HomeMy WebLinkAboutGFA International
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ORIGINAL
City of Sunny Isles Beach
Request for Qualifications 09-05-01
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Threshold Inspection Services
For the
Heritage Park
Parking Garage -Q&~1~."~~
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Florida's Leading'lEngineering' Source
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Environment,l . Ge,,!c h, ic Ii . Construction M~teri^1, Testing . Thresliold & Speci>llnspcctions . Private Provider Se"ice>.I, Cooe Compli, n( e
June 18, 2008
Attn: Jane A. Hines, CMC
City Clerk
Sunny Isles Beach Governmental Center
18070 Collins Avenue
First Floor Conference Room
Sunny Isles Beach, FL 33160
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Dear Ms. Hines and Selection Committee Members,
GFA International (GFA) is pleased to submit this submission for
Professional Threshold Inspection Services associated with the
construction of your Heritage Park Parking Garage.
Consolidated Rental Car Facility
Fort Lauderdale-Hollywood International Airport
GFA performed inspection and testing services
for this 4.5 million SF facility
GFA is a leading provider of professional threshold inspection services and we have developed significant parking garage
construction experience. Founded in 1988 as Gillotti, Frione & Associates, Inc., GFA has built a solid foundation of service and
expertise by providing a highly skilled work force that is responsive to our client's needs. To date, GFA has inspected projects
totaling over Five Billion dollars in construction costs.
GFA would like to draw attention to a few special qualifications that set us apart from our competition:
· Local presence and proven track record for performance and customer service
· 21 years of municipal, threshold, and materials testing experience
III Available and Client-oriented professional engineers, special inspectors, laboratory testing manager and field staff
· Licensed Engineering Firm (#EB-0004930) and Licensed Geology Business (#GB 118)
· 2007 McGraw Hill / Associated Builders' & Contractor's Award Recipient: "Construction Industry Business of the Year"
GFA International is more than qualified to provide the City of Sunny Isles Beach with professional threshold inspection services for
your upcoming Heritage Park Parking Garage project. We have the resources and proven parking garage inspection experience
already in place to perform this contract. Our team has a strong desire to serve the City and we have provided professional inspection
services for the past 21 years.
We have read your Request for Qualifications document and addenda; we understand your expectations and need for professional
service and a highly responsive consultant. We have assembled our team's qualifications and have provided a list of recent and
significant parking garage experience for your use in evaluating GFA's credentials. We stand ready to exceed your expectations and
look forward to a potentially favorable reply. On behalf of our entire project team, we thank you in advance for your consideration.
Respectfully Submitted,
GFA INTERNATIONAL INC.
1fult!
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John Desnoyers, P.E.
Vice President & Engj . eer of Record
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Frederick Kaub, P.G
President
DEL~A Y BEACH · SOl
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e,,' [- ," ;11 ~;I'r:l; 33444 (':;' i) ~cJ.{)070 . (:561) J95.5805 (l']') , v'vw.lec>m\:jfa.com
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
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History, Background and Workload
Originally founded in 1988 as Gillotti, Frione & Associates, Inc. by Frank Frione
and Fred Kaub, GFA International, Inc. has built a solid foundation of service and
expertise. Messrs. Frione and Kaub each own 50% of the business and they
stay involved with GFA's daily operations. They direct GFA's team of
professional engineers, professional geologists, licensed inspectors, plan
reviewers, building code administrators and technical specialists and provide the
following services:
. Threshold/Special Inspections
. Construction Materials Testing
· Geotechnical Engineering
. Environmental Engineering
. Code Compliance Services
Organized as a Florida corporation, GFA International is a fully licensed, insured
and reputable engineering and geology business. As a result the high level of
service we provide and the number of repeat clients we service, GFA has grown
considerably since our inception 21 years ago.
The principal staff of GFA is comprised of:
· Mr. John Desnoyers, P,E. , S,I. - Vice-President, Project Manager, Threshold Engineer
· Mr. Frank Frione - Chief Executive Officer and Co-Owner
· Mr. Frederick Kaub, P.G. - President and Co-Owner
· Mr. Paul H. Danforth, P.E., S.I.- Regional Vice President, Threshold Engineer
. Mr. Tom Ortner - Executive Vice President
GFA's corporate headquarters is located at 1215 Wallace Drive in Delray Beach, Florida and this threshold project
contract will be managed our Coral Gables project office. All of the principal staff members listed above can be
contacted at the main office; the office number is 561.347-0070.
