9174967891 jgjonbalajgg-paintingcom

Haren amp Keller 8 Oak Tree Drive Bayshore NY 11706 Hank Goelz 6319690500 (blank) hankhkpaintoptonlinecom

Hudson Shatz 375 Park Avenue New York NY 10152-0002 Anthony Sirchia 2127538475 9177095453 (blank)

KP Organization 1850 Pond Road Ronkonkoma NY 11779 Keith Pulitano 6312857112 (blank) keithkporganizationcom

LampL Painting 900 South Oyster Bay Road Hicksville NY 11801 Robert Wagner 5163491900 (blank) estimatingllpaintcom

Murray Hill Painting 1029 48th Street LIC NY 11101 Lee Arnold 7184827575 (blank) (blank)

Newport Painting 70 West 36th Street NY NY 10018 (blank) 2124659080 (blank) (blank)

NY Painting amp DCTGCo 17-366 11th St LIC NY 11101 (blank) 7187847775 (blank) (blank)

RC Decorating Industries 325 West 38th Street New York NY 10018 Stanley Schievis 2126953109 (blank) (blank)

S Garmel Painting 234 East 9th St NY NY 10003 (blank) 2126737600 (blank) (blank)

Schiller Decorating Co Inc 46-10 11th St LIC NY 11101 (blank) 7183920303 (blank) (blank)

Sherry Hill Painting LLC 1102 Queens Plaza S Long Island City NY 11101 (blank) 7183490355 (blank) (blank)

Stanley Painting Inc (blank) (blank) (blank) (blank) (blank)

State Painting 228 East 45th Street New York NY 10017 Kenny Sprecher 2127518330 (blank) statepaintingdecaolcom

Plants John Mini Indoor Landscape 250 Brenner Drive Congers NY 10920 Holly Perkins 8009666464 (blank) infojohnminicom

Planteriors 57 B Industrial Road NJ 07922 Linda Stamler 9085080200 (blank) planteriorsverizonnet

Plumbing Botto Mechanical 95 Commercial Street Plainview NY 11803 John Botto 5163499000 (blank) Johnbbottommechanicalcom

Breslaw Plumbing 559 W 45th Street New York NY 10036 Amy Breslaw 2122654023 9142608328 sethbreslawbreslawplumbingcom

Cardoza Plumbing Corp 514 Grand BlvdWestbury NY 11590 Nadine Davis 5168766900 (blank) nadinecardozaplumbingcorpcom

Evergreen Plumbing 892 East 141st Street Bx NY 10454 Robert S Greenberg 7182921929 2014780100 rgreenbergevergreenmechcom

Fred J Riehm Inc 3077 MITCHELL PLACE BRONX NY 10465 Diana Semidey 3476570030 (blank) fjriehmoptonlinenet

Giachetti Plumbing And Heating 58 Tiemann Place Emanuel Giachetti 6465323696 (blank) emanuelgiachetticorpcom

Lab Plumbing amp Heating 530 West 50th Street New York NY 10019 Richard A Bisso 2122469690 (blank) (blank)

Louis L Buttermark Inc 1618 New Dorp Lane Staten Island NY 10306 Louis Buttermark 7183514220 (blank) (blank)

MJM Plumbing Of NY Inc (blank) (blank) (blank) (blank) (blank)

Pace Plumbing 41 Box Street Brooklyn NY 11222 Matt Armistead 7183896100 (blank) mattpaceplumbingcom

Par Plumbing 60 North Prospect Ave Lynbrook NY 11563 Marty Levine 5168874000 (blank) mlevinepargroupcom

Taggart Associates 5-33 50th Ave Long Island City NY 11101 Stephen Kaufman 7187867570 9175602053 skaufmantaggartassoccom

Greene Mechanical Corp Chapel Ave Jersey City NJ 07302 (blank) 2019154454 (blank)

Remediation Belfor Long Island LLC 1 Penn Plaza 36th Floor New York NY 10119 Peter Schmidt 6463401010 (blank)

Interstate Restoration Group Inc (blank) (blank) (blank) (blank) (blank)

Riggers Budco 145 Plant Avenue Hauppauge NY 11788 Ann-Marie Ray 6314346500 (blank) infobudcous

