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Home My WebLink AboutTenex #1 ~ I I I I I I I I I I I I I I I I I I I - ~ RECEIVED, :iY JUL '7 2007 . ClIy of sunny ~ BIlQCtI OffiCe 01 \tte C Clerl\. CITY OF SUNNY ISLES BEACH 172ND STREET ROADWAY IMPROVEMENTS Prepared by: ~.l l Calvin, Giordano ~ Associates, Inc. ~ IEXCEPTIONAL SOLUTIONS Jj . CGA Project No. 03-4197 City of Sunny Isles Beach Bid No. 07-05-01 June 2007 SEll ~ FOR BIDDING PURPOSES ONLl \ I I I I I I I I I I I I I I I I I I I SECTION 00300 BID FORM Bid of-=-' ENE j.. (ulet f (l..:I;. S E" S I ~ 5 0 c:s. ow. \ Lt-tl '\0 W\ ~ "'w 0 ~ C2.A.e- ~. "f l. Address IN C c ~ytT :1 ~ 0 ( o. Phone To furnish all materials, equipment and labor and to perform all work in accordance with the Contract Documents for construction of: 172nd STREET ROADWAY IMPROVEMENTS located in the CITY OF SUNNY ISLES BEACH. To: CITY OF SUNNY ISLES BEACH 18070 Collins Avenue, Suite 250 Sunny Isles Beach, Florida 33160 The undersigned Bidder has carefully examined the Bidding Documents and the site of the proposed work and is familiar with the nature and extent of the work and any local conditions that may in any manner affect the work to be done. The undersigned Bidder agrees to do all the work and furnish all materials called for by the Bidding Documents, in the manner prescribed therein and to the standards of quality and performance established by the Engineer for the unit price amounts stated in the spaces herein provided, for each of the items or combination of items stipulated. Unit price line items shall include cost of implementing all applicable safety requirements. Bidder acknowledges that estimated quantities scheduled are approximated for the sole purpose of obtaining comparative bids for determination of the lowest responsible bidder and actual quantities required may increase or decrease. Bidder further agrees that payments will be made on the basis of actual quantities placed and accepted in the construction Final Version 6/07 00300-1 03-4197 oJVL.. !V '-VVI IIVI1 VV'..J..J III VnL..Y!11 U!VI\lJnI1V Inn 11V. v..J"tv'-!VUVI 172ND STREET ROAD IMPROVEMENTS UNIT PRICE BID SCHEDULE Estimated Quantity Unit Unit Price Item No. I. GENERAL 1. Mobilization per FDOT (<5%) 2. Maintenance of traffic per FDOT including temporary striping and signage, barricades, barriers, arrow panels, etc. as required. 3. Clearing and grubbing Description 4. Pollution prevention and sediment control 5. Earthwork 6. Relocation of existing mail box GENERAL SUBTOTAL II. CIVIL A Demolition/Site Preparation 7. Asphalt pavement demolition (removal & hauling) 8. Concrete sidewalk demolition (removal and hauling) 9. Catch basin to be abandoned in place and filled with f10wable flow 10. Existing drainage pipes to be filled with flowable fill 11. Relocate or adjust existing street signs B Paving 12. 1 'W Asphalt, Type S-3 13. 12" Stabilized subgrade 14. 8" Limerock base 15.4" Concrete sidewalk 16. 6" Concrete driveway 17. Drop curb 18. Type F curb and gutter Final Version 6/07 1 1 1 1 1 1 4936 1210 15 80 3 550 5376 1076 1522 379 422 2415 00300-2 LS '60, oonon LS .., 0 , 000. no Ls4 QJ oeo. no LS 5toncco LS ~S J noo.oo EA \ SO.no Sy Sy Lt.oe ~.on \ca.on \ en.oo ,~O.OO CY CY EA TN SY CY SY SY LF LF \ \0.00 '(J.OO f:.. r\ . f'r\ 4S'00 6~.oo J? 0 . 00 ~1'J .n 0 I. V\JI VV Estimated Amount so, COO. 00 -'0 . 000 . ()() . 4l) 10ca. on 5. 