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Title Page Original Disaster Debris Management and Disposal Services Proposal for: 23-04-01 F�C? City of Sunny Isles Beach 18070 Collins Ave, 1St Floor Sunny Isles Beach, Florida 33160T Tuesday May 16, 2023 11:00 A.M. Contact Information: Greg Gathers 6021 SW 29th St. PMB #130 Topeka, KS 66614 (785) 478-9805 — Office (785) 478-4195 — Fax ggathersactcdisaster.com www.ctcdisaster.com (Office locations in Kansas, Alabama, Florida & Texas) TransmittalLetter................................................................................................................................................................3 CompanyInformation............................................................................................................................................................................9 5 Summary....."" 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III seems me Soso Deep too mass of*#*** Do see I ON 5 Reimbursement Knowledge and Experience.............................................................................................................................6 Qualificationsand Requirements........................................................................................................................................................... 8 IndustryAssociation Memberships........................................................................................................................................16 References, Past Performance, List of Work in Progress, & List of Area Awarded Contracts.....................................................17 PersonnelExperience and Qualifications............................................................................................................................................29 Trainingand Certifications....................................................................................................................................................29 Resumes.......,.,,,,,, ............... ............... . . . . . . . . . . . . . . . p I p a 0 a 0 p 0 0 0 a & 0 p , a 0 4 0 0 a 0 a 0 0 , a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a a 0 1 a 0 p a 0 0 p a a 0 a . . . 0 . . . . 0 31 Project Understanding and Technical Approach............................................................................................................................... 35 Pre -Event preperation...........................................................................................................................................................35 Pre -Event Coordination Response Time.................................................................................................................................39 TechnicalApproach Post Disaster.........................................................................................................................................41 TemporaryDebris Site (TDS) Plan........................................................................................................................................45 VehicleInspection Tower Info..............................................................................................................................................47 DebrisRemoval Guidelines...................................................................................................................................................49 Ownedand Leased Equipment.............................................................................................................................................. 51 SubcontractingPlan..............................................................................................................................................................53 Localand Minority Participation...........................................................................................................................................55 AffirmativeAction Plan........................................................................................................................................................56 Safetyand Quality Control Plan............................................................................................................................................59 Exceptions........................................................................................................................................................................... 7 5 Lettersof Recommendation..................................................................................................................................................76 PriceProposal and Required Forms.................................................................................................................................................... 87 Page 2 of 87 � (aw* TRANSMITTAL LETTER City of Sunny Isles Beach Sunny Isles Beach Government Center Attn. City Clerk 18070 Collins Ave., I't Floor Sunny Isles Beach, FL 33160 May 16, 2026 RE: 23-04-01 Disaster Debris Management and Disposal Services To Whom it may concern, CTC Disaster Response, Inc. (CTC), formerly known as Custom Tree Care, Inc., is pleased to submit our proposal for the ITB 23-04-01 Disaster Debris Management and Disposal Services. CTC has been in business for over 24 years and has completed over $200,000,000 in Debris Removal Operations, with a combined Executive and Management team experience of over 70 years. CTC has operated as prime contractor in the recovery of over 150 major catastrophic events in 27 states performing ROW Debris Removal, Tree Trimming and Removal, PPDR, Waterway and Marine Debris Removal, TDS Reduction and Management, and other specialty types of debris removal. We meet or exceed all requirements of this RFP. With our experience, we can streamline the recovery process, while maintaining our 100% safety record. We have also been able to develop and streamline debris removal, reduction, and disposal to ensure that our teaming partners and the community receive the best benefits of our experience. CTC has never failed to complete a project and has never defaulted on any contract. We hold ourselves to the highest standards of quality and professionalism. Our past performance is excellent, and we will strictly adhere to all requirements of this project including program standards as provided in FEMA's "Debris Management Guide." CTC is registered to do business in the State of Florida and has completed several contracts of this nature in the past for DOT's, School Districts, Municipalities (cities and towns), counties, states, and the federal government. CTC has the resources to manage all disaster debris operations for all entities we are contracted with. Our staff is trained in USAGE, OSHA, ANSI and FEMA standards and all work practices will conform to these standards. We adhere to FEMA requirements for reimbursement documentation. If awarded, we will provide all additional documentation required. We look forward to the opportunity to serve your needs. Page 3 of 87 Respectfully, Greg Gathers President/CEO M W -4172A The following individuals have the authority to bind CTC Disaster Response, Inc. in all representations of this proposal. Greg Gathers, President/CEO (785)221-7550 ggathers(c�ctcdisaster.com Jeremy Britton, Chief Operating Officer (256)7494 886 jbritt on cr,ctcdisaster.com Page 4 of 87 SUMMARY CTC Disaster Response, Inc. is experienced in all aspects of debris response, recovery, and management. ➢ Founded in 1999 ➢ Incorporated in Kansas in 2001 ➢ FEIN:48-1245968 ➢ DUNS: 141755772 ➢ E -Verify: 588603 ➢ Cage Code: 30CP1 ➢ Within the last 10 years CTC has not been involved in any litigation as a defendant pertaining to debris removal. ➢ CTC has had no license sanctions. ➢ CTC has not ever filed for bankruptcy. ➢ CTC is not currently, nor has ever been disbarred from debris removal operations. ➢ CTC has never defaulted on a contract, been terminated, or failed to complete any work awarded. With office locations in Kansas, Alabama, Texas and Florida, CTC can strategically and immediately respond to any event in any location in the continental United States. KS — 6021 SW 29'x' St. PMB #130, Topeka, KS 66614 785-478-9805 AL -1880 Radio Road, Alexander City, AL 35010 256-7494 886 TX — 12 Greenway Plaza, Suite 1100, Houston, TX 77046 FL — 2598 E. Sunrise, Suite 2104, Ft Lauderdale, FL 33304 Page 5 of 87 REIMBURSEMENT KNOWLEDGE AND EXPERIENCE CTC's team has worked with many states, counties, cites, and monitoring firms to ensure the maximum reimbursement possible. Guidelines for debris removal procedures are clearly defined in the FEMA 325 manual, and each member of our team has familiarized themselves with those guidelines. In most large disaster reimbursement related situations, the municipality will enter into a contract with a debris monitoring firm. However, they have the option to monitor the project themselves, in which they will be assisted by our qualified FEMA specialists. If the City of Sunny Isles Beach, FL chooses to monitor the project themselves, CTC will provide: • Training in FEMA's Debris Management Guide • Training in FEMA's Public Assistance Program and Policy Guide (PAPPG) • Placards for Equipment • Seven Piece Carbon Copy Load Tickets • Trucic Certification Forms • Force Account and Equipment Forms • Proper Personal Protective Equipment • Global Positioning Systems • Digital Cameras • Daily Reports • Adequate personnel for data entry/documentation With CTC's experience on 150+ FEMA reimbursed projects our process and procedures are implemented in a way that the Applicant's federal reimbursement is maximized. CTC understands the rules, regulations and policies required to meet FEMA guidelines. Page 6 of 87 W-9 FROM - -- Form W-9 (Rev. October 20 16) Dopo"manl of the Treasury Internal Revenue Service ZTC ► _ •0t /I Request for Taxpayer Identification Number and Certification ► Cdo to www.lrs.gov/ForinW9 for instructlona and file telco( Informatlon. i rvemo les snown on your income tax relurr on Custom Tree Care, Inc. 2 Business name/disregarded entity name, I' CTC Disaster Response, Inc. y 3 Chock appropriate box for fedora) tax clossificolion of the poreon whose nomo is entered on lino 1. Chock only ono of iho following seven boxes, n o ❑ Individual/sole proprietor or C Corporation ElS Corporation ❑ Partnership E3Trust/estate ai singlo-member LLC Exempt 0 ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) `o Note: Check the appropriate box in the lino above for the tax classification of the single -member owner. Do not check LLC If the LLC Is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC Is another LLC that Is not disregnrded from the owner for U.S. federal tax purposes. Otherwise, a singte-member LLC the Is disregarded from the owner should chock the appropriate box for the tax classification of its owner. E] Other (see Instructions) ► (MPr•• 6 Address (number, street, and apt, or suite no.) Seo Instructions. Requester's name u)6021 SW 29th St. PMB#130 6 Cily, state, and ZIP code Topeka, KS 66614 4 Exemptions (codon apply only to cortoin entities, not Individuals; see Instructions on page 3); 0, Give Form to the requester. Do not send to the IRS. payee code (If ony) Exemption from FATCA reporting code (II any) ro •ccounn mrinrrNb •uaw• IM U.ef Enter your TIN in the appropriate box. The TIN provided must match the name given on Ilne 1 to avoid I Social security number backup withholding. For Individuals, this Is d entity, your social security number , late . However, for o — m — resident ellen, sole proprietor, or disregarded entity, see lite Instructions for Part I, later. For other entities, it Is your employer Identification number (EIN). If you do not have a number, see How to get a 'IN, later. or Note: If the account is in more than one name, see the Instructions for line 1. Also see What Name and I Employer Identification number Number To Give the Requester for guidelines on whose number to enter. 4 8 -1 11 2 4 5 9 6 8 ■'lTia1■ certification Under penalties of perjury, I cert ify lflal: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting fora number to be Issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or outer U.S. person (defined below); and �. The FATCA code(s) entered on this form (if any) Indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out Item 2 above If you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage Interest paid, acqulsltlon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required to slgWhegertlflcation, but you must provide your correct TIN. See the Instructions for Part 11, later. Sign Signature of Here U.S. parson► General Instructions Section references are to the Internal Rovenuo Code unless otherwise notedI Future developments. For the latest Informatlon about developments related to Form W-9 and Its Instructions, such as legislation enacted after they were published, go to www.1rs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an Informatlon return with the IRS must obtain your correct taxpayer Iden111icalion number (TIN) which may be your social security number (SSN), Individual taxpayer Identification number (ITIN), adoption taxpayer Identification number (ATIN), or employer Identification number (EIN), to report on an Information return the amount paid to you, or other amount reportable on an Information rolurn. Examples of Information returns includo, but are not limited to, the following. • Form 1099 -INT (Interest earned or paid) • Form 1099 -DIV (dividends, Including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-© (stock or mutual fund sales and certain other transactions by brokers) • Farm 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan Interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Forin 1099-A (acquisition or abandonment of secured property) Use Form W-9 only If you are a U.S. person (Including a resident 611en), to provide your correct TIN. l/ you do not return Form W-9 to the requester with a TIN, you might be sub/ect to backup withholding. See What Is backup withholding, /afar. Cat. Data Ow 1/20/2023 No. 10231X Form W -g (Rev. 10.2016) Page 7 of 87 State of°Florida Department of State I certify from the records of this office that CUSTOM TRLE CARE, INC. is a Kansas corporation authorized to transact business in the State of Florida, qualified on June 23, 2015. The document number of this corporation is F15000002741. I fiu•ther certify that said corporation has paid all fees due this office through December 31, 2022, that its most recent annual report/uniform business report was filed on April 21, 2022, and that its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given ander my hand and tl:e Great Seal of t/se State of Florida at Tallahassee, the Capital, this the 7/iif filst day ofJanuaiy, 2023 cr: 77095G3G40CU To authcntiaite this ccrtificnte,visit the following sitc,entcr this nwnher, and then follow the instructions displayed. haps://servicess unblz.m•g/fillings/CcrtificatcOfStatus/CcrtlficateAuthen tication Page 8 of 87 WAIMARF/ I STATE OF KANSAS OFFICE OF SECRETARY OF STATE SCOTT SCHWAB I, SCOTT SCIIWAB, Secretary of State of the state of Kansas, do hereby certify, that according to the records of this office. Business Fntity ID Number: 3019742 Entity Name: CTC DISASTER RESPONSE INC. Entity Type: DOM: FOR PROFIT CORPORATION State of Organization: KS was filed in this office on May 21, 2001, and is in good standing, having fully complied with all requirements of this office. No information is available from this office regarding the financial condition, business activity or practices of this entity. In testimony whereof I execute this certificate and affix the seal of the Secretary of State of the state of Kansas on this day of March 24, 2023 SCOTT SCHWAB SECRETARY OF STATE Certificate ID: 1257954 - Zb verify the validity of this certificate please visit https://www.kansas.g�ess/flow/validate and enter the certificate ID number, Page 9 of 87 ZTC MIAMI•DADE Department of Solid Waste Management 2023-2024 EMERGENCY DEBRIS REMOVAL GENERAL HAULER REGISTERED VEHICLE 24 EXPIRES 2ii24 Page 10 of 87 rM DISASTEM-PESP_QNSE The International Society of Arboriculture Hereby Announces That CVatLte�s Has Earned the Credential ISA Certified Arborist By successfully meeting ISA Certified Arborist certification requirements through demonstrated attainment of relevant competencies as supported by the ISA Credentialing Council Caitlyn Pollihan CEO & Executive Director 4 February 2001 Issue Date d ANSI NallonalAwedilallon Board A C C R E D I T E D PERSONNEL CERTIFICATION BODY X0877 ISA Cettiliod Arborist 30 June 2025 Expiration Date ivI1V-4172A Certification Number Page 11 of 87 CTC Z o �i pud f0 -�_-1 O 7 H O O rDo X o �n -s c Q (D m O — - V) O N o ru IID 1 3 D Z3 z cni mo _ z Q S`' j� - �m 2 c in Mca o Cl v r \ ` �7 = c m= ti m — v�� T1 m z m os o ``. �' ti A R, \I cu n nj rD m z O o 0 n co rn z r y fi �Lcm m 0 C m D 0 Q o V)o z N. w'1igri � i� t y ro Page 12 of 87 _ awlem.11111 /I Emergency Management institute FEMA 1'hiH Ccrll ficulc ol•Aohiovomunt In to ncicnowladgo Clint GRtEG C3A't';-1Lits hna reat7lrnaud n dC(I(Cn[(nfl l0 AOI'Ve ila 1i11teH of UI'IMIN through eontinuud t>Ibit.aNlOnlll dovolopmont and complotion of lho indopundunl Nludy eourau: l)at>r[x Mnn nµamont 1'[nn "evatnlalnulll Lceu.•d Ifffmsea Veit IJ,h Oay t{/'IA¢.ru,p•V: 3HIx -,wZaR CI'1't� I�a i.nS4�>(1, Ile l®I Acitrin UelwtY w Ml.e n u,M1 tACI'COU Iu,leVw,t t.lnuapeule.tl lu.lituta Emergency Management institute Atl.P.t,r- '%��� FEMA 'Thies Cnrtt licnlc oT Aclalcvcmcnt IH to nclutowlodgo dant .1 Lr 12LMY 12 lila t't"t'ON huN reulYh•mnd it dedication to Servo ht timoa oT crisis through oonthanod pt•n ltaHHionnl development and completion of Clio indopondunt aludy courau: t FS-IIt[Iln ua llrdn llctlnIn ""Ile Alto 1•n tlnua _ /�•✓�_ I N114VI III/r 11/1 L>ta • }/Nutwutf,ut: ]f/I L / wll 1 w/ ). tllttuutt Deputy Hupethnentlam 42 IACIM CUU Itmalue,tur A/nmytmttoul otall..te ItuJa,el eutV,uvuaY ItttutW W„tY,tl Alluttuy Page 13 of 87 Z 4 TC # _ •1L /I CERTIFICATES OF INSURANCE Atbjw°Ro CERTIFICATE OF LIABILITY INSURANCE DAT2113/2nd O 3ry) 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Best Insurance Group Inc. P.O. Box 67 Trussville AL 35173 INSURED CTC Disaster Response, Inc. 3722 Southwest Spring Creek Lane Topeka KS 66610-1221 INSURER E: dconnel I � be stinsg rp.co m INSURER($) AFFORDING COVERAGE NAIC # American Interstate Insurance Comnanv 31895 COVERAGES CERTIFICATE NUMBER:3D5039415 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY MMIDDIYYYY EFF POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR DAMAGE TO REMED PREMISES CR arunence S MED EXP one n S PERSONAL 8 ADV INJURY S GENL AGGREGATE UMIT APPLIES PER: GENERALAGGREGATE S POLICY I j JJEE-CCT I.. 7 LOC PRODUCTS-COMP/OP AGO S OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE U MIT Ea accident 5 BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S PROPERTY P DAMAGE S HIRED NOH -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LWB CLAIMS -MADE AGGREGATE S DED RETENTIONS $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AVVVCKS3157822023 AVVVCKS3157822023 21122023 2/122023 2/12/2024 2/122024 X I S'iROTH- UTE ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIM EMBEREXCLUDED7 NIA E.LEACHACCIDEM $1,0001000 (Mandatary In NH) 151. DISEASE - EA EMPLOYEE 511000,000 If yyees, desuibe under OESCRIP ION OF OPERATIONS below E.L. DISEASE, POLICY LIMIT $1,000,000 DESCRIPTION OFOPERATIONSI LOCATIONS (VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) Officer/Members excluded from Work Comp: Maura Gathers Work Comp - Florida, Mississippi, Oklahoma, Oregon, Kansas, Georgia, North Carolina, Texas, Indiana, CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. FOR BIDDING PURPOSES ONLY. AurHORIZEDREPRESENTATIVE CTC DISASTER RESPONSE INC. ©1888-2015 ACORD CORPORA ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD All rights reserved. Page 14 of 87 • _ ,.:T .1 / I /�� CUSTTRE-03 ,4tltw 0 CERTIFICATE OF LIABILITY INSURANCE 17c\ixllr ;rf77Tu➢'l'. TNIS 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 BYTHEPOLICIES 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 have ADDITIONAL INSURED provisions or be endorsed. If SU BROGATION 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). PRODUCER Peoples Insurance Group 1416 SW Topeka Blvd Topeka, KS 66612 INSURED CTC Disaster Response, Inc. 6021 SW 29th St. PMB #130 Topeka, KS 66614 COVERAGES Cy�i119Fie���llr1�71 clq:ii a ExI): (785) 271-8097 � jac, No): ss: drowe@peoplesinsure.com INSURER(S) AFFORDING COVERAGE l NAIL a: INsuRER B:Cincinnati Insurance Company INsuFIER C: Evanston Insurance Company f:7�lF�IFI;1dIT ,1'�I:ldii 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 SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE ADOL SUB VD POLICY NUMBER PWDDNYFF PWODN XP LIMITS A GENERAL LIABILITY EACH OCCURRENCE S 110D01000 CLAIMSMADE � OCCUR CSU 0203709 2/14/2023 2/1412024 DAMAGE TO RENTED 100,000 PROJISES Ea occur er ce S MED EXP (Anyone Person) 5 5,000 7MERCIAL PERSONAL d ADV INJURY S 110000000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY ❑X JELOC GENERAL AGGREGATE S 21000,000 PRODUCTS - COMP,OPAGG S 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CEOMBIINaccNEEDISINGLE LIMIT S 11000,000 X BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED EBA0677479 2/14/2023 2/14/2024 AUTOS ONLY AUTOOSWNEp INJURY Per accident)$ -BODILY PeoaPcc�ideTMPAMAGE S AUTOS ONLY ATOS ONLY ', B X UMBRELLALWB X OCCUR EACH OCCURRENCE S 53000,000 EXCESS LIAR CLAIMS -MADE I ENP 0677479 2114/2023 2/14/2024 AGGREGATE S 51000,000 DED', RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LWBILITY YIN STATUTE EORH ANYICE � NIA E. L. EACH ACCIDENT .S (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S A Excess Liablllty-GL CSU 0203791 2/14/2023 2/1412024 Limit 510009000 C Pollution Liability CPLMOL116336 2/14/2023 2/14/2024 Limit 21000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached If more space Is required) LIR Equipment Coverage - $420,000 Insured Copy For Informational Purposes Only ACORD 26 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 15 of 87 INDUSTRY ASSOCIATION MEMBERSHIPS Current Industry Association Memberships Arkansas Emergency Management Association http: //li7ivi r. ar•kansas-ema. org Better Business Bureau http:/hviilii7. bbb. or g Emergency Management Association of Texas http: //i vww. ernat-tx. or•g Florida Emergency Preparedness Association http: //tviviv fepabeta. org International Association of Emergency Managers http: //iaem. coni International Society of Arboriculture http: //uiiiiin. isa-arbor. com Iowa Emergency Management Association hUp: //iowaema com Kansas Emergency Management Association http. //ivloiv. kens, org Louisiana Emergency Preparedness Association http://lepa, org Missouri Emergency Management Association http: //lvwiv. mo-ema. or g National Emergency Management Association http: /hvtiviv. nenraiveb. org North Carolina Emergency Management Association http: /h viriv. ncenra. net Oklahoma Emergency Management Association http: //ivu�iv. oema. us South Carolina Emergency Management Association http: //ivivu�.scemaonl ine. org Tree Care Industry Association hltp: //tcia. org Virginia Emergency Management Association l�ttp: //u�iru�. vemmi�eb. org Page 16 of 87 City Three Derek Veit Board of Park 152 Trees Quadrant Commissioners 1900 N Clinton St. Commis IN of City si Fort and Stump Tree and NA 4/25/2023 161,922 Fort Wayne, IN 46805 Wayne Removal Stump (260) 427-6400 Removal Derek.veit@cityoffortwayne.org Jim Gray Debris 1424 N Main St. TX City of Taylor Removal Ice Storm 7651717 3/25/2023 41794,881 Taylor, TX 76574 (512)352-5818 Jim.gray@taylortx.gov Vegetative Chris Breeze Seminole Hurricane 400 E Lake Mary Blvd, FL Count Debris Ian y Public Removal 9/20/2022 $2,944,410 Sanford, FL 32773 Schools and Disposal (407) 320-7453 breexecz@scps.k12.fl.us Hurricane