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HomeMy WebLinkAbout83-82 RESOLUTIONRESOLUTION NO. — eic- h. r. A RESOLUTION AUTHORIZING THE MAYOR AND CITY CLERK TO EXECUTE A CONTRACT WITH JERRY D. SWEETSER, INC. FOR THE CONSTRUCTION OF SIDEWALKS AND STORM DRAINAGE ON HAPPY HOLLOW ROAD FROM 4TH STREET TO HUNTSVILLE ROAD. BE IT RESOLVED'BY-"THE BOARD OF DIRECTORS OF THE CITY OF FAYETTEVILLE, ARKANSAS: That the Mayor and City Clerk are hereby authorized and directed to execute a contract with Jerry D. Sweetser, Inc. for the construction of sidewalks and storm drainage on Happy Hollow Road from 4th Street to Huntsville Road at a total contract price of $40,833.35.. PASSED AND APPROVED this day of 'ATTEST._:‘7/44' '. ' CITY CLERK { APPROVED: 1982. MAYOR 1 1 1 1_ 1 1 1 1 1 1 1.: 1 1.. 1 Q0' SPECIFICATIONS SIDEWALK AND DRAINAGE IMPROVEMENTS Community Development Block Grant Program City of Fayetteville , Arkansas DHUD Project No. SW- 8111 PLANS NO. FY -108 Dated JUNE 1982 McGoodwin , Williams and Yates, Inc. Consulting Engineers Fayetteville , Arkansas • • MICROFILMED CONTRACT - CITY of pamauag C . n pawl •0 CIO :w M J r N C HPeg V .4 Z8 -0£-0l{ z8-0£—ot' z9-0£—Ot 33NVNf1S.N I Altttge!, (punog) s,aaaut6u3_9149um0 uotlesuadwo3 s,uawiaoM Altttgetl attgowolnV Alm/ge1l tenua9 adAl 1 1 1 1 1 1 1 1 1 1 1 3oenuo3' pappy sAe0 4unowy snfpy s SH30Z1.0 .39NV.H3 Jo +) a6ue43 Jo unowd 'ON 1 1 1 1 1 1 1 1 1 1 1 1 1 1 i SPECIFICATIONS SIDEWALK AND DRAINAGE IMPROVEMENTS Community Development Block Grant Program City of Fayetteville, Arkansas DHUD Project No. SW- 8111 PLANS NO. FY -108 Dated JUNE 1982 McGoodwin , Williams and Yates, Inc. Consulting Engineers Fayetteville 1 Arkansas • Advertisement for Bids Information for Bidders TABLE OF CONTENTS Supplement to Information for Bidders U. S. Department of Housing and Urban Development Forms *Certification of Bidder Regarding Equal Employment Opportunity Certification by Proposed Subcontractor Regarding Equal Employment Opportunity *Contractor's Certification Concerning Labor Standards and Prevailing Wage Requirements Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements Certificate of Owner's Attorney **Bid Bond Federal Wage Determination Bid for Unit Price Contracts Contract Performance Bond Payment Bond General Conditions Index to General Conditions Supplemental General Conditions Special Conditions General Specifications Street and Drainage Improvements Detailed Specifications 1. Scope of the Work 2. General. Specifications ** • • Pages 3-1, 3-3 and 3-4 are to be filled in and submitted Bid bond to be used if bond is submitted as bid security cash or certified check. Extra copy provided. Page No. with bid. 1-1 2-1 2-5 3-1 3-2 3-3 3-5 3-7 3-8 4-1 5-1 6-1 7-1 7-3 8-1 8-27 8-28 8-35 16-1 17-1 17-1 rather than Page No. 3. Completion Time and Liquidated Damages 17-1 4. Safety and Health Regulations and Contract Requirements 17-1 5. Quality of the Plans 17-2 6. Elevation Data 17-2 7. Lands and Rights of Way 17-2 8. Continuing Responsibility of Contractor 17-3 9. Payment 17-3 10. Payment for Extra Work 17-3 11. Notice to Proceed 17-3 12. Provisions for Competitive Bidding 17-3 13. Utility Services 17-3 14. Source of Supply 17-4 15. Samples and Tests 17-4 16. Sequence of the Work 17-4 17. Materials of Construction 17-5 18. Sidewalk and Drainage Construction A. General 17-7 B . Sequence of the Work 17-7 C. Site Preparation 17-7 D . Clearing and Grubbing 17-7 E . Stripping 17-7 F. Excavation and Embankment 17-7 G . Compaction of Subgrade Under Sidewalks 17-8 H . Soil Testing 17-8 ' I. Removal and Disposal of Structures 17-8 J . Removing Old Culverts 17-9 K. Fence Removed and Reconstructed 17-9 L . Shaping and Widening Roadway Section 17-9 M. Removal and Replacement of Signs, Mailboxes, Etc. 17-9 N. Undercuts 17-9 O . Crushed Stone Base Material 17-9 P . Portland Cement Concrete Pavement 17-9 Q. Concrete Drive Repair 17-10 R. Concrete Curb and Gutter 17-10 S. Drainage Structures and Ditches 17-11 T. Topsoiling, Seeding and Straw Mulching 17-11 U . Storm Sewer Drains 17-11 ✓ . Manholes, Valve Boxes Adjusted to Grade 17-11 W. Cleanup 17-12 X. Watering 17-12 Y. Miscellaneous Items 17-12 19. Final Inspection and Establishment of Warranty Period 17-13 20. Methods of Measurement and Payment 17-14 ii U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT ADVERTISEMENT FOR BIDS Project No. SW -8111 City of Fayetteville, Arkansas (Owner) Separate sealed bids for Sidewalk and Drainage Improvements HUD -4238•A (5-66) Happy Hollow Road from Huntsville Road to 4th Street for will be received by