GFA International is a stable, viable private engineering business that is well-respected and recognized for expertise
in service, trustworthy business management and attention to health and safety. We do not anticipate any changes
will occur during the duration of this professional threshold inspection and materials testing contract.
GFA is a financially sound and fully insured engineering firm. We have maintained errors and omission insurance
and professional liability insurance continually since the firm's inception in 1988 and no one has ever made a claim
and recovered against this insurance. GFA's financial statements can be provided upon request.
We have a full-time staff of 78 employees and our current utilization rate is 60%. GFA certainly has the capacity and
available man-hours to perform this testing and inspection contract and give the City of Sunny Isles Beach the
outstanding inspection services that you deserve. Several projects are topping out within a few weeks and our
inspection team will be able to transition to this parking garage project without delay.
Florida's Leading Engineering Source
GFA International
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Relevant Experience
Town of Bay Harbor Islands Parking Garage
Bay Harbor, Florida
Five-story pre-cast parking facility, footprint area of approximately 39,000 sq/ft. constructed with precast
concrete columns with Double T system, pile caps and grade beams
Threshold Inspection
Randy Daniel, Staff Engineer, Town of Bay Harbor Islands
9665 Bay Harbor Terrace, Bay Harbor Islands, Florida 33154
305.866.6241
Completed: 2009
Consolidated Rental Car Parking Facility
Fort Lauderdale/Hollywood International Airport
Four story, 4,500,000 SF Poured-in-Place, post-
tensioned parking garage and car rental facility
Threshold Inspection and Construction Materials
Testing Services
Ron Gillette, Balfour Beatty
7901 S.W. 6th Court, Plantation, FL 33324
954.585.4000
Brickell Financial Tower with Parking Garage
Miami, Florida
40-story retail/office tower and integrated 12-story
post-tensioned parking garage totaling
approximately 1,064,000sft. Auger cast pile
foundation, reinforced unit masonry exterior
walls, 12 floors of post-tension elevated decks,
and 27 floors of structural steel and composite
decks.
Threshold Inspection, Construction Materials
Testing Services
John Breistol, Forum Group
777 Brickell Avenue, Suite 808, Miami, FL 33131
305. 455.4878
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Consolidated Rental Car Facility
Fort Lauderdale-Hollywood International Airport
GFA performed inspection and testing services
for this 4.5 million SF facility
900 Biscayne Tower with Parking Garage
63-story condominium tower with attached 15-story post-tensioned parking garage totaling
approximately 1,800,000 sf. Construction includes reinforced unit masonry exterior walls and post-
tension elevated decks with an auger cast pile foundation
Threshold Inspection, Construction Materials Testing Services
Michael Piazza, Terra Architecture Interior Design Planning Inc.
232 Andalusia Avenue, Coral Gables, FL 33134,
305.445.2416
GFA International
Florida '8 Leading Engineering Source
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Florida International University Parking Garage 3 & 4
Miami, Florida
Two 6-story post-tension parking garages of 470,000 s.f. each.
Construction Materials Testing Services
Gerald L. Koski, P.E.. Walker Parking Consultants
4902 Eisenhower Boulevard, Suite 281, Tampa, Florida 33634
813.888.5800
Florida Gulf Coast University Parking Garages #2 and #3
Ft. Myers, Florida
A 235,000 SF four story and a 300,000 SF five story parking garage, precast concrete structure
Threshold Inspection, Construction Materials Testing Services, Private Provider Plan Review & Inspections
Morton N. Hall Jr., Ajax Building Corporation
8971 Daniels Center Dr., Suite 307, Ft. Myers, Florida 33912
352.267.0875
Hard Rock Hotel & Casino Parking Garage
Hollywood, Florida
Four Stories, 200,000 SF, precast garage
Threshold Inspection, Construction Materials Testing
Services and Geotechnical Services
c/o Jess Burts, Owner's Representative,
Seminole Tribe of Florida
5731 South State Road 7, Fort Lauderdale, FL 33314
954.243.8550
Florida Atlantic University Parking Garages #1 and #2
Boca Raton, Florida
Two 5-sotry, precast parking garages, 340,000 S.F each
Threshold Inspection
Bob Richman, Florida Atlantic University Facilities Planning
777 Glades Rd. Bldg T10, Boca Raton, Florida 33431
561.297.3141
Florida Gulf Coast University Parking Garage #3 -
GFA Performed Threshold Inspection, Construction
Materials Testing Services, Private Provider Plan
Review & Inspections on this 235,000 S.F. four story
Parkin!! Gara!!e
Espirito Santo Plaza with Parking Garage
Miami, Florida
35 story tower building with attached 12-story parking garage, 480,000 SF, Reinforced Concrete
Threshold Inspection and Construction Materials Testing Services
Michael Piazza, Terra Architecture Interior Design Planning Inc.