JC Duggan 320 Maspeth Ave Brooklyn NY 11211 Joyce 7183843260 (blank) joycejcduggancom

Skylift 24 Greenpoint Avenue Brooklyn NY 14222 7186091860

Galasso Trucking and Rigging 2 Galasso Place Masbeth NY 11378 7184561800

Salvage American Furniture Consultants 1860 Walt Whitman Rd Melville NY 11747 Ed Whelan Sr 5162931700 (blank) (blank)

Sunrise Office Service 400 Forest Ave Suite 200 Staten Island NY 10301 Tom Zotts 8773401295 (blank) (blank)

Scaffolding Metropolitan Bridge And Scaffold 3714 61st Street Flushing NY 11377 Mark Cersosimo Lucy Fernandez 7182050092 (blank) lucyfmetrobridgincom

Safway Atlantic LLC 700 Commercial Drive Carlstadt NY 07072 Pat Crosbie 2016365500 (blank) pcrosbiesafwayatlanticcom

United Hoisting And Scaffolding 38-51 11th Street LIC NY 11101 Joe Cavello 7187863338 (blank) joecavellounitedhoistingcom

Universal Builders Supply Inc 27 Horton Avenue New Rochelle NY 10801 Kevin OCallaghan 9146992400 (blank) kevinocubs1com

York Scaffolding 37-20 12th Street LIC NY 10007 Tammy Wood 7187846666 (blank) TWOODyorkscaffoldcom

Shielding ETS Lindgren RF Enclosures

Global Partners In Shielding Systems

Radiation Shielding Systems

Universal Shielding Corp

Signage ALP Signs 136 W 83rd St NY NY 10024 Cliff Faulkner 2128746794 (blank) cliffalpsignscom

ASI-New York Inc 192 Lexington Ave Suite 603 New York NY 10016 Lauren Corrigan 6467421320 (blank) LaurenCorriganasisignagecom

Big Apple 247 W 35th Street NY NY 10001 (blank) (blank) (blank) careersbigapplegroupcom

Bunting Graphics Inc 20 River Road Verona PA 15147 Don Stiefvater 4128200684 (blank) DonStiefvaterbuntinggraphicscom

Crown 7 Odell Plaza Yonkers NY 10701 Colleen Nelson 9143752118 (blank) colleencrownsignscom

Design Communications Ltd 27 W 24th Street Suite 804 NY NY 10010 Lauren Vallier (blank) 6468379196 Tbartondclnyccom

Donorwall Design Group PO Box 1005 New York NY 10272 Ron Schanz 8773666792 (blank) rschanzdonorwallcom

GDS Inc 75 West End Ave Suite P21B New York NY 10023 Joe Motta 9177479829 (blank) jmottagdssignscom

Icon Identity Solutions 1247 N Church St Suite 2 Moorestown NJ 08057 William Phillips 8563599576 (blank) bphillipsiconidcom

Mac Graphic Services LLC PO Box 6038 Freehold NJ 07728 Tim MacCutcheon 7326630111 (blank) timmacgraphicservicescom

Precision SignsCom Inc 243 Dixon Ave Amityville NY 11701-2830 Anthony Secada 6318417500 (blank) Asecadaprecisionsignscom

Stamp amp Signs Online Corp 626 Broadway Brooklyn NY 11206 Ben Follman 7182180050 (blank) bfollmanstampsignscom

Visual Graphic Systems Inc 330 Washington Ave Carlstadt NJ 07072 Lorraine Conte 2015282245 (blank) Lcontevgs-inccom

Silver Recovery Photo Processor

Site Safety Pro Safety Services LLC 20 Cedar St New Rochelle NY 10801 Jason Mager 9146544870 (blank) JmagerProsafetyllcCom

Site Safety LLC 21 W 38th St New York NY 10018 Peter Amato 2126837200 (blank) pamatosite-safetycom

Total Safety Consultants 751 Broadway Bayonne NJ 07002 (blank) 2014375150 (blank) infototalsafetyorg

Sprinkler ABCO Peerless 50 Midland Avenue Hicksville NY 11801 Courtney Sparks 5162946850 (blank) contactabcopeerlesscom