the Community Development Department at the office of the Director, Community Development, 530 B N. College, Fayetteville,AR 72701 until 10:00o'clock a.m., Central D.S.T., office publicly opened and read aloud. June 29 , 1982 , and then at said The Information for Bidders, Form of Bid, Form of Contract, Plans, Specifications, and Forms of Bid Bond, Performance and Payment Bond, and other contract documents may be examined at the following: the above address, and at McGoodwin, Williams and Yates, Inc., Consulting Engineers, 909 Rolling Hills Drive, Fayetteville, Arkansas 72701 Copies may be obtained at the office of above address said engineers such payment not refundable. upon payment of S 25.00 located at for each set, The owner reserves the right to waive any informalities or to reject any or all bids. Each bidder must deposit with his bid, security in the amount, form and subject to the conditions provided in the Information for Bidders. Attention of bidders is particularly called to the requirements as to conditions of employment to be observed and minimum wage rates to be paid under the contract. No bidder may withdraw his bid within 30days after the actual date of the opening thereof. June 11, 1982 (Date) 1-1 Richard E. Mason, Director Community Development Department GP0 863-156 1 1 1 1 1 1 U. S. OL PAR !MINT O: MOUSING ANO UPOAN Of vaorMENT INFORMATION FOR BIDDERS 1. Receipt and Opening of Rids The Fayetteville Community Development Department HUD h23F-E(R) (herein called the "Owner"), invites bids on the form attached hereto, all blanks of which must be appropriately filled in. Bids will be received by the Owner at the office of the Director o'clock A.M. Central D.S.T., June 29 until 10:00 19 82 , and then at said office publicly opened and read aloud. The envelopes containing the bids Director,. Community Development Department must be sealed, addressed to ' at 530 B North College, Fayetteville, AR 72701 and designated as Bid for Sidewalk and Drainage Improvements 1 1 1 1 1 1 i 1 1 1 1 The Owner may consider informal any bid not prepared and submitted in accord- ance with the provisions hereof and may waive any informalities or reject any and all bids. Any bid may be withdrawn prior to the above scheduled time for the opening of bids or authorized postponement thereof. Any bid received after the time and date specified shall not be considered. No bidder may withdraw a bid within 60 days after the actual date of the opening thereof. 2. Preparation of Bid Each bid must be submitted on the prescribed form and accompanied by Certification by Bidder Regarding Equal Employment Opportunity, Form HUD -1x238 -CD -1, and Certification by Bidder (Contractor), concerning Labor Standards and Prevailing Wage Requirements, Form HUD -1h21. All blank spaces for bid prices must be filled ih, in ink or typewritten, in both words and figures, and the foregoing Certifications must be fully completed and executed when submitted. Each bid must be submitted in a sealed envelope bearing on the outside the name of the bidder. his address, end the name of the•proje.ct for which the bid is submitted. If forwarded by mail, the sealed envelope containing the bid must be enclosed in another envelope addressed as specified in the bid form. 3.Subcontracts The bidder is specifically advised that any person, firm, or other party to whom it is proposed to award a subcontract under this contract -- a. Must be acceptable to the Owner after verification by the HUD Area Office of thecurrent eligibility status, and, b Must submit Form HUD-11238-CD-2,Certification by Proposed Subcontractor Regarding Equal Employment Opportunity and Certification by Proposed Sub - Contractor Concerning Labor Standards and Prevailing Wage Requirements, Form HUD -11422. Approval of the proposed subcontract award cannot be given by the Owner unless and until the proposed subcontractor has submitted the Certifications and/or other evidence showing that it has fully complied with any reporting requirements to which it is or was subject. Previous Editions Obsolete 2-1 2 Although the bidder is not required to attach such Certifications by proposed subcontractors to his bid, the bidder 1s here advised of this requirement so that appropriate action can be taken to prevent subsequent delay in subcontract awards. 