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HomeMy WebLinkAboutLayne Inliner Bid Submittal for 2013 Sewer Rehabilitation Project SECTION 00300 BID FORM PROJECT IDENTIFICATION: 2013 Sewer Rehabilitation Project (Name of Project) _ Bozeman,MT (Location) (if applicable,Project or portion of Project for which Bid is submitted) ARTICLE I—BID RECIPIENT 1.01 This Bid is submitted to: City of Bozeman City Hall—Clerk of Commission (Organization) 121 N.Rouse Avenue PO Box 1230 (Street;PO Box) Bozeman MT 59771-1230 (City) (State) (Tip Code) 1.02 The undersigned Bidder proposes and agrees,if this Bid is accepted,to enter into an Agreement with Owner in the form included in the Bidding Documents to perform and furnish all Work as specified or indicated in the Bidding Documents for the prices and within the times indicated in this Bid and in accordance with the other terns and conditions of the Bidding Documents. AR'T'ICLE 2—BIDDER'S ACKNOWLEDGEMENTS 2.01 Bidder accepts all of the teens and conditions of the Invitation to Bid and Instructions to Bidders, including without litnitation those dealing with the disposition of Bid security.This Bid will remain subject to acceptance for sixty(f 0)days after the Bid opening,or for such longer period of time that Bidder may agree to in writing upon request of Owner. SECTION 00300 BID FORM PAGE 1 OF I I ARTICLE 3—BIDDER'S REPRESENTATIONS 3.01 In submitting this Bid,Bidder represents that: A. Bidder has examined and carefully studied the Bidding Documents,other related data identified in the Bidding Documents,and the following Addenda,receipt of which is hereby acknowledged: Addendum No. Addendum Date B. Bidder has visited the Site and become familiar with and is satisfied as to the general,local, and Site conditions that may affect cost,progress,and performance of the Work. C. Bidder is familiar with and is satisfied as to all Laws and Regulations that may affect cost, progress, and performance of the Work. D. Bidder has carefully studied all:(1)reports of explorations and tests of subsurface conditions at or contiguous to the Site and all drawings of physical conditions relating to existing surface or subsurface structures at the Site(except Underground Facilities)that have been identified in the Special Provisions as containing reliable"technical data,"and(2)reports and drawings of Hazardous Environmental Conditions,if any,at the Site that have been identified in the Special Provisions as containing reliable"technical data." E. Bidder has considered the information known to Bidder; information commonly known to contractors doing business in the locality of the Site; information and observations obtained from visits to the Site; the Bidding Documents;and the Site-related reports and drawings identified in the Bidding Documents,with respect to the effect of such information, observations,and documents on(1)the cost,progress,and performance of the Work; (2)the means,methods, techniques,sequences,and procedures of construction to be employed by Bidder,including applying the specific means,methods, techniques,sequences,and procedures of construction expressly required by the Bidding Documents; and(3)Bidder's safety precautions and programs. F. Based on the information and observations referred to in Paragraph 3.81.E above, Bidder does not consider that further examinations, investigations,explorations,tests,studies,or data are necessary for the determination of this Bid for performance of the'Work at the price(s)bid and within the tunes required,and in accordance with the other terms and conditions of the Bidding Documents. G. Bidder is aware of the general nature of work to be performed by Owner and others at the Site that relates to the Work as indicated in the Bidding Documents, H. Bidder has given Engineerwritten notice of all conflicts,errors,ambiguities,or discrepancies that Bidder has discovered in the Bidding Documents,and the written resolution thereof by Engineer is acceptable to Bidder. SECTION 00300 BID FORM PAGE 2 OF I I I. The Bidding Documents are generally sufficient to indicate and convey understanding of all terns and conditions for the performance of the Work for which this Bid is submitted. ARTICLE 4—BIDDER'S CERTIFICATION 4.01 Bidder certifies that: A. This Bid is genuine and not made in the interest of or on behalf of any undisclosed individual or entity and is not submitted in conformity with any collusive agreement or rules of any group,association,organisation,or corporation; B. Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; C. Bidder has not solicited or induced any individual or entity to refrain from bidding;and I. Bidder has not engaged in corrupt, fraudulent, collusive, or coercive practices in competing for the Contract. For the purposes of this Paragraph 4,01.D:"corrupt practice"means the offering,giving,receiving,or soliciting ofanything of value likely to influence the action of a public official in the bidding process; 2 "fraudulent practice" means an intentional misrepresentation of facts made (a) to influence the bidding process to the detriment of Owner,(b)to establish bid prices at artificial non-competitive levels, or(c) to deprive Owner of the benefits of free and open competition; 3. "collusive practice"means a scheme or arrangement between two or more Bidders, with or without the knowledge of Owner,a purpose ofwhich is to establish bid prices at artificial,non-competitive levels;and 4. "coercive practice" means harming or threatening to harm, directly or indirectly, persons or their property to influence their participation in the biddingprocess or affect the execution of the Contract. 4.02 The Bidder certifies that no official of the Owner,Engineer,or any member of such official's immediate family has direct or indirect interest in the pecuniary profits or Contracts of the Bidder. 4.03 Bidder represents that he has reviewed applicable State and federal laws, Civil.bights and tax requirements and will comply. ARTICLE 5--BASIS OF BID 5.01 Bidder will complete the Work in accordance with the Contract Documents for the following price(s): SECTION 00300 BID FORM PAGE 3 OF I I CITY OF BOZEMAN 2013 SEWER REHABILIATION PROJECT BASE BID Item Description Estimated Unit No. Quantity Unit Price Total Price t Mobilization I LS 2 Traffic Control I LS s. $ 3 Exploratory Excavation 15 HR $ 76 4 8"SDR 35 Sewer Main 10 LF $ 5 Standard Manholes 3 EA $ 6 6"CIPP Sewer Main Rehabilitation 8,350 LF CK S 7 8"CIPP Sewer Main Rehabilitation 2,200 LF 8 10"CIPP Sewer Main Rehabilitation 5,100 LF $ � 3_7 loo 9 CIPP Reinstatement of Service 460 EA Connection $ 10 Open Cut Spot Repair 11 EA Soo $ 50 I I CIPP Spot Repairs 3 EA 00 s 7&o 12 New 4"Service Connection 15 EA Cj $ 2- "— $ 13 New 6"Service Connection 75 EA o� 14 4"PVC SDR 35 Sewer Service Pipe 120 LF $ 0 $ co SECTION 00300 BID FORM PAGE 4 OF 11 CITY OF BOZEMAN 2013 SEWER REHABILIATION PROJECT BASE BID Item Estimated No. Description Ottantity Unit Unit Price Total Price 15 6"PVC SDR 35 Sewer Service Pipe 500 LF $ 140 $ e), -j o t,) 16 Service Lateral Connection 130 EA Q19 7c)c) 17 Fl owable Fill 500 Cy $ Curb and Gutter Removal and is 225 LF Replacement 19 Sidewalk Removal and Replacement 1,125 SF 2q, 2 50 20 Type A Surface Restoration 150 LF (Asphalt) $ TOTAL Bid Price(Base Bid) $ s) TOTAL Estimated Base Bid Price $ OVZ�ljlLilod 7,V6 TvI6-Al TY- ex A)6 -)-if t-U S/I Ajb (Words) 14A-o> Vo SECTION 00300 BID FORM PAGE 5 OF I I CITY OF BOZEMAN 2013 SEWER REHABILIATION PROJECT ADDITIVE ALTERNATE 81 Item Description Estimated Unit No. Quantity Unit Price Total Price 101 Mobilization 1 I'S cc) $ Z,00 $ 0 & 102 Traffic Control I LS ?0,- "200 20 $ .5, 103 Exploratory Excavation 5 HR 104 8"SDR 35 Sewer Main 370 LF D $ 105 Standard Manholes 2 EA $ 19 106 Reconnect 4"Sewer Service 3 EA COO 107 Reconnect 6"Sewer Service 10 EA 108 4"PVC SDR 35 Sewer Service Pipe 15 LF 109 6"PVC S DR 35 Sewer Service Pipe 60 LF ?, Soo!