171087-CONTRACT J. BANICKI CONSTRUCTION.PDF

JOB 0 ER CONTRACT
BETWEEN
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
AND
J. Banicki Construction, Inc.
FOR
Roadway Construction, Stabilization & Paving Services
SERIAL # 171087-JOC
MCDOT CONTRACT # 2017-001 Thru 2017-003)
AGENDA # -7 3 -Id -NC -3=00

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
MCDOT CONTRACT # 2017-001 Thru 2017-003)
TABLE OF CONTENTS
Table of Contents
TABLE OF CONTENTS 2
ARTICLE I - SCOPE OF WORK- 3
ARTICLE II- CONTRACT DOCUMENTS: 3
ARTICLE III - TIME OF COMPLETION' 4
ARTICLE IV - WORK ASSIGNMENTS AND PERIOD OF SERVICE:
ARTICLE V — PAYMENTS- 4
ARTICLE VI- TERMINATION OR SUSPENSION OF THE CONTRACT OR
TASK ORDER 5
VI-A TERMINATION BY THE OWNER FOR CAUSE 5
VI-B SUSPENSION BY THE OWNER FOR CONVENIENCE 6
VI-C OWNER'S TERMINATION FOR CONVENIENCE 6
ARTICLE VII- NEGOTIATION CLAUSE: 8
ARTICLE VIII- COMPLIANCE WITH LAWS: 8
ARTICLE IX - SBE PROGRAM- 9
ARTICLE X - ANTI-DISCRIMINATION PROVISION: 9
ARTICLE XI- INDEMNIFICATION. 9
ARTICLE XII - INSURANCE REQUIREMENTS: 10
ARTICLE XIII — INFLUENCE: 12
ARTICLE XTV — TITLE VI: 12
ARTICLE XV — MISCELLANEOUS- 12
Signature 13
STATUTORY PAYMENT BOND 14
STATUTORY PERFORMANCE BOND 15
CERTIFICATE OF INSURANCE 16
NO COLLUSION AFFIDAVIT 17
VERIFICATION OF LICENSE 18
AFFIDAVIT OF COMPLIANCE 19
MARICOPA COUNTY SBE PARTICIPATION REPORTING FORM 20
Certificate of Performance and Payment of ALL Claims 21
ON CALL CONSTRUCTION PAYMENT REQUEST 22
TITLE VI ASSURANCES 23
EXHIBIT A-SCOPE OF WORK 24
EX i UT B4'EE SCHEDULE 25
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MCDOT CONTRACT # 2017-001 Thru 2017-003)
Job Order Contract for Roadway Construction, Stabilization & Paving Services
The Maricopa County Department of Transportation, hereinafter called the COUNTY, is desirous
of having Job Order Contract for Roadway Construction, Stabilization & Paving Services
performed when requested by the Maricopa County Department of Transportation through a
specific Work Assignment for those services more fully described in Exhibit A, General Scope of
Work, and Exhibit B, Unit Price List; and J. Banicki Construction, Inc. hereinafter called
"CONTRACTOR", with its principal offices located at 4720 E. Cotton Gin Loop, Suite 240,
Phoenix, Arizona 85040, (602) 390-1243, is desirous of performing said services;
THIS AGREEMENT, made and entered into this 25th day of October , 2017, by and between
MARICOPA COUNTY acting by and through its BOARD OF SUPERVISORS, And J. Banicki
Construction, Inc..
WITNESSETH: The CONTRACTOR shall be paid a fee not-to-exceed Three Million Dollars
and No Cents, ($3,000,000.00) for complete and satisfactory performance of work under this
contract in accordance with the Scope of Work and the detailed Scope(s) of Work in the manner and
at the times hereinafter provided, and of the other covenants and agreements herein contained,
hereby agrees for himself, heirs, executors, administrators, successors, and assigns as follows:
ARTICLE I - SCOPE OF WORK:
The CONTRACTOR, under the general supervision of the Department of Transportation Director,
shall perform Roadway Construction, Stabilization & Paving Services as are necessary for the
Work Assignment and according to the directions and designated standards of the COUNTY, and in
accordance with Exhibit A, General Scope of Work. It is understood and agreed that the
COUNTY's authorized representative shall be the Department of Transportation Director or his/her
duly authorized representative, hereinafter called the "Agent". For purposes of this contract, the
Agent's duly authorized representative shall be the Project Manager and he/she shall be the sole
contact for administering this contract.
CONTRACTOR shall provide services, and complete in a workmanlike and substantial manner
and to the satisfaction of the Department of Transportation Director, project Roadway
Construction, Stabilization & Paving Services under work assignments for the Maricopa County
Department of Transportation, and furnish at its own cost and expense all necessary machinery,
equipment, tools, apparatus, and labor to complete the work in the most substantial and
workmanlike manner according to the Specifications and Work Assignment on file with the
Maricopa County Department of Transportation, and such modifications of the same and other
directions that may be made by the Maricopa County Department of Transportation as provided
herein. The CONTRACTOR shall meet periodically with the County Agent so as to keep the
COUNTY informed of the progress of the work in accordance with each work assignment.
ARTICLE II- CONTRACT DOCUMENTS:
The Contract Documents (Plans, Specifications, Addenda, if any, Affidavits, Performance Bond,
Payment Bond, Certificates of Insurance, and Change Orders, if any) are by this reference made a
part of this Contract and shall have the same effect as though all of the same were fully inserted
herein.
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ARTICLE HI - TIME OF COMPLETION:
CONTRACTOR further covenants and agrees at its own proper cost and expense, to complete all
work for the construction of assigned Roadway Construction, Stabilization & Paving Services
and to completely construct the same and provide the services therein, as called for by this
agreement free and clear of all claims, liens, and charges whatsoever, in the manner and under the
conditions specified within the time, or times, stated in the Work Assignment,
ARTICLE IV - WORK ASSIGNMENTS AND PERIOD OF SERVICE:
Within the guidelines set forth in Exhibit A, General Scope of Work, a detailed scope of work
will be developed for each Work Assignment and incorporated herein by reference, and if
applicable, a Small Business Enterprise goal will be established. A not-to-exceed fee will be
negotiated for each Work Assignment consistent with Exhibit B, Unit Price List.
The CONTRACTOR shall complete all work in accordance with the provisions of Exhibit A,
General Scope of Work and the detailed Scope of Work as negotiated for each specific Work
Assignment. Performance for a Work Assignment shall commence only upon receipt of the
Agent's written notice to proceed. Work Assignments may be issued at any time during the term
of this Contract. This Contract will remain in full force and effect during the performance of any
Work Assignment.
This contract shall be effective for a period of one (1) year from the Board award date and may
be renewed, if mutually agreed to by both the CONTRACTOR and the COUNTY, for an
additional four (4) 1-year periods. Market escalations in material costs may be negotiated upon
written request from the Contractor.
ARTICLE V — PAYMENTS:
For and in consideration of the satisfactory performance of the work herein embraced as set forth
in the Contract Documents, which are a part hereof, and in accordance with the directions of the
COUNTY, through its Engineer and to its satisfaction, the COUNTY agrees to pay the said
CONTRACTOR the amount earned, computed from actual quantities of work performed and
accepted, or materials furnished at the price listed on the Work Assignment Proposal made a part
hereof, and to make such payment in accordance with the requirements of A.R.S. Sec. 34-607, as
amended. CONTRACTOR agrees to discharge its obligations and make payments to its
subcontractors and suppliers in accordance with A.R.S. Sec. 34-607.
The COUNTY does not guarantee any minimum or maximum fee during the period of this
contract, and Contractor, in accepting this contract, does not anticipate any minimum or
maximum fee.
The COUNTY shall pay the CONTRACTOR in full for each Work Assignment upon
satisfactory completion and acceptance by the COUNTY, provided the Contractor returns the
executed Certificate of Performance furnished by the Agent. Should an assignment require more
than thirty (30) days to complete, the Contractor may invoice progress payments based on
COUNTY approved monthly progress reports and subject to the limitations set forth in the
Scope of Work negotiated for each Work Assignment.
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Upon completion of each Work Assignment under this contract, the CONTRACTOR will
furnish to the COUNTY an executed Certificate of Performance. The Certificate of
Performance must be notarized.
ARTICLE VI- TERMINATION OR SUSPENSION OF THE CONTRACT OR TASK
ORDER
VI-A TERMINATION BY THE OWNER FOR CAUSE
VI-A.1 Criteria for Termination for Cause: The Owner may terminate the
Contract or terminate a Task Order if the Job Order Contractor:
VI-A.2 Repeatedly refuses or fails to supply enough properly skilled workers
or proper materials;
VI-A.3 Repeatedly disregards laws, ordinances, rules, regulations, or orders of
a public authority having jurisdiction;
VI-A.4 Materially breaches any provision of the Contract or Task Order;
VI-A.5 Fails to furnish the Owner with assurances satisfactory to the Owner
evidencing the Job Order Contractor's ability to complete the Work for
the Task Order in compliance with all the requirements of the
Contract; or
VI-A.6 Fails after commencement of the Work to proceed diligently and
continuously with the construction and completion of the Work for
more than seven (7) days, except as permitted under the Contract.
VI-A.7 Repeatedly refuses or fails to carry out Safety provisions as required
by Contract;
VI-A.8 Fails to make payment to Subcontractors for materials or labor in
accordance with the respective agreements between the Job Order
Contractor and the Subcontractors.
VI-A.9 Effect of Termination for Cause: When any of the above conditions
exist, the Owner, may without prejudice to any other rights or
remedies of the Owner, and after giving the Job Order Contractor and
the Job Order Contractor's Surety, if any, three (3) days' written
notice, terminate the Contract or Task Order and may, subject to any
prior rights of the Surety:
VI-A.10 Take possession of the Site and all materials, equipment, tools, and
construction equipment machinery thereon owned by the Job Order
Contractor;
VI-A.11 Accept assignment of subcontracts pursuant to Article 5.4; and
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VI-A.12 Finish the Work for the Task Order by whatever reasonable method
the Owner may deem expedient.
VI-A.13 Job Order Contractor Right to Receive Payment: When the Owner
terminates the Contract or a Task Order for one of the reasons stated in
Article VI-A.2-VI-A.8, the Job Order Contractor shall not be entitled
to receive further payment for the Task Order until the Work is
finished.
VI-A.14 Costs for Finishing Work: If the unpaid balance of the Contract Sum
exceeds costs of finishing the Work for the Task Order, including
compensation for the Owner's services and expenses made necessary
thereby, such excess shall be paid to the Job Order Contractor. If such
costs exceed the unpaid balance, the Job Order Contractor shall pay
the difference to the Owner. The amount to be paid to the Job Order
Contractor or Owner, as the case may be, shall, upon application, be
certified after consultation with the Owner, and this obligation for
payment shall survive termination of the Contract.
VI-B SUSPENSION BY THE OWNER FOR CONVENIENCE
VI-B.1 Owner's Right: The Owner may, without cause, order the Job Order
Contractor in writing to suspend, delay, or interrupt the Work for a
Task Order in whole or in part for such period of time as the Owner
may determine.
VI-B.2 Adjustment in Task Order Sum. An adjustment shall be made for
increases in the cost of performance of the Task Order, including profit
on the increased cost of performance, caused by suspension, delay, or
interruption. No adjustment shall be made to the extent:
VI-B.3 that performance is, was, or would have been so suspended, delayed,
or interrupted by another cause for which the Job Order Contractor is
responsible; or
V1-B.4 that an equitable adjustment is made or denied under another provision
of this Contract.
V1-B.5 Method for Adjustment in Task Order Sum: Adjustments made in the
cost of performance may have a mutually agreed fixed or percentage
fee.
VI-C OWNER'S TERMINATION FOR CONVENIENCE
VI-C. 1 Effect of Termination for Convenience: The Owner reserves the right
to terminate the Contract or a Task Order for convenience and without
cause, even if Job Order Contractor has not failed to perform any part
of the Contract or a Task Order. Termination of the Task Order Work
shall be effected by written notice to the Job Order Contractor. Upon
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receipt of such notice, Job Order Contractor shall, -unless the notice
otherwise directs:
VI-C.2 Immediately discontinue the Work of the Task Order and the placing
of all orders and subcontracts in connection with this Contract;
VI-C.3 Immediately cancel all of the existing orders and subcontracts made
hereunder or for the Task Order involved;
VI-C.4 Immediately transfer to the Owner all materials, supplies, Work in
progress, appliances, facilities, machinery, and tools acquired by the
Job Order Contractor in connection with the performance of the
Contract or the Task Order, and take such action as may be necessary
or as the Owner may direct for protection and preservation of the
Work relating to this Contract; and
VI-C.5 Deliver all plans, Drawings, Specifications, and other necessary
information to Owner.
VI-C.6 Job Order Contractor's Exclusive Remedy: If the Owner terminates
the Contract or a Task Order for convenience, the following shall be
the Job Order Contractor's exclusive remedy:
VI-C.7 Reimbursement of all actual expenditures and costs approved by the
Owner as having been made or incurred in performing the Work;
VI-C.8 Reimbursement of expenditures made and costs incurred with the
Owner's prior written approval in settling or discharging outstanding
commitments entered into by the Job Order Contractor in performing
the Contract; and
VI-C.9 Payment of profit, in so far as profit is realized hereunder, of an
amount equal to the estimated profit on any Task Order Work
underway at the time of termination multiplied by the percentage of
completion of the Work. In no event shall the Job Order Contractor be
entitled to anticipated fees or profits on Work not required to be
performed.
VI-C.10 Warranties, Guarantees, and Indemnities to Remain in Effect: All
obligations of the Job Order Contractor under the Contract with
respect to completion of the Work, including but not limited to all
warranties, guarantees, and indemnities, shall apply to all Work
completed or substantially completed by the Job Order Contractor
prior to a convenience termination by the Owner. Notwithstanding the
above, any convenience termination by the Owner or payments to the
Job Order Contractor shall be without prejudice to any claims or legal
remedies that the Owner may have against the Job Order Contractor
for any cause.
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VI-C.11 Conversion of Termination for Cause to Termination for Convenience:
Upon a determination that a termination of this Contract or a Task
Order, other than a termination for convenience, under this Article was
wrongful or improper for any reason, such termination shall
automatically be deemed converted to a convenience termination
under this Article VI, and the Job Order Contractor's remedy for such
wrongful termination shall be limited to the recoveries specified under
Article VI-C.6.
VI-C.12 Remedy Limited to Damages: In the event that Job Order Contractor
is terminated, whether for cause or convenience, the Job Order
Contractor's sole remedy shall be for damages. In no event shall Job
Order Contractor be entitled to reinstatement or other equitable relief
from a court or through Alternative Dispute Resolution as provided in
Exhibit B.
VI-C.13 Notice that Contract is Subject to Termination Provisions of A.R.S.
§ 38-511: The parties acknowledge, and as required by law, notice is
hereby given that this Contract is subject to A.R.S. § 38-511.
VI-C.14 NON-DISCRIMINATION: CONTRACTOR agrees to comply with
all provisions and requirements of Arizona Executive Order 2009-09
including flow down of all provisions and requirements to any
subcontractors. Executive Order 2009-09 supersedes Executive order
99-4 and amends Executive order 75-5 and may be viewed and
downloaded at the Governor of the State of Arizona's website
http://www.azgovemor.gov/dms/upload/E0_2009_09.pdf which is
hereby incorporated into this contract as if set forth in full herein.
During the performance of this contract, CONTRACTOR shall not
discriminate against any employee, client or any or any other
individual in any way because of that person's age, race, creed, color,
religion, sex, disability or national origin.
ARTICLE VII- NEGOTIATION CLAUSE:
Recovery of damages related to expenses incurred by CONTRACTOR for a delay for which the
COUNTY is responsible, which is unreasonable under the cirannstances and which was not within
the contemplation of the parties to the contract, shall be negotiated between CONTRACTOR and
the COUNTY. This provision shall be construed so as to give full effect to any provision in the
contract, which requires notice of delays, provides for arbitration or other procedure for settlement
or provides for liquidated damages.
ARTICLE VIII- COMPLIANCE WITH LAWS:
CONTRACTOR is required to comply with all Federal, State and local ordinances and regulations.
CONTRACTOR'S signature on this contract certifies compliance with the provisions of the 1-9
requirements of the Immigration Reform Control Act of 1986 for all personnel that
CONTRACTOR and any subcontractors employ to complete this project. It is understood that the
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COUNTY shall conduct itself in accordance with the provisions of the Maricopa County
Procurement Code.
The CONTRACTOR warrants that it is in compliance with A.R.S. §41-4401 and further
acknowledges:
VIILA That the CONTRACTOR and its sub-contractors, if any, warrant their
compliance with all federal immigration laws and regulations that relate
to their employees and their compliance with A.R.S.§23-214,
subsection A; after December 31, 2007, every employer, after hiring an
employee, shall verify the employment eligibility of the employee
through the e-verify program and shall keep a record of the verification
for the duration of the employee's employment or at least three (3)
years, whichever is longer.
VIII.B That a breach of a warranty under subsection 1 above, shall be deemed a
material breach of the contract that is subject to penalties up to and
including termination of the contracts;
VIII.0 That the contracting government entity retains the legal right to inspect
the papers of any CONTRACTOR or sub-contractor employee who
works on the contract to ensure that the CONTRACTOR or sub-
contractor is complying with the warranty provided under subsection 1
above and that the CONTRACTOR agrees to make all papers and
employment records of said employee(s) available during normal
working hours in order to facilitate such an inspection.
VIILD That nothing herein shall make any CONTRACTOR or sub-contractor an
agent or employee of the contracting government entity.
ARTICLE IX - SBE PROGRAM:
It is Maricopa County's policy to endeavor to ensure in every way possible that small business
participation firms shall have the opportunity to provide professional services, materials, and
contractual services to the County in a nondiscriminatory manner.
ARTICLE X - ANTI-DISCRIMINATION PROVISION:
CONTRACTOR agrees not to discriminate against any employee or applicant for employment
because of race, age, color, religion, sex, disability, or national origin, and further agrees not to
engage in any unlawful employment practices. CONTRACTOR further agrees to insert the
foregoing provision in all submitracts hereunder.
ARTICLE XI- INDEMNIFICATION:
To the fullest extent permitted by law, CONTRACTOR shall defend, indemnify, and hold
harmless COUNTY, its agents, representatives, officers, directors, officials, and employees from
and against all claims, damages, losses and expenses, including reasonable attorney fees and
court costs, but only to the extent caused by the negligence, reckless or intentional wrongful
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conduct of the consultant or others persons employed or used by the consultant in the
performance of the contract or subcontract. "Other persons employed or used" means a
subconsultant to a consultant or design professional in any tier, or any other person or entity who
performs work or design professional services, or provides labor, services, materials or
equipment in connection with the contract.
The amount and type of insurance coverage requirements set forth herein will in no way be
construed as limiting the scope of the indemnity in this paragraph. The scope of this
indemnification does not extend to the sole negligence of COUNTY.
ARTICLE XII - INSURANCE REQUIREMENTS:
CONTRACTOR, at CONTRACTOR'S own expense, shall purchase and maintain the herein
stipulated minimum insurance from a company or companies duly licensed by the State of
Arizona and possessing a current A.M. Best, Inc. rating of B++. In lieu of State of Arizona
licensing, the stipulated insurance may be purchased from a company or companies, which are
authorized to do business in the State of Arizona, provided that said insurance companies meet
the approval of COUNTY. The fault of any insurance policies and forms must be acceptable to
COUNTY.
All insurance required herein shall be maintained in full force and effect until all work or service
required to be performed under the terms of the Contract is satisfactorily completed and formally
accepted. Failure to do so may, at the sole discretion of COUNTY, constitute a material breach
of this Contract.
CONTRACTOR'S insurance shall be primary insurance as respects COUNTY, and any
insurance or self-insurance maintained by COUNTY shall not contribute to it.
Any failure to comply with the claim reporting provisions of the insurance policies or any breach
of an insurance policy warranty shall not affect the COUNTY'S right to coverage afforded under
the insurance policies.
The insurance policies may provide coverage that contains deductibles or self-insured retentions.
Such deductible and/or self-insured retentions shall not be applicable with respect to the
coverage provided to COUNTY under such policies. CONTRACTOR shall be solely
responsible for the deductible and/or self-insured retention and COUNTY, at its option, may
require CONTRACTOR to secure payment of such deductibles or self-insured retentions by a
surety bond or an irrevocable and unconditional letter of credit.
COUNTY reserves the right to request and to receive, within 10 working days, certified copies
of any or all of the herein required insurance policies and/or endorsements. COUNTY shall not
be obligated, however, to review such policies and/or endorsements or to advise
CONTRACTOR of any deficiencies in such policies and endorsements, and such receipt shall
not relieve CONTRACTOR from, or be deemed a waiver of COUNTY'S right to insist on
strict fulfillment of CONTRACTOR'S obligations under this Contract.
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The insurance policies required by this Contract, except Workers' Compensation, and Errors and
Omissions, shall name COUNTY, its agents, representatives, officers, directors, officials and
employees as Additional Insureds.
The policies required hereunder, except Workers' Compensation, and Errors and Omissions,
shall contain a waiver of transfer of rights of recovery (subrogation) against COUNTY, its
agents, representatives, officers, directors, officials and employees for any claims arising out of
CONTRACTOR'S work or service.
CONTRACTOR is required to procure and maintain the following coverages indicated by a
checkmark:
• Commercial General Liability
Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $4,000,000
Products/Completed Operations Aggregate, $4,000,000 General Aggregate Limit, and
$2,000,000 Personal & Advertising Injury. The policy shall include coverage for bodily
injury, broad form property damage, personal injury, products and completed operations
and blanket contractual coverage, and shall not contain any provision which would serve
to limit third party action over claims. There shall be no endorsement or modification of
the CGL limiting the scope of coverage for liability arising from explosion, collapse, or
underground property damage.
Automobile Liability
Commercial/Business Automobile Liability insurance and, if necessary, Commercial
Umbrella insurance with a combined single limit for bodily injury and property damage
of not less than $2,000,000 each occurrence with respect to any of the
CONTRACTOR'S owned, hired, and non-owned vehicles assigned to or used in
performance of the CONTRACTOR'S work or services under this Contract.
Workers' Compensation
Workers' Compensation insurance to cover obligations imposed by federal and state
statutes having jurisdiction of CONTRACTOR'S employees engaged in the
performance of the work or services under this Contract; and Employer's Liability
insurance of not less than $1,000,000 for each accident, $1,000,000 disease for each
employee, and $1,000,000 disease policy limit.
CERTIFICATES OF INSURANCE
Prior to commencing work or services under this Contract, CONTRACTOR shall furnish
COUNTY with Certificates of Insurance in a form acceptable to COUNTY, or formal
endorsements as required by the Contract in the form provided by the County, issued by
CONTRACTOR'S insurer(s), as evidence that policies providing the required coverages,
conditions and limits required by this Contract are in full force and effect. Such certificates shall
identify this contract number and title.
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In the event any insurance policy(ies) required by this contract is(are) written on a "claims
made" basis, coverage shall extend for two (2) years past completion and acceptance of
CONTRACTOR'S work or services and as evidenced by annual Certificates of Insurance.
If a policy does expire during the life of the Contract, a renewal certificate must be sent to
COUNTY fifteen (15) days prior to the expiration date.
CANCELLATION AND EXPIRATION NOTICE
Insurance required herein shall not expire, be canceled, or materially changed without thirty (30)
days prior written notice to COUNTY.
ARTICLE XIII — INFLUENCE:
As prescribed in MC1-1202 of the Maricopa County Procurement Code, any effort to influence
an employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical
conduct, may be grounds for Disbarment or Suspension under MC1-902.
An attempt to influence includes, but is not limited to:
XTTI-A Person offering or providing a gratuity, gift, tip, present, donation,
money, entertainment or educational passes or tickets, or any type
valuable contribution or subsidy,:
XIII-B That is offered or given with the intent to influence a decision, obtain a
contract, gamer favorable treatment, or gain favorable consideration of
any kind.
If a Person attempts to influence any employee or agent of Maricopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy
provided by this contract.
ARTICLE XIV — TITLE VI:
The Maricopa County Department of Transportation, in accordance with the provisions of Title
VI of the Civil Rights Act of 1964 (78 Stat. 252.42 U.S.C. §§ 2000d-4) and the Regulations,
hereby notifies all advertisement, disadvantaged business enterprises will be afforded full and
fair opportunity to submit bids in response to this invitation and will not be discriminated against
on the grounds of race, color, or national origin in consideration for an award.
ARTICLE XV — MISCELLANEOUS:
ISRAEL BOYC011 :
By submitting this proposal the Contractor certifies that they are in compliance with Article 9,
Arizona Revised Statutes Section 35-393 et. seq.
(END OF SECTION)
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IN WITNESS WHEREOF: Five (5) identical counterparts of this Contract, each of which shall for
all purposes be deemed an original thereof, have been duly executed by the parties hereinabove
named, on the date and year first above written.
J. Banicki Construction, Inc.
Party of the First Part
By:
Printed Name
Signature
Title: rf -'1e.
Date: /ZVI- /,',;"'
86- 067172(07
Tax Identification Number
Maricopa County Department of Transportation
Party of the Second Part
RECOMMENDED BY: LEGAL REVIEW:
Approved as to form and within the
Powers and authority granted under the
Jennifer Toth, RE. laws of State of Arizona to Maricopa
County Engineer/Transportation Director County.
By:
Date: Deputy County Attorney
Date:
BOARD OF SUPERVISOR'S APPROVAL:
By:
Chairman, Board of Supervisors
Date:
ATTEST:
By:
Clerk of the Board
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STATUTORY PAYMENT BOND
PURSUANT TO TITLE 34 CHAPTER 6, ARTICLE 1, OF THE ARIZONA REVISED
STATUTES (Penalty of this bond must be 100% of the Work Assignment amount)
KNOW ALL MEN BY THESE PRESENTS:
That, (hereinafter called
the Principal), As Principal, and a
corporation organized and existing under the laws of the State of
with its principal office in the City of (hereinafter called
the Surety), as Surety, are held and firmly bound unto Maricopa County (hereinafter called the
Obligee), in the amount of (S ) themselves, and their heirs,
administrators, executors, successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has entered into a certain written contract with the Obligee, dated
the 25th day of October, 2017 for WORK ORDER NO. 171087-J0C., CONTRACT TITLE -
Roadway Construction, Stabilization & Paving Services,Work Assignment No.
which contract is hereby referred to and made a part hereof as fully and to the same extent as if
copied at length herein.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the
said Principal promptly pays all monies due to all persons supplying labor or materials to the
Principal or the Principal's subcontractors in the prosecution of the work provided for in the
contract, this obligation is void. Otherwise it remains in full force and effect.
PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Title
34, Chapter 6, Article 1, of the Arizona Revised Statutes, and all liabilities on this bond shall be
determined in accordance with the provisions, conditions and limitations of Title 34, Chapter 6,
Article 1, Arizona Revised Statutes, to the same extent as if it was copied at length in this
Agreement.
The prevailing party in a suit on this bond shall recover as a part of the judgment
reasonable attorney's fees that may be fixed by the court or a judge thereof
Witness our hands this _ day of , 20
PRINCIPAL SEAL
BY:
AGENT OF RECORD, STATE OF AZ
AGENT ADDRESS SURETY SEAL
BOND NUMBER: BY:
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 14 of 25

