HomeMy WebLinkAboutBrasfield&Gorrie
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I TABLE OF CONTENTS
SECTION 1:
Letter of Intent
SECTION 2:
Statement of Qual ifications
SECTION 3:
Project Personnel
SECTION 4:
Experience
SECTION 5:
Additional Information
Required License
Compliance Letter from Bonding Company
Certificate of Insurance
SECTION 6:
Required Forms
Non-Collusive Affidavit
Public Entity Crimes Statement
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
B~ EJ!IrSON I
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BRASFIELD
1/~2~
April 8,2009
Sunny Islcs Beach Government Center
Heritage Park & Parking Garage
18070 Collins Avenue, City Clerk
First Floor Meeting Room
Sunny Isles Beach, FL 33160
Rc: Heritage Park & Parking Garage (NO. 09-03-01)
Response to Proposal
Attached is our response to your request for proposal for this project. Brasfield & Gorrie is particularly
well suited to be your partner for this project for the following reasons:
1. Parking Deck Expcricnce - Brasfield & Gorrie has recent expericnce working on parking projects
throughout Florida and most recently on Tampa International Airport Parking Garage, The Plaza
Parking Garage and Dynetech Center. We have completed over 40 million square feet of parking
space throughout the Southeast.
2. Miami Experience - Brasfield & Gorrie is very familiar with the Miami/Dade County area. We
have worked here for over twenty years and enjoy excellent relationships with local
subcontractors, vendors and building officials.
3. Proven Team Experience - Brasfield & Gorrie has an exccllent team that we can utilize on this
project. Both have worked on large parking deck projects together in the past 5 years.
Please call me if you have any questions about our response. We look forward to meeting with you and
having the opportunity to further present our qualifications for the Heritage Park & Parking Garage
project.
Sincercly,
George on
Vice President
Institutional Division Manager
BRASFIELD AND GDRRIE, LLC 200 Colonial Center Parkway, Suite 200 lake Mary, Florida J2746
P: 407.562.4500 F: 407.562.4501 W: BrasfieldGorrie.com
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STATEMENT OF QUALIFICATIONS
1. Provide history of the firm, including ownership
and key management.
BRASFIELD & GORRIE FIRM HISTORY
Brasfield & Gorrie is one of the largcst privatcly-
held contracting firms in the nation. Our company,
headquartercd in Birmingham, Alabama, is the successor
to the Thomas C. Brasfield Company, a general contractor
operating as a sole proprietor from 1921. Miller Gorrie
purchased the company's construction assets in 1964.
Hc changed the name to Brasfield & Gorrie in 1967
and moved the headquarters to its present location in
Birmingham.
In the early years, the new company continued within
the Brasfield niche of small commercial and remodeling
projccts. As activity incrcascd, the emphasis was shifted
to larger commcrcial, institutional and industrial
projects, capitalizing on the motivation and
experience of the ncw ownership.
Brasfield & Gorric's growth was accelcrated in 1984
by the opening of full-service offices in Atlanta and
Orlando. The company organization was dccentralized
and six operating divisions were established, each
serving as a profit center. Full-scrvice offices wcrc
established in Ralcigh and Nashville in 1998. In
2007, Brasfield & Gorric opened thc Jacksonville,
Florida officc.
Our company has grown tremendously since
1964. Brasficld & Gorrie's volumc has grown
from $250,000 to $2.1 billion. Our growth has
cnabled us to work with many diffcrcnt clients and
markets. Brasfield & Gorrie has ranked in ENR's
top 40 general contractors in the world over the
last six years. We have built over 330 parking
garages with 275,000 parking spaces over the past
40 years. We havc a strong client base throughout
the southeastern United Statcs and are currently
building projects in Alabama, Arkansas, Florida,
Georgia, Indiana, Mississippi, Missouri, North
Carolina, Oklahoma, South Carolina, Tennessee,
Texas and Virginia.
FIRM OWNERSHIP
Brasfield & Gorrie is a limited liability corporation
incorporated in Delawarc in 1996. Brasfield &
Gorrie, L.L.c. was formed through a consolidation
of the assets of Brasfield & Gorrie, Inc. and
Brasficld & Gorrie General Contractor, Inc., both
subchapt~r S corporations. The company has two
classes of stock, voting and non-voting. The voting
stock is owned entirely by the original stockholders
of Brasfield & Gorric, Inc. and Brasfield & Gorrie
General Contractor, Inc. and represents YYo of the
ownership of thc ncw company. The non-voting
stock is owned by new stockholders selected from
the managers within thc company and represents
97% of thc company's ownership. Thcre arc no
anticipated changes in the ownership or corporate
structure at this time. All owners of Brasfield &
Gorrie are actively involved in the company's day-
to-day operations.
Key Management
M. Miller Gorrie
M. .lames Gorrie
Jeffrey I. Stone
Robertson W. Taylor
Timothy.J. Dwyer
Randall.J. Freeman
Thomas B. Garrett
Charles L. Grizzle
Chairman of the Board & CEO
President
President Central Region
President East Region
President South Region
Chief Financial Officer
Chief Information Officer
General Counsel
VILA & SON FIRM HISTORY
In 1984, father and son team Juan Carlos and
Baudilio Vila founded Vila & Son Landscaping
Corp., sharing a clear vision for the future of the
company, they set out to deliver high-quality; timcly
and accountable work to all their clients. We have
cultivated a longstanding reputation for maximizing
the beauty and value of residcntial, commercial and
institutional propcrties. Our lasting succcss can bc
attributed to understanding cxactly what's requircd
to create and maintain breathtaking landscapes
that instantly bond with employees, customers and
surrounding communities alike.
Twenty-five years later, Vila and Son is among
the largest landscape companies in the country,
cmploying more than 700 cmployces dedicated to
fulfill the Vila mission.
