Invitation to Bid The Hickman County Finance Office is accepting sealed bids for tennis court repair and re- sealing at Hickman County High School and East Hickman High School. Bid documents with specifications are online at www.hickmank12.org/request-for-proposal Sealed bids must be mailed or delivered to the Hickman County Finance Office, 114 North Central Avenue, Suite 203, Centerville, TN 37033 and clearly marked on the outside of the envelope "Tennis Courts" by September 9, 2026, 10 AM. Bids will be opened at that time in the Hickman County Finance Office. Hickman County Board of Education reserves the right to accept or reject any and all bids or parts of bids and to waive any informalities that would prevent the acceptance of a better bid. Present Penny Rochelle Muty Weem EHHS Add-on HCHS Addon Barton Sports Construction 43,425 3,600.00 36,420 2,400.00 34,469.80 800.00ec 45,248.50 800.00.ea Seal Rite Inc. NOTE: Please use this sheet to enter your bid figures and attach any necessary documents to the back of the bid sheet. East Hickman High School Tennis Court Bid Result $ 45,248.50 East Hickman County High School possible add-on: Blended lines for 10u players $ 800.00 for each you need Hickman County High School Tennis Court Bid Result $ 34,469.80 Hickman County High School possible add-on: Blended lines for 10u players $ 800.00 for each you need We would like to have these courts completed this fall. When could your company begin? middle of October 10/15/2026 Bidding Company Contact Information Name of Company Seal Rite Ine Person of Contact Salvador Vazquez Contact Email Vazquez@sealritepm.com Contact Phone Number (931) 461-9991 2 I Page Sport Rite, Inc. Estimate SEAL RITE, INC PO BOX 717 Tullahoma, TN 37388 US SPORT RITE, INC ASPHALT MAINTENANCE vazquez@sealritepm.com & SPORTS SURFACING ADDRESS Hickman County Finance Dep. 114 North Central Ave Suite 203 Centerville, TN 37033 ESTIMATE # DATE 1540 09/08/2026 ACTIVITY DESCRIPTION QTY AMOUNT Tennis Courts : Pressure wash and clean courts in preparation for 1 0.00 resurfacing Tennis Courts Clean the Cracks from all Old Material on it. 4 0.00 Tennis Courts Level depressions and bird baths 1/8 inch in depth or> using 1 0.00 a Sport Master acrylic binder, sand, and porcelain cement mix Tennis / Basketball AQUAPHALT: Repair Cracks wider than 1 1/2" with 1 0.00 / Pickleball : aquaphalt and compacting just below grade then use acrylic binder, sand, and porcelain cement mix to fill to grade and : sand to a smooth grade Tennis Courts Repair Cracks 1" and less using Sport Master acrylic binder 4 0.00 , sand, and porcelain cement mix and filling them, then sanding to smooth grade Tennis Courts Apply 1 coat of Sport Master Acrylic Resurfacer with sand to 1 0.00 : court surface Tennis Courts Apply 2 coats of Sport Master Acrylic Color with sand to 4 0.00 achieve a medium speed playing surface (DARK GREEN) Tennis Courts Layout and tape court design using dual tape machine and 1 0.00 applying one coat of Sport Master Stripe Rite primer to prevent bleeding under the tape when applying paint. Apply two coats of Sport Master Line Brite paint to court layout. (4 TENNIS COURTS) Tennis Courts Sand and Repaint net poles 8 0.00 Tennis/Pickleball Install NEW Nets 4 0.00 ACTIVITY DESCRIPTION QTY AMOUNT Courts OPTION: for Blended Lines for 10u Players ADD. $800.00 for each needing. NOTE: Although cracks are repaired any existing cracks will appear back as hair lined cracks over time. Sport Rite inc. does not warranty that cracks will not appear back over time. Sales Service 1 45,248.50 East Hickman High School 7700 TN-7 Lyles, TN 37098 Sport Rite Inc. Warranties all labor and materials for a period of 1 year from TOTAL $45,248.50 date of completion. Warranty voids if court is used for purposes other than its intended sports play. Warranty also voids if metal wheels or hard sole shoes are worn during activities of play. Accepted By Accepted Date Sport Rite, Inc. Estimate SEAL RITE, INC PO BOX 717 Tullahoma, TN 37388 US SPORT RITE, INC ASPHALT MAINTENANCE vazquez@sealritepm.com & SPORTS SURFACING ADDRESS Hickman County Finance Dep. 114 North Central Ave Suite 203 Centerville, TN 37033 ESTIMATE # DATE 1539 09/07/2026 ACTIVITY DESCRIPTION