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ADDENDUM 1 TO BID DOCUMENTS FOR ... - Port Canaveral

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<strong>ADDENDUM</strong> 1<strong>TO</strong> <strong>BID</strong> <strong>DOCUMENTS</strong><strong>FOR</strong>CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-4/CN1-8-10-12-014AAugust 23, 2013This addendum is issued as part of the Bidding Documents for the above described project. The changesincorporated in this addendum shall be considered as a part of the documents and shall supersede, amend, addto, clarify, or subtract from those conditions shown in the original documents. The bidder shall take care tocoordinate modifications herein with all trades and disciplines related to the work. The Bidder shallacknowledge receipt of this addendum on the Bid Form by addendum number and date. Failure to do so maysubject Bidder to disqualification.SENT VIA U-SEND-IT – 36 PAGES <strong>TO</strong>TAL (including attachments)________________________________________(NAME OF YOUR COMPANY)NOTE:PLEASE SIGN_______________________________AND RETURN THIS FIRST SHEET ONLY VIAE-MAIL OR FAX to KAREN PAPPAS. KPAPPAS@PORTCANAVERAL.COM or (321) 783-3522 FaxTHIS VERIFIES THAT YOU HAVE RECEIVED THE <strong>ADDENDUM</strong>.GENERAL1. THE <strong>BID</strong> SUBMISSION DATE REMAINS September 16, 2013 at 2:00 PM(EDT).SPECIFICATIONS1. Replace TABLE OF CONTENTS with revised TABLE OF CONTENTS enclosed.2. Replace 00 42 13 PROPOSAL with revised 00 42 13 PROPOSAL enclosed.3. Insert the following new Sections enclosed:OCIP Addendum Supplement 00 73 16 (9 pages)OCIP Forms 00 73 16.11 (10 pages)Owner Direct Purchase Program 01 11 23 (4 pages)Owner Direct Purchase (ODP) of Materials Contract Format (1 page)4. Delete Section 00 72 14 – SPECIAL CATEGORY MATERIALS (SCM’s).5. Section 00 72 13, STANDARD GENERAL CONDITIONS OF THE CONSTRUCTIONCONTRACT:Delete Articles 5.04, 5.05, 5.06, and 14.10.<strong>ADDENDUM</strong> 1/PAGE 1 OF 1


WELCOME CENTER EXHIBITSPUR-RFP-13-2/CN 3-5-40-13-001DRAWINGS1. There are no drawing changes at this time.QUESTIONS AND RESPONSES:1. There are no questions at this time.END OF <strong>ADDENDUM</strong> #1Issued via USendItbyauthority of the <strong>Canaveral</strong> <strong>Port</strong> Authority<strong>ADDENDUM</strong> 1/PAGE 2 OF 2


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014AVOLUME 1 OF 2TABLE OF CONTENTSDIVISION 00 - PROCUREMENT AND CONTRACTINGREQUIREMENTS PAGE #TABLE OF CONTENTS 00 01 10-1 THRU 00 01 10-5NOTICE <strong>TO</strong> <strong>BID</strong> 00 11 13-1INVITATION <strong>TO</strong> <strong>BID</strong> 00 11 16-1INSTRUCTIONS <strong>TO</strong> <strong>BID</strong>DERS 00 21 13-1 THRU 00 21 13-8PROPOSAL 00 42 13-1 THRU 00 42 13-5<strong>FOR</strong>M OF AGREEMENT 00 52 13-1 thru 00 52 13-6PUBLIC CONSTRUCTION BOND 00 61 13-1NON-COLLUSION AFFIDAVIT OF PRIME 00 62 40-1<strong>BID</strong>DERSWORN STATEMENT PURSUANT <strong>TO</strong> SECTION287-1.33(3)(A), FLORIDA STATUTES, ON PUBLICENTITY CRIMES 00 62 41-1 THRU 00 62 41-2CERTIFICATION OF CURRENT CAPACITY 00 62 42-1 THRU 00 62 42-2CONFLICT OF INTEREST CERTIFICATE 00 62 43-1CERTIFICATION REGARDING DEBARMENT,SUSPENSION AND OTHER RESPONSIBILITYMATTERS 00 62 44-1WORK OPPORTUNITY TAX CREDIT & WELFARE<strong>TO</strong> WORK TAX CREDIT 00 62 45-1SUB-CONTRAC<strong>TO</strong>R LIST 00 62 46-1STANDARD GENERAL CONDITIONS OF THE 00 72 13-1 THRU 00 72 13-45CONSTRUCTION CONTRACT2012-10/436743 00 01 10-1 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014ADIVISION 01 - GENERAL REQUIREMENTS PAGE #OCIP <strong>ADDENDUM</strong> SUPPLEMENT 00 73 16-1 THRU 00 73 16-9OCIP <strong>FOR</strong>MS 00 73 16.11-1 THRU 00 73 16.11-10SECTION 01 11 13SUMMARY OF WORK 01 11 13-1 THRU 01 11 13-2SECTION 01 11 16GENERAL REQUIREMENTS 01 11 16-1 THRU 01 11 16-18SECTION 01 11 16.102013 ENGINEERING SIGNATUREAUTHORIZATION <strong>FOR</strong>M 01 11 16.10-1SECTION 01 11 16.20PORT CANAVERAL SECURE AREAS MAP 01 11 16.20-1SECTION 01 11 16.30VISI<strong>TO</strong>R CONTRAC<strong>TO</strong>R CREDENTIALAPPLICATION 01 11 16.30-1SECTION 01 11 16.44TWIC AFFIDAVIT 01 11 16.44-1 THRU 01 11 16.44-2SECTION 01 11 16.48ACCESS CONTROL PRE-AUTHORIZATION 01 11 16.48-1 THRU 01 11 16.48-2REQUESTSECTION 01 11 16.50BUILDINGS PERMIT APPLICATION 01 11 16.50-1SECTION 01 11 23OWNER DIRECT PURCHASE PROGRAM 01 11 23-1 THRU 01 11 23-4SECTION 01 11 23.13OWNER DIRECT PURCHASE (ODP) ofMATERIALS CONTRACT <strong>FOR</strong>MAT 01 11 23.13-1SECTION 01 11 30GENERAL REQUIREMENTS <strong>FOR</strong> WORK ONUSAF PROPERTY 01 11 30-1 THRU 01 11 30-182012-10/436743 00 01 10-2 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014ADIVISION 01 - GENERAL REQUIREMENTS PAGE #SECTION 01 21 16ALLOWANCES 01 21 16-1SECTION 01 22 13MEASUREMENT & PAYMENT 01 22 13-1 THRU 01 22 13-2SECTION 01 24 13VALUE ENGINEERING 01 24 13-1 THRU 01 24 13-5SECTION 01 35 43ENVIRONMENTAL PROTECTION 01 35 43-1 THRU 01 35 43-11SECTION 01 45 16QUALITY CONTROL 01 45 16-1 THRU 01 45 16-4SECTION 01 55 26TRAFFIC REGULATION 01 55 26-1 THRU 01 55 26-2SECTION 01 78 46PROJECT RECORD <strong>DOCUMENTS</strong> 01 78 46-1 THRU 01 78 46-3DIVISION 2 - EXISTING CONDITIONSSECTION 02 41 00SELECTIVE DEMOLITION 02 41 00-1 THRU 02 41 00-4DIVISION 3 – CONCRETESECTION 03 10 00CONCRETE <strong>FOR</strong>MWORK 03 10 00-1 THRU 03 10 00-3SECTION 03 20 00CONCRETE REIN<strong>FOR</strong>CING 03 20 00-1 THRU 03 20 00-4SECTION 03 30 00CAST-IN-PLACE CONCRETE 03 30 00-1 THRU 03 30 00-212012-10/436743 00 01 10-3 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014ADIVISION 5 – METALS PAGE #SECTION 05 50 00METAL FABRICATIONS 05 50 00-1 THRU 05 50 00-3SECTION 05 60 00STEEL <strong>TO</strong>WERS 05 60 00-1 THRU 05 60 00-5DIVISION 6 – WOOD, PLASTICS, ANDCOMPOSITESSECTION 06 50 00PREFABRICATED STRUCTURAL PLASTICS 06 50 00-1 THRU 06 50 00-2DIVISION 9 – FINISHESSECTION 09 96 00TWO COMPONENT EPOXY COATING SYSTEM 09 96 00-1 THRU 09 96 00-6DIVISION 26 – ELECTRICAL26 05 00 BASIC ELECTRICAL MATERIALSAND METHODS 26 05 00-1 THRU 26 05 00-18DIVISION 31 – EARTHWORKSECTION 31 20 00EARTHWORK 31 20 00-1 THRU 31 20 00-10SECTION 31 32 20SEEPAGE COLLECTION DRAIN 31 32 20-1 THRU 31 32 20-12SECTION 31 35 19GEOTEXTILE <strong>FOR</strong> REVETMENT 31 35 19-1 THRU 31 35 19-6SECTION 31 37 16RUBBLE-S<strong>TO</strong>NE REVETMENT 31 37 16-1 THRU 31 37 16-17SECTION 31 51 00GROUTED TIEBACK ANCHORS 31 51 00-1 THRU 31 51 00-112012-10/436743 00 01 10-4 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014ADIVISION 32 – EXTERIOR IMPROVEMENTS PAGE #SECTION 32 31 16FENCING 32 31 16-1 THRU 32 31 16-5DIVISION 35 – WATERWAY AND MARINECONSTRUCTIONSECTION 35 62 16STEEL PILING 35 62 16-1 THRU 35 62 16-15VOLUME 2 OF 2APPENDIXAPPENDIX A – PERMITSAPPENDIX B – SOIL BORING LOGSEND OF SECTION2012-10/436743 00 01 10-5 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014A<strong>BID</strong> NUMBER: PUR-ITB-13-4PROPOSALThis is a proposal by:(Bidder’s Name)_to furnish all materials, equipment and labor and to perform all Work in accordance with theContract Documents for:CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1: UPLAND ANDMINOR MARINE WORKS(Project Title)for <strong>Canaveral</strong> <strong>Port</strong> Authority at <strong>Port</strong> <strong>Canaveral</strong>, Florida.To:Mailing/Shipping Address:Engineering Departmentc/o <strong>Canaveral</strong> <strong>Port</strong> Authority445 Challenger Road, Suite 301Cape <strong>Canaveral</strong>, Florida 32920To whom it may concern:The undersigned Bidder has carefully examined all Contract Documents and the site of theproposed Work and is familiar with the nature and extent of the Work and any and all localconditions that may in any manner adversely affect the Work to be done.The undersigned agrees to provide all the Work and furnish all materials required by theContract Documents, in the manner prescribed therein and to the standards of quality andperformance established by the Contract Documents for the lump sum price or the unitprices stated in the spaces herein provided, for each of the items or combination of itemsstipulated. It is understood that quantities shown in the schedule are approximate only,subject to increase or decrease.The bid contained herein includes all applicable sales tax and bond fees on all items inaccordance with the General Conditions.Accompanying this Proposal is a certified or cashier's check or a Bid Bond in the amount of$ (not less than 5% of the base bid) made payable to the<strong>Canaveral</strong> <strong>Port</strong> Authority which is to be forfeited as liquidated damages, if, in the event thisProposal is accepted, and the undersigned fails to execute the agreement and furnish andpay for satisfactory Public Construction Bond under the conditions and within the timespecified in the Proposal; otherwise said certified or cashier's check or Bid Bond is to bereturned to the undersigned. The physical address for the project is 445 Challenger Road,Cape <strong>Canaveral</strong>, Florida. The project is located in Section 10 & 11, Township 24S, Range37E.2012-10/436743 00 42 13-1 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014A<strong>BID</strong> NUMBER: PUR-ITB-13-4The undersigned agrees that within five (5) days from the date of acceptance of thisProposal, to execute the agreement and furnish the Owner satisfactory Public ConstructionBond, in the full amount of the Contract Price, guaranteeing the faithful performance of theWork and payment of bills.Prior to executing the Contract, the Contractor selected as the lowest qualified bidder shallprovide the following:1. Public Construction Bond as indicated above.2. A list of all the Subcontractors and a copy of their licenses.3. Certificates of Insurance as described herein for the Contractor and theSubcontractors.The Work shall be Substantially Complete and completed and ready for Final Payment onor before the dates stated:Work Substantially Complete Final PaymentExcavation to -13 (MLLW) June 27, 2014 July 11, 2014All Other Work September 19, 2014 October 3, 2014Liquidated Damages: Owner and Contractor recognize that time is of the essence of thisContract and that Owner will suffer financial loss if the Work is not completed within thetimes specified in paragraph above plus extensions thereof allowed in accordance withArticle 12 of the General Conditions. The Parties also recognize the delays, expense anddifficulties involved in proving, in a legal proceeding, the actual loss suffered by Owner ifWork