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HomeMy WebLinkAboutBeiswenger, H & A . III . ~ . . 1:1 l: III PROFESSIONAL GENERAL ENGINEERING CONSULTANT . . . ~ . . . . . . . . . . . . . ORIGINAL REQUEST FOR QUALIFICATIONS NO. 07-07.01 CITY OF SUNNY ISLES BEACH MIAMI-DADE COUNTY, FLORIDA .. I I. I . '. Beiswenger, Hoch and Associates, Inc. I · August 22. 2007 . ~'" AUG 222007 ~9 CITY OF SUNNY ISLES BEACH OFFICE OF THE CITY CLERK . . . . . . . . . . . . . . . . . . . . . I '. I .. I .. I . !. I I '. . I. I :. I . . '\fL, ~, ~~O~~~~@~~9 [f{](Q)(Q:[f{] ffi\~[Q) ffi\~~(Q)(Q:Offi\IY~~9 O~(Q:D 1. Name, address, company and persons having financial interest in firm Beiswenger, Hoch & Associates, Inc. (BHA) headquarters is located at 510 Shotgun Road, Suite 400, Sunrise, FL 33326 and has a branch office at 1190 NE 163rd Street, Suite 203, North Miami Beach, FL 33162. BHA was incorporated in 1955 in the State of Florida. BHA provides comprehensive architectural building services and civil and structural services for roadway and bridge projects. The annual revenues for the past two years are $7,442,511 (2006) and $8,983,091 (2005). The 2005 revenue is somewhat higher than 2006 revenue due to our being in 2004-2005 the Architect and General Contractor in the design and construction of our headquarters office building. Persons having a financial interest in Beiswenger, Hoch & Associates include: Francisco A. Norona, President 2255 Antilia Avenue Davie, FL 33324 Gabriel F. Norona, Vice President 11900 NW 8th Street Plantation, FL 33325 Maria G. Alvarino, Secretary 7774 NW 168th Terrace Miami Lakes, FL 33016 1 . . . . . - . . - . - . - . . . . - . . - . - I. . I- ,- I- ~) l' ~ ,. . t ~~O~~~[N]@~~9 O=O(Q)~O=O ~[N][Q) ~~~(Q)~~~lF~~9 O[N]~c 2. A list of all projects (including government projects) a. Reference Project Name/Address: City of Sunny Isles Beach, Florida Reference Project Description: Central Island Drainage and Street Improvements Scope of Services Provided: Value engineering of existing drainage design, evaluation of drainage alternative, preliminary design final pavement rehabilitation and drainage design using deep wells and technical assistance during bidding process. Project Start Date: Jan. 2004 Project Completion Date: Aug. 2007 Estimated Construction Completion Date: October 2008 Estimated $ 4.5 million - . I I ,- .. Professional Fees: $ 203,680.00 Construction Start Date: July, 2007 Project Construction Cost: Reference Company Name: City of Sunny Isles Beach, Rick Conner, 305-947-0606, Fax 305-792- 1564, email: rconner@sibf.net Beiswenger, Hoch and Associates was invited to evaluate a previously design stormwater drainage system. BHA evaluated that system and upon an environmental, feasibility and cost evaluation, recommended for a new design using a series of drainage wells interconnected for flow equalization. The system recommended by BHA eliminated direct outfalls to the ecological sensitive Dumbfoundling Bay. This drainage and street improvement project is part of the Comprehensive Plan to alleviate flooding problems throughout the City of Sunny Isles Beach. BHA's approach to solve the flooding problems of the Central Island neighborhood was to utilize Drainage wells. This drainage and street improvement project is the first of its kind to utilize 22 Storm water Drainage Wells for flood control. The injection wells are modeled to equalize runoff injection to the water table. b. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $ 448,864.00 Construction Start Date: 3/2002 Project Construction Cost: Reference Company Name: City of Sunny Isles Beach, Florida Golden Shores drainage and street improvements Survey, street widening and revised preliminary and final design and construction inspection. Project Start Date: Nov.2000 Project Completion Date: Mar. 2003 Construction Completion Date: Jan. 15, 2003 $ 3,449,896.56 City of Sunny Isles Beach, James Watts, 305-947-0606, Fax 305-792- 1564 2 . . . . . . . . . . . . . . . . - . - - . - - - I- I- I I- I '. I I . . . . The City of Sunny Isles Beach was experiencing drainage problems with the recently completed storm drainage pumping system built in the Golden Shores neighborhood. The objective of this project was to identify and quantify alternative methods to remedy the current problems: Drainage evaluation, final design and technical construction assistance to the City were included in this project: The project encompassed four phases of development. BHA provided consulting engineering services for all phases listed below: Phase I: Flood control study and evaluation of the existing storm sewer system and pumping station. Completed on January 2001. Phase II: Photogrammetric and planimetric mapping of this 80 acre site, pavement condition survey, plan production for the reconstruction of the storm sewer system, street widening and signalization. This phase also included the electro-mechanical refurbishment of the pumping station and new flood control staging. Storm sewer rehabilitation using epoxy resins and polyester liner was utilized. The 9,100 linear feet of storm sewer "cured in place piping" (CIPP) rehabilitation process is considered the largest of its kind in the US and was published on the July 2002 issue of the "Trench less Technology" magazine. Drainage problem in one section of this neighborhood was accomplished by using four (4) Storm Drainage Wells. Phase III: Technical assistance to the City of Sunny Isles Beach for letting and bidding process for the implementation of this 3.5 million construction cost project. Completed on October 2001. Phase IV: Consulting engineering services for the construction supervision (CEI) for the construction of this project. Completed on January 2003. c. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $ 55,651.20 Construction Start Date: 3/2006 Project Construction Cost: Reference Company Name: NE 12'h Ave from NE 149th to NE 16ih Streets, North Miami Beach, FL, Miami-Dade County Street widening, including pavement reconstruction, new drainage system and signing and marking and three (3) signalized intersections. Topographical survey, final geometric design of street widening and intersections. Drainage system by exfiltration. Pavement signing and marking and signalization at NE 159th, NE 163rd and NE 16ih Streets. Project Start Date: July 2003 Project Completion Date: May 2005 Construction Completion Date: March 2007 $ 3.2 Million (allocated) Miami-Dade County Public Works Department, Lana Moorey, 305-375- 2863, Fax 305-679-7738, E-mail: lana@miamidade.Qov Engineering. Pavement reconstruction, drainage design, utility relocation, landscaping restoration. Project includes: Final Design of 1.13 miles of street reconstruction; 4,200 If of 36" exfiltration system; 85 drainage structures; signing and marking and 3 signalized intersections. Project involved coordination with city of North Miami Beach development program, utility coordination. Also coordination with Florida Department of Transportation (FDOT) for signalization and resurfacing work on NW 163m Street. 3 . . . - . - . . . . . - . . . . . - . I. I I- . - . . . . . ,- . ,- .. I ;. d. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $1,003,50 Construction Start Date: 3/2008 State Road 816 (Oakland Park Boulevard) Milling and Resurfacing from Powerline Road to Bayview Drive Milling and resurfacing, signing, pavement marking, signal modification Project Start Date: Jan.2004 Project Completion Date: June 2007 Construction Completion Date: March 2009 Estimated Construction Cost: $ 6,900,000 Reference Company Name: FDOT District 4, Ronald Wallace, PE, 954-777-4641, E- mail: ronald. wallace@dot.state.fl.us The project entails milling and resurfacing of the existing pavement. Addressing safety concerns and bringing other