Steven Kelly Initial Road Ian and 9/2/2022 801 N Broadway Ave. FL FLDOT Push Nicole 11/20/2022 $341,715 Bartow, FL 33803 DR -4673 / (863)519-2762 D-4630 stevenkelly@dot.st.fl.us Flood Jessie Wallace Humphreys Related 3,334 102 Thompson St. County Debris Tons TN Flood 05/11/22 $296,753 Waverly, TN 37185 Removal (931) 296-7795 jwallace@humphreystn.com Corey Burket City of Storm Debris 17,000 210 Pearson Ave. Waverly Removal Tons TN Flood 05/05/22 $1,351,500 Waverly, TN 66871 (931)296-2101 csburket@yahoo.com Keith Hemel New Orleans Debris Hurricane 1 Palm Dr. LA Park IMP. Removal Ida 09/19/21 $775,774 New Orleans, LA 70124 ASSN. (504) 483-9492 DR -4611 khemel@nocp.org MS Warren County Debris Removal John Elfer and Disposal Sever Winter Storm 19,777 04/12/21 CY $317,047 913 Jackson St. Vicksburg, NIS 39183 (601) 636-1544 Johne@co.warren.ms.us Page 17 of 87 ::Tc • _M1111111141/I City of Emergency Hurricane 216,689 MS Waveland Debris Zeta CY Disposal DR -4576 City of Emergency Oklahoma Street Severe 13 799 OK City -Public Access Tree Winter Tons Works &Debris Storm Removal DR -4575 City of Debris Severe 56,827 OK Oklahoma Removal Winter Tons City - Utilities Storm DR -4575 OK City of the Debris Winter Severe 33,227 Village Removal CY Storm DR -4575 Post September CO City of Disaster Snowstorm 521331 Boulder Debris CY Collection Non declared New Orleans Debris Tropical LA Park IMP. Removal Storm Zeta ASSN. EM -3549 FL University of Debris Disaster Hurricane 81245 West Florida Sally CY Removal DR -4564 03/20/21 02/14/21 02/13/21 12/15/20 11 /25/20 11 /09/20 10/26/20 Mickey Lagasse 301 Coleman Ave. $1,864,747 Waveland, MS 39576 (228) 467-4134 mickey.lagasse1990@outlook.com Derek Johnson 1621 S Portland Ave. $1,2201524 Oklahoma City, OK 73108 (405)297-1517 derek.johnson@okc.gov Don Maisch 420 W Main St. Ste. 5 $5,0261386 Oklahoma City, OK 73102 (405)297-3140 don.maisch@okc.gov Bruce Stone 2304 Manchester Dr. $262,511 The Village, OK 73120 (405)529-00001 bruce_stone@thevillageok.org Jeff Haley 1777 Broadway $7523659 Boulder, CO 80302 (303) 413-7233 haleyj@bouldercolorado.gov Keith Hemel 1 Palm Dr. $208768 New Orleans, LA 70124 (504) 483-9492 khemel@nocp.org Phillip Etheridge 11000 University Pkwy. $5551335 Pensacola, FL 32514 (850) 390-3935 petheridge@uwf.edu Page 18 of 87 ::Tc ► _ �� /I IA City of V Debris e 20,399 Dave Hunt Bertram Derecho CY 10/20/20 $222,274 (563) 920-2870 Removal & Dhunt2003@gamil.com Disposal DR -4557 Tom Brown Debris 1 785 304 S Water St. IA City of Madrid Removal & Derecho CY 10/17/20 $36,063 Madrid, IA 50156 Disposal (515) 795-3930, DR4557 mayor@madridiowa.org Debris Stephen Mayne Tama County Removal, 2,565 2283 Park Rd. IA Conservation 10/10/20 Reduction & Derecho CY $109,804 Toledo, IA 52342 Board Disposal (641) 484-2231 DR -4557 tccb@tamacounty.org Debris IA City of Toledo Removal, Derecho 45,312 10/04/20 $468,016 Reduction & CY Disposal DR4557 Brian Sokol 1007 S Prospect Dr. Toledo, IA 52342 (641) 484-2160 or@toledoiowa.gov Debris City of Removal, 15,521 319 2"d St. IA Gladbrook Reduction & Derecho 1 10/03/20 $185,571 Gladbrook, IA 50635 Disposal (641) 473-2582 DR -4557 Debris Alyssa Hoskey IA City of Tama Removal, Derecho 1691609 09/29/20 $1,447,556 305 Siegel St. Reduction & CY Tama, IA 52339 Disposal DR4557 (641) 484-3822 Willacy Debris Hurricane 2,006 Frank Tomes County Removal CY TX Hanna 09/15/20 $13,641 (956) 689-5456 willems@prontonet.net EM -3530 Page 19 of 87 Hurricane TX City of Debris Hanna Raymondville Removal EM -3530 City of Storm Debris MS Corinth Removal & Disposal Debris Tropical MS Lee County Removal Storm Olga Debris TN Wilson Clearance, County Removal & Disposal Tornado Debris TN Putnam Clearance, County Removal & Tornado Disposal CTC _ 0► /I Gilbert Gonzales 42,327 142 S 7th St, CY 09/15/20 $262,831 Raymondville, TX 78580 (956) 689-2443 ext 1408 mayor@raymondvilletx.us 181,461 06/19/20 CY $1,955,762 138,770 06/01/20 CY $2,850,608 35,400 06/01 /20 CY 76, 521 05/01 /20 CY $650,971 $728,690 Clayton Mills 2)415-0855 cm_@bellsouth.net Lee Bowdry P.O. Box 1785 Tupelo, MS 38802 (662) 432-2950, Ibowdry@co.lee.ms.us Aaron Maynard 228 E Main St. Lebanon, TN 37087 (615) 443-2630 maynarda@wilsoncountytn.gov Randy Porter 300 E Spring St. Cookeville, TN 38501 (931) 526-2161 randy. porter@putnamcountytn.gov Debris James Mills City of Clearance, 45606 45 E Broad St. TN Cookeville Removal & Tornado , 3 05/01/20 $446,716 Cookeville, TN 38501 Disposal CY (931) 520-5241 jam@cookeville-tn.gov TN City of Debris Tro ical Waverly Removal p Storm Olga 22,558 04/03/20 CY Corey Burket 210 Pearson Ave. $2001631 Waverly, TN 66871 (931) 296-2101 csburket@yahoo.com Page 20 of 87 Tornado Chad Voigt Douglas 3755 E 25th St, KS Count Public Disaster 09/01/19 County Debris $144,997 Lawrence, KS 66046 Works Removal (785) 832-5293 cvoigt@douglascountyks.org Tree Michelle Distler /Steve Bialek City of Trimming & 11110 Johnson Dr. KS Shawnee, KS Emergency 06/01/19 Varies Shawnee, KS 66203 Tree Debris (913) 634-5883 Removal mdistle@cityofshawnee.org Randy Cantor Vegetative & Hurricane 3820 Bridges St. Carteret Removal Florence 49,861 $353,340 Ste. D NC County CRDebris CY 03/13/19 Morehead City, NC 28557 ReDR-4393 (252) 728-8545 randy.cantor@carteretcountync.gov Tim Buck Vegetative & Hurricane 302 Main St. CY NC Pamlico C&D Debris Florence 98'278 02/25/19 $847,214 Bayboro, NC 28515 County Removal (252) 745-3133 DR -4393 tim.buck@pamlicocounty.org Don Sisko Town of Hope Vegetative & Hurricane 8 479 5770 Rockfish Rd. NC Mills C&D Debris Florence CY 02/05/19 $65,288 Hope Mills, NC 28348 Removal (910) 429-3384 DR -4393 dsisko@townofhopemills.com Athina Williams Vegetative & Hurricane 63 River Rd. NC Town of C&D Debris 47,735 Belville Florence CY 12/11/18 $345,365 Belville, NC 28451 Removal (910) 371-2456 DR4393 townadministrator@townofbelville.com Mary C Coker Broward Debris 600 SE Third Ave. FL County Removal & 11/30/18 $1,491,665 Ft. Lauderdale, FL 33301 Schools Disposal (754) 321-0505 mary.coker@browardschools.com Page 21 of 87 Zach Steffey Vegetative & Hurricane 102 Dolphin St. NC Town of Cape C&D Debris 87'698 Carteret Florence CY 11/19/18 $566,344 Cape Carteret, NC 28584 Removal (252) 393-8483 DR -4393 zsteffey@capecarteret.org Brian Stanberry Town of Vegetative & Hurricane 60,598 1121 N Lake Park Blvd. NC Carolina C&D Debris Florence CY 11/15/18 $339,387 Carolina Beach, NC 28428 Beach Removal (910) 458-8291 DR -4393 brian.stanberry@carolinabeach.org Noelle Woods Wayne Debris Hurricane 224 E Walnut St. NC County Removal Florence 49 CY 11/13/18 $35624 Goldsboro, NC 27530 (919) 705-1714 DR -4393 noelle.woods@waynegov.com Mark Eakes Town of Vegetative & Hurricane 48,470 701 Front St. NC Beaufort C&D Debris Florence CY 11/05/18 $372,332 Beaufort, NC 28516 Removal (252) 904-6477 DR -4393 m.eakes@beaufortnc.org Jayne Calhoun Vegetative & Hurricane 427 Sherwood Ave. CY NC Town of C&D Debris Florence 46,007 11/01/18 $287,926 Cedar Point, NC 28584 Cedar Point Removal (252) 393-7898 DR -4393 jcalhoun@cedarpointnc.org Tim Owens Town of Vegetative & Hurricane 9 895 321 Causeway Dr. NC Wrightsville C&D Debris Florence CY 10/26/18 $1213579 Wrightsville Beach, NC 28480 Beach Removal (910) 239-1700 DR -4393 towens@towb.org City of Emergency Barry Levine TN Memphis Storm Debris 06/30/18 $136,632 (901) 237-2805 Removal Page 22 of 87 South Kevin Hart FL Broward ebris Removal & Hurricane 11110 6591 SW 160 Ave. Drainage Irma CY 03/15/18 $193,442 Southwest Ranches, FL 33331 District Disposal (954) 680-3337 x208 DR4337 kevin@sbdd.org Jordan Leonard Town of Bay Debris Hurricane 9665 Bay Harbor Islands FL CY Harbor Removal & Irma 7,769 10/19/17 $167,467 Bay Harbor Islands, FL 33154 Islands Disposal DR -4337 (305) 206-8497 jwlmiami@yahoo.com Dan Millien City of West Debris Hurricane 3 207 1965 S State Rd. 7 FL Park Removal & Irma CY 09/16/17 $30,000 West Park, FL 33023 Disposal (954) 964-0824 DR4337 dmillien@cityofwestpark.org NC KS NC CO Wayne County Shawnee County City of Goldsboro City of Boulder Debris Removal & Disposal Line Clearance, Tree Trimming, Stump Removal & Emergency Services Vegetative Debris Removal Emergency Tree & Debris Removal Hurricane Matthew DR -4285 Hurricane Matthew DR -4285 11/14/16 09/22/16 08/04/16 05/31 /16 $28,072 Noelle Woods 224 E Walnut St. Goldsboro, NC 27530 (919) 705-1714 noelle.woods@waynegov.com Tom Hammer $225,439 200 SE 7�h St. Topeka, KS 66603 (785) 251-2663 $112,576 $420,710 Tracy Barber (919) 580-4393 1777 Broadway Boulder, CO 80302 (303) 441-3230 purchasing@bouldercolorado.gov Page 23 of 87 Storm Jon Vrandenburg Damaged 730 Maine IL City of Quincy Tree 10/01/15 $275,400 Removal & Quincy, IL 6233 01 Trimming (217) 257-9380 Winter Grinding & WinGreg Brown City of Disposal of Storm 459000 1115 E. Spring St. TN Cookeville Vegetative Pandora CY 7/2015 $132,500 Cookeville, TN 38501 Debris DR -42111 (931) 520-5247 Load & Haul Vegetative Winter Debris Storm Clay Parker 268 Medic Dr. TN White County Reduction by Pandora 135,OOOC 5/2015 $1,500,000 Grinding Y Sparta, TN 38583 TDSRS DR -4211 (931) 837-2110 Management Load & Haul Vegetative Winter Debris Storm Michael J. Cross Fentress 85,000 P.O. Box 1128 TN County Reduction by Pandora CY 4/2015 $2,300,000 Jamestown, TN 38556 Grinding TDSRS DR -4211 (931) 879-7713 Management Load & Haul Vegetative Grady Lane Debris Winter Jenkins 54,000 P.O. Box 797 GA County Reduction by Storm Pax CY 7/2014 $825,000 Millen, GA 30442 Grinding TDSRS DR -4165 (478) 982-2563 Management Lean & Hanger Load &Haul Winter Henry Scharber Vegetative Storm Pax 107,859 $1,050,000 Carolina Contracting Solutions SC DOT Debris CY 2/2014 1318 SC -61 Reduction by DR -4166 Ridgeville, SC 29472 (843) 821-4496 Grinding Lean & Hanger Winter Crowder Gulf Dorchester Load & Haul 71200 5436 Business Parkway SC County Vegetative Storm Pax Trees 2/2014 $275,000 Theodore, AL 36582 Debris DR -4166 (800) 992-6207 Page 24 of 87 SC Barnwell County SC Aiken County Initial Push Road Clearance Initial Push Road Clearance Load &Haul Vegetative & OK City of Moore C&D Debris White Goods Segregation Township of Seaside NJ US Army Corp of Engineers Township of Brick NJ NJ US Army Corp of Engineers Township of Lakewood US Army Corp of Engineers Township of Toms River US Army Load &Haul Vegetative & C&D Debris Load &Haul Vegetative & C&D Debris Load &Haul Vegetative & C&D Debris Load &Haul Vegetative & C&D Debris Corp of Engineers CTC Winter Storm Pax N/A D R-4166 Winter N/A Storm Pax D R-4166 Tornado Hurricane Sandy DR -4086 Hurricane Sandy DR -4086 Hurricane Sandy DR -4086 Hurricane Sandy DR -4086 14,059 Tons 105,000 CY 75,000 CY 65,000 CY 85,000 CY 2/2014 2/2014 Curtis Hogg Public Works 48 Ammie Ave. Barnwell, SC 29812 (803) 541 -1 110 Steve Shaun Silverstar Construction 5/2013 2401 S. Broadway St. Moore, OK 73160 (405) 793-1725 10/2012 $1,200,000 10/2012 10/2012 Jack Smith Eagle Environmental 18369 Petroleum Dr, Baton Rouge, LA 70809 (985) 518-7480 Jack Smith Eagle Environmental $9001000 18369 Petroleum Dr. Baton Rouge, LA 70809 (985) 518-7480 $785,000 10/2012 $1,015,000 Jack Smith Eagle Environmental 18369 Petroleum Dr. Baton Rouge, LA 70809 (985) 518-7480 Jack Smith Eagle Environmental 18369 Petroleum Dr. Baton Rouge, LA 70809 (985) 518-7480 Page 25 of 87 ZIC Rockaway Louis Perez Long Haul 42,000 Environmental Chemical Corporation Tons NY US Army Hurricane 10/2012 $1,425,000 1240 Bayshore Hwy. Corp of Trucking Sandy Burlingame, CA 94010 Engineers (650) 347-1555 DR -4085 Long Island Louis Perez Long Haul 33,000 Environmental Chemical Corporation Trucking Tons NY US Army Hurricane 10/2012 $1,100,000 1240 Bayshore Hwy. Corp of Sandy Burlingame, CA 94010 Engineers (650) 347-1555 DR -4085 City of New Removal of Jeremiah Stockwell Orleans East Environmental Chemical Corporation Vegetative Hurricane 1201000 9/2012 $1,600,000 1240 Bayshore Hwy. LA US Army Debris from Isaac CY Burlingame, CA 94010 Corp of L1011 Levee (650) 347-1555 Engineers System DR -4080 AL Tallapoosa County US Army Corp of Engineers Load &Haul Vegetative & C&D Debris White Goods HHW - Segregation Stump Extraction Reduction by Grinding Current Work in Progress: 115,00 4/2011 $1,200,000 CY City of Taylor 1424 N Main St., Taylor, TX 76574 Ice Storm — Debris Clearing/Removal, Tree Trimming Emergency Award - total unknow/unspecified Topeka, Nebraska, Missouri Normal tree trimming and removal services with local crews. City of Lee's Summit, MO North Kansas City, MO City of Lincoln, NE Evergy Services, Inc., Topeka, KS Topeka, KS Local Residential Customers Phillips &Jordan Page 26 of 87 • _ 717pliM low/I Pre -Positions Contracts (updated 540-2023) ENTITY STATE Bal Harbour Village FL Broward County DCRS FL Broward County TDS FL Broward County Schools FL City of Cape Coral FL City of Dania Beach FL City of Doral FL City of Hollywood FL City of Lake Worth FL City of Miramar FL City of Newberry FL City of South Miami FL City of Springfield FL City of Sweetwater FL City of West Park FL Escambia County FL FDOT D1 x2 (21090 & 21088) FL FDOT D1 x3 (21086, 21084 & 21082) FL FDOT D2 (22204) FL FDOT D4 (24098) FL FDOT D5 (25057) FL FLDOT D7 (27078-RO FL Florida State College at Jacksonville FL FSU Main Campus FL FSU Panama City FL FSU Mable Ringling Museum FL Hernando County FL Hernando School District FL Indian Creek Village FL Julington Creek Plantation Community Development District FL Miami Dade County Public Schools FL Northwest Florida Water Management District FL Osceola School District FL Palm Beach County Schools FL Santa Rosa County Schools FL Page 27 of 87 Seminole Tribe of FL Page 28 87 of FL School Board of Brevard County FL South Broward Drainage Dist FL South Florida Water Management Dist FL St. Lucie County FL Stonegate CDD FL Town of Bay Harbor Islands FL Town of Golden Beach FL Town of Pembroke Park FL Town of Sewall's Point FL University of South Florida FL University of West Florida FL Village of Pinecrest FL TRAINING AND CERTIFICATIONS ➢ ISA Certified Arborist —Greg Gathers, Shannon Adler ➢ FDOT Intermediate Maintenance of Traffic Control Certificate — Greg Gathers, Jeremy Britton ➢ OSHA 30 Hour Safety — Greg Gathers, Jeremy Britton, Shannon Adler ➢ CPR & First Aid Certified — Greg Gathers, Jeremy Britton, Maura Gathers, Shannon Adler, Johnny Osborne ➢ Debris Management Training at NHC — Greg Gathers, Jeremy Britton ➢ EMI Debris Management Course — Greg Gathers, Jeremy Britton ➢ USACE Certificate, Construction Quality Management for Contractors — Johnny Osborne ➢ US Homeland Security TWIC Certificate — Johnny Osborne ➢ TEEX, Disaster Preparedness & Management, Operations and Planning for all -Hazard Events Cert. — Johnny Osborne ➢ IS -100 — Maura Gathers, Johnny Osborne ➢ IS425 — Greg Gathers, Jeremy Britton, ➢ IS -200 — Greg Gathers, Jeremy Britton, Maura Gathers, ➢ IS -253 — Greg Gathers, Jeremy Britton, Maura Gathers, ➢ IS -632 — Intro to Debris Operations — Greg Gathers, Jeremy Britton, Maura Gathers, Johnny Osborne, Jack Cohagen ➢ IS -633 — Johnny Osborne ➢ IS -634 — Intro into FEMA's Public Assistance — Greg Gathers, Jeremy Britton, Maura Gathers, Jack Cohagen ➢ IS -700 — NIMS — Greg Gathers, Jeremy Britton, Maura Gathers, Johnny Osborne ➢ IS -800 — Greg Gathers, Jeremy Britton, Maura Gathers, Johnny Osborne Greg Gathers • President/Chief Executive Officer since 1999 • BS in Agriculture Technology Management, Kansas State University • 21 years' experience as an arborist • Supervised crews on over 100 government contracts Jeremy Britton • Chief Operating Officer • Supervised crews on over 100 government contracts Sean Kennedy, CPA • Chief Financial Officer • Cert ified Public Accountant • Financial Statement Preparation, Compilation &Review • Payroll Processing & Payroll Tax Return • Tax Return Preparation • Internal Controls Page 29 of 87 Maura Gathers • Vice President of Business Development • Public Relations • Marketing & Branding • Community Outreach and Volunteer Coordinator • 10+ years' managerial experience • 13+years' experience in sales and client relations • Directions in Organizational Leadership Certification (Washburn University School of Business) Johnny Osborne • Project Manager • 15 years' experience in the debris management industry • Business Administration, University of South Alabama • SC Law Enforcement Division SLED Level 1, 2 & 3 Shannon Adler • Project Manager • Associate of Business, Lone Star College • 15 years' experience in debris management / monitoring industry • 20+ years managerial experience Page 30 of 87 RESUMES President/Owner PROFILE EDUCATION Univ, • 24 Years' experience Tree Care and Disaster Response • Managed over 150 disaster events In 27 states as a prime contractor. • Committed to providing debris management services following FEMA regulations to ensure client reimbursement is to the maximum allowed. • Knowledgeable in all aspects of debris response and recovery operations CONTACT PHONE: 785-221-7550 ADDRESS: 3722 SWC I Creek Ln. Topeka, KS 66610 EMAIL: ggathe rs@ ctcd is ster.com Kansas State Bachelor of Science in Agriculture Intemational Society of Arboriculture — Certified Arborist EMI Debris Management Certification NIMS Certification OSHA Certification WORM. E;CPERIENCE CTC Disaster Response, Inc. -President/Owner 1999—Present • Oversees all company operations. • Provides strategic direction to the business. • Manage senior staff. • Debris management planning and training • Client liaison before, during and after disaster events Project Manager Skilled Communicator Organization Skills Page 31 of 87 PROFILE • 20Y experience as COO • Managed over 150 disaster events in 27 states as a prime contractor. • Committed to providing debris management services following FEMA regulations to ensure client reimbursement is to the maximum allowed. • Knowledgeable in all aspects of debris response and recovery operations • Extensive experience in project management with emphasis on Temporary Debris Site (TDS) operations Cn NTACT PHONE: 256-749-4886 ADDRESS: 000n At o Road Alexander Clty, AL 35010 EMAIL: j Britton @ ctcd i a ste r.co m :TC Chief Operating Officer EDUCATION Central Alabama Community College—Associate Degree in Business EMI Debris Management Cert ification NIMS Certification OSHA Cert ification WORK EXPERIENCE CTC Disaster Response, Inc. Chief Operating Officer (COO) 2018—Present • Responsible for day-to-day operations • Debris management planning and training • Client liaison before, during and after disaster events • Manages subcontractors during disaster events, AAA General Contractors, Inc. Owner 1992—Present • Oversee company operations. • Resource management • Quality Control SKILLS Project Manager Skilled Communicator Strong Managerial Skills Heavy Equipment Operator Licensed General Contractor in Alabama Page 32 of 87 PROFII I: • 15 Years' experience in debris management &disaster response • Committed to providing debris management services following FEMA regulations to ensure client reimbursement is to the maximum allowed. • Knowledgeable in all aspects of debris response and recovery operations CONTACT PHONE: 785-221-7550 ADDRESS: 3722 SW Spring Creek Ln. Topeka, KS 66610 EMAIL: josborne@ctcd laster.com ZTC Project Manager EDUCATIQN University of South Alabama —Criminal Justice NIMS Cert'rfication OSHA Cert'rfication FEMA Cert ification U.S. Homeland Security TWIG WORK EXPERIENCE CTC Disaster Response, Inc. —Project Manager 2022 -Present • Oversees project operations. • Debris site management • Assigns operational personnel, including subcontractors • Debris management planning and training • Client relations Rostan Solutions, LLC. —Project Manager/ Client Service Manager 2019-2022 • Oversees project operations. • Debris site management • Assigns operational personnel, including subcontractors • Debris management planning and training • New business development Ashbritt Inc. —Project Manager 2013-2019 • Oversees protect operations. • Debris site management • Assigns operational personnel, including subcontractors • Debris management planning and training S;;ILLS Quality Control CPR, First Al & AED certfied Page 33 of 87 PROFILE: • 15 Years' experience in debris management, debris monitoring & disaster response. • Committed to providing debris management services following FEMA regulations to ensure client reimbursement is to the maximum allowed. • Knowledgeable in all aspects of debris response and recovery operations Project Manager EDUCATION Lonestar College—Associate Business Degree Certified Arborist NIMS Certification OSHA Certification WORK EXPERIENCE CTC Disaster Response, Inc.