� 110 Curb and Gutter Removal and 35 LF Replacement Ill Sidewalk Removal and Replacement 175 SF Ica eau , 4/ 3-75 112 Type A Surface Restoration 370 LF (Asphalt) �16 TOTAL Bid Price(Additive Alternate#1) $ 116 , 7�,5 2�0 (Figure's) TOTAL Estimated Additive Alternate#1 Price $ C9 H((4D6k"66 (Words} SECTION 00300 BID FORM PAGE 6 OF I I CITY OF BOZEMAN 2013 SEWER REHABILIATION PROJECT ADDITIVE ALTERNATE#2 Item Estimated No. Description Ouantity Unit Unit Price Total Price 201 Mobilization I LS q L-2 -�F, 00 S 9 / 202 Traffic Control I LS 5 203 Exploratory Excavation 5 HR $ �3 0 $ 204 8"SDR 35 Sewer Main 715 LF 0 C, $ 205 Standard Manholes 3 EA S 206 Reconnect 4"Sewer Service 4 EA $ 7 $ Loo 207 Reconnect 6"Sewer Service 20 EA VLX-)f�lf Cj 208 4"PVC SDR 35 Sewer Service Pipe 20 LF a 0. $ $ 209 6"PVC SDR 35 Sewer Service Pipe 120 LF Curb and Gutter Removal and 210 60 LF Replacement :7 $ 5�51' $ 31 211 Sidewalk Removal and Replacement 300 SF $ 212 Type A Surface Restoration 715 LF q9 (Asphalt) 45 . ,2) / TOTAL Bid Price(Additive Alternate#2) 6S, 970 (Figures) TOTAL Estimated Additive Alternate#2 Price 7-H'04/54AJ!> /j/A) IE" (Words) SECTION 00300 BID FORM PACE 7 OF 11 CITY OF BOZEMAN 2013 SEWER REHABILIATION PROJECT ADDITIVE ALTERNATE#3 Item Estimated Na. Description Quanta. Unit Unit Price Total Price ....................... 301 Mobilization I LS 302 Traffic Control I LS 02D S Zoo s 5-, 2,CO 303 Exploratory Excavation 5 1IR '2 3eD s 304 8"SDR 35 Sewer Main 1,645 LF $ 305 Standard Manholes 5 EA 06 306 Reconnect 4"Sewer Set-vice 10 EA OC $ Z,00 $ C,X:) 307 Reconnect 6"Sewer Service 43 EA 00 �� — s 1 7ckLT co.— 308 4"PVC SDR 35 Sewer Service Pipe 60 LF CAZ> $ -"T So 309 6"PVC SDR 35 Sewer Service Pipe 250 LF cc 310 Curb and Gutter Removal and 130 LF CJ Replacement 311 Sidewalk Removal and Replacement 650 SF CeD 312 Type A Surface Restoration 1,645 LF (Asphalt) TOTAL Bid Price(Additive Alternate#3) $ 8L. 55 L) (Figures) TOTAL Estimated Additive Alternate#3 Price Hud � //)'TL( - !S/X (Words) SECTION 00300 BID FORM PAGE 8 OF 11 A. Unit Prices have been computed in accordance with Paragraph 11.03.13 of the General Conditions. B. Bidder acknowledges that estimated quantities are not guaranteed,and are solely for the purpose of comparison of Bids, and final payment for all unit price Bid items will be based on actual quantities,determined as provided in the Contract Documents. C. The undersigned agrees that the unit prices shall govern in checking the Bid,and should a discrepancy exist in the Total Estimated Price and Total Amount of Unit Prices Bid as listed above after extensions are checked and corrections made,if any,the Total Amount of Unit Prices Bid as corrected shall be used in awarding this Contract. D The Owner reserves the right to reject any or all bids. ARTICLE 6—TIME OF COMPLETION 6.01 Bidder agrees that the`tirJork will be substantially complete and will be completed and ready for final payment in accordance with Paragraph 14.07 of the General Conditions on or before the dates or within the number of calendar days indicated in the Agreement. 6.02 Bidder accepts the provisions of the Agreement as to liquidated damages and payments to Owner for additional Engineering services. ARTICLE 7—ATTACHMENTS TO THIS BID 7.01 The following documents are submitted with and made a condition of this Bid: A. Required Bid security in the amount of 10%of the maximum Bid price including alternates, if any,and in the form of a Bid Bond identified in the Instructions to Bidders; B. Nondiscrimination Affirmation Form ARTICLE 8---DEFINED TERMS 8.01 The terms used in this Bid with initial capital letters have the meanings stated in the Instructions to Bidders,the General Conditions, and the Supplementary Conditions. ARTICLE 9—BID SUBMITTAL 9.01 This Bid is submitted by: If Bidder is: An Individual Name(typed or printed): By: (Individual's signature) SECTION 00300 BID FORM PAGE:9 OF I l Doing business as: •Partnership Partnership Name: By: (Signature of general partner--attach evidence of authority to sign) Name(typed or