Loading...
HomeMy WebLinkAboutJorda EnterprisesDid Title: New NVAC Chiller Systems for Government Center Z - 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 ITB and Instructions to Bidders, Including without limitation those dealing with the disposition of Bid Security. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Bidder agrees to sign and submit the Agreement and other documents required by this ITB within ten days after the date of Citys 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. Exact Legal Company Name: J4*1%p,& Business Name (dba), If any. J,® Street Address:.-..J.fi,t,0_ V4. City of Sunny Isles Beach I invitation to Bid No. 16-09-02 Mailing Address (if different): Telephone No.: % L 't q .: 0 Email Address: FEIN No.: Authorized Signature: Print Name: J l Title: to awr 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 ( Invitation to Bid No. 16-09-02 BID FORM 2 4,J) It 1, 'V' . -i� PART 11: FIRM NAME., SIGNATURE., Addendum #2j. Dated Addendum #3, Dated I10 - ", . 2A2k&,-,. Addendum #4, Dated I • doice Addendum #5, Dated, to Addendum #6,, Dated- -tj Addendum #71 Dated -, .. __.__.1_ .. ,.- ISO Addendum #8, Dated � 0 NO ADDENDUM WAS RECEIVED IN CONNECnON wrm THis RFQ jig, PMV,%LMr-wT DATE:. 1j-1G-j.!r& City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 ZT, BIDDER AGREES TO PERFORM ALL THE WORK DESCRIBED IN THE CONTRACT DOCUMENT'S INCLUDING ALL LABOR, EQUIPMENT, SUPERVISION, TESTING AND PERMITTING TO PROVIDE A COMPLETE TURN -KEY PROJECT CONFORMING TO THE REQUIREMENTS DETAILED BY THE SPECIFICATIONS, MANUFACTURER, OWNER, STATE, FEDERAL AND LOCAL AGENCIES FOR THE FOLLOWING LUMP SUM AND/OR UNIT PRICES. WORK INCLUDES BUT Is NOT LIMITED TO GENERAL, ELECTRICAL AND MECHANICAL CONSTRUCTION. BID ITEM # DESCRIPTION UNIT EST. UNIT EXTENDED QUANTITY COST COST Demolition of Existing HVAC Cooling Towers Removal and disposal of existing Infrastructure Including but not limited to so - TON Chiller, 200 -Ton air cooled chiller, wood service platforms, chilled water pumps, LS piping and relocation of exiting expansion tank Subtotal of Demolition of Existing HVAC Chiller Systems New HVAC Chiller Systems New 250 -TON water cooled Chiller to installed on existing structural curbs with modified steel frame Including but not limited too new cooling tower, chilled water 2. pumps, condenser pumps, piping, wall LS $ Glei'Its mounted variable frequency drives, filtration/treatment system, backflow preventer and electrical components I- Subtotal of New HVAC Chiller Systems I I --I----- Temporary Chiller System Temporary Chiller to serve the replace the I existing Chiller system for the entire facility L$.-1 $ as needed during system turnover City of Sunny isles Beach I invitation to Bid No. 16-09-02 1111 1 1 City of Sunny Isles Beach I Invitation to Bid No. 16-0"2 ft 10 Temporary Chiller System PROJECT CLOSE OUT 4* As -built record drawings (electronic AutoCAD &PDF format and hard copy) LS 1 $ $ Subtotal of Project Close Out BID SUBTOTAL (1— 4) C= CONTINGENCIES S- Project Contingency (To be used at the sole discretion and direction of the Owner) 15% $ 16, • 6. Permit Allowance 1 $15,000 $15,000 BID TOTAL (I — 6): City of Sunny Isles Beach I Invitation to Bid No. 16-0"2 ft 10 City of Sunny Isles Beach I Invitation to and No. 16-09-02 STATE OF FLORIDA COUNTY OF M i4-vy s D7 ea— NON-_C_O_LLUSION AFFIDAVIT City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947.0606 Fax: (305) 949-3113 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, (Name of Corporation, Partnership, Individual, etc.) 1r rar a, 4 formed under the laws of P LADOLS C2& (Type of Business) (State) of which he is _sollp. (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, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. w► w ® " AFFI T'S AME AFFIANT'S TITLE 7 TAKE AND SUBSCRIBED TO BEFORE ME this day of J/1/00-4 /00-4 k cif , 2091 Personally Known or Produced Identification Type of identification (Affix seat here)I�JA RY PUBLIC (?name printed ortyped) JOSE ANTONIO ALONSO Commission # FF 083252 Expires February 22, 2018 8.ndud Tt. Troy fan Insarame 800385.7019 DEcEmam 28, 2010 1 of 10 PUBLIC ENTITY CRIMES City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub -Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THiS FORM MUST BE SiGNED AND SWORN TO iN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1. This sworn statement is submitted to City of Sunny isles Beach by—AQ Ipnnt mawwuars name ant title1 i forn name o entity su nig swom sEawntenq whose business address is: and (if applicable) its Federal Employer Identification number (FEIN) isS4k • *&S 4071 (if the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: ) 11.2. t 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, i understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere. 11.4. i understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity 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 OEctmmt2s,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�. | understand that a "person" as defined in Para. 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. 