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Contract 33561
CITY SECRETARY CONTRACT NO CONTRACT - BETWEEN CITY OF FORT WORTH AND NTERCON CONSTRUCTION CO., INC. PROJECT # DEM06-01 : FS8-ASB/DEMO FOR ASBESTOS ABATEMENT AND DEMOLITION SERVICES OF FIRE STATION # 8 1301 WEST ROSEDALE FORT WORTH, TEXAS DEPARTMENT OF ENVIRONMENTAL MANAGEMENT MARCH 21, 2006 06-01-06 A08 :05 IN ciff sici ff FT. WORTH, TEX. Page 1 of 2 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 3/21/2006 - Ordinance No. 16852-03-2006 DATE: Tuesday, March 21, 2006 LOG NAME: 521NTERCONFIRE REFERENCE NO.: **C-21349 SUBJECT: Adopt Appropriation Ordinance and Authorize Execution of Contract with Intercon Construction Company, Inc., for Asbestos Abatement and Demolition Services for Fire Station Eight RECOMMENDATION: It is recommended that the City Council: 1. Authorize the transfer of $20,102.00 from undesignated funds in the Environmental Management Operating Fund to the Environmental Management Project Fund; 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in the Environmental Management Project Fund in the amount of$20,102.00; and 3. Authorize the City Manager to execute a contract with Intercon Construction Company, Inc., in an amount not to exceed $32,145, for asbestos abatement and demolition services for the Fire Station No. 8 project. DISCUSSION: Under the recommended contract, Intercon Construction Company, Inc., will perform the removal and transportation of asbestos containing materials from the existing Fire Station No.8, located at 1301 West Rosedale prior to demolition. The fire station at this location is to be demolished because of the expansion of West Rosedale. The Fire Station is being relocated to a new facility at 1101 12th Avenue. A Request for Proposals was issued by the Department of Environmental Management on November 11, 2005. Responses were received on December 15, 2005 from the following firms: Intercon Construction Company, Inc. Eagle Construction and Environmental Services, L.P D Construction The proposals were evaluated based on a pre-determined combination of qualitative and quantitative (bid point) measures. These measures included but were not limited to the evaluation of such factors as previous work experience, qualifications of personnel, contractor capabilities, cost and subcontractors. Based on the total point distribution of the measures, City staff is recommending the contract be awarded to Intercon Construction Company, Inc. In addition to the contract cost, funding in the amount of $957.00 is included for project contingencies. The proposed demolition will be a joint effort, with Environmental Management overseeing and funding the asbestos abatement and project contingency, in the amount of $20,102.00, and the Transportation and Public Works Department overseeing demolition services and the funding from the Fire Services Fund, in the amount of$13,000.00. http://www.cfwnet.org/council_packet/Reports/mc_print.asp 8/23/2006 Page 2 of 2 Intercom Construction Company, Inc., is in compliance with the City's M/WBE Ordinance by committing to 60% M/WBE participation. The City's goal for this project is 16%. Fire Station No. 8 is located in COUNCIL DISTRICT 9. FISCAL INFORMATION/CERTIFICATION: The Finance Director certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current capital budgets, as appropriated, of the Environmental Management Fund and the Fire Services Fund. TO Fund/Account/Centers FROM Fund/Account/C enters R101 539410 052200605000 $20,102.00 R103 538070 0521100 $20,102.00 R101 472103 052200605000 $20,102.00 C132 539110 020132011008 $13,000.00 R101 539410 052200605000 $20,102.00 Submitted for City Manager's Office by. Libby Watson (6183) Originating Department Head: Brian Boerner(6647) Additional Information Contact: Michael Gange (6569) http://www.cfwnet.org/council_packet/Reports/mc_print.asp 8/23/2006 WAY-10-06 11:46 FROM- T-268 P.002 F-466 CERTIFICATE OF LIABILITY INSURANCE 9 4 "MM TH i M A SMA o6 ?ION �t bartsee Rya�a is Samoa. , Znc, 00 AND MO MlGM UPM THE tai, MATE Wwo Plana zkkat, Stite 550 HOLD>!s!R.THI8 CgiRCATIE DOW NOT AMEND,E KTM ON 330 Mat Rilbod= Avenuo +u tBR'f�im OCN�IAR><AA>PDRoEo D1rTNE P'W.IGII°S®�.ouiF. idilpaukae WX 53202 Phone: 414-271-2575 , Vaacs4X4-271-0196 14y9t4REA9AFFORDNrOa0Y6RAOE two# tHSARp.D dlt0>( A; A7.eeiggm+J t Me Lt a Mw co IN81JRlRBt Band o Mie2a0"M WMV 0 9 � w a1aT �3 CovBiAGUS THP POUC6sOPIMRAMUM9IBM PAVE Mi MRWIUT&VWJMHAMAeOYEPORTHBPOtM MMODPWA?MWONMaYui M M1YR6OUIR9u�NT 1f>�nrRtoaa�'itONaF�utMaoNtwtcTORo'�tt1'wtiMaN6PRCTTofTiascs0ttl�cr+TEMArriE16R3UEDaR MAYPP.RTAIii,THEINBURAi1C8Af RYT11E t�GiiCiEB OF.8CRREoti GatiWliOT'�QA�{.THEdT�IR� McANp c�tttoirs t5F Mimi (sMXIE&AGMUMTE LUM BNOWM MAY HAUS 9FER MODL M BY PAD G.A ^ tR Ra POLifiYNaildG! �INiTB aGISRAt.LJAHWTit Ei�9t10 i CCIRMEitCtA6G�FiERAI.6IABILmt t eea�sna s CLAM MWA [:]OCCUR MPAe vtAnyaMPWINm i t+�itso�tµaAP�AFnfRT _ R�LAt�*HPJiATts : MRL A=R1: nLWtlTAP°?LMffP5R: PROCitm-CQMPIOp"a s f ucy MIR— LOO AUTOMONU UAeLM E0 8111GL8Lillll' ! M1 YAM ALL OWNER AtM auHlbuLin Auim MIRpAAUfOB {Eyr�j�das►d NON-WWW Aulw S i 9AMAdML111p1(.(� AvrooNt.Y-PJAACCIDfJIT i ADlYAUb Atlfd SfAACD t OmasCNA1BRi<LLA 4UABilJTY aw"GOCURAWS t OCCUR "JO MADS At3G�GATE s s a�ucn9ee i >isreFinax >F : WORK�BcflM'�ATru>fAtlp X TpR A � '� W0104206901 03/3,3/03 OS/z3/06 r:a.LcHAcciow $101001100 L°LDIBE.'lISt3.G�►GAPLDY �sooaQao e��J°pR°cnnsto�tebein+u L600PM•Potwumir $1000000 MVR OWTOM of i moffi sNS f vsNtM 100,10 r i 1011: 7:,nterc�sY. :IRPM KATE MOLDER CANCBLIATi M C�'�7C$7[i a110Ut0At1YOPTNEiY90MB0EAer9l�lOL�3Ya0AKCiil.66BiR:4NBTHEEJ�IWA'lIG1i GATETHDROW.TM MUM Y1WWMM-LEgpEAY1 WMS L 3,0_DAY6MYlA{'TEIM 04ty of Som flora:th 0041CUTOTMMaeM MA7BHOLOORNAMROTOTN6LMpOOTFALLMTP00SoMOLL 7.000 Whrockmeirton /POM ND OMMATIDM DR Lumpy of AMY own UMP TMM NINU 6RM�ITS AOEMT6 OR FortWorth TX 76102 CORD 29(MAI 081 0 ACORD CUR POtt47 N 1988 ACORQ CERTIFICATE OF LIABILITY INSURANCEDATE(MWDDlerm 05/09/2006 PRODUCER (972)864-0400 FAX (972)278-8400 THIS CERTIFICATE IS ISSUED_ASA MATTER OF INFORMATION Davis-Dyer-Max, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE a Member of the Insurors Group HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O, Box 495429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Garland, TX 75049 INSURERS AFFORDING COVERAGE NAIC# INSURED Intercon Construction Co. , Inc. INSURER A: Mt. Hawley 301 W. Ave. D INSURER e: Old American/Clarendon America Garland, TX 75040 INSURER C: Scottsdale Insurance Company IHSLMR0 Essex Insurance Company INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rAU DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFEL"TNE POLICY EXPIRATION LIMBS GENERALLVWILTIY MGLO145499 12/16/20OS 12/16/2006 EACH OCCURRENCE $ 1,000,000 X COMMS RCIAL GENERAL LIABLI ( DAMAGE TO R E 50,000 IM CLAS MADE a OccuF$ ,000 DEDUCTIBLE EACH MED EXP(Ary one person) $ 5,000 X XCCLAIM PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLES PER PRODUCTS-COMP/OP AGG $ 1,000,000 POLICYFX 1 P T LOC AUTOMOBILELIABILITY DSSB4212592 12/16/2005 1.2/16/ZO06 COMBINED SINGLE LMT X ANY AUTO DCT000006707 12/16/200S 12/16/2006 (Ea accident) $ 1,OS5,025 ALL OWNED AUTOS BODILY BJ,RJRY $ B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO OTHER THAI) EA ACC S AUTO ONLY: AGG $ EXCEssIUMBRELLAILARN UMS0018943 04/03/2006 12/16/2006 EACH OCCURRENCE $ 12,000,000 _R]OCCUR ❑CLAMS MADE AGGREGATE $ 12,000,000 C $ RDEDUCTIBLE $ X RETENTION E 10,000 $ WORKERS COMPENSATION ANDTORY A S O R EMPLOYERS'LIABILITY — ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT E OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S U yyees,desaiEe under SPECW PROV�IONS bebW E.L.DISEASE-POLICY LIMIT E OTHER IMD8458-0 12/31/2005 12/16/2006 $150,000 - Limit DRent / Leased $1,000 Deductible Equipment 2,500 Ded. Theft or Vandalism DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXC�USIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e City of Fort worth, its officers, agents, employees, and representatives are added as additional insureds on the GL & Auto policies. Umbrella is follow form. General Liability is primary in respects o the insureds work. 30 day NOC except for 10 day NOC for non-payment of premium. CERTIFICATE HOLDER CANCELLAT ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL _"_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Fort Worth BUT FAILURE TO MAIL SUCH NOTICE$HALL IMPOSE NO OBLIGATION OR LIABILITY 1000 Throckmo rton OF ANY KIND UPON THE INSURER,ITS AGETTTS OR REPRESENTATIVES. Fort Worth, TX 76102 AUTHORIZEDREPRE$ENTATM Ra on Dyer/SR ACORD 25(2001108) OACORD CORPORATION 1988 STATE OF TEXAS § CITY OF FORT WORTH COUNTY OF TARRANT § CONTRACT FOR ASBESTOS ABATEMENT AND DEMOLITION OF FORMER FIRE STATION 8 This Contract is entered into by and between the City of Fort Worth, Texas, a home-rule municipality located within Tarrant County Texas, ("City"), acting through Libby Watson, its duly authorized assistant city mans r, and Interc Construction Company, Inc. a Texas corporation, acting through z its duly authorized president/vice-president ("Contractor"). WHEREAS, the City desires to conduct a project for demolition and removal of asbestos containing material and demolition of certain identified structure known as the Former Fire Station 8 located 1301 West Rosedale, Fort Worth, Texas; and WHEREAS, the City desires to hire a professional firm knowledgeable and experienced in conducting such asbestos removal, transportation, disposal and demolition; and WHEREAS, the Contractor has represented that it is knowledgeable and experienced in conducting such an asbestos removal, transportation, disposal and demolition project. WITNESSETH: NOW, THEREFORE, in consideration of the mutual promises and benefits of this Contract, the City and the Contractor agree as follows: 1. DEFINITIONS In this contract, the following words and phrases shall be defined as follows; Asbestos shall mean the asbestiform varieties of chrysotile, amosite, crocidolite, tremolite, anthophyllite, and actinolite and all materials containing one percent or more of any of those substances. Asbestos-Containing Material (ACM) shall mean materials or products that contain more than one percent (1.0%) of any kind or combination of asbestos, as determined by Environmental Protection Agency (EPA) recommended methods as listed in Section 40 of the Code of Federal Regulations, (CFR) Part 763, Subpart F and 40 CFR 763 Subpart E, Appendix A. This means any one material component of a structure. UNINTY, ROD O��ly YEX. Asbestos Removal shall mean any action that dislodges, strips, or otherwise takes away asbestos containing material (ACM). City's Representative means the Director of Environmental Management, or the Director's designee. Contract shall mean this document, and the Contractor's Response to the RFP attached as exhibit "B" and all ancillary documents. Contractor shall mean Intercon Construction Company, Inc. Director shall mean the Director of the City of Fort Worth's Environmental Management Department. NESHAP shall mean the United States Environmental Protection Agency National Emissions Standards for Hazardous Air Pollutants, as described in Title 40 CFR Part 61. Notice to Proceed means the letter issued by the City that authorizes Contractor to begin work. It also authorizes future invoices to be paid. Regulated Asbestos-Containing Material (RACM) shall mean (a) friable asbestos material, (b) Category I non-friable ACM that has become friable, (c) Category I non- friable ACM that will be or has been subjected to sanding, grinding, cutting, or abrading, or (d) Category II non-friable ACM that has a high probability of becoming or has become crumbled, pulverized, or reduced to powder by forces expected to act on the material in the course of demolition or renovation operations. RFP means the City's Request for Proposals DEM06-01:FS8-ASB/DEMO. Subcontract means a contract between the Contractor for this project and another person or company for any task defined in the scope of work. A purchase order is also considered a subcontract. Substantial Completion means the date when the removal is sufficiently completed in accordance with the Contract Documents, as modified by any change orders agreed to by the parties, so that the City can occupy the project or specified area of the project for the use for which it was intended. CITY 61K,212fflff Ff. °O fll TEX, Contract for Asbestos&Demo CRL04.24.060 Page 2 Fire Station 8 2. SCOPE OF CONTRACTOR'S SERVICES The scope of work shall include the removal, and transportation of asbestos containing material ("ACM"), demolition of certain structures as listed in Section 2.5, Subsection A. of the Scope of Work in the RFP and fully incorporated herein as attachment A. A. Contractor shall follow and abide by The Texas Asbestos Health Protection Act in the Texas Occupations Code, Chapter 1954. 6 . The scope of work includes the removal, transportation and disposal of the following asbestos-containing materials and asbestos contaminated materials in accordance with all Federal, State, and local rules and regulations. C . Furnish all tools, labor, equipment and permits necessary to fully complete the demolition of the structures identified in the bid documents. Prior to commencement of work, notify appropriate utility companies to disconnect the gas service lines at the main, the water service at the meter and disconnect electrical service lines at the pole at each location. Prior to commencement of any work under this contract, Contractor must obtain t a wrecking permit (within seven (7) calendar days after the notice to proceed) to demolish all of the specified buildings at the site from the Department of Development, telephone (817) 392-2222. J7. Prior to commencement of any work under this contract, obtain from the Code Compliance Department a written notice to proceed. Upon completion of the work, Contractor shall obtain a final inspection on the wrecking permit, from the Building Inspection Division in the Department of Development. . Protect the work site as necessary with barriers, lights, safeguards or warnings. Contractor agrees to protect and leave in good condition all sidewalks and curbs. If before any demolition work is commenced or heavy equipment is moved to the work site, the sidewalks or curbs are crushed, broken, or in general disrepair, the contractor agrees to take photographic evidence of the condition prior to moving any heavy equipment to the work site. Demolish and remove any signs at the site as well as demolish improved surface parking areas. Contract forAsbestos&Demo CRL04.24.060 �d �r, �,a r Page 3 Fire Station 8 Remove all demolition debris, junk, trash, debris and salvageable materials from the site. L . Remove and dead trees and dead shrubs from the site. M• Fill any holes in the terrain resulting from any of the above work with clean fill and grade the entire lot, ensuring that low areas are filled to prevent the pooling of water. IV. Sweep dirt and debris from the sidewalk and street that accumulate during loading and removal. Possess or insure that each vehicle contracted for waste hauling possesses a valid City of Fort Worth Waste Hauler Permit as issued by the Department of Environmental Management-Division of Solid Waste, telephone: (817) 392-5150. p Clean and remove all debris, trash, rubbish and any other solid waste from the demolition premises to a state licensed disposal site or to a properly permitted landfill site at Contractor's expense. Q. Contractor shall perform, in a good and professional manner, the services contained in this Contract. 3. SCOPE OF CITY SERVICES A. Coordinate with facilities, City departments, and any tenants for access to the site; B. Prepare and revise all notifications necessary to the Texas Department of State Health Services (TDSHS) for the work provided herein; C. Make payment of all applicable TDSHS fees; Give timely direction to the Contractor; and E. Render decisions regarding modifications to the Contract and any other issue. 4. TIME TO START AND TO COMPLETE THE PROJECT >:: _: Contract forAsbestosBDemo CRL04.24.06v1 J�, •- �'`���� Page Fire Station 8 CIT 9., Contractor shall begin work within eleven (11) days of when the Notice to Proceed is issued to Contractor and shall complete all phases of the work within thirty (30) days from the date of commencement. S. COMPENSATION A. In consideration for the work performed by Contractor under this Contract, City shall pay Contractor a sum not to exceed $32,145. The City shall not be liable for any of Contractor's costs in excess of the Not-to-Exceed Amount unless the City has signed and issued a formal Modification to the Contract. B. The unit prices for the removal and disposal of asbestos as well as the employee labor rates shall be as described in Contractor Response to the RFP, attached herein as exhibit "B". C. Contractor understands and agrees that claims for additional compensation due to variations between conditions actually encountered in the project and as indicated in the Contract Documents will not be allowed unless the Contractor can clearly show to City, as determined in the sole discretion of City, why the variation was not identifiable prior to executing this Contract. D. The City agrees to pay Contractor within thirty (30) days after receipt of correct invoices, except as provided in Section 7 "Indemnification," subsection H. E. Contractor acknowledges that payment will not be rendered by City unless Contractor completes the demolition and removal of asbestos as described herein and the work is accepted by the Director. F. Periodically during the performance of this Contract, the Contractor's Project Manager shall inform the City's representatives of his/her best estimate of the expenses incurred to that time. In the event that the estimate approximates the Not-to-exceed amount, Contractor shall prepare to cease its operations unless and until the Contract is amended and an authorized representative of the City directs Contractor to perform additional work. G. Contractor shall receive no compensation for delays or hindrances to the work, except when direct and unavoidable extra cost to Contractor was caused by City's failure to provide information, if any, which it is required to do. When extra compensation is claimed, a written statement thereof shall be presented to the City. Contract for Asbestos&DemoCRL04.24.06v1V� iy �H A'RY Page 5 Fire Station 8 Y S 6 uvu FT. W110- f fl, TEX. H. In the event that actual expenditures may result in a total cost in excess of the Not-to-Exceed Amount, Contractor must submit a Modification to the contract in accordance with Section 24. 6. INSURANCE The Contractor certifies it has, at a minimum, current insurance coverage as detailed below and will maintain it throughout the term of this Contract. Prior to commencing work, the Contractor shall deliver to City, certificates documenting this coverage. The City may elect to have the Contractor submit its entire policy for inspection. A. Commercial General Liability Insurance - $2,000,000 each occurrence. B. Professional Liability Insurance - $2,000,000 each occurrence. C. Automobile Liability Insurance— Coverage on vehicles involved in the work performed under this contract: a) $1,000,000 per accident on a combined single limit basis or: $500,000 Bodily injury/person $500,000 Bodily injury/accident $250,000 Property damage b) Uninsured/Underinsured Motorist: $20,000 Bodily Injury each person, $40,000 Bodily Injury each accident; $15,000 Property Damage each accident. The named insured and employees of Provider shall be covered under this policy. The City of Fort Worth shall be named an Additional insured on Endorsement TE 9901 or equivalent, as its interests may appear. Liability for damage occurring while loading, unloading and transporting materials collected under the Contract shall be included under this policy. D. Worker's Compensation — Statutory limits for Worker's Compensation plus Employer's liability at a minimum: $1,000,000 each accident; $1,000,000 disease - policy limit; and $500,000 disease - each employee. Environmental Impairment Liability (EIL) and/or Pollution Liability - $2,000,000 per occurrence. EIL coverage(s) must be included in policies listed in items A and B above; or, such insurance shall be provided under separate policy(s). Liability for Contract for Asbestos&Demo CRL04.24.06vl Page 6 Fire Station 8 In "Oum, YEN. damage occurring while loading, unloading and transporting materials collected under the contract shall be included under the Automobile Liability insurance or other policy(s). F. The following shall pertain to all applicable policies of insurance (A. through E.) listed above: 1. Additional Insured Clause: "The City of Fort Worth, its officers, agents, employees, and representatives are added as additional insureds as respects operations and activities of, or on behalf of the named insured, performed under Contract with the City of Fort Worth." The additional insured requirement does not apply to Workers' Compensation policies. 2. Subcontractors shall be covered under the Provider's insurance policies or they shall provide their own insurance coverage; and, in the latter case, documentation of coverage shall be submitted to the Provider prior to the commencement of work and the Provider shall deliver such to the City. 3. Prior to commencing work under this Contract, the Provider shall deliver to the City of Fort Worth insurance certificate(s) documenting the insurance required and terms and clauses required. 4. Each insurance policy required by this Contract shall contain the following clauses: "This insurance shall not be canceled, limited in scope or coverage, or non-renewed until after forty-five (45) Days prior written notice has been given to the Director of Environmental Management, City of Fort Worth, 1000 Throckmorton, Fort Worth, Texas 76102." Note: Written notice can be by Provider or insurance company. 5. The insurers for all policies must be licensed/approved to do business in the State of Texas. Except for workers' compensation, all insurers must have a minimum rating of A: VII in the current A. M. Best Key Rating Guide or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required, written approval of Risk Management is required. 6. The deductible or self-insured retention (SIR) affecting the coverage required shall be acceptable to and approved in writing by the Risk Manager of the City of Fort Worth in regards to asset value and stockholders equity. In lieu of traditional insurance, alternative coverage maintained through insurance pools or risk retention groups must be also approved by the City's Risk Manager. 7. Waiver of rights of recovery (subrogation) in favor of the City of Fort Worth. Contract forAsbestos&Demo CRL04.24.06vl Page 7 Fire Station 8 OHEC-11A i(N11-21102D CIff ��r�2AA��V FT. WO,ON TEX. 8. Such insurance policies shall be primary, without right of contribution and not subject to any offset by any other insurance carried by the City or the Provider. 9. If insurance policies are not written for specified coverage limits, an Umbrellas or Excess Liability insurance for any differences is required. Excess Liability shall follow form of the primary coverage. 10. Unless otherwise stated, all required insurance shall be written on the "occurrence basis". If coverage is underwritten on a claims-made basis, the retroactive date shall be coincident with or prior to the date of the contractual agreement and the certificate of insurance shall state that the coverage is claims- made and the retroactive date. The insurance coverage shall be maintained for the duration of the contractual agreement and for five (5) years following completion of the service provided under the contractual agreement or for the warranty period, whichever is longer. An annual certificate of insurance submitted to the City shall evidence such insurance coverage. 11. The City, at its sole discretion, reserves the right to review the insurance requirements and to make reasonable adjustments to insurance coverage's and their limits when deemed necessary and prudent by the City based upon changes in statutory law, court decision or the claims history of the industry as well as of the contracting party to the City of Fort Worth. In the event the City requires the insurance limits to be increased or changes in policy categories or types of coverage, the City shall provide written notice to the contracting party. The contracting party will have ninety days from the date of notice to comply with the additional requirements. 7. INDEMNIFICATION A. For purposes of this Contract, the following words and phrases shall be defined as follows: 1. Environmental Damages shall mean all claims, judgments, damages, losses, penalties, fines, liabilities (including strict liability), encumbrances, liens, costs, and expenses of investigation and defense of any claim, whether or not such claim is ultimately defeated, and of any good faith settlement or judgment, of whatever kind or nature, contingent or otherwise, matured or unmatured, foreseeable or unforeseeable, including without limitation reasonable attorney's fees and disbursements and consultant's fees, any of which are incurred as a result of handling, collection, transportation, storage, disposal, treatment, recovery, and/or reuse of asbestos containing materials pursuant to this contract, or the Contract for Asbestos&DemoCRL04.24.06v11 u �, 7� �� � Page 8 Fire Station 8 6FFIvIAti CITY fflf;101412Y existence of a violation of environmental requirements pertaining to, and including without limitation: a. Damages for personal injury and death, or injury to property or natural resources; b. Fees incurred for the services of attorneys, consultants, contractors, experts, laboratories and all other costs in connection with the investigation or remediation of such wastes or violation of environmental requirements including, but not limited to, the preparation of any feasibility studies or reports of the performance of any cleanup, remediation, removal, response, abatement, containment, closure, restoration or monitoring work required by any federal, state or local governmental agency or political subdivision, or otherwise expended in connection with the existence of such wastes or violations of environmental requirements, and including without limitation any attorney's fees, costs and expenses incurred in enforcing this contract or collecting any sums due hereunder; and C. Liability to any third person or governmental agency to indemnify such person or agency for costs expended in connection with this Agreement. 