QTY AMOUNT Tennis Courts Pressure wash and clean courts in preparation for 3 0.00 resurfacing Tennis Courts Clean the Cracks from all Old Material on it. 3 0.00 Tennis Courts Level depressions and bird baths 1/8 inch in depth or> using 1 0.00 a Sport Master acrylic binder, sand, and porcelain cement mix Tennis Courts Repair Cracks 1" and less using Sport Master acrylic binder 3 0.00 , sand, and porcelain cement mix and filling them, then sanding to smooth grade Tennis / Basketball AQUAPHALT: Repair Cracks wider than 1 1/2" with 1 0.00 / Pickleball aquaphalt and compacting just below grade then use acrylic binder, sand, and porcelain cement mix to fill to grade and sand to a smooth grade Tennis Courts Apply 1 coat of Sport Master Acrylic Resurfacer with sand to 1 0.00 court surface Tennis Courts Apply 2 coat of Sport Master Acrylic Color with sand to 3 0.00 achieve a medium speed playing surface (RED on Borders and GRAY on the courts) Tennis Courts Layout and tape court design using dual tape machine and 1 0.00 applying one coat of Sport Master Stripe Rite primer to prevent bleeding under the tape when applying paint. Apply two coats of Sport Master Line Brite paint to court layout. (3 TENNIS COURTS) Tennis Courts Sand and Repaint net poles 6 0.00 Tennis/Pickleball Install NEW Net 3 0.00 ACTIVITY DESCRIPTION QTY AMOUNT Courts OPTION: for Blended Lines for 10u Players ADD. $800.00 for each needing. NOTE: Although cracks are repaired any existing cracks will appear back as hair lined cracks over time. Sport Rite inc. does not warranty that cracks will not appear back over time. Sales Service 1 34,469.80 Hickman County High School 1645 Bulldog Blvd Centerville, TN 37033 Sport Rite Inc. Warranties all labor and materials for a period of 1 year from TOTAL $34,469.80 date of completion. Warranty voids if court is used for purposes other than its intended sports play. Warranty also voids if metal wheels or hard sole shoes are worn during activities of play. Accepted By Accepted Date CUSTOMER REFERENCE LISTING Contractor shall furnish the names, addresses, contact, and telephone numbers of 3 school districts or municipalities for which the Contractor has completed work for in the past. Company Name Tullahoma City schools) through Tinsley Asphalt Address P.O.Box 1955 Tullahoma, TN 37388 Contact David Cook Telephone number (931) 308-7473 Company Name Nsite Inc. (Adamsville City Park Courts) Address 10162 Stinson st Milan TN 38358 Contact Bill Smith Telephone number (731) 695-5663 Company Name City of Spring Hill Address 119 Town Center Pkwy Spring Hill TN 37174 Contact Bryan Kovzelove Telephone number (931) 922-8540: 3 I Page Background Check Acknowledgement Form Contractor is required to meet al TCA 49-5-406, local, state, and federal laws regarding "workers on school properties." The Hickman County Board of Education further requires that no prior felons, drug offenders, or sexual registered offenders work on any school property. Contractors will be required to wear contractor provided identification when on school premises. The contractor may be asked to provide proof of background check. Signature: Saldor Vozquey Print: Salvador Vazquez Title: President Date: 9/08/26 4 I Page ACORD® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/4/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Janis Nestor Lester, Greene, McCord & Thoma Insurance, Inc. PHONE FAX (A/C. No. Ext): 931-455-3453 115 W. Lauderdale St. (A/C, No): 931-455-3502 E-MAIL Tullahoma TN 37388 ADDRESS: inestor@lgmtins.com INSURER(S) AFFORDING COVERAGE NAIC # License#: 4170 INSURER A: State Auto Property & Casualty 25127 INSURED SEALRIT-01 INSURER B: State Auto Mutual 25135 Seal Rite, Inc & Sport Rite, Inc. PO Box 717 INSURER C: Tullahoma TN 37388 INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 294323145 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY Y Y BOP2830563 1/1/2026 1/1/2027 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE DAMAGE TO RENTED OCCUR PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT LOC PRODUCTS COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP2417561 1/1/2026 1/1/2027 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ B UMBRELLA LIAB OCCUR Y Y CXS2129862 1/1/2026 1/1/2027 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION $ $ B WORKERS COMPENSATION WCP2234412 1/1/2026 1/1/2027 PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Tennis Court Repair and Re-Sealing East Hickman High School, 7700 Hwy 7, Lyles, TN Hickman County High School, 1645 Bulldog Blvd, Centerville, TN. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hickman County Board of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Education 115 Murphree Ave Centerville TN 37033 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THE Coffee County Business Tax Standard License March 17, 2026 Letter ID: L2133822912 SEAL RITE INC PO BOX 717 Expiration Date: 15-May-2027 TULLAHOMA TN 37388-0717 Return Due By: 15-Apr-2027 The business tax license printed below certifies the receipt and approval of your business tax license application or the renewal of a license for your existing business. The license is valid until the expiration date noted above. Your license number is 1001156243 and your classification is 4. The certificate must be displayed publicly at the location for which it is issued. All business tax returns are required to be filed and the payment remitted electronically. Your return is due on April 15, 2027. Please visit www.tn.gov/revenue for additional information. Note: This license does not permit operation unless properly zoned and/or in compliance with all other applicable state, county, or city laws, rules and regulations. Also, as required by Tenn. Code Ann. § 39-17-1801 et seq., businesses must comply with all provisions of the Tennessee Non-Smoker Protection Act. DETACH LICENSE BELOW AND DISPLAY IN PUBLIC AREA Coffee County Business Tax Standard License This certificate must be publicly displayed. SEAL RITE INC Date Issued: 17-Mar-2026 205 WEAVER ST Classification: 4 TULLAHOMA TN 37388-4335 Letter ID: L2133822912 License Number: 1001156243 Expiration Date: 15-May-2027 State of Tennessee Non-Boycott of Israel Certification The Bidder certifies that it is not currently engaged in and will not for the duration of the contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This provision shall not apply to contracts with a total value of less than two hundred fifty thousand dollars ($250,000) or to contractors with less than ten (10) employees. According to the law, a boycott of Israel means engaging in refusals to deal, terminating business activities, or other commercial actions that are intended to limit commercial relations with Israel, or companies doing business in or with Israel or authorized by, licensed by, or organized under the laws of the State of Israel to do business, or persons or entities doing business in Israel, when such actions are taken: 1. In compliance with, or adherence to, calls for a boycott of Israel, or 2. In a manner that discriminates on the basis of nationality, national origin, religion, or other unreasonable basis, and is not based on a valid business reason. Tenn. Code § 12-4-119 Signature: Soldor Uozquey Print: Salvador Vazquez Date: 9/08/26 Phone/Email: (931) 461-9991 Va2quez@Sealritepm.com 5 I Page IRAN DIVESTMENT ACT CERTIFICATION I understand that under the Iran Divestment Act, T.C.A. 12-12-101 - 12-12-113, political subdivisions in Tennessee are prohibited from entering into any procurement or contract over $1,000 with a person who engages in investment activities in Iran. The state's chief procurement officer, as required by T.C.A. 12-12-106, has created a list of persons who engage in investment activities in Iran. Any person who is on the list is ineligible to contract with any political subdivision of the State of Tennessee, and any such contract will be considered void under T.C.A. 12-12-110. The list is published on the Tennessee Department of General Services' website at: https://www.tn.gov/content/dam/tn/generalservices/documents/cpo/library/cpo- library/public-information-library/List of persons pursuant to Tenn. Code Ann. 12-12- 106 Iran Divestment Act updated with NY06-07-23. pdf CERTIFICATION By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief that each bidder is not on the list created pursuant to T.C.A 12-12-106. Bidder Name: Salder Vozguoz Salvador Vazquez Bidder