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BID FORM 1 BID COVER Bid Title: New HVAC Chiller Systems for Government Center 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 the City's Notice of Award. In submitting this Bid, the Bidder represents, as more fully set forth in the Agreement, that: • The Bidder has familiarized himself/herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. • The Bidder has given the City written notice of all conRicts, 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, fine 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: Business Name (dba), if any: Koldaire, Inc. Street Address: 11955 NW 37 Street, Coral Springs, FL 33065 City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 y,� of 5a" 'r_ Mailing Address (if different): 954-747-3690 Telephone No.: Fax No.: 954-747-3679 Email Address: fmonti@koldaire.net FEIN No.: 59-2295754 *By signing this document the bidder agrees to all Terms Authorized Signature: C Cp n% "� Frank O Monti Jr. Print Name: President Title: 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 NON- RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY BID THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE BIDDER TO THE TERMS OF ITS OFFER. City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 BID FORM 2 ADDENDA ACKNOWLEDGEMENT INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES PART I: LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS IIB Addendum #1, Dated 10/4/2016 PART II: FIRM NAME: Addendum #2, Dated Addendum #3, Dated Addendum #4, Dated Addendum #S, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated 10/11/2016 No Date on Addenda 10/24/2016 10/24/2016 11/23/2016 12/15/2016 ❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS RFQ Koldaire, Inc. TITLE: President 1/9/2017 DATE: City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 so ,,,y or $,:H h .,,, o i H per. BID FORM 3 BID PRICING BIDDER AGREES TO PERFORM ALL THE WORK DESCRIBED IN THE CONTRACT DOCUMENTS 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 EST. UNIT EXTENDED ITEM # DESCRIPTION UNIT QUANTITY COST COST Demolition of Existing HVAC Cooling Towers Removal and disposal of existing infrastructure including but not limited to 50 - TON Chiller, 200 -Ton air cooled chiller, wood LS 1 $ $19,822 1 service platforms, chilled water pumps, piping and relocation of exiting expansion tank Subtotal of Demolition of Existing HVAC Chiller Systems ,$19,822 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 LS 1 $ $840,541 2 pumps, condenser pumps, piping, wall mounted variable frequency drives, filtration/treatment system, backflow preventer and electrical components Subtotal of New HVAC Chiller Systems Temporary Chiller System Temporary Chiller to serve the replace the 3. existing Chiller system for the entire facility LS 1 $ $32,834 as needed during system turnover City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 • 4') S,,, �' City of Sunny Isles Beach ( Invitation to Bid No. 16-09-02 11 Temporary Chiller System 1132,834 PROJECT CLOSE OUT 4. As -built record drawings (electronic AutoCAD &PDF format and hard copy) LS 1 $ $ 2'500 Subtotal of Project Close Out 2,500 BID SUBTOTAL (1-4) 895,697 CONTINGENCIES S Project Contingency (To be used at the sole discretion and direction of the Owner) 1 15% $134,355 6 Permit Allowance 1 $15,000 $15.000 BID TOTAL (1 — 6): X1,045,052 City of Sunny Isles Beach ( Invitation to Bid No. 16-09-02 11 C3 N�=��\ FLOC C/TY OF SUN PCO j S City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 � SWT 1� s�'ILOP` 0 (O� Ji S Jtl P� VNNY rJ� NON -COLLUSION AFFIDAVIT V City of Sunny Isles Beach /or 4 19070 Collins Avenue '•i.o�� Sunny Islas Beach, FL 33160 °•' e, sxx ��v+ Telephone: (305) 947-0606 Fac (305) 949-3113 STATE OF FLORIDA ) COUNTY OF Broward, The undersigned being first duly swom as provided by law, deposes, and says: This Affidavit Is made with the knowledge and intent that h 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 Affidav0 on behalf of, Koldaire, Inc. (Name of Corporation, Partnership, Individual, etc.) AC Contractor Florida a, ,formed under the laws of (Type of Business) (State) of which he is Frank O Monti Jr. (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 102 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 Old 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. C� �� President A FIANT'S NAME ran c ontl Jr. AFFIANr'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 9 day of January 2067 Personally Known X or Produced Identification Type of identification (Affix seal here) •�, p);�';�4, BRIDGIT A. NORRIS Notary Public - State of Florida �� ,/ _ • My Comm. Expires Jul 28, 2017 Commission # FF 003858 F �,' • .