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Jaffer Well Drilling
C?r-ee!-- 4( e) IC( e- Received APR 3 0 2018 City of Sunny Isles Beach Office of the City Clerk • WELL DRILLING 1451 SE 9 Ct Hialeah FL 33010 Phone 305 576 7363. 1. Company Information a. Jaffer Well Drilling, a Division of A.C. Schultes of Florida, Inc. i. Facility Location: 1451 SE 9 Court, Hialeah, Fl 33010 . 2. Other A.C. Schultes Offices • _ •a. Jaffer Well Drilling b. AC Schultes of Florida, Inc. c. A.0 Schultes of New Jersey, Inc. d. A.0 Schultes of Delaware, Inc. e. A.0 Schultes of Maryland, Inc. f. A.0 Schultes of Carolina, Inc. • 3. Jaffer Well Drilling is a State of Florida registered fictitious name A.C. Schultes of Florida, Inc. dba Jaffer Well Drilling. 4. A.C. Schultes of Florida, Inc. was founded on 2/10/2003 -_ 5. Jaffer Well Drilling Office Najib B "DUKE" Halwani 1451 SE 9 Ct., Hialeah, FL 33010 Telephone: 305-576 7363 Email: duke(c�jafferwells.com a. Jaffer Well Drilling has no outstanding litigation. b. Proof of Insurance is attached Appendix A c. Sunbiz Report is attached Appendix B d. W9 is attached Appendix C 4. Qualifications Jaffer Well Drilling is the premier well drilling contractor in South Florida. We are committed to servicing our clients' needs and requests. Jaffer runs 9 Foremost DR 24 Dual Rotary Drilling rigs, several Cable Tool drilling rigs, 2 Vac-Trucks, 9 Combination Backhoes, 7 cranes and knuckle boom trucks, a fleet of support (welding trucks), air compressors, sediment tanks, and pumps. Jaffer employs qualified OSHA trained drilling crews, certified crane operators, mechanics, and welders. Highlighted by our managerial team of professionals with expertise in local permitting and drilling activities. Our staff includes Engineers, Geologists and project managers. Jaffer falls under the AC Schultes umbrella of companies and can draw on a vast pool of knowledge and expertise. Jaffer is one of six (6) well drilling and pump service facilities located in New Jersey, Maryland, Delaware, North Carolina, and Florida owned and operated by AC Schultes. For the past ninety (90) years, A.C. Schultes has provided a full range of water and wastewater related services to municipal, private, commercial, industrial accounts, engineering firms, other contractors, as well as local, state, and federal agencies. Jaffer Well Drilling is qualified by Najib B "DUKE" Halwani License # 11138. Mr. Halwani is a graduate of Boston University with continuing education in Geology and Hydro Geology from Florida International University. Mr. Halwani has over 24 years of drilling experience in Miami Dade, Broward, Palm Beach, and Monroe Counties. Jaffer well drilling has completed over 1 ,000 projects in South Florida. See attached list of reference project Appendix D t t. Staffing All Jaffer managerial staff member have at least 2 years of experience in construction in South Florida. Jaffer Staff includes: Mr. Mario Aguerreberez Civil Engineer Project Manager Mr. Gary Braganza PG Project Manager. Mr. Ariancis Hernandez Geologist Project Manager. Mr. Juan Cepeda Electronic Engineer Production Manager Mr. Andres Bertoni Civil Engineer Production Manager Ms. Silvana Sinning Office Manager Ms. Nayla Pinero Office Manager. Resumes for key personnel are included in Appendix E Jaffer currently plans on utilizing one subcontractor: Utility Masters Inc. (Lic E992100) 902 SW 138 Ct. Miami Fl 33184. Jaffer has obtained prices for the CheckMate TideFlex Valves from Tideflex Technologies 600 N Bell Ave Carnegie, PA 15106. t. Approach / Methodology Jaffer's approach to a new construction project is to assign the team that will manage the project. Typically, the preliminary team consists of the Project Manager, the Production Manager, and the Drilling Superintendent. Everyone will review the schedule and cost estimate, prepare review comments,. and offer value engineering suggestions. We believe the team approach and front-end planning is vital to a successful project. A more specific approach to this project is outlined in the bullets below. • Request a preconstruction meeting with the city to discuss all concerns the city might have. • Video each well • Mobilize (1 or 2) rigs depending on impact to residents • In Addition to truck mounted drill rigs Jaffer has a mini skid mounted drill rig that offers a minimal impact to residents. Picture attached Appendix F • Clean each well and well box • Isolate cleaned wells with a pass through well plug for video • Tide Flex valves will be installed from the water side This project is located inside a community and it's important to the City, and Jaffer, to minimize the impact on the people living within the confines of the project. Teamwork, planning, and common sense allows us to be successful in the completion of our work in a timely and cost-efficient manner. Our professional and licensed personnel, and their vast years of experience, provides a safe, professional environment in the field and the office. References are included in Appendix G Appendix A 'ACC9RD CERTIFICATE OF LIABILITY INSURANCE • DATE(MMDDIYYYY) • 4/12/2018. 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 CONTACT NAME: Alexis Gil Sadowski Odell Studner Group, LLC PHONE FAX 200 North Warner Road, Ste 450 (A/c.No.Ext):484-586-3937 (NC,No):484-586-3955 King of Prussia PA 19406 ADDRESS: info@odellstudner.com INSURER(S)AFFORDING COVERAGE • NAIC# INSURERA:Zurich American Insurance Co 16535 INSURED INSURER B:Travelers Prop Cas Co of Amer 25674 A.C. Schultes of Florida Inc. dba Jaffer Well Drilling INSURER C:Commerce&Industry Insurance 19410 1451 S.E. 9th Court INSURER D: Hialeah FL 33010 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:359986467 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOUCY EFF POLICY EXP I ADDLTYPE OF INSURANCE INSR ISWVD UBRI POLICY NUMBER I(MM DO//YYYY)I(MM/DD/YYYY) LIMITS A GENERAL LIABILITY GL0038070902 7/1/2017 7/1/2018 EACH OCCURRENCE I $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETl RENTED PREMISES(Ea occurrence) $1,000,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $10,000 X XCU Included PERSONAL 8 ADV INJURY $1,000,000 X Contractual GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 I POLICY n PRO- I X I LOG GL Deductible $0 JECT A I AUTOMOBILE LIABILITY BAP038071002 7/1/2017 7/1/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000.000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) Ded Comp/Coll $$250/5500 8 X UMBRELLA UAB X OCCUR ZUP91M3584517NF 7/1/2017 7/1/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 I I DED I X I RETENTION$0 $ A WORKERS COMPENSATION WC038070802 7/1/2017 7/1/2018 X I WC STAT - 'OTH- AND EMPLOYERS'LIABILITY TORY)IMITSUER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A .