printed): •Corporation Corporation Name: ,' KL L,..t,..c State of Incorporati "Type(General Business, o ssio al, Servi , imite lability): . By: (Signature--at ach evi ence o authority o sign) Narne(typed or printed): . "title: w "C lQ W 9 IV Attest: Date of Qualification to do business in Montana [State where Project is located] is 1A J-Zo1 •Joint Venture Name of Joint Venture: First Joint Venturer Nance: By: (Signature of first joint venture partner--attach evidence of authority to sign) Name(typed or pruited): Title: Second Joint Venturer Name: SECTION 00.300 BID FORM PAGE 1 o OF I l By: (Signature of second joint venture partner--attach evidence of authority to sign) Name(typed or printed): Title: (Each joint venturer must sign. The manner of signing; for each individual, partnership, and corporation that is a party to the joint venture should be in the inanner indicated above.) Bidder's Business.Address: l 6 i�Kea I r` Phone No.: o 1 zo Fax No.: tp Lf 19 — P E-marl: tie_ SUBMITTED on 20 Employer's Tax ID No, State Contractor License No.: , 2_0 . Special Fuel User Permit No..: 0 C END QE SECTION SECTION 00300 BID FORM PAGE.11 OF I 1 NON-DISCRIMINATION AFFIRMATION FORM [name of entity submitting]hereby affirms it will not discriminate on the basis of race,color,religion,creed,sex,age,marital status,national origin,or because of actual or perceived sexual orientation, gender identity or disability in the performance of work performed for the city of Bozeman, if a contract is awarded to it,and also recognizes the eventual contract,if awarded,will contain a provision prohibiting discrimination as described above and that this prohibition shall apply to the hiring and treatment of the LaAJ KJ,'14JA"A-01 i Liz , [name of entity submittin - ployees and to all subcontracts it enters into in performance of the agreement with the city f oze an. Signature of Bidder: Person authorized to sign on behalf of the bidder PENAL SUM FORM RED BOND Any singular reference to Bidder,Surety,Owner or other party shall be considered plural where applicable. BIDDER(Name and Address): Layne Inliner, LLC 7915 Cherrywood Loop Kiowa, CO 80117 SURETY(Name and Address of Principal Place of usiness): 'Travelers Casualty and Surety Company of America One Tower Square Hartford, CT 06183 OWMR(Name and Address),. City of Bozeman City Hall, city Clerk's Office 121 North Rouse Avenue, Suite 102 Bozeman, MT 59771 BID BidDur,Date: May 6th, 2013 Description(Project Name and Include Location): 2013 Sewer Rehabilitation Project / Bozeman, Montana BOND BondNUMber: LAY 876D Date.(Not earlier than Bid due date). may 6th, 2013 Penal sum. Ten Percent of the Amount of the Bid------- $--- --10%-------- (Words) (Figures) Surety and Bidder,intending to be legally bound hereby,subject to the terms set forth below,do each cause this Bid Bond to be difly executed by aft authorized officer,agent,or representative. BIDDER SURETY Travelers Casualty,, �K and Surety (Seal) Layne Inli.. LLC X (Seal) Co"any of! Bidder's Name in d Co orate S I Surety's Name and Co ipomte-Seal By: 1; 7Y-,` —By: Signs re 'Signature(AdWh Power of Attorney) 11 Mai L S lacy— Steven M. Garrett Print Name Print Name D'.C,,-�"c:-- VV7 agv Attorney-in-Fact Title Titw Attest: Attest: 7,/lvwd A Si re signature il C- o Deborah A. Yates Attorney-in-Fact Title Title Note:Above addresses are to be used for giving any required notice. Provide execution by any additional parties oint venturers, if ne!�E�a. such asL EJCDC C430 Did hind(Penal Sum Forn� PrepRmd'by the EngincersJointContract Documents Committee. Page I of 2 PENAL SUM FORM I. Bidder and Surcty,jointly and severally, bind themselves, their heirs, executors, administrators,successors, and assigns to pay to Owner upon default of Bidder the penal sum set forth on the face of this Bond. Payment of the penal sum is the extent of Bidder's and Surety's liability. Recovery of such penal sum under the terms of this Bond shall be Owner's sole and exclusive remedy upon default of Bidder. 