000 C\~ , , ~S ,one. no lSO.oo .LJ'10 ,ISO.CO \Q,'44.oo la I <b'\C.oo \ SOC.oo , ~. l\(\lJ flO . "\ so. CO 60 . S'"oC. 00 . 5~ I "1bO.OO 64 . S~().oo . 6 ~ . 4 ~ 0.00 . & 4 . 6~s-.oo , .~ . 44 0 .00 . 4 i , ,-~Q() .no ~~ 03-4197 Addendum 2 \,IV&.. .lV L..VVI IIVII v...,....,..., III VllLo'lll \..IIVI\.L11111V I . I I Ul IIVI Vv'VL.... I UUV I I I V,, VV C Striping and Signs 19. Thermoplastic STD white solid 6" 0.60 NM 3.000.1)0 --1 I ~nQ. lJO . 20. Turn arrows 8 EA \ CO . 00 .~ ()O.Otl 21. RPM amber/amber 106 EA 5.00 53() . 00 22. RPM colorless/red 7 EA 5.00 3S"' .t1n 23. R2-1 24" x 30. speed limit sign 3 EA 000.00 qeo.co 24. R3-5R Right turn lane sign 1 EA ~ 00.00 3 C\O .On 25. R3.5L Left tum lane sign 1 EA :3OC.~n .300. On 25. Sa Double yellow .50 GM '0,000,(',0 .3 -,(lec. nn 27. Pavement message (ONLY) 2 EA I~.oo c:l40.oo 28. R3-7L Left lane must turn left 2 EA &SO .Do S 00 . CHI 29. W1-1a (R) Right turn and speed 1 EA JtSO.110 & SO. 00 30. W1-1a (L) Left turn and speed 1 EA ~S-Q.()O aSO. co 31. 10' - 3D' Skip white line .30 GM ~ , Q on {)() \ .fJo () . () n 0 Drainage 32. Ditch Bottom Inlet Type "P" 3' - 6' 1 EA (Alternate A) ~3 lOOn 00 -3 lOCO .00 33. Curb inlet (6) Type .p" 3' ~ 5' 8 EA 51 CC\().oo 40 J 01\0. nn 34.15" Yard drain by ADS 5 EA I ) '"tOll .Qo ~JSOO.OD . 35.15" HDPE pipe 486 LF 6o.()() .9~J "a.on 36. 15" RCP 48 LF 10.00 ~ . .36'0 .O() . 37.18" RCP 385 LF ~O.oo 30 .~OO.oo 38. 24" RCP 1,091 LF QO.oo q~, \~ Q. 00 39. Clean existing drainage well and core 1 LS existing structure -'SOO.ot) '1 . -:=;-0 () . 00 , 40. Sodding (St. Augustine) 3350 Sy S. ell l6 " So. 00 . CIVIL SUBTOTAL. $"\' , b '?>4.l)Q 1(,.1 ,!-- Final Version 6/07 00300-3 ~ Addendum 2 VV_l. 'V '-VVI IIUIl V..J'.,).,) III VIIL..V11l U1VI\lJIUIV I 111\ &lV. Vv"1VL....l UUV I I I VVI VV III ELECTRICAL 41. Luminaires 14 EA 3 .~C.QO 4- b. :,}l\o. 00 . . I 4 b .:1.rlCl .00 44. Luminaire poles 14 EA .3,300,00 , 43. PVC Conduit 3000 LF ~.CC \ :1, 000, en 44. Copper wiring 3000 LF '-\.00 \~, OOQ.()Q 45. Trenching 3000 LF t.t .00 l~fOOO.Ot"'l 46. Backfill 3000 LF "'\'00 \~ I O~ C'\n 47. Luminaire wiring labor 14 EA 4.00.00 CSt'"'' ('In 48. Luminaire mounting labor 14 EA ~OO . 00 'S,bCO, 00 ELECTRICAL SUSTOT AL $ \'Sl.bco.ot:) IV LANDSCAPE 49. Landscape and irrigation (Allowance) LS $108,500.00 $108,500.00 GRAND TOTAL (Items 1-49) ~, \ 0'6 ) "'& '8'i, 00 f1ne nu'~ :~)~'X =;c-"'d. ~M' ~ll't.d -b~~~R<<r~Z \. ' '0 ~ C _ ~~. Qu,t \ ~~ 7- · el (Aufhorized Signature) (Date) Final Version 6/07 00300-4 ~... 03-4197 Addendum 2 I I I I I I I I I I I I I I I I I I I BID SECURITY Accompanying this Bid is a certified or cashier's check or a bid bond in the amount of $ 5% of the bid made payable to the Owner which may be forfeited as liquidated damages if, in the event this proposal is accepted, the undersigned fails to execute the Agreement and furnish and pay for the required performance and payment bonds for the Owner within 10 days after acceptance of the Bid; otherwise said certified or cashier's check or bid bond will be returned to the undersigned. The undersigned Bidder agrees to commence work within 1.Q days after the date of written Notice to Proceed, and further agrees to substantially complete the work within 270 consecutive calendar days after the date of written Notice to Proceed, subject to such extensions of time allowed by the Conditions of the Contract. The undersigned Bidder also agrees to complete the entire work within 300 days after the Contract