-h Nalicnal Notary Ass, Demuae129.2010 1 of 10 .'�OF SJNNY /f�e PUBLIC ENTITY CRIMES City of Sunny Isles Beach _ 18070 Collins Avenue " Sunny Isles Beach, FL 33180 "d Telephone: (305) 947-0606 Fac (308) 848-3113 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 Frank O Monti Jr. - President nn , u name e for Koldaire, Inc. (P.1 name & entily su mi ng mom aWmardi whose business address is: 11955 NW 37 Street, Coral Springs FL 33065 and (if applicable) its Federal Employer Identification number (FEIN) is 59-2295754 (If the entity had no FEIN, Include the Social Security Number of the individual signing this sworn statement: ) 11.2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. 1 understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non jury trial, or entry of a plea of guilty or nolo contendere. 11.4. 1 understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair Deceuea 28.2010 2 of 10 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5. 1 understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below Is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) X Neither the entity submitting this sworn statement, nor any of It's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. By. SdII(?mh 12-m JA - (Si nature) Prank O Monti Jr. (Printed Name) President (Title) Sworn to and subscribed before me this 9 day of January , 2 17 by Frank O Monti Jr. (AFFIX NOTARY STAMP HERE) Signature: Notary Public - State of Florida Bin �rt A Norris Pr nt or Type Commissioned Name Personally Known XX OR Produced Identification r Bim- R� IpOiT A. NORMS Type of Identification Produced ° zcr �; Notary 0u61ic -State or Florida IW1996 3 of 10 ;j `• " Q.' My comm. Expires Jul 2E . 2017 commission # FF 003858 f. A� �:: , , ' Bonded T��rou9hNational Nolan 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. Title: President Firm: Koldaire, Inc. Address: 11955 NW 37 Street Coral Springs, FL 33065 M¢ R26.2010 4 of 10 of SUNNY �i\so CONFLICT OF INTEREST City of Sunny Isles Beach 16070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Far. (305) 949-3113 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLOFWA COUNTYOF rOward BEFORE ME, the undersigned authority, personally appeared Frank O Monti Jr. who was duly sworn, deposes, and states: 18.1. 1am the President Of Koldaire Inc. with a local office in Coml S,nrings,H and principal office in --- Go-ral Springs - 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 16-09-02 described as: Landscape Maintenance Services. The Affiant has made diligent Inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise Ineligible from participation in contract letting by any local, State, or Federal Agency. 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property Interests for this project. 18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. 18.81 certify that no member of the entity's ownership or management, or staff has a vested Interest in any aspect of the City of Sunny Isles Beach. 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 Immediately notify the City of Sunny Isles Beach. D eed this 9 dayo January,201(7. �unf,_ cv mm 1ir - ' dent RFFIANT Print or Type Name and Title Sworn to and subscribed before me this 9 day of January , 2017. IN Personally Known OR ❑ Produced Identification ; Type of Ideattlill NOTARY PUBLIC STATE OF FLORIDA �.� BRIOGIT A. NORRE --,Notary Public -State of r 0 I 017 _ My Comm. Expires Jul 7 Commission # FF C -3 10 0eceze. talo Ci,-ce;!Through National sof :" J,NY ,\F DISPUTE DISCLOSURE City of Sunny Isles Beach \` 18070 Collins Avenue � [oc Sunny Isles Beach, FL 33160 oI 'u.�Telephone:(305) 947-0806 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 X 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES NO X 19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES NO X If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. Koldaire, Inc. 1-9-2017 Firm � Lp M Authorized Signature Date Frank O Monti Jr. - President Print or Type Name and Me DEceueER28.2010 6 or 10 STATE OF FLORIDA COUNTY OF Broward ANTI -KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0608 Fax (305) 949-3113 ANTI -KICKBACK AFFIDAVIT I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. By: %f4Q21A (,PeV�J2 Frank O Mont Jr. Title: President The foregoing instrument was acknowledged before me this 9 day of January 20J by Frank O Monti Jr. [name of person], as President [type of authority], for Koldaire, Inc. [name of party on behalf of whom instrument was executed]. y AFFIX NOTARY STAMP HERE: 42 ;(�Zt otaryblic — !9611:611 Florida Personally Known Type of Identification XX Produced Bridgit A. Norris Print or Type Commissioned Name OR Produced Identification BRIOGIT A. NORRIS Notary Public - State of Florida �1 ;�'•' �`, My Comm. Expires Jul 2E, 2017 Commission # FF 003858 ...... Bonded T^roagh National Notary Assn..J oeceuernse. 