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HomeMy WebLinkAboutCarroll ElectricSection 3 Scope of Services 3.1 SCOPE OF SERVICES \l The City of Sunny Isles Beach is a world class city that is looking for world class service. We plan to award to a vendor who can provide exemplary service and exceed expectations. We are looking for an Electrician who is a Florida State Licensed Contractor that will continue to help the City grow and prosper and who understands that they must keep the residents happy, while providing exceptional work. This bid is for City Wide Electrical Services including but not limited to- Electrical and electronic installations and repairs, alterations and testing maintain the following systems on an on -call basis: electrical, alarm, communication, time HVAC controls, energy management wiring, refrigeration, internal and external lighting, switch gear, emergency generators and transfer switches, Transformers, distribution, computer and data networking circuits, theatrical lighting and sound, motors, emergency lighting and all other electrical apparatus, devices, fixtures, and wiring systems owned or operated by the City (collectively referred to "Scope of Services'). • Read and interpret plans, sketches and blueprints: prepare cost and time estimates for all types of electrical work; and recommend and order related supplies, equipment and materials required for performance of duties (collectively referred to as "Plans and Sketches "). • Replacing existing well lights at date palms to up lights with LED lamps along Collins Avenue from 171st Street south to 164th Street, and at Westbound Sunny Isles Blvd. There are 110 different fixtures. All fixtures have already been purchased by the City. • Replace existing light fixtures with new LED fixtures using existing poles and arms at 48 locations in Golden shores. Fixtures to be purchased by the City. Quote the labor only. • Electrician shall be on call and able to respond within a (two) 2 hour time window for emergency work on an as needed basis. • Florida State Licensed Contractor Certification Each Bidder shall be required to quote their hourly rate on Attachment "A ": Schedule of Vales. THIS SECTION INTENTIONALLY LEFT BLANK END OF SECTION City of Sunny Isles Beach I ITB No. 15 -06 -01 "A DELIVER TO: /NV /TAT /ON TO B/D ;ity of Sunny Isles Beach SECTION 4 OPEN ING° 2:30 P.M. My Clerk BID SUBMITTAL FORMS 8070 Collins Avenue 07/15/2015 >unny Isles Beach, FL 33160 PLEASE QUOTE PRICES F.Q.B. DESTINATION, LESS TAXES, DELIVERED IN 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 Agent Date Issued: This Bid Submittal Consists of Andrew J. Rozwadowski 06/16/2015 Pages 15 through 18 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 No. 14 -06 -01 ELECTRICIAN SERVICES CITYWIDE A Bid Deposit in the amount of 0 of the total amount of the bid shall accompany all bids A Performance Bond in the amount of Q"o of the total amount of the bid will be required upon execution of the contract by the successful bidder and City of Sunny Isles Beach. PiosuiementAoeat: Film Name: Andrew J. Rozwadowski °TAY CARtZOI -L G [-- nfiERf 1;ki5LS� Commod/tycol/e /s1: _D3A CARPOL�_ CLEC -rRIC RETURN ONE ORIGINAL AND FOUR 141 COP /ES OFB /D SUBMITTAL PAGESAND AFF /DAV /TS ALONG W /TNA READABLEPDF FAILURE TO SIGN PAGE 19 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON- RESPONSIVE City of Sunny Isles Beach I ITB No. 15 -06 -01 1 \j BID SUBMITTAL FORM: 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 —7u w e i DO i 5 Addendum #2, Dated Addendum #3, Dated Addendum #4, Dated Addendum #6, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART 11: ® NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: TAY CA R ROLL_ ErITE R i R k S IF S -DB A LR ROIL l_ LL-M I C AUTHORIZED SIGNATURE: / DATE: ,T y t y 15 O V 15 TITLE OF OFFICER: APR £�S. a > e- ti1T City of Sunny Isles Beach I ITB No. 15 -06 -01 BID SUBMITTAL FORM Bid Title- ELECTRICIAN SERVICES CITYWIDE 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 Bidders. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Bidder agrees to sign and submit the Agreement 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 Bidder represents, as more fully set forth in the Agreement, that: The Bidder 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 Bidder 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 Bidder. 