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Res No 130-14-14224RESOLUTION NO.:130-14-14224 A Resolution authorizing the City Manager to enter into a contract negotiation with JD's Asphalt Engineering Corporation for baseball fieldlip removal at Palmer Park. WHEREAS,City representatives fromthe Parks and Recreation Departmentconductedan assessmentat Palmer Parkand found that clay built-up onthe infield/outfield arcof five (5)baseball fields need to beexcavatedandleveledin order to ensure asafer,quality playing environment;and, WHEREAS,the Citysubmittedan invitation toquote,ITQ #PR20l4-09,on May 29,2014 for baseballfieldlip removal at Palmer Park;and, WHEREAS,two submittals were received;JD'sAsphalt Engineering Corporation is the lowest bidder andisin compliance with the terms of the ITQ;and, NOW,THEREFORE,BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,FLORIDA THAT: Section I.The CityManageris authorized to enter intoa contract negotiation withJD's AsphaltEngineering Corporation forbaseball field lipremovalatPalmerParkforan amount notto exceed$13,720.30.Fundingforthis project will come from the Parksand Recreation Capital Improvement account 301-2000-572-6450,witha current balanceof $201,758.96.Acopyofthe contract is attached. Section 2.Severability.Ifanysectionclause,sentence,or phraseofthis resolution isforany reasonheld invalid or unconstitutional bya court of competent jurisdiction,the holdingshall not affect the validityof the remaining portions ofthis resolution. Section 3.Effective Date.Thisresolution shall become effective immediately uponadoption by vote of the City Commission. PASSED AND ADOPTED this 15thday of July 2014. APPI TAY0R COMMISSION VOTE:5-0 Mayor Stoddard:Yea ViceMayorHarris:Yea Commissioner Edmond:Yea Commissioner Liebman:Yea Commissioner Welsh:Yea South'Miami THE CITY OF PLEA5ANT LIVING CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM To: FROM: DATE: Subject: Background: Vendors & Bid Amount: Expense: Fund& Account: Attachments: The Honorable Mayor&Members of the City Commission Steven Alexander,CityManager July 15.2014 AgendaItem No.:. AResolutionauthorizing the CityManager to enter intoa contract negotiationwith JD's Asphalt Engineering Corporation forbaseballfieldlip removal atPalmerPark. Parks and Recreation staff conducted an assessment at Palmer Park and discovered claybuild-upon the infield /outfieldarcof the five(5)baseball fields.Excavating the claybuilt-upandleveling these areastoexisting turf will ensure asafer,quality playing environment for the public. TheCity submitted anInvitation to Quote (ITQ)#PR20l4-09 on May 29,2014 for baseballfieldlipremovalatPalmerPark.Twosubmittals were received;JD's AsphaltEngineering Corporation wasthe lowest bidder andisincompliancewith the terms of the ITQ. Pleasefindbelowabreakdownofallsubmittedproposals. Vendors Bid Amount Leadex Corporation $19,860.00 JD's Asphalt Engineering Corporation $11,930.69 Amount not to exceed $13,720.30.The vendor willbeissuedapurchase order for the proposed/bid amount of $11,930.69 Amountnottoexceed$13,720.30.Toaccountforanyunknownfactorsthatmay arise,a 15%contingencyovertheproposalof$11,930.69 is requested. The expenditure shallbechargedtotheParksandRecreationCapitalImprovement account number 301-2000-572-6450,which hasa balance of $201,758.96 before this request was made. Resolutionforapproval Pre-Bid Conference Sign-In Sheet Bid Opening Report JD'sAsphaltEngineering Corporation Proposal SunBiz JD's Asphalt Engineering Corporation Demand Star Results General Contract Date: THE CITY OF PLEASANT LIVING mMiamiSoutl Pre-Bid Conference Sign-In Sheet June 9,2014 RFP Title:Baseball Field Lip Removal at Palmer Park ITQ No.:PR2014-09 Please Print Clearly Name/Title Company Name/E-mail Address Telephone No. fJ&kn PZ**?£<J\/f.W.Le«c\*«*</Car-f>. •frc^k &/e«iJey.'>Af?.Coy\ 3cr-Z46-££>2g jlffi#hu*t/£<w?^fe ?JD^s pzfjtfry r.ou 106.W.S-o</y C:\Users\skulick.CSMl\Documents\South Miami\Templates\Pre-Bid Meeting Sign-In Sheet.doc Bids were opened on: BID OPENING REPORT Friday,June 13.2014 after;10:00am For;ITQ #PR 2014-09 -Baseball Field Lip Removal (Palmer Park) COMPANIES THAT SUBMITTED PROPOSALS;AMOUNT: I.JD'S ASPHALT ENGINEERING CORPORATION 2.LEADEX CORPORATION 7 /?;tu,0O_ THE ABOVE BIDS HAVE NOT BEEN CHECKED. THE BIDS ARE SUBJECT TO CORRECTION AFTER THE BIDS HAVE BEEN COMPLETELY REVIEWED. City Clerk:Ma HO.M MeVietidtrf-Z- Print Name Witness:_S~fcp£b£L££. Print Name .AJJ. Witness: Print Name Sighature Bid Number:ITQ#PR2014-09 Bid Title:BaseballFieldLip Removal atPalmerPark Category:Bids&RFP's Status:Open Page 1 of 1 Description: The City of South Miami is seeking quotations from experienced and capable parties to excavate the claybuild-upon the infield/outfieldarcof the five (5)baseball fields locatedat Palmer Park;level these areastoexistingturf;and,install new Bermudagrass 419sod.Work coveredunderthiscontract shall includeandisnotlimitedtodebris removal/excavated material. Publication Date/Time: 5/29/2014 4:30 PM Closing Date/Time: 6/13/2014 2:00 PM Pre-bid Meeting: June 9,2014 at 10 AM Contact Person: StevenKulick,PurchasingManager email:skulick@southmiamifl,gov Fax Number: 305/663-6346 Special Requirements: Mandatory Pre-quote meetingisscheduledJune 9,2014 at10AMatPalmerPark,6100 SW67 Avenue,South Miami,Fl 33143 Miscellaneous: TheConeofSilenceisin effect.All communications relating tothisITQmustbein writing. Related Documents: FINAL 5.30.14 ITQ COVER Baseball Field Lip Removal at Palmer Park Addendum No TPK2014 09 6.3.14 Pre Bid Sim In Sheet ITQ 2014-09 6.9.14 Return To Main Bid Postings Page http://ww\v.southmiamifl.gov/bids.aspx?bidID=22&PRINT=YES 6/13/2014 South'Miami THt Of V Of PEASANT HVJNf i ADDENDUM No.#1 ProjectName:BaseballFieldLipRemovalatPalmerPark ITQ NO.PR2014-09 Date:June 3,2014 Sent:Fax/E-mail/webpage This addendum submission isissuedto clarify,supplement and/ormodifythe previously issued InvitationtoQuote(ITQ)Documents,andisherebymadepartofthe Documents.All requirements of the Documents not modified hereinshallremaininfullforceandeffectas originallysetforth.Itshallbethesoleresponsibility of thebiddertosecureAddendumsthat maybeissuedforaspecificsolicitation. This Addendum is issued to correct the Due Date listed on the solicitation: PROJECT DUE DATE:Friday,June 13,2014 at 2 PM IT SHALL BE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE ADDENDUMS THAT MAY BE ISSUED FOR A SPECIFIC SOLICITATION. CITY OF SOUTH MIAMI INVITATION TOQUOTE ITQ#PR20l4-O9 LUMP SUM PROPOSAL %utlTjMiami SUBMITTED TO:CityClerk NAME: ADDRESS: OTY/STATE: PHONE: MANDATORY PRE-QUOTE MEETING: QUOTE SUBMISSION REQUIREMENTS: Quotes submitted after2 PM ontheduedate will notbe accepted unless otherwise specified inthequotedocument ofatime change.All quotes will be submitted tothe City Clerks Office ina sealed envelope.Thelabel ontheonthe envelope needs to readasfollows: City of South Miami MariaM.Menendez,CMC 6130 Sunset Drive South Miami,Fl.33143 Project Name:Baseball FieldLip Removal at Palmer Park Mustinput project name.If label doesnothave all information aboveyourquotewillnotbe accepted. INSURANCE REQUIREMENTS: The CITY'S insurance requirements are attached (Exhibit 1).Asa condition of award,the awarded vendormust provide a certificateofinsurancenamingthecityasadditionalinsured. AFFIDAVITS REQUIREO WITH SUBMITTAL:(Exhibit 21 Respondentsmustcompleteandsubmitwithyourquoteaffidavitsprovidedin Exhibit 2. QUESTIONS: AnyRequestsfor additional informationorquestionsmustbein writing,emailedby10AMlocal time onJune \%2014tothe attentionofMr.Steven Kullck,Purchasing Manageratskullck@southmiamifi.gov. SCOPEOF WORK DESCRIPTION (TOBE COMPLETED BY CITY): Maria Menendez,CMC 6130 Sunset Drive Miami,Florida 33134 PROJECT: ADDRESS: CITY/STATE: ISSUE DATE: E-MAIL: DUE DATE: Baseball FieldUp Removal at Palmer Park 6100 SW 67 Ave South Miami,Fl33143 305-663-6339 Monday/June 9,2014 at 10 AM iFrtda^May^jaoU^ skulickiffsouthmiamifUov. Tuesday/June 13,2014 at2 iPM; c REFER TO "SCOPEOFSERVICES,"COPYATTACHED m Bids will only be accepted that include quotations duringregular working hours. DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR: item Number Item Description Unit Qty Amount Refer to "Scope of Services."Cobv Attached "Field dimension are estimated and are not a firm commitment" Field 81-7'x 260' Field #2-3,5*X 265' Field #3 -7'x 200' Field #4-3.5*x 200' Field 85-3.5'x 165' (1)During RegularWorkingHours,7AMto5PM,Monday-Friday LUMP SUM TOTAL Contractor shall furnish all materials and equipment necessary to secure completion ofthe work.Contractor shall be compensated according tothe quote submitted.Contractor isresponsible to secure all permits and should be reflected in the LumpSum quote.Contractormay choose to submit a quote oncompany letterhead but must be attached tothisform. Mandatory Pre-Quote Meeting isscheduled June 9,2014 at10 AM at Palmer Park,6100 SW 67 Avenue, South Miami,FL 33143.Deadline to submit is:June 13,2014 at2 PM. Print/Type Name: Signature: E-mail: Firm Name: Address: ^\\\«if?* hot),com--ATT)nS A spKsUi £n.d t\k £&X<^tSw 'l 07-o\o&£ Phone: Date: Fax: ?^S~2^Z-TftOlO 0(>ti^U*l 3b^-Zl(-Zkl^ F.E.I.N.No.:_Oe-CHS2H H ^ City:fiAAiVMi State:H&nufl THEEXECUTIONOFTHISFORMCONSTITUTESTHEUNEQUIVOCAL OFFEROFPROPOSERTOBEBOUNDBYTHETERMSOFITSPROPOSAL.FAILURETOSIGNTHISSOLICITATIONWHEREINDICATEDABOVEBYAN AUTHORIZEDREPRESENTATIVE SHALLRENDERTHEPROPOSALNON-RESPONSIVE.THEOTY MAY,HOWEVER,INITSSOLEDISCRETION,ACCEPTANYPROPOSALTHAT INCLUDES AN EXECUTED DOCUMENT WHICHUNEQUIVOCALLY BINDSTHE PROPOSER TOTHETERMSOF ITS OFFER.THE CITY'SREQUESTFORQUOTESIS FORTHELOWESTANDMOSTRESPONSIVEPRICE.THECITY RESERVES THERIGHTTOAWARO THEPROJECTTOTHEFIRMCONSIDEREDTHEBESTTOSERVETHECITY'SINTEREST. Scope of Services Invitation to Quote #PR2014-09 "Baseball Fields Up Removal" TheCityofSouthMiamiis seeking quotations from experienced and capable parties to excavate the claybuild-upon the infield/outfieldarcof the five (5)baseballfieldslocatedat Palmer Park;level these areas to existingturf;and,installnew Bermudagrass 419 sod.Work covered under this contract shallincludeandis not limited to debris removal/excavated material.Thefive(5)fields located at Palmer Park are as follows. NOTE:Field dimensionare estimated andarenotafirm commitment andshouldbeusedfor planning purposed only: Field #1-T x 260' Field #2-3.5'x 265' Field #3-7'x 200' Field #4-3.5'x 200' Field #5-3.5'x 165' Contractor shallfurnishall labor,materials and equipment,tools,means of transportation, necessary to secure completion of the work,includingdisposingof materials and equipment necessary to securecompletion of the workandshouldbe reflected in Contractor's LumpSum quote. Note:Bidswillonlybe accepted that included quotations for work performed duringregular working hours,7AM to 5 PM,Monday -Friday. The City reservestherighttoawardtheProjecttothepersonwiththelowest,most responsive, responsibleProposal,as determined bythe City,subjecttotherightof the City,orthe City Commission,torejectanyandallproposals,and the rightof the Citytowaiveanyirregularityin the Proposals or RFP procedureandsubjectalsototherightofthe City toawardthe Project, andexecutea contract withaRespondentorRespondents,other thantoonewhoprovidedthe lowest Proposal Price. Park Location: Palmer Park 6100 SW 67 Avenue South Miami,Fl 33143 AGREEMENT FOR BASEBALL FIELD LIP REMOVAL THIS AGREEMENT,entered into this *>?day of To/ifl 2014,by the CITY OF SOUTHMIAMI through its City Manager,both of whom shall be hereinafter referred to as the "CITY"where applicable;and JD's Asphalt Engineering Corporation withanoffice and principal place of business located at 5025 SW 102Place.Miami,FL 33165,(hereinafter called the "CONTRACTOR"). WITNESSETH: WHEREAS,the CITY isin need of Baseball Field Lip Removal Services;and WHEREAS,the CITY desires to retain the CONTRACTOR to provide the required good and/or services based on the CONTRACTOR'S representations that itisqualifiedand capable of providing said goods and/or services in a professional and timely manner andin accordance with the CITY's goals and requirements;and WHEREAS,the CONTRACTOR has agreed to provide the required goods and/or services in accordance with the terms and conditions set forth herein. NOW,THEREFORE,in consideration of the mutual covenants and agreements herein contained,the parties agree as follows: 1)ENGAGEMENT OF CONTRACTOR:Basedon the representations of the CONTRACTOR as set out in the following "checked"documents: (checktheboxprecedingthedocumenttoindicatethatsuchdocumentispartofthiscontract) •CONTRACTOR'S response to the City's written solicitation;or X Contractor's proposal or quote. The CITY herebyretains the CONTRACTOR toprovide the goods and/or servicessetforthinsaid proposal,quote orresponsetosolicitation,whicheveris applicable,as modified bytheContract Documents (hereinafter referred to as the Work"). 2)Contract Documents:The Contract Documents shall include this Contract and the following "checked documents": (check thebox preceding thedocumentto indicate thatsuchdocumentispartofthis contract) d General Conditions to Contract, a Supplementary Conditions, d"otherdocuments"referring tothiscontractand signed bytheparties, Xthe solicitation documents ("hereinafter referred toas "Bid Documents"including any request forbid,proposal or similar request) X Scope of Services, •Contractor's response to the City'sBid Documents, X Contractor's proposal or quote, Page-1-of 3 Thomas F.Pepe2014 5/13/14 XCity's Insurance Requirements, dCity's Indemnification Requirements, •Payment Bond, •Performance Bond, as well asanyattachmentsor exhibits thatare made apartofanyofthe "checked documents". This Contract and,if a "checked document",the General Conditions to Contract,Supplementary Conditions,the Solicitation,Scope of Services and "other documents",shall take precedent over the proposal.The "checked documents"are attached hereto and made apart hereof by reference. 3)Date of Commencement:The Contractor shall commence the performance under this Contract onadatetobe specified in a Notice to Proceed,or Purchase Order ("Work Commencement Date"),and shall complete the performance hereunder within 30daysorthe length oftimeset forth in the Contract Documents,whichever istheshorter period oftime. Time is of the essence. 4)Primary Contacts:The personin charge of administering this Agreement onbehalf ofthe CITY is the City Manager or such other person asthe City<Managen may designate in writing.The primary contact person for the CONTRACTOR shall be L^OY/f &fa*fc?. 5)Scope of Services:Thegoods and/or servicestobeprovidedareas set forthin the "checked documents". 6)Compensation:TheContractor'scompensationfortheperformanceofthiscontract (hereinafter referred toasthe Contract Price )shall beasset forth in Contractor's response to the City's written solicitation,if any,or,if none,thenassetout in Contractor's proposal or quote,whichever isapplicable,andasmodifiedby the ContractDocuments. 7)Hours ofWork:In the event that thiscontractrequires the performanceof services, itis presumed that the expenses ofperformingWork after regularworkinghours,andon Sundayand legal holidays isincludedintheContract Price.However,nothingcontainedherein shallauthorizeworkondaysandduringhours that areotherwiseprohibitedbyordinance unless specifically authorizedorinstructedinwritingby the City. 8)Time Provisions:The term ofthis Agreement shall commence on the Work Commencement Date and shall continue for 30 Days until it expires on Szf>kt*ber /CA unless earlier terminated according toanyofthetermsofthisAgreement.Notwithstanding the foregoing,thisAgreementmaybe extended byanadditionalN/Aperiodiftheextensionisin writing and signed by the City Manager.An extension of the term of this Contract is at the CITY's sole and absolute discretion. 9)Termination:Thiscontractmaybe terminated withoutcauseby the City with30 daysofadvancedwrittennotice.This provision supersedesandtakesprecedenceoverany contrary provisions for termination contained in the Contract Documents. 10)ApplicableLawand Venue:Florida lawshallapplyto the interpretation and enforcement ofthis contract.VenueforallproceedingsshallbeinMiami-DadeCounty,Florida. 11)Insurance,Indemnification &Bonding:CONTRACTOR shallcomplywith the insurance,indemnification and bonding requirements set forth in the Contract Documents. Page-2-of 3 Thomas F.Pepe 2014 5/13/14 12)Liquidated Damages:In the event that the Contractor shallfail to complete the Work within the time limit set forth in the Contract Documents,or the extended time limit agreed upon,in accordance with the procedure as more particularly set forthin the Contract Documents,liquidated damages shallbepaidat the rate of $100,00 dollarsperdayuntil the Work is completed. 13)JuryTrial Waiver:The parties waive their right to jurytrial. 14)Entire Agreement,Modification,and Non-waiver:The Contract Documents constitute the entire agreement of the parties and supersedes any prior agreements,written or oral.The Contract Documents may not be modified or amended except in writing,signed by both parties hereto.The Contract Documents,in general,and this paragraph,in particular,shall not be modified or amended by any acts or omissions of the parties.No failure to exercise and no delay in exercising any right,power orprivilegeshall operate asa waiver.No waiver of the Contract Documents,in whole or part,including the provisions of this paragraph,may be implied by any act or omission. 15)Public Records:CONTRACTOR and all of its subcontractors are required to comply with the public records law (s.119.0701)while providing goods and/or Services on behalf of the CITY and the CONTRACTOR,under such conditions,shall incorporate this paragraphinall of its subcontracts for this Project. 16)IN WITNESS WHEREOF,the parties,have executed this Contractwithfull knowledge of its content and significance and intending to be legally bound by the terms hereof. [Insert name of Contractor] Taria M.Menendez, City Clerk Read and Appr6ve)d as to R LegalHy^o^txecotion jKere* Thomas F.Pepe2014 5/13/14 nguage, Bv:T)flVi<4 SiW-eifzx Vice TV&g/\deriY (Print name andtitleabove) CITYOFSOUTWVI1AR1I By: Alexander City Manager Page -3 -of 3 Exhibit I INSURANCE AND INDEMNIFICATION LI Insurance - A.Without limiting its liability,thevendor,contractor,consultant or consultingfirm (hereinafter referred to as "FIRM"withregard to Insuranceand Indemnification requirements)shallbe required to procure andmaintainatitsownexpenseduring the lifeof the Contract,insuranceof the typesandin the minimum amounts stated belowaswill protect the FIRM,fromclaimswhichmayarise out of or result from the contract or the performance ofthe contract with the CityofSouth Miami, whether such claim isagainstthe FIRM or anysub-contractor,or byanyone directly or indirectly employedbyanyofthem or byanyoneforwhoseactsanyofthem may be liable. B.Noinsurance required bytheCITYshallbeissued or written byasurpluslines carrier unless authorized inwritingby the CITYandsuch authorization shallbeat the CITTs soleandabsolutediscretion.The FIRM shallpurchaseinsurancefrom and shall maintaintheinsurancewithacompany or companies lawfully authorizedto sellinsuranceintheStateof Florida,onformsapprovedbytheStateof Florida,as will protect the FIRM,ata minimum,from all claims assetforthbelow which may arise out of or resultfromthe FIRM's operationsunderthe Contract andforwhich the FIRM may be legally liable,whethersuchoperationsbebythe FIRM orbya Subcontractor orby anyone directly or indirectly employed by any of them,or by anyoneforwhoseactsanyofthem may be liable:(a)claims under workers' compensation,disability benefitand other similar employeebenefitactswhichare applicable tothe Work tobeperformed;(b)claims for damages because of bodily injury,occupational sickness or disease,ordeathofthe FIRM'S employees;(c) claims for damages becauseof bodily injury,sickness or disease,ordeathof any personotherthanthe FIRM's employees;(d)claims for damages insured by usual personalinjury liability coverage;(e)claims fordamages,other thanto the Work itself,becauseof injury toordestructionof tangible property,including loss ofuse resulting there from;(f)claims for damages because of bodily injury,deathofa person or property damagearisingoutofownership,maintenanceoruseofa motor vehicle;(g)claims for bodily injury orproperty damage arising outof completed operations;and (h)claims involving contractual liability insurance applicable tothe FIRM's obligations under the Contract. 2J Firm's InsuranceGenerally The FIRM shallprovideandmaintaininforceandeffectuntilallthe Work tobe performed under this Contract has been completed and accepted by CITY (orfor such durationasisotherwise specified hereinafter),the insurance coverage writtenon Florida approved forms andas set forth below: A.Professional Liability Insurance ona Florida approved form inthe amount of$1,000,000 with deductible per claim if any,nottoexceed 5%ofthe Rev:10/29/13 Rev:10/29/13 limit of liability providing for all sums which the FIRM shall become legally obligated to pay as damages for claims arising outofthe services orwork performedbythe FIRM its agents,representatives,Sub-Contractorsor assigns,orbyany person employed or retained byhimin connection with thisContact This insurance shall be maintained for four years after completion ofthe construction and acceptance ofany Project covered by thisContact However,the FIRM may purchase Specific Project Professional Liability Insurance,in the amount andunderthe terms specifiedabove,whichisalsoacceptable. B.Workers'Compensation Insurance atthestatutoryamountasto all employeesin compliance withthe "Workers'Compensation Law"ofthe Stateof Florida including Chapter 440,Florida Statutes,as presently writtenorhereafteramended,and all applicable federal laws. C.CommerciaiComprehensiveGeneral Liability insurance withbroadform endorsement,as well as automobile liability,completed operations and products liability,contractual liability,severability of interestwithcross liability provision,and personal injury andproperty damage liability with limitsof$1,000,000combined single limitperoccurrenceand$2,000,000 aggregate,including: •Personal Injury:$1,000,000; •Medical Insurance:$5,000per person; •Property Damage:$500,000each occurrence; •Automobile Liability:$1,000,000each accident/occurrence. •Umbrella:$1,000,000per claim D.Umbrella ComprehensiveGeneral Liability insurance shall bewrittenona Florida approved formwiththesame coverage asthe primary insurance policybutintheamountof$1,000,000per claim and$2,000,000Annual Aggregate.Coverage must beaffordedonaformno more restrictive than thelatesteditionof the ComprehensiveGeneral Liability policy,without restrictive endorsements,as filed bytheInsuranceServicesOffice,and must include: (1)Premisesand Operation (2)Independent Contractors (3)Productsand/or Completed OperationsHazard (4)Explosion,CollapseandUnderground Hazard Coverage (5)BroadForm Property Damage (6)BroadFormContractualCoverage applicable to thisspecific Contract,includinganyholdharmless and/or indemnification agreement (7)PersonalInjuryCoveragewithEmployeeandContractual Exclusionsremoved,withminimumlimits of coverageequal to those required forBodilyInjury Liability andPropertyDamage Liability. E.Business Automobile Liability withminimumlimits of One Million Dollars ($1,000,000.00)plusan additional Two Million Dollar ($2,000,000.00) umbrellaperoccurrencecombined single limitfor Bodily Injury Liability andPropertyDamage Liability.Umbrellacoverage must beaffordedona form no more restrictive than the latest edition of the Business Automobile Liability policy,without restrictive endorsements,as filed by with the state of Florida,and must include: (1)Owned Vehicles. (2)Hiredand Non-Owned Vehicles (3)Employers'Non-Ownership 3.1 SUBCONTRACTS: The FIRM agrees that ifanypart of the Work under the Contract issublet,the subcontract shallcontain the sameinsuranceprovisionas set forthin section 5.1 above and5.4 below and substituting the word SUBCONTRACTOR for the word FIRM and substituting the word FIRM for CITY where applicable. 4.1 Fire andExtended Coverage Insurance(Builders'Risk).IF APPLICABLE A.In the event that this contract involves the construction of a structure by the FIRM, the FIRM shall maintain,withanInsuranceCompanyorInsuranceCompanies acceptable to the CITY,"Broad"form/AllRiskPropertyInsuranceon buildings and structures,while in the course of construction,including foundations,additions, attachments and all permanent fixturesbelongingto andconstitutingapartof said buildings orstructures.The policy or policies shall alsocover machinery,if the cost of machineryisincludedin the Contract,orif the machineryislocatedina building that isbeing renovated byreason of this contract The amount of insurancemust, at all times,beatleastequal to the replacement value of the insuredproperty.The policy shall bein the nameoftheCITYandthe FIRM,astheirinterestmay appear, and shall also cover theinterests of all Subcontractorsperforming Work. B.Alloftheprovisions set forthinSection5.4hereinbelow shall applytothis coverageunlessit would beclearly not applicable. 5.1 Miscellaneous: A.Ifanynotice of cancellation of insuranceorchangeincoverageisissuedbythe insurance company or shouldanyinsurancehaveanexpirationdatethatwilloccur duringtheperiod of this contract,the FIRM shall beresponsibleforsecuringother acceptable insuranceprior to suchcancellation,change,or expiration soas to provide continuous coverage as specified in this section andsoas to maintain coverageduringthelifeofthis Contract TheCITY shall havetheoption,butnot theduty,topayany unpaid premiumandtherighttoterminateor cancel the policy thereafter without notice to FIRM or liability on the part of the CITYto the FIRM for such cancellation. B.Alldeductiblesmustbedeclaredbythe FIRM andmustbeapprovedbytheCITY.At the option of the CITY,either the FIRM shall eliminateor reduce suchdeductibleor the FIRM shall procureaBond,inaform satisfactory totheCITYcoveringthe same. Rev:10/29/13 C,The policies shall contain waiver of subrogation against CITYwhere applicable,shall expresslyprovidethatsuch policy or policies are primary overanyother collectible insurance thatCITYmay have.TheCITYreservestherightat any timetorequest acopy of the required policies for review.All policies shall contain a "severability of interest"or"cross liability"clause without obligation for premium payment ofthe CITY. D.Before starting the Work,the FIRM shalldeliver to the CITY and FIRM certificates of suchinsurance,acceptable to the CITY,aswellas the insurancebinder,ifoneis issued,the insurance policy,including the declaration page and all applicable endorsementsandprovidethe name,address andtelephonenumberofthe insurance agentorbrokerthroughwhomthe policy was obtained.Theinsurer shall berated A.VII or better per A.M.Best's Key Rating Guide,latesteditionand authorized to issue insurance inthe State of Florida.All insurance policies mustbe written onformsapprovedbytheState of Florida and they mustremainin full forceandeffectforthe duration ofthecontractperiod with theCITY.The FIRM must providea"certifiedcopy"ofthe Policy (asdefinedinArticle I of this document)which shall include the declaration page and all required endorsements. In addition,the FIRM shall deliver,atthetimeofdelivery of the insurance certificate,the followingendorsements: (1)an endorsement to the policy stating: "The CityofSouth Miami is an additional named insured withthe right but notthe obligation to pay any unpaid premium and providing thatthecity doesnot have anydutyor obligation to provide first noticeof claim for any liability itincursandthat arises out of theacts,omissionsoroperationsof thenamedinsured.Theinsurer will pay all sumsthattheCityofSouth Miami becomes legally obligated to pay as damages because of "bodily injury",'property damage*,or"personaland advertising injury"anditwill provide to theCity all ofthecoveragethatistypicallyprovidedunderthe standard Florida approvedformsfor commercial general liability coverage AandcoverageB"; (2)an endorsement that states: "This policy shall notbe cancelled (including cancellation for non-payment of premium),terminatedor materially modified without first giving theCityof South Miami 20 days advanced writtennoticeoftheintentto materially modify the policyor to cancelor terminate the policyforanyreason.The notification shall be delivered to theCitybycertified mail,withproofof delivery to the City." 6.1 Indemnification A.The FIRM acceptsandvoluntarilyincurs all risksofany injuries,damages,orharm whichmightariseduringthe work oreventthatisoccurringontheCITY'sproperty due to thenegligenceor other fault of the FIRM oranyone acting throughoron behalf of the FIRM. Rev:10/29/13 B.The FIRM agreestoindemnify,defend,saveandholdCITY,itsofficers,affiliates, employees,successorsand assigns,harmlessfromanyand all damages,claims, liability,losses,claims,demands,suits,fines,judgments or cost andexpenses, including reasonable attorney's feesincidental there to,whichmaybesufferedby,or accruedagainstcharged to orrecoverablefrom the City of South Miami,itsofficers, affiliates,employees,successors and assigns,byreason of anycauses of actionsor claimofanykindornature,including claimsforinjuryto,ordeath of anypersonor persons andfor the loss or damagetoany property arising out of anegligenterror, omission,misconduct or anygrossnegligence,intentionalact or harmful conduct of the FIRM,its contractor/subcontractor orany of their officers,directors,agents, representatives,employees,or assigns,oranyoneacting through oronbehalfofany of them,whicharises out of orisconcerning the use of CITY property orthe service,operation or performance of any work that isbeing performed fortheCITY orofany event that isoccurringontheCITY'sproperty. C.The FIRM shall pay all lossesand expenses ofanykind or nature whatsoever,in connection therewith,including the expense orloss of the CITY and/oritsaffected officers,affiliates,employees,successorsand assigns,including theirattorney's fees, inthedefense of anyactioninlaworequitybrought against them. D.The FIRM agreesandrecognizes that neither the CITY nor itsofficers,affiliates, employees,successorsand assigns shall beheld liable orresponsibleforany claims, including the costs and expenses of defendingsuchclaimswhichmayresultfromor arise out ofactionsoromissionsofthe FIRM,itscontractor/subcontractororanyof their agents,representatives,employees,or assigns,oranyone acting throughoron behalfofthethem,and arising outofor concerning the work oreventthatis occurringontheCITY'sproperty.In reviewing,approving or rejecting any submissions oractsofthe FIRM,CITYinnowayassumesorshares responsibility or liability fortheactsoromissionsofthe FIRM,itscontractor/subcontractororanyof their agents,representatives,employees,or assigns,oranyone acting through oron behalf of them. E.The FIRM has thedutyto provide a defense withanattorneyor law firm approved bytheCityofSouth Miami,which approval will notbe unreasonably withheld. Rev:10/29/13 EXHIBIT 2 AFFIDAVITS AND FORMS SUBMISSION REQUIREMENTS 1.Respondent's Sworn Statement Under Section 287.I33(3)(A),Florida Statutes,on Attachment #1 "PublicEntityCrimesandConflicts of Interest Affidavit," shall be completed and provided with the proposal submittal. 2.Neither the individual(s)/firm,nor any of his/her/its employees shall be permitted torepresentany client beforethe Commission or any Committee,department or agency ofthe City,and shall agreenotto undertake any other private representation which might createa conflict ofinterest with the City.The »ndividual(s)/firm may not represent any Commission member,individually,or,any memberoftheir family orany business in which the Commission memberoftheir family hasaninterest. 3.All proposals received will be considered public records.The City will consider all quotations using such criteria asthe Commission orCity Manager may adoptat eitheroftheir sole discretion.The individual(s)/firm selected will be required to enterintoa formal agreement with the City in a form satisfactory tothe City,prior tothe execution of which the City shall reserve all rights,including the right to change its selection. 4.Respondent's Attachment #2 "Drug Free Workplace"form shall be completedandprovidedwiththeproposal submittal. 5.Respondent's Attachment #3 "No Conflict of Interest/Non Collusion Affidavit/'shall be completed and provided withthe proposal submittal. 6.Respondent's Attachment #4 "Acknowledgement and Conformance with OSHA Standards,"shall be completed and provided withthe proposal submittal, 7.Respondent's Attachment #5 "Related Party Transaction Verification Form"shall becompletedand provided with theproposal submittal. Page 1 of10 Attachment #1 Public Entity Crimes and Conflicts of Interest Pursuant tothe provisions of Paragraph (2)(a)ofSection 287.133,Florida StateStatutes-"A person or affiliate who has been placedonthe convicted vendor listfollowingaconvictionfora public entity crimemay not submit a Bid ona Contract toprovideanygoods or services to a public entity,may not submit aBidona Contract withapublic entity for the construction or repair of apublicbuilding or public work,may not submit bidson(eases of real property to a public entity,may not beawarded to perform work asaContractor,supplier,Subcontractor, orConsultantundera Contract withany public entity,andmaynottransactbusinesswithany public entity inexcess of thethresholdamountCategory Two ofSection 287.017,Florida Statutes,for thirty six(36)months from the date of beingplacedon the convictedvendorlist". Theawardofany contract hereunderis subjea totheprovisionsofChapter 112,Florida State Statutes.BIDDERS mustdisclosewiththeir Bids,thenameofanyofficer,director,partner, associateoragentwhoisalsoanofficeroremployeeoftheCityofSouth Miami orits agencies. SWORN STATEMENTPURSUANTTOSECTION 287.133 (3)(a), FLORIDA STATUTES/ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. I.This sworn statement is submitted to [printnameof the public entity] [printindividual'snameand title]. for<JDxs frsphfl /i Prva ir\f>oxa\4 Cm p [print name of entity submitting sworn statement] whose business address is f}Qj£z ScJ lOlLpiO^t and (if applicable)its Federal Employer Identification Number (FEIN)is (fl5~0^554/4 (If the entity has no FEIN,include the Social Security Number ofthe individual signing this sworn statement:.) 2.I understand thata "public entity crime"as defined in Paragraph 287.133 (l)(g),Florida Statutes,means a violation of any stateor federal law bya person with respect to and directly related tothe transaction of business with any public entityorwith an agency or political subdivision ofanyotherstateorofthe United States,including,butnot limited to,any bid or contract for goods or services to be provided to any public entity oran agency or political subdivision ofany other stateor of theUnitedStatesand involving antitrust,fraud,theft,bribery,collusion,racketeering,conspiracy,or material misrepresentation. 3.I understand that "convicted"or "conviction"as defined in Paragraph 287.133 (I )(b)t Florida Statutes,means a finding of guilt ora conviction ofa public entity crime,with or Page 2 of 10 without an adjudication of guilt,in any federal or state trial court of record relating to charges brought by indictment or information after July I,1989,as a result ofa jury verdict,non-jury trial,orentryofa plea of guilty ornolo contender. 4.I understand that an "affiliate"as defined in Paragraph 287J 33 (l)(a),Florida Statutes. means: (a)A predecessor or successor ofa person convicted ofa public entity crime;or (b)Anentityunderthe control ofany natural person who is active inthe management oftheentity and who has been convicted ofa public entity crime.The term "affiliate"Includes those officers,directors,executives,partners,shareholders, employees,members,and agents whoare active inthe management ofan affiliate.The ownership byone person of shares constituting a controlling interest in any person,ora pooling ofequipmentorincome among persons whennotfor fair market value under anarm's length agreement,shall bea prima facie case thatone person controls another person.A person who knowingly enters intoajointventurewitha person who has been convicted ofa public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5.I understand thata "person"as defined in Paragraph 287.133 (l)(e),Florida Statutes. meansany natural personorentity organized under the laws ofanystateorofthe United Stateswiththe legal powertoenterintoa binding contractandwhich bids or applies tobidoncontractsforthe provision ofgoodsor services ledbya public entity, or which otherwise transacts or applies to transact business witha public entity.The term"person"includes those officers,directors,executives,partners,shareholders, employees,members,and agents whoare active in management ofanentity. 6.Based on information and belief,the statement which I have marked below is true in relation totheentity submitting thisswornstatement.[Indicate whichstatement applies.] PS Neither the entity submitting this sworn statement,nor any of its officers, directors,executives,partners,shareholders,employees,members,or agents whoare activeinthe management of the entity,norany affiliate of the entity has been charged withandconvictedofa public entitycrimesubsequentto July I,1989. The entity submittingthis sworn statement,or one or more of itsofficers, directors,executives,partners,shareholders,employees,members,oragentswhoare activein the management of the entity,oran affiliate of the entityhasbeenchargedwith andconvicted of a public entity crime subsequentto July I,1989. The entity submitting this sworn statement,or one or more ofitsofficers, directors,executives,partners,shareholders,employees,members,oragentswhoare activein the management of the entity,oran affiliate of the entityhasbeenchargedwith and convicted of apublic entity crime subsequent of July I,1989.However,there has beena subsequent proceeding before a Hearing OfficeroftheStateof Florida,Division of Administrative Hearings andthe Final Order entered bythe Hearing Officer determined thatitwas not inthe public interestto place theentitysubmittingthis sworn statement ontheconvictedvendor list,{attach acopyofthe final order.] Page 3 of 10 Continuation ofAttachment #2 Public Entity Crimes and Conflicts I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FORTHE PUBLIC ENTITY INDENTIFIED IN PARAGRAPH I (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. #^•2%MADEUNEE8TOADA -**-MY COMMISSION!FF019001 Personally known or Produced identification (Typeof identification) jd>day of £MVJI_,20 l*f Notary Public -State of r 'vr'a/*~ Mycommissionexpires f7//o/j.»J7 (Printed,typedorstamped commissioned nameofnotary public) Form PUR 7068 (Rev.06/11/92) Page 4 of 10 Attachment #2 "Drug Free Workplace" Whenever twoormore Bids which are equal with respect to price,quality and service are received bythe State orby any political subdivisions forthe procurement of commodities or contractual services,a Bid received from a business that certifies thatit has implemented a drug-free workplace program shall be given preference in the award process.Established procedures for processing tie Bids will be followed ifnoneofthetied vendors have a drug-free workplace program.In orderto have a drug-free workplace program,a business shall: 1.Publish astatement notifying employees thatthe unlawful manufacture,distribution, dispensing,possession,or use ofa controlled substance is prohibited in the workplace and specifying the actions that will betaken against employees for violations ofsuch prohibition. 2.Inform employeesaboutthe dangers of drug abuse inthe workplace,the business' policy of maintaining a drug-free workplace,any available drug counseling,rehabilitation, and employee assistance programs,and the penalties thatmaybe imposed upon employees fordrugabuseviolations. 3.Giveeachemployee engaged in providing thecommoditiesor contractual services that areunder Bid acopyofthestatement specified in Subsection (I), 4.In thestatement specified in Subsection (I),notify the employees,that,asa condition of working onthe commodities or contractual services thatareunder Bid,the employee will abide bythetermsofthestatement and will notifytheemployerofany conviction of,or plea of guilty or nolo contenderto,any violation ofChapter893orofany controlledsubstancelawofthe United Statesoranystate,fora violation occurring in the workplace nolaterthanfive(5)daysaftersuchconviction. 5.Impose a sanction on,orrequirethe satisfactory participation ina drug abuse assistance or rehabilitation program,ifsuchis available inthe employee's community,byany employee who isso convicted. 6.Make agood faith effortto continue to maintain a drug-free workplace through implementation of this section. Asthepersonauthorized to sign thestatement,I certifythatthis firm complies fully withthe above requirements. PROPOSER'S Signature:)LJAK Print Name:TWO Svl>/u£i Date:Q-13 -14 Page5 of 10 Attachment #3 "No Conflict of Interest/Non Collusion Affidavit" rn Submitted this 15 day of "50fv>l »20 14 The undersigned,asBidder/Proposer,declares that the onlypersons interested inthis RFP arenamed herein;that no other personhasany interest inthisRFP or in the Contract towhichthis RFP pertains; that this response ismade without connection or arrangement withany other person;and that this response isinevery respect fairandmadeingoodfaith,without collusion or fraud. TheBidder/Proposeragreesifthis response/submission isaccepted,toexecuteanappropriate CITY documentforthepurposeof establishing a formal contractual relationship betweentheBidder/Proposer andthe CITY,fortheperformanceofallrequirements to whichthe response/submission pertains. TheBidder/Proposerstates that thisresponseisbaseduponthedocuments identified bythe following number:Bid/RFP The full-names and residences ofpersonsand firms interestedinthe foregoing bid/proposal,as principals,are asfollows: ^BH^ffefSf^ii^^^^^^^^^^gggffiBggH The Bidder/Proposer further certifies that this response/submission complies with section 4(c)ofthe CharteroftheCityof Miami,Florida,that,tothebestofits knowledge and belief,no Commissioner, Mayor,orother officer or employee ofthe CITY has aninterest directly or indirectly in the profits or emoluments ofthe Contract,job,workor se/vifce to which the response/submission pertains. Signature: Printed Name:T^wVfl ^\Wli^A UT Telephone:30S-2^2~ZffOO Company NamexJ D5 HSpKfU-4 £m<3|KUM .\W\/a Continuation of Attachment #3No Conflict ofinterlNon-Collusion Certification Page6 of 10 NOTARY PUBLIC: STATE OF pltorfdj?^ COUNTY OF /YUmjJ-1>*JjL The foregoing instrument was acknowledged before me this '-^^day of^7*^*-,20 J*f by person whose signature is being notarized)who Is .(nameof SEAL 4$teb MADEUNEESTRADA *%fl#*MY COMMISSION #FF 019001 'J*aKr*EXPIRES:July 10,2017 **'ofofSr Bom^Tlim ButfQd Notary Servleet Personally known tome,or Personal identification: Type of IdentificationProduced Did take an oath,or Did Not take an oath. if Notary Public: or type ascommissioned.) FAILURE TO COMPLETE.SIGN.&RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE Page7 of 10 attachment #4 "acknowledgement and conformance with osha Standards91 TO THE CITY OF SOUTH MIAMI We,sA C>&CfflALf •EV'jf (Name of Contractor),hereby acknowledge and agree that asContractorsforthis Solicitation,as specified have the sole responsibility forcompliancewith all the requirements of the Federal Occupational Safetyand Health Act of 1970,and all Stateand local safety andhealth regulations,andagreeto indemnify andholdharmlesstheCityofSouth Miami against any andall liability,claims,damages,lossesandexpenses they mayincurdue to the failure of (subcontractor'snames): tocomplywithsuchact or regulation. BY:DwJ Qvtito Name vY. Title Witness FAILURE TO COMPLETE.SIGN.&RETURN THIS FORMMAYDISQUALIFY YOUR RESPONSE Page 8 of10 ATTACHMENT #5 "RELATED PARTY TRANSACTION VERIFICATION FORM" I D&\n'd "SlW^rq individually and on behalf ofCTV^^ffa^A^G^Om y^iwVp ("Firm")have Name of Representative CompanyJVendorJEntity read the City of South Miami rCity")?s Code of fenfcs.(*) Section 8A-I of the City's Code of Ordinances and Ihereby certify,under penalty ofperjury that to the best of my^^P. knowledge,information andbelief:I (1)neither!northe Firm have any conflict of interest (as defined in section 8A-I)with regard tothe contract or business that I,and/orthe Firm,am(are)aboutto perform for,orto transact with,the City,and (2)neither I nor any employees,officers,directors ofthe Firm,nor anyone who has a financial interest greater than 5%in the Firm,has any relative(s),as defined in section 8A-I,who is an employee ofthe City or who is(are) an appointed or elected official ofthe City,or who is(are)a member of any public body created bythe City Commission,i.c,a board or committee oftheCity[See Note #1 below],and (3)neither Inorthe Firm,noranyone who has a financial interest greater than 5%in the Firm,norany member of those persons*immediate family (i.e.,spouse,parents,children,brothers and sisters)has transacted or entered into any contractus)with the City or has a financial interest,direct or indirect,in any business being transacted with the city,orwithanypersonor agency acting forthecity,otherthanas follows: _Of necessaryuseaseparate sheet tosupply additional informationthatwillnotfitonthislinebutmakereferenceon the lineaboveto the separatesheet,i.e.,"seeattached additional information"andmakereference to this document and this paragraph ontothe additional sheet which additional sheet must be signed under oath).[See Note #1 below];and (4)no elected and/or appointed official or employee ofthe City of South Miami,or any of their immediate family members (i.e.,spouse,parents,children,brothers and sisters)has a financial interest,directly or indirectly,in the contractbetweenyouand/oryour Firm andtheCityotherthanthe following individuals whoseinterestisset forthfollowingtheiruseaseparatenames: (ifnecessaryuseaseparate sheet to supplyadditionalinformationthatwill not fitonthislinebutmakereferenceonthelineaboveto the separate sheet,i.e.,"see attached additional information"and make reference to this document and this paragraph ontothe additional sheetwhich additional sheetmustbe signed under oath).The names of all City employees and thatof all elected and/or appointed city officials or board members,whoown,directly or indirectly,an interestof fivepercent (5%)ormoreof the totalassetsof capital stockinthe firm areas follows: .(if necessary useaseparate sheet to supplyadditionalinformation that will not fitonthisline but make reference on the line above to the separate sheet,i.e.,"see attached additional information"and make reference to this document and this paragraph ontothe additional sheet which additional sheetmustbe signed under oath).[See Note#l below] (5)I andthe Firm further agree nottouseorattempttouse any knowledge,property or resource which may come to usthroughourpositionoftrust,orthroughourperformanceofourdutiesunderthe terms ofthe contractwiththeCity,tosecurea special privilege,benefit,orexemptionfor ourselves,orothers.We agree that wemaynot disclose oruse information,not available tomembersofthe general public,forour personal gain or Note #i:While the ethics code stillapplies,if the person executing thisformisdoingsoon behalf of afirm with more than 15 employees,the statement inthis section shallbebasedsolelyon the signatory'spersonal knowledge and he/she is not required to make an independent investigation asto the relationshipof employees;if the firmisapublicly traded company, the statement inthis section shallbebasedsolelyon the signatory'spersonalknowledgeand he/she is not requiredto make an independent investigation as to the relationship of employees orof those whohaveafinancial interest in the Firmorof the financial interest in the Firm of city employees,appointed officialsor the immediate family members of elected and/or appointed official or employee or as to the relationship by blood or marriage of employees,officers,or directors of the Firm, or of any of their immediate family to any appointed or elected officials of the City,or to their immediate family members. benefit or for the personalgain or benefitofany other person or businessentity,outsideof the normalgainor benefit anticipated through the performance of the contract. (6)I and the Firmherebyacknowledge that wehavenot contracted or transacted anybusinesswiththeCity or anyperson or agencyactingfortheCity,and that wehave not appearedin representation ofanythirdparty beforeany board,commission or agency of theCitywithin the pasttwoyears other thanasfollows: (ifnecessaryuseaseparate sheet tosupply additionalinformation that will not fitonthislinebutmakereferenceonthelineabovetotheseparatesheet,i.e., "see attached additional information"andmake reference to this document andthisparagraphon to theadditional sheet whichadditional sheet must besigned under oath). (7)Neither I noranyemployees,officers,ordirectorsofthe Firm,noranyoftheirimmediate family (i.e.,asa spouse,son,daughter,parent,brother or sister)isrelatedbybloodormarriageto:(i)anymemberoftheCity Commission;(ii)anycityemployee;or (iii)anymemberofanyboardoragencyoftheCityotherthanas follows: (ifnecessaryusea separate sheet to supplyadditional informationthatwill not fitonthislinebutmake reference onthelineabovetothe separate sheet,i.e.,"see attachedadditionalinformation"andmakereferencetothis document andthisparagraphonto the additional sheetwhich additional sheetmustbe signed underoath).[See Note #I below];and. (8)No Other Firm,noranyofficersordirectorsofthat Other Firm oranyonewhohasa financial interestgreater than5%inthat Other Firm,noranymemberofthose persons'immediate family (i.e.f spouse,parents,children, brothersandsisters)noranyofmy immediate family members(hereinafterreferredtoas "Related Parties")has respondedtoa solicitation bytheCityinwhich I ortheFirmthat I represent oranyonewhohasa financial interestgreaterthan 5%inthe Firm,oranymemberofthosepersons'immediate family (i.e.spouse,parents, children,brothers andsisters)havealsoresponded,other thanthe following: .(ifnecessaryuseaseparatesheetto supply additional information that will notfitonthislinebutmakereferenceonthelineabovetotheseparate sheet,i.e.,"see attached additional information"andmakereferencetothisdocumentandthis paragraph ontothe additional sheet which additional sheetmustbe signed under oath),[while theethicscode still applies,iftheperson executing thisformis doing soon behalf ofa firm whosestockis publicly traded,thestatementinthissection(8)shall be based solely onthe signatory's personal knowledge andhe/sheisnotrequiredto make an Independent investigation intotheOther Firm,or the Firm he/sherepresents,astotheir officers,directorsor anyone having a financial interestinthose Firms oranyoftheiranymemberofthosepersons'immediate family.] (9)1and the Firm agree thatweare obligated to supplement this Verification Form and inform the City of any change in circumstances that would change our answers tothis document.Specifically,afterthe opening of any responsestoasolicitation,I and the Firmhavean obligation tosupplementthis Verification Formwiththenameof all Related Parties who have also responded tothe same solicitation and to disclose the relationship ofthose parties to me and the Firm. (10)A violation ofthe City's Ethics Code,the giving of any false information orthe failure to supplement this Verification Form,may subject meorthe Firm to immediate termination of any agreement withthe City,andthe imposition ofthe maximum fine and/or any penalties allowed by law.Additionally,violations may be considered by and subject to action bythe Miami-Dade County Commission on Ethics.Under penalty of perjury,I declare that I Note #I:While the ethics code stillapplies,if the person executing thisformisdoingsoonbehalfofafirmwith more than 15 employees,the statement inthissectionshallbebasedsolelyonthesignatory'spersonalknowledgeandhe/sheisnot required tomakeanindependent investigation astothe relationship of employees;ifthefirmisa publicly traded company, the statement inthissection shall bebasedsolelyonthe signatory's personal knowledgeandhe/sheisnotrequiredtomake an independent investigation as to the relationshipof employees orof those whohavea financial interest in the Firmorof the financial interestintheFirmofcityemployees,appointed officials ortheimmediatefamilymembers ofelectedand/or appointed official oremployeeorastothe relationship bybloodor marriage ofemployees,officers,or directors ofthe Firm, orofanyoftheirimmediate family toany appointed orelected officials oftheCity,ortotheir immediate family members. have made ai$!ij»nt jeffort to investigate the matters to which Iam attesting hereinabove and that the statements made herein;bo|e/aVe true and correct to the best of my knowledge,information and belief. /Signature: #Print Name &Tide:£X/vQ £»U/*i/2if V.P» Date:C-12-!</ ATTACHED: Sec.8A-I -Conflia of interest and code of ethics ordinance. MunicodePage I0f4 Sec 8A-1.-Conflict of interest and code of ethics ordinance, (a)Designation. Thissection shall be.designated andknownasthe "CityofSouth Miami Conflict ofInterest and Codeof Ethics Ordinance."Thissection shall be applicable to all city personnel as defined below,and shall also constitutea standard of ethical conduct and behavior for all autonomous personnel,quasi-Judicial personnel,advisory personnel and departmental personnel.The provisions of this section shall be applied in a cumulative manner.By wayof example,and notasa limitation,subsections (c)and (d)may be applied tothe same contract or transaction. (b)Definitions.For the purposes ofthissectionthe following definitions shall be effective: (1)Theterm "commission members"shall refer tothe mayor and the members ofthe city commission. (2)Theterm"autonomous personnel"shall refer tothe members of autonomous authorities,boards and agencies, such asthecity community redevelopment agency and the health facilities authority. (3)Theterm "quasi-judicial personnel"shall refertothe members ofthe planning board,the environmental review and preservation board,thecodeenforcement board and suchother individuals,boards and agencies ofthecityas perform quasi-judicial functions. (4)Theterm "advisory personnel"shall refer tothe members of those city advisory boards and agencies whose soleor primary responsibility istorecommend legislation orgive advice tothecity commission. (5)Theterm "departmental personnel"shall refer tothe city clerk,the city manager,department heads,the city attorney,and all assistants tothecity clerk,city manager and city attorney,however titled. (6)Theterm "employees"shall referto all other personnel employed bythe city. (7)Theterm "compensation"shall refertoany money,gift,favor,thingof value or financial benefit conferred,or to be conferred,in return for services rendered or to be rendered. (8)Theterm "controlling financial interest"shall refer to ownership,directly or indirectly,often percent ormore ofthe outstanding capital stockinany corporation oradireaorindireainterestoften percent ormoreina firm, partnership,orotherbusinessentityatthetimeoftransaaingbusiness withthecity. (9)Theterm "immediate family"shall refertothe spouse,parents,children,brothers and sisters ofthe person involved. (10)Theterm "transact any business"shall refertothe purchase or sale bythecityof specific goodsor services for consideration andto submitting a bid,a proposal in response toa RFP,astatementof qualifications in response toarequestbythecity,orenteringintocontract negotiations forthe provision onanygoodsor services, whichever first occurs. (c)Prohibitionon transacting businesswiththecity. Note #1:While the ethics code still applies,if the person executing thisformisdoingsoon behalf of afirm with more than 15 employees,the statement in this section shall be basedsolelyon the signatory's personal knowledge and he/she is not required to make an independent investigation as to the relationshipof employees;if the firmisapublicly traded company, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make an independent investigation as to the relationship of employees or of those who have afinancial interest in the Firmor of the financial interest in the Firm of city employees,appointed officialsor the immediate family members of elected and/or appointed officialor employee oras to the relationship bybloodor marriage of employees,officers,or directors of the Firm, or of anyof their immediate family to any appointed or elected officialsof the City,or to their immediate family members. Noperson included inthetermsdefinedinparagraphs (b)(1)through(6)andinparagraph(b)(9)shall enterinto any contract or transact anybusinessinwhichthatpersonoramemberoftheimmediate family hasa financial interest,direa or indirea withthecity or anyperson or agencyactingforthe city,andanysuchcontract, agreement or business engagement entered inviolationofthis subsection shall render the transaction voidable. Willful violation of this subsection shall constitute malfeasance in office and shall affect forfeiture of office or position.Nothinginthissubsectionshall prohibit or make illegal: (1)The paymentoftaxes,special assessments or feesforservicesprovidedby the city government; (2)Thepurchaseofbonds,anticipation notes or other securities that maybeissuedby the citythrough underwriters or directlyfromtime to time. Waiver of prohibition.The requirements of this subsection maybewaivedforaparticular transaction onlybyfour affirmative votes ofthecitycommission after publichearinguponfindingthat: (1)Anopen-to-allsealedcompetitiveproposalhasbeensubmittedbyacitypersonasdefinedinparagraphs(b)(2), (3)and(4); (2)The proposal hasbeensubmittedbyaperson or firmofferingserviceswithinthescopeof the prattice of architecture,professionalengineering,or registered landsurveying,asdefinedby the lawsof the state and pursuant to theprovisionsof the Consultants'CompetitiveNegotiationAct,andwhentheproposalhasbeen submitted byacitypersondefinedinparagraphs(b)(2),(3)and(4); (3)The property or services to beinvolvedintheproposedtransactionareuniqueandthecitycannot avail itself ofsuch property or services without entering a transaction whichwouldviolatethis subsection but for waiver of its requirements;and (4)That the proposed transactionwillbeinthe best interest of the city. Thissubsectionshallbe applicable onlyto prospeaive transaaions,andthecity commission mayinnocase ratify a transaction entered in violation of this subseaion. Provisions cumulative.Thissubsectionshallbetakentobe cumulative andshallnotbe construed toamendorrepeal any other law pertaining to the same subject matter. (d)Further prohibition on transacting businesswiththecity. Nopersonincludedinthetermsdefinedinparagraphs (b)(1)through(6)andinparagraph(b)(9)shall enterinto any contract or transaa anybusinessthrougha firm,corporation,partnership or business entityinwhichthat personoranymemberofthe immediate family hasa controlling financial interest,director indirect,withthecity or anyperson or agencyactingforthecity,andanysuchcontract,agreementorbusinessengagemententeredin violation ofthissubseaion shall renderthetransaaion voidable.The remaining provisions ofsubseaion(c)will alsobe applicable tothissubsectionasthoughIncorporatedbyrecitation. Additionally,noperson included intheterm defined in paragraph (b)(1)shall voteonor participate in any way in anymatterpresentedtothecity commission ifthatpersonhasanyofthe following relationships with any ofthe persons or entitieswhichwouldbe or mightbe direaly or indirectly affectedbyany aaion ofthecity commission: (I)Officer,direaor,partner,of counsel,consultant,employee,fiduciary or beneficiary;or (2)Stockholder,bondholder,debtor,or creditor,ifinanyinstancethetransactionormatterwouldaffectthe person defined in paragraph (b)(1)ina manner distina from the manner in which it would affeathe public generally.Any person included intheterm defined in paragraph (b)(I)who has any ofthe specified relationships orwho would or might,directly or indirectly,realize aprofitbythe action ofthecity commission shall notvoteon or participate inanywayin the matter. (E)Gifts. (i)Defmition.Theterm "gift"shall refertothetransferof anything of economic value,whetherintheformof money,service,loan,travel,entertainment,hospitality,itemorpromise,orinanyotherform,without adequate andlawful consideration. (2)Exceptions.The provisions of paragraph (e)(1)shall not apply to: a.Political contributions specifically authorizedbystatelaw; Note #I:While the ethics code stillapplies,if the personexecutingthisformisdoingsoonbehalf of afirmwith more than 15employees,the statement inthissectionshallbebasedsolelyonthesignatory'spersonalknowledgeandhe/sheisnot required tomakean independent investigation astothe relationship of employees;ifthe firm isa publicly tradedcompany, thestatementinthissection shall bebasedsolelyonthe signatory's personal knowledge andhe/sheisnot required tomake anindependentinvestigationastotherelationshipofemployeesorofthosewhohavea financial interestintheFirmorof the financial interestintheFirmofcityemployees,appointed officials ortheimmediate family membersofelected and/or appointed official oremployeeorastothe relationship bybloodormarriageofemployees,officers,ordirectorsoftheFirm, orofanyoftheir immediate family toanyappointed or elected officials oftheCity,ortotheir immediate family members. b.Gifts from relatives or members of one's household,unless the person is a conduit on behalf of a third party to the delivery ofa ©ft thatis prohibited under paragraph(3); c Awardsforprofessional or civicachievement; d.Material such as books,reports,periodicals or pamphlets which are solely informational or of an advertising nature. (3)Prohibitions.Aperson described in paragraphs (b)(1)through (6)shall neither solicit nor demand any gift.Itis also unlawful for any person or entity to offer,give or agree to give to any person included in the terms defined In paragraphs (b)(1)through (6),or for any person included in the terms defined in paragraphs (b)(1)through (6)to acceptoragreetoacceptfromanotherpersonorentity,anygiftfororbecauseof: a.An official public action taken,orto be taken,orwhich could be taken,or an omission or failure to take a public action; b.A legal duty performed orto be performed,or which could be performed,or an omission or failure to perform alegalduty; c.A legal duty violated ortobe violated,or which could be violated by any person included in the term defined in paragraph (b)(1);or d.Attendanceorabsencefroma public meeting at which official actionistobetaken. (4)Disclosure.Any person included in the term defined in paragraphs (b)(1)through (6)shall disclose any gift,or series ofgifts from anyone person or entity,having a value in excess of$25.00.The disclosure shall be made by filing a copy ofthe disclosure form required bychapter 112,Florida Statutes,for "local officers"with the city clerk simultaneously with the filing ofthe form with the clerk ofthe county and with the FloridaSecretaryofState. (f)Compulsory disclosure by employees of firms doing business with the city. Should any person included in the terms defined in paragraphs (b)(1)through (6)be employed by a corporation, firm,partnership or business entity in which that person or the immediate family does not have a controlling financial interest,and should the corporation,firm,partnership or business entity have substantial business commitments toor from the city or any city agency,orbesubjeatodirea regulation by the city ora city agency, then the person shall file a sworn statement disclosing such employment and interest with the clerk ofthe city. (g)Exp/oitat/on of officialpositionprohibited. No person included in the terms defined in paragraphs (b )(l)through (6)shall corruptly use or attempt to use an official position tosecure special privileges or exemptions forthat person orothers. (h)Prohibitiononuse of confidential information. No person included in the terms defined in paragraphs (b)(1)through (6)shall accept employment or engage in any business or professional activity whichonemight reasonably expect would requireor induce oneto disclose confidential information acquired by reason ofan official position,nor shall that person in fact ever disclose confidential information garnered or gained through an official position with the city,nor shall that person ever use such information,directly or indirectly,for personal gain or benefit. (i)Conflicting employment prohibited. No person included in theterms defined in paragraphs (b)(1)through (6)shall accept other employment which would impair independence of judgment inthe performance ofany public duties. (j)Prohibitionon outside employment, (I)Noperson included intheterms defined in paragraphs (b)(6)shall receive any compensation for services asan officer or employee ofthecityfromanysourceotherthanthe city,exceptas may be permitted as follows: a.Generally prohibited.No full-time cityemployee shall acceptoutside employment,either incidental,occasional or otherwise,where city time,equipment or material istobe used orwhere such employment or any partthereofis to be performed oncitytime. Note #I:While the ethics code stillapplies,if the person executing thisformisdoingsoonbehalfofafirmwith more than 15 employees,the statement inthissectionshallbebasedsolelyonthesignatory'spersonalknowledgeand he/she isnot requiredtomakeanindependentinvestigationastothe relationship ofemployees;ifthefirmisa publicly tradedcompany, the statement inthis section shallbebasedsolelyon the signatory's personal knowledge and he/she isnot required to make an independent investigation as to the relationship of employees or of those who have afinancial interest in the Firm or of the financial interest in the Firm of city employees,appointed officialsor the immediate family members of elected and/or appointed officialor employee oras to the relationship by blood or marriage of employees,officers,or directors of the Firm, orofanyoftheir immediate familytoanyappointedorelectedofficialsoftheCity,ortotheir immediate family members. b.When permitted.A full-time cityemployeemayaccept incidental or occasional outsideemploymentso long as such employment isnotcontrary,detrimental oradversetotheinterestofthecityoranyofits departments and theapprovalrequiredinsubparagraphc.isobtained. c.Approval ofdepartmentheadrequired.Anyoutside employment byany full-time city employee mustfirstbe approvedin writing bytheemployee'sdepartmentheadwho shall maintain acompleterecordofsuch employment. d.Penally.Anypersonconvictedof violating any provision ofthissubsection shall bepunishedasprovidedin section 1-11 of the Code ofMiami-Dade County and,inadditionshallbe subjea to dismissalby the appointing authority.Thecitymayalsoassessagainstaviolatorafine not to exceed$500.00andthecostsof investigation incurred by the city. (2)Allfull-timecity employees engagedinany outside employment forany person,firm,corporation or entity other thanthecity,or anyofitsagencies or instrumentalities,shall file,underoath,anannual report indicating the sourceof the outsideemployment,the nature oftheworkbeing done andany amount ofmoney or other considerationreceivedbytheemployeefromtheoutsideemployment.Cityemployee reports shallbefiledwith thecityclerk.The reports shallbeavailable at a reasonable timeandplaceforinspectionby the public.The city managermayrequiremonthly reports from individual employees or groupsofemployeesforgood cause.. (k)Prohibited Investments. No person includedin the terms definedinparagraphs (b)(1)through(6)or amemberoftheimmediate family shall havepersonalinvestmentsinanyenterprisewhich will createa substantial conflia betweenprivateinterests and the public interest. (I)Certain appearances and payment prohibited. (1)Noperson included intheterms defined in paragraphs (b)(1),(5)and(6)shall appearbeforeany city boardor agencyandmakea presentation onbehalfofathirdpersonwith respea toanymatter,license,contract, certificate,ruling,decision,opinion,rate schedule,franchise,or other benefit soughtbythethirdperson.Nor shall theperson receive any compensation or gift,directly or indirectly,for services renderedtoathirdperson,who has applied fororis seeking somebenefitfrom the cityora city agency,in connection withthe particular benefit soughtbythethirdperson.Nor shall thepersonappearinanycourtorbeforeany administrative tribunal as counselor legal advisor toapartywhoseeks legal relief fromthe city ora city agency through thesuitin question. (2)Noperson included intheterms defined in paragraphs (b)(2),(3)and(4)shall appear before the city commission oragencyonwhichthepersonserves,eitherdirectly or throughanassociate,andmakea presentation on behalf ofathirdpersonwith respea to any matter,license,contract,certificate,ruling,decision, opinion,rate schedule,franchise,orother benefit sought bythethird person.Nor shall such person receive any compensation or gift,directly or indirectly,for services rendered toathirdpartywho has applied fororis seeking some benefit from the city commission or agency on which the person serves in connection with the particular benefit sought bythethird party.Nor shall the person appear in any courtor before any administrative tribunal as counselor legal advisor toa third party who seeks legal relief from the city commission or agency on which such person serves through the suitin question. (m)Actions prohibited when financialinterestsinvolved. No person included intheterms defined in paragraphs (b)(I)through (6)shall participate in any official action directly or indirectly affecting a business in which that person or any member ofthe immediate family has a financial interest.A financial interest is defined in this subsection to include,butnot be limited to,any direaor indirectinterestinanyinvestment,equity,or debt. (n)Acquiring financial interests. No person included intheterms defined in paragraphs (b)(1)through (6)shall acquire a financial interest in a project,businessentityorpropertyatatimewhentheperson believes or hasreasonto believe thatthe financial interest may be directly affeaed by official actions or by official actions bythe city or city agency of which the personisan official,officer or employee. (0)Recommending professional services. Note#I:Whiletheethicscodestillapplies,ifthepersonexecutingthisformisdoingsoonbehalfofafirmwithmorethan 15 employees,thestatementinthis section shall be based solely onthe signatory's personal knowledge and he/she isnot required to make an Independent investigation astothe relationship of employees;Ifthe firm isa publicly traded company, the statement In thissection shall be based solely onthe signatory's personal knowledge and he/she isnot required to make anindependentinvestigationastotherelationshipofemployeesorofthosewhohavea financial interestintheFirmorof the financial interestinthe Firm ofcity employees,appointed officials orthe immediate family membersof elected and/or appointed official or employee orastothe relationship by blood or marriage of employees,officers,or directors ofthe Firm, orofanyoftheirimmediate family toanyappointed or elected officials ofthe City,ortotheir immediate family members. No person included in the terms defined in paragraphs (b)(1)through (4)may recommend the services of any lawyer or law firm,architea or architeaural firm,public relations firm,or any other person or firm,professional or otherwise,to assist in any transaction involving the city or any ofits agencies,provided that a recommendation may properly be made when required tobe made bythe duties of office and in advance ata public meeting attended by other city officials,officers or employees. (p)Continuing applicationaftercity service. (1)No person included in the terms defined in paragraphs (b)(1),(5)and (6)shall,for a period oftwo years after his orher city service or employment has ceased,lobby any city official [as defined in paragraphs (b)(1)through (6)]in conneaion with any judicial or other proceeding application,RFP,RFQ,bid,request for ruling or other determination,contract,claim,controversy,charge,accusation,arrest or other particular subject matterin which thecityoroneofits agencies isa party or has anyinterest whatever,whetherdireaorindirect Nothing contained in this subseaion shall prohibit any individual from submitting a routine administrative request or application toacitydepartment or agency during the two-year period afterhis orher service has ceased. (2)The provisions ofthe subsection shall not apply to persons who become employed by governmental entities, 501(c)(3)non-profit entities or educational institutions or entities,and who lobby on behalf ofthose entities in their official capacities. (3)The provisions of this subseaion shall apply to all persons described in paragraph (p)(l)whose city service or employment ceased after the effeaive date of the ordinance from which this section derives. (4)No person described in paragraph (p)(l)whose city service or employment ceased within two years prior to the effective date ofthis ordinance shall for a period oftwo years after his orher service or employment enter into a lobbying contraa to lobby any city official in connettion with any subject described in paragraph (p)(l)in whichthecityoroneofits agencies isapartyorhasany direa and substantial interest;andinwhichheorshe participated directly or indirectly through decision,approval,disapproval,recommendation,the rendering of advice,investigation,or otherwise,during his orhercity service or employment.A person participated "directly" where heorshe was substantially involved inthe particular subjea matter through decision,approval,disapproval, recommendation,therenderingof advice,investigation,orotherwise,duringhisorhercityserviceor employment.Aperson participated "indirealy"whereheorshe knowingly participated inanywayinthe particular subjea matterthroughdecision,approval,disapproval,recommendation,therenderingof advice,investigation,or otherwise,during hisorhercityserviceor employment.AH persons coveredbythis paragraph shall executean affidavit onaformapprovedbythecityattorneypriorto lobbying anycity official attestingthatthe requirementsofthissubsectiondo not precludethepersonfromlobbyingcity officials. (5)Anypersonwho violates thissubsection shall besubjecttothe penalties provided inseaion 8A-2(p). (q)City attorney to renderopinionson request. Whenever anypersonincludedinthetermsdefinedin paragraphs (b)(1)through(6)and paragraph (b)(9)isin doubt as to the proper interpretation or application ofthisconflictof interest andcodeofethicsordinance,or whenever anyperson who renders services to the cityisin doubt as to the applicability of the ordinancethat person,maysubmit to the city attorney afull written statement of the faasand questions.Thecity attorney shall .then render anopinion to such person andshallpublish these opinions without use of the name of the person advisedunlessthepersonpermits the useofaname. (Ord.No.6-99-1680,§2,3-2-99) Editor's note-Ord.No.6-99-1680,§I,adopted3-2-99,repealed §§8A-I and8A-2intheir entirety andreplaced them with new §§ 8A-1 and8A-2.Former §§8A-Iand8A-2pertainedto declaration ofpolicyanddefinitions,respeaively,and derivedfromOrd.No.634,§§I (I A-1).1 (IA-2)adopted Jan ...II,1969. Note #I:While the ethics code still applies,if the person executing this form is doing so on behalf of afirm with more than 15 employees,the statement in this section shallbe based solely on the signatory's personal knowledge and he/she is not required to make an independent investigation as to the relationship of employees;if the firm Isa publicly traded company, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make an independent Investigation as to the relationship of employees or of those who have afinancial interest in the Firm or of the financial interest in the Firm of city employees,appointed officialsor the immediate family members of elected and/or appointed official or employee or as to the relationship by blood or marriage of employees,officers,or directors of the Firm, or of any of their immediate family to any appointed or elected officials of the City,or to their immediate family members. JD's ASPHALT ENGINEERING,CORP. 5025SW102 Place,Miami,Florida 33165*PH:305-262-2800 *Email:jdsparkinqlot@yahoo.com (Licensed and Insured)___ PROPOSAL From:David Silveira Sales Manager 305-219-5567 To:City ofSouth Miami Ph:305-663-6339 Email:www.southmiamifl.gov Job Site:Baseball Field Lip Removal ITQ#=PR2014-09 Palmer Park 6100SW 67th Avenue South Miami,Florida 33143 SCOPE OF WORK Date:June13,2014 Excavate the claybuild-upin the infield/outfieldarcofthefive(5)baseballfieldslocated at PalmerPark;level these areas toexistingturf;and;InstallnewBermudaGrass419sod. ADDITIONAL TERMS AND CONDITIONS PRICE $11,930.69 >This job has 1 (one)year guarantee excludingnormalwearandtear. >All proposed work area willbe barricaded. >JD'sAsphalt Engineering,Corp.Is notresponsibleforanyunderground utilities brokenduringjobperformance. >JD'sAsphalt Engineering,Corp.Is notliableforanypersonsorvehicletrespassingthroughbarricadeandclosedareas. >JD's Asphalt Engineering,Corp.isnot responsible forany loss,damage or injury to persons or property causedbyactsof government civil or military authorities,theft,vandalism,labor disputes,explosions,power failure,water damage,storms,lightning,natural or public catastrophe, actsofGodorbyanyothercause which is unavoidable orbeyondreasonablecontroland,inanyevent,weshallnotbe liable for Incidental or consequential damages. >You shall notbe entitled to recover from JD's Asphalt Engineering,Corp.anyconsequential damages,tothe property,damages for delay,loss of profit or Income oranyother incidental damages andto hereby waive and release JD's Asphalt Engineering,Corp.from anysuch claims. >Intheeventof your non compliance under the terms and conditions of this agreement or failure topaythe amounts due within the time period asset forth within the agreement,you agreethatifan attorney Is engaged to enforce the terms ofthisagreement,orto collect payment dueto hereunder either with or without suit,you shall payall costs incurred byJD's Asphalt Engineering,Corp.Including,attorneys feesinthe trial court,and at the appellate level. PAYMENT AGREEMENT Weproposedtofurnishallmaterialsandlaborcompletewithabove specification forthesumof: $11,930.69 (Eleven Thousand Nine Hundred and Thirty Dollars 69/100.) REQUIRED PAYMENTS:40%Deposit,before commencement ofwork,and 60%after job completion. **AII payments will be due within 7 (seven)business days after job completion.After 30days,a charge of 1.5%(18%annually)will becharged to the unpaid balance. TOTAL PRICE:The under sign accepts the above job at the price quoted and agrees to pay for said work promptly upon completion of the same as herein specified.Above prices,specifications,and conditions are hereby accepted. SIGNATURE OF APPROVAL:David Silveira SIGNATURE OF APPROVAL: DATE:06/13/14 DATE: ACCHtitf CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/13/14 ™;*5S?nCATE ,S ,SSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS C!.RI FiC5E °°ES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 2552!:™,S CERTIF,CATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,AND THE CERTIFICATE HOLDER.iwourerw,™nuw^tu IMpo^ the terms and conditions ofthe policy,certain policies may require an endorsement Astatement on this certificate does not confer rights tothe certificateholder In Heuof such endorsements). producer Yes InsuranceAgencies,Inc. 9507 Bird Road Miami,FL 33165 Phone (305)225-5757 _ INSURED Jds Parking Lot,inc 5025 SW 102 PI Miami,FL 33165 COVERAGES FaxJ$0Q 223-8158 (305)271-2472 CERTIFICATE NUMBER- CONTACT .mmc:Madeline Estrada "faT (305)223-8158 APDRESS;rnadeline@yesins.com JMURERA: JNSURHRB.5. JNSURERC; INSURER Dj. INSURER E: INSURER F: JNSURERXS)AFFORPLNGCOVERAGE CAPITOL SPECIALTY REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF JNSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED h^ INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ^J/fJP'iT5 MAY BE ,SSUED OR m>{PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS .NAICJ INSR LTR TYPE OF INSURANCE GENERAL LIABILITY £•)COMMERCIAL GENERAL LIABILITY ••CLAIMS-MADE £/]OCCUR n r:L ....[ GEN'L AGGREGATE LIMIT APPLIES PER: D POLICY D jfgf •LOC ?ADDL|SUBR mm.rvuyp POUCY NUMBER POLICY EFF (WMRP/YYYYy POLICY EXP mumm AUTOMOBILE LIABILITY •ANY AUTO r~]ALLOWNEO r~,SCHEDULEDL.I AUTOS LI AUTOS Dhiredautos OK™*0 .Q _D.. jgj umbrella liab jgj occur D EXCESSUAB QCLWMSWDJLl O-DED.D RETENTIONS I WORKERS COMPENSATION j AND EMPLOYERS'UABIUTY Y/N ! ANY PROPRIETOR/PARTNER/EXECUTJVE I ,t A OFFICER/MEMBER EXCLUDED?{J N/A(Mandatory InNH)\jl Ifyes.cfoscfibo undof j DESCRIPTION OF OPERATIONS belowj CS02181868FT-01 CS02181868FT-01 10/05/2013 10/05/2014 f10/05/2013;10/05/2014 EACHOCCURRENCE _ DAMAGE TO RENTED PvREMISES..(E.apecurrenqe) MED EXP(Any oneperson) PERSONAL &AW INJURY GENERAL AGGREGATE PRODUCTS -COMP/OP AGG COMBINEDSINGLE LiMff{^aa.c^deoij[.._..,.JS... BODILYINJURY(Perperson)$ BODILY IN JURY (Peracefciertt; $1,000,000.00 $100,000.00 V 5,00000_^^ $liw^pfjo~l $2^000,000.00 f^QPERtYbAMAGt (ft*jrsWsr!)..: Ts EACH OCCURRENCE AGGREGATE Personal Injury Limit \ rnWCSTATUv r^OTl^l '--vLTGRYj,lMjlS„;wi.&R j EL EACH ACCIDENT I 1,000,000,00 L.iPPO.ooo.oo $1,000,000.00 EL,DISEASE•EAEMPLOYEE $ "VJ?-LDJSJEASE:POLICYJLJMTT j S DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD101,AdditionalRemarks Schedule,ifmorespaceIsrequired) PAVING AND SIDEWALK REPAIR CERTIFICATE HOLDER CITY OF SOUTH MIAMI 6130 SUNSET DRIVE MIAMI.FL 33134 ACORD25 (2010/05)QF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATIONDATE THEREOF,NOTICEWILLBEDELIVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MADELINE ESTRADA ©1988-2010 ACORD CORPORATION.All rights reserved. TheACORD name and logo are registered marks ofACORD MemberNameCity of South Miami Bid Number ITQ-PR-2014-09-0-2014/SK Bid Name Baseball Lip Removal at Palmer Park 3 Document(s)found for this bid 11Subscribers Downloaded Bid;439 Notified Supplier Name Address 1 City State Zip Phone Attributes A2Z Sales 400 Travis Road Toledo OH 11735 8007461218 1.Hispanic Owned Azulejo,Inc.17291 NE 19th Avenue North Miami Beach FL 33162 3058954110 1.Hispanic Owned 2.Small Business BOFAM CONSTRUCTION COMPANY, INC 697 N.MIAMI AVE,LOFT#3 MIAMI FL 33136 7542450102 Construction Journal,Ltd.400 SW 7th Street Stuart FL 34994 8007855165 Gancedo Technologies,lnc 4121 SW 96 Ave Miami FL 33165 7864127950 GutiGREEN LLC 9925 Pan American Dr Cutler Bay FL 33189 7869734891 Onvia,Inc.-Content Department 509OliveWay,Suite400 Seattle WA 98101 2063739500 Reed Construction Data 30TechnologyParkway South,Suite 100 Norcross GA 30092 8009018687 RegosaEngineering Services,Inc 1050 SE 5th Street Suite 9 HIALEAH FL 33010 7862622964 SA Consultants,LLC 2150 CoralWay,Suite7B Miami FL 33145 3058579220 1.Woman Owned VendorLink LLC |12201ResearchParkway Orlando FL 32826 4074010031 1.Small Business ITQ 2014-09BaseballField Up Removal NOTE:RESULTS ARE NOT FINAL UNTIL AN AWARD RECOMMENDTION BYTHECITY MANAGER Bidder Bid Price Bid Form Non Coll. Affidavit Public Entity Crimes and Conflicts of Interest Drug free Workplace OSHAStds Related Party (1)Proof of 1ns Sun Biz JD Asphalt Engineering $11,930 X X X X X X X X Leadex Corp $19,860 X X X X X X X X (1)Condition of Award Detail by Entity Name Detail by Entity Name Florida Profit Corporation JD'S ASPHALT ENGINEERING CORP. Filing information Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Principal Address 5025 SW 102 PLACE MIAMI,FL 33165 Changed:04/26/1999 Mailing Address P93000082779 650453414 12/03/1993 FL ACTIVE NAME CHANGE AMENDMENT 01/28/2014 NONE 5025 SW 102 PLACE MIAMI,FL 33165 Changed:04/26/1999 Registered Agent Name &Address SILVEIRA,ANGELA 5024 SW 102 PLACE MIAMI,FL 33165 Name Changed:04/19/2012 Address Changed:04/16/2001 Officer/Director Detail Name &Address Title P SILVEIRA,ANGELA 5025 SW 102 PL MIAMI,FL 33165 Page1 of4 http://search.siinbiz.org/Inquiry/CorporationSearch/SearchResultDetail/Enti...6/13/2014 DetailbyEntityName Title VP SILVEIRA,DAVID 9830 S.W.53 STREET MIAMI,FL 33165 Title T SILVEIRA,JOSE 11163 N.W.7TH STREET MIAMI,FL 33165 Title S SILVERIA,ANDRES 5025 S.W.102 PLACE MIAMI,FL 33165 Annual Reports Report Year 2012 2013 2014 Filed Date 04/19/2012 04/24/2013 04/09/2014 Document Images 04/09/2014 -ANNUAL REPORT 01/28/2014 -Name Change 04/24/2013 -ANNUAL REPORT 04/19/2012 -ANNUAL REPORT 04/20/2011 -ANNUAL REPORT 04/02/2010 -ANNUAL REPORT 01/21/2009 -ANNUAL REPORT 03/27/2008 -ANNUAL REPORT 04/03/2007 -ANNUAL REPORT 04/25/2006 -ANNUAL REPORT 03/14/2005 -ANNUAL REPORT 04/16/2004 -ANNUAL REPORT 03/17/2003 -ANNUAL REPORT 04/02/2002 -ANNUAL REPORT 04/16/2001 -ANNUAL REPORT 04/26/2000 -ANNUAL REPORT 04/26/1999 -ANNUAL REPORT 04/10/1998 -ANNUAL REPORT View image inPDFformat View image inPDF format View image inPDF format View image inPDF format View image inPDF format View image inPDF format View image inPDF format View image inPDFformat View image inPDF format View image inPDF format View image inPDF format View image inPDFformat View image inPDF format View image inPDF format View image inPDF format View image inPDF format View image inPDF format View image inPDF format Page 2 of 4 http://search.sunbiz.^^6/13/2014 Detail by Entity Name Detail by Entity Name Florida Profit Corporation LEADEX CORPORATION Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 2601 SW69TH COURT MIAMI,FL 33155 Changed:04/13/2013 Mailing Address L49086 650170950 02/06/1990 FL ACTIVE 6535 SW 49 ST MIAMI,FL 33155 Changed:04/28/2012 Registered Agent Name &Address FONSECA,FRANK J. 6535 SW 49 ST MIAMI,FL 33155 Address Changed:02/18/2009 Officer/Director Detail Name &Address Title DPS FONSECA,FRANK J. 6535SW49THST MIAMI,FL 33155 Annual Reports Report Year 2012 Filed Date 04/28/2012 Page 1 of 3 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/Enti...6/13/2014 DetailbyEntityName 2013 2014 04/13/2013 04/12/2014 Document Images 04/12/2014 -ANNUAL REPORTView image 04/13/2013 -ANNUAL REPORTViewimage 04/28/2012 -ANNUAL REPORTViewimage 02/16/2011 -ANNUAL REPORTVjewimage 01/05/2010-ANNUAL REPORTViewimage 07/16/2009-ADDRESS CHANGE Viewimage 02/18/2009 -ANNUAL REPORT View image 03/11/2008 -ANNUAL REPORT Viewimage 02/13/2007 -ANNUAL REPORT 02/03/2006 -ANNUAL REPORT 02/25/2005 -ANNUAL REPORT 06/10/2004 -ANNUAL REPORT 01/30/2003 -ANNUAL REPORT 03/22/2002 -ANNUAL REPORT 01/25/2001 -ANNUAL REPORT 03/20/2000 -ANNUAL REPORT 03/11/1999 -ANNUAL REPORT 02/18/1998 -ANNUAL REPORT 02/10/1997-ANNUAL REPORT 04/25/1996 -ANNUAL REPORT 02/14/1995 -ANNUAL REPORT View image View image View image View image View image View image View image View image View image View image View image View image View image in PDF format n PDF format n PDF format in PDF format n PDF format n PDF format n PDF format n PDF format in PDF format n PDF format n PDF format in PDF format n PDF format n PDF format n PDF format n PDF format n PDF format in PDF format n PDF format n PDF format n PDF format Copyright ©and Privacy Policies State ofFlorida,Department of State Page 2 of 3 hl!tp://search.simbiz.org/Inquiry/CorporationSearch/Searc 6/13/2014