Code Fire Protection 118 West 27th St 3fl NY NY 10001 Jim Stanton 5167194595 (blank) jstantoncode-firecom

Island Fire Sprinkler 630 Broadway Ave Ste 1 Holbrook NY 11741 (blank) 3614724500 (blank) (blank)

Midtown Fire Sprinkler Corp 10-40 Borden Ave LIC NY 11101 Peter Walker 7187293004 (blank) (blank)

NY Sprinkler 1439 Bassett Ave Bronx NY 10461 Robert Moony 7184092929 9172994868 nycsprinkleraolcom


Rael Automatic Sprinkler Corp 1750 Plaza Ave New Hyde Park NY 11590 David Israel or Christie Napurano 5165932000 (blank) davidiraelsprinklercom or christienraelsprinklercom

Triangle Fire Protection 75-17 Cooper Avenue Glendale NY 11385 Sandra Columbi 7183269120 (blank) (blank)

Steel Barnett Iron Associates 175 Bogart Street Brooklyn NY 11206 Susan Hutter 7186281256 (blank) susanbarnettironcom

Empire City Iron Works 10-37 46th Rd LIC NY 11101 Harvey Heffner 7189610100 (blank) hheffnerempirecityiwcom

Koenig Iron Works 233 W 19th Street NY NY 10001 Barry Leistner 2129244334 (blank) bleistnerkiwnycom

Kramen Ironworks 410 East 10th Street New York NY 10009 Max Kraman 2124608400 (blank) kramanironworksverizonnet

Ment Brothers Iron Work 105 w 22nd Street NY NY 10011 Cordell Reid 2123284080 (blank) ANDREWMENTBROSCOM

Papp Iron Works Inc 950 South 2nd Street PO BOX 3149 Plainview NJ 07063 Eric Nawrotzki 9087311000 (blank) Ericnpappironworkscom

Post Road Ironworks 354 W Putnam Avenue Greenwich CT 06830 William Wils or Laura Marks 2038696322 (blank) infopriwcom or laurampriwcom

Skyscraper Steel 8 West 38th Street New York NY 10018 Charles Connelly 2127791484 9175780941 (blank)

United Iron 6 Roslyn Place Mt Vernon NY 10550 Randy Rifelli or Michelle Colasuonno 9146675700 (blank) dvunitedironinccom or MicheleCUnitedIronInccom

Stone Marble Tile Work Baybrent Construction 1637 Sycamore Ave Bohemia NY 11716 Bill Scharf 6315634500 (blank) billbaybrentcom

Berardi Stone Setting Inc 20 Harlem Ave White Plains NY 10603 James Mattes 9146448444 (blank) jmattesbarardistonscom

Biordi Inc 43-20 102nd Street Corona NY 11368 Peter Mcloughlin 7184571222 (blank)

Cathedral Marble 112-15 14th Street College Pt NY 11356 Lenny Silvestri 7184610701 (blank) (blank)

Del Turco Bros 25 Verona Ave Newark NJ 07104 Bruce Del Turco 9734835770 (blank) brucedtdelturcobroscom

Enright Marble amp Tile 324 Satgg Street Brooklyn NY 11206 Mike Sugrue 7188211800 (blank) (blank)

Europa Tile amp Masonry 24-47 44th Street Astoria NY 11103 Carlo Bardone 7186262792 (blank) (blank)


Jantile Inc 3960 Merritt Ave Bx NY 10466 Daniel Mercado 9146631400 (blank) danjantilecom

L And L Stone And Tile LLC 900 South Oyster Bay Road Hicksville NY 11801 Martin Hauser 5163491900 (blank)


Port Morris Tile And Marble Corp 1285 Oak Point Avenue Bx NY 10474 (blank) 7183786100 (blank) (blank)

Garcia Marble And Tile 18-59 Ditmars Blvd Astoria NY 11105 Mary Salamone 7189325141 (blank) (blank)

Miller Druck 264 W 40th St 9th Floor Barbara Cohen 2123433300 (blank) barbaracohenmillerdruckcom

Surveyors A Splescia 3229 Poplar Place Wantagh NY 11793 Andy Splescia 5168261066 (blank) asplesciaverizonnet

