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HomeMy WebLinkAboutCool-Breeze Air Conditioning Corp.1,4 OF sal, ?:,,- 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 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: Cool -Breeze Air Conditioning Corp. Business Name (dba), if any: NIA Street Address: 13120 SW 130th Terr., Miami FL 3318E City of Sunny Isles Beach 1 Invitation to Bid No. 16-09-02 "4 OF S'J" ?'r - Mailing Address (if different): SAME Telephone No.: 305.226.2665 Fax No.: 305.253.4168 Email Address: frank@cool-breezeac.com FEIN No.: 65-0010307 *By signing this document the bidder agrees to all Terms Authorized Signature: Print Name: Title: President 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 ITB PART II: Addendum #1, Dated October 04, 2016 Addendum #2, Dated October 11, 2016_ Addendum #3, Dated October 24, 2016 Addendum #4, Dated October 24, 2016 Addendum #5, Dated October 24, 2016 Addendum #6, Dated November 23, 2016 Addendum #7, Dated Decemher 1 S, 2016 Addendum #8, Dated NIA NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS RFQ FIRM NAME: Cool -Breeze Air Conditioning Corp. SIGNATURE: TITLE: President DATE: January 9, 2017 City of Sunny Isles Beach r Invitation to Bid No. 16-09-02 c y,� W 511TA ,"_ wig of $tlµ ht,_ 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 DESCRIPTION UNIT EST. UNIT EXTENDED ITEM # 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 i $ $ 25,000.00 1. service platforms, chilled water pumps, piping and relocation of exiting expansion tank Subtotal of Demolition of Existing HVAC Chiller Systems 125,000.00 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 $ $ 1,026,93$.0 2. pumps, condenser pumps, piping, wall mounted variable frequency drives, filtration/treatment system, backflow preventer and electrical components Subtotal of New HVAC Chiller Systems 1,026,938.00 Temporary Chiller System Temporary Chiller to serve the replace the 3. existing Chiller system for the entire facility LS 1 $ $26,000.00 as needed during system turnover City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 L"r of 5", pr - City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 Temporary Chiller System 26,000.00 PROJECT CLOSE OUT 4• As -built record drawings (electronic AutoCAD &PDF format and hard copy) L5 1 $ $ 3„400.00 Subtotal of Project Close Out � 3,000.00 BID SUBTOTAL (1-4) X1,080,938.00 CONTINGENCIES 5. Project Contingency (To be used at the sole discretion and direction of the Owner) 1 15% $162,141.00 6 Permit Allowance 1 $15,000 $15,000 BID TOTAL (1— 6). 11,258,079.00 City of Sunny Isles Beach I Invitation to Bid No. 16-09-02 /fir or SON 0'r - N N Y I sZ C74 cp q� � 9 9 Q e- • F L a \ a `'�c• �Tr OF so� City of Sunny isles Beach I Invitation to Bid No. 16-09-02 NON -COLLUSION AFFIDAVIT City of Sunny Isles Beach 18070 Collins Avenue 4f 199j s �oR�� �`e Sunny Isles Beach, Fl- 33160 Of suN "°Q Telephone: (305) 947-0606 Fax: (305) 949-3113 STATE OF FLORIDA COUNTY OF BADE ) 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, -Cool-Breeze (Name of Corporation, Partnership, Individual, etc. a, Corporation formed under the laws of Florida (Type of Business) (State) of which he is President (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 ag t thereof. AFFIANT'S NAME President AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE MSE this i' t d y of �J"�� t Personally Known or Produced Identification Type of identification (Affix seal here) 11-AOTARY PUB (n me)pried or typed) !NY O(yMIv4ISSION 0 FF958965 �,• EXPIRES April 14. 2024 loan i9"'53 PtariOrrro+'rBwVwr wm DECEMBER 28, 2010 1 of 10 S�gINY !S(B PUBLIC ENTITY CRIMES City of Sunny Isles Beach • 18070 Collins Avenue F-ta ti F Sunny Isles Beach, FL 33160 `Y a sus 0, 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 MA [prim inaiviouarsname ano noel for Co�l-Rreeze it C �nclitjpngI Corp- �in name o en , ys.md ing swom s a e n whose business address is: 13120 SW 130th Terr_ and (if applicable) its Federal Employer Identification number (FEIN) is 65-0010307 (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: NIA ) 11.2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. 1 understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contendere. 11.4. 1 understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in'the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair DECEMBER 28, 2010 2 of 10 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5. 