4. Telegraphic Modification Any bidder may modify his bid by telegraphic communication at any time prior to the scheduled closing time for receipt of bids. provided such telegraphic commu- nication is received by the Owner prior to the closing time, and, provided further. the Owner is satisfied that a written confirmation of the telegraphic modification over the signature of the bidder was mailed prior to the closing time. The telegraphic communication should not reveal the bid price but should provide the addition or subtraction or other modification so that the final prices or terms will not be known by the Owner until the sealed bid is opened. If written confirmation is not received within two days from the closing time. no consideration will be given to the telegraphic modification. 5. Method of Bidding The Owner invites the following bid(s): SIDEWALK AND DRAINAGE IMPROVEMENTS 6. Qualifications of Bidder The Owner may make such investigations as he deems necessary to determine the ability of the bidder to perform the work, and the bidder shall furnish to the Owner all such information and data for this purpose as the Owner may request. The Owner reserves the right to reject any bid if the evidence submitted by, or investigation of, such bidder falls to satisfy the Owner that such bidder is properly qualified to carry out the obligations of the contract and to complete the work contemplated therein. Con- ditional bids will not be accepted. 7. Bid Security Each bid must be accompanied by cash, certified check of the bidder, or a bid bond prepared on the form of bid bond attached hereto, duly executed by the bidder as principal and having as surety thereon a surety company approved by the Owner, in the amount of 5% of the bid. Such cash, checks or bid bonds will be returned to all ex- cept the three lowest bidders within three days after the opening of bids, and the remaining cash, checks, or bid bonds will be returnedpromptlyafter the Owner and the accepted bidder have executed the contract, or, if no award has been made within 60 days after the date of the opening of bids, upon demand of the bidder at any time thereafter, so long as he has not been notified of the acceptance of his bid. 8. Liquidated Damages for Failure to Enter into Contract The successful bidder, upon his failure or refusal to execute and deliver the con- - tract and bonds required within 10 days after he Chas received notice of the accept- ance of his bid, shall forfeit to the Owner. as liquidated damages for such failure or refusal, the security deposited with his bid. 2-2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 • 3 9. Time of Completion and Liquidated Damages Bidder must agree to commence work on or before a date to be specified in a written "Notice to Proceed" of the Owner and to fully complete the project w ithin 45 consecutive calendar days thereafter. Bidder must agree also to pay as liquidated damages, the sum of $ 50.00 for each consecutive calendar day thereafter as hereinafter provided in the General Conditions. 10. Conditions of Work Each bidder must inform himself fully of the conditions relating to the con- struction of the project and the employment of labor thereon. Failure to do so will not relieve a successful bidder of his obligation to furnish all material and labor necessary to carry out the provisions of his contract. Insofar as possible the contractor, in carrying out his work, must employ such methods or means as will not cause any interruption of or interference with the or of any other contractor. 11. Addenda and Interpretations No interpretation of the meaning of the plans, documents will be made to any bidder orally. specifications or other pre-bid Every request for such interpretation should be in writing addressed to 909 Rolling Hills Drive at Fayetteville, Ark. 72701 McGoodwin, Williams and Yates,-Iinc. and to be given consideration must be received at least five days prior to the date fixed for the opening of bids. Any and all such interpretations and any supplemental instructions will be in the form of written addenda to the speci- fications which, if issued, will be mailed by certified mail with return re- ceipt requested to all prospective bidders Qat the respective addresses fur- n ished for such purposes), not later than three days prior to the date fixed for the opening of bids. Failure of any bidder to receive any such addendum or interpretation shall not relieve such bidder from any obligation under his bid as submitted. All addenda so issued shall become part of the contract documents. 12. Security for Faithful Performance Simultaneously with his delivery of the executed contract, the Contractor shall furnish a surety bond or bonds as security for faithful performance of this contract and for the payment of all persons performing labor on the project u nder this contract and furnishing materials in connection with this contract, as specified in the General Conditions included herein. The surety on such bond or bonds shall be a duly authorized surety company satisfactory to the Owner. 