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DATE
9/9/2016F.O.B.POINT
PURCHASE ORDERED ISSUED TO
781839
The Gordian Group Inc30 Patewood Dr., Bldg //2 Ste.@350Greenville SC 29615
OFFICE OF THE CHIEF PROCUREMENT OFFICERCOUNTY OF COOK118 NORTH CLARK ST. ROOM 1018CHICAGO, ILLINOIS 60602-1375(312) 603-5370
PURCHASE ORDER NO.2 95992 - 000- OP
REQUISITION NO.
00124928 07
SHIP TO capital Planning 81 Policy69 W Washington St 30th Fl
Chicago IL 60602-3007 7402304800l GPage I of I
COOK COUNTY FEIN: 36-6006341ILLINOIS SALES TAX EXEMPT: E-9998-2013.04FEDERAL EXCISE TAX EXEMPT CERT: 36-75-D038K
DELIVERY INSTRUCTIONS
CAPITAL PLANNING et POLICY69 W WASHINGTON - 30TH FL
1.00 IOC ADMINISTRATIVE SERVICES
AS PER CONTRACT 811-28-043AUTHORIZED BY COUNTY BOARD ON MAY 14, 2012CONTRACT PERIOD: MAY 1, 2012 THROUGH APRIL 30,2015 WITH 2 ONE-YEAR RENEWAL OPTIONSAMOUNT AUTHORIZED: $ 1,050,000.00
INCREASE PER AMENDMENT BlAUTHORIZED BY COUNTY BOARD ON SEPTEMBER 10, 2014AMENDMENT AMOUNT: $2,500,000.00TOTAL REVISED AMOUNT AUTHORIZED: $3,550,000.00
RENEWALPERAMENDMENT//2AUTHORIZED BY OCPO ON APRIL 24, 2015AMENDMENT PERIOD: MAY I, 2015 THROUGH APRIL 30,2016ac**a*en~*RENEWAL AND INCREASE PER AMENDMENT 83AUTHORIZED BY THE COUNTY BOARD ON MAY 11,2016AMENDMENT PERIOD: MAY I, 2016 THROUGH APRIL 30,2017AMENDMENT AMOUNT: I3,500,000.00TOTAL REVISED AMOUNT AUTHORIZED: $7,050,000.00nnnn*n****WORK ORDER // 18515.01PROIECTs PROVIDENT HOSPITAL - EMERGENCY DEPARTMENTWAITING ROOM HVAC UPGRADE AND AMBULANCE BAYCEILING REPLACMENT SUPPLEMENTALWORK ORDER AMOUNTt $810.82PROIECT MANAGER: WARRICK GRAHAMAUTHORIZED BY THE COUNTY BOARD ON I I/14/14e**n*n*n**TOTAL PREVIOUSLY ENCUMBERED: $2,624,809.27AMOUNT ENCUMBERED ON THIS P.on $810.82TOTAL ENCUMBERED AMOUNT INCLUDINC THIS P.ou$2,625,620.09*******\**BALANCE ON THIS P.O
.00 JB .0000 810.82 740230480030.565140.5111
m**n*s Tutal Ottfer nnn n** 810.82
NOTE: VEHDOE AGREES NOT TO EXCEED THE QUANTITY Oe DOLLAR AMOUNT OF THIS OEDEE WITHOUT WRITTEN AUTHORIZATION FROM THE CHIEF PEOCUEEMEHT OFFICER
RECEIPT CERTIFICATION (FOR DEPARTMENT USE ONlY)I hereby certify that I have received the Boods/services reflected above and that theitems referenced are in full conformity with the purchase order/contract.
I hereby canal'y that thh purchase Is In asmesnent wlth the renutsttlnn
Authorised Signatures Date:
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~ e Cook County
g g jgg@s' g Department of Planning 8 PolicyB aeGrtastp v w 69WWashington
Chicago, IL 60602Ilelrr Date:08/04/2016
To: Cook County, Purchasing118 N. Clark Rm. 1018Chicago, illinois 60602
Work Order Number: 018515.01
From: Cook County Department of Capital Planning & Policy69 W Washington, Floor 30Chicano, IL 60602
Location:
Work Onler Title
500 E 51st StreetChicago, IL 60615
Provident Hospital-Emergency Deparknent Walling Room HVAC Upgradp and Ambulance Bay Ceiling Repla
lf Revives; 0 Date:
Your Work Order Proposal has been accepted for the above Wbrk as follows:
Work Order Amount: $16,216.31
Licensing Fee for Ths Gordian Group
(5.00% of Construction) $810.82
Total Amount
MWBE Pargctpation:
Funding Source(a)
Liquidated Damages:
$17,027.13
$13,084.00
Liquidated Damages will not apply
A notice to proceed will be issued which will establish the Work Order Start date and the completion date.
IThe CCOCPP JOC Coordinator
Graham, Project Mansgilr
oner Depsrbnent ofData
Plaj)ning snd Policy
~/ &/iW
Requested~8
Ji/~A~ a/~ K~ie C 8h~lz<Kevin J.jYaytdf, Depuq/ DirectorCook County Department ofCapital Planning & Policy
Date
/Ftnantdal Analyst Date Approved By:
I t MlF~ LDYnPhil Boothby, Director
Cook County Department ofCapital Planning & Policy
Date Shannon E. Andrews, CPOOffice of Chief Procurement Oflicer
Date
Notice of Propoeei Acceptance Peso 1 of 1
s/4/sot e
w a. Cook County
DePartment of Planning & Policy
69 W Washingtony Chicago, IL 60602
ig jyj Oidw'.CSn~t (JOG)
Purckeise:;OiderP'a'ckigi;Checklist c
Job Order Number: 018515.01
Job Order Name: Provident Hospital-Emergency Department Welting Room HVAC Upgrade and Ambulance Bay CeilingReplacement Supplemental
Job Order Locations 500 E 51st Street, Chicago,lL 60615
Approved Proposal: 816,216.31
Contractor: Paschen Autumn Joint Venture
Construcfton Duration: 3 Months
Notice of Proposal Acceptance (NOPA)
IXI Cook County Board Approve Documentation If Applicable
El County Justlgcsgon/Estimate (Provided by PM)
g Contractor Evaluation - Project Development
M Contractor's Job Order Proposal Package (see eaton)
Detailed 8COpe Of WOrk With PrO)eCt DuraSOn (S/gned by Cornrector)2Drawings (If appgcable)
Project Picture(s) Documenting Existing Conditions
Detailed Construction Schedule (If Applicable)
El Approved Price Proposal Summery 8 Detail (stgned by contracton
IZI M/wBE subcontractor Estimate, Disclosure of Retained Parties (signed by oontracur)
Zl Utillzatlott Plan (signed by Contractor)
El For Each M/W/D/SBE Subcontractor:
Letter of Intent (s/gned by subconuarnor)
Current Certification Letter
Identification of 8ub-contractor/Sub-Consultant Form(ISF Form)
COUPE Signatory Form 8 Backup
Non Pre.Priced/Reimbursable Back Up (If Applicable)
g Special Insurance (If Applicable)
Is Project Within Bond Capacity - YIN
Reviewed by Gonlian PM:
Purchase Order Paceag e Check/1st Page t or t7/2C/2gte
July 26, 2016
Dear Office of Procurement:
Please be advised the project received board approval In the amount of $550,000.00 under the 2015CIP. This was authorised by the Cook County Board on November 11,2014.