1 understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) 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. (Signae) (Printed Nam,o (Title) Sworn to and subscribed before me this day of 20 lr) , by (AFFI y 6 1 11 REZ _ MY COMMISSIONS FF958965 Signature: Notary Publi — tate cif Florida EXPIRES April 14. 202053 Print or Type Commissioned Name Personally Knownf OR Produced Identification Type of Identification Produced 101199a 3 of 10 Svp1we I.,E �r EQUAL OPPORTUNITY / !� AFFIRMATIVE ACTION e ' : F,oa`° yr City of Sunny Isles Beach or su" 'Nc 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:"�z Title: President Firm: Cool -Breeze Air Conditioning Corp. Address: 13120 SW 130th Terr Miami FL 33156 DECEMBER 28, 2010 4 of 10 @�NN7 ysC FJ' k CONFLICT OF INTEREST City of Sunny Isles Beach r 18070 Collins Avenue <<9y F' V"V +` Sunny Isles Beach, Fl- 33160 a r Sul h� Telephone: (305) 947-0606 Fax: (305) 949-3113 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLORIDA COUNTY OF DADF. BEFORE ME, the undersigned authority, personally appeared Frank Crawley , who was duly sworn, deposes, and states 18.1. 1 am the President of Cool -Breeze Air Conditioning Corpwith a local office in Miami, Florida and principal office in Miami, FlQrida 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 16-09-()2 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. Date hi day of-ja.t— AFFIANT Print or Type Name and Title _Syyetrorn to and subscribed before me this ��day of � �1`��t����� s,29'f'Q N Personally Known OR O Produced Identification ;Type of Ide tificatian X,. NOTARY PUBLIC STATE OF FLORIDA NMII J SUAREZ MY COMMISSION # FF -958965 EXPIRES Axil 14. 2020 DECEMBER 28, 2010 5 of 10 440Ti�.53 rkwW&NQ4 .um^ SISNNY !3(FJ OE A DISPUTE DISCLOSURE R U Z City of Sunny Isles Beach 18070 Collins Avenue Q vo'J Sunny Isles Beach, FL 33160 SU- "� Teiephone: (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 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. Cool -Breeze Air Conditioning Corp. Firm Authorized Signature January 09. 2017 Date Frank Crawlay_(Presidc Print or Type Name and Title DECEMBER 28, 2010 6 of 10 Q�4�N NY IS�� �m � a SFr T• f_l OR OS. Ty or SYN �A STATE OF FLORIDA ) COUNTY OF DADE ) ANTI -KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone. (305) 9470606 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: Title: President 2 The foregoing instrument was acknowledged before me this 01 'qday of A►�. -M 20_CL, by Ct- ev [name of person], as qV-E-�s } jC�, [type )of authority], for L -P_ 42 �z-;E .SIC C 4_�P [name of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: NINI J UAREZ My COMMISSION # FF958965 ` EXPIRES Apr11 14. 2020 �4or;�sa•as naw.r+oca •� Personally Known Type of Identification Produced `1 Rotary Publ•c — Statof Florida Print or Type Commissioned Name OR Produced Identification DECEMBER 28, 2010 7 of 10 611 fill 9Xi70a1141VIi71 COUNTY OF Seminole ) BID BOND City of Sunny Isles Beach 18074 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 KNOW ALL MEN BY THESE PRESENTS, that we, Cool -Breeze Air Conditioning Corporation as Principal, and Philadelphia IndemniInsurance 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 ----- Five Percent of the Amount Bid ----- Dollars ($ 5.00% ), 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 for: 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 Isles Beach and the Surety herein agrees to pay said sum immediately, upon demand of the City, in good and lawful money of the United States of America, as liquidated damages for failure thereof of said Principal. IN WITNESS WHEREOF, the above bonded parties have executed this instrument under their several seals this 9th day of January ,20 17 , the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by its undersigned representative. loons I�f11<rIi7�11f►111Ys]►J1►1���[ei� IN PRESENT OF: Cool -Breeze Air Conditioning Corporation Individual or Partnership Princi9w Affix Corporate Seal 13120 SW 130 Terrace Business Address Miami, FL 33186 City, State, and Zip Code (305)226-2665 Business Telephone ATTEST: Philadelphia Indemnity Insurance Comvany (Corporate Surety)" 'Impress Corporate Seal N/A Business Facsimile Secretary By: J iter L. Hindle ttorney-in-Fact & FL Licensed Resident gent IMPORTANT Inquiries: (407) 834-0022 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. DECEMBER 2$, 2010 8 of 10 143 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza, Suite 100 Bala Cynwyd, PA 14004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Bryce R. Guignard, Margie L. Morris, Paul J. Ciambrielln, M. Gary Francis, Jennifer L. Hindley, April L. Lively, Christine Morton, its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof,, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $25,000.000.00. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 140' of November, 2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 14TH DAY OF NOVEMBER, 2016. N,r�HN"wryry Y - (Seal) Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity Insurance Company On this I e day of November, 2016, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. aHnatw rx r v¢xxsnv xasn.� s..i xwa Hox.rE, HOp+Y WMX 40x.r xenon Trus Nonroen.n a gLo My a %tri ibn Ef�lw M 6, 2661 ."erun runsnw,�r. W.G,.`i>, er ru:a (Notary Seal) Notary Public: residing at: My commission expires: Bala Cynwyd, PA January 8.2018 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 14'r day of November, 2016 are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof 1 have subscribed my name and affixed the facsimile seal of each Company this 9th day of January 20 17 c ;,, Edward Sayago, Corporate Secretary'a `v, •crrrrl': PHILADELPHIA INDEMNITY INSURANCE COMPANY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 - -� CRAWLEY, FRANK DEAN COOL -BREEZE AIR CONDITId51V G CORPORATION 13120 SW 130 TERRACE MIAMI FL 33188 ISSUED: 05/31/2016 DISPLAYAS REQUIRED BY LAW SEQ# L1605310000707 001760 Local 'Business Tac Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 1856666 LBT BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES COOL BREEZE AIR CONDITIONING CORP RENEWAL SEPTEMBER 30, 2017 13120 SW 130 TORR 1858666 Must be displayed at place of business MIAMI FL 33186 Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED COOL BREEZE AIR CON CORP 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR CACO24325 $75.00 07/21/2016 Worker(s) lO CREDITCARD-16-042805 This Local Business Tax Receipt only con$mrs payment 41 the local Business Tax. The Receipt is not a license, permit are cortiricalion of the holder's qualifications, to do business. Holder must comply with any governmental or nonguvanrmnrnel regulatory laws and raquiremams which apply to the business. The RECEIPT NO. above must be displayed an all commercial vehicles - Miami -Dodo Cade Sec Sa-276. For more information, visit yLwwmjioinidadti QVAfi&011 0_r COOLS -1 OP ID: QJ CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDIYYYY) TYPE OF INSURANCE 01109/2017 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(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 - CONTACT NAME: Brown & Brown of Florida, Inc, 1201 W Cypress Creek Rd # 130 PHONE FAX A1C Na Ell: 954-776-2222 INC, No): 954-776-4446 E-MAIL ADDRESS: P.O. Box 5727 Ft. Lauderdale, FL 33310-5727 Christian Zanartu INSURER(S) AFFORDING COVERAGE NAIL# wsURERA:Zenith Insurance Company 13269 INSURED Cool Breeze Air INSURERB: Conditioning Corp PRODUCTS - COMP/OP AGG $ 13120 SW 130th Terrace INsuaERc: AUTOMOBILE Miami, FL 33186 INSURER D: INSURER E : INSURER F: 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 LTR . TYPE OF INSURANCE INSDDDL SUB POLICY NUMBER MMIDDYIYEYYY MMIDDfYYYY LIMITS AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR EACH OCCURRENCE $ DA A PREMISES Ea occurrence $ GEN'L MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PERS POLICY PRO- JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HiREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE $ Per accident S UMBRELLA L1AB EXCESS LIAB HCLAIMS�MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS" LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE � OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If es. describe under DESCRIPTION OF OPERATIONS below N ! A Z127101002 04/01/2016 04/01/2017 XPER O7H- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Invitation to Bid No. 16-09-02 for the New HVAC Chiller Systems for Government Center CERTIFICATE HOLDER CANCELLATION SUNNYIS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Sunny ISIOS Beach City Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Department of Public Works 18070 Collins Avenue Sunny Isles Beach, FL 33160 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD