HomeMy WebLinkAboutGreen Construction Technologies
SR AlA/Collins Avenue Streetscape
(From 187th Street to Wm Lehman Causeway)
BID SPECIFICATIONS
Invitation to Bid No. 08-10-01
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Publish Date:
November 17, 2009
Mandatory Pre-Bid Conference:
December 1, 2008 at 2:00 PM
Bid Due and Bid Opening Date:
December 8,2008 at 11:30 AM
Sunny Isles Beach Government Center
18070 Collins Avenue
Sunny Isles Beach, Florida 33160
Prepared by:
O'Leary Richards Design Associates, Inc.
Landscape Architecture & Planning
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SECTION 3
LEGAL ADVERTISEMENT
NOTICE TO BIDDERS
NOTICE IS HEREBY GIVEN that the City of Sunny Isles Beach is seeking sealed bids for the following
work as specified.
SR AlA/Collins Avenue Streetscape Improvements
(from 187th Street to Wm Lehman Causeway)
Invitation to Bid No. 08-10-01
The Bid Documents for this Invitation to Bid are available from DemandStar by calling (800) 711-1712
or by accessing their website at www.demandstar.com. The Bid Specifications may also be examined
at the City of Sunny Isles Beach - Office of the City Clerk. Vendors who obtain the Bid Documents
from sources other than DemandStar or the City of Sunny Isles Beach are cautioned that their bid
response package may be incomplete. Addenda will be posted and disseminated by DemandStar at
least five days prior to the submittal date to all vendors who are listed on the official list. The City
may not accept incomplete proposals.
Bids shall be on a unit price basis; segregated bids will not be accepted. Sealed bids will be received
by the City Clerk no later than 11:30 AM. on Mondav. December 8. 2008 at the Sunny Isles Beach
Government Center located at 18070 Collins Avenue, 4th floor, Sunny Isles Beach, Florida, 33160. Bids
received after this time will not be considered. The City is under no obligation to return bids. Timely
submitted bids will be opened publicly and read aloud at this time.
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The envelope containing the sealed bid must be clearly marked:
"IMPORTANT, BID ENCLOSED"
Bid No. 08-10-01
SR AlA/Collins Avenue Streetscape Improvements
(from 187th Street to Wm Lehman Causeway)
OPENING DATE AND TIME: 12/8/08 at 11:30 AM
Bid security in the amount of five percent (5%) of the TOTAL BID must accompany the Bid in
accordance with the Instructions to Bidders.
A MANDATORY Pre-Bid Conference for all potential Bidders is set for 2:00 P.M. on Monday,
December 1, 2008 in the First Floor Conference Room at the City of Sunny Isles Beach, Sunny Isles
Beach Governmental Center located at 18070 Collins Avenue, Sunny Isles Beach, Florida 33160.
The Owner reserves the right to reject any or all Bids, with or without cause, to waive technical errors
and informalities, and to accept the Bid, which best serves the interest of the Owner.
All questions regarding Invitation to Bid No. 08-10-01 are to be directed in writinq to Rick Conner,
Engineering & Public Works Director, using email address:rconner@lsibfl.net. Any questions or
clarifications concerning the Bid Specifications must be made to Rick Conner - Engineering & Public
Works Director, in writing, at least five (5) business days prior to the date of the Bid opening.
Jane Hines, CMC, City Clerk
City of Sunny Isles Beach
Publish Date: November 17. 2008
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END OF SECTION
PAGE 4 OF 130
BID No. 08-10-01
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SECTION 7
BID RESPONSE SHEET
THIS BID IS SUBMmED TO:
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, Florida 33160
Bid No. 08-10-01 for
SR AlA/Collins Avenue Streetscape Improvements
The undersigned Bidder proposes and agrees, if this Bid is accepted, to enter into an agreement with The
City of Sunny Isles Beach in the form included in the Contract Documents 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.
7.1. The Bidder accepts all of the terms and conditions of the Advertisement or Invitation to Bid and
Instructions to Bidder's, 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 with the Bonds and other documents required by the Bidding
Requirements within ten days after the date of the City's Notice of Award.
7.2. In submitting this Bid, the Bidder represents, as more fully set forth in the Agreement, that:
7.2.1. Bidder has examined copies of all the Bidding Documents and of the following Addenda
(receipt of all which is hereby acknowledged.)
Addendum No. I Dated: {\ 0 \A.t-.
Addendum No. bl,c..e., ~-hwr. l1Jebated: YVt'Y\-t.
Addendum No. rd?\A I'YjlrILAff.,\ Dated: r\...{)y'-c.
Addendum No. Dated: n,nv__.
7.2.2. 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.
7.2.3. The Bidder has studied carefully all reports and drawings of subsurface conditions and
drawings of physical conditions.
7.2.4. The Bidder has obtained and carefully studied (or assumes responsibility for obtaining
and carefully studying) all such examinations, investigations, explorations, tests and
studies (in addition to or to supplement those referred to in (c) above) which pertain to
the subsurface or physical conditions at the site or otherwise may affect the cost,
progress, performance, or furnishing of the Work at the Contract Price, within the
Contract Time and in accordance with the other terms and conditions of the Contract
Documents, and no additional examinations, investigations, explorations, tests, reports or
similar information or data are or will be required by Bidder for such purposes.
7.2.5. Bidder has reviewed and checked all information and data shown or indicated on the
Contract Documents with respect to existing Underground Facilities at or continuous to
the site and assumes responsibility for the accurate location of said Underground
Facilities. No additional examinations, investigations, explorations, tests, report or similar
information or data in respect of said Underground Facilities are or will be required by
PAGE 39 OF 130
BID No. 08-10-01
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Bidder in order to perform and furnish the Work at the Contract Price, within the Contract
Time and in accordance with other terms and conditions of the Contract Documents.
7.2.6. The Bidder has correlated the results of all such observations, examinations,
investigations, explorations, tests, reports, and studies with the terms and conditions of
the Contract Documents.
7.2.7. 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.
7.2.8. 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 Bidder or over the City.
7.3. The Bidder understands and agrees to do all the Work and furnish all materials called for by
the Contract Documents, in the manner described therein and to the standards of quality and
performance established by the Consultant 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 by the Consultant and
City.
BIDDER agrees that the work will be complete in full within 180 calendar days from the date
stipulated in the Notice to Proceed.
7.4.
Communications concerning this Bid shall be addressed to:
Bidder Name: G,Y-e6j\ ~) Y\S -tt-\A.U\ '0 f\ -""\ e:d-I Y) [) \ D~ 6;
.Q. \ 30 N e \ ~ \"'e.-rr a..c.. -e..-
La \ \ Wn. Y"<\CLV\ \WS rL- :3 330 '5
Q'54- 5(9.3. 3 of'") q
%r- 5(Q 2> ~'6 2>
Q r\eJ Ko p---2
-=x:n c.
Address:
Telephone
Fax
Attention:
7.5 The terms used in this Bid which are defined in the General Conditions of the Construction
Contract included as part of the Contract Documents have the meanings assigned to them in the General
Conditions.
DOCUMENT CONTINUES ON NEXT PAGE
PAGE 40 OF 130
BID No. 08-10-01
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BID FORM
for
SR AlA/Collins Avenue Streetscape Improvements
(from 187th Street to Wm Lehman Causeway)
Bid No. 08-10-01
NOTE: The quantities shown in this bid form are estimates only! They may vary
significantly from the actual quantities. Payments will be made on the basis of actual
quantities placed and accepted by the City. The Bidder, by signing this Bid Form and
Contract, fully acknowledges that he/she will receive no additional compensation (no
overhead, no anticipated profits, etc.) other than the bid unit price of the items times
the number of items authorized, ordered, placed, and accepted by the City. SR
AlA/Collins Avenue is within a FDOT right-of-way, therefore, FDOT Pay Item numbers
are referenced herein. Contractor is to refer to the 2009 FDOT Basis of Estimates
Handbook for FDOT's standard method of documenting design quantities and
measurements.
7.6 Bid Form
':J3i~i'~ti, R~F.
j;ltli;~ ,RP9Tj>AY
~;trri'~'i;Fi ITEM #
I. Summary of 0200 Roadway
.."-: .' ~ - ~;s,~. '-.
. - -;>.,:'~~,<: -.:-i--'.:' _"
~:;,.~-::-~:. ,~-.(--.';
UNIT ESTIMATED'" .
PRICE TOTAL'
7
LS 1 $.;tb I o~ .00 $ :20 {)OO .~oO
/
LS $a~po'),DO $ ~;;'IOOO' 0 0
MH 120 $ 50,00 $ t..e ( ODD, 0 0
ED 300 $ ,,33 $ q'i,oo
ED 2,200 $ 030 $ &f.eo,QO
ED 60 $ /3,00 $ '7ko.DO
ED 240 $ fJLf5 $ 109, 00
LS 0.47 $ 4.,5Y,2 H? $ d-I q 99. q7
SY 1,148 $ '-I;).. 00 $ 4~.2} (€ ,uO
CY 252 $ /3. OD $ 31 :l7(P~DD
CY 308 $ 35,00 $ /0/1]50, 00
SY 1,757 $ IglOO $ 3J/~:2(P, 00
I
.. -..... ," ,. ".,
,.c. ..",'_,"_ _.,.....,.