2. Environmental requirements shall mean all applicable present and future statutes, regulations, rules, ordinances, codes, licenses, permits, orders, approvals, plans, authorizations, concessions, franchises, and similar items, of all governmental agencies, departments, commissions, boards, bureaus, or instrumentalities of the United States, states, and political subdivisions thereof and all applicable judicial, administrative, and regulatory decrees, judgments, and orders relating to the protection of human health or the environment, including without limitation: a. All requirements, including, but not limited to, those pertaining to reporting, licensing, permitting, investigation, and remediation of emissions, discharges, releases, or threatened releases of hazardous materials, pollutants, contaminants or hazardous or toxic substances, materials, or wastes whether solid, liquid, or gaseous in nature, into the air, surface water, groundwater, stormwater, or land, or relating to the manufacture, processing, distribution, use, treatment, storage, disposal, transport, or handling of pollutants, contaminants, or hazardous or toxic substances, materials, or wastes, whether solid, liquid, or gaseous in nature; and Contract for Asbestos&Demo CRL04.24.060 Pae 9 Fire Station 8 g b. All requirements pertaining to the protection of the health and safety of employees or the public. B. GENERAL INDEMNIFICATION: CONTRACTOR DOES HEREBY RELEASE, INDEMNIFY, REIMBURSE, DEFEND, AND HOLD HARMLESS THE CITY, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS FROM AND AGAINST ANY AND ALL LIABILITY, CLAIMS, SUITS, DEMANDS, OR CAUSES OF ACTIONS WHICH MAY ARISE DUE TO ANY LOSS OR DAMAGE TO PERSONAL PROPERTY, OR PERSONAL INJURY, AND/OR DEATH OCCURRING AS A CONSEQUENCE OF THE PERFORMANCE OF THIS CONTRACT, WHEN SUCH INJURIES, DEATH, OR DAMAGES ARE CAUSED BY THE NEGLIGENCE OF CONTRACTOR, ITS OFFICERS, AGENTS, OR EMPLOYEES, OR THE JOINT NEGLIGENCE OF CONTRACTOR, ITS OFFICERS, AGENTS, OR EMPLOYEES, AND ANY OTHER PERSON OR ENTITY. C. ENVIRONMENTAL INDEMNIFICATION: CONTRACTOR DOES HEREBY RELEASE, INDEMNIFY, DEFEND, REIMBURSE, AND HOLD HARMLESS THE CITY, ITS OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS AGAINST ANY AND ALL ENVIRONMENTAL DAMAGES AND THE VIOLATION OF ANY AND ALL ENVIRONMENTAL REQUIREMENTS RESULTING FROM THE HANDLING, COLLECTION, TRANSPORTATION, TESTING, STORAGE, DISPOSAL, TREATMENT, RECOVERY, AND/OR REUSE, BY ANY PERSON, OF ASBESTOS CONTAINING MATERIALS PURSUANT TO THIS CONTRACT WHICH IS REMOVED UNDER THIS CONTRACT, WHEN SAID ENVIRONMENTAL DAMAGES OR THE VIOLATION OF SAID ENVIRONMENTAL REQUIREMENTS WERE THE RESULT OF ANY ACT OR OMISSION OF CONTRACTOR, ITS OFFICERS, AGENTS, EMPLOYEES, OR SUBCONTRACTORS, OR THE JOINT ACT OR OMISSION OF CONTRACTOR, ITS OFFICERS, AGENTS, EMPLOYEES, OR SUBCONTRACTORS AND ANY OTHER PERSON OR ENTITY. D. The obligations of the Contractor under this section shall include, but not be limited to, the burden and expense of defending all claims, suits and administrative proceedings (with counsel reasonably approved by City), even if such claims, suits or proceedings are groundless, false, or fraudulent, and conducting all negotiations of any description, and paying and discharging, when and as the same become due, any and all judgments, penalties or other sums due against such indemnified persons. E. Upon learning of a claim, lawsuit, or other liability that Contractor is required hereunder to indemnify City, City shall provide Contractor with reasonably timely notice of same. Contract for Asbestos&Demo CRL04.24.060 Page 10 Fire Station 8 N 'Urf ! � FT. W"Offi, TEX. F. The obligations of the Contractor under this section shall survive the expiration of this Contract and the discharge of all other obligations owed by the parties to each other hereunder. G. In all of its contracts with subcontractors for the performance of any work under this Contract, Contractor shall require the subcontractors to indemnify the City in a manner consistent with this section. I. In the event that a written claim for damages against Contractor or any of its subcontractors remains unsettled at the time all work on the project has been - completed to the satisfaction of the City Manager, as evidenced by a final inspection, final payment to. Contractor shall not be recommended by the City Manager for a period of thirty (30) days after the date of such final inspection, unless the Contractor submits written evidence satisfactory to the City Manager that the claim has been settled and a release has been obtained from the claimant involved. 1. If the claim concerned remains unsettled at the expiration of the said thirty- day (30) period, out of the performance of such work. 2. The City Manager shall not recommend final payment to Contractor if a claim for damages is outstanding for a period of six (6) months following the date of the acceptance of the work performed unless the Contractor submits evidence in writing, satisfactory to the City Manager, that: a. The claim has been settled and a release has been obtained from the claimant involved; or b. Good faith efforts have been made to settle such outstanding claims, and such good faith efforts have failed. 3. If condition (a) above is met at any time within the six (6) month period, the City Manager shall recommend that the final payment to Contractor be made. If condition (b) above is met at any time within the six (6) month period, the City Manager may recommend that final payment to Contractor be made. At the expiration of the six (6) month period, the City Manager may recommend that final payment be made if all other work has been performed and all other obligations of the Contractor have been met to the satisfaction of the City Manager. The Contractor may be deemed by the City Manager to be entitled to a semi-final payment for work completed, such semi-final payment to be in an amount equal to the total dollar amount then due less the dollar value of any written claims pending against the Contractor arising. Contract forAsbestos&Demo CRL04.24.06v1 {V ; Page 11 Fire Station 8 ` FT, 8. WARRANTY Contractor warrants that it understands the currently known hazards and suspected hazards that are present to persons, property and the environment by removing, transporting and disposing of asbestos containing materials. Contractor further warrants that it will perform all services under this Contract in a safe, efficient and lawful manner using industry accepted practices, and in full compliance with all applicable state, local and federal laws governing its activities. Contractor also warrants that it is under no restraint or order that would prohibit performance of services under this Contract. 9. LICENSES AND PERMITS A. Contractor certifies that on the day work is to commence under this Contract, and during the duration of the Contract, it shall have and maintain current valid and appropriate federal, state and local licenses and permits necessary for the provision of services under this Contract. B. Contractor agrees to require all of its subcontractors used in performance of this Contract to have and maintain current valid and appropriate federal, state and local licenses and permits necessary for the provision of services under this Contract. 10. TERMINATION A. City may terminate this Contract, with or without cause, by giving ten (10) days written notice to Contractor, provided that such termination shall be without prejudice to any other remedy the City may have. In the event of termination, any work in progress will continue to completion unless specified otherwise in the notice of termination. B. If the City terminates this Contract under subsection A. of this section, City shall pay Contractor for all services performed prior to the termination notice. C. All completed or partially completed original documents prepared under this Contract shall become the property of the City when the Contract is terminated, and may be used by the City in any manner it desires; provided, however, that the Contractor shall not be liable for the use of such documents for any purpose other than as described when requested. Contract for Asbestos&Demo CRL04.24.060 Page 12 Fire Station 8IN 11. DEFAULT A. Contractor shall not be deemed to be in default because of any failure to perform under this Contract, if the failure arises from causes beyond the control and without the fault or negligence of Contractor. Such causes shall include acts of God, acts of the public enemy, acts of Government, in either its sovereign or contractual capacity, fires, flood, epidemics, quarantine restrictions, strikes, freight embargoes, and unusually severe weather. B. If the failure to perform is caused by the failure of a subcontractor of Contractor's to perform, and if such failure was beyond the control of both the Contractor and the subcontractor, without their fault or negligence, Contractor shall not be deemed to be in default unless the subcontracted supplies or services were reasonably obtainable from other sources. C. Alternatively, if at any time during the term of this Contract the work of Contractor fails to meet the specifications of the Contract Documents, City may notify Contractor of the deficiency in writing. Failure of Contractor to correct such deficiency and complete the work required under this Contract to the satisfaction of City within ten (10) days after written notification shall result in termination of this Contract. All costs and attorneys fees incurred by City in the enforcement of any provision of this Contract shall be paid by Contractor. D. In the event either party defaults in the performance of any of its obligations under this Contract, misrepresents to the other a material fact, or fails to notify the other party of any material fact which would affect the party's performance of its obligations hereunder, the non-defaulting party shall have a right to terminate this Contract upon giving the defaulting party written notice describing the breach or omission in reasonable detail. The defaulting party shall have a fifteen (15) day period commencing upon the date of notice of default in which to affect a cure. If the defaulting party fails to affect a cure within the aforesaid fifteen (15) day period, or if the default cannot be cured, the Contract shall terminate as of the date provided in the notice of default. E. The remedies provided for herein are in addition to any other remedies available to City elsewhere in this Contract. 12. RIGHT TO AUDIT A. City shall, until the expiration of five (5) years after final payment is paid under this Contract, have access to and the right to examine any directly pertinent books, documents, papers and records of Contractor involving transactions Contract for Asbestos&Demo CRL04.24.060 Page 13 Fire Station 8 cif/ r related to this Contract. Contractor shall give City access during normal working hours to all necessary Contractor facilities in order to conduct audits in compliance with the provisions of this paragraph. City shall give Contractor reasonable advance notice of intended audits. B. Contractor shall include in all its subcontracts hereunder a provision to the effect that the subcontractor shall give City, until the expiration of five (5) years after final payment is paid under the subcontract, access to and the right to examine any directly pertinent books, documents, papers and records of such subcontractor involving transactions to the subcontract, and further, that City shall have access during normal working hours to all appropriate work space, in order to conduct audits in compliance with the provisions of this paragraph. City shall give subcontractor reasonable advance notice of intended audits. C. The obligations of the Contractor under this section shall survive the expiration of this Contract and the discharge of all other obligations owed by the parties to each other hereunder. 13. MINORITY AND WOMEN BUSINESS ENTERPRISES In keeping with the City's Minority/Women Business Enterprise (MWBE) ordinance, Contractor agrees a minimum of sixteen percent (16%) of the total dollar value of this Contract will be paid as compensation to certified M/WBE firms. Monthly reporting is required to the City of Fort Worth — M/WBE Office, 1000 Throckmorton Street, Fort Worth, Texas 76102. Proof of payment for all invoices from MWBE firms will be required. Final payment to the Contractor under this Contract may be withheld pending MWBE Office approval of documentation. 14. INDEPENDENT CONTRACTOR Contractor shall perform work under this Contract as an independent contractor and not as an agent or employee of City. City shall not be considered the employer, co- employer or joint employer of the officers, employees or agents of Contractor. Contractor shall have the sole control, supervision, direction and responsibility over its officers, employees and agents and shall have the sole responsibility for determining the manner and means of providing the work described in this Contract, except as outlined in this Contract or as otherwise required by federal, state, county or city law, regulation or rule. Contract for Asbestos&Demo CRL04.24.06v1 ti i Page 14 Fire Station 8 '��v �- 15. NON-DISCRIMINATION A. During the performance of this Contract, Contractor agrees not to discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin, except where religion, sex or national origin is a bona fide occupational qualification reasonably necessary to the normal operation of the Contractor. Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices setting forth the provisions of the non-discrimination clause. B. Contractor also agrees that in all solicitations or advertisements for employees placed by or on behalf of this Contract, that Contractor is an equal opportunity employer. C. Notices, advertisements, and solicitations placed in accordance with federal law, rule or regulation shall be deemed sufficient for the purpose of meeting the requirements of this section. 16. GOVERNING LAW The City and Contractor agree that the validity and construction of this contract shall be governed by the laws of the State of Texas, except where preempted by federal law. 17. LIQUIDATED DAMAGES If Contractor fails to commence and complete work under this Contract within the stipulated time, there shall be deducted from any moneys due or owing Contractor, or which may become due, the sum of $ 1,000.00 per day for each day after the date the project was to be completed, until the project is substantially completed. Such sum shall be treated as liquidated damages and not as a penalty, and City may withhold from Contractor's compensation such sums as liquidated damages. The amount of damage to City for delay in completion of the work is difficult to ascertain and the amount of the liquidated damages per day as stated above is reasonably anticipated pecuniary damages for such delay, and is not a penalty. 18. RIGHTS AND REMEDIES NOT WAIVED In no event shall the making by the City of any payment to Contractor constitute or be construed as a waiver by the City of any breach of covenant, or any default which may then exist, on the part of Contractor, and the making of any such payment by the City Contract for Asbestos&Demo CRL04.24.060 Page 15 Fire Station 8 ,., OfflUkill ��I ND C1r'�7 3E�PE �'P fl. pH, TEX. while any such breach or default exists shall in no way impair or prejudice any right or remedy available to the City with respect to such breach or default. Any waiver by either party of any provision or condition of the contract shall not be construed or decreed to be a waiver of any other provision or condition of this Contract, nor a waiver of a subsequent breach of the same provision or condition, unless such waiver be expressed in writing by the party to be bound. 19. ASSIGNMENT The City and Contractor bind themselves and any successors and assigns to this contract. Contractor shall not assign, sublet, or transfer its interest in this contract without written consent of the City. Nothing herein shall be construed as creating any personal liability on the part of any officer or agent of the City, nor shall it be construed as giving any rights or benefits hereunder to anyone other than the City and Contractor. 20. NOTICE Notices required to be made under this Contract shall be sent to the following persons at the following addresses; provided, however, that each party reserves the right to change its designated person for notice, upon written notice to the other party of such change: If to City: Written notice shall be sent to: Brian Boerner, Director Department of Environmental Management 1000 Throckmorton Fort Worth, Texas 76102 If to Contractor: Name: ZOTE2.c.oO Co�►S'r2�L-T�oJ �� Address: -Sot vti/, A vE D �: [#. 4 , I V_).A►S 751,41 Telephone: (4?z) qz y-22zo FAX: &iz-) 47-14- 0 612- Contract izContract for Asbestos&Demo CRL04.24.06vl Page 16 Fire Station 8 ��9�'i�tiI �EC03 �T �lE��� i�` ? 21. VENUE Should any action, real or asserted, at law or in equity, arise out of the terms and conditions of this Contract, venue for said action shall be in Tarrant County, Texas. 22. SEVERABILITY The provisions of this Contract are severable; and if for any reason any one or more of the provisions contained herein are held to be invalid, illegal or unenforceable in any respect, the invalidity, illegality or unenforceability shall not affect any other provision of this Contract, and this Contract shall remain in effect and be construed as if the invalid, illegal or unenforceable provision had never been contained in the Contract. 23. ENTIRETY This Contract, the Contract documents and any other documents incorporated by reference herein contain all the terms and conditions agreed to by the City and Contractor, and no other Contracts, oral or otherwise, regarding the subject matter of this Contract or any part thereof shall have any validity or bind any of the parties hereto. 24. MODIFICATION No modification of the Contract shall be binding on Contractor or City unless set out in writing and signed by both parties. Contract for Asbestos&Demo CRL04.24.060 Page 17 Fire Station 8CITY 2Z} •1,; a rl,r„ 1^oj 1 lS�, r� ��I'vjj'AUJJ SW(�U' �. UH I TM SIGNATURE PAGE FOR ASBESTOS ABATEMENT AND DEMOLITION OF FORMER FIRE STATION 8 CONTRACT This Contract has been executed by the parties in triplicate in Tarrant County, Texas on this date, �/ ? , 2006. C17 OF FORT WORTH INTERCON CONSTRUCTION C ANY, IN joo"411110,161 ................. 0, L' by Wa on, Asst. City Manager APPROVED AS TO FORM WITNESS: kW&C Christa R. Lopez, Asidant City AttorneyName: Title: ATT EST: CORPORATE SEAL: PMarty,rendrix, City Secretary w 0-- Zl3gq Contract authorization Daae CITY 9("iNIXUY Contract for Asbestos&Demo CRL04.24.06vl Page 18 Fire Station 8 a Bond Number. 4352662 Premium: PAYMENT BOND THE STATE OF TEXAS COUNTY OF TARRANT KNOW ALL MEN BY THESE PRESENTS: That we,Intercon Construction Company,Inc., a corporation of Texas,hereinafter called Principal, and Suretec Insurance Company a corporation organized and existing under the laws of the State and fully authorized to transact business in the State of Texas,as Surety,are held and firmly bound unto the City of Fort Worth, a municipal corporatian, organized and existing under the laws of the State of Texas,hereinafter called Owner,in the penal sum of: Thirty Two Thousand One Hundred Fort, Five ($32145.00) dollars in lawful money of the United States, to be paid in Fort Worth, Tarrant County, Texas, for the payment of which sum well and truly to be made,we hereby bind ourselves,our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is such that whereas the Principal entered into a certain contract with the City of Fort Worth, the Owner, dated the _ day of , A.D. 20069 a copy of which is hereto attached and made of part thereof,for: Asbestos Abatement and Demolition of Former Fire Station#8 Designated as Project Number DEM06-01: FS8-ASB/DEM0, a copy of which contract is hereto attached, referred to, and made a part hereof as fully and to the same extent as if copies at length herein; such project being hereinafter referred to as the"work." NOW, THEREFORE, if the Principal shall well, truly and faithfully perform the work in accordance with the plans, specifications, and contract documents during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without notice to the Surety, and if he shall satisfy all claims and demands incurred under such contract,and shall fully indemnify and save harmless the Owner from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the Owner all outlay and expense which the Owner may incur in making good any default, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED FURTHER,that N any legal action be filed upon this bond,venue shall lie in Tarrant County,State of Texas. AND PROVIDED FURTHER, that the said Surety, for value received, hereby stipulates and agrees that no change,extension of time,alteration or addition to the terms of the.contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise affect Its obligation on this bond, and it does hereby waive notice of any such change, extension of time alteration or addition to the terms of the contract or to the work or to the specifications. IN WITNESS WHEREOF, this instrument is executed in three counterparts each o of 20 6 shall be deemed an original,this the i AD 0 = day of PRI , Nt:IP ATTEST: BY: Intercon Construction Co., Inc. (Principal) 301 W. Ave D; Garland, TX 75040 (Address) &AL OF PCIPA,L)„ , ( Suretec Insurance Company Witness as to Principal) Stire�,t,� � \ BY: ��4''� ATTEST: {AttArney-in-fact) Debi Moon 9737 Great Hills Trail #320 (S )Secretary'------K (Address Austin, TX 78759 POA#: 4221057 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Debi Moon,Alan C.Robinson,Steven L.Thomas,Kelly D.Clark Of The Colony,Texas its true and lawful Attorney(s)-in-fact, with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds, recognizances,undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety, providing the bond penalty does not exceed Five Million and no/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey(s)-in-Fact may do in the premises. Said appointment shall continue in force until June 30,2006 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved,that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute,acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20 of April, 1999) In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 20th day of June,A.D.2005. URAN1;: F- CC INSUCE COMPANY SO w t w i s Bill King, re nt State of Texas ss: �s`•��4 J 1'r Harris County of Has -••• '' On this 20th day of June,A.D. 2005 before me personally came Bill King,to me known,who,being by me duly sworn,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. Michelle Denny fYat�r Public8iaFe �I G�u/� pv�of TeX=11D My Commission Expires Michelle Denny,Notary Pubic August 27,2008 My commission expires August 27,2008 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston,Texas this day of 120 ,A.D. M.Brent Beaty,Assistant Se re. ry Any Instrument issued in excess of the penalty stated above Is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. CONTRACTOR COMPLIANCE WITH WORKERS'COMPENSATION LAW Pursuant to V.T.C.A. Labor Code §406.96(2000), as amended, Contractor Certifies that it provides workers'compensation insurance coverage for all of its employees employed on City of Fort Worth Department of Environmental Management Project No. DEM06;-01: FS8-ASB/DEMO. INTERCCkWCONSTRUCTION CO.. INC. By. i Title s• /7• o G Date STATE OF TEXAS § COUNTY OF TARRANT § �efore me, the undersigned authority, on this day personally appeared /dam- t �c�s known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that h�. executed the same as the act and deed of �� 4�� 1— C, -s l-� f,�A 1 -T'� . for the purposes and consideration therein expressed and in the capacity therein stated. Given Under My Hand and Seal of Office this t�'day of "I-- , 2CO "r" Susan E Walker 1Notary Public in and for the State of . i• My Commission Expires Texas '!F January 22,2007 01009TION INTERCON CONSTRUCTION CO., INC 972-424-2220 TABLE OF CONTENTS 1. Proposal Package Introduction Bid Bond 2. Proposal Documents M/WBE Subcontractors/Suppliers Utilization Form MMBE Certifications Addendum #1 Addendum #2 3. Prime's Statement of Qualifications Prime's List of Equipment Subcontractor's List of Equipment 4. Prime's Resumes Subcontractor's Resumes & DSHS Certifications 5. List of Subcontractors Subcontractor's Statement of Qualifications 6. Vendor's Compliance to State Law Insurance Certificates 7. Department of State Health Services (DSHS) Asbestos Abatement Contractor's License Asbestos Abatement Transporter's License Mold Remediation Company Lead Firm 8. Legal and Compliance History 9. Financial Statement Organizational Chart 10. Other Prime's Sample Invoice / Sample Demolition Report Subcontractor's Asbestos Abatement Closeout Report EMR Rating After Hours & Emergency Phone Numbers Certificate of Account Status Project Schedule PROPOSAL PACKAGE CIN OF FORT WORTH ENVIRONMENTAL MANAGEMENT DEPARTMENT and TRANSPORTATION / PUBLIC WORKS DEPARTMENT 1000 THROCKMORTON FORT WORTH, TEXAS 76102 F o�`� WO PROJECT: (DEM06-01 : FS8-ASB/DEMO) ASBESTOS ABATEMENT AND DEMOLITION FORMER FIRE STATION 8 1301 WEST ROSEDALE FORT WORTH, TEXAS November 2, 2005 TABLE OF CONTENTS 1.0 REQUEST FOR PROPOSAL 1.1 Scope of Work 1.2 General Requirements 1.3 Interpretation of Documents 1.4 Conflicts and Questions 1.5 Security/Bonds 1.6 Proposal Submittals 1.7 Opening of Proposals 1.8 Proposal Evaluation Criteria 1.9 Negotiation of the Contract and Exceptions to the Documents 1.10 Award of the Contract 1.11 Reservations 2.0 PROPOSAL DOCUMENTS 2.1 Proposal Document Checklist 2.2 Acknowledgment of Receipt of Request for Proposals Addendum(a) 2.3 Minority and Women Business Enterprises 2.4 Proposal Summary 2.5 Cost Estimate 2.6 Provider's Company Qualifications and Experience 2.7 Provider's Personnel Qualifications and Experience Record 2.8 List of Subcontractors 2.9 Vendor's Compliance to State Law 2.10 Insurance Certificates 2.11 Vendor's License&Certificates 2.12 Vendor's Legal and Compliance History 2.13 Financial Statement 2.14 Provider's Organization Chart 2.15 Other Table-1 1 .0 REQUEST FOR PROPOSALS CHAPTER 252, TEXAS LOCAL GOVERNMENT CODE, "PURCHASING AND CONTRACTING AUTHORITY OF MUNICIPALITIES" DOES NOT APPLY TO THIS REQUEST FOR PROPOSALS FOR THE REMOVAL OF ASBESTOS CONTAINING MATERIALS AND SUBSEQUENT DEMOLITION AT THE FORMER FIRE STATION 8 LOCATED AT 1301 WEST ROSEDALE,FORT WORTH, TEXAS. THE CONTRACT RESULTING FROM THIS PROCESS IS "A PROCUREMENT NECESSARY TO PRESERVE OR PROTECT THE PUBLIC HEALTH OR SAFETY OF THE MUNICIPALITY'S RESIDENTS" AS PROVIDED FOR IN SECTION 252.022 OF THE TEXAS LOCAL GOVERNMENT CODE. THIS REQUEST FOR PROPOSALS FOLLOWS A PROCEDURE ESTABLISHED BY THE CITY, HOWEVER, BECAUSE THIS REQUEST IS EXEMPT FROM CHAPTER 252 OF THE TEXAS LOCAL GOVERNMENT CODE, THE CITY RESERVES THE RIGHT TO NEGOTIATE A CONTRACT AFTER RECEIVING ALL PROPOSALS. THE CITY RESERVES THE RIGHT TO WAIVE ANY AND ALL IRREGULARITIES AND TO AWARD A CONTRACT IN THE BEST INTEREST OF THE CITY. 1.1 PROJECT DESCRIPTION: Proposals are being accepted by the City of Fort Worth ("City")for the furnishing of all labor, materials and equipment necessary for performing the removal and transportation, to a proper waste disposal facility, of asbestos-containing materials from the former Fire Station 8, located at 1301 West Rosedale, Fort Worth, Texas. ACM has been identified within the structure and is being abated prior to demolition of the structures. In case of ambiguity or lack or clarity in the prices stated in the Proposal, the city reserves the right to adopt the most advantageous construction thereof or to reject the proposal. Only one contract will be initiated but the contract must identify subcontracting resources to allow flexibility and workload handling as necessary as well as comply with the minority participation goal of 16%. 1.2 GENERAL REQUIREMENTS: All Contactors will be required to comply with provision 5159(a) of 'Vernon's Annotated Civil Statutes of the State of Texas" with respect to the payment of prevailing wage rates. 1-1 All Providers must comply with City Ordinance 7278 as amended by City Ordinance 7400 (Fort Worth City Code Sections 17-66 to 17-67) prohibiting discrimination in employment practices. 