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HomeMy WebLinkAboutLandsc. Service ProfessionalSECTION 00410 BID FORM THIS BID IS SUBMITTED TO: City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, Florida 33160 M✓' RECEIVED MAY 0 5 2005 CITY OF SUNNY ISLES BEACH OFFICE OF THE CITY CLERK 1. The undersigned BIDDER proposes and agrees, if this Bid is accepted, to enter into an agreement with The City of Sunny Isles Beach in the form included in the Contract Documents 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. 1 BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to BIDDER'S, including without limitation those dealing with the disposition ofBid Security. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. BIDDER 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 City's Notice of Award. 3. In submitting this Bid, BIDDER represents, as more fully set forth in the Agreement, that: (a) BIDDER has examined copies of all the Bidding Documents and of the following Addenda (receipt of all which is hereby a(Qknowledged.) Addendum No. !! 1 Dated: Addendum No. Dated: Addendum No. Addendum No. Dated: Dated: (b) BIDDER has familiarized themselves 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. (c) BIDDER has studied carefully all reports and drawings of subsurface conditions and drawings of physical conditions. (d) BIDDER has obtained and carefully studied (or assumes responsibility for obtaining and carefully 00410- 1 studying) all such examinations, investigations, explorations, tests and studies (in addition to or to supplement those referred to in (c) above) which pertain to the subsurface or physical conditions at the site or otherwise may affect the cost, progress, performance, or furnishing of the Work at the Contract Price, within the Contract Time and in accordance with the other terms and conditions of the Contract Documents, and no additional examinations, investigations, explorations, tests, reports or similar information or data are or will be required by BIDDER for such purposes. (e) BIDDER has reviewed and checked all information and data shown or indicated on the Contract Documents with respect to existing Underground Facilities at or contiguous to the site and assumes responsibility for the accurate location of said Underground Facilities. No additional examinations, investigations, explorations, tests, reports or similar information or data in respect of said Underground Facilities are or will be required by BIDDER in order to perform and furnish the Work at the Contract Price, within the Contract Time and in accordance with the other terms and conditions of the Contract Documents. (f) BIDDER has correlated the results ofall such observations, examinations, investigations, explorations, tests, reports and studies with the terms and conditions of the Contract Documents. (g) BIDDER has given Consultant written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by Consultant is acceptable to BIDDER. (h) 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; BIDDER has not directly or indirectly induced or solicited any other BIDDER to submit a false or sham Bid; 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 BIDDER or over the City. 4. BIDDER understands and agrees that the Contract Price is lump sum to furnish and install all of the Work complete in place. The Schedule of Values is provided for the purpose of Bid Evaluation and when initiated by the City, the pricing of change orders. Contractor's price will not be adjusted to reflect any deviation from the Schedule Of Values, except to the extent that the City changes the scope of Project after the Contract Date. As such the Contractor shall furnish all labor, materials, equipment, tools superintendence and services necessary to provide a complete in place Project for the Bid Price of: 00410 -2 RAQF RM- (Written Total Base Bid Price - From Schedule of Values, Page 00410 -5) 5. BIDDER agrees that the work will be complete in full within 45 calendar days from the date stipulated in the Notice to Proceed. P�' 15, Dki S - 6. Communications concerning this Bid shall be addressed tb`" BIDDER: ,— Address: Telephone Facsimile Number g'0 `7 - Attention: /�� C%Y•!.� �L� 7. The terms used in this Bid which are defined in the general Conditions of the Construction Contract included as part of the Contract documents have the meanings assigned to them in the General Conditions. SUBMITTED TFUS DAY , 20v5 ��10� �'ncEuc�'n� cvo�r O � d`N� V-1, C'S 00410-3 l�G 1 II� ZZ5 .�cf d>a flat% 1 100� 14,-z 5 3 J- (0 ro SCHEDULE OF VALUES FOR LUMP SUM CONTRACT BASE BID LANDSCAPE IMPROVEMENTS for ATLANTIC ISLE & N.E. 172nd STREET 00410-4 Description Sa.VDC.-,c WocrAwl's + Rom" m • Unit Unit Price Q, Too. - ATL TIC ISLE ENTRANCE (Sheet II) Chrysobalanus icaco `Red Tip' (Cocoplum) EA $ Clusia guttifera (Small Leaf Clusia) EA $ o, Cocos Nucifera `Gr. Malayan' (Coconut Palm) EA $ Conocarpus erectus `Ser.'(Silver Buttonwood) 3G. EA $ Conocarpus erectus `Ser.'