HomeMy WebLinkAboutThe Print Factory LLC dba NexPub Printing RTQ 22-12-01 with Signed DocsPRlNTNG
NEXPUB PRINTING
3B2O EXECUTIVE WAY
MIRAMAR, FL 33025
(954) 392-5889
REQUEST TO QUALIFY NO.22-12-01
PAGE 1
1. Company lnformation
o Name of Agency/Company: The Print Factory, LLC dba NexPub Printing
o Company Location: Miramar, Florida
o Website: www.nexpub.com (Facebook: Nexpub Printing, Instagram: nexpubprinting)
. Details of Entity Business Structure: LLC
o Date Founded: April 2002
o Office Address: 3820 Executive Way, Miramar, Florida 33025
o Phonenumber:954.392.5889
o Main Contact: Tabatha Dupuis, tdupuis@nexpub.com
o Proof of lnsurance: See attached document(s)
o lndication of how long it would take to implement service after authorized to begin: Service can begin
lmmediately following authorization.
2. Vendor's experience, qualifications, and past performance
o An explanation of why the vendor is best qualified to perform the contract: We are a small company,
which allows our entire team to offer the City of Sunny lsles Beach highly specialized attention with a one-
on-one personal experience and the ability to service in a manner that meets the demands of the City. Our
strong 2O-year relationship with the City has groomed us well in truly understanding how the City thinks and
being able to anticipate those needs. The relationship we have built is key for us to offer the best
economical product/material for each project and in doing so, allows us to guide the City in the direction of
saving money and time, while always providing exceptional quality. We love seeing the City's visions become
treasures on paper. We have a proven track record of effectively managing over 2,000 projects a year,
ranging from simple to complex. Our "we can do" attitude never falters, and our team is continuously
striving to educate, grow, and evolve in our ever-changing industry. Our ability to retain cohesiveness
internally as a whole allows us to provide the best print experience to all who seek us out.
Overall, NexPub unequivocally offers fair and just manufacturing services and prices with the
professionalism and respect that our clients deserve. Most importantly, when faced with issues we quickly
offer action plans, meetings, and resolutions to address those concerns.
o A list of on-site equipment: See attached list
o A list of on-site lnventory: NexPub Printing currently inventories roughly S5OO,00O of client assets
and paper. Due to the ongoing paper supply chain disruption that began well over a year, we quickly
realized that we had to become our own paper supplier. By constantly monitoring and purchasing
the right papers to have on hand, we can meet our clients' demands as seamlessly as possible during
these times.
o Vendo/s facility hours: Monday through Friday, 8am - 5pm with the capabilities to expand hours with a
network of temporary staffing as required based on specific project needs.
o Recycling system: We have an agreement with WastePro for recycling all wastepaper.
o The evaluation committee may elect to visit the print house as part of the evatuation process: We would
love the opportunity to welcome you to our location so we can show you how organized we are.
PR/NI/NG
NEXPUB PRINTING
3820 EXECUTIVE WAY
MIRAMAR, FL 33025
(954) 3e2-5889
REQUEST TO QUALIFY NO.22.12.01
PAGE 2
3. Samples
e See attached packaged samples
4. Staffing
o Relevant experience and qualifications of key personnel:
Laurie Edgman is President and Owner of NexPub Printing LLC for 25yrs. At its inception, NexPub's base was
the core purchase of several small companies combining expertise minds in ink and paper with Laurie at the
leadership helm. Over the course of time, she has been able to develop a small woman minority owned
company that is rich in print knowledge from the technical aspects of all phases required in putting ink to
paperwith the end resulting in a piece of art. With her innovative design skills, she has made many brands
refreshed and modern or created them from the beginning. Her encounters with clients provide her with
incredible insight into their vision. This enables her to not only create print pieces, but also establish
remarkable website designs. She has been the ongoing success for development of Nexpub's custom online
shopping hub, competitive quotes, volume output, production, sales, account management and keeping
NexPub up to date on overall technology. Her push for eco-friendly methods have, too, given success in
keeping NexPub Printing on the course of keeping their carbon footprint down. Her expertise in the industry
has been foundational to NexPub Printing's success and its indelible mark within communities throughout
South Florida and worldwide.