time commences to run. The undersigned Bidder agrees that this Bid shall be good and may not be withdrawn for a period of 60 days after the scheduled closing time for receiving bids. The undersigned agrees to forfeit to the Owner, as liquidated damages for each calendar day elapsing between the date established as the date of substantial completion and the actual date of such substantial completion of the contract work, the amount of $1,500.00 per calendar day. The undersigned further agrees to forfeit to the Owner, as liquidated damages for each calendar day elapsing between the date established as the date of final completion and the actual date of final completion of the contract work, the amount of $1,000.00 per calendar day. Final Version 6/07 00300-5 03-4197 I I I I I I I I I I I I I I I I I I I ADDENDA Bidde70Wled;fhe receipt of Addendum No.'s 1. , 2. , 3. , 4. , 5. Dated this .lfL day of \. · L I 'lD07 ~ (year) Contractor: .~ _~JeNE)( ENtEef>eJSE<:' I-=rOC 850~W~~:~~ ,1l . -' Address: * SEAL * Attachments: Subcontractor List Bid Security Trench Safety Act documentation END OF DOCUMENT Final Version 6/07 00300-6 3?J::fOQ 03-4197 I I I I I I I I I I I I I I Ju1. 9. 2007 11:48AM Tenex Enterprises, Inc. No. 1843 P. 3 .' DOCUMENT 00401 BID BOND 1107-5105 BIDDER (Name and Address): Tenex;.Enterprises, Inc. 850 SW 14th Court Pompano Beach, Fl. 33060 SURETY (Name and Address of Principal Place of Business): First Sealord Surety, Inc. 789 E. Lancaster Ave. Villanova PA. 12085 OWNER (Name and Address): ~. CITY OF SUNNY ISLES BEACH 18070 Collins Avenue Sunny Isles Beach, Florida 33160 BID - BID DUE DATE: 7/17/07 PROJECT (Brief Description inCIUdi;;j Location): 172 Street Roadwav Imorovements Consisting of the reconstruction of N.E. 172na Street including: paving. grading, drainaqe. lighting improvements. traffic separators. sidewalks. and landscaping. BOND NUMBER: 07-5105 DATE: (Not/ater than Bid Due Date): 07/17/07 PENAL SUM: Five Percent of Amount Bid IN WITNESS WHEREOF, Surety and Bidder, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Bid Bond to be duly executed on its behalf by its authorized officer, agent, or representative. BIDDER SURETY {Seal) By\. es Inc. (Seal) orp<?~ate Seal '.,C' ~ Signature and Title "d F8 ladi President " Atles Attest: Note: (1) (2) Above addresses are to be used for giving required notice. Any singular reference to Biqder, Surety, Owner or other party shall be considered plural where applicable. Final Version 6/07 00401-1 03-4197 First'Sea'ord Surety, Inc. Power of Attorney Power No: MIA-0495-07-02243 KNOW ALL MEN BY THESE PRESENTS: That First Sealord Surety, Inc., a corporation of the Commonwealth of Pennsylvania, (hereinafter the "Company") has made, constituted and appointed, and by these presents does make, constitute and appoint Michele Council and/or Gladys Keith all of Margate, Florida its true and lawful Attorney-in-Fact, to make, execute and deliver on its behalf insurance policies, surety bonds, undertakings and other instruments of a similar nature as follows: ********** Not To Exceed Four Million 00Ilars----------------------------($4,OOO,OOO.00) ********** Such insurance policies, surety bonds, undertakings and instruments for said purposes, when duly executed by the aforesaid Attorney-in-Fact, shall be binding upon the said Corporation as fully and to the same extent as if signed by the duly authorized officers of the Corporation and