is not completed as stated. Accordingly, instead of requiring any such proof, Ownerand Contractor agree that as Liquidated Damages for delay (but not as a penalty)Contractor shall pay Owner $2,000.00 for each calendar day that expires after thesubstantial completion date above until each portion of the work is substantially complete.Bidder agrees that this bid shall be good and may not be withdrawn for a period of sixty(60) calendar days after the scheduled closing time for receiving bids. If by October 4,2013, the Notice-to-Proceed for the Work is not given due to delays caused by the Owner,then the above completion dates shall be extended an amount of time equal to the delaybetween October 4, 2013 and the Notice-to-Proceed. Bidder agrees that completion datesshall not be extended for delays in giving the Notice-to-Proceed caused by the Bidder.Bidder agrees to schedule his work to not interfere with <strong>Port</strong> Operations. Bidder agreesthat <strong>Port</strong> Operations will not be a basis for work delays, damages, or change orders.2012-10/436743 00 42 13-2 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014A<strong>BID</strong> NUMBER: PUR-ITB-13-4PROPOSAL <strong>BID</strong> <strong>FOR</strong>M (Page 1 of 3)Notes: All blank spaces shall be filled out correctly. This form is to be submitted induplicate.I. Contractor InformationProposal of_(Bidder’s Name)_(Bidder’s Address)existing under the laws of the State of, doing business as a* to furnish all materials, equipment and labor and to performall Work in accordance with the Contract Documents for:CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1: UPLAND ANDMINOR MARINE WORKSNames and business addresses of individuals, partners, firm members, or corporateofficers:Individual/PresidentPartner/SecretaryName: Name: _Address: Address: _Partner/TreasurerPartnerName: Name: _Address: Address: _Note: Anyone signing the proposal, as an Agent, shall include with the proposal legalevidence of his or her authority to do so.II.This is to certify that the undersigned Contractor will comply with all safety laws;including the Trench Safety Act of the State of Florida and that the cost ofcompliance is as follows:Lineal feet of trench_________@_______$/FT = $________TotalShoring square feet_________@_______$/FT2 = $________TotalThe above costs are not to be considered as a bid item; rather they are included in thelump sum bid price(s) of the Contract. (Please NOTE: the prices above are not to be statedas the <strong>TO</strong>TAL cost of trenching, but rather it is the cost of compliance with the TrenchSafety Act of the State of Florida.)* Individual, partnership, or corporation2012-10/436743 00 42 13-3 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014A<strong>BID</strong> NUMBER: PUR-ITB-13-4PROPOSAL <strong>BID</strong> <strong>FOR</strong>M (Page 2 of 3)III.Special Category of MaterialTHE <strong>BID</strong> INCLUDES ALL MATERIALS, EQUIPMENT, AND LABOR <strong>TO</strong> PER<strong>FOR</strong>M ALLWORK IN ACCORDANCE WITH THE CONTRACT <strong>DOCUMENTS</strong> INCLUDING SALESTAX AND BOND. Per Specification Section 01 11 23, certain materials may be paid for bythe <strong>Port</strong> Authority and will be subtracted from the contract amount by deductive ChangeOrders.IV.Lump Sum Price BidBase Bid Item 1 - Lump Sum For All work:Base Bid Item 2 - Allowances, as defined and identified inSection 01 21 16:Dollars ($ _________ ).Four Hundred Thousand Dollars ($400,000.00_ _ _ ).Base Bid Item 3 – Lump Sum for OCIP Credit at ________% per the worksheets, or astraight 3.5% credit of the amount of Base Bid Item #1:DEDUCT________________________________Dollars($ - ___________________).Sum of Base Bid Items 1, 2, and 3, including Allowance:Dollars ($ _________ ).The above total includes the cost of complying with all safety laws as identified inparagraph II of this proposal.The <strong>Canaveral</strong> <strong>Port</strong> Authority reserves the right to award the project to the lowestresponsible bidder on the sum of the Base Bid Items or on the sum of the Base Bid Itemsand any combination of Additive Alternate Bid Items.V. AddendaBidder acknowledges receipt of addenda No’s_________________.2012-10/436743 00 42 13-4 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1CN1-8-10-12-014A<strong>BID</strong> NUMBER: PUR-ITB-13-4PROPOSAL <strong>BID</strong> <strong>FOR</strong>M (Page 3 of 3)VI.Proposed By and Attested To ByThis day of , 2013.Contractor Address:CORPSEALBy:_______________________________Attested to bySecretaryTitle_VI.Required Attachments1. 00 61 13-1, Bid Bond2. Proof of Agent’s Authority3. Additional Principals not listed in Section I4. 00 62 40-1, Non Conclusion Affidavit of Prime Bidder5. 00 62 41-1&2, Sworn Statement6. 00 62 42-1&2 Certification of Current Capacity7. 00 62 43-1 Conflict of Interest Certificate8. 00 62 44-1, Certification Regarding Debarment, Suspension & OtherResponsibility Matters9. Copy of Bidder’s Contractor License10. 00 62 46-1, Sub Contractor’s List11. Proof of ten (10) years heavy civil construction experience.2012-10/436743 00 42 13-5 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014AOCIP Addendum SupplementRE:CANAVERAL PORT AUTHORITY (“CPA”)CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1With respect to the above‐referenced project, CPA, The owner/sponsor (“owner”) insuring the project under aConsolidated Insurance Program (“OCIP Program”), sometimes called a “wrap‐up”. The Owner has retained theservices of Insurance Office of America (“IOA”) as the Program Administrator.The Program, will provide enrolled construction participants with commercial general liability, excess liability, andworker’s compensation insurance including USL&H and employer’s liability/marine employer’s liability includingJones Act, as described below (See “Program Coverage”). Program coverage will be provided in connection withthe performance of the work on the Project. Your participation in the program will be mandatory.<strong>BID</strong>DING PROCESSPlease submit your bid to CPA as follows:1) Total bid including an accurate estimate of your commercial general liability (“CGL”) excess liability (“XS”) andworker’s compensation(“WC”) insurance costs for this project, and;2) A line item identifying the above CGL,XS, WC insurance cost.3) Same Information for Subcontractors to be used for on‐site work.INSURANCE CREDIT WORKSHEETPlease use the enclosed Insurance Credit Worksheet to calculate your and your subcontractors at any tier CGL,XS &WC insurance cost. The Owner may use this worksheet, and any other pertinent information available to calculateor verify the insurance contribution deducted from each Contractor/Subcontractor’s contract price.The Owner requires that each Contractor/Subcontractor provide all documents or information requested ofContractor/Subcontractor within 10 business days of their written request. This request may include certifiedcopies of CGL /XS/WC insurance policies and declaration pages, along with rate pages, underwriting data, or otherinformation CPA may require in the administration of the Program and to calculate insurance contributions. Eachcontractor/subcontractor is required to provide a signed Insurance credit worksheet confirmation to CPA within five(5) business days of a written request.SUPPLEMENTAL OCIP INSURANCE <strong>ADDENDUM</strong>The following contractual provisions will be implemented as a supplement to the general conditions.CPA SPONSOR/ OWNER CONSOLIDATED INSURANCE PROGRAM (OCIP)SPONSOR has arranged with Insurance Office of America hereafter referred to as "OCIP Administrator", for theLocation(s) to be insured under a SPONSOR Controlled Insurance Program (OCIP). The program provides workerscompensation, employer's liability insurance, marine employers liability, general liability, and excess liabilityinsurance covering SPONSOR, Owner, OCIP Administrator, Enrolled Contractor, its Enrolled Subcontractors of anytier and other persons or interests as SPONSOR may designate in connection with the performance of the Work.Coverages and limits of liability under the OCIP will apply to all Work designated for inclusion in the program andwill only apply to SPONSOR, the Contractors and Sub Subcontractors who are enrolled in the OCIP and will notapply to surveyors, testing engineers, hazardous waste removal and/or transport companies, vendors, suppliers,* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 1 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014Aoff site fabricators, material dealers, truckers, haulers, drivers and others who merely transport, pickup, deliver, orcarry materials, personnel, parts or equipment or any other items or persons to or from the site. All Contractors,and their Subcontractors with an Agreement with SPONSOR shall be included and shall enroll in the OCIP.SPONSOR reserves the right, in its sole discretion, to include or exclude any Contractor or Sub Subcontractor fromthe OCIP. Non‐enrolled Contractors shall comply with the requirements contained in this Section E of the OCIPManual titled “Contractor/Subcontractor Coverages”.OFFSITE OPERATIONSCoverage under the OCIP will only apply to those operations of insured parties at the site or sites in connectionwith the Work required by this Agreement. Off‐site operations will only be covered by the OCIP with the writtenapproval of the Project Administrator and if the off‐site operations are identified and are dedicated solely to theSite. It is the responsibility of the Contractor to notify the OCIP Administrator to obtain coverage for specified offsiteoperations. Coverage will not become effective for any off‐site operations until receipt by the Contractor ofwritten acknowledgment of coverage from the OCIP administrator.INSURANCE MANUALSponsor’s and Contractor's responsibilities under the OCIP are addressed in the Insurance Manual which is herebyincorporated by reference in this agreement and shall be considered a contract document. It is mandatory for theContractor to participate and enroll in the OCIP and comply with all administrative, insurance and otherrequirements outlined in the Insurance Manual or elsewhere in this Agreement. The failure of SPONSOR to includethe Manual in the bid documents shall not relieve Contractor of any of the obligations contained therein.Contractor shall be responsible for providing each Subcontractor of any tier with a copy of the Insurance Manualand requiring contractually that each Subcontractor