1.3 INTERPRETATION OF REQUEST FOR PROPOSAL DOCUMENTS: A pre-Proposal meeting will be held at the Fire Station #8 at 1301 West Rosedale in Fort Worth, Texas at 10:00 AM on Wednesday, November 16, 2005. Persons who intend to submit a Proposal are not required to attend. Contractors may ask questions about the scope of the work contemplated or other issues regarding the Proposal at this meeting. A written request for an interpretation of the Request for Proposal may be made to the Environmental Management Department, by either fax or mail, at any time up to seven (7) calendar days prior to the time of the opening of Proposals. The person submitting the request will be responsible for its prompt delivery. The City, as a formal addendum, will issue any interpretation of the Proposal Documents. A copy of each addendum will be available on the City of Fort Worth, Department of Environmental Management web page to download and include within the Proposal Package. All addenda must be submitted with the Proposal in section 2.2. The City will not be responsible for any other explanations or interpretations. 1.4 CONFLICTS & QUESTIONS: Should there be conflicts between the proposal documents and the final executed contract document,the final contract shall take precedence. A written request for an interpretation of proposal documents may be made by either fax e-mail, or regular mail, at any time up to seven (7) calendar days prior to the time of the opening of Proposals (i.e. 1:30 p.m. on November 24, 2005). The person submitting the request will be responsible for its prompt delivery. Requests should be made to the following: Roger Grantham Environmental Program Manager Compliance Section Environmental Management Department City of Fort Worth 1000 Throckmorton Fort Worth, TX, 76102-6311 Phone (817) 392-8592 Fax (817) 392-6359 Ro ger.Granthamn fortworth gov.org 1-2 1.5 SECURITY/ BONDS The successful bidder entering into a contract for the work will be required to give the City surety in a sum equal to the amount of the contract awarded. The successful bidder shall be required to furnish bonding as applicable in a sum equal to the amount of the contract awarded. The form of the bond shall be as herein provided and the surety shall be acceptable to the City. All bonds furnished hereunder shall meet the requirements of Chapter 2253 of the Texas Government Code, as amended. A. If the total contract price is $25,000 or less, payment to the contractor shall be made in one lump sum. Payment shall not be made for a period of 30 calendar days from the date the work has been completed and accepted by the City. B. If the contract amount is in excess of $25,000, a Payment Bond shall be executed, in the amount of the contract, solely for the protection of all claimants supplying labor and material in the prosecution of the work. C. If the contract amount is in excess of $100,000, a Performance Bond shall be executed, in the amount of the contract conditioned on the faithful performance of the work in accordance with the plans, specifications, and contract documents. Said bond shall solely be for the protection of the City of Fort Worth. To be an acceptable surety on the performance, payment and maintenance bonds, the surety must be authorized to do business in the state of Texas and meet all requirements of Texas Insurance Code, section 7.19-1. In addition, the surety must (1) hold a certificate of authority from the Untied States secretary of the treasury to qualify as a surety on obligations permitted or required under federal law; or (2) have obtained reinsurance for any liability in excess of$100,000 from a reinsurer that is authorized and admitted as a reinsurer in the state of Texas and is the holder of a certificate of authority from the Untied States secretary of the treasury to qualify as a surety on obligations permitted or required under federal law. Satisfactory proof of any such reinsurance shall be provided to the City upon request. The City, in its sole discretion, will determine the adequacy of the proof required herein. No sureties will be accepted by the City that are at the time in default or delinquent on any bonds or which are interested in any litigation against the City. Should any surety on the contract be determined unsatisfactory at any time by the City, notice will be given to the contractor to that effect and the contractor shall immediately provide a new surety satisfactory to the City. PLEASE ATTACH A COPY OF YOUR CURRENT BOND CERTIFICATE(S) FOLLOWING THIS PAGE AND BOUND WITHIN THE PROPOSAL PACKAGE. 1-3 THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, thatwe full INTERCON DEMOLITION-2214 FM 1187 Bldg 6; Mansfield,TX1nsert 76063nameandaddressortegaltitleofcontractor) as Principal, hereinafter called the Principal, and (Here insert full name and address or legal title of Surety) SURETEC INSURANCE COMPANY-10000 Memorial Dr Suite 330; Houston,TX 77024 a corporation duly organized under the laws of the State of as Surety, hereinafter called the Surety, are held and firmly bound unto (Here insert full name and address or legal title of Owner) CITY OF FT.WORTH-1000 Throckmorton; Ft.Worth,TX as Obligee, hereinafter called the Obligee, in the sum of 5%OF THE GREATEST AMOUNT BID Dollars ($ 5%GAB ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, The Principal has submitted a bid for DEMOLITION OF FIRESTATION 8 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perforin the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. ked sealed this 15th day of December 20 05 INTE.R�ON DEM0 ON (Pnn pat) (Seel) a � Brent Bate*-"' (1114 Pre 'dent SURETEC INSURANCE COMPANY (57tretyJ (Seat) mess) 1 DEBI MOON (,,ao Attorn n-Fact AIA DOCUMENT A310.BID BOND.AIA®.FEBRUARY 1970 ED.THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C. 20006 1 POA#: 422-1057 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Debi Moon,Alan C.Robinson,Steven L.Thomas,Kelly D.Clark of The Colony,Texas its true and lawful Attorney(s)-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the conditions of contracts and consents of surety, providing the bond penalty does not exceed Five Million and no/100 Dollars($5,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey(s)-in-Fact may do in the premises. Said appointment shall continue in force until June 30,2006 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved,that the President,any Vice-President,any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute,acknowledge and deliver,any and all bonds,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20 of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 20th day of June,A.D.2005. °haw URETEC INSU CE COMPANY �FO0 By. • w'w ;> Bill King, re nt State of Texas ss: 7tp y1 �;rY County of Hams On this 20th day of June,A.D. 2005 before me personally came Bill King,to me known,who,being by me duly swom,did depose and say,that he resides in Houston,Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. Michelle Denny Wot o too Texa ��I�RW I �i � � 4 „tom My Conwril lan Exphes Michelle Denny,Notary Pub/t'c August 27,2008 My commission expires August 27,2008 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston,Texas this day of _ ( A.D. 7 M.Brent Beaty,Assistant Se re ry Any Instrument Issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8.00 am and 5:00 pm GST. 1.6 PROPOSAL SUBMITTALS: Each Provider should submit one (1) original and three (3) copies of the proposal for all items to complete the project or the entire proposal may be considered non-responsive and rejected. In case of ambiguity or lack of clarity, the city reserves the right to adopt the most advantageous construction thereof to the city or to reject the proposal. Proposal documents, addendums, and specifications may be obtained at the City of Fort Worth, Environmental Management Department's web site. Each vendor that intends to submit for review, a Proposal Package, must email Mr. Roger Grantham, notification of intent to submit, in order to assure receipt of applicable addenda notification. The URL address is: http://www.fortworthov.org/dem/bids.htm Any interpretation of the Proposal Documents will be issued by the City of Fort Worth or its designee as a formal addendum. A copy of each addendum will be posted on the City of Fort Worth, Environmental Management Department web page. All addenda must be submitted with the Bid in section 2.2. The City will not be responsible for any other explanations or interpretations. Proposals must be submitted in a sealed envelope, addressed to and received at City of Fort Worth Purchasing Division, 1000 Throckmorton, Fort Worth, Texas 76102 no later than 1:30 p.m. on Thursday, December 1, 2005. The project number must be clearly marked on the envelope and the statement "PROPOSAL DOCUMENTS ENCLOSED, DELIVER TO PURCHASING DIVISION ONLY BEFORE 1:30 on Thursday, December 1, 2005" placed in the lower left-hand corner of the envelope in which the documents are delivered. If the documents are placed in an envelope that is contained inside another envelope, the statement shall be placed on the outermost envelope. Any Proposal Documents not properly marked or not received in the proper place by the proper time will be considered non-responsive. NO FAXED PROPOSALS WILL BE ACCEPTED 1.7 OPENING OF PROPOSALS: The Document entitled "Proposal Summary" in each proposal submitted will be opened and read aloud at 2:00 P.M. on Thursday, December 1, 2005, in the Fort Worth City Council Chambers. The proposals shall be handled so as to avoid the disclosure of the remainder of their contents to competing offerors and so as to keep such contents secret during negotiations. All proposals will be open for public inspection after the contract is awarded, but trade secrets and confidential information in the proposals will not be open to public inspection. The Proposal Documents submitted in accordance with this Request for Proposal shall remain valid for ninety(90)days after the due date. 1-4 1.8 PROPOSAL EVALUATION CRITERIA: Proposals will be evaluated by qualitative measures and will be weighted as follows: FACTOR MAXIMUM WEIGHT Provider Capabilities 25 points Costs 25 points Payment and Report Documentation 10 points Qualifications/ Experience 25 points Subcontractors 10 points Work History w/City 5 points TOTAL 100 points NOTE: Any of the above factors may be weighted as low as -10 points. The city will select the most highly qualified Provider responding to the request based on the above criteria. 1.9 NEGOTIATION OF THE CONTRACT: The city will meet with the successful Provider and negotiate any final changes to the Contract and any exceptions identified in the Proposal Documents. The city is not obligated to accept any exceptions made by Provider. After the negotiations, the city will make final changes to the Contract documents and issue the Contract Documents with Notice of Awards to the successful Provider. 1.10 AWARD OF THE CONTRACT: The city may conduct such investigations as deemed necessary to assist in the evaluation of any proposal and to establish the responsibility, qualifications, and financial ability of the Provider, subcontractors, and other persons who are proposed to work on the project. The City will send Notice of Award letters to the successful Provider with three (3) sets of contract documents. The successful Provider must execute the Contract in each set and return all three sets to the City. Upon receipt of the three sets, the City will execute each set and issue one set to the successful Provider with a letter entitled Notice to Proceed. This letter authorizes work to begin and invoices to be paid. 1.11 RESERVATIONS: The City reserves the right to reject any or all proposals and waive any or all formalities. 1-5 2.0 PROPOSAL DOCUMENTS ALL QUALIFICATION DOCUMENTS MUST BE SUBMITTED IN THE SAME ORDER AS RECEIVED FROM THE CITY AND WITHIN A BOUND PACKAGE FAILURE TO SUBMIT ALL OF THE FOLLOWING ITEMS IN A SEALED ENVELOPE MAY RESULT IN THE PROPOSAL BEING CONSIDERED NON-RESPONSIVE 1-6 2.1 PROPOSAL DOCUMENT CHECKLIST All Proposal Documents, including this Checklist, should be completed in full and submitted in a sealed envelope, in the requested order,to be considered as a responsive submittal. Proposal Documents Initial if Inoludod 1. PROPOSAL DOCUMENT CHECKLIST 2. ACKNOWLEDGE REQUEST FOR PROPOSAL ADDENDA 3. MINORITY and WOMEN BUSINESS ENTERPRISES 4. PROPOSAL SUMMARY 5. COST ESTIMATE 6. PROVIDER'S COMPANY EXPERIENCE RECORD 7. PROVIDER'S PERSONNEL QUALIFICATIONS AND EXPERIENCE 8. SUBCONTRACTORS 9. VENDOR'S COMPLIANCE TO STATE LAW 10. INSURANCE CERTIFICATES 11. PROVIDER'S LICENSES &CERTIFICATES 12. PROVIDER'S LEGAL& COMPLIANCE HISTORY 13. PROVIDER'S FINANCIAL STATEMENT 14. PROVIDER'S ORGANIZATION CHART 15. OTHER DOCUMENTS TO BE PROVIDED I understand that all of these items will be reviewed, and any items not included may result in my Submittal being considered non-responsive. 1 Name Brent Bates Title President CompanyIntercon Construction Co. , Inc. " r-�==;—��i- •moi 2-7 2.2 ACKNOWLEDGEMENT OF RECEIPT OF REQUEST FOR PROPOSAL ADDENDUM 2.2.1 Check if applicable X The undersigned acknowledges the receipt of the following addendum(a)to the Request for Proposals, and has attached all addenda following this page. (Add lines if necessary). Addendum Number 1 11-18-05 (Date received) Addendum Number 2 11-28-05 (Date received) Addendum Number 3 (Date received) 2.2.2 Check if applicable The undersigned acknowledges the receipt of no addenda to the Request for Proposals. PROVIDER: Intercon Construction Co. , Inc. BY: Brent Bates Company Name (pr' type na of signatory) r 301 W. Avenue D Address ( ignature) Garland, Texas 75040 President City, State, Zip Title (print or type) 2-s 2.3 MINORITY and WOMEN BUSINESS ENTERPRISES(M/WBE) All proposers shall note that it is the policy of the City of Fort Worth to ensure the full and equitable participation of Minority and Women Business Enterprises (M/WBE) in the procurement of services with a fee of $25,000 or more by establishing a M/WBE goal. The M/WBE goal on this project is 16 %. The information shall be submitted with the proposal and shall include: (1) the name, address and telephone number of each M/WBE; (2) the description of the work to be performed by each M/WBE; and (3) the approximate dollar amount/percentage of the participation. The M/WBE firm(s) must be located or doing business in the City's geographic market area at the time of proposal opening. The City's geographic market includes the following nine (9) counties: Tarrant, Parker, Johnson, Collin, Dallas, Denton, Ellis, Kaufman and Rockwall. The M/WBE firm(s) must also be currently certified or in the process of being certified by the North Central Texas Regional Certification Agency (NCTRCA), or Texas Department of Transportation (TXDOT), Highway Division prior to recommendation for award being made to the City Council. If you failed to meet the stated M/WBE goal, in part or in whole, then a detailed explanation must be submitted to explain the Good and Honest Efforts your firm made to secure M/WBE participation. Failure to submit the M/WBE participation information or the detailed explanation of the proposer's Good and Honest Efforts to meet or exceed the stated M/WBE goal, may render the proposal non-responsive. The M/WBE plan will be part of the final weighted selection criteria. -9 ATTACHMENT 1 B FO R� T WO RrT H_ Page 1 of 1 City of Fort Worth Prime Contractor Waiver Form PRIME COMPANY NAME: Check applicable block to describe prime Intercon Construction Co. , Inc. M/W/DBE X NON-M/W/DBE R s estosJECTNA%atement and Demolition Former Fire Station 8 BID DATE 1301 West Rosedale, Fort Worth, Texas 11-15-05 City's M/WBE Project Goal: PROJECT NUMBER 16 % DEM06-01: FS8—ASB DEMO If both answers to this form are YES,do not complete ATTACHMENT 1C(Good Faith Effort Form). All questions on this form must be completed and a detailed explanation provided, if applicable. If the answer to either question is NO, then you must complete ATTACHMENT 1C. This form is only applicable if bath answers are yes. Failure to complete this form in its entirety and be received by the Managing Department on or before 5:00 p.m.,frve (5)City business days after bid opening,exclusive of the bid opening date,will result in the bid being considered non- responsive to bid specifications. Will you perform this entire contract without subcontractors? YES If yes,please provide a detailed explanation that proves based on the size and scope of this project,this is NO your normal business practice and provide an operational profile of your business. Will you perform this entire contract without suppliers? YES If yes,please provide a detailed explanation that proves based on the size and scope of this project,this is your normal business practice and provide an inventory profile of your business. NO The bidder further agrees to provide, directly to the City upon request, complete and accurate information regarding actual work performed by all subcontractors, including M/WBE(s) on this contract, the payment therefore and any proposed changes to the original M/WBE(s) arrangements submitted with this bid. The bidder also agrees to allow an audit and/or examination of any books, records and files held by their company that will substantiate the actual work performed by the MAAIBEs on this contract, by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three(3)years and for initiating action under Federal, State or Local c oncerning false statements. Any failure to comply with this ordinance creates a material breaC4of c:ontractf a result in a determination of an irresponsible offeror and barred from participating in City work for a �. period of time not less th one 1 year. Brent Bates u Signatur Printed Signature (?resident Title Contact Name(if different) Intercon Construction Co., Inc. 972-424-2220 972-424-0812 Company Name Phone Number Fax Number 301 W. Avenue D brent@intercondemolition.com Address Email Address Garland, Texas 75040 December 14, 2005 City/state/zip Date Rev.5/30/03 ATTACHMENT 1A Page 1 of 4 FORT WORTH City of Fort Worth Subcontractors/Suppliers Utilization Form PRIME COMPANY NAME: Check applicable block to describe prime Intercon Construction Co. , Inc. M/W/DBE I X NON-M/W/DBE PROJECT NAME: Asbestos Abatement and Demolition Former Fire Station 8 BID DATE 1301 West Rosedale, Fort Worth, Texas 12/15/05 City's M/WBE Project Goal: Prime's M/WBE Project Utilization: PROJECT NUMBER 16% 56 % DEM06-01: FS8—ASB DEMO Identify all subcontractors/suppliers you will use on this project Failure to complete this form, in its entirety with requested documentation, and received by the Managing Department on or before 5:00 p.m. five(5) City business days after bid opening, exclusive of bid opening date, will result in the bid being considered non-responsive to bid specifications. The undersigned Offeror agrees to enter into a formal agreement with the M/WBE firm(s) listed in this utilization schedule, conditioned upon execution of a contract with the City of Fort Worth. The intentional and/or knowing misrepresentation of facts is grounds for consideration of disqualification and will result in the bid being considered non-responsive to bid specifications M/WBEs listed toward meeting the project goal must be located in the nine(9) county marketplace or currently doing business in the marketplace at the time of bid. Marketplace is the geographic area of Tarrant,Parker,Johnson,Collin,Dallas, Denton,Ellis,Kaufman and Rockwall counties. Identify each Tier level. Tier is the level of subcontracting below the prime contractor,i.e.,a direct payment from the prime contractor to a subcontractor is considered 1'tier,a payment by a subcontractor to its supplier is considered 2nd 'i tier ALL M/WBEs MUST BE CERTIFIED BEFORE CONTRACT AWARD. Certification means those firms, located or doing business at the time of bid opening within the Marketplace, that have been determined to be bonafide minority or women businesses by the North Central Texas Regional Certification Agency(NCTRCA),or the Texas Department of Transportation(TX DOT),highway division. Disadvantaged Business Enterprise(DBE) is synonymous with Minority/Women Business Enterprise(M/WBE). If hauling services are utilized,the prime will be given credit as long as the MIWBE listed owns and operates at least one fully licensed and operational truck to be used on the contract. The M/WBE may lease trucks from another M/WBE firm,including M/WBE owner-operators,and receive full M/WBE credit. The M/WBE may lease trucks from non-M/WBEs, including owner-operators,,but will only receive credit for the fees and commissions earned by the M/WBE as outlined in the lease agreement. r Rev.5/30/03 ATTACHMENT 1A F--O^R,TWWORT--H~ Page 2 of a I Primes are required to identify ALL subcontractors/suppliers,regardless of status;i.e.,Minority,Women and non-M/WBEs. Please list M/WBE firms first,use additional sheets if necessary. Certification N (check one) o SUBCONTRACTORISUPPLIER T ° Company Name ; N T Detail Detail Address i M W C x M Subcontracting Work Supplies Purchased Dollar Amount T D Telephone/Fax r B B E E R O B B C T E A Intercon Environmental, l X X Asbestos $17,700.00 Inc. Abatement 2214 FM 1187, Bldg 6 Mansfield, Texas 76063 817-477-9995 817-477-9996 fax CBA Services, Inc. 1 X X Waste Hauling $ 1,445.00 5877 Barnett, Ste A Krum, Texas 76249 940-482-9900 r, 940-482-3457 fax Rev.5/30/03 ATTACHMENT 1A FORT WORTH Page 3 of 4 Primes are required to identify ALL subcontractors/suppliers,regardless of status;i.e.,Minority,Women and non-M/WBEs. -, Please list M/WBE frets first,use additional sheets if necessary. Certification (check one) SUBCONTRACTORISUPPLIER T r Company Name i N T Detail Detail Address I M wC X it Subcontracting Work Supplies Purchased Dollar Amount T D Telephone/Fax r B B R O E E E C T E A f f ++e. Rev.5/30/03 ATTACHMENT IA FORT WORTH Page 4 of 4 Total Dollar Amount of NMBE Subcontractors/Suppliers $ 19,145.00 Total Dollar Amount of Non-M/WBE Subcontractors/Suppliers $ 0.00 TOTAL DOLLAR AMOUNT OF ALL SUBCONTRACTORS/SUPPLIERS $ 19,145.00 The Contractor will not make additions, deletions, or substitutions to this certified list without the prior approval of the Minority and Women Business Enterprise Office Manager or designee through the submittal of a Request for Approval o ChangeJAddition. Any unjustified change or deletion shall be a material breach of contract and may result in debarment in accord with the procedures outlined in the ordinance. The contractor shall submit a detailed explanation of how the requested change/addition or deletion will affect the committed M/WBE goal. If the detail explanation is not submitted,it will affect the final compliance determination. By affixing a signature to this form,the Offeror further agrees to provide,directly to the City upon request,complete and accurate information regarding actual work performed by all subcontractors, including M/W/DBE(s) arrangements submitted with the bid. The Offeror also agrees to allow an audit and/or examination of any books,records and files held by their company. The bidder agrees to allow the transmission of interviews with owners,principals,officers,employees and applicable subcontractors/suppliers/contractors participating on the contract that will substantiate the actual work performed by the M/W/DBE(s)on this contract,by an authorized officer or employee of the City. Any intentional and/or knowing misrepresentation of facts will be grounds for terminating the contract or debarment from City work for a period of not less than three (3) years and for initiating action under Federal, State or Local laws concerning false statements. Any failure, omply with this ordinance and create a material breach of contract may result in a determination of an irrespons,# fferor and lArred from participating in City work for a period of time not less than one(1)year. Brent Bates CPu0hffr-1zed Signdwre Printed Signature - President Title Contact Name/Title(if different) Intercon Construction Co. , Inc. 972-424-2220 / 972-424-0812 Company Name Telephone and/or Fax 301 West Avenue D brent@intercondemolition.com _ Address E-mail Address Garland, Texas 75040 12-15-05 City/State/Zip Date Rev.5/30/03 in Iwo Tfi t O i O L O •, w C � o L w M Ron G ,Q• rr cel + S i C V U) to 'fl O v'i O own f w ` O C w R Lo CU N W. C > C co Lo E d C . y O O al I �: , (�C y O NN ca p •pow N m L - o o Q 3 N a LL C eD ,J(�� r � � •� X61 � y W � L '��r F�-S�`v. -1sWr V ..., L L pn y E"' y u u O .0 L cCi 'fl i d t7 V e-r -ZU y y v. ` 4r WfSice_ A Y� r5 Historically Underutilized Business Certification and Compliance Program } The Texas Building & Procurement Commission (TBPC), hereby certifies that INTERCON ENVIRONMENTAL, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Certification and Compliance Program to be recognized as a HUB. This certificate, printed 13-MAR-2004,supersedes any registration and certificate previously issued by the TSPC's HUB Certification and Compliance Program. If there are any changes regarding the information(i.e., business structure, ownership, day-today management, operational control, addresses, phone and fax numbers or authorized signatures) provided in the submission of the business' application for registration/certification as a HUB,you must immediately(within 30 days of such changes)notify the TBPC's HUB program in writing. The Commission reserves the right to conduct a compliance review at any time to confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility. 4 Q; -, Certificate/VID Number: 1522437774500 Paul A.Gibson File/Vendor Number. 36251 HUB Certification&Compliance Supervisor Approval Date: 11-MAR-2004 Texas Building&Procurement Commission Expiration Date: 11-MAR-2008 (512)305-9071 Note: in order for State agencies and institutions of higher education(universities)to be credited for utilizing this business as a HUB, they must award payment under the CertificateMD Number identified above. Agencies and universities are encouraged to validate HUB certification prior to issuing a notice of award by accessing the Internet(http:1/www.tbpcstate,t)Lus)or by contacting the TSPC's HUB Certification and Compliance Program at(888)M-5881 or(512)463-5872. i mull It g R e 6 _ r ` Ah ZU4 Z CZ � ?� *1111( J"Y �'..,,✓ MN 6= r h O Moh , d N r zvt7 a ,� L1V PC W m � r � s i d "Y. _ ^k S• Fli �A ii i [ E { I t++ LUAU r ly � ! � ♦` PEI LO x, w a v 4 j r� 40 , `Plot ID I 13 low w i Q faft ofrxas Historically Underutilized Business Certification and Compliance Program " JR Con The Texas 13uilding& Procurement Commission (TBPC), hereby certifies that CBA SERVICES, INC. has successfully met the established requirements of the State of Texas Histodcally Underutilized Business (HUB) Certification and Compliance Program to be recognized as a HUB. This certificate, printed 02-MAY-2M, supersedes any registration and certificate previously issued by the TBPC's HUB Certification and Compliance Program. if there are any changes regarding the information(i.e., business structure, ownership, day-tri-day management, operational control, addresses. phone and fax numbers or authorized Mures) provided in the submission of the business' appfkwbn for registr'atkWdertification as a HUB, you must immediately(within 30 days of such changes) notify the TBPC's HUB program in writing. The Commissian reserves the right to conduct a compliance review at any time to Confirm HUB eligibility. HUB certification may be suspended or revoked upon findings of ineligibility. Q6,, Cerbfic ate/ViD Number: 1020623415400 Paul A.Gibson File/Vendor Number. 