Robert Edgman is Vice President and Owner of NexPub Printing. From optimizing finances as the primary
accountant, to being the human resources and operations director, Robert's 20+ years is invaluable. He
streamlines all warehouse operations, logistics, equipment, and other company business which has been
strategic in the continued thriving of NexPub Printing within its business. Robert strives for perfection in
every detail he touches. His vast responsibilities and efficient ability to wear many hats at any given time is
priceless. Rob's expansive background is another key factor to NexPub's well defined curriculum forte and
cementing the foundation.
Tabatha Dupuis is a production specialist, account representative and Vice President of Sales with 20+ years
of veteran knowledge brought to NexPub's table for the last 15yrs. The pieces of each puzzle she puts
together on all facets of the print industry include production, sales, account management, and much more.
Her impeccable customer service has helped develop a magnitude of relationships between Nexpub printing
and its numerous partnerships. Understanding clients one on one and their immediate project needs allows
her to guide them to the highest quality, most economically printed piece. Her achievements in wearing
different hats at one time and "we got this" attitude has become a solid brick in the road Nexpub builds
daily.
Daniel Fritz is a pressman with 36 years of machine knowledge and operation. From his strong attention to
detail to his visual acuity, he truly is an artist in his own rights creating the final masterpiece based on the
client's requirements. From hanging a press plate to color management, Dan's press maintenance
procedures comprehension is irreplaceable and overall mastery of the pressroom and bindery is invaluable.
tpxM NEXPUB PRINTING
3B2O EXECUTIVE WAY
MIRAMAR, FL 33025
(954) 392-5889
REQUEST TO QUALIFY NO.22.12.01
PAGE 3
With his caring attitude, professional input, and keen eyes towards every project, he makes sure every
project is top of the line quality.
o The size of the company: 8 employees
. Experience of company staff: Combined years of experience is well over 100 years
r The compositaon of the staff team:
o Laurie Edgman, President/Owner, Graphic Designer, Account Manager, Production Director
o Robert Edgman, Vice President and Owner, Accountant/HR/Operations Director, Digital Press
Operator
o Tabatha Dupuis, Vice President of Sales, Account Manager, Production Specialist
o Daniel Fritz, Pressman and Digital Press Operator
o Names and credentials of the employees responsible for this account: Tabatha Dupuis, VP of Sales,
production specialist and account management
o Name and credentials of the employees responsible for coordination of work: Tabatha Dupuis, VP of Sales,
production specialist and account management
. Experience and qualifications of staff and satisfactory record of performance of staff: Each individual has
over 20+ years of industry knowledge and experience; maintaining above satisfactory performance
o !ndicate current and anticipated workloads and availability for other activities to include service calls:
Workloads vary daily. However, requests for onsite visits to the City can be arranged at any time, as many
times as requested.
5. Approach / Methodology
Vendors approach methodology to providing the services requested in this solicitation
o Suitability of methodologies to providing services: Each project is unique in every way. When received in,
NexPub's team will automatically pinpoint due dates, confirm what is achievable and will be transparent on
real time production turnaround times.
o Overall organization to completing the project: Every project must go through the design department for
preflighting and proofs. Proofs are sent to clients for final approval. Once final approvals are ascertained,
then all the fine details are squared away, and the piece gets scheduled for press, bindery and
shipment/delivery. Final delivery/shipment times are based on a per project need and real time projection
of production times.
r Ability to meet desired timelines/deadlines: When received in, NexPub's team will automatically pinpoint
due dates, confirm what is achievable and will be transparent on real time production turnaround times.
o Service delivery approach and plan in the event of an emergency/disaster: A correspondence and or phone
call will be placed to the City regarding the importance of any given project in house to confirm new delivery
dates and what is physically possible to get any one project done. This will also be based on the severity of
the emergency/disaster at that time. Once the emergency/disaster has dissipated, it will be normal
o Explanation of the vendor's approach for quality assurance: Every project must go through the design
department for preflighting and proofs. Digital PDF proofs are sent for final approval prior to print
production. lf a color physical proof is required by the City for final approval, a digital PDF proof must still be
approved prior to creating the physical color proof. lf anything in the proofing stages looks "off", it is
a
PRINI/NG
NEXPUB PRINTING
3820 EXECUTIVE WAY
MIRAMAR, FL 33025
(954) 392-5889
REQUEST TO QUALIFY NO.22.12-01
PAGE 4
brought to the attention of the City representative in charge of that specific project immediately in the
digital PDF proof stage. We offer technical guidance to the City's designers on a as needed basis. Once on
press, all press proofs are approved internally by the account manager and or pressman.
lf print house has an online system for uploading digital files, state name of system: Dropbox, WeTansfer
5. References
o Provide (3) references of similar engagements, scope of work and complexity completed within the tast
(3) years which demonstrate the experience of the company/team as required by this project:
7. The City of Sunny lsles Beach has been our client successfully for over 20 years. The City takes great
pride in who they are, what they represent and how they are perceived in all aspects of daily business.