- (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I $1,000,000 C Pollution CP019176288 7/1/2017 7/1/2018 Occurrence $2,000,000 Aggregate $2,000,000 Deductible $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Evidence of Coverage • AUTHORIZED REPRESENTATIVEES�nn ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Appendix B , , , State of Florida Department of State I certify from the records of this office that A.C. SCHULTES OF FLORIDA, INC. is a corporation organized under the laws of the State of Florida, filed on February 10, 2003. The document number of this corporation is P03000015991. I further certify that said corporation has paid all fees due this office through December 31, 2018, that its most recent annual report/uniform business report was filed on January 19, 2018, and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Nineteenth day of January, 2018 4f --r-4.:,--.$ Fcf k�l:i.;:iI., r44) ION attrr4A. ,„ .._� %' 2 Secretary of State Tracking Number: CC4543794655 To authenticate this certificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication Appendix C I i ) Form Request for Taxpayer Give Form to the i(Rev.November2017) Identification Number and Certification requester.Do not i Department of the Treasury send to the IRS. Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information., I 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. i A.0 Schultes of Florida, Inc. - • 2 Business name/disregarded entity name.if different from above d/b/a Jaffer Well Drilling v3 Check appropriate box for federal tax classification of the person whose name Is entered on line 1.Check only one of the 4 Exemptions(codes apply only to f m following seven boxes. certain entities,not individuals;see a instructions on page 3): f o ❑ Individual/sole proprietor or El C Corporation ❑'S Corporation ❑ Partnership ❑Trust/estate single member LLC m c Exempt payee code(if any) c o ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)I. t p` F. Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting .. wLLC if the LLC is classified as a single-member LLC that is disregardedthe ow from the owner unless ner of the LLC is e.E any) code(if another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that d is disregarded from the owner should check the appropriate box for the tax classification of its owner. t 2 ❑ Other(see instructions)► (eppfes to accounts maintained outside tire U.S.) 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) toa co 1451 SE 9th Court I 6 City,state,and ZIP code t Hialeah, FL 33010-5944 7 List account number(s)here(optional) 1 Part,I!. Taxpayer Identification Number( IN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other — — entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. 1 4 - 1 8 7 1 1 8 6 Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am i no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.Tne FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because I you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, I acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. ? Sign signature of Here u.s.person I* *I.A.---77)1.00: ..-- Date► ` 1 / i General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise [ noted. •Form 1099-MISC(various types of income,prizes,awards,or gross proceeds) Future developments.For the latest information about developments •Form 1099-8(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) I An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain ycur correct taxpayer 1098-T(tuition) identification number(TIN)whichmay be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number Use Form W-9 only if you are a U.S.person Including a resident . (BIN),to report on an information return the amount paid to ycu,cr other alien),to provide your correct TIN. amount reportable on an information return.Examples of information returns include,but are not limited to,the following. If you do-not return Form W-9 to the requester with a 17N,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.11-2017) i i Appendix D i n < -o n = < O cu r<o D y O d co o* —_ Z o70 ° — D ° `' C fD O co7 co v O .7+ 4. S O 0 < 7 cu Vf 2 C co. n n 7 cu _E 74. Ll H fn -n fL 3 F.,' , y of r co 3 n < fD7 fD 7 N N N el UJ O O W 0 N 7 N 7 N N N o on N N O N ON V N rT a) O 7 - O 3 O O .-, O N CFO r--‘ LID I-. I-. V1 U1 00 J COCO N to to to to to co IL U./ D D ffn O W O N Ol N In 5.:' C 7*. U1 LIDV A O O O� ". y- O O O yn, O O O rl M O O O O O O O O A = fv O OD 7 fD O N I--, O W N N O 013 r fD 1 2 0 s to N to N to A' 0 > ro 3 CD O NN G) t-. F+ O CD °N 0 L O 43. l 7 LID O W w -+ 00IQ in 00 lc, a LID 10 01 W O O 0 fD 0 ~ 0 Nb O b A 0 0 0 O 77 0 < 7 CV et re O E s, A ti of f'"D 3 y D . co o = o0 0 n N < ni m y O n n G fD CV 7 H ro a 0 EY fL an 3 0_ fD O - w ro -n co 2 m 3 n m R° 03 LA 0o N c E. G1 C 01 O co n . fD y , N 0 7 O a n co cu O 2 l0 7 Q. j 7 -. C �; 0 J 1.-1 fro 7 W Q. co ..+ fD J O In fD O 7 DJ -. W 7 Z A - O n 0 0C ,,,� F, CO J N 3 j ry �<. m 0 7 C ° O G) G fD fJl Q O�1 Tl O - V fD N C v F+ �l fD 1.0 ti 1--' op 0 -7 7 01 -0 W nt V W V' V1 W r O 7" 7 us 3 N l0 -, < < fn 7- 0! F-, N N CV W Ww O d W 0l r OT al fD .7r tAD W V W Fp". Vl W CO N Z 7 .. N ll = co C A 7 O Vl '� i0 anus (D < 00 r V1 01 N n = 1--� K X N 4:, V1 cp US C 2"rn Vl W .+ p pp A ,-e N W fD V1 V W ' -G C O D A W fD N 5 1-+ (D < V OCO 7 V Sv • d N Ln y to 01 reJ .�•. 