Hirani Eng And Land Surveying 30 Jericho Execu Plaza-Ste 200C Jericho NY 11753 Richard Moravec 5162489018 (blank) rmoravechiranigroupcom

Lovell And Belcher 11 Park Place 702 NY NY 10007 (blank) 2127321572 (blank) (blank)

True North 111 Kosciuszko Rd Whitehouse Station NJ 08889 John Vida 9085346248 (blank) truenorth94aolcom

Waterproofing-Roofing BampA Restoration 43 East Carl Street Hicksville NY 11801 Buddy Sertner 5169323630 9143194431 barestoreaolcom

Benjamin Construction 263 52nd Street Brooklyn NY 11220 Tony Marke 7184887333 6467032679 TonyMarkeaolcom

Benjamin Maintenance 5718 2nd Avenue Brooklyn NY 11220 (blank) 7184391200 2125358500 (blank) infobenmaintenancecom

Bernini Construction Corp 37 West 20th Street New York NY 10011 Michael Malhas 2122299020 9176819532 mmalhasberninicorpcom

Eagle One Roofing 18-60 45th Street Astoria NY 11105 (blank) 7186262108 (blank) (blank)

East Coast Restoration 232 Madison Avenue Suite 510 New York NY 10016 Greg Sobolewski 2126852092 9172569627 gregeastcoastrestcom

Etna Contracting 171 Dwight Street Brooklyn NY 11231 Mario A Sciacca 7188584668 9177318334 marioetnacontractingcom

JampC Restoration 170 Moore St Brooklyn NY 11206 Juan J Costa 7184828480 6468964975 jcrest722aolcom

Northeastern Restoration 1181 Randall Ave Bronx NY 10474 Harry Donus 7183780010 9175606773 (blank)

Trident Corp 304 Park Ave South New York NY 10010 Zibby Chrzanowski (blank) 3476222445 tridenttersuscom

Window Treatment DFB Inc 21-07 Borden Ave LIC NY 11101 Leo Alessi Jr 7187298310 (blank) mfeindfbsalescom

Drapemasters Of America 36 02 13th Street LIC NY 11106 Peter Roumel 7184466666 (blank) curtains1102aolcom

International Blind Contractors Ltd 200 Park Ave South NY NY 10003 Kevin F Ryan 2124732000 (blank) kryanintlblindcom

LVC Interiors 176 Kansas Street Hackensack NJ 07601 (blank) 2015250222 (blank) (blank)

Majestic Curtains 44-10 Ketcham St Ste 2G Elmhurst NY 11373 Bob Connor 7188980774 7185013558 majesticcurtainshotmailcom

Star Draperies Inc 24 Florida Street Farmingdale NY 11735 Jackie or Cindy 6317562540 (blank) stardraperiesaolcom

Wood Flooring Janos Spitzer Flooring 131 West 24th St NY NY 10011 Janos Spitzer 2126271818 (blank) JPSFlooringyahoocom

GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION

ITEM DESCRIPTION UNIT COST ($)1 QUANTITY EXTENDED COST NOTES

1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT

5 ADMINISTRATIVE ASSISTANT

6 ACCOUNTING

7 ESTIMATING amp VALUE ENGINEERING

9 PERMITS amp FEES

10 LOCAL TRAVEL AND PARKING EXPENSES

13 PRINTING AND REPRODUCTION

14 POSTAGE amp MESSENGER

15 SITE SAFETY AND SIGNAGE

19 NEGATIVE AIR MACHINES (2-6 ACHR)

20 SITE ENTRANCE MATS (Sticky Mats)

22 FIELD OFFICE EXPENSES

23 FIELD TELEPHONES FAX INTERNET

24 CLEANING

26 RUBBISH REMOVAL (Mini Containers)

31 FIRST AID

32 FIRE EXTINGUISHER

33 EQUIPMENT RENTAL

34 SITE SECURITY

36 OTHER GENERAL CONDITIONS2

37

38 TOTAL GENERAL CONDITIONS

39

40 Notes

41 1 Include only those items that apply to this project For all others input NA

42 2 Describe in NOTES column

43 3 Must be filled out entirely Incomplete worksheet will disqualify your bid

44

45

Introduction

NYU Langone Medical Center (NYULMC) seeks a qualified HVACMechanical firm to provide Construction Management (CM) services using a modified CM form of contract for Skirball MER Restoration (the ldquoProjectrdquo) CM services are required to assure that this Project is performed without disruption to active hospital and research operations in the building