Therefore, they want to be sure they are represented that way in the vendors they surround themselves
with.
When we began printing their budget books, it was noted they would usually be on a tight delivery
deadline. NexPub Printing presented the best solution, which was to work backwards from the due date.
This meant we would guide the City based on our current workload, outlining when we would need final
print ready files in order to meet specific delivery dates. Additionally, we would give worse case
scenarios if supplied art was late along with any other hiccups that may be present, such as paper
shortages. Such communication is initiated in the quoting stage. This ensures transparency and a
seamless workflow from the time the quote request is put in, to receipt of artwork from the City, to final
actual delivery. lt is critical all parties always have open communication to make this project a success.
This communication includes any issues with provided artwork and real resolutions to these issues.
2. Pritikin ICR is a company that offers a comprehensive lifestyle change program focused on Nutrition,
Exercise, and Maintaining a Healthy Mind-set. They have been a client of ours for L0 years.
We began with them from start-up. We helped them develop all their materials, including marketing,
education, and training. Their growth was very slow in the beginning with one hospital as their client as
a case study for a couple of years and have grown currently to serving nearly 100 hospitals. Their plan in
2023 is to double that number and we are ready to grow with them.
We have been able to manage their growth by automating their process through ordering online. Our
system effectively manages their inventory and ordering process, taking the burden away from them to
manage the day-to-day operations that are so cumbersome.
3. GEO Group provides complementary, turnkey solutions for numerous government partners worldwide
across a spectrum of diversified correctional and community reentry services. From the development of
state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to
the post-release reintegration and supervision of individuals in the community, GEO offers fully
diversified, cost-effective services that deliver enhanced quality and improved outcomes. They have
been our client for over 25 years.
PRINTNG
NEXPUB PRINTING
3820 EXECUTIVE WAY
MIRAMAR, FL 33025
(954) 392-5889
REQUEST TO OUALIFY NO.22-12-01
PAGE 5
We utilize the same online ordering system to help GEO manage over 500 locations across the US.
7. Contract Forms
See attached signed documents
8. Exceptions
Samples cannot be provided for all substrates because specialty substrates are produced to exact quantities
for expense purposes. Some examples of these substrates could include but not limited to banner materials,
pole banner materials, decals, clings, vinyl, and mounted posters.
9. Group
Firms must specify which group they are applying for
Group 1
Group 2
Group 4
Group 5
Group 6
Group 7
Group 8
Group 9
Group 10
Group 11
PRiNT/IVG
[!' I e c, a ti r t g',you /' lt ru t n r/.
EQUTPMENT LIST
Heidelberg GTO52
Heidelberg Quick Master 46
AB Dick 9810
Heidelberg Versafi re C7 I 00
Heidelberg Versafire C7200 with Plockmatic Finishing Unit
Polar I l5EM Paper Cutter
MBO 8 page Folder
GBC Discovery 80 Laminator with Auto Cutter
Heidelberg Windmill Letterpress
CMC Round Corner Cutter
Acme-Champion Wire Stitchers
Challenge 3 Bit Drill Press
Seal N' Shrink Shrink Wrapper
WireO Binding System
a
The Print Factory LLC dba NexPub
Is certified under the provisions of
287 and295.187, Florida Statutes, for a period from:
09t28t2021 09t28t2023
I 7.i,
Jonathan R. Safter, Secretary
of Office of Supplier Diversity
4050 Esplanade Way, Suite 380
Tallahassee, FL 32399
850-487-0915
www.dms. myfl orida.com/osd
SERUICES
Office of Supplier Diversity
Florida Department of Management Services
Woman B US1NESS Certificatuona
Taalrna L. Duputs
305.331.1673 . Miramar, FL 33027
tab dupuis hotmail.com . https://www.linkedin.com/in /tabatha-dupuis-52808546
PRINT PRODUCTIoN MANAGER. MARKETING MANAGEMENT. AccoUNT AND CLIENT MANAGEMENT
PRoFESSIoNAL SUMMARY
With over 20+ years of career experience in print production, accomplished business development and marketing
professional with deep experience in building valuable relationships. Possess unique knack of earning trust by being a
great listener, understanding what hasn't been said, asking for validation with restatement of work to be performed.
