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HomeMy WebLinkAboutCEM Enterprises. E," I V E u MA Y 2 !. ? wry" DELIVER TO: WA) City of Sunny Isles Beach INVITATION TO BID City Clerk SECTION 4 OPENING: 1:0-00 A.M. 18070 Collins Avenue BID SUBMITTAL FORMS May 25, 2011 Sunny Isles Beach, FL 33160 PLEASE QUOTE PRICES F.O.B. DESTINATION, LESS TAXES, DELIVERED IN CITY OF SUNNY ISLES BEACH, FLORIDA NOTE: City of Sunny Isles Beach is exempt from all taxes (Federal, State, and Local). Bid price should be less all taxes. Tax Exemption Certificate furnished upon request. Issued by: Purchasing Agent Date Issued: This Bid Submittal Consists of April 29, 2011 Pages 23 through 27 Sealed bids are subject to the Terms and Conditions of this Invitation to Bid and the accompanying Bid Submittal. Such other contract provisions, specifications, drawings or other data as are attached or incorporated by reference in the Bid Submittal, will be received at the office of the City Clerk at the address shown above until the above stated time and date, and at that time, publicly opened for furnishing the supplies or services described in the accompanying Bid Submittal Requirement. IFB 11 -04 -03 STORM WATER CATCH BASIN CLEANING & LINE JETTING A Bid Deposit in the amount of 0% of the total amount of the bid shall accompany all bids A Performance Bond in the amount of 0% of the total amount of the bid will be required upon execution of the contract by the successful bidder and City of Sunny Isles Beach Procurement Aaent: Firm Name: Marcanthony Tulloch ef E/K T ��n� es' Commodity Code(s): 890 -66 RETURN ONE ORIGINAL AND FOUR COPIES OF BID SUBMITTAL PAGES AND AFFIDAVITS FAILURE TO SIGN PAGE 27 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NOW RESPONSIVE PAGE 23 OF 28 BID No. 11 -01 -01 BID FORM Pump Out Services Item# Est. Qty Description Unit Price Extended Price 1 598 Storm water catch basins �02 s 7SQ. Per Basin 2 37,400 Jetting Per linear Foot Grand Total: $/ /QO !� Page 24A of 28 Bid No. 11 -01 -01 SECTION 4 BID SUBMITTAL FOR: ACKNOWLEDGEMENT OF ADDENDA INSTRUCTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES PART I LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION WITH THIS BID Q ,, Addendum #1, Dated -j Addendum #2, Dated�QC��� Addendum #3, Dated ��/L�G( Addendum #4, Dated Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART II: /l% /p ❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID FIRM NAME: AUTHORIZED SIGNATURE: TITLE OF OFFICER: PAGE 25 OF 28 BID No. 11 -01 -01 I,1�t BID SUBMITTAL FORM Bid Title: STORM WATER CATCH BASIN CLEANING & LINE JETTING The undersigned Proposer proposes and agrees, if this Bid is accepted, to enter into an agreement with The City of Sunny Isles Beach in the form included in the Contract Documents to perform and furnish all Work as specified or indicated in the Contract Documents for the Contract Price and within the Contract Time indicated in this Bid and in accordance with the other terms and conditions of the Contract Documents. The Proposer accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to Proposers, including without limitation those dealing with the disposition of Bid Security. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Proposer agree to sign and submit the Agreement with the Bonds and other documents required by the Bidding Requirements within ten days after the date of the City's Notice of Award. In submitting this Bid, the Proposer represents, as more fully set forth in the Agreement, that: • The Proposer has familiarized himself /herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. The Proposer has studied carefully all reports and drawings of subsurface conditions and drawings of physical conditions. The Proposer has obtained and carefully studied (or assumes responsibility for obtaining and carefully studying) all such examinations, investigations, explorations, tests and studies which pertain to the subsurface or physical conditions at the site or otherwise may affect the cost, progress, performance, or furnishing of the Work at the Contract Price, within the Contract Time and in accordance with the other terms and conditions of the Contract Documents, and no additional examinations, investigations, explorations, tests, reports or similar information or data are or will be required by Proposer for such purposes. • The Proposer has given the City written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Proposer. This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization, or corporation; the Proposer has not directly or indirectly induced or solicited any other Proposers to submit a false or sham Bid; the Proposer has not solicited or induced any person, firm or corporation to refrain from Bidding; and Proposer has not sought by collusion to obtain for itself any advantage over any other Proposers or over the City. The Proposer understands and agrees that the Bid is for unit prices to furnish and install individual Work Items for maintenance and /or repair work, complete in place. Estimates are provided for the purposes of Bid Evaluation and to establish unit prices for individual Work Items for maintenance and /or repair work PAGE 26 OF 28 BID No. to be contracted by the City under individual Purchase Orders, based on the unit prices established under this Bid. The City and the successful Proposer will establish completion times for each individual Work Item and the successful Proposer agrees that the work will be completed within the time frames agreed upon and stipulated in the individual Purchase Orders and /or Notice to Proceed. FIRM NAME: 6EI14 EiL 6_P /-,V/-7S eS _.L/ Street Address: - ,4,o6,DA21_, FT 3a�a3 Mailing Address (if different): Telephone No. �' t/ �l Fax No.�U[J Email Address: �� / ��l�C��i FEIN Nos / -1 /�310 c-enzd""4c. cosy * "BYSIGNING THIS DOCUMENT THE BIDDER AGREES TO ALL TERMS AND CONDITIONS OF THIS INDENTATION TO BID, (SIGNATURE OF AUTHORIZED AGENT PRINT NAME: TITLE: THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON - RESPONSIVE. PAGE 27 OF 28 BID No. 0 op U Fs n z X9 9 � FL�`'� C%/ T Y PAGE 28 OF 28 BID No. a NON- COLLUSION AFFIDAVIT v` x ' City of Sunny Isles Beach 18070 Collins Avenue t iy9'• AlpR�O s6t Sunny Isles Beach, FL 33160 DF su" ''"� Telephone: (305) 947 -0606 Fax: (305) 949 -3113 STATE OF FLORIDA COUNTY OF ) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, CEAL r it-6>o LPr s es, (Name of Corporation, Partnership, Ohdividual, etc.) a, �6A &Q64U7 formed under the laws of 77�101-- (Type of Business) (State) of which he isr�SL� (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent thereof. AFFIANT'S NAME NCrAtQ eels AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this fday of Personally Known or Produced Identification Type of identification (Affix seal here) NOTARY PUBLIC (name printedlor typed) Oflklld Sad ANN FL,UHARTY Nwa�7 phi, Swe of Fimida Ny O ftm 3A U14 H& DD 966190 DECEMBER 28, 2010 1 of 7 s�yKNV �s< 61 PUBLIC ENTITY CRIMES F City of Sunny Isles Beach •` _ T *. 18070 Collins Avenue cLO ybt Sunny Isles Beach, FL 33160 suo Telephone: (305) 947 -0606 Fax: (305) 949 -3113 SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES PUBLIC ENTITY CRIMES Pursuant to the provisions of paragraph (2) (a) of Section 287.133, Florida State Statutes - "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub - Contractor, or Consultant under a Contract with any public entity, and may not transact business with any public entity in excess of the threshold amount Category Two of Sec. 287.017, FS for thirty six months from the date of being placed on the convicted vendor list". THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 11.1. This sworn statement is submitted by for CSI ` �AZ- erzv is e whose business address is: 1;7S7 Bz44,_b01,u � a � ` and (if applicable) its Federal Employer Identification number (FEIN) is s'�'—/ 001�5­74-0 (If the entity had rho FEIN, include the Social Security Number of the individual signing this sworn statement: AMJ0 ) 11.2. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 11.3. 1 understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trail court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contendere. 11.4. 1 understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair DECEMBER 28, 2010 2 of 7 market value under an arm's length agreement, shall be a prime facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 11.5. 1 understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "persons" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of any entity. 11.6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies.) Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order.) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11.1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. (Sig nature)^ V0rX,4— ,�n xle--e � (Printed Name)�re& , ' JeA-1--- (Title) Sw rn to and subs rib d e re me this day of 20 by In (AFFIX NOTARY STAMP HERE) Sign tu�re: N otary.Pub I'c — State of Florida Print or Type Commissioned Name Personally Known OR Produced Identification Type of Identification Produced 1011998 3 of 7 S�NNV 13 �F EQUAL OPPORTUNITY / U I AFFIRMATIVE ACTION Ile " ' FLOFet City of Sunny Isles Beach r" o. su" 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949 -3113 EQUAL OPPORTUNITY /AFFIRMATIVE ACTION STATEMENT The contractors and all subcontractors hereby agree to a commitment to the principles and practices of equal opportunity in employment and to comply with the letter and spirit of federal, state, and local laws and regulations prohibiting discrimination based on race, color, religion, national region, sex, age, handicap, marital status, and political affiliation or belief. Signed: Title: Firm: Address: �SiL -UJ DECEMBER 28, 2010 4 of 7 O� SV"Ny IS`FS CONFLICT OF INTEREST City of Sunny Isles Beach 18070 Collins Avenue 4PC 4'. FLOP�Ogyr Sunny Isles Beach, FL 33160 ry oz 5u '" Telephone: (305) 947 -0606 Fax: (305) 949 -3113 CONFLICT OF INTEREST STATEMENT The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers must disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the City of Sunny Isles Beach or its agencies. STATE OF FLORIDA COUNTY OF BEFORE ME, the undersigned authority, personally appeared / y �� /�`� �`'"-' , who was duly sworn, deposes, and states: 18.1. I am. he ��� G� �M of CEIVt Eti'Z< rl5z°S. Yk- with a local office in and principal office in 18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. described as: Landscape Maintenance Services. The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has no financial interest in other entities submitting Bids for the same project. 18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the completion of negotiations if necessary and execution of the Contract for this project. 18.5 Neither the entity nor its affiliates, nor any one associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local, State, or Federal Agency. 18.6 Neither the entity, nor its affiliates, nor any one associated with them have any potential conflict of interest due to any other clients, contracts, or property interests for this project. 18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. 18.81 certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach. 18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will immediately notify the City of Synny Isles Beach. Dated this �3 day of , 201�Pre—sL � G� Jt AFFIANT /Print or Type Name and Title s "d Swop to and subscribed before me thiay of �� 201. Personally Known OR O Produced Identification ; Type of Id (cation NOTARY PUBLIC STATE OF FLORIDA O"iciM Sed ANN FLUHAR'iY Notary Puelie. Sale a4 FlorliJe MY Caem. Baia 31OlI/Z014 DECEMBER 28, 2010 5 of 7 No. DID %6190 FlQ4`�O 5w� C`Tt OF SUN '�O DISPUTE DISCLOSURE City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947 -0606 Fax: (305) 949 -3113 DISPUTE DISCLOSURE FORM Answer the following questions by placing a "X" after "Yes" or "No ". If you answer "Yes ", please explain in the space provided, or on a separate sheet attached to this form. 19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the Department of Professional Regulations or any other regulatory agency or professional associations within the last five (5) years? Y YES NO 19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? �( YES NO 19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests, or litigation in the past five (5) years that is related to the services your firm provides in the regular course of business? YES NO X If yes, state the nature of the request for equitable adjustment, contract claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the monetary amounts of extended contract time involved. I hereby certify that all statements made are true and agree and understand that any misstatement or misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid for the City of Sunny Isles Beach. a-&L EtifLl- �n -Sros, :ice. Firm Date Authorized Signature Print or Type Name and Title DECEMBER 28, 2010 6 of 7 O� SuNNY is V Z S; y97 o? _.. � P . FL S Cary Qs $UN ��O STATE OF FLORIDA ) COUNTY OF "e ) ANTI - KICKBACK City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax: (305) 949-3113 ANTI - KICKBACK AFFIDAVIT I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. The foregoing of person fl, as �rIJ/ executed]. By:O�IM� 7Uc�s- ,, - /12C4s Title: instrument was acknowl 20 / I , by. this PlYS19-16 -Ir [type of S, =A-C • [name of party on behalf of whom AFFIX NOTARY STAMP HERE: 0'"al Seal ANN FLUHARTY Nmary Public. stale of FWi& My (',=ft Expires 31OW2014 No. DD 966190 "z5r— day of [name authority], for instrument was Notary Public — State of Florida Print or Type Commissioned Na e Personally Known I _ OR Produced Identification Type of Identification Produced DECEMBER 28, 2010 7 of 7 Addendum No. 1 CITY OF SUNNY ISLES BEACH STORM WATER CATCH BASIN CLEANING & LINE JETTING CITY ITB NO. 11 -04 -03 To All Bidders: Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. Section 2 paragraph 2.19 shall now read; 2.19 AVAILABILITY OF CONTRACT TO OTHER GOVERNMENT AGENCIES Although this Solicitation is specific to the City, it is hereby agreed and understood that other government agency may avail itself of this contract and purchase any and all items specified herein from the successful bidder(s) at the contract price(s) established herein. Under these circumstances, a separate purchase order shall be issued by the agency, which identifies the requirements of the additional agency (ies). 2.19.1 OTHER PARTICIPATING CITIES The following Cities needs are included within this bid. City of Cooper City 9090 Sw 50th Place Cooper City, FL 33329 City of Coconut Creek 4800 West Copans Rd Coconut Creek, FL 33063 y Replace page 24 of 28 of the bid document with attached page 24A of 28 END OF SECTION S ilp1NY ISL �c U m � r r c /Tr OF SUN PLO Addendum No. 2 CITY OF SUNNY ISLES BEACH Stormwater Catch Basin Cleaning CITY RFQ NO. 11 -04 -03 To All Bidders: Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. The bid opening date listed on Demandstar is incorrect. The correct date is Wednesday, May 25, 2011 at 10:00 a.m. All Sealed Bids shall be received by the City Clerk no later than 10:00 AM, on Wednesday, May 25, 2011 at the Sunny Isles Beach Government Center located at 18070 Collins Avenue, 4th floor, Sunny Isles Beach, Florida, 33160. Bids received after this time will not be considered. END OF SECTION To: Norma Meeks Fm:Onvia.com Inc 17:18 05/19/11 PG 001 p� S�rA`N %Y f SC�s6+ 1- P �n U M k, yF T FLd�� Sb C /Tr OF sufl Pao Addendum No. 3 CITY OF SUNNY ISLES BEACH Stormwater Catch Basin Cleaning CITY RFQ NO. 11 -04 -03 To All Bidders: Bidders for the above - referenced project shall take note of the following changes, additions, deletions, clarifications, etc. to the Plans and Specifications, which in accordance with the Contract Documents shall become a part of and have precedence over anything shown or described otherwise. Request for Information: • What are the dimensions on the basins? What is the distance between manholes? Catch basin dimensions vary and should be field verified. As to the distance between manholes it too varies. I have attached a scan of the stormwater atlas for the City. This atlas includes FDOT ROW which should not be included as part of the proposal. • Do we have to have the insurance for the bid or if awarded the bid, can we get the insurance within like 5 days? Insurance requirements must be met upon award. END OF SECTION STATE OF FLORIDA DEPARTMENT OF BUSINESS-AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CANTERO, JOSE ANTONIO C E M ENTERPRISES INC 2179 CLAPPER TRAIL APOPKA FL 32703 DETACH HERE AC# ;Q STATE OF FL( BUSINESS{ AND _-,P7ARTMENT OF ON9-TkUGT-L:E0 -I STR _NDU AV"W11111,11.1:64LICENSE NBR 0012 2 FIQ - 1 201. (011 --0185341 COC1519371 S SibAkl� '.-REGULATION; LICENSING BOARD - -jo 2-6 - 0 - I - L 1 18 - 2 The OENERAL CONTRACTOR Named bel6w IS :CERTIFIED j Unde r o the prviisions of Chap Expiration date: AUG 31, 2012 Z, CANTERO'­ JOSE AN ONIO C FL N E�i ERPRISES -INC 1757 BENBOW COURT APOPKA FL 32703 $�T,�TF OF FLORIDA . AC# 5421 —2. 13 Congratulations! With this license you become one of the nearly one million Floridians D1FPjqt.TM V_ 9kT.�-O_T BUS On licensed by the Department of Business and Professional Regulation. pgOFSSSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers, from *., boxers to barbeque restaurants, and they keep Florida's economy strong. 3 7 1 01/20/11`100185341 Every day we work to improve the way We do business in order to serve you better. For information about our services, please log onto www.myfloridalicdhse.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that CjiJ4Tj3'fzb',' ANTO1416'. impact you, subscribe to department newsletters and learn more about the INC Department's initiatives. _$ECRE Y '±kR Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers- Thank you for doing business in Florida, and congratulations on your new license! __ I `�CERTIFIED under 07;,_7 _pr�isia provisions of. Ch.489 Fs n Bite �AUOP3,1_j,_._20.12 L1101 001. 82 3. DETACH HERE AC# ;Q STATE OF FL( BUSINESS{ AND _-,P7ARTMENT OF ON9-TkUGT-L:E0 -I STR _NDU AV"W11111,11.1:64LICENSE NBR 0012 2 FIQ - 1 201. (011 --0185341 COC1519371 S SibAkl� '.-REGULATION; LICENSING BOARD - -jo 2-6 - 0 - I - L 1 18 - 2 The OENERAL CONTRACTOR Named bel6w IS :CERTIFIED j Unde r o the prviisions of Chap Expiration date: AUG 31, 2012 Z, CANTERO'­ JOSE AN ONIO C FL N E�i ERPRISES -INC 1757 BENBOW COURT APOPKA FL 32703 2, -p , �Fl RICK - CGRC(05R ARLL LI EM_ 0 V _$ECRE Y '±kR REQUIRED BY L OP ID: CM ACORO CERTIFICATE OF LIABILITY INSURANCE E (MM /DD/YYYY) 705123111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 407 - 859 -3691 Newman Crane 8 Assoc.lns.lnc. 407 - 857 -0409 P. O. Box 568946 Orlando, FL 32856 -8946 Huston R. Crane CONTACT NAME: PHONE FAX CAC No Ext : A1C No E -MAIL ADDRESS PRODUCER CUSTOMERIDSCEMEN -1 INSURER(S) AFFORDING COVERAGE NAIC IF INSURED C.E.M. Enterprises, Inc. & INSURERA: The Charter Oaks Fire Ins Co EACH OCCURRENCE INSURER B: MAX America PREMISES Ea occurrence NJM Enterprises, Inc dba Double D Crushers 1757 Benbow Ct. INSURER C: Travelers Insurance Company p DT CO 93691-341 COF 11 Apopka, FL 32703 INSURERD: CLAIMS -MADE A I OCCUR INSURER E INSURER F MED EXP (Any one person) $ 5,000 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB 4WD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMBS GENERAL LIABILITY City Of Sunny Isles Beach 18070 Collins Ave EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 A X COMMERCIAL GENERAL LIABILITY p DT CO 93691-341 COF 11 02101/11 02101112 CLAIMS -MADE A I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV IN JURY $ 1,000,000 X Blkt Waiver & AA GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY X PRO- LOC JECT A AUTOMOBILE X LIABILITY ANY AUTO DT8109369L34 TIL 11 02/01%11 02101%12 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS $ BODILY INJURY (Per accident) X SCHEDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (Per accident) $ $ X NON - OWNEDAUTOS _ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ C EXCESS LIAB CLAIMS -MADE DTSM CUP 9369L341 IND 1 02!01111 02!01!12 $ $ XdDEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNER/EXECUTIVE WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ NIA A E . DISEASE - EA EMPLOYEE - $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE- POLICY LIMIT 1 $ A Equipment Floater MAXA31MG047316 02x01111 02/01/12 Per item 250,00 A Leased/Rented Aggregate 500,00 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is reciulmd) The City Of Sunny Isles Beach is included as an additional insured in reference to - Storm water catch basin cleaning and line jetting bid #11 -0403 CERTIFICATE HOLDER CANCELLATION ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD CITYS29 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Sunny Isles Beach 18070 Collins Ave AUTHORIZED` RE�PRESSENNTATIVVEEj Sunny Isles Beach, FL 33160 p ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ACOR ,,M CERTIFICATE OF LIABILITY INSURANCE DATE (MM /011 5/23/2011 PRODUCER Arthur J. Gallagher & Co. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 260700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tampa, FL 33685-0700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tel: (4 0 7) 648-4341 FAX : (4 0 7) 481-0144 INSURERS AFFORDING COVERAGE INSURED CEM Enterprises, Inc. , NJM INSURERA: Insurance Co_._ of Pe_ nns�lvania (AIG Enterprises, Inc. & CEM Enterprises, Inc INSURER B: d /b /a Double D Crushers INSURER C: 757 Benbow Court INSURER D: Apopka, FL 32703 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -1 ­R LT R POLICY EFFECTIVE POLICY EXPIRATION ; - - TYPE OF INSURANCE POLICY NUMBER DATE Y DATE (MM/DDIYYI LIMITS GENERAL LIABILITY REP ENTATIVES. EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY f - i FIRE DAMAGE (Any one fire) $ j CLAIMS MADE I ___-J: OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY I PRO- LOC ECT I I _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ -- (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN _ - _.___._ - __._._.. AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE _ _' $ j OCCUR ', CLAIMS MADE AGGREGATE $ $ -, DEDUCTIBLE $ RETENTION $ -_- -- - -$ WORKERS COMPENSATION AND OTH- EMPLOYERS' LIABILITY TORY LATU ER E.L. EACH ACCIDENT $S 0 0 0 0 0 A WC 1616140 4/1/11 4/1/12 -- + E.L�DISEASEE-- EA EMPLOYEO $5 0 0 0 0 0 E.L. DII SEASE - POLICY LIMIT I S5 0 0 0 0 0 OTHER i I DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Includes Blanket Waiver of Subrogation & U.S. Longshoreman's & Harbor Workers Coverage Bid #11 -04 -03 Storm Water Catch Basin Cleaning and Line Jetting This Certificate provided in accordance with Section 1.25 of the Contract Vv-n I Int,ra 1 r- r7VLL r-11 ADDITIONAL INSURED: INSURER I FTTFR- CANCPI 1 ATInK1 Office of the City of Sunny City Clerk Isles Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, TI ISSUING SURER WILL END VOR TO MAIL 30 DAYS WRITTEN 18070 Collins Avenue Sunny Isles Beach, FL 33160 NOTICE TO E C TIFICAT HOLDER NAMED T THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE 0 OBLIGATION LIABILITY OF A KIND UPON THE INSURER, ITS AGENTS OR REP ENTATIVES. ZED �El Roy fn1. Reid :r ArrnDn 13c _e 171 '7% "" "' - ` —, / I © ACORD CORPORATION 1988