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AUM CONSTRUCTION, INC.
City of Sunny Isles Beach Sunny Isles Beach Government Center City Clerk. 18070 Collins Ave, 4th Floor Sunny Isles Beach, Florida 33160 Project Name Street Lighting Preventive Maintenance & as -needed Electrical Services Invitation to Bid No. 23-11-01 Construction, Inc. 8900 NW 119 St, Hialeah Gardens, FL 33018 Phone: 3054564 848 Fax: 786-558-7422 Email: ho@auminc.us Section 1: Company Information 1- Name of Company: AUIVI Construction, Inc 2- Company Locations: Miami Dade, Broward and Palm Beach 3- Internet Web Site Address: www.aumconstructioninc.com 4- Address: 8900 NW 119 St, Hialeah Gardens, FL 33018 5- Telephone No: 305-456-4848 6- Email Address: ho@auminc.us 7- Proof of Insurance: Attached 8- Sunbiz Report: Attached 9- W9: Attached 10- MOT License: Attached 11- Organization Chart: Attached A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODII'1'YY) 12/07/2023 THIS CERTIFICATE IS ISSUED ASA 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 CONTACT Regina Bunker NAME: Frank H. Furman, Inc. IPA HC°NNoExl (954) 943-5050 FAX No : (954) 942-6310 1314 East Atlantic Blvd. EMAIL regina@furmaninsurance.com ADDRESS: P. O. Box 1927 INSURERS) AFFORDING COVERAGE NAIC 11 Pompano Beach FL 33061 INSURERA: Imperium Insurance Company 35408 INSURED INSURER B: Evanston Insurance Company 35378 AUM Construction Inc INSURER C: 8900 NW 119th St tNcnRPR n THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD Hialeah Gardens EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FL 33016 (NSD (INSURER F: POLICY NUMBER POLICY POLICYFEE FEE COVERAGES LIMITS ACORD CERTIFICATE NUMBER: 23-24 GUAUANC/UM 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. (LTR TYPE OF INSURANCE (NSD WVD POLICY NUMBER POLICY POLICYFEE FEE POLICY EXP MM/DO/YEXP LIMITS ACORD X COMMERCIAL GENERALLIABILITY The ACORD name and logo are registered marks EACH OCCURRENCE $ 110000000 CLAIMSMADE � OCCUR PREMISES Ea occurrence $ 150,000 MED EXP (Any one person) $ 13000 PERSONAL &ADV INJURY $ 13000,000 A Y Y CONIICGL000010501 12/01/2023 12/01/2024 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 22000,000 POLICY [g PELT LOC PRODUCTS - COMPIOPAGG $ 21000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,0001000 BODILY INJURY (Per person) $ X ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y Y CONIICCA000017901 06/18/2023 06/18/2024 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ HIRED NON -OWNED X X AUTOS ONLY AUTOS ONLY PIP -Basic $ 10,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 51000,000 Id AGGREGATE $ 61000,000 A EXCESS LIAB CIAIMS-MADE Y Y CONIICX000009601 12/01/2023 12/01/2024 DEO I X1 RETENTION $ 0 $ 1 A WORKERS COMPENSATIONX1 AND EMPLOYERS' LIABILITY YIN N ANVPROPRIMBERIPARTNERIEXECUTIVE (MandatoryFMEMBER EXCLUDEO'1 in NN) NIA Y CON CWC000004001 06/18/2023 06/18/2024 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 MEAA EL. DISEASE -EA EMPLOYEE $ 1.000,000 DIf yes,RIPTION OF er DESCRIPTION OF OPERATIONS below O EL. DISEASE - POLICY LIMIT $ 1,000,000 Each Occurrence $2,0001000 B Contractors Pollution Liability ECPENV04264 12/01/2023 12/01/2024 Aggregate $2,0001000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ITS # 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE &AS -NEEDED ELECTRICAL SERVICES The City of Sunny isles Beach is included as Additional Insured with respects to General Liability as required by written contract. CERTIFICATE HAI OFR CANCELLATION ©1988-2015 ACORD CORPORATION. All rights reserv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Avenue AUTHORIZED REPRESENTATIVE Sunny Isles FL 33160 etl. etl. ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD 2023 FLORIDA PROFIT CORPORATION AMENDED ANNUAL REPORT FILED DOCUMENT# P06000007050 Apr 04, 2023 Entity Name: AUM CONSTRUCTION INC. Secretary of State 7761003454CC Current Principal Place of Business: 8900 NW 119 STREET HIALEAH GARDENS, FL 33018 Current Mailing Address: 8900 NW 119TH ST HIALEAH GARDENS, FL 33018 US FEI Number: 20-8608887 Certificate of Status Desired: No Name and Address of Current Registered Agent: DAVID GONZALEZ PA 66 WEST FLAGLER STREET SUITE 1000 MIAMI, FL 33130 US The above named entity submi[s [his statement for the purpose o/changing its registered oNice or registered agent, or both, in the State o/Florida. SIGNATURE: DAVID GONZALEZ 04/04/2023 Electronic Signature of Registered Agent Date OfficerlDirector Detail Title SECRETARY Name ARACIL, JUAN Address 424 SW 7 ST 402 City -State -Zip: MIAMI FL 33130 Title PT Name ORTIZ, HUMBERTO Address 8950 NW 119 ST City -Stale -Zip: HIALEAH GARDENS FL 33018 Title V Name GONZALEZ, PATRICIA Address 8950 NW 119 ST City -State -Zip: HIALEAH GARDENS FL 33018 I hereby certily Ihallhe in/ormation (ntlicated on This report or supplemental report is hue and accurate and Thal my electronic signature shall have the sama legal of/ec( as if made under oath; that I am an olficer or direclorof the corporallon or the receiver or bastes empowored to execute f/tis reporf as requiretl by Chapter fio), Florida Statutes; and Ihet my name appears above, or on an attachment with ell other llke empowered. SIGNATURE: HUMBERTO ORTIZ PRESIDENT 04/04/2023 Electronic Signature of Signing Officer/Director Detail Date Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid � Social security Request for Taxpayer Give Form to the FormW'9 Identification Number and Certification requester. Do not (Rev. Octuber2(18) Department of the Treasury send to the IRS. Internal Revenue Samoa ► Go to www.1rs.gov/FormW9 for Instructions and the latest information. 1 Name (as shown on your Income tax return). Name is required on this line; do not leave this line blank. AUM Construction, Inc 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name Is entered on line 1. Check only one of the 4 Exemptions (codes apply only to A following seven boxes. certain entitles, not individuals; see a Instructions on page 3): C ❑ Individual/sole proprietor or ❑® C Corporation ❑ S Corporation ❑ Partnership ❑ TrusVestate 0 single -member LLC Exempt payee code (it any) a o 1r`'� Limited liability company. Enter the tax classification C=C corporation, S=S corporation, P=Partnership)► ❑ nY Pa Y ( rp P `o Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting LLC If the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is code (if any) S another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that 0 IE is disregarded from the owner should check the appropriate box for the tax classification of its owner. d ❑ Other (see instructions) mo U.S) y 5 Address (number, street, and apt, or suite no.) See Instructions. Requester's name and address (optional) y 8900 NW 119th St 6 City, state, and ZIP code Hialeah Gardens,Fl 33018 7 List account number(s) here (optional) EMU Taxpayer Identification Number (TIN) number I backup withholding. For Individuals, this is generally your social security number (SSN). However, for a -m - resident alien, sole proprietor, or disregarded entity, see the 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 LLLL TIN, later. or Note: if the account Is in more than one name, see the Instructions for line 1. Also see What Name and Employer identificafion number Number To Give the Requester for guidelines on whose number to enter. FTI - 8 1 6 1 0 1 8 1 8 1 8 1 7 Under penalties of perjury, I certify that: t. The number shown on this form is my correct taxpayer Identification number (or I am walling for a number to be Issued to me); and 2. 