07 O fD co fDa .I' of of n A < rn 3 _0 N Co _O 3' -nT1 fv ? < 0. r r 3 F m Appendix E NAJIB B " DUKE" HALWANI 6060 SW 114 Street Pinecrest FL 33156 Tele 305 216 3079 duke@jafferwells.com EXPERIENCE 1994 TO 2014 PRESIDENT AND OWNER, DYNAMIC ENVIRONMENTAL DRILLING, INC Founder of Dynamic Environmental Drilling from the ground up was involved in developing client base, and drilling activities including operation of drilling equipment 2014 TO PRESENT PRESIDENT, AC SCHULTES OF FLORIDA Responsible for daily activities and management of all aspect of operation for Jaffer Well Drilling EDUCATION Graduate American Community Schools Athens Greece 1979. Graduate Boston University 1984 Continuing education in Geology and Hydro Geology from Florida International University SKILLS Innovative with an emphasis on promptness, quality and safety. This focused approach towards all my drilling projects has contributed to my continuing success in today's expanding market. Gary Braganza, P.G. . Boca Raton, Florida Professional Geologist/ Project Manager/Environmental Scientist An Environmental Scientist with over 20 years of consulting experience, possessing an extensive background in a broad range of environmental investigations and studies. Successfully completed numerous projects in an organized, well-coordinated manner with a proven open, . communicative, calm, well-received approach. Expertise includes environmental compliance and policy, environmental site assessment, remedial investigations, aquifer-studies, insitu soil and • groundwater remediation. Written Scopes of Work and Requests, reviewed Proposal/Quotes, prepared permits, numerous site plans, Quality Assurance and Quality Control project reports, regulatory compliance documents. Developed positive on-going relations by mediating between client and regulatory agencies. CORE SKILLS •Project Management • Technical Writer •Regulatory Compliance •Data Analyst •Soil, Groundwater and Air Assessments •ArcGIS proficient •Health and Safety Site Officer •Emergency Management CAREER HIGHLIGHTS • Environmental Compliance Assessor. Audited and brought into compliance, several Custom and Border Protection (CBP) facilities across the U.S. • OEM (Operational Efficiency Manager) for the Tetra Tech NUS Boynton Beach office. Tasks include initiatives to conserve resources, improve operational efficiency and reduce operation costs. • Project Manager UST Program. Managed all aspects of the FDEP's Petroleum Cleanup program for USTs, including monitoring changes in regulations, incorporating operational process changes, conducting environmental audits and inspections • Operations Leader, RI/FS - NTC Orlando. Health and Safety lead for all field operations, managed subcontractors, collected all sample data for evaluation, geologic interpretation of soil cores and permit applications for on-site hazardous waste handling. • Operations Leader for various sites - NAS Key West. Tasks included the preparation of work plans, sub-contractor statements of work, hydrologic studies and coordination and management of field crews. • Emergency Management Coordinator — Prepared an All Hazards Mitigation Plan to outline emergency response actions to threats that could affect plant operations. The plan included reactions to spills, leaks and line breaks and necessary clean up actions and notification. • • Gary Braganza page 2 • Vulnerability Assessment— Performed several Vulnerability Assessments of Water treatment plants to determine the risks and susceptibility of current protective measures and made suggestions to increased security • Injection well permit application -Directly involved the submittal of the permit application to the EPA. Acted as a liaison between the Consultant, EPA and Legal department to resolve issues and comments. PROFESSIONAL EXPERIENCE JAFFER WELL DRILLING. HIALEAH, FL 2016- PRESENT Project Manager/Geologist Preparation of Reasonable Assurance Reports required by the Florida Department of Environmental Protection (FDEP) for the permitting of Class V injection wells. Managed the installation of wells, interfaced with clients and regulatory agencies. Prepared reports of well capacities and drainage structure cleaning reports. SEMINOLE TRIBE OF FLORIDA. Hollywood, FL 2013—2016 Project Manager/Water Quality Specialist/Emergency Management Coordinator Water Quality Compliance Specialist for four Seminole Tribe Water Treatment Plants in Florida. Liaison between EPA and the Tribe in all water compliance issue. Preparation of documents including Monitoring and Sampling Plans and Emergency Response Plans. Reviewed Assessment proposals for the Environmental Resources Department. Investigated and resolved compliance issues. Performed Aquifer investigations at the reservations. Managed engineering consultants, and prepared presentations to the tribal community. TETRA TECH, INC. Ft Lauderdale, FL 1994 -2013 Project Manager/Hydrogeologist Served as a geologist to work on multi-disciplinary projects and to interface with clients and government agencies. Responsibilities include environmental scientist, data analyst, technical author, project manager, and operations leader. EDUCATION • BA-Geology Boston University, Boston, MA • MS - Management Information Systems Nova Southeastern University, Ft Lauderdale, FL • Professional Geologist No. 1822 State of Florida INTERNATIONAL EXPERIENCE •. Muscat, Sultanate of Oman — Marketing effort to support environmental awareness -3 month assignment • Naples, Italy— Environmental assessment and health monitoring of U.S. Navy personnel—6 months over a one year References on request Andres M. Bertoni Saturno VENEZUELAN Mobile: +786-326.29.65 Address: 11471 Lakeside Dr,Apt.5104 7, �.Fg° Doral, Fl. 33178 abertonis@gmail.com , PLACE AND DATE OF BIRTH: Barquisimeto,Venezuela,July 26, 1979 _a 4F. 14142A1 STUDY (VENEZUELA) 10-1998/ 10-2005 Civil Engineer, Structural Mention Universidad Centro Occidental Lisandro Alvarado, U.C.L.A. University Graduate 08-2005/ 10-2005 Internships, METALPARTES INDUSTRIAS, S.A. Department of Design and Manufacturing Heavy Structures 05-2005/08-2005 Assistant Post-graduate CDCHT, Engineer Maria E. Marante Online Research "Behavior of cracking on concrete elements". U.C.L.A. 01-2005/05-2005 Assistant Bank Essay Department. Structural, PhD. Ing. Ricardo Picon Testing elements of Steel subjected to axial and biaxial efforts. U.C.L.A. WORK EXPERIENCE (VENEZUELA) Engineers Professional Associations of Venezuela (CIV) No. 175.852,Year 2006 2006—2008 Civil Engineer Freeland Profession 2008—2015 Civil Engineer BERASO, C.A. WORK EXPERIENCE (USA) 02-2016 to 05-2016 GREEN AIR CONDITIONING, INC. Project Manager, Maintenance Department Coral Springs, FL. 33065 06-2016 to Present A.C. SHULTES OF FLORIDA DBA JAFFER WELL DRILLING Production Manager, Production Departament Hialeah, Fl. 33010 "Working under pressure