—Project Manager CONTACT zoz20 resent Oversees project operations. PHONE: • Debris site management 210-305-2790 • Assigns operational personnel, including subcontractors • Debris management planning and training ADDRESS: • Client relations 7007 Genesis Cove Ct Spring, TX 77379 Arbor Masters— Project Manager 2019-2022 EMAIL: • Oversee project operations. Sadler@ctcdiaster.com • Debris site management • Assign operational personnel, including subcontractors. • Debris management planning and training Tetra Tech, Inc. — Project Manager 2008-2018 • Oversee protect operations. • Client relations • Debris monitoring management. • Assigns operational personnel. • Debris management planning and training Quality Control CPR, First Aid & AED certfled Page 34 of 87 ::Tc _ •� /I PRE -EVENT PREPERATION Through our years of experience in responding to disaster debris -generating events across the nation, we at CTC have developed and refined a strategy to include both pre -event planning and post -event operations. This strategy is founded on the concept that we, both the agency's staff and the CTC staff, can best do the majority of our critical thinking on a "blue sky day" when time is available to carefully and thoroughly research alternatives to various scenarios. In essence, we can develop a "Project Checklist" to guide us through those first days following the "black sky day." Pre -Event Planning: ➢ Identify and introduce, in person, the CTC Project Team to your staff so that when we are required to work together, we have already established our professional relationship and rapport. ➢ Review with your staff, in detail, the most recent update of the Debris Management Plan to ensure that we understand completely your plan of attack and have those base maps first required in current order. ➢ Ride those roadways listed as having priority to conceptualize the volumes and types of debris that may be encountered during emergency clearance operations. ➢ Review with your staff the identified Temporary Debris Staging and Reduction Sites and the preliminary design established. ➢ Review both your and our Communications Plan to ensure they are compatible and afford interoperability. ➢ Conduct and/or participate in tabletop and functional exercises focused on managing the volumes of documentation required for reimbursement of eligible damage costs. ➢ Participate in all other training and exercises as you may direct. ➢ Conduct on-site classroom training utilizing the FEMA Emergency Management Institute Independent Study Programs for Debris Management, National Incident Management System/Incident Command System (NIMS/ICS), the Public Assistance Program and all updates/new policies and procedures. ➢ Applicants with a FEMA -accepted Debris Management Plan at the time of an event can increase the effectiveness of its debris management operations. Specifically, a Debris Management Plan should improve an Applicant's ability to complete debris removal within the timelines associated with the sliding scale. Applicants may request a one-time, 2% increased Federal cost share incentive. ➢ FEMA's requirements to receive this incentive are that the Applicant must: • Have a FEMA -accepted Debris Management Plan. • Have a pre -qualified debris removal contractor. ➢ Debris Management Plan should include the following: ■ Debris Management Overview ■ Incidents and Assumptions ■ Debris Collection and Removal Plan ■ Debris Removal from Private Property ■ Public Information ■ Health and Safety Requirements ■ Environmental Considerations and other Regulatory Requirements ■ Temporary Debris Management Sites and Disposal Locations Page 35 of 87 ■ Force Account or Contract Resources and Procurement ■ Monitoring of Debris Operations Alert LLLa6�" ➢ As a potential debris -generating weather event approaches, CTC will be in communication with your staff to ensure that our Communication Plans are in current order, and we will begin to alert our Project Team, local area subcontractors, and out -of --area subcontractors that their services may be required in the near future. ➢ As the weather event track is established and the real potential for landfall in an area that may damage your area is established, and at your direction, CTC will mobilize our Project Manager and emergency road clearance crews and equipment to pre -stage at the Operations Base Camp. This will allow for and ensure an immediate damage assessment and mobilization of crews and equipment to those areas previously identified for emergency road clearance operations. Post -Event Operations: The Preliminary Damage Assessment and Emergency Road Clearance operations will begin as soon as wind speeds fall below gale force. Depending upon the severity of damage, additional crews and equipment will be pre -staged just beyond the anticipated damage zone and will be mobilized. It is expected that the majority of the emergency road clearance crews and equipment will be CTC's own and those available from local area subcontractors. ➢ Emergency Road Clearance will start along the primary transportation routes ➢ Temporary Debris Sites, crew and equipment check-in locations, and the availability of housing and camping areas will be inspected to ascertain their availability for immediate/near future use. This information will then be relayed to our Logistics Manager. ➢ During this phase, our crews will be available, at a minimum from sun -up to sun -down. If required, work will continue after dark if it can be performed safely. ➢ Documentation for work performed will be kept on a time and materials basis, utilizing the hourly rates schedules included in the contract. Each morning, a report of the previous days' work will be made to Your Project Manager and include: all labor hours broken down by category; all equipment hours broken down by type and category; and the road segments that have been opened to a minimum of one lane of traffic in each direction. Cumulative summary reports will be made as requested. ➢ As the volume of debris to be managed is estimated, mobilization will begin of additional crews and equipment required during the initial stages of removal. These crews and equipment will stage in close proximity to be ready for immediate deployment upon completion of the road clearance, and as directed by your POC. ➢ Estimated Time Frame: 70 Hours (maximum) Post -Event Operations: Debris Removal, Reduction and Disposal: ➢ During the initial stages of debris removal operations, your staff and CTC will determine what zones and sectors are to be cleared in a prioritized order. This establishment of priorities is important in that it allows you, the Monitors, and our crews and equipment to arrive on -scene in a scheduled manner. This is the "ramp up" stage of operations. Page 36 of 87 ➢ As crews, equipment and monitors are being assigned to debris removal work areas, the CTC Project Team members will continue to work with Your staff to inspect the damages areas for hazardous waste materials; critical drainage ways and navigable waterways that require immediate attention to mitigate further damages; the presence of abandoned automobiles and watercraft that may impede debris operations; In some instances, the of beach sand that has been washed onto private property and roads; and any other elements of destruction that will/may impact or disrupt debris removal operations. ➢ The CTC Project Team and your staff will also be reviewing the need for identification card badges for each crew member that will be working. ➢ The CTC Project Team will also be working closely with the local area landfills to construct additional entrances at the landfills to support the extremely high volume of traffic above that normally experienced. Without these additional infrastructure elements, long wait times will be encountered and severely disrupt the timeliness of debris removal operations. ➢ If a part of the contract language, vehicles and vessels that are abandoned or displaced will each be recovered, moved to a staging/salvage yard, the owner identified and notification made, inspected by their respective owners' insurance agent prior to final disposal methods being determined. ➢ White goods will be segregated from other debris and taken to a staging area at the TDS, where they will be first inspected for the presence of Freon or other coolants, gases, oils and putrefied foods. These potentially hazardous materials will be recovered by an appropriately licensed subcontractor prior to disposal at a recycling facility. ➢ Household hazardous wastes (HHV) will be segregated at the pick-up point prior to removal by a separate crew. This waste will then be disposed of at an appropriately licensed landfill. A separate, bermed, lined and covered temporary staging area will be constructed at each TDSRS for segregation of IIRW that is inadvertently delivered. Removal and disposal will be on an as -needed basis. ➢ Construction and Demolition (C&D) debris will be segregated as much as practicable at the pick-up point, prior to loading for hauling to the appropriately licensed landfill for final disposal. ➢ Hazardous limbs, hazardous trees and hazardous stumps require proper identification and documentation. This information and documentation is required by FEMA for maximum reimbursement of eligible costs and will be accomplished by the Monitor. Once this data is gathered, and hazardous limbs, trees and stumps are authorized for removal, CTC crews will cut, remove, and load for hauling to the TDSRS for volume reduction. ➢ Vegetative debris will be loaded from the public rights-of-way, hauled to the TDS where volume reduction will be accomplished by mulching/grinding and/or burning/incineration. By-products from the reduction process may be used by the Your, gated communities, golf courses, or general recreation areas for landscape purposes, sold to an area paper products company or general manufacturing plant for use as boiler or "hog" fuel, or as the last resort sent to a lawfully permitted local landfill for use as daily cover. ➢ Documentation of debris removal, reduction, recycling, and disposal operations will be primarily by load tickets and based on the cubic yard method of measurement. Daily, cumulative, and summary reports will be made to you. Additional reports detailing completion of passes; numbers of vehicles and/or vessels removed; numbers of white goods managed; and numbers of leaning trees removed, hanging hazardous limbs cut, hazardous stumps removed; and volume of household hazardous waste removed will be generated and provided as you request. Page 37 of 87 Resources• In the case of a major catastrophic event, CTC is on ready and standby for immediate call and can be mobilized within 24 hours following a Notice to Proceed. In addition, CTC maintains an active database of subcontractors from across the nation, the majority of whom have worked with our Project Teams on past debris removal operations. This database contains subcontractors who assist us with trucks and trailers of varying sizes, heavy equipment, CDL drivers, heavy equipment operators, mechanics, skilled and unskilled labor, administrative assistants, clerical staff, contract specialists, on-site fuel delivery, generators, temporary housing, laundry and catering services, hazardous waste specialists, water -borne debris removal specialists, and arborist services. Page 38 of 87 PRE -EVENT COORDINATION RESPONSE TIME Due to our experience with rapid mozation and the need for communication with our %AJ lac 116 partners, CTC has developed procedures to minimize the time necessary to respond to a disaster. We can mobilize the required number of crews and personnel within 24 hours of a Notice to Proceed. In the instance of hurricanes, especially for preposition contracts, response time is even faster. During hurricane season, CTC, Inc. closely watches the buildup of potential tropical storms or hurricanes. As a storm approaches a location for which we have a preposition contract, we will begin placing staff on alert and pre -positioning both staff and equipment. The Regional Manager nearest that location will be responsible for coordinating those efforts. The pre -positioned resources will ➢ Be located as close to the potential impact area as possible without putting them in harm's way. ➢ Have recovery equipment immediately accessible to our contracting partners. We take into consideration that damaged by the storm obviously affects the timely response capability. ➢ Provide local experienced subcontractors who are on standby and alert and will provide details on their resources that can be deployed immediately upon request. As the storm nears landfall, and the potential impact on the area becomes more refined, Our Management Team and specialists will: ➢ Make an initial assessment of the size of the potential debris issues. ➢ Decide what additional resources may be needed, based on that previous assessment. ➢ Determine now those resources will be deployed. ➢ Transmit information to potential subcontractors. In most catastrophic events, our prime subcontractors are familiar with the procedure and headed to the affected areas. ➢ Provide a buildup of resources over a short period of time as needed. Until the immediate response agencies (law enforcement, fire departments, etc.) provide approval, there will be a limitation on the amount of debris removal equipment that can be moved into an area and what operations can be initiated. Immediate Debris Operations: We have in-house resources to begin debris operations almost immediately, especially emergency debris clearance (moving debris to the sides of the roads and streets to allow access of emergency vehicles). As the information regarding the extent of the debris impact areas becomes more exact, the amount and type(s) of equipment required to conduct an efficient operation will become more refined. This general procedure ensures that, in the event of a hurricane (or other disaster that provides some warning), we can have trained, experienced personnel with appropriate equipment on site and working in a minimum amount of time —regardless of the location of that disaster. Page 39 of 87 SASTE2RESP_ONSE In the immediate aftermath of a disaster for which there was no warning (tornado, earthquake, bombing), the deployment procedures developed and used by us still minimize the time required to adequately respond. All equipment is maintained in a ready -to -deploy condition. Personnel are accustomed to short notice, and the internal communications system used by us ensures that key personnel are readily available. In most instances, we can be operational on-site within 24 hours, often before access is permitted to portions of the damaged area. Frequently, that time is much less than 24 hours after receipt of a Notice to Proceed. We understand the necessity to begin debris operations quickly and conduct them efficiently. Page 40 of 87 TECHNICAL APPROACH POST DISASTER Mobilization an, This Mobilization Plan outlines the approach strategy that CTC, Inc. uses after a state of disaster. We fully recognize and comprehend that it is our pre-emptive duty to ensure sure that this plan is carried out in a time of emergency when you may have no way to communicate with us. Therefore, we assume the responsibility of being able to move into the impacted area and carry out our assigned mission, with full capability, no matter how severe the damage may be. Our years of experience tell us that when equipment is brought in from multiple different directions, including right here in your community, we can provide a more expedient mobilization. With a pre -event contract in place, we can plan in advance to call resources in from numerous different locations, and via numerous different routes of entry. Our subcontractors, who are local to your area, are experienced and aware of the needs of CTC, Inc. They become integral members of our advance planning team. Their input and area knowledge are called up during both advance planning, and post -event response operations. For those events that impact is forecast (hurricanes, tropical storms, ice storms, and floods) there is advance warning and an ability to monitor and track the developing weather pattern. For these predictable events, sufficient time is allowed for confirmation of situation -specific pre -planning efforts and preparation which ultimately allows for a more rapid and coordinated mobilization. With these forecast events, CTC, Inc. will identify several staging areas within a 50 -100 mile radius of the forecast impact zone and mobilize the equipment and manpower needed for the immediate push. Through this advance planning, we can guarantee an immediate response to the emergency clearance of debris from the roadways phase of operations. CTC, Inc. will pre -position personnel and equipment in your community when directed. We will identify several points and paths of entry into your community/damage zone can be made. The number and use of these areas will depend largely on the size and destructive force of the event that is being responded to. In addition, multiple points -of -entry or paths into critical response zones will be identified. The CTC, Inc. Project Manager will be in close contact with your designed POC, as the event impact draws closer. If required, we will arrive with our advance team and position ourselves in your Emergency Operations Center (EOC) or other suitable Debris Command Center prior to the landfall of a storm, regardless of anticipated storm category. Coordination can then be affected regarding the entry of response entry into the damage zone. The Mobile Command Center will normally be in place within 24 hours, if required, after the Notice to Proceed and provide the communication link between all agencies and provide a field site for daily briefings and coordination. This Command Center enables CTC, Inc. to have unlimited access, via satellite, that will provide phone, fax and broadband internet connection regardless of damage to cable and local wireless infrastructure. CTC, Inc. has established the following schedules of crew deployment for your community. The quantity and make-up of crews required will be made during the Initial Damage Assessment (IDA) stage, immediately following the event. Categories of hurricanes have been selected as representative indicators of the damage likely to occur. These only represent a baseline on which to illustrate our mobilization schedule for you. Page 41 of 87 • Tropical Storms, Category 1-2 Hurricanes. Minor or Moderate Ice Storni, Flood or Wind Event. • 80% of crews within 24 hours of NTP • 100% of crews wn 48 hours of NTP • 100% of crews within 72 hours of NTP • Category 3,4 & S Hurricanes or Significant/Catastrophic Ice Storm, Flood or Wind Event • 25% of crews within 24 Hours of NTP • 40°0 of crews within 48 hours of NTP • 60% of crews within 72 hours of NTP • 100% of crews with 96 Hours of NTP CTC, Inc. is familiar with catastrophic events of all scope and sizes. CTC will also monitor its performance daily, and after consultation with you, will bring more resources as necessary to meet your developing schedule for work output. Operations and Management Plan: In general terms, following a written Notice to Proceed, CTC, Inc. debris management work will typically consist of the following, as listed in chronological (though often overlapping or concurrent) order. Each of these work tasks will be closely coordinated with and as directed by City or County staff. 1) Pushing and clearing debris from primary arterial highways that serve previously identified critical facilities. No attempt to remove debris is made at this time. The objective of this "cut and toss" effort is to open roadways to emergency response vehicular traffic. This work is conducted during the "emergency period" immediately following the event with FEMA guidelines limiting it to the first 70 work hours and may include working between sundown and sunup. A great emphasis is placed on safety during this time as downed power line present a true hazard to the health and safety of response crews. Close coordination with the local electrical company will be conducted throughout this period. 2) During this timeframe, debris removal equipment and personnel will begin to be "checked in" with all necessary documentation gathered, and trucks and trailers measured (CY) for maximum load carrying capacity and identification placards installed. Also, during this time, the Temporary Debris Sites (TDS) will be located, regulatory approval gained for, and construction for operations begun. 3) As soon as the TDS is ready to receive debris (interior haul roads established and traffic control patt erns formulated; site does not need to be ready for reduction/recycling efforts at this time), debris removal crews will be dispatched to begin gathering, loading and hauling debris to its designated site (vegetative debris will be taken to the TDS and Construction and Demolition (C&D) debris will be taking to a local, lawfully permitted landfill or other site as may be specified. Page 42 of 87 4) As the number of crews and equipment increases (called the "ramp up" period), so does the need for qualified monitors to be assigned to each crew, or zone. These monitors will issue load tickets for each load of debris managed and certify to reimbursement agencies its "eligibility." Our crews are generally kept in the same zone and sector throughout the clean-up. This helps to identify responsible parties when damage to private property is reported, investigated, and resolved. 5) Citizen drop-off points may be established in the community. This gives those citizens who wish to remove debris from their private property as place to bring it, and greatly reduces the number of illegal dumping complaints that will be received. CTC, Inc. will provide the necessary equipment and manpower to safely operate these sites and clean them of all debris at the end of each day. 6) As debris removal operations progress, and the TDS is made ready for reduction/recycling operations (including baseline environmental (soil and groundwater sampling when required), debris removal crews will continue on a daily, uninterrupted basis, to haul vegetative debris and recyclables to the TDS. C&D debris will continue to be hauled to a local, lawfully permitted landfill. Additional crews will be brought in to conduct all tree trimming and stump removal operations. 7) Debris removal crews will normally make three scheduled passes in each zone and sector. Approximately 60% of all debris managed is removed from the right -of --way during the first pass. Once the majority of vegetative and C&D debris have been removed, White Goods (washers, dryers, refrigerators, freezers, air conditioning units, stoves, water heaters, and dishwashers) will be loaded and hauled to either the TDS for recycling, or to a local, lawfully permitted landfill as directed. 8) Multiple scheduled passes will be made until debris removal operations are completed, as determined by the government contracting agency. 9) As debris operations begin to come to a close (the "ramp down" period), crews and equipment that are no longer required will be released from duty. 10) Once all activities are completed at the TDS, site closure will begin. This includes, but is not limited to the following: • Removal of all debris reduction by-products. • Removal of all equipment, office trailers, inspection towers, and portable toilets and wash stations. • Removal of all stone utilized to create points of ingress and egress, interior haul roads, and parking areas. • Removal of all site features (fencing and erosion control) that may have been constructed. • End-of4ob environmental samples are taken, tested, and compared to baseline samples. • CTC, Inc. will then request a final inspection from the appropriate government official. A "punch list" of items to be corrected is developed and final closure action taken. Only upon mutual, written agreement between the property owner, government official, and CTC, Inc. Project/Operations Manager is a site considered closed. Debris removal, reduction and disposal work hours are generally defined as from sun -up to sundown, seven (7) days/week, including holidays. This schedule will be coordinated with, and approval gained from local officials. This chronology of debris operations is defined in general terms only. Additional specific items of work may be directed by the local officials and work performed by CTC, Inc. All work will be performed so as to not interfere, to the greatest Page 43 of 87 DISASTER RESPONSE extent possible, with all other emergency response agencies, including but not limited to: utility companies, government agencies, volunteers and local government forces. Debris Volume Estimation: Estimating the volume of debris generated following an event is not an exact science. At CTC, Inc. we utilize several different methodologies to make "an educated estimation." These include utilization of the US Army Corps of Engineers Hurricane Debris Volume Estimation Model; a per household times the total number of households method; a per mile of roadway times the total miles of roadway method; and other data as may be available. Each of these methodologies and estimates is led by an experienced CTC, Inc. team member who has a significant history in making just these type estimates of material on the ground. Billing/Invoices: At the conclusion of each day's work activities, daily reports and load tickets are collected from all CTC, Inc. supervisory personnel. Then are then reviewed for completeness and correctness and entered into our proprietary database. This data entry is normally accomplished at our headquarters office where will maintain workstations for this purpose. This data entry normally follows the work effort by just one day, meaning that the City will have nearly real-time data throughout the project. Invoices are normally generated on a bi-weekly or monthly basis, dependent upon the schedule mutually agreed upon. Our records are maintained for a minimum of ten (10) years to ensure that we can support whatever request the City may have, particularly during the audit that will be performed by DHS/FEMA. Authorized Persons: Greg Gathers Jeremy Britton Maura Gathers Johnny Osborne With office locations in Kansas, Alabama, Texas and Florida, Custom Tree Care can strategically and immediately resF ond to any event in any location in the continental United States. Page 44 of 87 TEMPORARY DEBRIS SITE (TDS) PLAN In conjunction with your local government representative, CTC will develop a site-specific plan for each Temporary Debris Site (TDS) we are tasked with operating. The Plan will address the following items, as appropriate, with additional subjects as may be required, 1. Site Management Organization and Responsibilities This will provide all involved parties a clear delineation of the organization at the site, and the responsibilities assigned to each. It also facilitates quality control at the site. 2. Startup Check List This list is developed to ensure that all of the work tasks involved in the clearing and preparation of a site are addressed and can be "checked off' the list as they are completed. 3. Ingress/Egress Initially, these stabilized roads will be constructed to bring in the equipment necessary to prepare the site for operations. They will then be used by haul trucks to bring debris into the site for proper handling. The roads will be maintained throughout the entire operation. 