(Silver Buttonwood) 10' EA $ ;Z: S Ficus microcarpa `Gr. Island' (Gr. Island Ficus) EA $ 0 . ['fi 3" Dia. Black Mexican Beach Pebbles $ 10-00 ATLANTIC ISLE CUL-D -SAC (Sheet L-2) CL 11 1. no EA $ ^� S� •- (� Clusia Guttifera (Small Leaf Clusia) EA $ �0 Cocos nucifera `Gr. Malayan' (Coconut Palm) EA $ Ficus microcarpa `Gr. Island' (Gr. Island Ficus) EA $ Ruellia brittoniana (Mexican Bluebell) EA $ ATLANTIC ISLE LAGOON (Sheet 1-3) Acacia farnesiana (Sweet Acacia) Bauhinia tomentosa (St. Thomas Tree) Bombax ceiba (Red Silk -Cotton Tree) EA EA EA $ y . $ as Cassia fistula (Golden Shower Tree) EA Cassia javanica (Apple Blossom Shower) EA $ Caesalpinia mexicana (Mexican Caesalpinia) EA $ a �• .. 1 O 00410-4 M 5 �F 4 N 3 3 3 S 8 f",DV0.ls j 0iBeP,ip o n� - },riYh f�ltS{�,1� a►tS ®� I�l-�M 12 Unit Unit Price '- Callistemon 'Red Cluster' ( Red Cluster Bottlebrush) EA $ 1q0, Cassia surattensis (Glaucous Cassia) EA $ ;235 �. Chorisia speciosa (Silk Floss Tree) EA $ o. �- Delonix regia (Royal Poinciana) EA $ L.agerstroemia speciosa (Queen's Crepe Myrtle) EA $ 0 I , Peltophorum pterocarpum (Yellow Poinciana) EA $ a4 - Pseudobombax ellipticum (Shaving Brush Tree) EA $ ?c)-7. Roystonea elata (Florida Royal Palm) EA $ Saba] palmetto (Cabbage Palm) EA $ i Senna polyphylla (Desert Cassia) EA $ Tabebuia heterophylla (Pink Trumpet Tree) EA $ 9"3s, �— J Sunny Isles Beach City Hall Remove (1) existing Royal Palm EA $oo. Phoenix dactylifera `Medjool' (Medjool Date Palm) EA $ AO. St. Augusti a 'Floratam' Sod for all locatio s ' ,t 5F $ �r-��YW► i1c n, a— AIrin0iA4— 9)P 1 $ M 5� • 00 TOTAL OF BASE BID I7�P�2V' Y1o{" in cLuded, s 00410-5 13Sm o5a x . 1 757 . EOO • 1040.- ��38(APO IVE'. . �Ir YXI le ffi 0 li A CORPORATION (Corporation Name) (State of Incorporation) By: �• (� 'SOY (Name of Person Authorized to Sign) (Title) (Corporate Seal) Attest: ' il (President) Business address: LO 115 N w 7 7`*"- Al e � aV& C., - 3 ??32 Phone No: %9(-62996 Facsimile No: S —% ? —&,� o73 00410-8 4, SPATE OF FLORIDA COUNTY OF DADS SECTION 00432 BID BONA KNOW ALL MEN BY THESE PRESENTS, that wc, LANDSCAPE SERVICE PROFESSIONALS,, ANC. Principal, andWESTFIELD INSURANCE COMPANY 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 FT TF FUr z (a I—ITT)Dollars (S 5% of bid ), 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 OBL JGATION IS SUCH that whereas the Principal has submitted the accompanyyin Bid dated AENIEIQ7'S— F'I'AN'r 20 05 for: LAND CAPE I IC 1SLE BIIT NO: 05 -04 -02 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 BIDDER 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 arc such that if the Principal within ten (I0) 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 and Payment Bonds, 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 Suretyhcrein 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. 00432 - 1 A, iN WITNESS EP Of 5 EOF, the above bonded parties have executed this instrument under their several seals this day — , 200 5 , 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: ATTEST: Secretary "`Impress Corporate Seal iMPO, TANT SCAPE SERVICE PROFESSIONALS, INC. (SEAL) 6115 NW 77th WAY TAMARAC, FL. 33321 954 721 -6920 WESTFIELD INSURANCE COMPANY Surety companies executing bonds must appear on the Treasury Department's amended) and be authorized to transact business in the State of Florida, most current list (circular 570 as END OF SECTION 00432-2 General POWER NO. 0992202 04 Power Westfield Insurance Co. ff Akorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by ;hose Presents, That vESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, here:na`er referred to individually as a "Company' and collectively as "Companies," duly orcan, zed and existing under the laws of the State of Onto, ar,o having its principal cffice in Westfield Center, Medina County; Ohio, do by these presents make, constitute and aopcint THEODORE J. JEDLICK, ROBERT H. BOND, JOINTLY OR SEVERALLY Of place alnd stead, to execute, acknow!edgeFa ;d�dte! v er any and all bonds, r cognizanc�es, undertakings. suretyship or other instrumentsrordconitracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - _ LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate sea! of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Atterney(s) -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -in -Fact to represent and act for and on behalf of the Company subject to the fol;o,•ring provisions: The Attorney -in -Fact. may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, - recognizances, contracts, agreements of inde••nnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating toe Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.' "Be it Further Resolved, that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' (Each adopted at a meeting held or, February 8, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of MAY A.D., 2003 . Corporate Seats \� L��p '•,, Affixed 'in: A :roe %. State of Ohio County of Medina SS.: JJ'F��nuq� /��cGr: SEAL t" WESTFIELD INSURANCE COMPANY �C "_ ,�' WESTFIELD NATIONAL INSURANCE COMPANY 'tiCHARTERF•'.�� OHIO FARMERS INSURANCE COMPANY 1848 ` By: Richard L. Kinnaird, Jr., Senior Executive On this 20th day of MAY A.D., 2003 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn. did depose and say, that he resides in Medina, Ohio; that he is Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument., that he knows the seals of said Companies; that the seals affixed to said Instrument are such corporate seals: that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. N o;a ri 2! Seal a1 A L . . Affixed 1 /�% SF S'a'e of Ohio �; <y�'r�i William J. Kahelin, A rney at Law, Notary Public M► My Commission Does Not County of Medina ss.: ,l. ; Expire Sec. 147.03 Ohio Revised Code) o 1, M. Brooks Rorapaugh, Secretary Co` WESTFIELD INSURANCE COMPANY. WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certify teat the above a.