management, excellent management staff, availability of transportation, open to learning and study" WORK EXPERIENCE • GOVERNMENT (2006-2011): o Frame Iron for Glasses Armored 19mm. Fire Detection System and Closure in Visible Ceiling Board, Civil Protection Headquarters. Caracas o Resident Engineer in maintenance of canals lined in concrete irrigation system Guarico Rio. o Engineer Building Inspector of Education Centers "FEDE". Lara o Engineer Inspector Contractor "CVG Edelca", Conditioning Land near electrical towers 400Kva Line. Lara o Remodeling of Ambulatory Headquarters "INAVI". Lara o Inspection of Contractors in charge of the work of Aqueducts and Sewerage networks of"Chirgua Sectors I and II". Chirgua. Lara • COMMERCIAL (2006-2012): o Project Management and Execution of Civil Works in Commercial Companies (Reinforced Concrete, ironworks, masonry, drywall, drainage, water, waste, electricity, painting, finishing materials, fire system). National Territory • INDUSTRIAL (2006-2015): o Inspection of Construction of Housing and Urban Development. Company: MERCANTIL BANK, C.A. Lara o Remodeling of Battery Production Barn Bathrooms. Company: METALPARTES INDUSTRIAS, S.A. Lara o Draft Architecture, Engineering and Construction Detail of Production areas Food Industry. Company: Mash-ka, C.A. Lara o Engineer attached to the Department of Design and Manufacturing Elements of Steel for Petroleum Industry. Company: METALPARTES INDUSTRIAS, S.A. Lara • TOURIST (2009): o Containment Wall Construction and Infrastructure for Hostal. Lara • RESIDENTIAL & EDUCATION (2010-2014): o Project Management and Execution of Civil Works in Residential Housing (Reinforced Concrete, masonry, drainage, water, waste, electricity, painting, finishing materials, hydraulic systems). Lara SOFTWARE THAT MANAGES SAP2000, LANDPROJECT, AutoCAD, Windows 7, Microsoft Office, Excel, Publisher, Internet Explorer and others. JUAN CAVIOL • CEPEDA 3922 NE 166th st North Miami Beach, FL 33160 I C: (561) 309 9912 I E:juan.cepeda85@hotmail.com PROFILE I am known to be enterprising, positive and to have strong leadership skills. I've advanced knowledge in drilling, LWD, directional drilling and drilling performance with more than four(4)years' experience on the field. I easily establish relationships this allowed me to achieve excellent teamwork. Good job performance under pressure which makes me very competitive, easy adaptation to change.Good ability to analyze and solve problems.I am very committed and responsible with what I propose.I see myself as a person committed on the health and safety of all the people that are around me. WORK EXPERIENCE Production Manager July 2015—To date Jaffer Well Drilling I Miami, Fl • Confirming adherence to construction specifications and safety standards by monitoring project progress;inspecting • construction site;verifying calculations and placements. Ensuring crews follow work order instructions. • Fulfilling project requirements by training and guiding operators on all the project specifications and requirements by making sure that employees are up to date on the latest information and training available to employees. • Maintaining operations by enforcing project and operational policies and procedures by working daily with staff ascertaining all instructions are followed and we comply with all requirements. • Providing engineering information by answering questions and requests to customers and staff regarding well drilling and site conditions. • Direct supervision of employees working at project sites getting all the equipment set up on time and managing drilling efforts at the sites with the Foreman. Field Specialist March 2011—April 2015 Baker Hughes I Houston,TX • This position is responsible for providing Logging While Drilling(LWD)solutions at the well sites.Working under general supervision,this position is responsible for working with the Directional Drilling team and utilizing computers to perform well site surveys, logging the formation and monitor well sensors during the drilling process. • L/MWD for different oil contractors like Ecopetrol, Hocol,Cepcolsa, BP.Operating tools up to Sonic(SounTrak)and nuclear (LithoTrak). Resident Engineer March 2010—Jan 2011 Electra Electronica Avanzada Vanegas Ltda. I Bogota, Colombia • In charge of the installation, planning and development of the security,fire detection and integration of the Alpina S.A LEED building headquarters: Research and Development Aug 2007—Dec 2007 Colombian School of Engineering"Julio Garavito" I Bogota, Colombia • Mid Intelligence robots research • Research and develop of a line follower robot with microprocessors or Gal hardware. EDUCATION Bachelor in Electronics Engineering JAN 2010 COLOMBIAN SCHOOL OF ENGINEERING, "Julio Garavito", Bogota, Colombia. SKILLS • Fluent in Spanish, Proficient in English, Basic knowledge of French • Programming: Microcontrollers (Software: Microchip MPLAB), programmable logic controllers PLC (Software: Simatic Step 7 Siemens,Schneider Twido Soft). • Design: Printed Circuit Design (Software: Eagle Layout, Proteus), Design and 3D modeling(Software:SolidWorks). • Simulation:Simulation of circuits and control systems(Software: Proteus, Matlab, Labview) • Advanced knowledge of Microsoft Office,with daily use of Excel • LATEX, Winedt • Open Wells software for drilling reporting. • BHI:Sara 1 and 2,Advantage system,well architect. • Management Skills • • Well Construction and production knowledge(Water and Oil). Appendix F - `��1p - C- �, -11 '` tx '� a _ -^-tom ,�_.Z..„,„';-,._-,__—,--___-_. C f-;. Ar "1,4, ,-- , T ..) _ _ _ k -- dii ' ' ` Ini! flL '�t � Cid r i! .,, r ,,,,,,, -..—,4 1.N \\. 4 _ Jam, Cb I. y tf `• � �3� -' ' ' i , ... , ._mac T - __ t ` .. .,, ,, .„. .. , .3., :,,, ....,! .., ..,..0 _rts,. . ... ,, c,, � k ,...__,_, "%irpiti , .- - Cy 4 1.—,- • -'-. ----„.-:----_--7-...-, -21 t,. - -\ - ---___N. - e _Pe I . _i L, ' - c"-, ,0 cli-'-1.1:1- .'-: 'ligl*L''' :::'- - ± 4:5--*----", -;-: - ____ '_ ,_.....11- \ - ... 1,p x,. j1. 2_ E2.' , t) , �.' x' tea. i• - t , _ _ te .l_,..,4,,,,s,_,:c...„---- fc,..c."-!,,-,,,,,....,tH, ,.;.,..-7.-- ,.._ .... ..._,I... ,...;_--- c,...;„1-''--...."Th.,‘ %---- -:1"-------4------1 _ - ' -.rte ' - - r „f,--_, . _^' - - 'J �-- i _ r ~r/ � ��, <5 C/ i1' .'.,. it. 1 ,...'f ' ', qme � _ . 11, if ° e 1: 't t 1L a j y , 2 ° Jt _l ' °4 - s. f' + ti?; 7L. ) f I ' \ ; : ° t 3f 1. • v:i • i '. 4 fo 't` , {/2 i 1 , , \ \ . 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X1`1)/lft}y}l„ (' 1� = Xit r,7�V E r ,1 12. ti ;rte ,�',3r I • — ;. s., it /jt} } • ( C i$ DI f L.4::41,:;t41...:`,:ii:11:, # tih�. .� SMG✓]%�Sflv? . $ ' t4r.r, „. ! o r1� ,, 11 1361'41-Y ;\ , {r k a iO4 �� (4,vro91110. : - Ifo15 , fel 1 l�t` 'r`.}1�gOq :4: t f;' 1 1 c 1f 1 l��� p� � / � °� � —— :i 1,N,f► /ll� z i...: .:°.,/p i l"� -04, � ,l#ti •`t • +%,'.�:'t^P �'Y �; 4. is I '4çi1 Y '�, Ii\ ,t •V,.X4/0-QC'QS ti,y.•., 1 ii, 0,.= t...A I, .. 1 49.09)0 90.6,4f; , 1 do°oo , ,-kIi,i''tI' • ,: ci f.' wmar-1i1mm _"_' _ I1I :,,.‘,31:',,,,,',1) „0,940,t ', ! -” , � , .,. t.;1• 1'.4,, x,`0009 , . j; - i �� SIJ �; ; x ti ", `. � C �` �''' ¢9:949 4 - + T t', `h;st n� 1 !!' s �tY,/(JI/)gyp}f* /'�V/ I - . 1 ! �• � y� �� _t . , ,a,..t i - �� - .k ;� �A1ly �: y •Y,�f+. , i, . �{ p ro ,fj.,l '-A E.j,. ,.., „.i.....:........,„-::..k..13.„1.7.,.....,4 opfp° t: toss 1, ri ., : 1 nPOrY QV 4 'sir In (►`(� ,Sle„ 7 ' � i i o �� Rr`t 1,� {t�X11 41; ,: f)0qq � ' J ,,. ® I c ., ,,,,,o 001, gin,'�', 90. , epv �� - _�. }/,r•r P7�/tPWQuQb.Q,o-'• . `_ r.dam ' • Appendix G . �& x i I e�~ � ,,r; 1, j VILLAGE OF KEY BISCAYNE Village Council April 24, 2018 ,I Mayra P.Lindsay,Mayor I Franklin H.Caplan, Vice Mayor Luis F de la Cruz Gary R.Gross Allison McCormick Brett G.Moss Katie Petros i City of Sunny Isles Beach i I Re: Village of Key Biscayne: Well redevelopments and well box cleanings. The Village of Key Biscayne has used Jaffer in the last five years to inspect, redevelop i wells and cleaning pollution control boxes and other Stormwater drainage structures. .I We are very pleased with the service they provided to the Village. ,i i We have 37 wells of which they redevelop approximately 8 every year. They clean our I' 34 pollution control boxes every year. They also clean other Stormwater structures i including catch basins, manholes and pipes. Please feel free to contact me if you have any questions. Thank you! 1 iSi erely, j `7 L ! J e G. Lopez, P.E. 1 Stormwater Utility&Sewer Representative,Village of key Biscayne 1 88 West McIntyre Street, Suite 230 I Key Biscayne, Florida 33149 jloctez@kevbiscavne.fi.gov it Office 305-365-7581 Fax 305-365-7757 Mobil 786-351-2383 www.keybiscayne.fl.gov t II 88 West McIntyre Street • Suite 220 • Key Biscayne,Florida 33149 • (305) 365-5506 • Fax (305) 365-8914 ll MISSION STATEMENT"TO PROVIDEA SAFE,QUALITY COMMUNITY ENVIRONMENT FOR ALL ISLANDERS THROUGH RESPONSIBLE GOVERNMENT: [ www.keybiscayne.fl.gov i i lA pRID4 March 24, 2018 U 'e:£ H • City of Sunny Isles ( !• To Whom it May Concern, Please accept this letter as my recommendation of the contractor,Jaffer Well Drilling. I have had the opportunity to work with Jaffer Well Drilling for many years on a variety of projects valued over$1 Million. Jaffer Well Drilling performs on a high level with very ethical and professional characteristics. Projects schedules have always been maintained while keeping safety a top priority. Understanding the need for highly qualified personnel,Jaffer Well Drilling has always provided exceptional staff that stay involved and accessible throughout all phases of the project. Jaffer Well Drilling is a firm that Central Florida Equipment will continue to work with in the future. Sincerely, Robert Baer President—Business Management&Development Central Florida Equipment 9030 NW 97`h Terrace Medley, FL 33178 (305) 888-3344 • BBaer@ CentralFloridaEquip.com --- ,:919030 NW 97th Terrace; Medley,-FL;33178 C.? 305-888';-3,3414 ' 3,05.887 9804 z. � , ' f SOUTHERN UNDERGROUND INDUSTRIES S moi.. April 26, 2018 Re: Letter of Recommendation for Jaffer Well Drilling To Whom It May Concern, We have had the pleasure of working with Jaffer Well Drilling on several projects and we value the expertise that their staff, especially Najib"Duke" Halwani. Most recently we got to work with Jaffer on a project in the City of Sunny Isles on 172"d Street where they were able to redevelop and recertify some drainage wells along 172°d Street and North Bay Road. We encourage you to use Jaffer Well Drilling Service for all of your well drilling needs. They bring the equipment, expertise. and manpower needed to handle any challenge. Please feel free to call me with any questions regarding this proposal. We appreciate the opportunity to serve you. Sincerely, Juan B rreneche. P.E.. Vice President Southern Underground Industries. Inc. 5979 NW 151 ST. Suite 102i. Miami Lakes, FL 33014 (954)650-4699 Page 1 of 1 CITY OF,SUNNY ISLES BEACH ` 18070 Collins Avenue Sunny Isles Beach, Florida 33160 /i014,.."1-Tte, .: wwwsibll.net -, 1ro- ',` Bio S �f '3F$01.4�� • SECTION 4 BID FORM 1 DELIVER TO: City of Sunny Isles Beach City Clerk OPENING: 2:30 P.M. 18070 Collins Avenue Monday,April 30, 2018 Sunny Isles Beach, FL 33160 PLEASE QUOTE PRICES, LESS TAXES, FOR THE 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 GENESIS CUEVAS 04/02/2018 Pages 26+ Sealed bids are subject to the Terms and Conditions of this Request for Proposal 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. RFP 18-04-01 NORTH BAY ROAD DRAINAGE IMPROVEMENTS PROCUREMENT AGENT: FIRM NAME: GENESIS CUEVAS AC Schultes of Florida dba Jaffer Well Drilling COMMODITY CODE(S): RETURN ONE ELECTRONIC COPY (FLASHDRIVE OR CD) ONE ORIGINAL AND FOUR COPIES OF BID SUBMITTAL PAGES AND AFFIDAVITS FAILURE TO SIGN PAGE 28 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON- RESPONSIVE City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 26 CITY OF SUNNY ISLES BEACH - _ _- i 8Q7Q Collins Avenue x Sunny Isles.Beach, Florida 33.1'60 - so's ''<t . 