20M HUB Certtfication&Oompliance Supervisor Approval Date: 30-AUG-2002 Texas hiding& Procurement Commission Expiration Hate: 30-AUG-2006 (512)305-9071 Mote: In order for State agencies and institutions of higher education (universities)to be credited for utilizing this business as a HUB, they must award payment under the CertificateIVID Number identified.above. Agencies and universities are encouraged to validate HUB certification prior to issuing a notice of award by accessing the intemet(http:llwww.tbpc.state.tx.us)or by contacfrng the TBPC's HUB Certification and Compliance Program at(888)863-5881 or(512)463-5872. "_.'."...._.'.. ;•r""•'^ ..''..—"�. '^`'-.: ."'•-';'" �o w,f.r-.. .war .�_ z::^'. ..---� w..•-... r.""`..w::`•. .�.+.�; ?,%:".�,•: ",.':';: -- ;P= =�',,..'.+`.�..,'::';:• :,tit. � SS.;�" :"„�.'••••s�",,,t,?:::;;'."� ;�i`it'i';^' 'iJt'w�t^�7w,Y•}.`ti+�-'+`iir"'' �i1Va•tw. �i' ':f Nv%~ 'isii4wi'�'it•tr�• •«•itsisS•`: art•° •tfx•' ••rf arr.• +�V.rxti•..�'4'r.xrr•a«+:h'••H tx iii��'ik IH r �--• t ra,•^�i« ':ti. +.: wr w .";it rP=�+>'•`•ra r -w•w •s a' r:« .%^''y 1 r.;iii;:.R..rfii.�lltfli:;�1}!}tltf,'t, .tti1S##.tfttit`ift#.f+fifr'e #ff}1t�oai.!tt.4#±E�:.t!?)::)111jikii�:xiR4fl►t#fttr.tl�l�f#,f1ir ~ •�•V�: l�4Vw� — ♦3+ .•4 wit w•V _ .t (fly • .a +, „+�'.,�,,��.'}a V�+• rw •'ai"..�Rti.,� :fig f C;,:t,wr,,r•., {fi "y ai C t' 'A 1b', yr `3'i`f',+ r - Y+w ,fi".+f tc'r; ,• • ��, ..:Lrfr ;;f;x;r .:::+;:•+yt, t4 l �C !$ irii! ? ,i3 % t 5Y3 ,7' iwlit e 3i >, �l fr ..: lt..••, a°,..... ;.., ..+.;rlr�w•. t,.�:•.i�.;a:w::.{x�ql;+d �r'ryria ``+ «ri,• t,".x•`" `ir';�. «` � »'Jti t+.';!��;.� «3+,a .+:' C".t« ;:".i'r..�•K`'7-»'�,,,r.���••'•�S"*.+.• �'��''iyt�'°•• ...a•t S`` ti^"«'it i'+'.i*e '.'�:"'" ",w••,.�.`+: '�-'•'•' .�4"- a�"". 14�•:�w.»,.;, :;:.:`• t+. 4 •^tea..+. sem..+td+ 1.�...g*>.w`.h%:�':.�:+,,t�,.�.."�` •+ .d�. *'�:` � =v w `4'• -ww•��'r.,.�+ '•.+ +�•.+w}.w,•,:,...w,,,.•: t,,. ,�,+y w.>„•.�'•.s''::,.-'_,,,'•-j,•#+:,�•,:;, �w"w+•,.t;• 2.4 PROPOSAL SUMMARY TO THE CITY OF FORT WORTH: The undersigned hereby proposes to furnish all labor, materials and equipment necessary for performing the removal and transportation, to a proper waste disposal facility, of asbestos-containing materials from the former Fire Station 8, located at 1301 West Rosedale, Fort Worth, Texas. ACM has been identified within the structure and is being abated prior to demolition of the structure. All Proposal Documents have been submitted in one sealed envelope. X Addenda to the Request for Proposals have been received. Unit prices are provided within the Proposal Documents. This Proposal Summary and the accompanying Proposal Documents are intended to be complete and will remain valid for ninety(90) days from the date of submittal. PROVIDER: Intercon Construction Co. , Inc. BY: Brent,$ es (Company Name) (print r pe name signatory) 301 West Avenue D (Address) ( ignature) Garland, Texas 75040 President (City, State, Zip) Title (print or type) 972-424-2220 972-424-0812 Phone) (FAX) 2-10 FORTWORTH ENVIRONMENTAL MANAGEMENT ADDENDUM #1 TO: Interested Parties FROM: Roger Grantham, Environmental Program Manager Department of Environmental Management DATE: November 18, 2005 RE: Addendum #1 Asbestos Abatement and Demolition of Fire Station 8, Fort Worth, Texas Project #: DEM06-01:FS 8 As of Thursday, November 17, 2005, the following changes to the RFP are as follows; 1. Clarification: Page 2-11, Section 2.5 — 10,432 square feet of associated ceiling and wall texture... 2. The RFP package delivery date has been extended until: December 15, 2005. 3. Section 2.6, Provider's Company Experience Record; Section 2.7, Provider's Personnel Qualifications and Experience; Section 2.8.1, Subcontractors Qualifications; Section 2.13, Financial Statement; Section 2.14, Organizational Chart; and Section 2.15, Other should be submitted in electronic format (i.e. CD, floppy, etc...) and attached to the RFP package in a separately marked envelope placed inside the front cover of the binder. 4. A copy of the specifications for asbestos removal for the project can be found on the Environmental Management Department website. 5. If you intend to submit a proposal for this project, please indicate through email - correspondence to: Roger.Grantham Wortworth ov.ora As a reminder, follow the instructions located in the proposal package and include the addendum in the proposal package as stated in the proposal instructions. FORTWORTH ENVIRONMENTAL MANAGEMENT ADDENDUM #2 TO: Interested Parties FROM: Roger Grantham, Environmental Program Manager Department of Environmental Management DATE: November 28, 2005 RE: Addendum #2 Asbestos Abatement and Demolition of Fire Station 8, Fort Worth, Texas Project #: DEM06-01:FS 8 As of Monday, November 28, 2005, the following changes to the RFP are as follows; 1. The RFP package delivery date has been extended until: December 15, 2005 2. Please use the attached proposal estimate page and substitute at the end of Section 2.4 - Proposal Summary As a reminder, follow the instructions located in the proposal package and include the addendum in the proposal package as stated in the proposal instructions. Proposal Summary Section 2.4 MIR Cost Estimate Fire Station Number 8 Asbestos Abatement and Demolition of Structure - 1301 West Rosedale Approximately 10,432 SF of drywall $ 17,000.00 Approximately 288 SF of vinyl floor the and mastic $ 700.00 Transportation and Disposal of Asbestos Waste w $ 1,445.00 Subtotal $ 19,145.00 v , Demolition of Structure $ 4,120.00 Loading of Construction Debris $ 2,472.00 Disposal of Construction Debris $ 2,733.00 Transportation of Construction Debris $ 2,075.00 Final Site Leveling and Grading $ 800.00 Overseeding and Stabilization of Site $ 800.00 Subtotal $ 13,000.00 oy Asbestos Abatement~+ Demolition Total $ 32,145.0,0 Provider: Intercon Construction Co. , Inc. Brent gages Company Name Printe4 or Typed acne of Signatory 301 West Avenue D � « Address Si 9 fk'ature Garland, Texas 75040 President City,State,Zip Title T 972-424-2220 972-424-0812 Phone Fax 2.5 COST ESTIMATE SCOPE OF WORK: Removal and transportation, to a proper waste disposal facility, of asbestos-containing materials from the former Fire Station 8, located at 1301 West Rosedale, Fort Worth, Texas. ACM has been identified within the structure and is being abated prior to demolition of the structures. A. The scope of work includes removal and disposal of the following asbestos-containing or asbestos-contaminated materials: 1. Approximately 10,432 f:2 of drywall, associated wall texture, and associated joint compound. All removed drywall, associated wall texture, and associated joint compound are to be disposed of as asbestos-containing material. All debris generated from the drywall, associated wall texture, and associated joint compound removal is to be disposed of as asbestos-containing waste. 2. Approximately 288 ft2 of vinyl floor the and associated mastic. All removed vinyl floor tile and associated mastic is to be disposed of as asbestos- containing material. All debris generated from the vinyl floor the and associated mastic removal is to be disposed of as asbestos-containing waste. In addition,the following issues should be noted; • Contractors involved in the asbestos/demolition/environmental construction industry should have an EMR rating of at least 1.0 or less. • Asbestos contractor should have at least$2,000,000 of asbestos abatement insurance with no sunset clause. • Permit fees required for the demolition of the structures at the project site WILL NOT BE WAIVED. • Contractor will be responsible for providing a NESHAP-trained individual onsite during the course of demolition activities per the NESHAP (40CFR61.150). • Bonding for the project will be the responsibility of the General Contractor. The contract will require one bond for the entire contract amount that will include the asbestos abatement and the demolition activities. 2-11 B. The scope of work also includes the demolition and subsequent removal of demolition debris associated with the following: 1. Building located at 1301 West Rosedale in accordance with the Asbestos NESHAP and industry standards. The former Fire Station #8 was constructed in 1974. The building consists of approximately 5,350 ftZ, including the garage area, and is composed of a built-up roof, concrete slab, and masonry construction. The general tasks involved will include: • Wet demolition of structure; • Disposal of demolition debris and Regulated Asbestos Containing Materials (RACM) as well as asbestos contaminated waste materials and debris in proper landfills; • Provide NESHAP Trained individual to oversee the demolition process; and • Removal of foundations associated with buildings and grading of site once demolition has been completed; • Overseeding for site stabilization of soils; • Final Site Clean up. 2. Demolition specifications are as follows; • Furnish all tools, labor, equipment and permits necessary to fully complete the demolition of the structures identified in the proposal documents. • Prior to commencement of work, notify appropriate utility companies to disconnect the gas service lines at the main, the water service at the meter and disconnect electrical service lines at the pole at each location. • Prior to commencement of any work under this contract, Contractor must obtain a wrecking permit (within seven (7) calendar days after the notice to proceed) to demolish all of the specified buildings at the site from the Department of Development, telephone(817)392-2222. • Prior to commencement of any work under this contract, obtain from the Code Compliance Department a written notice to proceed. • Upon completion of the work, the Contractor will obtain a final inspection on the wrecking permit, from the Building Inspection Division in the Department of Development. • Protect the work site as necessary with barriers, lights, safeguards or warnings. • Contractor agrees to protect and leave in good condition all sidewalks and curbs. If before any demolition work is commenced, or heavy equipment is moved to the work site, the sidewalks or curbs are crushed, broken, or in general disrepair, the contractor agrees to take 2-12 photographic evidence of the condition prior to moving any heavy equipment to the work site. • Demolish improved surface parking areas. • Remove all Demolition debris, junk, trash, debris and salvageable materials from the site. • Remove any dead trees and dead shrubs from the site. • Fill any holes in the terrain resulting from any of the above work with clean fill and grade the entire lot, ensuring that low areas are filled to prevent the pooling of water. • Sweep dirt and debris from the sidewalk and street that accumulate during loading and removal. • Possess or insure that each vehicle contracted for waste hauling possesses a valid City of Fort Worth Waste Hauler Permit as issued by the Department of Environmental Management-Division of Solid Waste, telephone: (817)392-5150. • Clean and remove all debris, trash, rubbish and any other solid waste from the demolition premises to a state licensed disposal site or to a properly permitted landfill site at contractor's expense. All work must be completed in accordance with the most recent revisions of applicable laws and regulations promulgated by the U.S. Environmental Protection Agency (EPA), Texas Department of State Health Service (TDSHS), Occupational Health and Safety Administration (OSHA), Department of Transportation (DOT), City of Fort Worth Development Department or any other entity that may have jurisdiction on work being performed. The City of Fort Worth will provide the following: ■ Texas Department of State health Services Health (TDSHS) notification preparation and revision; and ■ Payment of the TDSHS fees. Claims for additional compensation due to variations between conditions actually encountered in the project and as indicated in the Contract Documents will not be allowed. The only exception is if the Contractor can clearly show why the variation was not identifiable prior to executing the Contract. 2-13 2.6 PROVIDER'S COMPANY EXPERIENCE RECORD Provider shall identify its company name, address, telephone number(s), and FAX number(s)for the local office as well as the headquarters. Provider shall attach an up-to-date and concise copy of its current Statement of Qualifications. If subcontractors are to be utilized for services to be provided, current Statements of Qualifications for those companies must also be included. Provider shall identify key persons by name and title and describe the primary work assigned as well as the percentage of time each person will devote to this contract. Provide listing of equipment owned and operated by the Provider including analysis capability for the equipment. In short a ready reference of in-house capabilities for analysis. Provider shall include a copy of all certifications and/or licenses. INCLUDE A COPY OF THE QUALIFICATIONS FOLLOWING THIS PAGE BOUND WITHIN THE PROPOSAL PACKAGE DEMOUTIOn INTERCON CONSTRUCTION COMPANY,INC. �- Statement of Qualifications Prepared by. Intercon Construction Company, Inc. 301 West Avenue D Garland, Texas 75040 Phone: (972) 424-2220 Fax: (972) 424-0812 Mobile: (972) 670-6166 brent@intercondemolition.com Brent Bates, President 301 W.Avenue D Garland,Texas 75040 Phone (972)4242220 ��F"ax (972)424-0812 r Mobile(972)670-6166 December 2005 Email: tearitdowndemoQaol.com ABOUT US Intercon Demolition is a full service demolition contractor with a wide range of services ranging from s multi-story wrecking to slab removal. As a full service demolition �. ff company we are also capable of embarking upon time sensitive interior demolition of ; large retail and office buildings including handling all shoring r and interior structural removal. Having served our clients for , the last 18 years, Intercon Demolition8ekto rd Ahr , has successfully �r completed projects from Detroit to New Orleans. While continuing to work across the United States Intercon prides itself on its outstanding safety record and the ability to meet tight scheduling requirements at a competitive price. Projects are frequently proposed and taken on by Intercon that most other businesses are unwilling to engage in because they are too difficult or virtually impossible. Intercon has a strong foundation of employees that are dedicated to maintaining a can-do attitude to all of their customer's desires and requests. SERVICES HEAVY DEMOLITION: ALL PHASES OF BUILDING & STRUCTURE REMOVAL • RESIDENTIAL • COMMERCIAL • APARTMENTS • HEAVY INDUSTRIAL • SHOPPING CENTERS • WAREHOUSES & MULTI STORY • REMOVAL OF ALL MATERIALS HARD DEMOLITION: HEAVY CONCRETE REBAR REINFORCED DEMOLITION • WALLS • SLABS • FOUNDATIONS • CURBS & GUTTERS • DRIVEWAYS • SIDEWALKS • ASPHALT • ROADS • REMOVAL OF ALL MATERIALS SOFT DEMOLITION: CUSTOM DEMOLITION • SELECTIVE INTERIOR & EXTERIOR DEMOLITION • TOTAL BUILDING INTERIOR STRIP & GUT OUTS • REMOVAL OF ALL MATERIALS ***WET DEMOLITION AVAILABLE ON ALL PROJECTS*** - DEMOLITION PROJECTS Corsicana Hospital - is a multi level concrete structure with a brick and glass facade. All the abatement of this structure was performed by the owner prior to Intercon's arrival; although Intercon can provide its customers a turnkey project and handle the abatement process as well. The hospital was demolished with a ninety ton crane swinging a #60001b ball. Assisting the crane were two 235 cat excavators, one 963 cat track loader, five tractor trailer rigs, one 624 John Deere wheeler loader and two 753 Bobcats. Intercon is capable of completing these types of projects and larger; total in house. Click on any image to look through the album. y R k��a- J i. Lit Apartment Demo - Intercon over the past 18 years has demolished over twenty apartment complexes and can rework any site for redevelopment. Click on any image to look through the album. Austin College -Another demolition example. REFERENCE LIST EMJ Corporation 5525 North MacArthur, Suite 400 Irving, Texas 75038 Mr. Drew Halsey (972) 580-1210 The City of Commerce 1119 Alamo Commerce, Texas 75428 Mr. Fred Eaton (903) 886-1100 Wylie Economic Development Corporation 2000 Highway 78 North Wylie, Texas 75098 Mr. Sam Satterwhite (972) 442-7901 C.D. Henderson Construction 1985 Forest lane Garland, Texas 75048 Mr. Lance Aaron (972) 272-5466 - LIST OF EQUIPMENT 235 CAT Excavators..........................................................................................3 963 CAT Track Loader ......................................................................................1 644 John Deere Wheel Loader..........................................................................1 753 Bob Cat.......................................................................................................2 580kCase Backhoe...........................................................................................1 100 Cubic Yard Steco Trash Trailer...................................................................2 30 Cubic Yard End Dump..................................................................................3 2" Fire Hose............................................................................... 600 Linear Feet GasChop Saws.................................................................................................6 RESUME - BRENT BATES PRESIDENT INTERCON CONSTRUCTION COMPANY, INC. Mr. Bates graduated from Richardson High School in 1977, furthering his education by completing three years at Texas Tech University. Mr. Bates has been working in the construction industry for approximately thirty years and performing demolition work for twenty years. Mr. Bates possesses a comprehensive knowledge of the laws and regulatory requirements, ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the demolition industry Mr. Bates worked as a Director of Construction for LaSalle Partners from 1983 until 1986. In 1986, Mr. Bates decided to establish his own company, Intercon Construction Company, Inc. / Intercon Demolition, of which he is currently the *• president. Intercon Construction Co. Inc. generates approximately $1 million plus annually in gross sales. Intercon Construction Co. Inc. has acquired projects for several city governments such as the City of Fort Worth, the City of Commerce, the City of Wylie, the City of Rockwall, and the City of Richardson. Additionally, Intercon has performed work at educational facilities such as Texas Wesleyan University, Southern Methodist University, and subcontracted for work at the University of Texas at Dallas. Mr. Bates leads negotiations with clients and suppliers, and has overseen financial and operational results that exceeded corporate goals which has allowed Intercon Construction Co. Inc. to remain in business for the past two decades. WORK HISTORY Intercon Construction Co. Inc. /Intercon Demolition are currently providing its services for the City of Fort Worth Meacham Airport. This project includes the asbestos abatement and demolition of sixteen structures and the demolition of an additional eighteen structures and the removal of two underground storage tanks. Intercon also completed a large project for the City of Fort Worth in 1998. This was the demolition of over 400,000 square feet of buildings at the Oakbrook Mall. Intercon Demolition has also worked with several other city governments. Most recently Intercon Demolition completed the demolition of several buildings for the City of Commerce. Intercon Demolition has also performed demolition for the City of Wylie, the City of Rockwall and City of Richardson. Intercon has completed several very large demolition projects in the past five years. The following is a list of some of these projects: 1) Demolition of several buildings for the City of Commerce Total contract: $151,363.00, Completed 12/2004 2) Demolition of a large extruder plant for the Wylie Economic Development Corporation Total contract: $227,575.00, Completed 10/2002 3) Demolition of Flow Rehabilitation Hospital in Denton for Rael Development Total contract: $400,230.00, Completed 09/2003 4) Several different demolition projects completed for EMJ Corporation over the past five years with contract amounts over $100,000.00 5) Site Supervisors Mike Cook, Gary G. Smith and Rayfel E. Cook supervised the above listed projects AFTER HOURS CALLING SYSTEM Intercon Construction Company, Inc. utilizes a multi-line phone system that is answered 8:00 am to 5:00 pm Monday through Friday. Each team member can also be contacted by their mobile phone (see listing below), which is answered 24 hours a day, 7 days a week. Our contact numbers are as follows: Office................................................................972-424-2220 Office Fax.........................................................972-424-0812 Brent Bates, President......................................972-670-6166 Gary Smith, Supervisor.....................................972-877-3110 Mike Cook, Supervisor......................................817-253-1826 Lance Cook, Supervisor ...................................817-996-4100 P.1 03:26P Citof I_Eanbe-r, Texas f • August 'l0, 2005 . To Whom k May Concern: I have worked with Brent Bates and Intercon Construction Company many times over the past twenty years. His ,company has performed numerous tasks for several municipalities that I have been City Manager with. Ove: the past twenty years I have not run upon a company that 1 could recommend more. Interc:on has done everything that they have been asked to do and more, and Mr. Bates is of the highest integrity and professionalism. Respectfully. Anthony"Bifr Johnson City Manager Pty.-,t Office Box Sig. Lc nber!TeDWS 73646-0319 e p.2 03.26p To:197242406137213 P:2.,2 - -Ifd-�fJS 69:98 FROM: 1119 Alamo-Comm me•Texas 75428 J (903)896-1100•FAX (963)986-8929•www.commera.u.com August 10,2005 ` To Whom It May Concern: Please be'idonned that Brent Bates with Intor m C nsMxtion Cornmy,Inc.has done demolition work for the City ofCommerce during the past twaIvc(12)mordh% Services .rendered were more tban satisfactory. The City of Coma m=would deflt&ely use this cougmy's services again in the fur m. Shoidd you have any questions or cone=s,pl=w contact the at 903-88&1101. singly, //yyff i FxW Eaton DectDr of Community Devolopmcnt i �UJ.LVN uy o5 03:55p Cittl Manager 's Office 972-442-4302 p. i ` Wylie Economic Development CORP ORA-TION - I August 9,2005 - t To Whom It May Concern: Intcrcon Demolition has preformed demolition and eavironmenW remediation projects for the Wylie Ecomrnic Development Corptxation (WEDC) for the past nine years. Intercan has consistently'providod superior service and reliability. The vVEDC has no rt=tvation in offering the highest remmmcndatioa to any entity in regw* to Intercon Dcmolition. , I Sincerely, Samuel D.R. Satterwhite 'II Executive Director l 2000 Highway 78 North Woie.Taxes T5099 i 0t9oe:(972)442-7901 Fax(972)442-4302 Senting The City pf�+Q- WPfig�fl{629fFt8e�,F�t�tsC�istc�c: •e:iia G��r^CF�r :�r-s-�•� T H E A M E R I C A N I N S T I T U T E O F A R C H I T E C T S AIA Document A305 Contractor's Qualification Statement 1986 EDITION -� This form is approved and recommended by The American Institute of Architects (AIA) and The Associated General Contractors of America (AGC)for use in evaluat- ing the qualifications of contractors. No endorsement of the submitting party or verification of the information is made by the AIA or AGC. The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. SUBMITTED TO: City of Fort Worth 1000 Throckmorton Street ADDRESS: Fort Worth,Texas 76102 SUBMITTED BY: Intercon Construction Company,Inc. Corporation D NAME: Brent Bates,President Partnership ❑ ADDRESS: 301 West Avenue D,Garland,Texas 75040 Individual ❑ PRINCIPAL OFFICE: Same Joint Venture ❑ Other ❑ NAME OF PROJECT(if applicable): Former Fire Station 8 TYPE OF WORK(file separate form for each Classification of Work) General Construction HVAC Plumbing Electrical X Other Demolition (please specify) Copyright 1964,1969,1979,©1986 by The American Institute of Architects,1735 New York Avenue.N.W.Washing- ton,D.C.20006.Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will be subject to legal prosecution. AIA DOCUMENT A305-CONTRACTOR'S QUALIFICATION STATEMENT• 1986 EDITION•AIA'• ©1986 _ THE AMERICAN INSTITUTE OF ARCHITECTS,I735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 1 1. ORGANIZATION 1.1 How many years has your organization been in business as a Contractor? 19 years 1.2 How many years has your organization been in business under its present business name? 19 years 1.2.1 Under what other or former names has your organization operated? None 1.3 If your organization is a corporation,answer the following: 1.3.1 Date of incorporation: December 10, 1986 1.3.2 State of incorporation: Texas 1.33 President's name: Brent Bates 1.3.4 Vice-president's name(s): Beverly Bates 1.3.5 Secretary's name: Brent Bates 1.3.6 Treasurer's name: Brent Bates 1.4 If your organization is a partnership, answer the following: 1.4.1 Date of organization: 1.4.2 Type of partnership(if applicable): 1.4.3 Name(s)of general partner(s): 1 .5 If your organization is individually owned, answer the following: 1.5. 1 Date of organization: 1.5.2 Name of owner: AIA DOCUMENT A305-CONTRACTOR'S QUALIFICATION STATEMENT•1986 EDITION•AIA'• C 1986 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 2 1.6 If the form of your organization is other than those listed above, describe it and name the principals: n/a 2. LICENSING 2. 1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable. Demolition,Crane&Rigging—Louisiana License Number 32131 2.2 List jurisdictions in which your organization's partnership or trade name is filed. n/a 3. EXPERIENCE 3.1 List the categories of work that your organization normally performs with its own forces. Demolition,Wrecking,Trucking,Utility Caps,Disconnects and Excavation 3.2 Claims and Suits.(If the answer to any of the questions below is yes,please attach details.) 3.2.1 Has your organization ever failed to complete any work awarded to it? No 3.2.2 Arethere any judgments,claims,arbitration proceedings or suits pending or outstanding against your organization or its officers? No 3.2.3 Has your organization filed any law suits or requested arbitration with regard to construc- tion contracts within the last five sears? No 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes,please attach details.) No AIA DOCUMENT A305.CONTRACTOR'S QUALIFICATION STATEMENT•1986 EDITION•AIA'• ©1986 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 3 3.4 On a separate sheet, list major construction projects your organization has in progress, giving the -' name of project, owner, architect, contract amount, percent complete and scheduled completion date. SEE ATTACHED 3.4.1 State total worth of work in progress and under contract: $300,000.00 3.5 On a separate sheet, list the minor projects your organization has completed in the past five years. giving the name of project,owner,architect,contract amount,date of completion and percentage of the cost of the work performed with your own forces. SEE ATTACHED 3.5.1 State average annual amount of construction work performed during the past five years: $2.2 Million 3.6 On a separate sheet, list the construction experience and present commitments of the key individ- uals of your organization. SEE ATTACHED 4. REFERENCES 4.1 Trade References: United Rentals 524 Avenue K Plano,Texas 75074 972-425-8996 Millen Oil 212 Main Street McKinney. Texas 75069 972-542-0206 Airgas 3415 Banning Street Dallas, Texas 75233 214-339-0098 4.2 Bank References: Inwood National Bank Marvin Fuller 200 South Hwy 78 Wylie,Texas 75098 214-351-7954 4.3 Surety: 4.3.1 Name of bonding company: Suretec Insurance Company 4.3.2 Name and address of agent: Steven L Thomas Agency,Inc.,Debby Moon,972-625-9777 5201 South Colony Blvd,#545,The Colony,Texas 75056 AIA DOCUMENT A305-CONTRACTOR'S QUALIFICATION STATEMENT• 1986 EDITION•AIA'• ©1986 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 4 5. FINANCING 5.1 Financial Statement. 