-Id foregoing is a true and correct coot' o` a Power of Attorney, executed by said Companies, which is still in full force and effect: and furthermore, the reso:utions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set r -v hard and affixed the seals of said Companies at Westfield Center, Ohio, this S day of M !;J_ A.D., 20 0 5 IJ W� i3L+C71.� :hro . - l SEAL BPOAC2 (combined) (06 -02) '� �'rti 1►RTFR����' � .3_° .esd'• 1848 4�c M. Brooks Rorapaugh, Secre ary STATE OF Ronjcx, COUNTY OF CERTIFICATE OF AUTHORITY ) SS: (IF CORPORATION) I HEREBY CERTIFY that a meeting of the Board of D' torIof the La,vxA-sca-ak r st'Dod-S , a corporation existing under the laws of the State of �� D r1 � , held on 20�, the following resolution was duly passed and adopted: "RESOLVED, that, as President of the Corporation, be and is hereby authorized to execute the Bid dated, 12006- , to the City of Sunny Isles Beach and this corporation and that their executi n thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed, shall be the official act and deed of this Corporation." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this , day of M., 20_L�r . Secretary: (SEAL) 00410- 10 / i . Spe(ializing in Landi(aping, Irrigation & Maintenance COMPANY PROFILE Established in 1998, Landscape Service Professionals, Inc, is a certified landscape and licensed irrigation contractor. We provide quality landscaping, irrigation and property management services at competitive rates and strive for customer satisfaction. We practice a hands -on style of management that affords every client and every project the highest degree of responsiveness and personal attention. Our management and supervisory teams have over 50 years experience in the landscape industry. Landscape Service Professionals, Inc. 's project portfolio encompasses a vast area of the marketplace and is comprised of landscaping and irrigation installation for new construction and renovations, tree and palm relocations and removals, and property management. We have completed projects ranging from small outparcels to shopping centers, Class A office buildings to distribution /manufacturing warehouses, hotel and apartment buildings, education facilities, automobile dealerships, high end residential and roadway projects. We have also successfully relocated hundreds of trees and palms for private and public entities including trees measuring 50' x 50' and palms as tall. Once the project is completed, our property management division will preserve your investment. Using the most efficient equipment, our expert maintenance crews will care for and maintain your property at the highest level of quality and satisfaction. Plus, an extended warranty is offered on all plant material we install and maintain after completion of the project. We are a minority WBEISDBE Certified Contractor with the State of Florida, South Florida Water Management District, FDOT, several entities in Broward, Palm Beach and Dade Counties and Certified SBA 8(a) with the U.S. Government. If you require additional information or have any questions, please do not hesitate to contact us. We look forward to working with you in the future. Florida (ertified Landscape (ontra(tor, M /WBE (ertified 6115 NW 77th Way, Tamarac, Florida 33321 • Phone (954) 721 -6920 • Fax (954) 721 -6923 SECTION 00420 AWARD PREFERENCE FOR IDENTICAL TIE BIDS Whenever two or more Bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a Bid received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. Established procedures for processing tie Bids will be followed if none of the tied vendors have a drug -free workplace program. In order to have a drug -free workplace program, a business shall: 1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2) Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug - free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under Bid a copy of the statement specified in subsection (1). 4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under Bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five days after such conviction. 5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program, if such is available in the employee's community, by any employee who is so convicted. 6) Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. VENDOR'S SIGNATURE: END OF SECTION 00420- 1 SECTION 00432 BID FORM SUPPLEMENTS SECTION 00434 LIST OF PROPOSED SUBCONTRACTORS BIDDER shall list all Proposed Subcontractors to be used on this project if they are awarded the Contract. CLASSIFICATION OF WORK NAME AND ADDRESS OF SUBCONTRACTOR IRRIGATION END OF SECTION 00434 -1 SECTION 00450 BIDDER QUALIFICATION STATEMENT The BIDDER's response to this questionnaire will be utilized as part of the City's overall Bid Evaluation and Contractor selection. Number of similar roadway Projects completed with a contract price in excess of $100,000.00: a) In the past 5 years , Yo On Schedule 1+1 / C) O VL1 t� L r Original contract price overrun average % e.4i a. cy©rk -- -nl+ pn`C-eS iT b) In the past 10 years 5D On Schedule Mt O Original contract price overrun average % K q �jrk t-C V1 1 020 U2 List last three (3) completed Projects with a contract price in excess of $100,000.00 Project Name Owner Name Owner Address Original Contract Completion Time (Days) Original Contract Completion Date -75 W-4 4 Actual Final Contract Comple(ion Date Original Contract Price S Actual Final Contract Price ' Project Name 1; ( PCLr" < :l-W G( �e.