1 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, 1 am a U.S. citizen or other U.S. person (deli ed below); and 4. The FATCA code(s) entered on this form (if a )indicating that I am exempt from FATCA reporting is correct. Certification instructions. You ust cross out it 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 Inter at and dividends n your ter return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of s cured property, ncellatlon of debt, contributions to an Individual retirement arrangement (IRA), and generally, payments other than interest and divider;d you are not req red to s�the certification, but you must provide your correct TIN. See the instructions for Part II, later. aryn 1Signature of Here U.S. person► General I nstrt.Mr�i'o`hs Section references are to the Internal Reve ue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and Its instructions, such as legislation enacted after they were published, go to www.1rs.gowFomtW9. Purpose of Form An Individual or entity (Form W-9 requester) who Is required to file an infonnatlon return with the IRS must obtain your correct taxpayer Identification 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 return. Examples of information returns Include, but are not limited to, the following. Form 1099 -INT (interest earned or paid) Date. • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactlons by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) •Farm 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (Including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, alar. Cet. No. 10237X Form W-9 (Rev. 10-2018) Organization Chart: Humberto Ortiz President & Qualifier 1 Aldo Apollini Armando Acebal Osmany Oramas Project Manager Project Manager Project Manager Crews Crews Crews Section 2: Qualifications, Experience and Past Performance AUM Construction, Inc. (AUM) is highly qualified and suited to successfully implement this very important project for the City of Sunny Isles Beach. AUM has recently completed 3 major LED lighting projects for the Florida Department of Transportation (FDOT), also we installed the lights for project Golden Shores Street Lighting ITB 20-09-01. We are substantially ahead of schedule in all our works which will allow us to assign multiple work crews to this project. We have always completed all of our projects on time and within budget. Our company philosophy has always been to work as a partner with our clients and we do not believe in pursuing change orders or claims that have no validity. In addition, AUM was the street lighting maintenance contractor for Miami -Dade County. AUM maintained more than 13,000 streetlights on both County and FDOT roads from NW 36 Street to the Broward County line, including the Beaches & Key Biscayne. We are keenly aware of all the issues that affect the installation and maintenance of all types of streetlighting systems and we are ready to provide our services to the City. Please refer to the attached AUM Company Profile to review our array of services we offer and list of clients. AUM Company Profile: AUM Construction, Inc. (AUM) is a Florida State Certified Electrical and General Contractor specializing in Transportation Lighting, Signalization and Intelligent Transportation Systems (ITS) since 2006. The company is also SBE/DBE Certified in the counties of Miami -Dade, Broward, Palm Beach and the State of Florida. The firm provides a broad spectrum of electrical se vices to the construction industry, providing talent, resources, equipment, and professional performance to complete every project on budget and on time. AUM combines time -tested techniques with leading-edge technology to deliver superior results that consistently exceed clients' expectations. In addition, we have the ability to bond large projects. AUM combines the perfect blend of professional talent, technical resources and an unwavering commitment to client satisfaction to produce the highest quality electrical construction for its projects. The firm strives to complete its work with attention to detail, quality, productivity and safety. AUM continuously seeks to improve and advance its performance through its professional development programs and quality controls. AUM facilitates a staff of more than 50 electricians, engineers, designers, technicians, and equipment operators. Our achievements are driven by our experienced leaders and talented employees within our company. Our approach to delivering projects is complementary, which means that we can put together the best groups to form tailored project teams to deliver to clients. Our facility includes over 35 vehicles, ranging from jobbing vans, directional bore machine, cranes, drill rig, 80 -foot bucket trucks, concrete truck and boom trucks. All vehicles are inspected on a regular basis and are professionally maintained at our in-house maintenance facility. The firm's clients include private corporations and public agencies. Its assignments range from small, single -day assignments to large, multi-year contracts. We have provided street light maintenance services for the past 10 years to the following agencies just to name a few: • Miami -Dade County • Broward County Palm Beach County Miami -Dade County Expressway Authority (MDX) City of Weston City of Doral City of Key Biscayne - Traffic Signalization /Street Lighting AUM has an excellent safety record and strictly adheres to all safety guidelines and standards set by national, state and municipal regulatory agencies and trade associations. We always ensure the health, safety and welfare of all our employees, customers and the public affected by our works. Our Services AUM is licensed and pre -qualified in Florida to perform traffic signal and street lighting work consisting of some of the following scope: • Traffic Signalization installation, modification and repair Traffic Signal Controller installation and maintenance High Mast Pole lighting Highway and Road Sign installation Highway and Street Light installation and repair Bridge Lighting Sports Lighting Red Light Cameras Installation and Maintenance Video Detection and BlueToads License Plate Readers Intelligent Transportation