DESCRIPTION
1 101-1 Mobilization
2 102-1 Maintenance of Traffic
3 102-14 Traffic Control Officer ~ ;
4 102-60 Work Zone Signs
Barricade (Temporary) (Types I, II, VP &
5 102-74-1 DRUM)
6 102-76 Panels Arrow Advance Warning
High Intensity Flashing Lights (Temp -
7 102-77 Type B)
8 110-1-1 Clearing & Grubbing
9 110-4 Removal of Existing Concrete
10 120-1 Excavation Regular
11 120-6 Embankment
12 285-704 Base Optional (Base Group 04)
PAGE 41 OF 130
BID No. 08-10-01
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13 400-1-15 Cone. Class I (Miscellaneous) CY 0.5 $ 0 CXJO ,(X) $ 500 t DO
14 425-6 Valve Boxes (Adjust) EA 3 $ ;260J)O $ '75D,bO
15 425-5-1 Manhole Utilities (Adjust) EA 1 $ /, 500' a) $ )/Soo~aO
16 520-1-10 Curb & Gutter Cone. (Type F) LF 123 $ 3,xt DO $ 3, Q3(p.D()
17 522-1 Sidewalk Concrete (4" Thick) SY 42 $10,00 $ / bR'D I DO
)
18 522-2 Sidewalk Concrete (6" Thick) SY 12 $ J.f5,OO $ '5'-/-0, DO
19 536-73 Guardrail/Fence Removal LF 705 $ ,r;, 00 $ 3/5;tO.OO
20 635-1-11 Pull & Junction Boxes (F&I) (Pull Box) EA 15 $ 5Lff'", 00 $ e; ;).20,00
21 700-48-48 Sign Panels (Relocate) (15 or <) EA 8 $ I 50. ex) $ ) ( &.-00, 00
22 711-11-121 Thermoplastic, Standard, White, Solid, 6" LF 62 $ 1.00 $ (e:2.0()
23 711-11-221 Thermoplastic, Standard, Yellow, Solid, 6" LF 48 $ /.00 $ '-I S". 0 0
Subtotal of 0200 Roadway I $ /~g,505. '111
C
II. Summary of 0400 - Lighting
24 715-1-12 Conductors, F&I, Insulated, NO.8-6 LF 12,744 $/50 $ /9/ l/tP ,00
25 715-1-13 Conductors, F&I, Insulated, No.4 LF 1,580 $ ,:;'.00 $ 3) /41 0.00
Conduit, (F&I), Underground, PVC Sch &.00 $ d:2 0 (p s-<<. 00
26 715-2-11 40 (2") LF 3,443 $ I
Conduit, (F&I), Under Pavement, pvc 3 'f: DO $ '0 Lff?V . 00
27 715-1-13 Sch 40, (2") LF 220 $
Luminaire (F&/), Roadway Special (In- $ ~30"'~ q /, DOO. 00
28 715-11-119 grade Landscape Light) EA 70
Luminaire (F & I), Roadway Special $ ! 300. tJi'$ :;z ~ t' tJ tJz). 0 CJ
29 715-11-119 (Above-grade Landscape Light) EA 20
30 715-14-12 Pull Box, (F&I), Sidewalk EA 25 $ 550.0D$ /31 '7t(;7), 00
Pole Cable Distribution System $ .;2, DOt9. o~ IY~OOO.OO
31 715-500-1 (Conventional) EA 7
32 Lighting Pole Decorative, (F&I), Single $ / r;; OOi'. oti /::2.&/000, 0 D
715-511-140 Arm, Alum., 39' EA 7
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PAGE 42 OF 130
BID No. 08-10-01
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Lighting Pole Decorative, (Furnish), $ /3/ OCf), 00$ ~bIOtlO. 00
33 715-521-140 Single Arm, Alum., 39' EA 2
34 715-4-600 Light Pole Complete, Remove EA 6 $ 600.00$ .5/600 . 00
35 715-7-12 Load Center, (F&I), Primary Voltage EA $ f;;oo,vO $ &"",5'00.00
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Subtotal of 0400 Lighting $ 35'9;o??1/. (H)
III. Summary of 0600 - Landscape/Peripheral
Performance Turf, Argentine Bahia Sod '1/ y/~ ,56
36 570-1-2 on 2" topsoil bed SY 1,737 $ 'f,50 $
Performance Turf, S1. Augustine 5/ Lfo 6. OD
37 570-1-2 'Floratam' Sod on 2" topsoil bed SY 1,150 $ '-/' 'iD $
Landscape Complete (Large)
Aechmea blanchetiana (Blanchetiana ~ 7/.). DO
38 580-1-2 Bromeliad) EA 198 $ '74. 00 $ I
(> Bismarkia nobilis 'Silver select' (Bismarck $ R10.DO$ J.h 450,00
39 580-1-2 Palms) EA 5
40 580-1-2 Clusia guttifera (Small Leaf Clusia) EA 344 $ l-J1f.OO $ /5/ / 3(P, 00
41 580-1-2 Clusia rosea (Pitch Apple) EA 8 $ .250. DO$ do' 00/),00
Cocos nucifera 'Gr. Malayan /0 500, 00
42 580-1-2 (Coconut Palm), 4'-6' wd EA 14 $ '750.00 $
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Cocos nucifera 'Gr. Malayan $ l/sOo.OO$ Lfl (P{)O, 00
43 580-1-2 (Coconut Palm), 10' wd EA 32
44 580-1-2 Conocarpus erectus (Green Buttonwood) EA 6 $/75,00 $ /1050,00
45 580-1-2 Cordia sebestena (Orange Geiger) EA 7 $ /Cfo.OO$ 1/ '33 0 , 00
Crinum 'Queen Emma', (Q. Emma 990, DO
46 580-1-2 Crinum) EA 22 $ '15,00 $
47 580-1-2 Delonix regia (Royal Poinciana) EA 2 $ '700.00 $ 1/ L/OO. 00
48 580-1-2 Ligustrum lucidum (Glossy Privet) EA 9 $ qoo- 00 $ g- jot). DO
/
Nerium Oleander 'Calypso' (Oleander
49 580-1-2 Tree) EA 31 $ JS(}.OO$ 'tuOO.OQ
Phoenix Dactylifera 'Medjool' (Medjool
0 Date Palm) Furnish, deliver & unload $ 1; 50tUJ<$ 157, 500 I () 0
50 580-1-2 palm on site only EA 35
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PAGE 43 OF 130
BID No. 08-10-01
. Phoenix Dactylifera 'Medjool' (Medjool
Date Palm) - Labor to install Bid Item
#51 including all misc. material (ie: sand, $02,5CO.oD$ f?71 SOD. 00
51 580-1-2 staking, mulch) & clean-up only EA 35
Phoenix Dactylifera 'Medjool' (Medjool
Date Palm) - 18 month Warranty only $ 5CXJ .00 $ /71 500, 00
52 580-1-2 for Bid Item #51 EA 35
53 580-1-2 Phoenix roebelinii (Pygmy Date Palm) tj€<~ $ /;2S.0D$ ;2 500.00
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54 580-1-2 Thrinax radiata (Florida Thatch Palm) EA 19 $ ;2.50. DD $ 1ft 750,00
Relocate (3) existing Coconut Palms & $ "300.00 $ I yuO . 0 ()
55 580-1-2 (3) Cabbage Palms EA 6 I
56 580-1-2 Existing tree/shrub removal LS 1 $ 0500.0D$ 5500.00
/
57 580-1-2 Fertilize existing Royal and Foxtail Palms EA 67 $ ,.2.D ' 00 $ ~3'/O'OO
Subtotal of Landscape Complete 1$3'11/ 5.2-9-SP
(Large)
Landscape Complete (Small)
(> Chrysobalanus icaco 'Red Tip' / f?D , 0 ()
58 580-1-1 (Cocoplum) EA 20 $ q,oo $
Conocarpus erectus 'Sericeus', (Silver gO.DO
59 580-1-1 Buttonwood) EA 8 $ /0.00 $
60 580-1-1 Codiaeum variegatum (Croton) EA 80 $ 11.00 $ PR'O I 00
Duranta 'Gold Mound' (Gold Mound 11/;)3 Lj-,DO
61 580-1-1 Duranta) EA 1,294 $ //.00 $
Ficus microcarpa 'Green Island' (Green 11.00 13 ;{of.()()
62 580-1-1 Island Ficus) EA 2,119 $ $ "- <... /
63 580-1-1 Ficus pumila (Creeping Fig) EA 10 $ S.oO $ 50 ,O{)
Euphorbia milii 'Rosy' (Dwarf Crown of /1 q 52- . 0 0
64 580-1-1 Thorns) EA 132 $ 1/.00 $
65 580-1-1 Dianella tasmanica (Blueberry Flaxlily) EA 792 $ /3.00 $ /0/.2 &'j(p.t;CJ
Hamelia patens 'Compacta' (Dwarf 1/:250.00
66 580-1-1 Firebush) EA 125 $ 10 .c)O $
67 580-1-1 Ixora 'Nora Grant' (Pink Ixora) EA 40 $ /0.00 $ 'foC:;. 0 ()
Schefflera Arboricola 'Trinette' (Dwarf
. 68 580-1-1 Schefflera) EA 72 $ 10 .00 $ f7.:::L O. 0 ()
PAGE 44 OF 130
BID No. 08-10-01
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Tradescantia pallida 'Purpurea' (Purple 5 .250,00
69 580-1-1 Queen) EA 1,500 $ 3150 $
/
Tripsacum f10ridana (Dwarf Fakahatchee $ /D .00 f?; qoo .00
70 580-1-1 Grass) EA 890 $
Subtotal of Landscape Complete I $ &71 OV/. D~
(Small)
Irrigation Complete (SR A1A1Collins
. lh
Avenue between 187 St. & Wm Island 1../ 5,000 .0 ()
71 590-70 Blvd.) LS 1 $ $
Irrigation Complete (Intersection of SR f.e/ Cot). 00
72 590-70 A1A1Collins Avenue & Sunny Isles Blvd.) LS $ $
Architectural Pavers on 1 1/2" sand bed 154/ .275. 0 0
73 526-1-2 including 6" cone. band SY 1,645 $ $
I $ Qt) '1/02 75', +
Subtotal of 0600 Landscape
IV. Contingency Allowance LS $ 100,000 $100,000.00
0 TOTAL BASE BID (Items I thru IV) 1$ /00/ tJOO. 001
I GRAND TOTAL $ ~ ~q~ )'1Jt:;: Lf1
NOTE: The quantities shown in this bid form are estimates only! They may vary
significantly from the actual quantities ordered by the City. Payments shall be for the
units ordered, placed, and accepted by the City. The Bidder, by signing this Bid Form
and Contract, fully acknowledges that he/she will receive no additional compensation
(no overhead, no anticipated profits, etc.) other than the bid unit price of the items
times the number of items authorized, ordered, placed, and accepted by the City.
