HomeMy WebLinkAboutV ENGINEERING CORP.ELECTRONICIILL YSUBMIT TO.
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INVITATION TO BID
SECTION 5
BID SUBMITTAL FORMS
OPENING: 11:00 A.M.
OCTOBER 27, 2025
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: Date Issued: This ITB Submittal Consists of
Genesis Cuevas SEPTEMBER 26, 2025 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 received electronically 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 25-09-01
183RD STREET CONVERSION LEFT TURN
A bid bond in the amount of 5% 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 execution
of the contract by the successful firm and City of Sunny Isles Beach
Bidder Name:
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
Addendum #4, Dated
Addendum #5, Dated
Addendum #6, Dated
Addendum #7. Dated
Addendum #8, Dated
PART II:❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
FIRM NAME: V CH�i ✓iQ�r�/h
AUTHORIZED SIGNATURE:- cDATE: Ov Z7 7025
TITLE OF OFF ICEtR: 1�C 2� G/L 4✓
w
BID SUBMITTAL FORM
Bid Title: 183RD STREET CONVERSION LEFT TURN
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 conformity with 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: p
Y/ �i7f'i n e2iC,
Street Address:
2S Z5 06 4c;Z4 B/✓c� 3`� i . �K� ��s, C �3i3 y
Mailing Address (if different):
Telephone No.-�-5 -3YZ-55 6 S Fax No.
Email Address FEIN No.gj2 �911 /
* "By signing this document the bidder agrees to all Terms and conditions of this
INVITATION TO BID.
Signature:
(SignaturW 3Gthorized agent)
Print Name: �GNr G CGS
Title:
e'
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.
ATTACHMENT A - 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 firm 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.
/F/J�1NY �S�F
s
O ?__
* FLOC
�F SUN P
CONSTRUCTION BID SHEET ITB 25.09.01 183RD STREET AND COLLINS AVENUE LEFT CONVERSION
Line items
PAY ITEM NO.
IDESCRIPTION
lUNff
IUNIT COST I
QUANTITY
EXTENDED COST
ROADWAY
1
630212
CONDUIT, FURNISH & INSTALL, DIRECTIONAL BORE
LF
Z70. 50
52
/Y 3cb • C0
z
63271
SIGNAL CABLE- NEW OR RECONSTRUCTED INTERSECTION, FURNISH & INSTALL
PI
/3 yOD • C/7D
1
6D
3
635 211
PULL & SPLICE BOX, F&I, 13'x 24' COVER SIZE
EA
2 PS. OtJ
3
2S . co
4
646111
ALUMINUM SIGNALS POLE, PEDESTAL
EA
O 000 • do
3
(-40Oo0 . cn
s
650 118
VEHICULAR TRAFFIC SIGNAL, FURNISH & INSTALL ALUMINUM, 5 SECTION STRAIGHT, 1 WAY
AS
9/ /60 •CIO
1
/6O - CD
6
650 160
VEHICULAR TRAFFIC SIGNAL, REMOVE-POLES TO REMAIN
AS
00 • m
2
/ 60 • CV
7
650170
VEHICULAR TRAFFIC SIGNAL, RELOCATE- INCLUDES REMOVAL ANDREINSTALLATION
AS
.3 6./0 . c0
1
3 S /o d0
s
653111
PEDESTRIAN SIGNAL, FURNISH & INSTALL LED COUNTDOWN, 1 WAY
AS
660 . CZ
2
3 Ler» • dD
9
653112
IPEDESTRIAN SIGNAL, FURNISH & INSTALL LED COUNTDOWN, 2 WAY
AS
50 Z S 35.073
2
S O e0
10
666111
PEDESTRIAN DETECTOR, FURNISH & INSTALL, STANDARD
EA
`</6 • Cb
8
$ /20 • C.YJ
11
7001 111
SINGLE COLUMN GROUND SIGN ASSEMBLY, F&I GROUND MOUNT, LESSTHAN 12 SF
EA
2c0 4/0
1
I OO
12
7001 600
SINGLE COLUMN GROUND SIGN ASSEMBLY, REMOVE
EA
806, co
1
0 . CID
13
700 141903
ENHANCED HIGHWAY SIGN ASSEMBLY, AC POWERED, REMOVE - OVERHEAD MOUNT
EA
5 951cb . dD
1
. OD
w
711 11 141
THERMOPLASTIC STANDARD, WHITE, 24 DOTTED GUIDELINE! 6-10GAP EXTENSION, 6'
GM
O 000 • ov
0.020
/ cb • ce
15
711 11170
THERMOPLASTIC STANDARD, WH17E, ARROW
EA
, as
4
If ey, BCO -Go
SUBTOTAL 1.15 $ 987 7L 7- 40
16
GENERAL CONDITIONS
L S
/l SLC - rm
/Z A9•C8
37
01011
MOBILIZATION
0oo • Oar