sealed with its corporate seal; and all the acts of said Attorney-in-Fact, pursuant to the authority hereby given, are hereby ratified and confirmed. This appointment is made pursuant to the following By-Laws which were duly adopted by the Board of Directors of the said Corporation on April 7, 2003 with all Amendments thereto and are still in full force and effect: "Article XII: Policies, Bonds, Recognitions, Stipulations, Consents of Surety, Underwriting Undertakings, and Instruments Relating Thereto. Section 12-1. Insurance policies, bonds, recognitions, stipulations, consents of surety and underwriting undertakings of the Corporation, and releases, agreements and other writings relating in any way thereto or to any claim or loss thereunder, shall be signed in the name and on behalf of the Corporation: a) by the Chairman of the Board, the President or a Vice President, and by the Secretary or an Assistant Secretary; or b) by an Attorney- in-Fact for the Corporation appointed and authorized by the Chairman of the Board, the President, or a Vice President to make such signature; or c) by such other officers or representatives as the Board may from time to time determine. The seal of the Corporation shall if appropriate be affixed thereto by any such officer, Attorney-in-Fact or representative. The authority of such Attorney-in-Fact and Agents shall be as prescribed in the instrument evidencing their appointment. Any such appointment and all authority granted thereby may be revoked at any time by the Board of Directors or by any person empowered to make such appointment... IN WITNESS WHEREOF, First Sealord Surety, Inc. has caused these presents to be duly signed and its corporate seal to be hereunto affixed and duly attested this 20th day of January, 2004. ~ jjlr;!) e-:-.... S' '-~-i' ! rr~~\'$-.\ ~ llJ{Q': -=-:: .v;-\: h.. \... H~.2 1 i,-<i (Seal) \c.:~~~ / Attest: ~-:"i~'" .;;. .0"."'" ~~..,'\.-' ~c~ /' Gary L. Bragg, Secretary By: First Sealord Surety, Inc. Jo,' ~ P,,,'d,"' Commonwealth of Pennsylvania County of Montgomery On this 20th day of January, 2004, before me personally appeared Joel D. Cooperman, Vice President of First Sealord Surety, Inc., with whom I am personally acquainted, who, being by me duly sworn, said that he resides in the Commonwealth of Pennsylvania, that he is Vice President of First Sealord Surety, Inc., the corporation described in and which executed the foregoing instrument; that he knows the corporate seal of the said Corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Corporation; and that he ~d his name thereto as Vice President of said Corporation by like authority. COMMONWEALTH OF PEN, NSYlVANIA ..<..~:.:~,.~ ~ ~~ NolariaISeaJ I...~-~~.~ \ - j ..--.:: / AnthonyT. Slewart, NolaJy PublIc (Seal)\l:ti" OJ ~)~i " 7'" - Notary Public L.owerMerlonTwp.,MonIgomeIyCounty .. \\ ~/! MyCommlssion ElcpItesAug. 5, 2010 \.~o~~Sl'\....I'... " X~';,-p~~".~.,. CERTIFICATE Member, Penll$YlVanla AssocIation of Notaries I, the underSi!;l't'led Secretary of First Sealord Surety, Inc. do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this Certificate and I do further certify that the Officer who executed the said Power of Attorney was one of the Officers authorized by the Board of Directors to appoint an Attorney-in-Fact as provided in Section 12-1 of the By-Laws of First Sealord Surety, Inc. This Certificate may be signed and sealed by facsimile under and by