Circle B Farms Septic System and Driveway Bid Documents August 13, 2014 CONTENTS SECTION I INSTRUCTIONS TO BIDDERS

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1 SECTION 1 Instructions to Bidders SECTION 2 Bid Proposal Contract Agreement SECTION 3 General Conditions of the Contract SECTION 4 Construction Specifications SECTION 5 Construction Plans SECTION 6 Attached documents Circle B Farms Septic System and Driveway Bid Documents August 13, 2014 CONTENTS SECTION I INSTRUCTIONS TO BIDDERS 1. All bids must be submitted on the attached bid proposal form prior to the bid opening date indicated. Sealed bids clearly marked Circle B Farms Septic System and Driveway Bid must be received at the Caribou City Hall by 11am on Friday, August 29, Bids should be addressed to City of Caribou Austin Bleess, City Manager, 25 High Street, Caribou, ME. There will be a pre-bid meeting on August 20, 2014 at 9am at Circle B Farms, the project site 290 East Presque Isle Road, Caribou, Maine. It is the responsibility of the prospective bidder to inspect the construction site and examine the plans and HHE 200 forms, technical specifications, quality assurance and quality control, and contract general conditions to ensure that the bidder fully understands the construction requirements. Any questions regarding the work should be directed to Sam Blackstone, Circle B Farms at (207) at least forty-eight hours before bid opening. 2. The Business (Circle B Farms) and City (City of Caribou) will be the sole judge of the acceptability of the bids, and may reject any and all bids if it is judged to be in the best interest of the business. The Business and City reserves the right to negotiate with any or all bidders in order to reduce costs to the Business and City if it is judged to be in the Business best interest. The contractor shall produce evidence of his ability to adequately perform the work by submitting three references before bids are awarded. 3. The bid prices must be for installation of 30 foot wide drive from road around new building with a 40 by 60 food area in front of loading docks with the drive being one foot of compacted rocks with 3 inches of screened gravel finish and a complete and finished septic systems as indicated in the bid documents including any piping, fittings, valves, fill, grading, insulation, site restoration, or other work not directly shown but which can be reasonably inferred by an examination of the site and construction documents to produce a finished product. Any errors

2 or omissions detected by prospective bidders should be brought to the attention of the Business at least twenty-four hours before bid opening. 4. All bidders must complete the CERTIFICATION OF CONTRACTOR REGARDING EQUAL EMPLOYMENT OPPORTUNITY and CERTIFICATION OF CONTRACTOR REGARDING SEGREGATED FACILITIES, page and return them with their bid for the bid to be considered a complete package. 5. This project is being funded using Community Development Block Grant funds through the U.S. Department of Housing and Urban Development. As such Davis Bacon wages apply. The contractor also must submit a Statement of Compliance to the City of Caribou, Attention City Manager, each week with each payroll. 6. The contractor is required to have insurance as follows: $1,000,000 for any one person and for each accident in cases of liability for bodily injury and/or accidental death; and $1,000,000 for any and all accidents in cases of liability for property damage. The contractor must also maintain the following types of insurance: o Full worker compensation insurance coverage for all persons employed by the contractor to perform work on the project. The insurance must be in compliance with State of Maine requirements. Bodily injury and contractor s protective property damage (broad form), each including coverage for blasting explosion, and injury to, or destruction of wires, pipes, conduits and similar property, appurtenant apparatus, whether public or private and collapse of, or structural injury to, any building or structure, except those on which work under the contract is performed. Bodily injury and property damage insurance covering the operation of all motor vehicles and equipment being operated in connection with project work, whether or not owned by the contractor. Contractual liability insurance as described earlier. Owner s protective liability insurance issued to the owner at the expense of the contractor. Fire insurance included with all property damage insurance in an amount equal to the total bid price of all structures subject to fire damage. Builders All Risk insurance equal to or greater than the total amount. All policies must designate the loss payee as the community and require that the community be notified in the event of any changes to the insurance policies. Contractors shall indemnify and hold harmless the U.S. Government, the State of Maine, the Owner and the grantee from liability for any injury or damage to persons or property resulting from the prosecution of work under a construction contract.