4. Site Preparation This includes clearing, grading, establishment of erosion control and baseline testing for soil and groundwater. The site must be carefully cleared and graded to ensure proper drainage, while minimizing erosion. All environmental concerns related to buffer zones, runoff, and potential impacts to nearby streams, air, and groundwater will be addressed. 5. Traffic Control Procedures Depending upon the extent of traffic control required this may require an appendix entitled "Maintenance of Trac". It will address Lite movement of vehicles into and out of the site and include provisions for keeping the streets or roads free of debris. 6. Safety There are many actives wn a TDS, including the diverse array of heavy equipment operating; large volumes of debris hauling trucks dumping their loads; potentially hazardous debris; maintenance activities; tub grinders and air curt ain incinerators being operated; and large numbers of personnel. A diligent and concentrated focus on safety must be of paramount importance to everyone at the site. Safety is a part of every plan written by CTC personnel and is continually emphasized. 7. Segregation of Debris In order to be properly managed throughout the reduction/recycling and disposal processes, all incoming debris must be segregated into various categories, including Household Hazardous Waste (HHW), Vegetative Debris, Construction and Demolition (C&D) Debris, White Goods, Small Engine Equipment and Electronic Waste. Page 45 of 87 ::Tc IMM • _ ..� /I 8. Site Plan A Site Plan will be drawn to identify Lite location of all activities, and include traffic control, Inspection Tower location, and dumping, grinding, burning, ash storage, HHW storage, temporary office, "Clear Zones" and portable toilet and hand wash station locations. 9. Reporting Requirements CTC maintains an extensive record of the activities that occur at a Temporary Debris Site, including the number and identification of trucks, volume of debris entering the site, types of debris, etc. CTC, INC. can provide a wide range of reports. The types and schedules for preparing and submitting reports required by the COR will be contained in the plan. 10. Site Closure A site closure plan will be developed and address the removal of all debris and debris reduction by-products, haul roads and dump pads, security fencing, office trailers, portable toilets and hand wash stations, Inspection Towers. Sampling of soil and groundwater will be taken as required and compared to the baseline data gathered. Each site will be returned to its original condition, or as may be desired, and approved by, the property owner and your local government representative. Page 46 of 87 VEHICLE INSPECTION TOWER INFO Inspection towers are provided as per contract guidelines. The cost of these towers is a part of our proposal and costs to be absorbed by the company. Towers are built and provided at the various selected temporary debris sites/locations designated by the Site -Specific Management Plan (SSSP). Tower construction is as follows: ➢ The frame and body of the inspection tower is constructed with pressure treated wood. ➢ The floor is an 8"x 8" area, elevated 10 feet above a leveled ground area. ➢ All towers are constructed of 2"x 8" joists, 16" O.C. with 3/4 inch plywood supported by 6"x 6" posts. A 446ot-high wall constructed of 2"x 4" studs, and %Z inch plywood protects the perimeter of the floor area. ➢ The floor shall be covered with a solid roof. The roof will provide 7 feet of headroom below the support beams. The tower will be adequately anchored and wooden steps with handrails will be constructed to provide access. ➢ A worktable, 4' x 2 %2 x 3/4 inch plywood supported at all four corners will also be built. ➢ A temporary mechanical lift may be used until a fixed inspection tower is constructed. IV k 40 it rr M Page 47 of 87 f Page 48 of 87 DEBRIS REMOVAL GUIDELINES 0 • • DEBRIS SEPARATION Separate debris into the six categories shown below. ay or storm drains, DO NOT STACK OR LEAN Placing debris near or on trees, poles, or other structures makes removal difficult.This includes fire hydrants and meters. UNSURE WHERETO PLACE DEBRIS? f If you don't have a sidewalk, ditch, or utility line in front of your O ` house, place debris at the edge of your property before the curb. --R v---- O Page 49 of 87 ::Tc MqF • 1 �� • DEBRIS SEPARATION Separate debris into the six categories shown below. ay or storm drains, DO NOT STACK OR LEAN Placing debris near or on trees, poles, or other structures makes removal difficult.This includes fire hydrants and meters. UNSURE WHERETO PLACE DEBRIS? f If you don't have a sidewalk, ditch, or utility line in front of your O ` house, place debris at the edge of your property before the curb. --R v---- O Page 49 of 87 Debris removal guidelines Plating debris near or on trees, poles or othe►• In efforts to expedite the structures makes debris removal process, the removal difficult. This city has asked that we includes fire follow these rules. hydrants and meters Debris separation " The city has asked that debris be eparated into the six categories, shown below. r�Electronics: Television, computer, stereo, phone, DVD player ��������� `Large appliances: ►Tt Refrigerator, j Do not leave washer/dryer, air doors conditioner, stove, ' unsealed or water heater, unsecured dishwasher Hazardous waste: Oil, battery, pesticide, paint, cleaning supplies, compressed gas tDebrhat is « Vegetative debris: placed farther i.•+ Tree branches, leaves, logs, plants than 10 feet from Construction debris. the curb is considered '� Building materials, drywall, lumber, carpet, private property and will +iI► furniture, plumbing not be picked up. Household garbage: Debris should not block roadway l Bagged garbage, discarded food, paper, packaging. Page 50 of 87 qIIII _.�:TC I OWNED AND LEASED EQUIPMENT Description Quantity 30' Barge Flat Deck 2 30,000# Track Excavator 6 35,000# Bulldozer 18 40'+ Barge with Crane 4 45,000# Track Excavator 12 50,000# Bulldozer 10 55 Ft Bucket Truck 63 65,000# Track Excavator 18 AG Tractor with Attachment 9 Air Curtain Destructor 1 Bandit 4680 Horizontal Grinder 2 Beach Sand Screen 1 Chipper 1 Command Center 1 Debris Trailer 2 Dump Trucks 51 Fecon Mulcher 1 Feller Bunchers 9 Flatbed Trailer 6 GN Trailer 1 Grapple Attachment 2 Grinder 1 Horizontal Grinder 6 Jarraf Tree Trimmer 5 Loader Tractor 1 Log Skidder 13 Lowboy Trailer 1 Merlo Tree Removal Machine 1 Mini Skid Loader 1 Mixer Truck 5 Mulching Head 1 Off Road Truck 2 Pallet Forks 1 Pickup 8 Pumper Truck 1 RGN Lowboys 14 Page 51 of 87 12ISASIER_RESP_ONSE Description Quantity Road Grader 1 Road Tractor 40 Rollout Bucket 1 Rotary Mower 1 Self -Loading Truck 204 Semi -Truck 2 Skid Steer 36 Step Deck Trailer 3 Stump Grinder 6 Support Boat 4 Support Vehicle 37 Trailer Mount Loader with Saw Bucks 3 Travel Trailer 1 Tub Grinder 2 UTV 2 Versa Handler 6 Walking Floor Trailer 31 Water Truck 6 Wheel Loader 19 Whole Tree Chipper 2 Wood Screw 1 Page 52 of 87 ►N7;Ih?%IIs#,wAtw4;N7a4PJVN14W /I SUBCONTRACTING PLAN INTRODUCTION: CTC maintains an extensive database of subcontractors with specialty equipment and varied resources which are fully committed to CTC. Many of these subcontractors have partnered with CTC in a variety of different projects over the past 17 years. CTC prides itself on its relationship with these hardworking companies and mutual trust exists between us. CTC is an Equal Opportunity Employer. We strive to meet or exceed all subcontracting goals identified in your Request for Proposal. We identify all subcontractors regarding certifications as MWBE, SBE, 8A, or Hub zone. We have extensive databases for all areas throughout the U.S., so that we can actively identify the qualified ones for your proposal. Additionally, CTC appreciates the input from our contracting partners on recommendations and referrals of qualified, licensed, insured contractors with the required experience for your event. The knowledge of the area, their relationship with your citizens is a plus to CTC and its mission. SUBCONTRACTING PLAN AND UTILIZATION: CTC will utilize a workforce comprised of in-house personnel and subcontractors specializing in various phases of debris management, disposal, and recycling. As stated previously, we will identify local subcontractors already in our network as well as hire as many contractors and laborers as available in an effort to allow members of disaster struck communities to take part in the reconstruction process, and to assist the community financially and economically. The majority of these subcontracts will fill positions for hauling of debris to TDS, hauling of debris to final disposal sites, hauling debris for recycling purposes. Subcontractors will provide trucks and trailers that meet all USACE requirements for safety, licensing, permitting and registrations. Subcontractors will provide copies of all licenses upon request, and will stay with their assigned areas, completing the assigned task. These crews will work in a methodical manner until they have fulfilled their area's cleanup requirements. CTC will seek local, qualified individuals for employment during the disaster cleanup and reconstruction phase, including placing advertisements in the local newspapers and visiting the local employment office. Positions for laborers, data entry, flaggers, monitors, and other personnel will assist CTC in our task. Temporary employment agencies may be used to provide manpower to complete the task, but only after the proper screening and submission of drug tests. Unless otherwise stipulated in your contract, twenty-five percent (25%) of the total amount of work to be performed will be by CTC personnel and equipment. CTC will operate with our specialized and trained reduction personnel. CTC has commitment letters from contractors across all the continental United States. SUBCONTRACTORS AGREEMENTS AND RESPONSIBILITY: Page 53 of 87 ►S T_A W WJ / I Subcontractors for CTC are committed contractually to complete their assignments as instructed, and must attend all safety meetings, follow the chain of command, and report to the CTC COR daily to keep projects moving forward. CTC is known for its open line of communications, and for the respect we have for our subcontractors. All subcontractors are required to attend weekly tailgate meetings, sign CTC's drug-free workplace statement and to conform to all operating policies as set forth our project management team. All CTC subcontractors are familiar with the proper use of ADMS electronic reporting procedures, the latest technologies in recording and monitoring procedures, and are trained in the proper documentation for the benefit of all concerned. CTC subcontractors are aware of all charge back procedures for damages, provide daily reports to CTC site supervisors, and act as good -will diplomats to citizens, making the cleanup efforts as stress free as possible in an emergency situation. A copy of our Subcontractor's agreement is either included in this proposal or may be accessed by contacting the corporate office. These agreements have been reviewed by attorneys for various states so that they meet the contracting laws of the particular state in which we are working. PROPRIETARY INFORMATION: A list of qualified, experienced, insured, prequalified subcontractors for your area is included in this proposal (If required in the proposal), or may be accessed at our corporate office upon request. This list is proprietary information and not to be shared with the public. Page 54 of 87 :TC ► _ 0 /I LOCAL AND MINORITY PARTICIPATION CTC fully complies with guidelines regarding Local and Minority Participation. We have an established corporate policy regarding minority participation, which can be referenced in our Affirmative Action and M/WBE Policy at our offices unless otherwise requested. One of the major strengths of CTC is our ability to recognize the importance of utilizing local, qualified contractors. Depending on the time frame, and whether this is a standby, pre -disaster contract or an emergency situation, CTC uses procedures necessary to ensure the use of local contractors and personnel. In a non -emergency situation, we can place ads in the local newspapers, check with temporary services or state employment services. We also rely heavily on recommendations from the County commissioners or City officials in all situations. Emergency situations have prompted us to pull together with contracting agencies to recognize the strengths in their own communities. We appreciate the input provided by local officials in screening potential subcontractors and personnel. The ability of the commissioners or other local community officials to suggest or recommend those that meet all requirements for experience, equipment and insurance qualifications is a benefit in the successful operation and completion of projects of any size or scope. Based upon the availability of qualified minority personnel in the area we strive to meet or exceed the normal requirements for this event. As an integral part of the contract, we establish contacts with several local, 8A and minority companies. We intend to use the services of qualified, local personnel to fill positions as needed and upon recommendation of the contracting agency. All local and minority personnel will be screened to meet the requirements, including licensing and insurance requirements of CTC, Inc. We also include listings of Certified M/WBE Contractors as are available and which provides updated information for this project. CTC has committed minority contractors who have performed on CTC contracts over the past several years. We use the recommended channels to further investigate the availability, the experience, and the reputation of each local and/or minority contractor to serve the best interest of the contracting agency. Due to the nature of the business, CTC relies heavily on the utilization of state personnel agencies, local private placement agencies and temporary services. We also use the services of the local Small Business Administration (SBA) office when available and local trade organizations. Our goals as stated in our Affirmative Action Policy are traditionally greater than those of most contract requirements. Additionally, the types of personnel required and their interest in the project varies from location to location. Page 55 of 87 ::Tc ► _ I /I AFFIRMATIVE ACTION PLAN Policy Statement It is the policy of CTC that disadvantaged businesses, as defined by 49 CFR Part 26, Subpart D and implemented under Rule Chapter 14-78, F.A.C., shall have the opportunity to participate as subcontractors. Suppliers and other required personnel on all contracts awarded by our Contracting Partners The requirements of Rule Chapter 14-78, F.A.C., shall apply to all contracts entered into between the contracting agency and CTC, Inc. unless otherwise designed in the signed contract. Subcontractors and/or suppliers to CTC, Inc. will also be bound by the requirements of Rule Chapter 14-78 F.A.C. CTC, Inc. and its subcontractors shall take all necessary and reasonable steps in accordance with Chapter 14-78, F.A.C., to ensure that disadvantaged businesses have the opportunity to compete and perform work contracted. CTC, Inc. and its subcontractors shall not discriminate on the basis of race, color, religion, national origin, disability, sex or in the administration of contracts. CTC, Inc. has designated and appointed a Liaison Officer to develop, maintain and monitor the DBE Affirmative Action Plan implementation. The Liaison Officer will be responsible for disseminating this policy statement throughout CTC, Inc. and to disadvantaged controlled businesses. The statement is posted on notice boards of the company. Greg Gathers, President CTC Disaster Response, Inc. 6021 SW 29" St. PMB #130 Topeka, KS 66614 (785) 478-9805 Page 56 of 87 I. DESIGNATION OF LIAISON OFFICER CTC, Inc. will aggressively recruit disadvantaged businesses as subcontractors and suppliers for all contracts with the Florida Department of Transportation. A Liaison Officer has been appointed to develop and maintain this Affirmative Plan in accordance with the requirements of Rule Chapter 14-78, F.A.C. The Liaison Officer will have primary responsibility for developing, maintaining, and monitoring CTC, Inc. the Company's utilization of disadvantaged subcontractors in addition to the following specific duties: 1) The Liaison Officer shall aggressively solicit bids from disadvantaged business subcontractors for all governmental contracts. 2) The Liaison Officer will submit all records, reports, and documents required by the governmental agencies, and shall maintain such records for a period of not less than three years, or as directed by any specific contractual requirements of the individual governmental agencies. 3) The following individual has been designated Liaison Officer with responsibility for implementing CTC, Inc. affirmative action program in accordance with the requirements of local, state and Federal government agency contracts. II. AFFIl2MATIVE ACTION METHODS In order to formulate a realistic Affirmative Action Plan, CTC, Inc. has first identified the following known barriers to participation by disadvantaged subcontractors. These barriers are: 1) Lack of qualified disadvantaged subcontractors in our specific geographical areas of work. 2) Lack of certified disadvantage subcontractors who seek to perform under specified contracts. 3) Lack of interest in performing under specified contracts. 4) Lack of response when requested to bid. 5) Limited knowledge of the specified governmental contracts plans and specifications to prepare a responsible bid. In view of the barriers to disadvantaged businesses stated above, it shall be the policy of CTC, Inc. to provide opportunity by utilizing the following affirmative action methods to ensure participation on the contracts with the various and individual governmental contracts. CTC, Inc. will: 1) Provide written notice to all cert ified DBE subcontractors in the geographical area where the work is to be subcontracted; 2) Advertise in minority focused media concerning subcontract opport unities with the Company; 3) Select portions of the work to be performed by DBEs in order to increase the likelihood of meeting contract goals (including, where appropriate, breaking down contracts into economically feasible units to facilitate DBE participation); 4) Provide adequate information about the plans, specifications, and requirements of the contract, not rejecting subcontractors without sound reasons based on a thorough investigation of their capabilities; Page 57 of 87 5) Waive requirements of performance bonds where it is practical to do so; 5) Attend pre-bid meetings held by the governmental contracting agency to apprise disadvantaged subcontractors of opportunities with the Company; 7) Follow up on initial solicitations of interest to DBE subcontractors to determine with certainty whether the company is interested in the subcontract opportunity. CTC, Inc. understands that this list of affirmative action methods is not exhaustive and will include additional approaches after having established familiarity with the disadvantaged subcontracting community and/or determined the stated approaches to be ineffective. III. IMPLEMENTATION On contracts with specific DBE goals, CTC, Inc. will make every effort to meet contract goals as stated by utilizing its affirmative action methods. On projects with no specific goals, CTC will as an expression of good faith, seek to utilize BE subcontractors where work is to be subcontracted. IV. REPORTING 1) CTC, Inc. shall keep and maintain such records as are necessary to illustrate and demonstrate compliance with its' DBE Affirmative Action Plan. 2) CTC, Inc. will design its record keeping system to indicate: 3) The number of DBE subcontractors and suppliers used, including items of work, materials and services provided; 4) The efforts and progress being made in obtaining DBE subcontractors through local and community sources; 5) Documentation of all contracts, to include correspondence, telephone calls, newspaper advertisements, etc., to obtain DBE participation on all governmental agencies' projects; 6) CTC, Inc. shall comply with any governmental agencies requirements regarding payments to subcontractors including DBE's for each month (estimate period) in which the companies have worked. V. DBE DIRECTORIES CTC, Inc. will utilize the DBE Directory published by each governmental agency for that specific city, state, county and/or region, including agencies such as Natural Resources Conservation Service, State Departments of Transportation, and other required agencies. CTC, Inc. will distribute Form Number 275-030-01, Schedule A Cert ification Form Number 1, to potential DBE contractors and assist in their completion. Page 58 of 87 SAFETY AND QUALITY CONTROL PLAN Accident Prevention: For the protection and safety of all employees, CTC has established the following rules designed to prevent accident and injuries. Compliance with these rules is mandatory. Documentation will be made when the rules are distributed to new employees. • Proper footwear and clothing will be worn at all times. • Do not wear loose clothing, jewelry, or keep long hair in a down position. There is a danger of catching such articles in moving machinery. • Horseplay, running, fighting or any activity that may result in injury or waste will not be tolerated. • Appropriate personal protective equipment, or PPE, will be worn for the task (s) at hand, as specified by training and job briefing (s). • Operate machinery with all guards in place. Tampering with safety devices is cause for immediate disciplinary action. • Do not operate any machine you are not familiar with or have not been trained on and authorized to use. • Machines must never be cleaned, adjusted or repaired until the machine is turned off, the circuit is interrupted at the power source (including lock -out) and a warning tag is placed at the controls. • Any defects in materials, machinery, tools and equipment must be reported immediately to a supervisor, safety personnel, or management. • Do not leave tools, materials, or other objects on the floor that might cause others to trip and fall. • Do not block exits, fire doors, aisles, fi re extinguishers, gas meters, electrical panels or traffic lanes. • Avoid injury by attempting to lift or push excessive loads. If an object is too heavy to move without strains, ask for help. • Observe the correct posture for lifting. Stand with your feet slightly apart, assume a squatting position with knees bent, and tuck your chin into your chest. Tilt head forward, grasp the load with both hands, and gradually push up with your legs, keeping your back straight and avoiding any abrupt movement. • Do no distract others while working. When approaching a coworker for any purpose, do so from the front or the side in a i way that they will see you coming and will not be startled or surprised. If conversaton is necessary, first make sure that it is safe. • Do not allow oil, water or any other material to remain on the floor for long periods of time where you or others may slip. Report any slip and fall problems to your supervisor. • When handling hazardous materials be sure to follow prescribed safety procedures and use required safety equipment. When using secondary containers filled by others, be sure they are labeled as to their contents and hazards. Know your Material Data Safety Sheets (MSDS) and where they are located. Review them often. • Use appropriate gloves when handling materials with sharp or jagged edges, when handling chemicals, when handling hot material, or to protect your hands in general. • Do not attempt to operate machinery for which you are not trained. • Unnecessary and excessive haste is the cause for many accidents. Exercise caution at all times. • All work-related injuries and accidents, no matter how minor, must be reported immediately to your supervisor, safety personnel, or management. Page 59 of 87 • Employees should understand and comply with all sections of the ANSI 2133.1 Standard that apply to their job activities. All employees must be thoroughly familiar with these basic safety rules. Failure to comply with safety rules or procedures, or failure to wear the appropriate safety equipment, will result in disciplinary action up to and including termination. Quality Control Plan: If required, CTC can have a Certified Arborist on site to ensure the quality of work performed by all CTC employees. All employees have been trained in Arboriculture practices upon employment. Certifications include and are not limited to: L S.A. —International Society of Arboriculture K.A.A. —Kansas Arborists Association T.C.I.A. —Tree Care Industry Association Constant monitoring of all crews will be provided daily to ensure safety and the quality of work performed is attained. CTC will meet with the client's representative for a quality check on completed work to ensure client satisfaction. If there is an issue that needs corrected, it will be done so in a timely manner. Safety &Protection Plans &Submittals: The following policies of CTC are not inflexible rules or requirements. They may be changed by the company at any time without notice or modified as individual circumstances may require in the best interests of efficient management of the Company. Nothing in the policies as they now exist, or may in the future be revised, is intended or should be construed as a contract of employment, express or implied, nor as a promise of employment for a specific period of time, nor as a requirement that any specific procedure be followed in handling personnel issues. Company management will provide safe and healthy working conditions. All employees must follow safe practices at all times. All employees must accept and follow all rules of safety. Whenever an employee finds an unsafe condition, they must report it immediately to their supervisor, safety personnel, or management. Any injury that occurs on the job, even a slight cut or strain, is to be reported to management as soon as possible. In no circumstance except an emergency, should an employee leave a shift without reporting an injury that occurred. All employees including office personnel will be trained in safe practices. The training will be done by video or by training from the employees' supervisor. If any unsafe practices are observed, the employee will receive a writt en violation warning. Once the employee receives three (3) written warnings, he or she will be automatically suspended for one (1) workday without pay. CTC will make every effort to maintain safe working conditions. However, the principal responsibility for safety falls upon you, the employee. All employees are asked to inform their supervisor, safety committee personnel, or management of any work hazards of which they might be aware. CTC will arrange for you to supply information anonymously if you do not Page 60 of 87 ::TC RP1 • _ •. // wish to be identified. No employee should fear reprisal for notifying management of any safety hazards. In fact, we encourage all employees to inform us immediately of any hazard, no matter how small it may seem. All safety and health suggestions that we receive will be reviewed. We will then determine what action is necessary. All suggestions shall receive a response. The injured employee's supervisor or a member of management will investigate all occupational injuries and illnesses that are job-related. Particular attention will be given to methods that prevent future situations that caused the injury or illness. All employees will receive prompt and timely safety training. Safety rules and safe practices will be emphasized at these training sessions. All new employees will receive a copy of the summary, to be signed and put in their file, indicating that they have been trained at the beginning of employment. Any employee given anew job assignment, for which training has not previously been received, will be trained in that particular job immediately. Records will be kept of all training provided. These records will indicate the type of training given, date, the name of the training provider and the employee's signature. Basic Safety Accident &Protection Plans: All Employees of CTC will adhere to the following safety and accident protection plans while working. Employee responsibilities for safety include the following: • Adhere to all safety rules and regulations. • Wear appropriate safety equipment as required. • Maintain equipment in good condition, with all safety guards in place hewn in operation. • Report all injuries and near misses, no matter how minor, immediately to their supervisor, safety personnel or management. • Encourage coworkers to work safely. • Report unsafe acts and conditions to their supervisor, safety personnel, or management. Safety Coordinators: Greg Gathers (785) 221-7550 Jeremy Britton (256) 7494 886 Others TBD One or all the Safety Coordinators listed above will be on site at all times and will be responsible for overseeing safety on site throughout the duration of the contract. The numbers listed above are cell phone numbers and all employees will have cell phones and/or two-way radios for communication. ANSI 2133 Standard &Employee Understanding: Page 61 of 87 ZTC _PIN101.�q F/I As an employee of CTC, you need to review and understand the requirements of the ANSI 2.133.1-2000 Standard. You need to understand that the 2133 Standard was developed by arboriSLS, for arborists under the standards -developing procedures created by the American National Standards Institute, creating what these industry's safety experts feel are the minimum acceptable standards of practice for safety in arboriculture. It represents the collective wisdom and experience of countless arborists. You need to understand the difference between "Should" and "Shall" as they are used in the standard. The word Should" indicates an advisory statement where it is feasible that the actions you take might be different from the prescribed practice. A "Shall" indicates a mandatory requirement, where it is inconceivable that your actions would have to deviate from the prescribed practice, expect where exceptions are noted in the Standard. Finally, you need to understand that the 2133 Standard does not take precedence over, or take the place of, the safe work policies of CTC. Safety Rules —Accident Prevention: For the protection and safety of all employees, CTC has established the following rules designed to prevent accidents and injuries. Compliance with these rules is mandatory. Documentation will be made when the rules are distributed to new employees. • Proper footwear and clothing will be worn at all times. • Do not wear loose clothing, jewelry, or keep long hair in a down position. There is a danger of catching such articles in moving machinery. • Horseplay, running, fighting or any activity that may result in injury or waste will not be tolerated. • Appropriate personal protective equipment, or PPE, will be worn for the task (s) at hand, as specified by training and job briefing(s). • While on duty, the use of or being under the influence of alcohol, narcotics, intoxicants or similar mind -altering substances is strictly prohibited. Individuals found to be in violation of this policy will be subject to disciplinary action up to and including possible termination of employment, even for a first offense. • Operate machinery with all guards in place. Tampering with safety devices is cause for immediate disciplinary action. • Do not operate any machine you are not familiar with or have not been trained on and authorized to use. • Machines must never be cleaned, adjusted or repaired until the machine is turned off, the circuit is interrupted at the power source (including lock -out) and a warning tag is placed at the controls. • Any defects in materials, machinery, tools and equipment must be reported immediately to a supervisor, safety personnel, or management. • Do not leave tools, materials, or other objects on the floor that might cause others to trip and fall. • Do not block exits, fire doors, aisles, fire extinguishers, gas meters, electric\la panels or traffic lanes. • Avoid injury by attempting to lift or push excessive loads. If an object is too heavy to move without strains, ask for help. Page 62 of 87 • Observe Lite correct posture for lifting. Stand with your feet slightly apart, assume a squatting position with knees bent, and tuck your chin into your chest. Tilt head forward, grasp the load with both hands, and gradually push up with your legs, keeping your back straight and avoiding any abrupt movement. • Do no distract others while working. When approaching a coworker for any purpose, do so from the front or the side in a way that they will see you coming and will not be startled or surprised. If conversation is necessary, first make sure that it is safe. • Do not allow oil, water or any other material to remain on the floor for long periods of time where you or others may slip. Report any slip and fall problems to your supervisor. • When handling hazardous materials be sure to follow prescribed safety procedures and use required safety equipment. When using secondary containers filled by others, be sure they are labeled as to their contents and hazards. Know the Material Data Safety Sheets (MSDS) and where they are located. Review them often. • Use appropriate gloves when handling materials with sharp or jagged edges, when handling chemicals, when handling hot material, or to protect your hands in general. • Do not attempt to operate machinery for which you are not trained. • Unnecessary and excessive haste is the cause for many accidents. Exercise caution at all times. • All work-related injuries and accidents, no matter how minor, must be report ed immediately to your supervisor, safety personnel, or management. • Employees should understand and comply with all sections of the ANSI Z133.1 Standard that apply to their job activities. All employees must be thoroughly familiar with these basic safety rules. Failure to comply with safety rules or procedures, or failure to wear the appropriate safety equipment, will result in disciplinary action up to and including termination. Personal Protective Equipment: Hazard Assessment for Person Protective Equipment The following table contains descriptions of the PPE required for typical tasks encountered in tree care and some of the potential hazards associated with them. Always ensure that your PPE fits properly as outlined in the training provided at the time of employment at CTC. Tasks Potential Hazards Information Sources PPE Required Aerial lift Conductors, Tailgate Session Hard hat, safety operations equipment failure, #24; ANSI Z133.1 55 glasses, hearing falls, hydraulic leaks, 6.2 protection, gloves, steep/uneven slopes frill body harness & shock absorbing lanyard or body belt and lanyard Page 63 of 87 Brush removal & Awkward Tailgate Session Hardhat, safety chipping movements and #39; Tailgate glasses, face shield, postures, flying Session #18; ANSI hearing protection, debris, carrying Z133.1 9.6 gloves heavy weights, moving parts, noise, slips, trips, and falls Chain saw Hot exhausts, cuts Tailgate Session #28 Hardhat, safety maintenance glasses, gloves Chain saw Awkward postures, Tailgate Session Hard hat, safety Operation hot exhausts, cuts #29; ANSI Z133.1 glasses, hearing improper stance, 7.2 protection, gloves, kickback, noise, chainsaw chaps slips, trips, and falls; (when working on vibrations the ground) Chipper Amputation, cuts, Tailgate Session #60, Hard hat, safety Maintenance pinch points ANSI Z133.1 6.3 glasses, hearing protection, gloves Climbing Cutting climbing Tailgate Sessions Hard hat, safety line, falls, #195 20, 315 32; glasses, hearing conductors, rope ANSI Z133.a 5,9.1 protection, gloves, failure, tree decay, fall protection worn equipment, insects/animals Driving Other drivers, road Tailgate Sessions Seatbelts and weather #41542543544 conditions Hand Tool Use Awkward postures, Tailgate Session Hard hat, safety conductors, cuts, #30; ANSI Z133.1 5, glasses, gloves splinters 8.14.10 Ladder Use Conductors, falls, Tailgate Session Hard hat, safety ladder failure #22; ANSI Z133.1 glasses 8.11 Page 64 of 87 Limb Removal for Breaking ropes Tailgate Session Hard hat, safety Take -Down and/or crotches, #37; ANSI Z133.1 5, glasses, gloves conductors, falling 9.4 and/or splitting limbs Limbing and Awkward posture, Tailgate Session Hard hat, safety Bucking limbs; snapping, #37; ANSI Z133.1 glasses, gloves slips, trips, and falls, 9.7 tree rolling Use of mower, Hidden objects, Hard hat, safety brush cutter, string terrain, traffic glasses; hearing trimmer protection Pesticide Handling Equipment failure, Tailgate Session #45, Hard hat, goggles or & excessive drift, poor %54, ANSI Z133.1 face shield, long Application/Sprayi personal hygiene, 6.4 sleeved shirt, rubber ng & Spill cleanup spills, vehicle boots (if walking) collision chemical resistant gloves Pruning and Barber chairs, falling Tailgate Session Hard hat, safety Trimming branches, conductors #33; ANSI Z133.1 55 glasses 9.2 Storm Work Hidden/dislodged Tailgate Session Hard hat, safety conductors, damaged #10; ANSI Z133.1 5, glasses, foul weather trees, wood under 9.2 gear tension, fatigue, working at night, working on unfamiliar system, unannounced re - energized of lines Stump Grinding Flying debris, Tailgate Session Hard hat, safety moving parts, noise #40; ANSI Z133.1 glasses, face shield, 6.5 hearing protection Page 65 of 87 Traffic Control Topography, volume Tailgate Session 3; Hard hat, safety and speed of traffic, time of day, weather ANSI Z133.1 4.4 glasses, reflective vest, flag or signs conditions Trailer Towing & Hitch failure, jack Tailgate Session #38 Hard hat, safety Setup failures, vehicular glasses, traffic cones traffic and signs, gloves Tree Take -Down Barber chairs, Tailgate Session Hard hat, safety conductors, cuts, struck-bys #36; ANSI Z133.1 5, 9.5 glasses, hearing protection, gloves, chainsaw chaps NOTE: the hazards in bold represent Musculo -skeletal disorder (MSD) risk factors that should be minimized (duration, frequency and/or magnitude) to the extent possible or eliminated. MSD signs are decreased range of motion, deformity, decreased grip strength and loss of function. MSD symptoms are numbness, burning, pain, tingling, cramping and stiffness. Other hazards that apply to some/all of the above tasks: Drug Use and/or Alcohol Abuse; Fatigue; Fire; Lyme Disease; Poisonous Plants; Violent Workers/Customers; Weather, Back Injury Prevention: Causes of Back Injury Pulling, twisting, and slipping are the most common causes of back injuries. Lifting objects improperly can also hurt the back. Lifting with the back and not the legs, lifting from an awkward position, or tying to move material too large for one person can lead to injury. Even simple movements can cause back injury. Stepping from a truck, bending over for a small tool, or over -reaching can strain back muscles. Table 1 below ranks the most fr equent causes of back injury in tree care in descending order. Table 1 -How Back Injuries Happen Lifting... Large objects Irregularly shaped objects Page 66 of 87 Over Lite shoulder Twisting... While feeding brush into the chipper While positioning in a bucket or a tree While dragging brush, reaching, using long poles From sudden slips due to poor ground conditions On slippery equipment in snow or rain Jumping... Off truck bed or out of truck cab Over fences Off ladders Out of trees Pulling... Ropes hangers Trees, on removals Muscle strains and sprains -soft tissue injuries -cause most arborists' back problems. These are temporary injuries. More important, strains and sprains usually precede more serious, chronic and debilitating injuries to the ligaments, discs and vertebrae. In a sense, soft tissue injuries are warning signals that more serious, permanent injury could occur. Therefore, your back -injury prevention program should focus on preventing strains and sprains. Preventive measures Arborists can keep their backs healthy with stretching and exercise, by knowing how the back works, and by using simple lifting techniques. Here are attainable objectives for your company's back injury prevention program: Provide continuous training for all employees to raise their awareness of how the back can be injured. Develop action steps employees can use to detect and eliminate conditions likely to cause back injury- see this program's sections on hazard reporting (16), safety committees (23), job hazard assessment (15) and job briefings (17). Motivate employees to take responsibility for back safety at work and at home. Page 67 of 87 MSASTER_RESPONSE The following procedures are taken from Annex C of the ANSI 2.133 Standard: Before lifting any weight: Be sure clear the travel path available if the weight is to be carried from one place to another. Decide exactly how the object should be grasped to avoid sharp edges, slivers, splinters, or other things that might cause injury. • Make a preliminary lift to be sure the load can be safely handled. • Place feet solidly on the walking surface. • Crouch as close to the load as possible with legs bent at an angle of about 90 degrees. • Keep back as straight as possible. It may be far from vertical but should not be arched. • Lift with the legs, not the back, keeping the weight as close to the body as possible. • Use a second worker when necessary. Stretching and exercises The professional athlete must maintain a high level of production and effort to win. The same is true for an arborist, who must perform at peak efficiency. Strains of the lower back muscles, the most common back injury, usually occur because the muscles are cold and tight. If the athlete warms up and stretches to avoid injury, then why not the tree worker? CTC will provide you with information on simple, quick warm-up/stretches that you can perform prior to heavy exertion. Early Return to Work CTC participates in an Early Return to Work Program with local providers closest to job site for the treatment of all work- related injuries. If you are ured at work, you must report the injury to your supervisor immediately. If medical treatment is necessary and you haven't designated a treating physician, you must go to the nearest medical facility. You must also complete an Employee Claim for Workers' Compensation Benefits form as soon after an accident as possible. If you are unable to return to the regular position due to a workplace injury, you should discuss with the doctor the possibility of working in a light duty job until the doctor releases you for full duty. If the doctor releases you for light duty, your supervisor will be notified the same day. Modified jobs will be identified after obtaining your physical restrictions. "Modified" might be your regular job, modified by removing heavier tasks and reassigning these to other employees; a different regular job currently existing at the workplace; or a job which is specifically designed around your restrictions. A modified job offer will be made only when the work is available and of benefit to the company. Part-time work will be considered as modified work, if medically indicated. Each case will be assessed individually based on need. Modified work may not be implemented every time there is a loss claim. Wages will not necessarily be the same as that of the regular job. If you take off work completely, or if light duty work is unavailable, you must report your medical condition and progress to the supervisor at least once a week. Page 68 of 87 Disciplinary Procedures Employees who fail to comply with safety rules will be subject to disciplinary action up to and including termination. Supervisors will follow the normal disciplinary procedures as follows: 1) Verbal counseling must be documented in the employee's personnel file. 2) Written warning -outlining nature of offense and necessary corrective action. 3) Suspension without pay -once (1) working day without pay -the third step or a separate disciplinary action resulting from a serious violation. 4) Termination -if an employee is to be terminated, specific and documented communication between the supervisor and the employee must occur. Supervisors will be subject to disciplinary action for the following reasons: • Repeated safety rule violation by their department employees. • Failure to provide adequate training prior to job assignment. • Failure to report accidents and provide medical attention to employees injured at work. • Failure to control unsafe conditions or work practices. • Failure to maintain good housekeeping standards and cleanliness in their departments. Supervisors who fail to maintain high standards of safety within their departments will be demoted or terminated after three documented warnings have been levied during any calendar year. Accident Reporting &Investigation It is the policy of CTC to carry out a thorough program of accident reporting and investigation. Supervisory personnel will be primarily responsible for conducting an investigation of all accidents in their area. Accidents involving fire, death, serious injury, or extensive property damage will be investigated jointly by the supervisor and upper management. The primary goal of the accident investigation program is the prevention of future accidents through the use of knowledge derived from the investigation. Additionally, the investigation will be used to prepare reports required by Federal and State law as well as the Workers Compensation insurance carrier. These reports are critical in establishing the company's and the supervisor's liability under the law. When an employee is injured at work the supervisor is responsible for taking emergency action to have fist aid administered, to obtain professional medical attention as soon as possible, and to protect other employees and equipment. The supervisor must then begin to investigate the circumstances of the accident. The following procedures have been found to be effective when investigating accidents. Go to the scene of the accident at once. Talk with the injured person if possible. Talk to witnesses. Stress getting the facts -not placing blame or responsibility. Ask open-ended questions. Listen for clues in the conversations around you. Page 69 of 87 ZTC Encourage people to give their ideas for preventing a similar accident. Study possible causes -unsafe conditions, unsafe practices. Confer with interested persons about possible solutions Write your accident report giving a complete accurate account of the accident. Follow up to make sure conditions are corrected. If they cannot be corrected immediately, report this to your supervisor. Publicize corrective action taken so that all may benefit from the experience. Notes the Safety Coordinators) as well as the Project Officer (PO) and immediately with information regarding with whom, how, where, when, seriousness of accident and medical treatment received of the injuredperson orpersons whenever an accident occurs. Accident scenes shall not be disturbed until released by investigating personnel with the exception of emergency rescue and emergency measures. Vehicle Accidents -What to do: Make sure your vehicle has a fully stocked accident kit. The kit should contain: • Current vehicle registration • Current proof of vehicle insurance • Several business cards from the owner or manager • Pen, and or pencil • Accident report ing form from your office and insurance company • Trailer registration if applicable • Several witness cards Attend to all injured victims. Assess the situation and attend to the most seriously injured first. Do not move any victim unless there is danger from other vehicles and traffic, or danger of fire or