13. Power of Attorney • Attorneys -in -fact who sign bid bonds or contract bonds must file with each bond a certified and effectively dateti copy of their power of attorney. 2-3 14. Notice of Special Conditions Attention is particularly called to those parts of the contract documents and specifications which deal with the following: (a) Inspection and testing of materials. (b) Insurance requirements. (c) Wage rates. (d) Stated allowances. 15. Laws and Regulations The bidder's attention is directed to the fact that all applicable State laws, municipal ordinances. and the rules an(i regulations of all authorities having jurisdiction over construction of the project shall apply to the contract throughout, and they will be deemed to be included in the contract the same as though herein written out in full. 16. Method of Award - Lowest Qualified Bidder If at the time this contract is to be awarded, the lowest base bid submitted by a responsible bidder does not exceed the amount of funds then estimated by the Owner as available to finance the contract, the contract will be awarded on the base bid only. If such bid exceeds such amount, the Owner may reject all bids or may award the contract on the base bid combined with such deducti- ble alternates applied in numerical order in which they are listed in the Form of Bid, as produces a net amount which is within the available funds. 17. Obligation of Bidder At the time of the opening of bids each bidder will be presumed to have in- spected the site and to have read and to be thoroughly familiar with the plans and contract documents (including all addenda). The failure or omission of any bidder to examine any form, instrument or document shall in no way relieve any bidder from any obligation in respect of his bid. 2-4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Supplement to Fora HUD-L238-B(E) IrvFORiMATIO,•, FOR BIDDERS 18. SAFETY STANDARDS ND ACCIDENT P?EVENi= With respect to all work performed ender this contract, the contractor shall: 1. Comply with the safety standards provisions of applicable laws, building and construction codes and the "Manual of Accident Prevention in Constriction" published by the Associated General Contractors of America, the requirements of the Occupational Safety and Health Act of 1970 (Public Law 91-596), and the requirements of Title 29 of the Code of Federal Regulations, Section 1518 as published in the "Federal Register", Volume 36, No. 75, Saturday, April 17, 1971. 2. Exercise. ever,;' precaution at all times for the prevention of accidents and the protection of persons (including employees) and property. 3. Maintain at his office or other well known place at the job site, all articles necessary for giving first aid to the injured, and shall make_ standing arrangements for the ln.edia e removal to a hospital or a doctor's care of persons (including employees), who may be injured on the job site. In no case shall employees be permitted to work at a job site before the employer has made a standing arrangement for removal of injured persons to a hospital or a doctor's care. 2-5 1 1 U. S. OE PAP. TmE.N T OF HOUSItIG AND URBAN DEVELOPMENT li CERTIFICATION OF BIDDER REGARDING .EQUAL EMPLOYMENT OPPORTUNITY 1 This certification is required pursuant to Executive Order 11246 (30 F. R. 1231925). The implementing rules and regulations provide that any bidder or prospective contrcctar, or any of their proposed subcon- tractors, shall state as an initial part of the bid or negotiations of the contract whether it hos partici- pcted in any previous contrcct or subc ontrcct subject to the equal opportunity clause; and, if so, whether it has filed all ccmplicnce reports due under applicable instructions. • INSTRUCTIONS HUD -4238 -CO - (6 -51, Where the certification indicates that the,bidder has not filed a compliance report due under applicable instructions, such bidder shall be required to submit a compliance report within seven calender days 1.1 after bid opening. No contract shall be owarded unless such report is submitted. D. CERTIFICATION BY BIDDER Bidder's Name: 3a'/ . utiEETsEirt j )tC 111 Address: Lit.).