The URL can be used to link to this page

Home My WebLink AboutPedalta Inc. SUBMITTED TO: Mauricio Betancur, CMC, City Clerk Sunny Isles Beach Government Center 18070 Collins Avenue, 4th Floor Sunny Isles Beach, Florida 33160 SUBMITTED BY: Pedelta Inc. 2000 Ponce de Leon Blvd, Suite 624 Coral Gables, FL 33134 Tel: 305 648 0010 Contact Person: Vanessa Pino, PE vpino@pedelta.com - Tel 786 709 8020 Response to RFQ No. 19-11-01 City of Sunny Isles Beach Professional Engineering and Architectural Services for Pedes- trian Bridge with Park Elements across A1A at 174th ST.CCNA CONSULTING ENGINEERING SERVICES January 13, 2020 N O N -C O L L U S I O N A F F I D A V I T City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 STATE OF FLORIDA ) ) COUNTY OF _____________) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, _____________________________________________________________ (Name of Corporation, Partnership, Individual, etc.) a, ________________________________, formed under the laws of _____________ (Type of Business) (State) of which he is ________________________________________________. (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. ___________________________________ ___________________________________ AFFIANT’S NAME AFFIANT’S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _____ day of _______________________, 20_. Personally Known ________ or Produced Identification ________; Type of identification ___________________________________ (Affix hereseal ) ___________________________________ NOTARY PUBLIC (name printed or typed) 1 of P U B L I C E N T I T Y C R I M E S City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub-Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1.This sworn statement is submitted to City of Sunny Isles Beach _____________ by____________________________________________________________________________ [print individual’s name and title] for____________________________________________________________________________ [print name of entity submitting sworn statement] whose business address is: _______________________________________________________________________________ _______________________________________________________________________________ and (if applicable) its Federal Employer Identification number (FEIN) is_____________________. (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement:_________________________________.) 11.2.I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3.I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 11.4.I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair 2 of 10/1998 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5.I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6.Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies .) ____ Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. By: ______________________________________ (Signature) ______________________________________ (Printed Name) ______________________________________ (Title) Sworn to and subscribed before me this ______ day of_______________________, 20_____, by __________________________________________________. (AFFIX NOTARY STAMP HERE) ______________________________________ Signature:Notary Public – State of Florida ______________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ 3 of 7 E Q U A L O P P O R T U N I T Y / A F F I R M A T I V E A C T I O N City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 EQUAL OPPORTUNITY/AFFIRMATIVE ACTION STATEMENT The contractors and all subcontractors hereby agree to a commitment to the principles and practices of equal opportunity in employment and to comply with the letter and spirit of federal, state, and local laws and regulations prohibiting discrimination based on race, color, religion, national region, sex, age, handicap, marital status, and political affiliation or belief. Signed: ________________________________________ Title: ________________________________________ Firm: ________________________________________ Address: ________________________________________ ________________________________________ 4 of C O N F L I C T O F I N T E R E S T D I S P U T E D I S C L O S U R E City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a “X” after “Yes” or “No”. If you answer “Yes”, please explain in the space provided, or on a separate sheet attached to this form. 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (5) years? YES __________ NO __________ 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES __________ NO __________ 19.3.Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES __________ NO __________ If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. ________________________________________ ______________________________________ Firm Date ________________________________________ _______________________________________ Authorized Signature Print or Type Name and Title 6 of ANTI-KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 ANTI-KICKBACK AFFIDAVIT STATE OF FLORIDA ) ) COUNTY OF ___________ ) I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. By: ________________________________ Title: ________________________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 20____, by _________________________________________ [name of person], as __________________________________ [type of authority], for ________________________________ [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: _______________________________ Notary Public – State of Florida ________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ 7 of CONTRACTOR ANTI-BOYCOTT CERTIFICATION [PURSUANT TO FLORIDA STATUTE § 215.4725] N O N -C O L L U S I O N A F F I D A V I T City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 STATE OF FLORIDA ) ) COUNTY OF _____________) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, _____________________________________________________________ (Name of Corporation, Partnership, Individual, etc.) a, ________________________________, formed under the laws of _____________ (Type of Business) (State) of which he is ________________________________________________. (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. ___________________________________ ___________________________________ AFFIANT’S NAME AFFIANT’S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _____ day of _______________________, 20 _. Personally Known ________ or Produced Identification ________; Type of identification ___________________________________ (Affix seal here) ___________________________________ NOTARY PUBLIC (name printed or typed) 1 of P U B L I C E N T I T Y C R I M E S City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub-Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1.This sworn statement is submitted to City of Sunny Isles Beach _____________ by____________________________________________________________________________ [print individual’s name and title] for____________________________________________________________________________ [print name of entity submitting sworn statement] whose business address is: _______________________________________________________________________________ _______________________________________________________________________________ and (if applicable) its Federal Employer Identification number (FEIN) is_____________________. (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement:_________________________________.) 11.2.I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3.I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere. 11.4.I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair 2 of 10/1998 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5.I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6.Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies .) ____ Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. ____ The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. By: ______________________________________ (Signature) ______________________________________ (Printed Name) ______________________________________ (Title) Sworn to and subscribed before me this ______ day of_______________________, 20_____, by __________________________________________________. (AFFIX NOTARY STAMP HERE) ______________________________________ Signature:Notary Public – State of Florida ______________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ 3 of 7 E Q U A L O P P O R T U N I T Y / A F F I R M A T I V E A C T I O N City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 EQUAL OPPORTUNITY/AFFIRMATIVE ACTION STATEMENT The contractors and all subcontractors hereby agree to a commitment to the principles and practices of equal opportunity in employment and to comply with the letter and spirit of federal, state, and local laws and regulations prohibiting discrimination based on race, color, religion, national region, sex, age, handicap, marital status, and political affiliation or belief. Signed: ________________________________________ Title: ________________________________________ Firm: ________________________________________ Address: ________________________________________ ________________________________________ 4 of C O N F L I C T O F I N T E R E S T D I S P U T E D I S C L O S U R E City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a “X” after “Yes” or “No”. If you answer “Yes”, please explain in the space provided, or on a separate sheet attached to this form. 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (5) years? YES __________ NO __________ 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES __________ NO __________ 19.3.Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES __________ NO __________ If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. ________________________________________ ______________________________________ Firm Date ________________________________________ _______________________________________ Authorized Signature Print or Type Name and Title 6 of ANTI-KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 ANTI-KICKBACK AFFIDAVIT STATE OF FLORIDA ) ) COUNTY OF ___________ ) I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. By: ________________________________ Title: ________________________________ The foregoing instrument was acknowledged before me this _____ day of __________________, 20____, by _________________________________________ [name of person], as __________________________________ [type of authority], for ________________________________ [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: _______________________________ Notary Public – State of Florida ________________________________ Print or Type Commissioned Name Personally Known __________ OR Produced Identification __________ Type of Identification Produced ________________________________ 7 of CONTRACTOR ANTI-BOYCOTT CERTIFICATION [PURSUANT TO FLORIDA STATUTE § 215.4725] 1/8/2020 Pedelta, Inc. 2000 Ponce de Leon Blvd. Suite 624 Coral Gables, FL 33134 RE: City of Sunny Isles Beach PROJECT REFERENCE: RFQ 19-11-01 PROFESSIONAL ENGINEERING AND ARCHITECTURAL SERVICES FOR PEDESTRIAN BRIDGE WITH PARK ELEMENTS ACROSS A1A AT 174TH ST. -CCNA Dear Sir or Madam, This letter serves as confirmation that INSURED is capable of procuring insurance in the type and amounts required by the THEIR CLIENT / PROJECT. In the event the firm is awarded a project, we will be happy to finalize the insurance procurement and provide a Certificate of Insurance. If you need anything further for your files, please let me know. Thank you. Sincerely, Erinn E. Collinsworth Erinn E. Collinsworth, AAI erinn@collinsworthinsurance.com President SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY $ $ ARCHITECT –ENGINEER QUALIFICATIONS PART I –CONTRACT-SPECIFIC QUALIFICATIONS A. CONTRACT INFORMATION 1. TITLE AND LOCATION (City and State) 2. PUBLIC NOTICE DATE 3.SOLICITATION OR PROJECT NUMBER RFQ 19-11-01 B. ARCHITECT-ENGINEER POINT OF CONTACT 4. NAME AND TITLE Carlos H. Perez, PE, President 5. NAME OF FIRM C. H. Perez & Associates Consulting Engineers, Inc. 6. TELEPHONE NUMBER (305)592-1070 7. FAX NUMBER (305)592-1078 8. E-MAIL ADDRESS chperez@chperez.com C.PROPOSED TEAM (Complete this section for the prime contractor and all subcontractors) (Check)PRIMEJV PARTNERSUB-CONTRACTOR9. FIRM NAME 10. ADDRESS 11. ROLE IN THIS CONTRACT a. X C. H. Perez & Associates Consulting Engineers, Inc. CHECK IF BRANCH OFFICE 9594 NW 41 Street, Suite 201 Doral, FL 33178 Surveying and Mapping Services b. CHECK IF BRANCH OFFICE c. CHECK IF BRANCH OFFICE d. CHECK IF BRANCH OFFICE e. CHECK IF BRANCH OFFICE f. CHECK IF BRANCH OFFICE D. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached) E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME Lazaro Fleitas 13. ROLE IN THIS CONTRACT Surveying & Mapping Manager 14. YEARS EXPERIENCE a. TOTAL 31 b. WITH CURRENT FIRM 1 15. FIRM NAME AND LOCATION (City and State) C. H. Perez & Associates Consulting Engineers, Inc. Doral, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) BS Civil Engineering, Instituto Superior de Ciencias Agropecuarias de la Habana (ISCAH), Cuba, 1989 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)\ Professional Surveyor & Mapper, Florida PSM No. 6518, 2005 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) Bilingual-English/Spanish 19. RELEVANT PROJECTS a. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. b. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. c. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for Oakland Park Blvd. over C-13 Canal (Bridge No. 860139) (Broward Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control, Drainage Survey, and Right of Way, Alignment Canal Soundings. d. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Snowden Pedestrian Bridge along Commodore Trail N. of SW 174 ST over C100 Canal adjacent to Bridge 874293 PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. e. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME William D. Dell’Osso 13. ROLE IN THIS CONTRACT Senior Surveyor & Mapper 14. YEARS EXPERIENCE a. TOTAL 38 b. WITH CURRENT FIRM 10 15. FIRM NAME AND LOCATION (City and State) C. H. Perez & Associates Consulting Engineers, Inc. Doral, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) Nova High School, 1974 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)\ Professional Surveyor & Mapper, Florida PSM No. 4233, 1986 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) Bilingual-English/Spanish 19. RELEVANT PROJECTS a. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. b. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. c. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for Oakland Park Blvd. over C-13 Canal (Bridge No. 860139) (Broward Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control, Drainage Survey, and Right of Way, Alignment Canal Soundings. d. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Snowden Pedestrian Bridge along Commodore Trail N. of SW 174 ST over C100 Canal adjacent to Bridge 874293 PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. e. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME Arturo R. Toirac 13. ROLE IN THIS CONTRACT Senior Right of Way Mapper 14. YEARS EXPERIENCE a. TOTAL 54 b. WITH CURRENT FIRM 10 15. FIRM NAME AND LOCATION (City and State) C. H. Perez & Associates Consulting Engineers, Inc. Doral, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) BS in Civil Engineering, Universidad de la Habana, Cuba, 1962 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)\ Professional Surveyor & Mapper, Florida PSM No. 3102, 1977 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) Bilingual-English/Spanish 19. RELEVANT PROJECTS a. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. b. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. c. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for Oakland Park Blvd. over C-13 Canal (Bridge No. 860139) (Broward Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control, Drainage Survey, and Right of Way, Alignment Canal Soundings. d. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Snowden Pedestrian Bridge along Commodore Trail N. of SW 174 ST over C100 Canal adjacent to Bridge 874293 PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. e. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME Mariano Ponzoa 13. ROLE IN THIS CONTRACT Senior Survey Technician 14. YEARS EXPERIENCE a. TOTAL 32 b. WITH CURRENT FIRM 12 15. FIRM NAME AND LOCATION (City and State) C. H. Perez & Associates Consulting Engineers, Inc. Doral, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) BS Civil Engineering, Universidad de la Habana, Cuba, 1988 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)\ N/A 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) Bilingual-English/Spanish 19. RELEVANT PROJECTS a. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. b. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. c. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for Oakland Park Blvd. over C-13 Canal (Bridge No. 860139) (Broward Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control, Drainage Survey, and Right of Way, Alignment Canal Soundings. d. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Snowden Pedestrian Bridge along Commodore Trail N. of SW 174 ST over C100 Canal adjacent to Bridge 874293 PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. e. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 12. NAME Abdelkader Nazef 13. ROLE IN THIS CONTRACT Senior Survey Technician 14. YEARS EXPERIENCE a. TOTAL 45 b. WITH CURRENT FIRM 4 15. FIRM NAME AND LOCATION (City and State) C. H. Perez & Associates Consulting Engineers, Inc. Doral, Florida 16. EDUCATION (DEGREE AND SPECIALIZATION) AA in Cartography, National Geographic Institute, Paris, 1974 17. CURRENT PROFESSIONAL REGISTRATION (STATE AND DISCIPLINE)\ N/A 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) Bilingual-English/Spanish 19. RELEVANT PROJECTS a. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. b. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl. (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. c. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for Oakland Park Blvd. over C-13 Canal (Bridge No. 860139) (Broward Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control, Drainage Survey, and Right of Way, Alignment Canal Soundings. d. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Snowden Pedestrian Bridge along Commodore Trail N. of SW 174 ST over C100 Canal adjacent to Bridge 874293 PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. e. (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) (Palm Beach Co.) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.)AND SPECIFIC ROLE Check if project performed with current firm Setting Primary and Secondary Horizontal and Vertical Control, DTM, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, Right of Way, Alignment and Subdivision location. F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM’S QUALIFICATIONS FOR THIS CONTRACT (Present as many projects as requested by the agency, or 10 projects, if not specified. Complete one Section F for each project.) 20. EXAMPLE PROJECT KEY NUMBER 1 21. TITLE AND LOCATION (City and State)22. YEAR COMPLETED Miami-Dade County Department of Transportation and Public Works,Snowden Pedestrian Bridge along Commodore Trail adjacent to Bridge 874293, Miami, Florida PROFESSIONAL SERVICES On-Going CONSTRUCTION (if appl.) 23. PROJECT OWNER’S INFORMATION a. PROJECT OWNER Miami-Dade County b. POINT OF CONTACT NAME Adrian Robaina, Pedelta c. POINT OF CONTACT TELEPHONE NO. (305)648-0010 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) Responsible for all surveying and mapper efforts: setting Primary and Secondary Horizontal and Vertical Control, DTM, Roadway Survey, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME C. H. Perez & Associates Consulting Engineers, Inc. (2) FIRM LOCATION (City and State) Miami, FL (3) ROLE Surveying and Mapping & Lighting b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE c. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM’S QUALIFICATIONS FOR THIS CONTRACT (Present as many projects as requested by the agency, or 10 projects, if not specified. Complete one Section F for each project.) 21. EXAMPLE PROJECT KEY NUMBER 2 21. TITLE AND LOCATION (City and State)22. YEAR COMPLETED Florida Department of Transportation –District 4, Brant Drive Bridge replacement from Oregon LN to Avocet RD,Palm Beach, Florida. PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) 23. PROJECT OWNER’S INFORMATION a. PROJECT OWNER Florida Department of Transportation b. POINT OF CONTACT NAME Walfrido Pevida, PHD Engineers c. POINT OF CONTACT TELEPHONE NO. (786)228-5666 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) Responsible for all surveying and mapper efforts: setting Primary and Secondary Horizontal and Vertical Control, DTM, Roadway Survey, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME C. H. Perez & Associates Consulting Engineers, Inc. (2) FIRM LOCATION (City and State) Miami, FL (3) ROLE Surveying and Mapping b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE c. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE F. EXAMPLE PROJECTS WHICH BEST ILLUSTRATE PROPOSED TEAM’S QUALIFICATIONS FOR THIS CONTRACT (Present as many projects as requested by the agency, or 10 projects, if not specified. Complete one Section F for each project.) 22. EXAMPLE PROJECT KEY NUMBER 3 21. TITLE AND LOCATION (City and State)22. YEAR COMPLETED Florida Department of Transportation –District 4, Scour countermeasure for SR 800 / Spanish River Blvd. over Intracoastal Waterway (Bridge Nos. 930154 & 930226) PROFESSIONAL SERVICES 2019 CONSTRUCTION (if appl.) 23. PROJECT OWNER’S INFORMATION a. PROJECT OWNER Florida Department of Transportation b. POINT OF CONTACT NAME James Ford, HNTB Corporation c. POINT OF CONTACT TELEPHONE NO. (305)222-1403 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) Responsible for all surveying and mapper efforts: setting Primary and Secondary Horizontal and Vertical Control, DTM, Roadway Survey, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME C. H. Perez & Associates Consulting Engineers, Inc. (2) FIRM LOCATION (City and State) Miami, FL (3) ROLE Surveying and Mapping & Lighting b. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE c. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE d. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE e. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE f. (1) FIRM NAME (2) FIRM LOCATION (City and State) (3) ROLE G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS 26. NAMES OF KEY PERSONNEL (From Section E, Block 12) 27. ROLE IN THIS CONTRACT (From Section E, Block 13) 28. EXAMPLE PROJECTS LISTED IN SECTION F (Fill in “Example Projects Key” section below before completing table. Place “X” under projects key number for participation in same or similar role.) 1 2 3 4 5 6 7 Lazaro E. Fleitas Surveying & Mapping Manager X X X William D. Dell’Osso Senior Surveyor & Mapper X X X Arturo R. Toirac Senior Right of Way Mapper X X X Mariano Ponzoa Senior Survey Technician X X X Abdelkader Nazef Senior Survey Technician X X X H. ADDITIONAL INFORMATION 30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED. ARCHITECT-ENGINEER QUALIFICATIONS 1. SOLICITATION NUMBER (if any) RFQ 19-11-01 PART II –GENERAL QUALIFICATIONS (If a firm has branch offices, complete for each specific branch office seeking work.) 2a. FIRM (OR BRANCH OFFICE) Name C. H. Perez & Associates Consulting Engineers, Inc. 3. YEAR ESTABLISHED 2004 4. DUNS NUMBER 15-034-3403 2b. STREET 9594 NW 41 Street, Suite 201 5. OWNERSHIP a. TYPE S Corporation2c. CITY Doral 2d. STATE FL 2e. ZIP 33178 6a. POINT OF CONTACT NAME AND TITLE Carlos H. Perez, President b. SMALL BUSINESS STATUS DBE for Florida Department of Transportation 6b. TELEPHONE NUMBER (305)592-1070 6c. EMAIL ADDRESS chperez@chperez.com 7. NAME OF FIRM (If block 2a is a branch office) N/A 8a. FORMER FIRM NAME(S) (if any)8b. YR. ESTABLISHED 8c. DUNS NUMBER 9. EMPLOYEES BY DISCIPLINE 10. PROFILE OF FIRM’S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS a. Function Code b. Discipline c. No. of Employees a. Profile Code b. Experience c. Revenue Index Number (see below)(1) FIRM (2) BRANCH 08 CADD Technician 4 C15 Construction Management 5 12 Civil Engineer 9 C16 Construction Surveying 2 15 Construction Inspector 10 D04 Design Build Prepare RFP 2 38 Land Surveyor 3 L02 Land Surveying 2 60 Transportation Engineer 3 L06 Lighting 3 R03 Railroad; Rapid Transit 3 S10 Surveying; Platting; Mapping 4 T03 Traffic and Transportation Eng 6 T04 Topographic Surveying & Mapp 4 Other Employees 20 Total 49 11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS (insert revenue index number shown at right) PROFESSIONAL SERVICES REVENUE INDEX NUMBER 1. Less than $100,000 6. $2 million to less than $5 million 2. $100,000 to less than $250,000 7. $5 million to less than $10 million 3. $250,000 to less than $500,000 8. $10 million to less than $25 million 4. $500,000 to less than $1 million 9. $25 million to less than $50 million 5. $1 million to less than $2 million 10. $50 million or greater a. Federal Work N/A b. Non-Federal Work 7 c. Total Work 7 12. AUTHORIZED REPRESENTATIVE The foregoing is a statement of facts. a. SIGNATURE b. DATE January 9,2020 c. NAME AND TITLE Carlos H. Perez, PE, President Florida Department of Transportation RON DESANTIS GOVERNOR 605 Suwannee Street Tallahassee, FL 32399-0450 KEVIN J. THIBAULT SECRETARY www.fdot.gov February 28, 2019 Juan Sobrino, President PEDELTA, INC. 2000 Ponce De Leon Boulevard, Suite 608 Coral Gables, Florida 33134 Dear Mr. Sobrino: The Florida Department of Transportation has reviewed your application for prequalification package and determined that the data submitted is adequate to technically prequalify your firm for the following types of work: Group 3 - Highway Design - Roadway 3.1 - Minor Highway Design Group 4 - Highway Design - Bridges 4.1.1 - Miscellaneous Structures 4.1.2 - Minor Bridge Design 4.2.1 - Major Bridge Design - Concrete 4.2.2 - Major Bridge Design - Steel 4.2.3 - Major Bridge Design - Segmental Group 5 - Bridge Inspection 5.4 - Bridge Load Rating Your firm is now technically prequalified with the Department for Professional Services in the above referenced work types. Your firm may pursue projects in the referenced work types with fees estimated at less than $500,000.00. This status shall be valid until February 28, 2020 for contracting purposes. On the basis of self-certification materials submitted, the rates listed below represent the costs the Department has accepted. Approved Rates Home/ Branch Overhead Premium Overtime Reimburse Actual Expenses Home Direct Expense 167.68% Excluded No 8.11% Per Title 23, U.S. Code 112, there are restrictions on sharing indirect cost rates. Refer to Code for additional information. www.dot.state.fl.us Should you have any questions, please feel free to contact me by email at carliayn.kell@dot.state.fl.us or by phone at 850-414-4597. Sincerely, Carliayn Kell Professional Services Qualification Administrator miamidade.gov Internal Services Department Small Business Development 111 NW 1 Street, 19th Floor Miami, Florida 33128 T 305-375-3111 F 305-375-3160 September 3, 2019 Juan Sobrino PEDELTA, INC. 2000 Ponce De Leon Blvd. Suite #624 Coral Gables, FL 33134 Approval Date: August 30, 2019 - Small Business Enterprise - Architectural & Engineering (SBE-A&E) Anniversary Date: August 30, 2020 Dear Juan Sobrino, Miami-Dade County Small Business Development (SBD), a division of Internal Services Department (ISD), is pleased to notify you of your firm’s continuing eligibility as a certified Small Business Enterprise - Architectural & Engineering (SBE-A&E). The Small Business Enterprise (SBE) programs are governed by sections 2-8.1.1.1.1; 2-8.1.1.1.2; 2-10.4.01; 10-33.02 of Miami-Dade County’s Codes. Your firm is certified in the categories listed below. The Small Business Enterprise - Architectural & Engineering (SBE-A&E) certification is continuing through the Anniversary Date listed above, contingent upon your firm maintaining its eligibility based on the criteria outlined in the aforementioned code. You will be notified of your annual responsibilities in advance of the Anniversary Date. You must submit the annual AFFIDAVIT FOR CONTINUING ELIGIBILITY no later than the Anniversary Date to maintain your eligibility. Your firm’s name and tier level will be listed in the directory for all SBE certified firms, which can be accessed through Miami-Dade County’s SBD website: http://www.miamidade.gov/smallbusiness/certification-lists.asp. If there is a material change in your firm, you must advise this office by submitting a status change form with the associated supporting documentation, within thirty (30) days. Changes may include, but are not limited to, ownership, officers, directors, management, key personnel, scope of work performed, daily operations, on-going business relationships with other firms or individuals or the physical location of your firm. After our review, you will receive instructions as to how you should proceed, if necessary. Failure to do so will be deemed a failure on your part to cooperate and will result in action to remove your firm’s certification. It is strongly recommended that you register your firm as a vendor with Miami-Dade County. To register, you may visit: http://www.miamidade.gov/procurement/vendor-registration.asp. If you have any questions or concerns, you may contact our office at 305-375-3111 or email sbdcert@miamidade.gov. Sincerely, Claudious Thompson, Section Chief Small Business Development CATEGORIES: (Your firm may bid or participate on contracts only under these categories) MDC-TCC 03-02B: MINOR HIGHWAY DESIGN MDC-TCC 03-03: BRIDGE DESIGN MDC-TCC 03-09: SIGNING, PAVEMENT MARKING, AND CHANNELIZATION MDC-TCC 11: GENERAL STRUCTURAL ENGINEERING MDC-TCC 16: GENERAL CIVIL ENGINEERING NAICS 541330: ENGINEERING SERVICES Florida Department of Transportation RON DESANTIS GOVERNOR 605 Suwannee Street Tallahassee, FL 32399-0450 KEVIN J. THIBAULT, P.E. SECRETARY www.fdot.gov June 11, 2019 Siobhan Turner, Marketing Director BENTLEY ARCHITECTS AND ENGINEERS, INC. 651 West Warren Avenue, Suite 200 Longwood, Florida 32750 