232 Andalusia Avenue, Coral Gables, FL 33134,
305.445-2416
GFA International
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Florida's Leading Engineering Source
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Las Olas City Center with Parking Garage
Fort Lauderdale, Florida
30 Story Office Tower with Six Level- 240,000 SF, Post-Tensioned parking garage
Threshold Inspection and Construction Materials Testing Services
Jeff Lis, Stiles Development
6400 N. Andrews Avenue, Fort Lauderdale, Florida
954.767.0893
Lucky Street Parking Garage
Hollywood, Florida
Structural Steel/Poured-in Place
7 Stories, 760,000 S.F.
Threshold Inspection, Construction Materials Testing Services and Geotechnical Services
c/o Jess Burts, Owner's Representative, Seminole Tribe of Florida
5731 South State Road 7, Fort Lauderdale, FL
954.243.8550
City of Naples Parking Garage
Naples, Florida
4 story, 33,300 S.F. parking garage, pre-cast concrete structure with precast double-tee system
Threshold Inspection
Stephen Ceaton, AlA
Andrea Clark Brown & David Poorman Architects, PA
340 Ace Street South, Naples, Florida
239.263.3898
Sunrise Harbor Towers and Parking Garage
Fort Lauderdale, Florida
Two 16-story towers with attached 240,000 S.F post-tensioned parking garage
Threshold Inspection, Construction Materials Testing Services and Geotechnical Services
Mr. Jeff Lis, Stiles Development
6400 N. Andrews Avenue, Fort Lauderdale, Florida
954.767.0893
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Stiles Tower / Plaza Las Olas with Integrated Parking Garage
Fort Lauderdale, Florida
Six story, 240,000 S.F precast building with integrated parking garage
Threshold Inspection, Construction Materials Testing Services
and Geotechnical Services
Mr. Jeff Lis, Stiles Development
6400 N. Andrews Avenue, Fort Lauderdale, Florida
954.767.0893
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City of Naples Parking Garage-
GFA provided Threshold Inspection
Services
Florida's Leading Engineering Source
GFA International
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Everglades on the Bay Towers with Parking Garage
Miami, Florida
Two residential condominium towers sitting on a eight (8) story podium, totaling
approximately fifty two (52) stories, containing residential units, retail space and
parking. Garage. 100,000 cubic yards of concrete to place.
Construction Materials Testing Services
Michael Kaplan, CABI Development
141 NE 3 rd Avenue, Miami, Florida 33132
305.533.8820
Fountainbleu II and III Towers with Parking Garage
Miami Beach, Florida
Post-tensioned concrete parking garage
Construction Materials Testing Services
Andy Jackson, TL Fontainebleau Tower L TD
4441 Collins Avenue, Miami Beach, Florida 33140
305.695.1188
Lake County Judicial Center Parking Garage
Tavares, Florida
8 Stories, 536,225 SF Precast Double T Construction
Threshold Inspection, Construction Materials Testing Services
and Geotechnical Services
Charles E. Creel, Lake County, Facilities Development Director
315 West Main Street, Tavares, FL 32778-7800
352.343-3089
Seminole Hard Rock Hotcl & Casino
including 2 (larking garagcs
GFA Pcrformcd all Building Code &
I nspectioll Services
IKEA Retail ShowroomlWarehouse and Parking Garage Facility
Sunrise, Florida
A single-story warehouse building, 2-story sales building totaling 296,000sf, and a 170,000sf parking
garage. Including 45' tilt up panels, structural steel with poured in place slab, elevated deck, plus metal roof
deck with lightweight concrete topping. The parking deck included a precast double-tee system with the
foundation including asphaltic paving.
