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William Lane Architect, Inc.
Section A – Title Page Page 1 CITY OF SUNNY ISLES BEACH REQUEST FOR QUALIFICATIONS CONTINUING PROFESSIONAL CONSULTING SERVICES (CCNA) NO. 20-07-01 WILLIAM LANE ARCHITECT INC. 1480 Marseille Drive Miami Beach, FL 33141 305-865-7830 William Lane, Project Manager August 6, 2020 Section B – Table of Contents Page 2 City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) TABLE OF CONTENTS Section A – Title Page – Page 1 Section B – Table of Contents – Page 2 Section C – Cover Letter and Executive Summary – Pages 3-4 Section D – Project Approach and Understanding – Page 5 Section E – Qualification Information and Assigned Personnel – Pages 6-7 Statement 330 – Part 1 – Pages 8-24 330 – Part 2 – Page 25 Florida Architectural Licenses- Individual and Corporate – Pages 26-27 Leed AP – Certification – Page 28 Section F – Firm References and Similar Work Completed – Pages 29-34 Section G – Corporate Standing and Authorized Signatory 2020 Florida Profit Corporation Annual Report – Page 35 2020 Florida Department of State – Page 36 Section H – Forms and Attachments Section 6 – Respondent Submittal Form – Pages 37-42 Certificate of Insurance – Page 43 Equal Opportunity/Affirmative Action Statement – Page 44 Non-Collusion Affidavit – Page 45 Public Entity Crimes – Pages 46-47 Conflict of Interest – Page 48 Contractor Anti-Boycott Certification – Page 49 Anti-Kickback – Page 50 Dispute Disclosure – Page 51 Architectural Licenses – Pages 52-53 Leed Certification – Page 54 Section C – Cover Letter and Executive Summary City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) William Lane Architect, Inc. August 6, 2020 City Clerk Sunny Isles Beach Government Center 18070 Collins Avenue Sunny Isles Beach, FL 33160 RE: Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Dear City Clerk, Thank you for the opportunity to submit our qualifications. We understand that the purpose of this RFQ is that the City of Sunny Isles Beach is seeking statements of qualification from design professionals to provide services as required under a non-exclusive continuing service contract for design services. Professional services awarded through this RFQ will be for projects that do not exceed $4,000,000 in basic construction cost and for study activity if the fee for professional services for each individual study does not exceed $500,000. Our architectural studio has worked with several local municipalities and agencies on numerous projects similar to the scope of work described in this RFQ. Our office’s work is primarily in the public realm and not only meets the criteria of being on time and within budget but also as an opportunity to reflect the community’s commitment to quality design. We acknowledge that our firm, if selected, is willing to meet any location, budget, or task order. We warrant and represent that at all times during the term of the Agreement w e shall maintain in good standing all licenses, certifications and permits required under federal, state and local laws necessary to perform the services. We have been licensed in Florida since 1992. During this time we have had the opportunity to successfully complete a multitude of different projects each with their specific challenges. Our studio is currently working on several projects both in the private and public sector. These projects are in different phases of completion. We are prepared to begin new projects. Our network of contacts in the South Florida region allows us to readily increase staff to meet overall workloads. Our staff and that of our consultants are represented by a diverse group of employees represented by people inclusive of gender, color, race, and religion. We are committed to meeting MBE procurement goals under Florida Statutes 287.09451. Section C – Cover Letter and Executive Summary City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) I will be the representative for my firm. William Lane, President William Lane Architect Inc. 1480 Marseille Drive Miami Beach, FL 33141 305-865-7830 (o) 305-606-7714 (m) Sincerely, Section D – Project Approach and Understanding City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Project Approach and Understanding We have demonstrated with several other municipal projects our ability to satisfactorily compete similar tasks as outlined in this RFQ. We are adept at all phases of a project, from predesign to project closeout. As we commence a project we review and identify its primary goals, timeline, budgets, order of delivery, and critical milestones. Understanding the client’s need, analysis of the context and relationship of the project to its site or location is the pretext to the work. Risks are identified and evaluated between all parties to forecast situations that could affect a project’s progress and viability. We have organized community workshops to best understand the users’ needs and have presented our projects numerous times to design review boards to obtain critical feedback as the design process evolves. Project costs are evaluated at each phase of the project to determine ways to value engineer while not sacrificing quality. All of our projects follow best green practices as defined in the LEED system. When value engineering, we keep in mind the long term consequences of a project’s design in terms of maintenance, user experience, and energy/water use. The coordination of the documents with our consultants and pre-submittal meetings with building department officials and agencies ensures that our documents will meet code requirements and thus facilitate the approval process during the permit review. Clarity and attention to detail reduces the number of RFI’s or change orders in the field during construction. Our studio collectively meets several times a week to review the progress of each project and to trouble shoot any issues there may be so to determine all proactive actions that need to be taken. We handle several projects at a time in various stages of design or construction. On a regular basis we review our work load to be sure we are on schedule and properly staffed Innovative concepts that we deploy include the creation of shared weekly project reports, regular responsive data exchange with the user group to guide the design process, and incremental cost evaluations to maintain budget. Section E – Qualification Information and Assigned Personnel City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Qualification Information and Assigned Personnel William Lane Architect, Inc. is a fully licensed architectural firm in the State of Florida. Our office has been in operation in Miami since 1992. During that time we have successfully completed dozens of projects in both the public and private sector that include a wide range of scales and programs. At this time, we have a combined staff of 5 people including an office manager. The studio is known not only for our designs but also for the administration of projects during construction to assure that they are built on time and within budget. William Lane has been a licensed architect since 1987. Prior to opening his own office he worked in the offices of I.M. Pei and Partners in New York on several public and corporate projects in the United States and abroad. He is registered to practice architecture in the State of Florida and is a LEED Certified Professional. He has