Thank you,
Quintln Rembert
The Gordian Group
; II
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DEPARTMENT OF CAPITAL PLANNING at POUCY
PHILLIP H. BOOTHBV
DIRECTOR
69 w. wAsHINGTDN, sUITE 3000 ~ cHlcAGQ, ILUNols 60602 e l312) 603-0315
TON! PKECKWINKLE
PRESIDENT
Cooh County eoerd
ot Commissioners
RICHARD R. BOYKIN
1st District
ROBERT STEELE
2nd District
August 3„2016
Mr. Phil Boothby, Director
Cook County Office of Capital Planning & Policy
69 W Washington Street, 30'loorChicago, IL 6060
JERRY BUTLER
3rd District
STANLEY MOORE
4th Dlstrio
RE: Provident Hospital-Emergency Department Waiting Room HVAC Upgrade and
Ambulance Bay Ceiling Replacement Notice of Proposal Acceptance/
Work NumberO18515.01
DEBORAH SIMS
5th District
JOAN PATRICIA MURPHY
6th District
Under the above mentioned Project, this supplemental covers the cost for medical testingand orientation for the General Contract and all of the Sub-Contractors tradesmen as
mandated by the Health & Hospital System.
JESUS G. GAROA
7th DistnctIf you need any more information, please contact me directly.
LUIS ARROYO, Jr.
6th DistrictSincerely,
PETER N. SILVESTRI
9th Distrnd
BRIDGET GAINER
10th Distric
stun'l
JOHN P. DALEY
11th District
JOHN A. FRITCHEY
12th Distnct
Warrick Graham, Sr., AIA
Project Director
LARRY SUFFREDIN
13th District
GREGG GOSLIN
14th District
CC: p. eoothhy
K. Taylor
S.Uoyd
O, Remhert, TGG
TIMOTHY O. SCHNEIDER
15th District
JEFFREY R. TOBOLSKI
16th Distriict
SEAN M MORRISON
17th District
$ Fiscal Responsibility f Innovative Leadership Transparency EL Accountability Q Improved services
DEPARTMENT OF CAPITAL PLANNING AND POUCY
PHILUP R. BOOTHBY
DIRECTOR
69 W. WASHiNGTON, SUITE 3000 ~ CHICAGO, ILUNOIS 60602 ~ (312) 603-0313
YONI PRECKWENKLE
PRESIDENT
Cook Covhty Boarcl
of Commissimmrs
DATE: August 3, 2016
RICHARD R. BOYKIN
1st District
TO: Shannon E. Andrews, Chief Procurement OfficerOffice of the Chief Procurement Officer
ROBERT STEELE
2nd District
JERRY BUTLER
3rd District
STANLEY MOORE
4th Dlsthct
DEBORAH SIMS
6th District
JOAN PATRICIA MURPHY
6th District
JESUS G. GARCIA
7th Distrkt
LUIS ARROYO, Jr.
6th District
FROM: Warrick Graham, Sr., AIA
Project Director/Department of Capital Planning & Policy
SUBJECT: Provident Hospital-Emergency Department Waiting Room HVAC
Upgrade and Ambulance Bay Ceiling ReplacementNotice of Proposal Acceptance/Work Order Number-018515.01
The cost proposal as presented has been reviewed by The Gordian Group (theJOC coordinator) and me. The prices are fixed prices and/or direct purchasedprices under the JOC program; the quantities have been reviewed & veried by theGordian Group for the pre-established pricing; the final collective package forpricing of Sixteen Thousand, Two Hundred Sixteen Dollars and Thirty One Cents($16,216.31)is found to be fair and reasonable.
PETER N, SILVESTRI
9th District
BRIDGET GAINER
10th District
If you have any questions regarding this issue, you may contact me at 312/603-0311 and/or email: wariick.arahamecookcountvil.aov.
JOHN P. DALEY
11th District
JOHN A FRITCHEY
12th District
LARRY SUFFREDIN
13th Dlstrisa
GREGG GOBLIN
14th District
Wa~raham, Sr., AIA
Project Director
RMOTH Y O. SCHNEIDER
16th District
JEFFREY R. TOBOISKI
16th District
SEAN M. MORRISON
17th Distrkt
CC: P. GooatbyK. Taylor
S.Lloyd
O. Rembert, TGG
$ Fiscal Responsibility f innovative Leadership Transparency Et AccoontabilityQ Improved services
Cook County
Deparknsnt of Planning & Policy
66 W Washington
Chicago, IL 60602
Job Order Number:
Job Order Name:
Construction Amount:
016515.01
Provident Hospital-Emergency DepartmentWal5ng Room HVAC Upgrade andAmbulance Bay Ceiling ReplacementSupplemental
$16,216.31
Contractor. Paechen Autumn Joint Venture
Construcaon Start Date:
Conetrucgon Completion Dafs:
iContractor Eve juetjon - Project Development I
1 Rats the Contractors availability to visit the Project Site with the Owner +1 [Q Q3 Q4 g gYee or No, did the Contractor submit the grat Price Proposal on time? Yes
3 Rats the quality of the erst Price Proposal C~] IZ [g s4 Rate the quality tlmelinees of subsequent Pike Proposals 3 gl [g jg5 Enter the number of Price Proposals submitted for this Project K~I Rl Kl IZ Z 88 Rats the quality/tlmelineas of the Contrsctom Final Package 3 g] s II7 Rate the Contracture overall performance during the Project 1 Q2 Q3 4 g Q
Development phasePoor 1, Average 2to4, 6 Excellent.
Comments:
Project Director:
cont/aotor Evatvaeon- p/olaot oooo/operant Pace t ot t
7/2e/2018
Job Order ContractAPPROVED ~ Prjce Prcpoagj Summarjf - OSI
Osier
CohtmelNUmbe/i
Jobcnler Number:
Job Order Title:
Contractor:
Proposal Value:
Proposal Name:
June 00, 2010
12-2fb340-MC. 10013515.01
Provident Honpgel Eme/gooey Department WaNing Room HVAC Upgrade end Ambulance Bay Cating
Replacement Supplemental
Pssohen Autumn Joint Venture
318,2R231Pnnldsni Hosp hei "Option 0 HVAC Imp rovsmsnn Sup pl omsniel
01 - General Rap ulrementsi
Proposal Total
This proposal total represents ihsoommi loinl for ihs pmpossl. Any discrepancy between tne iolsls,
sub lofon nnd the propos el lo/el ls due io roun din p of Ihe Nns le to Is end sub foist s.