5.1.1 Attach a financial statement,preferably audited, including your organization's latest balance sheet and income statement showing the following items: Current Assets(e.g.. cash,joint venture accounts. accounts receivable. notes receivable, accrued income, deposits, materials inventory and prepaid expenses): Net Fixed Assets: Other Assets; �• Current Liabilities(e.g., accounts payable,notes payable,accrued expenses,pro- vision for income taxes,advances,accrued salaries and accrued payroll taxes); Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares par values, earned surplus and retained earnings). 5.1.2 Name and address of firm preparing attached financial statement, and date thereof- Pitts&Pitts, 3055 Jupiter Road, Ste 100,Allen,Texas 75002 5.1.3 Is the attached financial statement for the identical organization named on page one? Yes 5.1.4 If not,explain the relationship and financial responsibility of the organization whose financial statement is provided(e.g..parent-subsidiary). 5.2 Will the organization whose financial statement is attached act as guarantor of the contract for con- struction? Yes AIA DOCUMENT A305-CONTRACTOR'S QUALIFICATION STATEMENT•1986 EDITION•AIA'• C 1986 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 5 6. SIGNATURE 6.1 Dated at 10:00 am this 15th day of December 4-9-2005 Name rganizat' : Intercon Construction Company, Inc. By: rent ates Title: President 6.2 Mr. Brent Bates, being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading. Subscribed and sworn before me this 15th day of December 4-9-2005 Notary Public: Fernando Avila _�_ T___' 1 My Commission>✓ fires: March 22, 2008 NOlry PwbNC.9taft 0f Tom March 22,2N6 AIA DOCUMENT A305-CONTRACTOR'S QUALIFICATION STATEMENT•1986 EDITION•AIA'• ®1986 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W.,WASHINGTON.DC 20006 A305-1986 6 ®EMOUT10A INTERCON ;- CONSTRUCTION COMPANY,INC. List of Equipment 235 CAT Excavators................................................................ 3 963 CAT Track Loader ............................................................ 1 644 John Deere Wheel Loader................................................ 1 753 Bob Cat............................................................................. 2 580kCase Backhoe................................................................. 1 100 Cubic Yard Steco Trash Trailer......................................... 2 30 Cubic Yard End Dump........................................................ 3 2" Fire Hose...................................................... 600 Linear Feet GasChop Saws....................................................................... 6 301 W.Avenue D Gariand,Texas 76040 Phone (972)4242220 " (972)424-0812 ' Sobite(972)670-6166 Emaii:. teariRdqwr4*rn9@goI.00m r *i1 n to rco n ENVIRONMENTAL, INC. 2214 FM 1187 . Building 6 . Mansfield Texas 76063 . Telephone (817) 477-9995 . Facsimile (817) 477-9996 www.intercon-environmental.com EQUIPMENT LIST AIR MOVING EQUIPMENT WATER EQUIPMENT 4 < 2000 CFM Negative Air Machines 400 LF Fire Hose 60 > 2000 CFM Negative Air machines 100 Commercial Grade 5/8 inch hose 10 Small HEPA Vacuums 4 Commercial Grade Sump Pumps 8 Large HEPA Vacuums 3 Electric Power Washers 20 Air Movers— Rigid 3 speed 2,500 CFM 4 Gasoline Power Washers 10 Electric Airless sprayers DECONTAMINATION EQUIPMENT LADDERS 12 Showers 12 Shower Filtration Pumps 9 Type 1 A Fiberglass 2 foot Step _ Avft�2 Water Heaters 22 Type 1 A Fiberglass 6 foot Step 18 Type 1 A Fiberglass 8 foot Step MONITORING EQUIPMENT 8 Type 1 A Fiberglass 10 foot Step 8 Type 1 A Fiberglass 12 foot Step 14 Digital Recorder/ Printer Manometers 6 Type 1 A Fiberglass 16 foot Extension 8 Low Volume Pumps 4 Type 1 A Fiberglass 20 foot Extension 4 High Volume Pumps 4 Type 1 A Fiberglass 28 foot Extension 4 Type 1 A Fiberglass 40 foot Extension SAFETY EQUIPMENT HIGH REACH EQUIPMENT 40 10 LB Fire Extinguishers 40 Battery Operated Fire Alarms 40 Ladder Scaffold 8 Foot 10 Full Body OSHA Harnesses 30 Ladder Scaffold 3 Foot 10 Shock Absorbing Lanyards 50 Visitor Hard Hats 50 Visitor Safety Glasses ELECTRICAL EQUIPMENT 8 GFCI Electrical Panel Boards 200 10 Gauge Extension Cords 100 Foot 40 Small GFCI Outlets 20 Portable Light Stands 1 Generator 10,000 Watts - 4 Generators 5000 Watts Page 1 of 2 Equipment List ntercon Page 2 of 2 ENVIRONMENTAL,INC. EQUIPMENT LIST -Continued RESPIRATORY PROTECTION EQUIPMENT PNEUMATIC TOOLS 60 3M Brand Full Face PAPR Respirators 8 Impact Wrenches 20 3M Brand Full Face Respirators 3 Brad Nailers 70 North Brand 1/2 Face Respirators 3 Finish Nailers 70 3M Brand 1/2 Face Respirators 2 Framing Nailers 10 Jacks VEHICLES CUTTING/WELDING 7 Pickup Trucks 3 25 foot Bobtail Trucks 1 Trailer Mounted Gasoline ARC Welders 1 Electric ARC Welders FLOOR TILE EQUIPMENT 2 Wire Feed Welders 8 Oxy/Acetylene Torches 1 Floor Tile Machine 6 Propane Torches 10 Floor Buffers 1 Plasma Cutters 80 Spud Bars 25 Squeegees HAND TOOLS POWER TOOLS Various 10 Grinders 20 Drills 5 Hammer Drills 5 Jack Hammers 15 Circular Saws 4 Table Saws 4 Finish Saws 8 Band Saws 20 Reciprocating Saws 4 Jig Saws 8 Sanders 5 Routers 5 Planers 2.7 PROVIDER'S PERSONNEL QUALIFICATIONS AND EXPERIENCE Provider should submit a brief resume (one page maximum, 10 pt type minimum) of each professional person who will be assigned to this project. Identify key persons by name and title and describe the primary work assigned as well as the percentage of time each person will devote to this project. Additionally, an organization chart should be provided that details the communication channels between the Provider and the City of Fort Worth personnel, Section 2.15. INCLUDE A COPY OF THE DOCUMENTATION FOLLOWING THIS PAGE BOUND WITHIN THE PROPOSAL PACKAGE 2- J 09' 01/r/off INTERCON CONSTRUCTION CO., INC. 972-424-2220 RESUME BRENT BATES PRESIDENT Mr. Bates graduated from Richardson High School in 1977, furthering his education by completing three years at Texas Tech University. Mr. Bates has been working in the construction industry for approximately thirty years and performing demolition work for twenty years. Mr. Bates possesses a comprehensive knowledge of the laws and regulatory requirements, ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the demolition industry Mr. Bates worked as a Director of Construction for LaSalle Partners from 1983 until 1986. In 1986, Mr. Bates decided to establish his own company, Intercon Construction Company, Inc. / Intercon Demolition, of which he is currently the president. Intercon Construction Co. Inc. generates approximately $1 million plus annually in gross sales. Intercon Construction Co. Inc. has acquired projects for several city governments such as the City of Fort Worth, the City of Commerce, the City of Wylie, the City of Rockwall, and the City of Richardson. Additionally, Intercon has performed work at educational facilities such as Texas Wesleyan University, Southern Methodist University, and subcontracted for work at the University of Texas at Dallas. Mr. Bates leads negotiations with clients and suppliers, and has overseen financial and operational results that exceeded corporate goals which has allowed Intercon Construction Co. Inc. to remain in business for the past two decades. Percentage of time on City of Fort Worth Contract.................................................... 75% i _ i + �"T/0A@ INTERCON CONSTRUCTION CO., INC. 972-424-2220 RESUME MIKE COOK SUPERVISOR Mr. Cook has been working for Intercon Construction Company, Inc. for twelve years in which he performed his supervisory skills to help generate approximately $1 million plus annually in gross sales. = Mr. Cook possesses a comprehensive knowledge of the laws and regulatory requirements, ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the demolition industry. Intercon Construction Co. Inc. has acquired projects for several city governments such as the City of Fort Worth, the City of Commerce, the City of Wylie, the City of Rockwall, and the City of Richardson. Additionally, Intercon has performed work at educational facilities such as Texas Wesleyan University, Southern Methodist University, and subcontracted for work at the University of Texas at Dallas. Mr. Cook had previously owned and operated his own company that installed drywall, which demonstrates comprehension in financial and operational duties that helps the bottom line at Intercon Construction Company, Inc. Percentage of time on City of Fort Worth Contract...................................................100% Fernando Avila Sales Manager Licensed Asbestos Abatement Supervisor Sales Management — Proven Leadership Mr. Avila has twenty years of background in Business Management including his 13 years of experience in Environmental Management. Mr. Avila sales experience compliments the management team of Intercon Environmental, Inc. Among Mr. Avila's duties are obtaining projects through diligence, knowledge and experience. He also provides estimates and negotiates contracts with clients. Mr. Avila possesses a thorough knowledge of personnel and project management and all laws and regulatory requirements as they apply to the asbestos and lead abatement industries. Principal among Mr. Avila's duties are managing the day-to-day sales of Intercon Environmental, Inc. which includes walking projects, bids and proposals and supervision of the Operations Manager. He maintains strong communication skills and project insight that creates an effective work environment. Percent of time for City of Fort Worth project Fire Station#8 .................................................25% Certifications and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY TRAINING Asbestos Contractor/Supervisor ➢ Asbestos Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal ➢ Train the Trainer Courses ➢ Project Management Courses ➢ Compliance with O.S.H.A. Regulations ➢ Multiple Project Safety Courses Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile & Fire Control City of Garland Power Plants City of Fort Worth Jose A. Contreras Licensed Asbestos Abatement Supervisor Safety Team Leader Expertise ~ Project Management —Site Safety Mr. Contreras, an accomplished and seasoned professional, possesses a comprehensive knowledge of all laws and regulatory requirements, and ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the asbestos abatement industry. With his sixteen years in the asbestos industry he has proven to be exceptional in his trade that makes him an integral part of the success of Intercon Environmental, Inc. He has supervised and completed successfully numerous asbestos abatement projects of a diverged magnitude during his tenure in his profession. Mr. Contreras boasts a zero lost time injury record in his 16 years. Mr. Contreras was the sound choice for our Safety Team Leader. Percent of time for City of Fort Worth project Fire Station#8 ...............................................100% Certifications and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation ➢ Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal LL ➢ Project Safety Courses ➢ Confined Space Entry ➢ Emergency Response Training ➢ Proper use of 3M and North brand half-face respirators ➢ Proper use of Typhoon, Survive Air, MSA and 3M brand PAPR respirators ➢ Compliance with O.S.H.A. Regulations Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile&Fire Control City of Garland Power Plants University of North Texas Housing City of Fort Worth Richardson Independent School District Hector Medina Licensed Asbestos Abatement Supervisor Expertise Project Management Mr. Medina, an accomplished and seasoned professional, possesses a comprehensive knowledge of all laws and regulatory requirements, and ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the asbestos abatement industry. With his sixteen years in the asbestos industry with three years as an Asbestos Abatement Supervisor, he has proven to be excellent in his trade that makes him an integral part of the success of Intercon Environmental, Inc. He has supervised and completed successfully numerous asbestos abatement projects of a diverged magnitude during his tenure in his trade. Mr. Medina, with his ability to work hard to get the project done and to hire crews, has put Mr. Medina into an important supervisor for Intercon. Percent of time for City of Fort Worth project Fire Station#8 .................................................75% Certificates and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation ➢ Asbestos Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal ➢ Proper use of 3M and North brand half-face respirators ➢ Proper use of Typhoon, Survive Air, MSA and 3M brand PAPR respirators ➢ Compliance with O.S.H.A. Regulations Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile & Fire Control City of Garland Power Plants University of North Texas Housing City of Fort Worth Richardson Independent School District x - o i •r r CO W . 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IF YOU SMOKE AND WHALR ASBESTOS FIBERS TM CHANCE THAT YOU WELL DEVELOP LUNG CANCER iS Respirator Size: Made GREATER THAN THAT OF THE NON-SMOKLNG PUBur- (clircle a Your empioytes contract whb me Owen for the above project requires that you be supplied with Poe Question Yes No proper respirator and be trained in its site,You be hauled In safe work orae" and in the use of die egaipmaa found tie the job,and you receive a medial examhwiaa.These things ale to have been done 1. Was respirator reasonably comfortable? ✓ 9 no cost to you.By signing this codification yon are assmmg the Owner that your employer has met 2. Was postdve and negative pressure test ✓ — d—ob}igsdams to you and so sgree(ng to hold the Owner,his Consultant,Testing Laboratory,and administered? M representative harmic s in any and all claims arising from or minted to this projem 3. Does the individual understand fully theRESPIRATOXY ✓ — protection factor of this type respirator? I have boas trained in the proper use of reaphamrs,and imbrmed of 4. Was the Individual Instructed on the proper ✓ the type recpaetor to be used on the above referenced p vjm. I wen Sim a a"of the hitt n use and ore of this type respirator? ret(Lrato[y protection mantel issued by my employer.I have boas equipped at no oust with a raapirator 5. Was a smoke type test administered? ✓ to be used an the.above project 6. During the actual test was the individual 29AM COURSE: I have been trained in the dangers inherent in hand(mg asbettos and breathing required to converse and move his or her head ✓ _ asbcM dust and in proper cob&procedures and personal and area protective measures. Tim topica around to Insure correct fit? ✓ — covered in the 000m inch rdeA diefollowing: 7. Did recipient pass fit test? ✓ — Physical characteristics of asbestos Health hazards associated with asbestos Thane Rana am my pereahat responalblllty. If I Iwo any of thL equipment or negligently Respiratory protecdon damage any,I will raanbur.a Intacen Invi anmental,Inc the full list price for each article Use of protective equipment loaf or damaged. Differ Systems Work I agree that this Information above Is true and correct. Work pr practices including hinds-°n or on-job training Personal decontamination procedures MEDICAL EXAMINAnQN:l have bad a medical examination within the pert 12 months at no cost to Employee Slgnalure::3_10 Cgfy�%stn e me, This examination included: halth history,pulmonary function tela and may have Wch ded as evahmtion of a¢hast x-ray. 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INCLUDE A COPY OF THE SUBCONTRACTOR QUALIFICATIONS FOLLOWING THIS PAGE BOUND WITHIN THE PROPOSAL PACKAGE 2-17 � r n Ite rco n _ ENVIRONMENTAL, INC. 2214 FM 1187 Building 6 Mansfield, Texas 76063 Telephone (817) 477-9995 . Facsimile (817) 477-9996 mail@intercon-environmental.com www.intercon-environmentaI.com Statement of Qualifications Corporate Office - 2214 FM 1187, Building#6 Mansfield, Texas 76063 Telephone: (817) 447-9995 Facsimile: (817)447-9996 Dallas Field Office 3102 Maple Avenue, Suite 450 Dallas, Texas 75201 Telephone: (214) 969-0229 Facsimile: (214) 871-2005 Report updated December 200 w This gage left intentionally blank. w i _ I Table of Contents v 1. About Us............................................................................................................................. 1 2. Business Philosophy........................................................................................................... 1 3. Safety is an Attitude!.......................................................................................................... 1 4. Qualifications.....................................................................................................................2 5. Training..............................................................................................................................2 6. Equipment..........................................................................................................................2 7. Services ..............................................................................................................................2 8. Certifications......................................................................................................................2 w 9. Insurance.............................................................................................................................3 10. Bank References.................................................................................................................3 11. Credit Rating Information..................................................................................................3 12. Client References&Current Contracts..............................................................................4 r 13. Consultant References........................................................................................................5 14. Conclusion..........................................................................................................................5 AppendixA.....................................................................................................................................6 AppendixB................................................................................................................................... 14 FO M i FM I i 1. About Us Intercon Environmental, Inc. was founded by a well established support staff and team members with the belief in mind that success can be achieved through the employment of dedicated, experienced personnel with a profound commitment to excellence. Relying on our exceptional building capabilities, principled business practices, and an aggressive, communicative management style, have positioned us as a leader in our field. We believe that long-term success only comes from long-term relationships with our customers and view these customer relationships as true business partnerships. Developing this trust with our customers is one of our major investments and we see this as a vital necessity to our business. We strive to accommodate our customers' every need by developing open lines of communication. Achieving customer satisfaction is our mission! 2. Business Philosophy Intercon Environmental, Inc. was created with the goal in mind to provide our clients with a quality service that exceeds their expectations. Our business philosophy stems from realizing that: "Customer satisfaction is based on their evaluation of the completed work and that the contractor has completely satisfied their expectations" This, in turn,perpetuates its own opportunities and rewards. The people that define Intercon Environmental, Inc. share a common vision of meeting the demands of the fast-changing environments of the modern construction business by remaining focused on creativity, opportunity, and flexibility. Our combined attributes of responsiveness, effective channels of communication, attention to detail, and our commitment to the highest health and safety standards are our trademarks. Our clientele realize that the value of selecting Intercon Environmental, Inc. to meet their goals has everything to do with the phrases "on-time" and "within- budget." Our ability to plan and organize makes us competitive; our ability to schedule and control our results makes us industry leaders. 3. Safety is an Attitude! Intercon Environmental, Inc. recognizes first hand that the protection of workers and the environment is of primary importance to our daily operations. The severity of incidents in our industry underscores the need for all involved to maintain a"Safety Attitude"during all phases of each project. We believe that "Safety is an Attitude." Providing the vision and direction to meet this goal are seasoned, environmental professionals who comprise our management team, and who employ a hands-on approach to each project with an in-depth analysis and careful planning for delivery of a timely execution. 1 State and local agencies, along with private industry, have recognized Intercon's -" safety performance as a model that all contractors should strive for. Our proven track record features projects delivered safe and on time,while providing the best overall value to our clients. 4. Qualifications Intercon Environmental, Inc. has the experience, strength, and fast-track focus — that are required to meet today's abatement challenges. Intercon's staff is composed of certified project managers and experienced professional field superintendents and foremen. Combined, the management has over 90 years experience in environmental remediation in private industry, school districts, and governmental arenas and has worked for engineering and -- architectural firms, industries, federal and state agencies, developers, general contractors and private owners. 5. Training We continue to review and utilize new industry technologies and blend them with currently effective proven hands-on construction principles. Our remediation - team receives ongoing training in up-to-the-minute techniques for the safe and efficient handling of hazardous and problem waste. Each team member has extensive experience in remediation, packaging and transportation of hazardous - waste with strict conformity to all state and federal regulations. 6. Equipment In addition to our staff participating in professional development and training programs, we continually upgrade our equipment and facilities as needed. We currently have a fleet of trucks and equipment to provide the ability to complete numerous projects at the same time. 7. Services _ Intercon Environmental, Inc. currently offers the following comprehensive remediation services to our clients: • Asbestos Abatement • Lead Abatement • Mold Remediation • Decontamination/Decommission _ • Hazardous Waste Clean-up • Demolition—Interior and Full 8. Certifications + Program Name Certification Number Expires NCTRCA—DBE WFDB23227N0605 06/30/06 SCTRCA—SBE,DBE, WBE 204-10-4202 12/10/05 SCTRCA; City of Austin—DBE, WBE 204-10-4202 12/10/05 State of Texas-HUB 1522437774500 03/11/08 _ Women's Business Enterprise 234367 01/31/06 2 Texas Department of State Health Services License Number Expires Contractor Asbestos Abatement License 80-0805 02/05/07 Asbestos Transporter License 40-0336 02/05/07 Contractor Lead Abatement License 2110368 09/02/07 Mold Remediation License RCO0136 01/25/06 Texas Residential Construction Commission Builder Number Expires Registered Builder 16680 02/28/06 State of Louisiana Department of Environmental Quality License Number Expires Asbestos Removal&Abatement 42608 12/31/05 Asbestos Contractor/Supervisor 5SO01993 04/26/06 9. Insurance General Liability Policy Number Expires Arch Specialty Insurance Company 12 EMP 43513 00 02/03/06 $2,000,000.00 Includes Pollution Liability Worker's Compensation Policy Number Expires Texas Mutual Insurance Company 1142280 02/25/06 $1,000,000.00 Automobile Liability Policy Number Expires Hired Autos&Non-Owned Autos The Hartford Insurance Company l OUENTS3006 02/06/06 $1,000,000.00 Excess General Liability, Additional Insured and Waiver of Subrogation insurance is available upon request. 10. Bank References Wells Fargo 1640 West Henderson Cleburne,Texas 76031 Mr.Bart Cannon- (817) 556-5108 11. Credit Rating Information Dun&Bradstreet Rating: BB2 Paydex: 80 Duns# 143048119 (866) 705-5711 3 12. Client References & Current Contracts Owner Information Contract Amount Richardson Independent School District 400 South Greenville Avenue Richardson, Texas 75080 Ms.Melanie Rhea (469) 593-0044 Multi-year Price Agreement—Various Schools...........................................$1 million plus Completed work to date....................................................................................$505,924.05 University of North Texas P.O.Box 311310 Denton,Texas 76203 Mr.John Flippen (940) 565-4837 Multi-year Price Agreement—Various Campus Buildings..........................$1 million plus Completed work to date....................................................................................$181,820.84 City of Dallas Aviation Department LB 16 Love Field Terminal Building Dallas, Texas 75235 Mr. Sam Peacock (214) 670-6654 Multi-year Price Agreement—Love Field Airport.......................................$1 million plus Completed work to date......................................................................................$31,151.60 City of Fort Worth 1000 Throckmorton Street Fort Worth, Texas 76102 Mr.Roger Grantham (817) 392-8592 Multi-year Price Agreement—Various Facilities.........................................$1 million plus Completed work to date....................................................................................$142,593.21 CowtownInn.....................................................................................................$365,880.00 Fort Worth Independent School District 2808 Tillar Street Fort Worth,Texas 76107 Mr.Mike Lee (817) 871-3293 Multi-year Price Agreement—Various Schools...........................................$1 million plus Completed work to date....................................................................................$541,035.83 City of Garland—Garland Power&Light 13835 County Road 489,Nevada,Texas 75173 .� Mr. Ray Riedinger, (940) 591-5017 Annual Price Agreement with(2)Annual Renewals........................................$264,130.00 Completed work to date....................................................................................$121,488.50 4 i, - 13. Consultant References Resource Environmental Consulting,Inc. P.O.Box 801462 Dallas, Texas 75380 Contact: Dyana Lee (972) 385-4535 EcoSystems Environmental, Inc. 1408A Vantage Drive Carrollton,Texas 75006 Contact: Russ Gout (972)416-0520 Pass Associates, Inc. 16800 North Dallas Parkway Suite#120 Dallas,Texas 75248 Contact: Louis Jenson (214)461-8743 14. Conclusion ` Intercon has the resources and experience with complex projects to provide safe, quality turnkey construction services without affecting our clients' schedule or budget. We are successful because we communicate with our clients to obtain their input and listen to their suggestions. Repeat business from our existing client base forms the backbone of our business. 