Migrated quickly with print production updates to full adaptation of new technologies including ASl, substrates other than
paper, to adding enhancements to inks, plus many more. Skilled in exceeding client goals for engagement, retention, and
monetization and creating new markets. Sophisticated communicator with impeccable interpersonal acumen and strong
ability to inspire, influence, and liaise effectively with clients at every level while delivering the ultimate customer service
experience. Effective and resourceful team leader with strong communication skills and the ability to translate across to
the customer, organizational, and cultural barriers.
PRoFESSIoNAL ExPERIENcE
NexPub Printing, lnc., Miramar, Florida 2015 - present
Print Production SpecialisUMarketing ManagemenuAccount and Client Management, VP of Sales reporting to
President and Vice President
lnvited to return to bring a level of sophistication to drive increased revenues. Delivers consultative marketing strategies,
working closely with medium to large size businesses and corporations in many industries to smoothly manage crealive
print production for special events, direct mail, promotion offers using state-of-the art offset presses and digital printers.
Manage and exceed client expectations by unwavering client service attention in a highly competitive indultry. Hands-on
and great relations with the entire print production and operations department to achieve on-time delivery of client work,
troubleshooting and resolving unexcepted challenges with ease. strong organizational skills. Responsible for 80% of existing client revenues by providing new quotes, working on new projects and producing
repeat work, assist in maintaining and understanding all inventoried items on warehouse floor, making sure inveitory
was allocated properly for warehouse utility and stored within company database
' Business development through cold calling, meeting clients in person, and through other networking events, honing
existing client partnerships by maintaining constant contact with key individuals
' Maximize profits by determining which print methodology (digital or offset) creates best client outcome, offering most
efficient technique for best bindrng methods, quality control slandards, fulhllment, managing better substrates
' Supervising client files are quality checked prior to print production to avert unexpecteo upiharges or to provide
alternatives for additional fees. Asslst in delivering 1 '10% complete satisfaction, using quality control standardso 200% increase YOY from city municipalities in spite of extraordinarily high client expectations and turnaround times. Co-leader on interviewing vendors for new MIS platform
Premier Printing Solutions, lnc., Miami / pembroke pines, FL
Production Operations Manager, reporting to president and Vice president 2010 - 2015
Managed large clients' business requested for print production while managing the entire production department with 1semployees. Managed business development bymeeting with new clients ano ietained clients to achieve high satisfactionwith print production. Ultimately responsible for Quality Assurance on every print production project, fulfillm6nt and allbindery work. Each day, held morning meetings to manage print product siaius by area.
' Responsible for 909?, ofall client revenues by making sure all quotes were done correcfly, suggesting better ways toproduce a prolect, giving best prices and delivering quality pieces
' lmplemented new procedures to improve functionality of the internal print production department, holding all partnervendors accountable, making sure all internal paperwork are outlined.in full details on every project fronistari to finish,' Responsible for training and mentoring employees not versed in the industry with the basic knowledge of print
prod uction. claents included Miami city Ballet, uM Health, Humana, Jackson Memorial Hospital, Medica, comcast
Tabatha Dupuis Page 2
lmplement HIPPA regulations into company to ensure proper protocol was followed when producing highly sensitive
medical materials and their respective mailings
NexPub Printing, lnc., Miramar, Florida ZOO2 - 2OiO
Prant Production Specialist, reporting to President and Vice President
Oversight of all print production duties. Handles about 80% of existing company's revenues through repeat work, producing new quotes and guiding clients
on new projects, holding in person meetings on a regular basis to maintain relationships.. Achieved tight turnaround times for United Way of Broward County's massive mailings for fundraising and updated
client on postage needed on reserve at the USPS. Served as production manager for the Director of Sales accounts' projects by creating quotes and following all live
jobs from start to finish and ensuring projects were delivered in a timely manner. Creative problem-solver on difficult projects
EDUcATToN
ATI College of Health, Miami, Florida
Diagnostic Ultrasound Technician Program, Summa Cum Laude
Northern Michigan University, Marquette, Michigan
Major: Pre-law / Manor: Criminal justice
Heidelberg GTO 4 color 18", Ricoh Versicolor Digital, Konica Minolta Digital, AB Dick, Heidelberg euick Master 18",
Mistubishi 6 Color 40", Akiyama 6 color 28", Ryobi 2 Colo|17"
Memberships/Activitieso Board Member, The Adoptee Group (TAG), 2019 - present. Guardian Ad Litem Program nestled with the 17th District court (Broward county\, 2oi4 - 2ol7. Band booster organization volunteer, Renaissance Middle school (Broward county), 2013 - 2017. ASap of Wne, Taste of Heaven Committee (pembroke pines/Miramar), ?OO4 -2009,2017. American Red Cross (Miama-Dade Chapter), 2OO3 - 2OO8
Technical Expertise
MS Office (Excel, Outlook, Word)
Various Mac platform programs' terminclogy, Adobe, EpMS, VisualprintLeader, euickbooks
Presses
. F LO
DELIVER TO:
City of Sunny lsles Beach
City Clerk
18070 Collins Avenue
Sunny lsles Beach, FL 33160
REQUESTTO QUALIFY
sEcTtoN 6
BID SUBMITTAT FORMS
..at,
e+l of sulr ^+"
OPENING:2:30 P.M.