818,215.31
618,216 31
The Percent of NPP on tale Proposal: 0.00%
', Project Manager
~W gd'Lac Q
M ~ rgklf/
7twII 4Date
Pdcs Pmpmml Summery- Cel Ps go 1 of 1
o/o/Nolo
Job Order ContractAPPROVED - Price Proposal Detail - CS(
Dale: Juris N 2010
Road CSI Nulnber
184 senora(nettntrofnpn(o
I 01 22 10 00 mi02
Mcd UCN Dessrfpllon
EA ReimbumableFaesRabnbursahlsfseswpibspak lot teconmcor or trLump Sum coal. wilhoul mark.up, for whkh a nmalpl ar bill fa mcsived. ThaAd)uctmsnl Factor appged ta Relmbuma his Fess wit ba 1 aOOO. The base cot tof lhe Relmburaehla Ftw Is $1 00 The qusnNy usaf wol adiust Ihs base coal la
Ihaawual Reimbursable pea(ep.quentilyot125 $12!LOORslmbwssMapce).If tham we multiple Rabnbwsase Fees, sech one shell be listed mparctdy with
s comment In lbs 'nolo" bhck to Nanny Ihe Relmbwsebls Fess (a.g. sidewalkckaurs, road cul, vadaus permhc, sxtondad wsnanlsa, sxpsdllad ehfppfno
coals. OlnL A cow cfeach recelot chaff bs Induded vdlh tha prapocaLCuansy unn r nce Faclw
Insteliscon C,crl.cc $1.00 „ 1.0000
Csrpenlwa Methal TesongUser Rote
Catagoly1l NOCatogolylnpul
2 01 22 10 OOM02 &A Relmbumebls FaacRelmbwseble hes will be paid
touche
canlrsclorforhsLmnp Sum coal, withma markup, for which s roaslpt or hillis rscehrsd. Tha
Atpu alma nl Few or sppbwl lo Reimburwlbls Few wN be I CCM. The baca coalof the Rclntbunmhh Fee ls $1.00.The quantity used wit ad)us l Ihs base cosl loow adust Reimbureabls Foe (ed. quanply ot 125 $126 00 Reimbursable Fee),If oars sre mubipls Ralmbwsstae I'ees, each cne shag bo listed sapsraiely wNt
a comme a i In ihe "note'hck to Idantpy the Ralmbwssble Fans (e 0.Cklewslx
dosure, msd an, venous permits, extended wannohs, expedllwl shlppfnocosts, ota ).A coov of each rcmfot shag bs indudml with the ProposaL
Ouanpty unit race Factor
Inetsgauon 671.00 x Sl.ca x 1,00M
Pips FctcrblsdhalTssangllwrrnalllr
Calsgorytl Nocalegarylnput
3 01 22 10 0000M OA Relmbumahle FeasRelmbumable face mgbe palo tolho cantraalar lorhaLualp Sum owl, wbhaut markvrp, for which a ncslpl or bill fs mcelvsd. ThsAd)uctmsnl Factor app6ed lo Relmbursahle Fees wul be 1 0000. The bsca costof We Rsimbumable Fee h $1 00. Tha quanlny used wip adlust lhe base awt toIhe adust Rsimburssbh Fea (e 0.quantity of 12!i= $126 oo Reimbunulbls Feo).If mere are mukiple Relmbumebla Fees, each cns shall bs lislwf ca parakdy with
~ contrnenl ln thrr "nofa" block la Id angl'y the Relmbuoabls Face (s p. sidewalk
chsvm, mad cul, various pamllls, axlendwl wenanlse, oxpedksd ehlpplno
costs, sick A coM ofeach receipt shell be Included with Ne Praoosal.Quanlky Unit Pries Factor
In slat i ation 713.00 R $1.00 1.0000Sheet Metal Waker Medical TestingUssr nstln
Category1r No Category Input
Contract Number: 12-28440-MC. 10
Job order Number: 0'18515.01
Job order Title: provident Hoopltol-Emergency Depsttmant tossing Roam HvAG Upgra
Replacement Bupptamenfal
Conlractan Psschan Autumn Joint Vcnftne
Prcposalyelue; 8(8,21(L3(propasal Name: Provident Hospital "Opgon C" HVAC Improvcmcnh Supplemental
Adlustment Factor(s) Ueadl 0.9085-Ncmlal Working Hours (3I20714 lo 3llgl15}, 1.00tNHO
Tahf
$4,471.00
$671.M
3571.00
$71hoo
Tohl
8713.00
Pres Proposal Dslcil - CSI Pans I of 2aiomoia
Price Proposal Detail ~ CSI Continues..
Job Order Nxmbsn
Job Cuter Titter
Racp CS Number Mod. UCM osscrlptlon Line'fetal
j01 - fbsnsrsl Ronulre ments
01 22 Id 000MS 6A
IneleUadon
Ussrnclei Prriiiil cost
Catsgonrn Nc Cstegoqr Input
$1,14800
Ung PAM Fodcr Taint
x $1.00 x I.CM0 $1,148.00
Relmbuteable FeesRolnibursswe fees wII be paid to Ihs conlraotor for SwLump gum cost winoul mark up, hr which a nmelpt or bill ts mmlved. The
Adiustmenl Factor OMged to Rslmbume hie Fees wil bs I 0000. Tha base ccslat Iho Relmburssblc Fee Is 81,00. The qusnny used vcl adjust the base ccsl lo
Ihe arhusl Rsimbcmebh yse (s.g. quantity of125 = $125.00 RelmbursaMS Fsc).It there are mullfple Relmbursebls Puss, each ane shaN be listed separately with
e comment In Ihs "note" Mock lo tdan sly uw Relmb Owens Fess (s g. sidewalk
dosurs, msd cui, vwfous penngs, extended wenenlse, expsdhad sblpplnp
casks elhL A aoov of ecch race bit ches lm induded wbh Ihe PislwwtUlusndly
1,145.00
5 01 22 20 0000M
user Note
HR Csrpentsryasks Inlhe CTClndudespproprhde sosls tocoverlsbor. These 80,820.8lllacks wgl be requested speclflcasy by tha owner Ax mlsceAanecue won nal
cotmmd In Ihe CTC.Quantity Unb I AM FOCIof Total
Ihsllilliitoii sshl0 x $82.88 x o.aos5 = $8IIUNL89
carpenlerhcnmrertulred for madlssl lawns and orlentsilos s workers x 8 hours for testing 04 + eworksmxchoursfcrcrlsnisucn 24Tncl 84+24 ssbwm
Cstegory14 No Cstegoly Input
d 01 22 20 000000
User note
Catagoqrlf NoCalegoqrlnput
y 01 22 20 00002ll
User nolo
Categmyt: No Category Input
0 01 22 20 00 0031
User Hate:
HR C«penterTesks Inihe CTC Indude eppiopifals costs to«war labor Thesetasks will be nxluestad pedlhasy by Ihe owner fer mlscelsnaous wmk nncwerad In Ihe CTC.
Quantity Unit Price Factor Tclsl
fhemllhboh 12.00 x 882,«h x 0 0085 6903.8THoum mr FHp superintendent required fur medical lasting end orlenlalkm. I worker x e heurs ror lesunu = 8+ 1 worker x4 boun for orientation 12 lolul.
5803.87
scei.cs
HR Seem I Pips FglsrTaslw h the CTC Indude appmprlsts costs to covorlubor.
These tasks chil bs requwlsd su«ts enny by Ihe avmer for mt season acuswork nol covered lh Ihe CTC.
ausntib uchnme Factor
lristslleton 12.00 X $82.O3 x 0.9085 ~
plpafitlsrhcumr«lulred for medlcsltesgno end orlenlelkm. I workerx 8 hcursforlessng ~ 8 4 I workerx4hovrsfcrcrlenteson 4 Total 0+4 lghoum
3M4.20
Total
$894.29
HR Bheel Metal yyorkwvseke In Iha CTC Include esp«prints coals to cmwr labcr.
These tasks will be requested 4petfscsgy by Iba owner for mlscegsn«wsMik riot chris md Ih Iho CTC.
ausnub Unit Prka Fhctx Tclsl
Instousikn 12.M x 80I.TT „ O.ecs5 = $991.466heei mnel bows required for m«hwd lesllng snd crlsnlsgcn. I worker x 8 hours for lessna 8+ I vwilwr
x4 houn for wlenlagon n 4 Tolel ~ 8 + 4 ~ 12 bourn
Cctegorplf No Category Input
Subtotsi for 01 - Gsnersl Requirements:
Proposal Total
818,218.3'f
818,218.31
Price Pmpcsel Cslsil - C6I Psllo 2 cl 3srurnutc
Price Proposal f3etch ~ CSI Continues..
Job Order Nurnberl
Job Order Tnler
This pea pessl Intel reprs santa ne uenen tulal fur Ihe proposal. Any dhunsuuup belnean line teleia,auheaele end the proposal heel Is due te ruundine sf Ihe Sne totals and suh teleia.
The Percent of pfpp on this Proposal: 0.00%
Pdae Pmpuan Detail -Cel Passe ef 38/8/28 I8
r"-cgh[AfjK ( onatructiars)nc.
NOR faab7gth5trcct e ( fncago,)lfinoisdodlg
)'tfONF:(170)ddt-ISCO e [A)(i(770)dent-lyte
JQB.IaRQPQSAL
CLIENT NASIE,'.H, PASOHEN PROPOSAL FOR'IIIIEDICAL TESTINO 8 BACK ROUIID CK8728 Ytfost Htggina Road 8200Ch(OSSO, 880ols SllSSIAttn: SIATT COSENZA bate: APRIL 2S, 201S
For: PROVIDENT IIOSPITAL EMERCENCY RODIN ADDITIONTINLEY PARK„IL
Yde are phased ta offer lite fglla» Ins bid fof Ilia General Reyairc sock to be ceat pletcd at tbc above acctttloned Iocatianc
DESDtttPTION: TESTINO
1. MEDIGAIL TESTIgQPIIIDR'IIIDIVIDUALS AT CONGENTRA FACILITIES.g. BA'GK EOUSID; CII)IGISS8OE 8'INDTYIDtfALS.
8 8,002.008 SVS.SS
AUTHORIZED BY OWNER't
F.H.PASCHEN8725 Higglna Road il200Chicago, llgnois 80631BY:
Namcc Title:
DATE.'CCEPTED
BYCONTRACTORI
AshLaur Constructhn, Inc.500 East 75th StreetChango, IL 80819
r
s: ( TINE
DATE:
Submitted to:
Attn.',H,Paechen, S.N.Nielsen tt Aeeooiatea, Ll C
5515 N. East River RoadChicago, tL 60856
Malt Qoesnza
invoice No.ACSt Job No.
Au'rriMwtttApril 26, 2016
'16-2227.0116-jM27
Period:
Pmvidsnt Hosp/tat Emergency Department WaHlng Room HVAC Upgrades600 E. 51st.Chicago, lL 60815Qeittrgetg 2460-016-006FHP Project No. 2430-013
Medical Tee6ng
NlEDtCAL 'FESTtNG CHARGES
Michael Murphy (HM8)
Tirri O'Shaughnssey.'(O'CS)
Totai rests
6 571,50
713~00
!1ea Btscrsl<owoi Leuv Sogth, L'piiineN; ll'Itkotd 604'lttniobe":r~c-~~a'n-vd'oi 'i~::nho'.-ionic jap-'.:.- ":I: c ' 'tellwole
Chicago Dept, of Buildings121 N, LaSal le:St:.~.Rm;.,900,
Chicago; IL:6f3602'R
- Buildings - Building Permitix 0.00..:: 0.00
Application Number: 100636973-
DR - Buildings - Building permit. —, Item:. .
lx 1,145,5',1,145.51
Appl~cation Number: 433542S
..SubTotal: 1,145.51, 'otal: 1,145,51
Checks 1,145.51
4/13/2016 11:20 DR09519«11456880/2502/769
Pay parking tickets, utility bills andother City fees on-line at
Nww.cltyofch'Icago,org ~
Please take a few moments to tell usabou'. your vi:it today by using the
online CuBtomer survey atww,cityofchicago,org/revenue.
Thank you
Cook CountyDepsnment of Planning 8 Policy
89 W We shing ton
Chicago, IL 60602Job Order Contrsct
Cool/ County ONce of Planning & Policy
Work Order Number: 018515.01
Contractor: Paschen Autumn Joint Venture
Date: 09 June 2018
Work Order Title: Provident Hospital-Emergency DepsrlmenlWail/ng Room HVAC I/pgrade and Ambulance Bsy Ceiling Replai
'etailed Scope of Work
proleat seeps status: 0 Presminerv Cl Revised Q Final
11/IS/ZCIS
Fa//swine la Ihe scape afro/k Ibr Ihe shave Pra/eal Rumbw, All rahu//amen/ s neamssiv Ia accomplish Ihs work tasks sei inrih below she/I besans/dered perl of this snaps ofwerk
Supplemental package to cover the cost of Hospital Health and Security requirements. This included lha City of Chicagopermit and medical testing costs.
Brief Scope of Work;
Provide HVAC improvements in the Emergency Room Waiting Area.
Spacigic aubmtttals Rsqutmd:
Sketches snd Drawings:
Material Submiuals:
Scheduling Requirements:
Price Proposal Due Date:
Estimated Construcgon Start:
04/28/2016
No Dale Input
Estimated Ccnstruckon Completion: No Date Input
Spedal Conditions:
Special Instructions:
Liquidated Damages wig not apply
Ccnimente:
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Oa/aiisd Seeps Of Work pass I nf1
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John Jsy Shannon, MDChief Hcccndvc Onlccr
Coot Cuss(y Hcckk A Hccpkclc System
DATHr November 16,2016 (Rsvhed)
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6(gkrgol'r STA(uu(VOP(COCEOURES
In sn elforl to make you( cn.boarding process ss eMclsn( os pood(bio, I have oug(ned bslaw Ihs docunmnls you wgl need h osser to beg(vsn a ster( dots. approval.fcr or(sntiigon and Issued a Hosplhl Menggcsgon oonl, AN llama mud( be submqtsd al (he same Nmo sothat yovr prtrdqsbin{) doss rint toke tonger thennecesssry. Orlentagon lp held eveiy two (2) wicks on Monday stsigng al 12Hoon. AN
pa'itkxpsnh rpu'it be on Ifms of w{ll be ieschedws'd (of lhe 'iisxl avagable orlorgsgon, Duo h life number gf gsrgklnihls Nuk atloridorlsntagoh, we e4eot gww(so Nhtijeuu4be pleellntl» upcom(%B
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schddguledlor lhs nextavsgabls eeselon and ysuwgl not be'awe to slsrl uriNI youh'nvscorrlpletedtlie orionkdhn requ(remen(. Ifa Hogday fails one schsdutsdcrlsntsgon Monday, crlimisgcn wNI hs held on Tmwday, lhk dsy. aher llm Holklsy.
1. A currant (oker stgtwd snd da(sdAby the Chairmen (cgnlcs( dsparimenh) or Director (nonoknhsi deporlnionls) of Ihodepsrtnient Note ars mquectko.in work ln, Letter must fnd(ude your nims; )cb dullss, dwakon of slay, nnd Iq{rw of pssenloontaqt. Th(s dbcum(inl csrinol bs hwfo thon thirty (30) diyb old 'snd Is reqwfrsd for nbw stslf nng ariguil fsnewiis.
2. Accmpla)sd "cerggpetoofcorftpgsnce" form(purple Form}, This documsnlmustbecgmp(etellnkeentkely-. front endbsck-vdth Ih'e required a(ticked labs, shunp or sss}of ths he(hut(on or 'agency pail'cimliig ths tsds, and sg rsqufred signatures,Thii document h required fcr agnew ohg end annual iinewals. Yov wNI need to complete (ha "Annual Purple Foiiir hr skrenewals.
3. A mrrrsnt(within N»yosr) Nngergrint bsckground check lssued bylhe Stale cf Nilnols ls require((far sg indiv(dusts wkhdlmctpirgent contact and(or lhosevmrklng ln apstlent conterA wie. This dcournsm Is required for stlnewstagssdehnuela»ewe)s.
4. Acorgfldtl copy ofa current drug les(performed by a Ncensedlabdralo(y. The drug test cannot be mare than thirty(30) daysold from your sp'pmvei start dndfcr renewal date. A cwrnnt drug teel ls reqvbsd for agnew staff and annual renesals.
5. A 'copy of current Stats Nconcs nnd/or osrgfioaticn ls rsqu(rad for sg rtin(cal and lochnlcsl positions and must retablo(hearseyou sre assigned lo work in, This docvmsnlagon Is required for ek new elalf and annual renewals nnd/cr when s Nmmss Is
re Issued acdhr Wxiewed.
6. A comp(6(qd "secvrity Accoss" form oompfefsd and signor(by the choirman (ogn(csl dspahmsnts) or Director (nonckn(csldepwtmsnls) wH he (squired (n order for o Hospital ldenggcollon cord lo be issued. This Nccument ls required for ak newstaff and annual renewals.
AN docvnumle must hs presented Nues (3}weefw prior to the assigned crienlstion date you srs rsqussgng lo ittand, Exemple, If youwish to akend tho Monday July 30, 2012crlsnhglon, ag completed ind mqulrsd docvrnonlagcn moo! be recekrod no (alar N(on Monday,July 0, 2012. AN pspenvcrk wgl be reviewed by gm Human Resources ond Employee.Hen{lb gei'vices Departments, In Ihe evan(additional hformethn(hirls ern required dye la incomplete submlselone, ag pspsrwork wNbe relurned end ufgncl bs ccI»idsmdungieg required documents are re»ubmktog ((nd approved. You or Ihe Individual dsclgneled on your form ss the contact parson wgl benot(god by phone when your piporwork hsc been approved and 0» date you have bean scheduled for orhmtaNcn {or lo pickup yourannusl ID wmewsl).