5 Appendix A Resumes Karen Andrews President/CEO Jerrold Andrews Vice President Corporate Health and Safety Officer Angelica Petruzzelli Executive Vice President Office Manager Fernando Avila Sales Manager Special Operations Manager Bobbie McFadin Fleet Operations Warehouse Operations Jose A. Contreras Senior Site Supervisor Safety Team Leader Hector Medina Site Supervisor ~ 6 Karen Andrews President / CEO Strong Leadership — Hands-on Philosophy — Results Orientated Ms. Andrews established Intercon Environmental, Inc. with the fundamental idea that good work and a job well done perpetuates its own opportunities and rewards, ensuring the success of this corporate venture. Ms. Andrews' in-depth knowledge and experience in the abatement industry coupled with her hands-on management style begins the management team of Intercon Environmental, Inc. Prior to the commencement of Intercon Environmental, Inc., Ms. Andrews worked for an Environmental Contractor for nine years running the entire office operation and for an Environmental Consulting firm for three years, and was accomplished at field operations and lab analysis. Through this experience she maintains an expertise in all facets of the asbestos and lead industry, from project design and field operations to client relations and project closeouts. Ms. Andrews possesses a thorough knowledge of the laws and regulatory requirements as they apply to the asbestos and lead abatement industries. Principal among Ms. Andrews duties are managing all aspects of the day-to-day operations of Intercon Environmental, Inc. and ensuring complete compliance with all levels of government regulatory and reporting requirements. She supervises the accounting staff with direct oversight of all payrolls, accounting, and banking activities. She supervises the sales and operation teams through meetings and regular site visits. She is technically proficient in spreadsheets, word processing, and accounting software. She manages all corporate financial functions, oversees purchasing and possesses an expertise of personnel and project management. Education EAST CENTRAL UNIVERSITY OF OKLAHOMA Bachelor of Science in Biology with a minor in Chemistry Certification and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Lead-Based Paint Hazard Identification and Abatement for Contractors and Supervisors License for Mold Assessment and Remediation ➢ Lead Abatement Contractor/Supervisor Training ➢ National Institute of Occupational Safety and Health ➢ 582 Equivalency Training in Microscopy ➢ National Voluntary Laboratory Accreditation Program ➢ American Industrial Hygienists Association ➢ Proficiency Analytical Testing 7 Jerrold Andrews Vice President of Operations Corporate Health and Safety Officer Corporate Management — Strategic Planning — Proven Leadership Mr. Andrews is a dynamic executive with outstanding success in managing multi-million dollar budgets. He leads negotiations with clients and suppliers, and has overseen financial and operational results that exceeded corporate goals. Mr. Andrews has achieved 100% compliance with contractual obligations, managed billing and accounting of contracts. He has successfully generated pricing proposals fulfilling a wide array of requests. Mr. Andrews has also negotiated national vendor, supplier, and subcontractor contracts. Throughout his 13 years in the asbestos abatement industry he has become well respected for his sound judgments and his ability to administer project organization. _ Mr. Andrews possesses a comprehensive knowledge of the laws and regulatory requirements, ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the asbestos abatement industry. Combined with his twenty-three years in management, he has proven to be superlative in his industry. He manages his employees through training and improved communications. Safety is priority one and non-negotiable. He has organized and conducted full operations training, in particular, management development, employee development, strategic planning, and safety. His hiring philosophy is to hire well-trained support team members and through training, make them better. Mr. Andrews directed the formation of E-based capabilities, including web site and E-sales. He is technically proficient in data base, spreadsheet,presentation, and scheduling software. Extensive twenty-three year background in business management, thirteen of which has been in the environmental industry to include asbestos and lead abatement, PCB removal, re- construction, project management, general contracting, and hazardous chemical disposal. Over 2,000 projects completed, totaling more than $40 Million dollars in his thirteen years in the environmental industry. Some of the projects he has acquired and managed are: Dallas Love Field Airport Contracts and Price Agreement 10 Years $3 Million+ City of Dallas Price Agreement 7 Years $5 Million+ Dallas Area Rapid Transit Price agreement 3 Years $2 Million+ Dallas ISD Contracts 12 Years $2 Million+ UNT Housing Price Agreement 7 Years $3 Million+ City of Fort Worth Price Agreement 3 Years $1 Million+ Fort Worth ISD Price Agreement 2 Years $2 Million+ " Richardson ISD Price Agreement 10 Years $3 Million+ Education and Certifications TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor Lead-Based Paint Hazard Identification and Abatement for Contractors and Supervisors License for Mold Assessment and Remediation OCCUPATION HEALTH AND SAFETY CERTIFICATION Hazardous Waste Operations and Emergency Response Training STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY Asbestos Contractor/Supervisor 8 Angelica Petruzzelli Executive Vice President Office Manager Bold Administrator — Proven Track Record — Public Relations Expertise Ms. Petruzzelli's in-depth knowledge and experience in all aspects of office administration combined with her knowledge and years of office management for environmental operations make her a valuable addition to the Intercon Environmental, Inc.team. Ms. Petruzzelli has superior communication skills interacting with executives, regulatory agencies, clients, vendors and staff. She is fluent in English and Spanish. She is technically proficient in spreadsheets, word processing, tracking, and accounting software. She has implemented computerized project tracking documents that has assisted Intercon become the efficient organization. Ms. Petruzzelli possesses a thorough knowledge of current personnel, administrative and clerical procedures. She ensures compliance in regulatory document preparation with all local, state and federal regulatory agencies. Principal among Ms. Petruzzelli's duties are performing all functions of the day-to-day office operations of Intercon Environmental, Inc., including: ➢ Regulatory Documents Preparation ➢ Accounts Payable ➢ Accounts Receivable - ➢ Bookkeeping ➢ Payroll Documentation ➢ Invoicing ➢ Purchasing ➢ Personnel ➢ Record Keeping Certificates and Training MICROSOFT CERTIFICATION Microsoft Office Products Certification ➢ Advanced Business Software Training ➢ Office Administrative Courses ➢ Personnel and record keeping training ➢ Accounting Courses 9 Fernando Avila Sales Manager Licensed Asbestos Abatement Supervisor Sales Management — Proven Leadership Mr. Avila has twenty years of background in Business Management including his 13 years of experience in Environmental Management. Mr. Avila sales experience compliments the management team of Intercon Environmental, Inc. Among Mr. Avila's duties are obtaining projects through diligence,knowledge and experience. He also provides estimates and negotiates contracts with clients. Mr. Avila possesses a thorough knowledge of personnel and project management and all laws and regulatory requirements as they apply to the asbestos and lead abatement industries. Principal among Mr.Avila's duties are managing the day-to-day sales of Intercon Environmental, Inc. which includes walking projects, bids and proposals and supervision of the Operations Manager. He maintains strong communication skills and project insight that creates an effective work environment. Certifications and Training d' TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY TRAINING Asbestos Contractor/Supervisor ➢ Asbestos Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal ➢ Train the Trainer Courses - ➢ Project Management Courses ➢ Compliance with O.S.H.A. Regulations ➢ Multiple Project Safety Courses Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile&Fire Control _ City of Garland Power Plants City of Fort Worth Richardson Independent School District 10 Bobbie McFadin, Jr. Fleet Manager Licensed Asbestos Abatement Supervisor Experienced Management — Quality Leadership —Training Expertise Mr. McFadin is an accomplished, seasoned professional with proven success in operations management to accomplish our organizational mission. His thirty-two years of experience in all aspects of the transportation industry combined with his years of experience in the Environmental Industry makes him a strategic addition to the Intercon Environmental, Inc.team. Mr. McFadin possesses a thorough knowledge of current transportation industry regulations and procedures. Principal among Mr. McFadin's duties are to oversee all functions of the day-to-day fleet and asbestos operations of Intercon Environmental, Inc. He is also our corporate trainer for fleet operations.Mr.McFadin's other duties include the following: ➢ Driver and Safety Training ➢ Regulatory Documents Preparation ➢ Logistics Management ➢ Fleet Dispatch ➢ Maintenance and Inspection Record Keeping Certifications and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor ➢ Hazardous Material Storage and Disposal ➢ Proper use of 3M and North brand half-face respirators ➢ Proper use of Typhoon, Survive Air, MSA and 3M brand PAPR respirators ➢ Compliance with O.S.H.A.Regulations ➢ D.O.T Compliance Training ➢ Accident Investigation and Reconstruction Training ➢ HAZMAT Training ➢ Licensed National Safety Council DDC-PTD Instructor ➢ Class III Licensed Instructor for Driver Training ➢ Class IV Licensed Supervisory Instructor for Driver Training ➢ Completed CFR 1910.120 Training for the Transport and Handling of Hazardous Materials and Confined Space Entry ➢ Has attended numerous Transportation Safety Workshops and Safety Seminars Multiple Office Administrative Courses Experience City of Dallas City of Fort Worth Lockheed Martin Missile&Fire Control City of Garland Power Plants 11 Jose A. Contreras Licensed Asbestos Abatement Supervisor Safety Team Leader Expertise — Project Management—Site Safety Mr. Contreras, an accomplished and seasoned professional, possesses a comprehensive knowledge of all laws and regulatory requirements, and ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the asbestos abatement industry. With his sixteen years in the asbestos industry he has proven to be ` exceptional in his trade that makes him an integral part of the success of Intercon Environmental, Inc. He has supervised and completed successfully numerous asbestos abatement projects of a diverged magnitude during his tenure in his profession. Mr. Contreras boasts a zero lost time injury record in his 16 years. Mr. Contreras was the sound choice for our Safety Team Leader. Certifications and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation ➢ Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal _ ➢ Project Safety Courses ➢ Confined Space Entry ➢ Emergency Response Training ➢ Proper use of 3M and North brand half-face respirators ➢ Proper use of Typhoon, Survive Air,MSA and 3M brand PAPR respirators ➢ Compliance with O.S.H.A.Regulations _ Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile&Fire Control City of Garland Power Plants University of North Texas Housing City of Fort Worth Richardson Independent School District 12 Hector Medina Licensed Asbestos Abatement Supervisor Expertise — Project Management Mr. Medina, an accomplished and seasoned professional, possesses a comprehensive knowledge of all laws and regulatory requirements, and ensuring complete compliance with all levels of government regulatory and reporting requirements as they apply to the asbestos abatement industry. With his sixteen years in the asbestos industry with three years as an Asbestos Abatement Supervisor, he has proven to be excellent in his trade that makes him an integral part of the success of Intercon Environmental, Inc. He has supervised and completed successfully numerous asbestos abatement projects of a diverged magnitude during his tenure in his trade. Mr. Medina, with his ability to work hard to get the project done and to hire crews, has put Mr. Medina into an important supervisor for Intercon. Certificates and Training TEXAS DEPARTMENT OF STATE HEALTH SERVICES CERTIFICATIONS: Asbestos Abatement Supervisor and Contractor License for Mold Assessment and Remediation ➢ Asbestos Abatement Contractor and Supervisor ➢ Annual Refresher Courses ➢ Hazardous Material Storage and Disposal ➢ Proper use of 3M and North brand half-face respirators ➢ Proper use of Typhoon, Survive Air,MSA and 3M brand PAPR respirators ➢ Compliance with O.S.H.A.Regulations Experience Fort Worth Independent School District Dallas Love Field Airport City of Dallas Lockheed Martin Missile&Fire Control City of Garland Power Plants University of North Texas Housing City of Fort Worth Richardson Independent School District 13 Appendix B Certifications • Texas Department of State Health Services Contractor's Asbestos Abatement License • Texas Department of State Health Services Asbestos Transporter's License • Texas Department of State Health Services — Mold Remediation License • Texas Residential Construction Commission — Residential Builder's License • Texas Department of State Health Services — Contractor's Lead Firm License • Texas Department of State Health Services — Supervisor Lead Abatement License • Texas Comptroller of Public Accounts Certificate of Account Status Letter of Good Standing • State of Texas Historically Underutilized Business Certificate • NCTRCA—North Central Texas Regional Certification Agency Disadvantaged Business Enterprise Certification • SCTRCA- South Central Texas Regional Certification Agency Small,Disadvantaged,Minority&Women Business Enterprise Certification _ • Women's Business Enterprise National Council • Certificate of Insurance • Louisiana State Licensing Board for Contractors R Asbestos Removal and Abatement • State of Louisiana Department of Environmental Quality Asbestos Contractor/Supervisor License • State of Louisiana Secretary of State Certificate of Authority • State of Louisiana Secretary of State Certificate of Good Standing T 14 0 1 C3 72 12. x 4 L y .'" �To O = � a cs � 15 0 c tar- cn O � b � •K [„yl �-a c � �!•i L� J 7 tJ W z o F ci � .�__ U � L CJ1 9 J 'U G � ... of 16 a» C a z ci Cd to WI v 0 CY 0 U ya aC 40, 04 A c a �. 6 U H ><LU a� 3 �— D cis v'a t 00 b W 73 17 NIP .� T Certificate of Registration pw QV'ww7 we . do lntercon Environmental, Inc. 4 Camden Court Mansfield, TX 76063 a Registered Builder No. 16680 MtGian" Wednesday, September 22, 2004-;&a� �-�L; - �--- /Patrick Corder ,Chairman SthpheD.Thomas,Ei4cutive Director 18 cli CV) 441 ""4 > La d N L ...m J � z10 �1 N v o crm ...� .� +C to `i 1.0 ul 19 A LC) n .-�4 ri s L( h � x^P 9a � V - l�Yytrr � ti •� � - � CL 0 --0 .� > �. z - r 14 a r LTJU1 .a? �- 20 Certificate of Account Status-Letter of Good Standing Page 1 of 1 TUM COMPMU 49'..0. Fac Rccoums KEETOM STRAYMM-COMPTROLUR,AUSTIM.TEXAS 78774 April 14, 2005 CERTIFICATE OF ACCOUNT STATUS THE STATE OF TEXAS COUNTY OF TRAVIS I, Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, DO HEREBY CERTIFY that according to the records of this office INTERCON 8NVIRONME24TAL INC is, as of this date, in good standing with this office having no franchise tax reports or payments due at this time. This certificate is valid through the date that the next franchise tax report will be due May 15, 2006. This certificate does not mdke a representation as to the status of the corporation's Certificate of Authority, if any, with the Texas Secretary of State. This certificate is valid for the purpose of conversion when the converted entity is subject to franchise tax as required by law, This certificate is not valid for the purpose of dissolution, merger, or withdrawal. GIVEN UNDER MY HAND AND SEAL OF OFFICE in the City of Austin, this 144.-h day of April, 2005 A.D. Carole Keeton Strayhorn. Texas Comptroller Taxpayer number: 15224377745 File number: 0800288361 Forth 05504(Rev.024)9/14) hnp://ecp&cp&state.tx.us/c,oa/servlet/cpaApp.cogLCoaUtter 4/14/2005 ifitfe lif Ztxas Historically Underutilized Business Certification and Compliance Program E T The Texas Building & Procurement Commission (TBPC), hereby certifies that INTERCON ENVIRONMENTAL, INC. has successfully met the established requirements of the State of Texas Historically Underutilized Business (HUB) Certification and Compliance Program to be recognized as a HUB. This certificate, printed 13-MAR-2404,supersedes any registration and certificate previously issued by the TBPC's HUB Certification and Compliance Program, N there are any changes regarding the information(i.e., business structure, ownership, day-today management, operational control. addresses, phone and fax numbers or authorized signatures) provided in the submission of the business' application for registration/certification as a HUB,you must immediately(within 30 days of such changes)notify the TBPC's HUB program in writing. The Commission reserves the right to conduct a compliance review at any time to confirm HUB eligbility. HUB certification may be suspended or revoked upon firiftgs of ineligibility. Certdicate/VID Number: 1522437774540 Paul A.Gibson FileNendor Number: 36251 HUB Certification&Compliance Supervisor Approval Date: 11-MAR-2004 Texas Building&Procurement Commission Expiration Date: 11-MAR-2008 (512)305-9071 Note: In order for State agencies and institutions of higher education(universities)to be credited for utilizing this business as a HUB, they must award payment under the CertificateNiD Number identified above. Agencies and universities are encouraged to validate HUB certification prior to issuing a notice of award by accessing the Internet(http:lhaww.tbpe.state.tx.us)or by contacting the TBPCs HUB Certification and Compliance Program at(888)863-5881 or(512)463.5872. 22 s. I NL Ao F w >" E ea e i lu N Croo o CL a - CD Ch IT � W *' � m tp •� o p - - - O O p is .; 'a A w 3 E t0 lA O � O O N Q cis Vto ~ L vJ U .0 O s. O +� � 4) Co C gyp : y+ �� R - 'a Q ° Q 3 3 N Ell — o LL k lu co 41 �,••t c: ti k o. E .0 lu T - F � Y - — # 23 I oA cis' .•�`i %,ZS O # iv 01w, ca gi p CC U E;' ,, .� E "bo Ca a » 24 �i49�S3i�£ ,11 's f... C :. 6� C0-4 N 4x , :k a oA to . Q z yr a rn r^3 Z pip y WrA yes � ai ,* J �ws At a a ,, �c sst 'LT a, a l A sa: Z t 9� u :a as r lAe OPN ? ? 3 25 f"A AN# 'SO Ar a Pow A.-It '�5 �Z '7' 1 is, 5 -<1 t 4�i 0 ;;j z AIN 0 Poo or ZU ' CO C-4 Ov zw CL 7r 26 ACORD. CERTIFICATE OF LIABILITY INSURANCE rROC:K E31 SeriWt 1iM7147 THIS a—RT—P.ATE Is ISSUIF0 AS A MA f7£R OF INFORMATION THE WYATT AGENCY ONLY AND HOLDER. TKS CERTIIFCATE DOES NOT AMEND. EXTEND OR 1300 11 TN STREET ALTER TH£COVE AGE AFFORDED BY rHE POLICIES BELOW 8UITE HUNTsVILL.E,TX T7340 WSUREM Arr*RSM Ct}YERAfiiE NAS s, o mu*%R A: ARCH SPECIALTY INSURANCE COMPANY INTERCON ENVIRONMENTAL,INC. OARW t A! Ti FE HARTFORD BNS,00. 2214 FM 1187,BLDG-06 Arsusest G; TEXAS WrIVAL INSURANCE CCUPAP61Y MANSFIELD,TX 7WO O*uw o. Rt817R':4 Ei C THE PtO=F-S OF JNSURAl=LISPED BELOW HAVE BEEN ISSUED TO THE Nq URED NAMED AW4 FOR THE POLICY PERIOD W=ATED.NOTWITHSTANDNO ANY"QU ZWNT,TEFU OR CONATION OF ANY CONTRACT Oft OTHER DOCU16 'W"RESPECT TO WH CH TH6S CERTIFICATE WY BE ISSUED OR MAY PERTAKt,THE INSURANCE AFFORDED BY THE POLICES,'2E8CTPM AEREIN IS SUBJECT TO ALL THE TERMS, ZXCLVSIONIS AND CONDITIONS OF SUCH POLICIES,A0GREC,AT£L"TS S 40M MAY KAVE BEEN REWCED BY PAID CLAIMS TYPE CA'NOIRANC9 "'c' R ^"` uwrs • f"LRAL Laman §00CLas+c cm a 1000,000 A X amR— urs%,AJKuTY 12 EMP 43513 00 zrly ,5 Zr4W �� `�_— s S©,008 L'-A4 ea4DE m DeviR Umip 5.wo X ASSESTOSILEAD ABATE PERSW*-'A ACV LAIRv i 2.000_ODO X PL74LUTl h1 LiA$ILITY awquR sAsromG.TE s 2.0=000 WJ&J 0$AE0ATW Lil "AAC_lES Py"it; PR43d�CT A{S6 S 2,1100,8{14 X PO:ICY M LDC Ae aMOBUU"LM IOUEN'sS3006 Zsm 2 —r£:e~NIX-'W7 s 1,ODQ,000 $ X AW Ai 0 (eitocook -- KL O"vt°NLL1;pF,?$ f�itLY iU4A2" X w�is A31GS t9¢^3.Y rsXy�. � X N R tl1A5AAUTOS opmoE uuw Kr AUTO 00&Y•EA ACCEXW S *mv*Pfp T" EA Rw a EKocasA LA.A LIA8 " r,4:14 O0cowtaN'E 4 C�rfi.Ai7J+� ; � "MAPM 4001142M 2+'251052&5= X ice, a C LidswTv All' i+R+£YOR+P'kNTt C€LUTr. EL EACH ACtXCEJt7 S 1,S}0(IO(70 L,,,, yIERtBER EK:.Li$.7 � EL 1.CED0,000 6PE:t5L P#."YrS '.m AL --OucC UJT is 1,0(X1401) -T ol.r4a OILS WTWR OT 0"AATIONSP. AL*i!E{t BY CROOMNENIWECAL P"MD" FOR INFORMATION AND BIDDING PURPOSES ONLY CERTIRCATE HOLDER T)ON &,"&G Aw OF M AbLla a2softm-Ouc FS iii CABG$).BUD=wE/PtfE 74N C47l Tt@RE ,T. %;ZWNG ItlMd'R YKa SND&ik"TO TIAL 30 Myt tVR7 mn FOR INFORMATION AND BIDDING PURPOSES ONLY " TOI mmm 1°Tmaucetwr'A%W%TODO$0W-u SR 0st NO MMATION OR O-Zi0`y GF ANY W4 UPON T1c;..eN^:3F. ,iTs ArA%-rs JA AIIl11C%�FTa ACORD 25(208110$) tACb jW CORPORATION im ter_ 27 .■ ' 4i .r iJR ♦Ir f1 J if I a I RAM* 4-0 . VA � ++ z Q _tr tiFt LLJ .. 13 r 28 w l h ; Ix flIcb mr „ er Z Ell .s G Z .. s 44 j Z 26 IR 3 z `.. rA r ry :rr a� x _ z OL Cfji 3 29 T; y .` It t t n f IM .fax ArJK ft#t t .�a �'� o���rs�esr o��e �°�a�r n}� '•�eci�st�� ..ado ,��e ��I�� ��a�''' � the Application Form for Cer£ificate of Authority of INTERCOM ENVIRONMENTAL, INC. Domiciled at FA- NSFIELD, TEXAS, was filed and recorded in this office on July 13, 2004, ;. P Thus authorizing the corporation to exercise the same powers, rights and privileges accorded similar domestic = corporations, subject to the provisions of R. S. 1950, Title , 12, Chapter 3, and other applicable laws. L I Vn m�t basad aad arursed dce,� 1 qc t j cc�e f: LO a e� July 13, 2004 ` t+ - C, r E 35740852F � Y (� GF3ii i CAT£55 102;"#"M SEAT f0$:d331 30 � F-7- Y N 7 atKeiten INTERCON ENVIRONMENTAL, INC. A TEXAS corporation domiciled at MANSFIELD, Filed charter and qualified to do business in this State on July 13, 2004, I further certify that the records o'f this office indicate the corporation has paid all fees due the Secretary of State, and so far as the Office of the Secretary of State is concerned is in good standing and is authorized to do business in this State. I further certify that this Certificate is not intended to reflect the financial condition of this corporation since j this information is not available from the records of this Office. jccw JU en, 09 F7. July 16, 2004 yr IF jr E 35740852E 4R t -y W OVA Win-0 kt CERT'MA-M SS 102 PRINTED SEAL(0&W 31 This page left intentionally blank. 32 "ntercon ENVIRONMENTAL, INC. 2214 FM 1187 . Building 6 . Mansfield, Texas 76063 . Telephone (817) 477-9995 . Facsimile (817) 477-9996 mail@intercon-environmental.com www.intercon-environmental.com CLIENT REFERENCE LIST i 1. Project: Various facilities, Fort Worth, Texas Client: Fort Worth Independent School District Contact: Mike Lee, Environmental Coordinator Phone No.: 817-871-3293 Contract Amount: $541,035.83 —to date Total Contract Amt: On-going 5-yr Price Agreement$3,200,000.00 Consultant: Resource Environmental Consulting, Inc. Phone No.: 972-3854535 Scope of work: Removal of asbestos-containing sheetrock, fireproofing, floor tile &mastic, thermal pipe insulation,thermal pipe fittings, ceiling tile, and transite fume hoods. 2. Project: Various facilities, Richardson, Texas Client: Richardson Independent School District Contact: Melanie Rhea, Environmental Manager Phone No.: 469-593-0044 Contract Amount: $505,904.05 -to date Total Contract Amt: On-going_3-yr Annual Price Agreement Consultant: EcoSystems Environmental, Inc. Phone No.: 972-416-0520 Scope of work: Removal of asbestos-containing sheetrock, fireproofing, floor tile& mastic, thermal pipe insulation,thermal pipe fittings and ceiling tile. Intercon/BidDocs/Client Reference List Completed Projects Page 2 of 4 tercon ENVIRONMENTAL,INC. 3. Project: Grayson CoupCollege, Denison, Texas Client: Plyler Construction Contact: Mark Floyd,Project Manager Phone No.: 903-893-6393 Contract Amount: $221,800.00 Completion Date: June 2004 and November 2004 Consultant: Resource Environmental Consulting, Inc. Phone No.: 972-385-4535 Scope of work: 54,012 square feet of sheetrock, ceilings tile, floor tile &mastic and duct mastic; 2,836 linear feet of pipe insulation; 200 square feet of windowlg azing. 4. Project: Various facilities, Fort Worth, Texas Client: City of Fort Worth #, Contact: Roger Grantham, Environmental Program Manager Phone No.: 817-392-8592 Contract Amount: $508,473.95 -to date; to include the Project: Cowtown Inn Total Contract Amt: On-going_3-yr Annual Price Agreement - Consultant: IHST Environmental, Inc. Phone No.: 972-478-7415 Scope of work: Removal of asbestos-containing sheetrock, fireproofing, floor tile&mastic, thermal pipe insulation and thermal pine fittings. 5. Project: Various facilities, Denton, Texas Client: University of North Texas Contact: John Flippen, Project Coordinator Phone No.: 940-565-4837 Contract Amount: $181,820.84-to date Total Contract Amt: On-going 3-yr Annual Price Agreement Consultant: Resource Environmental Consulting, Inc. Phone No.: 972-385-4535 Scope of work: Removal of asbestos-containing sheetrock, fireproofing, floor tile&mastic, thermal pie insulation and thermal pipe fittings. Completed Projects Page 3 of 4 tercon ENVIRONMENTAL,INC. 6. Project: Love Field Airport, Dallas, Texas Client: City of Dallas Aviation Department Contact: Sam Peacock, Project Coordinator Phone No.: 214-670-6654 Contract Amount: $31,151.60—to date Total Contract Amt: On-going Annual Price Agreement Consultant: Pass Associates, Inc. Phone No.: 214-461-8743 Scope of work: Removal of asbestos-containing sheetrock, floor tile & mastic, fireproofing, thermal pipe insulation and thermal pipe fittings. 7. Project: Olinger, Spencer& Newman Power Plants, Garland&Nevada, Texas Client: City of Garland Contact: Paul Kelly, Maintenance Tech Lead Man Phone No.: 972-485-6576 Contract Amount: $121,488.50—to date Total Contract Amt: $264,130.00 Consultant: Resource Environmental Consulting, Inc. Phone No.: 972-385-4535 Scope of work: Removal of asbestos-containing thermal pipe insulation and thermal wipe fittings. 8. Project: Lockheed Martin Fire& Missile Control, Grand Prairie, Texas Client: Lockheed Martin Fire & Missile Control Contact: Devan Miller, Field Engineer Phone No.: 972-603-9504 Contract Amount: $30,262.70—to date Total Contract Amt: On-going Annual Price Agreement Consultant: ECS, Ltd. Phone No.: 972-392-3222 Scope of work: Removal of asbestos-containing sheetrock, roofing, fireproofing, ceiling tile, floor tile& mastic, thermal pipe insulation and thermal pipe fittings. Completed Projects ied A--, Page 4 of 4 tercon ENVIRONMENTAL,INC. 9. Project: Various facilities, Tarrant County, Texas Client: Tarrant County Contact: Clarence Presley, Operations Manager Phone No.: 817-884-3708 Contract Amount: $22,358.05 —to date Total Contract Amt: On-going Annual Price Agreement Consultant: ERI Consulting,Inc. Phone No.: 817-560-1613 Scope of work: Removal of asbestos-containing sheetrock, floor tile&mastic,thermal ape insulation and thermal pipe fittings. 10. Project: Dallas City Hall, Central Library; Various other facilities, Dallas, Texas Client: TAC Americas Contact: Ken Wheat,Project Manager Phone No.: 972-323-5317 Contract Amount: $74,047.00—to date Total Contract Amt: On-going Annual Price Agreement Consultant: Resource Environmental Consulting, Inc. Phone No.: 972-385-4535 Scope of work: Removal of asbestos-containing floor tile &mastic,thermal pine insulation and thermal pipe fittings. . L16 P!