6 OdO.OD
18
INSURANCE AND LICENSES
L 5
• rYa
19
102.1
MOT
G 5
p /S om • m
/s cm • as
20
MOBILIZATION
GS
/ 000 db
A-!Loco • c�
21
DEMOBILIZATION
L5
/ 000 . OC3
/000 • LC
22
23
BOND
PERMIT FEES
Z1.5
LS
, OLS . c0
10,000.00
f
1
el 0O0 , dD
$10000.00
GRAND TOTAL 1.23k/j-,,/Z/•
QUALIFICATION REQUEST
INCLUDE WITH YOUR BID
Contractor must list projects of similar project scope fulfilling the following qualification requests:
1. List Project Management Personnel. Personnel cannot be changed without written approval.
Project Manager ��°vx %� C4 P11�
2. How many years has your organization been in business as a Contractor?
7/7�ze_ 1�5 )
3. List current workload
�gy7Zs09o8
std
4. is the bidder subcontracting any part of this work? If so, give details to major key subcontractor's
name, address, phone number and type of work to be performed. Also, indicate the percentage of
the total work to be performed by the subcontractor. List current workload of major sub-
contractors.
5. The business is a (sole proprietorship) (partnership) (corporation) and name of owner;
6. Has your company ever been debarred or terminated for default on a government contract? Has
an agency (Owner) submitted a claim against your performance bond with the surety company?
7. Identify your debris disposal plan.
8. Bidder must list any exceptions taken to the terms and condition in this ITB.
9. Discuss what strategies the submitter will utilize to keep this project on schedule, considering
long lead-times on fabrication.
_/ 55 iZ /G' d✓�/�wrGl�' rv� i�C00/rGrih�i.lP cu/�/j � r!i///y
�4 �/9i'/t/ Z•5/�JaGGs� f0/C_ 4/7//2D0/Z✓� i55 t/Ace.[ CP Sof
� } r
10. Discuss strategies the submitter will implement to ensure the project is kept on budget.
Sc W-roY �b/ts etch .
��
11. Have you personally inspected the plans and location, are there any concerns that may impede
your performance on this project?
12. Describe the submitter's attributes, which make the submitter best -suited for this project.
13. Proposed timeframe to complete project (time is of the essence):
14. Proposin&Aidder's Name of Journeyman Electrician
END OF SECTION
I'll OY
\SLES 9 CITY OF SUNNY ISLES BEACH
18070 Collins Ave. Sunny Isles Beach, FL 33160
i 305.792.1707 1 sibfl.net I Purchasing@sibfl.net
40
ITB 25-09-01183 RD STREET CONVERSION LEFT TLIRN
_ NON—COLLUSION AFFIDAVIT
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax. (305) 949-3113
STATE OF FLORIDA )
COUNTY OF 157C )
The undersigned being first duly sworn as provided by law, deposes, and says:
This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be
relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid.
The undersigned is authorized to make this Affidavit on behalf of,
6;li%•�/L//7 C. -Def!
(Name
eelof Go?"nation,-PLa-rtnersh" , Indivtd I, eta)
a, W!?6v�ldG/ a �'! , formed under the laws of
(Type of Business) (state)
of which he is ent, etc.)
2s1
(Sol owner, Partner, Preside
Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the
undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any
department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein.
This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired,
connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or
corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication
or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in
the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or
to any member or agent thereof.