3 SECTION 2 BID PROPOSAL FORM THIS BID IS SUBMITTED TO: City of Caribou Circle B Farms Septic and Driveway Project 25 High St Caribou, ME Having carefully examined the Short Form Contract, General Conditions, and Plans and Specifications prepared by: Will Hersey (Site Evaluator) as well as the premises and conditions affecting the work, we the undersigned propose to furnish all Labor, Equipment, and Materials necessary for and reasonably incidental to the construction and completion of this proposal for: Bid for Drive Way $ Dollars Bid for Subsurface Disposal Field $ Dollars Bid for 1,000 gallon septic tank $ Dollars TOTAL BID FOR PROJECT $ Dollars The undersigned agrees, if awarded the Contract, to complete the Work by October 31, The undersigned agrees, if this Proposal is accepted, to sign a Contract and deliver it, along with the certificates of insurance by noon on September 10, SIGNED: DATE: PRINTED NAME: COMPANY NAME: TELEPHONE: ADDRESS: Employer Tax Identification Number

4 CONTRACT AGREEMENT THIS AGREEMENT made the day of 2014 by and between Circle B Farms, hereinafter called the Business, and hereinafter called the Contractor. ARTICLE 1. SCOPE OF WORK The Contractor shall furnish all of the Materials and perform all the Work shown on the Plans and described in the Specifications entitled: Subsurface Wastewater Disposal System Application, Permit #1933 Prepared by William Hersey, referred to in these Contract Documents, and install a 30 foot wide drive from road around new building with a 40 by 60 food area in front of loading docks with the drive being one foot of compacted rocks with 3 inches of screened gravel finish and shall do everything required by this Agreement, the General Conditions, the Specifications, and the Drawings. ARTICLE 2. TIME OF COMPLETION The work shall be completed according to the following schedule: Final Completion: By Friday, October 31, 2014, pending weather conditions. The system shall be complete within 6 working days once soil conditions permit. ARTICLE 3. THE CONTRACT SUM The Business shall pay the Contractor for the performance of the Contract, subject to additions and deductions provided by approved Change Orders in current funds as follows: $ (In Words) (In Figures) ARTICLE 4. PAYMENTS The Business shall make payment of 90% of the contract amount after the project is substantially completed. That is, all structures installed and operating and all disturbed areas loamed and seeded. Final payment shall be due after final completion. That is, the Work is completed and operational in accordance with the Contract Documents including a catch of grass. ARTICLE 5. THE CONTRACT DOCUMENTS The General Conditions of the Contract, Instructions to Bidders, the Bid Proposal, the Specifications, and the Drawings, together with this Agreement, form the Contract. The Business and the Contractor hereby agree to the full performance of the covenants herein. In witness whereof the parties hereto have executed this Agreement in the day and year first above written. BY: Samuel Blackstone, Circle B Farms WITNESS: BY: Contractor WITNESS: (printed) (printed) (printed)

5 SECTION 3 GENERAL CONDITIONS OF THE CONTRACT ARTICLE I: Definitions Wherever the following terms are used in the contract documents, the intent and meaning shall be as follows: Business- Circle B Farms acting through its authorized representative. Contract Documents - The documents which are comprised of the Bid Proposal, Instruction for Bidders, Contract Agreement, General Conditions of the Contract, Construction Plans and Specifications prepared by a Registered Professional Engineer or Licensed Site Evaluator (including HHE 200 forms), and General Construction Specifications for Septic Systems. They are also known as the contract. Engineer or Site Evaluator-- The designer of the replacement system. Final Completion - The condition in which the work is complete and operational, covered, graded, and satisfactory grass cover is established. HHE Form - A subsurface wastewater disposal system application form, provided by the Maine Department of Health & Human Services, exhibiting a complete subsurface wastewater disposal system design. LPI - Local Plumbing Inspector representing the Business. Project - The entire work to be performed under the contract. Substantial Completion - The condition in which the work is complete to a point where all structures are installed and operational, the system can be utilized for its intended purpose, and all disturbed areas are loamed and seeded. ARTICLE 2: Intent and Correlation of the Contract Documents It is the intent of the contract documents to describe a complete project. The contractor shall furnish all Labor, Material, Tools, Transportation, Insurance, and Incidentals which are reasonably required to construct and complete the project. The plans or HHE-200 forms, including all revisions, Instruction to Bidders, the General Conditions of the Contract, Executed Contract, General Construction Specifications for Septic Systems, and completed Bid proposal comprise the Contract documents. Should the contractor discover any error, omission, or inconsistency in the contract documents which would require additional costs above that shown in the bid, he shall notify the Business at least twenty-four hours before the bids are opened. Should errors, omissions,