Systems (ITS) AUM builds and maintains Intelligent Transportation Systems (ITS) throughout Florida. ITS increases the capacity and dependability of our transportation system and helps it to operate with improved efficiency and safety. AUM continues to advance ITS systems installations in its market. ITS Installation Serv ices: • Intelligent Transportation Systems/Highway Advisory Systems • DMS Systems (Dynamic Message Signs) Vehicular Video Monitoring and Identification Cameras Vehicular and Speed Radar Detectors In -Pavement Detectors Project List: 1- Street Lighting Maintenance, North, Miami Dade a- Project Name: 20190117 Street Lighting Maintenance North, Miami Dade b- Owner: Miami Dade County, 7100 NW 36 ST, Miami, FL 33166 c- Address: Miami Dade County North Area. d- Contact Person:losiel Ferrer, Phone No. 305-987-1488 e- Contract Amount: $ 900,618.96 f- Date of Completion: 2/20/2023 g- Description of Work: The improvements under this contract consisted of Street lighting maintenance in Miami Dade County North Area. h- Change Orders: None 2- Street lighting Maintenance, South, Miami Dade a- Project Name: 20190118 Street Lighting Maintenance South, Miami Dade b- Owner: Miami Dade County, 7100 NW 36 ST, Miami, FL 33166 c- Address: Miami Dade County South Area d- Contact Person: Daniel Castilla, Phone No. 786-376-9716 e- Contract Amount: $ 11559,882.64 f- Date of Completion: 2/20/2023 g- Description of Work: The improvements under this contract consisted of Street lighting maintenance in Miami Dade County North Area. h- Change Orders: None 3- Golden Shores, City of Sunny Isles Beach a- Project Name: ITB 20-09-01 Golden Shores Street Lighting. b- Owner: City of Sunny Isles Beach, 18070 Collins Ave, Sunny Isles Beach, FL 33160 c- Address: Golden Shores d- Contact Person: Paul Abbott, Phone No. 305-773-6255 e- Contract Amount: $ 1,749,999.99 f- Date of Completion: 6/10/2022 g- Description of Work: The improvements under this contract consist of Street Lighting Improvements at Golden Shores. h- Change Orders: None 4- T6493, Miami Dade a- Project Name: Hurricane Irma Permanent Repairs b- Owner: FDOT District 6, 1000 NW 111 Ave Miami, FL 33172 c- Address: At various locations along Miami Dade County d- Contact Person: Dru Badri, Phone No. 305-987-5566 e- Contract Amount: $2,625,000.00 f- Date of Completion:4/10/2021 g- The improvements under this contract consist of Hurricane Irma street lighting permanent repairs. h- Change Orders: None 5- T6458, Miami Dade a- Project Name: Street Lighting repairs at US -1 b- Owner: FDOT District 6, 1000 NW 111 Ave Miami, FL 33172 c- Address: US 1 from Lejeune Rd to SE 4 St from NE 22 St to Sans Souci BLVD d- Contact Person: Omar Mendoza, Phone No. 305-456-4848 e- Contract Amount: $1,249,999,99 f- Date of Completion: 2/10/2020 g- The improvements under this contract consist of Hurricane Irma street lighting permanent repairs. h- Change Orders: None 6- T6457, Miami Dade a- Project Name: Signalized Intersections Lighting Improvements b- Owner: FDOT District 6, 1000 NW 111th Ave, Miami, FL 33172 c- Address: US 1 from SW 348 St to Granada BLVD. d- Contact Person: George Hoffman, Phone No. 305-962-4928 e- Contract Amount: $1,599,999.99 f- Date of Completion: 3/20/2020 g- The improvements under this contract consist lighting improvements along US 1. h- Change Orders: None v G ED Lori w 2 tY ~ Q LU LU m z Z_ o N w Z w W U N J Z � w O w � 2 U � o U � Q Z � Q Z U O U J U u F- U U LU W w J LLJ W = I— w H 0 Q O N J o Q v �i((, U Z N0zz`o O>LLL I+� illll, F- U Q U W OD �III,zw w Lr) Q J aZ�� Z O 00 Z D N 'D o IV 'Q Z Ie o O 0 o' D.. 0 c N N O N O M d � N U'y C7 ,Q 0 c Local Business Tax Receipt Miami -Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 7173427 BUSINESS NAME/LOCATION AUM CONSTRUCTION INC 8900 NW 119TH ST HIALEAH GARDENS, FL 33018-4106 OWNER AUM CONSTRUCTION INC C/O HUMBERTO C ORTIZ nl IAI IFIFR AI IM 2 NSTRIInTInN Worker(s) 1 RECEIPT NO. RENEWAL 7452519 EXPIRES SEPTEMBER 301 2024 Must be displayed at place of business Pursuant to County Code Chapter 8A -Art. 9 & 10 PAYMENT RECEIVED BV TAX COLLECTOR 45.00 07/06/2023 INT -23-389686 This Local Business Tax Receipt only confirms payment of the Local Business Taz. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. MIAMID E For more information, Visit W W W nl and dad¢ uov/taxcellector December 7, 2023 To whom it may concern, This letter is to confirm that on 12/5/2023 Mr. Pablo Perez successfully completed the IMSA 16 hour class attendance requirement to fully reinstate his Roadway Lighting Level I certification. He will be issued his certificate and ID card immediately upon completion of the process. Please feel free to contact me directly if there is anything I can do to assist. Kenneth W. Baldwin, Sr. 2"d VP IMSA Florida Section (786)438-7314 ;jMSOProgramgtjrjO�4 OFF Pablo Perez zs 6iere6y certifiedas a Roadway Lighting Technician Level I on 6/g/2oz6 Valid Thru 8/7/2019✓/y���� Douglas hl. Aiken - Executive Dlreclor FDOT� Florida Department of Transportation RON DESANTIS 605 Suwannee Street JARED W. PERDUE, P.E. GOVERNOR Tallahassee, FL 32399-0450 SECRETARY April 27,2023 AUM CONSTRUCTION INC. 8900 NW 119 STREET HIALEAH GARDENS, FLORIDA 33018 RE: CERTIFICATE OF QUALIFICATION The Department of Transportation has qualified your company for the type of work indicated below. FDOT APPROVED WORE CLASSES: COMPUTERIZED TRAFFIC CONTROL, DRAINAGE, ELECTRICAL WORK, GRASSING, SEEDING AND SODDING, INTELLIGENT TRANSPORTATION SYSTEMS, ROADWAY SIGNING, SIDEWALK, TRAFFIC SIGNAL, CURB & GUTTER, ROADWAY LIGHTING MAINTENANCE Unless notified otherwise, this Certificate of Qualification will expire 6/30/2024. In accordance with Section 337.14(4), Florida Statutes, changes to Ability Factor or Maximum Capacity Rating will not take effect until after the expiration of the current certificate of prequalification (if applicable). In accordance with Section 337.14(1), Florida Statutes, an application for qualification must be filed within (4) months of the ending date of the applicant's audited annual financial statements. If the company's maximum capacity has been revised, it may be accessed by logging into the Contractor Prequalification Application System via the following link: HTTPS://fdotwpl.dot.state.