explosion. Do not move vehicles. The police need to see the accident prior to moving any vehicle (s). Protect the scene of the accident by placing flares, flags, or reflectors where they can be seen by approaching traffic. Physically direct traffic around the accident scene if necessary; do not expose yourself to danger in traffic. If your vehicle is moved, get the name of the person or company that moved it. If it is removed from the scene, find out where it is taken. Conduct your own investigation. Get the names, addresses, phone numbers, driver's license number, vehicle license numbers, and insurance companies of all persons involved, year, make, and model of all vehicles involved. Offer the same information about yourself and your vehicle to others involved. Contact the office to let them know what has happened, and whether anyone was injured and/or taken to a hospital for emergency treatment. Do not admit fault or discuss the accident with anyone except the office of police. Non -Emergency Injuries If necessary, any employees) requiring treatment for all non -emergency injuries, or post emergency medical treatment has been provided by local hospital, will be transferred to: TBD. Page 70 of 87 Emergency Action Plan The following details the organizational structure of our plan and outlines emergency measures to be taken in the event of fire or other emergency. Remember, your conduct and actions during the first few minutes of any emergency may not only save your life, but the lives of your fellow workers and other members of the community as well. Each truck will have emergency numbers available for ambulance, physician, hospital, fire and local police. Use most effective means of communication based on your location (cellular phone — if adequate service), two-way radio, hard line telephone or other acceptable means, General Information Two important telephone calls need to be made if the facility is to be evacuated because of a fire or disaster within the facility, or an external hazardous condition threatening the facility. If either of these two situations occurs; notify 911 (Emergency Medical Services and Police), Upon order of management if you are working near a building and a fire breaks out, call emergency numbers if you cannot contain. Going into a building to let someone know of a Ere outside the building is acceptable, however, the occupants will have their own safety officer and should have already been briefed in evacuation procedures, Materials and supplies to be evacuated include, but may not be limited to, first aid kits, the MSDS binder and the personnel roster, Responsibilities The Safety Director will: - Coordinate the Emergency Evacuation Plan throughout the facility. Make certain the Program is familiar to all personnel and that all new employees are promptly oriented, - Schedule education as necessary. The Safety Director will be aided by the Supervisors who will: - Facilitate the Emergency Evacuation Plan. - Keep contact check on all personnel to be sure that they are completely familiar with all phases of the Plan that they are required to know. - See that personnel participate in awareness training, fire classes, and other practice sessions as necessary. - Be certain that all personnel are familiar with Bre extinguishers and make thorough fire prevention inspections when they are assigned to do so. Take the necessary steps required to correct any fire hazards discovered. It is the duty of every employee to: - Be completely familiar with the Emergency Evacuation Plan and their duties of responsibilities in the program. - Participate in all fire drills and practice sessions. Attend all fire training classes when assigned. Page 71 of 87 Learn the location of, and how to operate all fire extinguishing equipment. Report any fire and/or safety hazard. Fire Emergency Plan Keep Ca1m.00Report all fires and smoke Personnel have been assigned to: Notify the fire department 1) For Emergency situation call 911. 2) For Non -Emergency situation call the COO. The person reporting the fire to the fire department will provide them with the following information. • Custom Tree Care, Inc. • Address of incident • What is burning (machines, paper, etc.) • Location of fire (roof, plant, office, etc.) • Type of fire (electrical, liquid, etc.) Additional assignments have been made to attempt to extinguish fire with the use of on -premises equipment (extinguishers, hoses, etc.). A minimum of two persons is required to fight a fire. To ensure employee safety, this is to be done only during the early stages of the fire. If the fire cannot be extinguished by the time your fire extinguisher runs out (roughly five (5) minutes) then you must notify emergency immediately. Working away from the involved area, personnel will be assigned to: • Check the driveways to see that they are clear for entry of fire fighting equipment • Wait at the front'entrance for the arrival of fire fighting equipment. Direct the firemen to the fire if necessary. Re-entry onto the property will not be permitted until it is declared safe to do so by management, or by the local fir law enforcement officials. Hazard Communication Name of Contact Person: Greg Gathers Title: President —CTC Disaster Response, Inc. Hazard Evaluation Chemical manufacturers and importers are required to review the available scientific evidence concerning the hazards of the chemicals they produce, and then report that information to employees who purchase their product. In most cases CTC will choose to rely on the evaluation performed by our suppliers. If for some reason we do not trust the evaluation of the manufacturer, we will arrange for additional testing. Page 72 of 87 We will consider the following chemicals used in our business to be hazardous: • Diesel Fuel • Gasoline Label &Other Forms of Warning We will make certain that containers are adequately labeled to identify the hazardous chemicals they contain and will show hazard warnings appropriate for your protection. The warnings will use a combination of words, pictures and symbols that will communicate the hazards of the chemical (s) in the container. The labels will be legible and prominently displayed. Our training program will include instruction on how to read and interpret label information. Exceptions to this rule are as follows: • We are permitted to post signs that convey the hazard information if there are a number of stationary containers in a given area, which have similar contents and hazards. • We are not required to label portable containers, as long as the transferred chemical is for immediate use by the employee who made the transfer. • We are not required to label pipes or piping systems. Employee Training It is the goal of CTC to provide hazard communication training during the first 30 days of employment and whenever a new chemical is introduced to a given work area. Training will be done in a meeting setting and will be conducted by the Program Coordinator or another who has been properly trained. The training program will consist o£ • How the hazard communication program is implemented, how to read and interpret information on labels and MSDS, and how employees can obtain and use the available hazard information. • The hazards of chemicals to which employees are exposed in the work area. • Measures employees can take to protect themselves from the hazards. • Specific procedures put into effect by the company to provide protection, such as personal protective equipment, mechanical guards, or protective processes. • Methods that you can use, such as visual appearance or smell, to detect presence of hazardous chemicals to which you or your co-workers may be exposed. • Name and/or job title of who you can go to if you have questions. Quality &Warranty of Work CTC will provide service that meets and exceeds standards of excellence. The work done on all of our projects is guaranteed to be done in a timely, professional manner with expertise in all aspects of arboriculture. Upon completion of work assigned, a Certified Arborist will be available to go through with the project coordinator to ensure the work performed meets and exceeds his or her expectations. Letters of recommendation are available upon request. A listing of past performance is also available noting work done both as a Prime Contractor and aSub-Contractor. Page 73 of 87 a f , Quality Control Greg Gathers — President — CTC Disaster Response, Inc. shall be responsible for overseeing all aspects of quality control throughout the duration of the project. Greg is a Certified Arborist with the KAA and ISA and has authority to make recommendations and implement plans of action for all tree care operations. Proof of certification including Membership and Certification Numbers will be provided to the current Contract Administrator of this agreement. Page 74 of 87 DISASTER RESPONSE EXCEPTIONS CTC Disaster Response, Inc. does not have any exceptions in regard to any requirements stated in this ITB document or associated addendums. Page 75 of 87 LETTERS OF RECOMMENDATION DISASTER_RESPO SSE CITY OF THE VILLAGE 2304 1\4ANCFIES"1'BR DR. THE VILLAGE, OK 73120-3729 PIIONE (405) 751-8861 V/1'DD FAX 748-7352 - EMAIL cl{v_Jmll,ga thevlllogeok.ag OFFICE OF THE CITY MANAGER BRUCE K. STONE March 18, 2021 Lisa Johnson Custom Tree Care, Inc. 6021 SW 29th Street, PMB 130 Topeka, KS 66614 Re: Letter of Recommendation Dear Ms. Johnson: Itis my pleasure to offer this letter of recommendation for your company. Custom Tree Care performed storm debris removal services for the City of The Village after a devastating ice storm in October 2020. Your crews were extremely knowledgeable of FEMA requirements, had excellent equipment and did a professional job. Although we certainly would not be excited about cleaning up after another disaster, we would not hesitate to hire your company to get the job done. Si ce B c . Stone, Ci y Manager Page 76 of 87 TO VfV j IV (Lp r ` U�1/ 'j/P.�(Il\ ll'OINT Mnyor Scot! Hatsell N/nyur Pru -Tent Paur Caste JJ no Bonrrl of Connrrlssloners John M. Nosh Pam Castellano David Winberry Fi•rrnkie Whrberry Ucccmbcr 3, 2018 Mr. Greg Gathers Custom Tree Care, Inc. 3722 SW Spring Creek Lane Topeka, ICS 66610 Dear Mr. Gathers w w w. cetlarpoir� to c. org 7o1vn Adwfnlsfrnfor Christopher D. Seaherg MnJling Address PO Box 1687 417 Sherwood Avenue Swansboro, NC 28584 Pfr ne: 252-393-7898 Hur7•icane Florence left the 'Town of Cedar Point conside7•ably damaged, with significant amounts of debris, both vegetative and construction. Custom Tree Care, Inc, did a great job not only getting the debris cleaned up and hauled off, but in an orderly fashion. We appreciate the dedication and professional service that the staff of Cullom Tree Care provided to the'I'owu of Cedar Point. Sincerely, 7 Jayne Calhoun Town Clerk Page 77 of 87 Mayor David Fowler Commissioner Steve Martin Commissioner Mile ICing Commissioner Charlie Evans February 18, 2019 To Whom It May Concern: ►A*f.4 Ok/I Cape Y Carteret 102 Dolphin Street Cape Carteret, NC 28584 Mayor Pro Tern Minnie Truax Commissioner Don Miller Town Manager Zachary Steffey Attorney Brett DeSelms Custom Tree Care was mobilized to the Town of Cape Carteret following Hurricane Florence to provide vegetative and C&D debris removal. We were pleased with the speed at which Custom Tree Care mobilized and their willingness to work with the Town to get the debris removed In an expeditious manner, Custom Tree Care demonstrated a commitment to making sure that the Town and our citizens were pleased with the debris removal process and they addressed all issues in a timely manner. We would recommend Custom Tree Care to any client looking for prompt and professional debris removal services. Zv ary effey Town Manager Page 78 of 87 \Yilliom f3lnir; III Mayor [?li��bcrh King Alderman Kcn Dull Alderman January 30, 2019 TOWN OF WItIGI-I'1'SVILLL BI;ACI-I Post O(lice liox 626 321 Causeway Drive Wiigh(sville Beach, North Carolina 28480 (910) 2'39-1700 FAX (910)2.56-7910 Greg Gathers Custom Tree Care 6021 SW 291h Street, PMB 130 Topeka, Kansas PMB 130 Dear Mr. Gathers, Daryl Mills Mayor No Tem Hank Miller Aldmman Tim Owens 'Town Manager Custom Tree Care, Inc: did an outstanding job of clearing the Town of debris associated with Hurricane Florence. The response time was extremely fast and the work was completed quickly. Custom Tree Care Staff were accessible and easy to work with even during the busiest of times. All of the sub -contractors that worked on the job did a remarkable job given the limited space allowed to get the work done. In addition, the Town originally thought that the services of Custom Tree Care, Inc. would be needed for assistance with the initial clearing of debris from roads. When called, Custom Tree Care, Inc. was prepared to respond quickly. I appreciate all of the hard work by Custom Tree Care, Inc. that allowed us to begin the recovery process. If needed, would recommend Custom Tree Care, Inc. to other governmental entities for disaster recovery work. Sincerely, 4 Timo�Ytfy W. Owens Town Manager Page 79 of 87 µ TOWN of BELVILLE Incorporated 1977 63 River Road Telephone (910) 371-2456 Belville, NC 28451 Fax (910) 371-2474 FEBRUARY 20, 2019 TO WHOM IT MAY CONCERN: THE TOWN OF BELVILLE RECOMMENDS CUSTOM TREE CARE AS A REPUTABLE COMPANY THAT PERFORMS WITH EXCELLENCE. CUSTOM TREE CARE HAS CONDUCTED DEBRIS REMOVAL OPERATIONS FOR THE TOWN AFTER STORM EVENTS AND THEIR CREWS CONTNUE TO IMPRESS OUR STAFF WITH THEIR HIGH REGARD FOR SAFETY AND ACCOUNTABILITY WHILE COMPLETING THE TASKS THAT ARE ASSIGNED. WE LOOK FORWARD TO A CONTINUED PARTNERSHIP WITH THEIR COMPANY TO A5515TTHC: TOWN WITH THE RESPONSE AND RECOVERY PHASE OF NATURAL DISASTERS. SINCERELY, ATI•IINA WILLIAMS, TOWN ADMINISTRATOR I Page 80 of 87 _ 707,MaF/I March 14, 2019 To Whom It May Concern: WAYNECOUNTY NORM CAROLINA Phone: (919) 731.1417 Fa x(919) 731-1300 It is my privilege to write this letter of reference for Custom Tree Care. We starting doing business with Custom Tree Care In 2016 and have been working with them ever since. I learned very quickly that the employees with Custom Tree Care are thoughtful, highly regarded and very good at what they do. They have earned the admiration of people that were fortunate enough to work with them. I would recommend them for any debris removal project. Sincerely, Noelle Woods Purchasing Manager County of Wayne THL• GOOD LIFE. GROWN HERO. V/AYNE COUNTY rIN�NCE OFFICG h0 OOX 227 GOLUSISORO,NC 27533 Page 81 of 87 City of Goldaboro L601 Clinguian Street Goldaboro, NC 27533 919.734.8674 www.goldsboronc.gov Letter of Reference ZTC ► _ • in I F/I Getti so the Y n PUBLIC WORI<S "I just wanted to pa§s on oiir tbariks and appreciation for worlcirig with us and the'citizens o Goldsboro during our recovery efforts after hurricane Matthew. Your staff was extremely accommodating and willing to work with us at every level to ensure debris was collected and removed as expediently as possible from within our City Your flexibility and willingness to continue to haul vegetative debris, even weeks after being awarded a separate contract to haul C & D debris, allowed us time to ensure all vegetative debris was collected and hauled away. It was a pleasut•e doing future services, •Richard Ds.A. ['letcher III Interim Public Works Di City of Goldsboro, NC with you I would definitely recommend Custom 1't•ee Cate fot• Page 82 of 87 Greg, "I just wanted to pa§s on oiir tbariks and appreciation for worlcirig with us and the'citizens o Goldsboro during our recovery efforts after hurricane Matthew. Your staff was extremely accommodating and willing to work with us at every level to ensure debris was collected and removed as expediently as possible from within our City Your flexibility and willingness to continue to haul vegetative debris, even weeks after being awarded a separate contract to haul C & D debris, allowed us time to ensure all vegetative debris was collected and hauled away. It was a pleasut•e doing future services, •Richard Ds.A. ['letcher III Interim Public Works Di City of Goldsboro, NC with you I would definitely recommend Custom 1't•ee Cate fot• Page 82 of 87 ZTC • _ •. k 1111111 November 28, 2017 11'H1 j �[SLANRE: Recommendation Letter for Custom Tree Care, Inc. To whom it may concern: Town Council Jordan W. teonord It is with great pleasure that I write this letter of recommendation for Custom Tree Moyor Care, Inc. (CTC). Slephonle IIrudes The Town contracted with CTC for Disaster Debris Management Services in June of Vice Mayor this year at the beginning of Hurricane Season. Three months later, Hurricane Irma Joshuo D. Fuller came through South Florida and the Town quickly called upon CTC for help. CTC Council Member arrived on site prior to the hurricane and remained on site until the cleanup was complete. Their crews began cutting up and cleaning up debris immediately Kelly Reid following the storm and did not stop until the cleanup efforts were completed in less Council Member than 3 weeks. The debris was then grinded down and hauled off to the landfill, with Isaac Salver the final load being hauled on October 17, 2017. Needless to say, CTC was Council Member remarkably responsive and thorough in completing post hurricane cleanup operations. Elizabeth Tricoche Council Member In addition to their incredible cleanup efforts, CTC and their staff are extremely Roberl Yolfe knowledgeable with the FEMA guidelines and required documentation. They Council Member provided the Town will all of the documents required for federal assistance in a neat and orderly manner. During their first field visit, the FEMA representative received all of the Information required and our request for reimbursement is currently being Town Officials processed. Ronold J. Wasson Greg and his crew at CTC are extremely professional, competent, courteous and Tovm Manager are truly a pleasure to work with. Hiring CTC is, without question, the best decision that I have ever made. Marlene M. Siegel Tosm Clerk Craig B. Sherman Town Allc•^•� If you need any additional information, please do not hesitate to contact me at 305- 866-6241 or at ijimenez anbayharborislands-fl.gov. er MAYOR JOSEPH J. GARDNER GOVERNMEIVT CENTER 9665 boy Harbor Teuoce • IIay Harbor Islands, Fl 33154 •Tal: 13051 II66-6241 •Fax: 13051 8664063 • svww.lwyharborislonrlrll.pov Page 83 of 87 March 19, 2018 To Whom It May Concern RE: LETTER OF REFERENCE FOR CUSTOM TREE CARE, INC. To Whom It May Concern: Please be advised that Custom Tree Care, Inc. provided contract services to South Broward Drainage District (SBDD) for Hurricane Irma debris removal and disposal. Custom Tree Care, Inc. assisted SBDD in the removal of Hurricane Irma debris (trees and vegetation) from within water bodies at approximately 100 locations throughout SBDD's jurisdictional boundaries. In addition, Custom Tree Care, Inc. loaded and hauled 1,110 Cubic Yards (CY) of stockpiled debris from SBDD's Disaster Debris Management Site (DDMS) to the Broward County landfill approximately 30 miles away. Custom Tree Care, Inc. performed all of its work in accordance with the terms and conditions of the contract with SBDD. I f you have any questions or require any additional information regarding this letter of reference, please call. Sincerely, SOUTH BROWARD DRAINAGE DISTRICT Kevin M. Hart, P.E., CFM District Director 6591 Southwest 160 Avenue •Southwest Ranches, Florida 33331 •Telephone: 954-680-3337 •Fax: 954-680-3339 Page 84 of 87 City of \Vest Pnrk 1965 Soulb State (toad 7 West Park, F1.33023 Phone: 954.989.2688 Fax: 954-989w2684 tr% e•.cityoMcsIpark.org Eric 11, Junes. It. Mayor Brims C. Johnson Vicc-Mayor 04. Felicia M. Brunson Commissioner Thomas w. Dorsett Commissioncr 6*0 Kristine Judeikis Commissioner \V. Ajibola Balogun Administrator Alexandra Grant Clerk March 27, 2018 Subject: Custom Tree Care, Letter of Reference To whom it may concern: The subject vendor is cw•rently one (1) of our contracted emergency debris collectors/haulers and played an h\slrumental part with our recovery during the IIur•ricane Irma event, here in IIroward County, during fall of 2017. Their staff is responsive to our needs and professional while performing contracted duties. We hold no reservation as to recommending C.T.C. to fellow colleagues and plan to utilize their expertise in the near future. [f you have any question and/or concerns please contact me at 954964-0284. lnrcl Millicn ' Public Works Operations Manager Page 85 of 87 iNI`1,J I U DKIEN'S n SE/1COH company 'PO WHOM IT MAY CONCGRN: Please accept this letter of t•ecommendation fat• Custom Tree Cate, Inc. Witt O'Briens had the pleasure of working alongside Custom Tree Care, Inc. during between (date) to (date). During that time, out• prime responsibility was to monitor, document and validate all debris activities performed by the contractors. We found Custon Tree Care, Inc to be the most professional, and safety -minded contractor we have ever worked with. They pet•formed all t•egttir•ed duties in a timely mantle►•, utilizing the best maintained equipment Fot the purpose. The required documentation provided to its exceeded what we have experienced in the past. Thereby, allowing the contracting agency to receiving federal, state and other compensation in a most expedient manner. We feel that, although Custom Tree Care, Inc. may Therefore, we are happy to give not be the largest or the oldest in the emergency recovery business they are by far one of the best in the business. a full recommendation on their services. Please contact Ryan Booth at 251-509-6923 0• rbooth@wittobriens.com fol• further infot•mation. Sincerely, Ryan Dooth Debris Operations Specialist Witt 0'131 lens 010 9'own F Country, Sultc 200, Hmisiou, TR 7702A 7.0005 � L � 1 (201) 320-979C, f. t7 (201) 37.0.9 %001 wtvw.tviUoLriens.cnm Page 86 of 87 Page 87 of 87 The bidder shall provide the hourly rates, unit pricesI and equipment rates requested below. These prices and rates shall be all inclusive of labor, equipment, maintenance, fuel, delivery costs, travel time, per diem and any other travel or miscellaneous expenses. Bidders may offer other required positions as necessary with the written approval of the City's Project Manager, SCHEDULE 1 LABOR CATEGORY HOURLY LABOR RATE Operations Manager w/ Cell Phone and .s Ton Pickup Truck $ 1.1. 85 Crew Foreman w/Cell Phone & 1 Ton Equip, Truck w/ small tools and $ 1.2. misc. supplies in support of crew 65 Tree Climber/ chainsaw and Gear $ 1.3. 65 Laborer w/ Chainsaw and Gear $ 1.4. 55 Laborer w/ Small Tools, Traffic Control, or Flag Person $ 50 1.s. 1.6. Bonded and Certified Security Personnel $ 60 SUB -TOTAL (MULTIPLY EACH UNIT BY 1) LABOR CATEGORY$ $ 380 SCHEDULE 2 fs LOADING, REDUCING AND HAULING CATEGORY PER CUBIC YARD 2.1. Emergency Road Clearance First Push Maximum 70 hours $ 265 HOUR Loader, three men and chainsa 2.2. Vegetative Debris Removal (based on Section 3.9) Work consists of the collection and transportation of eligible $ 7'95 vegetative debris on the ROW, Parks and Public property to a City approved debris management site (DMS) or City approved final disposal site. 2.3. Construction and Demolition Debris (C&D) Removal (based on Section 3.10) 8.10 Worl<consists of the collection and transportation of eligible C&D $ on the ROW, Parks and Public property to a City approved debris management site (DMS) or City approved final disposal site. 2.4. DMS Operation and Debris Management and Reduction (based on Section 3.18) Work consists of managing and operating DMS for acceptance, $ 2.95 management, and reduction of eligible C&D disaster related debris. Management and Operation of a Temporary Debris Staging and Reduction Site per incoming Cubic Yard. 2.s. DMS Operation and Debris Management and Reduction (based on Section 3.18) Work consists of managing and operating DMS for acceptance, management, and reduction of eligible vegetative disaster $ 3.95 related debris. Management and Operation of a Temporary Debris Staging and Reduction Site per incoming Cubic Yard, 2.6. Mileage for Haul-out to Final Disposal Site within 25 miles from DMS (based on Section 3.19) Work consists of transporting eligible disaster related debris to a $ 4.95 City approved final disposal site within 25 Miles from the DMS. Distance is measured as the crow flies and rounded to the nearest mile. 2.7. 