comply with the provisions contained in the Insurance Manualand this Section of the contract.COOPERATIONContractor and all Subcontractors shall cooperate fully with the Sponsor OCIP Administrator and the OCIP Insurers.Contractor and its Subcontractors at all tiers agree to comply with the conditions of the insurance policies providedin the OCIP.PREMIUM COSTThe cost of premiums for the coverage provided by the OCIP shall be paid by SPONSOR. SPONSOR will receive andpay, as the case may be, all adjustments in these costs, whether by way of dividends, audits or otherwise.Contractor and its Subcontractors at all tiers will execute any instruments of assignment as may be necessary topermit SPONSOR receipt of these adjustments unless otherwise provided in this Agreement. The cost of any lossessustained because of clauses that specify deductible amounts in any of the insurance policies furnished by theSPONSOR, shall be allocated by the sponsor as provided in this agreement.INSURANCE <strong>BID</strong> CREDITSIt is agreed that Contractor will participate in the OCIP and that Contractor's compensation under this Agreementwill be adjusted to reflect a deduction or credit for Contractor and its Subcontractor's insurance or cost of risk* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 2 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014Aprovided by the OCIP. Contractor will be responsible for recovery of Insurance Credits from its Contractors/subcontractors.Contractors and Subcontractors of any tier will provide SPONSOR with an estimate of the Contractor'scosts for the insurance provided by the OCIP. Contractor/subcontractor shall complete the Insurance Worksheet(Form 1) of the Insurance Manual, located in the Insurance Manual, for each Contractor and Subcontractor. Thecompleted forms must be returned with the contract bid together with all other documentation required by theInsurance Manual or otherwise necessary to verify the insurance cost. Contractor shall, at all times, cooperatewith the OCIP Administrator and provide within ten (10) business days of the request, all requesteddocumentation, including but not limited to underwriting, payroll, rating and prior loss history information and anyother information requested. Failure to provide the requested information will result in a 3.5% reduction in theContractor/subcontractor’s bid amount and 3.5% of change orders based on the value of the OCIP Coverages tothe Contractor/Subcontractor. The Contractor represents the accuracy of the information used to calculate theinitial insurance costs contained in the bid and agrees that SPONSOR, the OCIP Administrator, and/or the OCIPInsurer may audit the Contractor's or any Subcontractor's records and insurance policies to confirm the accuracy ofany and all allowable insurance credits given in connection with the work, additional work, or scope changes underthe Agreement. Contractor will require all tiers of Subcontractors to do the same. Contractor further agrees thatSPONSOR is entitled to and may collect, from time to time, additional insurance credits resulting from any scopechange orders, additional work, and inaccurate assumptions in the initial credit, or from information discoveredduring the above‐mentioned audits which justify the taking of additional insurance credits.INSURANCE POLICY IN<strong>FOR</strong>MATIONIn order to verify the insurance cost estimate, Contractor and Subcontractor may be required to submit copies ofinsurance policy declarations and rate schedule pages and deductibles/self insured retentions, policies andinformation on self‐insured retention programs and documentation of the total cost of risk in any self‐insuredprogram, including five (5) year loss experience or actuarial studies. The Contractor further agrees that SPONSORreserves the right and is entitled to determine additional insurance costs involving the work on the part of theContractor and its Subcontractors. In the event the Contractor does not provide SPONSOR with informationsufficient to allow SPONSOR's verification of Contractor's OCIP insurance deduction, then SPONSOR mayindependently calculate an appropriate deduction based on undiscounted or "manual" rates or a flat 3.5% ofcontract value.INSURANCE AND INDEMNITYSPONSOR assumes no obligation to provide insurance other than that referred to in this Agreement and in theInsurance Manual. Contractor/subcontractors should with the assistance of counsel and it’s insurancerepresentatives, review the coverage, limits of liability and insurance policies to satisfy itself that the coveragemeets the needs of the Contractor and its Subcontractors. SPONSOR reserves the right to furnish other insurancecoverage of various types and limits provided that such coverage will not be less than that specified in thisAgreement. The furnishing of insurance by SPONSOR through the OCIP shall in no way relieve or limit or beconstrued to relieve or limit Contractor or any Subcontractor of any responsibility or obligation whatsoeverotherwise imposed by the contract, including any indemnity obligation which Contractor or any Subcontractorhas to SPONSOR pursuant to other sections of this Agreement. Contractor acknowledges that SPONSOR is not anagent, partner or guarantor of the OCIP insurance carriers and is not responsible for any claims or disputesbetween Contractor and the insurance carriers. Any type of insurance coverage or increase in limits not provided* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 3 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014Aby the OCIP which the Contractor requires for its own protection or on account of statute will be the responsibilityof Contractor and at its own expense.OCIP ENROLLMENTEach Subcontractor shall require its Subcontractors to complete the necessary forms to enroll in the OCIP. The Owner andthe Insurance Administrator will need all of the information requested on the Enrollment Application (Form 1) in SectionH of the OCIP Manual. This form must be completed and submitted to the Insurance Administrator prior to mobilizationto obtain coverage under the OCIP.A separate Enrollment Application (Form 1) is required for each Eligible Subcontractors performing Work at the ProjectSite.The Insurance Administrator will issue to all Enrolled Subcontractors an Approval Letter and OCIP Certificate of Insuranceacknowledging acceptance of the applicant into the Owners OCIP.NOTE: ENROLLMENT IS NOT AU<strong>TO</strong>MATICEnrollment into the OCIP is required, but not automatic. Eligible Subcontractors MUST complete the enrollmentforms and participate in the enrollment process for OCIP coverage to apply. Access to the Project Site will not bepermitted until enrollment is complete.PAYROLL REPORTSBy the 10 th of each month, every Enrolled Contractor and Subcontractor at any level, must submit to the InsuranceAdministrator a Monthly Payroll Report Form (Form 3) identifying man‐hours, class codes and payroll for all workperformed at the Project Site. This report shall classify the labor expended at each Project Site according to theStandard Workers’ Compensation and General Liability Insurance Classifications.A monthly payroll report must be submitted for every month, including “zero (0) payroll” if applicable, until completion ofthe work under each contract. For those Subcontractors performing Work under multiple contracts, a separate MonthlyPayroll Report Form (3) is required for each contract.SAFETYContractor/Subcontractor agrees to maintain a safe workplace by complying with all safety practices, procedures,regulations and ordinances (including those promulgated by OSHA and EPA) and to assure its agents, employees andsubcontractors so comply.Contractor/Subcontractors are responsible for hazard identification which identification is critically based on the specifictasks being accomplished by the trade‐specific subcontractor and how that subcontractor decided to accomplished saidtasks safely.The contractor/subcontractor shall employ a competent superintendent/foreman who shall be in attendance at the sitefulltime during the progress of the contractor/subcontract work.OCIP TERMINATIONSponsor reserves the right to terminate any portion of the OCIP. If SPONSOR, for any reason, is unable to furnish coverageor elects to discontinue the Insurance Program or requests that a Contractor or Subcontractor no longer participate in theprogram, the contractors or subcontractor will be given notice as required by the terms of their individual contracts. All* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 4 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014Ainsurance secured by Contractor or its Subcontractors pursuant to the SPONSOR's requirements under the provisions ofthis Section shall be in policies subject to the SPONSOR's approval, (acting through its OCIP Administrator) as to form,content, limits of liability, cost and issuing company. SPONSOR reserves the right to increase or decrease the requiredlimit Under the above circumstance, the CPA may issue a change order which eliminates any deduction percentage forOCIP from progress payments due the contractor and subcontractor. The contractor and subcontractor may be requiredto maintain onsite coverages consistent with the amounts and terms of its offsite coverage. If any additional coveragesare required by the owner, the contractor will issue a change order increasing an appropriate amount due the equipment,materials caused by any Subcontractor.SPONSOR PROVIDED INSURANCEPrior to the commencement of Work, SPONSOR, at its option and cost shall secure and, except as otherwiseprovided in this Agreement, maintain at all times, during the performance of this Agreement, the insurancespecified below in the addendum for operations performed at the site(s):Proof of CoverageThe Insurance Administrator will provide a Certificate of Insurance evidencing general liability, excess liability,workers compensation to each Enrolled Subcontractor, (each will be a named insured on the policies.)Description of OCIP CoveragesThe descriptions on these pages provide a summary of coverages. Contractors and Subcontractors should refer tothe policies for actual terms and conditions.The Insurance Administrator will furnish the following coverages for the Owner, Contractors and all enrolledsubcontractors and their employees while performing Work at the Project Site.Commercial General Liability (Shared limits by all parties)Coverage: Third Party Bodily Injury and Property Damage, and Personal Injury/Advertising InjuryLimits of LiabilityGeneral Aggregate $4,000,000Products/Completed Operations Aggregate $4,000,000Personal/Advertising Injury Aggregate $2,000,000Each Occurrence Limit $2,000,000Defense Payments are included within Limits of Liability• Includes Broad Form Property Damage Liability• This Insurance will not provide coverage away from the Project Site for Products liability to any Contractor(enrolled or enrolled or non‐enrolled) or Subcontractor, vendor, supplier, off‐site fabricator, and materialdealer exposures.