Signature: Salder Vozquez Date: 9/08/26 6 I Page Hickman County Government Conflict of Interest Disclosure Form The County Financial Management System of 1981 contains the most stringent conflict of interest provisions. TCA $5-21-121 provides: (a) The director, purchasing agent, members of the committee, members of the county legislative body or other officials, employees, or members of the board of education or highway commission shall not be financially interested or have any personal beneficial interest, either directly or indirectly, in the purchase of any supplies, materials, equipment or contractual services for the county. (b) No firm, corporation, partnership, association or individual furnishing any such supplies, materials, equipment or contractual services, shall give or offer, nor shall the director or purchasing agent or any assistant or employee accept or receive directly or indirectly from any person, firm, corporation, partnership or association to whom any contract may be awarded, by rebate, gift or other otherwise, any money or other things of value whatsoever, or any promise, obligation or contract for future reward or compensation. Date: 9/08/26 Name: Salvador Vazquez Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest: I have no conflict of interest to report. I have the following conflict of interest to report (please specify any boards or committees you (and/or your spouse) sit on, the name of your employer and any businesses you or your spouse may own. I hereby certify that the information set forth above is true and complete to the best of my knowledge. Date: 9/08/26 Signature: Saldor Vozquez 7 I Page NOTE: Please use this sheet to enter your bid figures and attach any necessary documents to the back of the bid sheet. East Hickman High School Tennis Court Bid Result $ 43,425 $ East Hickman County High School possible add-on: Blended lines for 10u players $ 3,600 Hickman County High School Tennis Court Bid Result $ 36,420 Hickman County High School possible add-on: Blended lines for 10u players $ 2,400 We would like to have these courts completed this fall. When could your company begin? 9/28/2026 Bidding Company Contact Information Name of Company BARTON Sports CONSTRUCTION Person of Contact MiKE OMAZ Contact Email mike@clerickloarton.com Contact Phone Number 901-2405050 21 Page State of Tennessee Non-Boycott of Israel Certification The Bidder certifies that it is not currently engaged in and will not for the duration of the contract engage in a boycott of Israel as defined by Tenn. Code § 12-4-119. This provision shall not apply to contracts with a total value of less than two hundred fifty thousand dollars ($250,000) or to contractors with less than ten (10) employees. According to the law, a boycott of Israel means engaging in refusals to deal, terminating business activities, or other commercial actions that are intended to limit commercial relations with Israel, or companies doing business in or with Israel or authorized by, licensed by, or organized under the laws of the State of Israel to do business, or persons or entities doing business in Israel, when such actions are taken: 1. In compliance with, or adherence to, calls for a boycott of Israel, or 2. In a manner that discriminates on the basis of nationality, national origin, religion, or other unreasonable basis, and is not based on a valid business reason. Tenn. Code $ 12-4-119 Signature: Print: MICHAEL Omap Date: 9/8/2020 Phone/Email: mikeDelerrickbartun.com /901-240 5050 5 I Page Hickman County Government Conflict of Interest Disclosure Form The County Financial Management System of 1981 contains the most stringent conflict of interest provisions. TCA 95-21-121 provides: (a) The director, purchasing agent, members of the committee, members of the county legislative body or other officials, employees, or members of the board of education or highway commission shall not be financially interested or have any personal beneficial interest, either directly or indirectly, in the purchase of any supplies, materials, equipment or contractual services for the county. (b) No firm, corporation, partnership, association or individual furnishing any such supplies, materials, equipment