Special Inspection, Construction Materials Testing Services
Mr. Joe Maiale, IKEA Property, Inc.
496 West Germantown Pike, Plymouth Meeting, PA 19462
610.834.0180
Please note that a list of GFA projects (including government projects) completed within the past five years
or those still in progress will gladly be supplied at a later date as this list does not fit within the ten (10) page
limitation.
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Florida's Leading Engineering Source
GFA International
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Proposed Staffing
Your project manager and one of GFA's Threshold Inspector and Special Inspectors, John Desnoyers,
P.E., has over 25 years of construction, engineering and project management experience and he will
administer this project from our Coral Gables project office. Paul Danforth, P.E. will also provide
assistance with this threshold inspection and testing contract; Mr. Danforth also serves as one of GFA's
qualifying Special Inspectors for threshold buildings. Highlights of their credentials is enclosed.
GFA has inspected and certified hundreds of threshold buildings including parking garages, hi-rises,
auditoriums and entertainment complexes. GFA is very aware of the statutory obligations of the Special
Inspector as well as the requirements of the authorized representative performing the inspections. We
are also aware of the recent changes in FS 553.79 regarding the requirements of the authorized
representative that went into effect May 7, 2009. Below is a list of GFA's experienced threshold staff
and their licensure:
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Paul Danforth 44653 X X j 25
Scott McAdam 381 X X X X X X X X X I 15
Sam Acosta 2452 X X X X X X X X 12
Steve Wood 1473 X X I X X X X X X X I 21
Ron Wiley 4649 X X X X X X X X X 40
Don Mcintosh 990 X X X X X X X X X 22
George Gardner 5550 X X X X X X X 32
Stan Makowski 963 X I X X I 22
Hector Perez 58139 X 30
Tom Ortner 1322 X I 26
Chris Pacitto 59445 X I 9
,Mario Fuquene 60583 X 9
Finley Ricard 3201 X X I 6
John Desnoyers 47885 X X 24
Noel Woodall 2505 X X ! 24
Joong Choi 2912 X I I 24
Jennings Hill 3142 X 6
Sandy Kushner 3783 X 50
Rich Donovan 535 X X X X X I X I 40
Tom Basehart 3716 X I 25
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In addition, GFA will also use its own full-service CMEC-accredited, FOOT-certified materials testing
laboratory and our qualified lab manager and associated lab and field personnel stand ready to serve
the City of Sunny Isles Beach. Mr. Stewart Ward, a materials engineer and Florida-registered
professional engineer has over a decade of proven materials testing experience. Mr. Ward and his
CMT technical staff have the necessary experience, training and equipment to perform whatever
aggregate, asphalt, concrete, soils or non-destructive testing services that will be necessary for this
garage project.
Florida's Leading Engineering Source
GFA International
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John F. Desnovers, P.E.. S.I.
Project Manager
Licensed Special Inspector
Mr, John Desnoyers, a Florida-licensed Professional Engineer and Special Inspector, is GFA's
Vice President of Engineering. He consults with and oversees the engineering staff on projects,
and reviews, signs and seals all final engineering reports. He is a certified special inspector of
threshold buildings.
Education
B,S., Florida Atlantic University, Engineering
M .5" Florida Atlantic University, Engineering
Professional ReC)istration
Licensed Florida Professional Engineer - (PE #47885)
Certified Special Inspector of Threshold Buildings (License #1060)
Selected Threshold Exoerience
o Bay Harbor Parking Garage
· Consolidated Rental Car Facility - Ft. Lauderdale/Hollywood Int'I Airport,
· Espirito Santos, Miami - 30+ story high rise and parking garage
· Hard Rock Hotel & Casino - includes 2 parking garages
o IKEA Warehouse/Showroom/Parking Garage
Paul H. Danforth, P.E.. S.I.
Licensed Special Inspector
Paul H. Danforth, P.E., Regional Vice President and a Florida registered Professional Engineer,
has been providing construction materials testing services and engineering consulting for over
25 years (21 in the State of Florida). As a licensed Special Inspector under F.S. 553, Mr.
Danforth has provided qualification of numerous threshold buildings.
