HomeMy WebLinkAboutBeta Trucks LLCOky of Sunny Islet Beach
Of a of the Cliv Clerk
O, OF SUN
DELIVER TO, INVITATION TO BID
City of Sunny Isles Beach SECTION 4 OPENING: 02:30 P.M.
City Clerk BID SUBMITTAL FORM 07/31/2012
18070 Collins Avenue
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
07/18/2012 Pages 28 through 32
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 clata 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 tune, publicly opened for
furnishing the supplies or services described in the accompanying Bid Submittal Requirement,
IFB 12 -07 -01
Fleet Bus Maintenance & Repair Services
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 0.0/o 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 Agent: Firm Narrie:
Marcanthony Tulloch B Ja—T 'o cv L
Commodity Code(s):
RETURN ONE ORIGINAL AND FOUR COPIES OF BID SUBA11TTAL PAGES AND AFFXCIAVIT,S'
FAILURE TO SIGN PAGE 38 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON -
RESPONSIVE
City of Sunny Isles Beach Request for Proposal No. 12 -07 -01 ;fix rr
BID FORM
BUS T -
Front Suspension and Steering Cap Repair, including frame straightening and rebuilding components.
A
Indicate the actual Posted Shop Labor Rate
$
B
Percentage Discount from the Posted Shop Labor
Rate
T
C
Discounted Hourly Shop Labor Rate
$
AND
Percentage Discount off the O.E.M. / MSRP List for parts
FLAT RATE SERVICES
No.
Description Extended Cost
D
Alignment of Front Axle Only (complete)
—$ o�
-50
E
Alignment of Front and Single Rear Axle (complete)
$ r y o
F
Oil Change F 1
— (Up to 5 quarts of Oil and Oil Filter0 35
Required Documents For Group 3
Reference
Section
Required Document
Acknowledgment
2.20
Drug and Alcohol Testing Program"
(The contractor shall either attach a copy of their drug and alcohol
testing policy and / or acknowledge that a policy will be developed
an adhered to during the life of this contract.)
IN
City of Sunny Isles Beach I Request for Proposal No. 12 -07 -01 ° 'Roi
SECTION 4
BID SUBMITTAL FOR:
ACKNOWLEDGEMENT OF ADDENDA
INSTRUCTIONS: COMPLETE PART I OR PART 11, WHICHEVER APPLIES
PART I:
LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN CONNECTION
WITH THIS BID
PART II:
Addendum #1, Dated
Addendum #2, Dated
Addendum #3, Dated
Addendum #4, Dated
Addendum #5, Dated
Addendum #8, Dated
Addendum #7, Dated
Addendum #8, Dated
❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
"'V of SUN
FIRM NAME: U 0 5� �U �,_�, 0 �e�t Z �7 �f✓,�J
1
AUTHORIZED SIGNATURE;'
TITLE O�r!_i: E
r
City of Sunny Isles Beach I Request for Proposal No. 12 -07-01 ® G „:
Vry or suo
BID SUBMITTAL FORM
Bid Title: Fleet Bus Maintenance & Repair Services
The undersigned Proposers propose and agree, 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 Proposers accept 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 Proposers 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 Proposers represent, as more fully set forth in the Agreement, that;
The Proposers have familiarized themselves 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 Proposers have 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 Proposers.
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 Proposers have not directly or indirectly induced or solicited any other
Proposers to submit a false or sham Bid; the Proposers have not solicited or
induced any person, firm or corporation to refrain from Bidding; and the
Proposers have not sought by collusion to obtain for itself any advantage over
any other Proposers or over the City,
The Proposers understand and agree 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
to be contracted by the City under individual Purchase OrdeIrs, based on the unit prices established under
this Bid.
The City and the successful Proposers will establish completion times for each individual Work Item and
the successful Proposers agree that the work will be completed within the time frames agreed upon and
stipulated in the individual Purchase Orders and /or Notice to Proceed.
City of Sunny Isles Beach I Request for Proposal No. 12 -07 -01 ,,
"rt or sw-k PTV
Firm Name: j
�3
Street Address:
ry
Mailing Address (if different):
Telephone No. _ 3 ®9__ 9 q q ` q Yq Q Fax No. _3 0 — �6 — MO_
Email Address: be�p�r�(15 ��,9��,,� ,l L. Cc ti„ FEIN No.
* "By signing this dgcument tWbidder agrees to all Ternts
Sig
Print NamedQJ5 . _ _r2,
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. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY
PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE
PROPOSER TO THE TERMS OF ITS OFFER.
City of Sunny Isles Beach I Request for Proposal No. 12 -07 -01
i
AFFIDAY"ITIVS
.e.-
o".- N N Y
C\)
OF SUS
1 5 j
City of Sunny Isles Beach I Request for Proposal No. 12-07-01
rrry or Wool'
NON- COLLUSION AFFIDAV
y' City of Sunny Isles Beach
k i
18070 Collins Avenue
Sunny Isles Beach, FL 33160
qrr of suN "o Telephone: (305) 947.0608 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
relle"pen by- said - County in anyconsideration 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,
(Name of Corporation, Partnership, Individual, etc.) 1
a, geLhl ��IQP , formed under the laws of 1 tOV ( VlL-
(Type of Business) (State)
of which he is G 2 / T \p JA C-G 2
(Sole Ownerartner, 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 an 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 ' scribed abo 6 true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
10 ,s directly or indirectly i ed said Bid or the contents thereof, or divulged information or data relative thereto, to any association or
o G pH erg( t,
AFFIANT AFFIANT'S TITLE
TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thi910day of �(y 2 ON,
-
Personally Known �-? or Produced Identification
Type of identification i D L_
(Affix seal here)
g'
�k,109'y "Po Notary Public State of Florida
i Michael Sinclair
o. My Commission DD898039
Expires 06 /2212013
V,
1
(INIOARY PUB C (nam Tinted or typed)
0 �� rC/ &-( S (A �f
DECEMBER 26, 2010 1 of 7
SUNNY fs<
PUBLIC ENTITY CRIMES
w City of Sunny Isles Beach
"r p` 18070 Collins Avenue
yP ➢! r p L p`R�9 . 4 Sunny Isles Beach, FL 33160
OF tun Sao Telephone: (305) 947 -0606 Fax: (305) 949 -3113
SWORN STATEMENT PURSUANT TO SECT iON 287.133(')(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- submita- 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 NOIARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
11.1. This sworn statement is submitted to City of Sunny Isles Beach _
by � Jo5e S Q -r GC11e, L ����4 k/
1pnui [HUIVI""GI s uawe anu mw1 II (( \I
for�ze l3...�r('i CI (
pnnrname oTan i y stt mating sworn s a emen
whose business address is: f C( 3 � N�. ' S3
and (if applicable) its Federal Employer Identification number (FEIN) is 2 /7 — ZZZ S�L 80
(If the entity had no FEIN, include the Social Security Number of the individual signing this sworn
statement: )
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 28,2M 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 ROVIDED IN SECTION 287,017, FLORIDA
STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THVINFORMATION CONTAINED IN THIS FORM.