Dear Ms. Turner: The Florida Department of Transportation has reviewed your application for prequalification package and determined that the data submitted is adequate to technically prequalify your firm for the following types of work: Group 3 - Highway Design - Roadway 3.1 - Minor Highway Design 3.2 - Major Highway Design 3.3 - Controlled Access Highway Design Group 4 - Highway Design - Bridges 4.1.1 - Miscellaneous Structures 4.1.2 - Minor Bridge Design Group 5 - Bridge Inspection 5.4 - Bridge Load Rating Group 7 - Traffic Operations Design 7.1 - Signing, Pavement Marking and Channelization 7.3 - Signalization Group 13 - Planning 13.6 - Land Planning/Engineering Group 14 - Architect Your firm is now technically prequalified with the Department for Professional Services in the above referenced work types. The overhead audit has been accepted, and your firm may pursue projects in the referenced work types with fees of any dollar amount. This status shall be valid until June 30, 2020 for contracting purposes. www.fdot.gov Approved Rates Home/ Branch Overhead Facilities Capital Cost of Money Premium Overtime Reimburse Actual Expenses Home Direct Expense 128.35% 0.986% Excluded No 2.06% Per Title 23, U.S. Code 112, there are restrictions on sharing indirect cost rates. Refer to Code for additional information. Should you have any questions, please feel free to contact me by email at carliayn.kell@dot.state.fl.us or by phone at 850-414-4597. Sincerely, Carliayn Kell Professional Services Qualification Administrator Florida Department of Transportation RON DESANTIS GOVERNOR 605 Suwannee Street Tallahassee, FL 32399-0450 KEVIN J. THIBAULT SECRETARY www.fdot.gov October 2, 2019 Bryan Lawson, Senior Vice President KCI TECHNOLOGIES, INC. 4041 Crescent Park Drive Tampa, Florida 33578 Dear Mr. Lawson: The Florida Department of Transportation has reviewed your application for prequalification package and determined that the data submitted is adequate to technically prequalify your firm for the following types of work: Group 3 - Highway Design - Roadway 3.1 - Minor Highway Design 3.2 - Major Highway Design 3.3 - Controlled Access Highway Design Group 4 - Highway Design - Bridges 4.1.1 - Miscellaneous Structures 4.1.2 - Minor Bridge Design 4.2.2 - Major Bridge Design - Steel Group 5 - Bridge Inspection 5.1 - Conventional Bridge Inspection 5.3 - Complex Bridge Inspection 5.4 - Bridge Load Rating Group 6 - Traffic Engineering and Operations Studies 6.1 - Traffic Engineering Studies 6.2 - Traffic Signal Timing 6.3.1 - Intelligent Transportation Systems Analysis and Design 6.3.2 - Intelligent Transportation Systems Implementation 6.3.3 - Intelligent Transportation Traffic Engineering Systems Communications Group 7 - Traffic Operations Design 7.1 - Signing, Pavement Marking and Channelization 7.2 - Lighting 7.3 - Signalization www.fdot.gov Group 8 - Survey and Mapping 8.1 - Control Surveying 8.2 - Design, Right of Way & Construction Surveying 8.4 - Right of Way Mapping Group 10 - Construction Engineering Inspection 10.1 - Roadway Construction Engineering Inspection 10.3 - Construction Materials Inspection 10.4 - Minor Bridge & Miscellaneous Structures CEI Group 13 - Planning 13.5 - Subarea/Corridor Planning 13.6 - Land Planning/Engineering 13.7 - Transportation Statistics Group 15 - Landscape Architect Your firm is now technically prequalified with the Department for Professional Services in the above referenced work types. The overhead audit has been accepted, and your firm may pursue projects in the referenced work types with fees of any dollar amount. This status shall be valid until June 30, 2020 for contracting purposes. Approved Rates Home/ Branch Overhead Field Overhead Facilities Capital Cost of Money Premium Overtime Reimburse Actual Expenses Home Direct Expense Field Direct Expense 154.26%* 121.19%* 0.263%* Reimbursed No 10.05%* 13.45%*^ *Interim Rates ^Rent and utilities excluded from field office rate. These costs will be directly reimbursed on contracts that require the consultant to provide field office. Per Title 23, U.S. Code 112, there are restrictions on sharing indirect cost rates. Refer to Code for additional information. Should you have any questions, please feel free to contact me by email at carliayn.kell@dot.state.fl.us or by phone at 850-414-4597. Sincerely, Carliayn Kell Professional Services Qualification Administrator miamidade.gov Internal Services Department Small Business Development 111 NW 1 Street, 19th Floor Miami, Florida 33128 miamidade.gov T 305-375-3111 F 305-375-3160 October 31, 2018 Alicia Gonzalez MEDIA RELATIONS GROUP, LLC 18001 OLD CUTLER ROAD SUITE 459 Suite #459 PALMETTO BAY, FL 33157 Approval Date: March 31, 2018 - Small Business Enterprise - Goods & Services (SBE-G&S) Expiration Date: March 31, 2021 Dear Alicia Gonzalez, Miami-Dade County Small Business Development (SBD), a division of the Internal Services Department (ISD) has completed the review of your application and attachments submitted for certification. Your firm is officially certified as a Miami-Dade County Small Business Enterprise - Goods & Services (SBE-G&S). The Small Business Enterprise (SBE) programs are governed by sections 2-8.1.1.1.1; 2-8.1.1.1.2; 2-10.4.01; 10-33.02 of Miami-Dade County’s Codes. This Small Business Enterprise - Goods & Services (SBE-G&S) certification is valid for three years provided that you submit a "Continuing Eligibility Affidavit" on or before your anniversary date, March 31, 2019. The affidavit must indicate any changes or no changes in your firm pertinent to your certification eligibility. The submittal of a "Continuing Eligibility Affidavit" annually with specific supporting documents on or before your Anniversary Date is required to maintain the three-year certification. You will be notified of this responsibility in advance of the Anniversary Date. Failure to comply with the said responsibilities may result in immediate action to decertify the firm. If at any time there is a material change in the firm including, but not limited to, ownership, officers, director, scope of work being performed, daily operations, affiliation(s) with other businesses or the physical location of the firm, you must notify this office in writing within (30) days. Notification should include supporting documentation. You will receive timely instructions from this office as to how you should proceed, if necessary. This letter will be the only approval notification issued for the duration of your firm’s three years’ certification. If the firm attains graduation or becomes ineligible during the three-year certification period, you will be properly notified following an administrative process that your firm’s certification has been removed pursuant to the code. Your firm’s name and tier level will be listed in the directory for all SBE certified firms, which can be accessed through Miami-Dade County’s SBD website: http://www.miamidade.gov/smallbusiness/certification-lists.asp. The categories as listed below affords you the opportunity to bid and participate on contracts with Small Business Enterprise measures. It is strongly recommended that you register your firm as a vendor with Miami-Dade County. To register, you may visit: http://www.miamidade.gov/procurement/vendor-registration.asp. Thank you for your interest in doing business with Miami-Dade County. If you have any questions or concerns, you may contact our office at 305-375-3111 or via email at sbdcert@miamidade.gov. Sincerely, Claudious Thompson, Section Chief Small Business Development CATEGORIES: (Your firm may bid or