authority of the following provisions of the By-Laws of First Sealord Surety, Inc.: "Section 12-2. The use of a printed facsimile of the corporate seal of the Corporation and of the signature of the Secretary or an Assistant Secretary on any certification of the correctness of a copy of an instrument executed by an authorized person pursuant to Artide XII, Section 12-1 of the By-Laws appointing and authorizing an Attorney-in-Fact to sign in the name and on behalf of the Corporation surety bonds, underwriting undertakings, or other instruments described in said Section 12-1, with like effect as if such seal and such signature had been manually affixed and made." In Witness Whereof, I have hereunto set my hcmd and affixed the corporate seal of the Corporation to these presents this J..:L day of ~ ,20 a 7 This power of attorney is void unless the Bond number is inserted in this paragraph (insert Bond # here tJ 7 - S- / tJ~, the bond number is the same number as on the original bond, d the bond number has been inserted by an officer or employee of the Company or by the agent. (seal) First_ Sealord _Surety ]OA.doc (Ed. 01/20/2004) TENEX ENTERPRISES, INC. 850 SW 14th Ct Pompano Beach, F133060. (954) 788-8100. Fax (954) 788-0005 REFERENCES City of Weston Contact: Sabrina Baglieri Assistant Director Construction Services Tel.: 954. 921. 7781 Shahin Hekmat, P.E. City Engineer Tel.: 954. 921. 7781 Jeffrey Skidmore Director of Community Services Tel.: 954. 389.4321 PROJECT: -Three Village Rd & Country Isles Rd Imp - Public Works Facility Fueling Station -Utilities Repair -1-75 @ Arvida South Bound Off Ramp Imp. -Saddle Club Rd. & South Post Rd. Roundabout, Road & Drainage Improvements -A YSO Facility @ Weston Regional Park -Tequesta Park, Drainage Improvement Landscaping and Road Improvements -Bonaventure Mater Plan - Phase V Drainage Improvement -Construction of Eagle Point Park -South Post Road Improvements -Swale Stabilization -Sidewalk Improvements Bonaventure -Cross Walk Brick Pavers -Saddle Club Road Improvements -Road & Sidewalk Improvements Raquet Club. -Road & Sidewalk Improvements Blatt Road City of Hallandale Beach Contact: Marc Gambrill, P.E. City Engineer Tel.: 954.457.1622 PROJECT: 1 AMOUNT: COMPLETION: $1,995,840.00 May 2007 $ 286,000.00 Nov 2206 $ 963,050.00 July 2006 $ 888,292.00 April 2006 $1.3 Million June 2005 $391,340.80 June 2005 $477,180.00 Feb. 2005 $836,494.00 Dec. 2004 $500,000.00 Dec. 2003 $1,350,000.00 Dec. 2003 $279,706.00 July 2003 $200,000.00 Dec. 2001 $370,000.00 $679,737.00 Dec. 2000 $410,000.00 June 2000 $355,000.00 June 2000 AMOUNT: COMPLETION: -Ansin Boulevard Road and Drainage Improvements _25th yer / 3CT A 2000-2001-006 Drainage Improvements and Reconstruction of a Portion of Emerald Drive at Layne Blvd. City of Sunny Isles Beach Contact: J. Scott Gombar, P. E. Director of Capital Improvements Tel.: 954. 931.6799 PROJECT: -Golden Shores Entrance Wall -Atlantic Blvd. Parking Lot & Drainage Improvements City of Margate Contact: Samuel A. May Project Manager Tel.: 954. 972. 8126 Reddy Chitepu, P.E. Department of Environment and Engineering Services Tel.: 954. 972. 0828 PROJECT: -Margate Blvd. Streetscape Improvements -Royal Palm Blvd. & MW 61st and 63rd Ave -East River Dr. Restoration -Road and Drainage Improvements City of Ft. Lauderdale Contact: Mike Fayyaz Assistant City Engineer Tel.: 954. 828.6527 PROJECT: -Ft. Lauderdale Executive Airport Perimeter Rd & Drainage Improvements -Ft Lauderdale Airport Drainage -Dillard -Victoria Park Neighborhood Improvements 2 $832,839.00 $351,110.00 AMOUNT: $198,180.00 $300,000.00 AMOUNT: $2,897,470.95 $71,425.00 $ 430,000.00 AMOUNT: $288,950.00 $364,753.00 $ 43,800.00 $ 84,420.00 Dec. 2004 Oct. 2001 COMPLETION: Nov. 2005 Jan. 2005 COMPLETION: Sep 2007 Oct. 2005 Mar. 2005 COMPLETION: June 2007 Nov. 2006 Sept 2006 Sep 2006 -SE 26th Ave Idlewyld Dr. - Las Olas Storm Drainage Improvements -Idlewyel Neighborhood -Gateway Merchant Sunrise Blvd. Miami & Ft. Lauderdale Contact: Catholic Cemeteries of the Archdiocese of Miami Inc. John Kissel Project Coordinator Tel.: 305. 206.6163 PROJECT: -Lady of Mercy Roadway Queen of Heaven City of Tamarac Contact: Alan Lam, Project Manager Tel.: 954.597.3712 John Olinzock, Project Manager Tel.: 954.597.3726 Project: -Mc Nab Rd Median Improvements -Southgate Boulevard Streetscape, Inc. -NW 70th Ave Traffic Calming Improvements City of Parkland Contact Jim Berkman; Public Services Director 954-753-040 Project: -Sidewalk City of Coral Spring Contact: Art Resnick Purchasing Agent II 954-344-1100 3 $950,000.00 $135,558.00 AMOUNT: $700,000.00 AMOUNT: $ 1,239,469.00 $ 769,113.00 AMOUNT $317,652.00 Dec. 2003 Sep.2001 COMPLETION: Oct. 2004 COMPLETION: Dec 2006 Dec. 2006 Oct. 2006 COMPLETION March 2007 --- Project: AMOUNT COMPLETION -Creation of Wetland Area $1,174,770.60 Oct 2007 City Of Deerfield Contact: Dennis Girisgen Assistant City Engineer 954-480-4269 Proiect : AMOUNT COMPLETION -Streetscape Improvements $269,999.00 Dec 2006 City of Lauderdale Lakes Contact: Phil A Alleyene Office of Engineer 954-562-2970 Proiect : AMOUNT COMPLETION -C-13 Greenway Trail $721,997.00 Dec 2006 City of Lauderdale Hill Contact: Judith Higgins 954-730-3010 Proiect : AMOUNT COMPLETION Wolk Park Improvements $315,149.80 Dec 2006 Department of Transport Contact: Jorge Ortiz Project Coordinator 954-421-8080 Proiect : AMOUNT COMPLETION -SR 824 Pembroke Rd. $4,823.222.45 Jun 2007 4 STATE OF FLORIDA DEPARTMEN'l' OT! BUSINESS AND PROT!ESSIQ)TAL REGULATION . . ~' CONSTRUCTION INDUSTRY LICENSING BOARD (850) 481-1395 1940 NORTH MONROE STREET ~ALLAHASSEB T!L 32399-0783 2RITCKARD, CALVIN E TENEX 8NTERPRISES INC 771 RANCH RD. WESTON FL 33326 . .___.... '4__~._"~"____~_"___~'.-'___'" __..._..._......... ._~.__,._______ ,. ...._..._. . ....._._..____....._ "'. '__'"U ... 'U._ DETACH HERE I I I I I I I I I I I I I I I I I I I SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER O~ THS. 1. This sworn statement is submitted to Co \ J,... Y J. s u '" '" tv t s LEOS e E Il C \-( _ [print name of the l1ublic enti y] by \-\ 'A'M.'1 C;) ~ C) u LA ~~ ? r"'12 .;;,~. t:lo _1:: [print individual's name and title] ~ co r for --rf! H f:(j.. . f:";./ rt: It e <<..1 t)E ~ ~ 1,.( ~. [print name of entity submitting sworn statement] whose business address is Co tlT-t- , ~~~ (>Q"'~ C:> e~ J.. ~ '5 Ie) Fl. ~ . w. \~. 3.3068 and (if applicable) its Federal Employer Identification Number (FEIN) is (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: .) 