Mondan January 9,2023
PLEASE QUOTE PRICES F.O.B. DESTINATION, LESSTAXES, DELIVERED IN
CIry OF SUNNY ISLES BEACH, FLORIDA
NOTE: City of Sunny lsles Beach is exempt from all taxes (Federal, State, and Local). Bid price should be less all
taxes. Tax Exemption Certificate furnished upon request.
lssued by:Purchasing Agent Date lssued:
L2l8l2022
This Bid Submittal Consists of
Pages 31+
Sealed bids are subject to the Terms and Conditions of this Request to Qualify and the accompanying Bid Submittal.
Such other contract provisions, specifications, drawings or other data as are attached or incorporated by reference
in the Bid 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 the supplies or services described in the
accompanying Bid Submittal Requirement.
RTQ 22-12-01
Citywide Printing Services
A Bid Deposit in the amount of O% of the total amount of the bid shall accompany all bids
A Performance Bond in the amounl of O% of the total amount of the bid will be required upon execution of the
contract by the successful bidder and City of Sunny lsles Beach
Procurement Mdnaaer:
Genesis Cuevos
Commoditv Codek):
Firm Nome:
-[rtz Pr?;^rr ftc(Drzq Ltc. atco4a 1.I6.,Rl" k.^r fr.rl47
RETURN ONE ORIGINAL AND FOUR COPIES OF BID SUBMffTAL PAGES AND AFFIDAVITS
FAILURE TO SlGN PAGE27 OF SE TION 4 BID SUBMITTAL WItL RENDER YOUR BID NON-RESPONSIVE
City of Sunny lsles Beach I Request to Qualify No.22-t2-Ol
CTY OF SUNNY ISI.ES BEACH
18070 Collins Avenue
Sunny lsles Beoch, Florido 33160
305.947.0646
www.sibll,net
24
of sult
ACKNOWLEDGEMENT OF ADDENDA
INSTRUCTIONS: COMPLETE PART I OR PART ll, WHICHEVER APPLIES
PART I:
LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS BID
Addendum #1, Dated
Addendum #2, Dated
Addendum #3, Dated
Addendum #4, Dated
Addendum f5, Dated
Addendum #5, Dated
Addendum f7, Dated
Addendum #8, Dated
PART II:
E rro ADDENDUM wAS RECETvED tN coNNECTIoN wtrH THls BtD
r\i I r.Jf FrkcTe,.e VvL 7:tv>L lUCrirt Pa-,NrkFIRM NAME:
AUTHORTZED SIGNATURE: ).a75t.o,u L lr r---DATE: \ d-:.i?r
TITLE OF OFFICER: V F' t, f 11Lt c:,
City of Sunny lsles Beach lRequest to Qualify No. 22-12-01
CffY OT SUNNY ISITS BEACH
18070 Collins Avenue
Sunny lsler Beoch, Florido 33160
305.947.0606
www.sibfl.nel
e+r a+t
sEcTroN 5
BID SUBMITTAI FOR:
25
ot suri
Firm Name: frtU (aZt Ntf 6?vt.er?y VV- C^r- a- ir-Itrftra HZr,.rtr.otr
3E:,O fZ ,ce qbt:l e- 141a1^r ^ w\\v arnrr ayi FU- 38 eaS
Street Address
Mailing Address (if different)
Telephone No. /'lb-t - ba>.c-gie( t",No. qsq .Bqa. S t v,I
Email Address:lgt pka , .t')"\ FEIN No.9sLplPlaJ-g-gl-h/ q
*"By signing this document the vendor qgrees to oll Terms
Signature:
-I"^-1.="-rr-- f- . \-;
(Signature of authorized agent)
Print L . bper-a S
ritle: VF "$ 9"rScs
THE EXECUTION OF THIS FORM CONSTITUTES THE UNEqUIVOCAI OFFER OF VENDOR TO BE BOUND BY THE TERMS
OF ITS SUBMITTAL. FAITURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED
REPRESENTATIVE SHALT RENDER THE SUBMITTAL NON-RESPONSIVE. THE ClTy MAy, HOWEVER, tN tTS SOLE
D!SCRETION, ACCEPT ANY SUBMITTAT THAT INCTUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCAILY B!NDS
THE VENDOR TO THE TERMS OF lTS OFFER.