AFFIANT'S NAME AFFIANTS TITLE
TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this � day of L .2005
Personally Known L'-/ or Produced Identification
Type of identification
(Affix seal here) Notary Public State of Florida
A Felix R Clavelo Lopez
IIII My Commission HH 320488
Expires 1 011 012 0 2 6
DECEMBER 28. 2210
NOTARY PUBLIC (name prInte"r71I41%V-'$1
PUBLIC ENTITY CRIMES
Vi x
City of Sunny Isles Beach
18070 Collins Avenue
'� ; 7 Co x�°• Sunny Isles Beach, FL 33160
Telephone: (305) 947-0808 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
whoszse busi`ne�S,address
zS a?�r oPc �ev� ,d/✓� ,gf3'�I
and (if applicable) its Federal Employer Identification number (FEIN) is
(If the entity had no FEIN, include the Social Security Number of the individual signing this sworn
statement: )
11.2. 1 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. 1 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. 1 understand that an "affiliate' as defined in Para. 287.133(1)(a), Florida Statutes, means:
a.) predecessor or successor of a person convicted of a public entity crime. or
b.) Any entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate' includes those officers,
directors, executors, partners, shareholders, employees, members, and agents who are active in
the management of an affiliate. The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income among persons when not for fair
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 i,as i ecn r:i rgee: 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
Printe ame �
/(.QjJA/L 1
(Title)
-,Swo o to ansu sc,;� d before me this Z? day of d�i/o',y�e2 , 20 2-5 , by
(AFFI
Notary PuElic State o Florida
Felix R Clavelo Lopez
tltt My Commission HH 320488 Signature:I'm
Expires 1011012026
Personally Known OR Produced Identification
s�NHr iy<,r
EQUAL OPPORTUNITY /
AFFIRMATIVE. ACTION
` 7, City of Sunny Isles Beach
^ ry '
�18070 Collins Avenue
Sunny Isles Beech, FL 33160
Telephone: (305) 947-0606 Fax: (305) 9493113
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:
ll FI
'4mlzln
�c
Address:
ZSZS
f �cP C-6
1�eeU 8�✓d�
7L. 3313'1
OECEMSE 29.2010
0' CONFLICT OF INTEREST
14
V I re; City of Sunny Isles Beach
-"18070 Collins Avenue
•''+, lo Sunny Isles Beach, FL 33160
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 FLORI A
COUNTY OF AfAZInir JG el&
BEFORE ME, the undersigned authority, personally appearedyu /S who was duly sworn,
deposes, and states:
18.1. 1 afn theof
I:Eh ry nlefe t"e_w
C�lL�ith a local office in 2525 e4- �4�A ( d9 ✓ • and principal office in
I Cofz.cl %+6Laf�C. AR3/3Sf
18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No.,T%$•Z5 95-Oldescribed
as: City Annex Building Renovations The Affiance 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.
13.91n 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.
Dated
Print or Type Name
2025.
S 9,,n to and subscribed before me this Z 7 day of aclak?2 , 2025.
0� Personally Known OR
❑ Produced Identification ; Type of Identification
NOTARY PUBLIC STATE OF FLORIDA
Notary Public State or Florida
Alk Felix R Clavelo Lopez
Atli My Commission HH 320488
Expires 1 011 012 0 2 6
u°SJNNY S fsa
DISPUTE DISCLOSURE
VI
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beech, FL 33160
Telephone'. (305) 947-0606 Fax: (305) 8493113
DISPUTE DISCLOSURE FORM
Answer the following questions by placing a "X" after 'Yes" or "No". If you answer "Yes", please
explain in the space provided, or on a separate sheet attached to this form.
19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the
Department of Professional Regulations or any other regulatory agency or professional associations within the last
five (5) years?
YES NO
19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a
contract or job related to the services your firm provides in the regular course of business within the last five (5)
years?
YES NO 1/
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 L, -s 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.