• Included in this policy is a Ten (10) Year Products & Completed Operations Extension beyond finalacceptance of the entire project with a non‐reinstated aggregate limit.• This program is not all inclusive, this policy contains exclusions. A partial listing of the exclusions are: Real& Personal Property in the care custody or control of the insured; Asbestos; Discrimination & WrongfulTermination; ERISA; Architects & Engineers Errors & Omissions; Owned & Non‐Owned Aircraft,Automobile Liability; Nuclear Broad Form Liability. Refer to specific policy wording for complete insuranceprovisions.Excess/Umbrella Liability (Shared limits by all parties)* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 5 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014AEach Occurrence Limit $50,000,000Annual General Aggregate Limit $50,000,000Policy “follows form” (provisions, coverages, exclusions, etc.) of underlying Commercial General Liability policywording. Defense is included within limits of liability.Builders RiskA non OCIP coverage effected by Owner/SponsorPer Schedule of ValuesWorkers’ Compensation and Employer’s Liability/Marine Employers Liability, Jones ActWorkers' Compensation insurance shall be provided as required by any applicable law or regulation including USL&H and Jones Act.Each accident for bodily injury by accident $1,000,000Policy limit for bodily injury by disease $1,000,000Each employee for bodily injury by disease $1,000,000Contractor/Subcontractor Maintained CoveragesAll Non‐Enrolled Contractors and Non‐Enrolled Subcontractors of any tier shall maintain the following insurance.Each enrolled subcontractor must maintain proof of off‐site coverage for the following insurance policies. Allexcluded subcontractors must maintain all of these coverages for both on‐site and off‐site activities.Subcontractor shall, at its own expense, maintain on all of its operations, not less than the following coverage andlimits of insurance which shall be maintained under forms of policies and from companies satisfactory to theCONTRAC<strong>TO</strong>R. The insurance company must have a financial rating of at least A‐VII as defined by A.M. BestCompany, approved and licensed in the state of Florida. Copies of policies shall be provided when requested.Workers’ Compensation and Employer’s LiabilityWorkers' Compensation insurance shall be provided as required by any applicable law or regulation.Each accident for bodily injury by accident $1,000,000Policy limit for bodily injury by disease $1,000,000Each employee for bodily injury by disease $1,000,000A waiver of subrogation endorsement is required, issued in favor of Owner, Contractor.Commercial General Liability/Umbrella Liability Combined• Contractor and Subcontractor shall carry Commercial General Liability covering all operations by or on behalfof Contractor and/or Subcontractor, providing insurance for bodily injury liability and property damage liabilityfor the limits of liability indicated below and including coverage for:(1) premises and operations;(2) products and completed operations;(3) broad form property damage* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 6 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014A(4) contractual liability insuring the obligations assumed by Vendor and/or Subcontractor in thisAgreement,(5) explosion, collapse and underground hazards; and(6) personal injury liability and Advertising LiabilityExcept with respect to bodily injury and property damage included within the products andcompleted operation hazards, the aggregate limit, where applicable, shall apply separately perproject to Vendor and/or Subcontractors work under this Agreement.• The limits for an Occurrence form Commercial General Liability policy, the limits of liability shall be not lessthan:$1,000,000 each occurrence (combined single limit for bodily injury and property damage)$1,000,000 for personal injury liability$2,000,000 aggregate for products‐completed operations$2,000,000 general aggregate per projectThe Policy must have an endorsement providing that the general aggregate limit applies separately per project. Awaiver of subrogation endorsement is required, issued in favor of Owner/Sponsor.Additional Insured Endorsement:The Bodily Injury and Property Damage Liability policies shall include a provision or endorsement namingboth the Owner and their officers and employees as additional insureds with respect to liabilities arisingout of Vendor and/or Subcontractors performance of the work under this Contract and shall be primaryand noncontributory. The additional insured endorsement shall provide coverage at least as broad asAdditional Insured (Form B) endorsement form CG 20 10 11 85 or its equivalent (CG2010 7/04 andCG2037 7/04) as published by the Insurance Services Office (ISO).Automobile Liability• Commercial Business Auto Policy providing coverage for all owned, hired and non‐owned automobiles,trucks and trailers with coverage limits not less than $1,000,000 Combined Single Limit each accident forBodily Injury and Property Damage. Coverage is required of all contractors, suppliers and material meninvolved with the project and shall apply both on and away from the Project Site.Excess Liability Insurance• Vendor and/or Subcontractor shall carry excess liability insurance over the limits set forth above, as scheduled underlyingcoverages, covering all operations by or on behalf of Vendor and/or Subcontractor for limits as specified below:Each Occurrence $5,000,000General Aggregate $5,000,000DeductibleINDEMNITY(b) The Deductible will not be allocated to an enrolled Contractor or Subcontractor.* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 7 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014ANotwithstanding the requirements and obligations set forth in Article 6.20 of the General Conditions, Contractorand Subcontractor are Participants under the Wrap Up Insurance Policy. Article 6.20 of the General Conditionsshall apply in the event the Wrap Up Policy does not in fact fully protect, indemnify and defend Owner, Contractorand the other Indemnitees. The obligations of the Contractor and Subcontractor pertaining to indemnificationunder Article 6.20 of the General Conditions are excess to any such Wrap Up Insurance and shall not take effectuntil and unless the insurance provided under the Wrap Up is exhausted, inapplicable to the particular claims orotherwise unavailable. In the event that the Wrap Up is exhausted, inapplicable or unavailable, Contractor andSubcontractor’s obligations under Article 6.20 of the General Conditions shall immediately be triggered. Contractorand Subcontractor’s obligations to defend and indemnify Owner, other Contractors and other Indemnitees shallexist whether or not there is available insurance coverage.WAIVER OF RECOVERYAll Enrolled Contractors/subcontractors, and non‐enrolled Subcontractors waive all rights of recovery because ofdeductible clauses, inadequacy of limits of any insurance policy, or otherwise against SPONSOR, the OCIPAdministrator, their officers, agents, or employees, other Contractors and Subcontractors of any tier working atthis location.WAIVER OF SUBROGATIONSponsor/Owner, Contractor and Subcontractors of any tier waive all rights of subrogation against each other fordamages to the extent covered by the OCIP.INSURANCE POLICY CONDITIONSContractor and all Subcontractors of any tier shall not violate or knowingly permit to be violated any conditions ofthe policies of insurance provided by SPONSOR under the terms of this Article. All requirements and obligationsimposed on the Contractor by this Article, the Insurance Manual or the insurance policies referred to herein shalllikewise, by Contractor or otherwise, be imposed on, assumed and performed by each of the Subcontractors.MAINTENANCE OF RECORDSThe Contractor agrees and will require each Subcontractor to agree to keep and maintain an accurate andclassified record of its payroll data and information in accordance with the requirements of the insurance companyor companies and as required in the Insurance Manual. The Contractor and its Subcontractors agree to permit itsbooks and records to be examined and audited periodically by the Insurance company or companies, SPONSOR ortheir respective representatives. Prior to start of Work, the Contractor shall furnish and cause its Subcontractorsto furnish to SPONSOR or its designee, in a form satisfactory to SPONSOR, an estimate of direct labor cost (listed byStandard Workers' Compensation Insurance classification) to be incurred in connection with the Work at the site,and the total price due each Contractor under its contract. Contractor shall provide SPONSOR as an attachment toits monthly payment application certified payrolls for all onsite labor performed by Subcontractor and itsContractors for the previous month. Failure by the Contractor to provide certified payrolls may at the SPONSOR’soption be cause to withhold payment until compliance.CERTIFICATES OF INSURANCE* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 8 <strong>ADDENDUM</strong> #1


PROJECT NAMEPUR-ITB-13-5/CN1-8-10-12-014AContractor shall deliver to SPONSOR prior to the commencement of the work, satisfactory evidence of insurancecoverage for Contractor on a standard ACORD form or other form as required by SPONSOR. Upon request, copiesof the actual insurance policies or renewals or replacements thereof shall be submitted to SPONSOR. All policies ofinsurance the Contractor or Subcontractor of any tier are required to secure and maintain, in accordance with thisAgreement will be placed with A.M. Best‐rated insurance companies' satisfactory to SPONSOR, approved andlicensed in the state of florida and shall provide sixty (60) days written notice of cancellation, non‐renewal orreduction of coverage. Contractor will be responsible to pay all insurance premiums including any charges forrequired waivers of subrogation or the endorsement of Additional Insureds. All insurance furnished by Contractoror its Subcontractors of any tier will be in full force and effect during Contractor's performance under theAgreement or as otherwise required by the Agreement. The coverage and limits of insurance required in thisAgreement will not be construed as a limitation of liability to SPONSOR or in any way modify the Contractor'sobligations to indemnify SPONSOR. Contractor's failure to deliver satisfactory evidence of coverage shall not beconstrued as a waiver of Contractor's obligation to provide the required insurance coverage. Contractor shall beresponsible for obtaining satisfactory evidence of insurance coverage from each of its Subcontractor's, prior tocommencement of Subcontractor's work.In the event of any failure by Contractor or any of its Subcontractor's to comply with the provisions of thisAgreement or those contained in the Insurance Manual, SPONSOR may, at its option, upon notice to Contractor,suspend the Contract for cause or withhold payment until there is full compliance with this Agreement or theprovisions in the Insurance Manual or terminate the Contract for cause.Nothing contained in this Article shall relieve the Contractor and its Subcontractors of their respective obligationsto exercise due care in the performance of their duties in connection with the Work and complete the Work instrict compliance with the Contract.ENROLLMENTEnrollment into the Program may not become effective until IOA issues a Certificate of Enrollment to you asevidence of enrollment into the program. Until enrollment is effective, you may not have any insurance for thework performed at the Project. Please consult with your insurance broker or attorney for assistance in this area..* The summary of coverage is given solely as a general indication of policy limits. Each contractor/subcontractor will be required, bycontract, to rely upon their own independent review and analysis of the Program coverage, or the review and analysis by their insuranceagent, broker and/or attorney, in formulating any understanding and/or belief as to the amount, limits, nature, type or extent of anyProgram coverage and/or it’s possible applicability to any potential claim or loss.2012-10/436743 00 73 16 - 9 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1Form-1Enrollment ApplicationPage 1 of 4PUR-ITB-13-5/CN1-8-10-12-014ACANAVERAL PORT AUTHORITY PROJECT***ALL <strong>FOR</strong>MS ARE AVAILABLE ELECTRONICALLY. ***EMAIL THE OCIP ADMINISTRA<strong>TO</strong>R A REQUESTCoverage is not applicable until this form is submitted to and approved by the OCIP Administrator.Please submit this form prior to executing the subcontract and starting Work to:Fax to: OCIP Administrator Mail to: OCIP Admin: Insurance Office of AmericaShannon FugatePhone: 540-785-75754020-B Plank RoadFredericksburg, VA 22407Fax: 800-568-2991 Mail to: Shannon.Fugate@ioausa.com1. Subcontractor/Lower-Tiered Subcontractor LegalName:2. Address:City : State: Zip:3. Entity: Sole Proprietor Partnership Corporation Other: __________________________ 4. Federal ID #:5. Telephone Number: Fax:6. Insurance Contact: Phone:7. Payroll Contact: Phone:8. Safety Coordinator: Phone:9. Location of Payroll/Accounting Records (if other than #2 above):Do you lease your employees? No ___ Yes ____(If yes, provide company name, contact person and phone number below. They must alsocomplete enrollment forms)(list name of proprietor or partners as D.B.A. in #1 above)10. Subcontract #: 11. Subcontract Award Date:12. Estimated Start Date: 13. Estimated Completion Date:(This date is also the effective date of your OCIP coverage, provided you are accepted into the OCIP.)14. Total Subcontract Amount $ 15. Amount of Self-Performed Work: $16. Description of Work to be Performed:17. Your Status on this Project:SubcontractorLower-TieredSubcontractor18.If Subcontractor/Lower-tieredSubcontractor, identify whoyour Subcontract is with:19. List any Lower-Tiered Subcontractors that will be working for you on this project (including phone, person to contact, and amount to besublet included in #14 above). Use additional paper if necessary:Subcontractor Name Contact Person Phone Email Subcontract $20. Will you have any off-site location(s) 100% dedicated to this project? Yes No If yes, please provide address:21. Please check if you own, lease, operate or hire any: Aircraft Watercraft22. Regular Workers’ Compensation Insurer:23. Workers’ Compensation Experience Modifier: 24. Experience Rating Date (Policy Effective Date):25. Bureau Identification Number:OA<strong>FOR</strong>M 1 ED 7-1-20112012-10/436743 00 73 16.11 - 1 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-1INSURANCE WORKSHEETPage 2 of 4CANAVERAL PORT AUTHORITYPROJECTAStateAClassCodeBDescriptionCRate (per $100payroll)DWork-hoursEPayrollFWC PremiumRate x (Payroll 100)26. Totals D E F27. Employers Liability a) Rate _____% b) Modified Premium:28. Rate AmountDrug-free Workplace a)Safety b)(Any discounts listed must be support with a copy of the Workers Compensation Rate Page)29. Your Company’s Workers’ Compensation Experience Modifier:30. Modified Premium (Line 28 b)x line 29):31. Modification Premium Factors: Rate AmountSelf-Insured b)Loss Charge c)Volume/Stock Discount d)Other e)32. Total Workers’ Compensation Premium:33. General Liability. a) Rate:__________________b) Based on:PayrollReceiptsDeductible Amount $_________a) Rate:GL Loss Charge (if applicable)c) Rate factor:Per $100Per $1,000GL Premium Cost: d)34. Builder’s Risk/Installation Floater a) Rate: b) Property Premium Costs: c)35. Excess/Umbrella a) Rate:___________________b) Based On:PayrollReceiptsOther ____c) Rate factor:Per $100Per $1,000Excess/UmbrellaPremium Costs: d)36. Total of all Insurance Premiums (total of lines 32, 33d, 34c & 35d):37. Overhead & Profit on Insurance Prem. %: O/H & Profit Dollar Amount:38. Total (Total of 36 & 37):39. Insurance Composite Rate (line 38 divided by total payroll in line 26E):WARRANTYRegarding Workers’ Compensation, General Liability, and Excess Liability Insurance: These coverages, as stated in the contract Documents, are provided by The <strong>Canaveral</strong> <strong>Port</strong> Authority Theundersigned agrees and warrants:1. Subcontractor and Lower-Tiered Subcontractor certify that they have included in their proposals the cost for the Workers' Compensation, General Liability, and Excess Liability Coverages that arebeing provided and paid for by The <strong>Canaveral</strong> <strong>Port</strong> Authority2. Subcontractor and Lower-Tiered Subcontractor certify that they are responsible for notifying their own insurance carriers to exclude from their regular insurance policies the premium obligationfor all Work to be performed under this contract.3. The cost of the premiums for the non-OCIP insurance specified in the Subcontract will be paid for by the Subcontractor, or Lower-Tiered Subcontractor.4. Any and all returns of premiums, dividends, discounts or other adjustments to any OCIP policy is assigned, transferred and set over absolutely to The <strong>Canaveral</strong> <strong>Port</strong> Authority Thisassignment pertains to the policies as now written and as subsequently modified, rewritten or replaced in the OCIP, including any additional amounts or coverages as a result thereof. Rights ofcancellation of all insurance policies provided to the Subcontractor and Lower-Tiered Subcontractor by The <strong>Canaveral</strong> <strong>Port</strong> Authority also are assigned to The <strong>Canaveral</strong> <strong>Port</strong> Authority Thisassignment is only valid for insurance policies whose premiums have been paid by The <strong>Canaveral</strong> <strong>Port</strong> Authority on behalf of such Subcontractor or Lower-Tiered Subcontractors.Subcontractor and Lower-Tiered Subcontractor warranty the accuracy of the calculations and rates. Discounts not identified or supported will not be considered. Financial consequences of errors inWorkers Compensation codes, calculations or rates are the responsibility of the contracting party. The statements in this insurance application are true to the best of my knowledge.Name:Signature:Company:(please type or print)Date:Title:Email:OA<strong>FOR</strong>M 1 ED 7-1-20112012-10/436743 00 73 16.11 - 2 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-1ENROLLMENT APPLICATIONINSTRUCTIONSPage 3 of 4CANAVERAL PORT AUTHORITY PROJECTThis form must be completed and submitted by each successful Subcontractor and Lower-Tiered Subcontractor prior to execution of the subcontract and Project Site mobilization foreach Subcontract awarded. The Subcontractor and Lower-Tiered Subcontractor must submit the completed form to the SOCIP Administrator. Upon receipt of this form, SOCIPAdministrator will issue to the Subcontractor or Lower-Tiered Subcontractor a Certificate of Insurance evidencing coverage in the Controlled Insurance Program. The completedCertificate of Insurance and Workers’ Compensation insurance policy will be mailed to each Enrolled party.1. Subcontractor/Lower-Tiered Subcontractor Legal Name: Fill in your company’s legal name.2. Address: Fill in the complete field office or home office addresses, including city, state and zip code.3. Entity: “” Appropriate box describing the type of company.4. Federal ID. Number: Fill in your company’s Federal Tax Identification #.5. Telephone Number: Fill in your company’s home office phone and fax numbers, including area codes.6. Insurance Contact: Fill in the name and phone number of your company’s insurance representative.7. Payroll Contact: Fill in the name and phone number of your company’s accounting/payroll representative.8. Safety Coordinator: Fill in the name and phone number of your company’s safety coordinator for the project.9. Location of Accounting Records: Fill in the actual street address of your accounting records if they are maintained at a location different from the address in #2above, such as the home office location, if applicable. This information is essential to the insurer for physical audits.10. Contract #: Fill in the Contract number assigned to your project. If you are a Lower-Tiered Subcontractor, contact your Subcontractor forthis number.11. Contract Award Date: Fill in the date of your Contract award.12. Estimated Start Date: Fill in the date you anticipate starting Work at the Project Site.13. Estimated Completion Date: Fill in the date on which you expect to finish all Work at the Project Site.14. Total Contract Amount: Fill in (numerically) the dollar amount of your initial Subcontract.15. Self-Performed Amount Fill in the amount of total Contract award for Work that your company will perform itself (i.e., non-subcontracted work).16. Description of Work to be Performed: Fill in the type of services your firm will be doing at the project. Examples: Structural Steel, HVAC.17. Your Status at this Project: “” Appropriate box depending upon whether or not your firm is a Subcontractor or Lower-Tiered Subcontractor.18. Name of Subcontractor for whom you are working. Fill in the name of the Subcontractor you are working for.19. List Lower-Tiered Subcontractors Identify the Lower-Tiered Subcontractors that will be working for you on this Project. Include contact person, phone numberand dollar amount of the subcontract.20. Off-Site Locations Indicate whether or not your company will be using any locations away from the Project Site that will be dedicated 100% tothe Project. If so, provide address.21. Aircraft/Watercraft “” One or both boxes if your company owns, leases, operates or hires any aircraft or watercraft for this Project or any otherof your company’s operations.22. Regular Workers’ Compensation Insurer Provide the name of the insurance company that provides Workers’ Compensation coverage for your regular operations.23. Workers’ Compensation Experience Modifier Fill in the Workers’ Compensation experience modifier obtained from your current Workers’ Compensation policy orinsurance agent.24. Experience Rating Date Provide the effective date of your regular Workers’ Compensation policy.25. Bureau File Number (Risk ID Number) Fill in your company’s Bureau File Number obtained from your regular Workers’ Compensation policy or your insuranceagent.2012-10/436743 00 73 16.11 - 3 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AAForm-1State & Class CodeINSURANCE WORKSHEETINSTRUCTIONSPage 4 of 4CANAVERAL PORT AUTHORITYPROJECTIndicate the state in which the work will be performed and the Workers’ Compensation classification codes that are applicable to those employeesperforming Work for the Project. Workers Compensation codes that do not properly identify the type of work performed will be corrected during the bidreview process. The financial consequences of coding errors are the responsibility of the subcontracting and lower-tiered subcontracting party.B Description Provide the Workers’ Compensation class code descriptions that apply to the codes entered in column A.C Rate Enter rate your firm pays for coverage for each class code. This information can be obtained from your Workers’ Compensation policy.D Work-hours Provide your estimated work-hours, by class code, for work that will be performed on-site.E Payroll Calculate your estimated payroll, by class code, for work that will be performed on-site. Divide each total by 100.F WC Premium For each classification entered in column A, multiply the Payroll by the Rate.26. Totals Calculate totals for columns D, E and F.27. Employers Liability Rate 1) Calculate the premium by multiplying line 26 F Modified Premiums by line 27 a) the rate indicated. 2) Enter the result on line 27 b).28.Drug-free Workplace PremiumSafety PremiumIdentify any drug-free workplace and/or safety premiums, if applicable to your Workers’ Compensation policy. 1) Compute the Drug-free Amount bymultiplying line 27 b) the Modified Premium by the Drug-Free Workplace Rate indicated. 2) Enter the result in the Amount line. Subtract this Amountfrom line 27 b) and enter results on line 28 a). 3) Compute the Safety Amount by multiplying line 28 a) by the Safety Rate indicated. 4) Enter the resultin the Amount line. Subtract this Amount from line 28 a) and enter results on line 28 b).29. Workers’ Comp ExperienceModifierEnter your experience modification factor. This number is located on your Workers’ Compensation policy and on the Bureau’s rating sheets. If you donot have an experience modifier, use 1.00.30. Modified Premium Multiply the total on line 28 b) by your Workers’ Compensation Experience Modifier on line 29 and enter that amount on line 30.31. Modification Premium Factors Identify the premium modification factors that apply to your Workers’ Compensation policy. These factors may include a “Self-Insured”,“Stock/Premium Discount”, or “Other Discounts” 1) determine which modifiers/discounts apply to your company (refer to the Declaration Page of yourWorkers Compensation Policy), 2) enter the rate that applies in the “Rate” column for each modifier/discount that apply, 3) compute the amount of thefirst modifier/discount that applies by multiplying the Modified Premium on line 30 by the rate associated with the first modifier/discount that applies, 4)enter the results in the “Amount” column on the line of the modifier/discount that apply and subtract this amount from line 30. 5) Enter the results online 31 of the modifier/discount that apply “a)”, “b)”, “c)”, “d)”, or “e)”, 6) compute the amount of the next modifier/discount by multiplying the resultsreceived in 5) by the next modifier/discount rate. 7) Enter the results in the “Amount” column on the line of the modifier/discount that apply and subtractthis amount from the results received in 5). 8) Enter the results on line 31 of the modifier/discount that apply “a)”, “b)”, “c)”, “d)”, or “e)”. Once all of themodifier/discounts have been calculated, go onto #32 of the Instructions32. Total Workers’ CompPremiumInsert the results from line 31 e). This represents you Total Workers Compensation Premium.33. General Liability a) Enter the General Liability rate. b) “” The box corresponding to the basis on which the rate applies. (If the basis is “Deductible Amount,” specify inthe space provided, provide documentation and your loss charge rate) c) “” Whether the rate factor is per $100 or $1,000 of the basis amount.Insert the General Liability Premium arrived at by using the formula: (Rate Basis ÷ Rate Factor) x (General Liability Rate). If you are using a compositerate you will need to provide your General Liability Loss Charge. Consult SOCIP Administrator with questions on how to calculate.34. Builder’s Risk/InstallationFloaterEnter the rate. b) Enter the Proposed Contract Cost identified in the Bid Information Section. C) Insert total of a) x b).35. Excess/Umbrella Liability a) Enter your Excess or Umbrella Liability rate. b) “”The box identifying the basis to which the rate applies. (If the basis is “Other,” specify in the spaceprovided.) c) “” Whether the rate factor is ($100 or $1,000) of the basis amount. d) Insert the Excess or Umbrella Liability Premium by using theformula: (Rate basis ÷ Rate Factor) x Excess or Umbrella Rate.36. Total of all InsurancePremiumsInsert the sum of lines 32, 33d, 34b and 35d.37. Overhead/Profit a) Insert the percent of Overhead & Profit included in your pricing structure. b) Insert the result of applying that percentage to line 36 (Total of AllInsurance Premiums).38. Total Insert the sum of lines 36 and 37.39. Insurance Composite Rate Divide the line 38 (Total Initial Insurance Credit) by line 26E (Total Payroll).Signature and CompanyNameHave an authorized representative of the company sign and date the completed form. Repeat the name of the company.2012-10/436743 00 73 16.11 - 4 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-2NOTICE OF SUBCONTRACT AWARD(<strong>TO</strong> BE COMPLETED BY PRIME CONTRAC<strong>TO</strong>R)PAGE 1 OF 2CANAVERAL PORT AUTHORITYPROJECTWe have awarded a subcontract / lower-tiered subcontract to the following:1. Contractor/ Lower-TieredSubcontractor Name:2. Address:3. Phone No: Fax No:4. Contact Person:5. Estimated Start Date:6. Estimated Completion Date:7. Subcontract Number: 8. Description of Work:9. Contractor/ Lower-Tiered Subcontractor:10. Contact Person:Prior to the Approved Contractor/Lower-Tiered Subcontractor being permitted on-site, we must receive a completedEnrollment Form.Mail to: CCIP Administrator Fax to: Shannon FugateInsurance Office of AmericaInsurance Office of America4020-B Plank Road Fax: (800) 568-2991Fredericksburg, VA 22407 Phone: (540) 785-7575Email: Shannon.Fugate@ioausa.comALL <strong>FOR</strong>MS ARE AVAILABLEELECTRONICALLY.Please email the OCIP Administratora request.OA<strong>FOR</strong>M 2 ED 7-1-20112012-10/436743 00 73 16.11 - 5 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-2NOTICE OF SUBCONTRACT AWARD CANAVERAL PORT AUTHORITYPROJECTINSTRUCTIONSPAGE 2 OF 2This form must be completed and returned to the OCIP Administrator by the Contractor or Lower-Tiered Subcontractor whenever anew contract has been awarded.1. Contractor / Lower-Tiered SubcontractorName:If you are a Contractor, insert the name of the Lower-Tiered Subcontractor. A separate form must becompleted for each subcontract awarded.2. Address: Fill in the appropriate address.3. Phone No.:Fill in the appropriate phone number and fax numberFax No.:4. Contact Person: Indicate the person who will be handling the enrollmentprocess for the Contractor.5. Estimated Start Date: Fill in appropriate date.6. Estimated Completion Date: Fill in appropriate date.7. Contract Number: Insert the Contract or Specification number(s) relatingto the Work at the Project Site.8. Description of Work: Describe the type of Work performed under thiscontract.9. Contractor/Lower-Tiered Subcontractor: Insert the name of Contractor/Lower-TieredSubcontractor who is awarding the Subcontract (fillingout the form).10. Contact Person: Enter your name.2012-10/436743 00 73 16.11 - 6 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-3On-Site Payroll ReportNumbers reference attached instructionsPage 1 of 2CANAVERAL PORT AUTHORITYPROJECTComplete a Separate Form for Each Subcontract with Sponsor.Your report is due not later than the 10 th day of each month. You can submit via email, fax, or mail. Original copy not required.Delay in providing this report may result in payments being withheld.A. Report IdentificationPeriod Beginning:1Period Ending:2Year:3Contractor Name:Contract is with:Contract #:456B. Activity Report1aStatebWorkers’CompensationClass CodecWork DescriptiondMan-HourseGross PayrollfReportable Payroll *<strong>TO</strong>TALS:2 3 4*Do not include premium (excess) overtime wages, use straight time wage rates only.g. Total Progress Payments forthe Month:$**************************************<strong>TO</strong>TAL PROGRESS PAYMENTS SHOULD INCLUDE ALL CHANGE ORDERS********************************C. Signature