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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STATEMENT OF QUALIFICATIONS
1.2. Provide a summary of any company changes
that arc anticipatcd to occur during the project.
This project will be executed from the Orlando
office of Brasfield & Gorrie and our sub-consultant,
Vila & Son, will support thc teams cfforts from
their Miami office.
1.3. Location of corporate hcadquarters and other
divisional offices.
BRASFIELD & GORRIE OFFICE LOCATIONS
Corporate Headquarters
3021 7th Avenuc South,
Birmingham, AL 35233-2939
Orlando
200 Colonial Ccntcr Parkway
Suite 200
Lake Mary, FL 32746
Atlanta
1990 Vaughn Road, Suite 100,
Kenncsaw, GA 30144
Jacksonville
10151 Deerwood Park Blvd.
Building 100, Suite 250
Jacksonville, FL 32256
Nashville
2636 Elm Hill Pike
Suite 200
Nashville, TN 37214
Raleigh
3700 Glenwood Avenuc
Suitc 300
Raleigh, NC 27612
VILA & SON OFFICE LOCATIONS
Corporate Headquarters
20451 SW 216 Street
Miami, FL 33170
Miami
13901 NW 118 Avenue
Medley, Florida 33178
West Palm Beach
1686 D. Road
Loxahatchee, Florida 33470
Orlando
1900 Williams Road
Winter Garden, Florida 34787
Fort Myers
4175 Buckingham Rd.
Fort Myers, Florida 33905
1.4. Location of officc(s) that will be involved in
this Project during prc-construction and potential
construction phasc scrvices.
Brasfield & Gorrie will support The Heritage Park
and Parking Garage with our Orlando division
office and Vila & Son will support the project out
of their corporatc headquartcrs in Miami.
1.5. Description of contractor's project team to
include the name, responsibiIities, and resumes
of key personnel that will be assigned to this
Projcct.
Please see scction 2 for our proposed project team.
1.6. Description of how contractor's team will be
organized and assigned responsibility for this
Project.
The Heritage Park & Parking Garage projcct requires
a team with outstanding credcntials and a proven track
record in delivering similar facilities. The Brasfield &
GorrieNila & Son team has unmatched expertise in thc
design and construction of complex facilitics including
parking garages and parks throughout Florida. Our
team has collectively completcd ovcr 75 governmcnt
projects.
Brasfield & Gorrie proposes to utilize a projectteam that
has extensive experience with parking garage projects.
We have proposed some people to serve in morc than
one role in an effort to provide an efficient, streamlined
staffing solution that will successfully complete this
important project for Sunny Isles Beach. Additionally,
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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STATEMENT OF QUALIFICATIONS
each of these proposed team members has specific
expcricnce in these roles with parking garages. These
pcrsonnel have been chosen for their expertise with these
typcs of projects.
Terry Butler - Chief Estimator - Tcrry will provide
a resource for all aspects of preconstruction
assistance for the Projcct Coordinator and other
team members.
Sean Sweeney - Project Director - Thc Project
Director is responsible for the overall coordination
and pcrformance of all team members and will be
thc primary point of contact for the City of Sunny
Isles Beach. Hc is responsible for cstimating and
budget preparation, value enginccring, project
management, cost, quality and schedule controls,
and coordination of all field forccs, subcontractors
and material suppliers. Thc Project Director will
work closely with the City of Sunny Isles Bcach and
the architcct to maintain projcct tcam relationship
and produce a successful, high-quality product.
Matt Long - Project Manager - Matt Long will
serve as thc Project Coordinator and the primary
leadcr of the Brasfield & Gorrie team for all
preconstruction and construction services. Thc
Project Manager will coordinate all project
functions including estimating, value engineering,
constructability reviews, projcct operations and
managcment, scheduling, cost control, quality
control and safety.
Carey Duell - Supcrintcndcnt - Carey will be
rcsponsible for building thc projcct in conformance
with contract documcnts, maintaining a safe
workplace, meeting the project schcdulc, field
purchases and leasing, as well as supervising all
Brasfield & Gorrie field employees.
1.7. Description of recent project cxperience,
including projects of similar size, and clicnt
refercncc with contact information.
Please see section 3 for our recent project
experIcnce.
1.8. Evidence of capabilities for construction
scheduling, matcrial procurement, and assurance
that plans, spccifications, and schedules arc met.
Schedulc control is a major component of cost
control, as cxtended job schedules have a major
cost impact. We pride ourselves on the ability to
move a project along fast, and we use a variety of
techniques, including CPM and sophisticated bar
chart methods, to facilitate this proccss.
The following proccdures will be undertaken to
cstablish and control the project schedule:
~ Develop a time scaled precedence type bar chart
schedule in both preliminary and final form, in
conjunction with the City of Sunny Isles Beach
and/or the architects and all subcontractors.
Ample time will be provided for review and
reevaluation of preliminary and final drafts of thc
schedule.
~ Develop detailed near-term schedules on a bi-
weekly basis to monitor construction activities and
to reschedule as required those activities anticipated
within the next four-to-six-week period.
~ Conduct project coordination meetings throughout
the construction period to evaluate construction
progress relative to the overall project schedule.
These meetings will include Brasfield & Gorrie
personnel, City of Sunny Isles Beach and all
active or near active subcontractors.
The control of the schedule is thc joint
responsibility of the project manager and the
superintendent.
PROCU REM ENT
For material and subcontract items, Brasficld &
Gorrie will obtain bid quotations from a minimum
of three qualified contractors or vendors. Thesc bids
will bc received, analyzed and a recommendation
for award will bc made to the City of Sunny Isles
Beach. Upon award of each work activity, we will
issue a subcontract or material purchase order that
ensures compliance with all applicable terms and
conditions of the project, including bonding and
insurance. During this phase a log is maintained
by the project manager indicating the status of all
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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STATEMENT OF QUALIFICATIONS
materials and subcontract acquisitions.