E/7 i
Firm
Authors Si nature
DECEMBER 28, 2010
Date
r
t�/z y!%✓/�6 o�Gf7�/E
Print or Type Name and Title
STATE OF FLORIDA )
COUNTY OF Z& clee )
ANTI -KICKBACK
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0608 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:Y-
Th foregoing instrument was ac nowledg d before me this 7- day of
00701 2 20 25 b[name
of person], as G/ty' [type of authority], for
V Es�,si:xerzirrj ,a • [name of party on behalf of whom instrument was
AFFIX NOTARY STAMP HERE:
Notary Public State of Florida
AL Felix R Clavelo Lopez
1;
lift My Commission HH 320488
Expires 1011 012 0 2 6
Notary Publi — State of Florida
Print or Type Commissioned Name
i
Personally Known OR Produced Identification
Type of Identification Produced
DECEMBER2e, 2010
CONTRACTOR ANTI -BOYCOTT CERTIFICATION
[PURSUANT TO FLORIDA STATUTE § 215.47251
on behalf of �fc ,
Print Name C dmpany Na ne
certifies that V lFti Iwerl"r does not:
Com]1any Na ne
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.
Signa e
Title
Date
STATE OF FLORIDA
COUNTY OF Miami -Dade )
BID BOND
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 997-0606 Fax (305) 949-3113
""ALL
MEN BY THESE PRESENTS, that we, V Engineering Corp as Principal, and
Old Republic Surety CORlpany —'as Surety, are held and firmly bound unto the City of Sunny Isles
Beach, a municipal corporation of the State of Florida in the sum of Five Percent (5%) of Bid Amount Dollars ($ 5%mad Amoun), lawful
money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators
and successors jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying Bid dated,
October 27th, 2025 for.
1 B3RO STREET AND COLLINS AVENUE LEFT TURN CONVERSION ITB # 25-09-01.
WHEREAS, it was a condition precedent to the submission of said Bid that a cashiers check or Bid Bond in the amount of fire portent ISX)
of the Base Bid be submitted with said 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 obligation are such that if the Principal within ten (10) consecutive calendar days after written
notice of such acceptance, enters into a written Contract with the City 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 Certificates of Insurance,
then this obligation shall be void: otherwise the sum herein stated shall be due and payable to the City of Sunny Isles Beach and the Surety
herein agrees to pay said sum immediately, upon demand of the City, in good and lawful money of the United States of America, as liquidated
damages for failure thereof of said Principal.
IN WITNESS WHEREOF, the above bonded parties have executed this instrument under their several seals this 24th day
of October ,20 25 , the name and the corporate seal of each corporate party being hereto affixed and these presents
being duly signed by its undersigned representative.
DOCUMENT CONTINUES ON NEXT PAGE
IN PRESENCE OF: V Engineering Corp
Indio al or Partnership Principal Affix Corporate Seal
2525 Ponce de Leon Blvd. Suite 349
Business Address
Coral Gables, FL. 33134
City, State, and Zip Code
305-970-3206
Business Telephone
As per attached Power of Attorney
ALEAttorneyJ.
(Corporate Surety)'
Geri Lynn Mirabal, Witness
`Impress Corporate Seal
Business Facsimile
Republic Surety
Secretary
Warren M. After, Attorney In Fact
IMPORTANT
By:
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Surety companies executing bonds must appear on the Treasury Department's most current list (circular 570 as amended) and be authorized
to transact business in the State of Florida.
DECEMBER 28, 2010
*
* OLD REPUBLIC SURETY COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That OLD REPUBLIC SURETY COMPANY, a Wisconsin stock insurance corporation, does make, constitute and
appoint: WARREN M. ALTER, DAVID T. SATINE, JONATHAN A. BURSEVICH of MIAMI LAKES, FL
its true and lawful Attorneyts)-in-Fact, with full power and authority for and on behalf of the company as surety, to execute and
deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof,
(other than ball bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note
guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds), as follows:
ALL WRITTEN INSTRUMENTS
and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys -in -Fact, pursuant to these presents, are ratified and confirmed.
This appointment is made under and by authority of the board of directors at a special meeting held on February 18, 1982.
This Power of Attorney Is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD
REPUBLIC SURETY COMPANY on February 18,1982.
RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint
attorneys -in -tact or agents with authority as defined or limited in the instrument evidencing the appointment in each case, for and on behalf of the company to
execute and deliver and affix the seal of the company to bonds, undertakings, recognizances, and suretyship obligations of all kinds; and said officers may
remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person.