roadway and structure features up to the current resurfacing, restoration and rehabilitation (RRR) guidelines and standards. In addition, landscaping enhancements will be developed along the corridor's median. Furthermore, the existing span wire traffic signals located at Andrews and NE 6th Avenue will be upgraded to mast arms. e. Reference Project Name/Address: SR 25/0keechobee Road, Hialeah, FL Reference Project Description: Scope of Services Provided: Professional Fees: $ 3,039,706 Construction Start Date: 2004 Roadway widening 4 to 6 lanes and bulkhead. Final roadway, drainage and bulkhead design. Project Start Date: 1995 Project Completion Date: 2004 Construction Completion Date: 2006 $ 48,000,000 FDOT District 6, Luis Tellechea, 305-470-5471, Fax 305-470-6725, E- mail: luis.tellechea@dot.state.fl.us Engineering. Urban highway and drainage design. Open tunnel under the Railroad crossing at Okeechobee Road Bulkhead along canal. This urban roadway project located in the City of Hialeah, consisted of 1.5 miles of six-lane design from SR 826 to W. 1 ih Avenue. The roadway design included drainage, lighting, signing and marking and _ signalization. The drainage system consisted of continuous French drain system. The depressed section being below the nearby Miami Canal normal water level required the design .of triplex wet well pumping station. Project Construction Cost: Reference Company Name: f. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $ 300,000 Construction Start Date: 10/2005 Project Construction Cost: Reference Company Name: NE 1st and NE 2nd Avenue from NE 5th Street to NE 11th Street in the City of Miami Milling and Resurfacing of NE 1st and NE 2nd Avenue from NE 5th Street to NE 11 th Street. Roadway design for milling and resurfacing, signing, pavement marking, signal modification Project Start Date: Aug.2002 Project Completion Date: June 2005 Construction Completion Date: 2007 $ 2,000,000 Miami-Dade County, Leo ana, PE, 305-375-1909 4 . . . . . . . . . . . . . . . . . . . . . ,. . . . I I: l~ I . . '. I '. I This project in the a heavily urbanized section of downtown Miami included pavement milling and resurfacing, re-design of two intersections, drainage modifications, permitting, pavement marking and signing, signal modifications, utility coordination and RR coordination. The picture shown below is taken before construction and shows N E 1 5t Avenue looking north to N E 11 th Street. SR-9A11-95 New Port Access Ramp to Westbound SR-836 PD&E Study PD&E study for Port of Miami Access via NE/NW 5th and 6th Streets and Access Ramps and NW 6th and 8th Streets Develop NB on-ramp to 1-95 and SR 836 WB from NW 6th Street; improvements to NW 5th Street for one-way EB and NW 6th Street for one-way WB, improvements to NB on-ramp to 1-95 from NW 8th Street and from SB & NB SW 3rt! Avenue Project Start Date: 2001 Project Completion Date: 2003 Construction Completion Date: $ 30 Million FOOT-District 6, Ana Arvelo, PE, 305-470-5210, Fax 305-470-5547, E- This project was undertaken for FOOT with the support of Miami-Dade County and the City of Miami to study ways of providing a more direct access from the Port of Miami and from the City of Miami to WB SR 836. The project aimed to improve the present situation where cargo trucks use NW 1 st Avenue, NW 2nd Avenue, Biscayne Boulevard, NW 5th Street, NW 6th Street and other Downtown Miami streets in an unregulated way that contributes to traffic congestion, noise and air contamination and safety concerns. Beneficiaries of the project would be the Port of Miami, residents and businesses in the Miami downtown area and the public at large that travel in this part of Miami-Dade County. As part of the project an extensive traffic study was undertaken by BHA and BHA's subconsultant Miller Consulting (now TRANSYSTEMS) in which AADT and peak hour traffic volumes were collected for most of the streets and intersections that comprise the grid from NW 3rt! Street to NW 14th Street and from NW ih Avenue to Biscayne Boulevard. The collected data was analyzed and alternative corridor schemes were evaluated, with the recommended alternative being the designation -after street improvements- of NW 5th and NW 6th Streets as one-way pairs in combination with a proposed NB on-ramp to 1-95. An improvement was developed to the present NB ramp to 1-95 NB from NW 8th Street in which trucks would have the required vertical clearance under the bridge just north of NW 8th Street. A right-turn SB to NB loop ramp from SB NW 3rt! Avenue traffic to the existing NB on-ramp from NW 8th Street g. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $ 500,000 Construction Start Date: not started Project Construction Cost: Reference Company Name: mail: ana.arvelo@dot.stateJl.us - , . , ."'~' ,~~';i';""-' ~-;~ . ~p ,. . . " _ ' ,.70 " ' ' ,,"c ,- . ..:. , ,> /" ',,-~ /;."f!t ,.~ ' ;c? ~-.;~9~5') 'r '." ~-=~~ - ~~"\;~ ,~-.." ," ,-' - ,,_::..~-: ..... __....... ~~' il ~.....\ ___.' ~~ _>'\":~1!'~' -:::-'"'" , ",.,._.. <, _. ,~ . :C'. ~ "." ,,,, ~,. '" - ", ~ ~"",-" -,~..;.' .~,' . ,.) ,..,Ct.< " '. ' .'-*" ,..,~,.-., .,' .? I' .,,~, ~, ",..,.,.' ,",,"~ ' .,' ' ..s' " ,', ,,', '."::' .~.;;;' -i'!..' .' "" ,:..' ",,;-."~'.... .~>. "" '. ' ' ., " 'J. <;'-' ..k' ~' ,<_.", "",,' c"- y; /, _ ..,.>d~' ..~' '"" ,;'" ' l.~~'-" ~ " ' ,; . , " - .., ~'" ' ,.' ,,- ",/i<. '" ..." ' .. "" ,.. .? .' u", ","'b~' ;' L""" ~,.'" .' ,", - ~~. , .. -",,-. *.:.;. <,,>,' .If!i. ""... ,e;;-"1 ",<-' , "",. . 395", f" ,"'" . ,p"'."t ',9 ','.' ~ ' . ~::-;" ~ ,,\ . y' _~"." .~~'" ~ t~ \\!r.~ ..~.. '. '\::~ No/ "~~."..t~'\.,,.:;.. ,,~'J '-. ~ ~-;.. r~ . :. --,(\ ~ /~~_~M~~' ~ . . ' . .~ .......... ,~\ .'J"" j~, . ~J"';\}'\~T' " . ~b:!:mD .' ..' ...... _--==:==0 ..:":.==- Alternate C olTldora Figure 7-1 5 . . . . . . . . . . . . . . . . . . . . . - I . I I- .. . I. . . . . . was also included as a recommendation in the Study (see inset photo looking north along NW 3rd Avenue from NW 8th Street). The total effort included traffic engineering studies, traffic signal timing, signing pavement marking and signalization, highway design, traffic counts, and general civil engineering. We also undertook an extensive Public Involvement effort that included more that fifty meetings with various representatives of the project neighbors, businesses and community leaders, as many aspects of the project was initially met with opposition from the local residents. h. Reference Project Name/Address: Reference Project Description: Scope of Services Provided: Professional Fees: $325,000 Construction Start Date: 1/2006 Estimated Construction Cost: Reference Company Name: SR-5/ Brickell Avenue, Miami-Dade County, FL Roadway and Bridge Design All Disciplines Project Start Date: 8/2004 Project Completion Date: 8/2005 Construction Completion Date: 10/2006 $ 3,500,000 FDOT District 6, Luis Tellechea, 305-470-5471, Fax 305-470-6725, E- mail: luis.tellechea@dot.state.f1.us This project in downtown Miami is the widening of SR 5 / Brickell Avenue to add an additional lane over the Miami River. The work included roadway design, drainage, signing and marking, signalization. lighting and bridge design. A widening of the north approach span to accommodate an additional lane of traffic with modified AASHTO Type VI beam designed by the LRFD Method. BHA prepared the Bridge Development Report, 30% Plans and Final Plans. Also due to the close proximity of the construction of the Dupont Plaza Towers special MSE walls and pier footings were detailed in order not to encroach into the right-of-way 6 . . . . . . . . . . . . . . . . . I- I I. . ~ a . . . . . . . - I I- I- I III -0 Q) .... co Q. Q) .... a... Q) co o M r-- o o N Ci5 :::l 0) :::l <:t: -0 Q) .s= .!!? :0 co Ci5 W E .... u:: "E Q) 00 Q) 0:: .... .co Q) >- l!) l!) 0"> ..- N .,f c.S C en 00 Q) .... -0 -0 <:t: 00 00 Q) C '00 :::l en Q) E co z E u:: 00 N 2C'?<O co 0"- .- N C'? gQ)C'? VJ ;!:::: co OO:::l-o <:t: (/) .~ -0 -- C(j)LL COQ) - .s=.....s= uU5al O-oQ) I....en _C'? Q; ~.E ~w.~ Q)z~ ~o.s= .!!? 0"> t Q) ..- 0 en..-z 0......... 0:: LL ~ <!..Cf) 0""""- Z:2: I 1"'\ <!.. 0:: ~ '" t- 0 I""'- I Cf) LL \, 'I Q) :0 co .~ 0.. Q. co ~ "i o Q3 .a .:s:. U Q) .s= U -0 C co Q. :.c 00 Q; C ~ o - o Q) Q. C ~ '(3 Q) Q. (/) C .Q co .... o Q. .... o o i ~ .~ g .!!? & .~ :g ~ Ci5 .1 1 i d ~ Q) ';ii = ~ >- ~ ] ~ ~ -0: ro u >. 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Q) U :> Oi en ::l Q) o co t Q) .a o 0:: Q) ;; i= "C C cu Q) E cu Z "C Q) 0. >, f- u o "0 u g 'B <5 .,; '" .,; '" Q) .... ::l rn c Ol (j) eo 0. ~ '5 ~ I ~ ] ..2 ,;; <; 8- e 0. 52 ...- ...- . . . . . . . . . . . . . . . . . . . . I '. I .. '. I I I. .. I . I I. I. I . ~ ~.\ i ) , ~~O~\Wl~[f{]@~~9 [}{]@~[K] ~[f{][Q) ~~~@~O~l~~~\ O[f{]~o 5.- Name, title, qualifications, experience, and contact information Robert J. Filusch, Project Manager Registered Professional Engineer in the State of Florida No. 25129 Registered Professional Engineer in the State of Ohio No. E041926 Practicing Roadway Engineering since 1977 (30 years), Refer to Form 254 for detailed experience. Contact information: Beiswenger, Hoch & Associates, Inc. (BHA) headquarters located at 510 Shotgun Road, Suite 400, Sunrise, FL 33326 and branch office at 1190 NE 163rd Street, Suite 203, North Miami Beach, FL 33162. Telephone: 9543342748 (Direct Line) Fax: 954 334 2800 Email address:bobf@bhaenaineers.com Web site: www.bhaenaineers.com I. I I. I 7 . . - . . . . . - . . . . . ,. I I. I I- I I '. I I- .. , I- I- I. I. I I. I. I I- I ,. I . . . ~ - 'L, ~. ~[gn~~[gINl@[g~p [}{]@~[}{] ~[M[Q) ~~~@~~~lF[g~p n[M~D 6. Listing of the proposed personnel to be assigned to the City's various potential projects, including their qualifications and experience. Robert J. Filusch, PE, Project Manager Qualification: BSCE, University of Cincinnati, 1971. Registration: Florida PE-25129; Ohio, PE-E041926 Experience: 30 years with BHA (refer to form 255, page 6) Soheila Sadough, PhD, PE, Senior Bridge Engineer Qualification: PhD, University of Miami, 1988. Registration: Florida PE-44130 Experience: 19 years with BHA (refer to form 255, page 6) Joseph Rojas, MS, Senior Highway Engineer Qualification: MSCE, University of Miami, 1986 Registration: Florida -In process of Renewing Experience: 21 years with BHA (refer to form 255, page 6) Manuel Vega, MS, PE, Senior Drainage Engineer Qualification: MSCE, (Hydraulics), University of Nebraska, 1977, MSCE (Environmental), University of Michigan, 1983 Registration: Florida PE-40695; Michigan PE-32117 Experience: 2 years with BHA (refer to form 255, page 6) Felix Cebrecos, MS, Transportation Planner, Traffic Engineer Qualification: MS Urban-Regional Planning, University of Ohio, 1987 MSCE Environmental, Wisconsin University, 1975 Post Graduate/Mass Transportation, Switzerland, 1978 Experience: 18 years with BHA (refer to form 255, page 6) Gustavo Garrido, MS, Cost Estimator Qualification: MSCE (Structural Engineer) Universidad Catolica, Peru, 1992 Experience: 3 years at BHA (refer to form 255, page 6) Andres R. Sanchez, Construction Inspector Qualification: BSCE, Environmental, University of Florida, 1985 Drilling Rig Supervisor, 1990 Registration: Florida CGC 1510667 Experience: . 6 years with BHA (refer to form 255, page 6) Louis Belmonte, PE, PLS, Constructability Engineer Qualification: BSCE, University of Pennsylvania, Registration: Florida PE-38375; Pennsylvania PE-13761 E; Florida CGC-369224 Pennsylvania PLS-7078E Experience: 22 years at BHA (refer to form 255, page 6) Raul B. Rodriguez, PE, PLS Land Surveyor and ROW Engineer Qualification: BSCE University of Habana, 1954 Registration: Florida (in process of renewal) Experience: 38 years at BHA (refer to form 255, page 6) 8 . . . . . . . . . . . . . . . . . . I. . I. ,- .. . . - , '- I I. I- - - - SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (A), FLORIDA STATUES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHOIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to City of Sunny Isles Beach. Miami-Dade County. FL by: Robert B. Deuser, Vice President (print individual's name and title) for: Beiswenger, Hoch and Associates, Inc. (print name of entity submitting sworn statement) Whose business address is: 510 Shotgun Road, Suite 400, Sunrise, FL 33326 and (if applicable) its Federal Employer Identification Number (FEIN) is: 59-0751610 (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 misrepresentations. 3. I understand that "convicted" or "conviction" as defined in Paragraph 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 guild, 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, non-jury trial, or entry of a plea of guilty or nolo contendere. 4. In understand that an "affiliate" as defined in Paragraph 287 . 133(l)(a), Florida Statues, means A. A predecessor or successor of a person convicted of a public entity crime; or B. 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, executive, 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 and 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 Statues, 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. . . . . . . . . . . . . . . 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 relations to the entity 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 I, 1989. D 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. D 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 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 SUBMISSIONOF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 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 AMOUTN PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM ~A. ~~~ SIGNATURE OF AFFIANT Robert B. Deuser, Vice President (Printed or Typed Legal Name of Affiant) State of Florida Broward County of Sworn to and subscribed before me this 20th day of August , 2007 by Robert B. Deuser, Vice President Linda S. Scotece cJ ;/. Notary's Name Printe , Stamped or Typed Notary Seal: ","If'f" .~-;,,;r.Y.M', !~&"';6', "'.. -.'"' ~:. }<!:~ "-1i:.....;t.l , 'Rrn~'\ LINDA S. SCOTECE MY COMMISSION # 00 240707 EXPIRES: December 13, 2007 Bonded ThIU Notary Pttllic Underwrlters Personally Known: X Identification Produced Or Produced Identification . . . . . . . . . . . . I. I I. . . . . . . . . . . . . - .. . I I- I. . NON-COLLUSIVE AFFIDA VIT State of Florida) County of Broward ) Robert B. Deuser, Vice President, Beiswenger, Hoch & Associates, Inc. being first duly sworn, deposes and says that: (1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has submitted the attached Bid; (2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid; (3) Such Bid is genuine and is not a collusive or sham Bid; (4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any Bidder, firm, or person to fix the price or prices in the attached Bid or of another Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to secure through an collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of Sunny Isles Beach, Florida, or any person interested in the proposed Work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, representatives, owners, employees or parties in interest, including this Affiant. ~U~- ~ SIGNATURE OF AFFIANT Robert B. Deuser, Vice President (Printed or Typed Legal Name of Affiant) County of Broward State of Florida Sworn to and subscribed before me this 20th day of August , 2007 by Robert B. Deuser, Vice President Linda S. Scotece Notary's Name Printe , Notary Seal: i~f~:g~~ MY c~~~~s~i~~g~40707 ~.~.jl'f EXPIRES: December 13,2007 11'~;,~r:~"cf-."'''' Bonded Thru Nltary Public Underwriters Personally Known: X Identification Produced Or Produced Identification