Education
North Carolina State University, Raleigh, North Carolina
B.5. in Civil Engineering, 1987
Licenses and Reaistrations
Florida Registered Professional Engineer, 1991, License No. 44653
Florida Registered Special Inspector, 1996, License No. 1103
Selected Threshold Exoerience
· Lake County Judicial Expansion Parking Garage (7 story), Tavares, Florida
· Abacoa Town Center 1 Parking Garages (3 and 4 story), Jupiter, Florida
· Abacoa Town Center 2 Parking Garage (4 story), Jupiter, Florida
· Jefferson at Flagler, West Palm Beach, Florida (9-story condo, 4-story parking garage)
· Waverly at Las Olas, Ft. Lauderdale (12-story condominium and parking garage)
· Via Delfino, Singer Island (20-story condominium and parking garage)
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
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GFA International
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Is authorizad under the provisions of Section 471.P23; Florida Statutes. to offer engineering services
to the public through a Professionat Engine.rf!duly Irctnsed under Chapter 471. Florida Statutes.
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DISPlAY AS REQUIRED BY LAW
expiration: 28.Feb-11
Audit No: 22820110834
Certificate of Authorization
CANo:
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State of Florida
Departmellt of State
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DELRAY BEACH, Fl 33445
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Secretar)' ofStU1e
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Attests that
Jean-Francois Desnoyers. P.E.
SPECIAL INSPECTOR
Is licensed as a Professional Engineer under Chapter 471, Florida Statutes
expiration: 28.fEB.11 P. E. Uc. No: 47885
Audit No: 228201111125 SI Uc. No: 1060
DISPLAY AS REQUIRED H)' LAW
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Expiration: 28-FEB-09 P.E. Number: 44653
AUDIT NO.: 0709. 007087 S. '- Number: 1103.
DISPLAY AS REQUIRED BY LAW
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Florida's Leading Engineering Source
GFA International
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The City of Sunny Isles Beach
Heritage Park Parking Garage
Professional Threshold Inspection Services
Statement of Experience
GFA International's primary business is providing professional threshold inspection services in the tri-
county area. Our average licensed threshold inspector and professional engineer brings over 23 year
of experience to the table. Within the past 5 years alone, we have built over 20 parking garages and
we have worked on many post-tensioned garages and post-tensioned structures as well, including the
nearby City of Bay Harbor parking garage.
In addition to our engineering and threshold expertise and our long list of prior parking garage
experience, GFA International is well aware that the construction of public facilities involve an extra
commitment to public safety and usually endure a high level of scrutiny. We will work smart to help
your construction and management team face their challenges to meet your budget and schedule
constraints while delivering an exceptional product.
GFA will be extremely sensitive to the City of Sunny Isles Beach's needs and will adhere to your
policies and procedures; we will manage our reporting and record keeping processes so that our
deliverables meet your needs. We will cost-effectively provide outstanding service and will put the City
of Sunny Isles Beach's needs first.
We understand the City of Sunny Isles Beach's need for timely services and GFA's principals personally
assure the City of Sunny Isles Beach that our project team will have the resources to deliver excellent
service throughout this project. GFA"s engineers, technical personnel and project managers will always
be available 24 hours/? days a week to anticipate and respond to your needs. Whether you need to
have inspectors dispatched out of state to inspect your structural steel supplier's manufacturing facilities
or we need to be on-site for a 1 :00 AM concrete pour or an impending storm event accelerates your
project schedule, GFA engineers and threshold inspectors will be available to work when you need us in
order to keep the project moving along as scheduled.
We have looked carefully at your design drawings and proposal documents and we are confident of our
ability to provide the City of Bay Harbor with outstanding threshold inspection and service on this
project. We have already had the pleasure of working your project architect Spillis Candela DMJM as
they were also the designers on the 4,500,000 GSF Fort Lauderdale-Hollywood Consolidated Rental
Car facility and we would welcome the opportunity to work with you both on the Heritage Park Parking
Garage project.
,~.
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l'1;F1NAT\O~
Florida's Leading Engineering Source
GFA International
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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FlLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER
OATHS.
1. This sworn statement is submitted
to City of Sunny Isles Beach, Florida
by Frederick Kaub, P.G.
for GFA International
whose business address is
1215 Wallace Drive, Delray Beach, FL 33444
and (if applicable) its Federal Employer Identification Number (FEIN)
65-0874962
(If the entity had no FEIN, include the Social Security Number of the individual
signing this sworn statement:
2. I understand that a "public entity crime" as defined in Section 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 of 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 or of the United States and
involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Section 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 trial court of record relating
to charges brought by indictment or information after July 1, 1989, as a result of a
jury verdict, nonjury trial, or entry of a plea of guilty or nolo contenders.