If you have any ques(lone or need addkionsl Intonnation p(esse ccrdsct the Doper(mont cf Human Recowcos al 312.BB1.1610(orsec(stance. Thank you In advance for your ccoperat(on snd corn pgence with cvr poke(so snd procedures and we(camel
porn(soever/is Asdcf 1616
~ Arshnlatevy Sc gammon(fr liealih Hsfwcvk c Csvmak Hsaftfr services ~ Cook County froparfmemf of puhgc Health ~~ John fl, Sfvagarr Ja Kecptfal ~ Oak Porecf Heaifh Oen(ev c PrsV(dent HecPlfaf ~ Huih fk. Rnthsisln CONN Center c
Work Order Number: O'I5515.01
Work Order Tale: Provident Hospital "Option G" HVAC Improvements Supplemental
Job Order Conlract
Contractor: Cook County - F.H, Paschen
Date: July 05, 201S
Subcontractor and: IfhftfttE Estimate
Following ls the proposed list of mlnorily owned, woman owned and nondnlnority subcontractors and material suppliers proposed forthe above Work Order. This esamste Is submitted with our llnal Work Order Proposal in the amount ot $16,216.51.
Ccntrectcr Duttes TradeM/W/SBE
StatesTers/ 8 M/W/SBE 8 % of Prelect
Aehtsvr Ccnsbsuua, INC.
Autumn Cchetncacc
Trades - B.Bcbcectractcr/ M. Mate dat SupplerM/WBE's - M: 3/Sserttr; W: Women; M: Nce MNTBE
srdlso.co 87,888.80 47.24'n
35,424.80 35,424.sc 33.43%
$tsdtss.so $13JI04.00 08.80%
Total MBE Subcontractor Participation Scheduled
Total IdBE Supplier Psraclpatlon Scheduled
Total WBE Subcontractor Participation ScheduledTotal WBE Supplier Partlclpaaon Scheduled
Total M/WBE Participation Schstluled
$7,660.00
$0.00
$5,424.00
$0.00
$13,884.08
47 24y ~$7,000,00
0.00% 47.24%a
33.45% ~$5,424.00
0.00% 33.45%
80.00%
MSE Total
WBE Total
(Contractor) Protect Manager
Subcontractor sed MWBE Ee/ime/e Pace I cf I
7/3/2018
Cook Couniy
Office of Planning 8 tao)icy
89 W Wsghinglon
Chlcsgo, Ik 80802Oats: July 00, 2018
Suh Order Tslsh 616,21B.ST
A. Dagnntana and Dlsclosuro Ranulremenie
Asusedbemln,the term'Coebaolormeana a petconorensywmheeenymnlrmtleaaewkhSe Countyolcook.
p u res nl te Eve su tive Order IT Iurvo W ally contr eel smf loses mucl be ssccmpsnle d by a db do su re cist ament pnwldhg aerie In info r ms den and ad or no ye, ko bylv lc,
secmnlanh, convukenls, cubconlrachrc,end ether parsons
0 The Contractor ls not recurred lo Ecchso emplcyeea who am pakl cdely Ihroughlac Conlreotor'e regular payndi
'Labbylm mesne any parson (a) uha ler cempanc econ or on imbed of sny person alber Ihsn klmcog undertakes lo Inpuenm any Ieplctsllvs or administration scUon, or (b)any parlor whose dupso as sn anwhyae af snolhsr Incbmes uadarlaklnp lo Inguanos eny hldctakve or admlnlclmme muon.
E.~Conbsdcr hereby cerldlee cv fnlkmer
Thh olsc locura ra isles to Ihe Mkmlng trans ac go n:
pndmt namw 01fmlcfm pmmhni vospksl 'oplha c'NAc lrmnwmmonle svpplsrmrnsl
0, NameofConbenlon CcokCously-F.H, paaahm
EAcH AND EYE RY a dc may hbby let account ant done ulhnl, subcontractor ar alhsr pars an retained or anddasled to he re lowed lw Ibe Contractor with respect lo
or Ilr conn cethn wdb the mmham or lease fc Usted beam
Smash additional pallas If nscsvvsryh
Name
SUSINESS
ADDRESS
Ashlsur ConslrueEnn, INC.
AUIumll DmmburEon
CHECK HERE IF No SUCH PERSONS 1%VESEEN RETAINED DR MIE ANTICIPATED TD SERETAINED
MSE
WEEor Noh
MSE
WEE
RolacowSMp
lauamoy,tohbylst,alrbcolilmoloreto)
Subcontractor
Subcantraclor
FEE)Indicate
who)her paid0 or aosmated)
BT.000.00 Est.
00406.00 Est,
4. Tns contractor Umferclcnds end sprees Ical Ule aly moy rely on(bc Into rmsban phwldad be rein and Inst pmvlsng any false Ineompms or Insceurance Inform cmn
ebsg cmwglulo dslsug vndmmaconlrsel snd msy resus lntmnlnsdan eilbo cenbmd or hme
0, The Contractor understandsend camas Ibal In any casa himlch Ihe Conlraclorle uneedeln whether a dlvehmue le required under tao Emwubve order, Ihs Contractor
awN abber ask Ihe cdy whether sad osirre fc required or make Iae dlcwocure,
Under Iso p an dirae of pe dary, I ca Nl'y thol I sm e ulbor'cad tc execvto Ihh Dlcchv uro on lr eh elf of Ihs contr ac lor Ihat Ihe hhmw don dlc cloesd bc nsr h Into ond
camp!etc, snd Ihal no televanl Infcrmadon has been witbbeld.
slcnalwe
1
/<f4~ ~~(I
Name )Typo cr Wnl)
7/4a J/0Date
~y~( e~d ~VTlge
Ibis /%) day ofr ILAJEA Eo J H)
N(yrly Publhckfrmlum
l,iy BDtf268
Dlsotosura Elslemanl Page I of I
TIN2010
NNBEIWBE UTILIZATION PLAN .FORNN I
BIDDERIPROPQSER HERESY STATES thai sfi MSFJWBE llrms Induded in Nfiz Plan ars cergfied MBEsiWSEs by sl lenzl one oi Ihe entitles llzied In Ike General
CoadBons -Section Ig.
BIDDERIPRCPOSER MBEIWBE STATDR (check the appropriate Nne)
BiddertPraposer iz a cariifiea MBE or WBE firm. (If zo, agach copy of current (suer ol Cargficalion)
BlrtdertProposer ls s Joint Venmre and one or more Joint Venwra partners are cerillled MSEs or WBEs. (If so, attach cophe of Lelier(s) ofCerlirnsfion, s copy of Jolnl Venlum Agreement clealy describing Ihe role sl Ihe MBEIWBE firm(s) mul its ownership interest In the JointVenture end e ccnufieled Joint venture As davit —avsilahkr online si wwur.ccohzmntvll.anv/ermksmcmnolinms)
MBEshhlsEs that mll perform as subconlrnclorslsuppgershonsullants Induds the faNowing:
MBFJwsEFI . Ashlaur Construction Company
. 509 E. 75th Street Chicago, illinois
E~„ii, ashlaur509att, net
~„~~ . Zollie Carradine ph, 7734)5) 1900
Mar Amount Psrlidpstlon: S
Percsm Amount ol Pmtldpsiimr.
'Letter of intent siiachod2 Yez'Ornenttmmrofcermicsiiocsuachedy Ym~ No
Irc
Bidderlproposer is nol a ceraad MBE cr WBE fion, nor a Joint Venture wuh MBBWBE partners, hut nlfi utilize MSE szd WBE lirtns either
direcihr or indirocfiy In Ihe perhnnance at Ihe Contract gfso. complete SscNona B below and Ihe LeNer(s) at Intent - Fons 2).
B. g Direct Parllclpsuon of MBEIWBE Finns indirect Psrudpsdon of MBEIWBEFlnns
NOTE: Where goals have not been aohleved through direct psrgclpatlon, BldderlProposer shag Include documantallon ouglnlng efforts toachlmre Dlrecl Paigclpatlon at the Bme ef BidlPropossl submlsshm. Indlmot Pardmpatton wgl only be considered after ag efforts toachfeue Direct Pnrtlclpsgon have been exhausted. Only after WrIBen documentation of Soot Fsgh Efforts is reoeived uig IndirectPsdlalpsgon be consldemd.
MSFAIMEFkm Autumn Construction Services
« .449 Eisenhower Lane South, Lombard, IL 60148
~„l~~m Susan NelsonPhrmm
630 588 9585
Dollar Anmuni Psrgdpsgonr S 5> 4
Percent Amounl of Partidpelimr.
*Lethr of Intent aitsched2 Yes~'curtent Lmter of Cergficetkm sNschsrt2 Ysz~Aiiach ertoNimai sheers es neednt
'eNerta) of intent and current Letters of Certificagon must be submitted at the time of hit.
M/WBE Utilization Plan - Form 1 Revised: 01/29/2014
MBE/uYBE LETTER OF INTENT - FORM 2 "
M/WEE Firm: ASHLAUR CONSTRUCTION Csrgl'ylng Agency; CITY OF CHICAGO
City/Sials', CHICAGO. IL 2tp:60619
Contact Person: ZDLLIE CARRADINE
Address: 509 E. 75™STREET
Certification Expiration Dais: 04/15I2019
Ethnlcny: AA
Sd/PropossgConusct ¹'I
Phone773 651-1900 Fax: 773e51-Igt9 FEINE 364452691
Email, ASHLAUR559EIATydIET
Parlicip agon: fgl)irect @Indirect
Wig the BE grmbe subcontracgng any of the goods or sorviees ef this conkaot lo snolher tlrm'I
o Yes-Plssoe attach expiansgon. Proposed Subcontractor(s):
The undersigned MNISE is prepared to modide Ihe fogowlng CommodigesISendces for Ihe above rmmed Pro)oct/ Conlrack p/nxvs 4//sos is sosdsd le Iiisy rlssoriho SIHSE Firm s proposed srsps ol vnvh sndm psyirrsnl solisdnls sllsdr sdisyons/slisslsi
CARPE///TRY SERVICES
Indicate Ihe Dogar Amount, Percenhrne. snd ths Terms of Pavment for ths abmmdescribed Commodities/ Seluloos:
THE UNDERSIGNED PARTIES AGREE that Ibis Letter of Intent will become a binding Subconlract Agreement for the abovewelk, conditioned upon (1) (hs Bidder/Proposer's mcsipt ot s signed contract horn ths County oi Cook; (2) UndersignedSubcontractor remaining compliant with ag mlevant credentials, codes, ordinances and otslules reqrdrod by Contractor, CookCounty,andlheStatelo participateasaMBE/WBEfirmforlhnabovework. TheUnderslgnedPartlesdoalsocergfylhatlheydldnolaigxtheirslgnatumstoINed'ntllall areasunderDescdiplionofService/Supply endFee/Coslwsrecornpleled.
Siggnn1/ ItstyySEE) ttgfnslu/e (Prfins s¹Mel/Pmpo+
ZOLLI6 CAnnAOIHE AS kk/Os'ymtNamePrlrlt Name (
Pa,SC.4 4~4~ mFirm Name
7/14I18>/~oh('ate
Date
Subscribed and swombefcrs me Subscribed endswornbefore me
't J
Nolery Pubgc M
OffICE OF COI4111ACT COMPLIANCE
JAcctt/BLINE uonsazNIECTOR
11aM.clad;covntvsoildinc, Room 1020 o chlcaco, Rllnols60602 o I332)603 5502
'VONI PRRCKWINKLR
PREDOEHT
CAARCooaty Soantof Conunlcctanacc
RICHARD k ROYVJtc
lit DRMct
ROSHITS'IEELS
2nd Dlttclct
JDIRY aa ILDI
Snl lscmct
STANLEY MOORE
4th Ohtckt
DEIIORAH SIMS
5th Dhtnct
JOAN PATRKIA MU IIPH V
0th DRMN
JESUS o.aARCIA
Vth Dhvkt
lUIS ARRDYO JRAth Osokt
PETER N. SILVSSTRI
Pth Dhtact
eamasrem«ER
Inh Enlclct
JOHN I'. DALEY
1IUt Dkmcl
JOHN A IRHCHEY
12th Dhhln
LARRV SWFAEDR4
13th Dktcld
0RNIR 00SUN
10140141Am
I
I ISIOTHV 0 SCHII EIDER
Isth oltlcnn
IIFFRfY R 1osa I Ss'I
1sh Dtctckt
December y,2010
Mr. Zcgie Carredine, President
Ashfaur Conslmogon Company, Inc.dfb/a Ashlaur Conshucgan
509 East 75» Gimel
Chicago, IL BIN(0-2203
Annual Certglcstlon Bzplres: Decembsry,20te
Dear Mr. Carradlne:
Cangraiulagons on your continued eltglblllly for Celtlgcagon as a Minority owned Business Enterprise(MBB) by Cook County GovemmenL This csrlNcagon ls vaM ungl Deoember 2, 20 f0; however, you mustre validate your Nmt/ cergllcsgon anntudy.
As a condition of amgnued Cerggcalhn dudng ths live (5) year tenn, you must Ns an annual '5kggg~Idevlin wghfn sixty (00) business dsye prior to Ihe digs of the annual eplragon. Failure M Ne (hisANdavl( may msNtln the termination of your Certigonlion, You must nogfy Cook County's ONce of ContractCompliance of any change In oumersMp Dr conlml or any other matlers or hole effeogng your gtnrsegglblllly for CsNgcagon wghln fifteen (f0) business «tays of such change,
Cook County Glwemment may commence scthn to remcws your Rrm as a ceN gsd vendor lf you fall loaogfy us of any changes of facts aifecgng your firm's CeNgcsgon, or lf your Ibm aihefwhe falls to cooperatewith the County hl any Inquiry or lnvesggagon. Removal of your Rictus may also be commenced if your finnb found to be tnuohred In bMdlng or conlmctual irreguladlknh
Your firm'e name vN bs listed In cook county's Dlrectoty of csNged firms In Ihe folbwlng arne(s) ofspeclsllyl
Ccnshucgon: Carpentry, Painting & Drywall
Your gnn'0 paNolpagon on Cook County canbacls wgl be credlled toward MBE goals In your ares(a) ofspedelty. While yow parlhlpathn on Cook County contracts ls nct gmlled to yow specially, oedlt lowardNBB goals wlllbs given only for wodcdone In the specially category.
Thank yau for your congnued Internal In Cook Couniy Government's kgnmlly, Women and 'I/eleranBusiness Enteiprfse Programs.
Nncerely,
Jacqueline Gomez
Contract Compliance Dlreclor
JG/ek
IEAIHA IIDMROII
tTth Dtcokt
$ Fiscai Responsibility/ nmovathm Leadership O Ttansllarency & Acconnlai)iiity Qi Intplavad Satvices
-"'0/ n
DEPARThunI IT Ox PROC Uaxhf sin x 8$RYICsn
CITY OF CHICAGO
Zolle CairadlneAshlaur Conscuatton Company, Ino.600 East 76th StreetChicago, fL 80810
Dear Mr. Cariadlne:
We srs pleased to lnyoim you that Ashlaur Construction Coin»any, Ino. hse been receiflgidae a Minority sueldess Enterprise f"61ss") by NIi cly o( chicago ("Gltf), Ttlls lllssasrttgaaihn S vatN untl 0411N2010; however your finn's esOlcstlcn must be reveldatedannually. In the psst Ns city has prohfded ycu with an annual letter conlnnlng yourceitNcatksi; such letteas wll no tongsr be issued. As a cons»'quenbs, ws 10xpRI» you to bseven more dllgent ln Rlre your aninnal inc%hangs Affidavit 60 days before yobr annualsnnlveieaiydstnL
It ts now your resppnslblly to chealt the city's csrgltoalloz dtrecloiy and vsily ymir oerllcaNonstatus. As a condllon of aanNnued ceracalton duitng the tive year peifad ~ abave, ycumust Rle an annual No.Change Aftldavlt. Your firm's anntial tto Change Aflfdivlt Is due by04/18/2016, 04/15/291$ , 04/tg/2016 end 04/18/2Q1$ , Pishse remember, yau have anaftIimagvs duty to 8le your tfo change Atsdavtt 00 days pdor to the daf» of expiiatian,Failure fo Nle your annual fnc-change ANdavlt may resul In Ihe suspension or ress(islon ofyoul'eIRNCRNcn.