STATUTORY PERFORMANCE BOND
PURSUANT TO TITLE 34 CHAPTER 6, ARTICLE 1, OF THE ARIZONA REVISED
STATUTES (Penalty of this bond must be 100% of the Work Assignment amount)
KNOW ALL MEN BY THESE PRESENTS:
That, (hereinafter called
the Principal), as Principal, and a corporation
organized and existing under the laws of the State of , with its principal
office in the City of (hereinafter called
the Surety), as Surety, are held and firmly bound unto Maricopa County, (hereinafter called the
Obligee) in the amount of ($ ) for the payment whereof, the said
Principal and Surety bind themselves, and their heirs, administrators, executors, successors and
assigns, jointly and severally, firmly by these presents.
WHEREAS, the Principal has entered into a certain written contract with Obligee, dated the 25th
day of October, 2017, for WORK ORDER NO. 171087-JOC, CONTRACT TITLE -
Roadway Construction, Stabilization & Paving Services,Work Assignment No.
which contract is hereby referred to and made a part hereof as fully and to the same extent as if
copied at length herein.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH,
that if the said Principal shall faithfully perform and fulfill all the undertakings, covenants, terms,
conditions and agreements of said contract during the original term of said contract and any
extension thereof, with or without notice to the Surety, and during the life of any guaranty
required under the contract, and shall also perform and fulfill all the undertakings, covenants,
terms, conditions, and agreements of any and all duly authorized modifications of said contract
that may hereafter be made, notice of which modifications to the Surety being hereby waived;
then the above obligation shall be void, otherwise to remain in full force and effect;
PROVIDED, HOWEVER, that this bond is executed pursuant to the provisions of Title 34,
Chapter 6, Article 1, of the Arizona Revised Statutes, and all liabilities on this bond shall be
determined in accordance with the provisions of said Title, Chapter, and Article, to the extent as if it
was copied at length herein.
The prevailing party in a suit on this bond shall be entitled to such reasonable attorney's fees
as may be fixed by a judge of the court.
Witness our hands this _ day of , 20
PRINCIPAL SEAL
AGENT OF RECORD, STATE OF AZ By:
AGENT ADDRESS
SURETY SEAL
BOND NUMBER:
BY:
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 15 of 25

„--- 1 ®
ACC:11RD DATE (MMIDD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
10/10/2017
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT NAME: Laura Martino
Uniondale-Alliant Ins Svc Inc PHONE 516-414-8606 FAX 877-308-1070
333 Earle Ovington Blvd Ste 700 (A/C No, Ext) (NC Not
E-MAIL Laura.Martino@alliant.com
Uniondale NY 11553 ADDRESS'
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A :Travelers Indemnity Company 25658
INSURED STERCON-01 INSURER e : Travelers Property Casualty Co of A 25674
J. Banicki Construction, Inc. INSURER c :Berkshire Hathaway Specialty lnsura 22276
4720 Cotton Gin Loop, Suite 240 INSURER D :Berkley Assurance Company 39462
Phoenix, AZ 85040
INSURER E:
INSURER F:
1500573951 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTVV1THSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR TYPE OF INSURANCE ADDL INSD SUBR INVD POLICY NUMBER (MM/DD/YYYY) POLICY EFF (MM1DD/YYYY) POLICY EXP LIMITS
A x COMMERCIAL GENERAL LIABILITY Y VTC2K-00-2E97127A-IND-17 3/1/2017 3/1/2018 EACH OCCURRENCE $2,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES (Ea occurrence) $300,000
X Contractual Liab MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $2,000,000
GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
POLICY X ^ JECT PRO- LOC PRODUCTS - COMP/OP AGG $4,000,000
OTHER: $
B AUTOMOBILE LIABILITY Y VTC2J-CAP-2E971281-TIL-17 3/1/2017 3/1/2018 COMBINED (Ea accident) SINGLE LIMIT $2,000,000
X ANY AUTO BODILY INJURY (Per person) $
ALL AUTOS OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) $
X HIRED AUTOS X AUTOS NON-OWNED PROPERTY (Per accident) DAMAGE $
$
C X UMBRELLA LIAB X OCCUR Y 47-XSF-303345-01 3/1/2017 3/1/2018 EACH OCCURRENCE $25,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000
DED X RETENTION $10,000
A WORKERS COMPENSATION VTRK-UB-2E971256-17 (AOS) 3/1/2017 3/1/2018 " , STATUTE PER OTH- ER
B AND EMPLOYERS LIABILITY Y / N VTRJ-UB-2E971268-17 MYERS 3/1/2017 3/1/2018
ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L. EACH ACCIDENT $2,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $2,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $2,000,000
D Pollution/Professional Liability Y PCADB-5002048-0617 6/1/2017 6/1/2018 Each Claim $10,000,000
Each Aggregate $10,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mom space is required)
RE: MCDOT Contract #2017-001 thru 2017-003, Serial #171087-JOC Roadway Stabilization and Paving Services
Maricopa County Department of Transportation, and their agents, representatives, officers, directors, officials, and employees are included as
Additional Insured as respects Liability arising out of work performed by the Named Insured as required by written contract. The insurance
provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of
Subrogation applies as required by contract. 30 days' notice of cancellation or non-renewal will be provided to Certificate Holder, except 10
days' notice for cancellation for non-payment of premium.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Maricopa County Department of Transportation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
2901 West Durango Street ACCORDANCE WITH THE POLICY PROVISIONS.
Phoenix, AZ 85009
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD

TRA1 WORKERS COMPENSATION
ONE TOWER SQUARE AND
HARTFORD, CT 06283 EMPLOYERS LIABILITY POLICY
ELDORSEjENT WC 00 03 13 (00)41
POLICY NUMBER:
VTRK-U B-2E971268-17
WAN LER OF 01..11 RIGHT TO RECOVER FLD OTHERS E:1 LLCJT
We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
SCHEDULE
DESIGNATED PERSON:
DESIGNATED ORGAN TION:
ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS
AG D EY WRITTEN CONTRACT D PRIOR TO LOSS
TO FURNISH THIS WAIVER.

Policy NumberVTC2J-CAP-2E971281-TIL-17 Effective Date: 03101/2017
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINE S k%I.JTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing Is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what Is and is not covered.
A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF
B. BUN! :ET ADDITIONAL INSURED USE — INCREASED LIMIT
C. EMPLOYEE HIRED AUTO I. PHYSICAL DA GE — NSPORTATION
EXPENSES — INCREASED LIMIT
D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY
E. SUPPLE.,...ENTARY PAYMENTS — INCREASED K. AIRBAGS
LIMITS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS
ERAGE — JITY BASIS M. BLANKET WAIVER OF SUBROGATION
G. WAIVER OF DEDUCTIBLE —GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS
PROVISIONS
A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that
The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured"
An Insured, of SECTION II — COVERED AUTOS under the Who Is An Insured provision contained
LIABILITY COVERAGE: in Section
Any organization you newly acquire or form dur- C. ErPLOYEE HIRED AUTO
ing the policy period over which you maintain 1. The following is added to Paragraph A.1.,
50% or more ownership interest and that is not Who Is An Insured, of SECTION H — COV-
separately insured for Business Auto Coverage. ERED AUTOS LIABILITY COVERAGE:
Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while
til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a
ganization or the end of the policy period, which- contract or agreement in an "employee's"
ever is earlier. name, with your permission, while performing
duties related to the conduct of your busi-
B. BLANKET ADDITIONAL INSURED ness.
The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5.,
Who Is An Insured, of SECTION II— COVERED Other Insurance, of SECTION IV — BUSI-
AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS:
Any person or organization who is required under b. For Hired Auto Physical Damage Cover-
a written contract or agreement between you and age, the following are deemed to be cov-
that person or organization, that is signed and ered "autos" you own:
executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire,
"property damage" occurs and that is in effect rent or borrow; and
during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by
tional insured is an "insured" for Covered Autos your "employee" under a contract in
Liability Coverage, but only for damages to which an "employee's" name, with your

COMMERCIAL AUTO
permission, while performing duties (a) With respect to any claim made or "suit"
related to the conduct of your busi- brought outside the United States of
ness. America, the territories and possessions
However, any "auto" that is leased, hired, of the United States of America, Puerto
rented or borrowed with a driver is not a Rico and Canada:
covered "auto". (I) You must arrange to defend the "in-
D. EMPLOYEES AS INSURED sured" against, and investigate or set-
The following is added to Paragraph A.1., Who Is tle any such claim or "suit" and keep
An Insured, of SECTION II- COVERED AUTOS us advised of all proceedings and ac-
LIABILITY COVERAGE: tions.
Any "employee" of yours is an "insured" while us- (II) Neither you nor any other involved
ing a covered "auto" you don't own, hire or borrow "insured" will make any settlement
in your business or your personal affairs. without our consent,
E. SUPPLEMENTARY PAYMENTS - INCREASED (iii) We may, at our discretion, participate
LIMITS in defending the "insured" against, or
in the settlement of, any claim or
1. The following replaces Paragraph A.2.a.(2), "suir.
of SECTION II - COVERED AUTOS LIABIL-
ITY COVERAGE: (iv) We will reimburse the "insured" for
sums that the "insured" legally must
(2) Up to $3,000 for cost of bail bonds (in- pay as damages because of "bodily
cluding bonds for related traffic law viola- injury" or "property damage" to which
tions) required because of an "accident" this insurance applies, that the "In-
we cover. We do not have to furnish sured" pays with our consent, but
these bonds. only up to the limit described in Para-
2. The following replaces Paragraph A.2,a.(4), graph C., Limits Of Insurance, of
of SECTION - COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS
ITY COVERAGE LIABILITY COVERAGE.
(4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for
"insured" at our request, including actual the reasonable expenses incurred
loss of earnings up to $500 a day be- with our consent for your investiga-
cause of time off from work. tion of such claims and your defense
F. HIRED AUTO - LIMITED WORLDWIDE COV- of the "insured" against any such
ERAGE - INDEMNITY BASIS "suit", but only up to and included
The following replaces Subparagraph (5) in Para- within the limit described in Para-
graph C., Limits Of Insurance, of
graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS
of SECTION IV - BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in
TIONS: addition to such limit, Our duty to
(5) Anywhere in the world, except any country or make such payments ends when we
jurisdiction while any trade sanction, em- have used up the applicable limit of
bargo, or similar regulation imposed by the insurance in payments for damages,
United States of America applies to and pro- settlements or defense expenses..
hibits the transaction of business with or (la) This insurance is excess over any valid
within such country or jurisdiction, for Cov- and collectible other insurance available
ered Autos Liability Coverage for any covered to the "insured" whether primary, excess,
"auto" that you lease, hire, rent or borrow contingent or on any other basis.
without a driver for a period of 30 days or less (c) This insurance is not a substitute for re-
and that is not an "auto" you lease, hire, rent
or borrow from any of your "employees', quired or compulsory insurance in any
partners (if you are a partnership), members country outside the United States, its ter-
(if you are a limited liability company) or ritories and possessions, Puerto Rico and
members of their households. Canada.

COMMERCIAL AUTO
You agree to maintain all required or (2) In or on your covered "auto".
compulsory insurance in any such coun- This coverage applies only in the event of a total
try up to the minimum limits required by theft of your covered "auto".
local law. Your failure to comply with No deductibles apply to this Personal Property
compulsory insurance requirements will coverage.
not invalidate the coverage afforded by
this policy, but we will only he liable to the K. AIRBAGS
same extent we would have been liable The following is added to Paragraph B.3., Exclu-
had you complied with the compulsory in- sions, of SECTION Ill — PHYSICAL DAMAGE
surance requirements. COVERAGE:
(d) It is understood that we are not an admit- Exclusion 3.a, does not apply to "loss" to one or
ted or authorized insurer outside the more airbags in a covered "auto" you own that in-
United States of America, its territories flate due to a cause other than a cause of "loss"
and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but
ada. We assume no responsibility for the only:
furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre-
for compliance in any way with the taws hensive Coverage under this policy;
of other countries relating to insurance. b. The airbags are not covered under any war-
G. WAIVER OF DEDUCTIBLE — GLASS ranty; and
The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated.
ble, of SECTION ill — PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any
COVERAGE: one "lass".
No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
glass damage if the glass is repaired rather than LOSS
replaced. The following is added to Paragraph A.2.a., of
H. HIRED AUTO PHYVCAL DAMAGE — LOSS OF SECTION IV — BUSINESS AUTO CONDITIONS:
USE — INCREASE= LEIT Your duty to give us or our authorized representa-
The following replaces the last sentence of Para- tive prompt notice of the "accident" or loss" ap-
graph A.4.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or "loss" is known
TION III— PHYSICAL DAMAGE COVERAGE: to:
However, the most we will pay for any expenses (a) You (if you are an individual);
for loss of use is $65 per day, to a maximum of (b) A partner (if you are a partnership);
$750 for any one "accident". (c) A member (if you are a limited liability com-
I. PHYSICAL DAU.AGE — TRANSPORTATION pany);
EXPENSES — INCREASED LIMIT (d) An executive officer, director or insurance
The following replaces the first sentence in Para- manager (if you are a corporation or other or-
graph A.4.a,, Transportation Expenses, of ganization); or
SECTION Ill — PHYSICAL DAMAGE COVER- (e) Any "employee" authorized by you to give no-
AGE tice of the "accident" or loss".
We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION
$1,500 for temporary transportation expense in- The following replaces Paragraph A.5., Transfer
curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us,
ered "auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI-
J. PERSONAL PROPERTY TIONS:
The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against
age Extensions, of SECTION III — PHYSICAL Others To Us
DAMAGE COVERAGE: We waive any right of recovery we may have
Personal Property against any person or organization to the ex-
tent required of you by a written contract
We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident"
parel and other personal property which is: or "loss", provided that the "accident" or "loss"
(1) Owned by an "insured"; and arises out of operations contemplated by

COMMERCIAL AUTO
such contract. The waiver applies only to the The unintentional omission of, or unintentional
person or organization designated in such error in, any information given by you shall not
contract. prejudice your rights under this insurance. How-
N. UNINTENTIONAL EL AORS OR OMISSIONS ever this provision does not affect our right to col-
The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of
cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal.
SECTION IV — BUSINESS AUTO CONDITIONS:

POLICY NUMBER: ' \O-C2J-CAP-2E971281-TIL-17 ISSUE DATE: 03/01/2017
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREE.' ILLY.
DESIGNATED ENTITY - NOTICE OF
CANCELLATION PROVIDED BY US
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION: Number of Days N ce of Cancellation: 3
PERSON OR
ORGANIZATION:
P ON OR ORGANIZATION TO WHOM YOU
HAVE AGREED IN A WRITTEN CONTRACT THAT
NOTICE OF CANCELLATION OF MS POLICY
WILL BE GIVEN, BUT ONLY IF:
1. YOU SEND US A WRITTEN REQUEST TO
PROVIDE SUCH NOTICE, INCLUDING
ADDRESS OF SUCH P 0
ORGANIZATION, AFTER F1
XNURHD RECEIVES NOTICE FROM US OF
CANCELLATION OF THIS POLICY;
2. WE RECEIVE SUCH WRITTEN REQUEST AT
T 14 DAYS BEFORE THE BEGINNING OF
APPLICABLE OF DAYS SHOWN
IN THIS NNI3QRS
=MESS:
ADDRESS FOR THAT Pk ON OR
ORGANIZATION INCLUDED IN SUCH
REQUEST FROM YOU TO US.
PROVISIONS:
If we cancel this policy for any statutorily permitted above. We will mail such notice to the address shown
reason other than nonpayment of premium, and a in the schedule above at least the number of days
number of days is shown for cancellation in the shown for cancellation in the schedule above before
schedule above, we will mail notice of cancellation to the effective date of cancellation
the person or organization shown in the schedule

COMMERCIAL AUTO
POLICY NUMBER: VTC2J-CAP-2E971281-TIL-17 ISSUE DATE: 03-01-2017
THIS E_ JDOR. T —.HANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADCIMONAL It' U..
This endorsement modifies insurance provided under the following
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
Paragraph c. of the WHO IS AN INSURED provision 1. No liability is assumed by that person or organi-
Includes the person or organization indicated below, zation for the payment of any premiums stated in
but only for his, her or its liability because of acts or the policy or earned under the policy.
omissions of an "insured" under paragraphs a. or b. of 2. In the event of cancellation of the policy, written
that provision, subject to the following additional pro- notice of cancellation will be mailed by us to that
visions: person or organization.
Person or Organization Address
Blanket Coverage where required by written contract.

Policy Number: VTC2J-CAP-2E971281-TIL- 17 Effective Date: 0 3/01/2017
COMMERCIAL AUTO
THIS _2: IDORSEMENT CHAL3ES THE POLICY. PLEA ":7AD IT CAREFL _LY.
BLANKET ADDITIONAL NS( - ,ED - PRIMARY AND
NON-CONTROUTORY VITH OTHER INSUR.ACE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
PROVISIONS B. The following is added to Paragraph 5., Other
A. The following is added to Paragraph c. in A. 1., Insurance, in 13. General Conditions of SEC-
o Is An Insured, of SECTION II— LIABILIrtf TION IV — BUSINESS AUTO CONDITIONS:
COVERAGE: Regardless of the provisions of paragraph a. and
Any person or organization who is required under paragraph d. of this part 5. Other Insurance, this
a written contract or agreement between you and insurance is primary to and non-contributory with
that person or organization, that is signed and applicable other insurance under which an addi-
executed by you before the "bodily injury" or tional insured person or organization is the first
"property damage" occurs and that is in effect named insured when the written contract or
during the policy period, to be named as an addi- agreement between you and that person or or-
tional insured is an Insured" for Liability Cover- ganization, that is signed and executed by you
age, but only for damages to which this insurance before the "bodily injury" or "property damage"
applies and only to the extent that person or or- occurs and that is in effect during the policy pe-
ganization qualifies as an "insured" under the riod, requires this insurance to be primary and
Who Is An Insured provision contained in non-contributory.
Section IL

POLICY NUMBER: VTC2K-CO-2E97127A-IND-17 COMMERCIAL GENERAL LIABILITY
THI DORSEMENT CHANGES THE POLICY. PLEASE READ IT C,' EFULLY.
BLAN: ..7.T ADDITIONAL INSIEt
(CONTACTORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. WHO IS AN INSURED — (Section II) is amended erations endorsement CG 20 37, without
to include any person or organization that you an edition of such endorsements speci-
agree in a "written contract requiring insurance" to fied;
include as an additional insured on this Coverage the person or organization is an additional in-
Part. However, the person or organization is only sured only if the injury or damage is caused,
an additional insured with respect to liability for in whole or in part, by acts or omissions of
"bodily injury", "property damage" or "personal in- you or your subcontractor in the performance
jury" and as described in Paragraph a), b) or c) of "your work" to which the "written contract
below, whichever applies: requiring insurance" applies.
a) If the "written contract requiring insurance" If neither Paragraph a) nor b) above applies:
specifically requires you to provide additional
insured coverage to that person or organiza- i. The person or organization is an addi-
tion by the use of: tional insured only if, and to the extent
I. The Additional Insured — Owners, Les- that, the injury or damage is caused by
sees or Contractors — (Form B) endorse- acts or omissions of you or your subcon-
ment CG 20 10 11 85; or tractor in the performance of "your work"
to which the "written contract requiring in-
ii. The Additional Insured — Owners, Les- surance" applies; and
sees or Contractors — Scheduled Person ii. The person or organization does not qual-
Or Organization endorsement CG 20 10 ify as an additional insured with respect to
10 01 and the Additional Insured — Own- the independent acts or omissions of
ers, Lessees or Contractors — Completed such person or organization.
Operations endorsement CG 20 37 10
01; 2. The insurance provided to the additional insured
the person or organization is an additional in- by this endorsement is limited as follows:
sured only if the injury or damage arises out a) In the event that the Limits of Insurance of
of "your work" to which the "written contract this Coverage Part shown in the Declarations
requiring insurance" applies. exceed the limits of liability required by the
b) If the "written contract requiring insurance" "written contract requiring insurance", the in-
specifically requires you to provide additional surance provided to the additional insured
insured coverage to that person or organiza- shall be limited to the limits of liability required
by that "written contract requiring insurance".
tion by the use of: This endorsement shall not increase the limits
i. The Additional Insured — Owners, Les- of insurance described in Section III — Limits
sees or Contractors — Scheduled Person Of Insurance.
or Organization endorsement CG 20 10 b) The insurance provided to the additional in-
07 04 and the Additional Insured — Own- sured does not apply to "bodily injury", "prop-
ers, Lessees or Contractors — Completed erty damage" or "personal injury" arising out
Operations endorsement CG 20 37 07 of the rendering of, or failure to render, any
04; or professional architectural, engineering or sur-
The Additional Insured — Owners, Les- veying services, including:
sees or Contractors — Scheduled Person The preparing, approving, or failing to
Or Organization endorsement CG 20 10 prepare or approve, maps, shop draw-
and the Additional Insured — Owners, ings, opinions, reports, surveys, field or-
Lessees or Contractors — Completed Op-
CG D6 04 05 10 o 2010 The Travelers Indemnity Company. All rights reserved. Page 1 of 2