( 579 1. -Lc , A� 77 70 a- ' 1. Bidder has participated in a previous col -watt cr subcontract subject to the Equal Opportunity Clause. Yes allo ❑ ' 2. Compliance reports were required to be filed.in connection with such contract or subcontract. Yes R---tio E I 3. Bidder hos filed all ccmplicnce reports due under applicable instructions, including SF -100. Yes GlNo El None Required E 4. If answer to item 3 is " No," please explcin in detail on reverse side of this certification. Certification — The information above is true and complete to the best of my knowledge and belief. ' JE2P_y . - sNE� SSP - Na E AN TITLE OF SIGNER (PLEASE YPEI 27/A� LIGr1A TORE V 3-1 [Previous 0•:;J a e1 29 Sotu27' QAtC The prime contractor shall have his subcontractors submit this form for approval of subcontracting firms before award of any subcontract. FORM APPROVED BUDGET BUREAU NO. 63.R1138 DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT CERTIFICATION BY PROPOSED SUBCONTRACTOR REGARDING EQUAL EMPLOYMENT OPPORTUNITY HUD-4772.CO.2 12-671 NAME OF PRIME CONTRACTOR PROJECT NO. INSTRUCTIONS This certification is required pursuant to Executive Order 11246 (30 F.R. 12319-25). The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract whether it has participated in ony previous contract or sub- contract subject to the equal opportunity clause; and, if so, whether it has filed all compliance reports due under applicable instructions. - Where the certification indicates that the subcontractor has not filed a compliance report due under appliccble in- structions, such subcontractor shall be required to submit a compliance report before the owner approves the sub- contract or permits work to begin under the subcontract. Subcontractors Name: Address: SUBCONTRACTOR'S CERTIFICATION 1. Bidder hos participated in a previous contract or subcontract subject to the Equal Opportunity Clouse. Yes El No 2. Compliance reports were required to be filed in connection with such contract or subcontract. Yes • No 3. Bidder hos filed all compliance reports due under applicable instructions, including SF -100. Yes • No In None Required • 4. If onswer to item 3 is "No," please explain in detail on reverse side of this certification. Certification — The information above is true and complete to the best of my knowledge and belief. NAME AND TITLE OF SIGNER ;Please Type) 2157B9 -P SIGNATURE DATE 3-2 Previous Editions Obsolete 1 1 i 1 1 1 i 1 1 1 1 1 C U.S.:eias l+,[NI Ur HIISING .nu UI:IAN ut LLGG•IENI COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CONTRACTOR'S CERTIFICATION CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS TO (Approprwrc Aer:p,c:J: City of Fayetteville, Arkansas OATE 9 July 1982 ua Director, Community Development Department 1. The undersigned, having executed a contract with PROJECT NUNBER (Ifany) SW -8111 PROJECT ReRE Sidewalk and Drainage Tmpvrs. the City of Fayetteville, Arkansas for the construction of the above -identified project, acknowledges that: (a) The Labor Standards provisions are included in the aforesaid contract; (b) Correction of any infractions of the aforesaid conditions, including infractions by any of his subcontractors and any lower tier subcontractors. is his responsibility; 2. He certifies shot: (a) Neither he nor any firm, partnership or association in which he has substantial interest is designated as an ineligible contractor by the Comptroller General of the United States pursuant to Section 5.6(b) of the Regulations of the Secretary of Labor, Part 5 (29 CFR. Part 5)or pursuant to Section 3(a) of the Davis -Bacon Act, as amended (40 U.S.C. 2760-2(a). (b) No part of the aforementioned contract has been or will be subcontracted to any subcontractor if such sub- contractor or any firm, corporation, partnership or association in which such subcontractor has a substantial • interest is designated as an ineligible contractor pursuant to any of the aforementioned regulatory or statutory provisions. 3. He agrees to obtain and forward to the aforementioned recipient within ten days after the execution of any subcontract, including those executed by his subcontractors and any lower tier subcontractors, a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Requirements executed by the subcontractors. 4. He certifies that: (a) The legal ncme and the business address of the undersigned are: Jerry D. Sweetser, Inc. P. 0. Box 579, Fayetteville, Arkansas 72702 (b) the vndeesvned is: 111 A SINGLE PROPRIETORSHIP ql n CORPORATION ORGANIZED IN THE STATE OF Arkansas tat A P ARTNERSKIP 141 OT n ER O Noma a ATIOR I0e:(nbe) (c) The name, title end address of the owner, partner et alf; cers of the senders i gnea are: NAME TITLE ADDRESS Jerry D. Sweetser President Box 579, Fayetteville, Paul E. Tunstill Vice -President it Slimrnn T SWPP 1 - me -r` Serve -Lary tt 3-3 nuU-Il:, to-JSI AR (d) 11.e nn.aeS cna se .a' m cil toner 1.enon t, Lvh calsnal and encorate. having a bunsIannut 'Merest m file vneeni.g.ta d, end the nature .i the inters sr re Ji....,, MI+E *ODP N ATUPECF ,NT EST N/A e) Tha names, addresses and trade dassrftc tions of all other budding constrvctta contractors to .h¢h the undersigned has a substantial Inter -sr ore rlr "-sm.. to rrarerr NAarf AOOPESS TP*DE Ct..