been an active member of the American Institute of Architects since 1988. Over the past 30 years Mr. Lane’s work been published in several national and international periodicals and books. His work has garnered several awards form the American Institute of Architects. He is particularly known for his contribution to public spaces. His work has been described as iconic and has been used to market and brand the South Florida region. Felice Grodin first worked with our studio in 2006 and was on the design team for the South Point Park project. She returned to our office in 2014 and was responsible for the project management of the Stephen P. Clarke Center Barrier Removal Analysis which explored the meaning of barriers not only for people with disabilities but for the general public as well. Felice was also a key player in the design of the 6 lifeguard prototypes for the City of Miami Beach and the award winning café for the Frost Science Museum. Omar Moreno first worked with our firm in 1999 and was a project manager for the Sampson Beachfront Park and the renovation of several historic hotels including the Edison Hotel and Leslie Hotel on Ocean Drive. Later, he worked for several years for M.C. Harry on different federal projects before returning to our office in 2016. Since then he has worked on several public sector projects including the new Pinecrest Gardens Inspiration Center and Animal Habitat, as well as, three current projects at the Miami International Airport. Carlos Wong has been a member of our office since 2016 and is the project manager for the Multi use Tennis Pavilion and Shade elements for the proposed 22 acre Bayshore Park project for the City of Miami Beach. He is currently working with our office on several ongoing renovations in the Miami Dade SPCC government building. He is also the project manager for the new CMB Guardhouse for Sunset Island 1 and 2. Section E – Qualification Information and Assigned Personnel City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Our commitment to architecture and its practice has provided us several design awards over the past 25 years from the Florida and Miami Chapters of the American Institute of Architects. We are particularly interested in the activation of public spaces. These projects not only are utilitarian but have also been used to give identity to the communities in which they are located. Awards for our work include: Food@Science Cafe, Phillip and Patricia Frost Museum of Science – Miami 2018 Miami Chapter of the American Institute of Architects Merit Award - Built Work Miami Beach Lifeguard Towers – City of Miami Beach 2018 Florida/Caribbean Chapter of the American Institute of Architects Merit Award - New Work The Freehand Hotel – City of Miami Beach 2017 Dade Heritage Trust Award – adaptive reuse of 5 historic buildings South Pointe Park - City of Miami Beach 2009 Florida/Caribbean Chapter of the American Institute of Architects Honor Award - New Work Samson Oceanfront Park Beach Pavilion - City of Sunny Isles Beach 2004 Miami Chapter of the American Institute of Architects Merit Award - Built Work Miami Beach Lifeguard Stands – City of Miami Beach 1997 Miami Chapter of the American Institute of Architects Honor Award - Built Work Within this section are the following items: 330 – Part 1 330 – Part 2 Florida Architectural Licenses- Individual and Corporate Leed ap – Certification Company information – good standing Evidence of Insurance 5. NAME OF FIRM PART I - CONTRACT-SPECIFIC QUALIFICATIONS ARCHITECT - ENGINEER QUALIFICATIONS A. CONTRACT INFORMATION 1. TITLE AND LOCATION (City and State) 2. PUBLIC NOTICE DATE 3. SOLICITATION OR PROJECT NUMBER B. ARCHITECT-ENGINEER POINT OF CONTACT C. PROPOSED TEAM (Complete this section for the prime contractor and all key subcontractors.) 4. NAME AND TITLE 8. E-MAIL ADDRESS7. FAX NUMBER6. TELEPHONE NUMBER (Check)PRIMEJ-V PARTNERSUBCON- TRACTOR9. FIRM NAME 10. ADDRESS 11. ROLE IN THIS CONTRACT a. b. c. d. e. f. STANDARD FORM 330 (REV. 8/2016) D. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached) CHECK IF BRANCH OFFICE CHECK IF BRANCH OFFICE CHECK IF BRANCH OFFICE CHECK IF BRANCH OFFICE CHECK IF BRANCH OFFICE CHECK IF BRANCH OFFICE AUTHORIZED FOR LOCAL REPRODUCTION PROFESSIONAL ARCHITECTURAL AND ENGINEERING SERVICES IN SPECIALIZED CATEGORIES ON AN "AS-NEEDED BASIS"- MIAMI BEACH, FL William Lane, Principal William Lane Architect, Inc. wlane@williamlane.com RFQ. No.2020-096-ND 305 865 7830 04/10/2020 ✔ William Lane Architect, Inc. 1480 Marseille Dr Miami Beach, 33141 Architect ✔ D. ORGANIZATIONAL CHART OF PROPOSED TEAM (Attached) AUTHORIZED FOR LOCAL REPRODUCTION William Lane Lead Principal Carlos Wong Project Manager, Designer Felice Grodin Project Manager, Designer Omar Moreno Project Manager, Designer 12. NAME 13. ROLE IN THIS CONTRACT 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 14. YEARS EXPERIENCE b. WITH CURRENT FIRMa. TOTAL 17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)16. EDUCATION (Degree and Specialization) 15. FIRM NAME AND LOCATION (City and State) STANDARD FORM 330 (REV. 8/2016) PAGE 2 a. b. c. d. (1) TITLE AND LOCATION (City and State) PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) e. Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE 19. RELEVANT PROJECTS (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (2) YEAR COMPLETED (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm William Lane William Lane Architect Inc., Miami Beach, FL The Cooper Union for the Advancement of Art and Science (Bachelor of Architecture) Architectural Association, London, UK 2018 AIA Miami Chapter-Merit Award for Design-Built Work, 2017 AIA Florida Chapter-Merit Award for Design-Built Work, 2017 Dade Heritage Trust Award-Adaptive Use of Historic Structures, 2009 AIA Florida Chapter-Award for Excellence in Design, 2005 AIA Miami Chapter-Merit Award for Design- Built Work, 1995 AIA Award for Excellence in Design-Built Work; Featured in "Tropical Modern" (Rizzolli Press - 2005); LEED AP CMB Lifeguard Towers - Miami Beach, FL Architect and designer for 32 lifeguard towers positioned along the beach from Government Cut to 85th Street. Assisted the City of Miami Beach with bidding, negotiations, and construction administration. Provided schematic design through construction administration services. Size: 32 Towers. Cost: $2.56m. Architect and designer for the design and construction administration for the renovation of the historic Sunset Island 1 and 2 Guardhouse and the addition of a kiosk to house the gate attendant. The team worked closely with the Sunset Island Home Owner's Association and the CMB Capital Improvements Department. Size: 3,500sf Cost: $600,000. Architect and designer for the design study of landscaping and architectural elements that would conceal and be contextually appropriate for the new storm water pump stations currently being built in the CMB. Four prototypes were developed. Size: 4 Sites; Estimated cost per site: $100,000-$150,000. $500,000 total. Architect and designer for analysis of all public spaces in the Stephen P. Clark Center Government Center per ADA Title ll compliance. Size: 32 story building, Cost: $1.5m budget Architect and designer for the renovation of offices for the CMB Procurement Department. Disciplines included architecture and mep engineering. Services provided: space planning, design development, construction documents, and construction administration. Size: 3,500sf Cost: $250,000 CMB Sunset Island 1 and 2 Gatehouse - Miami Beach, FL CMB Storm Water Pump Screens - Miami Beach, FL Miami-Dade County Stephen P. Clark Center Government Building ADA Analysis CMB Procurement Department Offices - Miami Beach, FL NCARB Certificate No. 40,583 State of Florida - AR0014247 State of Florida - AA0003666 AIA Registration - No. 30074541 LEED ap Lead Principal - Project Manager 35 27 ✔ ✔ ✔ ✔ ✔ 2013-2018 2015 - 2020 2015 - 2020 2019 - 2020 2015 2017-2019 20162015-2016 12. NAME 13. ROLE IN THIS CONTRACT 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 14. YEARS EXPERIENCE b. WITH CURRENT FIRMa. TOTAL 17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)16. EDUCATION (Degree and Specialization) 15. FIRM NAME AND LOCATION (City and State) STANDARD FORM 330 (REV. 8/2016) PAGE 2 a. b. c. d. (1) TITLE AND LOCATION (City and State) PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) e. Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE 19. RELEVANT PROJECTS (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (2) YEAR COMPLETED (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Felice Grodin William Lane Architect, Miami Beach, FL Harvard University (Master of Architecture) Tulane University (Bachelor of Architecture) Adjunct Professor at FIU School of Architecture 2005-current CMB Lifeguard Towers - Miami Beach, FL Project manager and designer for 32 lifeguard towers positioned along the beach from Government Cut to 85th Street. Assisted the City of Miami Beach with bidding, negotiations, and construction administration. Provided schematic design through construction administration services. Size: 32 Towers. Cost: $2.56m. Project Manager and designer for analysis of all public spaces in the Stephen P. Clark Center Government Center per ADA Title ll compliance. Size: 32 story building, Cost: $1.5m budget Project Manager and Designer for the renovation and new construction of historic hotel. Scope of work included the adaptive use of 4 historic structures and addition of kitchen pavilion for new restaurant. Cost: $2.5M. Size: 37,820 sf. The project received a 2017 Dade Heritage Trust Award - Adaptive Use Project Manager and designer for 2500sf cafe for the Frost Science Museum. Services provided: space planning, finish and furniture specifications, millwork, art components, design development, construction documents, B/N, and construction, and construction administration. Size: 2.500sf Cost: $500,000 Architect and designer for the renovation of offices for the CMB Procurement Department. Disciplines included architecture and mep engineering. Services provided: space planning, design development, construction documents, and construction administration. Size: 3,500sf Cost: $250,000 Miami-Dade County Stephen P. Clark Center ADA Analysis Freehand Hotel - Miami Beach, FL Phillip and Patricia Frost Science Museum Cafe, Miami, FL CMB Procurement Department Offices - Miami Beach, FL Project Manager - Designer 27 6 ✔ ✔ ✔ ✔ ✔ 2013-2018 2015 - 2020 2017-2019 Study/Analysis 2012-2015 2017-2018 20162016 2018 12. NAME 13. ROLE IN THIS CONTRACT 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 14. YEARS EXPERIENCE b. WITH CURRENT FIRMa. TOTAL 17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)16. EDUCATION (Degree and Specialization) 15. FIRM NAME AND LOCATION (City and State) STANDARD FORM 330 (REV. 8/2016) PAGE 2 a. b. c. d. (1) TITLE AND LOCATION (City and State) PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) e. Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE 19. RELEVANT PROJECTS (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (2) YEAR COMPLETED (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Omar Moreno William Lane Architect, Miami Beach, FL Master of Architecture: University of Florida - 1999 Bachelors of Design: University of Florida - 1996 Associates in Arts: Miami-Dade Community College (Architecture) - 1994 AIA Member No.30375976 Adjunct Professor at FIU School of Architecture (2000-2004) Adjunct Professor at Broward Community College (2002-2004) Pinecrest Gardens Inspiration Center, Zoo, and Playground Project manager for the a new 2,400 sf learning center and event space. The zoo includes several sanctuary zones, a 1,800 sf barn and work building, and 4 habitat pods for interactive experiences with the animals. The 8,000 sf playground offers opportunities for all children including those with disabilities. Size: 2 acres Estimated cost: $5m. Designer for 2,500sf cafe for the Frost Science Museum. Services provided: space planning, finish and furniture specifications, mill work, art components, design development, construction documents, B/N, and construction, and construction administration. Size: 2.500sf Cost: $500,000 Project Manager and designer for analysis of all public spaces in the Stephen P. Clark Center Government Center per ADA Title ll compliance. Size: 32 story building, Cost: $1.5m budget Project Architect for a freestanding dental clinic for the US Army. Size: 4,500sf Cost: 1.5m (Architect: Leo A. Daly) Project Designer for the feasibility study for the USSC building in Doral, FL to house SoCams operational and security systems. The project involved the design of a multi-building campus with four individual multi story buildings and smaller support structures. The team worked closely with military-grade systems consultants. Cost: $15m (Architect: Leo A. Daly) Phillip and Patricia Frost Science Museum Cafe, Miami, FL Miami-Dade County Stephen P. Clark Center ADA Analysis Dental Clinic Fort Bliss - Biggs Army Airfield, TX Southern Command, Doral, FL NCARB Certificate No. 64188 State of Florida - AR93971 , Registered Interior Designer - ID5273 State of New York - 032491-1 State of South Carolina - 7779 State of Pennsylvania - RA406348 Project Manager- Designer 20 4 ✔ ✔ ✔ ✔ 2019-2020 2017-2018 2018 2017-2019 2015-20162014 Study2013-2014 Study/Analysis 12. NAME 13. ROLE IN THIS CONTRACT 18. OTHER PROFESSIONAL QUALIFICATIONS (Publications, Organizations, Training, Awards, etc.) E. RESUMES OF KEY PERSONNEL PROPOSED FOR THIS CONTRACT (Complete one Section E for each key person.) 14. YEARS EXPERIENCE b. WITH CURRENT FIRMa. TOTAL 17. CURRENT PROFESSIONAL REGISTRATION (State and Discipline)16. EDUCATION (Degree and Specialization) 15. FIRM NAME AND LOCATION (City and State) STANDARD FORM 330 (REV. 8/2016) PAGE 2 a. b. c. d. (1) TITLE AND LOCATION (City and State) PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) e. Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Check if project performed with current firm (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE 19. RELEVANT PROJECTS (1) TITLE AND LOCATION (City and State)(2) YEAR COMPLETED PROFESSIONAL SERVICES CONSTRUCTION (If applicable) (2) YEAR COMPLETED (3) BRIEF DESCRIPTION (Brief scope, size, cost, etc.) AND SPECIFIC ROLE Check if project performed with current firm Carlos Wong William Lane Architect, Miami Beach, FL Pratt Institute (Bachelor of Architecture) Sunset Island Gatehouse - Miami Beach, FL Project manager and designer for the design and construction administration for the renovation of the historic Sunset Island 1 and 2 Guardhouse and the addition of a kiosk to house the gate attendant. Worked closely with the Sunset Island Home Owner's Association and the Capital Improvements. Original cost: $250,000. Designer for the proposed CMB Bayshore Community Park's multi-use building and shade elements. Services included schematic design and construction documents for multi use pavilion and shade elements. Size: 19.5 acre park, Cost: NA Designer for private waterfront residence located in Normandy Shores. Worked closely with structural, mep, civil, geotechnical consultants. Services included schematic design, design development, construction documents and permitting. Size:5,500 sf Cost: $2.2m Designer for the renovation of offices for the CMB Procurement Department. Disciplines included architecture and mep engineering. Services provided: space planning, design development, construction documents, and construction administration. Size: 3,500sf Cost: $250,000 Designer for improvements to 36 beach showers during the Zika epidemic. Work included survey of existing conditions, addition of new trench drains, sand separators, drain fields, paving and retaining walls. Cost: $108,000 City of Miami Beach Bayshore Community Park, Miami Beach, FL Sabty Residence, Miami Beach, FL CMB Procurement Department Offices - Miami Beach, FL CMB Beach Shower Improvements Project Manager - Designer 64 ✔ ✔ ✔ ✔ ✔ 2015-2020 2019 - 2020 2018-2020 2018-2020 20162016 20162016 2020 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) Lifeguard Towers Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2013-2018 CONSTRUCTION (If applicable 2015-present 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach James Murphy, Chief of Urban Design (305) 673-7550 x6144 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the design of 32 new lifeguard towers positioned along the beach from Government Cut to 85th Street. The team worked closely with CMB Ocean Rescue and the CMB Planning Department. Services included schematic design, DRB approval, bidding/negotiations, and construction administration. The project received the 2017 Florida American Institute of Architects Merit Award for Built Work. Size: 32 Towers Cost per tower: $2.65m 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 7 21. TITLE AND LOCATION (City and State) Storm Water Pump Screens Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2015 CONSTRUCTION (If applicable) 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach Eric Carpenter, Director of Public Works 305-673-7620 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the development of design strategies aimed at softening and melding the new storm water pump stations into both urban and suburban contexts deploying a combination of architectural and landscape features. The team worked with the CMB Public Works Department to gain an understanding of the overall storm water pump system and developed several prototypes for four site typologies. Services included pre-design, conceptual design, schematic design, and design development. Size: 4 sites (San Marco Island, Palm Island, Sunset Harbor, Maurice Gibb Park) Average estimated cost per site: $100,000 - $150,000; $500,000 total 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 8 21. TITLE AND LOCATION (City and State) North Shore Bandshell Shade Canopy Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2015-2018 CONSTRUCTION (If applicable) 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach Elizabeth Estevez,, Capital Improvements Coordinator (305) 673-7000 x6163 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the creation of several design studies for a proposed shade/rain canopy for the North Shore Band Shell. The team worked closely with the CMB Capital Improvements Department as well as the operator/client, The Rhythm Foundation. Disciplines included architecture and structural engineering. Services provided: schematic design, renderings, structural analysis, cost estimating, and hybrid project deliveries including design/build and design/bid. Size: 10,000 sf Estimated Cost: $350,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect,Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect ```` 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 3 21. TITLE AND LOCATION (City and State) Sunset Island Gatehouse Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2015-2020 CONSTRUCTION (If applicable) 2019-2020 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach Mina Samadi, Senior Capital Improvements Coordinator (305) 673-7071 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the renovation of the historic Sunset Island 1 and 2 Guardhouse and the addition of a kiosk to house the gate attendant. The team worked closely with the Sunset Island Home Owner's Association and the CMB Capital Improvements Department. Disciplines included architecture, civil engineering, structural engineering, mep engineering, and landscape architecture. Services provided: schematic design, DRB approval, design development, construction documents, B/N, and construction administration. Size: 3,500 sf Cost: $600,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 4 21. TITLE AND LOCATION (City and State) Procurement Offices Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2016 CONSTRUCTION (If applicable) 2016 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach Alex Denis, Procurement Director (305) 673-7490 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the renovation of offices for the CMB Procurement Department. Disciplines included architecture and mep engineering. Services provided: space planning, finish and furniture specifications, design development, construction documents, and construction administration. Size: 3,500 sf. Cost: $250,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 5 21. TITLE AND LOCATION (City and State) Human Resources Offices Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2016 CONSTRUCTION (If applicable) 2016 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER a. City of Miami Beach Adrian Morales, Property Management Director (786) 394-5350 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the renovation of offices for the CMB Human Resources Department. Disciplines included architecture and mep engineering. Services provided: space planning, finish and furniture specifications, design development, construction documents, and construction administration. Size: 3,800 sf Cost: $325,000. 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William Lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 6 21. TITLE AND LOCATION (City and State) City of Miami Beach Commission Chamber Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2016 CONSTRUCTION (If applicable) 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER City of Miami Beach Adrian Morales, Property Management Director (305) 673-7000 x22932 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the renovation of the CMB Commissioner’s Chambers. Disciplines included architecture and mep engineering. Services provided: space planning, finish and furniture specifications, ADA upgrades, A/V improvements, and design development. Size: 3,200 sf Cost: $350,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 10 21. TITLE AND LOCATION (City and State) Freehand Hotel Miami Beach, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2012-2016 CONSTRUCTION (If applicable) 2016 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Sydell Group Seth Dubner, Project Manager (412) 496-5063 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the renovation and adaptive use of 5 historic