4. I understand that an "affiliate" as defined in Section 287.133(1)(a), Florida Statutes,
means:
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a. A predecessor or successor of a person convicted of a public entity crime; or
b. An 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, executives, 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 market value under an arm's length agreement, shall be a prima
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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.
5. I understand that a "person" as defined in Section 287. 133(l)(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. TIle
term "person" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of any entity.
6. Based on information and belief, the statement which I have marked below is true
in a relation to the entity submitting this sworn statement. (Please indicate which
one (1) of the following three (3) statements is applicable.)
~ (1) Neither the entity submitting this sworn statement, nor any of its officers,
directors, executives, partners, shareholders, employees, members, or agents who arc
active in the management of the entity, or any affiliate of the entity has been charged
with and convicted of a public entity crime within the past 36 months,
_(2) 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 any affiliate of the entity has been charged
with and convicted of a public entity crime within the past 36 months.
_(3) 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 agents who are active in management of the
entity, or any affiliate of the entity has been charged with and convicted of a public
entity crime within the past 36 months. However, there has been a subsequent
proceeding before a Hearing Officers of the State of Florida, Division of Administrative
Hearings and the Final Order 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. (Attached is a copy of the fmal order.)
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE
CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN
PARAGRAPH 1 (ONE) ABOVE IS FOR THE PUBLIC ENTITY ONLY AND, THAT
THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR
IN WHICH IT IS FILED AND FOR THE PERIOD OF THE CONTRACT ENTERED
INTO, WHICHEVER PERIOD IS LONGER. 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 THE CATEGORY TWO OF ANY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
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SIGNATURE' IF
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Frederick Kaub
(Printed or Typed Legal Name of Affiant)
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State of Florida of County of Miami Dadj11m Beach J
Sworn to and subscribed before me this' day of ('" V ~ t
2009,
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by
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Notary Seal:
,,,~'-~IJ&Notary P~-bilC .,~;~;r~iolida I
!' \.1 <r; Carol Ann WarnE,
~ c:..{L. s My Cornmi~ slor; GLI(58848
~ OF ,,0'" Exoires 04/03/201 'j
=""""---=.r~,-
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Notary's Name Printed7'Ped or Typed
Personally Known: or Produced Identification
{~CW1L-J
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Identification Produced
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,.\
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NON-COLLUSIVE AFFIDA VIT
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State of
Florida)
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County of
Miami-Dade)
Broward
Frederick Kaub
and says that:
being first duly sworn, deposes
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(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
submitted the attached Bid;
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(2) He/she is fully infonned respecting the preparation and contents of the attached Bid and
of all pertinent circumstances respecting such Bid;
(3)
Such Bid is genuine and is not a collusive or sham Bid;
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(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives,
employees or parties in interest, including this affiant, have in any way colluded, conspired,
connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a
collusive or sham Bid in connection with the Work for which the attached Bid has been
submitted; or to refrain from bidding in connection with such Work; or have in any manner,
directly or indirectly, sought by agreement or collusion, or communication, or conference with
any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or
to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder,
or to secure through any collusion, conspiracy, connivance, or unlawful agreement any
advantage against the City of Sunny Isles Beach, Florida, or any person interested in the
proposed Work;
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(5) The price or prices quoted in the attached Bid are fair and proper and arc not tainted by
any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any
other of it agen, pre~',~tatives", owners, employees or parties in interest, including this
Affiant.
Frederick Kaub
F.('ANY' (printed or Typed Legal Name of Affiant)
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State of Florida of County of Miami Dade Palm Beach ~
Sworn to and subscribed before me this ~ day of jJlJ1 ~
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Notary Seal:
., Pu--- NOia~ PublicS tate oiFfO'ld,,'
i~ fe(1- Carol Ann Warner
;. ~ > i r,;,y Commissloli D[';-;58848
..., 0, ,,0" Ex~ires 04/03/2011
__ _'=l.=--=-~==.._--
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(!mI;i~
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Notary's Name Print/tamped or Typed
Personally Known: _ or Produced Identification
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Identification Produced
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, 2009 by
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