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Home My WebLink AboutHybrid Concrete Structures . . . . . . . . . . . . . . . . . . I. I. . . !. . . . '. .. . . . . . I. '. I I: " . . . . . . :tf:CEIV' . Af):J Ii " 1009 I \, ij 0 ....\1 Clly if, Sunny 1~5 Beach Offic.$ of !he Cay eler\( . Ar CITY OF SUNNY ISLES BEACH I \ Qualification Statement Prepared For: The City of Sunny Isles Beach, FL For: Heritage Park and Parking Garage Sunny Isles Beach, FL Date: April 8, 2009 Submitted by: --:::'l I-Ies Hybrid Concrete Structures, LLC L-- . . . I. I. I. i- . . - . - Ie e e . . e I. .e I- '. . . .e - - . - . e - e . e I- ': e . . . ,- If) . -:::1' I-Ies Hybrid Concrete . Structures, LLC ~ 685 Red Oak Road Stockbridge, GA 30281 Ph- 678.565.7640 Fx- 678.565.7642 www.hybridcon.com April 8, 2009 Rick Conner, Acting City Manager City of Sunny Isles Beach 18070 Collins Ave. Sunny Isles Beach, FL 33160 Re: Professional Construction Services for the Heritage Park and Parking Garage Mr. Conner, On behalf of Hybrid Concrete Structures, I am pleased to offer the following Qualifications in response to the City of Sunny Isles Beach, Request for Professional Construction Services for the Heritage Park and Parking Garage. Our company is solely engaged in the Design and Construction of Parking Garages and has the experience and resources to dedicate to the City of Sunny Isles Beach for this project. Also, we are an organization that takes pride in the fact that we self perform the majority of our work and are not simply a General Contracting Broker. The experience of our staff in the field of parking garage construction is unprecedented and we will dedicate ourselves to the successful delivery of your project. If you have any questions regarding the materials submitted, please do not hesitate to contact me. Best Regards, Hybrid Concrete Structures ~. David M. Bobbitt Vice President FL CGC 1509102 Hybrid Concrete Structures is a wholly owned subsidiary of Southern Pan Services .- I. I. I. ~.. I ,. '. . . tJ . . o CI . . . .. . - . ~ . . . ., . () . . () <l c. . . . ...... . ~ ... ... ~ . . :l Table of Contents 1. HCS Company Profile 2. HCS Project Approach & Personnel 3. HCS Parking Experience & References 4. Bonding, Insurance and Licensing 5. Proposal Forms . I. , I. I. :.. . . . . I. I. '. . . . . . . . . . . . . . . . o . . a . 1. . . . " . . () . \) . . COMPANY PRO:FILE I Hybrid Concrete Struct!lres is a wholly owned sub- sidiary of Southern Pan Services and was established by SPS to focus solely on the design-build parking market. While the Owners of SPS had continuously been in the business of form rental, formwork erection and total concrete frame construction since 1980, it was determined that the market would be better served by a company specialized in the design and construction of post-tensioned parking garages. HCS offers Owners a post-tensioned structural solution for parking garages which is often the best value when corflpared to other competing structural systems. .~. ~~~ .....-.......- During the last five years, The SPS group of companies has formed and/or erected over twenty million square feet of concrete structures and provides Class A-8 surety bonds as may be required. It: -'I We have been consistently successful because we believe that our main product is customer service and we strive to give our customers quality work, on time, with value added. We have developed a loyal customer base in our strate- ... gic market areas in the Southeastern United States ena- bling us to achieve a 90 % repeat business. This unique position has been achieved because we know our cus- tomers abilities and needs on all levels. These factors enable us to choose the right projects. The companies operate from offipes in Atlanta, Fort Lauderdale and Charlotte to serve its clients throughout the Southeast. I Over the last several years we have formed an un- matched synerg~ with our Design-Build Parking Garage professional partners and together have developed into a proven Team. I I 1-IC5' '~STRII:Tl.IlESI SpS ...=-....:::-.:.=..~~~~ I . . . . . () . . . . . . . . .. <t . . . . . . . . ~ ~ . . . . 3 Cl I '. I I. I. I I- I- I: . . I. ,e ;. 1'1 ...-. ...-- ..-- - -. - - - - -- - - -- --- - - -- SAFETY AT WPRK The personal safety and heaJth~ofeach employee is of primary importance. Prevention of occupational induced injuries and illnesses is of such consequence that it is given over operational productivity. To the greatest degree possible, management will pro- vide all mechanical and physical protection required for personal safety and health on all of our building systems and services. The foundation of our safety program consists of three fundamentals: Training, Incen- tives and Discipline. Training Being the most important, all of our Superintendents are: . OSHA 10/30 hour trained . Competent Person-Fall Protection . Competent Person-Excavations . Competent Person-Scaffolding . Long time employees promoted from Incentives include everyone from our hourly workers to top management. Everyone is cdmpensated for going that extra mile. That puts us an extra mile ahead of our compe- tition. . Discipline is equally important to us. We do not harvest "bad apples". We first allow everyone the