structures and the addition of a kitchen pavilion for a new restaurant. Disciplines included architecture, interior design, civil engineering, structural engineering, mep engineering, and landscape architecture. Services provided: schematic design, DRB approval, design development, construction documents, B/N, and construction administration. The project received a Dade Heritage Trust Preservation Award in 2017 for Adaptive Use and Renovation of Historic Buildings. Size: 37,820 sf Cost: $2.5M 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect 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 2 21. TITLE AND LOCATION (City and State) Miami-Dade County Stephen P. Clark Center Government Building ADA Analysis 22. YEAR COMPLETED PROFESSIONAL SERVICES 2018 CONSTRUCTION (If applicable) 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Miami-Dade County Hugo Velasquez, ISD Resiliency Officer (305) 375-4813 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included an analysis of all public spaces in the 32 story Stephen P. Clark Center Government Center per ADA Title ll compliance. The 85 page written and illustrated study included documentation of existing conditions and contexts, barrier removal identification, standards necessary to meet compliance, financial/ budget analyses, as well as the programing and scheduling of improvements over a staged 9 years period based on level of priority. Services provided: space planning, finish and furniture specifications, ADA upgrades, A/V improvements, and design development. Size: 32 story building – public spaces Cost: $1.5m construction budget 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami, FL (3) ROLE Architect 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 9 21. TITLE AND LOCATION (City and State) Phillip and Patricia Frost Science Museum Cafe Miami, FL 22. YEAR COMPLETED PROFESSIONAL SERVICES 2017-2018 CONSTRUCTION (If applicable) 2018 23. PROJECT OWNER'S INFORMATION a. PROJECT OWNER b. POINT OF CONTACT NAME c. POINT OF CONTACT TELEPHONE NUMBER Frost Science Museum Xavier Cortesano, Director of Exhibitions (305) 904-8991 24. BRIEF DESCRIPTION OF PROJECT AND RELEVANCE TO THIS CONTRACT (Include scope, size, and cost) The scope of work included the design of a café for the Frost Science Museum, Disciplines included architecture and mep engineering. Services provided: space planning, finish and furniture specifications, millwork, art components, design development, construction documents, B/N, and construction administrations The project received the 2018 Miami Chapter of the American Institute of Architects - Merit Award for Built Work Size: 2,500 sf Cost: $500,000 25. FIRMS FROM SECTION C INVOLVED WITH THIS PROJECT a. (1) FIRM NAME William lane Architect, Inc. (2) FIRM LOCATION (City and State) Miami Beach, FL (3) ROLE Architect TITLE OF EXAMPLE PROJECT (From Section F) G. KEY PERSONNEL PARTICIPATION IN EXAMPLE PROJECTS 1 2 3 4 5 6 7 8 9 10 STANDARD FORM 330 (REV. 8/2016) PAGE 4 26. NAMES OF KEY PERSONNEL (From Section E, Block 12) 27. ROLE IN THIS CONTRACT (From Section E, Block 13) 12345678910 29. EXAMPLE PROJECTS KEY NUMBER TITLE OF EXAMPLE PROJECT (From Section F)NUMBER 28. EXAMPLE PROJECTS LISTED IN SECTION F (Fill in "Example Projects Key" section below before completing table. Place "X" under project key number for participation in same or similar role.) William Lane Lead Principal - Project Manager Project Manager and Designer Project Manager and Designer Project Manager and Designer Felice Grodin Omar Moreno Carlos Wong Lifeguard Towers Commission Chambers Renovation Storm Water Pump Screens North Shore Bandshell Canopy Phillip and Patricia Frost Science Museum Cafe Freehand Hotel Miami-Dade County Stephen P Clark Ctr. ADA Analysis Sunset Island Gatehouse Procurement Offices Renovation Human Resources Offices Renovation H. ADDITIONAL INFORMATION 30. PROVIDE ANY ADDITIONAL INFORMATION REQUESTED BY THE AGENCY. ATTACH ADDITIONAL SHEETS AS NEEDED. I. AUTHORIZED REPRESENTATIVE The foregoing is a statement of facts. 31. SIGNATURE 32. DATE 33. NAME AND TITLE STANDARD FORM 330 (REV. 8/2016) PAGE 5 N/A 08/07/2020 William Lane, President PART II - GENERAL QUALIFICATIONS (If a firm has branch offices, complete for each specific branch office seeking work.) a. SIGNATURE ARCHITECT-ENGINEER QUALIFICATIONS 2a. FIRM (or Branch Office) NAME 2b. STREET 2c. CITY 2d. STATE 2e. ZIP CODE 3. YEAR ESTABLISHED 4. UNIQUE ENTITY IDENTIFIER 5. OWNERSHIP b. Discipline c. Number of Employees 10. PROFILE OF FIRM'S EXPERIENCE AND ANNUAL AVERAGE REVENUE FOR LAST 5 YEARS b. Experience c. Revenue Index Number (see below) STANDARD FORM 330 (REV. 8/2016) PAGE 6 1. SOLICITATION NUMBER (If any) 8a. FORMER FIRM NAME(S) (If any)8b. YEAR ESTABLISHED 9. EMPLOYEES BY DISCIPLINE Total (1) FIRM (2) BRANCH 1. Less than $100,000 2. $100,000 to less than $250,000 3. $250,000 to less than $500,000 4. $500,000 to less than $1 million 5. $1 million to less than $2 million 11. ANNUAL AVERAGE PROFESSIONAL SERVICES REVENUES OF FIRM FOR LAST 3 YEARS (Insert revenue index number shown at right) 7. NAME OF FIRM (If Block 2a is a Branch Office) 6a. POINT OF CONTACT NAME AND TITLE 6c. E-MAIL ADDRESS 8c. UNIQUE ENTITY IDENTIFIER a. Federal Work b. Non-Federal Work c. Total Work 12. AUTHORIZED REPRESENTATIVE The foregoing is a statement of facts. b. DATE c. NAME AND TITLE a. Function Code a. Profile Code 6b. TELEPHONE NUMBER a. TYPE b. SMALL BUSINESS STATUS PROFESSIONAL SERVICES REVENUE INDEX NUMBER 6. $2 million to less than $5 million 7. $5 million to less than $10 million 8. $10 million to less than $25 million 9. $25 million to less than $50 million 10. $50 million or greater Other Employees RFQ. No. 20-07-01 S - Corporation MD SBE William Lane Architect, Inc. 1480 Marseille Drive Miami Beach William Lane, President William Lane Architect 06 C11 G06 H08 H10 H11 I05 P06 R04 R06 Z01 Architecture Community Facilities Graphic Design Historic Preservation Hotels: Motels Housing Interior Design; Space Planning Planning Recreation Facilities Zoning Rehabilitation wlane@williamlane.com FL 33141 5 4 305-865-7830 2000 1987 William Lane, President 08/07/2020 2 1 2 3 3 2 1 2 2 1 3 4 5 Halsey Beshears, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONBOARD OF ARCHITECTURE & INTERIOR DESIGNTHE ARCHITECT HEREIN IS LICENSED UNDER THEPROVISIONS OF CHAPTER 481, FLORIDA STATUTESLANE, WILLIAM RICHARDDo not alter this document in any form.1480 MARSEILLE DRLICENSE NUMBER: AR0014247EXPIRATION DATE: FEBRUARY 28, 2021This is your license. It is unlawful for anyone other than the licensee to use this document.MIAMI BEACH FL 33141Always verify licenses online at MyFloridaLicense.com Halsey Beshears, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONBOARD OF ARCHITECTURE & INTERIOR DESIGNTHE ARCHITECT CORPORATION HEREIN IS CERTIFIED UNDER THEPROVISIONS OF CHAPTER 481, FLORIDA STATUTESWILLIAM LANE ARCHITECT, INC.Do not alter this document in any form.1480 MARSEILLE DRLICENSE NUMBER: AA0003666EXPIRATION DATE: FEBRUARY 28, 2021This is your license. It is unlawful for anyone other than the licensee to use this document.MIAMI BEACH FL 33141Always verify licenses online at MyFloridaLicense.com Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Firm References and Similar Work Completed We have listed 16 projects which our office has completed in the past 10 years that represents work performed under similar continuing contracts and types of services provided. The projects are listed under the specific agencies that the work was performed for. Please refer to Form 330 Part 1 – Section E for resumes of our current design/management team City of Miami Beach Department of Planning and Zoning 1. Project Title – Lifeguard Towers a. Client – City of Miami Beach – Department of Planning and Zoning b. Description of Work – The scope of work included the design of 32 new lifeguard towers positioned along the beach from Government Cut to 85th Street. The team worked closely with Ocean Rescue and the Planning Department. Services included schematic design, DRB approval, bidding/negotiations, and construction administration. c. Year completed - 2020 d. Contact – James Murphy, Chief of Urban Design, Department of Planning and Zoning jmurphy@miamibeachfl.gov, 305-673-7550 e. Agreement – P.O. 019555 – Fee $48,307 City of Miami Beach Department of Public Works 2. Screen Enclosures for Stormwater pumps a. Project Title – Screen Enclosures Stormwater Pump Stations b. Client – City of Miami Beach Department of Public Works c. Description of Work – The scope of work involved the design of a series of visual screens to conceal the storm water pump stations being built around the City as a response to rising sea levels. Using architectural elements and landscaping we developed several prototypes for specific locations in the City including the street ends along the bay in South Beach, Sunset Harbor, the Venetian Islands, and Palm Island. d. Year completed - 2017 e. Contact – Eric Carpenter, Director, Department of Public Works EricCarpenter@miamibeachfl.gov 305-673-7000 f. Agreement – P.O. 029082 – Fee $17,471 Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) City of Miami Beach Department of Property Management 3. Project Title - Renovation of the Department of Human Resources Offices a. Client - City of Miami Beach Department of Property Management b. Description of Work – The scope of work included the renovation of offices for the CMB Human Resources Department. Services provided: space planning, finish and furniture specifications, design development, construction documents, and construction administration. Disciplines included MEP and Structural engineering. c. Year completed - 2016 d. Contact – Adrian Morales, Director, Department of Property Management AdrianMorales@miamibeachfl.gov, (786) 394-5350 e. Agreement – P.O. 026581 – Fee $40,483 4. Project Title – Renovation of the Offices for the Department of Procurement a. Client - City of Miami Beach Department of Property Management b. Description of Work The scope of work included the renovation of offices for the CMB Procurement Department. Disciplines included architecture and mep engineering. Services provided: space planning, finish and furniture specifications, design development, construction documents, and construction administration. Disciplines included MEP and Structural engineering. c. Year completed - 2016 d. Contact – Alex Denis, Director, Department of Procurement AlexDenis@miamibeachfl.gov, (305) 673-7490 e. Agreement – P.O. 026344 – Fee $39,373 5. Project Title - Police Department ADA improvements a. Client - City of Miami Beach Department of Property Management b. Description of Work – Scope of work included the survey of public areas of the CMB Police Headquarters which had ADA barriers. Our studio produced construction documents for the repair of these areas. Locations included offices, hallways, restrooms, gym, locker rooms, and entrances to the building from the street and parking garage. c. Year completed – 2016 d. Contact – Adrian Morales, Director, Department of Property Management AdrianMorales@miamibeachfl.gov, (786) 394-5350 e. Agreement - PO 28136-02 – Fee - $13,980 6. Project Title: Commission Chambers and Restrooms Renovation a. Client - City of Miami Beach Department of Property Management b. Description of Work – Scope of work included a design study and the production of construction documents for the renovation of the CMB Commission Chamber and Restrooms. c. Year completed - 2017 d. Adrian Morales, Director, Department of Property Management AdrianMorales@miamibeachfl.gov, (786) 394-5350 e. Agreement - PO 026943 – $33,752 Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) 7. Project Title – Beach Shower Improvements a. Client - City of Miami Beach Department of Property Management b. Description of Work – The scope of work included the upgrading of 36 beach showers to reduce mosquito infestation during the Zika outbreak. Work included survey of existing conditions, addition of new trench drains, sand separators, drain fields, paving and dune retaining walls. c. Year completed - 2016 d. Adrian Morales, Director, Department of Property Management AdrianMorales@miamibeachfl.gov, (786) 394-5350 e. Agreement - PO 029082 - $22,496 City of Miami Beach Department of Capital Improvements 8. Project Title: Sunset Island 1 and 2 Gatehouse a. Client - City of Miami Beach Department of Capital Improvements b. Description of Work The scope of work included the renovation of the historic Sunset Island 1 and 2 Guardhouse and the addition of a kiosk to house the gate attendant. The team worked closely with the Sunset Island Home Owner's Association and the CMB Capital Improvements Department. Disciplines included civil engineering, structural engineering, MEP engineering, surveyor, geotechnical engineer, and landscape architecture. Services provided: schematic design, DRB approval, design development, construction documents, B/N, and construction administration. c. Year completed - 2020 d. Contact – Mina Samedi - Senior Capital Project Coordinator, Department of Capital Improvements minasamadi@miamibeachfl.gov (305) 673-7071 e. Agreement - PO – 2926-05 - $84,875 9. Project Title: North Beach Bandshell Canopy Study a. Client - City of Miami Beach Department of Capital Improvements b. Description of Work: The scope of work included the creation of several design studies for a proposed shade/rain canopy for the North Shore Band Shell. The team worked closely with the CMB Capital Improvements Department as well as the operator/client, The Rhythm Foundation. Disciplines included structural engineering. Services provided: schematic design, renderings, structural analysis, cost estimating, and hybrid project deliveries including design/build and design/bid. c. Year completed - 2016 d. Contact - Elizabeth Estevez, Capital Improvements Coordinator, Department of Capital Improvements ElizabethEstevez@miamibeachfl.gov (305) 673-7071 e. Agreement - - $18,105 Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) 10. Project Title: South Point Park Pavilion and Vehicular Storage Building a. Client - City of Miami Beach Department of Capital Improvements b. Description of Work: The scope of work included the design of a new 19 acre park at the southern end of Miami Beach at Government Cut. The park included new landscape, land forms a multi-use pavilion, outdoor theater, bridge, and vehicular storage building. c. Year completed: 2010 d. Contact: David Martinez, Director, Department of Capital Improvements DavidMartinez@miamibeachfl.gov (305) 673-7071 Miami-Dade County Public Housing and Community Development 11. Project Title – Ward Tower Façade Improvements and Window Replacement a. Client – Miami Dade County – Public Housing and Community Development b. Description of Work – The