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 |have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement app|iem.\ °y Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, membe agents who are active In the management of the entitx, nor any affiUateofthe mnUhvhas been charged vv�hand convicted ofapublic entity ur|rn$mubeaque/�'toJuly 1, 1989. � The entity submitting this sworn statement, or one ormore ofits officers, d|naotmro, axmuutkmo, partnerm, shareholders, employees, mnennbene, or agents who are eotkm in the management of the ort|t& or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, The entity submitting this sworn statement, or one or more ofits officers, directors, executives, 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.) | UNDERSTAND THAT THE SUBMISSION OfTHIS FORM TOTHE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED |NPARAGRAPH 11.1) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM ISVALID THROUGH DECEMBER 31 OF THE CALENDAR YEARiNWHICH [[|8FILED. | ALSO UNDERSTAND THAT |ANREQUIRED TOINFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO ACC)NTR/*CT IN EXCESS OF THE THRESHOLD AMOUNT SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TVNOQFANy`CHANGE |NTHE (FnZAT|(}NCONTAINED |NTHIS FORM. vice. Poe I Sworn to?nd subscribed before me this day of 20 tZ I by (AFFIX NOTARY STAMP HERE) a— Signatypp: Notary Public — State of Florida t or Type Commis �1`1`19OSE ANTONIO ALONSO commission # FF 083252 ersonally Known� OR Produced Identification Expires February 22, 2018 Type of Identification Produced 10119983n[1O -NLyj 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: Firm: C.%DW-TVL&j=.T4*W. Address: - I SIAD w .,W. Iq 1,17-7 77'nm McEmSER28,2010 4 of 10 SAN NY�5<E j= CONFLICT OF INTEREST City of Sunny isles Beach a 18070 Collins Avenue Sunny Isles Beach, FL 33160 ' SJ,. Telephone: (305) 947-0606 Fax: (305) 949-3113 '��4 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny isles Beach or its agencies. STATE OF FLORIDA COUNTY OF 14 t i BEFORE ME, the undersigned authority, personally appeared J Ui was duly sworn, deposes, and states: 18.1. i am the i 1 of local office in CkjDSA6tand principal office in 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. Wo * Vol • 491described 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 Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 18A 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. 18.8 i certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach. 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will Immedlately tify the City of Sunny Isles Be—arch. ated his da of .v VA- , 2010Z" _- AFFI Print or Type Name and Title Styom to and subscribed before me this 6 day of ,�•�►•v ra-n y , 201.0-- �, Personally Known OR © Produced Identification ; Type of identification 61-1 NOTARY PUBLIC STATE OF FLORIDA JOSE ANTONIO ALONSO Commission # FF 083252 Expires February 22, 2018 .01 `'�• 8cnded Tfuu Troy Fan Inswano 800.385.7019 DECEn+aER26,2010 5 of 10 �� 1= DISPUTE DISCLOSURE a City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 OF Sul, '`' 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 (5) years? YES NO '/ 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES NO V 19.3. Has your firm had against It or filed any requests for equitable adjustment, contract claims, Sid 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 V 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. -I Cw**Ar9A=ircm lis Firm ---, Date or t' Name and 'ntle DecWOSR 28.2010 6 of 10 STATE OF FLORIDA COUNTY OF 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 1, 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. n 17 The foregoing instrument I 2017 by of erson], as ap-017-PA 1-fCChA-­fr,4-j _66 A executed]. AFFIX NOTARY STAMP HERE: JOSE ANTONIO ALONSO Commission # FF 083252 Expires February 22, 2018 BWod 7hru Troy Fain Instuance 8W385.7019 a - Q%$% Title: 1-0me Pj;Lrg&10aW41r_ was acknowledged before me this day of • 6'v1s45o(,-_ [name [type of authority], for 4ci?,,A[name of party on behalf of whom instrument was No Public — State of Florida Print or Type Commissioned Name ersonall Kn rso "Y-,Kno OR Produced Identification of t? Ir fra _ t *yyppe of Identification Produced DEcEmoER28,2010 7 of 10 AC'C>R1:> CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown &Brown of FL, Inc. -Fort Myers 6611 Orion Dr. Suite 201 CONTACT Stephanie Wilkinson NAME:P"o"E . 239-274-1430 FAX 239-278-5306 E-MAIL .swilkinson bbftm ers.com @ Y Fort Myers FL 33912 INSURERS AFFORDING COVERAGE NAIC It INSURER A: National Trust Ins Co* 20141 EACH OCCURRENCE $1,000,000 INSURED INSURERB:FCCI Insurance Company* 10178 Jorda Enterprises, Inc. DBA Jorda Mechanical Contractor INSURERC: Buck Investments INSURER D: INSURER E: 1510 NW 79th Ave. Doral FL 33126 1 INSURER F: COVERAGES CFRTIFICATF MIIMRFR• 1BIBUB2335 DMAcrnsr auraaoco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN D SU5R WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR Y Y GL00096727 12/31/2015 12/31/2016 EACH OCCURRENCE $1,000,000 DAMAGE PREMISES (Ea occurrence) $100,000__ MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JET a LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY Y Y CA00150337 12/31/2015 12/31/2016 COMBINE15 SINGLE LIMIT $1 B ,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNHIRED AUTOS AUTOSED - - BODILY INJURY (Per accident) $ Per accident A $ A X UMBRELLA LIAB X OCCUR Y Y UMB00099907 12/31/2015 12/31/2016 EACH OCCURRENCE $5,000,000 EXCESS UAB CLAIMS -MADE AGGREGATE $ DED X I RETENTION $10,000 $ B WORKERS COMPENSATIONY AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a N / A 001WC15A71535 12/31/2015 12/31/2016 X H- STATUTE ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 30 days notice of cancellation except 10 days notice for non-payment Regarding the General Liability, City of Sunny Isles Beach is named as an Additional Insured �sy.a�l�Lnau�.v»•�ac W.*rarnw.rrr.» City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach FL 33160 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEE&D REPRESENTATIVE M 1BUB-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 9.Rjp O' t.'r � r1 o STATE OF FLORIDA } COUNTY OF .Atiiarai.Llade__ � BID BOND -- City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 KNOW ALL MEN BY THESE PRESENTS, that we, Jorda Enterodses. Inc dVa .ford^ Mechanical Contractor as Principal, and Berkley Insurance Company, 1p Surety, are h Id and firmly bound unto the City of Sunny Isles Beach, a municipal corporation of the State of Florida In the sum of Five Percent o Amount Bid Dollars ($ 5% ), 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 severalty, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying Bid dated, December 19, 2016 for. NEW HVAC Chiller Systems for Government Center 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 WH REOF, the b y bonded parties have executed this instrument under their several seats this 19th day of Uecem�6er �m , the name and the corporate seal of each corporate party being hereto affixed and these presents being duty signed by its undersigned representative. DOCUMENT CONTINUES ON NEXT PAGE IN PRESENCE OF: Individual or Partnership Principal ATTES Secretary 1 0 N.W. 79th Avenue Business Address Doral, FL 33126 City, State, and Zip Code 305-262-0095 Business Telephone 305-597-7020 Business Facsimile IMPORTANT Inc. I Affix Corporate Seal Berkley Insurance Company (Corporate Suretyp By: 24 harle5 J. Nielsoo -impress Corporate Seat Attorney -in -Fact 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. DECEtdeER28.2010 l 1 V. LS -.V V4Q _ POWER OF ATTORNEY - _ BERKLEY INSURANCE. COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Greenwich, CT, has made, constituted and appointed, and does by these presents make, constitute and appoint: Charles J. Nielson; Charles D. Nielson; or Joseph A Nielson of Nielson & Company, Inc. of Miami Lakes, FL its true and Iawful Attorney -in -Fact, to sign its name as surety only as v delineated below and to execute, seal, acknowledge and deliver any and --all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed One Hundred Million and 00/100 U.S. Dollars (U.S.S100,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected N officers of the Company at its principal office in their own proper persons. � J This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following o resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: NRESOLVED, that, with respect to the Surety business written by BerkIey_Surety Group, the Chairman of the Board, Chief c Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant 2 Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such o '= attomey-in-fact and revoke any power of attorney previously granted; and further n 2 RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further > RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attomey-in-fact named; and 2 further o RESOLVED, that the signature of any authorized officer and the seat of the Company may be affixed by facsimile to any E •= power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as ythough manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have 0 ceased to be such at the time when such instruments shall be issued. ' IN WITNESS WHEREOF, the Company has ca ed these presents to be signed and attested by its appropriate officers and its 0 o corporate seal hereunto affixed thiQ�ay of ,.c . 2016. C tiU Attest: J Berkley Insurance Company v (Seal) BY --- By , oIra S. Lederman Je . Hafler o Senior Vice President & Secretary S i e President co 0 WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER. o0. STATE OF CONNECTICUT) E ) ss: N o COUNTY OF FAIRFIELD ) Sworn to before me, a Notary Public in the State of Connecticut, this A`/ day of (' , 20162 b Ira S. Lederman and Jeffrey M. Hafter who are sworn to me to be the Senior Vice President and Secr ary, and the Senior P esi nt, respectively, of Berkley Insurance Company. MARIA C. RUNDBAKEN 0 NOTARY PUBLIC W,1�4 o MY COMMISSION EXPIRES Notary Public, State of Connecticut APRIL 30, 2019 0 CERTIFICATE `— I, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded 9 and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and seal of the Company, this I CM' day of (Seal) Andr u