opportunity to be trained properly. Before they leave the ground, they know the proper method of fall protection and will use it 100% of the time. We do not take chances with our employees' lives or our clients reputation. Are we~ as good as we say we are? Despite the dangerous nature of our business, our Experience Modification Rate is a remarkable 0.78, which is far below the 1.00 baseline fdr....the industry. Our lost workday case rate averages 0.98 in comparison with the Construction Industry National Average of 4.00 and our recordable rate aver- ages 8.47 in c6rt;1parison with the Construction Industry National Average of 8.70. Our numbers say that when it comes to safety, Southern Pan Services is a Pro-active com- pany that is conderned with the safety and health needs of not only our employees but our clients as w~lI. I It is very important to us that when we have an on the job injury that we keep a good relationship and 'communication with the injured employee and the treating physi- cians. This is why we have a full time person in the Risk Management department that tracks the recovery progress of every injured employee. We also maintain a very aggressive light ~uty program that allows the employee to work according to the re- strictions that have been given by the physician until the employee is able to return to I full duty work. I-ICB': ~11UMfS 'c .______ SpS .......T........___.......,.,.. _._"'-'T......_...,~ . . . . . . . . . . . . . . . () . . . . . <t . . . "\ . () . . () . . . ~ . . . . \) . . . . - PROJECT APPROACH I Team Relationship Hybrid Concre!e Structures brings a proven Team dedicated solely to the design and construction of parking structures. The main goal of the HCS Team in designing and constructing the new parking structure is to create a work of architecture that ad- dresses the functional requirements of your vehicular circulation and relates to the aes- thetic opportunities provided by the site and the adjacent structures, all while providing , a good dollar value in terms of construction cost. Our approach and methodology for accomplishing these tasks is as follows: ASIa Team, coordinate closely with The Owner to understand the impact of the Master Plan and how to relate to its goals for vehicular parking and movement. Cqordinate initial design activities with you to insure compatibility functionally and aes- thetically. Explore construction options and methods of delivery to enable our team to give the maximum parking spaces for the fixed budget. Conduct in-house work sessions with all team members to insure a consistent delivery to you ~within the given time restraints. Be ever mindful that this parking structure will be a first impression and is required to ... be user friendly both functionally and visually. Preconstruction and Construction Phase Costs, Changes and Contingencies To ensure the d~sign criteria is met within your established budget, we take a Team approach working hand-in-hand with you during the design phase. We will provide budget estimate~ at the required design stages or as required by The Port. HCS will establish a GMPI prior to the completion of construction documents, usually at 35% completion. I 1-IC'S1 I~~~ SpS _.>YT....................,.."u..... -...,........-..-...,...... I. I. I. I. ': I,. . . () . ~. 'I. . I: I. . . . . . . ~ . .. (t . . . . . :) \l . . . <t ,~ . . . . ~ PROJECT APPROACH . Scheduling Scheduling is a critical pre-planning tool which will involve all members of the project team who are going to implement the activities, and will be used to monitor progress on a periodic basis. We utilize Primavera Sure Track computerized software in develop- ment of our project schedule. When preparing a job schedule, we involve all of the following personnel: project manager, job superintendent, estimator and major subcon- tractors in regards to key milestones. The units of each activity are normally broken down into days. Our methodology can be summarized as follows: . Establish the Master Schedule - the overall project plan. . In conjunction with the design team, develop a pre-construction schedule. . Plan and schedule the construction activities during pre-construction by developing a!detailed construction schedule which conforms to the Master Schedule. · Update the schedule database through direct field observation during construction to create constant focus. · Communicate accurately with all members of the team on schedule performance. Throughout the construction phase, software will be used to track schedule, subcon- tractors, shop drawings, and requests for information. The general superintendent will be required to maintain a daily log and coordinate safety inspections. Quality ~qontrol " Our Quality €ontrol plan establishes standards, monitors efforts and maintains the qual- ity levels the owner and design professionals dictate to be appropriate. The Quality Control plan is a standard framework that is customized by the field people for the spe- cific needs of each project. It is an integrated system that requires input from the de- sign professionals as well as The Port and leads to a clear understanding of the expec- tations for all participants. It is often the means to resolve conflicts between drawings and written specifications prior to those issues evidencing themselves under the pres- sure of field conditions. It helps to: . I · Establish basic contractor guidelines that assure compliance with design require- I-ICS': ~E'UTPJXTW: I ~ - ,SpS =""""""-".