2. Default of Bidder shall occur upon the failure of Bidder to deliver within the time required by the Bidding Documents (or any extension thereof agreed to in writing by Owner) the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents, 3. This obligation shall be null and void if- 3.1 Owner accepts Bidder's Bid and Bidder delivers within the time required by the Bidding Documents(or any extension thereof agreed to in writing by Owner)the executed Agreement required by the Bidding Documents and any performance and payment bonds required by the Bidding Documents,or 3.2 All Bids are rejected by Owner,or 3.3 Owner fails to issue a Notice of Award to Bidder within the time specified in the Bidding Documents (or any extension thereof agreed to in writing by Bidder and,if applicable,consented to by Surety when required by Paragraph 4'hereoo, 4. Payment under tins Bond will be due and payable upon default of Bidder and within 30 calendar days after receipt by Bidder and Surety of written notice of default from Owner,which notice will be given with reasonable promptness,identifying this Bond and the Project and including a statement of the amount due. S. Surety waives notice of Any and all defenses based on or arising out of any time extension to issue Notice of Award agreed to in writing by Owner and Bidder, provided that the t6tal time for issuing Notice of Award including'extensions shall not in the aggregate exceed 120 days from. Bid due date withoui Surety's written consent. 6. No suit or action shall be commenced under this Bond prior to 30 calendar days after the notice of default required in Paragraph 4 above is received by Bidder and Surety and in no case later than one year after Bid due date. 7. Any suitor action under this Bond shall be commenced only in a court of competent jurisdiction located in the state in which the Project is located.. 8. Notices required hereunder shall be in writing and sent to Bidder and Surety at their respective addresses shown on the face of this Bond.Such notices may be sent by personal delivery,commercial.courier,or by United States Registered or Certified Mail,return receipt requested,postage prepaid,and shall be deemed to be effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond a current and effective Power of Attorney evidencing the authority of the officer,agent,or representative who executed this Bond on behalf of Surety to execute:,seal,and deliver such Bond and bind the Surety thereby. 10. This Bond is intended to conform to all applicable statutory requirements.Any applicable requirement of any applicable statute that has been omitted from this Bond shall be deemed to be included herein as if set forth at length.If any provision of this Bond conflicts with any applicable statute,then the provision of said statute shall govern and the remainder of this Bond that is not in conflict therewith shall continue in full force and effect. 11. The term`Bid"as used herein includes a Bid,offer,or proposal as applicable. E,iCDC 0430 Bid ibnd(Penal Sum Eoraaa) Prepared by the Engineers JotntContraetDo,eumentx Oxnmittee. Page 2 or2 _._1 ximmmxn"� I I I I WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ANK POWER OP ATTORNEY TRAVELERS,J Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St,Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Attorney-,In Fact No. 220048 Certificate No. 005372072 KNOW ALL MEN BY THESE PRESENTS:: That Farminglon Casualty Company, St, Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company,St, Paul Mercury insurance Company.Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the Star<, of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organize=d Under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby mike,constitute and appoint Deborah A. Yates, Steven M.Garrett,William A. Kantlehner III,Thomas J. Mitchell,Jeffrey A. Brown, Diane L.Phelps, S. Annette Mullet,Roger A.Neal, and Linda Kapfhammer Yf of tile City of—I-ouisvil.le. State of -ney(s)-in-Fact, their true and lawful Attot each in their separate capacity if more than one is named above,to sign,execute,sea]and acknowledge any and all bonds.recognizatices,conditional undertakings and other writing%obligatory in the nature thereof on behalfol'the Companies.in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or pennitted in any actions or proceedings allowed by law. Not limited to a specific dollar amount. IN WITNESS'k'Companies have caused this instrument to be signed and their corporate Seals to be hereto affixed,this 15th (illy of February 2013 II Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc, Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St,Paul Guardian Insurance Company SE State of Connecticut By� City of Hartford s.s. Robert L Raney, Irmo,Vice President Oil this the I 5th day of- February 2013 before me personally appeared Robert L.Raney,who acknowledged himself to ­­......................—_ I — be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St,Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company.St,Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he„as such,being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself US a duly authorized officer, In Witness Whereof,I hereunto Set my hand and official scat, .......... My Commission expires the 10,h day of I une,2016. Marie C.Tetreault,Notary Public Ct 51440-8-12 Printed in U.S.A. )111 (:��. HIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ___,a N'I'j gy(La--'� fne)' infineAr May 3, 2013 City of Bozeman, Montana 121 North Rouse Avenue Bozeman, MT 59771 RE: 2013 Sewer Rehabilitation Project Dear City of Bozeman: Mark Slack, Layne Inliner District Manager, is hereby granted bidding authority up to and including$5,000,000 in reference to the 2013 Sewer Rehabilitation Project. Sincerely, Denise McClanahan Vice President Layne Inliner, LLC 4520 North State Road 37,Orleans,IN 47452 1 Office:812.965.3232 I Fax;912,865.3075 I laym.corn I STATE OF MONTANA DEPARTMENT OF LABOR & INDUSTRY CONSTRUCTION CONTRACTOR REGISTRATION! UNIT E I C T I- OF .-,'. ST REGISTRATION 22'79 4520 N ST RD 37 ORLEANS, I 47452 Effective Date: May 01, 2013 Expiration Date: Apr 30, 2015 This is a Bid Only Certificate Acdifiowl bifDrmatron on back. Please null-if y tbis ra nic),of amy di Loitbin its days, 04-30-'13 17;06 TO- CT CORP PHOENIX AZ FROM- sec of state P0002/0005 T-380 F-076 SECRETARY OF STATE STATE OF MONTANA LINDA McCULLOCH Montana State Capitol PO Box 202801 • Helena, MT 59620-2801 (406)444-1665 riy iitv oS_rn_i,9Q_V CT CORPORATION SYSTEM 2390 E CAME,LBACK RD, STE 110 PHOENIX AZ 85016.9031 RE-, LAYNE TNUNER, LLC CP1,11TIFICATE 01" AUTHORTTY Filing Date, April 19, 2013 Filing Number; H-069041 - 487309 April 30, 2013 Dtear Sir or Madam: I've approved the filing of tlie docuuneiits for the above named entity. The document number arid Filing date have.been recorded on the original dot;Lrment. This letter serves as your certificate of filing and should be maintained in YOLIV f"11CS f01 future The Finst Annual Report must be delivered to the Secretary of State between Jativary I and April 15 of the year followin �ar in which Domestic or Foreign Corporation or g the calendar ye Limited Liability Company was incorporated or authorized to LransaQL business., Subsequent Annual Reports must be delivered to the Secretary of Staw between January I and April 15 each year thereallor. Thank yQu for giving this office lire opportunity to strvc you. For futurc inquiries or assistance regarding,business entity registrations,you can log on to v or contact the Business Services Division's professionals at (406)444-3665. Sincerely, Linda McCulloch ,Secretary of State Sign up for our neivsletter to receive updates about the office! Visit us on fine W"s.nity-ov/Subscribe. Disclaimer ThL Secretary of fti(c is reqUired to rotijrn rrinif to tile entity that submiacd the paperwork to otir office taniess otherwise dirveliA by the customer Therofore, the ciitity name M)d MlAifitlg