COMMERCIAL GENERAL LIABILITY
ders or change orders, or the preparing, iii. The nature and location of any injury or
approving, or failing to prepare or ap- damage arising out of the "occurrence" or
prove, drawings and specifications; and offense.
ii. Supervisory, inspection, architectural or b) If a claim is made or "suit" is brought against
engineering activities. the additional insured, the additional insured
c) The insurance provided to the additional in- must:
sured does not apply to "bodily injury" or L Immediately record the specifics of the
"property damage" caused by "your work" and claim or "suit" and the date received; and
included in the "products-completed opera- ii. Notify us as soon as practicable.
tions hazard" unless the "written contract re-
quiring insurance" specifically requires you to The additional insured must see to it that we
provide such coverage for that additional in- receive written notice of the claim or "suit" as
sured during the policy period. soon as practicable.
3. The insurance provided to the additional insured c) The additional insured must immediately send
by this endorsement is excess over any valid and us copies of all legal papers received in con-
collectible "other insurance", whether primary, ex- nection with the claim or "suit", cooperate with
cess, contingent or on any other basis, that is us in the investigation or settlement of the
available to the additional insured for a loss we claim or defense against the "suit", and oth-
cover under this endorsement. However, if the erwise comply with all policy conditions.
"written contract requiring insurance" specifically d) The additional insured must tender the de-
requires that this insurance apply on a primary fense and indemnity of any claim or "suit" to
basis or a primary and non-contributory basis, this any provider of "other insurance" which would
insurance is primary to "other insurance" available cover the additional insured for a loss we
to the additional insured which covers that person cover under this endorsement. However, this
or organization as a named insured for such loss, condition does not affect whether the insur-
and we will not share with that "other insurance". ance provided to the additional insured by this
But the insurance provided to the additional in- endorsement is primary to "other insurance"
sured by this endorsement still is excess over any available to the additional insured which cov-
valid and collectible "other insurance", whether ers that person or organization as a named
primary, excess, contingent or on any other basis, insured as described in Paragraph 3. above.
that is available to the additional insured when 5. The following definition is added to SECTION V. —
that person or organization is an additional in- DEFINITIONS:
sured under such "other insurance".
"Written contract requiring insurance" means that
4. As a condition of coverage provided to the addi- part of any written contract or agreement under
tional insured by this endorsement: which you are required to include a person or or-
a) The additional insured must give us written ganization as an additional insured on this Cover-
notice as soon as practicable of an "occur- age Part, provided that the "bodily injury" and
rence" or an offense which may result in a "property damage" occurs, and the "personal in-
claim. To the extent possible, such notice jury" is caused by an offense committed, during
should include: the policy period and:
i. How, when and where the "occurrence" a. After the signing and execution of the contract
or offense took place; or agreement by you; and
ii. The names and addresses of any injured b. While that part of the contract or agreement is
persons and witnesses; and in effect.
Page 2 of 2 © 2010 The Travelers Indemnity Company. Alt rights reserved. CG D6 04 05 10

COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: VIC2K-CO-2E97127A-IND-17 EFFECTIVE DATE: 03/0112017
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE nEAD IT CAREFULLY.
ADD TIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - CON'LETED OPERAT CNS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
Where required by written contract.
Location And Description of Completed Operations:
As on file with the insured.
Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the
Schedule, but only with respect to liability arising out of "your work" at the location designated and described in
the schedule of this endorsement performed for that insured and included in the "products-completed operations
hazard"
CG 03731105 Includes the copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1

POLICY NUMBER: VTC2K-00-2E97127A-IND-17 ISSUE DATE: 03/1/2017
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED ENTITY - NOTICE OF
CANCELLAT[0:1 P, ADN. DED BY US
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION: Number of Days Notice of Cancellation: 30
PERSON OR
ORGANIZATION:
Any person or organization to whom you have agreed in a written contract that
notice of cancellation of this policy will be given, but only if:
1. You send us a written request to provide such notice, including the name
and address of such person or organization, after the first Named Insured
receives notice from us of the cancellation of this policy;
and
2. We receive such written request at least 14 days before the beginning of
the applicable number of days shown in this endorsement.
ADDRESS:
The address for that person or organization included in such written request
from you to us.
PROVISIONS:
If we cancel this policy for any statutorily permitted above. We will mail such notice to the address shown
reason other than nonpayment of premium, and a in the schedule above at least the number of days
number of days is shown for cancellation in the shown for cancellation in the schedule above before
schedule above, we will mail notice of cancellation to the effective date of cancellation.
the person or organization shown in the schedule
IL T4 05 03 11 © 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1

COMMERCIAL GENERAL LIABILITY
POLICY NUMBER VTC2K-CO-2E97127A-IND- 17 ISSUE DATE' 03/01/2017
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CA'rkEFULLY.
OTHER INSURANCE - DESIGNATED ADDITIONAL
INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH
RESPECT TO CERTAIN Oil A INSURANCE
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Designated Additional Insured
As required by written contract.
(If no entry appears above, information required to complete this end sement will be shown in the Declarations
as applicable to this endorsement.)
PROVISIONS age Part must apply on a primary basis, or a primary
and non-contributory basis, this insurance is primary
The following is added to Paragraph 4. a., Prirnary to such other insurance only if:
Insurance, of SECTION IV — COMMERCIAL GEN-
ERAL LIABILITY CONDITIONS: (1) The "bodily injury" or ''property damage" for which
coverage is sought Is caused by an "occurrence"
The insurance afforded under this Coverage Part to that takes place; and
an additional insured designated in the Schedule
above is primary to other insurance that is available to (2) The "personal injury" or "advertising injury" for
such additional insured which covers such additional which coverage is sought arises out of an offense
insured as a named insured, and we will not share that is committed;
with that other insurance, provided that if you agree in subsequent to the signing and execution of that con-
a written contract or agreement that the insurance tract or agreement by you,
afforded to such additional insured under this Cover-
CG 04 28 07 08 2005 The Travelers Companies, Inc, Page 1 of 1

Policy Number: VTC2K-CO-2E97127A-IND-17 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CC '- :TRACI ORe ED LUC RaAIENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover-
age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en-
dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered,
A. Aircraft Chartered With Pilot H. Blanket Additional Insured - Lessors Of Leased
B. Damage To Premises Rented To You Equipment
C. increased Supplementary Payments I. Blanket Additional Insured - States Or Political
Subdivisions - Permits
D. Incidental Medical Malpractice
J. Knowledge And Notice Of Occurrence Or Offense
E. Who Is An insured - Newly Acquired Or Formed
Organizations K. Unintentional Omission
F. Who Is An Insured - Broadened Named Insured L. Blanket Waiver Of Subrogation
- Unnamed Subsidiaries M. Amended Bodily Injury Definition
G. Blanket Additional Insured - Owners, Managers N. Contractual Liability - Railroads
Or Lessors 01 Premises
..461118415 PROVISIONS INJURY AND PROPERTY DAMAGE LI-
A. AIRCRAFT CHARTERED WITH PILOT ABILITY:
The following is added to Exclusion g., Aircraft, Exclusions c. and g. through n. do not apply
Auto Or Watercraft, in Paragraph 2. of SECTION to 'premises damage". Exclusion f.(1)(a)
I - COVERAGES - COVERAGE A BODILY IN- does not apply to ''premises damage" caused
JURY AND PROPERTY DAMAGE LIABILITY: by:
This exclusion does not apply to an aircraft that a. Fire;
Omar.= is: b. Explosion;
o=-M
(a) Chartered with a pilot to any insured; c. Lightning;
(b) Not owned by any insured; and d. Smoke resulting from such fire, explosion,
(c) Not being used to carry any person or prop- or lightning; or
erty for a charge. e. Water;
412.001.015, B. DAMAGE TO PREMISES RENTED TO YOU unless Exclusion 1. of Section I - Coverage A
1. The first paragraph of the exceptions in Ex- - Bodily Injury And Property Damage Liability
clusion j., Damage To Property, in Para- is replaced by another endorsement to this
c„... pamPlam j graph 2. of SECTION / - COVERAGES - Coverage Pad that has Exclusion - All Pollu-
tr.....arArt. goar COVERAGE A BODILY INJURY AND tion Injury Or Damage or Total Pollution Ex-
PROPERTY DAMAGE LIABILITY is deleted. clusion in its title.
2. The following replaces the last paragraph of A separate limit of insurance applies to
Paragraph 2., Exclusions, of SECTION I - 'premises damage" as described in Para-
COVERAGES - COVERAGE A. BODILY graph 6. of SECTION III - LIMITS OF IN-
SURANCE.
CO 03 16 11 11 *2011 The Traveler nderrmity Company All rights reserved Page 1 of 6
a0D971

COMMERCIAL GENERAL LIABILITY
3. The following replaces Paragraph 6. of SEC- C. INCREASED SUPPLEMENTARY PAYMENTS
TION III — LIMITS OF INSURANCE: 1. The following replaces Paragraph 1.b. of
Subject to 5. above, the Damage To Prem- SUPPLEMENTARY PAYMENTS — COVER-
ises Rented To You Limit is the most we will AGES A AND B of SECTION I — COVER-
pay under Coverage A for damages because AGE:
of "premises damage" to any one premises. b. Up to $2,500 for the cost of bail bonds
The Damage To Premises Rented To You required because of accidents or traffic
Limit will apply to all "property damage" law violations arising out of the use of any
proximately caused by the same "occur- vehicle to which the Bodily Injury Liability
rence", whether such damage results from: Coverage applies. We do not have to fur-
fire; explosion; lightning; smoke resulting from nish these bonds.
such fire, explosion, or lightning; or water; or
any combination of any of these causes. 2. The following replaces Paragraph 1.d. of
SUPPLEMENTARY PAYMENTS — COVER-
The Damage To Premises Rented To You AGES A AND B of SECTION 1 — COVER-
Limit will be: AGES:
a. The amount shown for the Damage To d. All reasonable expenses incurred by the
Premises Rented To You Limit on the insured at Our request to assist us in the
Declarations of this Coverage Part; or Investigation or defense of the claim or
b. $300,000 if no amount is shown for the "suit", including actual loss of earnings up
Damage To Premises Rented To You to $500 a day because of time off from
Limit on the Declarations of this Coverage work.
Part. D. INCIDENTAL MEDICAL MALPRACTICE
4. The following replaces Paragraph a. of the 1. The following is added to the definition of "oc-
definition of Insured contract" in the DEFINI- currence" in the DEFINITIONS Section:
TIONS Section:
"Occurrence" also means an act or omission
a. A contract for a lease of premises. How- committed in providing or falling to provide
ever, that portion of the contract for a "incidental medical services", first aid or
lease of premises that indemnifies any "Good Samaritan services" to a person.
person or organization for "premises
damage" is not an "insured contract; 2. The following is added to Paragraph 2.a.(1) of
SECTION — WHO IS AN INSURED:
5. The following is added to the DEFINITIONS
Section: Paragraph W(d) above does not apply to
"bodily injury" arising out of providing or fail-
"Premises damage" means "property dam- ing to provide:
age* to:
a. Any premises while rented to you or tem- (i) "incidental medical services" by any of
porarily occupied by you with permission your 'employees" who is a nurse practi-
of the owner; or tioner, registered nurse, licensed practical
nurse, nurse assistant, emergency medi-
b. The contents of any premises while such cal technician or paramedic; or
premises is rented to you, if you rent such
premises for a period of seven or fewer (ii) First aid or 'Good Samaritan services" by
consecutive days, any of your "employees" or "volunteer
6, The following replaces Paragraph 4.b.(1)(b) workers", other than an employed or vol-
of SECTION IV — COMMERCIAL GENERAL unteer doctor. Any such "employees" or
LIABILITY CONDITIONS: "volunteer workers" providing or failing to
provide first aid or "Good Samaritan ser-
(b) That is insurance for "premises damage"; vices" during their work hours for you will
or be deemed to be acting within the scope
7. Paragraph 4.b.(1)(c) of SECTION IV — of their employment by you or performing
COMMERCIAL GENERAL LIABILITY CON- duties related to the conduct of your busi-
DITIONS is deleted. ness,
Page 2 of 6 0 2011 The Travelers Indemnity Company. All rights reserved. CC D3 16 11 11

COMMERCIAL GENERAL LIABILITY
3. The following is added to Paragraph 5, of 4. Any organization you newly acquire or form,
SECTION III — LIMITS OF INSURANCE: other than a partnership, joint venture or lim-
For the purposes of determining the applica- ited liability company, of which you are the
ble Each Occurrence Limit, all related acts or sole owner or in which you maintain the ma-
omissions committed in providing or failing to jority ownership interest, will qualify as a
provide "incidental medical services', first aid Named Insured if there is no other insurance
or "Good Samaritan services" to any one per- which provides similar coverage to that or-
son will be deemed to be one "occurrence". ganization. However:
4. The following exclusion is added to Para- a. Coverage under this provision is afforded
graph 2., Exclusions, of SECTION I — COV- only:
ERAGES — COVERAGE A BODILY INJURY Until the 180th day after you acquire or
AND PROPERTY DAMAGE LIABILITY: form the organization or the end of the
Sale Of Pharmaceuticals policy period, whichever is earlier, if you
"Bodily injury" or "properly damage" arising do not report such organization in writing
out of the willful violation of a penal statute or to us within 180 days after you acquire or
ordinance relating to the sale of pharmaceuti- form it; or
cals committed by, or with the knowledge or (2) Until the end of the policy period, when
consent of, the insured. that date is later than 180 days after you
5. The following is added to the DEFINITIONS acquire or form such organization, if you
Section: report such organization in writing to us
Incidental medical services" means: within 180 days after you acquire or form
it, and we agree in writing that it will con-
a. Medical, surgical, dental, laboratory, x-ray tinue to be a Named Insured until the end
or nursing service or treatment, advice or of the policy period;
instruction, or the related furnishing of
food or beverages; or b. Coverage A does not apply to "bodily injury"
b. The furnishing or dispensing of drugs Or or "property damage" that occurred before
medical, dental, or surgical supplies or you acquired or formed the organization; and
444S,M appliances. c. Coverage B does not apply to "personal in-
ftrosmaaI Onmemq, "Good Samaritan services" means any emer- jury" or "advertising injury" arising out of an
Nanoxamr, gency medical services for which no compen- offense committed before you acquired or
sation is demanded or received. formed the organization,
6. The following is added to Paragraph 4.b., Ex- F, WHO IS AN INSURED — BROADENED NAMED
cess Insurance, of SECTION IV — COM- INSURED — UNNAMED SUBSIDIARIES
MERCIAL GENERAL LIABILITY CONDI- The following is added to SECTION 11 — WHO IS
TIONS: AN INSURED:
<WISIVIRM The insurance is excess over any valid and Any of your subsidiaries, other than a partnership,
assr collectible other insurance available to the in- joint venture or limited liability company, that is
81.8.7.1ME sured, whether primary, excess, contingent or not shown as a Named Insured in the Declara-
on any other basis, that is available to any of tions is a Named Insured if you maintain an own-
182851177M your "employees" or "volunteer workers" for
WearMTV. "bodily injury" that arises out of providing or ership interest of more than 50% in such subsidi-
memos. I••I•••III failing to provide "incidental medical ser- ary on the first day of the policy period.
aaa= vices", first aid or "Good Samaritan services" No such subsidiary is an insured for "bodily injury"
Ors.womana to any person to the extent not subject to or "properly damage" that occurred, or "personal
Paragraph 2.a.(1) of Section II — Who Is An injury" or "advertising injury" caused by an of-
Insured. fense committed after the date, if any, during the
- E. WHO IS AN INSURED — NEWLY ACQUIRED policy period, that you no longer maintain an
2I1I130. OR FORMED ORGANIZATIONS ownership interest of more than 50% in such sub-
The following replaces Paragraph 4. of SECTION sidiary.
II — WHO IS AN INSURED:
CG 03 16 11 11 Ci 2011 The Travelers Indemnity Company All rights reservect Page 3 of 6
•DO0972

COMMERCIAL GENERAL LIABILITY
G. BLANKET ADDITIONAL INSURED — OWNERS, H. BLANKET ADDITIONAL INSURED — LESSORS
MANAGERS OR LESSORS OF PREMISES OF LEASED EQUIPMENT
The following is added to SECTION II — WHO IS The following is added to SECTION II — WHO IS
AN INSURED: AN INSURED:
Any person or organization that is a premises Any person or organization that is an equipment
owner, manager or lessor and that you have lessor and that you have agreed in a written con-
agreed in a written contract or agreement to in- tract or agreement to include as an insured on
clude as an additional insured on this Coverage this Coverage Part is an insured, but only with re-
Part is an insured, but only with respect to liability spect to liability for "bodily injury", "property dam-
for "bodily injury", "property damage", "personal age", "personal injury" or "advertising injury" that:
injury" or "advertising injury" that:
a. Is "bodily injury" or "property damage" that
a. Is "bodily injury" or "property damage" that occurs, or is "personal injury" or "advertising
occurs, or is "personal injury" or "advertising injury" caused by an offense that is commit-
injury" caused by an offense that is commit- ted, subsequent to the execution of that con-
ted, subsequent to the execution of that con- tract or agreement; and
tract or agreement; and
b. Is caused, In whole or in part, by your acts or
b. Arises out of the ownership, maintenance or omissions in the maintenance, operation or
use of that part of any premises leased to use of equipment leased to you by such
you. equipment lessor.
The insurance provided to such premises owner, The insurance provided to such equipment lessor
manager or lessor is subject to the following pro- is subject to the following provisions:
visions: a. The limits of insurance provided to such
a. The limits of insurance provided to such equipment lessor will be the minimum limits
premises ovmer, manager or lessor will be which you agreed to provide in the written
the minimum limits which you agreed to pro- contract or agreement, or the limits shown on
vide in the written contract or agreement, or the Declarations, whichever are less.
the limits shown on the Declarations, which-
ever are less. b. The insurance provided to such equipment
lessor does not apply to any "bodily injury' or
b. The insurance provided to such premises "property damage" that occurs, or "personal
owner, manager or lessor does not apply to: injury" or "advertising injury" caused by an of-
(1) Any "bodily injury" or "property damage" fense that is committed, after the equipment
that occurs, or "personal injury" or "adver- lease expires.
tising injury" caused by an offense that is c. The insurance provided to such equipment
committed, after you cease to be a tenant lessor is excess over any valid and collectible
in that premises; or other insurance available to such equipment
(2} Structural alterations, new construction or lessor, whether primary, excess, contingent
demolition operations performed by or on or on any other basis, unless you have
behalf of such premises owner, lessor or agreed in the written contract or agreement
manager. that this insurance must be primary to, or
c. The insurance provided to such premises non-contributory with, such other insurance,
owner, manager or lessor is excess over any in which case this insurance will be primary
valid and collectible other insurance available to, and non-contributory with, such other in-
to such premises owner, manager or lessor, surance.
whether primary, excess, contingent or on I. BLANKET ADDITIONAL INSURED — STATES
any other basis, unless you have agreed in OR POLITICAL SUBDIVISIONS — PERMITS
the mitten contract or agreement that this in- The following is added to SECTION II — WHO IS
surance must be primary to, or non- AN INSURED:
contributory with, such other insurance, in
which case this insurance will be primary to, Any state or political subdivision that has issued a
and non-contributory with, such other insur- permit in connection with operations performed by
ance. you or on your behalf and that you are required
Page 4 of 6 2811 The Travelers Indemnity Company At rights reserved. CC 133 16 11 11

COMMERCIAL GENERAL LIABILITY
by any ordinance, law or building code to include (ii) A manager of any limited liability
as an additional insured on this Coverage Part is company; or
an insured, but only with respect to liability for (iii) An executive officer or director of
"bodily injury", "property damage", "personal in- any other organization;
jury" or "advertising injury" arising out of such op- that is your partner, joint venture
erations. member or manager; or
The insurance provided to such state or political (b) Any "employee" authorized by such
subdivision does not apply to: partnership, joint venture, limited li-
a. Any "bodily injury," "property damage," "per- ability company or other organization
sonal injury" or "advertising injury" arising out to give notice of an "occurrence" or
of operations performed for that state or po- offense.
litical subdivision; or (3) Notice to us of such "occurrence" or of an
b. Any "bodily injury" or "property damage" in- offense will be deemed to be given as
cluded in the "products-completed operations soon as practicable if it is given in good
hazard". faith as soon as practicable to your work-
J. KNOWLEDGE AND NOTICE OF OCCUR- ers' compensation insurer. This applies
RENCE OR OFFENSE only if you subsequently give notice to us
of the "occurrence' or offense as soon as
The following is added to Paragraph 2., Duties In practicable after any of the persons de-
The Event of Occurrence, Offense, Claim or scribed in Paragraphs e. (1) or (2) above
Suit, of SECTION IV — COMMERCIAL GEN- discovers that the "occurrence" or offense
ERAL LIABILITY CONDITIONS: may result in sums to which the insurance
e. The following provisions apply to Paragraph provided under this Coverage Part may
O. above, but only for the purposes of the in- apply.
surance provided under this Coverage Part to However, if this Coverage Part includes an en-
you or any insured listed in Paragraph 1. or 2. dorsement that provides limited coverage for
of Section II — Who Is An Insured: "bodily injury' or "property damage" or pollution
(1) Notice to us of such "occurrence" or of- costs arising out of a discharge, release or es-
eI—•I fense must be given as soon as practica- cape of "pollutants" which contains a requirement
AMOVISe RIVIR.Met0 ble only after the "occurrence" or offense that the discharge, release or escape of "pollut-
is known by you (if you are an individual), ants" must be reported to us within a specific
amealwom any of your partners or members who is number of days after its abrupt commencement,
an individual (if you are a partnership or this Paragraph e. does not affect that require-
joint venture), any of your managers who ment.
is an individual (if you are a limited liability K. UNINTENTIONAL OMISSION
company), any of your "executive offi-
cers" OF directors (if you are an organiza- The following is added to Paragraph 6., Repre-
tion other than a partnership, joint venture sentations, of SECTION IV — COMMERCIAL
WitiIXt or limited liability company) or any "em- GENERAL LIABILITY CONDITIONS:
ISI741.07. ployee" authorized by you to give notice The unintentional omission of, or unintentional
of an "occurrence" or offense. error in, any information provided by you which
MANS>. (2) If you are a pannership, joint venture or we relied upon in issuing this policy will not preju-
10111I110815901 limited liability company, and none of your dice your rights under this insurance. However,
ro'°•••`"! partners, joint venture members or man- this provision does not affect our right to collect
,Nreassaswaso agers are individuals, notice to us of such additional premium or to exercise our rights of
Ox. .T.ragawass "occurrence" or offense must be given as cancellation or nonrenewal in accordance with
0. 1.811/14.. 01.0W soon as practicable only after the "occur- applicable insurance laws or regulations.
rence" or offense is known by: L. BLANKET WAIVER OF SUBROGATION
Sitataxitet. (a) Any individual who is: The following is added to Paragraph ft., Transfer
(i) A partner or member of any part- Of Rights Of Recovery Against Others To Us,
nership or joint venture; of SECTION IV — COMMERCIAL GENERAL LI-
ABILITY CONDITIONS:
CO D3 16 11 11 CO 201 1 The Travelers Indemnity Company All rights reserved Page 5 of 6
000673

COMMERCIAL GENERAL LIABILITY
If the insured has agreed in a contract or agree- 3. "Bodily injury" means bodily injury, mental
ment to waive that insured's right of recovery anguish, mental injury, shock, fright, disability,
against any person or organization, we waive our humiliation, sickness or disease sustained by
right of recovery against such person or organiza- a person, including death resulting from any
tion, but only for payments we make because of: of these at any time,
N. CONTRACTUAL LIABILITY — RAILROADS
a. "Bodily injury" or "property damage" that oc- 1. The following replaces Paragraph c. of the
curs; Or definition of "insured contract" in the DEFINI-
b, "Personal injury" or "advertising injury" TIONS Section:
caused by an offense that is committed;
c. Any easement or license agreement;
subsequent to the execution of that contract or 2. Paragraph f.(1) of the definition of "insured
agreement. contract in the DEFINITIONS Section is de-
M. AMENDED BODILY INJURY DEFINITION leted,
The following replaces the definition of "bodily
injury" in the DEFINITIONS Section:
Page 6 of 6 CO 2011 The Travelers Indemnity Company, All rights reserved, CG D3 16 11 11

NO COLLUSION AFFIDAVIT
BY CONTRACTOR
CERTIFYING THAT TIEERE WAS NO COLLUSION
IN SUBMITTING FOR CONTRACT
STATE OF ARIZONA
)§
COUNTY OF MARICOPA )
being first duly sworn, deposes and says:
That he is of
(Title) (Name of Business)
submitting on MCDOT Contract No. 2017-001 Pim 2017-003) for the construction of Job
Order Contract for Roadway Construction., Stabilization & Paving Services in the County of
Maricopa, State of Arizona.
That, in connection with the above-mentioned project, neither he, nor anyone associated with the
aforesaid business, has, directly or indirectly, participated in any collusion, entered into any
contract, combination, conspiracy or other act in restraint of trade or commerce in violation of the
provisions of A.R.S. § 34-251, Article 4, as amended.
(Signature of Affiant)
Subscribed and sworn to before me this day of ., 20
My Commission Expires:
(Notary Public)
171087-10C Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 17 of 25

VERIFICATION OF LICENSE
Pursuant to A.R.S. § 32-1169, Thereby state that I hold a current contractor's license, duly issued by
the office of the Registrar of Contractors for the State of Arizona, said license has not been revoked,
that the license number, classification, and expiration date is:_;
that my privilege license number (as required by A.R.S. § 42-1305) is: and that, if
any exemption to the above licensing requirements is claimed;
(1) The basis for the claimed exemption is: and;
(2) The names(s) and license number(s) of any general, mechanical, electrical, or plumbing
contractor(s) to be employed on the work are:
IT IS UNDERSTOOD THAT THE FILING OF AN APPLICATION CONTAINING FALSE OR
INCORRECT INFORMATION CONCERNING AN APPLICANTS CONTRACTOR'S
LICENSE OR PRIVILEGE LICENSE WITH THE INTENT TO VOID SUCH LICENSING
REQUIREMENTS IS UNS WORN FALSIFICATION PUNISHABLE ACCORDING TO A.R.S. §
13-2704.
DATE SIGNATURE OF LICENSEE
COMPANY
171087-J0C Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 18 of 25

IMPORTANT NOTICE -
YOU MUST: THIS IS YOUR IDENTIFICATION CARD
1.) REPORT DISASSOCIATION OF QUALIFYING PARTY IN WRMNG WITHIN 15 DAYS. [SEE A.R.S. DO NOT DESTROY
§32-1154(A)(18)]
2.) REPORT A CHANGE OF ADDRESS IN WRITING WITHIN 30 DAYS. [SEE AR.S. § 32-1122(B)(1)]
3.) REPORT ANY TRANSFER OF OWNERSHIP OF 50% OR MORE IMMEDIATELY [SEE A.R.S.
§32-1151.01)
4.) REPORT ANY CHANGE IN LEGAL ENTITY SUCH AS ANY CHANGE OF THE OWNERSHIP IN A SOLE
PROPRIETORSHIP OR CHANGE OF A PARTNER IN A PARTNERSHIP OR THE CREATION OF ANEW
CORPORATE ENTITY [SEE A.R.S. § 32-1124(B)(F) § RULE R-4-9-110)
LICENSE EFFECTIVE THROUGH: 09130/2018
STATE OF ARIZONA
Registrar of Contractors CERTIFIES THAT
J Banicki Construction Inc J Banicki Construction Inc
4720 E Cotton Gin Loop Ste 240 CONTRACTORS LICENSE NO. 91410 CLASS A
Phoenix, AZ 85040-4825 , General Engineering
THIS CARD MUST BE
PRESENTED UPON DEMAND
-------- IMPORTANT NOTICE ---
YOU MUST: THIS IS YOUR IDENTIFICATION CARD
1.) REPORT DISASSOCIATION OF QUALIFYING PARTY IN WRITING WITHIN 15 DAYS. [SEE A.R.S. DO NOT DESTROY
§ 32-1154(A)(18)]
2) REPORT A CHANGE OF ADDRESS IN WRITING WITHIN 30 D'AYS. [SEE ARS. § 32-1122(1MM
31 REPORT ANY TRANSFER OF OWNERSHIP OF 50% OR MORE IMMEDIATELY [SEE A.R.S.
§32.1151.01]
4.) REPORT ANY CHANGE IN LEGAL ENTITY, SUCH AS ANY CHANGE OF THE OWNERSHIP IN A SOLE
PROPRIETORSHIP OR CHANGE OF A PARTNER IN A PARTNERSHIP OR THE CREATION OF A NEW
CORPORATE ENTITY [SEE A.R.S. § 32-1124(13)(F) § RULE R-4-9-110]
LICENSE EFFECTIVE THROUGH: 09/3012018
STATE OF ARIZONA
Registrar of Contractors CERTIFIES THAT
J Banicki Construction Inc
J Banicki Construction Inc
4720 E Cotton Gin Loop Ste 240 CONTRACTORS LICENSE NO. 91410 CLASS
Phoenix, AZ 85040-4825
General Engineering
THIS CARD MUST BE
PRESENTED UPON DEMAND
- IMPORTANT NOTICE
YOU MUST: THIS IS YOUR IDENTIFICATION CARD
1.) REPORT DISASSOCIATION OF QUALIFYING PARTY IN WRITING WITHIN 15 DAYS. [SEE A.R.S. DO NOT DESTROY
§32-1154(A)(18)1
2.) REPORT A CHANGE OF ADDRESS IN WRITING WITHIN 30 DAYS. [SEE A.R.S. § 32-1122(B)(1)]
3.) REPORT ANY TRANSFER OF OWNERSHIP OF 50% OR MORE IMMEDIATELY [SEE A.R.S.
§32-1151.01]
4.) REPORT ANY CHANGE IN LEGAL ENTITY, SUCH AS ANY CHANGE OF THE OWNERSHIP IN A SOLE
PROPRIETORSHIP OR CHANGE OF A PARTNER IN A PARTNERSHIP OR THE CREATION OF A NEW
CORPORATE ENTITY. [SEE A.R.S. § 32-1124(B)(F) § RULE R-4-9-110]
LICENSE EFFECTIVE THROUGH: 09/30/2018
STATE OF ARIZONA
Registrar of Contractors CERTIFIES THAT
J Banicki Construction Inc J Banicki Construction Inc
4720 E Cotton Gin Loop Ste 240 CONTRACTORS UCENSE NO. 91410 CLASS A
Phoenix, AZ 85040-4825 General Engineering
THIS CARD MUST BE
PRESENTED UPON DEMAND

AFFIDAVIT OF COMPLIANCE
AFFIDAVIT BY CONTRACTOR CERTIFYING COMPLIANCE WITH HOUSE BILL 2745,
CHAPTER 152 REQUIRING USE OF E-VERIFY
STATE OF A zoiti6-)
County of Altilraa CoAl
Mk A CRZA i-v91Y1 being first duly sworn, deposes and says:
That he/she is Pk6:37 of J.:. 1,-J1C re-V-).STR—UCridti
bidding on MCDOT Contract No. 2017-001 Thru 2017-003), JOC — Roadway Construction,
Stabilization & Paving Services, in the County of Maricopa, State of Arizona.
That, in connection with the above-referenced project, the contractor warrants that it is in compliance
with A.R.S. §41-4401 and further acknowledges that the contractor and its sub-contractors, if any,
warrant their compliance with all federal immigration laws and regulations that relate to their employees
and their compliance with A.R.S. §23-214, subsection A;
(Signature of Affiant)
Subscribed and sworn to before me this / day of 0 , 204 7
My Commission Expires
17108740C Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 19 of 25

MARICOPA COUNTY SBE PARTICIPATION REPORTING FORM
This form is to be submitted with each pay application or invoice. Any pay application or
invoice without this form attached is subject to rejection as not being a completed pay
application or invoice pursuant to the terms of the contract.
Name of Prime Consultant'Contractor Contract No.
Contact Person Project No.
Street Address Amount of this Pay Application/Invoice
City, State ZIP
Complete below with information on the SBE firms utilized as subconsultants/subcontractors for
this pay application/invoice. If work was self-performed and your firm, as the prime, is an SBE
firm pursuant to A.R.S. § 41-1001, et seq., then you may list your firm as the SBE firm.
SBE Firm Name I SBE Finn Address Type of Work $ Pd to SBE this
Performed App/Inv
o A mark in this box certifies that no SBE farms were utilized as the prime, subconsultant
or subcontractor with respect to this pay application/invoice.
Date:
Signature
Printed Name & Telephone Number
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 20 of 25

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
Certificate of Performance and Payment of ALL Claims
Project Name:
hereby certifies to the Maricopa County Department of
(Name of Signer)
Transportation (MCDOT) that all lawful claims for labor, rental of equipment, material used, and any
other claims by J. Banicki Construction, Inc. or its subconsultants in connection with the project
described in MCDOT Contract No. 2017 -001 Thru 2017-003), have been paid.
understands that with receipt of payment for any previously
invoiced amounts, plus any retained monies, that this is a settlement of all claims of every nature and kind
against MCDOT arising out of the performance of MCDOT's Contract No. 2017 -001 Thru 2017 -
003) relating to the material, equipment and work covered in and required by the contract.
The undersigned hereby certifies that to his/her knowledge, no contractual disputes exist in regard to this
contract and that he/she has no knowledge of any pending or potential claims in regard to this contract.
Upon submission of this document and a separate invoice for any retained funds to MCDOT, invoice
processing will be completed within sixty (60) calendar days.
State of Arizona
)§
County of Maricopa
Signed this day of ,20
Signature
Title
Subscribed and Sworn to before me this day of , 20
Notary Public
My Commission Expires:
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract 14. 2017-001 Thru
2017-003)
Page 21 of 25

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
ON CALL CONSTRUCTION PAYMENT REQUEST
Submit to: Maricopa County Department of Transportation
Attention: Financial Branch Services
2901 West Durango Street
Phoenix, Arizona 85009-6357
CONTRACTOR'S NAME: DATE:
CONTRACTOR'S ADDRESS:
PROJECT NAME: PAYMENT REQUEST NO.:
CONTRACT No.: WORK ASSIGNMENT NO.:_
Work Assignment
TIME PERIOD TO MCDOT Project Manager:
A. CONTRACTOR'S CONTRACT DATA
1. Maximum Contract Amount
2. Prior Contract Work Assignments
3. Total Remaining Contract Amount
(A.1 minus A.2 minus B.1)
B. CONTRACTOR'S NTE FEE. THIS CONTRACT ASSIGNMENT
I. N11, Fee, this Contract Work Assignment
2. Requested Payment: (Attach Backup Documentation)
1. 3,
4. 6.
3. Total Fee Earned To Date, This Contract Work Assignment
C. PAYMENT REQUEST DATA
1. Less Prior Payments, This Contract Work Assignment
2. Less Prior Retainage
3. Total Payment Request (B.3 minus C.1)
4. Less Retainage this Payment Request
5. Net Payment Request
(C 3 minus C4)
Submitted by: Date:
Contractor
Payment Request Verification: Date:
MCDOT Project Manager
Approval to Pay: Date:
MCDCT Division Head
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 22 of 25

TITLE VT ASSURANCES
17108740C Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 23 of 25

EXHIBIT A-SCOPE OF WORK
171087-10C Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 24 of 25

EXHIBIT A - GENERAL SCOPE OF WORK
FOR
JOB ORDER CONTRACTING OF
ROADWAY CONSTRUCTION, STABILIZATION AND PAVING SERVICES
CONTRACT NUMBER: 20174(XX
171087-JOC
GENERAL
The Contractor shall perform roadway construction, stabilization and paving related
construction services for contracted work assignments. No work assignment shall
exceed $1,000,000 in total cost. The total of all work assignments shall not exceed
$3,000,000 during any contract year.
CONSTRUCTION SERVICES
The work shall consist of, but not limited to, supplying all labor, material, and equipment,
to provide construction or reconstruction of roadways and/or shoulders, soil stabilization
for roadway subgrade and/or shoulders, asphaltic concrete overlays, construction or
reconstruction of concrete related items such as concrete structures including
headwalls, box culverts. Additionally, work may include the construction of new
asphaltic concrete pavement or other designated surfacing material which may also
require installation or replacement of drainage pipe culverts, construction of concrete
curb & gutter, driveway entrances, sidewalk ramps, and installation of pavement
markings. Some work assignments may require utility relocations work, extra
coordination efforts, cacti/tree relocation and/or removal, landscaping and irrigation
restoration, constructing new fences, relocating or rebuilding fences and other related
work. Work assignments may include, but are not limited to pavement widening,
shoulder stabilization, infrastructure improvements and construction improvements for
low volume roads.
WORK ASSIGNMENTS
Each work assignment that is mutually agreed upon and issued by the County will define
specific project requirements.
All construction shall conform to the Uniform Standard Specifications and Standard
Details for Public Works Construction published by the Maricopa Association of
Governments (MAG) dated 1998 with most current revision (or the year indicated in the
work assignment documents) together with the Maricopa County Department of
Transportation (MCDOT) Supplement to the MAG Uniform Standard Specifications and

Details (most current edition or as noted in the work assignment documents), this scope
of work, and the work assignment construction documents (plans and special
provisions).
Work assignments shall be undertaken only upon the issuance of a written notice to
proceed. Work assignments shall set forth the following:
1. Contract number and work assignment identification;
2. The description of work including the location, list of work items, and applicable
special provisions and drawings;
3. The period of performance and, if required by County, a work schedule;
4. The calculated total price for the work to be performed;
5. Fee proposal signed by the Contractor; and
6. Approval Signatures by the County.
Work assignments will be at various locations throughout Maricopa County.
PAYMENTS
Payment for individual work assignments will be based on unit prices that do not exceed
the unit prices identified in the Unit Price List of Exhibit B.
The amount of each work assignment will be the summation of the total amounts
calculated for each item of the work assignment. The total amount for each item shall be
the work assignment quantity times the unit price. Payment for each work assignment
will be the calculated total amount for completed and accepted quantities of each item.
The unit prices as identified in the Unit Price List, Exhibit B include all direct and indirect
costs associated with each individual work assignment of this Job Order Contract. The
unit prices include adjustments for the following:
• Direct labor, material and equipment costs
• Contractor's jobsite General Conditions
• Contractor's home office overhead and profit
• Subcontractors' overhead and profit
• Insurance
• All costs associated with bonding (specifically including bond premiums)
• Employee payroll taxes, insurance and fringe benefits
• Business taxes, contributions, memberships, corporate headquarters support
(legal, financial, etc.)
• Disposal of all waste and excess material
• Close out for the total contract and each work assignment
• Clean up
• Compliance with environmental laws (costs associated with performing work in
compliance with county, state and federal regulations, including obtaining any
necessary licenses and permits, reporting requirements, etc.)
Exhibit A Page 2 of 11

• Compliance with safety, health, sanitation laws, and specifications (i.e.,
Contractor's safety plan, face and clothing protection, etc.)
• Project management and supervision
• Quality control
• Depreciation of equipment
• Interest associated with funding of equipment and payroll
• Submittal preparation
• Permits, licenses and fees
• Other risks of doing business (i.e., risk of a lower than expected contract dollar
value; risk of a high inflation cost; risk of poor subcontractor performance and
reperformance).
The amount to be paid for work items not included in Exhibit B, Unit Price List shall be
negotiated between the Contractor and the County.
ORDER OF PRECEDENCE
In the event a conflict exists between Contract Documents the order of precedence,
from highest to lowest, shall be as follows:
1. Change Order
2. Work Assignment Special Provisions
3. Work Assignment Project Plans
4. Exhibit A (This Scope of Work and its Special Provisions)
5. MCDOT Supplement to MAG Uniform Standard Specifications
6. MAG Uniform Standard Specifications and Details
7. Other Agency Standard Drawings or Standard Details
SPECIAL PROVISIONS
The following special provisions modify the MAG Uniform Standard Specifications as
revised by the MCDOT Supplement to MAG Uniform Standard Specifications.
SECTION 105 CONTROL OF WORK
105.8 CONSTRUCTION STAKES, LINES AND GRADES, add the following:
The County will provide survey control and staking as described in the MAG Specifications
and as modified by the MC DOT Supplemented to MAG. The Contractor shall lay out work
in accordance with the plans and specifications and shall be responsible for all
measurements in connection with the layout of the Work. Contractor shall furnish, at
Contractor expense, all stakes, templates, platforms, equipment, tools, materials, and
labor required to layout the Work. The Contractor shall also be responsible for maintaining
and preserving all control points established by the County.
Exhibit A Page 3 of 11

SECTION 107 LEGAL REGULATIONS AND RESPONSIBILITY TO THE PUBLIC
107.1 COMPLIANCE WITH LAWS, add the following:
107.1.2 Environmental Mitigation Measures, add the following:
When a work assignment is subject to Environmental Mitigation Measures, the
Contractor shall adhere to all terms, conditions, and requirements contained in the
Environmental Clearance. The Environmental Clearance and all related documents are
located in Appendix A to the projects Special Provision and / or work assignment.
During project construction, MCDOT Environmental Program Branch shall be notified at
(602) 506-8068 of any proposed changes in scope of work and/or work to be added
outside the defined project limits, for evaluation of potential environmental impacts.
Payment for Environmental Mitigation Compliance will be an Allowance item. Payment
shall be full compensation for performing all activities associated with fulfilling
environmental mitigation measures that are not directly included within other pay items.
Payment will be based upon approved time and material invoices, in accordance with
Section 109.5.
107.2 PERMITS, add the following:
107.2.1 AZPDES (NPDES) Construction General Permit Requirements, add the
following:
Work assignments are subject to the Arizona Pollutant Discharge Elimination System
(AZPDES) general permit requirements for construction sites under the Arizona
Department of Environmental Quality (ADEQ), the AZPDES Construction General
Permit. The Contractor shall be responsible for obtaining applicable permits and
compliance with permit requirements.
107.2.1.1 Regulation Compliance, add the following:
Work assignments are subject to the Maricopa County Stormwater Quality Management
and Discharge Control Regulation. The Contractor shall be responsible for all activities
associated with obtaining permit approvals and payment of fees for Pre-Construction,
Construction, and Post-Construction activities. Such activities include but are not limited
to the Pre-Construction Application, Plan Review, Pre-Construction Site Inspection, Site
inspections and re-inspections, Post-Construction Plan Review, and Post-Construction
Site Inspection. Permit requirements and related information are available from the
following internet website: www.maricopa.qov/Stormwater
107.2.1.8 Payment, add the following:
Exhibit A Page 4 of 11

Payment for AZPDES will be as a reimbursable allowance. Payment will be based upon
approved time and material invoices, in accordance with Section 109.5.
Payment for Compliance with Maricopa County MS4 Stormwater Regulation will be as a
reimbursable allowance. The Contractor shall be reimbursed for expenses above those
expenses that are associated with fulfilling AZPDES requirements. Payment will be
based upon approved time and material invoices, in accordance with Section 109.5.
107.5 SAFETY, HEALTH, AND SANITATION PROVISIONS, add the following
The Contractor shall provide and maintain portable toilet facilities in each area of work.
Portable toilet facilities shall be cleaned not less than once weekly. The associated
costs of this requirement shall be incidental to the project.
107.5.5 Safety Plan, add the following:
The Contractor's Safety Plan OSHA 300 Logs for the past three years shall be
submitted prior to commencement of work. The Contractor may submit a
comprehensive safety plan for all work anticipated to be performed under this contract.
Prior to the commencement of work on each work assignment, the Contractor shall as a
minimum review the Safety Plan for accuracy and completeness, then submit a revised
plan incorporating any needed changes or submit confirmation that the safety plan on
record is current and accurate. Contractor safety plan guidelines are available on the
MCDOT website at: http://www.maricopa.qov/190/Technical
SECTION 108 COMMENCEMENT, PROSECUTION, AND PROGRESS
108.1 NOTICE TO PROCEED, add the following:
Each work assignment shall have a separate Construction Notice to Proceed issued after
a Pre-Construction Conference has been conducted and submittals in accordance with
section 108.1.1 Pre-Construction Conference have been received by the County.
108.9 FAILURE TO COMPLETE ON TIME, add the following:
The liquidated damages provisions of section 108.9 apply to each work assignment of
the Job Order Contract. The original work assignment amount shall be used in the
column labeled "Original Contract Amount" of Table 108-1 to determine the Daily
Charges.
SECTION 109 MEASUREMENTS AND PAYMENTS
109.4 Compensation for Alteration of Work, add the following:
Exhibit A Page 5 of 11

109.4.7 Minor Alterations, Miscellaneous Work
The Engineer may make an alteration in the project specifications or in the details of
construction which are not covered by an existing item and are limited in scope, to the
extent that the cost of the alterations will not exceed Fifteen Thousand ($15,000.00)
Dollars per Work Assignment.
The Engineer will request a cost proposal from the Contractor or direct this work to be
performed by Force Account method as described under Section 109.4 and 109.5 of
the Uniform Standard Specifications and Details for Public Works Construction
(MAG). The Engineer and the contractor will agree upon the scope and cost of the
work. This cost shall be documented in written form, from the Engineer to the
contractor, which when executed by both parties and concurred by MCDOT shall
have the same force and effect as a supplemental agreement.
Measurement for Minor Alterations, Miscellaneous Work, will be measured by an
approved Contractor's proposal or by Force Account method. Payment will be made
under item 109.40000, Miscellaneous Work (Minor Alterations).
109.10 PAYMENT FOR MOBILIZATION/DEMOBILIZATION, add the following:
Mobilization and demobilization for milling, soil stabilization, or paving shall be included
as a pay item for each work assignment as applicable. Each work assignment may have
one, two, three or four types of mobilization and demobilization depending on the actual
project requirements. The unit price for each type of mobilization and demobilization
shall depend upon the project's radial distance from 2901 West Durango Street,
Phoenix, AZ. Mobilization and demobilization of each type shall only be paid once for
each work assignment. Payment shall not exceed the Contractor's proposed unit price
identified in the Unit Price List, Exhibit B.
Mobilization/Demobilization for removing painted and/or thermoplastic pavement
markings will be measured for payment by as a single complete unit of work including
both Mobilization and Demobilization. Multiple Mobilizations/Demobilizations may be
established by mutual agreement between the Contractor and the County for individual
work assignment depending on the specific circumstances of each project.
Payment for Each mutually agreed Mobilization/Demobilzation for the removal of
painted or thermoplastic pavement markings will be made at the contract unit price for
each work assignment
Mobilization/Demobilization for the installation of painted and/or thermoplastic pavement
markings will be measured for payment by as a single complete unit of work including
both Mobilization and Demobilization. Multiple Mobilizations/Demobilizations may be
established by mutual agreement between the Contractor and the County for individual
work assignment depending on the specific circumstances of each project.
Exhibit A Page 6 of 11

Payment for Each mutually agreed Mobilization/Demobilization for the installation of
painted or thermoplastic pavement markings will be made at the contract unit price for
each work assignment.
SECTION 205 ROADWAY EXCAVATION
205.8 PAYMENT, add the following:
Payment for Earthwork shall include all Roadway Excavation, Fill Construction, and
Imported Borrow requirements of the work assignment. Payment for Earthwork shall be
a negotiated lump sum amount.
SECTION 301 SUBGRADE PREPARATION
301.8 PAYMENT, add the following:
Earthwork and pavement removal shall be paid as separate items and shall not be
included as part of Subgrade Preparation.
SECTION 311 PLACEMENT AND CONSTRUCTION OF CEMENT TREATED
SUBGRADE
311.2 MATERIALS, add the following:
The amount of cement used on each site shall be documented by the Contractor and
reported to the Engineer. The method used for documentation shall be agreed upon
prior to the start of the project. Cement delivered in standard sacks from commercial
producers will be assumed to have a mass of 94 pounds per sack and need not be
weighed. Weighmaster's Certificates shall be submitted for bulk cement in accordance
with Section 109.2.
311.4.2 Application of Cement, add the following:
The cement spread rate when given as a percentage shall be based on 120 pounds per
cubic foot dry weight of the soil unless otherwise directed by the Engineer.
311.4.9 Curing, add the following:
The Engineer shall approve proposed application equipment prior to the start of
application.
SECTION 317 ASPHALT MILLING
Exhibit A Page 7 of 11