Block :I verify the information presented above and attachments are correct:Name:(please print)Title:Date:Signature: CHECK IF THIS IS YOUR LAST PAYROLL REPORT. COMPLETE AN INSURANCE OFFICE OF AMERICA <strong>FOR</strong>M-4 “NOTICE OF WORK COMPLETION”AND INCLUDE WITH THIS PAYROLL REPORT.Mail to: OCIP Administrator Fax to: Shannon FugateInsurance Office of AmericaInsurance Office of America4020-B Plank Road Fax: (800) 568-2991Fredericksburg, VA 22407 Phone: (540) 785-7575Email: Shannon.Fugate@ioausa.com2012-10/436743 00 73 16.11 - 7 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AOA<strong>FOR</strong>M 3 ED 7-1-2011gForm-3ON-SITE PAYROLL REPORTINSTRUCTIONSPage 2 of 2CANAVERAL PORT AUTHORITYPROJECTThis form must be completed each month by the Contractor and every Lower-Tiered Subcontractor performing work at the ProjectSite for each Contract awarded. The Contractors must attach the completed report to their monthly pay request in order to receiveinterim payment. Contractors will be responsible for the submission of this form by their Lower-Tiered Subcontractors. InsuranceOffice of America Risk Services can forward a supply of these forms to your company.A. Report Identification1 Fill in the Month and day for the beginning of the period you are reporting on.2 Fill in the Month and day for the ending of the period you are reporting on.3 Fill in the year that applies to the reporting period.4 Enter the name of your firm.5 If you are a Contractor or Lower-Tiered Subcontractor, identify the name of the firm you are contracted to.6 Provide your Contract NumberB. Activity Report1 For each worker’s Compensation Class Code that applies to work performed during the reporting period, provideabcdefthe following information:Identify the state in which the work was performedIdentify the 4 digit Workers’ Compensation Class Code that applies to the work performed during the period.Provide a brief description of the work by class code.Identify the number of hours worked by your employees for each applicable class code.Provide the Gross Payroll paid to your employees. This should include overtime pay and vacation pay.Determine the Reportable Payroll. Reportable Payroll does not include the premium portion of any overtime pay(i.e. 45 hours X $10.00/hr = 450.00 do not include the premium overtime pay of $5.00 for the 5 hours of overtime)Determine the Total Progress Payments. This would be all progress payments and change orders paid to you forthis contract during this reporting period.2 Total the Man-hours provided on the payroll report.3 Total the Gross Payroll provided.4 Total the Reportable Payroll.C. Signature Block: This form must be signed by a representative of your company with the authority to Verify theinformation is correct.ALL <strong>FOR</strong>MS ARE AVAILABLEELECTRONICALLY.Please email the OCIP Administratora request.2012-10/436743 00 73 16.11 - 8 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1Form-4NOTICE OF WORK COMPLETIONNUMBERS REFERENCE ATTACHED INSTRUCTIONSPAGE 1 OF 2Contractor Name:Contract #:Description of Work Performed:Date Work Completed:Final Contract Value:12345PUR-ITB-13-5/CN1-8-10-12-014ACANAVERAL PORT AUTHORITYPROJECTThe following Lower-Tiered Subcontractors have completed their Work at the Project Site: (Add attachment if morespace is needed)6aLower-Tiered Subcontractor’sNamebContract NumbercDescription of WorkdDate CompletedLocation of your payroll records (Receipt of this form will initiate the payroll audit process):Address:7City, State Zip Code:Contact/Phone #:The undersigned acknowledges request for termination of coverage under the OCIP as of the date indicated above for thespecified Subcontract. Should we return to the Project Site, we will be working under our own insurance program and mustprovide Sponsor with a Certificate of Insurance showing our own coverage as detailed in our contract. Prior to execution ofthe Contract and performing any work at the Project Site.Signed by: 8TitleDateApproved by: 9Project ManagerDateMail to: OCIP Administrator Fax to: Shannon FugateInsurance Office of AmericaInsurance Office of America4020-B Plank Road Fax: (800) 568-2991Fredericksburg, VA Phone: (540) 785-7575Email: Shannon.Fugate@ioausa.comALL <strong>FOR</strong>MS ARE AVAILABLEELECTRONICALLY.Please email the OCIP Administrator arequest.OA<strong>FOR</strong>M 4 ED 7-1-20112012-10/436743 00 73 16.11 - 9 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-ITB-13-5/CN1-8-10-12-014AForm-4NOTICE OF WORK COMPLETIONPAGE 1 OF 2CANAVERAL PORT AUTHORITYPROJECTThis form will be completed and returned to the OCIP Administrator by the Contractor directly contracting with The<strong>Canaveral</strong> <strong>Port</strong> Authority whenever work is completed for each Subcontract. This form will initiate the final payroll auditprocess for the Contractor and its Lower-Tiered Subcontractors identified in item 1. Final Payments and Release ofRetainage will not occur until all payroll work is complete and finalized.1Provide the name of the Contractor or Lower-Tiered Subcontractor completing their work.2Enter the Contract number for the work being completed.3Provide a brief description of the work being completed.4Provide the Date the Work was completed.5Provide the final value of the contract including all change orders.6aEnter the name of each Lower-Tiered Subcontractor that performed work for you that has completed their work.bEnter their Contract Number.cProvide a brief description of their work.dProvide the Date they completed their work.7Identify the physical location of where your payroll records are retained. Provide the Address, City, State, ZipCode, Contact Name and Telephone Number of the person responsible for maintaining the payroll information.8This form must be signed by a representative of your company with the authority to verify the information iscorrect.9Have this form approved by the Project/Construction Manager for the Project Site.2012-10/436743 00 73 16.11 - 10 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNELPROJECT – PACKAGE 1PUR-RFP-13-4/CN1-8-10-12-014ASECTION 01 11 23OWNER DIRECT PURCHASE PROGRAMPART 1GENERAL1.1 SECTION INCLUDESA. As a state agency, the <strong>Port</strong> is required by law to develop procedures for Owner DirectPurchase of construction materials from vendors.B. “Effective January 2, 2011, Section 8, Chapter 2010-138, Laws of Florida (L.O.F.), requiresgovernmental entities (excluding the federal government) to issue a Certificate of Entitlementto each vendor and each contractor in order to purchase supplies and materials for use inpublic works contracts tax-exempt under Section 212.086(6), F.S.”PART 2PROCEDURES1.1 SECTION INCLUDESA. Procedures for administration of the Owner Direct Purchase Program.B. The Owner shall include this project in its Owner Direct Purchase Program (ODP) and theContractor agrees to administer according to the following terms. The Contractor shallinclude the following terms in all of its contracts wherein the cost of materials and equipmentexceeds Five Thousand Dollars ($5,000) and no more than 5 separate invoices for eachpurchase order.1. The subcontractor has included Florida State Sales and other applicable taxes in his bidfor material, supplies and equipment. The Owner, being exempt from sales tax reservesthe right to make direct purchases of various construction equipment, materials orsupplies included in the subcontractor’s bid and/or contract.(a) Any equipment, materials or supplies directly purchased by the Owner that areincluded in the subcontractor’s contract shall be referred to as Owner-PurchasedMaterials and the responsibilities of both Owner and subcontractor relating to suchOwner Purchased Materials shall be governed by the terms and conditions of theseprocedures.2. Material suppliers shall be selected by the subcontractor awarded the Subcontract.(a) The subcontractor has included the price for all construction materials plusapplicable taxes in his bid. Owner purchasing of construction materials, if selected,will be administered on a deductive Change Order basis. The Subcontract amountshall be reduced by the net non-discounted amount of these Purchase Orders, plusall sales tax.3. Subcontractor shall provide Contractor with a list of all intended suppliers, vendors, andmaterialmen for consideration as Owner-Purchased Materials. This list shall besubmitted at the same time as the preliminary schedule of values and the Project/CPM2012-10/436743 01 11 23-1 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNELPROJECT – PACKAGE 1PUR-RFP-13-4/CN1-8-10-12-014Aschedule. The subcontractor shall submit a description of the materials to be supplied,estimated quantities and unit prices. All Vendors must be registered with the <strong>Port</strong>. Referto the <strong>Port</strong>'s website at www.portcanaveral.com under "Doing Business With the <strong>Port</strong>".4. Upon request from Contractor, subcontractor shall prepare a standard Purchase OrderRequisition Form in a form acceptable to the Owner and the Contractor, to specificallyidentify the materials which Owner has, at its sole option, elected to purchase directly.The Purchase Order Requisition Form shall include:(a) The name, address, telephone number and contact person for the material supplier.(b) Manufacturer or brand, model or specification number of the item.(c) Quantity needed as estimated by subcontractor.(d) The price quoted by the supplier for the materials identified therein.(e) Any sales tax associated with such quote.