% ,CATION N/A Doi. 9 July 1982 By WARNING Jerry D. Sweeten, Tnr (ConNunor/ Paul E. Tunstill Vice -President • V.S. Com,aal Code. Stetson tOtO. Title IS. V.S.C.. amude• m pan: "Whoever v ekes, , Olen or F.btoskn ens, ktet.m.a, knowing me same to be 1d5 n.0 be toned not more Lion $S.000 or nicotined not more than too T cart, or bask." 3-4 • 1 1 1 1 1 1 1 1 1 1 The prime contractor shall have his subcontractors submit this form for approval of subcontracting firms before award of any subcontract. U.S. DEPARTMENT OF HOUSING AND URBAN OEYELOPMENT SUBCONTRACTOR' -S CERTIFICATION CONCERNING LABOR STANDARDS AND PREVAILING WAGE REQUIREMENTS TO (Aprvoptiasc Recipient/: DATE c(O PROJECT NUMBER (IJ pep/ • PROJECT NAME 1. The undersigned, having executed a contract with for (Lantruc f or o, ]u Arant [Jewel (i nm,e of aom/ in the amount of S in the construction of the above -identified project, certifies that: (a) The Labor Standards Provisions of The Contract For Construction are included in the aforesaid contract. (b) Neither he nor any firm, corporation, partnership or association in which he has a substantial interest is designated as an ineligible contractor by the Comptroller General of the United States pursuant to Section S.6(o) of the Regulations of the Secretary of Labor, Part 5 (29 CFR, Part 5), or pursuant to Section 3(a) of the Davis - Bacon Act, as amended (10 U.S.C. 276a -2(o)), (c) "No part of the aforementioned contract has been or will be subcontracted to any subcontractor if such subcontractor or any firm, corporation, partnership or association in which such subcontractor has a substantial interest is designated as an ineligible contractor pursuant to the aforesaid regulatory or statutory provisions. 2. He agrees to obtain and forward to the contractor, for transmittal to the recipient, within ten days after the execution of any lower subcontract, a Subcontractor's Certification Concerning Labor Standards and Prevailing Wage Require- ments, executed by the lower tier subcontractor, in duplicate. (a) The workmen will report for duty on or about 1 Dare/ 3. He certifies that: (a) The legal name and the business address of the undersigned are: (b)' The undersigndd is: 111 A SINGLE PROPRIETORSHIP: IJI A CORPORATION ORGANIC ED IN THE STATE OF: 121 A PARTIIERSHIP: I41 OTHER ORGANI2 ATION WAS tribe) (c) The name, title and address of the owner, partners or officers of the undersign d are: NAME ADDRESS TITLE 3-5 MUO-1122 ISIS} 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II Id) The names ono addresses of all ether person., bath no• ural and corporate. having o substantia. interest in the undersigned, and the nature al the interest ere (ll none. so ,eats': NAME ADDRESS NATURE OF INTEREST (e) The names, addresses and trade cla •il•caba ns al all other building :construction contractors ,n which the undersigned hos a substantial interest are'll nurse. se smu8 NAME ADDRESS TRADE CLASSt FICATION (Subcontractor) By (Signature) WARNING (Typed \amt. and Tsil el U.S. Criminal Code. Section I010, Title 19, U.S.C.. provides in pare "Whoever makes, , utters, or publishes any statement. knowing the same to be false shall be lined not mor. than 55,OD0 or ,mpRsoned not more than Iwo year:, or both." 3-6 CPO ess.ee4 HUD.l2aa•1 (2.C6) U.S. Department of Housing and Urban Development CERTIFICATE OF OWNER'S ATTORNEY I, the undersigned, James N'. McCord the duly authorized and acting legal representative of Fayetteville, Arkansas the City of follows: do hereby certify as I have examined the attached contract(s) and surety bonds and the manner of execution thereof, and I am of the opinion that each of the aforesaid agreements has been duly executed by the proper parties thereto acting through their duly authorized representatives; that said representatives have full power and authority to execute said agreements on behalf of the respective parties named thereon; and that the foregoing agreements consti- tute valid and legally binding obligations upon the parties executing the same in accordance with terms, conditions and provisions thereof.. Date: 7-6-Y2 3-7 ?me, /7/?%,/