317.2 CONSTRUCTION REQUIREMENTS, add the following:
The Contractor shall be responsible for the removal and disposal of milled material. The
County reserves the right to direct that the milled material be transported to a County
facility or deposited on the roadway shoulders.
SECTION 338 PRICE ADJUSTMENT FOR BITUMINOUS MATERIALS
338.1 Description
Price adjustment shall be calculated based on price changes of bituminous material
occurring between the date of the submittal of Exhibit B Unit Price List and the date that
the material is delivered or used and between the signed one year renewal date and the
date the materials was delivered or used. . Price adjustment shall be bi-directional,
potentially increasing or decreasing contract payments.
The term "bituminous material" as used herein shall include liquid asphalt and emulsified
asphalt and shall apply only to the following specific pay items requiring these materials.
The contract unit price for each item of bituminous material shall include all costs for
furnishing, hauling, handling, spreading, and mixing of the material required, including
the "initial cost" of bituminous material and all applicable taxes, bonds, and insurance
premiums; but excluding any difference in the cost of bituminous material that occurs
between the date of bid opening and the date that the material is delivered or used and
the cost of taxes, bonds and insurance directly attributed to the price adjustment
amount for bituminous materials.
338.2 Measurement
Asphaltic Concrete
The approved mix design designates a range of bituminous material allowable for
construction. If the amount of bituminous material exceeds the allowable range, the
Contractor will not be compensated for the excess bituminous material. If the
bituminous material is less than the allowable range and the asphalt concrete is found
to be acceptable by the engineer, the bituminous material shall be subject to the price
adjustment.
The tons of bituminous materials, which are present in asphalt concrete, shall be
determined by tests using nuclear asphalt content gauge, extraction, ignition furnace, or
other approved method. Tests shall be taken at least twice daily on a random basis.
When only two tests are planned, they shall occur at placement of approximately 33%
and 67% of the day's planned quantity. The arithmetic average of each day's
bituminous testing that is found to be within or below the allowable range will be used to
Exhibit A Page 8 of 11

determine the amount of bituminous material present in the mix. If only one test is
taken, the amount of bituminous material present in that sample will be used. The
monthly production shall be the sum of the daily production.
Tack Coat
The tons of emulsified products to which the adjustment will be applicable will be the
tons of the emulsified bituminous asphalt prior to dilution. The Contractor shall weigh
the truck prior to and after placing the emulsion and will be paid based upon the
difference in the weight.
338.3 Payment
The "initial cost" of liquid asphalt and emulsified asphalt will be the monthly cost
determined by the Arizona Department of Transportation (ADOT) based on selling
prices of asphalt cement published by the Asphalt Weekly Monitor, a publication by
Poten & Partners, Inc.
The bituminous material "initial cost" price is issued each month in memorandum form
by ADOT's Contract and Specifications Section of the Intermodal Transportation
Division under "Price Adjustment for Bituminous Material" title. The price is the
arithmetic average of the high and low selling prices for asphalt cement shown for the
previous month in the Asphalt Weekly Monitor for the Arizona/Utah and Southern
California regions.
This price will be deemed to be the "initial cost" for bituminous material of all types,
grades, etc., on projects on which bids are opened during the following month. This
price may be obtained from the ADOT web site:
http ://wwvv. azd ot.g ov/b u s iness/Contractsa nd Specificatio ns/P riceAd i ustmentfo rBitum in o
usMaterialandDieselFuel
For each item of bituminous material for which there is a specific pay item, an
adjustment in compensation will be made for either an increase or decrease in the price
of asphalt cement as shown in the ADOT memorandum, current for the date of use of
the material, as compared to the "initial cost".
Adjustments in compensation for emulsified asphalt will be made for the bituminous
material prior to dilution.
The tons of bituminous materials which are paid for on an invoice basis to which the
adjustment will be applicable are the tons which have been delivered to the project and
subsequently incorporated into the work. The adjustment will be applicable on the date
of use of the bituminous material.
Price Adjustment for Bituminous Materials shall include an adjustment for the actual
change in cost of premiums on required payment and performance bonds, the actual
Exhibit A Page 9 of 11

change in cost of premiums for property damage and/or public liability insurance, and
the change in sales tax (identified in Section 109.2.3) liability incurred as a result of the
price adjustment for bituminous materials. The Contractor shall provide documentation
to determine the adjustment for the actual change in cost of premiums on required
payment and performance bonds, property damage and/or public liability insurance, and
sales tax.
No additional compensation will be made for any additional or increased charges, costs,
expenses, etc., which the Contractor may have incurred since the time of bidding and
which may be the result of any increase in the "initial cost" of bituminous material.
The Price Adjustment for Bituminous Materials will be made in the next regular monthly
progress payment following actual use or application of the bituminous material and
may cause an increase or decrease in payments.
SECTION 401 TRAFFIC CONTROL
401.2.4 PAVEMENT MARKINGS, add the following:
On projects that will partially or totally obliterate striping; the Contractor shall provide
documentation of all existing pavement markings on a detailed drawing at 1" = 40' ft
scale. MCDOT shall have ten working days to verify the submitted pavement markings
documentation for approval or modification as required. The documentation of existing
pavement markings shall be approved by MCDOT prior to any work that will obliterate
existing markings. The documentation shall include width of the existing pavement, lane
widths, lengths and locations of all striped tapers, lengths of left and right turn lanes,
widths and lengths of two-way left turn lanes, start and stop of "no passing" zones,
pavement arrows for left and right turn anes, distance and width of diagonal pavement
markings, lengths and widths of crosswalks, stop bars, and word messages (i.e. stop
ahead, etc.), type and location of raised pavement markers, locations of all traffic signal
detection loops, and location of all fire hydrants and any other items that the Engineer
determines to be significant.. The documentation shall extend 500 feet beyond the
beginning and ends of the project.
401.6 MEASUREMENT, add the following:
When an officer is used less than 3 hours, a minimum of 3 hours will be charged.
Anything over 3 hours will be measured by the hour.
401.7 PAYMENT, add the following:
Exhibit A Page 1 0 of 11

Payment for Traffic Control, based upon approved time and material invoices, in
accordance with Section 109.5 an amount not to exceed the ALLOWANCE established
by mutual agreement between the Contractor and the County for the work assignment.
Payment will be made at the contract bid price in the proposal for uniformed, off-duty
law enforcement officer. If the officer is utilized in excess of 8 hours in any calendar day
or in excess of 40 hours in any calendar work week, payment shall be at the rate of 1
1/2 times the contract bid price for all hours worked in excess in either of the above time
periods.
Payment for Document Existing Pavement Markings, approved time and material
invoices, in accordance with Section 109.5 an amount not to exceed the ALLOWANCE
established by mutual agreement between the Contractor and the County for the work
assignment.
405.4 INSTALLATION, add the following:
The contractor will conduct a pre activity meeting to review the type and location of all
monuments to be installed. No monuments shall be installed without the inspector
being present and approval.
SECTION 460 REMOVAL OF PAVEMENT MARKINGS AND RAISED PAVEMENT
MARKERS
460.4 PAYMENT, add the following:
No payment will be made when removal of thermoplastic or paint occurs as part of the
milling process or when existing paint will not affect the project. For all other incidents,
payment will be made in accordance with Section 460 of the MCDOT Supplement.
Exhibit A Page 11 of 11

EXHIBIT B-FEE SCHEDULE
171087-JOC Roadway Construction, Stabilization, and Paving Services (MCDOT Contract #. 2017-001 Thru
2017-003)
Page 25 of 25

EXHIBIT B UNIT PRICE LIST
171087 JOC
Banicki
Bid item Description Unit Unit Price
105.06000 Railroad Flagman Allowance Allowance To Be Negotiated
107.01501 Community Relations Support Allowance To Be Negotiated
107.02000 AZPDES Allowance To Be Negotiated
107.02010 Compliance with Maricopa County MS4 Stormwater Regulation Allowance To Be Negotiated
107.02100 Environmental Mitigation Compliance Allowance To Be Negotiated
107.02200 404 Permit Compliance Allowance To Be Negotiated
107.04001 Bird Nest Survey Lump Sum To Be Negotiated
107.04002 Bird Nest Relocation Allowance To Be Negotiated
109.09001 Mobilization / Demobilization (Roadway) 5 36 Mile from MCDOT Lump Sum $ 6,000.00
109.09011 Mobilization / Demobilization (Roadway) ?. 36 Mile from MCDOT Lump Sum $ 9,000.00
109.09002 Mobilization / Demobilization (Milling) 5 36 Mile from MCDOT Lump Sum $ 2,000.00
109.09022 Mobilization / Demobilization (Milling) 36 Mile from MCDOT Lump Sum 3,000.00
109.09003 Mobilization / Demobilization (Paving) s 36 Mile from MCDOT Lump Sum $ 4,000.00
109.09033 Mobilization / Demobilization (Paving) 36 Mile from MCDOT Lump Sum $ 6,000.00
109.09004 Mobilization / Demobilization (Stabilization) s 36 Mile from MCDOT Lump Sum $ 6,000.00
109.09044 Mobilization / Demobilization (Stabilization) 36 Mile from MCDOT Lump Sum $ 9,000.00
Mobilization / Demobilization (Pavement Marking Removal - Paint
109.09054 and Thermo) s 36 Mile from MCDOT Each $ 1,275.00
Mobilization / Demobilization (Pavement Marking Removal - Paint
109.09055 and Thermo) _? 36 Mile from MCDOT Each $ 1,275.00
Mobilization / Demobilization (Pavement Marking - Paint) S 36 Mile
109.09056 from MCDOT Each $ 1,275.00
Mobilization / Demobilization (Pavement Marking - Paint) 36 Mile
109.09057 from MCDOT Each 1,275.00
Mobilization / Demobilization (Pavement Marking - Thermoplastic)
109.09058 S 36 Mile from MCDOT Each $ 1,275.00
Mobilization / Demobilization (Pavement Marking - Thermoplastic)
109.09059 36 Mile from MCDOT Each 1,275.00
109.40000 Miscellaneous Work (Minor Alterations) Allowance To Be Negotiated
201.02012 Remove and Disposal of Trees, Diameter > 12" EA To Be Negotiated
Earthwork (includes Excavation, Fill Construction and Imported
205.01150 Borrow) CY To Be Negotiated
206.02000 Structural Backfill CV To Be Negotiated
212.01000 Roadway Obliteration SY To Be Negotiated
220.10075 Rip-Rap D50=3" CV $ 167.00
220.10150 Rip-Rap D50=6" CY $ 167.00
220.10300 Rip-Rap D50=12" CV $ 175.00
220.10450 Rip-Rap D50=18" CY 195.00
220.20000 Grouted Riprap CY To Be Negotiated
230.02000 Acrylic Copolymer Dust Palliative SY To Be Negotiated
301.01000 Subgrade Preparation SY $ 2.90
171087-JOC Banicki 1 of 6 10/3/2017

EXHIBIT B UNIT PRICE LIST
171087 JOC
Banicki
Bid Item Description Unit Unit Price
301.01100 Subgrade & Leveling Course Repair SY To Be Negotiated
301.02000 Engineers Authorized Repairs (Contingent Item) Allowance To Be Negotiated
306.01000 Geogrids and Engineering Geotextiles SY To Be Negotiated
308.01006 Lime Slurry with Fly Ash Stabilization, 6" Depth, 5 10,000 SY SY To Be Negotiated
308.02006 Lime Slurry with Fly Ash Stabilization, 6" Depth, > 10,000 SY SY To Be Negotiated
310.03000 Aggregate Base Course Ton $ 22.00
311.01040 Soil Cement Treated Base Course, Per 4' Layer, 5 10,000 SY SY To Be Negotiated
311.01041 Soil Cement Treated Base Course, Per 4" Layer, > 10,000 SY SY To Be Negotiated
317.01000 Asphalt Concrete Milling SY To Be Negotiated
317.01023 Rumble Strips (Milling) EA To Be Negotiated
Asphalt Concrete Pavement (Marshall 1/2" Mix, High Traffic), 5
321.00200 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Marshall 1/2" Mix, High Traffic), >
321.00210 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Marshall 1/2" Mix, Low Traffic), 5
321.00201 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Marshall 1/2" Mix, Low Traffic), >
321.00202 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Marshall 3/4" Mix, High Traffic), 5
321.00300 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Marshall 3/4" Mix, High Traffic), >
321.00310 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Marshall 3/4" Mix, Low Traffic), 5
321.00301 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Marshall 3/4" Mix, Low Traffic), >
321.00311 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Superpave 1/2'' Mix, High Traffic), 5
321.01200 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Superpave 1/2" Mix, High Traffic), >
321.01210 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Superpave 1/2" Mix, Low Traffic), 5
321.01201 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Superpave 1/2" Mix, Low Traffic), >
321.01211 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Superpave 3/4" Mix, High Traffic), 5
321.01300 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Superpave 3/4" Mix, High Traffic), >
321.01310 1,000 Tons Ton $ 95.00
Asphalt Concrete Pavement (Superpave 3/4" Mix, Low Traffic), 5
321.01301 1,000 Tons Ton $ 99.00
Asphalt Concrete Pavement (Superpave 3/4" Mix, Low Traffic), >
321.01311 1,000 Tons Ton 95.00
321.02000 Rideability Allowance To Be Negotiated
321.04000 Safety Edge Preparation LF $ 1.00
321.21200 Residential Speed Hump, Det 2010-1 LF $ 410.00
321.21300 Residential Speed Hump, Det 2010-2 LF $ 410.00
171087-JOC Ban icki 2 of 6 10/3/2017

EXHIBIT B UNIT PRICE LIST
171087 JOC
Banicki
Bid Item Description Unit Unit Price
321.22000 Speed Hump Extension, Det 2010-3 LF $ 410.00
321.23000 Residential Speed Cushion, Det 2011 LF $ 410.00
324.01090 Portland Cement Concrete Pavement (PCCP) 9" Thick SY To Be Negotiated
325.10375 Asphaltic-Rubber Concrete Pavement (High Traffic) Ton To Be Negotiated
325.10385 Asphaltic-Rubber Concrete Pavement (Low Traffic) Ton To Be Negotiated
325.20000 Application of Lime Water SY $ 0.25
329.01000 Bituminous Tack Coat SS-1h, Diluted Ton $ 1,050,00
331.00000 Pavement Surface Treatment SY To Be Negotiated
334.00000 Pavement Sealer SY To Be Negotiated
336.01100 Asphalt Pavement Replacement SY To Be Negotiated
336.03210 Asphalt Pavement Repair SY To Be Negotiated
338.01000 Price Adjustment for Bituminous Materials Allowance To Be Negotiated
340,01100 Vertical Curb & Gutter LF To Be Negotiated
340.01102 Concrete Ribbon Curb LF To Be Negotiated
340.01103 Roll Curb & Gutter LF To Be Negotiated
340.01105 Single Curb LF To Be Negotiated
340.01108 Mountable Curb & Gutter LF To Be Negotiated
340.01210 Concrete Sidewalk, MAG Det 230 SF $ 6.50
340.01215 Concrete Median Paving, 4" Thick SF $ 6.75
340.01300 Sidewalk Ramp Retrofit Each To Be Negotiated
340.01301 Sidewalk Ramp Each To Be Negotiated
340.01302 Curb Ramp Each To Be Negotiated
340.01401 Driveway Concrete SF To Be Negotiated
340.01600 Concrete Apron and Valley Gutter, MAG Det 240 SF To Be Negotiated
340.03030 Concrete Slope Paving, 3" Thick SY To Be Negotiated
342.01100 Concrete Paving Stone SF To Be Negotiated
345.01000 Adjust Frame & Cover to Grade, MAG Det 270 Each $ 800.00
345.01100 Adjust Manhole Frame & Cover, MAG Det 422 Each 800.00
345.01102 Adjust Manhole Height, MAG Det 420 Each $ 800.00
345.01200 Adjust Valve Box & Cover, MAG Det 391-1-A Each 800.00
345.01300 Adjust Valve Box & Cover, MAG Det 391-1-B Each $ 800.00
345.01400 Adjust Valve Box & Cover, MAG Det 391-1-C Each $ 800.00
345.01500 Adjust Water Meter Box & Cover to Grade Each $ 800.00
350.01100 Remove Pipe, Backfill & Compact, D less than 30" LF To Be Negotiated
350.01200 Remove Pipe, Backfill & Compact, D=30" or greater LF To Be Negotiated
350.01500 Remove Headwall Each To Be Negotiated
350.01800 Remove Concrete Curb and Gutter LF $ 10.00
350.01850 Remove Concrete Single Curb LF $ 10.00
Remove Concrete Flatwork - Sidewalk, Driveway, Valley Gutter,
350.01990 Apron, etc. SF 5.00
171087-JOC Banicki 3 of 6 10/3/2017

EXHIBIT B UNIT PRICE LIST
171087 JOC
Banicki
Bid Item Description Unit Unit Price
350.04000 Remove and Salvage Traffic Sign Assembly Each $ 120.00
350.30109 Remove Fence LF To Be Negotiated
350.50000 Miscellaneous Removals and Other Work Allowance To Be Negotiated
351.11000 Relocate Mailbox, with Existing Support Each $ 255.00
351.11010 Relocate Mailbox, with New Support Each $ 300.00
351.20109 Relocate Fence LF To Be Negotiated
351.22110 Relocate Gate Each To Be Negotiated
401.01000 Traffic Control Allowance To Be Negotiated
401.01100 Uniformed Off-Duty Law Enforcement Officer Allowance To Be Negotiated
401.06100 Changeable Message Board for Public Notification Day $ 90.00
401.20000 Document Existing Pavement Markings Allowance To Be Negotiated
405.00011 Survey Services Allowance To Be Negotiated
405.00030 Survey Marker, MAG Det 120, Type C Each $ 595.00
405.01000 Survey Marker, MAG Det 120, Type B Each $ 595.00
405.01100 Survey Marker, MAG Det 120, Type A Each 700.00
420.00000 Fence LF To Be Negotiated
421.14501 Fence Gate Each To Be Negotiated
430.01201 Hydro Seeding - Native Seed Mix Acre 4,900.00
430.02000 Native Plant Relocation <Identify Native Plant Type> Each To Be Negotiated
430.02038 Native Plant Relocation Mesquite Tree Each To Be Negotiated
430.02040 Native Plant Relocation Palo VerdeTree Each To Be Negotiated
430.02050 Native Plant Relocation Iron Wood Tree Each To Be Negotiated
430.02075 Native Plant Relocation Saguaro Cactus, Single Spear Each To Be Negotiated
Native Plant Relocation Saguaro Cactus, Multiple Arm (15' and
430.02076 Under) Each To Be Negotiated
430.02077 Native Plant Relocation Saguaro Cactus, Multiple Arm (Over 15') Each To Be Negotiated
430.42000 Decomposed Granite, 2" Thick SY To Be Negotiated
430.43000 Decomposed Granite, 3" Thick SY To Be Negotiated
432.10010 Gravel Mulch SY To Be Negotiated
440.10000 Landscape / Irrigation Restoration Allowance To Be Negotiated
460.01000 Remove Paint Stdpe LF $ 1.30
460.01100 Remove Painted Symbol - Arrow Each $ 96.00
460.01200 Remove Painted Symbol - RR Crossing Each 160.00
460.01300 Remove Painted Symbol - Bike Lane Marking Set Each $ 130.00
460.01400 Remove Painted Symbol - Legend "Only" Each $ 96.00
460.02000 Remove Thermoplastic Stripe LF $ 1.55
460.02200 Remove Thermoplastic Legend "Only" Each $ 130.00
460.02210 Remove Painted Symbol - RR Crossing Each $ 200.00
460.02220 Remove Thermoplastic - Arrow Each $ 130.00
171087-10C Banicki 4 of 6 10/3/2017

EXHIBIT B UNIT PRICE LIST
171087 JOC
Banicki
Bid Item Description Unit Unit Price
460.03000 Remove Raised Pavement Marker Each $ 2.60
461.01100 4" White Traffic Paint Stripe LF $ 0.53
461.01200 4" Yellow Traffic Paint Stripe LF 0.53
461.01501 Paint Symbol - Arrow Each 110.00
461.01515 Paint Syrnbol (RR Crossing) Each $ 320.00
461.01520 Paint Symbol (Bike Lane Marking Set) Each $ 145.00
461.01600 Paint Median Island LF $ 3.00
462.01100 4" White Thermoplastic Traffic Stripe LF $ 0.96
462.01200 4" Yellow Thermoplastic Traffic Stripe LF 0.96
461.01710 Paint Legend (ONLY) Each $ 115.00
462.01510 Thermoplastic Symbol Arrow Each 180.00
462.01515 Thermoplastic Symbol (RR Crossing) Each $ 380.00
462.01705 Thermoplastic Pavement Legend "ONLY" Each 200.00
463.01000 Reflectorized Raised Pavement Marker (Type C, Clear, Red) Each $ 5.75
463.01100 Reflectorized Raised Pavement Marker (Type D, Yellow, 2-Way) Each $ 5.75
463.01200 Reflectorized Raised Pavement Marker (Type G, Clear, 1-Way) Each 5.75
463.01300 Reflectorized Raised Pavement Marker (Type H, Yellow, 1-Way) Each $ 5.75
463.01400 Reflectorized Raised Pavement Marker (Type BB, Blue, 2-Way) Each 13.25
464.02000 Perforated Sign Post LF $ 13.25
464.02001 Perforated Sign Post Foundation, Det 2058 Each 500,00
464.03000 U-Channel Sign Post LF $ 10.00
464.03001 U-Channel Sign Post Installation, Det 2059 Each $ 192.00
465.01002 Flat Sheet Aluminum Sign Panel, High Intensity Grade SF $ 25.00
465.01003 Flat Sheet Aluminum Sign Panel, Diamond Grade SF 30.00
473.61000 6 X 6' Detector Loop Each 1,000.00
473.62000 6' X 20' Quadrupole Loop Each $ 1,400.00
473.63000 6' X 30' Quadrupole Loop Each $ 1,625.00
473.64000 6' X 40' Quadrupole Loop Each $ 2,000.00
473.65000 6' X 50' Quadrupole Loop Each $ 2,300.00
505.01100 MAO Class AA Concrete CY To Be Negotiated
505.06000 Reinforced Concrete Approach Slab SF To Be Negotiated
505.06400 Concrete Scupper Each To Be Negotiated
505.06510 Concrete Spillway LF To Be Negotiated
505.10101 Catch Basin Each To Be Negotiated
505.17002 2' Concrete Cut-Off Walls, MAO Det 552 (Upstream) LF $ 120.00
4' Concrete Cut-Off Walls, MAG Det 552 (Downstream, w/ weep
505.17014 holes and aggregate drain) LF $ 145.00
508.07000 Cattle Guard Each To Be Negotiated
520.01035 Safety Rail (Height = 3'-6") MAG Det 145 LF $ 95.00
171087-10C Banicki 5 of 6 10/3/2017

EXHIBIT B UNIT PRICE LIST
171087 .10C
Banicki
Bid Item Description Unit Unit Price
520.01047 Safety Rail (Height = 4'-8") MAG Det 145 LF 110.00
523.01010 Headwall (Concrete) SF To Be Negotiated
523.01020 Headwall (Block) SF To Be Negotiated
525.02153 Pneumatically Placed Mortar (Shotcrete) <3 Thick SY 75.00
525.02155 Pneumatically Placed Mortar (Shotcrete) 6" Thick SY 90.00
604.01005 Controlled Low Strength Material, 1/2 Sack CY 95.00
604.01010 Controlled Low Strength Material, 1 Sack CY 99.00
604.01015 Controlled Low Strength Material, 1% Sack CV $ 104.00
618.00901 Concrete Pipe Collar Each To Be Negotiated
618.01010 Concrete Pipe End Section Each To Be Negotiated
618.20300 RGRCP, Class III LF To Be Negotiated
618.20400 RGRCP, Class IV LF To Be Negotiated
618.21300 RGRCP Arch Pipe LF To Be Negotiated
621.10800 CMP, Galvanized LF To Be Negotiated
621.11000 CMP, Bituminous-Coated Type A LF To Be Negotiated
621.30100 End Section CMP Each To Be Negotiated
625.10130 Drywell, "Maxiwell IV" or equal, basic depth 30' Each To Be Negotiated
725.20000 Portland Cement ASTM C-150, Type II Ton 195.00
792.10000 PetroHum Resin Ton To Be Negotiated
Submitting Firm: Banicki Construction
Name: (Print):
Signature and Date: /6/7 ,02/
171087-10C Banicki 6 of 6 10/3/2017

STATEMENT 0 BidSync Submitted Copy
MARICOPA COUNTY
ROADWAY CONSTRUCTION STABILIZATION
D PAVEMENT SERVICES
Submitted by:
J. Banicki Construction, Inc.
4720 E. Cotton Gin Loop, Suite 240
Phoenix, AZ 85040
Contact: Mike Abraham, President
(602) 390-1243 or mabraham@banicki.com
# A ROC 091410 A Sterling Construction Company