26-50.9 Miles $ 5.20 $ 5.95 2.8. 51+ Miles Removal of Hazardous Leaning Trees and Hanging Limbs (based on Section 3.14) Work consists of removing eligible hazardous trees or limbs and placing them on the safest possible $ 148 2'9' location on the City ROW for collection under the terms and conditions of Scope of Services, Vegetative Debris Removal. 6" to 23.99" diameter each: 2.10. 24" to 35.99" diameter each $ 268 2.11. 36" to 47.99" diameter each $ 398 2 12 48" and larger diameter each $ 398 Removal of Hazardous Stumps (Based on section 3.15) 2.13. Rate includes removal, backfill of stump hole, reduction, and $ 295 final disposal. 24" to 36.99 diameter 2.14. 37" to 48.99" diameter $ 395 2.15. 49" and larger diameter $ 495 Household Hazardous Waste Removal, Transport, and Disposal (based on Section 3.11) Work consists of the collection, 2.16m transportation, and disposal of household hazardous waste from $ 5 PER POUND the ROW, Parks and Public property to a City approved permitted hazardous waste facility or MSW type I landfill Traffic Control $ 50 HOUR 2.17. On site project manager $ 85 HOUR 2.18. Marine Debris Removal — Per CY $ 2.19. 28 Removal of Abandoned Vehicles - Per Vehicle $ 2.20. 200 Dead Animal Carcasses - Per Pound $ 2o2lo .50 White Goods - Per Unit $ 2.22. 3 Residential Drop-off Sites - Per CY $7095 211 E -Waste - Per Unit $ 20 124s Pre -event coordination meeting / Pre -event Training to End- INCLUDED 2'25' User Departments SUB -TOTAL SCHEDULE 2 (MULTIPLY EACH UNIT BY 1) ; $ 3,100.50 EQUIPMENT TYPE INDICATE WEATHER SCHEDULE 3 WITH OPERATOR CATEGORY LEASED OR OWNED HOURLY LABOR RATE 3.1. 50' Bucket Truck Owned $ 195 3.2. Crash truck with impact alternator Leased $ 65 3.3. Dozer, Tracked, D3 or Equivalent $ Leased 125 3.4. Dozer, Tracked, D4 or Equivalent $ Owned 135 3.5. Dozer, Tracked, D5 or Equivalent $ 145 Owned 3.6. Dozer, tracked D8 or equivalent Leased $ 155 3.7. Dump Truck, 16 +/- CY Owned $ 100 3.8. Dump Truck, 20+/- CY Owned $ 100 3.9. Dump Truck, 38 +/- CY Owned $ 100 3.10. 5.5 KW Generator Owned $ 25 3.11. 200 I(W Generator Leased $ 295 3.12. 500 I(W Generator Leased $395 3.13. 21500 I(W Generator $ Leased 995 3.14. Light Plant with Fuel and Support $ 25 Owned 3.15. Gradere w/12" Blade (Min. 30,000 LB) $100 Leased 3.16. Lowboy Trailer w/ Tractor $ Owned 125 3.17. Mobil Crane up to 15 Ton Leased $ 45 3.18. Pump, 95 HP (Minimum 25' Intake and $ 200' Discharge to Include Fuel and Support Owned 45 Personnel) 3.19. Pump, 650 HP (minimum 25' intake and $ 200' discharge to include fuel and support Leased 45 personnel) 3.20. Single Axle Dump Truck, 5 —12 cu. yd. $ Owned 100 3.21. 753 Bobcat Skid Steer Loader with debris grapple Owned 135 3.22, Pickup Truck, l Ton Owned $ 65 3.23. Skid -Steer Loader, 1,500 LB Operating Owned $ Capacity (w/ utility grapple) 100 3.24. Skid -Steer Loader, 2,500 LB Operating Owned $ 135 Capacity (w/ utility grapple) 3.25. Compact Traci( Loader,1,500 LB Operating Owned $ Capacity (w/ utility grapple) 100 3.26. Compact Track Loader, 2,500 LB Operating Owned $ 135 Capacity (w/ utility grapple) 3.27. Tub Grinder, 800 to 1,000 HP Owned $ 400 3.28. Hydraulic Excavator, 1.5 cy (w/ thumb) Owned $ 145 3.29. Hydraulic Excavator, 2.5 cy (w/ thumb) $ 145 Owned 3.30. Flatbed Truck $ Owned 60 3.31. Articulated, Telescoping Scissor Lift for $ Tower, 15 hp / 37 ft. lift Owned 30 3.32. Water Truck, 2,500 gal (Non -Potable, Dust $ Control and Pavement Maintenance) Owned 60 3.33. Wheel Loader, 3 CY, 152 HP Owned $ 145 3.34, Wheel Loader, 4.0 CY, 200 HP Owned $ 145 3.35. Wheel Loader, 1.5 CY, 95 HP Owned $ 100 3.36. Tandem Axle Dump Truck, 16-20 cu. yd. Owned $ 110 3.37. Tandem Axle Dump Truck, 21— 30 cu. yd. Owned $ 110 3.38. Handfed chipper $ 70 Owned SUB -TOTAL SCHEDULE 3: Equipment with $ Operator (Multiply unit by 1) 5 505.00 TOTAL,GRAND SCHEDULES Authorized Signatory; Executed by; G Gathers (Type or print name) DELIVER TO: City of Sunny Isles Beach City Clerk 18070 Collins Avenue Sunny Isles Beach, FL 33160 REQUEST FOR PROPOSAL SECTION 5 BID SUBMITTAL FORMS PLEASE QUOTE PRICES, LESS TAXES, FOR THE CITY OF SUNNY ISLES BEACH, FLORIDA OPENING: Tuesday, May 16, 2023 11;00 AM NOTE: City of Sunny Isles Beach is exempt from all taxes (Federal, State, and Local). Bid price should be less all taxes. Tax Exemption Certificate furnished upon request. Issued by: City of Sunny Isles Beach Date Issued: This Bid Submittal Consists of 04/18/2023 Pages 44+ Sealed bids are subject to the Terms and Conditions of this Request for Proposal 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, ITB 23-04-01 DISASTER DEBRIS MANAGEMENT AND DISPOSAL SERVICES A bid bond in the amount of 10% of the total amount of the bid will be required with your bid. A Performance Bond In the amount of 100% of the total amount of the bid will be required upon Notice to Proceed by the successful firm and City of Sunny Isles Beach Procurement Manaper: Genesis Cuevas Commodity Code(s): Firm Name: CTC Disaster Response, Inc. RETURN ONE ELECTRONIC COPV (USB) ONE ORIGINAL AND FOUR COPIES OF BID SUBMITTAL PAGES ANU AFFIDAVITS FAILURE TO SIGN PAGE 34 OF SECTION 6 BID SUBMITTAL WILL RENDER YOUR BID NON-RESPONSIVE BID SUBMITTAL FOR: ACI<NOW LEDGEM ENT 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 BID PART II: Addendum #1, Dated iC� ' �CZZ�ft� Addendum t#2, Dated Addendum #3, Dated Addendum ##4, Dated Addendum #5, Dated Addendum #G, Dated Addendum #7, Dated Addendum ##II, Dated ❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: CTC DISaSt2I' R@Sp011S2, � AUTHORIZED SIGNATURE: TITLE OF OFFICER: PI"@Sld@Ilt DATE: 5/3/2023 BID SUBMITTAL FORM Bid Title: DISASTER DEBRIS REMOVAL AND DISPOSAL SERVICES The undersigned Contractors proposes and agrees, if this Bid is accepted, to enter into an agreement with The City of Sunny Isles Beach to perform and furnish all Work as specified or indicated in the Contract Documents for the Contract Price and within the Contract Time indicated in this Bid and in accordance with the other terms and conditions of the Contract Documents. The Contractors accepts all of the terms and conditions of the Advertisement and Instructions to Contractors, including without limitation those dealing with the disposition of Bid Security. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Contractors agrees to sign and submit the Agreement with the Bonds and other documents required by the Bidding Requirements within ten days after the date of the City's Notice of Award. In submitting this Bid, the Contractor represents, as more fully set forth in the Agreement, that: ■ The Contractor has familiarized himself/herself with the nature and extent of the Contract Documents, Work, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. ■ The Contractor has studied carefully all specifications and requirements. ■ The Contractor has given the City written notice of all conflicts, errors, discrepancies that R has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Contractor. ■ This Bid 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 Contractor has not directly or indirectly induced or solicited any other Contractors to submit a false or sham Bid; the Contractor has not solicited or induced any person, firm or corporation to refrain from Bidding; and Contractor has not sought by collusion to obtain for itself any advantage over any other Contractors or over the City. The City and the successful Contractor will establish completion times for each individual Work Item and the successful Contractor agrees that the work will be completed within the time frames agreed upon and stipulated in the individual Purchase Orders and/or Notice to Proceed. Firm Name: CTC Disaster Response, Inc. Street Address: 6021 SW 29th St. PMB #1301 To Mailing Address (if different): Telephone No. 785-478-9805 KS 66614 No. 785-478-4195 Email Address: ggathers@ctcdisaster .com FEIN No. *ey signing this document the proposer agrees to all Terms &Conditions u orized agent) Print Name: Greg Gathers Title: President THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF CONTRACTOR TO BE BOUND BY THE TERMS OF ITS PROPOSAL, FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON-RESPONSIVE, THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE CONTRACTOR TO THE TERMS OF ITS OFFER. Section 7 QUALIFICATION STATEMENT Check one: Submitted By: CTC Disaster Response, Inc. ❑X Corporation Name: Greg Gathers ❑ Partnership Address: 6021 SW 29th St. PMB #130 ❑ Individual City, State, Zip Topeka, KS 66614 ❑ Other Telephone No. 785478-9805 Fax No. 7854784195 1. Contracting with small and minority businesses, women's business enterprises, and labor surplus area firms. If subcontracts are to be let, which affirmative steps, according to §200.321 will you take to meet the steps in paragraphs (b)(1) through (5) of this section. See Proposal Documents under Local and Minority Participation 2. Have you ever failed to complete any work awarded to you? If so, state when, where and why: CTC has never failed to complete a project and has neber defaulted on any contract. 3. State the name of the individual who will have personal supervision of the work: Johnny Osborne Project Manager Greg Gathers Owner/President 4. State the names and addresses of all businesses and/or individuals who own an interest of more than five percent (5%) of the Offeror's business and indicate the percentage owned of each such business and/or individual: Greg Gathers 100% 5. References for which your firm has provided or has an active contract for Disaster Debris MXKM ng Services within the past five (5) years: Removal 5 Agency Name: City of Taylor, TX Contact Name: Jim Gray Phone No.: 260-352-5818 Email: Oil m.gray@taylortx.gov Contract Term date: 3/23 Emergency Ice Storm Debris Removal $4.794,881 Agency Name: Contact Name Phone No.: Email: csb City of Waverly, TN Corey Burket 931-296-2101 hoo.com 5/22 Flood Contract Term date: Debris Removal Agency Name: Lee County, MS Contact Name: Lee Bowdry 4/20 Phone No.: 662-432-2950 Email: Ibowdry@co.lee.ms.us Contract Term date: 6/20 Tropical Storm Olqa Debris Removal Final Disposal Site oval The Contractor is responsible for providing final disposal of all debris generated and collected within the City in accordance with requirements of FEMA, FHWA, FDEP, and all other applicable federal, state, and local laws and regulations. Prior to the award of the agreement, and annually thereafter, the Vendor shall provide a list of Final Disposal Site(s) to be used for debris disposal. Site Name North Dade Landfill Site address 21500 NW 47th Ave., Miami Gardens, FL 33055 25.97 deg N, -80.2780556 deg W GPS Location Estimated Size 170 Acre Type of debris Class III Waste managed GITY OF \NSLES� Nso J IIS CITY OF SUNNY ISLES BEACH 18070 Collins Ave. I Sunny Isles Beach, FL 33160 305,792.1707 sibfl.net.1 Purchasins@sibfl.net This Exhibit is hereby incorporated by reference into the main solicitation. FEDERAL PROVISION RELATED TO GRANT FUNDS THAT MAY BE USED TO FUND THE SERVICES AND GOODS UNDER THIS SOLICATION This solicitation is or may become fully or partially Federally Grant funded. To the extent applicable, in accordance with Federal law, proposers shall comply with the clauses as enumerated below. Proposer shall adhere to any and all other applicable Federal Laws. Including, but not limited to, those set forth below, as well as those listed below, which are incorporated herein by reference: a. 2 CFR. 25.110 b. 2 CFR Part 170 (including Appendix A), 180, 200 (including Appendixes), and 3000 c. Executive Orders 12549 and 12689 d. 41 CFR s. 60-1(a) and (d) e. Consolidated Appropriations Act, 2021, Public Law 116-260 related to salary limitations These cited regulations are hereby incorporated and made part of this Solicitation as if fully set forth herein. As stated above, this list is not all inclusive, any other requirement of law applicable in accordance with the Federal, State or grant requirements are also applicable and hereby incorporated into this Solicitation. If Proposer cannot adhere to or objects to any of the applicable federal requirements, Proposers proposal maybe deemed by the City as unresponsive. The provisions in this exhibit are supplemental and in addition to all other provisions within the Procurement. In the event of any conflict between the terms and conditions of this Attachment and the terms and conditions of the remainder of the Procurement, the conflicting terms and conditions of this Exhibit shall prevail. However, in the event of any conflict between the terms and conditions of this Exhibit and the terms and conditions of any federal grant funding document provided specific to the funds being used to contract services or goods under this Procurement the conflicting terms and conditions of that document shall prevail. Drug Free Workplace Requirements (Drug -Free Workplace Act of 1988 (41 U.S.C. § 701 et seq.), 2 CFR § 182): To the extent applicable, proposer must comply with Federal Drug Free workplace requirements as Drug Free Workplace Act of 1988. Conflict of Interest (2 CFR § 200.112): The proposer must disclose in writing any potential conflict of interest to the City or pass-through entity in accordance with applicable Federal, County and/or City policies. Mandatory Disclosures 131 U.S.C. §§ 3799 — 37331 : Proposer acknowledges that 31 U.S.C. Chapter 38 (Administrative Remedies for False Claims and Statements) applies to the Proposer's actions pertaining to this solicitation. The Proposer must disclose in writing all violations of Federal criminal law involving fraud, bribery, or gratuity violations potentially affecting the Federal award. Utilization of Minority and Women Firms (M/WBE) (2 CFR § 200.321): The Proposer must take all necessary affirmative steps to assure that minority businesses, women's business enterprises, and labor surplus area firms are used when possible, in accordance with 2CFR 200.321. If 1 subcontracts are to be let, prime proposer will require compliance by all sub -contractors. Prior to contract award, the proposer shall document efforts to utilize M/WBE firms including what firms were solicited as suppliers and/or subcontractors as applicable and submit this information with their bid submittal. Information regarding certified M/WBE firms can be obtained from: Florida Department of Management Services (Office of Supplier Diversity) Florida Department of Transportation Minority Business Development Center in most large cities and Local Government M/DBE programs in many large counties and cities Equal Employment Opportunity (As per 2 CFR Part 200, Appendix 11(C); 41 CFR § 61-1.4; 41 CFR § 61-4.3; Executive Order 11246 as amended by Executive Order 11375): During the performance of this Contract, the proposer agrees as follows: (1) The Proposer will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Proposer will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identify, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff, or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Proposer agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause; (2) The Proposer will, in all solicitations or advertisements for employees placed by or on behalf of the Proposer, state that all qualified applicants will receive considerations for employment without regard to race, color, religion, sex, or national origin; (3) The Proposer will send to each labor union or representative of workers with which it has a collective bargaining Contract or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Proposer's commitments under this section and shall post copies of the notice in conspicuous places available to employees and applicants for employment; (4) The Proposer will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor; (5) The Proposer will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders.; (6) In the event of the Proposer's noncompliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the Proposer may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law.; (7) Proposer will include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The Proposer will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for 2 noncompliance: Provided, however, that in the event a Proposer becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the Proposer may request the United States to enter into such litigation to protect the interests of the United States. NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY (EXECUTIVE ORDER 11246), SEE EXHIBIT H TO THE ITB FOR THE COMPLETE NOTICE Davis -Bacon Act (40 U.S.C. §§ 3141-3144 and 3146-3148, as supplemented by 29 CFR Part 5): If applicable to this solicitation, the proposer agrees to comply with all provisions of the Davis Bacon Act as amended (40 U.S.C. 3141-3148). Proposers are required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. If the grant award contains Davis Bacon provisions, the City will place a copy of the current prevailing wage determination issued by the Department of Labor in the solicitation document. The decision to award a contract shall be conditioned upon the acceptance of the wage determination. Refer to: httpso//www.fdot.gov/construction/wage.shtm Copeland Anti Kick Back Act (40 U.S.C. § 3145 as supplemented by 29 CFR Part 3): If applicable to this Solicitation, proposer shall comply with all the requirements of 18 U.S.C. § 874, 40 U.S.C. § 3145, 29 CFR Part 3 which are incorporated by reference to this solicitation. Proposers are prohibited from inducing by any means any person employed in the construction, completion or repair of public work to give up any part of the compensation to which he or she is otherwise entitled. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708 as supplemented by 29 CFR Part 5): All contracts awarded in excess of $100,000 that involve the employment of mechanics or laborers must be in compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor is required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. Clean Air Act (42 U.S.C. 7401-7671a.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387, as amended): Proposer agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). Debarment and Suspension (2 CFR part 180, Executive Orders 12549 and 12689): Proposer certifies that it and its principals, if applicable, are not presently debarred or suspended by any 3 Federal department or agency from participating in this transaction. Proposer now agrees to verify, to the extent applicable that for each lower tier subcontractor that exceeds $25,000 as a "covered transaction" under the Services to be provided is not presently disbarred or otherwise disqualified from participating in the federally assisted services. The proposer agrees to accomplish this verification by: (1) Checking the System for Award Management at website: http://www.sam.gov; (2) Collecting a certification statement similar to the Certification of Offeror /Bidder Regarding Debarment, herein; (3) Inserting a clause or condition in the covered transaction with the lower tier contract. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352): Proposer must file the required certification, attached to the procurement. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non -Federal award. The contractor shall certify compliance. Rights to Inventions Made Under a Contract or Agreement (37 CFR Part 401): Please contact the City for further information related to the applicable standard patent rights clauses. Procurement of Recovered Materials (2 CRF 200.323 and 40 CFR Part 247): Proposer must comply with section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. Access to Records and Reports: Proposer will make available to the City's granting agency, the granting agency's Office of Inspector General, the Government Accountability Office, the Comptroller General of the United States, State of Florida, the City, or any of their duly authorized representatives any books, documents, papers or other records, including electronic records, of the contractor that are pertinent to the City's grant award, in order to make audits, investigations, examinations, excerpts, transcripts, and copies of such documents. The right also includes timely and reasonable access to the contractor's personnel during normal business hours for the purpose of interview and discussion related to such documents. This right of access shall continue as long as records are retained. Record Retention (2 CFR § 200.33): Proposer will retain of all required records pertinent to this contract for a period of three years, beginning on a date as described in 2 C.F.R. §200.333 and retained in compliance with 2 C.F.R. §200.333. Federal Changes: Proposer shall comply with all applicable Federal agency regulations, policies, procedures and directives, including without limitation those listed directly or by reference, as they may be amended or promulgated from time to time during the term of any awarded contract. Termination for Default (Breach or Cause): If Contractor does not deliver supplies in accordance with the contract delivery schedule, or, if the contract is for services, the Contractor fails to perform in the manner called for in the contract, or if the Contractor fails to comply with any other provisions of the contract, the City may terminate the contract for default. Termination shall be effected by serving a notice of termination on the contractor setting forth the manner in which the Contractor is in default. The contractor will only be paid the contract price for supplies delivered and accepted, or services performed in accordance with the manner of performance set forth in the contract. Termination for Convenience: Any Awarded Contract may be terminated by the City in whole or in part at any time, upon ten (10) days written notice. If the Contract is terminated before performance is completed, the Contractor shall be paid only for that work satisfactorily performed for which costs can be substantiated. Safeguarding Personal Identifiable Information (2 CFR § 200.82): Proposers will take reasonable measures to safeguard protected personally identifiable information and other information designated as sensitive by the awarding agency or is considered sensitive consistent with applicable Federal, state and/or local laws regarding privacy and obligations of confidentiality. Prohibition On Utilization Of Cost Plus A Percentage Of Cost Contracts (2 CFR Part 200): The City will not award contracts containing Federal funding on a cost-plus percentage of cost basis. _Energy Policy and Conservation Act (43 U.S.C. § 6201 and 2 CFR Part 200 Appendix II (H): Proposer shall comply with mandatory standards and policies relating to energy efficiency, stating in the state energy conservation plan issued in compliance with the Energy Policy and Conservation act. (Pub. L. 94-1631 89 Stat. 871) [53 FR 8078, 8087, Mar. 11, 1988, as amended at 60 FR 19639, 19645, Apr. 19, 1995]. Proposer will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (NPA) of 2000, as amended (22 U.S.C. 7104) which prohibits Proposer from (1) engaging in severe forms of trafficking in persons during the period of time that the resulting contract is in effect; (2) procuring a commercial sex act during the period of time that the resulting contract is in effect; or (3) using forced labor in the performance of the contracted services under a resulting contract. A resulting contract may be unilaterally terminated immediately by the City for Consultant's violating this provision, without penalty. Domestic Preference For Procurements (2 CFR § 200.32211 : As appropriate and to the extent consistent with law, to the greatest extent practicable when using federal funds for the services provided in a resulting contract, shall provide a preference for the purchase, acquisition, or use of goods and products or materials produced in the United States. Buy America (Build America, Buy America Act (Public Law 117-58, 29 U.S.C. § 50101. Executive Order 14005): All iron, steel, manufactured products and construction materials used under a 5 federally grant funded project must be produced in the United States. Additional requirements may apply depending on the Federal Granting Agency provisions, please check with the City for further details. Proposers shall be required to submit a completed Buy America Certificate with this procurement, an incomplete certificate may deem the proposers submittal non-responsive. Prohibition CA Telecommunications CU Surveillance Services Or Equipment (2 CFR § 200.216): Proposer and any subcontractors are prohibited to obligate or spend grant funds to: (1) procure or obtain, (2) extend or renew a contract to procure or obtain; or (3) enter into a contract to procure or obtain equipment, services, or systems that use covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. As described in Pub. L. 115-232, section 889, covered telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities). i. For the purpose of public safety, security of government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities). ii. Telecommunications or video surveillance services provided by such entities or using such equipment. iii. Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise, connected to the government of a covered foreign country. Enhanced Whistleblower Protections (41 U.S.C. § 4712): An employee of Proposer and/or its subcontractors may not be discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or body described in 42 U.S.C. § 4712(a)(2) information that the employee reasonably believes is evidence of gross mismanagement of a Federal contract or grant, a gross waste of Federal funds, an abuse of authority relating to a Federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a Federal contract (including the competition for or negotiation of a contract) or grant. Federal Funding Accountability and Transparency Act (FFATA) (2 CFR § 200.300; 2 CFR Part 170): In accordance with FFATA, the Proposer shall, upon request, provide the City the names and total compensation of the five most highly compensated officers of the entity, if the entity in the preceding fiscal year received 80 percent or more of its annual gross revenues in federal awards, received $25,000,000 or more in annual gross revenues from federal awards, and if the public does not have access to information about the compensation of the senior executives of the entity through periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act A 1934 or section 6104 of the Internal Revenue Code of 1986. Federal Awardee Performance and Integrity Information System (FAPIIS)( The Duncan Hunter National Defense Authorization Act of 2009 (Public Law 110-417 and 2 CFR Part 200 Appendix XII : The Proposer shall update the information in the Federal Awardee Performance and Integrity Information System (FAPIIS) on a semi-annual basis, throughout the life of this contract, by posting the required information in the System for Award Management via ittps://www.sam.gov. Never Contract With The Enemy (2 CFR Part 1831: Applicability: only to grant and cooperative agreements in excess of $50,000 performed outside of the United States, Including U.S. territories and are in support of a contingency operation in which members of the Armed Forces are actively engaged in hostilities. Requirement: Proposer must exercise due diligence to ensure that none of the funds, including supplies and services, received are provided directly or indirectly (including through subawards or contracts) to a person or entity who is actively opposing the United States or coalition forces involved in a contingency operation in which members of the Armed Forces are actively engaged in hostilities, which must be completed through 2 CFR 180.300 prior to issuing a subcontract, Federal Agency Seals, Logos and Flags: The Proposer shall not use any Federal Agency seal(s)I logos, crests, or reproductions of flags or likenesses of any federal agency officials without specific federal agency pre -approval. No Obligation by Federal Government: The Federal Government is not a party to this contract and is not subject to any obligations or liabilities to the non -Federal entity, contractor, or any other_party pertaining to any matter resulting from a resulting contract. The Greg Gathers [insert name of the signafior] on behalf of CTC Disaster Response, Inc. the Proposer is authorized to sign below and confirm the proposer is fully able to comply with these requirements, federal terms and conditions and has on made any inquiries and further examination of the law and requirements as is necessary to comply. DATE: 5/3/2023 COMPANY: CTC Disaster Response, Inc. ADDRESS: 6021 SW 29t St. M/10#130 _Topeka, KS 66614 E-MAIL: ggathers@ctcdisaster .com PHONE N 0.: 785-478-9805 7 SIGNATURE: NAME: Greq Gathers LE: President TIT CITY OF . ISLE'S CITY OF SUNNY ISLES BEACH r F 18070 Collins Ave. Sunny Isles Beach, FL 33160 j\I n 305.792.1707 sibfl.net Purchasing@sibfl.net V) 2 Cr rte. or tu11 couNTy of Shawnee ) NON -COLLUSION AFFIDAVIT City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 The undersigned heing first duly sworn as provided bylaw, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action It may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, CTC Disaster Response Inc. (Name of Corporation, Partnership, Individual, etc.) Coporation , formed under the laws of Kansas (Type of Business) (State) of which he is President (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to sol(clt favorable action for This Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged Information or data relative thereto, to any association or to any member or agent thereof. Greg Gathers President AFFIANT'S NAME AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 5th day of May , 2 20 3 .. Personally Known X or Produced Identification , Type of identification Becky Schmale �.wm ►,� BECKY SCHMALE NOTARY PUBLIC STATE OF KANSAS L©crrn��ysrl E�e�c�� �/a�1� DECEr.f0ER 20, 2010 PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue yE D'' • r t "\Z y° Sunny Isles Beach, FL 33160 c rs or surt'Telephone: (305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub -Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1. This sworn statement is submitted to City of Sunny Isles Beach for CTC Disaster Response, Inc. prin name o en i y su m ng sworn s a emen whose business address is; 6021 SW 29t St. PMB #130 Topeka, KS 66614 and (if applicable) its Federal Employer Identification number (FEIN) is 48-1245968 (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: ) 11.2. I understand that a "public entity crime" as defined in Paragraph 287,133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonJury trial, or entry of a plea of guilty or nolo contendere. 11.4. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directorsI 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 OECEtdaEn 2II, 2010 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) X Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. By: • Becky Schmale 7 k i� • vGreg Gathers (Printed Name) President (Title) Sworn to and su riharl hoa�ro mm .w:p 5th day of May Personally Known X OR Produced Identification z,F ;y��♦a Oos�Y ty or svH PN 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 DECEAiBEn 2E3, 2010 ident CTC Disaster Response, Inc. 6021 SW 29t St. PMB #130 Topeka, KS 66614 CONFLICT OF INTEREST V = I ' City of Sunny Isles Beach '`� ` ` "• 18070 Collins Avenue F cl • rio¢`oP5"t Sunny Isles Beach, FL 33160 '* or sut, F` Telephone: (305) 947-0606 Fax: (305) 949-3113 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 Isles Beach or its agencies. STATE OF Fes}` Kansas COUNTY OF Shawnee BEFORE ME, the undersigned authority, personally appeared Greg Gathers deposes, and states: who was duly sworn, 18.1. I am the President of STC Disaster Response. Inc with a local office in Fort Lauderdale, FL and principal office in Topeka, KS 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No.23-04-01-0-2023/GC described as: Golden Shores Street Lighting. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has nV financial by any interest State, or in other entities submitting Bids for the same project. 18.4 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 if necessary and execution of the Contract for this project. 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. 18,6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 18.7 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 Isles Beach. 18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach, 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Sunny Isles Beach. 2023. Sworn to and subscribed before me this � Personally Known _ ❑ Produced Identification 2023. , 5th day of OR NOTARY PUBLIC STATE OF ��OR Kansas DEOEh1BEf21 of Irlantifiratinn �.+I� � BECKY SCHMALE NOTARY PUBLIC 2010 STATE OF KANSAS DISPUTE DISCLOSURE F City of Sunny Isles Beach -" 18070 Collins Avenue HF D9) F l OQ'`Op y�Y Sunny Isles Beach, FL 33160 qrr or svt' ""� 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? 19.2. Nas 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? 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 C; services your firm provides in the regular course of business? YES NO X 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, CTC Disaster Response, Inc. May 5th, 2023 Firm - _ /I Date Greg Gathers President Print or Type Name and Title DECEl.16ER 28, 2010 AY �D9` ��Or tt OI SVII FSO STATE OF � Kansas) COUNTY OF Shawnee ) ANTI -KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 ANTI -KICKBACK AFFIDAVIT 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. , i A i k By: Title; �'reslaent The foregoing instrument was acknowledged before me this Stn day of May 20 23 by Greg Gathers [name of person], as President [type of authority], for CTC Disaster Response, Inc. [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: Personally Known X Type of Identification Produced DECEl.laea 20, 2010 ansas Becky Schmale Commission Expires 3/25/2026 Print or Type Commissioned Name OR Produced Identification �.� ►� BECKY SCHMALE NOTAF�Y PU9LIC STATE OF KANSAS CONTRACTOR ANTI -BOYCOTT CERTIFICATION `•/lbP °yy [PURSUANT TO FLORIDA STATUTE § 215.47251 I, Greg Gathers , 011 behalf of CTC Disaster Response, Inc. Print Name Company Name certifies that CTC Disaster Response, Inc. 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. President Title May 5th, 2023 Date aO+t rY Or jolt ► STATE OF FLORIDA COUNTY OF C{ty of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Tel ephone:(305)847.0606 Fax: (305)949-3113 NOW �. PRESENTS, that we , CTC Disaster Response, Inc. as Principal , and tlantic &pecialt Insurance Uompany a sury, axe bola d firmly band unto the Ci y 8 sunny Isles Bea , a municipal corporation of the State of Florida in the sum of en F'er6ent o mount gid potters ($--0( " ), lawful money of the United Slates, for the payment of which sum well and truly to be made, vie bind ourselves, our heirs, executors, administrators and successors jointly and severally, firmly by these presents. 7t-I� CQND1710N OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying Bid dated, �IVV�I II(�l� 2023 for: ITB # 23-04-01 Disaster Debris Management and Disposal Services WHEREAS, it was a condition precedent to the submission of said Bid that a cashier's check or Bid Bond in the amount of len percent (10%) of the Base Bid be submitted with sold Bid as a guarantee that the Proposers would, if awarded the Contract, enter Into a written Contract with the City for the performance of said Contract, within ten (10) consecutive calendar days after written notice having been given of the Award of the Contract. NOW, THEREFORE, the conditions of this oINN N WITNESS WHEREOF, galton are such that If the Principal within len (10} consecutive calendar days aryer written police of such acceptance, enters into a written Contract with the Cily of Sunny Isles Beach and furnishes the Performance Bond, satisfactory to the City, each In an amount equal to one hundred percent (100%) of the Contract Price, and provides all required Cenlficates of Insurance, hen this obligation shall be void: otherwise the sum herein stated shall be due and payable to the City of Sunny Isles Beach and the Surely lerein agrees to pay said sum Immediately, upon demand of the City, In good and lawful money of the United States of America, as liquidated lamagas for failure thereof of said Principal, the above bonded parties have executed this instrument under their several seals this 16th day .f May _ ,20 23 , the name and the corporate seal of each corporate party being hereto affixed and these presents Bing duly signed by its undersigned representative, This bid bond expires in 12 months. N PRI=SENCF OF: CTC r Respo reg Gathers ndividual or Pa nership Principal 6021 SW 29th At., PMB 130 3usiness Address Topeka, KS 66614 ;Ily, State, and ztp Code 785 478-9805 Business Telephone ATT@ST: (Corporate Surety)' 'Impre ss Corporate Seal , President AfOx Corporate Seal 785 478-4195 Business Facsimile Suzanne Mickle, Witness Secretary `'ago GpaPORtirF9� ere� IMPORTANT Atlantic Sprcialty Insurance Company ra B. Peterson, ttorney-in-Fact Surety companies executing bonds must appear on the Treasury peparm�ent's most current tlst (circular 570 as amended) and be at to transact business in the Steffe of Florida. OECEMeER Za,1010 SEAL M• `—' 1986 0 -•c26 Nf'W Vnt?%+ s POA# 1010009 JOINT LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That SureTec Insurance Company, a Corporation duly organized and existing under the laws of the State of Texas and having its principal office in the County of Harris, Texas and Markel Insurance Company (the "Company"), a corporation duly organized and existing under the laws of the state of Illinois, and having its principal administrative office in Glen Allen, Virginia, does by these presents make, constitute and appoint: Cyra B. Peterson Their true and lawful agents)and attorneys) -in -fact, each in their separate capacity if more than one is named above, to make, execute, seal and deliver for and on their own behalf, individually as a surety orjointly, as co -sureties, and as their act and deed any and all bonds and other undertaking in suretyship provided; however, that the penal sum of any one such Instrument executed hereunder shall not exceed the sum of: Twenty Five Million and 00/100 Dollars ($25,000,000.00) This Power of Attorney is granted and is signed and sealed under and by the authority of the following Resolutions adopted by the Board of Directors of SureTec Insurance Company and Markel Insurance Company: "RESOLVED, That the President, Senior Vice President, Vice President, Assistant Vlce President, Secretary, Treasurer and each of them hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile signature, which may be attested or acknowledged -by any officer or attorney, of the company, qualifying the attorney or attorneys named in the given power of attorney, to execute In behalf of, and acknowledge as the act and deed of the SureTec Insurance Company and Markel Insurance Company, as the case may be, all bond undertakings and contracts of suretyship, and to affix the corporate seal thereto." IN WITNESS WHEREOF, Markel Insurance Company and SureTec Insurance Company have caused their official seal to be hereunto affixed and these presents to be signed by their duly authorized officers on the em day of may , 2020 . on any business day between 8:30 AM and 5;00 PM CST. SureTec Insurance Company BY' -- - — Michael C. Ketmig, President Commonwealth of Virginia County of Henrico SS: Insurapce Company Russo, Senior Vice President On this em day of may zozo A. D., before me, a Notary Public of the Commonwealth of Virgtnla, in and for the County of Henrico, duly commissioned and qualified, came THE ABOVE OFFICERS OF THE COMPANIES, to me personally known to be the individuals and officers described in, who executed the preceding instrument, and they acknowledged the execution of same, and being by me duly sworn, disposed and said that they are the officers of the said companies aforesaid, and that the seals affixed to the proceeding instrument are the Corporate Seals of said Companies, and the said Corporate Seals and their signatures as officers were duly affixed and subscribed to the said Instrument by the authority and direction of the said companies, and that Resolutions adopted by the Board of Directors of said Companies referred to in the preceding instrument is now in force. 4%41440#100 o IN TESTIMONY WHEREOF, i have hereunto set my hand, and affixed `Y.O, .$50aaFaO ' 2y;; Henrico, the day and year first above written. :•� O 4 MY Cn•: COMMISSION By: n NUMBERQ •; \ �ON Donna Donavant, Notary Public 7083968 CD My commission expires 1/31/2023 ON ON 0 ON We, the undersigned Officers of SureTec insurance Company and MarkerjIgns � �C�o�t��fiy!J VAerby certify that the original POWER OF ATTORNEY of which the foregoing is a full, true and correct copy Is still in full force and effect and haSttigdAm (VV d. IN WITNESS WHEREOF, we have hereunto set our hands, and affixed the Seals of said Companies, on the 16th day of May 2023 Markel Insurance Company Richard R. Grinnan, Vice President: Any Instrument Issued In excess of the penalty stated above is totally void and without any validity. 1010009 For verification of the authority of this Power you may call (713)812-0800 on any business day between 8:30 AM and 5;00 PM CST. E- Verify 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 party 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. In accordance with Florida Statute 448.095, all contractors doing business with the City of Sunny Isles 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. It 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.a-verify.gov/emplovers/enrolling-in-e-verify) 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. CTC Disaster Comganvklamen reg Gathers Print Name 48-1245968 se, Inc. Federal Employer Identification Number (FEIN) 5/5/2023 Date President Title Notary Public Information Sworn to and subscribed before me on this this 5th day of May , 2023. gy Greg Gathers ® Is personally Known to me ❑ Has produced identification (type of identification produced: Becky Schmale Print or Stamp of Notary Public 3/25/2026 Expiration Date ��T ►.� BECKY SCHMALE NOTARY PUBLIC STATE OF KANSAS SL ES 6 _ BYRD ANTI -LOBBYING AMENDMENT CERTIFICATION (To be submitted with each proposal or offer exceeding $100,000) The undersigned, [Company] CTC Disaster Response, Inc. ceres, to the best of his or her knowledge, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, 'Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor, [Company] CTC Disaster Response, inc. ,certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. § 3801 et seq., apply to this certification and disclosure, if any. Signatu�6f G�oni�actor's Authorized Official Greg Gathers President Name and Title of Contractor's Authorized Official 5/5/2023 Date HITT OF \SLES6 � I F Approved by OMB 0348-0046 Disclosure of Lobbyi►>g Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure) 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: as contract a. offer/application a. initial filing b. grant b. initial award b. material change ce cooperative agreement C. post -award d. loan For material change only: e. loan guarantee NONE Year quarter ff, loan insurance Date of last report 4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is Subawardee, Prime Subawardee Enter Name and Address of Prime: Tier if Known: , Congressional District, if known: Congressional District, if known: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, if known: 9. Award Amount, if /mown: 10. it. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, n!1): different from No. IOa) (last name, first name, rlll): 007 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying Signature: activities is a material representation of fact upon Which reliance was placed by the ticis above When this transaction Print Name: reg Gathers was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reportedTitle: President to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than Telephone No. &785-221 J550Date: 5/5/2023 $10,000 and not more than $100,000 foil each such failure. Federal Use Only Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) BUY AMERICA CERTIFICATION Certification Requirement for 23 CFR 635.410 Buy America on Service Agreements This project will be utilizing federal funds, Please complete either the Buy America Certification or the Minimal Use Certification and return with your signed service agreement. Buy America Certification I certify that all materials used on this project will meet the requirements of 23 CFR 635,410 Buy America and any amendments thereto, Any waivers to this requirement that have been approved by the FHWA are attached to this certification, Signature Name GregGGathers Title President Company Name Date 5/5/2023 CTC Disaster Response, Inc. Minimal Use Certification I certify that a minimal amount of foreign steel and iron materials will be used on this project. The cost of such materials does not exceed one-tenth of one percent (0.1 percent) of the total contract cost or $2,500, whichever is greater. All other materials used on this project will meet the requirements of 23 CFR 635.410 Buy America and any amendments thereto. Any waivers to this requirement that have been approved by the FHWA are attached to this certification, Signature Name Title President Company Name CTC Disaster Response, Inc. Date 5/5/2023 5/11/23, 8:59 AM Detail by Entity Name DIVISION OF CORPORATIONS �'� (r'�� J�����l ��`I Uf �;!ii���.Ort� C' ��;z�����z ���rrr���C nn r�//Ir�iul arr�t� r�/'flr�ri!!u ts�ei,�ir� Department of State /Division of Corporations /Search Records /Search by Enti Name / Detail by Entity Name Foreign Profit Corporation CTC DISASTER RESPONSE, INC. Filing Information Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Principal Address 6021 SW 29TH ST PMB #130 Topeka, KS 66614 Changed: 01 /23/2020 Mailing Address 6021 SW 29TH ST PMB #130 Topeka, KS 66614 Changed: 01 /23/2020 F15000002741 48-1245968 06/23/2015 KS ACTIVE NAME CHANGE AMENDMENT 03/28/2023 NONE Registered Agent Name &Address CORPORATION SERVICE COMPANY 1201 HAYS STREET TALLAHASSEE, FL 32301 Name Changed: 08/27/2015 Address Changed: 08/27/2015 Officer/Director Detail Name &Address Title President, Secretary, Director, Treasurer https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=CTCDISA... 1 /2 2023 FOREIGN PROFIT CORPORATION ANNUAL REPORT DOCUMENT# F15000002741 Entity Name: CTC DISASTER RESPONSE, INC. Current Principal Place of Business: 6021 SW 29TH ST PMB #130 TOPEKA, KS 66614 Current Mailing Address: 6021 SW 29TH ST PMB #130 TOPEKA, KS 66614 US FEI Number: 48-1245968 Name and Address of Current Registered Agent: CORPORATION SERVICE COMPANY 1201 HAYS STREET TALLAHASSEE, FL 32301 US FILED Apr 07, 2023 Secretary of State 7986092243CC Certificate of Status Desired: No 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 Title PRESIDENT, SECRETARY, Title VP, DIRECTOR DIRECTOR, TREASURER Name GATHERS, MAURA Name GATHERS,GREG Address 6021 SW 29TH ST Address 6021 SW 29TH ST PMB #130 PMB #130 City -State -Zip: TOPEKA KS 66614 City -State -Zip: TOPEKA KS 66614 1 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 i(made under oath; that I am an officer or director of the corporation or the receiver or trustee ernpowered 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: GREG GATHERS SECRETARY 04/07/2023 Electronic Signature of Signing OfficerlDirector Detail Date