or contractual services, shall give or offer, nor shall the director or purchasing agent or any assistant or employee accept or receive directly or indirectly from any person, firm, corporation, partnership or association to whom any contract may be awarded, by rebate, gift or other otherwise, any money or other things of value whatsoever, or any promise, obligation or contract for Date: future 9/8/2026 reward or Name: compensation. Please describe below any relationships, transactions, positions you hold (volunteer or otherwise), or circumstances that you believe could contribute to a conflict of interest: I have no conflict of interest to report. I have the following conflict of interest to report (please specify any boards or committees you (and/or your spouse) sit on, the name of your employer and any businesses you or your spouse may own. I hereby certify that the information set forth above is true and complete to the best of my knowledge. Date: 9/8/2026 Signature: 7 I Page ACORD® DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/3/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Michelle Hodges Thomas Dorian PHONE FAX (A/C. No. Ext): 901-328-5858 (A/C, No): 6240 Poplar Avenue ADDRESS: E-MAIL thedorianagency@ipnagent.com Memphis TN 38119 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American National Property and Casualty INSURED INSURER B : Barton Sports Construction INSURER C: Connor Glennon INSURER D : 10325 US Hwy 64 Arlington TN 38002 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (En occurrence) $ 100,000 A MED EXP (Any one person) $ 10,000 Y 4101X3649 3/5/2026 3/5/2027 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Es accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED 4101C2871 7/20/2026 7/20/2027 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 4101E0321 4/4/2026 4/4/2027 AGGREGATE $ DED RETENTION $10,000 $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE A OFFICER/MEMBEREXCLUDED? Y N/A 4101W1817 3/5/2026 3/5/2027 E.L. EACH ACCIDENT $ 1,000,000 (Mendatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Paul Varney Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2460 Franklin Pike Lewisburg TN 37091 AUTHORIZED REPRESENTATIVE Thomas Dorian © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD MEMPHIS AND SHELBY COUNTY BUSINESS TAX LICENSE RECEIPT NUMBER 261005137 LICENSE NUMBER 230002791 THIS LICENSE EXPIRES 05/15/2027 CLASSIFICATION 4 OWNER(S) BARTON SPORTS CONSTRUCTION, LLC BARTON SPORTS CONSTRUCTION, LLC BUSINESS LOCATION ADDRESS 6465 CRESTVIEW RD 5455 CRESTVIEW RD STE 6 STE 6 MEMPHIS, TN 38134 MEMPHIS, TN 38134 MUST DISPLAY IN A CONSPICUOUS PLACE 4:07 46 Done drive.google.com AA POF W-9 2025.pdf Sign In fish W-9 Request for Taxpayer Give form to the 20 2005 Identification Number and Certification requester. Do not the To:en send to the 135 - Co 3) for instructions and the letrel information Before you Docts Fore Menca missa :3 in purpose at Form W.D. (0) Purpose of Ferm, boken 1 - = 1 Name An er:7 by - and LT n sole proprieter CT mith The as 077 and - - 21 Darien Sports Construction LLC : UPA different from = Circl as approved In to Interest to of to when name artived on in 1. Cress di Darght City us of the INSURED cotta action ect 174 - ene Individual 113 payment - S corporation eDed NO supers GOB : LLC the 111 deter is corporation, S = S corporation P= Partners) P Loss - (10) new Print or Pypio. Meter Check to - the street and may spoon and the represents coos :C. & ce for - too device of the LLC. was a by a registers entry A designed any charge which check 2n represible Commission - for Account to box for on a =) 15 CATER Complano not 095 tspo 1229 (Fest) In on is Ryu checked "Pationship" CT "Trustration" " oncled "LLC" one antired *If* a 23 in - forten D account and you = - - me form to n promotion with or estate is which you this = extrative - can in UNIVERSITY The tex If -71 tye partiers. cantra, CF Step instruction 5 Name evert, INS est UP cutons) Saa intructions. Requestor's name red address secure) 10325 US NWY 64 C City, care and ZIP com Artington, TH 38002 7 Life - number(s) has (xtra) Part Taxpayer Identification Number (TIN) Desid security number Enter your TIN in the appropriate box The TIN provided must match the name given on Line 1 to avoid backup withholding For individuals. my to generally your social security number (SEM). Howaver, for U - - recident alton. se's proprietor, or disregarded entity, 509 the Instructions for Fart 1, later. For other crititles, M a your employer Identification nighter (EIN). If you do not have a number, 309 How to get a cr T.V. Leter, Enstayer identification on number Note: : the account to in more than one name, the Instructions for Ins 1. San clos What Name and Number To Give the Requester for guidelined on whose number to enter. 