June 22, 2017
Paul Shamrock, CPPB, Article V Procurement Officer
Maricopa County
Office of Procurement Services
320 W. Lincoln St. (Second Floor) Banicki Construction
Phoenix, AZ 85003 A Sterling Construction Company
Re: Statement of Qualifications for Job Order Contractor
Serial # 171087-JOG, Contract #2017-001 thru 2017-003
Roadway Construction, Stabilization & Paving Services
Mr. Shamrock and Members of the Selection Committee,
J. Banicki Construction, Inc. (Banicki) is extremely pleased to submit our Statement of Qualifications for this Job
Order Contract (JOG). As a JOC contractor currently delivering services to MCDOT under this contract, Banicki has proven to
be a strong partner able to effectively meet the County's needs on a wide-range of JOC Task orders. We look forward to the
opportunity to continue to grow this relationship and in doing so, we will continue to meet not only the specifications
for each task order but your vision for JOG contracting now and into the future. Jeff Price, JOG Project Manager, will
continue to lead the Banicki project team currently in place and successfully delivering the exact scope of work as
under the existing JOG services contract. Jeff demonstrates proven leadership, knowledge of JOG best practices,
and a comprehensive understanding of MCDOT processes and preferences.
The unique qualifications, experience and our successful track record as a local JOG contractor continue to
compliment the needs of the County under this contract. This record is underpinned by approaches and methods
unique to our firm:
0 A JOC Divisional structure that has built best-practice approaches and methods unique to JOC delivery. Our successful
record of 25 JOG renewals across all clients demonstrates the quality and scalability of our JOG approach - our
current work with the County demonstrates our ability to use these tools to deliver solutions that meet your
needs;
o A focus on partnership that goes beyond simply "building the job". At the industry level, Banicki has been recognized
for this focus with multiple ADOT Arizona Partnership Excellence Awards - but every day, in the field, we are
also recognized for partnering with MCDOT Staff, subcontractors and vendors to develop quality, sustainable
projects that meet tough engineering, environmental and funding benchmarks; and
o A preconstruction services approach that "de-risks" task orders from the start. Our team of specialists routinely works
with abbreviated designs and plans, or partners with local engineering resources to develop the innovative,
constructable plans needed. In "de-risking" the scope of work for each task order, we physically walk each
job and provide constructability, budget and schedule reviews that identify potential challenges while offering
innovative solutions. As a result, we clear the way for rapid, efficient construction while attempting to eliminate
the possibility of change orders.
We are excited for the opportunity to continue our work with the County and are confident that Banicki's JOG
Division will continue to meet your delivery, partnership and innovation goals for JOG Delivery.
Thank you for your consideration,
Mike Abraham, President
Banicki has exercised reasonable diligence in the preparation of the SOQ and that all contents are true, accurate and complete, to the best of the
signer's knovvledge, no exceptions are taken to the contents of the PSOQ and we acknowledge additional information provided. As President of J.
Banicki Construction, Inc. Mike Abraham is authorized to bind the Proposer contractually.
J. Banicki Construction, Inc.
4720 E Cotton Gin Loop, Suite 240, Phoenix, AZ 85040
mabraham@banicki.com I (602) 390-1243 I Lic. # A ROC 091410

xperience o
urni ar Promects

MARICOPACOUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL #171087-JOG CONTRACT #2017-001THRU 2017-003
A. Experience Pf the Film on Similar Projects
Banicki is proud to have a long and successful history of working with Maricopa County. Over the past five years, we
have successfully delivered over 47 projects for MCDOT, and have projects pending or in progress at the current time as we detail
below. With our experience in meeting the County's expectations through collaboration and innovation, we are able
to eliminate any learning curves, meet your preferences and specifications routinely, and hit the ground running upon
receipt of any task order to ensure rapid completion.
Below is a listing of Banicki's Maricopa County project experience since 2012. Our standardized approach to JOC
delivery is scalable so that every project - from the $21K 99th Ave. & MC85 Pavement Marking to the $829K 7T528
Various Roadways effort - benefits from a planned and methodical approach that manages risk and meets project
benchmarks.
2C ' 7 MCRO8 New River Land Fill Access Road; 110406 Riggs Rd.: Power Rd. to Hawes RC; 31st Ave. -
5 Proi:Jcts I $843K Fence Relocation; Dobson Rd. Overlay/Rehab; and MOO Parks Pipeline Bridge Repair;
Anthem Area Drainage; MMT02 Baseline Rd. & Salome Hwy. Rumble Strips; New River Rd. Maricopa
20' 6 Trail Crossing at Linda Lane; 11th Ave. Drainage Rock; 29th Ave. and Irvine Rd.; 11528 Various
12 Projects I $3.2M Roadways; Aguila Rd. Relocations; Warner Rd. / Sossaman Rd. Rumble Strips; Peak View Road;
174th St. at Rio Verde Dr.; Camelback Rd. at VVigwam Creek; and Riggs Rd. - Recker Rd. to Power.
St. Johns Rd.; 17410 - 11th Ave./Honda Bow Rd.; El Mirage Road - Picerne Drive to Bell Road;
20' 5 Sabrosa Dr. MFROO; Vulture Mine Headwall Repair; 99th Ave. - Concord Ave. to Tarrytown Ave.;
10 Projects I $2,8M Dysart Rd. Repairs; Germann Rd. 11471; 11142 McDowell Road Bike Lane; and Rumble Strips
TE005 Maricopa Road: MP 10 - MP 20.
11481 Happy Valley Parkway & 115th Ave.; N. Bound Val Vista Dr. S. of Thomas; 11403 87th Ave.
- Via Montoya Dr. to Williams Rd.; 1T401 88th Ave. - Deer Valley Rd. to Williams Rd.; 11400 87th
201 4 Ave. - Deer Valley Rd. to Via Montoya Dr.; TT435 2701 E. Lehi Rd. & 3434 N. Val Vista Dr.; 11410
9 Projects I $3 7M McKellips Rd. & Circle Mountain Rd.; FY2014-Eagle Eye Rd. Asphalt Rubber Overlay-Arterials; and
Crush Millings inside the Cave Creek Landfill.
20 Project 11409 Package B; and Project TT409 Package A; and Southern Ave. and Meridian -
2 Projects I $2. Intersection Improvements. .„
Germann Rd.- East of Ellsworth Rd.; 99th Ave. & MC85 Pavement Marking; Sun Lakes & Riggs Rd.
20' 2 Left Turn Lane; MC85 & 99th Ave. Intersection; Broadway Rd. © 83rd Ave. & 79th Ave.; Cattle Guard
7 Projects I $978K Rumble Strips (Hunt Hwy./Riggs Rd.); and 43rd Ave. - Broadway Rd. to Weir Ave. Dust Mitigation. ,
Jennifer Toth, RE., Director of Transportation
In reference to our performance on the TT -401, 88th Ave. projec
"I would like to Lake this opportunity to thank you and your staff at Banicki Construction
for your continued partnership with IV1CDOT and for the great job you have been doing on
projects in Maricopa County. I appreciate your efforts to provide effective
communication and for the importance you place on safety and easy
passage for traffic. I look forward to our continued partnership on construction
projects in Maricopa County in the future."
I
Dania! Construction Recoanized Specialism in jai', Delivery.

MAR1COPA COUNTY I JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # I71087-JOC CONTRACT #2017-001 THRU 2017-003
Below, we have provided a greater focus - detailing select task orders and projects that represent our success in
not only delivering the scope of work, but "de-risking" challenges, driving innovation and managing best practices
in the field.
1 1. Various Roadways Renovations - Willis Road Banicki managed nine
1 Location: Maricopa County subcontractors for the project
including; Bryce (Milling); NBC
1 Contract Type: JOG Owner Contact Name: (Traffic Control); CPC (Concrete
1 Final Cost: $E326K Bill Grimes and Misc.); SW Asphalt
Contact Role/Position: Inspection (Asphalt); Specialty Svcs.
I Start Date: 05/2016 Supervisor (Manhole Adjustments); and
Telephone: (602) 723-5593 PM/ (Striping and Marking).
I Phased Construction: YES Email: billgrimes@mail.
maricopa.gov
1 Owner: MCDOT
Banicki managed the mill and overlay for various homeowners regarding paving dates and road access
roads including driveway improvements, adjustments, and worked with each to plan access and improvements
striping and signage. To address advanced pavement to their driveways. This work included new concrete
deterioration of Willis Road, Banicki suggested the use of drives, replacement of brick paver driveways and
a FORTI Fl additive mix for the project and collaborated stone entryways, as well as decomposed granite as
with MCDOT to test and evaluate the new mix. As part of designated by MCDOT on a per driveway basis. We
our JOG preconstruction approach, Banicki and MCDOT worked with equestrian enthusiasts in the area to ensure
representatives walked every job site to review scope, as trailer and trail access. Work was completed adjacent to
some jobs had limited plans and others had none at all. live traffic while maintaining public access under a one-
As a result, we were able to develop plans that met the lane flagging configuration, using proper traffic control
budget, minimized risks identified in the field, and met procedures with a safety emphasis, ultimately resulting in
MCDOT's schedule for the project. Before and during zero incidents for either our workers or members of the
construction, Banicki communicated consistently with public for the job.
Asphalt Concrete Delivered Roadway & Delivered $ Subcontractor
loadways & Misc. Roadways & Misc. On-Budget Traffic Control On-Time
2. nth Avenue: Irvine to Desert Hills Roadway Renovation subcontractors Banicki managed to numerous meet tough
Location: New River, AZ project benchmarks. These
Contract Type: JOG Owner Contact Name: included Cholla Construction
Final Cost: $535K Bill Grimes (Sealcoat); M&P (Trucking); NBC
Contact Role/Position: Inspection (Traffic and Barricade); Quality
Start Date: 05/2016 Supervisor Testing, Inc. (QC); Specialty
End Date: 06/2016 Telephone: (602) 723-5593 Services (Utility Adjustments);
Email: billgrimes@mail. Bacon inc. (Landscaping);
Phased Construction: YES Insearch Corp (ABC); and
Owner: MCDOT maricopa.gov Concrete Placement inc.
Tough site conditions included rocky terrain and and kept in the truck to meet 310 regulations. Banicki
"hard dig" conditions which required excavation and worked with MCDOT to assess environmental impacts
subgrade preparation before the placement of 2" of of the project as well. Banicki staff verified the results of
asphalt concrete. The scope also included asphalt the MCDOT environmental / bird survey prior to removal
concrete driveway turnouts, signing, and drainage of encroaching trees within an allotted 10-day window.
area remediation. Banicki collaborated with MCDOT to Banicki communicated frequently with area homeowners
utilize Warm Mix Asphalt in order to evaluate and vet its as to the construction schedule, travel access and
potential application on future projects. In doing so, we driveway improvements, minimizing public complaints
coordinated for special application schedules as the mix and maintaining open communication channels with
required a longer lead time than other paving methods. both the public and MCDOT throughout the life of the
As with every JOG project we deliver, dust was controlled project.
through the use of a water truck, and our teams were
100% ADEQ compliant with Daily Logs maintained
Asphalt Roadway & Delivered Stormwater & 06. Subcontractor
Roadways & Misc. Traffic Control m, On-Budget Drainage Scope eel Management
I 2
Recognized Specialists in JOG Delivery.

MARICOPA COUNTY I JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL #1710 87-J00 CONTRACT # 2 017-0 THRU 2017-003
3. Camelback Road West of Wigwam Roadway Renovation Banicki managed multiple
Location: Phoenix, AZ subcontractors during the
project effort including ACS,
Contract Type: JOG Owner Contact Name: Inc. (QC); Biyco
Final Cost: S315K Leon Adair CPC (Concrete); Frankfin
Contact Role/Position:Sr. Striping Inc. (Striping); NBC
Start Date: 08/2016 Engineer/Assoc. PM (Traffic and Barricade);
End Date: 09/2016 Telephone: (602) 723-5813 SW Asphatt (Asphalt); and
Phased Construction: YES Email: leonadair@mail. Pro force Inc. (Officers).
maricopa.gov
Owner: MCDOT
This project called for the removal and replacement of this effort, the Banicki estimating team provided MCDOT
the expansive soil backfill material from the fiber optic with cost evaluations for alternatives as well as revisions
trench crossing Camelback Road. Original discovery and alternatives to the initial schedule for the project.
during preconstruction attributed the damage to the We focused on partnering and constant communication
roadway to lack of utility backfill. Once work began, with the public and with MCDOT representatives to
Banicki field crews discovered that the roadway was built minimize the impacts of the additional work required.
over an unstable wash with expansive soil, leading to Banicki was also able to accelerate the final schedule
deterioration and heaving under traffic volume. Banicki through dual-shift work to complete the project and
worked with MCDOT inspectors to devise a remediation minimize impacts to MCDOT and the traveling public.
plan before paving which included additional embankment Through a comprehensive traffic management and public
construction, replacement of existing asphalt on the communication strategy and excellent field crew and
east and west bound lanes of Camelback Road and the subcontractor management, we were able to deliver the
replacement of the curb, gutter and sidewalk. Throughout project one week earlier than planned.
Stormwater Drainage Scope & On-Time Delivered Asphalt Roadways & Misc. Concrete Roadways & Misc i*e* tie Management Subcontractor
4. Posse Bike Park Native Trail JOG In addition to managing
Location: Sedona, AZ ancillary subcontractors,
Banicki worked with
Contract Type: JOG Owner Contact Name: local special-interest
Final Cost $130K Andy Dickey groups to coordinate
Contact Role/Position: Director of volunteer efforts focused
Start Date: 03/2016 Public Works on trail maintenance and
End Date: 06/2016 Telephone: (928) 203-5059 preservation.
Phased Construction: YES Email: adickey@sedonaaz.gov
Owner: City of Sedona
This first-of-a-kind project for the City of Sedona, was The project scope included minimal impact grubbing,
sponsored by the Verde Valley Cyclists Coalition to natural swale and drainage outfall construction,
develop a point-of-destination for local mountain bike rough and finished grading of bike trails, installation
enthusiasts as well as to create a tourism draw based on of wayfinding signage, and specialized sport-specific
the natural environmental resources of the area. As such, amenities. In order to meet strict environmental and
all work had to compliment the native environment - both "minimal disturbance" goals, Banicki utilized machinery
during and after construction. Over the months prior to specially selected for size and ease of access. In many
construction, Banicki worked directly with the City, the locations, additional sloping by hand was needed to
Coalition and other project stakeholders to collaborate meet demanding technical specifications required for
on means, methods and the vision for final construction. trail rating at closeout.
Delivered Delivered
)11-Budget On-Time
Banicki Construction Recognized Specialists in OC Delivery. 1 3

MARICOPA COUNTY I JOC
ROADWAY CONSTRUCTION, STABILIZATION G PAVING SERVICES
SERIAL # 171087-J00 CONTRACT# 2017-001 THRU 2017-003
1 5. PSHIA North Service Road Full Depth Replacement - East I Banicki scope within delivered a tight additional
1 of Location: Station Phoenix 29 Sky Harbor International Airport schedule managing
subcontractors which
I Contact Type: JOG Owner Contact Name: included: CNS Sweeping
1 Final Cost: $372K Joseph Francis (Sweeping and Milling);
Contact Role/Position: Skytai; Inc. (Trucking
I Start Date: 02/2017 Project Manager and Hauling); and Trace
1 End Date: 04/2017 Telephone: (602) 273-4301 Consulting (Survey
Phased Construction: YES Email: Joseph.francis@phoenix. and Misc. Engineering
gov Services).
Owner: City of Phoenix Aviation
; Department
Work on this project included 1,600 LF of full depth job. As a result of the collaborative effort, the project
asphalt removal, roadway excavation, place, compact team developed a solution that (a) over-excavated an
and fine grade ABC, paving, and pavement marking, additional 12" of subgrade across the entire footprint of
while increasing the overall width of the roadway from the proposed roadway; (b) created a methodology for
21.5' to 24'. During roadway excavation, Banicki testing and identifying unsuitable soil; and (c) utilized
uncovered potential unstable subgrade and worked innovative materials (GeoGrid) to reinforce the roadway
with the City to immediately have soil samples taken. section overall. Banicki utilized MAG ABC to cover
Testing revealed that over 70% of the roadway subgrade the geogrid mat and bridge the undercut, and then
required replacement. Banicki collaborated closely backfilled the undercut to subgrade elevation. Despite
with the City of Phoenix Aviation Department Project these remediation challenges, Banicki was able to
Manager, Airside Operations and Field Inspection complete the project on-time, while mitigating many of
teams to develop and vet options for performing the the significant cost impacts resulting from the additional
needed work under the strict schedule required for the work.
Delivered Dc-Budget On-lime Delivered Traffic Roadway Control &i Asphalt Roadways & Misc. re4§ die Subcontractor Management
6. City of Glendale Bridge Repair Program Banicki subcontractors managed including: key
I Location: Glendale, AZ Canyon Country
I Contact Type: JOG Owner Contact Name: Contracting (Trucking);
I Final Cost: $169K Wade Ansell, PE, RLS Dougherty Painting (Paint
Contact Role/Position: Senior Civil Coverings); 5G Guardrail
I Start Date: 05/2017 Engineer (Handrail and Attenuator
I End Date: 06/2017 Telephone: (623) 930-3649 Installation); and Metro
Email: wansell@glendaleaz,com Traffic (Traffic Control and
I Phased Construction: YES Barrier).
I Owner: City of Glendale
Work at 10 separate locations included the removal met. Acting as an extension of staff of the City, Banicki
of guardrail posts and terminals, installation of impact was approved to evaluate, document and complete
attenuators, evaluation and repair of damaged bridge as necessary. We advised the City of job progress,
barrier and unsound concrete, paint finishing of replaced discoveries and challenges, while offering solutions as
and exposed handrails, vegetation management, erosion well as innovative constructability options. We managed
repair and electrical repair. In bringing added value to our both subcontractors and the challenges of work on high-
work, Banicki teams coordinated with Field Inspectors volume, heavy traffic bridges, requiring precision traffic
to repair adjacent intersection concrete that had been control and coordination with the Cities of Glendale and
damaged during a car accident, but not identified in the Phoenix for utilities-related work. Utilizing in-house traffic
scope of our work. Although the original completion date expertise, we devised a method to enable both lanes of
for this project was slated for November 2017, funding bridge traffic to be open on peak traveling times, while
constraints required accelerated completion of portions closing to a single lane with a flagger to complete work
of the work by August 1,2017 - a benchmark that Banicki in low-volume hours.
Ell Concrete Structures On-Budget Delivered Traffic Roadway Control & On-lime Delivered Concrete Roadways & Misc. Gag eel Management Subcontractor
Banta! • • Construction Recognized Specie'lois in JOC Delivery, 4


MARIGOPA COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # I71087-JOG CONTRACT # 2017-001 THRU 2017-003
B. rim and SuhIontractor
Established in 1991, J. Banicki Construction, Inc. (Banicki), Banicki is an Arizona C Corporation, established in
a C corporation in Arizona, has successfully delivered Arizona in 1991.
nearly 1,000 projects worth over $429 million, spanning Banicki is part of the Sterling Group of Companies, which
state and municipal clients, Banicki currently has a total of is comprised of five heavy civil construction firms with
78 employees, with 18 working at the corporate office and operations throughout the western United States. Sterling
60 working at the field level. Our JOC Division is specifically Construction Group, Inc. has a strong history of delivering
staffed with construction professionals with expertise in working heavy civil infrastructure projects nationwide. Independently,
with limited budgets and time-sensitive municipal environments. Banicki has the financial capacity, bonding and insurance capacity
Across Arizona, our outstanding performance has earned 25 to meet the requirements of this Job Order Contract.
contract renewals from multiple City and County agencies.
With proven experience and unique JOC delivery expertise, Banicki is the right partner to continue to deliver the County's
JOC task orders on schedule and budget. Our „IOC experience in every facet of civil infrastructure delivery, as well our history
of successful work across the County, positions our team to meet the challenges of the next three years. This experience
is enhanced by our relationships established on trust and understanding of the unique preferences of Maricopa County.
To the right we have provided an
organizational chart of the JOC Division
detailing key personnel from management Project Stakeholders . Other Contractors and County
to field superintendents. Jeff Price, JOC County Departments and Utilities adjacent Departments to project working locations in /
Local Businesses and Residents
Project Manager, will be your single point Daily Vehicular Traffic
of contact for this contract. This allows for
quick and easy communication between Principal -in-Charge
Mike Abraham
the County, design team, stakeholders I denotes Key Personnel
and the JOC Division. The team members JOC Project Manager
chosen for this County JOC contract Jeff Price
have extensive experience in JOC project Safety Manager
delivery, have successfully teamed together Preconstruction Don Davis Services Chris Rodriguez
to deliver similar contracts, and understand Construction QA/QC
the special considerations and challenges Estimator Chad Shedlock
inherent to working on JOG job orders. John Schmidt
Once assigned, these team members will Project Engineer Project Superintendent 1'
stay for the duration of any project or task Hanna Nguyen Aaron Hickman
JOC
order assigned. Superintendent Project Superintendent 11'
Pool Tony Stanley
Subcontractor, Vendor and
Supplier Resources
Scott Ghee, Project .Manager
City of Phoenix Aviation Department
"I have managed JOC projects with Banicki for the last 5 years here at Sky Harbor. One of their best strengths is the people and their attitudes
- they take a lot of pride in the work they perform and strive toward having a guar )! product. The Banicki team is always willing to do whatever
is needed to complete The project within the budget and on schedule."
Banicki Construction Recognized Specialists in JOC Delivery. 5

MARION/A COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL #171087-.100 CONTRACT #2017-001THRU 2017-003
Dougherty Painting (Paint Coverings); 5G Guardrail
(Handrail and Attenuator Installation); and Metro Traffic
Banicki is located at 4720 E. Cotton Gin Loop, Suite (Traffic Control and Barrier) and Trace Consulting (Survey
240, Phoenix, AZ 85040. This is the home office for the and Misc. Engineering Services) and PM' (Striping and
personnel proposed in the organizational chart shown
Marking).
on page 5.
Banicki also has an excellent rapport with local labor unions
and equipment rental firms. This amplifies Banicki's ability
During our 26-year history, Banicki and/or officers of the to deliver value to the County using entirely locally sourced
firm have never had a contract or subcontract terminated resources while maintaining flexibility to meet the County's
or been involved in any claims, litigation or arbitration. planned schedule. Finally, Banicki provides continuous,
year-round training to its employees regarding state,
local and federal environmental and Title 6 regulations,
Banicki and its JOG Division have developed a strong and ADEQ compliance and SWPPP.
comprehensive understanding of current local market Engineering and Design Consultants
conditions, especially as it relates to labor, equipment, Banicki has working relationships with many engineering
subcontractor, and vendor availability. The Association of firms across Arizona, and our Division can quickly provide
General Contractors (AGC) 2016 Arizona Construction registered, third-party engineering and design services
survey shows 81% of firms responding expect the for any scope identified by the County under this JOC
construction market to continue to grow in 2017-2018. Contract. If needed, firms that our Division would utilize
Although this outlook is relatively optimistic, contractors and include:
owners still face a number of significant challenges. Foremost Kimley-Horn and Associates, Inc.
among these are the fluctuating cost and lead times for
Kimley-Horn is an employee-owned, multi-disciplinary
key materials and the availability of qualified workers - consulting engineering firm that has provided innovative
especially craft workers - to fill the available positions.
and cost-saving solutions to municipal clients throughout
Banicki has many long-standing relationships with Arizona for 25 years.
Maricopa County subcontractors and vendors, several TRACE Consulting, Inc.
of which have entered into long term agreements with TRACE Consulting is a locally-owned, full-service civil
Banicki to lock-in competitive unit prices in order to engineering company specializing in Traffic, Roadway,
counteract cost escalation. Banicki can leverage these and Construction Management services. The firm is
existing relationships to guarantee subcontractor and currently listed on the MCDOT Engineering On-Call
vendor availability to accommodate the County's roster and is highly familiar with local standards.
schedule needs. As we indicated in Section A, Experience of
the Firm, an abbrievated list of ancillary subcontractors utilized
on recent projects includes: Bryco (Milling); NBC (Traffic Arizona Class A, General Engineering Construction (ROC
Control); Cholla Construction (Sealcoat); Quality Testing, 091410) and C-11 Electrical (ROC 309223) Licenses.
Inc. (QC); CPC (Concrete and Misc.); SW Asphalt Banicki has never had a license revoked or suspended.
(Asphalt); Specialty Svcs. (Manhole Adjustments);
Franklin Striping Inc. (Striping); Proforce Inc.; CNS
Sweeping (Sweeping and Milling); Skytal, Inc.(Trucking
and Hauling); Canyon Country Contracting (Trucking); Banicki has attached a statement regarding our bonding
capacity in the Attachments.
THE COMM TO ucLIVER
CLIENT SATISFACTION RESPONSIVENESS CAPACITY
ENEWALS HOURS
Total number of Job Order Contract JOC Division Average First Response JOC Task Order Delivery Experience across all
(JOC) renewals. Time to JOC Work Orders Issued. Contracts Presented in Section B.
I 6
Contact Construction Recognized Specialists in JOC Delivery.

ons

MARICOPA COUNTY 1 .100
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-JOC CONTRACT # 2017-D01 THRU 2017-003
aUfication filesum
Jeff Price, JOG Project Manager, will continue to lead the Banicki project team currently in place and successfully delivering
the exact scope of work under the existing JOG services contract.
Various
Roadways 29th Avenue Camelback Posse Bike PSHIA North Glendale
Team Member Role Willis Road and Irvine and Wigwam Park Trail Service Road Bridges
Project Delivery Type 0, JOG JOG JOG JOG JOG JOG
Jeff Price Project Manager
Don Davis Precon. Services
Aaron Hickman Superintendent
Tony Stanley Superintendent
John Schmidt Estimator
Hanna Nguyen Project Engineer
Resumes are located in the Appendix and contain experience and qualification data in support of the role and scope
expertise detailed here.
Jeff Price Don Davis
Manaur Preconstru -on
Years Experience! Years Experience/
Years with -irm Years with -irm
As JOG Project Manager for this MCDOT Contract, Jeff's As Preconstruction Manager, Don actively leads
primary objective is to ensure the JOG Division consistently value analysis and constructability reviews to
meets the needs and expectations of the County. Jeff is ensure the development of innovative solutions
responsible for day-to-day management of project task orders which provide the best value and least cost to
from NTP to final closeout, oversees team efforts for safety MCDOT. He oversees the JOG estimating team,
and quality and is the main point of contact for MCDOT. Jeff led by John Schmidt, and acts as a professional
provides the Banicki team with technical direction for best resource and final level of oversight to ensure
practices and the optimal utilization of labor, materials and pricing for all County Task Orders is consistent.
equipment resources. He implements the Division's proven He oversees subcontractor selection and
approaches to ensure consistent delivery and a continuous analysis, as well as reviewing the estimate basis,
focus on safety, innovation, value and management of risk. assumptions and calculations for each project.
Benefit: As a dedicated resource, MCDOT will continue to be Benefit: Don's efforts during the preconstruction
Jeff's first priority to ensure rapid response, best quality, lowest phase of each JOG task order ensures best value,
cost and overall client satisfaction. constructability, construction methodology and
materials options.
Barticki Construction hie:cognized Specialists in i0C Delivery, 1 7