scope of work include the renovation of the façade and miscellaneous repairs of a 17 story public housing residential tower. Improvements included the repair of significant spalling/stucco, replacement of all windows and storefronts, replacement of the single unit wall through air conditioner units for each unit including the condenser conduit lines, stucco repair, painting and general repair of all the hallways and lobby, repaving/restriping of parking lot, exterior lighting replacement, and the waterproofing/painting of the building. Disciplines included structural and MEP engineering. c. Year completed - 2015 d. Contact - Jorge Zaldivar, Asset Project Manager, Facilities and Development Division jzald@miamidade.gov (786) 469-4129 e. Agreement - WO FLA 5-44-01 $177,688 12. Project Title – ADA Upgrades of 3 Housing complexes a. Client – Miami Dade County – Public Housing and Community Development b. Description of Work – The scope of work involved the ADA Improvements of 3 public housing communities in Miami Dade. These included the Abe Arronovitz Apartments, the Little River Housing community, and the Phyllis Wheatley Apartments. Work included upgrades and code compliance of all public spaces including entrances, parking lot, lobby, community rooms, and the conversion of 3-4 living units in each project to fulfill ADA compliance. This included the reconfiguration of the kitchen, bathrooms, hall ways, and entrances in each apartment. c. Year completed: 2017 d. Contact - Jorge Zaldivar, Asset Project Manager, Facilities and Development Division jzald@miamidade.gov (786) 469-4129 e. Agreement - $61,988 Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) Miami-Dade County Internal Services Department 13. Project Title: ADA upgrades in the 32 story Miami Dade Stephan P. Clarke Center a. Client – Miami Dade County – Department of Internal Services b. Description of Work: The scope of work included an analysis of all public spaces in the 32 story Stephen P. Clark Center Government Center per ADA Title ll compliance. The study focused on mobility, visual, auditory, and cognitive disabilities. This included restrooms, corridors, lobby, doorways, wayfinding, and lighting. Outside areas included all entrances and general approach to the complex from parking garages, the adjacent streets, as well as other significant government buildings in the district including the courthouses and library. Within the main tower we documented and analyzed the first three floors of the government building including Commissioner Chambers and associated offices, as well as, the 18th floor public conference rooms and cafeteria. Per the 2 story atrium we reviewed all routes within the complex, and all links to the Miami Dade transportation system. The 85 page written and illustrated study included graphic and photographic documentation of existing conditions and contexts, access routes, barrier removal identification, standards necessary to meet compliance, detailed drawing of signage at several scales, restroom reconfigurations, Chamber seating reconfiguration, and lighting studies. A financial/ budget analyses was created, as well as, the programing and scheduling of improvements over a 9 years period based on levels of priority. Innovative systems included GPS systems for the visually impaired. c. Year completed - 2018 d. Contact – Hugo Velazquez, Senor Registered Architect, Miami Dade Internal Services Department - hvelasq@miamidade.gov (305) 755-7858 e. Agreement - $48,217 14. Project Title: Commission Chamber and Second Floor Public Restrooms a. Client – Miami Dade County – Department of Internal Services b. Description of Work: The scope of work involved the upgrades of 4 public restrooms of the second floor of the SPCC government center. These restrooms service the public attending the various commission meetings, as well as, the commissioner’s offices and their staff. Disciplines included MEP and Structural. c. Year completed: 2020 d. Contact – Hugo Velazquez, Senor Registered Architect, Miami Dade Internal Services Department - hvelasq@miamidade.gov (305) 755-7858 e. Agreement - $35,200 Section F – Firm References and Similar Work Completed City of Sunny Isles Beach Request for Qualifications No, 20-07-01 Continuing Professional Consulting Services (CCNA) City of Sunny Isles Beach 15. Project Title: Samson Oceanfront Park a. Client - City of Sunny Isles Beach b. Description of Work: Although more than 10 years old we thought this project may be of interest as an example of our work in public spaces. The scope of work involved the design of a restroom and shade pavilion for a much needed beachfront park that would provide access to the ocean for residents living west of Collins Avenue. Design features also included a street park entrance feature, sidewalks, and dune walkover. c. Year completed - 2000 d. Contact: Gardner Project lead- Rosenberg Gardner Design (Landscape Architect) – Ken Gardner info@rosenberggardner.com 305-392-1016 1480 MARSEILLE DRIVE MIAMI BEACH, FL 33140 Current Principal Place of Business: Current Mailing Address: 1480 MARSEILLE DRIVE MIAMI BEACH, FL 33140 US Entity Name: WILLIAM LANE ARCHITECT, INC. DOCUMENT# P99000064149 FEI Number: 65-0934830 Certificate of Status Desired: Name and Address of Current Registered Agent: LANE, WILLIAM R OWNER 1480 MARSEILLE DRIVE MIAMI BEACH, FL 33140 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Officer/Director Detail Date FILED Jan 20, 2020 Secretary of State 5418594743CC WILLIAM LANE PRESIDENT 01/20/2020 2020 FLORIDA PROFIT CORPORATION ANNUAL REPORT Yes Title PRESIDENT Name LANE, WILLIAM R Address 1480 MARSEILLE DRIVE City-State-Zip:MIAMI BEACH FL 33140 State of Florida Department of State I certify from the records of this office that WILLIAM LANE ARCHITECT, INC.is a corporation organized under the laws of the State of Florida,filed on July 20,1999. The document number of this corporation is P99000064149. I further certify that said corporation has paid all fees due this office through December 31,2020,that its most recent annual report/uniform business report was filed on January 20,2020,and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee,the Capital,this the Fifth day of August,2020 Tracking Number:0436160675CU To authenticate this certificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 33 DELIVER TO: City of Sunny Isles Beach City Clerk 18070 Collins Avenue Sunny Isles Beach, FL 33160 REQUEST FOR QUALIFICATIONS SECTION 6 RESPONDENT SUBMITTAL FORMS OPENING: 2:30 P.M. Tuesday, August 11, 2020 NOTE: City of Sunny Isles Beach is exempt from all taxes (Federal, State, and Local). Tax Exemption Certificate furnished upon request. Issued by: Purchasing Agent Genesis Cuevas Date Issued: Wednesday, July 8, 2020 This Qualification Submittal Consists of all required forms, including SF330, Questionnaires, Acknowledgements and Affidavits Submissions are subject to the Terms and Conditions of this Request for Qualifications and the accompanying Submittal. Such other contract provisions, specifications, drawings or other data as are attached or incorporated by reference in the Submittal, will be received at the office of the City Clerk at the address shown above until the above stated time and date, and at that time, publicly opened for furnishing services described in the accompanying Submittal Requirement. RFQ No. 20-07-01 Continuing Contract for Professional Services CCNA Firm Name ________________________________________ Commodity Code(s): RETURN ONE ORIGINAL AND FOUR COPIES OF QUALIFICATION SUBMITTAL PAGES AND AFFIDAVITS FAILURE TO SIGN PAGE 38 OF SECTION 6 QUALIFICATION SUBMITTAL WILL RENDER YOUR SUBMISSION NON-RESPONSIVE City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 34 6.1 ACKNOWLEDGEMENT FORM NAME OF COMPANY: ___________________________________________ (Name of company submitting RFQ) CHECK CATEGORY (CATEGORIES) YOU ARE APPLYING FOR: 1- ARCHITECTS __ 2- CIVIL ENGINEERS__ 3- ELECTRICAL ENGINEERS___ 4- SURVEYORS AND MAPPING__ 5- LEAK DETECTION STUDIES__ 6- MECHANICAL, HVAC & PLUMBING ENGINEERS___ 7 - GEOTECHNICAL___ 8 – STRUCUTRAL ENGINEERS___ 9 – ENVIRONMENTAL ENGINEERS____ 10. CONSTRUCTION ENGINEERING AND INSPECTION (CEI) SERVICES____ City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 35 REQUIRED FORMS PRIME FIRM Role Name of Individual Assigned to Project Number of Years’ Experience Education, Degree Principle-in-Charge: Project Manager Asst. Project Manager Other Key Member Other Key Member REFERENCES Name Firm Providing Reference Phone # Email Address City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 36 ACKNOWLEDGEMENT OF ADDENDA INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES PART I: LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS RFQ Addendum #1, Dated Addendum #2, Dated Addendum #3, Dated Addendum #4, Dated Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART II: NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS RFQ FIRM NAME: AUTHORIZED SIGNATURE: DATE: TITLE OF OFFICER: City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 37 RESPONDENT SUBMITTAL FORM RFQ 20-07-01 Continuing Professional Consulting Services (CCNA) The undersigned Firm proposes and agrees, if this submission is accepted, to enter into an agreement with the City of Sunny Isles Beach to perform and furnish all Services as specified or indicated in the Contract Documents. The Firm accepts all of the terms and conditions of this Request for Qualifications. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Firms agrees to sign and submit the Agreement and other documents as required by the Bidding Requirements within ten days after the date of the City’s Notice of Award. In submitting this response, the Firm represents, as more fully set forth in the Agreement, that: The Firm has familiarized himself/herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. The Firm has studied carefully all reports and drawings of subsurface conditions and drawings of physical conditions. The Firm has given the City written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Firm. This solicitation is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization, or corporation; the Firm has not directly or indirectly induced or solicited any other Firms to submit a false or sham Bid; the Firm has not solicited or induced any person, firm or corporation to refrain from Bidding; and Firm has not sought by collusion to obtain for itself any advantage over any other Firms or over the City. The City and the successful Firm will establish completion times for the services described in this Request for Qualifications and the successful Firm agrees that the services will be completed within the time frames agreed upon and stipulated in the individual Notice to Proceed. City of Sunny Isles Beach |Request for Qualifications No. 20-07-01 38 Firm Name: _____________________________________________________________________________ Street Address: _____________________________________________________________________________ Mailing Address (if different): _____________________________________________________________________________ Telephone No. _______________________________Fax No. _________________________ Email Address: _______________________________FEIN No. __/__-__/__/__/__/__/__/__ *“By signing this document the Responder agrees to all Terms Signature: __________________________________________________________________ (Signature of authorized agent) Print Name: _________________________ Title: _________________________________________ THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF FIRM TO BE BOUND BY THE TERMS OF ITS SUBMISSION. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE SUBMISSION NON-RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY SUBMISSION THAT INCLUDES AN EXECUTED DOCUMENT, WHICH UNEQUIVOCALLY BINDS THE FIRM TO THE TERMS OF ITS OFFER. 7/23/2020 RSC Insurance Brokerage, Inc. 3350 S Dixie Hwy Miami FL 33133 (305)446-2271 MIA-Certificates@Risk-strategies.com Dworbell, Inc. 1480 Marseille Dr. Miami Beach FL 33141 Sentinel Ins. Co.11000 Twin City Fire Insurance Co 29459 RLI Insurance Company CL2071467679 A X X X 21SBMBR3637 8/6/2020 8/6/2021 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 A X X X 21SBMBR3637 8/6/2020 8/6/2021 1,000,000 B X 21SBMBR3637 8/6/2020 8/6/2021 1,000,000 1,000,000 B 21WECPO9115 5/5/2020 5/5/2021 X 1,000,000 1,000,000 1,000,000 C Professional Liability RDP0037927 11/9/2019 11/9/2020 Limits $1,000,000 Retention $2,500 City of Miami Beach c/o EXIGIS Insurance Compliance Services P.O. Box 947 Murrieta, CA 92564 M Christian/NASPAR The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PER STATUTE OTH- ER E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes,describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S)AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401) EQUAL OPPORTUNITY / AFFIRMATIVE ACTION 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: ________________________________________ ________________________________________ DECEMBER 28, 2010 CONTRACTOR ANTI-BOYCOTT CERTIFICATION [PURSUANT TO FLORIDA STATUTE § 215.4725] I, ___________________, on behalf of _________________________, Print Name Company Name certifies that___________________________ does not: Company Name 1.Participate in a boycott of Israel; and 2.Is not on the Scrutinized Companies that Boycott Israel list; and 3.Is not on the Scrutinized Companies with Activities in Sudan List; and 4.Is not on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List; and 5.Has not engaged in business operations in Cuba or Syria. ________________________________ Signature ________________________________ Title ________________________________ Date DISPUTE DISCLOSURE 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 DECEMBER 28, 2010 Halsey Beshears, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONBOARD OF ARCHITECTURE & INTERIOR DESIGNTHE ARCHITECT HEREIN IS LICENSED UNDER THEPROVISIONS OF CHAPTER 481, FLORIDA STATUTESLANE, WILLIAM RICHARDDo not alter this document in any form.1480 MARSEILLE DRLICENSE NUMBER: AR0014247EXPIRATION DATE: FEBRUARY 28, 2021This is your license. It is unlawful for anyone other than the licensee to use this document.MIAMI BEACH FL 33141Always verify licenses online at MyFloridaLicense.com Halsey Beshears, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONBOARD OF ARCHITECTURE & INTERIOR DESIGNTHE ARCHITECT CORPORATION HEREIN IS CERTIFIED UNDER THEPROVISIONS OF CHAPTER 481, FLORIDA STATUTESWILLIAM LANE ARCHITECT, INC.Do not alter this document in any form.1480 MARSEILLE DRLICENSE NUMBER: AA0003666EXPIRATION DATE: FEBRUARY 28, 2021This is your license. It is unlawful for anyone other than the licensee to use this document.MIAMI BEACH FL 33141Always verify licenses online at MyFloridaLicense.com