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 Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; the Bidder has not solicited or induced any person, firm or corporation to refrain from Bidding; and Bidder has not sought by collusion to obtain for itself any advantage over any other Bidders or over the City. The Bidder 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 purpose of Bid Evaluation and to establish unit prices for individual Work Items for maintenance and /or repair 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 Bidder will establish completion times for each individual Work Item and the successful Bidder 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. City of Sunny Isles Beach 1 ITB No. 15 -06 -01 Firm Name: '.SAYC�X_RROLL C11Tf- R?Rk5ES�D13A CARROI.-L F-LkC7FOC-__ Street Address: gtt0 �5\4 95TH COURT IM,AMI, Mailing Address (if different): Telephone No. _&o 5a5 `i_6_bH _Fax No. 305 j4ta 30s5 Email Address:�TCAR �6tto L AO1.• Com FEIN No. /S !b *'By signing this document the bidder agrees to all Terms Signature: (Signature of Print Title: I�E5t 9E T-AT THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF BIDDER TO BE BOUND BY THE TERMS OF ITS BID. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE BID NOW RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY BID THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE BIDDER TO THE TERMS OF ITS OFFER. City of Sunny Isles Beach I ITB No. 15 -06 -01 bb Carroll Electric 8110 sw 95th court Miami, Florida 33173 City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL. 33060 PROPOSAL Invoice # 0000001 Invoice Date 06/30/2015 Due Date 07/15/2015 Item Description Unit Price Quantity Amount Service Collectively referred to as Scope of Service, at agreed upon hourly rate. See Attachment A - Revised. Service Collectively referred to as Plans and Sketches, at agreed upon hourly rate. See Attachment A - Revised. Service Replace existing well lights at date palms to up lights with 413.00 110.00 45,430.00 LED lamps along Collins Ave. from 171st street south to 164th street, and at westbound Sunny Isles Blvd. Labor only. Service Replace existing street light fixtures with new LED fixtures 225.00 48.00 10,800.00 using poles and arms at 48 locations in Golden Shores. Labor only. Service On Call Services for Emergency work. Four hour minimum at agreed upon hourly rate. See Attachment A - Revised. Florida State Licensed Contractor Certificate: EC- 13004596 Subtotal 56,230.00 Total 56,230.00 Amount Paid 0.00 Balance Due $56,230.00 Schedule of Values NOTE: The quantities shown in this bid form are estimates only! They may vary significantly from the actual quantities ordered by the City. Payments shall be for the units ordered, placed, and accepted by the City. The Bidder, by signing this Bid Form and Contract, fully acknowledges that he /she will receive no additional compensation (no overhead, no anticipated profits, etc.) other than the bid unit price of the items times the number of items authorized, ordered, placed, and accepted by the City. The funding for this and all projects is based on the ava!labity of funds at the time of awarding the contract. Attachment A - Revised CITYWIDE ELECTRICIAN SERVICES Electrician with a State Electrical Contractor Certification Estimated # of Contract Price Per Hour 1 Year Contract Contract Amount for 2 Years Hours Per Year Years x 1000 $ --5 (boo °O x 2 $ 150 c w-00 A Price Per Hour Estimated # of Contract 1 Year Contract Contract Amount for 2 Years Overtime Hours Per Year Years $ x 150 $ IIja60. x 2 $ aa.900.0O B A + B Total Contract Amount for 2 years $ 150 000. + $ ao,sOn_ _ $ cU. °° NOTE: The quantities shown in this bid form are estimates only! They may vary significantly from the actual quantities ordered by the City. Payments shall be for the units ordered, placed, and accepted by the City. The Bidder, by signing this Bid Form and Contract, fully acknowledges that he /she will receive no additional compensation (no overhead, no anticipated profits, etc.) other than the bid unit price of the items times the number of items authorized, ordered, placed, and accepted by the City. The funding for this and all projects is based on the ava!labity of funds at the time of awarding the contract. Attachment A - Revised I, NON- COLLUSION AFFIDAVIT l'. City of Sunny Isles Beach 56/ ,. 