✓� _i '���p�n Owner Name Owner Address Original Contract Completion Time (Days) Original Contract Completion Date r! CLIC wcprk \,4S &OCk- G.C. (Sm4h f Actual Final Contract Completion Date s,TGt, -aAA L rte/ o?DD3 Cjtn s(,-Yo r1cr�� Original Contract Price V ! 000 Actual Final Contract Price 4 4 8a (1. �� n Project Name l0 rLSO`t 61" Q � LIJ ��D(� �,trr�r►1ingSJ� � � . Owner Name 9- 2 �J Owner Address- L1•Y- 110�D `�'��� Original Contract Completion Time (Days) GTv Original Contract Completion Date Actual Final Contract Compl tion ate Original Contract Price Actual Final Contract Price Uolm , Aao e& a:� vfAk b010L eS� 00450- 1 Se4v e 101 , Me. Project Reference List Shopping Centers /Retail Location Sunrise Auto Mall Sunrise, FI Morse Buick Sunrise, FI Shoppes at Silver Isles Miramar, FL Monarch Gardens Miramar, FL 7 -11 Sunrise Sunrise, FI Sun Hing Wholesale Pompano Beach Walgreens @ Woodmont Tamarac Jack and Jill Children Center Fort Lauderdale, FL Publix Sunrise West Sunrise, FI Publix Sunrise West - Phase II Sunrise, FL Office / Distribution / Government - Municipal Work S, GG /N -91 Schools Fort Lauderdale, FL m(mmar e,Ir iramar Town Center Miramar, FL U 5 Af. a Homestead Airforce Base Homestead, FL Pine Crest School Fort Lauderdale ()Ony,6l Port Everglades Security Enhance Fort Lauderdale 14 < < Port Everglades Security Phase II Fort Lauderdale ►t4 p#aracTamarac Library Tamarac �J Q,.A SLkQlSFort Lauderdale High School Fort Lauderdale t' i I McArthur High School Hollywood G,V,,4 O :F K_ey Biscayne Fire Rescue /Admin Key Biscayne f3rwd Q-441 Women Detention Center Pompano C i StNob Hill Soccer Club Sunrise (ASLA Merit Award) t.,J Or, Sea Locka Regional Service Center Opa Lock Blvd. L)�- Talc Senior Center Commercial Blvd. African American Library Fort Lauderdale c , t Consolidated Car Rental Fort Lauderdale Int'I Airport U , % Consolidated Car Rental Phase Il Fort Lauderdale Intl Airport 8rVA &c %. South Plantation High School Plantation, FL cqo Qd-¢. MIIA South Terminal Miami Airport MC �rwd• 01hroward General (parking garage) Fort Lauderdale W u,( Va&A Aphis (Miami Airport) Miami V9a IM&h "`hementary School 98 -1 Boynton Beach ar",Sc41• Broward Schools Credit Union Sunrise V t HHH High School Weston ,Florida Dept. of Law Enforcement Miami Prwck d)r� Broward Cty. Womens Detention Ctr Pompano Beach 64;iql1WOcean Inlet Park Boynton Beach e,4 .Town Park l W Southwest Community Center West Palm Beach Pompano Beach 19avf. South Bay Headstart South Bay $ 65,500 completed August 1004 YMCA Weston 0 r+ A�,ciivrGjHorthport Cruise Garage Fort Lauderdale driy• Dillard High School Fort Lauderdale -. Washington Park Fort Lauderdale Roadway & Misc. Proiecfs James A. Cumming L rOWn 1-95 @ Lantana & Hypoluxo Roads North bound on & off ramps �jr l& "' -1 Broward General roadways Fort Lauderdale West Pointe Center Loop Road Commercial & Hiatus, Tamarac Brw� Miramar Parkway Flamingo Road to 1 -75 WV04 6341 ,West Atlantic Avenue Delray Beach 37Ct4 " Melrose West & Phase 11 Fort Lauderdale ct cl Broward Estates Fort Lauderdale �. 0.bl . 441 Lake Worth to Boynton Boynton Hotel / Apartments / Residential Megan South Forte Towers Miami Beach The Cosmopolitan Miami Beach Montego Bay formerly Players Club Fort Myers �- late- rn�n�- Value Comments GC or Owner $ 208,000 completed October 2003 AutoBuilders $ 130,000 completed March 2004 AutoBuilders ©UQ-r $ 81,200 completed July 2003 Centex Rooney $ 359,000 completed July 2004 JWR Construction $ 219,400 in progress (l,n I& 4QrDubner Properties $ 36,500 completed Dec. 001 fJfJ 2 Gill Hyatt Construction $ 36,000 completed May 2003 Florida Construction Co. $ 63,180 completed March 2001 Shawe -Ager Constr. $ 23,000 completed May 2003 Herman Construction $ 312,160 completed January 2002 VCC Construction, AK $ 80,000 in progress Gill Hyatt Construction $ 450,000 completed September 2003 James A. Cummings $ 700,000 completed October 2004 Centex Rooney $ 220,000 completed June 2003 U.S. Dept. of Air Force $ 48,500 completed September 2003 Herman Construction $ 81,200 completed July 2003 Centex Rooney $ 162 800 'L completed Julv 2004 ?F / Centex Rooney $ 122,000 completed August 200 Centex Rooney $ 241,000 in pray a-i - Centex Rooney if i a I I $ 247,500 in progress James A. Cummings-&- $ 227,000 in progress James A. Cummings $ 112,900 completed January 2002 James A. Cummings $ 318,978 completed December 2002 Hewett Kier Construction $ 211,115 completed January 2001 Walbridge- A /dinger $ 154,750 completed November 2000 Dooley & Mack Constr. $ 264,203 completed August 2002 James B. Pirtle $ 412,000 completed May 2003 Centex, JV .