MARICOPA COUNTY 1 JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-J0C CONTRACT # 2017-001 THRU 2017-003
John Schmidt Hanna Nguyen
E rCia Engineer
Years Expe ience/ Years Experience/
Years with irm Years with Firm
John leverages his experience in Hanna ensures proper and
MCDOT JOG estimating and his skill comprehensive documentation,
at interpreting and incorporating historical cost data to leadership of the project controls functions including
yield accurate and comprehensive estimates on over 110 assisting with schedule preparation, pre-planning and
successful JOG or on-call proposals in the last 5 years. resource forecasting, engineering support and other
John has an exceptional understanding of field operations technical activities relating to each task order. She has
and deadline driven JOG project environments. He "de- delivered JOG projects and task orders ranging from
risks" cost factors by physically walking each job to $1 K to $1 M and is an experienced engineer recognized
truly understanding prevailing conditions, and works for excellence in preparing bid packages that meet
hand-in-hand with Don Davis and the project team to the specification and intent of MCDOT requirements
vet innovations and constructability options. Benefit: Benefit: Hannaworksto facilitate subcontractor sourcing
John brings significant depth of experience in managing and management, tracks schedule benchmarks and
budget risks while deliviering best-value, lowest cost performance metrics, and supports the JOG estimating
pricing for large and small projects. and field teams to meet task order deadlines.
As Project Superintendents, Aaron and Tony oversee Aaron Hickman
day-to-day field operations on task orders and projects
with identical scope to this JOG Contract. On MCDOT trojen- Iencient
projects and others, they have the proven ability
to effectively coordinate multiple resource streams Years Experiei ice/
(personnel, materials and equipment) in the changing Years with Firm
field environment. Aaron and Tony are tasked with
constructing each task order to the quality, schedule and
cost outlined in the project or task order specifications
by efficiently organizing and establishing work priorities,
managing all site staff, scheduling materials, supplies Tony Stanley SA
and equipment and coordinating and monitoring proiP Crt erintenden
subcontractor productivity. In addition, they supervise
and direct assigned staff, collaborate with Chris Years Experience/
Rodriguez, Banicki Safety Manager, to monitor and Years with Firm
implement safety program requirements, and assist
Chad Shedlock, Construction Quality Control Manager
in quality training and inspection of completed work
for conformity and quality before MCDOT inspections.
Benefit: Their experience and knowledge of JOG delivery and their familarity with MCDOT standards and
specifications enables them to meet challenges of short-duration, complex task orders with efficiency and ease.
At this time Banicki does not rely on specific key subcontractors to complete any of the JOC work orders issued under this
contract. To provide best value to MCDOT, the JOG Division regularly self-performs at least 60% of all scopes
identified in the solicitation and supports this robust in-house capacity as a union contractor with ready access to
qualified, experienced Tradesmen and General Labor Personnel available to supplement our current division labor
pool.
The JOC Division regularly manages ancillary subcontractors to accelerate work, provide better pricing, or to provide added
capacity in order to meet specific JOC task order goals. These subcontractors are prequalifed and selected per our ARS-
compliant, competitive selection process outlined in Section E. For each of the Firm Projects identified in Section
E, we have indicated specific ancillary subcontractors and their roles performed in delivering each project success.
Banicki Construction Recognized Specialim in iidC Delivery. I 8


MARICOPA COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-JOG GONTRACT# 2017-001 THRU 2017-003
D. irrccT, .1-I t h Job Orler Contrrr t, tiL
The Banicki JOG Team has extensive experience with the processes and techniques specific to JOG work and
has optimized these to specifically meet MCDOT's requirements and preferences for project delivery. Regardless
of task order size, the Banicki JOG Team is structured for rapid mobilization and a proactive collaboration during
project startup and preconstruction. Our experience over 25 JOG contract renewals has proven that our approach in
creating an early, thorough understanding of the project scope and requirements leads to a smooth transition up to
and throughout construction. The overall effect of our effort is the "de-risking" of many of the typical project challenges that
often occur in both small and large task orders. These include materials procurement, construction phasing and timing, utilities,
traffic management, incomplete plans, environmental permitting and others. In successfully navigating and managing these
challenges, we leverage our unique and proven Task Order Workflow with innovative methods of delivery, best
practices and process betterments to achieve continued success in our relationship with MCDOT.
Quantify Work
• Items
Review Value Englneerino Project Controls,
• and Constructability Options Document and
den* (if needed , Compliance:
and Establish Quality Cost. Benchmarks Scheduit Subcontractor and Suppliers Continuous attend weekly Updates, Complete Pre-Walk
meetings Through Punch
Site Visit List Items
JOB ORDER PRICING TASK PROJECT
START AND PROPOSAL ORDER ISSUED CLOSEOUT
Qualified 1
Subcontractor
Selection 1 , Final , Warranty
: Safety , Walk-Through I Start
and Traffic Plans i
Cost, Scope Established
Safe & Sound and Schedule
Program Integration Review
Banicki approaches every JOG task order utilizing a standardized workflow
and methodology that consistently ensures best value delivety. Our approach
ensures early inclusion of Safety and Quality Control leads, as well as
continuous vetting of integration of innovation and constructabilly in order to
Typically less than 5 working days deliver best value to MCDOT.
Collaboration. The Banicki JOG Team understands that successful project delivery is dependent on proactive
communication. Jeff Price, JOG Project Manager, will work to establish a partnering foundation that will provide the
backbone for the job orders for the duration of the JOG. Jeff believes that with teamwork and constructive communication
practices, the team will be able to efficiently and effectively resolve any issue that may arise to keep each task order on schedule,
on budget and achieve ultimate success on each task order completed.
"As the inspector for the City of Mesa assigned to $5.1 Million Broadway Road-Power to Sossaman project, I worked with Jeff Price on a
daily basis. Over the course of the project, he proactively worked with the City to find solutions for challenging field conditions to ensure
this project was a success." TJ Welsh, Civil Engineer
Dania' Conslruction Recognized Specialists in 10C Delivery. I 9

MARICOPA COUNTY 1 100
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # I71007-JOC CONTRACT # 2 017-0 01 THRU 2017-002
Quality Control. Banicki is committed to doing it Changes in Scope. The Banicki JOG Team prides
right the first time, The Banicki JOC Team will provide the City itself on its ability to adapt to special circumstances and
with a proven approach that emphasizes proactive quality owner-driven needs or changes that may arise through
training backed by comprehensive field monitoring. Proven necessity on projects. Through rapid communication and
across our work represented in this Statement of using a "triage" approach led by Jeff Price, we involve
Qualifications, our Quality Management Systems benefit estimating, field and management personnel immediately to
MCDOT by eliminating re-work during construction and address changes in scope while quickly addressing and
providing the confidence that materials and workmanship adjusting project construction to accommodate changes
meet or exceed MCDOT specifications before final efficiently. We understand that project funds are finite, so
inspections occur in the field. By eliminating rework to on each of MCDOT assignments, we have diligently
the greatest extent possible and providing an experienced collaborated to minimize potential impacts to project
team that has proven quality performance on similar and cost. As a result, we have ensured that transparency is
relevant JOG Contracts, we also deliver a shortened achieved at every step of task order execution.
construction duration on individual task orders, thereby
mitigating traffic impacts improving public acceptance
overall. Mir Safety. Banicki has an excellent Experience Modifier
In effectively managing field resources, we hold an on- Rate (EMR) of 0.76. Its hard to beat Banicki's safety
site meeting with ancilllary subcontractors, vendor and performance in the last 10 years and Banicki is absolutely
materials suppliers before major elements of each task driven to improve our performance as we look forward to
are started. This assures "same page" understanding the next decade as well. To meet the dynamic and
of quality control expectations, task responsibilities changing needs of JOG clients such as MCDOT, we
provides a path for communication. This approach was adopted an industry leading safety initiative in mid-2014
utilized on each of the projects represented in Section A, called "Safe and Sound®". Using this tool, the JOG
Experience of the Firm. Division reviews leading indicators and performs data
evaluation to establish safety accountability through all
levels of the project, while providing job and task specific
Project Scheduling. The Banicki JOG Team utilizes training, even for subcontractors.
the latest version of Microsoft Project for scheduling During construction, on each Task Order, Chris
software for all MCDOT delivery. The project team Rodriguez, Safety Manager, will oversee regular
updates this weekly for internal distribution to all monitoring by Banicki Supervisory Staff, resulting
Managers, Field Leads and team personnel during in the identification and elimination of potential
weekly meetings. Managers and all team personnel. For hazards and assuring full regulatory compliance.
longer duration project, Bi-weekly meetings are held to We ensure our field supervisors are OSHA Competent Persons,
review the status of all construction task orders. The master with key Confined Space, Trench Safety, OSHA 10 & 30 hour
schedule and monthly updates are submitted to the and other relevant training. In addition, our construction team
County and include all two, three and four-week look has extensive experience working in and creating effective
ahead schedules for longer task order projects. traffic control for tight roadway corridor environments as well
as an understanding of structure related safety issues
0 Avoiding „ through Effecthh, and fall protection. When needed, the JOC Division can
Management: Throughout its 26-year history Banicki has utilize ATSSA-Certified in-house traffic engineering staff who
never been involved, in litigation or arbitration related to a would be fully involved in both the preconstruction
contract. We avoid claims by effectively managing project and construction to help plan and execute a strategy
risks and establishing clear lines of communication. We to reduce the impact of construction on vehicular and
will start each task order with a technical analysis of any pedestrian traffic.
risks, from weather to material availability to schedule
delays caused by others. We will then develop mitigation — El Systems and software. For the JOG Division, the
efforts to address each risk. Jeff and his team will assign systems and software that we use to achieve MCDOT
a responsible person for each risk item to ensure the task order goals are an extension of the commitment
mitigation measure is properly in place. Jeff will continually and expertise of our people. An overview of these
monitor the risk throughout the project to ensure the technology tools appears on the next page.
task order's cost and time of completion do not increase.
I 1 0
Banicki Construction Recognized Sped:din in JOG Deliver

MARICOPA COUNTY 1 JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-10C CONTRACT # 2017-001 THRU 2017-003
Systems aria software used in support of dakv JOG operations include:
..4,-,....t -
i Benefit and Deliverables to MCDOT
Save time: project scheduling, resource and cost planning,
Microsoft Project° Scheduling Cost and resource loaded means and methods impacts evaluations, time vs value analysis,
scheduling software. commissioning and closeout planning and benchmark evaluation
across the project lifecycle.
Heavy Bid* Estimating and Heavy civil, crew-based Save cost: Develop estimate packages, design alternative analysis,
Planning estimating software. identify labor, equipment, material, and subcontractor costs.
3D earthwork modeling, quantity Manage Risk: Develop quantities for estimate development;
AGTEK© Planning development, and survey software. facilitates evaluation of design and construction alternatives.
AutoCad©, Project Allows for 2D and 3D design integration Optimize Work: Develops engineered drawings, as-built, and
AutoCad Civil 3D° Engineering with seamless flow-through to the field machine control for construction applications.
and ReviP construction environment.
Cloud-based Increase Collaboration: Communicate plan review comments by
Bluebeam© design plan and Manage comment, review, RFI and project team members, reduce review and revision cycles, allow
comment review collaborative sessions within design files. real-time as-built development.
system
DOLLAR
TOTAL NO. OF RANGE
CUSTOMER I CONTRACT CONTRACT TASK OF JOB
CONTRACT NAME DESCRIPTION NAME I TIME PERIOD AMOUNT ORDERS ORDERS
Phoenix JOC Civil Construction City of Phoenix . 2004- 2009 $10,416,204.70 55 $2K - $1.04M
MCDOT Milling & Paving Milling & Paving Maricopa County 2005- 2011 $ 11,704,930.58 44 $2K- $975K
Scottsdale JOCs Civil Construction City of Scottsdale 2006- 2010 $3,253,262.26 35 $4K - $320K
Peoria JOGs - Civil Construction City of Peoria 2006- 2016 $2,044,745.21 8 $2k - $734K
Queen Creek JOCs Cid Construction Queen Creek 2007 - 2008 $564,775.15 3 $131K - $282K
Chandler JOGs 41Cons -ireffe_f: City of Chandler 2008 - 2009 $466,915.00 6 $19K - $252K
Goodyear JOG eet Repair City of Goodyear 2008 - 2014 $217,194.25 2 $38K - $178K
Peoria Paving JOG Milling & Paving City of Peoria 2008- 2016 $27,000,000 17 $1K - $178K
Tempe JOGis Civil Construction City of Tempe 2008 - 2014 $7,000,000 45 $2K $837K
Peoria Bridge Maintenance s ?fair Bridge Maint, Repair City of Peoria 2009 - 2017 $33,,000.00 2 $360k
JOG
Phoenix Aviation Civil JOG Aviation Civil Construction City of Phoenix 9009 - 9019 $6,097,090,81 59 $12K $1.9M
Aviation Dept.
Phoenix St. Trans JOG Street Repair City of Phoenix 2008 - 20 .3 $14,933,795,51 25 520k - 5936K
MCDOT Roadway Stab & Paving Stabilizing & Paving fvlaricopa County 2011 - 2013 $1,534,431,05 7 $20K - $829K
Services JOG
MCDOT Roadway Stab & Paving Stabilizing & Paving lvlaricopa County 2013- 2016 $9,000,000 - 22 520K- $829K
Services JOG (25)
MCDOT Milling & Paving (27) Milling & Paving Maricopa County 2013- 2017 $9,000,000 7 5130k- $930K
ADOT Cattle Guards (9 Districts) Civil Construction Al)CT 2013- 2015 $142,716.55 4 $14K - $72K
Coconino County/Flood District 113- 2015 38,000,000 $452K
'City of Buckeye Street Maintenance JOG Street Maintenance
CID" of Mesa Street Maintenance JOG Street Maintenance City of Mesa 2015- 2017 $10,000,000 5 $15K - $849K
I 11
Banicki Construction Recognized Specialists in i0C Delivery.


MARICOPA COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-JOG CONTRACT# 2017-001 THR1J 2017-003
E.. Notify subcontractors of the pre-qualification
Subcontractor Selectiud Plan 0 status;
Approach to Subcontractor Selection. Banicki's ° Assemble clear, concise bid packages with
subcontractor selection plan will follow our proven all available information that request value
standardized selection criteria that complies with all engineering suggestions;
relevant and appropriate Arizona Revise Statutes. o Obtain multiple competitive quotes for all major
We intend to select subcontractors and suppliers by trades to ensure a fair market value;
qualifications and price for all task orders. At this time we
do not anticipate the need to select any subcontractors o Review the proposals to ensure that the firms
by qualifications only. Should the need arise for provided a responsive and reasonable bid;
proprietary services or products, specialty designs or o Provide the County with copies of all quotes
accelerated schedules, we will request approval from received and a summary of selected bidders for
MCDOT to select based on qualifications only to meet approval; and
the specific need. o Select the firm best qualified to provide the
required services considering the bid price,
Subcontractor Selection Methodology. Our selection schedule and other legitimate selection criteria.
process by qualifications and competitive bid will
begin with the pre-qualification of firms that have
demonstrated their ability to perform in the field as well
as be competitive. A list of pre-qualified subcontractors Subcontractor Prequalification Form
for each of the major trades will be submitted for review Subcontractor Company & Personnel Name: Information
and approval by the County. We understand that Address: Bid Contact for this Name: I Email: I
based on the subcontractor's performance, they can Project: Primary Feld Supervisor Cell Name: Phone I #: I Office Email: Phone I #: I
be removed from our list. If MCDOT wants a specialty for Addl this Field Project: Supervisor for Cell Name: Phone I #: I Office Email: Phone I #: I
subcontractor, they can be added to the approved this 'Please Project: attach one poge resumes Cell for Phone Field #: Sopen I /Isms (Maximum of two on listed Office above) Phone N. I
list. We intend to maximize utilization of qualified local Safety Information: EMOD Any Employee OSHA Recordable Lost Work Lost Work Restricted or Fatalities
businesses to the greatest extent possible. 2017 Hours Conan Days - Cases Days—Days Transfer
2016 2015
As part of the pre-qualification process, we will Insurance Insurance Company: & Financial Information: Company Name:
comprehensively review each subcontractor on a table Bonding Company Agent Company Contact: Name: Phone Per Project #: Limit: I
of factors including: Information Capacity: & Bonding Agent Phone Contact: #: I I Rating: I Aggregate Current Available: Limit:
"Please submit sample Insurance certificate for Gen Gab, Auto & WC
o Subcontractor's license status; Similar Project #1 Project Name: References Last Five Years;
Brief Project Description:
o Insurability and financial stability;
o Management capability and staffing load; Reference Name &Title: I Phone #: I
o Safety record and quality of work record; Original Start Date: Value: Completion Final Value: Date:
Project Brief Project #2 Name: Description:
o Understanding of the JOG process; and
o Experience working in public works and JOG Civil
environments. Reference Original Value: Name &Title: Final Value: I Phone #: I
Planned Implementation. We will use the following Start Project Date: 43 Name: Completion Date:
Brief Project Description:
procedure to select subcontractors:
o Provide project information on our website at
www.banicki.com to encourage interest in the Reference Original Value: Name &Trtle: Final Value: I Phone #: I
project ; Start Date: Completion Date:
o Advertise locally as well as contact the local firms Banicki's prequalification process standardizes data and simplifies evaluation of
to encourage their interest on this project; potential subcontractors and suppliers. A sample of our JOG Prequalification is shown. Form
o Provide a list of potential subcontractors to
MCDOT for review;
I 12
Banicki Construction Recognized Specialists in JOC Delivery.


MARICOPA COUNTY I JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-J00 CONTRACT # 2017-001 THRU 2017-003
JEFF PRICE I JOC PROJECT MANAGER
As JOC Project Manager, Jeff Price oversees the planning and execution of construction work occurring
under the Division's JOG contracts. He acts as the single point of contact for MCDOT, collaborating
with the JOC project team members and managing the Division's overall efforts to ensure successful
delivery. He participates in constructability reviews, client and stakeholder meetings, oversees estimating
and scheduling efforts and has his ATSSA Technician and Supervisor Certifications, Jeff has worked on
several Maricopa County projects, as he spent six years with the firm before leaving and returning over a
07 Years Firm year ago. He has more than seven years total of JOC experience, including the City of Phoenix, Maricopa
19 Years Overall County and City of Mesa JOCs and has extensive knowledge and successful performance on all manners
of heavy civil construction projects.
Education:
B.S. Construction SELECT RELEVANT PROJECT MANAGEMENT EXPERIENCE:
Management,
Bowling Green MCDOT - Roadway Stabilization and Paving JOC Services Contract (4 Contract Renewals)
State University
City of Phoenix - JOC Services Contract (2 Contract Renewals)
Areas of Expertise: City of Mesa - Construction JOC Services Contract
ATSSA Supervisor Select Project Management Experience
Certification
MCDOT - New River Landfill Access Road ($210K)
ATSSA Technician I
MCDOT - Anthem Area Drainage ($58K)
• Oh-Call and JOG MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
Project Management
Experience MCDOT - New River Road, Maricopa Trail Crossing at Linda Lane ($226K)
MCDOT -11th Avenue Drainage Rock ($73K)
Project Controls MCDOT - 29th Avenue and Irvine Road ($534K)
Management
MCDOT - TT528 Various Roadways ($736K)
Standard Unit Cost MCDOT - Aguila Road Relocations ($453K)
Based Pricing MCDOT - Warner Road and Sossaman Road Rumble Strips ($26K)
Estimating MCDOT - Peak View Road ($406K)
Environmental MCDOT -174th Street at Rio Verde Drive ($57K)
Compliance MCDOT - Camelback Road West of Wigwam ($271K)
MCDOT - Riggs Road: Recker Road to Power ($306K)
Value Engineering
MCDOT - McDowell Road Bike Lane ($532K)
Subcontractor MCDOT - Gilbert Road Improvements ($11,3M)
Management MCDOT - Germann Road - East of Ellsworth Road: Pavement Reconstruction and Rehabilitation ($326K)
Quantity Tracking MCDOT - Project TT409 Package A: Pavement Reconstruction ($292K) and Package B: Pavement
Reconstruction ($681K)
Cost Containment MCDOT - Pebble Creek and McDowell Road ($5,8M)
Customer Service City of Tolleson - 91st Avenue Roadway and Drainage Improvements ($79M)
Water/Sewer/Storm ABUT - Hayden and Via de Ventura ($1,9M)
Drain City of Casa Grande - Tucson Highway (1-10) Contaro Road to Tangerine ($21.6M)

MARICOPA COUNTY JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087000 CONTRACT # 2017-001 THRU 2017-003
DON DAVIS I PRECONSTRUCTION SERVICES
Don Davis brings over 38 years of industry-leading experience in preconstruction delivery, including the
key oversight of estimating, cost modeling and cost control reporting, schedule development, modeling
and schedule delivery efforts. Don is recognized for his ability to collaborate and integrate key design,
management and construction staff into the preconstruction and design phases of projects. He utilizes
his experience and focus on evaluation, data planning, metrics and comprehensive reporting to ensure a
;I 1 complete and thorough project controls scope.
05 Years Firm
38 Years Overall SELECT RELEVANT PROJECT EXPERIENCE:
Education: MCDOT - Roadway Stabilization and Paving JOC Services Contract (4 Contract Renewals)
City of Peoria - Pavement JOC Services Contract (3 Contract Renewals)
AGO Construction
Management Town of Buckeye - Construction JOC Services Contract (2 Renewals)
- City of Phoenix Aviation Department - Construction JOC Services Contract (2 Contract Renewals)
LEED Accredited
Professional Select Project Oversight Experience
Areas of Expertise: MCDOT - New River Landfill Access Road ($210K)
Extensive Regional MCDOT - Anthem Area Drainage ($58K)
Project Experience MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
JOG and Partnered MCDOT - New River Road, Maricopa Trail Crossing at Linda Lane ($226K)
Delivery Experience MCDOT -11th Avenue Drainage Rock ($73K)
MCDOT - 29th Avenue and Irvine Road ($534K)
Cost Analysis and
Modeling MCDOT - TT528 Various Roadways ($736K)
MCDOT - Aguila Road Relocations ($453K)
:Quantity Take-Offs
MCDOT - Warner Road and Sossaman Road Rumble Strips ($26K)
: Project Supervision!' MCDOT - Peak View Road ($406K)
Management MCDOT -174th Street at Rio Verde Drive ($57K)
Subcontractor MCDOT - Camelback Road West of Wigwam ($271K)
Management MCDOT - Riggs Road: Recker Road to Power ($306K)
HeavyBid City of Phoenix - (Operations Manager) Copperhead Road Surface Repair ($382K)
City of Phoenix - Attenuator Damage Repair ($14K)
Rule 310 Dust
Control City of Phoenix Aviation Department - East Economy Lot Bus Shelter Canopy Removal ($79K)
City of Phoenix - (Operations Manager) Terminal 4 North Concourse Service Road Conditioning ($489K)
OSHA-10 Hour City of Peoria - P83 Hawk Entertainment District Improvements ($1.5M)
OSHA Trench Safety City of Peoria - Vista ncia Polymer Modified Mastersea I ($516K)
City of Peoria - Mill and Overlay, 75th Avenue from Peoria to Thunderbird ($1,2M)
OSHA Confined
Space City of Peoria - (Operations Manager) Westbrook Parkway Pavement Reconstruction ($773K)
City of Flagstaff - Pulliam Airport Taxiway A Runway Rehabilitation ($1,3M) (CMAR)
First Aid and CPR
Training City of Flagstaff- VVestplex Taxi Lanes Reconstruction ($4,1M) (CMAR)
City of Buckeye - Monroe Avenue Beautification ($240K)
Coconino County - Munds Wash Bridge Repair - Pinewood Boulevard ($457K)
City of Sedona - Uptown Sedona SR89A Reconstruction ($993K) (CMAR)
2
Banicki Constniction J. Bnnicki ConsTrucTion