�AM,% 4
(Printed Name)
seAe M 4LR�r
(Title) V
r
Sworn to and subsfribed before me this � day of -� �` 20(' by
(AFFIX NOTARY STAMP HERE)
�70 V41% Notary Public State of Florida Si Inure: JN�tary P tic – St e of Flgrida
Michael Sinclair
My commission DD898039 Pnnt or Type Commissioned Name
Expires o6/22/2013
Personally Known `` "N^0WAr6d0ced Identification �-
Type of Identification Produced _T�)�
10/1998 3 of 7
�Q45o NY lst'r
EQUAL OPPORTUNITY /
AFFIRMATIVE ACTION
�P D9'�♦ FIOR`v 4�� City of Sunny Isles Beach
c Tr of suR �w 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, seXr. -a ndicap, marital status, and political affiliation or
belief, i
Signed:
Title: e "- V'c� k
Firm: k- f J C�
Address: j g 3 5- IV E 1 T3 �T � L,r t
DrUMUER 28, 2010 4 of 7
5V N 4y
Q x �
CONFLICT OF INTEREST
V , Z
City of Sunny Isles Beach
a+R•. r , r 18070 Collins Avenue
yPC pZ, FL0py� Sunny Isles Beach, FL 33160
'r of so 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 1
COUNTY OF /y)
BEFORE ME, the undersigned authority, personally appeared who was duly sworn,
deposes, and states:
18.1. I am the ( of
with a local office in ae 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 ;fie 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 Sunny4les Beach.
IiJ�_� Lim/ �• • •' long= ,
Sworn to and subscrl before me thW ?L day of -1 LA ��/ 20
0 Personally Known OR �—
Produced Identification ; Type of I of Icati n �–�
NOTARY PUBLIC STATE OF FLORIDA
Pa. Notary Public State of Florida
�; Michael Sinclair
< ; . , of My Commission DD898039
A� s,,a4 Expires 06/22/2013
DucEhw6 128, 2010 5 of 7
4 SUNNY - .lsl��.
DISPUTE DISCLOSURE
City Isles Beach
•� � Y of Sunny
16070 Collins Avenue
Ayp ' ➢9? i p 0 W), s`° Sunny Isles Beach, FL 33160
Telephone: (305) 947 -0606 Fax: (305) 949 -31'13
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?
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 NOS
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 If yes, state the nature of the request for equitable adjustment, contract
claim, litigation, or protest, �a 7state 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..
Date
PrhgVor Type Name and Title
DECEMBER 28, 2010 6 of 7
SUNNY 1f<F
t isV;. _
r
l�)9. tiwr
n�rr of $U tic�o
STATE OF FLORIDA )
COUNTY OF A Lm
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. A
By: p y -e .�
Title: 6-c-, , Q_,r-ak __ /A_6
t�
The foregoing instrument was acknowledged before me this day of
20 2. by c'�� �L tK C' f [name
of pe son as /�� [type of authority], for
_._
[name of party on ` behalf of whom instrument was
executed].
AFFIX NOTARY STAMP HERE:
-0 {AMY pf" Notary Public State o �
2` ; Michael Sinclair da
o� My Commission DD893039
for ncs�� Expires 06/22/2013
Notary Publ' — State of Florida
Print or Type Commissioned Name
Personally Known _ OR Produced Identification Type of of Identification Produced V C- I- --
DECEMBER 28, 2010 7 of 7
Electronic Articles of Organization L10 000034327
For FILED 8:00 AM
March 30 2010
Florida Limited Liability Company Sec. Of Siate
Wine
Article I
The name of the 1,1mited Liability Company is:
BETATRU;CKS, I.,I,.,C
Article 11
fhe street address of the principal office of the Limited Liability Company is:
15151 WE ' ST DIXIE HWY
NORTH 111 MI, FL, 331621
The mailing address of the 1,imited I.Jability Company is:
15151 WT..,.S'F DIXIE HWY
NORTH _MIAMI, FI.- 33162
Article III
The purpose for which this Limited I.,iabitity Company is organized is:
AIR YANI) ALL LAWFUL BUS111.',,S5.
Article IV
The name and Florida street address of the registered agent is'.
I-INDSAY I)TUNKI-EY
14100 PALML'ITO FRONTAGE ROAD
201
MIAMI I,AKES. FL. 33016
11aving been named as registered agent and to accept seiAicc 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, .1 further agree to comply with the
provisions of all statutes relating to the proper arid complete performance
ofmv duties. and I ani fian-tiliar with and accept the obligations of try`
position as registered agent.
Registered Agent Signature: LINDSAY DUNKLEY
Article V
The name and address of managing members /managers are
T1 t [,-: MG-R
JOS4---, E SA1,;\ZAR
10650 NI-, I OTI I PLACE
MIAMI' SHORES, FL. 33138
TiLle: MGR
VERONICA Y ZAMBRANO
10650 NE I OTH PLACE
MIAMI SHORES, Fl- 331.38
Article V1
'11ic effective date for this 1... -uteri Liability Cortipariv shall be:
03/29.; 20 10
—Sit nature-of.'-member or-an authorized representative of a member
Signature: JOSE I", SALAZAR
L10000034327
FILED 8:00 AM
March 30, 2010
Sec. Of State
Wine
�]DEPARTMENT OP THE TREASURY
I Nj t R rte REVE.NUE SERVICE
C-IN-TNNATI OH 45999-0023
BETATRI CKS LLC
,J0,SE E SALAZAR MBR
i06 NE 10TH PL
Y.-JAVI STIORES, RL -,31.38
Date of this notice: 0.3 , 30 2=v<_
Employer
27-2228760
Form: SS 4
Number of this n
For F;ssLstan•e yoU rii&y ca.: us
1...800 " -829...4q
, , " , _ 1 ". -
IF YOU WIR1111`%, Z_
'ACE,
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
-hank you for applying for an Employer Identification Number .WI T) . We assi<.,ricd (.)-,,
-ou --ax -etilrris, and
EIN 27-2228780. This EIN will. ident-ify you, your business accounts, .. T_
document-s, even if yo-u have no employees. Please keep this nct.Jcc In •ou,_ . IT11al'!
records.
When filing tax documents, pa, Is very
yments, and related onrres-ponr-l-ence,
that yo- 'i use your EIN corrPlete riame arid address exactly a.s showul abc.nre. Ni-.y
n ,r even
,lay 4 , , -ec, in-forinalLion .1.n yo'L,'-' ac'Ce,)trit.,
may cause a dc M processing result i incori
cause you to be assigned more than one EIN. If the inforretation is not cor.rec.11 as ._Ihc)iwui
above., p `ease make the correction using the attached tear of" stub and lei.urn us.
�
Based on the 4 nformarion received from you or your representzave, v u nlst
following form,si by the da-lel'sj shown.
L'orm 1,065 04/15/2011
If yoi3 have questions abolu,_ the form`s or the due date(s' shown, yo- 'i can -u,.1.3
rr�_,.. number w rite ,to us at t he addre ss shok-i- it the top
r"of this n,1�_)_ce. _
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help IM deter ;. r,g -Ur al ja! aCCOU-L41 perod (tax yea see 1a,)11
Ac,,:x-3unt,.n�g Periods and MPL-rA
We assigned you a tax classification based on mtormati-on obtaned rc-wm; oi.1 vc" r
e p r s s e n t a t r i "e , U is not a legal determination ,our tax c1as4 .iA'.A.ca,.*..c a-. not
binding on the IRS. If you wan; a determ-nCa' - iori of tax class:.' ^.at ."DI'l,
rc
a pnivat..e let er rul.ing from the IRS under e guidel.-ines in Rev(,: Procc.r.h.,
2004-1., 2004-1 I.R.B. our suiDersedinq Reve-,.-.ue Procedure for the rear a' issue')
Cer'....ain L.ax classification elections ciar, be requ.esl.ed by filing Foi:-m 8832, En't.lLy
-lassification Election. See Form 8832 and 4 S instructions 4 ons for additional iyfforrratio�-
.A Limited liability company (1,11,C) may file Form 8832, MrILity Classiflic'aLion
E.Jecti.om and elect to be classified as an association taxable as a corporation.
the LLC is eligible to be treated as a corporat-J.-on that meets cE�rtain tests and
will be elect-Mg S corooration status, it must timely file Form, 2553, Elect-lori Ly a
Smal I Basiness Corp�oration The LLC will, be treated as a corporation cis of t-Ine
cAllective date of the S corporation election and does not need to file Form 8832
To obt.ain tax forms and publications, including dose i.eferenced it this notic_' ?,
visir cn.ir. Web site at vww.irs.,,gov, If you do not have access to t,,e Interne u., cai I
I I 't you : i office.
[TTY/TDD 1 800-829-4059) or vis-- I.r- local 1,PS office.
Florida Department of Agriculture and Consumer Services
Division of Consumer Services
2005 Apalachee Pkwv
Tallahassee, Florida 12399-6500
BETA'FRUCKS I.A-C
1935 NE 153RD ST
NORTH-MIA!",11 BEA-01, FI., 33162-6017
May 25, 2011
SUBJECT: k1otor Vehicle Repair Shop Registration MV83470
0
Your application for registration as a moitor vehicle repair shop as required by section 559,904, Florida
Statutes, has been received and processed.
Your registration certificate appears below. This registration certificate, will expire May 25, 2013.
Your registration number is required by law to be placed on YOUr invoice foryns. The registration number
is also required to be included in advertisenicrits which are placed in a newspaper, magazine or directory.
.If you have any questions, please do not hesitate 1.0 Call (lie. Division of Consuilm. Services. Bureau of
Compliance, at 800-435,7352 or 850-922-2966.
Chapter 559, Florida Statutes
GOOD ONLY FOR THE LOCATION LISTED BELOW
BETATRUCKS LLC
1935 NE I 53RD ST
NORTH NIIAN11 BEACH, F1, 33162-6017
ONVNI,J) BY:
13 ET,-kTRt VIKS LLC
Registration No.: MV83470
Issue Date: Jvlay 25. 201 1
Expiration Date: May 25, 2013
ADAM H. PUTNAM
COMMISSIONEN OF A(*,3k1CUl_XtJRE
his I I,, %,41N th'at t.". %I mol vehicle Repair Shop v I lose imim and address art• shm 11 a ho, ii- I an.:; p"l') ILt 11, om rile Jeclmv-d numier of
rywcharm, s. lcolllwlan, and twlivi's, as roquired 11% s. 5599(it P.S. and is authorized to ix ri, n: Nlol,w Vchj. ic It OW 1, MHAC.
(Alt Here
State of Florida
ep,
D artment of Agriculture and Consumer Services
Division of Consumer Services
2005 Apalachee Pkwy
Tallahassee, Florida 32399-6500
Motor Vehicle Repair
POST CERTIFICATE
CONSPICUOUSLY
Registration Certificate
Chapter 559, Florida Statutes
GOOD ONLY FOR THE LOCATION LISTED BELOW
BETATRUCKS LLC
1935 NE I 53RD ST
NORTH NIIAN11 BEACH, F1, 33162-6017
ONVNI,J) BY:
13 ET,-kTRt VIKS LLC
Registration No.: MV83470
Issue Date: Jvlay 25. 201 1
Expiration Date: May 25, 2013
ADAM H. PUTNAM
COMMISSIONEN OF A(*,3k1CUl_XtJRE
his I I,, %,41N th'at t.". %I mol vehicle Repair Shop v I lose imim and address art• shm 11 a ho, ii- I an.:; p"l') ILt 11, om rile Jeclmv-d numier of
rywcharm, s. lcolllwlan, and twlivi's, as roquired 11% s. 5599(it P.S. and is authorized to ix ri, n: Nlol,w Vchj. ic It OW 1, MHAC.
I "'A
MR-
DR •
THIS CERTIFICATE EXPIRES ON DECEMBER 31, 2012
Nao ciiatw:
'S w
BETATRUCKS, LLC 23-8015398656-4
1935 NE 153RD ST
NORTH MIAMI BEACH FL 33162-6017
'I tu certify that all targiN-,, personal property purchased or rented, real property rented or services Purchased by IN, abc),re.
Putch'a'sed or rented for arcs of the following puipoue s:
a� langible personai t r opr t e Re ror4ai as r(I"M Property,
i�f n
Wporlticxl ir to and Sale as pad of the rec"air of mr"Dore"It par! o -v.q.N,1
3.
o, taNible Pirstmal prowly by a mpaw acm..,-T.
:1:,;r:ed . 0, � . JW
caninot be, rewssigned or 1ran,,flemod, Th'is certIficate con only be kAed by, the active regmteand de ,Alr or iwVnoJ2,e.,,d (?MN1:)Y`.
of this Annual Resaip Cortificate will Subject file user to Penalties as provided by 1111w. Use signed p1lotocopy for rf-�saje pt�Irposes.
pmsented to:
. .. ............. ... . . .. ...... .......... . Presented by: ..........
0
(1.41ommercial Lease
This lease is made between B.Tetrearault of 3708 N.E.167 St., North Miarnt Beach. Florida .
323160, herein called Lessor, and of 1935 NE 153"1,'--,t., North Miami Beach,
Florida, 3312, herein called Lessee. Les-'a bare ;,
by offers to lease from Lessor the premi -ses
situated in the City of North Miami Besach, opnt fade , Sta #e r „f Florida.
EN."-'O FERRARI') }CASES SALAZAR, BETATRUCK S LLC, described as Lessor upor-t
the following '- °ERIVI i and Ct” NOITICNS;
A 'i, Term and Rent., f es r enRises the above premises for a trr� ml of one, year,
eonir,iencing DEC, 1 ,2010
>�ra FE"
4, NOV.30 201 1
, . and t€:r.miniat.ina on d
30, "'011, or sooner as provided herein at the annual recital ,rate; ,af 19,5600oll:arsYEA
( 1630,00) payable in equal installments in advance on the first day of each nno th for
that month's rental, during the term of this rasa. All rental payments shall be made to
Lessor, at the address specified above.
Use Lessee shall use aria occupy the premises for saps and ,ia�ar?€afat trrrirag O _ -�
,- . ami The premises shall b' e used for no other purpose, Lessor represents that t``ie pre'ri ices '
fc May laWfUliy be used for such purpose, Lessee shall riot use the PrF1 rnis s for' the Purpose's ;°,t
r
4 ring, +;'parruf�= CtUring or sef inch any explosives, flammables, or other Inherently darige~rou's
tibstance, cnernical, thing, or devil;,
3. Care and Maintenance of Premises. Lessee acknowedges that the pray, rise s are in good
order and repair, unless otherwise indicated herein. Lessee shall, at his own expense and at F411
times, maintain the premises in good and safe condition, including plate Mass, electrical winna.
plurfibing and heating installations and any rather, system or e quipment upon the premises an
shall surrender the same:, at termination hereof, it, as gonad condition as rece ivied. norinal ue it
and tear excepted, Lessee shall be responsible for all repairs required, excepting the roof,
exterior walls. structural foundations. and parking lot, which shall be niainfained by Lessolrl
4. Alterations. Lessee shall not, without first obtaining the written consent of Lessor". make any
aiterations, additions, or improvements, in, to or about the premises.
, Ordinances and Statutes. Lessee shall comply with all statutes, ordinances and
requirements of all Municipal, icipal, ;state and federal authorities now in force, or which may hereaft .r
be in force. pertaining to the premises, occasioned by or affecting the use thereof by Lessee,
6. Assignment and Subletting, Lessee shall not assign this lease or sublet any portion of the
premises without prior written consent of the Lessor, which shall not be unreasonably withheld
Any such assignment or subletting without consent shall be void and, at the oration of the,
Lessor, may terminate this lease,
N— 511Mt315 6011 Page, "r or 5
Utilities. All applicaflr�qs and r;cannections for necessary utility. 4�-Vices on the demised
� -�
Prernises shall be rn idee in t -,e of Lessee only
apd-t�e-'s'see shall be solely liable for utiiiky
charges as they become due. inc hos- foi`5;wer, water, gas. electricity, and telephone
services. in the event that any utility or ry aided to the premises is not separately
metered, Lessor shall pay the air Ott due and seer , invoice Lessee for Lessee's pro r�,#a
share of the char shall pay such amounts within i Ewa A 5) days of invoice.
Lessee q Wedges that the leased premises are designed to provi - ndard office use
eleqfr_ta facilities and standard office lighting. Lessee shall not use any equ_i`p`!'nef*or devices
that utilize excessive electrical energy or that rnay. in Lessor's reasonable opinion, overload
the wiring or interfere with electrical services to other tenants.
8. Entry and Inspection, Lessee shall permit 'Lessor or Lessor's agents to enter upon the
premises at reasonable times and upon reasonable notice, for the purpose of insperaing the
sarnne, and -wits permit Lessor at any tine within sixty (601 days prior to the expiratiGn-of this-
lease, to place upon the premises any usual "To Let" or "For Lease" signs. ano, permit rjersoins
desiring to lease the same to :inspect the premises thereafter.
S. Parking. During the term of this lease, Lessee shall have the noneXCIL►sive use in cornmon
with Lessor, other tenants of the building, their guests and invitees, of the nonreserved
common automobile parking areas, driveways, and foot ways, subject to rules and regulations,
for the use thereof as prescribed from time to firne by Lessor. Lessor reserves the right to
designate pa; king areas within the building or in a reasonable proximity thereta, for Lessee
'I license
and LEissee's agents and employees. Lessee shall provide Lessor with a list of ail.
nurnbe;rs for tine cars owned by Lessee, its agents and employees.
10. Possession. If Lessor is unable to deliver possession of the premises at the
cornmencernent hereof, Lessor shall not be liable for any damage, caused ihereeby, nior shall
this lease be void or voidable, but Lessee shall not be liable for any rent until possession is
delivered. Lessee may terminate this lease if possession is not delivered within 15 days of the
commencent"tent of the term hereof.
11. Indemnification of Lessor. To the extent of the law, Lessor shall not be ! =able for any
damage or injury to Lessee; or any other person, or to any property, OCCUrrinc.l on 'Ohe Cie
pre.rnises or -,.,,iry part thereof. Lessee agrees to indemnify and hold Lessor harmiess h-c-i'li.
claims for dannages which arise in connection with any such occurrence. I-Said
shall iniclude ,,derninkty fiorn any costs or fee which LOSSLOT May Mcur it, defendir.0 &�Ml
12. Inskirance. Lessee, at his expense, shall, maintain plate glass and liahili!y lif"SW
including bbodily injury and prop-erty darn age insuring Lessee and Lessor with mi.immurri
coverage as follows'.
Lesse(,,� shall provide Lessorvijith a Certificate of Insurance showing Lessor was
Additional insured. The Certificate shall provide for a ten-day written notice to Dessor it
the event of -ancellation or material change of coverage. To the maxim num eaten'
permitted by insurance polir--ies which may be owned by Lessor or Lessee, Lessee ,,indl
Lessor, for the benefit of each other, waive any and all rights of sul"rogation which
rnight otherwise exist
If the ;eased premises or any other part of the building is damaged by fire or Other
casualty reSUitirlg f fOn 1 any act of negligence of Lessee or any of Lessee's agents,
employees of invitees, rent shall not be diminished or abated while, such, darn ages Fire
Pa, I I
: under repair, and Lessee shall be responsible for the costs of repair n()t Covered by
insurance.
13-EminentDomain, If the prernises or any Part thereof or any :state therein. Or any (',ihc r
Par1l of the building materially affecting Lessee's use Of the Promises. shall be taken, by erns'
.
domain, this lease shall terminate 6n the date when title !,tests ourSL)ant tC, Th
and any additional rent, shall be apportioned as of the termination dale, and inv I rent pi J1'-;.
any rertod beyond that date shall be repaid to Lessee, Lessee shall not be entitled to any part
,,if the , award for such taking or any Payment in lieLl' thereof, but Lessee may file a clairr, for ar-r-,
, A.
tak,ng Of fixtui-es and impy
r0w3ments iyAmed by Lessee, and for rnoving expenses,
14, Destruction of Promises. In the event of a partial destruction of the prer-iisfas it,p
t',!�711 heeof; frorril - I i_
DnY cause, Lessor shall forthwith repair the sarne, prnv'
ided that such-repan---,
can be made within sixty- (60) dc-lys Linder existing govern mental laws and regulations, but I s u c h
partial destruction shall not terminate this lease, except that Lessee shall be entifled to a
proportionate reduction of rent while such repairs are being made, based upon the extent to
which the making of such repairs shali interfere with the business of Les-see of) the prernl*ses ff
such repairs cannot be Made within said sixty r6W) days, Lessor, at his option, may make lht:
sane within a reasonable tirne, this lease continuing in affect with the rent proportio, a-ely
n .1 k
abated as aforesaid, and in the event that s all riot eleCt to make such repa?rs %;hicih
Lessor h
cannot be rnride with"' sixty (60) days, thics lease may be terminit-U(I at the optio of el , er ly.
In the event fliat the building in ' n I th oar
which the demised premises May be situated is destroyed t'G
-axtent of not less than one-third of the replacement costs thereof, Lessor nnay elect to termir-tate
this lease whether the demised premises be injured or not, A too a' destruction of the Mlillding n
which, ihe Premises may be situated shall terminate this lease
15. Lessor's Remedies on Default. If Lessee defaults in the payment of rent. or any additic-roar
rent, or defaults in the performance of any of the other covenants or conditions hereof, Lesso-
may give Lessee notice of such default and if Lessee does not cure any such default within 5
rays: after the giving of such notice 101- if sLc
,h
other default is of such nature that it cannoi t)e
Completely Cured within such period, if Lessee does riot co�-nmerice Such curing within Such 5
days and thereafter proceed with reasonable diligence and in good fiait'
I 1-r! TO cure sucti def,@,Wlr,
alen LeSsior miay terminate this lease on not less than 30 days' r-Otice to Lessee. Or, the dot
Specified in such notice the term of lhts lease shall terminate, anfil [-essee shall ther, at.0 an3d
31.1li-en;der, the Premises to Lessor. wo-iout extinguishing Lessee's liabililfy, if; I s leas - sl n
Ill all have
been so terminated by Lessor, Lessor may at any time thereafter resume Possession of the
premises by any lawful rnearis and remove Lessee or other occupants and their effects, No
failure to enforce tiny term shall be deemed a waiver.
16. Security Deposit. Lessee shall deposit with Lessor, on the signing of this lease the sun-i crr
1, 500 Dollars ($1500) as security for the performance of Lessee's obligations under this lease .
including without limitation the surrender of possession of the prernises to Lessor as herein
provided. If Lessor applies any part of the deposit to cure any default of Lessee. Lessee shall
an demand deposit with Lessor the amount so applied so that Lessor shall have the full deposit
on hand at all times during the term of this lease,
17. Tax Increase. in the event there, is any increase during any year of tjie term of this jease ij,
the State feEll --State taxes over and above the amount of such taxes assessed fL- the lay
y
dtiring whi(ji the term of this lease commences, whether because Of increased rate or
Lessee shall pay to Lessor upon presentation of paid tax bills an amount equal to 01;% percent
k'O%) of the increase in taxes upon the land and building in Which the leased premises . are
twj c-n P
1--trjf- A of 5
situated. in 'lie event that SUCh taxes are assessed for a t3., year extending beyorld the tenn
the lease, the obligation of Lessee shall be proportionate to the portion of the lease ternn
included in such year.
18. Common Area Expenses. In the event the de,-n;,,,Pd pren-0ses are situated in a shicipping
center or in a corrirnercial building in which there are common areas, 'Lessee agrees to pay his
prorata share of maintenance, taxes, and insurance for the common area
19, Attorney's Fees. In case suit should be brought for recovery of the premises, -or for anv
suni due hereunder, or because of any act which may arise out of the possession of the
,,remises, bpi either party, the prevailing party shall be entitled to all costs ir M curred in conner ow,
with such action, including a reasonable attorney's fee,
-- 20. Waiver. No failure of Lessor to-enforce-any temTherW1 shall be de_errwfo- 644-waiv—el
21. Notices. Any notice which either party may or is required to give, shall "be giver. by rnarihw
age prepaid, to Lessee at the premises, or I-essor at the addiess specified
above, or at suci-I other plares as may be designat,,��J by the parties frorn time to time,
12. Heirs, Assignis, Successors. This lease is bindinV. UpOn and inures to the. benefit of the
heirs, assigns and SUCCeSSOCS jYj interest to the parties.
2,1 Option to Renew. Provided that Lessee is not in defaf It in the performance (if this lera -:e.
Lessee shall have the option to renew{ the lease for an additional terrn of 12 months
conirnen&Mg at the expiration of the initial lease term. All of the terms and conditions of the
lease shall apply during the renewal term except that the monthly rent shall be the star„ of
1,600PLUS TAX Dollars 1600), The option shall be exercised by written notice given to Lessor
not less than 30 days prior to the expiration of the initial lease term. If notice is not givem, in the,
nianner provided herein within the time specified, this opt
ion shall expire.
24, Subordination. It-his !ease is and shall be subordinated to all existing and future liens
encumbrances against the property.
25. Radon Gas Disclosure. As rie�quired by law, (i andlord) (Seller) makes the fc-Illowing
disclosure: "Radon is a i)aturally occurring radioactive gas , hat whetj
that, I .ccurnulate(i
in a building in StiffiCient quantities, May present health risks to persons who are exposed lco
over time. Levels of radon that exceed federal and state guidelines have been found in bu,"
:n none. Additional infolmation repo ding radon and radon testing may be obtaneai Iro. 1� M
county pt.iblic health unit. I
26. Entire Agreement. The foregoing constitutes the entire agreement. belween the parnje.e_
r'nay be ri;odoled only by a writing signed by bcth parties. The following Exhibits. if any. havk,.,
been rnade a part, of this lease before the parlies' execution hereof: ,
Amount due upon signi g lease- i""'irst 1$1630
;11500 (M) -=$47060,03
�Janed this -1 ,5 day of NOV, 2010
Le s -,s o r:
001 and Last Month's ($1116YU00'i rent + Securilv
Page 4 of 5
liv 05`sA
Lessee.
JOSE SALAA.-
fl.,'NZO FERRARO
B 17T ATQ I I V Q I T P
Y e-
( /V
,"'W.sx(MCA, r�,,m Page 5 of 3
DATE (AIMWulyyyy)
c-c � CERTIFICATE OF LIABILITY INSURANCE 099/29i 10 - -
THIS CERTIFICATE I5 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). - - - - - -- — -- -- --'
CONTACT Patricia Fernandes
PRODUCER _NAME_. `- FAX
.
PHONE (3051956-78'18- _ _ _..._... .._ .. LAIC, *to): ,305_; 956-5946
Assure -US. Inc
E-MAIL Patricia @,assureus.us _
1880 NE 163rd Street AOPR$$_..- _... .
PRODUCER
North Miami Beach: FL 33162 _C..US7OM R -01;.-
Phone (305) 956 -7818 Fax (305) 956 -5946 INSURER(S)AFFORDINGCOV£RAGE NAICS
_ . ... ..... . ...... .. —__ _....__.. ..
INSURED INSURERA: Granada Insurance Company _
Betatrucks, LLG —
lNSURER C
1935 NE 153 Street
INSURER D
North Miami Beach, FL 33162 INSURER E:
905949 9499 INSURER P _
REVISION NUMBER
COVERAGES CERTIFICATE NUMBER . _.. B
OVE
1'HIS IS TO CERT!r THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BtEN ISSUED TO THE INSURcG NAMED AB FGR ! HEP OLICY PERIOD
INDICATED. NOWIITISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
i
CERTIFICATE MLAY BE ISSUED OR MAY PERTAIN, THE Ii ISURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIOrJS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _..____...__........_._. _.___.— ..._.___.... ............ ....
... _ __ _... - ...- POLICY EFF POLICY EAP - ..
.. AND CO ..._ _I .. .. LIMITS
' INSR. POLICY NUMBER tMK19LDI
LSI I TYPE OF INSURANCE. ...._ _ ... IP $FLV�r?!P_--- °-_ --' - -- __._......_
.. ._ r_ACH U CCURREN CE -
GENERAL LIABILITY 17A.'~':ACE TO RENTED
.PPE!,tESES- :Eip(;r,r=ence —. ' _-- ......_.. _.. .
COF.4MERCIAL GENERAL LIABiIrrY `,1ED EXP ;.Any one person) -
Gt_RIR15 -MADE OCGttK -`
- ... PERSONAL .". l•.OV !NJtiRY .. 5
_ _ ... _ ........— ____._ - S
GENEr:il rr,;GREGAT
PRODt ;`:TS - ColviP.OP AGG S
^ ^N "L AGGREGATE LIMIT APPLIES PER:
u
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AUTOMOBILE LIABILITY
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BODILY INJURY IPaI p- rsart;
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f ANY AUTO
...... .. .. ....
ALL OLVNEO AUTOS 0185FL00021732.
BODILY INJURY tear nr Olen)
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A
Pr?OPERT'Y DA.NI.AGF
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SCHEDULED AUTOS
iPFir acc ce It;
HIRED AUTOS
Auto Only
S 50,000.00
, IO,I.OWNED AUTOS
_.. _..
EACr! OCCUR.4ENC?
UMBRELLA LIAR r OCCUR
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AGGREGATE
... EXCESS UAB !
_. ; char. s- rrtAre
DEDUCTIBLE
-�- - - - ---
RETENTION S .......... � � ------ ...----- ..._.— ..—
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:_.� T.OKY..t_I;1ll,......_....: = 't.- .....-
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AND EMPLOYERS' LIABILITY Y; N_'
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ANY PROPRIETOPJPARFiIEFVEXECUTIVE " - NIA
E L gISEASE, • EA FI0PLOVc= S ......._.__.___._ .._. .
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(fdandacory in NH)
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it yes descriheunder
DESCRIPT(ON OF OPERATIONS'.nelasv _...... _ ._.__ ._._.__.._._._._.- _____.....___
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0185FL00021732.
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.. . .._._ _ .
I LOCAT . . . IONS J VEHICLES (Attach ACORD 104, Additional Remarks Schedule, it more space is require
DESCRIPTION OF OPERATIONS
CERTIFICATE HOLDER
MIAMI DADE COLA ITY
CONSUMER SERVICE
140 WEST FLAGLER STREET STE #902
MIAMI, FL. 33130
ACORD 25 (2009/09) QF
I �5U(F�QC
SH LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
�IkaANCE DATE THEREOF, NOTICE
THE POLICY PROVISIONSL BE DELIVERED IN
e
AtkTt�ORIZED REPRESENTATIVE
tri 1988 -2009 ACORD CORPORATION. All rights reserved.
i
\The ACORD name and logo are registered marks of ACORD
✓ 10o dog
CERTIFICATE LI _ ILI I oAT�tM
0_3194111
TH18 CERTIFICATE 13 ISSUED AS A MATTER OP INFORMATIQN ONLY AND CONFERS NO RIGHTS UPON THE CE_ RTIFICATE 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($), ,AUTHORIZED
_REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMAORTANT; If the cartlfkate holder is an ADDITIONAL INSURED, the policy(las) must b4 tndoreed. II3UBR4GATION 1$ WAIVED, auo)a t to
the terms and conditkana of the poitoy, certain pollcles may requim an endorsoment. A statomant on this cert OGA deep not cantor rights to the
c®rttnGUto holder In lieu of such endamamantr.t
PRODUCCR
Assure -US, Inc.
1980 NE 163rd Street
North Miami Beach, FL 33162
Phone (305) 958.7818
INSURED
betatrucks, LLC.
1933 NE 183 Street
North Miami Beach, Fl. 33162
905949 -9499
Fax (305) 956.5946
Patricia
958 -7818.
_ CERTIFICATE NUMBER:
THIS IS TO Ci RT1FY 7hsAT THE BpLiCIF$ OF INSUa "CE LI$71'ff BELOW HAVE BEEN rgSUED'r' -THE INSURED P
INDICATED. NOTWITH8TANDINQ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOt
CERTIFICATE MAY QE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIE$ DESCRIBED HEt
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LtMITg SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
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1 UMBRELLA LIAR OCCUR
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CERTIFICATE HOLDER
MIAMIOAD) COUNTY
CONSUMER SERVICE
140 WEST FLAGLER STREET STE 0902
MIAMI, FL, 33130
ACCORD 25 (2009109) OF
CANCELLATION
I
956.6949
APAEQ ABOVE FOR THE POLICY PERIOD
UM£NT WITH RESPFCT TO WHICH THIS
EIN IS SUBJECTTO ALL THE TERMS.
.. LIMITS
UGH OCCURRENCE
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U«IAL. 8 AOV fldj JT ,NBAALA06REGAT9
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$50,000.00
SHOULD ANY OF THE ABOVe DESCRIBED POLICIES BE CANCELLED SEPORE
THE EXPIRATION DATE THEREOF, NOTICE WILL ETC DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS. __...
AUTHORIZED REPRE8ENTATIVC
19a4 3009 ACG?Rp CGIRRORATION, -All rights raservad.
Tho ACCIRD name and logo are reglatOf4d marks of ACORD
�N DATE (MW0D/YYYy)
CERTIFICATE OF LIABILITY INSURANCE 09!291 10
................. ...
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.
....._.__.__.._. ............ . ..... ........ __ . . . .............. . . ............. - .... . .... .. 11 . ..... .. . . . . . ...............
IMPORTANT. It the certificate holder Is an ADDITIONAL INSURED, the poricy(les) 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). CONTACT . . . . ....... . ....... . ..... . ...... ............
NAME: Patricia Fernandez
PRODUCER. ... . .... ..... . ............ . ................ . -5946
PHONE f , (305)956
fissure -US, Inc. . ..... - W,.N - . , -
__lp
E-MAIL alriciaQassureus-us
1880 NE 163rd Street ...ADDR9S§,;_ ........ ... —,--P .............. __ . ......................... ... ......... ..............
PRODUCER
Vorth Miami Beach, FL 33162 M ... ... . . . . . ........ .... ......... ....... . . ._ ....... ..
Phone (305) 956-7818 Fax (305) 956-5946 iNwRkf AFFORD! G COVERAGE MAIC 9
ompany.
INSURED INSURER GranadajnsuranceC ... . .......
... ... . . ........... . . ...........
Betatrucks, LLC. '_ENSURER _9..; ........ . . . . ........ ................ —1 . ......... ..
IN............... . .... _111".-._ ..........
15151 West Dixie Highway ......
. .......... . ..................
Miami, Ft. 33162 .............. . .......
. . . . ........ .......... . ..................
€(05949 =9499 —
. . .......... .. . .. . ....... . . ................... ..... . . . . .................
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER*
..... .... ... . . ................... ............. ... .......... .......... . ..... . . . ............ .
THIS IS TO CERTIFY THAI- 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 I HIS
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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . . .............
'11Fr L .
. . . ... ............ - ............... . ..... . ..... .......... ........... .......... 00D67 I'm y Exp LIMITS
I R. POLJCYNUMBER IMM!DOrVYYY ..I
-IyfPO.OF INSURANCE . .. ... ...................... -
. . .........
......... .... ... . . ... . INSR.im . . ..........
GENERAL LIASILITY EACH OCCURRENCE
commERciAL GENERAL LIABILITY FLRER
7
MED E,)(P iAny one person)
CLAIMS.mAor OCCUR
PC RSONAL & A. INJURY
... ..... . . ....... ... . .
.. ... ......... ...... .
.......... 'T
GENERAL AGGREGA E_
...... .....
............ . .......
GEN't- AGGREGATE I..JMrTAPPJ.IES PER PRODUCTS
. ... ... ... .. ..
PR. .... . ......
POLICY.._ I COT- LOC . . .. . .............
Lw_ .
... .... .. Lo COMBINED SINGLE LIMII
AUTOMOBILE LIABILITY
(Es accident)
mji BODILY INJURY (Per person) $
ANYAUIO
.t J ALL. OWNED AUTOS "0185FI_00021732. BODILY INJURY Wel 130660nli S
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SCHEDULED AUTOS
y n i PROPERTY DAMAGE
$
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. . .... .....
HIREDAUrOS
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NON•OWNED AUTOS
T. ......... .......... ... . ..... . . . . . . ....................... . . ...... . ... ................... .... .... . ....... ... . ............ - . . . . .........
S
1. ACH OICCURM N
UMBRELLALIA13
OCCUR
AGGREGATIL
EXCESS LIAS CLAIM S-MADE.
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. . . ...................... . . ..........
.............. ........... WC STATU-
WORKERS COMPENSATION
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...... E.L EACH ACCIDf
ANY PROPRIETORfPARI'NEPJEXr.CUTrVE',
OFFICERMEMBER EXC' LUDED? INIA
L. DIS (.ASF - EA LMPLOYFE $
(Mandatory in NH)
If as. describe under r $
E.L. DISEASE PO!
.... . ... ---- ------ .... . ....... . . . ........ ......
-SCRIPTION OF OPERATIONS below . . .....
. . . . I ............. . . . . . ..........
0185FL00021732.
$50.
.000 00
A Garage Keepers y
.. . . ........ ......... ------ . . ....... . ....
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER
MIAMI DADE COUNTY
CONSUMER SERVICE
140 WEST FLAGLER STREET STE#902
MIAMI, FL, 33130
ACORD 25 (2009109) CIF
..... . ......... . .. . ........ ........... . . . . . . . ............ ... -
CANCELLATION
................. . _., . ..... /-.
SHOULD ANY O THE AJOVE DESCRIBED POLICIES 13E CANCELLED BEFORE
THE EXPIRATI NDATE HEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANC WITH TAE POLICY PROVISIONS.
W
1988-2009 ACORD CORPORATION. All rights reserved.
/the'-ACORD name and logo are registered marks of ACORD
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January 6, 2012
To Whom It May Concern:
Essig Pools Inc. has had the opportunity to work with Betatrucks LLC for approximately
the last 5 years. During that time they have always proven themselves to be professional,
prompt and fair. They're pricing was always reasonable and anytime I had any questions
regarding a repair, they would take the time to go over it with me and show me the actual
problem.
I highly recommend Betatrucks for any of you commercial vehicle repairs.
If you have any questions, feel free to contact me.
Sincerely,
Ed Rodriguez
General Manager / VP
Essig Pools Inc.
305- 949 -0000 ext. 208
Quality Pools and Spas
1800 N.E. 151st Street, North Miami, FL 33162
North Dade: (305) 949 -0000 South Dade: (305) 253 -4673
Broward: (954) 438 -6251 Fax: (305) 949 -9171
www.EssigPools.com
January 6, 2012
To Whom It May Concern:
Essig Pools Inc. has had the opportunity to work with Betatrucks LLC for approximately
the last 5 years. During that time they have always proven themselves to be professional,
prompt and fair. They're pricing was always reasonable and anytime I had any questions
regarding a repair, they would take the time to go over it with me and show me the actual
problem.
I highly recommend Betatrucks for any of you commercial vehicle repairs.
If you have any questions, feel free to contact me.
Sincerely, i
Ed Rodriguez
General Manager / VP
Essig Pools Inc.
305- 949 -0000 ext. 208
Quality Pools and Spas
1800 N.E. 151st Street, North Miami, FL 33162
North Dade: (305) 949 -0000 South Dade: (305) 253 -4673
Broward: (954) 438 -6251 Fax: (305) 949 -9171
www.EssigPools.com
le!
FAMILY, IMPLANT A COSMETIC D
January 17, 2012
To Who It May Concern,
Sergio M. Rauchwerger DMD, MMSc
3975 Isles View Drive • Suite 202 • Wellington, Florida 33414
561 - 798 -7807 • smile0smiledesignsl1c.com • www.smiledesignsllc.com
This letter is to confirm Smile Designs' commercial relationship with Beta Trucks, 1953
NE 153rd Street, Miami, FL. We have been a customer for over 5 years. Beta Trucks
services our fleet for both routine maintenance and complex repairs involving engines
and transmissions.
Beta Trucks has earned their status as a business we trust. We have and will continue to
refer and recommend them.
Should you have any questions, please contact me.
Sincerely,
Sergi ai�clr erger, DMD, MMSc
18PANK?
THE WORLD'S LARGEST JUNK REMOVAL SERVICE
January 5, 2012
To Whom It May Concern:
39166th Street, Suite 7
Miami, FL 33169
Book online at 18DOgotiunk.com or call
1- 800 -466 -5865 to book on appointment.
This letter is to confirm 1- 800 - Got -Junk of SE Florida's commercial relationship with Beta Trucks,
1935 NE 153`d Street, Miami, FL. We have been a customer for over 5 years. Beta trucks services our
fleet for both routine maintenance and complex repairs involving engines and transmissions.
Beta Trucks has earned their status as a business we trust. We have, and will continue to, refer
and recommend them. Should you have any questions, please contact us at 305- 949 -1133.
Regards,
Nate Kloiber
Operations Manager, 1 -800- Got -Junk of SE Florida
01
,r
2012 -01- 0517:16 ONE EIGHT HUNDR 305 9491133
Page 1