�Cummings- $ 1,002 000 in rogr ss�� "O&8 Ce?MP k Cummings- Centex, JV ';;w1 10 tg � &'rps h�' o n $ 1 0,090 . in progr ss Miami Skyline Constr. $ 275,000 awaiting commencement Hensel - Phelps Constr. $ 94,903 completed December 2002 James A. Cummings $ 181,981 completed July 2003 Hitt Contracting $ 224,148 completed September 2002 Catafulmo Construction $ 86,280 completed August 2002 KDA Financial $ 643,854 completed September 2002 Centex Rooney $ 177,600 completed September 2002 Centex Rooney $ 209,000 completed June 2003 James A. Cummings $ 57,500 completed October 2003 Ed Taylor Construction $ 41,300 completed December 2002 West Construction $ 83,000 completed April 2004 DiPompeo Construction $ 65,500 completed August 1004 Quest Contracting $ 167,000 in progress James A. Cummings $ 193,000 completed November 2004#IJames B. Pirtle $ 435,000 completed August 2004 #/ James A. Cumming $ -164,18 completed October 2002 Ric -Man International $ 110,240 completed January 2000 Town of Lantana $ 39,000 completed November 2002 Centex Rodgers $ 130,061 completed August 2001 Ryan $ 482,066 completed January 2003 Smith & Company $ 154,235 completed February 2002 Megan South $ 100,000 completed May 2004 Foster Marine $ 235,000 completed June 2004 Lanzo Construction $ 91,380 completed January 2002 Smith & Company $ 380,140 completed September 2002 Suffolk Construction $ 115,000 completed March 2004 Suffolk Construction $ 150,000 competed July 2000 Hurnon Ltd. 4/4/2005 Current workload - Projects in excess of $300,000.00 ` Project, .lame Owner Name Contract Price � C15% ComP(�� . E, i� Ca 15 e � (� 00(9 Coo QA m,M,`n9 C`.P�e K �•V . c, Quo cc 4910 09 q40 cor►Plo , a 8 Sc Gtc ols 4 Wi COO The following information shall be provided for this project. (V)k a) Estimated total construction man -hours 5_80 b) Percent man -hours to be performed by Contractor's permanent staff c) Permanent man -hours to be performed by direct hired employees for this project ( A P h b f A S b Q 1,5 0 "k, a� t;� des �ue-,� me . ) ercent man- ours to e per orme y u contractors 4. The following information shall be attached to the bid. ✓ r a) Contractor's home office organization chart. / b) Contractor's proposed project organizational chart. VV c) Resumes of proposed key project personnel, including on -site superintendent. ✓ 5. List and describe any: a) Bankruptcy petitions filed by or against the BIDDER or any predecessor organizations, A11A b) Any arbitration's or civil or criminal proceedings or � .� c) Suspension of contracts or debarring from bidding by any public agency brought against the BIDDER in the last five (5) years. 6. Governmental References: List other Governmental Agencies or Quasi - governmental agencies for which you have done business within the past five years. Name Of Agency: Address: Telephone No. _ Contact Person: Type Of Project: Name Of Agency: Address: Telephone No. _ Contact Person: Type Of Project: Name Of Agency: Address: Telephone No. Contact Person: _ Type Of Project: END OF SECTION 00450-2 W U O U) N U) -C a) U o cu n c a� O U (u N (/) CD L Q O cu U cn (u J SANDRA WILSON Coral Springs, Florida (954) 340 -0075 CAREER SUMMARY I am self- motivated with expertise in construction contract administration, as well as landscape project management. Career keystones include focus on quality results, sound financial practices and strategic organizational development, designed to increase revenue and gross profits. The ability to initiate and implement appropriate organizational structures through team initiatives has resulted in productive and positive work environments. A hands -on management style and high sense of urgency, combined with strong analytical and problem solving expertise has delivered a consistent record of value added successes. PROFESSIONAL EXPERIENCE LANDSCAPE SERVICE PROFESSIONALS 1997 - present Coral Springs, Florida A quality commercial landscape and irrigation installation company, specializing in new construction and renovation projects. OWNER / PRESIDENT Business owner and President of Landscape Service Professionals, a full service landscape construction and renovation firm. I oversee all aspects of the business, primarily the estimating and accounting, including budgets and job costing. • After a career exceeding 9 years and many months of extensive research into the landscaping industry and starting a business, I incorporated Landscape Service Professionals. Our success has come from the relationship and reputation we have built with general contractors. This has been instrumental in building our vendor base as well. This year's revenue is expected to exceed five million dollars. STILES CORPORATION 1988-1997 Fort Lauderdale, Florida The largest full service real estate Development Company in South Florida employing over 400. MANAGER, STILES LANDSCAPE - CONSTRUCTION DIVISION (1995 -1997) Managed a $5 million installation division for Stiles Landscape Service Company overseeing a highly sophisticated landscape organization including Estimating and Operations departments employing over 40. Responsible for analysis and reporting of projects, full budget accountability and coordination of employees. Reported to President and Vice President of Finance. Liaison between Stiles' Construction, Development, Property Management, Architecture 6400 companies and corporate accounting department as well as all customers. • Successfully exceeded annual revenue projections and delivered quality projects below budgeted costs. • Succeeded in increasing revenue by over $3 million since 1991 by marketing the Company and developing a relationship with new clients in the construction, development and property management industries. • Increased profits while maintaining a large contribution to corporate overhead allocation. • Instrumental in managing the operations of the largest single landscape installation project exceeding $1 million in revenue, which was completed under budget and on a compressed schedule with extremely limited personnel resources. Received an Award of Excellence by the ALCA and Award of Recognition from the FNGA. SANDRA WILSON Page 2 PROJECT MANAGER, STILES LANDSCAPE CONSTRUCTION DIVISION (1992 -1995) Responsible for review and execution of general contracts, sub - contracts, budget review, analysis and reporting, problem solving, change orders, budget adjustments, cost reclassifications, requisitions and correspondence. Liaison between management, operations, estimating, accounting, general contractors, architects and subcontractors. • Successfully managed 20+ projects monthly while meeting the demands and deadlines associated with the department. • Structured office procedures for efficiency, eliminating duplication and error, reducing overhead costs and created an organized filing system able to be utilized by internal personnel and outside auditors. The system is structured to allow for efficient project and operations management. SENIOR ESTIMATOR, STILES LANDSCAPE - CONSTRUCTION DIVISION (1991 -1992) Experienced in reading and interpreting plans to create a sales estimate and budget with project phase codes. Responsible for design work on renovation projects, sales and estimator training. • Established realistic, accurate labor formulas for use in spreadsheet, without compromising quality or profits. • Trained and assisted two landscape estimators, broadening the sales base of the Company. • Designed several small -scale renovation projects. PROJECT ADMINISTRATOR, STILES CONSTRUCTION (1988 -1990) Responsible for coordination with corporate construction office, accounting department, project managers, superintendents, sub - contractors and suppliers to effectively operate a branch office. Constructed the infrastructure of the Sawgrass Corporate Par, a 600 -acre office park in Sunrise, several buildings within the park and all other projects in western Broward and Dade Counties. • Restructured a disorganized branch office and created an efficient and professionally operated office replicating the corporate model. • Recognized for timely completion of administrative duties involving multiple projects with similar due dates including owner change orders, sub - contractor work orders and requisitions. ADMINISTRATIVE ASSISTANT TO CORPORATE CONTROLLER (1988 -1990) Prepared spreadsheets for analyzing financial status including consolidated balance sheet and entered data for annual budgets of the eight sister companies. • Recognized for accuracy and timeliness in preparing and inputting large volumes of financial data. E.L.B. — FLORIDA (AMERICA) 1984 -1988 Plantation, Florida PROJECT COORDINATOR In charge of originating sales package proposals from technical information provided by Project Designer, contracts and tracking and shipping of machines from Germany. Coordinated sale and service seminars. SANDRA WILSON Page 3 • Established an efficient filing system for proposals, projects, service and parts. • Effectively served as liaison between corporate manufacturing headquarters, clients, project designers and service department creating successful turnkey projects in professionally organized enviroment, which built strong client relationships. PREVIOUS PROFESSIONAL EXPERIENCE DAVID VOKERT & ASSOCIATES — National Architecture Firm AMERICAN EXPRESS SOUTHERN REGIONAL OPERATIONS CENTER EDUCATION AS, Landscape Technologies (in progress), Broward Community College PROFESSIONAL LICENSES & AFFILIATIONS • Florida Nursery Growers & Landscape Association (FNLGA) o Florida Certified Landscape Contractor • Associated Builders and Contractors (ABC) • National Association of Women in Construction (NAWIC) • Associated Landscape Contractors of America (ALCA) THOMAS M. BENTON Coral Springs, Florida (954) 340 -0075 CAREER SUMMARY I have a hands -on management style, which has been fundamental during my years as a manager in the landscape construction industry. Throughout my career I have accomplished meeting and exceeding corporate goals and budgets with quality projects resulting in many awards. I have gained an excellent relationship with the Landscape Inspectors and General Contractors. PROFESSIONAL EXPERIENCE LANDSCAPE SERVICE PROFESSIONALS 1998 - present Coral Springs, Florida A quality commercial landscape and irrigation installation company, specializing in new construction and renovation projects. VICE PRESIDENT / LANDSCAPE OPERATIONS MANAGER Oversee all aspects of the installation operations including hiring and training field personnel, locating and delivery of materials. I am also responsible for budget review, reporting profitability results to the President. Additionally, I am the Safety Program Director and also do estimating and designing of renovation projects. • The projects we have completed to date have resulted in a cost savings to the company in excess of ten percent of the original budgets. This was accomplished with purchasing materials under budget, scheduling work appropriately and with