It is our intention to award a contract for ldquoPart A - Pre-Construction Servicesrdquo for the Design and Pre-Construction as well as for ldquoPart B ndash Services During Constructionrdquo in accordance with the form of Construction Management Agreement(designated Attachment A) that will be provided as an addendum during the RFP process

I Project Description The Project entails replacing four large air handling units and all associate piping plumbing controls and electrical systems located in the cellar level mechanical room in the Skirball Institute located at 540 1st Avenue New York New York 10016 As a result of Superstorm Sandy these air handlers as well as several pumps electrical panels and compressors located below the flood plane were severely damaged This equipment has been temporarily recommissioned and now must be permanently replaced

The work entails

bull Replacing AHU-4 and AHU-5 (32000 CFM each) which feed the ground floor vivarium The existing humidifiers will be replaced with Clean Steam Generators

bull Replacing AHU-6 (43000 CFM) which feeds the Main Lobby bull Replacing AHU-7 (20000 CFM) which feeds the ground floor back of house spaces bull Replacing any electrical and control panels associated with the air handlers being

replaced as well as any electrical equipment that was submerged bull Replacing all pumps including condensate domestic water and sewage bull Replacing the vivarium reheat hot water pumps bull Replacing the lobby radiation hot water pumps bull Replacing lab vacuum system bull Furnish and install an additional control air compressor to be tied into the existing two

compressors to create a redundant system bull Provide temporary electrical mechanical and plumbing services as needed during

construction in order to ensure research and hospital activities can continue bull Complete any associated architectural work as described in the Architectural Narrative

in Attachment B Please refer to drawings in Attachment B for Preliminary Drawings Specifications and Narratives

The work is being performed in an active building and must not interfere with hospital or research operations All NYULMC policies must be followed All work schedules will be as directed by the Project Manager


Scope of Services























reasonably requests




























ldquoDead Bandrdquo



































XI FEMA Clauses









327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

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Check Box28 Off

Check Box29 Off

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Check Box37 Off

Check Box38 Off

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Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45


Scope of Services























reasonably requests




























ldquoDead Bandrdquo



































XI FEMA Clauses









327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45















reasonably requests




























ldquoDead Bandrdquo



































XI FEMA Clauses









327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45



















ldquoDead Bandrdquo



































XI FEMA Clauses









327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

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Text 100

Text 102

Text 103

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Text 104

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Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45























XI FEMA Clauses









327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45






327ndash Launch RFP



420 ndash Bids Due










General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45






General Conditions











TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

CONTRACTOR

PROJECT

LOCATION


1 PROJECT EXECUTIVE

2 PROJECT MANAGER

3 SUPERINTENDENT


6 ACCOUNTING


9 PERMITS amp FEES









24 CLEANING


31 FIRST AID


33 EQUIPMENT RENTAL

34 SITE SECURITY


37


39

40 Notes




44

45










TIN EIN or SSN_____________________________________________________













A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith











































































































































































A Name ______________________________________________________________________

B EmployerTitle ______________________________________________________________







NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith







































































































































































NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES


NO YES





NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith









































































































































































NO YES


NO YES


NO YES








NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith












































































































































































NO YES


NO YES


NO YES



NO YES



NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith







































































































































































NO YES



























PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith























































































































































































PART VII BACKGROUND





State of _____________________ City of _____________________


C

D




Current Year 20____ $_________________ $________________

Previous Year 20_____ $_________________ $________________

Two Years Prior 20_____ $_________________ $________________


Four Years Prior 20_____ $_________________ $________________


PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith






































































































































































PART VIII SAFETY







_________________ _________________ _________________


_________________ _________________ _________________



_________________ _________________ _________________





STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith








































































































































































STATE OF_______________________) ) SS __________________

COUNTY OF_____________________)






___________________________________________ Signature


______________________________________





)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith








































































































































































)13 ssCOUNTY OF ___________________________ )