=r"", ~ .. I.. " ,. ," () 'I . . (t . ,~ . . 't ,- I- I. :. . Cl . . 'l . a () . . o . ... a ~ . . . . ~ . . \) . :l --, PROJECT APPROACH . Establish open lines of communication between owner, design professionals, con- tractor, subcontractors, and vendors. . Minimize post-occupancy warranty problems which may otherwise affect operations of the builaing user. . Assure prompt, economical completion by avoiding lengthy punch lists and/or repair of defective work. . Remove the basis for most typical claims for extras. '" "" ~ 1-IC5 ~'""""'" .!ip!i -~......._..._"'.....--.. _.-..u.....,......_.00M I. ~<I . I. ,. I() 1 ~) I. '. . . .- . . t) . . . . .. ~ . . ~ ~ .. J: U CD <( C) UJ ca CO :0 (/)C) ~ C) (/) c: ;:~ Z ca zc.. :::>"0 (/) ; LL ~ o :0 Ui:: ~ C) ~j ... . . . . . . (>> . , . . 1. ~ . o . ,"J ~ (J) e: o - ,-:;:; _ CD ~ - .~ CD (J) a. .S; 0 W- e: "'0 CD '-"'0 CO .- J:: (J) (,) CD .- '- 0::: a.. CD (,) :> WJ~ UID . ~ III ?c '- N CD Q) 0> ... CO ftI e: > CO <~ -0 Q) CD 0....... z e a.. t/) Q. .- - - ._ (J) .c- o. e: CD . "'0 0:: e: oes2 ~ .~ :s '- "C CD ~a. ftI :J :I: en -; - ~ (,) CD CD .- .0' a. '- a. a.. :J en e: _ CO ~ E . --. (J) e~ a.. ~ () ~ o -- (,) (,) CD ~ '--' - e e: a.. 0 (,) ..c :J en . . ..-. . .. . (t '. . . (J . . . . f) .' . . . .. et' . . 'l . . CI . . . (), .. :t .1 . . . t~ :t . a . . () PERSONNEL The HCS senior management team consists of higtily skilled and-motivated profession- als including 2 seasoned veterans with over 50 years of combined parking garage con- struction experience. These individuals are "hands on" and have many years experience in the Design- Build delivery of projects. Each project is staffed with a full-time Project Man- ager and'highly skilled Superintendent. We incorpo- rate a fully integrated Timberline job cost accounting system in which a Superintendent with a laptop com- '-:1J puter can input his data from the field and access his job cost. We continue to improve our information systems under the direction of our Information Tech- nology Manager and his staff. Our estimating depart- ment uses the latest technology for quantity takeoff and estimating of cost using our extensive database of historical performance. Our drafting professionals use the latest in CAD systems. The experienced workforce of the SPS companies consists of 75 full time per- sonnel and 925 fulltime hourly crafts- man experienced in formwork, founda- tions, slab on grade, columns, walls, beams, elevated slabs as well as all aspects of Design-Build Parking Ga- rage construction. I-leg" ;~~ Sps ~H".""_"''''''c..... ___...-...........-...cw._ 'I (J . I. I. () rt . .' . (J . . . tI . . . .' . CI .. . ') .. . e. . . . . . . 3 . .' . \t 't ,.. . . . () PERSOr;JNEL David M. Bobbitt, Vice President David has over 26 continuous years experience in the design and construction of parking ga- rages. He will be directly involved in the design and construction of projects. He has served in design, estimating, sales, project management, vice-president and principal roles on parking projects from concept through closeout. David has considerable expertise in creating and evaluating concepts for parking garages in terms of design efficiency, function, cost, contracting, risk and schedule considerations. He has personally been involved in the design and construction of over 85 parking garages ranging in size from 150 cars to 10,000 cars. Construction systems include: precast concrete, cast in place concrete and hybrid post-tensioned construction. Delivery methods include: lump sum, negotiated, design-build frame only, design-build turnkey, guaranteed maximum price and cost plus/shared savings. Projects include healthcare, hospitality, college/university, aviation, gov- e;nmental and commercial parking facilities. , D'avid has been active in the International Parking Institute, Florida Parking Association and Dbsign Build Institute of America and maintains current knowledge as to the latest develop- ments in the field of parking design and function. He has authored several articles on the sub- ject and co-authored The Detailing of Precast Concrete published in 1990. He received the Certificate of Merit from the Prestressed Concrete Institute in 1991. Davia is licensed by the State of Florida as a Certified General Contractor (CGC15091 02) and will be"directly involved in the planning and construction of the project. Richard L.. '~Buck" Evilsizer, Vice President Operations "'- Buck will be directly involved in the operations at the jobsite and has over 26 continuous years experience in all aspects of concrete construction. Buck has hands on experience in every as- pect of prestressed concrete fabrication, transportation, erection, post-tensioned concrete and cast-in-place concrete construction. Buck has personally been involved in all aspects of con- struction of numerous parking garages in Oklahoma, Texas, Kansas, Arkansas and Florida. Construction systems include: precast concrete, cast in place concrete and hybrid post- tensioned construction. Projects include healthcare, hospitality, governmental and commercial parking facilities. Buck has considerable experience in constructability evaluations of parking garages and is a licensed Contractor in Arkansas and Louisiana. He will be directly involved in the construction of the project. , 1-leB" ~mwlIlES - ----' sps , --::::,;;==='~=- ~ . .1 . . . . . I. . . 