Grand Total (based on the estimated quantities) written out in words: 0 ne.... /)11/1, D IJ TWo h W)d N!..d
Al,nd-ct-1wo !hOl&u1d h~htUtd,--u/ S'.lj/-01ht.:P/v~ Dollars and ~_/Ut;;nts.
DOCUMENT CONTINUES ON NEXT PAGE
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PAGE 45 OF 130
BID No. 08-10-01
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SUBMmED THIS ~ DAY OF ~ e.VYlhex , 20 () ~
If BIDDER is: AN INDIVIDUAL
By (SEAL)
Doing business as :
Business address
Phone No
Facsimile No
(Individual's Name)
If BIDDER is: A PARTNERSHIP
By (SEAL)
General Partner
Business address
Phone No
Facsimile No
If BIDDER is:
By
State of Incorporation:
Representative
Title
Business address
Phone No
Facsimile No
(Corporate Seal)
(Firm's Name)
T(L"'nt)IO~I~ ~C.
(President)
If BIDDER is: A JOINT VENTURE
(Name) (Address)
(Name) (Address)
(Each joint venture must sign. The manner of signing for each individual, partnership, and corporation
that is a party to the joint venture should be in the manner indicated above.)
PAGE 46 OF 130
BID No. 08-10-01
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CERTIFICATE OF AUTHORITY
(IF CORPORATION)
STATE OF f\ OY\.& C\.
COUNTY OF ~\'U'vO()JV"~-
~V'eti)
C 0'1\& 'rrLLc.h D ~
I HEREBY CERTIFY that a meeting of the Board of Directors of the
'T ~no\ OC:)\6 ~.
a corporation existing under the laws of the State of
R 6Yl~C\. , held on Ott. ~'3
200g . the following resolution was duly passed and adopted:
"RESOLVED, that, as President of the Corporation, be and is hereby authorized to execute the Bid dated,
~. 9- ,20 Vg- , to the City of Sunny Isles Beach and this corporation and that their
execution thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed, shall
be the official act and deed of this Corporation."
I further certify that said resolution is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this
~ day of J)r-} . . 20Jtl.
s&re0~~
PAGE 47 OF 130
BID No. 08-10-01
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CERTIFICATE OF AUTHORITY
(IF PARTNERSHIP)
STATE OF
rJ/A
COUNTY OF
I HEREBY CERTIFY that a meeting of the Board of Directors of the
a corporation existing under the laws of the State of
, held on
20--, the following resolution was duly passed and adopted:
"RESOLVED, that,
, as
of the Partnership, be and
is hereby authorized to execute the Bid dated,
20
, to the City of Sunny Isles
Beach and this partnership and that their execution thereof, attested by the
shall be the official act and deed of this Partnership."
I further certify that said resolution is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this
, day of
,20
Secretary:
(SEAL)
PAGE 48 OF 130
BID No. 08-10-01
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CERTIFICATE OF AUTHORITY
(IF JOINT VENTURE)
STATE OF
gJI ;4-
COUNTY OF
I HEREBY CERTIFY that a meeting of the Principals of the
a corporation existing under the laws of the State of
. held on
20-, the following resolution was duly passed and adopted:
"RESOLVED, that,
as
Venture be and is hereby authorized to execute the Bid dated,
Isles Beach official act and deed of this Joint Venture."
I further certify that said resolution is now in full force and effect.
IN WITNESS WHEREOF, I have hereunto set my hand this
20
Secretary:
(SEAL)
END OF SECTION
PAGE 49 OF 130
BID No. 08-10-01
of the Joint
20-, to the City of Sunny
, day of
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SECTION 9
BIDDER QUALIFICATION STATEMENT
The Bidder's response to this questionnaire will be utilized as part of the City's overall Bid Evaluation and
Contractor selection.
The undersigned guarantees, by signature, the truth and accuracy of all statements and the answers
contained herein.
9.1. Please describe.your company in detail, a. nd submit company brOChurel if applicabJe. . , . cJ UJe) de....
W'C ~ Cl &e.hv-od (!.ot\.fy-czchr\5 Co-l-v~(.)ttnL1 6PCL.I~ 1?lflS Jh YrH<..I1IC,p
l.)) 1+Y\ j::tu-hc."u,.Ja..r ~Xp(.rhse In l4...hdscc~...p<..- c:tnd, frftqctDfJ 0. Vkr (! uS /o,me...f
Senke... ClJo~1 i6. fp he.. /(nllf.,l)/l, C{.( +h.e.. bc.s:.t COhn--C-CLh/lj 0 pe..rc{..hDJ1. To r
rrlUhI ~,'p'lt1lhes In SO/A..rn. Rondet.
9.2. The address of the principal place of business is:
~ I 30 N . E. I S -re:.. yY CLCe...,
W\ \\-o'^ '00o--Y\OYS) rc 33305
9.3. Company"telephone number:
<154- 'QCQ3. 33'1<1
9.4. Number of full time employees:
/I
9.5. Number of employees assigned to this project:
II
9.6. Company's Identification Number(s) for the Internal Revenue Service:
&5. O<tOc2-J 33
9.7. Miami-Dade County and City of Sunny Isles Beach Occupational License Number(s):
NoV)~ (lE Of t)ct.
9.8. How many years has your organization been in business?
/1
11.9. What similar engagements is your company presently working on? If none, write "none".
(!,l~ o~ We.s-\ \=>a,v-\c - ~elSLa.f>\{\SJ s\~ n . L\'Jhn V\SJ 'X-rA!o...h~""
Q...l ~ O-t \I) e..\ YCu{ 5~ - 8 WCcUl, S y-,^-d..-c~ / \ CLrcl <; Lo..p I ~
~l~ ~ R. L<i..u..dU-vJ.~ - ~()Y)c~ as: \'cUi-- '/"'.__1
PAGE 52 OF 130 -L-m /" . , I P / ~sea..p '<-(
BID No. 08-10-01 ' -. '"'"V~ d"V)
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.
9.10. Have you ever failed to complete any work awarded to you? If so, where and why?
No
9.11. Number of similar Projects with a contract price of $1,000,000.00:
a.
In the past 5 years
'3
~
:3
On Schedule
Original contract price overrun average %
b.