£l.us/ContractorPreQualification Once logged in, select "View" for the most recently approved application, and then click the "Manage" and "Application Summary" tabs. The company may apply for a Revised Certificate of Qualification at any time prior to the expiration date of this certificate according to Section 14-22.0041(3), Florida Administrative Code (F.A.C.), by accessing the most recently approved application as shown above and choosing "Update" instead of "View." If certification in additional classes of work is desired, documentation is needed to show that the company has performed such work. All prequalified contractors are required by Section 14-22.006(3), F.A.C., to certify their work underway monthly in order to adjust maximum bidding capacity to available bidding capacity. You can find the link to this report at the website shown above. JTII:cg Sincerely, - c James E. Taylor II, Prequalification Supervisor Contracts Administration Office Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.eov References: Reference No 1: Dru Badri, PE Construction Manager— FDOT District 6 North Dade Construction 1000 NW 111 Ave Miami, FL 33172 dru.badri@dot.state.fl.us 305-401-1560 Reference No 2: Josiel Ferrer Chief Operations and Maintenance Officer, MDCDTPW 7100 NW 36 St Miami, FL 33166 Josiel.ferrer-diaz@miamidade.gov 305-987-1488 Reference No 3: Daniel Castilla Roadway Lighting Engineer, MDCDTPW 7100 NW 36 St Miami, FL 33166 daniel.castilla@miamidade.gov 786-376-9716 Section 3: Staffing 1- Size and Experience of Company staff: AUIVI Construction, Inc has 52 employees including Project Managers, Masters Electrician, Journeyman and Helpers. Each crew has been specialized in specific functions like Directional Bore, Underground, Concrete, MOT, Street Lighting and Traffic Signal. All the employees have experience working in projects for Miami Dade County, Broward, and Palm Beach. Richard Mendez General manager Aldo Apoilini Armando Acebal Osmany Oramas Project Manager Project Manager Project Manager Crews Crews Crews 2- Staff Team Assigned to the Contract: Aldo Apollini will be the project manager for this contract, he will have 1 crew full time available to respond immediately. If required we will assign more crews Aldo Apollini Project Manager i Pablo Perez Master Electrician Alexander Garcia Journeyman Electrician Helpers: Isbel de La Rosa Osvaldo Oliva 3- Experience and qualifications of staff: Included are the resumes for the key personnel. 4- Suppliers and Subcontractors: Subcontractor: We will not use any subcontractor. Supplier: 1 Name: Torres Electrical Supply Company, Inc. Address: 3190 S.E. Dominica Terrace Stuart, FL 34997 Supplier: 2 Name: CED /Electrical Wholesalers Address: 3840 West 104TH Street Suite #5 Hialeah, FI 33018 Aldo Apollim Miramar, FL 33014-786-4709102- apollinialdo@email.com Electrical engineer with a concentration in Power Systems and Control Systems looking to grow on the transportation field, where can apply and grow my roadway construction experience. Bilingual in English and Spanish EDUCATION Bachelor of Science in Electrical Engineering December 2018 Florida International University. Miami, FL GPA: 3.32/4.0 PROFESSIONAL EXPERIENCE AUM Construction, Inc. June 2021 -Present -Ensure that all projects are delivered on-time, within budget up to $7,000,000.00 projects -Develop project schedules in Primavera P6 to comply with FOOT Standard specifications -Create and maintain comprehensive project documentation -Attend progress meetings to discuss project issues, delays, and progress -Oversee company projects to assure project managers (8 Project Managers) are delivering project expectations -Prepare operation strategies with company employees (40 employees) to complete daily activities -Approve payments to subcontractors and vendors up to $1,000,000.00 -Run weekly meeting with company staff to keep track of project deliverables Reyes Electric, Inc. December 2018 -June 2021 Electrical Engineer Technician Developed Activities: -Created hook-up charts with the correct connections on controller cabinets -Programmed video detection camera systems for traffic control -Assisted to pre -construction meetings with FDOT, Miami -Dade or Broward County to discuss potential issues in projects -Maintained communication with FDOT project administrator to discuss critical paths on projects -Troubleshooted controller cabinet conflicts and provide immediate solution Used signalization and lighting plans to direct employees on how to meet the NEC (National Electrical Code) and FDOT Standards -Prepared As-builts plans with important changes due to any conflict -Prepared pay applications in format AIA with all the work completed to invoice accurate quantities -Made prior inspections to verify that the work performed meets the NEC and FDOT Standards -Prepared price estimates based on plans specifications and quantities -Assisted and prepare site meetings with FPL to discuss services pick up points -Oversaw and prepare daily activities for 30 employees -Coordinated and oversaw special drilled shaft activities up to 35 feet using vibratory hammers, cranes, concrete pumps, etc Reyes Electric, Inc. May 2018— December 2018 Engineering Intern Developed Activities: -Created locate tickets prior to coordination of excavation -Developed an innovative system to track active purchase order to determine which had been satisfied -Prepared and sent submittals packages for approval process by engineers -Negotiated directly with vendors representative in order to get bulk discounts or lower pricing -Created purchase orders with values around $100K -Assisted to progress meetings with project administrators to provide lead time of materials NOTABLE PROJECTS • I-95 NB Off Ramp Widening, New Traffic Signals, New Light Poles, Milling and Resurfacing (T4578) • Miami Gardens Dr and NW 2nd Ave Milling and Resurfacing, New Traffic Signals, Widening and Landscaping (T6509) • SW 8`h St signalized intersection lighting improvements (T6480) • SR 826 signalized intersection lighting Improvements (T6479) • Mid Block Crossing in SR -7 (E61.75) • Traffic Signals Mounted on CSX structure at SR 874 (E6L75) • Lighting and Signalization improvements at SR -944 (T6419) • Mid Block Crossing Normandy Drive at Rue Granville with Lighting improvements (T6463) • City of Miramar Lighting Improvements. 97 light poles • New fiber optic interconnect for Traffic Signals communications & new traffic controllers installation (T4461) LICENSES & NOTABLE COURSES - IMSA TRAFFIC SIGNAL TECHNICIAN LEVEL II OSHA CONSTRUCTION SAFETY AND HEALTH 10 HOURS FDOT TEMPORARY TRAFFIC CONTROL ADVANCED COURSE DRILLED SHAFT INSPECTOR CTQP Employment Hisfory: 2015 -Present AUM Construciion, Inc Roadway Lighting Specialist 1996 — 2015 Horsepower Electric, Inc. Roadway Lighting Specialist Certificaflons: -Master Electrician License No. EC13006683 -IMSA Work Zone Safety Certification Program Pablo Perez Master Electrician Professional Qualifications Mr. Perez has been a Roadway Lighting Specialist since 1996 and has 20 years of experience in the electrical industry. He is also experienced in the Proactive Lighting Program (PLP) since its inception. He is specialized in ground fault diagnostics and preventive maintenance to large scale street light systems. Professional Experience Florida Department of Transportation (FDOT) Roadway Lighting Maintenance Contract Incorporating the maintenance and repairs of the State Highway Lighting System within Miami - Dade County Limits in the following interstate highways I-95, I-75, SR -826, SR -836, SR -112, SR - 195, SR -924, SR -874, SR -878. FDOT Contract E6F27 Push Button Contract for Installations and Repairs to the State Roadway Lighting System —Installations and Repairs to the State Roadway Lighting System throughout the Counties of Miami Dade and Monroe. Miami Dade County ARRA Street Light Improvements —Installation of new street lighting including foundations, conduits, street light poles, wiring antl electrical services. FDOT Crandon Blvd. Roadway Lighting —Key Biscayne, FL Village of Key Biscayne Lighting —Key Biscayne, FL City of Miami Design -Build -Operate -Maintain Contract for Street Lighting Design, Installation, Repairs and Maintenance Citywide Broward County Roadway Traffic &Miscellaneous Construction —Traffic Operations projects and miscellaneous construction at various locations throughout Browartl County including Drill Shaft and structures, traffic signals, traffic controller cabinets, sidewalk and curbs, milling and resurfacing, signing and pavement markings. City of Hallandale Solar Pedestrian Lighting —Installation of solar lighting along NW/SW 8'" Avenue in the City of Hallandale Taft St &North Park Rd Intersection Improvements --Installation of new street lighting including foundations, conduits, street light poles, widng and electdcal services. Contract amount $ 455,000 Miami Dade County Push Button Traffic Signal Installation Project # 20160045 Contract Amount $1,100,045- Installation and implementation of traffic signal construction throughout Miami Dade County. Page 1 of 1 Employment History: 2013 —Present AUM Construction, Inc Journeyman Electrician Street Lighting Technician 2008.2013 Horsepower Electric, Inc. Roadway Lighting Specialist Alexander Garcia ITS Traffic Signal Technician Professional Qualifications Mr. Garcia has over 10 years of experience in the electrical industry. Mr. Garcia has extensive experience in the construction and maintenance of traffic signalization, roadway lighting, and intelligent transportation systems (ITS). Professional Experience FDOT Contract E6H99 Push Button Roadway Lighting —Providing labor, equipment, and materials for maintenance and repair of the Roadway Lighting System. City of Miami CRA Street Light Maintenance Omni Redevelopment Area, Southeast Overtown/Park West Area City of Miami Springs Curtis Parkway and North Royal Poinciana Blvd Bike Path Lighting Project FDOT Contract E6F27 Push Button Contract for Installations and Repairs to the State Roadway Lighting System — Installations and Repairs to the State Roadway Lighting System throughout the Counties of Miami Dade and Monroe. ATMIS Field Installation Contract 20080113 — Install Miami -Dade County traffic signal cabinets, replace traffic controllers, modify traffic controller (firmware and communication), installation of loops, conduits, and pull boxes. Maintenance of the controller cabinet and its components and any non -cabinet equipment modified and/or installed as part of this project. Miami Dade County ARRA Street Light Improvements — Installation of new street lighting including foundations, conduits, street light poles, wiring and electrical services. Red Light Camera Traffic Safety Program Contract — Installation of CCTV cameras, photo enforcement cameras, vehicular detectors, and wireless communication systems throughout south and central Florida area. Reversible Lane Control Contract No. 20070587 — Provide and install reversible lane control signals and blank -out message signs, CCTV cameras and coaxial cables, video encoders and decoders, Ethernet switches and routers, fiber optic controller assemblies, installation of County specified firmware and new central control equipment with County specified software, configuration, integration and testing of these traffic control systems, firmware and software. City of Hallandale Solar Pedestrian Lighting — Installation of solar lighting along NW/SW 81h Avenue in the City of Hallandale Miami Dade County Push Button Traffic Signal Installation Project # 20160045 Contract Amount $1,100,045- Supervision of all installation and implementation of traffic signal construction throughout Miami Dade County. Taft St & North Park Rd Intersection Improvements-- Installation of new street lighting including foundations, conduits, street light poles, wiring and electrical services. Contract amount $ 455,000 Section 4: Approach / Methodology AUM has a long history in Street Lighting Maintenance. For over the past 5 years AUM maintained over 13,000 streetlights along both County and FDOT roadways. In addition, AUM was the contractor that installed the + 130 streetlights in Golden Shores. In our scope of work for Group 1, we will conduct nightly patrolling of the 304 lights that will allow us to identify any non -operational lights which will be subsequently repaired the following day. A proactive approach will allow us to exceed the contract's 90% operational goal. During daytime operations AUM will strictly commit to the City's proposed daily work schedule hours to allow the residents to maintain easy access to their homes. We have assigned our most experienced Project Manager along with our senior lighting crew led by one of our three Master Electricians. We have identified a crew to perform the required work for Group 1 as evidenced by our staffing organizational chart shown in Section 3 of this submittal. However, when work orders are issued to undertake Group 2 scope of work, AUM will provide different crews as required for the approved scope of work that specialize in their areas of work, i.e., underground, pre -cast foundation and pull box installations, pole installation, wiring and final restoration. This multiple crew approach allows AUM to expedite the work order completion. AUM takes Safety as our number one priority for our clients, the public and our employees. We will submit a project specific Safety Plan before work commences. Finally, AUM will be ready to mobilize immediately after issuance of a Notice to Proceed from the City. Section 5: Corporate Standing and Authorized Signatory 2023 FLORIDA PROFIT CORPORATION AMENDED ANNUAL REPORT FILED DOCUMENT# P06000007050 Apr 04, 2023 Entity Name: AUM CONSTRUCTION INC. Secretary of State 7761003454CC Current Principal Place of Business: 8900 NW 119 STREET HIALEAH GARDENS, FL 33018 Current Mailing Address: 8900 NW 119TH ST HIALEAH GARDENS, FL 33018 US FEI Number: 20.8608887 Certificate of Status Desired: No Name and Address of Current Registered Agent: DAVID GONZALEZ PA 66 WEST FLAGLER STREET SUITE 1000 MIAMI, FL 33130 US The above named entity submits [his statement far the purpose of changing its registered oflica or registered agent, or both, in the State of Florida. SIGNATURE: DAVID GONZALEZ 04/04/2023 Electronic Signature of Registered Agent Date Officer/Director Detail Title SECRETARY Name ARACIL, JUAN Address 424 SW 7 ST 402 City -State -Zip: MIAMI FL 33130 Title PT Name ORTIZ, HUMBERTO Address 8950 NW 119 ST City -State -Zip: HIALEAH GARDENS FL 33018 Title V Name GONZALEZ, PATRICIA Address 8950 NW 119 ST City -State -Zip: HIALEAH GARDENS FL 33018 1 hereby cedi/y Iha((he in/orma(ion intlica(otl on (his report orsupplernenlal report is Irve antl actuate and Ihaf my elecbonic signature shall have the same legal e(/ect as if made under oath; Ihaf I am an o/ficer ordireclororlhe corpore(lon or the receiveror Ims(ee empowered to exacule this report as required by Chapter 60], Florida Statutes; and Ihaf my name appears above, oron an attachment with all other like empowered. SIGNATURE: HUMBERTO ORTIZ PRESIDENT 04/04/2023 Electronic Signature of Signing Officer/Director Detail Date Section 6: Litigation History None Section 7: Forms and Attachments QUALIFICATION REQUEST INCLUDE WITH YOUR BID Contractor must list projects of similar project scope fulfilling the following qualification requests: 1. List Contract Management Persfonnel.Personnel cannot be changed without written approval. Contract Manager 2. How many years has your organization been in business as a Contractor? 3. List current workload. 4. The business is a (soleproprietorship) (partnership) (corporatioq) and name of owner: ��r-goo C�c �1'o�t = �v�-t�2r l% 7`I 5. Has your company/ever been debarred or terminated for default on a government contract? NOh 7. Firm must list any exceptions taken to the terms and condition in this ITB. vt 8. Discuss strategies the submitter will implement to ensure the project is kept on GrPu/S 9. Have you personally inspected the plans and location, are there any concerns that may impede your performance on this contract? 10. Describe the submitter's attribu es, which make th submittef}best-suited A UAf e 5 /ree� G, a 4�r'+� a .� 11. Is your firm applying for Group 1 or Group 2, or both? END OF SECTION this project. i rt �+'L�KAht G L DELIVER TO; City of Sunny Isles Beach City Clerk 18070 Collins Avenue Sunny Isles Beach, FL 33160 INVITATION TO BID SECTION 5 BID SUBMITTAL FORMS OPENING: 11:00 A.M. DECEMBER 1, 2023 PLEASE QUOTE PRICES FURNISHED &INSTALLED, LESS TAXES, PROVIDED TO CITY OF SUNNY ISLES BEACH, FLORIDA 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: Purchasing Manager: Date Issued: This ITB Submittal Consists of Genesis Cuevas November 3, 2023 this ITB, Attachments and Exhibits Sealed bids are subject to the Terms and Conditions of this INVITATION TO BID 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 23-11-01 STREET LIGHTING AND ELECTRICAL MAINTENANCE SERVICES ZILM CoK s Yj�/1iT78►T ,�,,i G RETURN ONE ORIGINAL, THREE COPIES AND ONE USB RESPONSE IN A SEALED ENVELOPE SECTION 6 BID SUBMITTAL FOR: ACKNOWLEDGEMENT OF ADDENDA INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES PART I: LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS BID Addendum #1, Dated Addendum #2, Dated Addendum #3, Dated ///,Z7�/Z�� ?% Addendum #4, Dated i Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART II:❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: AUTHORIZED SIGNATURE: TITLE OF OFF 23 BID SUBMITTAL FORM Bid Title: ELECTRICAL MAINTENANCE SERVICES The undersigned Bidder 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 Bidder accepts all of the terms and conditions of the Advertisement or INVITATION TO BID and Instructions to Proposers, 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 Proposer 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 Proposer represents, as more fully set forth in the Agreement, that: • The Proposer has familiarized himself/herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. • The Proposer has given the City written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Proposer. 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 con,formitywith any agreement or rules of any group, association, organization, or corporation; the Proposer has not directly or indirectly induced or solicited any other Proposers to submit a false or sham Bid; the Proposer has not solicited or induced any person, firm or corporation to refrain from Bidding; and Proposer has not sought by collusion to obtain for itself any advantage over any other Proposers or over the City. The Proposer understands and agrees that the Bid is for unit prices to furnish and install individual Work Items for maintenance and/or repair work, complete in place. Estimates are provided for the purposes of Bid Evaluation and to establish unit prices for individual Work to be contracted by the City under individual Purchase Orders, based on the unit prices established under this Bid. The City and the successful Proposer will establish completion times for each individual Work Item and the successful Proposer 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: /J , //,�A /�� 5 / %"Uli / Id'✓l�,�Gn G Street Address: fDO xwl f y 7; //.4 led, Ga 4e ,-5, �G 33 15 Mailing Address (if different): Telephone No. 3�S-77V' YP' v Fax No. T 4947 d;pg* Email Address: ��f%!tii/ US FEIN No. * "By signing t/�is ocument the bidder agrees to a/l Terms and conditions of this INVITATION TO Signature: (Signature of authoY � g ) X/ \ Print Name: �JUhi Tiflpm THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER 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 PROPOSER TO THE TERMS OF ITS OFFER. PRICE SHEET I. Bidder must use the Bid Price Sheet to submit Bidder's price for this Project. II. Bidder shall hold the unit Bid Prices f rm throughout the Contract period. Bidder guarantees response time necessary to have a crew return to correct unfinished or unsatisfactory services. III. The City reserves the right to increase, decrease, and/or choose the items and quantities below for the Project to meet its available budget using the unit prices provided below. IV. Bidder must completely fill out each column below, i.e., unit price and total. V. Not applicable or "N/A" is not acceptable and will cause Bidder to be determined non- responsive. An authorized officer per the Bidders Sunbiz, must sign the Total Bid Price Sheet. VI. The award will be to the lowest responsive/responsible Bidder for Total Bid Amount. Sv�.1NY AL U _ yFc 9�* FLOC\O�`') /TY OF SUN P� ADDENDUM # 4 DECEMBER 1, 2023 INVITATION TO BID 234141 ELECTRICAL SERVICES DESCRIPTION OF WORK GROUP 1 - MAINTENANCE AND SERVICE OF STREETLIGHTS - EVERY 2 MONTHS ITEM DESCRIPTION OF WORK NO. (7am - 5pm MONDAY - NO. QTY PER LIGHT EXTENDED 1 Maintenance and service per streetlight for 1 MASTER ELECTRICIAN $115.50 $173.25 streetlights to include labor and equipment. JOURNEYMAN 49.00 7,644.00 COLLINS AVE PER EXHIBIT A 156 110.25 3 The City will supply Ballast and Light Bulbs $ $ for this Group 94.50 $ $ 2 Maintenance and service per streetlight for $ 205.00 5 ONE PERSON INDOOR LIFT TO A $ streetlights to include labor and equipment. 49.00 6,370,00 2755,00 GOLDEN SHORES PER EXHIBIT B The 130 PULL BOXES (FURNISH & INSTALL) $ $ City will supply Ballast and Light Bulbs for 2,000.00 2,700.00 this Group MINI EXCAVATOR WITH OPERATOR= $ $ 3 Maintenance and service per streetlight for 200.00 225.00 8 streetlights to include labor and equipment. $ 150.00 49.00 882.00 CRANE TRUCK WITH OPERATOR State Road 826 (163rd Sunny Isles Blvd) PER 18 10 Maintenance of Traffic (MOT) Only a maximum $ 5% LS (Lump Sum) Mark-up EXHIBIT C. The City will supply Ballast and 5% markup on MOT Light Bulbs for this Group $ $ EVERY TWO (2) MONTHS GROUP 1 $ 1 4,896.00 TOTAL ANNUAL GROUP 1 $ 89,376.00 GROUP 2 -ADDITIONAL LABOR, SERVICES &MATERIALS - CITYWH)E AS -NEEDED ITEM DESCRIPTION OF WORK REGULAR HOURS OVERTIME NO. (7am - 5pm MONDAY - HOURLY FRIDAY) RATE 1 MASTER ELECTRICIAN $115.50 $173.25 2 JOURNEYMAN $ $ 73.50 110.25 3 ELECTRICIAN'S HELPER $ $ 63.00 94.50 4 BUCKET TRUCK WITH OPERATOR $ 180.00 $ 205.00 5 ONE PERSON INDOOR LIFT TO A $ $ MAXIMUM OF 45' FT 250.00 2755,00 6 PULL BOXES (FURNISH & INSTALL) $ $ 2,000.00 2,700.00 7 MINI EXCAVATOR WITH OPERATOR= $ $ 200.00 225.00 8 COMPRESSOR OPERATOR $ 150.00 1$175.00 I CRANE TRUCK WITH OPERATOR $ 400,00 $425.00 10 Maintenance of Traffic (MOT) Only a maximum $ 5% LS (Lump Sum) Mark-up 5% markup on MOT PER LINEAR FOOT - LF 1 TRENCHING 2 DIRECTIONAL BORBVG S S 30.00 Z)U,UV MARK-UP ON O.E.M. / MSRP List for parts 20 CITY O y ISLES 9 CITY OF SUNNY ISLES BEACH j��= 18070 Collins Ave. Sunny Isles Beach, FL 33160 305.792.1707 sibfl.net PurchasingPsibf1.net 41 SONNV I52F NON -COLLUSION AFFIDAVIT City of Sunny Isles Beach •' •t 18070 Collins Avenue rLoa`O a Sunny Isles Beach, FL 33160 or suR a Telephone: (305) 947-0606 Fax: (305) 949-3113 STATE OF FLORIDA J COUNTY OF Oade ) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be fled 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. Isles Beach, Florida is directly interested therein. The undersigned is authorized to make this Affidavit on behalf of, AM , �y � (Name of Corporation, Partnership, Individual, etc.) r vf a, DYE , formed under the laws of (Typ of Business) (State) //n of which he is / re f1 t4e 6 I (Sole Owner, Part ner, 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 undersignedI have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. AFFIANT'S NAME AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 0� day of VP�Q.YYIJCA , 20� Personally Known to� or Produced Identification , Type of identification (Affix seal here) NOTARY PUBLIC (name printed or d) . Notery Publlo Siete of Florida Ally6on Ibanez =0111=1 My COMMI$00n HH 413796 EXpiree 812212027 DECEMBER 28, 2010 ,oy SVNNY I t��m � �El`Q o or su eQ Nut PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone:(305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub -Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. whose business address is: and (if applicable) its Federal Employer Identification number (FEIN) is �o— 860 5778 (If the entity had no IN, include the Social Security Number of the individual signing this sworn statement:_ d�� ) 11.2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(8), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contendere. 11.4. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity anA who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair DECEMBER 28, 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. 1 understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) ✓� Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, I ALSO UNDERSTAND THAT I AM REQUIRED T9 INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESH%D AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CH GE IN THE INFORMATION CONTAINED IN THIS FORM. By: (Signature) (Printed Name) (Title) Sworn to and subscribed before me this &Tr) day of ��G yjeil' 20 ,2.3, by #Vmbyi'do or*;z �1 (A /��/ysonGn�Z Pbllo state of Florida Ibanez Signature: E=::':Alm1y'.8on omission 20 419796pirs EX: Personally Known V OR Produced Identification ONY /S, J' 04 EQUAL OPPORTUNITY / AFFIRMATIVE ACTION "F FLOPLO City of Sunny Isles Beach °j+r or $U" s 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (306) 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. R Signed: Title: Firm: Address: Oscemsaa ze, zolo Ve 0 f rem ' 0" f �v Z4 M t rer/ T i 0P, ��vt G 49X00 �G{/ 5 f Id NNY Ito s CONFLICT OF INTEREST City of Sunny Isles Beach ' - 18070 Collins Avenue ruo PXo' ` Sunny Isles Beach, FL 33160 or eu • Telephone: (305) 947-0608 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 FLORIDA COUNTY OF BEFORE ME, the undersigned authority, personally appeared 1Pi {7/ who was duly sworn, deposes, and states: p 181.E 1 Coa+s / am e 1/�e�>/ ew� of ll / 91 with a local office in it H+% 70 C and principal office in 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. o23�//—O% 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 no financial interest 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. 18.71 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. 18.81 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 mmediately notify the City of Sunny Isles Beach. Dated this FA day of VeGPM'76 ?ii .2023. Num Sardo Olf d,'2 AFFIANT Print or Type Name and Title Swyrn to and subscribed before me this " day of �eGP�/'17�, 2023. �' Personally Known OR O Produced Identification Type of Identification NOTARY PUBLIC STATE OF FLORIDA DECEMBER 29, 2010 Notary Public Stele of florlde Allyson Ibanez flit My Commlaslon HH 413795 Expires 0/22/2027 SONNY ,S�FB 1p m DISPUTE DISCLOSURE City of Sunny Isles Beach 18070 Collins Avenue 40 °v. ,LOw 9 ` Sunny Isles Beach, FL 33160 o"r or $°N " Telephone: (305) 947-0606 Fax: (305) 949-3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a "X" after "Yes" or No a If you answer "Yes", please explain in the space provided, or on a separate sheet attached to this form, 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (5) years? �( YES NO X 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? x YES NO ' ` 19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES NO If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misreVresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. Firm Date 1 ` f/JW�e[ o � �zz�Qreyi�&q 7 Authorized Signa r Print or Type Name and Title DECEMBER 28, 2010 STATE OF FLORIDA ) COUNTY OF l7Q ) 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. . (, By: Title: / f'i 5/ (3 °e'1 v The foregoing instrument was acknowledged before me this $� day of Deze !,e�r , 20�Z3, by Mom bc�rdo Or-d-r'Z [name of person], as Pre�St� f[type of authority], for AOM C0n.S4-CUCd,'oo,.T7riG [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: Nolary Publlo Stete of Fiorlda d L11Allyson Ibanez 11 My Commission HH 419795 Expires 6/22/2027 Nota�State of FloWda �lllYs on 7/I� ar, e -Z Print or Type Commissioned Name Personally Known ✓ OR Produced Identification Type of Identification Produced DECEMBER 28, 2010 CONTRACTOR ANTI -BOYCOTT CERTIFICATION " [PURSUANT TO FLORIDA STATUTE § 215.47251 I,Awier10 Mix on behalf of /TA S�Yr/GO��`►?�i Print Name Company Name certifies that X�%f Co#.51'r 1/� A'l �i 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; an d 5. Has not engaged in business operations in Cuba or Syria. Title Date �JRMSM.A3iPCFPJf� 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 e1 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.e-verify.gov/emplovers/enrolling-in-e-verify) and follow the instructions. The contractor must, as usual, retain the 1-9 Forms for inspection. By affixing your signature below you hereby affirm that you will comply with E -Verify requirements. ,�4fcf Offeror Silol ure Date ,4'. iel,�v )r i r . &45�e7 24f- int Name Title ;2j�9gOgig dY: Federal Employer Identification Number (FEIN) Notary Public Information Sworn to and subscribed before me on this this 15J�/ day of �eG�'m�<'� , 2023. By �-{ U✓rl �d 0 O�r�+ L V Is personally known to me ❑ Has produced identification (type of identification produced: Sign ,t a of Notary Public Print or Stamp of Notary Public Notary Publlo Stale of Florida Allyson Ibanez 1111 My Commisalon HH 413788 Expires 6/2212027 222 7 'Expiration Date clar op �=y \SLEse � The Hmgjut of f mnq ADDENDUM # 1 DATE: MONDAY, NOVEMBER 13, 2023 TO: ALL PLANHOLDERS FROM: PURCHASING MANAGER BID NO.: INVITATION TO BID 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE & AS - NEEDED SERVICES SUBJECT: ADDENDUM NO. 1 PLEASE NOTE RECEIPT OF THIS ADDENDUM BY COMPLETING ACKNOWLEDGEMENT OF ADDENDA' WITH YOUR FIRM'S SUBMISSION, REVISION: Please use the following BID PRICE SHEET 11/13/2023 included in this Addendum # 1 to submit your BID PRICE. COY of �=y \SLESe � the Haight of Living ADDENDUM # 2 DATE: NOVEMBER 160 2023 TO: ALL PLANHOLDERS FROM: PURCHASING MANAGER BID NO.: INVITATION TO BID 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE & AS - NEEDED SERVICES SUBJECT: ADDENDUM NO. 2 PLEASE NOTE RECEIPT OF THIS ADDENDUM BY COMPLETING ACKNOWLEDGEMENT OF ADDENDA' WITH YOUR FIRM'S SUBMISSION, ORIGINAL NON -MANDATORY PRE-BID MEETING: aiwA mi k j CITY OF SUNNY ISLES BEACH, GOVERNMENT CENTER DUE TO FLOODING, THE PRE-BID MEETING HAS BEEN RESCHEDULED MONDAY, NOVEMBER 20, 2023 AT 11:00 AM VIRTUALLY Join Zoom Meeting https://us02wei3.zoom.us/j/85468152564 Meeting ID: 854 6815 2564 One tap mobile +13052241968 i CITY OF SUNNY ISLES BEACH, GOVERNMENT CENTER DUE TO FLOODING, THE PRE-BID MEETING HAS BEEN RESCHEDULED MONDAY, NOVEMBER 20, 2023 AT 11:00 AM VIRTUALLY Join Zoom Meeting https://us02wei3.zoom.us/j/85468152564 Meeting ID: 854 6815 2564 One tap mobile +13052241968 i 4kiT op 15LESe � rhe Hright of IJVina ADDENDUM # 3 DATE: NOVEMBER 28, 2023 TO: ALL PLANHOLDERS FROM: PURCHASING MANAGER BID NO.: INVITATION TO BID 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE & AS - NEEDED SERVICES SUBJECT: ADDENDUM NO. 3 PLEASE NOTE RECEIPT OF THIS ADDENDUM BY COMPLETING ACKNOWLEDGEMENT OF ADDENDA' WITH YOUR FIRM'S SUBMISSION. ORIGINAL DUE DATE: !1r9d9l4Vjl*1"DJ&�ZfiSk�k MEW CITY OF SUNNY ISLES BEACH, GOVERNMENT CENTER NEW DUE DATE: FRIDAY, DECEMBER 8, 2023 AT 11:00 AM SUBMIT SEALED BIDS TO: CITY CLERK SUNNY ISLES BEACH GOVERNMENT CENTER 18070 COLLINS AVENUE, IST FLOOR, CONFERENCE RM. SUNNY ISLES BEACH, FLORIDA 33160 i C% of \SLE'SQ� the Haight of living ADDENDUM # 4 DATE: DECEMBER 1, 2023 TO: ALL PLANHOLDERS FROM: PURCHASING MANAGER BID NO.: INVITATION TO BID 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE & AS - NEEDED SERVICES SUBJECT: ADDENDUM NO. 4 PLEASE NOTE RECEIPT OF THIS ADDENDUM BY COMPLETING ACKNOWLEDGEMENT OF ADDENDA' WITH YOUR FIRM'S SUBMISSION. ORIGINAL SPECS PAGE 9, 20, 22: Group 1 will consist of a eKl street lighting maintenance service, repair, and maintenance of a State Roadway Street Lighting System. REVISED SPECS PAGE 9, 20, 22: Group 1 will consist of a Bimonthly (every two months) street lighting maintenance service, repair, and maintenance of a State Roadway Street Lighting System. BIDDERS MUST USE REVISED ADDENDUM # 4 PRICE SHEET BELOW. ACCOR tI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmY)O 12/07/2023 THIS CERTIFICATE IS ISSUED ASA 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(les) 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 CONTACT Regina Bunker NAME: Frank H. Furman, Inc. PHONENo (954)943-5050 FAX (954) 942-6310 AIC Ext : A/C, No 1314 East Atlantic Blvd. E-MAIL re ina furmaninsurance.com ADDRESS: g P. O. BOX 1927 INSURER(S) AFFORDING COVERAGE NADA Pompano Beach FL 33061 INSURERA: Imperium Insurance Company 35408 INSURED INSURERB: Evanston Insurance Company 35378 AUM Construction Inc INSURER C 8900 NW 119th St INSURER D : INSURER E: Hialeah Gardens FL 33018 INSURER F: COVERAGES CERTIFICATE NUMBER: 23-24 GLAU/WC/UM 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEADDLSUBR INSD WD POLICYNUMBER POLICYEFF MMIDD/YYYY POLICYEXP MMIDDNWY LIMITS The ACORD name X COMMERCIAL GENERAL LIABILITY registered marks of ACORD EACH OCCURRENCE $ 1,000,000 CLAIMSMADE 19OCCURPREMISES Ea occurrence) $ 150,000 MED EXP (Any one person) $ 10000 PERSONAL& ADV INJURY $ 1,000,000 A Y Y CONIICGLOOD010501 12/01/2023 12/01/2024 T/E LIMITAPPLIES PER: GEN'LAGGREGA� GENERALAGGREGATE S 2,000,000 POLICY [/X PRO- ❑ JECT LOC PRODUCTS g 2,000,000 OTHER: g AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y Y CONIICCA000017901 06/18/2023 06/18/2024 BODILY INJURY (Per accident) $ x PROPERTY DAMAGE Per acciden t $ HIRED NON -OWNED AUTOS ONLYAUTOS ONLY H PIP -Basic $ 10,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 53000,000 A EXCESS HAD CLAIMS -MADE Y Y CONIICX000009601 12/01/2023 12/01/2024 DED x RETENTION g 0 g A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA Y CONIICWC000004001 06/18/2023 05/18/2024 X 3EATUTE FORTH E.L. EACH ACCIDENT g 1.0002000 E.L DISEASE - EA EMPLOYEE g 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT g 1,000,000 Each Occurrence $27000,000 B Contractors Pollution Liability ECPENV04264 12/01/2023 72/01/2024 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ITB # 23-11-01 STREET LIGHTING PREVENTATIVE MAINTENANCE &AS -NEEDED ELECTRICAL SERVICES The City of Sunny Isles Beach is included as Additional Insured with respects to General Liability as required by written contract. f'FRTIFIf'ATF Hhl DFR OANOFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sunny Isles Beach ACCORDANCE WITH THE POLICY PROVISIONS. 18070 Collins Avenue AUTHORIZED REPRESENTATIVE Sunny Isles FL 33160 (2016/03) (2016/03) The ACORD name and logo are registered marks of ACORD Section 8: Exceptions and Conditions None