__________________________________(Notary13 Public)



Untitled




etc

1 PartnerParty Name

TIN EIN or SSN

DUNS


2 PartnerParty Name

TIN EIN or SSN_2

DUNS_2







G

prior addresses


Fax number

Email address



Name

EmployerTitle

Fax number_2

Mobile number

Name_2

Title 1

Title 2

Home address

Business address

Name_3

Title 1_2

Title 2_2

Home address_2

Business address_2


1

2

Contract number


Date completed





undefined_42

Contract number_2


Date completed_2





undefined_43

Contract number_3


Date completed_3





Contract number_4


Date completed_4




Contract number_5


Date completed_5





Contract number_6


Date completed_6





undefined_44

Contract number_7


Date completed_7



City of

undefined_48

undefined_49

undefined_50

undefined_51

undefined_52

undefined_53





State of

Other

Expiration Dates 1

Expiration Dates 2

Expiration Dates 4

Expiration Dates 5

Expiration Dates 6

Expiration Dates 7

Expiration Dates 8



Current

Previous

Two years prior


undefined_60

undefined_61

undefined_62

undefined_63

undefined_64

undefined_65

undefined_66

undefined_67

One Year Prior

Two Years Prior

Three Years Prior


Address 1

Address 2

Telephone

Contact name

STATE OF

SS

COUNTY OF

On the

day of

201


I am

of

201_2

this 1

this 2

day of_2

Notary Public


undefined_73

OF

undefined_74

undefined_75

I am

undefined_76


Qualification 1

Qualification 2

Qualification 3

Dated

undefined_77

Notary Public

undefined_78

Notary Public_2

Commission expires

PersonPhone

Person email

Check Box3 Off

Check Box10 Off

Check Box11 Off

Check Box12 Off

Check Box13 Off

Check Box14 Off

Check Box15 Off

Check Box16 Off

Check Box17 Off

Check Box18 Off

Check Box19 Off

Check Box20 Off

Check Box21 Off

Check Box22 Off

Check Box23 Off

Check Box24 Off

Check Box25 Off

Check Box26 Off

Check Box27 Off

Check Box28 Off

Check Box29 Off

Check Box30 Off

Check Box31 Off

Check Box32 Off

Check Box33 Off

Check Box34 Off

Check Box35 Off

Check Box36 Off

Check Box37 Off

Check Box38 Off

Check Box39 Off

Check Box40 Off

Check Box41 Off

Check Box42 Off

Check Box43 Off

Text44

Text45

Text46

Text47

Text48


Employees - locally


bonding - aggregate

undefined_55

undefined_54

undefined_100

undefined_101

Text 100

Text 102

Text 103

Text 101

Text 104

Text110

Text112

Text111

Text113



image1jpeg













































































































Jerome Glass

















PJ Mechanical




Midway Locksmith





































































































































































GENERAL CONDITIONS

		CONTRACTOR

		PROJECT

		LOCATION

ITEM	DESCRIPTION	UNIT COST ($)1	QUANTITY	EXTENDED COST	NOTES

1	PROJECT EXECUTIVE

2	PROJECT MANAGER

3	SUPERINTENDENT

5	ADMINISTRATIVE ASSISTANT

6	ACCOUNTING

7	ESTIMATING amp VALUE ENGINEERING

9	PERMITS amp FEES

10	LOCAL TRAVEL AND PARKING EXPENSES

13	PRINTING AND REPRODUCTION

14	POSTAGE amp MESSENGER

15	SITE SAFETY AND SIGNAGE

19	NEGATIVE AIR MACHINES (2-6 ACHR)

20	SITE ENTRANCE MATS (Sticky Mats)

22	FIELD OFFICE EXPENSES

23	FIELD TELEPHONES FAX INTERNET

24	CLEANING

26	RUBBISH REMOVAL (Mini Containers)

31	FIRST AID

32	FIRE EXTINGUISHER

33	EQUIPMENT RENTAL

34	SITE SECURITY

36	OTHER GENERAL CONDITIONS2

37

38	TOTAL GENERAL CONDITIONS

39

40	Notes

41	1 Include only those items that apply to this project For all others input NA

42	2 Describe in NOTES column

43	3 Must be filled out entirely Incomplete worksheet will disqualify your bid

44

45