_ktercon ENVIRONMENTAL, INC. 2214 FM 1167 . Building 6 Mansfield, Texas 76063 Telephone (617) 477-9995 . Facsimile (617) 477-9996 mail@intercon-environmental.com www.intercon-environmental.com Background History with City of Fort Worth Intercon Environmental, Inc. has over the past two years, completed more than $500,000.00 worth of work for the City of Fort Worth. In addition to our company possessing contractor licenses for Asbestos Abatement, Lead and Lead Based Paint Abatement and Mold Remediation, we also have the capabilities to perform re-construction and rebuild, respond to emergencies, and perform general construction improvements. Intercon Environmental, Inc. has completed numerous projects such as floor tile installation, demolition, lead and mold decontamination, wall and ceiling installation and painting projects. Our abilities are only limited by your needs. All projects that were completed for the City of Fort Worth were on schedule; and in actuality 70% of the projects were completed well ahead of schedule. Intercon's team members have performed emergency clean-ups and rebuilds due to damages caused by other contractors with a response time being less than two hours. Each and every project was completed to the owners' total satisfaction. We take pride in every project we do. Over the last three years, the team members of Intercon Environmental, Inc. have completed more than 140 projects for various school districts, local, state and federal government agencies. Intercon Environmental, Inc. has never ignored a request for service, even a last minute issue. We have also never requested a change order for work we contracted to complete. Our team members have been in the Dallas / Fort Worth market for over 13 years, specializing in all aspects of the asbestos, lead and mold abatement industries. Intercon maintains nine full time employees to handle the needs of our clients and ensure that we can meet or exceed any project demands. Our telephones are answered 24 hours a day by knowledgeable company personnel with the ability to mobilize personnel and equipment to a project site at a moments notice. Intercon Environmental, Inc. has developed in-house sources for work normally subcontracted to other firms. We have found this to be more reliable, efficient and effective in meeting the needs of our clients. By self-performing tasks, we have a much greater control on meeting deadlines and maintain a consistency of high quality work and customer satisfaction. We cover every aspect of the abatement process from moving furniture to rebuilding or demolishing the facility. We maintain no minimum or maximum quantities of work. Our fleet of trucks helps us to get in and out of project sites quickly. During peak abatement seasons, we have the resources to obtain additional supervisors and workers from a select pool. Currently, we have the resources to staff and conduct six large abatement projects simultaneously. With additional workers from the pool to supplement our own staff, we can effectively staff up to ten projects concurrently. ur Project Managers are available at all times. All projects, large or small, are managed with the same urgency and attention. We process project closeout documents usually within 2-business days of project completion. Intercon Environmental, Inc. has never missed a project deadline or failed to complete a project to the complete satisfaction of the building owner. Intercon/BidDocs/CityFW-Backg rou ndHi story City of Fort Worth Background History tercon Page 2 of 2 ENVIRONMENTAL,INC. itercon Environmental, Inc.'s Team Members have successfully completed projects for the following governmental and educational institutions: Federal Government Department of the Navy Internal Revenue Service Federal Aviation Administration US Army Corp of Engineers General Services Administration US Air Force Reserve Housing and Urban Development (HUD) United States Postal Service State Government Texas Department of Health Department of Public Safety Department of M.H.M.R. Texas Department of Transportation County Government Collin County jail Dallas County Court House Dallas Area Rapid Transit Tarrant County Court House City Government City of Addison City of Garland City of Arlington City of Haltom City of Burleson City of Hurst —ity of Carrollton City of Irving City of Dallas City of Lake Worth City of Euless City of Plano City of Farmers Branch City of Richardson City of Fort Worth Colleges and Universities Austin College Texas A&M College Station Eastfield College Tarleton State University Grayson County Community College University of North Texas Denton Kilgore College University of Texas at Arlington Richland College School Districts Arlington ISD Irving ISD Birdville ISD Keller ISD Carrollton ISD Mesquite ISD Dallas ISD Mineral Wells ISD Fort Worth ISD Plano ISD Garland ISD Prairiland ISD /'%rangy] Prairie ISD Richardson ISD Grapevine-Colleyvilie ISD Waco ISD H-E-B ISD Weatherford ISD Intercon/BidDocs/CityFW-Backgrou nd History LACtercon ENVIRONMENTAL, INC. 2214 FM 1187 Building 6 Mansfield Texas 76063 Telephone (817) 477-9995 . Facsimile (817) 477-9996 mail@intercon-environmental.com www.intercon-environmental.com Contractor's Work History with the City of Fort Worth Project Name Project Location Contract Amount Former Cowtown 6855 East Lancaster Street $365,880.00 Fort Worth, Texas 76112 Public Safety Building 1000 Throckmorton Street $1,726.00 Fort Worth, Texas 76102 Hillside Community Center 1201 East Maddox Avenue $10,698.90 Fort Worth, Texas 76104 Parks and Recreation South District Service 5201 James Avenue $13,155.00 Center Fort Worth, Texas 76115 _ RD Evans Recreation Center 3200 Lackland Road $476.40 Fort Worth, Texas 76116 Meacham Airport Hangar 11 N 201 Aviation Way $69,717.10 AL Fort Worth, Texas 76106 Zity Hall Physical Plant 1000 Throckmorton Street $1,995.00 Fort Worth, Texas 76102 Fire Station #6 205 University Drive $798.00 Fort Worth, Texas 76107 Fire Station #12 120 NW 22nd Street $1,222.50 Fort Worth, Texas 76106 Fire Station #26 6124 Hulen Street $1,197.25 Fort Worth Texas 76113 Fire Station #29 6400 Westcreek Drive $913.00 Fort Worth Texas 76133 Convention Center Arena/Exhibit Hall 1111 Houston Street $3,957.00 Fort Worth, Texas 76102 City Hall - 2nd Floor 1000 Throckmorton Street $2,258.50 Fort Worth, Texas 76102 Police South Division 3128 West Bolt StreetFort Worth, Texas 76133 $1,206.50 RD Evans Recreation Center 3200 Lackland Road $446.80 Fort Worth, Texas 76116 1111 Houston Street Convention Center Fort Worth, Texas 76102 $9,130.00 Convention Center Emergency 1111 Houston StreetFort Worth, Texas 76102 $2,132.00 Community Arts Center 1309 Montgomery Street $1,214.00 Fort Worth, Texas 76107 Northside Community Center 1851 Harrington Avenue $20,350.00 Fort Worth, Texas 76106 Intercon/BidDocs/CityFW-WorkHistory 2.9 VENDOR'S COMPLIANCE TO STATE LAW Article 601g of Vernon's Texas Civil Statues (1985) applies to the award of contracts to non-resident contractors (out-of-state contractors whose corporate offices or principal place of business are outside of the State of Texas) who are required to proposal projects for construction, improvements, supplies or services in Texas at an amount lower than the lowest Texas resident contractors would be required to under proposal a non-resident contractor in order to obtain a comparable contract in the state in which the non-resident's principal place of business is located. The appropriate blanks in Section A below must be filled out by all out-of-state or non-resident contractors in order for their submittal to meet specifications. The failure of out-of-state or non-resident contractors to do so will automatically disqualify that contractor. Resident contractors must check the box in Section B below. A. Non-resident contractors in (give state), our principal place of business, are required to be percent lower than resident contractors by state law. A copy of the statute is attached. Non-resident contractors in (give state), our principal place of business, are NOT required to underbid resident contractors. B. Our principal place of business or corporate offices are in the State of Texas. [X] (Check this box if statement B is true) PROVIDER: Intercon Construction Co. , Inc. BY: Brent Bates (Company Name) (prin pZnam f signatory)301 West Avenue D /�� (Address) (Signature) Garland, Texas 75040 President (City, State, Zip) Title (print or type) 2-18 2.10 INSURANCE CERTIFICATES 2.10.1 The successful Provider will be required by the contract to have insurance coverage as detailed below. Prior to commencing work, the Provider shall deliver to Fort Worth certificates documenting this coverage. The City may elect to have the Provider submit its entire policy for inspection. "A. Commercial General Liability Insurance-$2,000,000 each occurrence. "B. Professional Liability Insurance -$2,000,000 each ocurrence. "C. Automobile Liability Insurance— a) Coverage on vehicles involved in the work performed under this contract: ♦ $1,000,000 per accident on a combined single limit basis or: $500,000 Bodily injury/person ♦ $500,000 Bodily injury/accident $250,000 Property damage b) Uninsured/Underinsured Motorist: $20,000 Bodily Injury each person, $40,000 Bodily Injury each accident; $15,000 Property Damage each accident. The named insured and employees of Provider shall be covered under this policy. The City of Fort Worth shall be named an Additional insured on Endorsement TE 9901 or equivalent, as its interests may appear. Liability for damage occurring while loading, unloading and transporting materials collected under the Contract shall be included under this policy. "D. Worker's Compensation— a) Statutory limits for Worker's Compensation plus b) Employer's liability at a minimum: $1,000,000 each accident; $1,000,000 disease-policy limit; and ♦ $500,000 disease-each employee. "E. Environmental Impairment Liability(EIL)and/or Pollution Liability-$2,000,000 per occurrence. EIL coverage(s) must be included in policies listed in items A and B above; or, such insurance shall be provided under separate policy(s). Liability for damage occurring while loading, unloading and transporting materials collected under the contract shall be included under the Automobile Liability insurance or other policy(s). The following shall pertain to all applicable policies of insurance (1. through 4.) listed above: 2-19 a. Additional Insured Clause: "The City of Fort Worth, its officers, agents, employees, and representatives are added as additional insureds as respects operations and activities of, or on behalf of the named insured, performed under Contract with the City of Fort Worth." Exception... the additional insured requirement does not apply to Workers' Compensation policies b. Subcontractors shall be covered under the Provider's insurance policies or they shall provide their own insurance coverage; and, in the latter case, documentation of coverage shall be submitted to the Provider prior to the commencement of work and the Provider shall deliver such to the City. c. Prior to commencing work under this Contract, the Provider shall deliver to the City of Fort Worth insurance certificate(s) documenting the insurance required and terms and clauses required. d. Each insurance policy required by this Contract shall contain the following clauses: "This insurance shall not be canceled, limited in scope or coverage, or non-renewed until after forty-five (45) Days prior written notice has been given to the Director of Environmental Management, City of Fort Worth, 1000 Throckmorton, Fort Worth, Texas 76102." Note: Written notice can be by Provider or insurance company. e. The insurers for all policies must be licensed/approved to do business in the State of Texas. Except for workers' compensation, all insurers must have a minimum rating of A: VII in the current A. M. Best Key Rating Guide or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required, written approval of Risk Management is required. f. The deductible or self-insured retention (SIR) affecting the coverage required shall be acceptable to and approved in writing by the Risk Manager of the City of Fort Worth in regards to asset value and stockholders equity. In lieu of traditional insurance, alternative coverage maintained through insurance pools or risk retention groups must be also approved by the City's Risk Manager. g. Waiver of rights of recovery(subrogation) in favor of the City of Fort Worth. h. Such insurance policies shall be primary, without right of contribution and not subject to any offset by any other insurance carried by the City or the Provider. i. If insurance policies are not written for specified coverage limits, an Umbrellas or Excess Liability insurance for any differences is required. Excess Liability shall follow form of the primary coverage. 2-20 j. "Unless otherwise stated, all required insurance shall be written on the "occurrence basis"". If coverage is underwritten on a claims-made basis, the retroactive date shall be coincident with or prior to the date of the contractual agreement and the certificate of insurance shall state that the coverage is claims-made and the retroactive date. The insurance coverage shall be maintained for the duration of the contractual agreement and for five (5) years following completion of the service provided under the contractual agreement or for the warranty period, whichever is longer. An annual certificate of insurance submitted to the City shall evidence such insurance coverage. k. The City, at its sole discretion, reserves the right to review the insurance requirements and to make reasonable adjustments to insurance coverages and their limits when deemed necessary and prudent by the City based upon changes in statutory law, court decision or the claims history of the industry as well as of the contracting party to the City of Fort Worth. In the event the City requires the insurance limits to be increased or changes in policy categories or types of coverage, the City shall provide written notice to the contracting party. The contracting party will have ninety days from the date of notice to comply with the additional requirements. The City shall be entitled, upon request and without expense, to receive copies of policies and endorsements thereto and may make any reasonable requests for deletion or revision or modifications of particular policy terms, conditions, limitations, or exclusions except where policy provisions are established by law or regulations binding upon either of party or the underwriter on any such policies. FOR PURPOSES OF THIS REQUEST FOR PROPOSAL, PLEASE ATTACH A COPY OF YOUR CURRENT INSURANCE CERTIFICATE(S) FOLLOWING THIS PAGE AND BOUND WITHIN THE PROPOSAL PACKAGE. 2-21 Aug 10 05 02:50p p.1 P / AAC = CERTIFICATE OF LIABILITY INSURANCE ATTER OF INFO DATE'M'"'MWM 08/10/2005 PRODUCER (972)864-0400 FAX (972)278-8400 THIS CERTIFICATE I5 ISSUED;�S A(RRRIATION Davis-Dyer-Max, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Member of the Insurers Croup HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. .0. Box 495429 Garland, TX 75049 INSURERS AFFORDING COVERAGE NAIL# INsuRED ntercon Construction Co., Inc. WsuRERA: Mt. Hawley 301 W. Ave. D asuRm8: Clarendon America Insurance Garland, TX 75040 INSURER Scottsdale Insurance Company INSURER D'. INSIRER E: COVERAGES • THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEAT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND C0140MONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (NSRLTR DO' TYPE OF INSURANCE PODGY NII+IBER LJCY POECTME POLICY EXPIRATION DATE fMM1QDNn LIMITS - GENERAL LIABILITY 14GLO140236 12/16/2004 12/16/2005 EACH DGcwkEHCF S 1,000, ODO .X MUMERCIALGE1�RALL"ILMY MA ORES 50,00 CLAN' WOE M OCCUR NrED EXIP IAty are person) S 5 00 A PERSONAL a AM TNdIRY s 1,000.0 X XcU GENERAL AGGREGATE S 2,000,00 GENLAGGIT<GATELMAPPLESPER PROCUCM-CDWIOPAGG S 1.000.00 PODGY X M LOC AUTCYOWLELIASL Y DCT000004115 12/16/2004 12/16/2005 X ANYAUfO I C�Oh�NBNdE•D�KILELMT S 1,000.00C ALLOMRNEDALWOS BODLY#WRY S X SrCHEDLLED'AUTOS IPe�PSI X PMEDAUTOS X NOILOM.ED AUTOS (Par dd ) s PPRROPP64DAMAGE S GARAGELLAM17Y AUTO ONLY.EA ACCIOENT S AW AUTO OTHER THAN EA ACC S ALITOONLY. AGG S ExCESSIUMBRIELALIABLITY URS0016932 12/16/2004 12/16/2005 EACHOCCUiRENCE s 1,000,00 OCCLR G ANISMADE AGGREGATE S 1,000.000 C s 1,000,00 RDEDUCTIBLE S X RETENTION S 10,00c S WORKERSCOMP04ATMAND EMPLOYERS'LIABI ITY ANlPROPRIETOR113A1TfNERA]CECUIIVE ELEACHACCDBNT S OFFICERMENIBER EXCLUDED? EL DISEASE-EA FAFLOME S Tyes VQFRaunder SPEbW.FROVLVONSb•Ibw E1DISEASE-POLICY LMIT S OTHER DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS �LDER CANCELLATION SHDULDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING NSURER WILL emr-AVOR"0 MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER W WED TOTHE LEFT, City of Fort Worth BUT fALURETOMAIL SUCHNOTICE$HALLUPOSENoOBUGAMONORLIABILITY 1000 nrockmartan OF ANY MND UPON THE INSURER,TTS AGENTS OR REPRESENTATIVES. Fort Worth, TX 76102 AUTHORZED REPRESENTATIVE Ra on Dyer/SR -ORD 25(2001JOS) OACORD CORPORATION 1968 ACORD„ CERTIFICATE OF LIABILITY INSURANCE T r4Cca SQU 100147 THIS OMTIFICATE ;S ISSUED A$A MATTER OF INFORMATION THE WYATT AGENCY ONLY AND CONFERSNO RIGS i�v UPON THE CERTIFICATE HOLDER, TK* CERTIICATE DOE$ NOT AMEND,EXTEND OR 190011TH STREET ALTi WE COVIVR'AG£ AFFORDED HY THE—POUO$8£LOW. SLATE 3055E HUN TSVH.LE,TX Trio INSURERS AFFORMG C?OVERAOE NAR:i o amstt« .0. ARCH SPECIALTY INSURANCE CONIPANY INTERCON ENVIRONMENTAL,INC. weunexa: THE HARTFORD M.00, 2290 FM 1187,81.0&06 rwAeg 0: TEXAS MU?VAL INSURANCE COMPANY MANSFIELD,TX 7$t163 0: e COVERAGES THE 130IIVES OF IHSUR6NCE LISTED BELOW HAVE BEEN W.IEA TV THE INSURED NVAED AWVE FOR THE POLICY PERIOD INDICATED.NOTVIMWANDING AMY REOU MMMT,TERM OR COND"TION OF ANY CONTRACT OR OTFIER MCMDIT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE tWJ--D OR MAY PERTAIN,THE VSLWJANCI;AFFORDED BYTvE POI,M DES.' SD HEREIN IS SUBJECT T(3ALL 7HE TERA4.£X£i. WNS AHD C411.DMOKS OF SUCH PDIJCJES.AWREGATE'JWS SHOAL MAY HAVE BEEN RMJCEA 8Y PAC CIANS. SYPilA'AwXft*= 'OtcC Wixom ULfYa GLIMPAL LMOK f FAI-"L1Z"^UAk6MClc 2,000,000 - A 12 EMP 4351300 2/3105 2J3m AA -MF.. $ 50=0 ZIc-Aws VAM XX OCCUR NED vp IAty us**wM s u 5,000 X AS8ESTY3$t1FADAGATE PC-Rsotuli.aAMAAM s 2,OW'000 POLLUTION LIABILITY D6t+Ew.LL►c J19 s Z000.000I S2iNtA633tECLtr�LML:APP.MS MER: aft . .COM0.110 A40 i 2,000.000 X1 I sib rorsleaeUAR.JM IOUENTS3006 DBMS 211= $x3SLALY s 9,000,0 B X AW AUTO ML ONssD,UM tsoalky t +-, sE�'Etr k�D ALMOS X Nxn A�iTta W-':L'l ate&Rr t X f`$Ri�,SYft�DA:ITO$ f°i �r ANNA" C'TMSP *MAC ¢A-zz i ALTO I.1}8R3YY EkMf 4"r^..IFtNEfi� E_ U,iClfl9 F-1fiJJtbtt$MAOE sS3EsRC1^';i � t t WMA"00XF`m"l*N ��Crtele t AM 00011422$0 WS/05 2.1251116 C A1YPRkPR"cTd3R9^AA�J# CU1 TilIACI# � $ _ 1,i�00�f1JO �cPlCs�iXtalti>�f4EAC:i:c"S11? �, ,.�A,OAw�rc i 1,tIf0.000 asa.afs04 car a a°seAse--V-0r ssvrt s ...9.0D0.000 1 Yst�tt I DA.amprM Of 13MC%ATKN tLOGA AMID 9Y voworAvuetrapsax O t ovwc s FOR INFORMATION AND BIDDING PURPOSES ONLY CERTIFICATE HOLDER TIOfi L"W.D Aw GF rle rsews a?&'mwB D—Oucu V.CAKE-"wan'N�EWAAMOK DATE ftcREO►,R2*&"0 NaAt3RM Vw"E%WAVOR-0 MIL. 94 0M3 YYAIIT'M FOR WFORMATION AND BIDDING PURPOSES ONLY xq TCW" 1M%0Lnft"Mft?0'04 LM.wT FACLAc TODD ft s—" *00"t000 eakT4^,NDRLtAM?VC$$,WYW'OUPPONTAT i9+k5 ,QTS AGER.,DR ACORD 26{2001=J CORPORAT"19M *.t T APORD CERTIFICATE OF LIABILITY INSURANCE07/29/2005 K�IIlaititl, Isssl der 1�Fury THIN CSR7MATE IS 1E9UED As A MATTWR OF HIFORMATIOf! 104 T4.L kow HOLY AND d►LOM T14�MS R,TE S D.RIQHr& UPON TW �!�Ol t P.d.8�t 331 ALTM TN E W H N; BELOW. Endalid TX 76448 INWRER8 AFFORDING COVERAGE $=RED (�,p g �Inc. II�II�COWANY —� 5$77 Bit Rad,Smote A wvim&Bv=t Indtmmty Ina. KRUM TX 76249 Mr sU�COUNTY ML TUAL �^ /��.�'�y �'IT•sXt1NS NTUTrJAL INS CO THE PpLrG6S OF IN9tJ1sAt tCE LtST6t7 BtYdW HAVE tilt 16StlBDTQ TME MUREQ NAt A80VE FOR THE POl1CY tclOD HrDtGATED.NOT wITHSfANDIN,a AIJY ROWIMM&W,TEiW OR CONOMON OF ANY CONTRACT OR OTHER WOM49W WITH RESPECT TO WHICH INS CERTiP"TE MAN BE ISSUED O Z stay VMAK THE N"it"s mroRDEG eY TM PQLICIP..B-rmcp IBED mEREIN f8 sLmazC7 TO 4L THE TERMS,EXCLUSIONS AND CONOMONS OF SUC.i POMMS A0GRWATE LEAMS SHOWN MAY HAVE BEEN MUCED BY PAD CLAM. PQUGY Gro . , oEl!MpQAt tNgIIATY400OW907051 03/25/2005 03/25/2006 �10401100 s xSmommmay salad wma XQ aocuss owsn�er o„e� St too reRbow a Adv 10001100 za0aro0 WWAPIW Imo: Acs : ! 2001}1100.1 z - L'ABLRY STC5S9570-i 0312312605 O-W3/2006 , ur sun s 1000clo0 ANY ACRO A66awmDAtR00 ,L r}uRw 7� 9ChlMUU6D,WT= 4_ MPMAVMS W aYNJU`Y s X nog-owr�cAuros _ 01.1 MASE I.VANLRY qyt x--EA A�DEN7 s uvr AuraM►CC +AwTMONLIOT NRA025239 0312512005 03/25/'ZW _4002(00 OCCUR moss mm 4"f00 oetx�cTtslB X N/A Dt TMAMa TSP-00011t$222 2N0ID10617 01511712003 06/17/201)6 X Wesr, mo � - E.L P/iCF1 AC6 `_ Soo,100 E SE t 502000 .rouoY Dim OTRO 8 NMR POLUMON LIAB 40000 I90'7-51 03/25/2005 03/25/2006 $1,000,OD/2,000,00(--$5,000 DET 71 O�16GINPftONOM ot'gidl A006n trt E1dC011Ai.aaowero�ns C FICATE MWMOMAL xLllT10A1 BHOM.A AW O "It AmM CE60FAW FO6MM SE CARD "MfgTw oupogtn eft We MG,TfftW G INMA @t MRI WNM%=%=TO MAIL- 17 DAYS WWW E7� 101Mo=TO n&CFJW# VUt HOaLfM NAMPO TO THE LEFT, FA'WN!TO 00$0 @W LL W W6 NO ONLIQA"M OR LUUK fY OR AW KW WON YM INS OREI6 Rs AGO" :0 1 AUI'HQ>�RtVAG6G7RATNE �) AGORD 23-4(7)97} OR0 GC`RPMATION 1148 II 2.11 PROVIDER'S LICENSES &CERTIFICATES Provider shall procure all permits and licenses, pay all charges, costs, and fees, and give all notices necessary and incident to the due and lawful prosecution of the work. Provider must provide a copy of the appropriate certifications, registrations, and licenses and related certificates (include subcontractors with subcontractors SOQs in Section 2.8.1)with their submittal. ATTACH COPIES OF CURRENT APPLICABLE LICENSES AND CERTIFICATES FOLLOWING THIS PAGE AND BOUND WITHIN THE PROPOSAL PACKAGE 2-22 w 0 W o, 72 7 U v '' � d Lu co W B > Vl � fi7 y w Cr. 00 N <3 O cy v05 ✓9 = 6.1 � r 1 ..r Y too H Cscc =a ;72, Qt w F-� = LZ 3 a its tj ■+� ry tj W tA u II O • � � N � ted .ice C O to C3 '7 ..i V i"J � d C � to M ttz J1 it 5 O ... N m C Q7 Cot Y h 411 If Awn G -W 16 .�t eq * -! �C Q :N N a6 44' v E7 7 .. 'n P. > w W 7 b0 TWT Ig rn o o U V1 < Ivtl o oy d 2 & o a a - W a Q v .y afid; ' ; 5 + I° _ .9 So LUz F � v .: � Z n � W � shy O •t] er ��ly�j/ ' NFti ,. r •.�T? iii Wz ID 1 14 2.12 PROVIDER'S LEGAL AND COMPLIANCE HISTORY Provider's legal and compliance history is a critical component of this Request For Proposal. Read this section with care and respond accordingly. Failure of the Provider to provide all the information requested and to certify the report, will result in the Provider's submittal being declared non-responsive. Provider shall attach a written report of legal action brought against: • Provider; • Provider's officers; • Provider's employees;AND • Provider's proposed subcontractors relating to the protection of the environment. The report shall include all legal action brought within five (5) years of the closing date of this Request For Proposal. The report shall detail the substance, status, and outcome of such legal action. This includes without limitation the names of the agency and/or persons bringing the action, all relevant dates, and all fines,judgments, and/or settlements. "LEGAL ACTION" means: ANY enforcement action by the United States Environmental Protection Agency, the Occupational Safety and Health Administration, any other federal agency, the Texas Natural Resource Conservation Commission (including its predecessor agencies the Texas Water Commission and the Texas Air Control Board), the Texas Department of Health, and any other state agency, commission or department, whether in Texas or elsewhere, as a result of violations, real or alleged, of any laws, licenses, permits, judicial orders, or administrative orders, relating to the protection of the environment. In this context, enforcement action shall include without limitation, written warnings, notices of violation, consent orders or agreements, compliance orders, administrative hearings, and criminal prosecution. Legal action also means any civil litigation brought by any person relating to the protection of the environment. "RELATING TO THE PROTECTION OF THE ENVIRONMENT" means: requirements pertaining to the manufacture, processing, distribution, use, handling, storage, transportation, reporting, records keeping, permitting, licensing, treatment, disposal, emission, discharge, spill, release, or threatened release of: (a) Hazardous materials, hazardous substances, hazardous wastes, toxic substances, petroleum, industrial waste, solid waste, pollutants or contaminants into or onto the: (1) Air, surface water, drinking water, groundwater, storm water, publicly owned treatment works, or land. 2-23 THE REPORT SHALL BE SIGNED AND CERTIFIED by an authorized representative of the Provider, using the form on the following page. The top portion of the form is to be completed if a report is attached. The bottom portion of the form is to be completed if Provider has no legal actions to report An authorized representative of the Provider shall mean (1) if the Provider is a corporation: the president, secretary, or treasurer, or a vice president of the corporation in charge of a principal business function, or any other person who performs similar policy or decision- making functions for the corporation; (2) if the Provider is a partnership, a general partner; and (3) if the Provider is a sole proprietorship,the sole proprietor. INCLUDE A COPY OF THE REPORT FOLLOWING THE CERTIFICATION PAGE BOUND WITHIN THE PROPOSAL PACKAGE 2-24 Certification of Provider's Legal and Compliance History Complete ONE of the Following Certifications: I certify under penalty of law that the attached report of Provider's Legal and Compliance History was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. PROVIDER: BY: Company Name (print or type name of signatory) (signature) Title (print or type) Date I certify under penalty of law that the legal and compliance history of Provider, Provider's officers, Provider's employees, and Provider's proposed subcontractors was researched under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, I hereby certify that no legal action relating to the protection of the environment was brought against Provider, Provider's officers, Provider's employees, or Provider's proposed subcontractors within the preceding five years. To the best of my knowledge and belief, this statement is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. PROVIDER: Interq-,OR Cons�,ruction Co. , Inc. BY: Brent Bates Co ny Na (print or type name of signatory) President signature) Title (print or type) 12-15-05 + Date 2-25 2.13 FINANCIAL STATEMENT Providers must provide a current certified or compilation financial statement within this section of the proposal. The financial statement shall be no more than six months old. INCLUDE A COPY OF THE STATEMENT FOLLOWING THIS PAGE BOUND WITHIN THE PROPOSAL PACKAGE 2-26 INTERCON CONSTRUCTION CO., INC. 972-42¢2220 FINANCIAL STATEMENT Intercon Construction Company, Inc. would be pleased to make available our current financial statement upon a private review. 2.14 ORGANIZATIONAL CHART Provider shall include an organization chart depicting contact arrangement from the City to the Provider and from the Provider's representative to other areas within the Provider. INCLUDE A COPY OF THE ORGANIZATION CHART FOLLOWING THIS PAGE BOUND WITHIN THE PROPOSAL PACKAGE 2-27 or n. • �Emour/ INTERCON CONSTRUCTION CO., INC. 972-424-2220 ORGANIZATION CHART DEPICTING CONTACT ARRANGEMENTS BEN'S"BATES CITYca>i rt RTH NVIRoiaiuiAl DEr . 