.3
13
In the past 10 years
On Schedule
Original contract price overrun average %
9.12. List last (3) completed Projects with a contract price in excess of $1,000,000.00.
PROJECT 1:
Project Name/Location
?~ YY\ 6fQ cY\ LAh, B\ vd. 1\i11Nu~ krt- ~c:liIJ\ n.<.oJ1~
(\/ \ ~ Dt WQ.& l- YQl hi ~ach _
MI(. N cu l'vn T a..he.-r ~ / 5U 1- '-1<-7 'f - /0 71-
,
\ 2D ~~ J~
o ept-, d.'l d-f)O(P
No +- d /') n JJtY\eYlte-d b 'i- \--k
S' 5r. ?C}Cj . lcD
I
C\'S'\, 5\0 .3S
Owner Name
Contact Person/Telephone No.
Original Contract Completion Time (Days)
Original Contract Completion Date
Actual Contract Completion Date
~~. S~VQxcJ L~%l~
() ~rS ~~o-~l.. Cl- 0 ~.
CLVl_ , 'VY'~
~ u) IP&" J/'" '1..10 IJ '1.
Original Contract Price
Actual Contract Price
PROJECT 2:
Project Name/Location (Swili t0llm \ I \.r OvT\ Dn ?)1)(J V4, WJ
Owner Name ID u) l\ 0 ~ :\\.^fl \ te.-V
Contact Person/Telephone No. my. Roc\. ~ t o..Y ,'D \ \ /5Ce./- :2/0,;).. & O~ 3
) /
Original Contract Completion Time (Days) c2/ 0
Original Contract Completion Date HIs r:2 00 ~
Actual Contract Completion Date \J ~ . J ( .' z...-O D ~ .
Original Contract Price 6 tto I VJ qq. ~ 0
,
Actual Contract Price 'I q q ) g <19 . W
PAGE 53 OF 130
BID No. 08-10-01
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gG"m l YlJ'O tZoCLd s ~ ~ c.a..p~
~ \<h D t ~ UJr) Y''-;Sv
D Cl,ve.- 'f1b ~y- \1 cJ ~V\
Original Contract Completion Time (Days) d- I V
Original Contract Completion Date cSep+- . q I J.-.D q c:;- . I . . .
.~~ \,Qt\\^{)/:L hl\-- QY)~ ~'-t ~~ ) ~ C.hu1~
Actual Contract Completion Date D nil 0 vs. ciA &il. R-b. 2-00lP W e... ~ ,-+-::
~ j _)' - J 3111. DO -'- ~\>U...l'^1 ,-o>-{> ~
Original Contract Price LV l{l ,
-/48 J f'72. DQ
PROJECT 3:
Project Name/Location
Owner Name
Contact PersonjTelephone No.
qs;t{ . 51 d-' .;tlf1 0
Actual Contract Price
9.13 List the following information concerning all contracts in progress as of the date of submission of
this Bid in excess of $300,000. (In case of joint venture, list the information for all joint ventures.) If
none, write "none",
tY Corthr,. .~ '\ n !!- q ~ 7 J ~ 3. 0 D eac.n is: lA.h&>-r
otal Contracted Percentage ~ 300 /tVl) .
Owner Contract Date of of
Value Completion Completion
to date
Project
Name
9.14. Has the Bidder or his/her representative inspected the project site; and does the Bidder have a
complete plan for its performance?
~~.
9.15. Will you Sub-Contract any part of this work? 'I e..S
If so, give details including a list of each Sub-Contractor that will perform work and the work that
will be performed by each Sub-Contractor.
PAGE 54 OF 130
BID No. 08-10-01
.
Classification of Work
~Le..c+rl' ~
Name and Address of Sub-Contractor
YY'\ . 'D. \~ e... \ YY\ '-1-:. Jr. .4:...Yl c... .
\ ;;L () \ 0 '0f\0-...:(" R 0 ~
./..$ + V 0.1 YY) ~~ t=-C 3.3 4-0
pnVY\L rowex +e-\'~lG --J-n~.
10 5D L <5 v--~~Lt-Fc, it:- \ ~ ~ 4-g 3
~on ~ \"-V
If, prior to Notice of the Award, the City or the Consultant has reasonable objection
to and refuses to accept any Supplier, person or organization listed, the Bidder may,
prior to Notice of Award, submit an acceptable substitute without an increase in their
bid price.
o 9.16. Attach the following information to the Bid:
9.16.1
9.16.2
9.16.3
Contractor's home office Organization Chart
Contractor's proposed Organization Chart
Resumes of proposed key project personnel, including on-site superintendent
9.17. List and/or describe any:
(fl~<(~r& st~tg-{a~M~es: t ~ ~ 150lH.tO q
F~ (b L.'A t\-. e. loa g.lfl c.(X~S<L\ LCdl\dSeo...pe..- CoY\..tra-c..JD r .
6~rtA ~h.1 Dee. L\ c., \go - ooo~ 3 f-2- f2; WCLkr W1Ul CD~~I\ g-(p
9.17.2 Any discipline taken agains~DhL
9.17.3 Any instances where company has been investi~a~€d or discipline by the Occupational
Safety and Health Administration (OSHA): IVD~
o
9.17.4 Complaints filed against the National Labor Revler Board (NLRB) or the Equal
Employment Opportunities Commission (EEOC): IV '[) ~
PAGE 55 OF 130
BID No. 08-10-01
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9.17.5 Suspension of contracts or debarring from bidding by any public agency brought
against the Bidder in the last (5) years:
Afo~
9.18. State the true, exact, correct and complete name of the partnership, corporation or trade name
under which you do business and the address of the place of business. (If a corporation, state
the name of the president and secretary. If a partnership, state the names of all partners. If a
trade name, state the names of the individuals who do business under the trade name.)
9.18.1. Corr~ name of the Bidders is: _
b'f'tejl t-O Y\stv\,.lC-1\C ^
T~\'\O\DS\d
~c... .
9.18.2. The business is a (Sole Proprietorship) (Partnership) (Corporation).
Co, ()), Q-~ O'^
9.18.3. The names of the corporate officers, or partners, or individuals doing business under a
trade name, are as follows::J . /'"
? o...tn<0L 3". E yw : {\ -'\ "(-e.S \Ci.L~ T'K-CU u..\'"'~..X
~ '" Y \St\ ~ L . E vV) ~ V\ \.}. \> \ S<.-C'i"-e...:\u.. Ylj
9.18.4. List all organizations which were predecessors to Bidder or in which the principals or
officers of the Bidder were principals or officers. If none, write "none".
C, r e.e..r-, 'f\CrtS. L () So e:...'\ " \. C e....... ~C . )
(~'r.W\~ Q\M/ "u-~ N tN. ;LOUt
9.19. List and describe all bankruptcy petitions (voluntary or involuntary) which have been filed by or
against the Bidder, its parent or subsidiaries or predecessor organizations during the past five (5) years.
Include in the description the disposition of each petition. If none, write "none".
NON-
9.20. List and describe all successful Bid, Performance or Payment Bond claims made to your
surety(ies) during the last three (3) years. The list and descriptions should include claims against the
bond of the Bidder and its preR1EY~anizatiOn(S). If none, write "none".
9.21. List all claims, arbitrations, administrative hearings and lawsuits brought by or against the Bidder
or its predecessor organization(s) during the last three (3) years. The list shall include all case names;
case, arbitration or hearing identification numbers; the name of the project. If none, write "none".
No~
PAGE 56 OF 130
BID No. 08-10-01
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Dated this
DOCUMENT CONTINUES ON NEXT PAGE
5~
day of D~\rY'..~
.200~
~
'S~ I,^,
Signa re
(\ ~V\~~Y1Cl
~nt Name
\/\CD \F\~S\ cl.L1J-
Title
day of nGtO /~
(AFFIX NOTARY STAMP HERE)
.fA\.
ip
JERRY MURAT .
Notary Public. Stat.. ofFlonda
commissiontl D0123357
My comm. expires Oct. 09. 20~,
~-
Personally Known
Produced Identification
PAGE 57 OF 130
BID No. 08-10-01
OR
ary Public - St e of Florida
~:('\{"V" ~u.v-^
Print or Type CO~issioned Name
'P-L ~ L
; Type of Identification Produced
END OF SECTION
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SECTION 10
NON-COLLUSION AFFIDAVIT
STATE OF FLORIDA )
COUNTY OF ~Y1JU)o. vdJ
The undersigned being first duly sworn as provided by Jaw, deposes, and says:
10.1. 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.
10.2.
The undersigned is authorized to make this Affidavit on behalf of,
~ ree-() (\f)l'\S.fyt(c-t~n l-e.~ hol DS{d -...1-ne..
(Name of Corporation, Partnership, Individual, etc.)
a, QJ)YODYCl.'h~ V\ , formed under the laws of
(Type of ~siness) .
\J \ & ~ V ~--eS \dJ-%~r
(Sole Owner, Partner, President, etc.)
A l7Y ;d&t
(State)
of whiC~ he is
10.3. 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.
10.4. 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 bidder 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 proposal or
proposals of any other bidder; and all statements contained in the proposal or proposals 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 proposal or the contents thereof, or divulged
.~ ormation or data relative thereto, to any!ssociation or to ,any member~gent thereof.
\ (l I L '~100 \ V ) ~ - :I(' \--t:- S 16v~~.J\-'
AF ANT'S NAM AFFIANT'S TITLE
200_9"
Personally Known
Type of identification
or Produced Identification
-
\ \....-- ~ \.--
(Affix seal here)
-
1
ti\
JERRVMURAT
.. ~t.;ll 01 f1or\da
N tary PUb'i\;, ";. 1. .
o , "") 1".3':..7
C ml'i1\5~loNi I,". .:,... ~
o '. oct "9 2011,
My comm. expire:> _ . \J '. --"""D OF SECTION
PAGE 58 OF 130
BID No. 08-10-01
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SECTION 11
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 See.
287.017, FS for thirty six months from the date of being placed on the convicted vendor list".
CONFLICTS OF INTEREST
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes.
Bidder's 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.
DOCUMENT CONTINUES ON NEXT PAGE
PAGE 59 OF 130
BID No. 08-10-01
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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FLORIDA STATUTES, ON PUBUC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBUC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
11.1. This sworn statement is submitted to City of Sunny Isles Beach
by
for
whose business address is:
c;;L/3D rJf3 Ie;- J-e.,vyac~
Wllh>~. VYltd1tJYS. 0C 333DS
,
and (if applicable) its Federal Employer Identification number (FEIN) is ft t5.., OR O;}-/ ::33
(If the entity had no FEIN, include the Social Security Number of the indivi ual signing thiS sworn
statement: .)
11.2. 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 with the United States, including, but not limited to, any Bid or Contract for goods
or services to be provided to any public entity or an agency or political subdivision of any other
state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
11.3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes,
means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of
guilt, in any federal or state 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.
11.4. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means:
a.) predecessor or successor of a person convicted of a public entity crime; or
b.) Any entity under the control of any natural person who is active in the management of
the entity and who has been convicted of a public entity crime. The term "affiliate" includes
those officers, directors, executors, partners, shareholders, employees, members, and agents
who are active in the management of an affiliate. The ownership by one person of shares
constituting a controlling interest in another person, or a pooling of equipment or income among
persons when not for fair 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. I 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
PAGE 60 OF 130
BID No. 08-10-01
.
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.)
~
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.
c
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. ~. J-2~
gnat re) ~.
" fA . b:::.,-Y\.~~ \ \"'.
Pn t d r;.Jame) \) , c\ ~
\ C-R.. -- \' 'r--('h \ J--{\..J\
(Title)
(,~ Sworn to and subscribed before me this 5
y-~ c, ~ Y\ '" \. '\?::..Af\ A) '\ V""-..
lP::'ti
zp
YMURAT
o 'bile State 01 FlorIda
N~l\?.TV..1J "" 357
(;Jmrn\ll~\Qnl/ lJ072309 2011
My comm. expitas Oct. ,
(AFFIX
o
Personally Known OR Prog,uced Identification
Type of Identification Produced l--"'"\.-- p'\.....-
END OF SECTION
PAGE 61 OF 130
BID No. 08-10-01
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SECTION 17
ACKNOWLEDGMENT OF CONFORMANCE
WITH OSHA STANDARDS
To: City of Sunny Isles Beach
Gen'
We, ra:..n n<;,1YUCllDv1
[Prime Contractor]
agree that we, as the Prime Contractor for the SR AINCollins Avenue Streetscape Improvements, 08-10-
(f' c b.noJ D5' i-s ...:J:.hC. , hereby acknowledge and
01, as specified, have the sole responsibility for compliance with all the requirements of the Federal
Occupational Safety and Health Act of 1970, and all State and local safety and health regulations, and
agree to indemnify and hold harmless the City of Sunny Isles Beach against any and all liability, claims,
damages losses and expenses they may incur due to the failure of
~/YY\. D.
Sub-Contractor]
'Adu m cy ~y- .
Vow<< <r aJy~G
I~~o~~
[Sub-Contractor)
to comply with such act or regulation.
~r-e.~V) C-OV\C~O~ !?(-YW1016>CQld ~C.
CONTRACfOR
.
BY:
END OF SECTION
PAGE 78 OF 130
BID No. 08-10-01
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SECTION 18
EQUAL OPPORTUNITY I 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 prob'biting discrimination based on race, color, religion, national region,
sex, age, handicap, marit I~ s n political affiliation or belief.
Signed:
Title:
Firm:
Address:
PAGE 79 OF 130
BID No. 08-10-01
~~\;kn'\
G rtm ('1)Y\S-\YUClIDn ~ChY\D \D51 C:$ -=In c.
.2-130 tv e } c;- I C.WUCt:./
WI{~YL VvtD-hfJVS, R 3336r
,
END OF SECTION
.
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SECTION 19
CONFLICT OF INTEREST STATEMENT
STATE OF FLORIDh A",t>.. I 1/7'1
COUNTY OF ~CV~
BEFORE ME, the undersigned authority, personally appeareL~ y- \~ h 1-10 L- \2...\'lJ) (, "Who
was duly sworn, depq~ and states: d . L. I ("l ~tyw:.h/''(''5' d ~L(
19.1. I am the V \ I - Y'r-f..S t ..VP-1 - of&r-e.l. -rGJ-lY"O 0 with
a local office in JV II tm.. ~ .' ft and principal office in K
19.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 08-10-01
described as: SR A1NCollins Avenue Streetscape Improvements.
19.3. The Affiant has made diligent inquiry and provides the information contained in this Affidavit
based upon his own knowledge.
19.4. 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.
19.5. 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.
19.6. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or
otherwise ineligible from participation in contract letting by any local, State, or Federal Agency.
19.7. Neither the entity, nor its affiliates, nor anyone associated with them has any potential conflict of
interest due to any other clients, contracts, or property interests for this project.
19.8. I 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.
19.9. I certify that no member of the entity's ownership or management, or staff has a vested interest
in any aspect of the City of Sunny Isles Beach.
19.10. In the event that a conflict of interest is identified in the provision of services, I, on behalf of the
above named entity, will immediately notify the City of Sunny Isles Beach.
D~ed this ,-C) day of :D(,{'e..~y'\\o-e)y
'y {J~ l ~ \ ~ \J \ tp -
, 2012K.
\V'rt-~ '\ ',~\
Sworn to and subscribed before me this -S- day of ~ -r:::.-<.....
o Personally Known OR
o Produced Identification ; Type of Identifica .
JERRY MURAT
Notary Public, State ot Florida
CommlssiOn# 00723357
My comm. expires Oct. 09. 2011,
PAGE 80 OF 130
BID No. 08-10-01
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SECTION 20
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.
20.1. Has you 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
x
NO
20.2. 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
20.3. 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 A 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, Bid No. 07-10-04, Landscape Maintenance Services.
~ Coll.S~ TLc.bnoln;rQ.-S~c Date<'ba. 3,rtJb~
, N-;~ ~ vsnna. L, V.p.
. ed Signatu e ~ Print or Type Name and Title
END OF SECTION
PAGE 81 OF 130
BID No. 08-10-01
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SECTION 21
ANTI-KICKBACK AFFIDAVIT
STATE OF FLORIDA
COUNTY OF ~~
)
)
)
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 oration.
The foregoing instrument was acknowledged before me this ~ day of cD.J...~QJ/~\J6-f'~
20~ by (1V\ Y U::), YV,- (~ . I~I//l) J I~ [name of person], as I
~ \. ~ -l - '?\~ \ ~V'-"\ [type of authority], for ~ ~N'\~-\Ylkm {)A
[name of party on behalf of whom instrument was executed]. 1ZcY1 hb] 1J 51 t:....--S .:;F-rnL.
AFFIX NOTARY STAMP HERE: ~
JERRY MURAT .
Notary Public. State ot FlOrida
Commission# 00723357
My comm. expires Oct. 09. 2011
uv~
Personally Known
OR Produced Identification
Type of Identification Produced
t=-L ~ \--
END OF SECTION
PAGE 82 OF 130
BID No. 08-10-01
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ERWIN, PATRICK JOSEPH
GREEN CONSTRUCTION TECHNOLOGIES INC
2130 N.E. 15TH TERRACE
WILTON MANORS FL 33305
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to serve you better.
For information about our services, please log onto www.myfloridalicense.com.
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations on your new license!
DETACH HERE
AC# 3946085
'--STATE-OF FLORIDA-o-'
(850) 487-1395
, AC# 3 9 4 6 0 8 5
~... o. __. STATEpF.F.LORIDA ~""""'"''-''-_ __..~ ,
0.. DEPARTMENT OF BUSINESS AND
o.,..~.' PROFESSIONAL REGULATION
CGC1504609
08/26/08 080020225
CERTIFIED GENERAL CONTRACTOR
ERWIN, PATRICK JOSEPH
GREEN CONSTRUCTION TECHNOLOGIES
IS CERTIFIED under the provisions of ch.489 FS
Expiration date, AUG 31, 2010 L08082601954
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEa#
L08082601954
LICENSE NBR
08/26 2008 080020225 CGC1504609
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2010
ERWIN, PATRICK JOSEPH
GREEN CONSTRUCTION TECHNOLOGIES INC
2130 N.E. 15TH TERRACE
WILTON MANORS FL 33305
CHARLIE CRIST CHARLES W. DRAGO
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
~
FORM NO 401-2801AC 25-061
RV200835367 (Rev 3/08)
:J RENEWAL
:J NEW
Board of County Commissioners, Broward County, Florida
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
FOR PERIOD OCTOBER 1,2008 THRU SEPTEMBER 30, 2009
[] TRANSFER
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TAX
BACK TAX
PENALTY
T.C. FEE
TRANSFER
SEe #
DATE BUSINESS OPENED
STATE OR COUNTY CERTIREG #
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Business Location Address:
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TOTAL
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THIS RECEIPT MUST BE CONSPICUOUSLY DISPLAYED
TO PUBLIC VIEW AT THE LOCATION ADDRESS ABOVE.
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TYPE OF BUSINESS TAX PAID
BROWARD COUNTY REVENUE COLLECTION
115 S. Andrews Avenue, Rm A-100
FORT LAUDERDALE, FL 33301
www.broward.org/revenue
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2008 · 2009
PAYMENT RECEIVED AS VALIDATED ABOVE
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PENALTIES IF PAID
OCT. - 10% I NOV.. 15%
. DEC. - 20% . After DEC. 31 - 25%
. Plus Tax Collection Fee of up to $25.00
Based on Cost of Business Tax if Paid
On or After November 30.
ACCOUNT NUMBER
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This is to certify that:
Patrick J. Erwin
Certification # C60 247
is a duly qualified
FNGLA Certified Landscape Contractor
Expires: 6/30/2010
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Patrick J. Erwin
Experience
2130 N.E. 15th Terrace
Ft. Lauderdale, Florida 33305
1979- Present Green Construction Technologies Inc. .Ft. Lauderdale, Florida
Owner/Operator-President
· Licensed General Contractor
· Licensed to perfonn engineering work in public right of ways
· Licensed to design and install all types of irrigation systems
· 29 years of applied experience in all landscape related fields.
· Certified Florida Landscape Contractor
· Licensed underground contractor/jack & bore installer.
· Licensed water well contractor
Education
1976-1978 Broward Community College
· Associate of Arts degree.
. Numerous post-graduate landscape courses
Other
Toro irrigation and hydraulic design school
Member of Florida Irrigation Society
Member of U.S. Green Building Council South Florida Chapter
Ft. Lauderdale, Florida
3410 N.E. 14th Terrace
Pompano Beach, FL 33064
Objective
Experience
Education
Other
I
Ronald R.
954-709-5894
Boehl
To obtain a managerial position with a well established company which will
utilize my extensive experience and skills
2007-Present Green Construction Tech Inc.
General Manager
· Manages and supervises job sites and employees.
Wilton Manors, FL
2000-2007
Consultant
· Residential/Commercial Inspection for City and State
Retired/Consultant
South Florida
1997-2000
Roofing Consultant
Santa Fe Tile
Miami, FL
1991-1997 Altusa Tile. Miami, FL
Manufacturer's Representative
· Manufacturer's Representative for the state of Florida and all islands up
to Venezuela
Broward Community College
· Turf and Grass Management and Horticulture.
Ft. Lauderdale, FL
Honorable Discharge from the Anny, Vietnam 1966
6267 Adams Street
Jupiter, FL 33458
March 26th, 2008
Town of Jupiter
Utility Services
210 Military Trail
P.O. Box 8900
Jupiter, FL 33458
To the Town of Jupiter Utility Services,
I wanted to send my thanks for the amazing job your team did on the Heights i
neighborhood water drainage project. Not only did I find the members of your tbam to
be providing a very high quality of work, but they were remarkably efficient as well.
My wife and I live on Adams Street in the North Palm Beach Heights and have bieen here
close to eight years now. With canals running along two sides of our house, we ch-e very
interested in making sure heavy rains and flood water will properly be managed. '
As someone with an engineering background who works primarily from home, I [was able
to monitor your work very closely from start to finish on my street. During this process,
I interacted with various Town of Jupiter service personnel, contractors and worKers.
Whether it was replacing driveways, moving greenery, managing sprinklers or laying
sod, I was extremely impressed with the high quality we as homeowners were receiving
and the exceptional speed it was done in.
I would like to give particular praise to three individuals who I really believe were really
on their game at all times through this process. Those individuals are Rodney CaP-oIl and
Mark Molina (both from the Town of Jupiter) as well as Ron Boehl (from Green!
Construction Tech). These guys did a great job balancing high-quality drainage swales
for our streets and keeping inconvenienced residents satisfied.
Rodney and Mark were very sharp guys who worked hard to do this project right: They
had detailed answers & options to my design and implementation questions along the
way. These guys pleasantly surprised me with how deeply they understood their job and
its importance in the bigger picture.
Ron Boehl of Green Construction Tech was absolutely amazing. Ron discussed !any and
all questions with ease and came across well to the residents. He consistently wJnt the
extra mile (or two) to ensure the customers were happy. How he and his team did the
amount of work they did at such a high level (and so fast!) is mystifying to me. I They
worked so effectively together that you would have to see it to believe it. When 'our
street was completed, it actually looked better than it had before (not an easy task!).
Thanks to this project, I am confident that when the flood waters eventually rain Idown on
our streets, the water will reach the canals now. I couldn't say that with confidehce last
year and I wanted to thank the Town of Jupiter for its efforts on this project.
Sincerely,
- Eric Grisham
10-02-/08 10:01 FROM-
T-263 P001/003 F-854
Florida Department of Transportation
CHARLIE CRIST
GOVF..RNOR
FOfllauderdale Operations Center
55"8 N.W. 9.... "venue
fort lovderdale. Florida 33309
(954)776-4300 . FolC (9541956-7660
I
ST~PIfANI~ C. KO'ELOUSOS
ISECRETARV
,
September 22, 2008
Green Construction Technologies
2130 NE 15'10 Terrace
Wilton Manors, Florida, 33305
Dear Mr. Boehl:
RE: Contract .:E4i90
fM t#: 41 0204~..s2-01
County: Palm Beach
Description: Primary ADA ramps, Curbs and Sidewalk
Periodic Contractor Field Performance Report 'or Contract
Please review the attached Initial Contractor Field Performance Report regarding the abov~'
referenced project. We request your company's response in writing within ten (10) days of r~ceipt of
thi8 report, indicating whether or not you wish to have a meeting to discuss the Initial report.I;lf no
meeting is requested by October 1, 2008. the rating indicated in the attached report shall become
FINAL and shall be used as the Periodic Field Performance Rating for the first 365 days of the 730 day
contract. Cf r J{, :
Please be advised, if you schedule a meeting to discuss our initial rating and you fail to atte~d this
meeting, the Department shall consider this the Final Field Performance Rating. j'
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Please call me at (561) 432-4966 ext.1168 if you have any questions regarding this initial ra~ing or
would like to schedule a meeting to discuss the rating. i
Sincerely,
!2(~f6pj
Erin Kelley Hall, P.E.
Contracts Manager
cc: Contract files
II
10-02-'08 10:01 FROM-
/
T-263 P002/003 F-854
STAlE 01' FLORIDA DEPAATME~T OF TMNSPORTATIOI<
S75-021l-43
MAINTENANCE
O./C14
CONTRACTOR
FIELD PERFORMANCE REPORT
. Periodic
Qlnitlal
o Final
RATING
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Green Construction Technologies
Contractor Name
Date: September 2. 2008
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410204-4-52-01 I'
FIN. ProJact lo's
Additional FIN Project 10'& (if applicable)
E4i90
Contract No.
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$600.000.00
Onglnal Contract Amount
Concrete ADA Ramps. Sidewalk, a~d Curb & Gutter
Type of Work
Grading Instruc:tlons
10 - Outstanding
9 - ElCcellent
8 - Good
7 - Satisfactory
5 - Unsatisfactory
3 - Poor
Grade
1. Prosecution. control and timely completion of the work. 10.0
2. Overall quality control and compliance with contract. 10.0
3. On-Site supervision and staffing (no. and skillleval). 100
4. Quantity, SUitability and effectiveness of equipmsnt. 10.0
5. Maintenance of traffic operation!>. 10.0
6. Interface with traveling public and adjacent property owners. 10.0
7. Effectiveness of ganeral management. 9.0
8. Furnishing of required documents and reports. 9.0
9. Cooparation with Department. personnel. 10.0
'0. Final clean-up of work site. 10.0
Raw Score'" 98.0
Note:
1. If all Items are gradad, tha maximum rating attainable is (100).
2. tf any items do not apply mark 'hem N1A and use the following formula:
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( ~ Max Rating Attainable)
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Max Rating Attainable'" 100 - ( 10 (Max. grade per item) x ~ (No. of Items marked N/A)) "
.
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98
(Raw Score)
+
100 X '00;:;
. (Max. Rating Attainable)
98
(Rating)
Performance Rating '"
10-02-'08 10:02 FROM-
/
T-263 ~003/003 F-854
)75-0Z0.43
IoIA1NTENANCE
04105
ENGINEERS REMARKS SUPPORTING GRADES
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1. This contractor starts work, progr8&&B& and completes all work In a highly expedient manner. The quick work alsO
nstnJction areas to be opened to pedestrians well before planned completion dates. f.
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. Conlrac;tgr has done 8n outstanding job to date. The quallt'i of the work is superb.
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. Supervision is great and there is always a full complement 0' wolkers on sile. Both the prime and $ub-contrac;lo~ worker$ h"VEl
with their respective companies for a long period of lime, thus the skJIIlevels are very high. I
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. All equipment is in great condition. No break downs or equipment issues during this period. I
. . ~
. . Maintenance of traffic devices are set up, maintained. and removed per standard. Periodic traintng is given and 'he onslle supervisor
& well versed and lakes pride in safe work Brea wolk. Wori<ers are solely devoted to maintenance of MOT and flag'ging during tane
U~. . I
. On numerous occasions the contractor has had to coordinate with adjOining busine&ses and home owne~ for tlmporary closures of
riveways. This coordination has been outstanding with compliments received. . I
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. Other than a few minor issues at the beginning of the Job, management has been excellent. I
, After a short leaming period at the beginning, all documents, invoices and reports are submitted promptly and ~ccurate,
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. Offica and field personnel are highly cooperative, Many limes the contractor has responded to an urgent need by the department
. in hours. The company has been the mosl cooperative of any this rater has ever worked WIth. I
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O. Site deanup is superb. The wor1< site is always left much better then it was before work started.
(Attach Additional Remarks)
Reviewed By:
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Maintenance Contract Engineer
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Submitted By:
CONTRACTOR
(SIgnature doe, nor indicata concurrence)
\.
Area Maintenance Engi~er
Reviewed By:
COPIES:
Connaor
Project File
DIstriCt Malnwnance Engineer. Origmal
Am MaintllFlal1C8 Engineer
District Malntanance Enginaer
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Brown & Brown, Inc.
5900 N. Andrews Avenue!1 Suite 300 (Zip: 33309)
II P.O. Box 5727
Fort Lau4erdale,FL 33310-5727
954/776-2222 · FAX 954f772-7542
Sdtewide 1-800/339-0259
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To:
Surety
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Date: 7/13/2005
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From:
Brown & Brown Bonds
Shawn Burton
Shawn Burton
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Mr. Abderhalden said he "would use Green Acres again anywhere, anytime." !I
The landscape, irrigation project will be rmished in August 05'. Everything was performed on
time and De City of Sunrise is very happy with Green Acres. Very good reference. II
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Subject: Green Acres Ln Service
Contractor Reference
City of Sunrise
Dave Abderhalden, PM
954-572-2264
Project: Streets cape Improvement I Flamingo Rd.
$678,014 contract amount (bonded)
MEMBER OF NATIONAL ASSOCIATION OF SURETY BOND PRODUCERS
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Brown & Brown, IDe.
5900 N. Andrews Avenu~ Suite 300 (Zip: 33309)
II P.O. Box 5727
Fort Lauderdale, FL 33310-5727
954n76-2i22 · FAX 954n72-7542
Statewide 1-8001339-0259
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Date: 10/4/2004
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Mr. Chaviano is very familiar with Green Acres as he has worked with them on sev~ral
"complicated projects." The largest was the $486,054 Neighborhood Participation project. The
scope of work included underground water main connections, irrigation, curbing, paving and
drainage. The work was performed in several busy street intersections and Green ~~res handled
the logistics very well. . i:
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Green Acres "did a very nice job." The project involved a Florida DOT grant which required a
tight schedule and Green Acres met all deadlines. II
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To:
Surety
From:
Brown & Brown Bonds
Shawn Burton
Subject:
Green Acres Ln Service, Inc.
Contractor Reference
City of Sunrise, FL
Pedro Chaviano, Sr. Project Manager
954-572-2489
Very good reference.
Shawn Burton
MEMBER OF NATIONAL ASSOCIATION OF SURETY BOND PRODUCERS
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II Brown & Brown, Inc.
5900 N. Andrews Avenu~. Suite 300 (Zip: 33309)
Ii P.O. Box 5727
Fort La~rda1e. FL 33310-5727
954n76-2222. FAX 954n72-7542
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Statewide 1-800/339-0259
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Date: ;'9/30/2004
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To:
Surety
From:
Brown & Brown Bonds
Shawn Burton
Subject: Green Acres LN Service, Inc.
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I spoke to Mr. Cangialosi. Green Acres has completed several projects for The CiJ; of Hollywood
going back to 1998. They finished several "difficult projects" which included landshaping,
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irrigation, directional boring, underground utility and street drainage improvement.
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The Gateways of Hollywood final contract amount was $282,000. Mr. Cangialosi said Green
Acres completes all of their work in a "timely" manor. No disputes. No problems. irrhe City of
Hollywood will continue to use Green Acres. Very favorable reference. ,i
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Contractor Reference
Joe Cangialosi, Project Manager
City of Hollywood I 954-967-4526
Shawn Burton
MEMBER OF NATIONAL ASSOCIATION OF SURETY BOND PRODUCERS
FLORIDA DEPARTMENT OF STATE
Division of Corporations
November 27,2007
CHRISTINA ERWIN
2130 NE 15 TERRACE
WILTON MANORS, FL 33305
Re: Document Number P97000094123
I
The Articles of Amendment to the Articles of Incorporation for GREEN ACRES LN
SERVICE INC. which changed its name to GREEN CONSTRUCTION
TECHNOLOGIES INC., a Florida corporation, were filed on November 19, 2007.
The certification requested is enclosed.
Should you have any question regarding this matter, please telephone (8~0) 245-6050,
the Amendment Filing Section. ,
Carol Mustain
Regulatory Spedalist 1/
Division of Corporations
:
Letter Number: 907 A00067254
P.O. BOX 6:327 -Tallahassee, Florida 32314
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Green Construction Technologies Inc
Organization Chart
Director of
Operations
Chet Kope
President
Patrick
.Erwin
Vice
President
Chris
Erwin
Field
Supervisor
Scott
Favreau
Supervisor
John
Sanchez
General
Manager
Ron BoeW
Laborers
2130 NE 15th Terrace · Wilton Manors, FL 33305
954.563.3379 Office · 954.563.3883 Fax
CGC# 1504609
A CORD_
CERTIFICATE OF LIABILITY INSURANCE
v
OP 10 E2 DATE (MM/DDIYYYY)
GREENO 9 10 23 08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY; THE POLICIES BELOW.
PRODUCER
Brown & Brown of Florida, Inc.
5900 N. Andrews Ave. #300
P.O. Box 5727
Ft. Lauderdale FL 33310-5727
Phone: 954-776-2222 Fax: 954-776-4446
INSURED
INSURERS AFFORDING COVERAGE
Green Construction
Technologies Inc.
2130 NE 15th Terrace
Wilton Manors FL 33305
INSURER A:
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
Scottsdale Insurance Company+
NAIC#
41297
10335
BrJ.dgefield Casual ty Ins Co+
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i'
1 POLICY NUMBER POLI% EFFECTi~E- POLlCrlrXPIRA TlgN L
LTR NSRC TYPE OF INSURANCE DATE MM/DDIYY DATE MM/DDIYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- LJ)lJ;I)l;Gt: ~ Ytt:N I t:U
A X COMMERCIAL GENERAL LIABILITY CLS1555479 10/13/08 10/13/09 PREMISES Ea occurencel $ 50000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
I .nPRO- nLOC !;
POLICY JECT ..
AUTOMOBILE LIABILITY I'
r-- , COMBINED SINGLE LIMIT $
(Ea accident) I
ANY AUTO I
r--
ALL OWNED AUTOS BODILY INJURY
r-- $
SCHEDULED AUTOS (Per person) I
I
r-- I
HIRED AUTOS
r-- BODILY INJURY $
NON-OWNED AUTOS (Per accident)
r-- PROPERTY DA~AGE
(per accident) i $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
j , AUTO ONLY: . --
AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE : -
$
i $
R DEDUCTIBLE ~-~==t$
--
RETENTION $ . $
WORKERS COMPENSATION AND I. - I :IUIH-
TORY LIMITS X ER
B EMPLOYERS' LIABILITY 19603681 OS/22/08 OS/22/09 E.L. EACH ACCIDENT $ 500000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500000
g~EMLspR~v'ls1oNS below E.L. DISEASE - pOLICY LIMIT $ 500000
OTHER
IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Lawn Care/landscaping: "Proof of Insurance for Bidding Purposes only. "
faxed to: 954-563-3883
I
:ERTIFICA TE HOLDER
CANCELLATION
PROOFOF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TIO
I
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
I
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U~ON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AU~~~E~
Proof of Insurance
FL xxxxxxx:xxx
ICORD 25 (2001/08)
@ACORD CORPORATION 1988
Sap 25 08 03:22p
TIM E HILL INS AGENCY
9542026300
p.1
CERTIFICATE OF INSURANCE
SUCH INSURANCE AS RES~ECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE
TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO
EVENT SHALL THIS CERTIFICATE BE VAUD MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE
DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW.
i
This certifies that: C8I STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington. Illinois. 01
o STATE. FARM FIRE AND CASUAL TV COMPANY 01 Bloomington. Illinois
has coverage in force for the following Named Insured as shown beloVJ :
i
Named Insured GREEN CONSTRUCTION TECHNOLOGIES INC
Address of Named Insured 2130 NE 15TH STREET
WILTON MANORS FL 33305
,-d.4 /I~~ /
Signature of Authorized Representative
Name and Address of CertifICate Holder
I
ADDITIONAL INSURED
Public ServicesDept
"
POUCY NUMBER
EFFECTIVE DATE OF
POLICY
DESCRIPTION OF
VEHICLE
LlABIUTY COVERAGE
LIMITS OF llABILIrf
a. Bod~y Injury
Each Person
a. Bodily Injury
Each Accident
b. Property Damage
c. Bodily Injury &
Property Damage
Single Limit Each
Accident
PHYSICAL DAIV'AGE
COVERAGES
s, Comprehen&ive
b. Collision
EMPLOYER'S
NON-OWNERSHIP
COVERAGE
HIRED CAR COVERAGE
q
i
D011616-C21.59K
I
394 570~A17.S9B
07/17J08.01117/09
06 CHEVROLET EQUINOX
2CNOL63F566070696
. 395585D-A17-59
07/17/08.01117/09
06 CHEVROLET C1500
2GCEC13T661223035
IEIvES
NO
09/21108- 03121/09
D6 CHEVROLET C3500
1GCJC33DB6F151430
I
NO
$1,O~O,OOO.00
$1,000,000.00
$1,000,000.00
oNO
DNO NO DYES NO
Deductible
DNa ~VES DNO DVES ONO
NO DYES NO DYES DNa
AGENT 6578 09/29108
Title Agent's Code Number Date
[giVES NO
$1 ,000.00 Deductible
:1
YES
$1.000.00
Deductible
YES
$1.000.00
Deductible
DNO
oNO
!2?JVES
DYES
YES
I
I
Name and Address of Agent
Tim E Hill
STATE FARM INSURANCE
1505 E COMMERCIAL BLVD
FT LAU DERDALE, FL 33334
I
100 N Andrews !I Ave
Ft Lauderda~e FI 33301
:,
L
~
~
L
954-202-3516
'I
....--...------------..-......---------..-------......-...----.-----------------...----...-.---...------ . -
Check if a permanent Certin~e of Insurance for liability coverage is needed: 0 - -----
'I
Check if the Certificate Holde~:should be added as an Additional Insured: lEI
"
i
~arks;
Sap 25 08 03:22p
TIM E HILL INS AGENCY
9542026300
p.2
CERTIFICATE OF INSURANCE
SUCH INSURANCE AS RES~ECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE
TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRlnEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO
EVENT SHALL THIS CERTIFICATE BE VAUD MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE
DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POUCY DESCRIBED BELOW.
II
This certifieS that: 181 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 01 Bloomington, Illinois, or
o STATE FARM FIRE AND CASUALTY COMPANY of Blooming ton. I Kino Is
has coverage in force for the following Named Insured as shown below:
:i
Named Insured GREEN CONSTRUCTION TECHNOLOGIES INC
Ii
Address of Named Insured 21130 NE 15TH Terrace
WILTON MANORS FL 33305
li I 043-060t-E1lJ-S9B
POLICY NUMBER 159-3995-016-59 674-9969-F12.59 237 5453.A22.59A
\i
EFFECTIVE DATE OF 04116108-10116/01 0511 0108.1111 [wB 06/12108.12/1 DIDS 07S22f()U1J,2109
POLICY
2002 GMC SAVANA 2000 GMC SAVANA EMPLOVEE NON.OWNED 2004 CHEVY
DESCRIPTION OF 1GTHG39R821201983 1 GDFG15M5Y1142269 LIABIUTY 3GNEC16Z1-4G32071D
VEHICLE
LIABIUTY COVERAGE -!><lYES rlNO -~YES DNO !'XIVES flNO ~YES rlNO
LIMITS OF LIABILITY i!
a. Bod~y Injury
Each Person I
a. Bodily Injury
Each Accident ,
b. Property Damage "
"
c. Bodily Injury & il I 51,000,000.00
Property Damage $1,000,000.00 $1,Ooo,OOD.OO $1,QOO,OOO.OO
Single LWnit Each Ii
Accident '!
PHYSiCAl DAMAGE t8!VES ONO I8lYES DNO DYES t8JNO J8JYES DNO
COVERAGES 51.000.00 Deductible 51.000.00 Deductible $1.000.00 Deductible
a. Comprehen!>ive -
II Deductible
18IYES DNO I8lvES oNO DYES r81NO t8!vES DNO
b. Collision $1.000.00 Deductible $1.000.00 _ Deductible $1.000.00 Deductible
Deductible
EMPLOYER'S
NON.OWNERSHIP I8IvES ONO [giVES DNO [gjVES DNO t8]VES DNO
COVERAGE
HIRED CAR COVERAGE DYES DNO DYES DNO DyES DNO DYES DNO
;- ~
.;;;;l I .
. ~. ~/
,
Signa'ure of Authorized Representative
11
Name and Address of Certificate Holder
II
ADDITIONAL INSURED
Public Services Dept
100 N Andrews ave
Ft Lauderdale FI33301
Ii
d
,I
Agenl
Title
I
I
6578
Agent's Code Number
Name and Address of Agent
Tim E Hill
STATE FARM INSURANCE
1505 E COMMERCIAL BLVD
FT lAUDERDALE. FL 33334
L
~
L 954-202-3516
09129108
Date
I
~
--------------------.-------..-.....--------- --.------.-----..-....---..---...------...---.......-
Chock if a- permanent Certificate of Insurance for liability coverage is needed: 0
II
Check if the Certificate Holder should be added as an Additional Insured: L8l
I
[
Remarks: i
:I
I
'I
:1
o
.
o
( ,
i '. '
SECTION 8
BID BOND
STATE OF FLORIDA
)
)
COUNTY OF
)
Green Construction Technologies,
KNOW ALL MEN BY THESE PRESENTS, that we, I nc . as Principal, and
First Sealord Surety, Inc. ,asSurety,areheldandfirmlybound
unto the City of Sunny Isles Beach, a municipal corporation of the State of Florida in the sum of
Fi ve Percent of Amount Bid Dollars ($ ***5%*** ), lawful money of the United States, for
the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors,
administrators and successors jointly and severally, firmly by these presents.
THE CONDmON OF THIS OBLIGATION IS SUCH that whereas the Principal has submitted the
accompanying Bid dated, 12/8/ 2008 for:
SR AlA/Collins Avenue Streetscape Improvements
WHEREAS, it was a condition precedent to the submission of said Bid that a cashier's check or I Bid Bond
in the amount of five percent (5%) of the Base Bid be submitted with said Bid as a guarantee that the
Bidder 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 and Payment Bonds, 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 8th day of December ,20 08 , the name and the corporate seal
of each corporate party being hereto affixed and these presents being duly signed by its undersigned
representative.
DOCUMENT CONTINUES ON NEXT PAGE
PAGE SO OF 130
BID No. 08-10-01
o
.
o
, ,
IN PRESENCE OF:
Green Construction Technologies Inc.
Individual or Partnership Principal
Business Address
City, State, and Zip Code
Business Telephone
ATTEST:
See attached Power of Attorney
Secreta ry
*Impress Corporate Seal
/ ,
Affix Corporate Seal
Business Facsimile
First Sealord Surety, Inc.
(Corporate Surety)*
~~
By: Shawn A. Burton
Attorney-in-Fact
IMPORTANT
Surety companies executing bonds must appear on the Treasury Department's most
current list (circular 570 as amended) and be authorized to transact business in the
State of Florida.
END OF SECTION
PAGE 51 OF 130
BID No. 08-10-01
I
I
,%
THESE a re ,
"Company") has made, constituted and appointed, and by these presents does make, constitute and appoint
Gerald J. Arch, Shawn A. Burton, James F. Murphy and/or Joanne M. Mursell all of Ft. lauderdale, Florida
act, to ma .., surance po i . r . ther ins
I
First Sealord Surety, Inc.
By:
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