(f) Delivery dates as established by subcontractor.5. Subcontractor shall include reference to any terms and conditions which have beennegotiated with the vendor; i.e. payment terms, warranties, retainage, etc. SuchPurchase Order Requisition Form is to be submitted to Contractor no less than 15business days prior to the date required for ordering such Owner-Purchased Materials, inorder to provide sufficient time for Owner review and approval and to assure that suchDirectly Purchased Materials may be directly purchased by Owner and delivered to theProject site so as to avoid any delay to the Project.6. After receipt of the Purchase Order Requisition Form, Owner shall prepare its PurchaseOrders for equipment, materials or supplies. Pursuant to the Purchase Order, the vendorwill provide the required quantities of material at the price established in the vendor’squote to the subcontractor less any sales tax associated with such price. Promptly uponreceipt of each Purchase Order, subcontractor shall verify the terms and conditions of thePurchase Order prior to its issuance to supplier and in a manner to assure proper andtimely delivery of items. Owner’s Purchasing Director shall be the approving authority forthe Owner on Purchase Orders in conjunction with Owner-Purchased materials. ThePurchase Order shall require that the supplier provide the required shipping and handlinginsurance. The Purchase Order shall also require the delivery of the Owner-PurchasedMaterials on the delivery date(s) provided by the subcontractor in the Purchase orderRequisition Form and shall indicate F.O.B. job site. The Owner’s Purchase Orders shallcontain, or be accompanied by, the Owner’s exemption certificate and must include theOwner’s name, address, and exemption number with issue and expiration date shown.7. In conjunction with the execution of the Purchase Orders by the supplier, thesubcontractor shall execute and deliver to Contractor one or more deductive ChangeOrders, referencing the full value of all Owner-Purchased Materials plus all sales taxsavings associated with such materials in subcontractor’s bid to Contractor.8. All shop drawings and submittals shall be made by the subcontractor in accordance withthe Contract Documents.9. Subcontractor shall be fully responsible for all matters relating to the receipt of materialsfurnished by Owner in accordance with these procedures, including but not limited to,verifying correct quantities, verifying documentation or orders in a timely manner,coordinating purchases, providing and obtaining all warranties and guarantees requiredby the Contract Documents, inspection and acceptance of the goods at the time of2012-10/436743 01 11 23-2 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNELPROJECT – PACKAGE 1PUR-RFP-13-4/CN1-8-10-12-014Adelivery, and loss or damage to equipment and materials following acceptance of itemsby the Owner due to the negligence of the subcontractor. The subcontractor shallcoordinate delivery schedules, sequence of delivery, loading orientation, and otherarrangements normally required by the subcontractor for the particular materialsfurnished. The subcontractor shall provide all services required for the unloading,handling and storage of materials through installation. The subcontractor agrees toindemnify and hold harmless the Owner from any and all claims of whatever natureresulting from nonpayment of goods to suppliers arising from the actions or directions ofsubcontractor.10. As Owner-Purchased Materials are delivered to the job site, the subcontractor and theContractor as Owner’s Representative, shall visually inspect all shipments for thesuppliers, and approve the vendor’s invoice for materials delivered. The subcontractorshall assure that each delivery is accompanied by documentation adequate to identify thePurchase Order against which the purchase is made. This documentation may consist ofa delivery ticket and an invoice from the supplier confirming the Purchase Order, togetherwith such additional information as the Owner or Contractor may require. Thesubcontractor will verify, in writing, the accuracy of the delivery ticket. The subcontractorwill then forward the invoice to the Contractor for his forwarding to the Owner. TheOwner will process and pay directly to the vendor in the manner as all other Owner Entityinvoices are processed. The Owner shall have the right to assign Owner personnel toverify and audit the accuracy of all Direct Purchase documents.11. The subcontractor shall insure that Owner-Purchased Materials conform to theSpecifications and determine prior to incorporation into the Work if such materials arepatently defective, and whether such materials are identical to the materials ordered andmatch the description on the bill of lading. If the subcontractor discovers defects or nonconformities in the Owner-Purchased Material, upon such visual inspection, thesubcontractor shall not utilize such non-conforming or defective materials in the Work andinstead shall promptly notify the Vendor of the defective or non conforming condition inorder to pursue repair or replacement of those materials without any undue delay orinterruption to the Project. Additionally, the subcontractor shall notify the Owner throughthe Contractor of such occurrence. If the subcontractor fails to perform such inspection,and otherwise incorporates Owner-Purchased Materials, the condition of which it eitherknew about or should have known about by performance of an inspection, subcontractorshall promptly take action to remedy the defect or non conformity so as not to delay theWork.12. The subcontractor shall maintain records of all Owner-Purchased Materials itincorporates into the Work from the stock of Owner-Purchased Materials in itspossession. The subcontractor shall account monthly to the Owner, through theContractor, for any Owner-Purchased Materials delivered into the subcontractor'spossession, including portions of all such materials which have been incorporated intothe Work.13. The subcontractor shall be responsible for obtaining and managing all warranties andguarantees for all materials and products as required by the Contract Documents. Allrepairs, maintenance or damage repair calls shall be forwarded to the subcontractor forresolution with the appropriate supplier or Vendor.2012-10/436743 01 11 23-3 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNELPROJECT – PACKAGE 1PUR-RFP-13-4/CN1-8-10-12-014A14. Notwithstanding the transfer of Owner Purchased Materials by the Owner to thesubcontractor's possession, the Owner shall retain title to any and all Owner PurchasedMaterials.15. The transfer of the possession of Owner Purchased Materials from the Owner to thesubcontractor shall constitute a bailment for mutual benefit of the Owner and thesubcontractor. The Owner shall be considered the bailor and the subcontractor the baileeof the Owner Purchased Materials. Owner Purchased Materials shall be consideredreturned to the Owner for purposes of its bailment at such time as they are incorporatedinto the Project or consumed in the process of completing the Project. Bailee shall havethe duty to safeguard, store and protect all Owner Purchased Materials.16. The Contractor shall purchase and maintain insurance pursuant to the requirements setforth in the Owner and Contractor Agreement which shall be sufficient to protect againstany loss or damage to Owner Purchased equipment, materials or supplies. Suchinsurance shall cover the full value of any Owner Purchased Materials not yetincorporated into the Project from the time the Owner first takes title.17. The Owner shall in no way be liable for interruption or delay in the Project, for any defectsor any other problems with the Project, or for any extra or cost resulting from delay in thedelivery of, or defects in, Owner Purchased Materials.18. On a monthly basis, subcontractor shall be required to review invoices submitted by allsuppliers of Owner Purchased Materials delivered to the Project site during that monthand either concur or object to the Owner's issuance of payment to the suppliers, basedupon subcontractor's records of materials delivered to the site and any defects in suchmaterials.19. In order to arrange for the prompt payment to the supplier, the subcontractor shallprovide to the Owner, through the Contractor, a list indicating the acceptance of thegoods or materials in accordance with the established monthly Payment RequestSchedule. The list shall include a copy of the applicable Purchase Orders, invoices, anddelivery receipts of data provided. Checks will be released, delivered and remitteddirectly to the suppliers. The subcontractor agrees to assist the Owner to immediatelyobtain partial or final release of lien waivers as appropriate.20. At the end of the Project, any refund for surplus materials returned to suppliers plusapplicable sales tax savings amount shall be created with an additive Change Order tothe subcontractor's agreement with the Contractor. Salvage materials shall be theproperty of the Owner and stored or removed from the site by the subcontractor at theOwner's discretion.21. The Owner indemnifies the Contractor from liability if the Department of Revenuedetermines that any purchases treated as tax exempt by the parties failed to meet thecriteria for exemption.PART 3 EXECUTION-See Section 01 11 23.13END OF SECTION2012-10/436743 01 11 23-4 <strong>ADDENDUM</strong> #1


CANAVERAL HARBOR 44 FOOT CHANNEL PROJECT – PACKAGE 1PUR-RFP-13-4/CN1-8-10-12-014ASECTION 01 11 23.13OWNER DIRECT PURCHASE (ODP) OF MATERIALS CONTRACT <strong>FOR</strong>MAT:CONTRACT BETWEEN CANAVERAL PORT AUTHORITYANDSUPPLIER <strong>FOR</strong> OWNER DIRECT PURCHASED (OPD) MATERIALSUNDER CONTRACTWITHCANAVERAL PORT AUTHORITYPORT CANAVERAL, FLORIDAThe CANAVERAL PORT AUTHORITY hereby authorizes procurement ofquantityof, including shop drawings/catalog cuts, all in accordance withSupplier’s Proposal dated with a Total Contract Price of___________ _____ dollars Freight on Board (FOB).The Supplier, acknowledges and agrees that the terms and conditionsof this purchase will be in accordance with the provisions as set forth in "Owner Direct Purchase ofMaterials" included in the subject Contract, and in particular, agrees that staging of materials, callingforward the materials, expediting, mode of transportation and cost of transportation of the material, willbe as established by separate agreement between the Supplier, and theContractor, of the subject Contract.It is understood and acknowledged by the signatures affixed below that payment for the material by the<strong>Canaveral</strong> <strong>Port</strong> Authority will be made no later than 45 days after delivery, inspection and acceptanceof the material by both the Contractor ______________and the <strong>Canaveral</strong> <strong>Port</strong>Authority at the construction site of the subject Contract at the <strong>Canaveral</strong> <strong>Port</strong> Authority.The <strong>Canaveral</strong> <strong>Port</strong> Authority is exempt from paying Florida State Sales Tax. <strong>Canaveral</strong> <strong>Port</strong>Authority’s Certificate of Exemption Number is: 85-8012646223C-9.CANAVERAL PORT AUTHORITYOWNER DIRECT PURCHASE (ODP) SUPPLIERDirector of ConstructionDuly Authorized Agent_Contractor Authorization_2012-10/436743 01 11 23.13-1 <strong>ADDENDUM</strong> #1

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