18070 Collins Avenue Sunny Islas Beach, Ft. 33160 Telephone: (305) 947 -0606 Fax: (305) 9493113 STATE OF FLORIDA COUNTY OF DADE 1 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, SAY IARrmi,- ENTEPPi21SESIZNC (Name of Corporation, Partnership, Individual, etc.) a, E LECTR I C A l CZ NTT-ACT0 formed under the laws of '�:LOR 1 DA (Type of Business) (State) of which he is S 1 D'2. wr (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to 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, fine 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. I Ply l�R'RO��. ESi 7t:1JT AFFIANT'S NAME AFFIANT'S TITLE Zt7t TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this &'day of U \T_. 286L— Personally Known �� or Produced Identification , Type of identification (Affix seal here) Ndery Public State of Florida Frank 01 My Comminion EE 831938 �ppCol; Expim09/03/2016 TY" C\[�'V. V � , NOTARY PUBLIC (name printed or typed) DECEMBER 28,2010 1 of 10 d "- rst R PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue o' 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. 11.1. This sworn statement is submitted to City of Sunny Isles Beach b A-/ CgR"�OLL , PRESCD> ,M -r [print indmmuai s name and meet for 'JAY ��RRO�tNTERPR SES �$� �ARRO1u CLECTR C prin name o e su mi ,ng sworn s a emen whose business address is: ``,11ANII, I-LORkoA 33w -4-3 and (if applicable) its Federal Employer Identification number (FEIN) is _4 (nU 4 3 �V `t P cl (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 2 of 10 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 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: (Signature JAY CARROI_t- (Printed Name) TaEStDEN"r (Title) Sworn to and subscribed before me this day of o\ .I 2L L-_, , by (AFFIX NOTARY STAMP HERE) - 00ftft Notary Public State of Florida Signature: Notary Public — State of Florida Frank Gil yv� Ex Commission EE 831936 Print or Type Commissioned Name •o/t�� Expires 09 /032016 yp Personally Known OR Produced Identification Type of Identification Produced 16/1996 3 of 10 �f EQUAL OPPORTUNITY / AFFIRMATIVE ACTION City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949 -3113 EQUAL OPPORTUNITY /AFFIRMATIVE ACTION STATEMENT The contractors and all subcontractors hereby agree to a commitment to the principles and practices of equal opportunity in employment and to comply with the letter and spirit of federal, state, and local laws and regulations prohibiting discrimination based on race, color, religion, national region, sex, age, handicap, marital status, and political affiliation or belief. Signed: � Title:ESIDErf r Firm: JA/ CAR'ROU Et,CTERPR SES Address: g t t o SW C1 5- ' COU 12T I AMI, T--L. 3.-i) -4 3 DECEMBER 28.2010 40f 10 F� CONFLICT OF INTEREST City of Sunny Isles Beach 18070 Collins Avenue Ccw` 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 FLORIDA COUNTYOF OAMOAI DADE BEFORE ME, the undersigned authority, personally appeared -JAY CARRoL -L who was duly sworn, deposes, and states: 18.1. 1 -I TAY am the 4�KESthE w1T of t c\ Cra r tzow F LELTst �c with a local office in M i A rA I DA -,>,, cw Nnv and principal office in MIAMI 17ADE Ct1UMly 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 15 -O(,il -0) described as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affrant 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. 18.91n 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. z c- S Dated this' , t day 4V' 2010— Print or Type Name and Title 2 CPi Sworn to and subscribed before me this i,_ y ° L day of Personally Known OR O Produced Identification ; Type of Identification NOTARY PUBLIC STATE OF FLORIDA L*O Notary Public State of Florida 2i��i/' Frank Gil ,�i My Commission EE 831938 WIN Expires 09 /03/2016 DECEMBER 28, 2010 5 of 10 STATE OF FLORIDA ) COUNTY OF MIAMI DAZE ) 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. The foregoing instrument Jury , 201s by of person], as executed]. AFFIX NOTARY STAMP HERE: ..N' Notary Pudic State of Florida i Frank Gil �A My Commission EE 831938 '�^aN Expires 09/032016 By: -T A,/ CARROw Title: I K t S 1 D nl T was acknowledged before me this ou day of 1 �_ •. C __ \\ [name [type of authority], for _ [name of party on behalf of whom instrument was Notary Public — State of Florida Print or Type Commissioned Name Personally Known y,_ OR Produced Identification Type of Identification Produced DECEMBER28,2010 7 of 10 �.f F ` DISPUTE DISCLOSURE City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949-3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a "X" after "Yes" or "No ", if you answer "Yes ", please explain in the space provided, or on a separate sheet attached to this form. 