2010 7 of 10 COUNTY BID BOND City of Sunny Isles Beach 18070 Collins Avenue Sunr y Isles Beach, FL 33160 Telephone: (305) 947-0806 Fax: (305) 949-3113 KOLDAIRE, INC. KNOW ALL MEN BY THESE PRESENTS, that we, as Principal, and BERKLEY INSURANCE COMPANY , as Surety, are held and firmly bound unto the City of Sunny Isles Beach, a municipal corporation of the State or Florida in the sum of Five Percent of Attached Bid Dollars ($ S% of Rid ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves. our heirs, executors, administrators and successors jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the accompanying Bid dated, January 9, 2017 2(XVfor: Bid No. 16-09-02 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 rates Beach and the Surety herein agrees to pay said sum immediately, upon demand of the City, in good and lawful money of the United Stales of America, as liquidated damages for failure thereof of said Principal. IN WITNESS WHEREOF, the above bonded parties have executed this instrument under their several seats this 9th day of January .20_, the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by its undersigned representative. DOCUMENT CONTINUES ON NEXT PAGE KO AIRE, K%yXO3��Ot�B(AF,c T Individual or Partn *ship Principal Affix Corporate Seal 11955 NW 37 Street Business Address Coral Springs, FL 33065 City, State, and Zip Code (954) 747-3690 (954) 7437-3679 Business Telephone Business Facsimile BERK K YINSURANCEC P NY- Attest: By: SZ',v ( rporate Surety)" Denise A.Chianese,Attorney-in-Fact By: `Impress Corporate Seal IMPORTANT Surety companies executing bonds must appear on the Treasury Department's most current list (circular 570 as amended) and be authorized to transact business in the State of Florida. OECEu8E1128, 2010 8 of 10 No. BI- 7775 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 D 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: David J. Byrne, III; Charles A. Byrne or Denise A. ro Chianese ofStarkweather & Shepley, Inc, of East Providence, RI its true and lawful Attorney -in -Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of a Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars ro .5 (U.S.$50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected A a officers of the Company at its principal office in their own proper persons. N � E 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 resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25, 2010: > b T o RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attomey-in-fact named therein .° to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the e y corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such 3 E attorney-in-fact and revoke any power of attorney previously granted; and further $ o RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, s 0 or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the F = manner and to the extent therein stated; and further RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and further 's RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any a.c power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or E other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as 3 though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any 7 L person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have bceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its 0 o corporate Boal hereunto affixed this day of Mp2013. o Y Attest: Berkley Insurance Company i p (Seal) By r By t. Ira"g. Lederman J . Halter o Senior Vice President & Secretary error ice President F � .° o WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE `BERKLEY" SECURITY PAPER. p STATE OF CONNECTICUT) b E COUNTY OF FAIRFIELD ) .