00 - 0493335 Part Certification Under penalties of purjury, certify that 1. The number shown on this form " my correct taxpayor Identification number (or am waiting for a number to bo Issued to ino); and 2. am not 15 bookup wannting because (a) cm exempt from beckup washing or (b) have not both notified by The income Revenue Serviço (RS) that : am pubject to backup withholding AS a result of n fature to report all interest = events C/ (c) the ins MM net is Me the am no lenger outject to backup withholding: and 3 am a U.S. citizen or other U.S. person (dufined below): and 2, The FATCA code(s) ontaned on this term (if any) indicating that am exempt from FATCA reporting b correct Certification instructions. You must crote as hem 2 above If you have boon notified by the IRS that you WO currently subject :o bittle il business you BVD 5.5 to report 11 Interest and dividerate on you tax roturn Fa real estate crontations, Man 2 does not noply. For mortgagy morth FORM on or absendenment of sucured property, cancellation of dobt, contribut CG3 to an returned arangement (IPA). and. across - payment to than intervet and avidates, 102 220 not required to = the care but you must previde your cerrect TIN Say the instruct = Pay! Sign Signature of Here U.S. person am Osts 04/09/25 General Instructions Name 10 2b kas boon add to this form A FORM required to complete this ing 10 indicate that 11 for direct and last Section references 2'9 to 0.0 Internal Revenue Code unisse ninerwice foreign partners, owner or beneficiaring when 11 provided the Scim W-3 noted to another flow-through entity In which 0 tas an INCO = THE Future developments For the latest Information about disretopmento change b interidad to provide 0 Kew-through only " Mark 100 related to Form W-S and de cuch as legislation enacted regarding the status of Its Indianct foreign purchase, DATE or offer may were published, SP to WATHING gov/FormW9. beneficiarios, so that It can antisty any application 10200 requirements For exemple, 0 partnership tool 1510 21, :- VISA What's New partners may to required 10 complete Schedules K-2 and . Partnership instructions for Schedules K.2 and K-2 (Form Unc 30 has BLUT mudified to conty now a email no in LLC 1 stegarded emily should chock the Purpose of Form appropriate to for the 13A elissification of RJ Otherwise Il check inj "LLC" ber and emar is appropriate 134 classification in individual or citily (Ferm WIG ) WED , to Intern roturn with the ITS 0 GNED you this $ 70 because 26, or No 10 31X No W-9 Page 1 / 1 ## Table 1 | | EHHS | Add-on | HCHS | Addon | | --- | --- | --- | --- | --- | | Barton Sports Construction | 43,425 | 3,600.00 | 36,420 | 2,400.00 | | Seal Rite Inc. | 45,248.50 | 800.00.ea | 34,469.80 | 800.00ec | ## Table 2 | ESTIMATE # | DATE | | --- | --- | | 1540 | 09/08/2026 | ## Table 3 | ACTIVITY | DESCRIPTION | QTY | AMOUNT | | --- | --- | --- | --- | | Tennis Courts | : Pressure wash and clean courts in preparation for resurfacing | 1 | 0.00 | | Tennis Courts | Clean the Cracks from all Old Material on it. | 4 | 0.00 | | Tennis Courts | Level depressions and bird baths 1/8 inch in depth or> using a Sport Master acrylic binder, sand, and porcelain cement mix | 1 | 0.00 | | Tennis / Basketball / Pickleball | AQUAPHALT: Repair Cracks wider than 1 1/2" with : aquaphalt and compacting just below grade then use acrylic binder, sand, and porcelain cement mix to fill to grade and : sand to a smooth grade | 1 | 0.00 | | Tennis Courts | Repair Cracks 1" and less using Sport Master acrylic binder , sand, and porcelain cement mix and filling them, then sanding to smooth grade | 4 | 0.00 | | Tennis Courts | : Apply 1 coat of Sport Master Acrylic Resurfacer with sand to court surface | 1 | 0.00 | | Tennis Courts | Apply 2 coats of Sport Master Acrylic Color with sand to achieve a medium speed playing surface (DARK GREEN) | 4 | 0.00 | | Tennis Courts | Layout and tape court design using dual tape machine and applying one coat of Sport Master Stripe Rite primer to prevent bleeding under the tape when applying paint. Apply two coats of Sport Master Line Brite paint to court layout. (4 TENNIS COURTS) | 1 | 0.00 | | Tennis Courts | Sand and Repaint net poles | 8 | 0.00 | | Tennis/Pickleball | Install NEW Nets | 4 | 0.00 | ## Table 4 | ACTIVITY | DESCRIPTION | QTY | AMOUNT | | --- | --- | --- | --- | | Courts | OPTION: for Blended Lines for 10u Players ADD. $800.00 for each needing. NOTE: Although cracks are repaired any existing cracks will appear back as hair lined cracks over time. Sport Rite inc. does not warranty that cracks will not appear back over time. | | | | Sales | Service East Hickman High School 7700 TN-7 Lyles, TN 37098 | 1 | 45,248.50 | ## Table 5 | ESTIMATE # | DATE | | --- | --- | | 1539 | 09/07/2026 | ## Table 6 | ACTIVITY | DESCRIPTION | QTY | AMOUNT | | --- | --- | --- | --- | | Tennis Courts | Pressure wash and clean courts in preparation for resurfacing | 3 | 0.00 | | Tennis Courts | Clean the Cracks from all Old Material on it. | 3 | 0.00 | | Tennis Courts | Level depressions and bird baths 1/8 inch in depth or> using a Sport Master acrylic binder, sand, and porcelain cement mix | 1 | 0.00 | | Tennis Courts | Repair Cracks 1" and less using Sport Master acrylic binder , sand, and porcelain cement mix and filling them, then sanding to smooth grade | 3 | 0.00 | | Tennis / Basketball / Pickleball | AQUAPHALT: Repair Cracks wider than 1 1/2" with aquaphalt and compacting just below grade then use acrylic binder, sand, and porcelain cement mix to fill to grade and sand to a smooth grade | 1 | 0.00 | | Tennis Courts | Apply 1 coat of Sport Master Acrylic Resurfacer with sand to court surface | 1 | 0.00 | | Tennis Courts | Apply 2 coat of Sport Master Acrylic Color with sand to achieve a medium speed playing surface (RED on Borders and GRAY on the courts) | 3 | 0.00 | | Tennis Courts | Layout and tape court design using dual tape machine and applying one coat of Sport Master Stripe Rite primer to prevent bleeding under the tape when applying paint. Apply two coats of Sport Master Line Brite paint to court layout. (3 TENNIS COURTS) | 1 | 0.00 | | Tennis Courts | Sand and Repaint net poles | 6 | 0.00 | | Tennis/Pickleball | Install NEW Net | 3 | 0.00 | ## Table 7 | ACTIVITY | DESCRIPTION | QTY | AMOUNT | | --- | --- | --- | --- | | Courts | OPTION: for Blended Lines for 10u Players ADD. $800.00 for each needing. NOTE: Although cracks are repaired any existing cracks will appear back as hair lined cracks over time. Sport Rite inc. does not warranty that cracks will not appear back over time. | | | | Sales | Service Hickman County High School 1645 Bulldog Blvd Centerville, TN 37033 | 1 | 34,469.80 | ## Table 8 | Company Name | Tullahoma City schools) through Tinsley Asphalt | | --- | --- | | Address | P.O.Box 1955 Tullahoma, TN 37388 | | Contact | David Cook | | Telephone number | (931) 308-7473 | ## Table 9 | Company Name | Nsite Inc. (Adamsville City Park Courts) | | --- | --- | | Address | 10162 Stinson st Milan TN 38358 | | Contact | Bill Smith | | Telephone number | (731) 695-5663 | ## Table 10 | Company Name | City of Spring Hill | | --- | --- | | Address | 119 Town Center Pkwy Spring Hill TN 37174 | | Contact | Bryan Kovzelove | | Telephone number | (931) 922-8540: | ## Table 11 | Print: | Salvador Vazquez | | --- | --- | | Title: | President | | Date: | 9/08/26 | ## Table 12 | CONTACT NAME: Janis Nestor | | | --- | --- | | PHONE (A/C. No. Ext): 931-455-3453 | FAX (A/C, No): 931-455-3502 | | E-MAIL ADDRESS: inestor@lgmtins.com | | ## Table 13 | | INSURER(S) AFFORDING COVERAGE | NAIC # | | --- | --- | --- | | INSURER A: | State Auto Property & Casualty | 25127 | | INSURER B: | State Auto Mutual | 25135 | | INSURER C: | | | | INSURER D: | | | | INSURER E: | | | | INSURER F : | | | ## Table 14 | LIMITS | | | --- | --- | | EACH OCCURRENCE | $ 1,000,000 | | DAMAGE TO RENTED PREMISES (Ea occurrence) | $ 300,000 | | MED EXP (Any one person) | $ 5,000 | | PERSONAL & ADV INJURY | $ 1,000,000 | | GENERAL AGGREGATE | $ 2,000,000 | | PRODUCTS COMP/OP AGG | $ 2,000,000 | | | $ | | COMBINED SINGLE LIMIT (Ea accident) | $ 1,000,000 | | BODILY INJURY (Per person) | $ | | BODILY INJURY (Per accident) | $ | | PROPERTY DAMAGE (Per accident) | $ | | | $ | | EACH OCCURRENCE | $ 5,000,000 | | AGGREGATE | $ 5,000,000 | | | $ | | [X] PER OTH- STATUTE ER | | | E.L. EACH ACCIDENT | $ 1,000,000 | | E.L. DISEASE - EA EMPLOYEE | $ 1,000,000 | | E.L. DISEASE - POLICY LIMIT | $ 1,000,000 | | | | ## Table 15 | INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) | | --- | --- | --- | --- | --- | --- | --- | | A | [X] [X] COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: | Y | Y | BOP2830563 | 1/1/2026 | 1/1/2027 | | A | [X] [X] [X] AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED AUTOS ONLY AUTOS ONLY | | | BAP2417561 | 1/1/2026 | 1/1/2027 | | B | [X] [X] UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ | Y | [X] Y | CXS2129862 | 1/1/2026 | 1/1/2027 | | B | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below | N/A | | WCP2234412 | 1/1/2026 | 1/1/2027 | | | | | | | | | ## Table 16 | Letter ID: | L2133822912 | | --- | --- | | Expiration Date: | 15-May-2027 | | Return Due By: | 15-Apr-2027 | ## Table 17 | Date Issued: | 17-Mar-2026 | | --- | --- | | Classification: | 4 | | Letter ID: | L2133822912 | | License Number: | 1001156243 | | Expiration Date: | 15-May-2027 | ## Table 18 | Signature: | Soldor Uozquey | | --- | --- | | Print: | Salvador Vazquez | | Date: | 9/08/26 | | Phone/Email: | (931) 461-9991 Va2quez@Sealritepm.com | ## Table 19 | Bidder Name: | Salder Vozguoz Salvador Vazquez | | --- | --- | | Bidder Signature: | Salder Vozquez | | Date: | 9/08/26 | ## Table 20 | Name of Company | BARTON Sports CONSTRUCTION | | --- | --- | | Person of Contact | MiKE OMAZ | | Contact Email | mike@clerickloarton.com | | Contact | Phone | | Number | 901-2405050 | ## Table 21 | Signature: | | | --- | --- | | Print: | MICHAEL Omap | | Date: | 9/8/2020 | | Phone/Email: | mikeDelerrickbartun.com /901-240 5050 | ## Table 22 | | INSURER(S) AFFORDING COVERAGE | NAIC # | | --- | --- | --- | | INSURER A: | American National Property and Casualty | | | INSURER B : | | | | INSURER C: | | | | INSURER D : | | | | INSURER E: | | | | INSURER F: | | | ## Table 23 | INSR LTR | TYPE OF INSURANCE | ADDL INSD | SUBR WVD | POLICY NUMBER | POLICY EFF (MM/DD/YYYY) | POLICY EXP (MM/DD/YYYY) | | | --- | --- | --- | --- | --- | --- | --- | --- | | | [X] COMMERCIAL GENERAL LIABILITY | | | | | | EACH OCCURRENCE | | | [X] CLAIMS-MADE OCCUR | | | | | | DAMAGE TO RENTED PREMISES (En | | A | | | | | | | MED EXP (Any one | | | | | [X] Y | 4101X3649 | 3/5/2026 | 3/5/2027 | PERSONAL & ADV | | | GEN'L AGGREGATE LIMIT APPLIES PER: | | | | | | GENERAL AGGREGATE | | | [X] PRO- POLICY JECT LOC | | | | | | PRODUCTS - COMP/OP | | | OTHER: | | | | | | | | | AUTOMOBILE LIABILITY | | | | | | COMBINED SINGLE (Es accident) | | | ANY AUTO | | | | | | BODILY INJURY (Per | | A | [X] OWNED SCHEDULED AUTOS ONLY AUTOS | | | 4101C2871 | 7/20/2026 | 7/20/2027 | BODILY INJURY (Per | | | [X] [X] HIRED NON-OWNED AUTOS ONLY AUTOS ONLY | | | | | | PROPERTY DAMAGE (Per accident) | | | | | | | | | | | | [X] [X] UMBRELLA LIAB OCCUR | | | | | | EACH OCCURRENCE | | A | EXCESS LIAB CLAIMS-MADE | | | 4101E0321 | 4/4/2026 | 4/4/2027 | AGGREGATE | | | DED RETENTION $10,000 | | | | | | | | | WORKERS COMPENSATION | | | | | | [X] PER STATUTE | | | AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE | | | | 3/5/2026 | 3/5/2027 | E.L. EACH ACCIDENT | | | OFFICER/MEMBEREXCLUDED? Y (Mendatory in NH) | N/A | | 4101W1817 | | | E.L. DISEASE - EA | | | If yes, describe under DESCRIPTION OF OPERATIONS below | | | | | | E.L. DISEASE - | | | | | | | | | | ## Table 24 | RECEIPT NUMBER | 261005137 | | --- | --- | | LICENSE NUMBER | 230002791 | | THIS LICENSE EXPIRES | 05/15/2027 | | CLASSIFICATION | 4 | ## Table 25 | | : UPA different from | | | --- | --- | --- | | | [X] = Circl as approved In to Interest to of to when name artived on in 1. 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