305;047 06Qi5 ,,/ 90% www sibil-net ` " -'S �Tlaa, 4' 4 � "=cJ''OF5a,;'1 Bid Title: North Bay Road Drainage Improvements THE UNDERSIGNED BIDDER PROPOSES AND AGREES, IF THIS BID IS ACCEPTED, TO ENTER INTO AN AGREEMENT WITH THE CITY OF SUNNY ISLES BEACH 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 Bidder accepts all of the terms and conditions of the ITB and Instructions to Bidders, including without limitation those dealing with the disposition of Bid Security. This Bid will remain subject to acceptance for 90 days after the day of Bid opening. The Bidder agrees to sign and submit the Agreement and other documents required by this ITB within ten days after the date of the City's Notice of Award. IN SUBMITTING THIS BID, THE BIDDER REPRESENTS, AS MORE FULLY SET FORTH IN THE AGREEMENT, THAT: • The Bidder has familiarized himself/herself with the nature and extent of the Contract Documents, Work, site, locality, and all local conditions and Law and Regulations that in any manner may affect cost, progress, performance, or furnishing of the Work. • The Bidder has given the City written notice of all conflicts, errors, discrepancies that it has discovered in the Contract Documents and the written resolution thereof by City is acceptable to the Bidder. • This Bid is genuine and not made in the interest of or on behalf of any undisclosed person, firm or corporation and is not submitted in conformity with any agreement or rules of any group, association, organization, or corporation; the Bidder has not directly or indirectly induced or solicited any other Bidder to submit a false or sham Bid; the Bidder has not solicited or induced any person, firm or corporation to refrain from Bidding; and Bidder has not sought by collusion to obtain for itself any advantage over any other Bidders or over the City. The Bidder 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 purpose 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 Orders, based on the unit prices established under this Bid. The City and the successful Bidder will establish completion times for each individual Work Item and the successful Bidder 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. Exact Legal Company Name: AC Schultes of Florida dba Jaffer Well Drilling Business Name (dba), if any: Jaffer Well Drilling Street Address: 1451 SE 9 Ct Hialeah FL 33010 Mailing Address(if different): City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 '27 - �.� CITY©F SUNNY ISLES BEACH hey, 18670 Collins Avenue - _ Sunny Isles Beach Fforido 331 60 �""-� \FN 305:947.0606 � '•,tot 4+r, cf 'OF sot PCO Telephone No.: 305 576 7363 Fax No.: 305 573 8711 Email Address: duke@jafferwells.com FEIN No.: 14-1871186 *By signing this document the bidder agrees to all Terms Authorized Signature: t� t Print Name: Najib B Halwani Title: President THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF BIDDER TO BE BOUND BY THE TERMS OF ITS BID. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE BID NON- RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY BID THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE BIDDER TO THE TERMS OF ITS OFFER. City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 "28 ,. � ,,:,., � *,;fix-r y x Sry ri _t • �g �` " ' 8€ CITY OP SUNNY ISLES BEACH 18070 Collins Av nue 's Isles Bench, flo is�a 33160 r x)5,947.0606 wwN sal•FF et `: Tx0 C1h Ot S,g4 BID FORM 2 QUALIFICATION REQUESTS Contractor to list projects of similar project scope fulfilling the following qualification requests: 1. List Project Management Personnel, include resumes. Personnel cannot be changed without written approval. * Principal in charge Najib B "DUKE" Halwani * Project Manager Gary Braganza PG * Superintendent Andres Bertoni and Juan Cepeda 2. How many years has your organization been in business as a General Contractor? Ac of ?M7 3. List minimum of three (3) previous similar public Bid projects, include: Project Name, Owner, Project Address, Contact person, Phone, Contract Amount, Date of Completion and Description of Work. Attached 4. Have you personally inspected the proposed work, are there any concerns that may impede your performance on this project? Yes 5. Will you subcontract any partof this work? If so, give details such as the subcontractor name, address, phone number and type of work to be performed. Also, indicate the percentage of the total work to be performed by the subcontractor. Yes Attached City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 29 i z , f CITY OE•SUNNY ISLES BEACH a r - _ 1.8070 Avenue Sunny Isles Beoch, tondo 33160 ;`�''"=�\F, f=— •'04,..‘„,, 4' .< 0 Ci')'OF 5U P‘.4 6. What equipment will you purchase for the proposed work? Non Anticipated • 7. What equipment will you rent for the proposed work? Non Anticipated 8. The business is a (sole proprietorship) (partnership) (corporation) and name of owner: Corporation CONTRACTORS MUST ATTACH LICENSES, TRAININGS AND CERTIFICATIONS OF CONTRACTOR AND SUBCONTRACTORS City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 X30 r -r f CITY.OF'SUNNY ISI:ES BEACH }". � �- � # ., - 118070 Collins Avenue Sunny isles Beach Florido 33160 z`" 305,.947.0606 wwwws�b1tnet f `^t ' ?, •• r ci"OF SONP`i BID FORM 3 ADDENDA ACKNOWLEDGEMENT 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 ITB Addendum #1, Dated 4/25/18 Addendum #2, Dated Addendum #3, Dated Addendum #4, Dated Addendum #5, Dated Addendum #6, Dated Addendum #7, Dated Addendum #8, Dated PART II: ❑ NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS ITB FIRM NAME: AC Schultes of Florida dba Jaffer Well Drilling SIGNATURE: Nn. TITLE: President DATE: 4/30/18 City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 31 • • ° #� CITY OF SUNNY ISIES BEACH •-•. • 18070 Collins Avenue. •k ~s Sunny Isles Beech, Elam 0 3 _ 60 305.9.47 0606 °. 19� _ www.sibil,net F �� >,y . rTOal 5� • cfh,OF$U BIDFORM4 BID PRICING City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 X32 I A ' i 1 BID FORM BASE Item Estimated Extended Description Unit Price No. Quantity Amount 1 General Conditions_7.5_%of Total Bid Price(max.Allowable 1 LS $ 59,000.00 $ 59,000.00 10%) 2 Mobilization/Demobilization_1.9_%of Total Bid Price(max. 1 LS $ 15,000.00 $ 15,000.00 Allowable 8%) 3 Remove and Replace Steel Grate on Well Casing Riser 20 EA $ 350.00 $ 7,000.00 4 "Before"Downhole Video 20 EA $ 1,500.00 $ 30,000.00 5 Clean-out the Concrete Well Structure and Open Hole Well Casing 20 EA $ 5,000.00 $ 100,000.00 Well Development including Jetting with Simultaneous Airlift 6 20 EA $ 5,000.00 $ 100,000.00 Development 7 "After"Downhole Video 20 EA $ 1,500.00 $ 30,000.00 8 Site Restoration 1 LS $ 15,000.00 $ 15;000.00 Total Base Bid(sum of Items 1 through 8) Three hundred fifty six thousand and zero cents $ 356,000.00 (In Words) (In Numbers) • ALTERNATES Item Estimated Extended Description Unit Price No. Quantity Amount 9 Furnish and Install 20-inch diameter PVC Liner 1600 LF $ 150.00 $ 240,000.00 10 Cement Grout 1200 94 lb.Sk $ 15.00 $ 18,000.00 11 "Well Yield"Test 20 EA $ 1,500.00 $ 30,000.00 12a Outfall Cleaning and CCTV Inspection(10"through 24") 500 LF $ 15.00 $ 7,500.00 12b Outfall Cleaning and CCTV Inspection(24"through 42") 500 LF $ 18.00 $ 9,000.00 Furnish all materials,labor,and equipment to construct and install 13 CheckMate Inline Tideflex valves with all fittings;including 1 $ $ - excavation,grading,removal,and disposal of soil and debris and all other necessary appurtenances. 13a 10"CheckMate Inline Tideflex valves 1 EA $ 4,012.00 $ 4,012.00 13b 12"CheckMate Inline Tideflex valves 1 EA $ 4,325.00 $ 4,325.00 13c 16"CheckMate Inline Tideflex valves 1 EA $ 5,627.00 $ 5,627.00 13d 18"CheckMate Inline Tideflex valves 1 EA $ 6,545.00 $ 6,545.00 13e 20"CheckMate Inline Tideflex valves 1 EA $ 7,350.00 $ 7,350.00 13f 24"CheckMate Inline Tideflex valves 1 EA $ 8,512.00 $ 8,512.00 13g 30"CheckMate Inline Tideflex valves 1 EA $ 10,363.00 $ 10,363.00 13h 36"CheckMate Inline Tideflex valves 1 EA $ 11,959.00 $ 11,959.00 13i 42"CheckMate Inline Tideflex valves 1 EA $ 16,601.00 $ 16,601.00 Page 1 of 2 Item Estimated Extended Description Unit Price No. Quantity Amount Furnish all materials,labor,and equipment to construct and install 14 ALUMINUM manatee grate,with all fittings;including excavation, 1 $ - $ grading,removal,and disposal of soil and debris and another necessary appurtenances. 14a 10"ALUMINUM Manatee Grate 1 EA $ 4,120.00 $ 4,120.00 14b 12"ALUMINUM Manatee Grate 1 EA $ 4,220.00 $ 4,220.00 14c 16"ALUMINUM Manatee Grate 1 EA $ 4,720.00 $ 4,720.00 14d 18"ALUMINUM Manatee Grate 1 EA $ 5,220.00 $ 5,220.00 14e 20"ALUMINUM Manatee Grate 1 EA $ 5,520.00 $ 5,520.00 14f 24"ALUMINUM Manatee Grate 1 EA $ 5,720.00 $ 5,720.00 14g 30"ALUMINUM Manatee Grate 1 EA $ 5,320.00 $ 5,320.00 14h 36"ALUMINUM Manatee Grate 1 EA $ 5,920.00 $ 5,920.00 14i 42"ALUMINUM Manatee Grate 1 EA $ 8,120.00 $ 8,120.00 Design-Build services that my include but not limited to engineering 15 design,testing,permitting with all applicable agencies,materials, 0 EA $ - $ - labor,and equipment to convert selected drainage wells to injection wells. Total Base Plus Alternates(sum of Items 1 through 15) Seven hundred eighty four thousand six hundred seventy four and zero cents $ 784,674.00 (In Words) (In Numbers) *Bidder shall indicate the percentage(%)in the blank provided on the Bid Form for Pay Items 1 and 2. Refer to Section 012025 Measurement and Payment of the technical specifications for additional detail for all Pay Items. **Quantity shown is for estimation purposes only. Actual quantity may vary. • Page 2 of 2 • r. • CITY•OF-SUNNY-ISLES BEACH , ' s • 18070 Collins Avenue • : Sunny Isles Beach Florida 33160 sou" '3< - 305:947.0606 °. �, ,,4� www sibil:net • `i f'+ � ; c ▪ • • • 5 s o+▪ •csLc AFFIDAVITS r--t\I0Y �S�F w r y • tiFc * FLOC O5 QTY OF SUN P� • • City of Sunny Isles Beach I Invitation to Bid No. North Bay Road Drainage Improvements 18-04-01 33 4 I • sv 4Nr isle NON - COLLUSION AFFIDAVIT rIN ::-1111111111111_:;_ • _ • • City of Sunny Isles Beach R '� 18070 Collins Avenue Yf •FLO Sunny Isles Beach,FL 33160 c•r�oc sus '�a Telephone:(305)947-0606 Fax:(305)949-3113 STATE OF FLORIDA ) COUNTY OF FL 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, AC Schultes of Florida (Name of Corporation,Partnership, Individual,etc.) a Corporation ,formed under the laws of FL (Type of Business) (State) of which he is President (Sole Owner,Partner,President,etc.) Neither the undersigned nor any person, firm, or corporation named above 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 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 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. P• Najib B Halwani President AFFIANT'S NAME AFFIANTS TITLE TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 3 ) day of Apo( ,2018. Personally Known or Produced Identification • Type of identification • (Affix seal here) _AA1 OTARY •U:LI (name print:6.r typed) ie SELVANA E SINNING • MY COMMISSION#FF932888 '44: EXPIRES November 02,2019 44O71398-01S3 flondaNanryServwecam 1 of 10 rr • SUNNY+St,. • - - PUBLIC ENTITY CRIMES .eo : City of Sunny Isles Beach 18070 Collins Avenue r'f�s9�•FLO�\O '+ Sunny Isles Beach,FL 33160 e",or sur " 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. 1. This sworn statement is submitted to City of Sunny Isles Beach by NAJIB B HALWANI PRESIDENT [print individual's name and title] for AC SCHULTES OF FLORIDA DBA JAFFER WELL DRILLING [print name of entity submitting sworn statement] whose business address is: 1451 SE 9 CT HIALEAH FL 33010 and (if applicable) its Federal Employer Identification number(FEIN) is 14-1871186 (If the entity had no FEIN, include the Social Security Number of the individual signing this sworn statement: .) 2. I understand that a "public entity crime" as defined in Paragraph 287.133(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. 3. I understand that "convicted" or "conviction" as defined in Para. 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state 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. 4. I understand that an "affiliate" as defined in Para. 287.133(1)(a), Florida Statutes, means: a.) predecessor or successor of a person convicted of a public entity crime; or b.) Any entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executors, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair 2 of 10 • f . a 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. 5. I understand that a "person" as defined in Para. 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to 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. 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.) X 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 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. By: (Signature) NAJIB B HALWANI (Printed Name) PRESIDENT • (Title) Swor to and subscribed before me this .30 day of A rn\ , 20 1 8 , by Tib W\wani n _ (AFFIX NOTARY STAMP HERE) _ � ) BILVANA E SINNING _ MY COMMISSION#FF932886 Sign ture: Notary Publi — tate of FI ida .-t". EXPIRES November 02,2019 [�Vn I'1 14071g:6-015.3Print or Type Commissioned Na • Personally Known k OR Produced Identification Type of Identification Produced 3 of 10 1 SilNNY1st E EQUAL OPPORTUNITY / . / AFFIRMATIVE ACTION yF FT; °P,`' CitySunny of Isles Beach Of so,' 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: PRESIDENT Firm: AC SCHULTES OF FL Address: 1451 SE 9 CT HIALEAH FL 33010 4 of 10 • SJNNY rs`FJ CONFLICT OF INTEREST City of Sunny Isles Beach u If = . d, 18070 Collins Avenue � �.