Your Rrm's Rvs year as NflciNon wll expire on 04/16/2010, You have an afilnnatlve duly to Rle
for recerNRcalon 80 days pdar to the date of se five year anntversary dale. Therefore, ycumusf file for receIINcagcn by 02/18/2010.
It ls Important to nots that you also have an ongoing aNrmatlvs dub/ to nolly Ris clv of anyahangei In ovxiarsfttp or contial of youl Nrm, or sny other feet agealng yaur sm's slig@IIItyforcertNcatbn within 10 days ofsuch change, These Changes may Inalude but ars not ilmled toa change of address, change of business structure, change In ownership or cvmeiehlpstructiire, change of business Operations, gross receipts and or'personal net Ivcigi that exceedthe program Niisehold, palure to provide the Cly with timely notloe of such changes mayresult In the esspehslon orresdsslon of your ceitllcatlon, ln addllon, you maybe liable for dvii
penalties undw'Chapter 142, "Pats» Claims", of Ihs Munlolpal Code of Chicago.
please note-ycu shall be deemed to have had your certlflcalon lapse and wS be Ineligible icpaINc! pals as a NSS If ycu fall tci
I0I IIORfn I hshLLRSTRBRT, ROOM 006,CBICACO,ILLIÃ01060600
Ashisur Cons(root(on Company, lno. Page 2 of 2
o Ffle your annual No<hangs Atfldavg within the requIred flme period;o Provide flnanolal or o(her reccnIs requested pursuant to an audit wNhin the required
tkne period'Io Noflfy (he Gfly of any ohangss alfeotlng your flrm's csrtlflcsflcn within 10 days of such
change; oro Ffle your rscertlflcatlon wflhin the required fims period.
Please be reminded ofyour contractual obflgsttcn to coops(«le wl(h the Ggy uflth respect to anyreviews, audits or invesflgatlon of Its conlracts and airmaflve cotton programs. We stronglyencourage you lo assist us In maintaining the lnlegrgy of our pmgrsms by reporflng Instancesor susplckrus of fraud or abuse lo tha Ofy's Inspector (fin eral a\chlcagolnspsotorgsnsrst.org, or 888 IQ.TIPLINE (888.4484y84),
Be advised that lf you or your flrm is hrund tc be I've(vad tn cert(flcagcn, b(dd(ng and(orcon(ractual fi«ud or abuse, Ihs City wfll pursue decsrflffoalon end debarment, In addi(ion loany other pena(ty Imposed by taw, «ny person who knrndngty ob(a(ns, or knowingly asekd8«nother In obtatnlng a contmoi with the Cfly by fhlsely represent(ng the Ind(vidual or entity, orIba lndiv(duel or,ahtlty assisted ls guflty of 0 mtsdkr(NN(nor, pun(s(vrble by kwarcsratkmln Ihscounty Jolt for a purled not lo exceed ah months, or a fine cf not less than 88,0oo and not morethan 810,000 or both.
Your gnn's name wfll be Nstad ln Ihs CI(V's Dirac(ory of M(norlty and WometvCwned BusinessEnterprhes In the specially area(s)
of,'AICB
Cods(s):238130~ Carpentry, Framing238310-Drywall Contractors238320- Painting and Wag Covering Contractors238330-VInyl Flooring Contraotors238380- Finish Carpentry
Your grays participation on Cfly opnlracts w(N be credited oq(y toward NN(uorlty BusinessEnterprise goals In your area(s) specialty. while your pargolpatlon on City conk«cts is noilimited to your area of specialty, c(wilt toward goa(s wfll be glden only for wwk that Is self.psiformsd snd providing a commerdafly usiful functio~ ihst ls done In the approved specialtyoategoqr,
Thgnk you lor your interest In the Glty's hgnortty and Women.Owned Business Enterprise(MBE/WBE} Program.
Since rely,
JLRlha
fflccr
7/19/2616 City a(Chicago- Cermaatinn and Ccmpttanca System
Vendor Information ue eeanlle ul Il'iirsP+Ijl
9HELP
Vendor Information
Business Name
Owner
Address> Mao This Addraaa
Phone
Ashlaur Construction Company, Inc„ tceA Aahlaur Construction
Mr. Zogls Carradlns
S09 East 76th StreetChio&go, IL $0619-2203
7734I6'I-1SOS
7734151-1919
aahlaur509dSatt.net
Certl(lcaUon Information
Certifying Agency
CsrUficalion Type
CsitiUcafion Date
Renewal Date
Explregon Dais
CerUSed BusinessDescripSon
Cook County
MBE - Minorgy Business Enterprise
12frl2015
12/7l201$
12/7/20 19
Construction: Carpentry, Painting 6 Drywall
Commodgy Codes
Coda
NAICS 236130
NAICS 236310
NAICS 23032
DeacdpUon
Carpsnby Contractors
Drywag and Insula Son Contractors
PsinUng and Wall Covering Ccnlrsclors
cuatomereuooortcopyright lg 2016 Bzcnow. AB rights reaarrad.
Print Thin Pass
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Nuwwnu LRTTnn OC IRTRRT CORN 2
MIWBE Fina Autumn Construcgon Servhes, Inc. Cerglrlng Agency. CEv of Chhano
Genteel pamoa: Susan Nelson CerNlcclhn Ecplrsgcn Dele: 10/16/20(T
Address: 448 Eisenhower Luna South BhnlclW Cnucnalnn
Cgy/SUN: Lombnld. IL TIN 80148
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FdntNamokJFirm Name
-(l~alir.
Suann NelsonPdnt Name
Autumn ConelrucNcn Services. Inu
Fkm Name
July 12, 2018Date
Subscdbed end uwmbefare me
Osis
Subscdbed snd awombsfore me
Ihlc 12tlrsyef July .2018 Ih dayof L ~~Pe'30+Notsry Publh ~~
THE UNDEIISWNED PARTIES ASREE Ihat Ihta Letter of Intent wgl become a MadtS Subcontract Agmwnant for Ibe abmm
work, ccndbmned upon (1) Ihe Bkhhx/Pmpose/a mrnlpt ef a signed ccnlmct fmm the County el Cook; (2) Undersigned
Subcontractor mmslnlng compgant wgh eg relevant orwlengsls, swiss, ordinances wd slalulae requhsd by Ccntrnuer. Ceobcounty, end gm Skde kr padhipste as a MBElwBE gnn ibr gm above werk, The Undcmblsad pergee do sha cergp/ that theydid nol aglx Ibdrclgnalums lo Ihls docuuent unS ag ames under Oesorlpgon of Sewhcl Supply end Fee/Cost wars completed.