City of Sunny lsles Beach I Request to Qualify No.22-1,2-01,
CTY OF SUNNY ISI.ES BEACH
18070 Collins Avenue
Sunny lsles Beoch, Florido 33160
305.947.0606
www,sibfl.net
.,ut-*n,F*"
27
NON-COLLUSION AFFIDAVIT
City of Sunny lsles Beach
18070 Collins Avenue
Sunny lsles 8each, FL 33160
Telephone: (305) 947-0606 Faxi (305) 949-3'l'13
STATE OF FLORIDA )
COUNTy OF P>r "w>u a-l
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 lsles 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.
Ihe undersigned is authorized to make this Affidavit on behalf of,
-t h€- R?, '\r{I TO.2
(Name of Corporation, Pannership,lndividual, etc.)
VLt- zLlra Nzr.alr:, t].._r
tTZ r .\rr , ,\e". formed under the laws of F Lcr,aa-
(Type of Business)
of which he is t) ic o l),1 .-,; A elrf
(State)
Neither the undersigned nor any person, firm, or corporation named above 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 derartment or
employee therein, or any officer of the Cily of Sunny lstes Beach, Florida is directly interested therein.
This Bid is genuine and not collusive or a sham; the person, firm or corporation named above has not colluded, conspired, connived or agreed
directly or indirectly with any proposers or person, flrm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall
ref.ain 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 funher; neither the undersigned, nor the person, firm or corporation named above has directly or indirecfly
submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent
thereof.
*)d,c. PeortL";
(Sole Owner, Partner, President, etc.)
AFFIANT'S TITLE
!
AFFIANT'S NAME
(Affix seal here)
TAKEN, SWoRN AND SUBSCRIBED TO BEFORL tvtr tnis.*Oay or-/'
Personally Known LZ or Produced ldentrfication _:
5a.**<*
TJ
20L3
,ih*4',rxw
BIBI K^TEEU HACX
li.PIJD state Florid.Notary
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thBonded ro!gh Notary
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a,
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Type of idenlificalion
SiGr Y+'r".eeu* r**,ctr
NOTARY PUBLIC (name printed or typed)
of
Comftisrion 20E52
Expir€s
Natioo,l
1of 8
ot !uil
PUBLIC ENTITY CRIMES
City of Sunny lsles Beach
18070 Collins Avenue
Sunny lsles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-31 I3
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
PUBLIC ENTITY CRIMES
Pursuant to the provisions of paragraph (Z) (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 FOBM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OH OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted ln /litrr nf rnnrr lslas Beanh
by ? or'c.?r E A 4 wt,t"tt, V r c e -[]ec.:i
Ae$-+
tp*,t,"dt;drdb;;;d tttl"f
for T1tE P,z,'^rr 6r,:r.C*, , Av>a- 1..)€r?;.-4 Rpr*rr.sft
lprint name of entity "rUritting "*o;sl$r"ntl
whose business address is:38ec E r'ecri"l-i.JE t0 tu.l
ttz\ r,tn-vyrAvt- . Ft, 3>- c.tB
2.
and (if applicable) its Federal Employer ldentification number (FEIN) is Z C - osa v,4 w.1
(lf the entity had no FEIN, include the Social Security Number of the individual signing this swornstatement: .)
I understand that a "public entity crime" as defined in Paragraph287.133(1Xg), 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.
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 ol 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.
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
2otB
3.
5.
6.
,/
market value under an arm's length agreement, shall be a prime facie case that one person
conlrols 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 afliliate.