6 inconsistencies, or differing site conditions be discovered after contract award, then the Business shall be promptly notified and affected work suspended until a resolution is found. In the event that there is a conflict between requirements of the plans and specifications, the more stringent requirement will be followed. ARTICLE 3: Permits, Laws, and Regulations The Business will apply for and obtain the Plumbing Permit. The Contractor is responsible for obtaining any other permits. It is the responsibility of the Contractor to comply with all laws, regulations, and permit conditions in constructing the project, including safety regulations. If the Contractor discovers that the contract documents conflict with any laws, regulations, or permit conditions, he shall promptly notify the Business. In addition, if the contractor's proposed construction methods require it, it shall be his responsibility to obtain any variances or permit modifications required. ARTICLE 4: Inspection of the Work The contractor shall permit access to the site and work to representatives of the Business at all times. Before covering the work, the contractor shall give timely notice to the Business and LPI that the work is ready for inspection. The work shall not be covered until it has been inspected and certified on the HHE 200 form by the LPI and/or designated inspector of the Business. Should the work be covered without approval of the Business and LPI, it must be uncovered for inspection at the contractor's expense. If the LPI or Business determines that the work is not in compliance with the contract documents, then it must be corrected to the satisfaction of the LPI and the Business at the contractor's expense. ARTICLE 5: Changes in the Work The Business may request changes, increases, or decreases of the work without invalidating the original agreement. Any changes involving a change in the contract price or time must be authorized by a change order executed by the Contractor and Business. Before awarding the contract, the Business may negotiate with any and all bidders if in the best interest of the Business. If the Contractor, in performing the work, discovers conditions which could not reasonably have been anticipated from inspection of the site and examination of the contract documents, including the need for ledge removal by blasting, he shall notify the Business promptly, and a change order shall be negotiated before proceeding further. ARTICLE 6: Contract Termination Should the Contractor fail to complete the work within the time frame specified in the contract and any time extension change orders, the Business may, after giving written notice to the Contractor, terminate the contract and arrange for the work to be completed by others. The cost of any uncompleted work will be deducted from the contract amount.

7 ARTICLE 7: Payments The Business shall pay 90% of the contract cost when the work is satisfactorily and substantially complete. The Business may request that the contractor provide evidence that all payrolls, suppliers, and subcontractors have been paid before 90% payment is made. Final payment shall be made at final completion of the finished project provided that the contractor has submitted evidence that all payrolls, suppliers, and subcontractors have been paid. The making and acceptance of final payment shall constitute a waiver of all claims by the Business except those arising from unsettled liens, faulty work or claims under the one year warranty, and all claims by the Contractor, except those previously made and unsettled. For contracts exceeding one month, monthly progress payments may be requested. ARTICLE 8: Contractors Insurance The Contractor shall maintain in force for the duration of the project Public Liability and Property Damage insurance that shall protect the Contractor from claims and damages arising from operation under this Contract. The minimum amount of coverage shall be as is customary for the work to be performed and shall provide complete indemnification of the Business for the Contractor's work. In addition, Workman's Compensation shall be maintained by the Contractor if required by Maine Law. The contractor will be required to provide insurance certificates. ARTICLE 9: Warranty The Contractor shall warranty all work performed under the contract against defects in workmanship and materials for a period of one year from the date of final completion. During the warrantee period, Contractor shall promptly repair all such defects at no cost to the Business. ARTICLE 10: Disputes Disputes between the Business and Contractor which cannot be resolved shall be settled by litigation or mediation.

8 SECTION 4 CONSTRUCTION SPECIFICATIONS FOR PROJECT GENERAL All Work shown on the plans or specified must be included in the lump sum bid proposal. These specifications are general in nature and, in several instances, refer to the latest edition of the Maine Subsurface Wastewater Disposal Rules. If there is a conflict between the requirements of the plans and these written specifications, the most stringent requirement shall apply. No deviations from the Drawings will be allowed without written consent of the local Plumbing Inspector and Circle B Farms. Description 1. Furnish and install at the location and elevation shown on the plans, a septic system including septic tank, appropriate piping from the building to the septic tank, disposal field, miscellaneous piping and appurtenant structures as shown on the plans. 2. Install a 30 foot wide drive from road around new building with a 40 by 60 foot area in front of loading docks with the drive being one foot of compacted rocks with 3 inches of screened gravel finish and a complete and finished septic systems as indicated in the bid documents including any piping, fittings, valves, fill, grading, insulation, site restoration, or other work not directly shown but which can be reasonably inferred by an examination of the site and construction documents to produce a finished product. Any errors or omissions detected by prospective bidders should be brought to the attention of the Business at least twenty-four hours before bid opening. a. This is a U shaped driveway with the building in the middle of the u. b. Remove top soil and sod from area behind building construct a 30 to36 high berm with said material, connect to existing waterway. (145 +/- long to divert spring runoff from building and road. c. Remove another 24 of earth to lessen the rise of the driveway behind building. This material may be used as fill in the driveway/yard construction if suitable. d. Driveway on north side of building must be as close to the property line as possible in accordance with applicable local zoning ordinances to allow for trucks to have a better chance to turn and approach loading docks. e. All building drains must be in working order when work is complete. f. Install one 3 sleeve for irrigation line under driveway on south side of building for irrigation line. g. Business will supply a place to dump extra earth as need be. 3. This project is being done with funds from HUD Community Development Block Grant program. Therefore Davis Bacon wages apply and must be used for all aspects of this project. Materials

9 1. Drive way: Installation of 30 foot wide drive from road around new building with a 40 by 60 food area in front of loading docks with the drive being one foot of compacted rocks with 3 inches of screened gravel finish 2. Septic Tank: Septic tanks shall be of the size and type indicated on the HHE-200 form or construction drawings, and shall meet the requirements of the Maine Subsurface Wastewater Disposal Rules. The minimum septic tank volume shall be 1,000 gallons. 3. Building Sewer & Drain Pipe: The building sewer and drain piping material shall be in accordance with the Maine Subsurface Wastewater Disposal Rules. 4. Proprietary Disposal Devices: For septic systems utilizing proprietary devices only approved manufacturers' products may be used. A list of approved manufacturers can be found in the Maine Subsurface Wastewater Disposal Rules. 5. Fill Material: Fill material shall be coarse sand to gravelly coarse sand and as specified in the latest edition of the Maine Subsurface Wastewater Disposal Rules or as shown on the plans. 6. 1½" Crushed Stone: The stone used for septic systems is a coarse sand to gravelly coarse sand and shall be clean 1½ inch stone with 100% passing a 3 inch sieve, less than 90% passing a 2 inch sieve, less than 10% passing a 1 inch sieve, less than 4% passing a ½ inch sieve, and less than 2% passing a 200 mesh sieve. 7. Loam shall be topsoil taken from the excavation or topsoil of a similar texture. It shall be free from gravel, roots, clods, or stones larger than 2 inches. 8. Lime shall be standard grade dolomitic limestone. 9. Fertilizer shall be standard commercial mixture. 10. Seed shall contain a mixture of annual and perennial grass seeds such that a fast and lasting catch of grass is obtained. 11. Mulch material shall consist of hay or straw reasonably free from noxious weeds. 12. Insulation shall be extruded minimum 2" thick rigid board polystyrene or as specified on the drawings. EXECUTION 1. The disposal bed shall be constructed in accordance with the plans and the Maine Subsurface Wastewater Disposal Rules. All portions of the work shall conform to applicable state and local codes and ordinances. Where required to comply with codes or ordinances, the Contractor shall hire appropriate licensed professionals to perform portions of the work. The contract price shall include all such incidental costs.

10 2. Construction shall not be performed when the soil moisture content is above the plastic limit. Soil moisture shall be tested by rolling a lump of soil with the fingers to form a wire. If a wire 1/8 inch in diameter can be formed which does not crumble when handled, the soil moisture is too high. Upon encountering excessive soil moisture conditions, the Contractor shall immediately notify the Circle B Farms and shall not proceed further with construction. 3. Excavation shall be made to lines and grades necessary to allow for construction of the septic system including interconnecting piping. 4. Excavated material not required for backfill shall be removed from the site and disposed of in a lawful manner at the Contractor's expense. 5. The entire fill area shall be scarified by rototilling or raking with excavator bucket teeth prior to placing fill material or stone. On sites requiring fill, a transition layer shall be constructed by rototilling 4-6 inches of fill material into the original soil underneath the entire fill area. Wheeled vehicles must not be used on scarified soil. 6. The crushed stone shall be dumped beside the bed and placed in the disposal field to minimize the transfer of fines to the disposal field. Piping shall be installed to the lines and grades shown on the plans, covered with hay or fabric, and backfilled with suitable fill material. 7. Proprietary devices shall be installed as per the manufacturer s specifications. 8. The septic tank is to be placed on a working pad of 6 inches or more of bank-run gravel, compacted by tamping with excavator bucket. 9. The Contractor shall replace the building drain from a point just outside the building wall to the septic tank. The materials shall be in accordance with the Maine Subsurface Wastewater Disposal Rules. 10. Where internal plumbing changes are required, the Contractor shall extend the building drain from the septic tank through the foundation wall at the proper elevation and provide a clean-out connection. 11. All pipe connections and pipe penetrations shall be water tight. 12. Pressure and gravity lines shall be protected against freezing. 13. Septic tanks to be abandoned shall be pumped out and filled with soil or removed.

11 14. Spread loam uniformly on all disturbed areas, except driveways, with a minimum depth of 2 inches. The loam shall be hand-raked to achieve a smooth surface blending into the undisturbed areas. 15. Fertilizer shall be applied at the rate of 14 pounds of fertilizer per 1,000 square feet. It shall be thoroughly mixed with the soil to a depth of 1 inch. 16. The seed mixture shall be sown at the rate of 3 pounds per 1,000 square feet. Mulch shall be applied to all seeded areas the same day as seeding. 17. A Natural Resources Protection Act (NRPA) Permit is not required for the abandonment of wastewater treatment facilities or the installation of a subsurface wastewater disposal system. 18. Soil erosion and sedimentation of watercourses and water bodies must be minimized by an active program meeting the requirements of the Maine Erosion and Sediment Control Handbook for Construction: Best Management Practices, dated March 2003 or later. BASIS OF PAYMENT 1. Payment for construction of the septic system shall be as a lump sum including finish site work. 2. Ledge excavation will be measured by the Engineer for payment on the basis of cubic yards removed. Payment will be negotiated as a Change Order.

12 These documents are on the following pages. Section 6 Attached Documents

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19 DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CERTIFICATION OF CONTRACTOR REGARDING EQUAL EMPLOYMENT OPPORTUNITY (For Prime Contracts Exceeding $10,000) INSTRUCTIONS This certification is required pursuant to Executive Order (30 F.R ). The implementing rules and regulations provide that any bidder or prospective contractor, or any other of their proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract whether it has participated in any previous contract or subcontract subject to the equal opportunity clause, and if so, whether it has filed all compliance reports due under applicable instructions. Where the certification indicates that the bidder has not filed a compliance report due under applicable instructions, such bidder shall be required to submit a compliance report within seven (7) calendar days after bid opening. No contract shall be awarded unless such report is submitted. CERTIFICATION BY BIDDER Name and address of bidder 1. Bidder has participated in a previous contract or subcontract subject to the EEO Clause. Yes No 2. Compliance reports were required to be filed in connection with such contract or subcontract. Yes No 3. Bidder has filed all compliance reports due under applicable instructions, including SF-100. Yes No 4. Have you ever been or are you being considered for sanction due to violation of Executive Order 11246, as amended? Yes No Name and Title of Authorized Representative (print or type) Signature of Authorized Representative Date Rev 7/11

20 DEPARTMENT OF ECONOMIC & COMMUNITY DEVELOPMENT COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM CERTIFICATION OF CONTRACTOR REGARDING SEGREGATED FACILITIES (For Prime Contracts Exceeding $10,000) Name of Prime Contractor: Project Name and Number: The undersigned hereby certifies that: (a) No segregated facilities will be maintained as required by Title VI of the Civil Rights Act of Name and Title of Authorized Representative (print or type) Signature of Authorized Representative Date Rev 7/11 OCD/SegCon/2000

21 Department Of Economic and Community Development 59 Statehouse Station Augusta, Maine POLICY STATEMENT #4 Subject: Bonding and Insurance Requirements for CDBG Funded Contracts Revised: 04/03 The following outlines the minimum requirements to be followed when purchasing supplies, equipment, construction and professional services paid in whole or in part with Community Development Block Grant (CDBG) funds. You may use your municipality s procurement procedures provided that the State of Maine and/or the Department of Housing and Urban Development have made a written determination that the governments interest is adequately protected, or you may adopt the requirements described below. If appropriate, you may supplement your procedures to improve existing systems. To ensure fair procurement practices, a written policy identifying the procedures must be available for review by all potential bidders and the OCD. PERSONAL BONDING Community officials or consultants/paid administrators who are authorized to process CDBG funds, including signing of checks, must be bonded. BID BOND For contracts which exceed $100,000, including the practice of block bidding housing rehabilitation projects, a bid guarantee from each bidder equivalent to five percent of the bid price is required. The bid guarantee shall consist of a firm commitment such as a bid bond, certified check or other negotiable instrument accompanying a bid as assurance that the bidder will, upon acceptance of their bid, execute such contractual documents as may be required within the time specified. CONTRACT BOND For contracts which exceed $100,000, including the practice of block bidding housing rehabilitation projects, there must be prior to signing of the contract, a performance bond on the part of the contractor for 100 percent of the contract price. The performance bond is executed in connection with the contract to secure fulfillment of all of the contractor s obligations under the contract. There must also be, prior to signing of the contract, a payment bond on the part of the contractor for 100 percent of the contract price. The payment bond is executed in connection with the contract to assure payment as required by law of all persons supplying labor and materials in the execution of the work provided for in the contract. INSURANCE

22 Communities undertaking construction projects with CDBG funds, including housing rehabilitation activities, must ensure that construction contractors purchase and maintain insurance until final acceptance of their work. The community must have evidence of this insurance at the time of executing any contract/agreement with the contractor or assisting in the execution of any contract/agreement between a contractor and homeowner. The insurance policy must have the following attributes: * It must protect the contractor, the community and the owner from all claims and liabilities for damages for bodily injury, including accidental death, and for property damage, which may arise from operations under the contract, whether such operation is by the contractor or any employee, The amount of the insurance must be at least: Construction contracts other than housing rehabilitation: - $1,000,000 for any one person and for each accident in cases of liability for bodily injury and/or accidental death; and -$1,000,000 for any and all accidents in cases of liability for property damage. Housing rehabilitation contracts: -$100,000 for bodily injury to anyone, and not less than $300,000 for each occurrence -$50,000 per occurrence and $100,000 aggregate for property damage -$100,000 for any one person and $300,000 per occurrence for vehicular liability The contractor must also maintain the following types of insurance: * Full worker compensation insurance coverage for all persons employed by the contractor to perform work on the project. The insurance must be in compliance with State of Maine requirements. * Bodily injury and contractor s protective property damage (broad form), each including coverage for blasting explosion, and injury to, or destruction of wires, pipes, conduits and similar property, appurtenant apparatus, whether public or private and collapse of, or structural injury to, any building or structure, except those on which work under the contract is performed. * Bodily injury and property damage insurance covering the operation of all motor vehicles and equipment being operated in connection with project work, whether or not owned by the contractor. * Contractual liability insurance as described earlier. * Owner s protective liability insurance issued to the owner at the expense of the contractor. * Fire insurance included with all property damage insurance in an amount equal to the total bid price of all structures subject to fire damage. * Builders All Risk insurance equal to or greater than the total amount. All policies must designate the loss payee as the community and require that the community be notified in the event of any changes to the insurance policies. Contractors shall indemnify and hold harmless the U.S. Government, the State of Maine, the Owner and the grantee from liability for any injury or damage to persons or property resulting from the prosecution of work under a construction contract. Please remember that if a bid goes out for eight (8) or more rehab or sewer hookup projects at one time, and one contractor is awarded 8 or more of these projects, Federal Labor Standards will apply. This will be true even if contracts are technically between the homeowner and contractor. Please refer to the Labor Standards section of this book for further information.

23 U.S. Department of Labor Community Development Block Grant Payroll Number: Wage and Hour Division Weekly Payroll For Week Ending: Name: Tax ID#: Contractor: Subcontractor: Project#: Address: Project & Location: (1) Name, and ID # Of Employee (2) # of Exmp (3) Work Classifacation O T or S T OT S u (4) Day and Date (5) M T u W T h Hours Worked Each Day F S a Total Hour s (6) Rate of Pay (7) Gross Amt. Earne d FIC A (8) Deductions (9) With- Holdin g Tax Tot. De d. Net Wag es For Week ST OT ST OT ST OT ST OT ST OT ST OT ST

24 U.S. Department of Labor Wage and Hour and Public Contracts Division Form Approved Budget Bureau No. 44-R1109J Date: STATEMENT OF COMPLIANCE I,,, do hereby state: (Name of Signatory Party) (Title) (1) That I pay or supervise the payment of the persons employed by (Contractor or Subcontractor) on the ; that during the payroll period commencing on the day (Name of Project) of, 2000, all persons employed on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said (Contractor or Subcontractor) from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3, (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat Stat. 108, 72 Stat. 357: 40 U>S> C> 276c) and described below: (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers and mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into this contract; that the classifications set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in Section 4(c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed on the contract, except as listed in Section 4(c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION Name and Title Signature THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.

25 INSTRUCTIONS FOR COMPLETING PAYROLL FORM, WH-347 General: The use of WH-347, payroll form, is not mandatory. This form has been made available for the convenience of contractors and subcontractors required by their Federal or Federally aided construction type contracts and subcontracts to submit weekly payrolls. Properly filled out, this form will satisfy the requirements of regulations, Parts 3 and 5 (29 CFR, Subtitle A), as to payrolls submitted in connection with contracts subject to the Davis-Bacon and related Acts. This form meets needs resulting from the amendment of the Davis-Bacon Act to include fringe benefits provisions. Under this amended law, the contractor is required to pay not less than fringe benefits as predetermined by the Department of Labor, in addition to payment of not less than the predetermined rates. The contractor s obligation to pay fringe benefits may be met either by payment of the fringes to the various plans, funds or programs or by making these payment to the employees as cash in lieu to fringes. The payroll provides for the contractor s showing on the face of the payroll all monies paid to the employee, whether as basic rates or as cash in lieu of fringes and provides for the contractor s representation in the statement of compliance on the rear of the payroll that he is paying to others fringes required by the contract and not paid as cash in lieu of fringes. Detailed instructions concerning the preparation of the payroll follow; Contractor or Subcontractor: Fill in your firm s name and check appropriate box. Address: Fill in your firm s address. Column 1 Name, and identification number of Employee: The employee s full name must be shown on each payroll submitted. Column 2 Withholding Exemptions: This column is merely inserted for the employer s convenience and is not a requirement of Regulations, Parts 3 and 5. Column 3 Work Classifications: List classifications descriptive or work actually performed by employees. Consult classifications and minimum wage schedule set forth in contract specifications. If additional classifications are deemed necessary see Contracting Officer or Agency representative. Employee may be shown as having worked in more than one classification provided accurate breakdown of hours so worked is maintained and shown on submitted payroll by use of separate line entries. Column 4 Hours Worked: On all contracts subject to the Contract Work Hours Standards Act enter as overtime all hours worked in excess of 8 hours per day and 40 hours a week. Column 5 Total: Self-explanatory Column 6 Rate of Pay, Including Fringe Benefits: In straight time box, list actual hourly rate paid the employee for straight time worked plus any cash in lieu of fringes paid the employee. When recording the straight time hourly rate, any cash in lieu of fringes may be shown separately from the basic rate thus 13.25/. 40. This is of assistance in curectly computing overtime. See Fringe Benefits below. In overtime box show overtime-hourly rate paid, plus any cash in lieu of fringes paid the employee. See Fringe Benefits below. Payment of not less than time and one-half the basic or regular rate paid is required for overtime under the Contract Work Hours Standards Act of In addition to paying not less than the predetermined rate for the classification in which the employee works, the contractor shall pay to approved plans, funds, or programs or shall pay as cash in lieu of fringes amounts predetermined as fringe benefits in the wage decision made part of the contract. See FRINGE BENEFITS below. FRINGE BENEFITS Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amount not less than were determined in the applicable wage decision of the Secretary of Labor, shall continue to show on the face of the payroll the basic cash hourly rate and overtime rate paid to his employees just as he has always done. Such a contractor shall check paragraph 4(a) of the statement on the reverse of the payroll to indicate that he is also paying to approved plans, funds, or programs not less than the amount predetermined as fringe benefits for each craft. Any exceptions shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who pays no fringe benefits shall pay to the employees, and insert the straight time hourly rate column of the payroll, an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each

26 classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on cash paid in lieu of fringes, the overtime rate shall be not less than the sum of the basic predetermined rate, plus the half time premium on basic or regular rate, plus the required cash in lieu of fringes at the straight time rate. In addition, the contractor shall check paragraph 4(b) of the statement on the reverse of the payroll to indicate that he is paying fringe benefits in cash directly to his employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c) Exceptions: Any contractor who is making payment to approved plans, funds, or programs in amount less than the wage determination requires, is obligated to pay the deficiency directly to his employees as cash in lieu of fringes. Any exception to Section 4(a) or 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Exception column the hourly amount paid the employee as cash in lieu of fringes and the hourly amount paid to plans, funds, or programs as fringes. The contractor shall pay and shall show that he is paying to each such employee for all hours (unless otherwise provided by applicable determination) worked on Federally assisted project an amount not less than the predetermined rate plus cash in lieu of fringes as shown in Section 4(c). The rate paid and amount of cash paid in lieu of fringe benefits per hour should be entered in column 6 on the payroll. See paragraph on Contractors who pay no fringe benefits for computation of overtime rate. wage, but indicate that deductions are based on his gross wages. Column 9 Net Wages Paid for Week: Selfexplanatory. Totals: Space has been left at the bottom of the columns so that totals may be shown if the contractor desires. Statement Required by Regulations, Parts 3 and 5: While this form need not be notarized, the statement of the back of the payroll is subject to the penalties provided by 18 USC 1001, namely possible imprisonment for 5 years or $10, fine or both. Accordingly, the party signing this required statement should have knowledge of the facts represented as true. Space has been provided between items (1) and (2) of the statement for describing any deductions made. If all deductions made are adequately described in the Deductions column above, state See Deductions column in the payroll. See paragraph entitled FRINGE BENEFITS above for instructions concerning filling out paragraph 4 of the statement. Column 7 Gross Amount Earned: Enter gross amount earned on this project. If part of the employees weekly wage was earned on projects other than the project described on this payroll, enter in column 7 first the amount earned on the Federal or Federally assisted project and then the gross amount earned during the week on all projects, thus $63.00/ Column 8 Deductions: Five columns are provided for showing deductions made. If more than five deductions should be involved, use first 4 columns; show the balance of deductions under Other column; show actual total under Total Deductions column; and in the attachment to the payroll describe the deductions contained in the Other column. All deductions must be in accordance with the provisions of the Copeland Act Regulations 29 CFR, Part 3. If the employee worked on other jobs in addition to this project show actual deductions from his weekly gross