'I . . . . . . . ,. . . ~I f) . ~ (t . . . CI .- . () tt . . () :) ,. . (t . ~ PERSO~NEL Noel Alvarez, Project Manager Noel's eamed~his B.S. in Construction Management from Florida International University and has been continuously employed for 8 years as a Project Manager. His role on projects has resulted in a varied background including: Owner's representation, concrete construction pro- ject management, Class A general contracting project management and Design-Build Parking Structures. He is proficient in most construction and scheduling software and offers strong communication skills in both English and Spanish. Noel has the ability to plan and organize tasks and maintains budgetary, scheduling and su- pervisory responsibilities. Noel will be on site full time. Jason Hayduk, Superintendent Jason has over 13 continuous years experience in all aspects of concrete parking garage con- struction and was formally educated at Oklahoma State University. Jason has worked in vari- ous roles during his job training program and has gained considerable experience with precast coQcrete, cast in place and post-tensioned concrete construction. Projects include healthcare, hospitality, governmental and commercial parking facilities. Jason's strengths include his ability to effectively supervise crews and the work of other trade subcontractors. He maintains a customer focus and is trained to deliver a quality project to the client. Ja~on is fully educated and certified in OSHA safety compliance.. \.. Rodger Phiilips, General Superintendent .. Rodger has been employed in the concrete construction industry for 24 years. He has been involved in the construction of numerous parking garages throughout the Southeastern United States. Rodger hfls considerable experience in cast in place post-tensioned construction sys- tems. Rodger is fully educated and certified in OSHA safety compliance. He is also trained First Aid and CPR Rodger will supervise the overall field activities and will be on site full time. I-IeB" J~-=- ~!!~ I() I CI . . . . ~ . .. . . ~ . . . . . . . lJ () . . .(1 ~. . . ,: I. . . . () It . . () () ~l I. . . . PARKING PROJECTS Southern Pan Services and its Hybrid Concrete Structures division have been involved in hundreds of parking projects as either a form- work contractor, concrete frame contractor or design-build contrac- tor. Our team of professionals is dedicated to offering the most prac- . tical and economical solution for each project and works closely with Owners, Design Professionals, Consultants and Contractors from concept through completion. Our,experience consists of parking projects for health care, hospital- ity, college/university, aviation, governmental and commercial parking facilities. We offer a full range of services including: Preconstruction Services Structural Frame Construction Design-Build Formwork Rental Formwork Subcontractor ~ Through the SPS subsidiary, Hybrid Concrete Structures, we are also able to offer Owners a hybrid post-tensioned structural system with the quality of cast-in-place/post- tensioned deck construction along with the speed and economy of precast construc- tion. Georgia State University Atlanta. GA Total Project: 1.2 Million SF Total Parking: 400.000 SF 1-IC'5 ~~S SpS ..".............-........"'<;"...... _._....n-........_..._.......... . ,(I I. .e ' . '. ft . . . . \)1 . . . I~ ,- lie ... (t . . (I . . . . . . . <t () .1 'I' - - () (J \) - . . . 6i. .--, I ~ _.1~~ ~ ','j-^F;..- . PARKING PROJECTS Bern's SteakhotJse and Epicurean Hotel Tampa, FL Reference Cohtact:: David Laxer 813.251.2421 · Hybrid Post-tensioned Construction . 345 Spaces . 5 levels . 126,658 SF · High Bay Ground level for Delivery Operations to Future Hotel · Restricted Site Access · Building Geometry to Accommodate Future Hotel · Residential/Historical District Since 1956,\Tampa's Bern's Steakhouse has been known fur, their world class dining experi- ence. The new 51~vel parking garage was con- structed to serve tI'1e new Bern's Epicurean Hotel connecting adjacent to the garage as well as staff and valet operations. Project Features: The Owner selected the Hybrid Post-tensioned structural system for its speed, quality and flexibil- ity required on a project of this type. The project Designers incorporated elements and features of the fa~de to blend into the surrounding historical and residential district. Careful planning and' coordination was necessary throughout construction due to restricted site con- straints while allowing ongoing surface parking operations adjacent to the garage for the staff and clients of Bern's Ste~khouse. _I ..... .~I.I I:===:::: 'IEt I; = -:: = ""1&11 /f-:--- ~ -rw -II -.. -,. b~.?;;~ Our team of professionals at Hybrid Concrete Struc- tures is dedicated to providing the most practical and economical solutions for each project and works closely with Owners. Design Professionals. Consultants and Contractors from concept through completion. --::::l I-Ies Hybrid Concrete Structures, LLC ~ 685 Red Oak Road Stockbridge. GA 30281 Phone 678.565.7640 Fax 678.565.7642 www.hybridcon.com I. I I. I. I. '. . . <I . . .' .. . ~ . tI :. . . .' fI () . . ~ . . . . . . . . . ct II . . C) ()I . . . . a t~~~.~ .. 'illjj!::'''' '. .7 .....,...."'.4- .::;..<1.1 ~..",.....~~ ~ ~ Rl; tIW . -.--. " . ... & - PARKIN-G PROJECTS Seminole Hard R.ock Hotel & Casino Tampa, FL Reference Contact: Jess Burts Ph 954.587.0069 ~ As part Of a master planned expansion of the Seminole Hard Rock Hotel and Casino in Tampa, FL, the ~er selected the Hybrid Post-tensioned structural system for it's new 1,200 car Draper Road Parking Garage. The Hybrid System pro- vided the speed, quality and flexibility required on this project. Careful planning and coordination was necessary in order to work within the con- straints of the restricted site and also allow on- going truck deliveries access through the building during construction. Project Features: . Hybrid Post-tensioned Construction . 1,200 Spaces . 7 Levels . 483,250 SF . Bus Lobby on Ground Level . Escalator to Adjacent Casino . Vehicular Speed Ramp . Fast Track Delivery . Restricted Site Conditions The new 7 level garage is situated adjacent to the new casino expansion and incorporates a high clearance first floor to accommodate a bus pickup and drop off lobby on the ground level. A escalator from the ground floof. bus lobby transfers custom- ers fann the garage to the casino. A speed ramp is also incorporated in the structure to allow for peak volumes of traffic. Our team of professionals at Hybrid Concrete Struc- tures is dedicated to providing the most practical and economical solutions for each project and works closely with Owners. Design Professionals, Consultants and Contractors from concept through completion. --:::l I-Ie. S Hybrid Concrete Structures, LLC &...,.....- 685 Red Oak Road Stockbridge. GA 30281 Phone 678.565.7640 Fax 678.565.7642 www.hybridcon.com . . .. . . (t (II .' .1 .1 .' .~ ,) ~ . . I. ~ .1 .1 .1 o (II . . () I I- '.1 . . . . . .1 . (II .1 . . . () . . . . o PARKING PROJ~CTS Peabody Hotel- North Parking Garage Orlando, FL Reference Contact: David York 901.386.0094 The New Peabody North Parking Garage is part of the ongoing expansion of the Peabody Hotel in Orlando, Florida. Directly.adjacent to the Orange County Convention Center, the Owner selected the Hybrid Post-tensioned structural system because it provided the speed, quality and flexibility required on this high visibility project. Careful planning and coordination was necessary in order to work within the constraints of the restricted site while allowing for access to the operating property as well as the construction of the new hotel tower. Our team of professionals at Hybrid Concrete Struc- tures is dedicated to providing the most practical and economical solutions for each project and works closely with Owners, Design Professionals, Consultants and Contractors from concept through completion. ~ I-Ie S Hybrid Concrete Structures, LLC L...-- 685 Red Oak Road Stockbridge. GA 30281 Phone 678.565.7640 Fax 678.565.7642 www.hybridcon.com I. ,. l- Ie I ,. I. I. I. . . . I. . . . lei . . o . . . I. .. . . .' .1 . . ,: . () . . . ..' e . I. I: 10 PARKING PROJECTS Veranda Orlando, FL Living Units Over 4 Floors Of Parking Gaylord Texan Grapevine, TX 1,500 Car Free Standing Pandng Garage '. ... I" '" '" \ I~~ "/, I., I " I, '. 'I ,.~ t II I." I Frisco Convention Center Frisco, TX 700 Car Parking Garage I-leg' ~'::: 'The projects listed above were performed by the Principals ofHCS while employed at another firm. Sl!~ . . . '. . I. . . e e . ,. I. ,. Ie ,. I. '. I 'e I · . I. I. I ,. Ie . ,e I. Ie ,. ,. I. I ,. e . . I. · :. . ,. I. I: . . () PARKING PROJECTS Terminus Atlanta, GA 18 Floors of Parking Two City Plaza West Palm Beach, FL Total Project: 1.2 Million SF Total Parking: 350,000 SF ~ ". -..... ''''~-...''''~.'.H.~ ".,. -.......~---=.c.... ~.. ': ~.~r'~IoF~~:.:~' r~:'>~~~;~ .2'~~ "-'~~.'---"'~."'- . r~ j.<~"""'~-~....[)l.."'.' "'..... ~..- - '~.."' . ~ ~ ~ " .~. "",' '1~!I":~t . .' -.L 'i. ",' - 'I :. ~.._I~' [ - . 3 ~ ~'-<< ~ ~, " ....- ""', ~ .~"Cj; -,,'- ~. "\,.P' '.r! . .' ... ""jnftFj;!. ,.~ "f.A. . fj!i~ ~~~ .,"" . '~:1~ -. A <. ~~.~ ."'JI' 4P"''''(~'~ ~,,_, Grand Central Tampa, FL 6 Floors Parking Under Multi-Story Condos I-IC-S t~~ -- - - SpS ="":';:::-_=:,":J . - . .. . . . . . . . . I- I. I. I. - . . . . - . . . . . . .. . . . . . .. e Ie l- Ie '. I. I. I. I 10 PARKING PROJ~CTS , Dallas Star Center Frisco, TX 1,250 Car Parking Garage Blue Cross Blue Shield of AR Little Rock, AR 650 Car Parking Garage "" Longview Hospital Longview, TX 650 Car Parking Garage I-IC-S ~~SlUTlJl6 SpS -....................._..,,0<:;.... -_..,....__.._~,.,- "The projects listed above were performed by the Principals of HCS while employed at another firm. e . . e. . . . e . . e . e . . . e e . . e' e e . . e . . e e .' e . . e e e, e e e e. e e (l PARKING PROJ~CTS St. Francis Hospital Tulsa, OK 700 Car Parking Garage RI~erwalk BoSsier City, LA 2,600 Car Parking Garage .. South Congress Mixed Use Austin, TX 500 Car Parking Garage I-IC'S. ,~SlUnm 'The projects listed above were performed by the Principals ofHCS while employed at another firm. sps -....'P<......._........,.,O:;_ _............._--~"'-- . . . . . . . . . . . . . . . I: I. ,. :. I. I: . . . I: I: . ,. . I i. I. '. I. I . I. I. I. I. '. I. , VAT Esll April 8, 2009 Hybrid Concrete Structures, LLC 685 Red Oak Road Stockbridge, GA 30281 Re: General Statement of Bonding Position for Sunny Isles Beach, Florida Gentlemen, We are pleased to confirm that The Yates Insurance Agency currently handles the contract bonding requirements of Hybrid Concrete Structures, LLC through Western Surety Company. Western Surety Company carries an A. M. Best's Rating of A (IX) Excellent and is listed on the U. S. Treasury Department Circular 570 as an approved surety on Federal projects. We have been providing bonds for Hybrid Concrete Structures, LLC for many years and our experience has been excellent. At this time, we are in a position to provide bonding for Hybrid Concrete Structures, LLC for single job sizes of at least $25,000,000 and an aggregate work program into the $90,000,000 range. Any bonds written would, of course, be subject to our normal underwriting review and acceptance of the contract documents, bond forms and terms of project financing. It is our assessment that Hybrid Concrete Structures, LLC is well managed and properly financed. We can provide our full recommendation to any prospective project owners. Ifwe can be of any further assistance, please feel free to contact us directly at (404) 633-4321. Sincerely, YATES INSURANCE AGENCY 4/~ Gary Spuller Yates Insurance Agency Four Executive Park East. Suite 200. Atlanta, Georgia 30329 (404) 633-4321. Fax (404) 633-1312 Yates &: Woolfolk Insurance 6001 River Road. Suite 411 . Columbus, Georgia 31904 (706) 571-0093. Fax (706) 571-2982 . . . . ,. . . . . . . . . . . . . . . . . ft . . . . . . . . . . . . . . . . . . . . . ~ "f~~=-=:'~l_\-,"::""'-/P-" "'~'" 'rf'~,::.:.:~~:;;:..;:!,!,:'~'" '~ t~ ~H{l~!~ ~~ ~rit't~~; ..~~(:iii5;/: " f;t~;;:::'(~l '~~\*!:!:J: I~" ..-H',. f-S:- ,l:::(t.!.t~~~;i;~:~~ '" ,~_ ,j:! 1\!,1~:,I"! l :~, ,II ~ ".~l-I ,. -, );~(:"'" .'j:ij:; "~I;:;~;il,3.~::::;;'~' "<":~~<:}:i!;r!:ri!' ii~},:,tt;, p E-4 ~;';L.~!:.::~,.C>~' '....~.'. ..",;. .,q, ~It'~ :::,......,.,.)). t:J:J ~~::~'>;:~~;'( ~~:r rz1" ..,.... tf.l ::.:: t~! :;~ i~.~t::.;l=:~' ~ -~._~~\~~ito . r~.i~;0t:.6 !:~i I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~. I ~\~# .~~:-~q'.,~,.?7-l;; ,.,.n,_._ _;:.'_ '.',:;' ~1;.~~"ST~j~~qF';FEQ_~ID~: ;'.-:>:.- ,,' T.', fe'" ". .~!~I-~. .~:~''-.- '.,".", ~~.~:~(:{. ....-..~Jf=.;~ ...~;...~/fl-:'-......:.;/".. '-'J~.-.;'~ ..--;.?:-.~~~.~". :;.,,-~....::~ .~~.".t'';-:~-; ,.,;<""..j1"-~-:1 - :W"''-; t';:;.'j;~~;{ri-. ,,\V..... . .{~f .Y.fi~"- '7"'~_ ." ','~ .~:;, ',.~.~' ,,:,,-)t ,;~(",~ ~'p,," 'f,)t ,,',(,'1;' . '?,i. ;-l:~" ,?,/5' '~\2;-. ;;.d::~DEPARTMENm' OR"{BUSINES"~'M.LJ PROFESS'IONAL REGULATJ:ON',~::, ,,:.',If ,;~::Y :AI~' ,r.~l': 'I d~:;}lsj'Y ~~)I> :i('~'~: ~;:,j... ._:;j(~/!~;CONSTRUCTJ;'ON-~~:ENDUSTRy,>c;oIi'r;CENSiING;~BOARDJ 11;.-'.' 1.~SEQ#tio'lo72'600'6'~'!" I 'ifi)~:,~ :':.~~f-:~,@Wj'.~~j~1Jl@';:::;' t~W;~' ,i',1,(:?&:~,*!d:.};~~~~t~,ffi!Jt '::",~!~l?i~?" -.~, '~~:,,<~~,;"{i;,:~~;:~~ ~.~~~;;f" \'~~i?~~.t, ;~J~,~=;?{~Y !~:'(i}~( '$ r... . LICENSEiNBR;;;;J.:' ''''rilE S';:~'''..,i .... .......... '. ....' .....' :". ".. . . ....... . .' .' . ,.'.-<!,..... ..'.--,,- .(.q....".. .' <:,,~?1?1~;~;}~6~,~'~ ~~:~:~?';t:~,6.:,~:5~;~\.~.~~~~!~~~2lti~~~~~'7,.J, ,., "w...,'" '., "",'. '.' '.:' d~~Ni~~~~~~~~~~,~~.,~g~f~~ii~N~~~{;, /c~!i~~'C!~':"~:~1~~'\ ].?':f.'I~~~~'::1~;:;~\~~' . i~~::i:;; .. :~~~J'U" n'd'e"~r"&~."e':"':'!'e' .,;"llit.'O"'f;,I;;~~~~S" 'J.'. ons'."-.'.'fo' ":.'f".. cL.1l(a~'::pl'-'L!.' r"'e"Ii;.~..:;,~"? '-ri,' S........'. -;.y~.'ttt-.'..~. t...~.lf:.,..: ',0,..,\., ;"'''., .i.,[."..i..,.::\iS,I'I,;\,1' ',."...~... ,_: ":'11 :.'~p.L v:~ :.:,.r -, .LJ. ,t:;. :.&.~.:;t..;..rrJ:r._;J.~d -~..:;.~~:~4~~j~I;~1 '~,..'..:."..~.\:.~'" . Expiration 'date :"AUG:;:31" :2001~?' .~'- ' 7~~:.~:~~,~;;::~;.~~j!r\;1!; ',:' . ." tTHISi.~S NbT~,LICENSE:;!~TOi~E~Q .o.' oR~:' !TtlIS'}AL'tOWi:L"-~:5:('; '6;~ i~OM~$'t~;:~d~~DQ<~~tt~INES si<}bNL:.y,::':t-~)"::,rT;~lm.fs'~{A:;' t- 'T1xt'iF IE:Wn~~;?/: ~tJjrfYBt~.ojl~6~~~~~R~~i9k~~~if.P~~:,'~t~~fs;. .' ,'}~:. ,,:/: ~~L~}~~1i ~~l ."'2'I~:S 0 7 ..'EPST.KEY ''i'D. ,R,. .."..,.,.('1(" "'~'A};]"~' " ','" "'r..",...jl1,...:-' ,.~'r,{','[ F~(j:/l;'",,-.!j.:;Y, : PENSACOLA"">' .FIi'32:lU7. \" >>,'>h~l \VF.";~,,,,,-. '-'- .. . . .' . '",..",.,.<""".,'" I "l,.i'i~.'.,' ;"::-"<""t '. ')i,'i. f'l/ 'I,.. ,:!!~,,~ 'J'-' '.:;';'!~':'~''- I~' '\. ... 41,.,,:..,.... }"i~f '.'. ~,..;~:i.J,~f.l)'.o:..:,...~,f.'~..;...:,...~~..~...~.:~"~l_i~.:,;.~...~.:> .:~..~.;~.'~,\,2..';~,~",',:~\,.,.,,~,'....:._.',.'.'~. :':~"'" , d~it0~ ~~tlit~~f$;;)tJi!li~r~~;j ~llht STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 (850) 487-1395 HYBRID CONCRETE STRUCTURES LLC 507 LOST KEY DR. PENSACOLA FL 32507 . AC# 33092'7 1 \ . ;ST!,TE OF,FLORIDAc..,.. I.", . dj.!..IJ.. -.,.;.... ".',., ". ...__.;;:..:'"~~-=-..:_..;~ ,_~-;-.~~~L':'_. :-_'_~.~..!..=:_ '_ ~,:::.~",:,.., "'-....~;~~ :,.<,...:-::::::/. 'DEPARTMENT ~OF~.;:BUS:U<{BSS!:,;.ANP'9Vi~~ ~tt~RO~S S IbN~rr}R-EGUJ:i1.\:T;:rONuri. it "'~;-:':;~_j . {\;j},: ,_~_~-;..:~- ...~..t', ::~-n;_,..__ _~:)_ '1i.~~'~.~~::~:r :,~'rf~}.,,/fl'~ ::-'QB5314"SiX:, ",</:07/2 61 ~1,-~Ci,7:8 0 1:2"6'9'5;;: :;'):~~ ~L .- ,!~~,'f~'::~.~J~.:, i~' ~~:..'.:J;,;;1\;' \:('il:::t QU,A:LIFp:~EIf~ BUSINESS1lIORGANIZATIONc';:'L' .~\((~: H:y!~R;P'i~c;qNC~~TE~('S~RUC.~ES.fL~~?c:~ '~JfY.? ;~~.;f;v,....~.~:r::~..<~"..: :!::;';;.'~~,::~i.,~.'.1~~~~~,~t:;t:~;.ji' ~~~~\:' '{;~~~'.. j~ .1~?i!\,:~OT;-,;:;K~ ~ICENSE:;,TO:;.:;P1!:RF.O!tK!J'lORIC~ _."i , .'t!A:LLOW'S';:.~COMPANY~;,TO'.:'DO' BUSINESS"'IF:t:' 'IT'''HAS A LICENSED\:QUALIFIER.) ''':~;o ISGQUALIF-~ED. under th"i;prpvi~i(jn., ot :Cb~ 4 89;'1"9 .,. 1.0)@ Bfilirati~~~:~~'~~~~~~~~J:J~;?; O~~'< ' ~i~~~I.~J:~:7 2 6~.o~~?r'J6~ DETACH HERE :~'{:"!'" <V;;~i- .:~-i.i_>'! ~J~~~.(f;~~~ ~~ ~~?~ t;~~f; . f~$'(;j ~~~:2~1 ~~ ~ !~;~~; , i .. ..._~.~~.;\~:~,~-_:.: ".,'~~.'~':.\i. .. 6, -.-: :.....:...~_.:' ._~J F.. .:~i:~it ~~~;~~. - ,.-J. ....0:}-..._'- .; 'I'"J~ I i :.(I;:',,~..) ( ~ ":~. :~.:': ;;,1 {.~~:fj;. .f~~.:~~~.;ij- ,~~<:,~)8;iW"'/~':i:;:t '. .~~;~~ 5WT +>~':EldLLY:~''.'BENg61f !,"::, "''P.!t'''''''''~rf''I",,",~,.--.:- '€J1il If ~~:~(~ . e . . . e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. I. I. I. :. ,. Ie Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: HYBRID CONCRETE STRUCTURES, LLC L06000110359 FILED 8:00 AM November 15, 2006 Sec. Of State gmcleod Article II The street address of the principal office of the Limited Liability Company is: 507 LOST KEY DRIVE PENSACOLA, FL. 32507 The mailing address of the Limited Liability Company is: 507 LOST KEY DRIVE PENSACOLA, FL. 32507 Article III The name and Florida street address of the registered agent is: GERRY P HARKINS 507 LOST KEY DRIVE PENSACOLA, FL. 32507 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity, I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: GERRY P HARKINS e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. I. I . :. I I. I. ,. I. I '. I. :. I. I. !o Article IV The name and address of managing members/managers are: Title: MGRM GERRY P HARKINS 507 LOST KEY DRIVE PENSACOLA, FL. 32507 Article V The effective date for this Limited Liability Company shall be: 12/01/2006 Signature of member or an authorized representative of a member Signature: GERRY P HARKINS L06000110359 FILED 8:00 AM November 15, 2006 Sec. Of State gmcleod . . I CERTIFICATE OF INSURANCE ISSUE DATE ACORD,.. 02109/2009 . PRODUCER This certificate is issued as a matter of information only and confers no rights . MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA, INC. upon the Certificate Holder. This Certificate does not amend, extend or alter the 5605 Glenridge Drive - Suite 300 coverage afforded by the policies below. . Atlanta, GA 30342 COMPANIES AFFORDING COVERAGE 404 497-7500 . Company . A Illinois Union Insurance Co . INSURED Company Old Republic Insurance Co Hybrid Concrete Structures B . 685 Red Oak . Stockbridge, GA 30281 Company American International South Ins. C ~ Company 0 ~ Company ~ E C This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by C the policies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. r CO TYPE OF INSURANCE POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION C A GENERAL LIABILITY G2405228A001 01/01/2009 EACH OCCURRENCE $ 1,000,000 IX! Commercial General liability 01/01/2010 FIRE DAMAGE $ 100,000 C o Claims Made IXI Occurrence MEDICAL EXPENSE $ 5,000 o Owners' and Contractors' Protection PERS. AND ADVERTISING INJURY $ 1,000,000 C 0 0 GENERAL AGGREGATE $ 2,000,000 C General Aggregate Limit applies per: PRODUCTS AND COMPo OPER. AGG. $ 2,000,000 o Polley IX] Project 0 location Cf B AUTOMOBILE L1AI3IL1TY A2CA36060904 01/01/2009 COMBINED SINGLE LIMIT $ 1,000,000 IX! Any Automobile 01/01/2010 BODILY INJURY (Per oerson) $ (> o All Owned Automobiles BODILY INJURY (Peraccidentl $ o Scheduled Automobiles d IX! Hired Automobiles PROPERTY DAMAGE (Per accidentl $ IX! Non-owned Automobiles COMPREHENSIVE (~ 0 COLLISION (~ WORKERS' COMPENSATION We: imlt I I Other I I AND EMPLOYERS' LIABILITY EL EACH ACCIDENT $ (') '1=1 DI!':I=ASE lEach emnlnvep.\ $ EL DI~EASE IPolicv Limit) $ OC EXCESS LIABILITY BE6564757 01/01/2009 EACH OCCURRENCE $ 2,000,000 IX! Occurrence DClalms Made 01/01/2010 AGGREGATE $ 2,000,000 C~ Relentlon/Deductible 10,000 I $ () $ <) $ $ ~edUCtible: $1,000 Comprehensive/Collision $ . . QERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO . MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF . ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. . Authorized Representative . Hybrid Concrete Structures ~~ 685 Red Oak Road .Stockbridge, GA 30281 n paae 1 of 1 CertifICate 10 # 1JNEJEKU II Ii I I [I Iii I. !n () 9 (~) () , () ~ () , <) () ~ () ~ () () ~ () () 't1 (1 '; () '; '''\ "'If C) <J <) () rI () rI () ~ () wi C) (' rI () wi ("\ rI 9 c~ 'r! CJ (J Q c~ wi ("' " CJ , (' I rI , (' I wi I . Ie:) IQ Ie.) C; 10 ,9 ^ I , ~ ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) .,.. 15SZKGKF 01/22/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Risk Transfer Holdings ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 301 E Pine Street, Suite 350 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR orlando, FL 32801 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Work First Casualty Sourceone Administrative Services 1588 Atkinson Road INSURER B: suite 201 INSURER C: Lawrencevi1le, GA 30043 INSURER 0: INSURER E: COVERAGES THE POLlelES 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. LTR Nsili TYPE OF INSURANCE POLICY NUMBER P8kf~~g,,"l8l)y'1 Pg~,w,~,h'b",W\N LIMITS ~ERAL L1ABIUTY EACH OCCURRENCE $ OMMERCIAL GENERAL LIABILITY liRM'Es rEa occurencel S I-- CLAIMS MADE 0 OCCUR I-- MED EXP (Any one person) $ PERSONAL & ArN INJURY $ GENERAL AGGREGATE $ ~1. AGG~En LIMIT APn PER: PRODUCTS. COMPIOP AGG $ POLICY ~ LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ Am AUTO (Ea accident) I-- "- ALL OWNED AUTOS BODILY INJURY $ "- SCHEDULED AUTOS (Per person) - HIRED AUTOS BODILY INJURY NON.QWNED AUTOS I (Per acc:fdanl) $ - PROPERTY DAMAGE $ (Per acddant) RRAGE LIABILITY AUTO ONLY. EA ACCIDENT $ Am AUTO OTHER THAN EAACC $ AUTO ONLY: AGG S OESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ . ... $ ~ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC-2007-00023-08 01/01/2008 01/01/2009 X I T~g,~T~ru-., I IWJl- EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERlEXECUTlVE E.L EACH ACCIDENT $ 1,000,000 OFFlCERlMEMBER EXClUDED? E.L. DISEASE - EA EMPLOYEE S 1,000,000 ~rEM.'t"~~~%1~s below E.L DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS (LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 days notice of cancellation for nonpayment of premium. Attached is the requested Certificate of Insurance on behalf of Hybrid Concrete Structures,LLC that covers employees of the insured as respects to the workers compensation ag7eement with SourceOne Administrative Services, Inc. and Hybrid Concrete Structures, LLC, as of 5/4/07. Wa~ver of Subrogation in favor of the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURETD DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKlND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Hybrid Concrete Structures,LLC AUTHORIZED REPRESENTATIVE ~ 685 Red Oak Road Stockbridge, GA 30281 ACORD 25 2001 Page 1 of L 108) @ ACORD CORPORATION 1988 ........ .., . .. . . . . . . . <I . . . . . .. . . (t . . . a . !. I :. I. ~. ~. I . I. I. I. . . . . . I. . . . I 10 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. ~Fw~~~:;~/ R- fOr~ 6d?~ ~.~ @a~$ WhOS;;~~S~~~ ~~I ~ ~~lbl and (if applicable) its Federal Employer Identification Number (FEIN) '2O-P/O~~-r~,? (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: 2. I understand that a "public entity crime" as defined in Paragraph 287. 133 (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(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 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 ann'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 I. I ,. I. I. ,. Ie I. ,. Ie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . () . . . <t () 5. I understand that a "person" as defined in Paragraph 287. 133(l)(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 f9Howing three (3) statements is applicable.) ~ (1) Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partriers, 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 Florida, 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 UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOW AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR THE CATEGO,RY TWO OF ~E IN THE INFORMATION CONTAINED IN THIS FORM. . ' /~ - ~\J M. t7~~nr- SIGN TURE OF AFFIANT (Printed or Typed Legal Name of Mfiant) 17 . . . . . . . . . CI . . () . . . . . . . . . . () . . . . . . . . . . . . . . . . . . . () 6~\~ Wit:> State of flePia8"of County of Miami-Dade~ ra Sworn to and subscribed before me this.J day of , 2009 by l)~V(d Iv{. 'fJDtiJiH- \\\""""" ~,,\ \,.~A CH.., ""'- ~""" ~"""'. of,.o ~ Notary Seal: ~ ~ .~\SSI01t ~~~ ~ ~ ~ '04 ~'\~-=- : ~ I~ ~OTAliJ- \\ 'i- : ~ fa _e_ J - , ': K L...I\. . ; \ ~B\.'V "~ ,~ ~ <PG-!lo. ...04.27.20'~..'" ~~~ r (Sft J e h1{XXJB () " ')-, ...-.... ~""", , . J "" 8 CO\J~ \\\,... Notary's Name Printed, ~~ttPb'! Type Personally Known: V or Produced Identification Identification Produced 18 . . . . . . . . . . . . . . . . . . . . I. '. . . I. '. . . . . . . . . . . . . . . . . (J o NON-COLLUSIVE AFFIDA VIT State of Florida) c~ M~:-D;;~qr and says that: (1) He/she is the (Owner, Partner(6ffi~ Representative or Agent) of the Bidder that has submitted the attached Bid; being first duly sworn, deposes (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, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, representatives, owners, employees or parties in interest, including this ~ SIGNATIJRES ~(J M. ~rlr (Printed or Typed Legal Name of Affiant) 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. I. I. I . . . . . . . . () El~of~i~ ~ State ofof1erida of County of MiwuI- Dade- d . ":1 r Sworn to and subscribed before me this :::;) daYOf~(\ I , 2009 by -OOvid M. f)obbit+ Identification Produced ,\,'U"""" ...",--{ \.EA CIt "'~ .......It:...'\. .......... "fA_~ $ ~~ .-$~'SS/O+.... -""..0 ~ ~~.~ ~.." : ~ I~ ~OT~). 1.\ - = I -e_ fIli ~ ;~ \ "'SL\e I ~ .... ~~ :;.a.~~~~:'7.20'';.....~.". ~~ ...", u- ....... v ,~ '1'1 COUN1--{.\\'.... '~'\S'Y cMtnfUlg n Notary Seal: Notary's Name Printed, Stamped or Typed Personally Known: ~ or Produced Identification 21