I understand that a "person" as defined in Paru. 287.133(1Xe), Florida Statutes, means any natural
person or entity organized under the laws of any state or ol 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 ol 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.
Based on intormation and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. (lndicate 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
afliliate ol the entity has been charged with and convicted ol a public entity crime subsequent to July 1,
1989.
The entity submitting this sworn statement, or one or more ol its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management ol the entity, or an
atfiliate ol the entity has been charged with and convicted of a public entity crime subsequent to ..tuty t,'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 entiiy, or an
atliliate ol the entity has been charged with and convicted ol a public entity crime subsequent to ..tuty t,1989. However, there has been a subsequent proceeding before a Hearing Oflicer of the State of
Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Oflicer of the
State of Florida, Division of Administrative Hearings and the Final Order eniered 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 linal order.)
IUNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICEB FOR THE
PUBLIC ENTITY IDENTIFIED IN PARAGBAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
THAT THIS FORM IS VALID THBOUGH DECEMBEB 31 OF THE CALENDAFI YEAR IN WHICH IT IS FILED. I
ALSO UNDERSTAND THAT I AM REQUIRED TO INFOBM THE PUBLIC ENTITY PBIOR TO ENTERING INTOA CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA
STATUTES, FOB CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
By Sld) !, V
(Signature)'f tt.t +t \c- L Dtr
(Printed Name)
VP . { ga-\c..
-TtsA
(Title)
Sworn to and subscribed before me this -+^-s day ol J4...,+r eo-)3, uy
sis
a;
nature: N
6l ublic - State of Floridack H.p,<L-
Print or Type Commissioned Name
Produced ldentification
h L. D+Aiis
(AFFIX NOTABY STAMP HERE)
***q.
r{(Sr.i.r..9! r!.:.
BIiI U/TEELT HACX
Not.ry Publi.-St.te of Flortd.
Com,n ri ion t 208ftt 20 21
Type ol ldentif ication Produced
3ol 8
Iy Comn.1,
Signed
EOU AL OPPORTUNITY I
AFFIRMATIVE ACTION
ot ruH
City of Sunny lsles Beach
18070 Collins Avenue
Sunny lsles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-31 13
EQUAL OPPORTUNIW/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.
Title Vi CL
Firm: flte [iarssT ,- I rt'/\rj
Address: 3gao vs-€cc-{-vg- L&A.
M s Lrvrtryr. ttu Z>u-t>
4otB
CONFLICT OF INTEREST
City of Sunny lsles Beach
18070 Collins Avenue
Sunny lsles each, F133160
Telephone: (305) 947-0606 Fax: (305) 949-3113
lamthe !.re Pe<iae,/rt- e1 T$z Par,ur
CONFLICT OF INTEREST STATEMENT
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers
must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or
employee of the City of Sunny lsles Beach or its agencies.
STATE OF FLORIDA
COUNTY OF Pn<,,u*,',\-
BEFORE ME,the undersigned authority, personally appe.r"6 Por.r- + E Dk,n,t
who was duly sworn, deposes, and states:
7 Frt fl^" \ LL2-with a local
office in Ivr r.
in \.\\,{ d,t\^ar'
2. The above named entity is submitting a Bid for the City of Sunny lsles Beach,Bid No. aa -l>- ot
described as (;\wi,^c P,,,>..g :-k2Jia<< The Affiant has madediligent
inquiry and provides the information cofit6ined in this Affidavit based upon his own knowledge.
3. The Affiant states that only one submittal for the above Bid is being submitted and that the above named
entity has no financial interest in other entities submitting Bids for the same project.
4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement,
participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection
with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the
completion of negotiations jf necessary and execution of the Contract for this project.
8. I certify that no member of the entity's ownership or management, or staff has a vested interest in any
aspect ofthe City of Sunny lsles Beach.
9. ln the event that a conflict of interest is identified in the provision of services, l, on behalf of the above
named entity, will immediately notify the City of Sunny lsles Beach.
Dated this 5 day of -Ia-rrv*rv\,2 o>36{E*\a,*.ua,,- L . S-.-:n r*4 L.I Lat S VPcf (a-tcs
AFF IANT Print or Type Name and tle
5wol6 to and subscribed b
E/ Personally Known, OR
.'1^
efore me this .<day of 5+**a<q-
E Produced ldentification - Type of ldentification
6rBr y-h^geu\ \{Bc#-
a.20
StBll(lrEEu HACX
Notary Publi( - tt!t. of Florid!
