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• <br /> CITY OF SUNNY ISLES BEACH <br /> 18070 Collins Avenue <br /> • <br /> Sunny Isles Beach, Florida 33160 <br /> 305.947.0606 : 241. <br /> www.sbfl.net' kor. <br /> 1f • 0° S4 <br /> Co,OF SUN 6t4O <br /> 9. Has any owner or employee of the company been convicted of a federal offense or moral <br /> turpitude: If yes, please explain: <br /> Nd <br /> 10. Insurance & Bond Information <br /> Insurance Carrier name &address: PEON RAS K IN5L-1n.AeCE SiAvt.CtS <br /> 707 wlust{wcLE /Sc.uo 61-6 21,200 bas Ar-6EcES (� 90617 <br /> a. Insurance Contact Name, telephone, &e-mail: mIci-ixteL SLACK <br /> Ace (itA skQ,Er'( bat FI6uEItA 213 831) 32131 IGNAC�c .gL.ACK (� <br /> ACE 6mok-tP• GoM <br /> b. Insurance Experience Modification Rating (EMR): .-17,0 <br /> (if no EMR rating please explain why) <br /> c. Number of Insurance Claims paid out in last 5 years &value: a i rkCt:tEA <br /> d. Bond Carrier name&address: A gcr. <br /> e. Bond Carrier Contact Name, telephone, &e-mail: ;SG ) <br /> f. Number of Bond Claims paid out in last 5 years &value: ATretC-t• <br /> 11. Have any claims lawsuits been filed against your company in the past 5 years? If yes, identify <br /> all where your company has either settled or an adverse judgment has been issued against <br /> your company. Identify the year basis for the claim or judgment&settlement unless the value of <br /> the settlement is covered by a written confidentiality agreement. <br /> 12. Has your company been assessed liquidated damages or defaulted on a project in the past five <br /> (5) years? <br /> City of Sunny Isles Beach I ITB 18-03-03 Right-of-Ways and Facilities Landscape Maintenance Services 107 <br />