'RESIC3NT';: JERRY BLANKS .. TRUCK DRIVER MIKE BOOK: Y, sl T LANCE C COOK SUPEr317lSt3R; l rsEftV2SC?f SUPERVISOR RICARDO TUETE AN r H 9N McKENziE ALVIN.JENKINS OPERATOR' t P RATOF2;, ,,', OPERATOR CREW CRE{ • CREW 2.15 OTHER Each Provider shall submit a single copy of a sample of the following documents for review: Sample Invoice Sample Asbestos Abatement Closeout Report Sample Demolition Report INCLUDE ONE (1)COPY OF EACH DOCUMENT BOUND WITHIN THIS PROPOSAL PACKAGE FOLLOWING THIS PAGE 2-28 rkAlk INTERCON CONSTRUCTION CO-, INC. 972-424-2220 INVOICE / DEMOLITION REPO Date: 12/15/05 To: City of Fort Worth 1000 Throckmorton Street Fort Worth, Texas 76102 Re: Project No. XXXX,:XXX-XXX This invoice is to cover the cost of labor and equipment needed to complete the demolition and removal of the XXXXXX located at XXXXXX in XXXXX, Texas. This letter is confirmation this project was completed in conformance with all project specifications, and state,fedi !ani local rules and regulations. TOTL AMOUNT DUE THIS INVOICE $XXX,XXX.XX Respectfully Submitted, INTERCON CONSTRUCTION CO., INC. Brent W. Bates President - W, tercon FM 9187 - Building 6 Mansfield,Texas 76063 • Phone:{817)477-9995 • Fax:(817)477-9998 ENVIRONMENTAL, INC. www.intercon-emrironmental.com SAMPLE CLOSE - OUT FOR PROJECT: (DEM06-01 : FS8-ASB/DEMO) Asbestos Abatement and Demolition Former Fite Station 8 ~- 1301 West Rosedale FORT WORTH, TEXAS Submitted by Intercon Environmental, Inc. Our Proposal Number: 12-05-016 '. Prepared for.- - City of Fort Worth " Environmental Management Department 1000 Throckmorton Street Fort Worth, Texas 76102 Bid Date / Time: December 15, 2005 @ 1 :30 P.M. te rco n ENVIRONMENTAL, INC . Table of Contents 1 . Notification 2. Insurance Certificate. 3. Project Recor i. Daily Logs ii. Daily Time e iii. Containment Logs (if applicable) 4. Workers' Paperwork- i. DSHS Asbestos Abatement License ii. Asbestos Training Certificate iii. {Medical Surveillance of Asbestos Exposure 5. Texas DSHS Contractors License 6. Texas DSHS Transporter License 7. Waste Manifest F DEMOLITION / RENOVATION * TEXAS NOTE: CIRCLE ITEMS THAT ARE AMENDED v NOTIFICATION FORM Department of R r .State Health Services NOTIFICATION# 1) Abatement Contractor: Intercon Environmental, Inc. DSHS License Number: 80-0805 Address : 2214 FM 1187,Building#6 City: Mansfield State: TX Zip: 76063 17 Office Phone Number: (817)477-9995 Job Site Phone Number: (817)287-8899 Site Supervisor: Jose Contreras DSHS License Number: 80-4201 CSite Supervisor: Hector Medina DSHS License Number: 80-0027 E Site Supervisor: Bob McFadin DSHS License Number: 80-0525 Site Supervisor: DSHS License Number: - U` Trained On-Site NESHAP Individual: Jose Contreras Certification Date: 2/14/05 S Demolition Contractor. NIA Office Phone Number 1 -NIA Address: N/A City: NIA State: TX Zip: NIA O 2) Project Consultant or Operator: DSHS License Number: 10-0000 N Mailing Address: L City: State: TX Zip: Office Phone Number( ) - Y 3) Facility Owner: t7 Attention: T Mailing Address: A City: State: TX Zip: Office Phone Number - H 'Note:The invoice for the notification fee will be sent to the owner of the building at the address listed in this section after the P project is completed. A 4) Description or Facility Name: tj; Physical Address: County: City: Zip: N Facility Phone Number( ) - Facility Contact Person: Description of Area/Room Number: Prior Use: IFuture Use: Age of Building/Facility: YearsSize: sq ft Number of Floors School (K- 12): ❑ YES ❑ NO A P 5) Type of Work(CHECK ONLY ONE):Renovation Work will be during: ❑ Day ❑ Evening ❑ Night ❑ Phased Project Description of work schedule: .� 6) Type of Building (CHECK ONLY ONE): Public Building Is Building/Facility Occupied? ® YES ❑ NO i� H 7) Notification Type: Original(10 working days) If this is an amendment,which amenarrient number is this?_(Enclose copy of original and/or last amendment) p If an emergency, who did you/talk with at DSHS? Emergency#: L Date and Hour of Emergency(HH/MM/DD/YY): I I I Description of the sudden;unexpected event and explanation of how the event caused unsafe conditions or would cause equipment damage(computes, machinery, etc l= 8) Description of procedures to be followed in the event that unexpected asbestos is found or previously non-friable t.' asbestos material becomes crumbled, pulverized, or reduced to powder: Stop work, notify owner,consultant and ? Texas Department of State Health Services. T`: ,k 9) Was an Asbestos survey performed? Yes Date: DSHS Inspector License No: "o Analytical Method: PLM DSHS Laboratory License No: 30- N (For TAHPA(public building) projects: an assumption must be made by a DSHS Licensed Inspector) 7 13 10) Description of planned demolition or renovation work, type of material, and method(s)to be used: Y'. i�. N: .� 11) Description of work practices and engineering controls to be used to prevent emissions of asbestos at the demolition/renovation: 12) ALL applicable items in the following table must be completed: IF NO ASBESTOS PRESENT CHECK HERE ❑ Approximate amount of Check unit of measurement Asbestos-Containing Building Material Asbestos Type Pipes Surface Area Ln Ln SQ SQ Cu Cu Ft M Ft M Ft M RACM to be removed ❑ ❑ ❑ ❑ RACM NOT removed ❑ ❑ I ❑ ❑ Interior Category I non-friable removed ❑ ❑ ❑ ❑ Exterior Category I non-friable removed ❑ ❑ ❑ ❑ Category I non-friable NOT removed ❑ I ❑ I ❑ ❑ Interior Category II non-friable removed ❑ ❑ ❑ ❑ Exterior Category II non-friable removed ❑ ❑ ❑ ❑ Category II non-friable NOT removed ❑ ❑ El I El RACM Off-Facility Component ❑ ❑ 13) Waste Transporter Name: CBA Services, Inc. DSHS License Number: 40-0312 Address: 5877 Barnett Road, Suite A City: Krum State: TX Zip: 76249 Contact Person: Jana Osborn Phone Number: (940)482-9900 j Waste Disposal Site Name: DFW Landfill Address: 1600 Railroad Street City: Lewisville State: TX Zip: 75067 Phone Number: (972)315-5421 TCEQ Permit Number: 1025B 15) For structurally unsound facilities, attach a copy of demolition order and identify Governmental Official below: Name: N/A Registration No: N/A Title: N/A Date of order(MM/DD/YY) N/A Date order to begin(MM/DD/YY) N/A 16) Scheduled Dates of Asbestos Abatement(MM/DD/YY) Start: Complete: 17) Scheduled Dates Demolition/Renovation (MM/DD/YY) Start: Complete: "*Note;If the start date on this notification can not be met,the DSHS Regional or Local Program office Must be contacted by phone prior to the start date; Failure to do so is a violation in accordance to TAHPA,Section 295.61. I hereby certify that all information I have provided is correct, complete, and true to the best of my knowledge. I acknowledge that I am responsible for all aspects of the notification form, including, but not limiting, content and submission dates. The maximum penalty is$10,000 per day per violation. Karen Andrews, Agent (81 7)477-9995 (Signature of Building Owner/Operator (Printed Name) (Date) (Telephone) or Delegated Consultant/Contractor) (817)477-9996 (Fax Number) MAIL TO: ENVIRONMENTAL HEALTH NOTIFICATIONS GROUP DEPARTMENT OF STATE HEALTH SERVICES ^xes are not accepted" PO BOX 143538 "Faxes are not accepted` AUSTIN, TX 78714-3538 PH: 512-834-0600, 1-800-572-5548 Form APB#5, dated 12/01/04. Replaces TDH form. For assistance in completing form, call 1-800-572-5548 a + LIABILITYCERTIFICATE OF }3 .�_._.. SLIM gg mm" . .a. e.s.' ar �... ,v,, I Zan 4�Ii�F,;w:.Anw��i�� ;IL;JLii "C1074 i•:: i .< e v}- i $ O O O \ § w t § ° rr 2 0 ® z « D CX cx Q ® a a # ® E i,iq.-, mc : « � f � � \° A- ® � � ° 1100 \ ® 2 , .� co . � �\ o R � \ @ ^ © Cl) � ® t ■ Ct) ■ 2 ; :^ . . PW t \ ` cam O . � U � � � � •� J 2 CL u Lu _ 2 Q.0 CL _ 4 > � # 2 Q k « . w k 0 4 0 of a = p m I I a r O I + ' CD w i j Oi co r '_ Z CD Ll u Z C .O (I J a OL z CO) f- LU V z W v - Am# � . z LU ` T- ev cqj v un to r- co m o L-n cfl r ao rn C, w w 4 CL m W 4 3 r- OO hh xCm l,V m ° o d � U) L 2 1 � E y a d d w co c ~„ 41 c d ro a _ V a m = c a N a a ` y t� p U a 3 _ 4 Imo' `6 T Opp W O O a ❑A KIT ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ O COD O O y Sy OWN ;V CO) now in log • , 2 R 4 , W C d = 4 'Vzz 4 MET .7Nz y,• .' £t a C AI€ �'� $� v, �� `` �•; t< x a 6' 3 00 4 PEW Aoki Zhis A N F' M E,twig OAT 011 ul Z0 A0 lot Z V d w N M d U.) CO r� co O OT N t7 �A CO I� a0 O O T r r c2M r r W r s— r N I O O m ti V CO ► 0 Poo 'p Mimi � T 'MD CC aLL � s IN 'fl . . 101, > otoo G or �u = E = v� .� " sPC " a T/1 a g¢ p � b QC er tC a H m r� 6� c v— zll 40 .azo► .. :r .. law Aiercon Certificate of Worker's A&wwled>p mitt and Worker release ENVIRONMENTAL,INC, SEE W4*AO scar.a.nai.s r.rawness,r....TO", ihh06mn EnviroomawL r tam sexsr,i ,�..wm.ra,w rix Resplrwmr At Test e4oGyaemum: F-erernm[s Qtr. p PttdaetAdliar Ervoovee►ember, WORMC W MASRM UN 1t£DOOM013- aM AS=TOs F=WA$aAs R+laPkvta'TM. kek faces DEM LVQ=Wrrhi.VARIOUS TYM OF CtAC= IF YOU SMOKE Atm GYH" ASARSIM'F1SM TEIR CRAM==AT YOU V4M DEVUK op LUNG CASKC"IS Rowratorerattd: i CASATUIVANMTOFTMNON414O%1N PLIALW- RaWsMr She: YoueotplOWS cmuto wM the Owrw for the oWw Vmjm wqk, a that ym be swo w with the IlonaproFet MPOUor and be uaiaad is im use,yeo be halted is We reran pfmim aw m ft"w of rhes �.. - -- e adrtx.fmw Do the jab,and keu fta'e a cxamb*d-Tawe Nap rues w bare bm d=at no awu to Sbu, By a3rtwg ad■ "Arkg des Ow"w drr >'oti drrpiay+x has to d 1. Was resspbator tMe omipa3ans w you sed ate in mr,hir to"PCmmhot.j TaunS t�bwn«y,and negettva 1x+s%"teat J _ yrs Isvridcaa tt siny aedst[ arishq{!ed rxeabod ro dlin P� -t Was posIINe andyG..,W a bem tnlhxd fat use of adadnsxenedT R Does the ktdlvidual urtderMnd ftdty&,a dw type sewimw w be wod abovr rofeseoeed reapittnaa,and infoaaxd of __ f.m Sian a otpy of the w om pmtastion factor of the i mspiraw 4.: Was the irodlWduai l�,r�d�attxt � —the propw �t csaFmYer G*fie _-,., a no esot rriN a UM and cora of Yids type rWkatot? "^ type tast.�? .<:: wb nam a 4 mens.is asbatw.nes htc�siaS L Was a amWca astwtal duax ud w woda L Dtafsv the actual test Wbs the 6+dMduad reaed in sbo toonw odsd tht fmlmvM� xr wd an V= Tk.tom_ raoulivd to cmvase text nwm his or ha bend around to W"m eorr'ett M? ._ �' �.rys:tam+-rr•{s uE yrs �e.«. .� 7: Old rwdpkrtt Pis fit testi - 01 � 1 Icom baticb mxxdaa►Aiirbum \ Q'aC"'iY1lF�� ��sa "8 Tb.ao lemmas w bre•nal 4'"S.*i willEW,rt * ti�rax x. �+aM aMv i taw nf.er.+. If r lana � , Oat artNearaed. >�t'NMwe Lia laeMlYt/tiob ar aleftwear vft& ram" dlaadtaw agree tigtt lAia i -atio bove i tru I here Ord i m a.am�ar rrtt ttttptmte,m•�qsaes pei I'-ttftr I h w in iirrrpirtl: 1tea.h�wnry,�..r+larx.n tau-_•�„y bars m:btde7 po. Employee$1 r41rt�ce a dKw.est .,,,,.°'^•.. 3V asgi�apr!r Il des�hr+7,.tea a the l„Jdina t rtn alnx lo-+.aka haS�oF xri c ox.Kjeb,y wmyemploW 1��lnn�mb'trmatard restatiminNRaced = I am axp kneed In admlirwisaa6Fon of Proper Rt tests. Date at ft tat '7-19-L3QS ' f 50cwSwr*Pic dasu tt.araauaaa(sabndsr�_as rsai ,�y�ypl rete aaotarr sitd€conmuct ta+ w n py�, ha�kttiera. r<r�'h r . 1 ---tyhypa't,Fl,��}y ��t��,�"" ,aQ� .03 trtttnryar dtt tlttOSDYae tapotb,a nee-amtsoyar, rl,pwe.rhop ar>«etirant#tanNUNtrater ^ � ,�""' abwevNswnr a►eswten b rate�M,grad eotwdort etwt asaa aAiu rearitatox ia.SteGh � �are rot q+deoa t0.meet staerfAp,Dental tl+e,t0ea.enmr©+eisu5wv.a an oaNnts eek m aadv- � l�� / ys � e tj _ r a ASIP % i2 41 log � � b Aq tit A i Z 15 st dip $ 'a J a ankh Al ru.,._. CD AdIm o . 0 POO tz- Q r C4 i, C`_ LJL p _ � co)cr It $w4 73- G G O 3 0 "a = r L im 15 9 Al Zv o COOMW ofw3s AdmWWgftmt �tercon Md�}wi�{y�.�,Y D–�t� ENV#RONMENTA I,INC. 1► 1314 W 17 or..t1 IMAO 6;-.mwlwg,T"At ?am.r6€60464(811)in.no.P_~.€",•:i r,.wre w hats mEuyhro>ts smt4Im Respirator f=it Tell lmn r 111010,..ems: .J tAc �o„fre,�ats KERN l.uvG=ryrrtt vaatoQs TTlKes OF CAM= na gar saloxs AND IIYHAtB _..__. A>3BffiTC)B FIBFiK TME taslAxcs.THAT YOU t?v!u DgvELOp t3l40 tAIY 3M. Red~s>;e: Ileafin GRBATSRrMN=ATOFTHzI dOXMptMUv tcw. your antptoyan"a maateawhh the Oww for ate tbove project aegUIM that you be wppirod Wit,da P"w and be Ukwd in#UM Voo be ttaiaed in uft wodt pracdm ata is dee um of dw taP>ipotem lbt-m the Ab,*Ad you axeire a mtdifl muftaim.4bm tbbw ane to prove been dome 2. was mom" ? mGrrtsasottsbiY T � at no coat to yon.By s oft rhe mdfiruiut 7W on a4 uiaS die Ower thio yes nuvwytr has Mat 3. Vft Posifte 11110 rnysLlrP re bat thaaa abliaaiona to YOU and am W06%10 JIM dw Owner,hil CoMaltr ,Test TJbaateay,caul sdlNntfafeli7 "Pes+ana OW bataabze is My and$A eLioaa Maio$tem a af�d 0o ftµ*jag, 3. Does the lndhriduat fmov&A TORY !lrolaebom tt Ibar!is are pager a�a atf tiapt,tod fidawtd ai PraRacdan faata htd»r? �typi W ba mad aate aboao'tefn+miDadpr*ject !wstl alvme i �are wdttm 4. 4ifay the itLUmWuat- .. � d „' — n�iae pao0ealuawsutlYrueR6Yup'omPble I"boo*gaWWatpbcmvaamgllarror tnssrdareotMdertypa �;" fa&aseedora*vbmpnm S. VMft*vthaitnNDlast tin[n �„ S. Dttktgtha aduil east CMMM I bwa from tll4 in tM dao m h&,,et is)odit3 albeRwod WWhkg regarigad fio cortaerse and m*ve lis head tt bMX dost ad ro'POW Vett pft##JM ad PMWd;tad tusAWoottw iobaoass.'The tep3a 7 Cit clp nt CPm Rt test?� 'a ateediedroaata Lich dedWefiota*w — Ph*WChtsa W6ti aotaebastaa �y ^3 ' }lmlth baaadt+waeFarW with mbmaa T awr rynaamat ft""Wwaar ar 3 tato aaeir"N ata wan.+.mt K Raw-0q F-Xft Uae AIWma�-tina the M toff 044 ra o pimtraeDi6etmttial S i - � `"':. w®*P-+haa wdaft baba*ftµan job"hind, ° that oft obese i5 IrU *Vil oorrW. l4vaond p+wed � \ Kws urnar.T avtty a'^ •=I love tad a tnp6mi eawtiaat#ou within the pan 12 aciht atoo oaat \ Ent Signsbtre ' /-✓n..a ufi Tms c-miwatart kxhmw: mw1b hiaoey,pabatoaaty Fant.tm1 teal rosy!taut rnetudcd�rc ,,> evaluaim of 0 cbm X-ray. \ _ BytisnivS-s doamem t aat�owkdo*ody des JU Owaw of dahw"idim;t m \�': T i{mktiattred by T{da .5jaMCYSffL best advi"d—of my yisbu to.Mahiag-A PwWwan mutift m try,=00w,0� \, e)perianved in the w5badowif Prgw a bads, \ flt�ast 1'xq=Q,� amumwrlfLR' A. n%Sat+miiyAt r, M" MIM j6fanag-b GVQVlalilti M The WMWVW Mk aatrarat ae ammaw ro tam ty wttmavtM t to tWatr,ar Ow ampere PU4M,V*—llw,w pnW"odmkaebalor auto*+in131 d.,,r,ryK as tlr�np*Neb_dtvltul mMtlon thrt motl&tad,*µ&tor fit,53tlt dna afihtdv, lklotod77nsG `e A•Qkegg% w t +!rwe aanuad Do,r«td mnwi,d~dwwaa,ow"aae at3vwv,w *bMmdtanpe M be#•o%hk, v ;,..' OREt r ,x, r -- ^ .fl #+,,'• �< om`. a, , 4 EYQb 40 5a X V Mill t{7e_ al.q, b :a!� 1.. �yla "" N ��Mi ^ GGV� I.�q � Y,•����.r3 •a �.'L ,�,..,b Vii 'V@ �pC '"i y ml M < •� j. v 3r rz AM pt r �k -2rx : 1_* A i 9 9 5 1 S701 C a e .'. g mil q. 'I }�.lSy, = 'g ae o 'c�, E b v Jl p v� � byr� Is " ` L1 � I � S � � �!�a. 4., �o � A �a A. vc� Q �R °a• ,�1� v� 444— y U s _ � C Q w c o q r� w rg F' � y •igas.r Ca u r� y€ uj rA ID Ix ri t„ Q I Q K,= I Respirator Fit Test CnOmte of Worker's Ad=wWWmwm ad Wow Its Inumn Environmental,Inc. Tnarcen iraa tal,Ime EM&IftNUN Hmmmom siNam at>G &Kiw StonrRy Pm*%Aftm Reapir"Tw NYtXKRWrYttHASS%SMC4MUAAA'GWMMUMASMSMS EMELO iIRi3+i UMM WrM YARMW TYPES 11F CANCEL V YOU SAAM MAV Reapdtetot&md Him& — A53SS2'OS MEW UM CIARM THAT YM 9WA&VSVO4?MIG CANCER a lAttAT�'rJiMrTaAro�'t7Gs!" v,�w;ILIC. Rewr"Sim M" Ywc agbyes wend*%04 Owm Ja:die Aum P*d mwift At ym bo svfiliw whh f• _. MDper msphtlnt and be tnmed m hs amye.be asimd in tste wade -md is ds need tde eft'omtfnwdmlbejoh,� t irtamad oAmWuk&Thw6hRssmWbawliasdmie �'.. .� at m cow m ytn.ay e��5au ear uw0wnec 9uti pde cm +dc nss es 1. Wu revimwx r�s' at ObW r thm oftuiaas a you dd se+Acini w hold dic Owaer,hit Cmmam Tat&$Lomm y,ad Z We tta r -- cst;rchsm sap sxtdl dmg asi�Irom rr adamod axd�per. add". lloy.tlioeattaitrdiadta:pepofasnd aalhdamiadaf X boodki adkdtYft the type sap�tnr t0 be.emd on em dme Wiped paq"m-I w ypm a on d*a wmm Pin 6cmt orth$� latspuaw!tP•' n 6l duegotdk+oolby v.J[un�tlAmx saaiocaaAbatetp r i. woo"imuvmwEinen O,mo* ,*`aw — » tme and tmri otNie type _ taheaeim�s�or[poeytci S Waasnaixtypeteatadedeiatb ..., __......_ 23 3t8S}k l hw4laeatre eed is dw Wgr hiietaot la akepan rd 6>,-na*tha ackw w waieha hwl ME sbesss iwtad it Mw uv*POOD&M ad.PW"d W sa pnaemYm neamas.Ton spice '' tegdtad W a=M=aid mare his of hdeW �✓ ssy aoreediodleegnc3nduitdtlr6oiowiel v amwAraisukscacaraN(tYd !� Phyaai�oi � ,,��I,TWte�ketpasafittep' � Meash heads usodjW woh atbnt% '.. m*mypenovAlresomidlift.U[lade may et db egntpment er Pmsiue� X11 soy,1 win bacteolt nvtronttsenEa�1tu life fog antfa or *f wcek pn,iee inctatimdsaam ae job csa¢g �. priseF PascnnldocPPmcsdnum ��'. ihat ttopi,*ave is fftu and cornea. _ IhwDd►Aw$nlameaRiERM4bRePA�am omptaoNow me S6Y earirioq fad WhJdpsy,palmmny fieRlne-1pa a1 my'Irae drcbied to ,��� �"1�t� xoFistPtacfa ehsK is e� I> �iv�rcri � Bysipbi�hidocatecl®sdmowledp�dydstme0wnxddrsSuMioilmsbm[wwed:ia � -,�� Y° �''� hr�drhedaoearcpdRtasmw oimdpoeeednsm+tivetary t * Testsdmb*Aemdby_ E Tide Sug=iaat a am experienoM ie the ndmia' fid of pfoper 1Jt teats. swjm `of 8t test 7fl6d1� Exptrad.date 71260 (T ase feanits are good tot a petlod of 12 months 51 rl fw- v R � b �h ♦.r ce m P lit, p E rl Lr S 3— r. (yyepdd, v .q �jJ c�'� 3I E O ma '� In SIZ- ea kI v A 'T �•t a � o �t co d\ C64 9 r i+ 5 z � � � � •GO GAS' �/1 <5 ' � E P p G .c "c s N Ai Militia CertirkAte of Worker's Admowledgement VA 1 and Worker Release Ai ercon ENVIRONMENTAL_,INC. bteiirCOII in l'OMmitt4 Inc. w no y tai. ..r.uua.raerrtn•,r•:•. 166113.r.++n•••Is*?).71,609..r■•►ea no tat 611.1916 w_w`-�f.eeEn+MYifarllMlN.Cam tlapaa �w Respirator Fit Test frolaaAddraur Employes name: woRJaNG WITH AMESIM CAN Of DArlslsROM DOaLi1rIG ASOMOS FUIERS HAS. Emp"MWOW.�TO 4%52Fi' MEN LC!el M SVr18 VARIOUS TYM OF CANCER, IF YOU SMOKE AND TPVnug Respirator Type: Half-race ASBESTOS FIBERS TITS CHANCE THAT YOU AUL MMM TXKG CANCER IS rotor Brats: GREATER THAN THAT OF THE NON41MORlNG MMLIC. � Yaw arployWa eomeaa wilt aft Ow=for am above Vq=reipm"that you be Supplied with the. Respirator Shat Fwa mpi=w and be uthud in us vat..you be trained in We wart praotloea and io We urs of iho farce ora t4topmaot found at dw Job,lord ru.+em"a medial ea at n tion. 7bm dhiagt are to have barn dax � YlL O at Oct Girt to you. By siyniaS This co alrwatwo You ora atiu:iall the OWFxr thu Your ranploya has met arae olt€igadaru to You and set agresing to hold that CtWms:his CMulleu,T*Wwg LaDa€stocy,and 1. Watt naplraxixd I»mfotiaR ✓ .�„ rapnmula ive batmla sin my and all claims arising ftaat or reload to dris protea. 2. Was positive and ';l:�st ✓ administered? ° RESPIRATORYPSIMEMM I have been Wood in the:pagn to of te*knuas,and iizMmod cf 3. toes the Ir dividuaituWer�1llly the ✓ the type rm*nos to be toad as d o abort rttil reread ptjax. I rte.i t mpy of Out wtidan protection factor at this type _ ator? vaq(tM try pwrtxdoa aanaul hoed by azy agWorr Lberc betas scan cost avldi a resy+irKaz 4 Ms the kvidual lrtsttvcted)Ctf4 E,prver ir m ba used m�a a3ove pgaa 5 r and cam otffiss thnte is admuti x TRAINIldQ CZMS: t lava bene trained in the..dN&M.Witunt to bad a boact and Won*ig a rUaq the actual test was the indivitl �— admw lots and In ptepa+talc pract:&VO and pwsawi ad aeapeolestlw testa, Toa toom �*Irad to converse and mous his or hl�ltead oovatad A thaaaassa in�tfdad drat mow' —" >� m isrwre correct Bh Phy,%WW chazac aeics of asieestos 7 br+t pour fit test? M alth hazards assoclated wM aabeams Fetp a•P—tion `` a' rosalr 1p.if I Fern any W M4 Use of ptotr�va egalpnam a I L t.Lrr a attar,MMlt 6 tun to .id Favid: A attct Dlffaaniai Syncan Wask pr--including b-&-or ca-j&uatving �✓ $ paw docomaniuWke 1 \ nd that this In above is true ecorrect. i , MEDICAL EXAMMATIOM I haws tad a mcdkal cNantioation within the pan 12 ' tol�J me. This exitotimtioa ialudai: health history,polmorury function vests anal lany h m �; Etraptoyee Sgnabxe l'� ayahution of a dwat a<tay. By signing Otis dotsm ant I am acknoMe igiag only that tha Owna of ft bt w"s t ave a administered by Mc., c.-}'-,-t 7RIa�. baa advised me Of my rights m staining protaaioo relative to my as p yar:Wiacon Fa fenced in the edminWxetion of proper Rt tests. .� Datrt 4, ft TaR–OS Social No. %&. . ;:,. �. IatVona fatandarda- � I Tifa errgNayer 11eiF aaaduct an addtut st ret tea atntlitubaw 11 agltt�ar cadt W atuld vat gator W it"nn� am Pcioted lamina: "_ € Wivusa , -art 61st tknktd t0.faaat scarring,dwtrd clwvm cameuc wrWy,or an ab"s cawaae to body w"hL tWilk a K �.�<'�, a� .� .� � $�a a ��► ate e ` 4 pH• a .SdZs M Ems ' ,; � +rt•.f.n r�r < e � K Ij �'.'.F LS a �'� g� V �.��i n z e ' C ,� ! v gQ,. it aL' �y SY t6 M• y o v u v Ea '7rJr v (P - ° .�',-• -- e•' ' �' 51 ^a ' % ,Ja'yi ay e,�'yy yC_ .H ld V qz p� u to 3 ._ 4 I 1,S a ' ifrrlYPYYY .� fi ip3 84 .+ P� g t 7 a i R� r u t j� •� r_ VVe� SSCC A P Lr -/•i4 ha. Aa Yy el ?1 b +'... p IM d 1' _ �L" srI �3P 'A T4s ��5Pt so � L y La l� x g3 Mm AMIN ` IS ua � }44-4 y 41 1 H �..t � r .l INN Yl tO -'T a 03 MR : u ey o p 0 9izQ Eno dko .n. v N RXt .51 SI9 TEXAS COMMISSION ON �g Op ENVIRONMENTAL QUALITY i t1, P.O. Box 13087 = Austin, Texas 78711-3087 C� Tease print or type.(Form designed for use on elite(12-pitch)typewriter.) Form approved.OMB No.2050-0039. UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest 2. Page 1 Information in the shaded areas WASTE MANIFEST Document No. of is not required by Federal law. 3. Generator's Name and Mailing Address A. State Manifest Document Number 535202 B. St ,,generator's ID 4. Generator's Phone 5.Transporter 1 Company Name 6. US EPA ID Number State Tri porter's ID . . . . . . . . . . „M> TransportW Phone 7.Transporter 2 Company Name 8. US EPA ID Number #e nsporter's 161,, . . . . . . . . . . . F. rter's Phone 9. Designated Facility Name and Site Address 10. US EPA ID Nurser G. Stat ity's ID - H. Facity's P 11. US DOT Description (including Proper Shipping Name, Hazard, 1 tainers 13. 14. l 11A. P ( 9 P PP 9 HM Number and Packing Group) - f frs ' ,Type; .k Quantity Wt/Vol Waste No. a. , R fie` G 14 ii E N b. E R " HER A T ` k O R C. \ \ d. t e J.Additional Descriptions for Maters L K. Handling Codes for Wastes Listed Above 15. Special H ling Instructions and Add nal Information 16. GENERATOR'S CERTIFICATION:I h by declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packaged, maJced,and Fled/placarded, and are in all respects in proper condition for transport by highway according to applicable international and _. national government regula ding applicable state regulations. If I am a large quantity gener r, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environment;OR,if I am a small quantity generator,)have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford. Printed/Typed Name Signature Month Day Year T 17.Transporter 1 Acknowledgement of Receipt of Materials Date - A Printed/Typed Name Signature Month Day Year N s P O 18. Transporter 2 Acknowledgement of Receipt of Materials Date R Printed/Typed Name Signature Month Day Year E R 19. Discrepancy Indication Space r A C I L 20. Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. 1 T 4 y Date Printed/Typed Name Signature 4 Month Day Year TCEQ-0311 (Rev.09/01/02) White-original Pink-TSD Facility Yellow-Transporter Green-Generator's first copy INTERCOM CONSTRUCTION CO., INC. 972-424-2220 EMR RATING Intercon Construction Company, Inc.'s EMR Rating is: ........... 0.67 AFTER HOURS & EMERGENCY PHONE NUMBERS Intercon Construction Company, Inc. utilizes a multi-line phone system that is answered 8:00 am to 5:00 pm Monday through Friday. Each team member can also be contacted by their mobile phone (see listing below), which is answered 24 hours a day,7 days a week. Our contact numbers are as follows: Office........................................................................................................................................972-424-2220 OfficeFax................................................................................................................................972-424-0812 Brent Bates, President...........................................................................................................972-670-6166 GarySmith, Supervisor..........................................................................................................972-877-3110 MikeCook,Supervisor...........................................................................................................817-253-1826 Lance Cook, Supervisor........................................................................................................817-996-4100 Police/Emergency..................................................................................................................................911 Fire/Emergency......................................................................................................................................911 Electric/Gas Company Emergency Number......................................................................800-817-8090 Southwestern Bell Repair Services......................................................................................800-286-8313 Hospital: Harris Methodist, Fort Worth,Texas .............................................................817-882-2000 Address: 1301 Pennsylvania Avenue, Fort Worth, Texas 76104 CAMP BOWIE BLVD. � PENNSYLVA N1AAVE. COOPER ROS EDA L E l T HARRIS METHODIST FORT WORTH � d 287 W W W U2 W W ne lv'an4a Avenw " itlscTOWER N N � W_+E r�s�xccr �+ $ coon«;pvom r. wooer S"104" W.T�"_ , Certificate of Account Status - Letter of Good Standing Page 1 of 1 i. �r W- d- J"T.#, _ TEXAS COMPTROLLER OF PUBLIC ACCOUm CAROL.E KEETON STRAYMORn - COMPTROLLER - AUSTIN, TEXAS 78774 December 15, 2005 w CERTIFICATE OF ACCOUNT STATUS .. THE STATE OF TEXAS COUNTY OF TRAVIS I, Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, DO HEREBY CERTIFY that according to the records of this office INTERCON CONSTRUCTION COMPANY INC is, as of this date, in good standing with this office having no franchise tax reports or payments due at this time. This certificate is valid through the date that the next franchise tax report will be due May 15, 2006. This certificate does not make a representation as to the status of the corporation's w certificate of Authority, if any, with the Texas Secretary of State. This certificate is valid for the purpose of conversion when the converted entity is subject to franchise tax as required by law. This certificate is not valid for the purpose of dissolution, merger, or withdrawal. GIVEN UNDER MY HAND AND SEAL OF OFFICE in the City of Austin, this 15th day of December 2005 A.D. *R Carole Keeton Strayhorn Texas Comptroller Taxpayer number: 17521446603 File number: 0102007900 Forth 05-304(Rev.02-03/14) OMN w .ittp://ecpa.cpa.state.tx.us/coa/servlet/cpa.app.coa.CoaLetter 12/15/2005 ID Task Name Duration Sta I Jan 1 '06 �• _...... __..._.--_..._. ..._. — _ F �S S M T W T ABATEMENT 13 da s Wed 1 y 2 Containment#1 6 days; Wed 1 3 Prep 2 days Fri 1 w. _......._..._._.......................----._. 4 Abate ........ys_,......_..___Fri 1 5 m, Containment#2 4 days Wed 1, 6 Prep . day? Thu f 7 Abate 2 days Fri 1' _..__._... _ .............._............_.......__..........._...__.....__..... ....__._...._.._._....__...._._...... .....__.............._... —._.;.._._._......__._....... 8 , Asbestos Waste Hauling 1 da_y Tu 1_; 9 Asbestos Waste Hauling1 day? Mon 1; --.. _......._._............................................_......---.._._............_......_._._. 10 _......_.._...._....._.............._..--- _..._. -.........._......__................. .._...._....__.._........ -— 7 days � 12 HVAC Evacuation 1 day? Wed 1; 13 i Demolition of Building 4 days Tue 14 Load,Transport&Disposal 7 days Tue 1,:=:=_:=:'-_'-'-'-€'-'-'=:=='-'-=::'-`-='•=:===='-€'-€'-€====='-='-'-€'-=== ........... . wf ' I ETihu Station#8 Task /15/05 Split