Emd€d through National tlotiry Atln,
y Coftln. Erplrar 1,2021
, HH 20852NOTARY PUBLIC STATE OF FLORIDA
5of8
0
and principal office
5. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise
ineligible from participation in contract letting by any local, State, or FederalAgency.
6. Neither the entity, nor its affiiiates, nor anyone associated with them have any potential conflict of
interest due to any other clients, contracts, or property interests for this pro.iect.
7. I certify that no member of the entity's ownership or management is presently applying for any employee
position or actively seeking an elected position with the City of Sunny lsles Beach.
lr-
DISPUTE DISCLOSURE
City ol Sunny lsles Beach
18070 Collins Avenu€
Sunny lsles Beach, FL 33160
Telephone: (305) 947-0606 Fex: (305) 949-3113
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 tt'
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 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.
NO ,r/
l'frz Prz r r".r1- F*L r*t
Firm
L rrL <- fJ6rflr6 ol-OE..t+
Date
{crs-a-+^c. L
Print or Type Name and Title
t rcl"L,!\rs
Authorized Signature
6of8
DISPUTE DISCLOSURE FORM
Answer the following questions by placing a "X" after "Yes" or "No". If you answer..yes,,, ptease
explain in the space provided, or on a separate sheet attached to this form.
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 7
Pr,"t\
Ot 5uS
A NTI-KICKBACK
City of Sunny lsles Beach
18070 Collins Avenue
Sunny lsles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-31 .1 3
ANTI.KICKBACK AFFIDAVIT
STATE OF FLORIDA
COUNTY Qf $rovot".?v
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
(-
J"^,, ua'ttc. L tl-'--
Title: VP of aa)es
The foregoing instrument was acknowledged before me this t day of
by Iname, for[type of authority]
of pafi on behalf of whom instrument was
executedl
AFFIX NOTARY STAMP HERE
of Florida
6;sL par tec* ilAzf
Print or Type Commissioned Name
Personally Known OR Produced Identification
Type of Identification Produced
)
)
)
ASof
SIBI NA}TEELA HACK
Notrry Public . St.te of Florld!
Commirelon # HH 20852
f,y Comm. Erpir* Oct 4, 2024
Bonded through Nation6l Xotary Asrn,
7 ol8
E-Verifv Affidavit
Florida Statute 448.095 directs all public employers, including municipal governments, to verify the
employment eligibility of all new public employees through the U.S. Department of Homeland Security's E-
Verify System, and further provides that a public employer may not enter into a contract unless each pafi
to the contract registers with and uses the E-Verify system.
Florida Statute 448.095 further provides that if a contractor enters into a contract with a subcontractor, the
subcontractor must provide the contractor with an affidavit stating that the subcontractor does not employ,
contract with, or subcontract with an unauthorized alien.
ln accordance with Florida Statute 448.095, all contractors doing business with the City of Sunny lsles
Beach are required to verify employee eligibility using the E-Verify system for all existing and new
employees hired by the contractor during the contract term. Further, the contractor must also require and
maintain the statutorily required affidavit of its subcontractors. lt is the responsibility of the awarded vendor to
ensure compliance with E-Verify requirements (as applicable). To enroll in E-Verify, employers should visit
the E-Verify website (https://www.e-verifu.gov/emplovers/enrollins-in-e-verifv) and follow the
instructions. The contractor must, as usual, retain the I-9 Forms for inspection.
By affixing your signature below you hereby affirm that you will comply with E-Verify requirements.
r*tf 6*t C-- Al.J'cL- l\r,:)a-t
Name
t lsl "a2-3SignatureDate I I
{a frr*- ?o<.,',d,J
Title
BC- - aoe-'v€ty.e4
Federal Employer ldentification Number (FEIN)
Notarv Public lnformation
Sworn to and subscribed before me on this tnis -* oay of 5a.n".arw\2023
6
By P,oba* eAa t,ro.n
{'
J
ls personally known to me
tr Has produced identification (type of identification produced
re of
9't € gL$r D "t ' Lt r 1n?-Lp
Expiratiof Date
,',ffi BIBI K.A}TEELA HACK
Notary Public - State of Floridr
Commission # HH 20852
lly Comm. Expires oct 4, 2024
Sonded through National Notary Assn
Print or Stamp of Notary Public
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)