RESOLVED FURTHER, that any bond, undertaking, recognizance, or suretyship obligation shall be valid and binding upon the Company
(i) when signed by the president, any vice president or assistant vice president, and attested and sealed (if a seal be required) by any secretary or assistant
secretary; or
III) when signed by the president. any vice president or assistant vice president, secretary or assistant secretary, and countersigned and sealed (if a seal be
required) by a duly authorized attomey-in-fad or agent; or
(iii) when duly executed and sealed (if a seal be required) by one or more attorneys -in -fact or agents pursuant to and within the limits of the authority
evidenced by the Power of Attorney issued by the company to such person or persons.
RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or
certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the company; and such
signature and seal when so used shall have the same force and effect as though manually affixed.
IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer, and Its corporate seal to be
affixed this 5th day of April 2023
OLD REPUBLIC SURETY COMPANY
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nt secrete. � - President
STATE OF WISCONSIN, COUNTY OF WAUKESHA-SS
On this 5th day of April 2023 , personally came before me, Alan Paylic
and Karen J Haffner to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY
who executed the above instrument, and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say: that
they are the said officers of the corporation aforesaid, and that the seal affixed to the above instrument is the seal of the corporation, and that said corporate seal
and their signatures as such officers were duty affixed and subscribed to the said instrument by the authority or the board of directors of said corporation.
uera�'No!ary ?ublic
My Commission Expires: September 28, 2026
CERTIFICATE (Expiretion of notary's commission does not invalidate this instrument)
I, the undersigned. assistant secretary of the OLD REPUBLIC SURETY COMPANY, a Wisconsin corporation, CERTIFY that the foregoing and attached
Power of Attorney remains in full force and has not been revoked: and furthermore, that the Resolutions of the board of directors set forth in the Power of
Attorney, are now in force.
°sunir
24th October 2025
SE9
923000 = qo. AE- " Signed and sealed at the City of Brookfield, W this day of
. '-
QRSC 22262 (9-061 ^, p*,m,"oo••
Aaeie, at Secreta :
ALTER SURETY GROUP INC
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.e-verify.gov/emPIovers/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.
�hS/i?.�22iri
87-39//0)y
Federal Employer Identification Number (FEIN)
1G° h -/ZOOS
Date
Title
Sworn to and subscribed before me on this this Z 7 day of oC16r'c2 .2025.
By���hG
I.� Is personally known to me
❑ Has produced identification (type of identification produced:
Notary Public State or Florida
�j � Felix R Clavelo Lopez
Sign to Notary Public f My COMMISSIOn HH 320488
Expires 10110/2026
Print or Stamp of Notary Public
xpir tion Date
Offeror Sigll ture
Print Name
87-39//0)y
Federal Employer Identification Number (FEIN)
1G° h -/ZOOS
Date
Title
Sworn to and subscribed before me on this this Z 7 day of oC16r'c2 .2025.
By���hG
I.� Is personally known to me
❑ Has produced identification (type of identification produced:
Notary Public State or Florida
�j � Felix R Clavelo Lopez
Sign to Notary Public f My COMMISSIOn HH 320488
Expires 10110/2026
Print or Stamp of Notary Public
xpir tion Date
Affidavit of Compliance with Anti -Human Trafficking Laws
V
Cny o: 5L;::2ny Isles deacli
'
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone. (305) 947-0606
The undersigned, on behalf of the entity listed below ("Entity"), hereby attests under penalty of
perjury as follows:
1. Entity does not use coercion for labor or services as defined in Section 787.06, Florida
Statutes. (Source: § 787.06 (13), Florida Statutes – Human Trafficking).
The undersigned is authorized to execute this affidavit on behalf of Entity.
Date: OCA6ha 07 2005
Entity: ✓may /+�/h ��
STATE OF
T/O`L-/C�rn
COUNTY OF ^/,c,,/1—/�aC&
Signed: --
Name:
Title:
The foregoing instrument was acknowledged before me, by means of 'physical presence or ❑
online _no/tarization, this Z7 day of 6--)C 4a -z 2C Z5, by
, as `7e cnat7a y for
o is personally known to
me-or—whoduced as identification.
Notary Public Signature: _ State of Florida at Large (Seal)
Print Name: ICA< O1067d My commission expires: /d ! W6
=NQtate of Florida
elo Lopez
on HH 320fBB
!1012026