2. I understand that a "public entity crime" as defined in 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 of the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1 )(b), Florida Statues, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1 )(a), Florida Statutes, means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph 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 "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. Final Version 6/07 00402-1 03-4197 I I I I I I I I I I I I I I I I I I I 6. Based on information and belief, the statement which I have marked below is true in relation to the ent" submitting this sworn statement. [Indicate which statement applies] / Neither the entity submitting this sworn statement, nor any of its 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, 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, nor any 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 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 T~MetJNJ' PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGO ~O OF ANY CHANGE', IN THE INFORMATION CONTAINED IN THIS FORM. \ " Sworn to and subscribed before me this (B day of ,2007 Personally known v' OR Produced identification I c - ~ate of -.33 on do (Type of identification) - ..__H __ ~#~::~~'c 1,,~nl'1 ~;~I!\~A LATIEGUE ~: "tb..: :'~ MY C()MIvII,,::;:~)N # DO 638227 ~~~i;': EXFIRES; Junil 9. 2011 -:"'.!lr,,~;,~" [hnder. Tllru "Jcta,y P'ubhc UI~derwrners My commission expires Final Version 6/07 03-4197 00402-2 , I I I I I I I I I I I I I I I I I I I DOCUMENT 00403 TRENCH SAFETY ACT (90-96, Laws of Florida) Bidder acknowledges that included in the appropriate bid items of the proposal and in the Total Bid Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of Florida) effective October 1, 1990. The bidder further identifies the costs of such compliance to be summarized below: If applicable, the Contractor certifies that all trench excavation done within his control in excess of five feet in depth shall be in accordance with the Florida Department of Transportation's Special Provisions Article 125-1 and Subarticle 125-4.1 (TRENCH EXCAVATION SAFETY SYSTEM AND SHORING, SPECIAL - TRENCH EXCAVATION). Failure to complete the above may result in the bid being declared non-responsive. Contractor agrees that the above safety comPlianCe~ftct e In IS (~ ~. -~~ Signature of Bidding Contractor END OF DOCUMENT Final Version 6/07 00403-1 03-4197 I I I I I I I I I I I I I I I I I I I I DOCUMENT 00420 INFORMATION REQUIRED FROM BIDDERS GENERAL INFORMATION The Bidder shall furnish the following information. Failure to comply with this requirement may cause its rejection. Additional sheets shall be attached as required. 1. Contractor's Name/Addres.:; ~~_:F === ,:L1\lt.. ~~F~~ ~ ~I Contractor's Telephone Number: q54- 788 -B I 00 2. 3. C~ntractor's L~cen~e: -' c;. c: " I ~ l:l 5 . ~e (\ tL Yt:\A, C.' J../ t?.: ~ I Pnmary ClaSSification: (" . e.- '1--4'" r; c ./. ."';) . i (vJ<;:.. r L . Number of years as a Contractor in construction work of the type involved in this Contract: 1 G '1tl14:(!1. List the names and titles of all officers of Contractor's firm: ~ ~z>id..an -r S,C1e~ .~ . 4. 5. -+-\ am i d +au ~Qd.i . Hi ita \.1annfYludi 6. Name of person who inspected site or proposed work for your firm: Name: -\-\am ,do +011 \n~' Date of Inspection: 2..-., Jure. '2007 7. What is the last project of this nature you have completed? ~e ~itAatF=D 8. Have you ever failed to complete work awarded to you; if so, where and why? NO Final Version 6/07 00420-1 03-4197 I I I I I I I I I I I I I I I I I I I 9. Name three individuals or corporations for which you have performed work and to which you refer: 5-E.E. ~~. 