� o Sworn to before me, a Notary Public in the State of Connecticut, this Jam_ day of 2013, by Ira S. Lederman and Jeffrey M. Halter who are sworn to me to be the Senior Vice President and Secretary and the error Vice resident, respectively, of E Berkley Insurance Company. , c is l�fiGfl IIOTNWPUBW CONNECTICOIT N otary Public, State of Co "%6,ON� 1017 c CERTIFICATE 1, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a Z true, correct and complete copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded Z .7r and that the authority of the Attorney -in -Fact set forth therein, who executed the bond or undertaking to which this Power or CG Attorney is attached, is in full force and effect as of this date. dtk 3 Given under my hand and seal of the Company, this day of (Seal) wATu STATE OF FLORIDA ;- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 �ooa ,vE` 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MONTI, FRANK O JR KOLDAIRE INC 2064 SW 118TH AVE MIRAMAR FL 33025 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For Information about our services, please log onto www.myforidalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR CAC1814948 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC 1814948 ISSUED: 06/14/2016 CERTIFIED AIR COND CONTR MONTI, FRANK O JR KOLDAIRE INC IS CERTIFIED under the provisions of Ch.489 FS. Expindtion date : AUG 31, 2018 L160614D000777 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The CLASS AAIR CONDITIONING COP Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 MONTI, FRANK O JR KOLDAIRE INC 2064 SW 118TH AVE - MIRAMAR FL 33025 ISSUED: 06/14/2016 DISPLAYAS REQUIRED BY LAW SEQ# L1606140000777 KOLDA-1 OP ID: I ACO MWDDrffM CERTIFICATE OF LIABILITY INSURANCE DATE (09/2017 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(ies) 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 PRODUCER BROWN & BROWN OF FLORIDA INC 14900 NW 79th Court Suite#200 Miami Lakes, FL 33016-5869 David A. French, AAI INSURED 11955 NW 37th Street Coral Springs, FL 33065 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LTRINRn TYPE OFINSURANCE ADDL SUB "D pOLICYNUMBER POUCY EFF POUCDYEXP LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE rx I OCCUR CPP20828880402 06/06/2016 06/06/2017 PREMISES Ea Occurrence $ 50,00 MED EXP (My one person) $ 6,00 PERSONAL &ADV INJURY $ 1,000,00 GEN -L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY [K] JECCT E LOC PRODUCTS - COMPIOP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ 1,000,00 Ea acdd.m BODILY INJURY(Per person) $ C ANY AUTO CA20768750601 06/06/2016 06/06/2017 BODILY INJURY(Per accident) $ ALLOWNED SCHEDULED AUTOS NON-0WNED JX HIREDAUTOS X AUTOS PRO ERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 AGGREGATE It 10,000,00 B EXCESS LIAB CLAIMS -MADE EBUD27702582 06/06/2016 06106/2017 OED I X I RETENTION $ 0 Is A WORKERSCOMPENSATXINX AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIFXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 0207667605 06/06/2016 06106/2017 STATUTE STATUTE ER E.L. ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 Ifyes,desuibeunder DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ 1,000,00 A Equipment CPP2082888D402 06/0612016 06/06/2017 Leased/ 150,00 Rented DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is required) Bid 16-09-02 New HVAC Chiller System for Government Center SUNNYIS 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. Brown and Brown of Flodda, Inc. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD \ / f \ k L & / k 2 } 00 00 \ - O S _ . ffc)-- ` ) a )§ H ])!,! \\ \ 2 kk{/)\ \k L) \ 0 7( t � �' )a7 E7 { _ / M @M$ /( X ■ a -u ! /}k§ 3 � 2§ Via$ #- �&`f§ `! ) . - R C, -6 |£ 2 GW CcE z - \§ /k���� �(� t d $ 2 ` } ( , \kkk(k EL �� z L) f72)(q LL'2 § k)r/§ jr ƒ§§{ ~ �5 § ( - §El Mo , , 2 o -G . k\§ r&IL `� `�Fq / ■!� / e §11 (\' ~( /\ C )) § ) E. W\§|E ■ ` (k z z ° B § R IL V Z9 \ kt / \ )) } M 2 ) a / a k k ] /§ \ / f \ k L & / k 2 } LOCAL BUSINESS TAX RECEIPTS CORAL Business Tax Office SPRINGS 9551 West Sample Road —11- , ,, .E..., Coral Springs, FL 33065 Local Business Tax for: KOLDAIRE INC Is hereby allowed to engage in business or occupation of: CONTRACTOR, A/C /REFRIGERATION KOLDAIRE INC 11955 NW 37 ST CORAL SPRINGS, FL 33065 Expiration Date: 9/30/2017 Location Address: 11955 NW 37 ST Other Information: CONTRACTOR// AC/MECHANICAL // RESIDENTIAL AND COMMERCIAL Payment Date: 8/31/2016 Amount Paid: $132.30 Business Taxi! 78940 ***** VALIDATED***** CITY OF CORAL SPRINGS BUSINESS TAX OFFICE ** DETACH AND POST THIS BUSINESS TAX RECEIPT IN A CONSPICUOUS PLACE ** ALL WINDOW SIGNS SHALL COMPLY TO LAND DEVELOPMENT CODE CHAPTER 18 LA 005306 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY ,.82339 LBT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES KOLDAIRE INC RENEWAL SEPTEMBER 30, 2017 DOING BUS IN DADE CO 5095906 Must be displayed at place of business MIAMI FL 33000 Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED KOLDAIRE INC 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 CAC1814948 $75.00 07/26/2016 CHECK21-16-101132 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is nota license, permit. or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Bade Code Sec ea -276. 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