COST CONTROL
Effective cost control requires the understanding
and knowledge of what costs should bc. We pride
oursclves on having excellent estimating capability.
Our staff is available to support thc project team
assigned to your projcct.
Brasfield & Gorrie continuously monitors
construction costs through the following individual
computer rcports:
~ Labor Cost Report
~ Labor Projcctions
~ Matcrial and Subcontractor Buyout
~ Matcrial and Subcontractor Cost Rcport
> Monthly Projections
~ Payment and Rctainage Report
In addition, our Job Estimatc and Job Edit rcports
monitor estimated and currcnt contract amounts
and change orders.
1.9. A statement of experience summarizing
projects constructed under a similar development
process and a summary of what the Firm can
"bring to the table" for the benefit of the City
of Sunny Isles Beach.
Our ability to self-perform givcs us superior
control over cost, schedule, quality and safety. The
amount of work we self-perform can range from
5% to 95%, depending on the type of construction.
On heavy concrete work we typically self-perform
50% to 95%; on commercial or institutional
construction we generally self-perform 10% to
35% of the work.
By self-performing work that many of our
competitors must subcontract, we arc able to
eliminatc an additional markup, thereby reducing
project costs for the owner. When a substantial
portion of the work is performed by our own
forces, we can monitor the schedulc more
accuratcly and make labor adjustmcnts more
rapidly than can be done through secondary
contractors. This oftcn accelerates project
completion. Also, through self-performance, wc .
have direct control of the quality of workmanship
and the safcty of thc workplace.
Brasfield & Gorrie has the ability to self-pcrform
the following:
~ Foundation and relatcd excavation
~ Concretc structure
~ Light framing and miscellancous iron
~ Rough carpentry, layout, engineering
~ Finished carpentry, millwork
~ Specialties
1.10. A statement addrcssing the Firm's prcsent and
projected workload and how this Project will be
scheduled within that workload.
Brasficld & Gorric is expected to do approximately
$2 billion for 2009 company wide, $400 million
out of our Florida Regional office. In 2010,
Brasfield & Gorrie is currently preparing for a
slowdown in the construction markct in 2010 but
our backlog is still cxtremely strong. This project
would work perfectly with the proposed project
team members as well as the South region.
1.11. Third Party evidence that thc Firm has thc
rcquired liccnse, insurancc, and financial and
bonding capabilities necessary to fulfill their
responsibiIitics for this Projcct. The City may
require supplementary evidencc of financial
stability prior to signing a contract for the
Project. Note the City is a public body subject to
the State of Florida Public Records Law.
Information submittcd as part of this RFQ may bc
subject to public relcasc.
Please scc section 4 for Brasfield & Gorric's license,
insurance, financial and bonding insurance
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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PROPOSED PROJECT TEAM
The City of Sunny
Isles Beach
OlVlle,.
Architect
George Paulson
Vice President
I nstitutiona!
Division Manage,.
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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PROPOSED PROJECT TEAM
TERRY BUTLER - PRECONSTRUCTION MANAGER
BACI<GROUND
Terry has thirty four years of experience working
on commercial, institutional, industrial, and
healthcarc construction projects across the South.
Terry has worked for Brasfield & Gorrie for 23
ycars. Terry is a chief estimator for Brasfield
& Gorrie and has also pcrformed as a project
managcr. He is responsiblc for estimating activities
during thc preconstruction phase of projccts, as
well as thc rcsponsibility for thc training of a staff
of 15 estimators.
EDUCATION
Auburn University
B.S., Building Construction
SELECTED EXPERIENCE
1000 Waterford Office Building & Parking Garagc
Miami, FL - $45 Million
Tampa International Airport Parking Dcck
Tampa, FL - $60 million
Florida Hospital Altamontc Parking Deck
Altamontc Springs, FL - $7 Million
Florida Hospital McRae Parking Deck
Orlando, FL - $18 Million
Florida Hospital Alden Parking Dcck
Orlando Springs, FL - $7.2 Million
CNL Office Center & Parking Garage
Orlando, FL - $40 Million
801 North Uptown & Parking Deck
Orlando, FL - $15 Million
The Plaza & Parking Deck
Orlando, FL - $72 Million
Dynetech Mixed-use and Parking Dcck
Orlando, FL - $52 Million
SEAN SWEENEY - SENIOR PROJECT MANAGER
BACI<GROUND
As a senior project manager he will be responsible
for the overall coordination and performance
of all project tcam mcmbers. Sean is responsible
for estimating and budget preparation, value
engineering, project management, cost, quality and
schedule controls, and coordination of all field
forces, subcontractors and matcrial suppliers. He
works closely with the owner and architect to
maintain a project team relationship and produce a
successful, high quality product.
EDUCATION
Rollins College
B.S Libcral Arts
SELECTED EXPERIENCE
1000 Waterford Office Building & Parking Garage
Miami, FL - $45 Million
Town & Country Specialty Center
Miami, FL - $18 Million
801 North Uptown & Parking Deck
Orlando, FL - $15 Million
Dynetcch Mixed-use and Parking Deck
Orlando, FL - $52Million
Lockheed Martin
Orlando, FL - $25.1 Million
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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PROPOSED PROJECT TEAM
MATT LONG - PROJECT MANAGER
BACKGROUND
Matt is responsible for estimating and budget
prcparation, value engineering, project
management, cost, quality and schedule controls,
and coordination of all field forces, subcontractors
and material suppliers. His experience on
estimating teams for a wide range of office
buildings givcs him a good handle on costs. Matt
works closely with the owner and architect to
maintain a project team relationship and produce a
successful, high-quality product.
EDUCATION
Univcrsity of Florida
B.S., Dcgree in Construction Managcment
SELECTED EXPERIENCE
1000 Waterford Office Building & Parking Garagc
Miami, FL - $7.8 Million
Tampa International Airport Parking Deck
Tampa, FL - $60 million
Dynetech Mixed-usc and Parking Deck
Orlando, FL - $52 Million
CAREY DUELL - SUPERINTENDENT
BACKGROUND
Carcy Duell has 20 years of construction
experience with a specialized emphasis on concrcte
and formwork. He has successfully completed
a diverse list of projects throughout the statc of
Florida. Carey's greatest strength is in his ability
to know thc staff and plant operations people in
order to coordinatc his work for the most scamless
construction process possible. Carey will be an
asset to any project team.
EDUCATION
Graduated from Hernando High School
Brooksvillc, Florida
SELECTED EXPERIENCE
1000 Waterford Officc Building & Parking Garage
Miami, FL - $45 Million
Tampa International Airport Parking Dcck
Tampa, FL - $60 million
Tampa Intcrnational Airport Parking Deck
Concrete Structure Self Perform
Tampa, FL - $40 million
The Plaza & Parking Deck .
Orlando, FL - $72 Million
Dynetech Mixed-usc and Parking Dcck
Orlando, FL - $52 Million
Florida Hospital Altamonte
Concrete Structure Self Perform
Altamontc Springs, FL - $60 million
Florida Hospital Wintcr Park
Concrete Self Perform
Winter Park, FL - $14 million
Miami Dade Municipal Parking Garagc
Miami, FL - $13 million
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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EXP E RI ENC EIRE FE RENC ES
BRASFIELD & GORRIE EXPERIENCE:
1000 Waterford Office Building & Parking Deck
Location: Miami, Florida
Cost: $45 million
Dcscription: 10 story 250,000-sf officc building
and a 4-story, 209,000-sf parking garage
Completion Date: August 2009
Owner: Hogan Group
Contact: Stcve Oakse - 813.274.8000
Project Team: Tim Dwyer, Gcorge Paulson,
Terry Butler, Sean Swecney and Matt Long
Tampa Airport Authority Parkin~ Garagc
Location: Tampa, Florida
Cost: $60 million
Description: 6 story structurc providing parking for
approximately 5,600 vehicles. Phase I will deliver
approximately 3,700 parking spaces and Phase 2
will havc 1,900 parking spaces availablc.
Services Provided: General Contractor, low bid
Completion Date: 05.29.09
Owner: Hillsborough County Aviation Authority
Contact: Dan Nocttl - 813.870.8710
Project Team: Tim Dwyer, George Paulson,
Tcrry Butler, Matt Long and Carcy Duell
The Plaza Mixed Use & Parking Garage
Location: Orlando, Florida
Cost: $17 million
Description: The Plaza is an mixed use facility and.
also fcatured an 767,028 square fcct of parking deck.
Completion Date: 11.30.05
Reference: Baker Barrios Architects
Contact: Tim Baker - 407.926.3000
Project Team: Tim Dwycr, Gcorge Paulson,
Matt Long and Carey Ducll
Dynetech Centrc Mixed Use & Parking Garage
Location: Orlando, Florida
Cost: $16 million
Dcscription: 600,000 sf, mixed use facility and an
eight-level parking garage.
Completion Date: 12.03.07
Reference: Lincoln Properties
Contact: Tom Walker - 407.872.3500
Project Team: Tim Dwyer, George Paulson,
Scan Sweeney and Carey Duell
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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EXP E RI E NC E/REFERE NC ES
801 North Uptown Mixed Use Building
Location: Orlando, Florida
Cost: $14.5 million
Description: 8 story 250,000-sf building including
17,500 sf of retail, restaurant, and scrvice space,
90,000 sf of office spacc, and a 4-story precast
parking deck.
Completion Date: 5/31/06
Owner: Ustler II, Inc.
Contact: Craig Ustlcr - 407.841.3266
329 Park Place & Parking Garage
Location: Winter Park, Florida
Cost: $14.5 million
Dcscription: 3 story, 50,000 sf mixed use building.
The first floor consists of retail and restaurants.
The second and third floor consists of office space.
Additionally therc is a 5 level, 129,000 sf parking
garagc.
Completion Date: 12/31/05
Owner: Elizabeth Morse Genius Foundation
Contact: Dick Strauss - 407.629.4511
Florida Hospital Alden Parking Garage
Location: Orlando, Florida
Cost: $7.1 million
Description: The Scope of this Design-Build Project
was the addition of 500 additional parking spaces
to the existing scven story pre-cast double T
parking deck.
Completion Date: 5/31/06
Owncr: Adventist Health Systems
Contact: Dave Patchin - 407.303.1166
Florida Hospital McRae Parkin~ Garage
Location: Orlando, Florida
Cost: $22.2 million
Description: A new scven (7) story opcn structure
precast parking garage that holds 1,252 cars
Completion Date: 5/31/06
Owner: Adventist Health Systems
Contact: Dave Patchin - 407.303.1166
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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EXP E RI E NC EIRE FERE NC ES
VILA & SON EXPERIENCE:
City of Sunny Isles Improvements
City of Sunny Isles, FL.
$1,340,000.00
O'Leary Design Associates
Mr. Bill O'Leary / 305-596-6096
South County Regional Park
City of Boca Raton, FL
$200,000.00
The Weitz Company
Mr. Bernic Pcrtier / 561-686-5511
Seminolc Coconut Creek Casino
City of Coconut Creek, FL.
Joc McKnight
954-520-0857
Seminole Hard Rock Casino
City of Hollywood, FL
954-327-7680
South Point Park
City of Ft. Pierce, FL.
$130,000.00
Ocean Gate Construction
Mr. Ben Hcrd/ 772-919-1412
Epcot Kids Garden 2002 - 2009
City of Orlando, FL
$270,000.00
Walt Disney World,
Mr. Dennis Higbie, Dr. of Hort.
407-938-3940
Busch Gardens Veldt & Rhino Rally
City of Orlando, FL.
$2,700,000.00
Suitt Construction
Mr. Chris Sullivan - 407-834-2300
WDW Animal Kingdom Lodge
City of Orlando, FL.
$3,420,000.00
Walt Disney World
Mr. Tim Warzecha / 407-566-1325
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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ADDITIONAL INFORMATION
BONDING CAPACITY
Brasfield & Gorrie has an exceptionally strong
financial position. We havc complctcd an average
of $1.59 billion in volume annually for the past
five ycars, and currently have $5.1 billion of work
under contract with an uncompleted backlog of
$2.3 billion.
Brasfield & Gorrie's bonding capacity has grown
steadily through the ycars to keep pace with our
organization and our financial resourccs. We have
a strong financial statemcnt and are rarcly bonded
on negotiated work. Brasfield & Gorrie has ncvcr
defaulted on a Pcrformance Bond and has nevcr
failed to providc a bond when asked. The Fcderal
Insurancc Company, Division of Chubb Group,
furnishcs our bonds through the Hincs, Ridolphi
& Associatcs agency in Birmingham. We have an
aggregate capacity for backlog in excess of $2.5
billion and for a single contract in exccss of $250
million.
Surety Agent
HRA Risk Services.
P. O. Box 531310
Birmingham, AL 35253
Agent: Mr. Chris Muscolino
205.879.1945
Surcty Company
Fedcral Insurance Company
Division of Chubb Group
15 Mountain Vicw Road
Warren, NJ 07059
908.903.2000
Insurance Reference
St. Paul Insurance
Debra Dooley
100 Crescent Parkway, Suite 1000
Tucker, GA 30084-7016
770.492.5458
HERITAGE PARKAND PARI<ING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
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Chubb
Surety
POWER
OF
ATTORNEY
Federal Insurance Company
Vigilant Insurance Company
Pacific Indemnity Company
Attn: Surety Department
15 Mountain View Road
Warren, NJ 07059
C>>IL-.
Know All by These Presents, That FeDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
~OMi~~;~~~&~p:r~Orf::;t1I:b.:it t::r~Flri~::~~~:rvsJzY~~;:i,aE~~iD~s~ld~h~t1~, ~dS~~b;'f~~~~;ha~
=Ingham, Alabama ----------------............-----------------.-.....-.-....-----..u___.._.....uu. .____________n_u..._._......
each as their true and Iavdul AItomey-ln- Fad to execute under such designation In their names and to elfl. their corporate seals to and deliver for and on their behalf as surety
thereon or otheMlS8, bonds and undertakings and other 'M'ltings obligaloly In the nature the,eof (other than bal bonds) given or executed In the course 01 business, and any
instruments amending or altMlng 1M same, and conlllllllo tile modification or alleration of artf Instrument referred to In said bonds or obligetions.
In Wltnna WMreof, Nk.I f'EDI!RAL INSURANCE COMPANY, VIOIU\NT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY havlllllll<Oh IIA""ul.d .,nd Ilnll&llKl
these presents and affixed their corporate seals on this 20th day of December, 2007.
~~~/
Kenneth C. Wendel, Secretary
~i7L -~
Dav , Jr., VICe Preside
STATE OF NEW JERSEY
County of SomerSlll
On this 20th day of December, 2007 before me, a Notary Public of New Jersey, personally ceme Kenneth C. Wendel, to me
known lo be AssIstant Sec:retaJy of FEDERAL INSURANCE CQMPNN, VIGILANT INSURANCE COMPANY, and PACIAC INDEMNIlY COMPANY, the companies which
eXeMlKl ll1e lOregolng Powe, 01 Attorney, and lIle salCl KeMetn C. Wenoe~ DaIng by me dUly sworn, ClIll depose ana SIl'f IlIat ne IS ASSIStant secretary 01 fEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals lheAol. that the seals alllxed to lrIe
foregoing PO'MJr of AtIomey are such corporale seals and WIf8 thereto affixed by aulhortly of the By- Laws 01 said Companlas; and 'ha' he signed said Power of Attorney as
Assistant Secretary of said Companies by lice authority; and tha. he Is acquafnted Yfith David B. Noms, Jr., and knows him to be Vloe Preslden' of saki CompanIeS; and that the
signature of David O. Nonb, oJr., lIUbxttbod lo sold Paw., of Attome)' Is In "'" genuine handwriting of OeYk:l D. Norrb, J,., and wu thereto ~ by authority of sold Dy'
Laws and In depontlnfs pralInce.
ee.
CERTIFICATION
Extract from the By- Laws 01 FEDERAL INSURANCE COMPNN, VIGILANT INSURANCE COMPANY, and PACtAC INDEMNITY COMPANY;
-All powers 01 allomey lor and on beha. 01 the Company may and shall ~ executed in the nama and on behalf of 1M Cornpartf, elher by 1I1e Chairman or the
President or a Vice Prssldent or an AssIstant Vlc:e President. jointly Yfith the SecretlllY or an AssIstant SecretaJy, under their respacllve deslilnallon3. The
slgnatwe of such officefS mey be engraved, prlnted or lithographed. TIle signature of ead1 of the folloy,ing officers: Chairman, President, any Vice President. artf
AssIstant Vlca Presldent. any Secretary. any Aslistant Secratary andlhe saaI of tha Company may be alllxad by facsimile to any power of attorney or to any
-unc:..t. ,."Ung U18n,to appolnUng Ac.u.lant 8we'..""I.... VI Allorneya- k,- "act "" purpo&UlJ only 01 .A~vUr'll....d 1l1lu&lJ"ll bonds Ilnd unclllrllikl"llllllnd other
vwltlngs obIigatOly in the nature thereof, and any such power of allorn&)' or cerliIlcate beanng such facslmila signature or facsimile seal shaU be valid and binding
upon the Company and eny such power so execulecland certified by such facsimile slgnature and facslmile saal shat be valid and blndlng upon the Compartf
y,ith respect to any bond or underlaklng to which It Is attached.'
I, KeMetn C. Wandel, ASsIstant secretary 01 fEDERAL INSUHANCI; COMPANY. VIOI,AN I IN~URANCE COMI'ANY, an<J PACifiC INDEMNITY COMPANY
(the "CompanIes' do hereby certify that
(i) the foregolng extract of the By- Laws of tile Companies IS true and correct.
(I) the Companies are duly Ucensed and aulhorilM to traM8d SUrllly buslnau In al 60 of the Unaad Stat... of AmAIlclo And 'h" DiA'rId nI Columbia "nd ara
aulhorlzed by tile U.S. T,eauy DeparltMnl; further, Federal and VIgUanI are Ilcensad In Puerto Rico and the U.S. Virgin Islands, and Federal Is licensed In
Amerk:an Samoa, Guam, and each 01 the Provinces of Canada except Prince Edward Island: and
(Ill) the loregolng Power of AllOmey Is true, c:orre,' and In lulllorce and elfec:t.
KATHERINE KAL8ACHER ~ ~~
NOTARY PUBUC OF NEW JERSEY
No. 2316685 . - t..-. -~
CommiSlion Expires July 8, 2009
--
Notarial Seal
NoIary Public
Given unoer my nanct anct seaI$ 01 $ltId Companles at Warren, NoJ tIllS
7th day of April, 2009.
ILzBt~K1J.l~d...,tSAcM~rr
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MAlTER, PI EASE CONTACT US AT ADDRESS lISTf.O ABOVE, OR BY Telephone (008) 903. 3493 Fax (008) 903. 3858
e-mail: 8urety@chubb.oom
Form 16-10. 0225B- U (Ed. 6- 03) CONSENT
.
POWER OF ATTORNEY
WARNING: THIS POWER OF ATIORNEY IS INVALID WITHOUT THE RED BORDER
.....
TRAVELERSJ
Farmington Casualty Company
Fidelity and Guaranty Insurance Company
Fidelit)' and Guarant)' Insurance Underwriters, Inc.
Seaboard Suret)' Com pan)'
St. Paul Fire and Marine Insurance Compan)'
Attorne)'-In Fact No.
219580
St. Paul Guardian Insurance Com pan)'
St. Paul Mercury Insurance Company
Travelers Casualty and Surety Compan)'
Travelers Casualty and Surct)' Compan)' of America
United States I'idelit)' and Guaranty Company
Certincate No. 0 0 2 5 4 5 9 5 4
KNOW ALL MEN 8Y THESE PRESENTS: That Seaboard Surety Company is a corporation duly organized under the laws of the State of New York. that Sl. Paul
Fire and Marine Insurance Company. Sl. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws
of the Stale of Minnesola, that Farmington Casualty Company. Travelers Casualty and Surety Company. and Travelers Casualty and Surety Company of America ate
corporalions duly organized under the laws of the Slate of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly org:mized under the
laws of the State of Maryland. that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa. and that Fidelity and
Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collecti\'e1y called the "Companies"). and that
the Companies do hereby make. constitule and appoint
Earl D, Ridolphi, Jr., Chris Muscolino, Mary Isbell, Suzi Philpot, Sheryl Cooper, and Shelby Turnbough
of the City of Birmingham . State of Alabama . their true and lawful AltorneYls).in.Fact.
each in their separate capacity if more than one is named abO\'e, to sign. execute. seal and acknowledge any and all bonds. recognizances. conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business oLguaranteeing the fidelity of petsons, guaranteeing the petformance of
contraclS and executing or guaranteeing bonds and undertakings required or perml,~ed' in any a~iions or p'i'oceedings allowed by law.
~\\. ~l..'.1 '"
'V...\ \' j~ . \ ... \ j
~~"' . ", \,:" ~;'.\
\ ". ' 1 ~ '
IN WITNESS WHEREOF. the Companil<s ha\'e caused this instrul1le;ht~be signdl'alld theirco~rate seals to be hereto affixed. Ihis
d f February 20u8 \\'\ p {:... I.'\:. ~
ay 0 . _' . . .:.. ' '\' ~
.. \L.\ ~
Farmington Casualt)' compan:.') .. .,.;\ \. , . t).. /
Fidelit), and Guaranty)n~r~ce;CoJl1pan)',\)
Fidelit)' and Guarant)' Insurance Underwriters, Inc.
Seaboard Suret)' Company
St. Paul Fire and Marine Insurance Company
State of Connecticut
City of Hartford ss,
1st
St. Paul Guardian Insurance Com pan)'
St. Paul MercuQ' Insurance Com pan)'
Tra\'elers Casualt)' and Suret)' Compan)'
Trawlers Casualt)' and Surety COmp8l1)' of America
United States Fidelit)' and Guarant)' Company
By:
15t Febmary 2008
On this the day of , before me personally appeared George W, Thompson. who acknowledged himself
to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwtilers. Inc"
Seaboard Surety Company. SI. Paul Fire and Marine Insurance Company. SI. Paul Guardian Insunlllce Comp:my. SI. Paul Mercury Insurance Company. Tra\'elers
Casualty and Surety COlllpany, Tra\'elers Casualty and Surety Company of America. and United States Fidelity and Guaranty Company. and that he. as such. being
authorized so 10 do. executed the foregoing instrument for the purposcs therein containcd by signing on behalf of the corporations by himself as a duly authorized oflicer,
In Witness Whereof, I hereunto set my hand and oflicial seal.
My COlllmission expires the 30th day of June. 2011.
58440-5.07 Printed in U,S.A.
"{(\~ C. j~
"- :\Iarie C. Telreault. NOlary Public
.
WAR ING: THIS POWER F ATTORNEY IS INVALID ITHOUT THE RED BORDER
This Power of AlIorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity
and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc" Seaboard Surety Company, St. Paul Fire and Marine Insurance Company,
St, Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of
America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows:
RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice
President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoinl AlIorneys.in-Fact and Agents to act for and on behalf
of the Company and may give such appointee such authorily as his or her cenificate of authority may prescribe to sign with the Company's name and seal with the
Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nalure of a bond, recognizance, or conditional undenaking, and any
of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is
FURTHER RESOLVED, that the Chairman, lhe President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may
delegate all or any pan of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy
thereof is filed in the office of the Secretary; and it is
FURTHER RESOLVED, thaI any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undenaking
shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice
President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assislant Secretary and duly allesled and sealed with the
Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant 10 the power
prescribed in his or her cenificate or lheir certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is
FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President,
any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of lhe Company may be affixed by facsimile to any power of attorney or to any certificate
relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in.Fact for purposes only of executing and attesting bonds and
undertakings and other writings obligatory in the nature thereof, and any such power of attorney or cenificate bearing such facsimile signature or facsimile seal shall be
valid and binding upon the Company and any such power so executed and cenified by such facsimile signature and facsimile seal shall be valid and binding on the
Company in the future with respect to any bond or understanding to which it is attached.
I, Kori M, Johanson, the undersigned, Assistant Secretary, of Farminglon Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance
Underwriters, Inc" Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance
Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby
cenify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been
revoked.
7th
April
09
,20 _'
IN TESTIMONY WHEREOF, I have hereunlo set my hand and affixed lhe seals of said Companies this
t::\
~
E~"'~~b>~
\\~,
~ .~~
To verify the authenticity of this Power of Attorney, call 1-800-421.3880 or contact us at www.lravelersbond.com. Please refer to the Attorney.In-Fact number, the
above.named individuals and the details of the bond to which the power is attached,
WARNING: THIS POWER OF ATTORNEY IS INl.'i\lID WITHOUT THE RED BORDER
-
INSURANCE CERTIFICATE
ACORD,,, CERTIFICATE OF LIABILITY INSURANCE I DATE (MMloDlYYYY)
4/1/2009
PRODUCER (205) 879-1945 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRA Risk Services, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3016 7th Avenue South ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Birmingham, AL 35233
INSURERS AFFORDING COVERAGE NAIC#
INSURED Brasfield & Gorrie, LLC INSURER A; Travelers
P. O. Box 10383 INSURER B:
Birmingham, AL 35202-0383 INSURER c:
INSURER 0:
INSURER E:
BRAS&GO-01
SCOO
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.
INSR DO" POLICY EFFECTIVE POLICY EXPIRATION LIMITS
POUCY NUMBER
~NeRAl LlABIUTY EACH OCCURRENCE S $1,OOO,Ooc
A .!. jMERCIAl GENERAL LIABILITY C07852B663 m VTC2K 7/1/2008 7/112009 PREMISES Eo OCCU'once\ S $5000C
~ CLAIMS MADE [K] OCCUR MED EXP (Anyone p"'''''') S $500C
X CONTRACTUAL PERSONAl & ADV INJURY S $1,OOO,OOC
X COMPLETED OPERATION GENERAl. AGGREGATE' S $2,OOO,OOC
n'L AGG~EmE LIMIT AnS PER PRODUCTS' COMPIOP AGO S $2,OOO,OOC
POLICY X ~f-RT LOC ..
~TOMOBILE LIABILITY " COMBINED SINGLE LIMIT $1,OOO,OOC
A ~ my AUTO CAP 5449B876 m VTC2J 7/1I2D08 7/1/2009 (Eo occlcknt) S
.!. ALL OWNED AUTOS BODILY INJURY S
SCHEDULED AUTOS (Por potson)
X HIRED AUTOS BODILY INJURY
X (Per accidenl) S
- NON.OWNED AUTOS
f- PROPERTY DAMAGE S
(Per Bocidenl)
ROE LIABILITY AUTO ONLY. EA ACCIDENT S
mY AUTO OTHER THm EAACC s
AUTO ONLY: AGO S
iJESSIUMBRELLA LIABILITY EACH OCCURRENCE S $10000DI
A X OCCUR 0 CLAIMS MADE CUP 5800B505 m VTSMJ 7/112008 7/112009 AGOREOA TE S $1000000
s
R DEDUCTIBLE S
RETENTION S . S
WORKERS COMPENSATION AND X we STATU- 10J~'
A EMPLOYERS'LIABIUTY UB 7005B775 m VTC2H 7/1/2008 7/1120D9 $1,000,000
my PROPRIETORIPARTNERlEXECUTlVE E.L. EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S $1,000,00C
g~~~r~:~U;:6~S beJow E.L. DISEASE - POLICY LIMIT S $1,OOO,00C
OTHER
DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVlSIONS
!vALENCIA COMMUNITY COLLEGE IS AN ADDITIONAL INSURED ON THE GENERAL LIABILITY, AUTOMOBILE LIABILITY, WHERE
~PLlCABLE. 30 DAYS NOTICE OF CANCELLATION APPLY, WAIVER OF SUBROGATION APPLIES. WORKERS COMPENSATION COMPLIES
ITH THE STATUTORY LIMITS, BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHS & APPLIES.
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
SAMPLE
ACORD 25 (2001/08)
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
~~~THE I ~~N I
NATURAL CHOICE
LICENCES
ACt 3 9090 51 STATg~g,F FLORIDA
u";: _ _.__
A.i'~:'>I. ',~~ .~r __'
DEPARTMENT O&BUSINESS~AND PROFESSIONAL REGULATION
.,. C9,NSJ~p'~IJ.8J~,~ffi:N1?~'>~:rR,;Y~;LICENSING BOARD SEQ# L08081202004
LICENSE~'~~,c~;~.;.''': l.
" ", .,;,"" ~
08 12 20081 0800J:4241 CGC1505528~."c'<"
The GENERAL CONTRACTOR'" ,+
Named below IS'CERTIFIED
Under the provisions of Chapter 48~ FS~
Expiration date: AUG 3~, 2010" 7
Ill,
CALVIN, JEFF T
BRASFIELD & GeRRIE LLC
30217TH AVENUE SOUTH j~~
BIRMINGHAM AL 35233- ~
CHARLIE CRIST
GOVERNOR
CHARLES W. DRAGO
SECRETARY
DISPLAYAS REQUIRED BY LAW
Certificate of Status
I certify from the records of this office that BRASFIELD & GORRIE. L.L.c. is a Delaware
limited liability company authorized to transact business in the State of Florida. qualitied on
October 27, 1997.
The document number of this limited liability company is M97000000707.
I further certify that said limited liability company has paid all fees due this otlice through
December 31,2009, that its most recent annual report was tiled on January 21. 2009. and its
status is active,
I further certify that said limited liability company has not filed a Certificate of Withdrawal.
I further certify that this is an electronically transmitted certiticate authorized by section 15,16,
Florida Statutes, and authenticated by this code 090206235513-100141648331 # I.
Given under my hand and the
Great Seal of the State of Florida
at Tallahassee, the Capital. this the
Sixth day of February. 2009
k~
sccrctarp of statc
HERITAGE PARK AND PARKING GARAGE
CITY RFQ NO. 09-03-01
APRIL 8, 2009
B~J~~ONI
l?i ..........IIlIAC.... THENATURALCHOICE
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted
to City of Sunny Isles Beach
by Brasfield & Gorrie. LLC
for Heritaqe Park and Parkinq Garaqe
whose business address is
200 Colonial Center Parkway, Suite 200
Lake Mary, FL 32746
and (if applicable) its Federal Employer Identification Number (FEIN)
72-1400223
(If the entity had no FEIN, include the Social Security Number of the individual signing this
sworn statement:
251-39-0479
2. I understand that a "public entity crime" as defined in Paragraph 287. 133(l)(g), Florida
Statutes, means a violation of any state or federal law by a person with respect to and directly
related to the transaction of business with any public entity or with an agency or political
subdivision of any other state or of the United States, including, but not limited to, any bid or
contract for goods or services to be provided to any public entity or an agency or political
subdivision of any other state or of the United States and involving antitrust, fraud, theft,
bribery, collusion, racketeering, conspiracy, or material misrepresentation.
3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(l)(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, nonjury trial, or entry
of a plea of guilty or nolo contenders.
4. I understand that an "affiliate" as defined in Paragraph 287. 133(1)(a), Florida Statutes, 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 come. The term "affiliate" includes
those officers, directors, executives, partners, shareholders, employees, members, and
agents who are active in the management of an affiliate. The ownership by one person of
shares constituting a controlling interest in another person, or a pooling of equipment or
income among persons when not for fair market value under an arm's length agreement,
shall be a prima facie case that one person controls another person. A person who
knowingly enters into a joint venture with a person who has been convicted of a public
entity crime in Florida during the preceding 36 months shall be considered an affiliate.
16
..
5. I understand that a "person" as defined in Paragraph 287. 133(1)(e), Florida Statutes, means any
natural person or entity organized under the laws of any state or of the United States with the
legal power to enter into a binding contract and which bids or applies to bid on contracts for
the provision of goods or services let by a public entity, or which otherwise transacts or applies
to transact business with a public entity. The term "person" includes those officers, directors,
executives, partners, shareholders, employees, members, and agents who are active in
management of any entity.
6. Based on information and belief, the statement which I have marked below is true in a
relation to the entity submitting this sworn statement. (Please indicate which one (1) of the
following three (3) statements is applicable.)
~ (1) 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, or any affiliate of the entity has been charged with and convicted of a
public entity crime within the past 36 months.
_(2) 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 any affiliate of the entity has been charged with and convicted of a
public entity crime within the past 36 months.
_(3) 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 agents who are active in management of the entity, or any affiliate
of the entity has been charged with and convicted of a public entity crime within the past 36
months. However, there has been a subsequent proceeding before a Hearing Officers of the State
of Rorida, Division of Administrative Hearings and the Final Order 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. (Attached is a copy of the final order.)
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING
OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS
FOR THE PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH
DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED AND FOR THE
PERIOD OF THE CONTRACT ENTERED INTO , WHICHEVER PERIOD IS LONGER. I
ALSO UNDERST AND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY
PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT
PROVIDED CTION 287.017, FLORIDA STATUTES FOR THE CATEGORY TWO OF
A CHAN E INFORMATION CONTAINED IN THIS FORM.
George Paulson
(Printed or Typed Legal Name of Affiant)
17
.;
State of Florida of County of Miami-Dade
Sworn to and subscribed before me this 7th
day of Apri 1
, 2009 by
'K-~~
Notary
Notary's Name Printed, Stamped or Typed
Personally Known:
x
or Produced Identification
Identification Produced
18
NON-COLLUSIVE AFFIDA VIT
State of
Florida)
County of
Miami-Dade)
Georqe Paulson
and says that:
being first duly sworn, deposes
(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 any other 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 any 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, spiracy, connivance, or unlawful agreement on the part of the Bidder or any
o r of its gen, resentatives, owners, employees or parties in interest, including this
fi t.
George Paulson
(Printed or Typed Legal Name of Affiant)
20
~
..
State of Florida of County of Miami-Dade
Sworn to and subscribed before me this 7 t h
day of April
, 2009 by
--~-------
Notary Seal ""m~:.l!~~"'''''''' KAnE MOSS' ~
! ~ \ Notary Public. State of Florida .
~~ ~} My Comm. expires Feb 18.2013
....~1 ~ ,~w.,..$ Commission 11 00 862687
,'....",
Notary's Name Printed, Stamped or Typed
Personally Known: ---1L- or Produced Identification
Identification Produced
21