10. List the following information concerning all contracts on hand as of the date of submission of this proposal. (In case of co-venture, list the information for all co-ventures). NAME OF PROJECT TOTAL CONTRACT VALUE CONTRACTED DATE OF COMPLETION % COMPLETION TO DATE CITY 5 Et=; A~ (Continue list on inset sheet, if necessary) 11. What equipment do you own that is available for the work? CO\'Y\him-\-;on I 'Ko\\Qr, Load!u 11Jn/~ I G ro.d.er, ~~ r~v-a tof . ~obcaJ . Ib~ , . 12. What equipment will you purchase for the proposed work? l-J/A NOTE: Attach additional sheets if required. If requested by the City, the Bidd~r shall furnish a notarized financial statement, references and other information, sufficiently comprehensive to permit an appraisal of his current financial condition. Final Version 6/07 00420-2 03-4197 I I I I I I I I I I I I I I I I I I I LIST OF SUBCONTRACTORS The Bidder SHALL list below the name and address of each Subcontractor who will perform work under this Contract in excess of one-half percent of the total bid price, and shall also list the portion of the work which will be done by such Subcontractor. After the opening of Proposals, changes or substitutions will be allowed with written approval of the City of Sunny Isles Beach. Subcontractors must be properly licensed. Work to be Performed _ -A s ? \\ 'Pre\--. ~~.'lQ..J.. , ~-\-"(~ ~ ,'- ~~~ fi 2. -\- :::j \ l,. -( -'- . J .. Subcontractor's NamelAddress GQ,,--v...1 ~~~h&\(;4 \-\ \. G ok. "\ c- c. \1, ~~ 'I\IG, (oN C. ~ :~~~:~;xt~~~'y 1. 3. 4. 5. 6. 7. 8. 9. 10. NOTE: Attach additional sheets if required. Final Version 6/07 00420-3 03-4197 I I I I I I I I I I I I I I I I I I I CERTIFICATE AS TO CORPORATE PRINCIPAL , certify that I am the })r€5 i ('\Qn 1" I, ~amlrl~ladi TEN.~X EN+E-e.PeJSES .~ and that \4. ~ ~ ~ f=" II> " L A ~.'\ , who signed the Bid with City of Sunny Isles, ,,1. ~4-. R 6"'-~ 1. W\ ~ I City Bid No. of Dade County Florida for IS ?rL~ ,'~eA 07- 05-01 of said Corporation with full authority to sign said Bid on behalf of the Corporation. Signed and sealed this 2(; day of Ju~ (SEAL) ~ -- Signature '- - --> +\amid "fVuladi · Typed wlTitle STATE OF FLORIDA COUNTY OF DADE SWORN TO AND SUBSCRIBED before me this 26 day of Juflr ,2001 ",,-:;,~::~._, MARIA LILIANA LATIEGUE ~"f-~"f'\ MY COMMISSION H DO 638227 My Commission Expires: ~.~.~:J EXPIRES: June 9, 2011 -",X"of'.<f,'? Bonded ThN No~ry Public Und.lWrI1ers -.9f"," Final Version 6/07 00500-8 03-4197 I I I I I I I I I I I I I I I I I I I CERTIFICATE AS TO AUTHORIZED CORPORATE PERSONNEL I, +\amld -+;;-uladi , certify that I am the Vre5id..en't- of T ENex 'Er-..)-tE~ pkti SF'. ..:::ct....r' who signed the Bid with City of Sunny Isles Beach, Dade County Florida for the project titled \1Znd streeT 'RoadLU~ Tmrmuernenh , Consultant Project No. () '3 _loll q] and that the following persons have the authority to sign payment requests on behalf of the Corporation: ~Qmid ~loOi \\'-e()iden-r (Signature) (Typed Name wlTitle) (Signature) (Typed Name wlTitle) (Signature) Signed and sealed this ..2f:L day of -1.t I f\P (Typed Name wlTitle) ,2007 ~ c~ ____oJ (SEAL) "- Signature ---p reS i&('\T Typed w/Title STATE OF FLORIDA COUNTY OF DADE SWORN TO AND SUBSCRIBED before me this 2G day of June.. ,2007 My Commission Expires: .......... ,M,RiiCIUANP. L~.T1EGUE A~f.A.' ~.y~~;~ MY 'COMMISSION ~ DO 638227 ~~; 11iiIi :<~ EXPII4ES'June 9. 2011 "~~;"~~~i r.0;VJa:' \l~r'..! NNll~ Pnbllr. IJnoaMTlters "':~~";;7~::... " ,..\:"...~;-'~~;';;;-" Final Version 6/07 00500-9 03-4197