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (S) 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? YES NO X 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 X If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. aAv (:AT(-ROLL �NTY RPtZIStS Firm Auffi-orized Signature Sul-y t4, o?UIS Date STAY CARROLL , I - 51DENT Print or Type Name and Title DEMMBER 28, 2010 6 of 10 �ti M1l'! BID BOND City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949 -3113 STATE OF FLORIDA K11AM1 ) COUNTY OF DAne KNOW ALL MEN BY THESE PRESENTS, that we as Principal, and , 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 Dollars ($ 1, 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, 2010 for: WHEREAS, it was a condition precedent to the submission of said Bid that a cashier's check or Bid Bond in the amount of five percent (5 %) 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 ,,' `'' day of -1 y -) ,20_LEj_, the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by its undersigned representative. IN PRESENCE OF: Individual or Partnership Principal Business Address City, State, and Zip Code Business Telephone ATTEST: Surety)* "Impress Corporate Seal DOCUMENT CONTINUES ON NEXT PAGE Secretary By: IMPORTANT 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. DECEMBER28,2010 8 of 10 PERFORMANCE BOND 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949 -3113 FORM OF PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS: That, pursuant to the requirements -------------------- - - - - -- as Prin as Surety, are bound to the hereinafter called City, in the amount of ------- ) for the payment whereof Contractor and administrators, successors and assigns, jointly and severally. WHEREAS, of Florida Statute 255.05, we, eipal, hereinafter called Contractor, and City of Sunny Isles Beach, Florida, as Obligee, - ------------------ - - - - -- Dollars (S Surety bind themselves, their heirs, executors, Contractor has by written agreement entered into a Contract, Bid /Contract No.: awarded the day of , 20 , for ___ - - -- in accordance with contract documents prepared by the City of Sunny Isles Beach, which Contract is by reference made a part hereof, sand is hereafter referred to as the Contract; THE CONDITION OF 16.1. Fully performs date of Contract Contract; and 16.2. Indemnifies and pays ( and other consequential dams expenses, costs and attorney's because of default by Contract 16.3. Upon notification by the one and one half (1 1/2) years, BOND is that if thelContractor: \specified act be ween the Co tractor and the City for id No. )within calendar days after the ied in th Notice to oceed a d in the manner prescribed in the damage (specificall in ludin , bu not limited to, damages for delay or ansi g out of t e acts, omisslo s or negligence of Contractor), g torne 's fees in rred in appellat proceedings, that City sustains Con act; nd ity, corrects any a6# 011 defecjive or faulty Work or materials which appear within 16.4. Performs the guarantee of all Work and materials furnished under the Contract for the time specified in the Contract, then this Bond is void, otherwise it remains in full force. Whenever Contractor shall be, and declared by City to be, in default under the Contract, the City having performed City's obligations thereunder, the Surety may promptly remedy the default, or shall promptly: 16.4.1. Complete the Contract in accordance with its terms and conditions; or 16.4.2. Obtain a Bid or Bids for completing the Contract in accordance with its terms and conditions, and upon determination by Surety of the best, lowest, qualified, responsible and responsive Bidder, or, if the City elects, upon determination by the City, and Surety jointly of the best, lowest, qualified, responsible and responsive Bidder, arrange for a Contract between such Bidder and City, and make available as Work progresses (even though there should be a default or a succession of defaults under the Contract or Contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the Contract Price; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the Contract Price." as used in this paragraph, shall mean the total amount payable by City to Contractor under the Contract and any amendments thereto, less the amount properly paid by City to Contractor. No right of action shall accrue on this Bond to or for the use of any person or corporation other than the City named herein. The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and compliance or noncompliance with any formalities connected with the Contract or the changes do not affect Surety's obligation under this Bond. Signed and sealed this day of WITNESS: Secretary BY: 20 (Name of Corporation) (CORPORATE SEAL) (Signature) (Type Name and Title Signed Above) IN THE PRESENCE OF; INSURANCE COMPANY: BY: (Power of Attorney must be attached) *Agent and Attorney -in -Fact (Address) STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Oefibre me this by Y [type of authority], for of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: Code) day of [name of —,20—, person], as [name Signature: Notary Public – State of Florida Print or Type Commissioned Name Personally Known OR Produced Identification Type of Identification Produced ,_ RhCKSCO T. GOVERNOR EC13004596 KEN LAWtiUN. 6t l: Kt IAKY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 CARROLL, JAY D JAY CARROLL ENTERPRISES, ING DBA CARROLL ELECTRIC 8110 SW 95TH COURT MIAMI FL 33173 ISSUED: 0710112014 DISPLAY AS REQUIRED BY LAW SEt# L1407010001892 Report Viewer z, _ . � � s • e. f � � a X91 tl r. •: o1y. ..,li_. �.., _ -�. •�:,'�„_.i L9 __.. CONSTRUCTiDM INDUSTRY EXEMPTION Thm cerfifies that the fewidual fisted below hasetecte6 to be exengrtfrom Florida Workers' Compensation taw. EFFECTME' DATE: 6(ta2015 E)aMMTION DATE: 6/T72017 PERSON: CARROLL JAY FEIN: 760734480 BUSINESS NAN E AND ADDRESS: JAY CARROLL ENTERPRISES INC CARROLL ELECTRIC 8110 SW 95TH COURT MIAMI FL 33173 SCOPES OF BUSINESS OR TRADE: LICENSED ELECTRICAL CONTRACTOR e t e ' i e 0 1 Ot =ELEL•TIQNTOBEDIFh1RrftEV15 ®e&i3 QLfEST1QIb�f85RN11iM. Page 1 of 1 hops: /iapps8.tldfs.com/crreport viewer /reportViewer.aspx ?data= kdvpaine4D7p3 eH6TER6... 4/14/2015 CERTIFICATE OF LIABIPTY - INSURANCE ISSUED AS —A10,lTTffft or WPOMATON 12218 SW & sbad ONLY Ana cowEms NO RIGHTS!" THV,CaMTWfaATE "an, FL 33184 HOWEX THIS CEMMICATE DOM may AMENO, gXrmo OR —A4M&-TM COWRA" P*.Ie 13M MS-5727 Fax (WS)S23-jast Aff�*MNQ SOVERAGE NAIC# i MUM 'ay Caffoil Enftfpdm, Inc. dba cwoo Ek. Mic A. GRANADA CO!-tAY N W6f7g, FL 33173 AMR£g_c: URER - COVEMMS M F- i�V—EBEE —iNS-j Ron WhE 0 A B 0Vt'FCFZ TR 3 PW cy p i p= u, rACA WACABED VEREM IS SU&MOV TOALL THE TFRW. EY=LS!CM AND CONIXTRM op SucH �PoL'36S ACGREGaiE LfMRB SHOWN — MAy ft—AVE i MW R E—DUM 8y PAID CLOJUS 1WEMMURANC Po= POLICY 0- W N I 000i COW*W.IAL GOMW. LIAW-CY 07/11116 1 C.UMMAM F6 OCCLIft MED EV jAA A "M DM PER CLAI PERSONAL&AWKNRY MUM A03REGATE nivi CLAWKWAATEEWAPPM9 PEI?.'. paloy 0 PAWL— 01 Loc ANY AUTO AU. Owldc? AUTOS MUDAUTOB NON OMMAUTOS aWGE UAMM - ANY AM OCCUR D "A*A MADE DEcuaftE P9TEMnON $ AMC, ANY Pft0P%ETORi PARTNER / fXE=W6 OFflMl MEWER 001 PEW LW owtywjfty 'JEW pomm AUTO ONLY. EAcHOCCURR=6 t4-'RwATg GANMIATM SHOULD ANY OF THE ADM OnMMO PQ CITY OF SUNNY ISLES SENDH DAYS WRO-MM NOTEE TO THE IW70 COULINS AVE T4f-i:&7,XUTfA&MMM SUNNY ISLES BEACH, FLORIDA 33160 OF AW KIND UPON 7M' e Di CANCELLEb R'FOW THE MpLLFVMVVRTO"L MIKE VAL?! ACORD --s (2ma) OF iz ACOM CORPORATION Im Renewal auto policy aeciarabons Policy number. "l 214223 Policy effective date: February 18, 2015 Your Allstate agency is Milanes ins Group (305) 247 -8877 Coverage detail for 2004 Chevy Van Express 615 Coverage limits Deductole Premium Personal Injury Protection $1,000 $152.19 Death Benefit $5,000 each person Aggregate Medical Expenses $10,000 each person (Emergency or Non - Emergency Med!cg! [nnditionl, ]ncA Loss any' Loss of Services Medical Expenses Limit: Medica! Expenses - Emergency Medical Condition $10,000 each person OR Medical Expenses - Non- Emergency Medical Condition $2,500 each person The sum of Medical Expenses, Income toss and Loss of Services benefits carmotexceed the aggregate $10,000 limit. Deductible applies to insured and each dependent resident relative Auto Collision Insurance Actual cash value $500 $84.30 Auto Comprehensive insurance Actual cash value $500 $6732 Automobile Liability Insurance !� Bodily Injury $1,000,000 each person Not applicable $677.14 $3,000,000 each occurrence Property Damage $100,000 each occurrence Not applicable $11737 > Rental Reimbursement nd parchased' Towing and Labor Costs Notpurchased- Uninsured Motorists insurance for Bodily $15,000 each person Not applicable $8634 Injury $30,000 each accident Uninsured Motorists Insurance limits of insured vehicles may be stacked. Automobile Medical Payments Not purchased• lease/Loan Gap Not Purchased* NewCar Expanded Protection Not purchased} Repair or Replacement Cost Option Not purchased- 0 Sound System Not PW (centirmed)