A(AkN XEA~Signature (MSISE)
M/WBE Letter of Intent - Form 2
DRTART66ENT ov PnocunsxrxnTSSRvrcas
CITY Oflr CHICACO
JAN f 20I4
Susan NelsonAutumn Construction Services, Inc,14008.TouhyAvonue, Suge477Dss Phthes, IL 00010
Qoar Ms, Nelson:
We are pleased to Inform you thai Autumn Conolrucgon Services, tno, has been rscsrtSedss a Women Suslnsos snlnrprlso («WSS'<) by Iho Cgy of Chicago f'City") This WSSceklgcstton is vsfld uns 10I10I2067; howrn66r your Nnn's certglcslldn inust bs mvslldhtodannually. In tho past tho City hse prwlded you wgh sn annual 4@sr ccngrmlng yourcsrggcaNon; such letters wgl no longer bn hrsued, As a consequence, wb mqulre you to bseven more diligent In Nflng your annual Nc Change Affidavit 00 days before your snnusianniversary dote.
It ls now your responslbfllty to cheok the cities oeillgcsgon dlmctory and valgy your corgflcattonstatue. As a condition of continued cerggcalhn during Ihe I)vs yssr poked slated ohuve, youmust ffle an annual No change Atfldsvg. Your Nrm'e amuml Ni Chinge Afgdsvlt's due by10I10I2014,10/10I2010, and 10115/201L Please remember; you have an aflirmative duly toNle your NO4hange Afgdavlt 00 days prior to the date of explratlcn. Failure to Nls yourannual No-change Altldsvg may result In tho suspension or Rmcisslcn ofyour ceitlgcatlcn,
Your Nmfs Nva year oekglcegon will expire on 00I1012017. You have an atgnnstivo duty to 026for mcsrtScngon 00 days prior to ths date of the Nvs year «nnlverssqr d6de. Therefore, youmusl file I'or mcsrtlilcagcn by 10110I2017.
II ls lrqpoitnnt to note that ycu also have an ongolrlg efgrrnatlvo duly to ncgly the city of anychanges In ownersh)p or oonlrol of your Nnn, or any clher fact aSxcgng yomllen<a ellglbflflyforcakifiaitton within 10 days of such change. 'fheso changes moy Includi bul am not Nmlhd toa change of «ddross, change ol business slrucluro, change In ownership cr ow'nerehtpstructure, chango cf buelnsss opersgons, gross receipts and or personal mil worth that exceedthe progmm threshold, Pagure to provide Ihs Cgy with Nmely notice of such changes mayresult In the suspension or msclsslon of your certScstlon, In sddglon, you may be Nsbli for clvgpsnalNse under Chapter 1«22, 'False Claims', of the Munhdpsl Code of Chicago.
Please nots- you shall be deemed to have had your cekScsgon ispss snd wfll be ineligible topartSIpste as e WSE If you fall to:
f66 RORTII LASAI 6 C CTRnlT< ROOIN $66< CHICAOO< rLM66066 66666
Autumn Conelruahan gervloes, ino.
e PNs your annual Mo-Chango Afhdsvg whhln ths rsquhed Ume period;provide hnsnclai or other records req'uestod pursuant to an audit wkhfn the requhndNme period;
v MONy the Cgy Of any Changes ageogng year firm'S Oortfdcatfcn Within cd dayo Of Suchchange; or
~ Flhr your recerNlcstfon wfthh ihs required time period.
pioaae be rsmhdod ofyour contractual abhgagan to cooperale wph the Chywllh respsot to anyreviews, audps or invsshgaNon of Its contracts and afgrmahve schon programs. We slrcmglyencourage yau to sssht us h maintaining ths integrNy of our programs by mpartlng lnslanossor suspkdons of Baud or abuse to the City's inspector Senersl atohloagolnspeatorgansral.org, or SBB IO-TIpI.IME {000440<r04).
se advised that If you or your hnn ls found to he Invohred In certfhcslhrn, bidding andlorconlraatual fraud or abuse, the Cgy will purdue deasrtgkmtlon and debniminI. In addlNon toany other penalty Imposed hy law, sny person who knimdngfy obtains, ai knowingly aiihrtsanother tn abtalnfng a conheot with Ihe offy hy falsify mprpsengnp the IndivMual or enNy,. orthe Individual or engty assisted ls guhly of a mfsdsmeahor, punfshabfs by Incor'caratfon fn thenaunty)a{i fOr a Perfad not to exased sIx months, ar ihne of not Issi than 00 044 ind not morelhan 0{0,004orbolh.
Your hrr{fe name will be Ihrted in the City% Directory of Mfnordy snd Wamsn-Owned BusinessEnterprises In the specialty area(s) of.
MAIOS Code(s)l280220 -Ccmstruogon Management, Commerolaf and Institutional Sugdlng25S220- Meohanlasl Contraotors04'{330-Engineering Design Services04fe20 ~ Rrwlronmsntsl Consulting Ssrvhes
Your firm'e pargcfpatfan on Cgy aontraots will be credited only loward Women SuslneeeEnterprise goals ln your arne{a) speoligy. while your pargolpadan on cgy contracts ls notNmpod to your area of specfafhr, credit toward goals wis he given only for work that ls seif-perfarmed and provldinp a oommarcispy useful function Nmt ls done In the appravsd specialtycategory.
Thank you for your Interest In the Chy's Mfnarlty snd Women-Owned Suefness Enterprise{MSSWSE)Program,
Sincerely,
JLRlsl
1/10/2010 City cr Cttcspo - Car lit cat ac and Ccmpasres System
VendOr IrrforfnntiDrl MHESL Iww I ' Ialv&gg
Vendor Information
Business Name
Owner
Address> /esa This nddmss
Phone
Fax
We belts
Autumn Construction Services, Inc.
Ms. Susan Nelson
448 Eisenhower Lane SouthLombard, IL 80148
630-5854I588
830488-8586
susan.nelsorutbautumnconstructlon.corn
httor/Iwwwautumnconstruauaaoam
Csrtglcallan Information
Cerfifylng Agency
Cerggcsgon Type
Cerggcagon Date
Renewal Dale
Exp/rsgon Date
Certlged BusinessDescrlpgon
City of Chicago
WBE.WomenBuslness Enterpttse
8/28/2015
10/1 5/20'I 6
18/1 5/2017
NAICS 238220 Construction management, commercial andinstitutional buildingNAICS 298220 Mechanical aontraotorsNAICS 541330 Engineering design servicesNAICS 541820 Envlranmentsl consulting services
Commodky Codes
Code Descrlpgon
MAIDS 238220 Conslrucgon management. commerdai snd insgWgonel building
NAICS 238220 Mechanical coniractom
NAICS 541330 Engineering design ssrvkss
NAICS 541620 Environmental consulting services
Custamer Suaaartcopyright o 2016 82Gncw. Au rights rcscrvcrt
Ptlat This Peas
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Buyer NameFiscal Year + Buyer NumberLead DepartmentUsing Department(s)DescriptionVendor NumberVendor NameAuto Update From PO DataContract Original AmountContract Start DateContract End DateFiscal Yearg Of Renewal OptionsCost SavingsTotal Contract AmountTotal Contract Term StartTotal Contract Term End
PriorityStatus UpdatesAdditional Status UpdatesRequisition Entered In JDEReceipt of New ProjectAssigned To BuyerMWDBE Goals Request CompliancehllWDBE Goals Received ComplianceSpecification ApprovedAdvertise DateBid/Proposal Open DateEvaluation CompleteTo ComplianceCompliance ApprovalReceive Letter Of RecommendationUtilization Pin To Compliance EvalUtilization Pin Receive From ComplianContract Docs Sent To VendorReceive Contract Docs From VendorBackground Check - Start DateBackground Check - Complete DateDeputy ApprovalBoard Contract ApprovalCPO Final SignatureContract Award And ReleaseCancelled DateRequestor NameRequestor PhoneRequestor E-MailEDS Signed Date+ 1 YearInsurance Expiration Date- General LiInsurance Expiration Date - ProfessioInsurance Expiration Date - AutoInsurance Expiration Date - Railroad
:0: Capital Planning and Policy - 031
: 17,027
:0:0
: 4? Normal, Routine Request
:Aug 22. 2016
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abigtynal Liability:
: PH ER HVAC UPGRADE SUPPLEMENTA: 845783: PASCHEN AUTUMN JOINT VENTURE