MARIGDPA COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-100 CONTRACT # 2017-001 THOU 2017-003
AARON HICKMAN I SUPERINTENDENT
Aaron Hickman has over 25 years of experience in the construction industry working on numerous
heavy highway projects, the residential market and many commercial jobs. Aaron is second-to-none in
leading the integration of a social safety mindset into daily work activities, with a record of zero lost time
accidents on projects under his management. Aaron will support the team for value analysis and methods
that leverage maximum value with minimal impact to the environment. During construction, Aaron will
lead the field construction efforts, maintaining a level of safety, quality and project delivery to meet
07 Years Firm MCDOT's expectations for the life cycle of the project. For Banicki, he manages all site work activities
25 Years Overall within the contract scope, including earthwork entailing everything from golf courses to roadways and
embankments to landfills ranging in size from 500,000 CY to 1.5 MCY, as well as paving and utilities.
Areas of Expertise: His responsibilities include procuring materials, tracking and controlling quantities, managing production,
and scheduling inspections with County inspectors and geotechnical engineers. Aaron has also trained
ATSSA Supervisor new employees in the industry to work productively and safely.
Certification
SELECT RELEVANT PROJECT MANAGEMENT EXPERIENCE:
ATSSA Technician I
Heavy Highway MCDOT - Roadway Stabilization and Paving JOC Services Contract
Construction City of Phoenix - JOC Services Contract (2 Contract Renewals)
Asphalt Paving City of Mesa - Construction JOC Services Contract
Innovative PSHIA - Aviation Construction JOC Services Contract (2 Renewals)
Construction
Procedures Select Project Management Experience
Earthwork MCDOT - New River Landfill Access Road ($210K)
Estimating MCDOT - Anthem Area Drainage ($58K)
MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
Scheduling MCDOT - New River Road, Maricopa Trail Crossing at Linda Lane ($226K)
Concrete Paving MCDOT -11th Avenue Drainage Rock ($73K)
Construction MCDOT - 29th Avenue and Irvine Road ($534K)
Methods and MCDOT - TT528 Various Roadways ($736K)
Procedures MCDOT - Aguila Road Relocations ($453K)
Heavy Job MCDOT - Warner Road and Sossaman Road Rumble Strips ($26K)
MCDOT - Peak View Road ($406K)
OSHA 30-hour
MCDOT -174th Street at Rio Verde Drive ($57K)
OSHA 10-hour MCDOT - Camelback Road West of Wigwam ($271K)
Confined Space MCDOT - Riggs Road: Recker Road to Power ($306K)
Competent Person MCDOT - McDowell Road Bike Lane ($532K)
2013 MCDOT - WAPA Towers Road ($490K)
Excavation City of Mesa - Rio Salado Multi-Use Pathway ($3.1M)
Competent Person City of Surprise - Litchfield and Cactus Road Improvements ($21M)
2013 City of Peoria - Sonoran Mountain Parking Lot ($99K)
Fall Protection City of Casa Grande - SR 287 Roadway Improvements ($2,6M)
Competent Person City of Phoenix Aviation Department - East Air Cargo Reconstruction ($5.1M)
2013
OSHA GHS Hazard
Communications
3
Banicki Construction Banicki ConstruGiion

MARICOPA COUNTY 1 JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-JOC CONTRACT # 2017-001 THRU 2017-003
TONY STANLEY I SUPERINTENDENT
Tony Stanley's 19-year career started when he began as a laborer, working with a family friend who had
started a small concrete company performing concrete fiatvvork. Fie has since worked his way up to the
position of Superintendent. He excels at his communciation with crew members and subcontractors and
scheduling to meet project timelines. Through committed and conscientious interaction with clients
and inspectors, Tony demonstrates a high level of professionalism, enforces a safe work environment and
demands high quality construction. Tony has significant general heavy civil construction experience
02 Years Firm with an emphasis on structures, allowing him to innovate and implement solutions that take the entire
19 Years Overall project scope into account.
Areas of Expertise: SELECT RELEVANT PROJECT MANAGEMENT EXPERIENCE:
Traffic Calming Task MCDOT - Roadway Stabilization and Paving JOC Services Contract (4 Renewals)
Order Expertise City of Phoenix - JOC Services Contract (2 Contract Renewals)
Constructability City of Mesa - Construction JOC Services Contract
Review PSHIA - Aviation Construction JOC Services Contract (2 Renewals)
Schedule
Preparation Select Project Experience
Cost Analysis MCDOT - Peak View Road Renovation ($405K)
Preparation MCDOT - New River Landfill Access Road ($197K)
Partnering MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
Champion ADOT - 1-40 Boulder Wash to Illavar ($4,7M)
Safety and Security ADOT - Perryville Bridge Reconstruction and Road Traffic Interchange ($18M)
ADOT - SR 87 Slate Creek Curve Widening and Truck Escape Ramp ($6M)
Environmental
Compliance ADOT - 1-40 Peacock Wash and Big Sandy - 2 Bridge Deck Replacement ($4M)
ADOT - Painted Desert, Navajo, Chambers and Qurino Bridge Deck Replacements and Removal ($79K)
Project Supervision/ City of Phoenix - Nevitt Park Pedestrian Bridge and Pathway ($239K)
Management
City of Phoenix - North Service Road ($248K)
Subcontractor City of Phoenix - T2 East Turn Around Pavement Rehabilitation ($75K)
Management
City of Phoenix Aviation Department - West Sky Harbor Fueling Facility ($995K)
Resource Analysis City of Mesa - McClellan Speed Cushions ($20K)
Team Building City of Mesa - Falcon Field Taxiway C Reconstruction ($1,5M)
City of Mesa - Falcon Field Pavement Maintenance ($170K)
Risk Identification
and Mitigation City of Glendale - Glendale Bridge Repair Program ($169K)
City of Surprise - Litchfield and Cactus Road Improvements ($2.1M)
Customer Service
Scaffold Trained -
2015
Erection/Inspection
Qualified Rigging -
FMI
Trench Safety
I 4
Banicki Conch-action i, Banicki ConstrucTion

MAR1COPA COUNTY I JOG
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 171087-JOG CONTRACT # 2017-001 THRU 2017-003
JOHN SCHMIDT I ESTIMATOR
John Schmidt brings a unique blend of field and estimating experience, having spent 11 years
in the field before moving to estimating for the last 33 years. John began JOG estimating in
2011 and over the last four years has been the primary JOC estimator, and has completed over
110 successful JOC or on-call proposals. John understands that such projects often come with
abbreviated design and plans and works with the client to determine the remaining scope of
work. Before he begins an estimate, he conducts a thorough site investigation by walking the
06 Years Firm job and looking for the details that lead to accurate pricing. He also meets with the client to
44 Years Overall gain a comprehensive understanding of the scope.
Education: SELECT RELEVANT PROJECT EXPERIENCE:
Construction
Technology Studies MCDOT - Roadway Stabilization and Paving JOC Services Contract (4 Contract Renewals)
- Bowling Green City of Peoria - Pavement JOC Services Contract (3 Contract Renewals)
University
Town of Buckeye - Construction JOC Services Contract
Areas of Expertise: City of Phoenix Aviation Department - Construction JOC Services Contract (2 Contract Renewals)
On-Call Project Select Project Estimating Experience
Management
Experience MCDOT - McDowell Road Bike Lane ($532K)
Project Controls MCDOT - TT528 Various Roadways ($826K)
Management MCDOT - WAPA Towers Road ($490K)
Standard Unit Cost MCDOT - Camelback Road West of Wigwam ($271K)
Based Pricing MCDOT - New River Landfill Access Road ($210K)
Estimating MCDOT - Anthem Area Drainage ($58K)
MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
Safety and Security MCDOT - New River Road, Maricopa Trail Crossing at Linda Lane ($226K)
Environmental MCDOT -11th Avenue Drainage Rock ($73K)
Compliance MCDOT - 29th Avenue and Irvine Road ($534K)
'Value Engineering MCDOT - TT528 Various Roadways ($736K)
MCDOT- Aguila Road Relocations ($453K)
Subcontractor
Management MCDOT - St John's Road Storm Drain Improvements ($418K)
MCDOT -11th Avenue and Honda Bow Road ($498K)
Quantity Tracking MCDOT - El Mirage Road - Picerne Drive to Bell Road ($91K)
Cost Containment City of Phoenix - (Operations Manager) Copperhead Road Surface Repair ($382K)
Utility Installation City of Peoria - P83 Hawk Entertainment District Improvements ($1,5M)
and Relocation City of Phoenix - Attenuator Damage Repair ($14K)
City of Peoria - Surface Repair ($295K)
Water/Sewer/
Storm Drain City of Peoria - Country Meadows ($1,4M)
City of Peoria - Country Club Parkway ($293K)
City of Peoria - Harbor Shores ($98K)
City of Peoria - Streets Storm Damage Repair ($63K)
Banta, Construction Bandi Construction 5

MARICOPA COUNTY I JOC
ROADWAY CONSTRUCTION, STABILIZATION & PAVING SERVICES
SERIAL # 1710137-J0C CONTRACT # 2017-001 TRU 2017-003
HANNA NGUYEN I PROJECT ENGINEER
Hanna Nguyen is well versed in supporting civil projects exceeding Si00M as well as large commercial
projects as well. She successfully works under pressure and meets tight deadlines. Hanna applies
technology to maximize efficiency and automate manual practices. Over her. 9-year career, she has
executed the duties of project engineer, estimator and assistant to the project manager. Hanna's role
on the project team is ensuring the proper and comprehensive documentation of each project, assisting
with the schedule preparation, pre-planning and resource forecasting, providing engineering support and
other technical activities. Hanna works directly to support the project manager for subcontractor sourcing
03 Years Firm and management and in conjunction with the estimating and field teams to meet task order deadlines.
09 Years Overall Hanna expertly acts as a "checks and balances" for verifying subcontractor work scopes, ensuring best
quality, time and resource management.
Education:
B.S. Construction -SELECT RELEVANT PROJECT EXPERIENCE:
Management,
Arizona State MCDOT - Roadway Stabilization and Paving 10C Services Contract (4 Contract Renewals)
University
City of Peoria - Pavement 10C Services Contract (3 Contract Renewals)
Areas of Expertise: Town of Buckeye - Construction JOC Services Contract (2 Contract Renewals)
- City of Phoenix Aviation Department - Construction 10C Services Contract (2 Contract Renewals)
Cost-Benefit
Analysis Select Project Engineering Experience
Project Engineering MCDOT - McDowell Road Bike Lane ($532K)
and Management
MCDOT -11528 Various Roadways ($826K)
Quantity Tracking MCDOT - WAPA Towers Road ($490K)
and Reporting MCDOT - Camelback Road West of Wigwam ($271K)
Take-Offs and MCDOT - New River Landfill Access Road ($210K)
Cost Summary MCDOT - Anthem Area Drainage ($58K)
Conceptual Design MCDOT - Baseline Road and Salome Highway Rumble Strips ($10K)
Estimates MCDOT - New River Road, Maricopa Trail Crossing at Linda Lane ($226K)
Competitive Bidding MCDOT - 11th Avenue Drainage Rock ($73K)
MCDOT - 29th Avenue and Irvine Road ($534K)
Cost Controls
MCDOT -11528 Various Roadways ($736K)
Contract Negotiation MCDOT - Aguila Road Relocations ($453K)
Client Relations City of Phoenix - North Service Road ($248K)
City of Phoenix - Deer Valley Taxiway Bravo Asphalt Rejuvenate Sealing ($101K)
Process City of Phoenix - Buckeye Road Bus Bay ($148K)
Improvements
City of Phoenix - RCC Bollard Repair ($6K)
City of Phoenix - Goodyear Emergency Canopy Repair ($18K)
City of Phoenix Aviation Department - Deer Valley Taxiway A French Drain ($84K)
City of Phoenix - Old Tower Road Seal Coat ($79K)
City of Phoenix - T2 East Turn Around Pavement Rehabilitation ($75K)
City of Phoenix - T4 Roadway Traffic Attenuator Repair ($11K)
City of Phoenix Aviation Department - West Sky Harbor Fueling Facility ($995K)
Banicki , Construction J. Banicki Construction I 6


Attachment 1- REFERENCE FORMAT
Maricopa County requires a minimum of THREE (3) references and or a maximum of five (5) (most recently)
completed projects, which are similar in magnitude, complexity, and dollar value. This form may be replicated as
needed to be responsive to the Request for Qualifications.
1. Company Name: City of Phoenix Aviation
Address: 500 S. 24th Street, Phoenix, AZ
Phone Number: (602) 273-4301
Facsimile Number:
Person to Contact: Joe Francis
(Email Address): joe.francis@phoenix.gov
Owner's Bid # or Project #: JOA #4119
Date of Completion: April 2017
Brief Project Description (Including Partnering Team and Owner's project name): North Service Rd Full Depth
Remove existing asphalt full depth, prep subgrade, place ABC and asphalt and stripe new asphalt service.
2. Company Name: City of Mesa
Address: 50 E. Main Street, Ste. 500, Mesa, AZ 85211
Phone Number: (480) 662-5687
Facsimile Number:
Person to Contact: Matt Manthey
(Email Address): matt.manthey@mesaaz.gov
Owner's Bid # or Project #: .TOC 17052
Date of Completion: May 2017
Brief Project Description (Including Partnering Team and Owner's project name): Fast 2017 Fast 2018 City Wide
Apply Fast High Volume & Fast Low Volume.
3. Company Name: City of Sedona
Address: 102 Roadrunner Dr., Sedona, AZ 86336
Phone Number: (928) 203-5059
Facsimile Number:
Person to Contact: Steven Craver
(Email Address): scraver@sedonaaz.gov
Owner's Bid # or Project it: 2012-500
Date of Completion: August 2015
Brief Project Description (Including Partnering Team and Owner's project name).Uptown SR 89A Improvements
Remove & replace asphalt roadway. CMAR for the City of Sedona
4. Company Name: City of Glendale
Address: 5850 West Glendale Avenue, Glendale, AZ 85301
Phone Number: (623) 930-3649
Facsimile Number:
Person to Contact: Wade Ansell
(Email Address): wansell@glendaleaz.com
Owner's Bid # or Project #: 161730
Date of Completion:
Brief Project Description (Including Partnering Team and Owner's project name): 2017 COG Bridge Repair Program
Repair various bridges for the City of Glendale piggy backing off of City of Peoria JOC.
5. Company Name: ADOT
Address: 1651 W. Jackson Street, Phoenix, AZ 85007
Phone Number: (602) 570-5150
Facsimile Number:
Person to Contact: Sam E11111011
(Email Address): senmon@azdot.gov
Owner's Bid # or Project #: SL68001C
Date of Completion: April 2017
Brief Project Description (Including Partnering Team and Owner's project name): Town of Prescott Valley Lakeshore to
Construct asphaltic concrete pathway, sidewalks, retaining 89A
walls, placing drainage pipes.
Request For Qualifications Page 20
Roadway Construction, Stabilization & Paving Services Thursday, June 01, 2017
Job Order Contractor Serial# 171087-JOC

Attachment 2 - LEGAL WORKER CERTIFICATION
6-22- 17
(Date)
Maricopa County
Office of Procurement Services
320 W. Lincoln Si. (2nd Floor)
Phoenix, Arizona 85003
As required by Arizona Revised Statutes *41-4401, Maricopa County (the "County") is prohibited, after September
30,2008 from awarding a contract to any contractor who fails, or Whose subcontractors fail, to comply with Arizona
Revised Statutes § 23-214-A. The undersigned entity warrants that it complies fully with all federal immigration
laws and regulations that relate to its employees, that it shall verify, through the employment verification pilot
program as jointly administered by the U.S. Department of Homeland Security and the Social Security
Administration or any of its successor programs, the employment eligibility of each employee hired after December
31,2007, and that it shall require its subcontractors and sub-subcontractors to provide the same warranties to the
below entity.
The undersigned acknowledges that a breach of this warranty by the below entity or by any subcontractor or sub-
subcontractor under any Contract resulting from this solicitation shall be deemed a material breach of the Contract,
and is grounds for penalties, including termination of the Contract, by the County. The County retains the right to
inspect the records of the below entity, subcontractor and sub-subcontractor employee who performs work under the
Contract, and to conduct random verification of the employment records of the below entity and any subcontractor
and sub-subcontractor who works on the Contract, to ensure that the below entity and each subcontractor and sub-
subcontractor is complying with the warranties set forth above.
J. Banicki Construction, Inc. 4720 E. Cotton Gin loop, Ste, 240
(Finn) (Address Line 1)
Mike Abraham Phoenix. AZ 85040
(Print Nan (Address Line 2)
President (480) 921 -8016
(Print Title) (Phone)
- (480) 921 -9456
ignature Required) ' (Fax)
estimating@banicki.corn 86-0677267
(Email Address) (Federal Taxpayer ID Number)
Request For Qualifications Page??
Roadway Construction,5abilizadon al. Paving Services Thursday, dune 01, 2017
Job Order Contractor Serial# 171087,10C

RET BOND
ARIZONA STATUTORY BID BOND FOR t„,ONSTRUCTION
PURSUANT TO TITLES 28, 34, AND 41, A.1 ,1,10NA REVIS-ifi) sTATurrs
(Penalty of )hif bond mitA not ti i of the Imd
KNOW ALL I &lSENl S T ekic Casuali> and Suret)
TEA\ C013;"CtiUth eiirmaf,e called ed the CoZ3 ,ran
CT:n..). argiiruzed tuditi the tit
15:t Surety), ty.-+.! ow Mariceria Ceecty thereinafth: cd die
1hr or
.TS 00) 000 00 t. f,10'r proje.-h,
year of sl:un,StraetKM. ubeeeS b, 11 -. ,it to the for be c); bow fir tc;i met of
which sum, well and f.-,*„ said Sti beim,
executors, and adrrfilrilfi'.7aiors„ cececra and assigwi, jointly and acyce illy by the;He presents, and in
conformance with 'dieHceonn RciecdLtatutes,
Principal is .'",n•vith sub -id for ay Construction, Stabilization &
'-.• 7 Sorvic , 1710E7-30-C,
NOW, 71'!.711t.,EFOR.E, if the OblIph`i': ch7.epi the Bid oSIlie Principal End the Principal shall
:iic Obligee- in B7,":ordkniLe vith the terms or C`/ei Bid and give the Bonit, and Certificates o
Im-yhTiacie fipei...ifieid in the Standard Specifications ii di go,7-.1 and sufficient Sureiy for the faithful
perforrrffmc,::' of the contract 6- "' p:0-7',2t payment of - lAor and rereriel fortislied in the prosecution
of the -.), -itract, or in the even if i`ie ci the Principal to ervi re: tIc contract Bonds
and Ceii-ificaies of Insurance, it tht.! Pi - Liv..3.1 pays to the Ohlw.ee Lhe difference not to ecmri be penalty
between the entourit Ocified in the Biel and such larE ,:er uri for which the Obli7,ne may in
goi-icl faith co: trt :t ith another party to perform bee +, ,,T:1-k covered by the Bill then this iticihil .,imicn is void,
it rem in full fare-c effect, provi&:d li(:„,v.Tver, that this bond is executed pursuant in the
provisions of .7,,`_071fi Revised Sceutes, and all liabilities on thi:i bond diall fee
dctel-xiined in tic.. ilance with the provisions of the section to the extent as if it were copied Fhi length
herein,
d and sealed 091:0 20 17 .
Attiant Insurance . ........... services, Inc, _
Agent of Record, State of Arizona Principal
40 Stanford Drive. 2nd Ftoor
Fuming:ton. CT 96032 By:
Agent Ad
Travelers Casuals]: and Surely Corrip' ,.•. - of America
Surety Si
Bond Number NA
Jessica L. Piceirilin, Atinrnes-in-Faci
Power of Attorney Seal
riealations
42), Co r Itruction Stabilivation et Paving Senicr.1-
7:antractor

rRAv LERS J
POWER OF ATTORNEY
Farmlagton Casualty Company St. Paul Mercury Insurance Company
and Guaranty Insurance Company Travelers Casualty and Surety Company
nd Guaranty Insurance Underwriters, Inc, Travelers Casualty and Surety Company of America
Fire and Marine Insurance Company United States Fidelity and Guaranty Company
Guardian Insurance Company
Surety Bond No, BID BOND Principal; Banicir ct n, inc.
OR
Project Description Obligee: Maricopa Cow nt of T nsp r
Serial #171087-JOC, Contract #2017-001 - #2017-003
Roadway Construction, Stabilization a. Paving Services
KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St Paul Guardian
Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America,
and United States Fidelity and Guaranty Company, are corporations duly organized under the taws of the State of Connecticut, tt Fidelity and
Guaranty Insurance Company Is a corporation duly organized under the taws of the State of Iowa, and that Fidelity and Gt ,,-anty Insurance
Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "COIT1 and that the
Companies do hereby make, constitute and onnoint Jessica L Pirci rills of the City of Farmington , State of CT r true and lawful
Attorney-in-Fact, to sign, execute, seal and acknowledge the surety bond(s) referenced above.
IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corpora rn 4th day of
June, 2016,
Farmington Casualty Company St Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters, Inc, Travelers Casualty artri.ISurety Company of America
St Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St Paul Guardian Insurance Company
State of Connecticut
By
City of Hartford ss.
On this the 24 us day of June , 2016, before me personally appeared Robert L Raney, who acknowledged himself to be the Senior Vice
President of Farmington Casualty Company, fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St Paul Fire
and Marine Insurance Company, St Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company,
Travelers Casualty and Surety Company of America, and United States Fidetty and Guaranty Company, and that he, as such, being authorized so to do,
executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duty authorized officer.
In Witness Whereof, 1 hereunto set my hand and official seal.
My Commission expires the 30th day of June, 2021,
e C. Tetreault, Notary Public

This Power of Attorney Is granted under arid by the authority of the following resolutions adopted by the Boards of Directors of Farmington
Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc a St. Paul Fire and Marine Insurance
Company, St Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and
Surety Company of America, and United States Fidelity and Guaranty Company, which resolutioras are now In full force and effect, reading as
follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President s any Vice President,
any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint
Attorneys-In-Feat and Agent to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of
authority may prescribe to sign with the Company's name and seat with the Company's seal bonds, recognizances, contracts of Indemnity, and
other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at
any time may remove any such appointee and revoke the power given him or her; and it Is
FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice Presiden t
Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provid
each such delegation Is In writing and a copy thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory In the nature of a bond, recognizance, or
conditional undertaking shag be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice
President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate .
Secretary or any Assistant Secretary and duly attested and seated with the Company's seal by a Secretary or Assistant Secretary; or (b) duly
executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed In his or her certificate or
their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President,
any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by
facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or
Attorneys-In-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and
any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and
any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company In the
future with respect to any bond or understanding to which it is attached.
I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and
Guaranty Insurance Underwriters, Inc.i St. Paul Fire and Marine Insurance company, St, Paul Guardian Insurance Company, St. Paul Mercury Insurance
Company, Travelers Casualty and SatetY Company, Travelers Casualty and Surety Company of America s and United States Fidelity and Guaranty
Company, do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,
Which Is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF,] have hereunto set my hand and affixed the seals of said Companies this 19th day of June , 2017
Kevin E. Hughes, Assistant Secre rY
ro verify the authenticity of this Power of Attorney, call I-800-421-3M or contact as at www,travelersbondcont. Please refer to
the Attorney-In-Fact number, the above-named individuals and the details of the bond to which the power is attached,

DEPARTMENT OF INSURANCE
CERTIFICATE OF AUTHORITY
1, JOHN A. G Director of Insurance of the State of do
hereby certify th
TRAVELERS AND SUEtETY COMPANY OF AMERICA
Domiciled in Connecticut
NAIC NO. 31194
Is hereby authorized, subject to the provisions thereof and the Charter
Powers of said Company, to transact the business of:
CASUALTY WITH WORKERS' COMPENSATION
DISABILTIT
MARINE AND TRANSPORTATION
PROPERTY
SURETY
VEHICLE
insurance within the State of Arizona un ated at the request of
the insurer or suspended or revoked by the of Insurance.
Arizona Revised Statute g 20-217 (0) states:
A certificate of Authority remains the property of the State of
Arizona. Upon termination at the request of the insurer or
revocation by the Director of Tnsurance, the insurer shalt
immediately deliver the Certificate of Authority to the Director of
Insurance,
In TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
official seal of the Direottir of Insurance at the City of Phoenix. The
effective date of this Certificate is Jul
. Greene
r of Insurance
00084

TATE
OF
ARIZONA
DEPART 'TT OF INSURANCE
THIS IS TO CERTIFY, THAT T.HIS
INSTRUMENT IS A FULL, TRUE AND
CORRECT' COPY OF THE ORIGINAL ON
FILE WITH THE DEPARTMENT OF
INSURANCE OF THE STATE OF ARIZONA
AND CONSISTS 0F1 PAGE(S)
nEREUNTO SET MY HAND .AND THE OFFICIAL SEAL OF TLUS DEPARTMENT
FOR THE DIRECTOR OF INSURANCE THIS 8 DECEMBER 2014.
291071
CERTIFICATE NO.:

June 22' 2017
Re. Maricopa County Roadway Construction, Stabilization & Paving Services
SERIAL # 171087-JOC CONTRACT # 2017-001 thru 2017-003
J. Banicki Construction, Inc. has no proposal exceptions.

Attachment 4 - NON COLLUSION AFFIDAVIT
STATE OF ARIZONA
COUNTY OF MAR1COPA
Mike Abraham being first duly worn. deposes and says:
That he is President . of j, Banicki Construction. Inc.
(Title) (Name of Business
bidding on 171087-J0C for the construction of Roadway Construction, Stabilization & Paving Services in the
County of Maricapa. State of Arizona.
That, in connection with the above-mentioned project, neither he, nor anyone associated with the aforesaid business,
has, directly or indirectly, panicipated in any collusion, entered into any contract, combination, conspiracy or other
act in restraint of trade or commerce in violation of the provisions of A.R.S. § 34-251, Article 4, as amended.
.1z,re of Affiant) Mike Abraham
Subscribed and sworn to before me this 22nd day of June . 20 17
My Commission Expires: 1 1-10-17
Request For Qualifications Page 26
Roadway Construction, Stabilization & Paring Services Thursday, June 01, 2017
Job Order Contractor Seri() PI 171087,10C