addressappoaring in this letter inay not be affiliatedasan owncr/pr4icipal for thu business tiaine appLaring in the box. 04-30-'13 27.06 TO- CT COOP PHOENIX AZ Fpnm- .,.._ of state P0003/0005 T-3'80 F-076 � �'� �'P frw1B7f4"�Ap��k re�paro,6IdrI,s�anit wilh un rK16cnhl mittt'ro+�'andttdng tec. Thos Is Cho nnImlmuurn lnl0rpae4lan r4o"Ltd' ffhlsetracd ariasa ylhosar 1" cost W 0tu CCPt71CICATI:orAt1'"IORITY �a oFGCrRrIGN LIMITED UANLITY coMP e6 ANY STAI APPLICATION � HL,E djrt fl 1tiR. CAS MAIL; f.NDA M CCULLOCH' APR 19 2013 Secretary of State P.ti.Box 202301 H Plena,MT062o-2llfl1 SECRI ARY O ST TE PfiClrtt t0b)444,3665 � A (4x6)444-a97 6S SITE; A rI da2Y Required Wlllog No.57DAD Cl'z4 tiaur priority Handling Aleck box and Add 120,00 13 3 rtour fxraedllte Handling a heck box and Add sim0tl please utecfrOgg Dow zFnrergn LIM(ted Lin bilityCompany [Votelgn Profosslunal Limited I.iabliftyCampan'v t. Thli narna of tha limited.IlabIltty company 157 LDyna f.ldileet,LLC PtCP7C rdalet nrlu�tadr CWIn ShC4 words"tlWltted Ilratalnry earnpamy","tlndted co-"'"ar hn ohbrevl®tlan,ll prerca5l'anft,ICIFCare cAWtl+1M the work ysrntesstanal 11R tied tieDfflty eampanlr d of eI+�llrtavlWliast, 2, it is organlaad under the laws 0ftfle state alp irldiol" and hereby attaches a currently dated Certificate of Euistente from that state. S/t/200 and the parsed of duratlorl isI patpetual 3. The data of Its cr6anl7stlon Is(t' onth/Dayfrost)- ,,, 4. The name and address laf the registered cfffcalagent ie Montana; Apppintnrsent of th;.:Registered AgOnt 15 c—OrMOVOIC of the agCICYi"Casxsent. Name: C T Corpovollrltt Sy81cm ._.. 209 North BroadwAy,Suite 313 Street Addrttss)required); SKIne Adda;w Me11ln,t Address; r a Cfty. 1a11f4t1 Stato. T Zip Coder S910 1 Signature of Ragrstered Agollt; . The 6usinesx mailing address ofthe,principal offl[e Is; 1400 Shuwatcp Mfs----.o 7Par IMiosiotl W►ooda Zip Code. City: _ State; The tLC is managed by(eh%ii tine)a 18Mgnrlger or by Its OMilembsrs. 7. Mrarrae and buslt,ess address of current managing Managers or mtannging Members are(attach a list lf'necessar# I~wrty'I.Itilsrfca,DtitiIC6I",rMCCfa91aban and 1,' at4l M.I�ILtrrls,4520 N+ $Late?tnuci 37,Orlcatle IN 4'7452 Stava ,y,Crooke and J%ry''W,Iraslteka,I9oo ahawrsco Massiolt Pradrway,Mission C'>oo&,Ka 46205 l R, It a Professional Limited 1.1abillty Company,the sere c%to be rendored. 9.. f,Nrntaw'SwuR AND APARM,under ponalt�y of 1l thaUhe foots contal nod In this.APPIleatlon arm true. Appll0MS19 rah, DATE: W,C 1 Daytime Contact Phr>ne; 40.677-6842 Ertlall suxan,ItIaLP1e(alaytre.00ttl — ��.Cat°alHcnCO_�fltwildtiartry„eP„PoratB�i�mltc6_t.tahrllbi�,'��Pmny.dase Rovlsad�Lfadrt7/�d1'd IM NS•ANOM11 V7optai 90w� 4+L= APR-19-2013 14:10 G023819:104 97Z P.003 04-30-'13 17:07 TO- CT CORP PHOENIX AZ FROM- sec of state P0O,0:5/0005 T-380 F-076 A S'TATE OF MIA N ()FVICE OF THE SFCRFTAR.y OF STATE CERTrFICATF,of ri XTSTENCE To W1,10M These Presents Coine,areetings., L Connie Lawson,Secretaly of estate of Itidiana, do hereby certify that I am,by virtue of the laws of the State'6f Indiana,the custodian,of the coWratc r"ordq,and proper official to execute this certificaw further certify that records of thin office discloso that LA YNE INLINER,LLC duly filed the requisite documents to coMmOce business activities tinder the laws of State of Indiana on Mty 01,2002,mid: was it,existence or authorized to tvonsaet business III the State of fildi%la on April. 19, 2011 I f(lit1jor certify this Domestic Limited UabiJity Company(11,C)has filed its wost rcccnt report xeq'uired by Indiaria]Aw witil the.Secretary of State!or is not yet required to 6je such repoit,said that so notice of withdrawal,dissolution or expiration has been filed or take3)place- In WitncqE 'hereof,I have hereunto-set my hand mid Affixed the seat of tbe State of Indiana,,at the city of 1ndi&napolis,this Nineteenth Day of April,2013., " .». .-" .�,"<" " co)lrile Lawson,Secxet4yy of State MIS 2002050200119 1201304190488,0 APR-19-2013 14 ZIB 6023815:104 P.002