� „ Sunny Isles each,FL 33160 Telephone:(305)947-0606 Fax:(305)949-3113 .5P 9'• FL0 0.\Q c, �O T s o: SUN P 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 DADE BEFORE ME,the undersigned authority, personally appeared NAJ I B B HALWAN I who was duly sworn,deposes, and states: 1. I am the PRESIDENT of AC SCHULTES OF FL with a local office in 1451 SE 9 CT HIALEAH FL 33010 and principal office in 11865 US Hwy 41 S,Gibsonton,FL 33534 2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 18-04-01 described as North Bay Road Drainage Improvements . The Affiant has made diligent inquiry and provides the information contained in this Affidavit based upon his own knowledge. 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. 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. 5. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from participation in contract letting by any local,State,or Federal Agency. 6. Neither the entity, nor its affiliates, nor anyone associated with them have any potential'conflict of interest due to any other clients, contracts,or property interests for this project. 7. I certify that no member of the entity's ownership or management is presently applying for any employee position or actively seeking an elected position with the City of Sunny Isles Beach. 8. I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City of Sunny Isles Beach. 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 Sunny Isles Beach. Dated this 30 day of Ate( 20( ' �a�i � b A�v�h� NAJIB B HALWANI PR S AFFIANT Print or Type Name and Title Sworn to and subscribed before me this 30 day of Qpn,l , 2011 g. • 0 Personally Known,OR ❑ Produced Identification-Type of Iden ification NOTARY PUBLIC STATE OF FLORIDA 3 A _ ;$1150k, i/�8l� Af SINNING 5 of 10 , AA COa<iiISSION FF932886 EXPIRES November 02,2019 ;;!.•9.`..0;53 rbrWallotnryService corn • ' ' 1 a SJti.INY/SSE DISPUTE DISCLOSURE a F 4444 • C• ity of Sunny Isles Beach • 18070 Collins Avenue yF 9)'FLOR- +`� Sunny Isles Beach,FL 33160 c r' Of SU" 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. 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 X 2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a contract or job related to the services your firm provides in the regular course of business within the last five (5) years? YES NO X 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 requestfor 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. AC SCHULTES OF FL /30/ l� Firm - Date NAJ I B B HALWANI Authorized Signature Print or Type Name and Title 6 of 10 o ' 4 i SUNNY rStF �� �07 ANTI - KICKBACK u11 z ...,,,,,,K.:7 _ City of Sunny Isles Beach y r 18070 Collins Avenue ' •FLO `o 9+` Sunny Isles Beach,FL 33160 r'of so*+ ''a Telephone:(305)947-0606 Fax (305)949-3113 ANTI-KICKBACK AFFIDAVIT STATE OF FLORIDA ) ) COUNTY OF DADE ) 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. By: • Title: NAJIB B HALWANI PRESIDENT The foregoing instrument was acknowledged before me this 30 day of April , 20 I g , by Moaii, NRS ux-)n' [name of I person], as Pre_Si dlpy 1 s [type of authority], for 1ae�r Well Dvi.11ir15, A '-;v;Sionn- ACS lWaMe of party on behalf of whom instrument was executed]. AFFIX NOTARY STAMP HERE: ---� - Nota ' Iic— St to of Florida ? GILVANA IE SINNING f, :: My COMMISSION#FF932886 EXPIRES November 02,2019 �,(Varna Ls-.).0/7 h��' may.-4 53 rionesnotaryServico corn Print or Type Commissioned Name Personally Known x OR Produced Identification Type of Identification Produced 7 of 10 I THE AMERICAN INSTITUTE OF ARCHITECTS AIA Document A310 Bid Bond KNOW ALL MEN BY THESE PRESENTS, THAT WE Jaffer Well Drilling, A Division of A.C. Schultes of Florida, Inc. 1451 SE 9th Court. Hialeah, FL 33010 as Principal, hereinafter called the Principal, and Western Surety Company 333 South Wabash Ave.41-South, Chicago. IL 60604 a corporation duly organized under the laws of the State of SD as Surety, hereinafter called the Surety, are held and firmly bound unto Sunny Isles Beach Government Center 18070 Collins Avenue 4th Floor, Sunny Isles Beach, FL 33160 as Obligee, hereinafter called the Obligee, in the sum of Five Percent of Amount Bid Dollars ($ 5% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS, the Principal has submitted a bid for North Bay Road Drainage Improvements 18-04-01 NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 30th day of April , 2018 Jaffer Well Drilling, A Division of A.C.;Schultes of Florida, Inc. .0 , • (Principal) ` _ (Seal),, itness) - r, ,wit e) 1 Li Western Surety Company .7 I - (Suety) (Seal) Kelly G. Hennessy,Witness (Witness) / -49.1•rne' ' aniel P. Duniga (Title) ALA DOCUMENT A310•BID BOND•ALA•FEBRUARY 1970 ED.•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 N.Y.AVE.,N.W.,WASHINGTON,D.C.20006 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know AU Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint Daniel P. Dunigan , Individually of Paoli, PA its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - Surety Bond No.: Bid Bond Principal: Jaffer Well Drilling, A Division of A.C. Schultes of Florida, Inc. Obligee: Sunny Isles Beach Government Center and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof. WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 27th day of February,2018. ��-«E WESTERN SURETY COMPANY Esal :21 x'`44...i'{ Paul T.Bruflat,Vice President State of South Dakota 1 I ss County of Minnehaha On this 27th day of February,2018,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said corporation. My commission expires J.MOHR .:(:;:)SO1RN r+arAarauu¢ 791 June 23,2021 J.Mohr,Notary Public CERTIFICATE I, L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 30th day of April,2018. WESTERN SURETY COMPANY el1.1 SERV 1►, CZ:T. L.Nelson,Assistant Secretary Form F4280-7-2012 Go to www.cnasureiy:corn_>-Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary,and Assistant Secretary, Treasurer, or any Vice President,or by such other officers as the Board of Directors may authorize. The President,any Vice President, Secretary, any Assistant Secretary,or the Treasurer may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile.