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SViN�_S(FJ <br /> :� DISPUTE DISCLOSURE <br /> I,ti :� :, ' City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> Sunny Isles Beach,FL 33160 <br /> rdr,o. ,um Telephone:(305)947-0606 Fax:(305)949-3113 <br /> DISPUTE DISCLOSURE FORM <br /> Answer the following questions by placing a "X" after "Yes" or "No". If you answer "Yes", please <br /> ' explain in the space provided, or on a separate sheet attached to this form. <br /> 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the <br /> Department of Professional Regulations or any other regulatory agency or professional associations within the last <br /> five (5) years? <br /> YES NO X <br /> 1 <br /> 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a <br /> contract or job related to the services your firm provides in the regular course of business within the last five (5) <br /> years? <br /> YES NO X <br /> 1 <br /> 19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, <br /> ' or litigation in the past five (5) years that is related to the services your firm provides in the regular course of <br /> business? <br /> ' YES X NO If yes, state the nature of the request for equitable adjustment, contract <br /> claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the <br /> monetary amounts of extended contract time involved. <br /> • <br /> I hereby certify that all statements made are true and agree and understand that any misstatement or <br /> misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid <br /> ' for the City of Sunny Isles Beach. <br /> Environmental Consulting & Technology, Inc. April 26. 2012 <br /> ' Firm � Date <br /> Larry J. Danek, Ph.D., President <br /> Aut rize SSignal e Print or Type Name and Title <br /> ' 19.3 <br /> In 2006-07, Environmental Consulting & Technology, Inc. (ECT), participated in a marina <br /> rehabilitation project for the City of New Smyrna Beach, Florida. In 2010, an individual <br /> filed suit against the City, ECT, the design engineer, and the construction company for <br /> injuries sustained when he fell while walking from the end of the boardwalk on top of the <br /> bulkhead. ECT contended that, on the date of the fall, ECT no longer had any responsibility <br /> for the area where the fall allegedly took place. In March 2011, this suit was settled in <br /> mediation with ECT agreeing to pay $10,000 of the $62,500 settlement. There was no <br /> admission of guilt on ECT's part; it was less expensive to settle than to continue litigation. <br /> OECEmBEq 28.2010 6 of 7 <br />