a "Team Work spells Success" attitude of our employees. • I also schedule maintenance of all equipment, machines and vehicles and review of information for new purchases. STILES LANDSCAPE SERVICE CO. 1984-1998 Fort Lauderdale, Florida The Landscape Division of the largest full service real estate development company in South Florida employing over 400. OPERATIONS MANAGER, (1992 -1998) Managed the operations of a $5 million installation division employing over 40. Responsible for budget analysis and reporting of project status, coordination of employees, equipment and materials. Reported to President, Vice President of Finance. Liaison between our Project Manager and the Construction Project Managers and Superintendents. • Successfully exceeded annual revenue projections and delivered quality projects below budget. • Succeeded in increasing revenue by over $3 million since 1991 by developing a relationship with new clients in the construction, development and property management industries as well as gaining the respect of the existing client base. • Instrumental in implementing organizational structures through team initiatives, which resulted in productive and positive work environments and minimal employee turnover. • Instrumental in managing the operations of the largest single landscape installation project at Ballenisle Country Club exceeding $1 million in revenue, which was completed under budget and on a compressed schedule with extremely limited personnel resources. • Received an Award of Excellence by ALCA and Award of Recognition from FNGA. TOM BENTON Page 2 STILES LANDSCAPE SERVICE CO. (cont'd) SUPERINTENDANT OF PALM BEACH COUNTY OPERATIONS Initially in charge of all facets of the landscape installation of the infrastructure which 86clud d) the roadway and berms of Northpoint Corporate Park, developed and built by Stiles Construction. Also the Class A office buildings in the park which included the 701 Building, the 1501 Building, the 901 Buildings (4), Commerce Center, and design builds which included Ace Air Conditioning, Comcast Cable, Village Square Plaza. During the course of the landscape construction, I implemented the maintenance division to care for those properties as well as all accounts in Palm Beach County. • Responsible for directing all personnel including scheduling, reviews, safety. • Successful in keeping the maintenance and installation projects under budget, thereby increasing profits. • Direct liaison with client delivering complete satisfaction. • In charge of spray and granular program for fertilizer, pesticides, herbicides and fungicides. • Instrumental in keeping operations running smoothly by implementing a equipment maintenance program. • Successfully managed 20+ projects monthly while meeting inter - departmental demands and deadlines. FOREMAN, BROWARD COUNTY PROPERTIES Responsible for all accounts in Corporate Park at Cypress Creek and all common areas84 1986) • Successful in keeping the maintenance and installation projects under • In charge of all facets of the landscape renovations budget • Responsible for full operations includin ordering of supplies and materials g personnel, safety, scheduling, equipment, vehicles, • Liaison between corporate office and clients. PREVIOUS PROFESSIONAL EXPERIENCE LANDSCAPE SPECIALTIES Landscape Foreman 1980-1984 BROWARD LAWN SERVICE, Fort Lauderdale, Florida Owner / Operator 1978-1980 PROFESSIONAL LICENSES & AFFILIATIONS • Florida Nursery Growers & Landscape Assoc. (FNGLA) — • Associated Builders & Contractors Certified LandscapeTechnician (FCLT) • Associated Landscape Contractors of America (ALCA) • Construction Association of South Florida (CASF) • Irri A at; g ion ssociation • Florida Irrigation Society Steve H. Burn 418 NW 107 Terrace Coral Springs, FL 33071 (954) 227 -2859 (954) 818 -8831 cell CAREER SUMMARY: I am a dedicated and focused individual striving for personal and professional excellence. My knowledge of the construction industry and success -driven personality enable me to meet and exceed budgetary goals and manage a well- organized and proficient business. PROFESSIONAL EXPERIENCE: July 2002 to present Operations Manager, Landscape Service Professionals, Inc. Daily operation and management of irrigation division of corporation. Prepare estimates and budgets for projects. Design irrigation systems. Communicate with general contractor regarding project scheduling and progress of work. Supervise five irrigation crews. Hire field personnel. Order materials from suppliers. Continuously review and analyze budgets, job costing and billings to make certain project is profitable. February, 2001 — Construction fin_ isher, Garen Homes, Inc June, 2002 Oversee completion of high -end residential homes. Liason with homeowner to make certain their home is constructed and completed to their satisfaction. Coordinate and schedule punch -list items with contractors so home can be closed on time and bonuses given to superintendent. 1986-2001 Owner /Partner, B & R Painting Owner of commercial painting company. Prepare estimates and budgets for projects. Communicate with general contractors and owners to ensure project is completed to their satisfaction. Supervise field personnel. Monitor and maintain company finances. PROFESSIONAL LICENSES: • Licensed irrigation contractor in Broward, Miami -Dade and Palm Beach Counties. • Florida Irrigation Society Member • Irrigation Association Member • Broward County Class B Tree Trimmer • State of Florida Limited Pest Applicator Certified Karmen A. Burn 418 NW 107 Terrace Coral Springs, FL 33071 (954) 227 -2859 (954) 325 -8254 cell CAREER SUMMARY: I am a highly motivated, business oriented person who strives for excellence. My extensive career in the legal field has greatly contributed to and enhanced my problem solving and analytic skills required to operate a successful business. PROFESSIONAL EXPERIENCE: July, 2002 to present General Manager, Landscape Service Professionals, Inc. Oversee day to day operation of company. Review estimates and budgets for projects. Manage projects from inception to completion. Negotiate contracts and coordinate schedule with general contractor. Prepare monthly requisition billings and change orders. Review budgets and financial reports. Hire office personnel. June, 2000 to June, 2002 Office Manager/ Paralegal, Breedlove Companies Office manager and paralegal to General Counsel /COO of multi - million dollar real estate development company. Prepare contracts and loan closing documents for the purchase of real estate. Conduct pre - closing, closing and post - closing procedures to make certain all banking guidelines and laws are followed. Disburse funds through escrow account. Reconcile escrow and operating accounts. 1987 to 2000 Paralegal Paralegal with extensive litigation experience. Compile, review, organize and summarize documentary evidence. Draft pleadings and discovery requests. Prepare trial notebooks and deposition summaries. Coordinate witness testimony for trial. Work closely with attorney investigating claim, locating witnesses and documents to aide in the discovery of permissible evidence. SECTION 00454 NON - COLLUSION AFFIDAVIT State of ,/A_ �,� )SS County of 6 /p �/-- ),,a C5 M 0— W l (S D o being first duly sworn, deposes and says that: (1) He /She /They is /are the Pce- S (� &QA& (Owner, Partner, Officer, Representative or Agent) of ` the BIDDER that has submitted the attached Bid; (2) He /She /They is /are fully informed respecting the preparation and contents of the attached Bid and of all pent circumstances respecting such Bid; (3) Such Bid is genuine and is not a collusive or sham Bid; (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 any overhead, profit, or cost elements of the 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 (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the BIDDER or any other of its agents, representatives, owners, employees or parties in interest, including this affiant. 00454- 1 Signed, sealed and delivered in the presence of: By: (,r .af i3n✓ L1ZGLn p/1 (Printed Name) ACKNOWLEDGMENT State of Florida County of � L- i ' j On this the ^ day of -' ` A 20_C_�—L , before me, the undersigned Notary Public o f The State o f Florida, personally appeared 4�. and ( Name(s) of individual(s) who appeared before notary) whose name(s) is /are Subscribed to the within instrument, and he /she /they acknowledge that he /she /they executed it. WITNESS my hand and official seal F c NOTARY PUBLIC, STATE OF FeOkIbA Deirdre L Modgey NOTARY PUBLIC: 9 ►; r MYCOMMISSION# DD239641 EXPIRES SEAL OF OFFICE: ' ' ' °�2 August 7, 2007 . � ;•` �^wun rueU rROY FAiW UYMAM% NG (Name of Notary Public: Print, Stamp, or Type as Commissioned.) e"Personally known to me, or ❑ Personally identification: (Type of Identification Produced) SID take an oath, or ❑ DID NOT take an oath. OPTIONAL INFORMATION: Type Of Document: Number of Pages: Number of Signatures Notarized: END OF SECTION 00454-2 SECTION 00456 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, Subcontractor, 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 ". CONFLICTS OF INTEREST The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. BIDDER'S 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 it's agencies. 00456- 1 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA 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. This sworn statement is submitted to 4 na Jkks by &4fCt 4 for C i � r ofc r1c, whose business address is CP 115 X7-7 l e, � _ G.rNa r'a Li mil- �33a � and (if applicable) its Federal Employer Identification Number (FEIN) isGS 081179/(IF the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: 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. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: A predecessor or successor of a person convicted of a public entity crime; or 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 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. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting is 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, 00456-2 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 I (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. 00456-3 By: (Printed Name) " (Title) Sworn to and subscribed before me this �_ day of C�l 20 05 Personally known Or Produced Identification Notary Public - State of O GL My Commission Expires Deirdre L MadgeY .: ..: MY COMMISSION # DD239641 EXPIRES (Type of Identification): : .**. August 7, 2007 •. SOWD TRRU TROY FAIN INSURANCE. #X (Printed, typed, or stamped com is Toned name of notary public) END OF SECTION UI1iSTAW1!