participate on contracts only under these categories) NIGP 91503: ADVERTISING AND PUBLIC RELATIONS, INCLUDING SKYWRITING NIGP 91573: PUBLIC INFORMATION SERVICES, INCLUDING PRESS RELEASES NIGP 91826: PUBLIC RELATIONS CONSULTING NIGP 91876: MARKETING CONSULTING NIGP 96153: MARKETING SERVICE, INCLUDING DISTRIBUTION, PUBLIC OPINION SURVEYS, RESEARCH, SALES PROMOTIONS, ETC. Florida Department of Transportation RON DESANTIS GOVERNOR 605 Suwannee Street Tallahassee, FL 32399-0450 KEVIN J. THIBAULT, P.E. SECRETARY www.fdot.gov July 9, 2019 Raj Krishnasamy, President TIERRA SOUTH FLORIDA, INC. 2765 Vista Parkway, Suite 10 West Palm Beach, Florida 33411 Dear Mr. Krishnasamy: The Florida Department of Transportation has reviewed your application for prequalification package and determined that the data submitted is adequate to technically prequalify your firm for the following types of work: Group 9 - Soil Exploration, Material Testing and Foundations 9.1 - Soil Exploration 9.2 - Geotechnical Classification Laboratory Testing 9.3 - Highway Materials Testing 9.4.1 - Standard Foundation Studies 9.4.2 - Non-Redundant Drilled Shaft Bridge Foundation Studies 9.5 - Geotechnical Specialty Laboratory Testing Group 10 - Construction Engineering Inspection 10.1 - Roadway Construction Engineering Inspection 10.3 - Construction Materials Inspection Your firm is now technically prequalified with the Department for Professional Services in the above referenced work types. The overhead audit has been accepted, and your firm may pursue projects in the referenced work types with fees of any dollar amount. This status shall be valid until June 30, 2020 for contracting purposes. Approved Rates Home/ Branch Overhead Field Overhead Facilities Capital Cost of Money Premium Overtime Reimburse Actual Expenses Home Direct Expense Field Direct Expense Published Fee Schedule 132.28% 74.78%* 1.562% Reimbursed No 11.24% 0.00%*^ Yes *Interim Rates ^Rent and utilities excluded from field office rate. These costs will be directly reimbursed on contracts that require the consultant to provide field office. Per Title 23, U.S. Code 112, there are restrictions on sharing indirect cost rates. Refer to Code for additional information. www.dot.state.fl.us Should you have any questions, please feel free to contact me by email at carliayn.kell@dot.state.fl.us or by phone at 850-414-4597. Sincerely, Carliayn Kell Professional Services Qualification Administrator Professional Licenses C. H. Perez &Associates Consulting Engineers, Inc.Lazaro E. Fleitas, PSM Surveyor & Mapper Resume Jan - 2019 Page 1|2 e-mail:lf@p-a.cc POSITIONS Sr. Surveyor & Mapper DEPARTMENTS Surveying & Mapping R/W Mapping Subsurface Utility Engineering YRS OF EXPERIENCE: 26 YRS OF POST REG EXP: 14 EDUCATION BS Civil Engineering, 1989 Higher Institute of Agricultural Science of Havana; Havana, Cuba Middle Tech. –Survey, 1980 Alvaro Reynoso Polytechnic Institute (Vocational High School); Matanza, Cuba PROFESSIONAL REGISTRATION Florida PSM No. LS6518, 2005 Mr. Fleitas is an accomplished, results-oriented professional with more than 25 years of qualitative experience in FDOT, Corporates Practice Standards, Consultant Manager, Project Management, Technical Advancement emphasizing the implementation of production strategies following FDOT Standard, Standards of Practices, ALTA/ACSM Land Title Survey, FGCC Standards and Specification for Geodetic Control Networks 1984, Principal and Practices, Law and other regulations that govern the Surveying and Mapping Profession. Work Experience C. H. Perez &Associates Consulting Engineers, Inc.01/2019-Ongoing Florida Department of Transportation - District 6 06/2018-01/2019 F. R. Aleman & Associates, Inc. 01/2018-05/2018 Marlin Engineering 01/2007-12/2017 Florida Department of Transportation - District 6 01/2000-12/2006 Biscayne Engineering Company 01/1992-01/2000 Project Experience 1811 | SR. SURVEYOR AND MAPPER / DESIGN 01/19 –01/20 Florida Department of Transportation –District 4 (Sub to PHD) FDOT Work 8.1, 8.2, 8.4 FM No.: 440043-1-32-01 | CA181 Brant Drive Bridge replacement from Oregon LN to Avocet RD (Palm Beach Co.) Responsible for setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. Design PM: Xavier Arroyo, PE, (407)583-9554,; Surveying PM: Paul Doll,PSM, (954)777-4579, paul.doll@dot.state.fl.us. 1713 02 | SR. SURVEYOR AND MAPPER / DESIGN 01/19 –01/20 Florida Department of Transportation –District 4 (Sub to HNTB) FDOT Work 8.1, 8.2, 8.4 FM No.: 439755-1-32-01 | C9W31 I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) Responsible for setting and establishing State Plane Coordinates and Elevations for Secondary Horizontal and Vertical Control and Canal Soundings. Design PM: James E. Ford, PE, (954)654-5972, jeford@hntb.com; Surveying PM: Paul Doll, PSM, (954)777-4579, paul.doll@dot.state.fl.us. 1713 01 | SR. SURVEYOR AND MAPPER / DESIGN 01/19 –01/20 Florida Department of Transportation –District 4 (Sub to HNTB) FDOT Work 8.1, 8.2, 8.4 FM No.: 439755-1-32-01 | C9W31 I-95 southbound ramp to eastbound Okeechobee BLVD (Palm Beach Co.) Responsible for setting Primary and Secondary Horizontal and Vertical Control, DTM, Subsurface Utility Engineering, Drainage Survey, Bridge Survey, Canal Soundings, Sectional / Grant Survey, and Subdivision location. Design PM: James E. Ford, PE, (954)654-5972, jeford@hntb.com; FDOT Surveying PM: Paul Doll, PSM, (954)777-4579, paul.doll@dot.state.fl.us. 1702 | SR. SURVEYOR AND MAPPER 01/19 –12/21 Lennar Corporation (Prime) FDOT Work 8.1, 8.2, 8.4 Construction Surveying Services | Aquabella Development Responsible for the surveying services required for the construction layout of homes, town homes, condominium buildings, club houses, sports facilities, sidewalks and any other infrastructure required by the proposed development. Client PM: Kirk Youmans, (305)559-1951, kirk.youmans@lennar.com C. H. Perez &Associates Consulting Engineers, Inc.Lazaro E. Fleitas, PSM Surveyor & Mapper Resume Jan - 2019 Page 2|2 1417 | SR. SURVEYOR AND MAPPER / DESIGN 01/19 –01/20 Florida Department of Transportation –District 4 (Sub to DRMP) FDOT Work 8.1, 8.2, 8.4 FM No.: 431756-1-32-02 | C9120 I-95 University Drive from 0.5 mile North of Sample Road to Sawgrass Expressway / SR 869 (Palm Beach Co.) Responsible for collecting topography, parent tract properties/existing easements, and proposed right of way requirements in order to prepare a right of way map that includes a cover sheet, key sheets and detail sheets. Prepared a project network control sheet, a title search report and necessary legal descriptions. Design PM: Colette Moss, PE, (407)896-0594, cmoss@drmp.com; Mapping PM: Tracy J. Brown, PSM, (954)777-4576, tracy.brown@dot.state.fl.us. SR 710 at Intersection with North Lakes Blvd. in Palm Beach County, FL (F.M. No.:435096-1-52-01), FDOT 4 (07/2015) As a sub-consultant to Wantman Group (WGI), tasks entailed the scope; proposal development; project estimates; and supervising, assigning, and coordinating survey staff activities. Marlin Engineering assured deliverables meeting FDOT standards and State laws, regulations, and principal practices. QA/QC and Survey Report Sign and Seal were developed. Mr. Fleitas, as Marlin’s Project Manager, was responsible for Control Survey that included establishing Project Network Control Points, Static GPS and Post-Processing Data in Hector Vector Software for development of the Project Network Control Sheet in NAD83/90 Datum or other Datum. He was also responsible for Design Survey that included Topographic Survey, Level Run, Drainage Survey, Digital Terrain Model (DTM), Cross Sections, Utilities Survey and Signal Light Survey. Mr. Fleitas was responsible for Right-of-Way Survey that included the Re- establishment of Historical Baseline Survey, Right of Way Verifications, Sections Survey, Subdivision Survey, Property Corners Location, Title Review, and Legal Description Review. Survey PM: Louis Cefolia, PSM, (954)777-4566; Design PM: Maverick K Marshall, PE (561)687-2220 SR 834/Sample Rd. at Intersection with SR 811/ N. Dixie Hwy. in Broward County, FL (F.M. No.: 435091-1-52-01), FDOT 4 (07/2015) As a sub-consultant to Wantman Group (WGI), this project’s tasks entailed the scope; proposal development; project estimates; and supervising, assigning, and coordinating survey staff activities. Marling Engineering assured deliverables meeting FDOT standards and State laws, regulations, and principal practices. QA/QC and Survey Report Sign and Seal were developed. Mr. Fleitas served as the Project Manager responsible for Control Survey that included the establishment of Project Network Control Points, Static GPS and Post- Processing Data in Hector Vector Software for development of the Project Network Control Sheet in NAD83/90 Datum or other Datum. He was also responsible for Design Survey that included Topographic Survey, Level Run, Drainage Survey, Digital Terrain Model(DTM), Cross Sections, Utilities Survey, and Signal Light Survey. Mr. Fleitas was responsible for Right-of-Way Survey that included the Re- establishment of Historical Baseline Survey, Right-of-Way Verifications, Sections Survey, Subdivision Survey, Property Corners Location, Title Review, and Legal Description Review. Contact: Survey PM: Louis Cefolia PSM, (954)777-4566; Design PM: Maverick K Marshall, PE (561)687-2220 SR 5/US 1 from 53rd St. to CR-510 in Indian River County, FL (F.M. No.: 431725-1-22-01), FDOT 4 (12/2013 - 05/2014) As a sub-consultant to Scalar Consulting Group, Inc., this project required being responsible for the scope and proposal development. As the Project Manager, Mr. Fleitas was responsible for Horizontal Project Control Survey, Static GPS Method and Post-Processing, Vertical Project Control, Sectional and Subdivision, Right of Way, Historical Baseline, Drainage Survey, Planimetric Survey, Utilities Survey, Cross Sections, and Project Network Control. Contact: Survey PM: Louis Cefolia, PSM, (954)777-4566; Design PM: Anirundha Gotmate, PE, (954)263-3243 SR 710/Warfield Blvd. from FPL Martin Power Plant Access Rd. to CR-609/SW Allapattah Rd. in Martin County, FL (F.M. No.: 419252-2-52-01), FDOT 4 (12/2013 - 05/2014) As a sub-consultant to Hardesty and Hanover, tasks entailed the scope, proposal development, and QA/QC. Mr. Fleitas served as the Project Manager responsible for Horizontal Project Control Survey, Static GPS Method and Post-Processing, Vertical Project Control, Sectional and Subdivision, Right of Way, Historical Baseline, Drainage Survey, Planimetric Survey, Utilities Survey, Cross Sections, and Project Network Control. Contact: Survey PM: Paul E. Doll, PSM, (954)777-4579; FDOT PM: Julio C. Delgado, PE, (954)777-4390 SR 811/N. Dixie Hwy. from NE 26th St. to McNab Rd. in Broward County, FL (F.M. No.: 424671-1-32-01), FDOT 4 (2011) As a sub-consultant to Hardesty and Hanover. This project’s tasks entailed the scope; proposal development; project estimates; and supervising, assigning, and coordinating survey staff activities. Mr. Fleitas was the Project Manager thus was responsible for Control Survey that included establishing of Project Network Control Points, Static GPS and Post-Processing Data in Hector Vector Software for development of the Project Network Control Sheet in NAD83/90 Datum or other Datum. In addition, he was responsible for DesignSurvey that included Topographic Survey, Level Run, Drainage Survey, Digital Terrain Model (DTM), Cross Sections, Utilities Survey, and Subsurface Utilities Engineering (SUE). He was also responsible for the Right-of-Way Survey that included the Re-establishment of Historical Baseline Survey, Right-of-Way Verifications, Sections Survey, Subdivision Survey, Property Corners Location, Title Review, and Legal Description Review. Contact: Survey PM: William A. Arata, PSM, (954)778-0961 C. H. Perez &Associates Consulting Engineers, Inc.Mariano Ponzoa Senior Engineering Technician Resume Oct - 2019 Page 1|2 e-mail:mf@p-a.cc POSITION Senior Engineer Technician DEPARTMENTS Traffic Safety & Operations Traffic Data Collection Planning Surveying Right of Way Mapping YRS OF EXPERIENCE: 29 EDUCATION BS Civil Engineering, 1988 Universidad Politécnica de la Habana, Cuba (CUJAE) Mr. Ponzoa has a strong engineering background and has been involved in traffic data collection for over five years. He has also been responsible for the management and processing of traffic data. His responsibilities have included the coordination and distribution of tasks to field technicians and the processing of data once collected. Work Experience C. H. Perez &Associates Consulting Engineers, Inc.08/2014-Ongoing Project Experience 1813 | SR. ENGINEER TECHNICIAN 10/18 –10/23 Florida Department of Transportation –District 6 (Sub to Choice Engineering) FDOT Work 6.1, 6.2 FM No.: 435201-4-32-01 | Districtwide Signal Retiming Consultant Services Responsible for providing traffic engineering services to perform traffic signal system retiming within the district including all the necessary coordination with Miami-Dade County Signals & Signs Division. Developed Preliminary Signal Timing Changes: Initial signal timing changes were developed based on field observations, evaluation of the “Before” conditions KITS MOEs and HIT Reports as well as the travel time runs results. Evaluated and compared the travel time and travel speed for the collector for the “Before” and “After” Conditions using both Field Travel Time & Delay Study data and the RITIS data. These preliminary signal timing changes were coordinated with the Miami Dade County’s Signal Area Engineer (s) for implementation at the Traffic Management Center. Client Project Manager: Sergio Bravo, PE (305) 499-2482, sergio.bravo@dot.state.fl.us. 1714 | SR. ENGINEER TECHNICIAN 12/17 –12/22 Florida Department of Transportation –District 6 (Sub to FR Aleman & Assoc.) FDOT Work 13.4, 13.7 FM No.: 408199-1-12-05 | Districtwide Transportation Statistics Support Responsible for the collection and processing of all the traffic data required by the Statistics Unit to support studies performed by the Florida Department of Transportation during their evaluation of future improvements to the State Highway System. Work includes data collection and input into the Department’s database of the collected features of the Roadway Characteristics Inventory (RCI) and the Highway Performance Monitoring System (HPMS); production of SLD’s based on this data; collection and processing of traffic counts; input and maintenance of traffic data in the TCI database; design and inspection for acceptance of Traffic Monitoring Sites (TMS); development of Project Traffic Forecasting; evaluation of the existing pavement condition along sections included in the Pavement Condition Survey (PCS) to identify those sections requiring immediate improvements; manipulation and management of GIS databases for the implementation of new or the update of existing digital maps, the preparation of Scoping Reports, and the provision of experienced in-house technical and engineering staff. Construction Cost: N/A. Client Project Manager: Neil Lyn, E.I, (305) 470-5100, neil.lyn@dot.state.fl.us. 1711 | SR. ENGINEER TECHNICIAN 08/17 –07/22 Florida Department of Transportation –District 4 (Sub to McMahon & Associates) FDOT Work 6.1 FM No.: 229944-5-32-01 | Districtwide Traffic Operations Continuing Services Responsible for the development of engineering documents required for the implementation of traffic operations improvements on within the District. Work includes: Qualitative Assessment –Intersection; Qualitative Assessment –Arterial; Signal Warrant Study Analysis; Intersection Operational Analysis; Arterial Operational Analysis; Left-Turn Phase Warrant Analysis; 72 Hour Traffic Counts; 7 Day Traffic Counts; Turning Movement Counts; 24 Hr. Full Intersection Counts; 24 Hr Approach Counts; Intersection Inventory; Crash Summary/Collision Diagrams; Travel Time/Delay Study; Intersection Delay Study; Queue Analysis; Vehicle Gap Measurements; Conflict Analysis; Strain Pole Analysis; No-Passing Zone Study; Pedestrian Group Size & Counts; Spot Speed Study; Sight Distance Study; Highway Lighting Study; Safe Curve Speed Study; Crash Analysis; Consultant Support; Work Order/Intersection; Work Order/Arterial (per 1 way mile); Unscheduled Public & Agency Meetings; and Work Program Project Review. Construction Cost: BD. Client Project Manager: Teresa O’Connor (954) 777-4623, teresa.oconnor@dot.state.fl.us C. H. Perez &Associates Consulting Engineers, Inc.Mariano Ponzoa Senior Engineering Technician Resume Oct - 2019 Page 2|2 1613 | SR. ENGINEER TECHNICIAN 11/16 –10/21 Florida Department of Transportation –District 6 (sub to A&P Consulting Transportation) FDOT Work 6.1, 6.2, 7.1, 7.2, 7.3, 13.4, 13.7 FM No.: 435201-3-32-01 | Districtwide Traffic Operations - Traffic Engineering Data Collection Responsible for the data collection required for the implementation of traffic operations improvements on within the district. Work includes: Qualitative Assessment –Intersection; Qualitative Assessment –Arterial; Signal Warrant Study Analysis; Intersection Operational Analysis; Arterial Operational Analysis; Left-Turn Phase Warrant Analysis; 72 Hour Traffic Counts; 7 Day Traffic Counts; Turning Movement Counts; 24 Hr. Full Intersection Counts; 24 Hr Approach Counts; Intersection Inventory; Crash Summary/Collision Diagrams; Travel Time/Delay Study; Intersection Delay Study; Queue Analysis; Vehicle Gap Measurements; Conflict Analysis; Strain Pole Analysis; No-Passing Zone Study; Pedestrian Group Size & Counts; Spot Speed Study; Sight Distance Study; Highway LightingStudy; Safe Curve Speed Study; Crash Analysis; Consultant Support; Work Order/Intersection; Work Order/Arterial (per 1 way mile); Unscheduled Public & Agency Meetings; and Work Program Project Review. Construction Cost: BD. Client Project Manager: Evelin Legcevic, P.E. (305) 470- 5100, evelin.legcevic@dot.state.fl.us 1612 | SR. ENGINEER TECHNICIAN 11/16 –10/21 Florida Department of Transportation –District 4 (sub to CTS Engineering) FDOT Work 13.4, 13.7 FM No.: 430257-1-32-01 | Districtwide Data Collection –Routine Counts Responsible for data collection and input into the Department’s databases (Roadway Characteristics Inventory and the Highway Performance Monitoring System), production of SLD’s based on this data, collection and processing of traffic counts, input and maintenance of traffic data in the TCI database, design and inspection for acceptance of Permanent Traffic Monitoring Sites (PTMS), development of Project Traffic Forecasting, evaluation of the existing pavement condition along sections included in the Pavement Condition Survey to identify those sections requiring immediate improvements; manipulation and management of GIS databases for the implementation of new or the update of existing digital maps, preparation of Scoping Reports, Model Application and Analysis, and the provision of experienced in-house technical and engineering staff. Client Project Manager: Kara Schwartz (954) 777-5100, kara.schwartz@dot.state.fl.us 1611 | SR. ENGINEER TECHNICIAN 12/16 –12/21 Florida Department of Transportation –District 6 (Prime) FDOT Work 6.1, 6.2 FM No.: 250650-4-32-01 | Districtwide Traffic Operations Studies Consultant Responsible for the preparation of Safety Reviews and others traffic engineering services for corridors identified as candidates for resurfacing by the Department, as part of a Resurfacing, Restoration and Rehabilitation (3R) projects, to identify crash patterns, suggest further review and/or recommend safety countermeasures to enhance safety and operations. Some of the studies conducted are: Signal Warrant Study Analysis;Intersection Operational Analysis;Left-Turn Phase Warrant Analysis;72 Hour Traffic Counts;Turning Movement Counts; Crash Summary/Collision Diagrams; Spot Speed Study; Sight Distance Study; and Access Management Studies. Client Project Manager: Liana Borrego, E.I. (305) 470-5311, liana.borrego@dot.state.fl.us. 1610 | SR. ENGINEER TECHNICIAN 12/16 –12/21 Florida Department of Transportation –District 6 (Sub to Choice Engineering) FDOT Work 6.1, 6.2 FM No.: 250650-4-32-01 | Districtwide Traffic Operations Safety Studies Responsible for providing traffic engineering services such as traffic engineering studies (including traffic data collection) and plans review to support the Traffic Operations Office. Client Project Manager: Lee-Fang Chow, PE (305) 470-5212, leefang.chow@dot.state.fl.us. 1520 | SR. ENGINEER TECHNICIAN 12/16 –12/21 Florida Department of Transportation –District 6 (Sub to Choice Engineering) FDOT Work 6.1, 6.2 FM No.: 435201-1-32-01 | Districtwide Signal Retiming Consultant Services Responsible for providing traffic engineering services to perform traffic signal system retiming within the districtincluding all the necessary coordination with Miami-Dade County Signals & Signs Division. Developed Preliminary Signal Timing Changes: Initial signal timing changes were developed based on field observations, evaluation of the “Before” conditions KITS MOEs and HIT Reports as well as the travel time runs results. Evaluated and compared the travel time and travel speed for the collector for the “Before” and “After” Conditions using both Field Travel Time & Delay Study data and the RITIS data. These preliminary signal timing changes were coordinated with the Miami Dade County’s Signal Area Engineer (s) for implementation at the Traffic Management Center. Client Project Manager: Jacques Defrant, PE (305) 470-5385, jacques.defrant@dot.state.fl.us. 1504 | SR. ENGINEER TECHNICIAN 01/15 –08/17 Miami-Dade Expressway Authority –(Sub to TY Lin International) FDOT Work 3.2, 3.3, 7.1, 7.3 RFDP 14-03 83628.070 | SR 836 from NW 57 Ave to NW 17 Avenue Responsible for the development of engineering documents required for the reconstruction of SR-836 within the limits of the project. Work included traffic analysis, signalization and lighting improvements along the main line as well as the implementation of Diverted Diamond Interchanges at NW 57 Ave and NW 27 Ave. Construction Cost: $150M. Client Project Manager: Juan Toledo, P.E., (305) 637- 3277, jtoledo@mdxway.com. AT S S A * R O A D WA Y S A F E T Y T R A I N I N G I N S T I T U T E Is this your work zone? Why take a chance?... ...You don’t have to with training from ATSSA. FHWA is sponsoring select ATSSA training courses under the 2011 Work Zone Safety Training Grant. Same ATSSA quality training at a drastically reduced cost. Traffic Control Technician Traffic Control Supervisor State Specific Courses & More... Visit the ATSSA website for all of our courses, descriptions, locations & schedules This material is based upon work supported by the Federal Highway Administration under grant agreement No. DTFH61-11-H-00030