27 INSTRUCTIONS FOR PREPARATION OF STATEMENT OF COMPLIANCE This statement of compliance meets needs resulting from the amendment of the Davis- Bacon Act to include fringe benefits provisions. Under this amended law, the contractor is required to pay fringe benefits as predetermined by the Department of Labor, in addition of payment of the minimum rates. The contractor s obligation to pay fringe benefits may be met by payment of fringes to the various plans, funds or programs or by making these payments to the employees as cash in lieu of fringes. The contractor should show on the face of his payroll all monies paid to the employees whether as basic rates or as cash in lieu of fringes. The contractor shall represent in the statement of compliance that he is paying to others fringes required by the contract and not paid as cash in lieu of fringes. Detailed instructions follow: Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were determined in the applicable wage decision of the Secretary of Labor shall continue to show on the face of his payroll the basic cash hourly rate and overtime rate paid to his employees, just as he has always done. Such a contractor shall check paragraph 4(a) of statement to indicate that he is also paying to approved plans, funds, or programs not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who pays no fringe benefits shall pay to the employee and insert in the straight time hourly rate column of his payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on cash paid in lieu of fringes, the overtime rate shall be not less than the sum of the basic predetermined rate, plus the half time premium on the basic or regular rate plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and cash in lieu of fringes be separately stated in the hourly rate column, thus $3.25/.40. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he is paying fringe benefits in cash directly to his employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions Any contractor who is making payment to approved plans, funds, or programs in amounts less than the wage determination requires is obligated to pay the deficiency directly to the employees as cash in lieu of fringes. Any exceptions to Section 4(a) or 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the

28 Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as cash in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes.

29 General Decision Number: ME /09/2014 ME6 Superseded General Decision Number: ME State: Maine Construction Type: Heavy County: Aroostook County in Maine. HEAVY CONSTRUCTION PROJECTS Modification Number Publication Date 0 01/03/ /07/ /09/2014 * IRON /16/2014 Rates Fringes IRONWORKER, STRUCTURAL AND REINFORCING...$ LABO /01/2013 Rates Fringes LABORER: Common or General (Industrial Work Only)...$ PLUM /01/2013 Rates Fringes PIPEFITTER (Industrial Work Only)...$ SUME /16/2011 Rates Fringes CARPENTER (Form Work Only)...$ ELECTRICIAN...$ LABORER: Pipelayer...$ LABORER: Common or General, Excluding Industrial Work...$ LABORER: Flagger...$ LINE CONSTRUCTION: Lineman...$ MILLWRIGHT...$

30 OPERATOR: Asphalt Paver...$ OPERATOR: Asphalt Roller...$ OPERATOR: Bulldozer...$ OPERATOR: Crane...$ OPERATOR: Drill...$ OPERATOR: Excavator...$ OPERATOR: Loader...$ OPERATOR: Mechanic...$ OPERATOR: Roller...$ OPERATOR: Backhoe/Trackhoe...$ TRUCK DRIVER: Servicer...$ TRUCK DRIVER...$ WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. ================================================================ Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)) The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of "identifiers" that indicate whether the particular rate is union or non-union. Union Identifiers An identifier enclosed in dotted lines beginning with characters other than "SU" denotes that the union classification and rate have found to be prevailing for that classification. Example: PLUM /01/2011. The first four letters, PLUM, indicate the international union and the four-digit number, 0198, that follows indicates the local union number or district council number where applicable, i.e.,

31 Plumbers Local The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2011, following these characters is the effective date of the most current negotiated rate/collective bargaining agreement which would be July 1, 2011 in the above example. Union prevailing wage rates will be updated to reflect any changes in the collective bargaining agreements governing the rates. 0000/9999: weighted union wage rates will be published annually each January. Non-Union Identifiers Classifications listed under an "SU" identifier were derived from survey data by computing average rates and are not union rates; however, the data used in computing these rates may include both union and non-union data. Example: SULA /13/2010. SU indicates the rates are not union majority rates, LA indicates the State of Louisiana; 2004 is the year of the survey; and 007 is an internal number used in producing the wage determination. A 1993 or later date, 5/13/2010, indicates the classifications and rates under that identifier were issued as a General Wage Determination on that date. Survey wage rates will remain in effect and will not change until a new survey is conducted WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be: * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: