Maggolc Inc-SW 64 ST Corridor Improv.south Miami
ll
C i Ev of South Miami
Request for Proposals {RFP)
2001
SW 64th Street Corridor Improvements - Phase I
City Project Number SM-2011-12-PW
A COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
PROJECT
CITY CO
Mayor:
Vice Mayor:
Commissioner:
Commissioner:
Commissioner:
MMISSION
Philip K. Stoddard, PhD
Valerie Newman
Walter A. Harris
Velma Palmer
Brian D. Beasley
CHARTERED OFFICIALS
City Manager: Hector Mirabile, PhD
City Attorney: Thomas Pepe, Esq.
City Clerk: Maria Menendez
Public Works Operations Manager:
Keith A. Ng, CFM
City of South Miami
"Excellence, Integrity and Inclusion"
BID FORM
SW 64th Street Corridor Improvements - Phase I
THIS BID IS SUBMITTED TO:
Dr. Hector Mirabile
City Manager
City of South Miami
6130 Sunset Drive
South Miami, FL 33143
I. The undersigned BIDDER proposes and agrees, that if this Bid is accepted, to enter into a Contract
with the City of South Miami in the form included in the Contract Documents which are part of this
Bid Package to perform and furnish all work as specified or indicated in the Contract Documents
for the Contract Price and within the Contract Time indicated therein and in accordance with the
other terms and conditions of the Contract Documents which include those prepared by Non
Applicable.
2. BIDDER accepts all of the terms and conditions of the Advertisement or Invitation to Bid and
Instructions to BIDDERS, including without limitation those dealing with the disposition of Bid
Bond/Security. This Bid will remain subject to acceptance for 90 days after the day of the Bid
opening. BIDDER agrees to sign and submit the Contract with the Bonds, Insurance Certificate and
other documents required by the Bidding requirements within ten (10) calendar days after the date
of the City's Notice of Award.
3. In submitting this Bid, BIDDER represents, as more fully set forth in the Contract, that:
a. BIDDER has examined copies of all the Bidding Documents and of the following Addenda
(receipt of all which is hereby acknowledged.)
Addendum No. Dated: 9A V//
Addendum No. Z Dated: /61
Addendum No. Dated:
Addendum No. Dated:
Addendum No. Dated:
b. BIDDER has familiarized himself with the nature and extent of the Contract Documents, the
proposed work site, locality, and all local conditions and laws and regulations that in any
manner may affect cost, progress, performance or furnishing of the Work
c. BIDDER has studied carefully all reports and drawings of subsurface conditions and drawings of
physical conditions.
d. BIDDER has obtained and carefully studied (or assumes responsibility for obtaining and
carefully studying) all such examinations, investigations, explorations, tests and studies in
addition to or to supplement those referred to in (c) above which pertain to the subsurface or
physical conditions at the site or otherwise may affect the cost, progress, performance, or the
furnishing of the Work at the Contract Price, within the Contract Time and in accordance with
the other terms and conditions of the Contract Documents, The BIDDER hereby
acknowledges that no additional examinations, investigations, explorations, tests, reports or
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 8
similar information or data are, or will, be required by BIDDER for any reason in connection
with the Bid.
e. BIDDER has correlated the results of all such observations, examinations, investigations,
explorations, tests, reports and studies with the terms and conditions of the Contract
Documents.
f. BIDDER has reviewed and checked all information and data shown or indicated on the
Contract Documents with respect to existing Underground Facilities at or contiguous to the
site and assumes responsibility for the accurate location of all Underground Facilities. No
additional examinations, investigations, explorations, tests, reports or similar information or
data in respect to any Underground Facilities are, or will be required, by BIDDER in order to
perform and furnish the Work at the Contract Price, within the Contract Time and in
accordance with the other terms and conditions of the Contract Documents,
g. BIDDER has given Non-Applicable written notice of all conflicts, errors, discrepancies that it
has discovered in the Contract Documents and, if any conflicts, errors, discrepancies has been
found and notice given, the BIDDER represents to the City that the BIDDER has received a
written notice of the resolution thereof by Consultant and that such resolution is acceptable to
BIDDER.
h, 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; BIDDER has not directly or indirectly induced or
solicited any other BIDDER to submit a false or sham Bid; BIDDER has not solicited or induced
any person, firm or corporation to refrain from Bidding, and BIDDER has not sought by
collusion or otherwise to obtain for itself any advantage over any other BIDDER or over the
CITY.
4. BIDDER understands and agrees that the Contract Price is the lump sum that it needs to furnish
and install all of the Work complete and in place. The Schedule of Values is provided for the
purpose of Bid Evaluation and when initiated by the CITY, it shall form the basis for calculating the
pricing of change orders. The Contract Price shall not be adjusted in any way so as to result in a
deviation from the Schedule of Values, except to the extent that the CITY changes the scope of the
Work after the Contract Date.
As such, the Contractor shall furnish all labor, materials, equipment, tools, superintendence and
services necessary to provide a complete, in place Project for the Bid Price of-
-A 0
LUMP SUM BASE BID: UT _r� '4'5e t QdS,
dollars and cents $
Alternates: #1 — #5
#2 #6
#3 #7
#4 #8
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 9
S. The ENTIRE WORK shall be completed, in full, within 30 days for substantial completion; 45
days for total completion from the date stipulated in the NOTICE TO PROCEED.
Failure to complete the entire work during the described time period shall result in the assessment
of liquidated damages as set forth in Paragraph 6 of the Contract.
6. Communications concerning this Bid shall be addressed to:
BIDDER: "X 1576p1 C, - A 4
Address: 110 ZrD azt) . C. f - AWZXA.,,Z . V-Y-- --z'1 if
Telephone:
Facsimile:
Attention:
7. The terms used in this Bid which are defined in the General Conditions of the Contract shall have
the same meaning as is assigned to them in the General Conditions.
SUBMITTED THIS DAY OF 20
BID SUBMITTED BY:
104660(C S 6- - c� - 9/ t9-9 4 6)
Company Telephone Number
kl'u fNd- 60-4 UtA' 71)
N* orized to Submit Bid Fax Number
7ig
Sign atv Email AdWM
Title
FAILURE TO COMPLETE, SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 10
SW 64th Street Corridor Improvements - Phase I
Public Works Department
Engineering & Construction Division
Schedule of Values
SW 64th Street Corridor Improvements Phase I
Item
Description
Quantity
Unit
Unit Price
Total Price
I
Mobilization
1
LS
/6v, 00
/000,0
2
Maintenance of Traffic
1
LS
/m OZ
I vel 010
3
Clearing and Grubbing
I
LS
lev, 00
/00. CFO
4
Concrete Removal
927
SY
f
I
4" Concrete Sidewalk
927
SY
6
Installation of Root Barriers/Liner
60
LF
_31360"",
SUBTOTAL
40.6 56"',
7
Performance & Payment Bond
$30M,
8
lContingency (10% of Subtotal) - Allowances for Unforseen Conditions.
4 369-
TOTAL
Note:
Revised 10-7-2011 Bid Form must be submitted with the bid. Failure to submit this form shall result in a non-
responsive bid.
Pay Item Description
• Mobilization - Perform preparatory work and operations in mobilizing for beginning work on the
project, including, but not limited to, those operations necessary for the movement of personnel,
equipment, supplies, and' incidentals to the project site. Payment will be based on a lump sum for
mobilization.
• Maintenance of Traffic — Lump sum for furnishing traffic control including but not limited to flag persons,
cones, markers, signs, lighting, flags, and other control devices for directing traffic and maintain safety,
and other aides for the duration of the project. Included in this bid item is the payment of an off -duty
law enforcement officer to control and direct traffic. Since this item is bid as a lump sum, payment will
be in accordance with the cost breakdown as approved by the Consultant and measured as required by
and satisfactory to the Consultant All MOT devices required must conform to applicable standards.
• Clearing and Grubbing — Lump sum for furnishing the work required for clearing and grubbing within
the limits defined in the bid documents and in accordance with the FDOT specifications. The price bid
shall be full compensation for furnishing all necessary labor, materials, tools and equipment and for
performing all work required for the removal and disposal of trees, stumps, roots, tree trimming and
other protruding objects, structures, pipes appurtenances, existing flexible asphalt pavement and other
facilities necessary to prepare the area for the proposed construction. Included in the lump sum are
loading, unloading, transport and disposal costs. Payment will be based on a lump sum for clearing and
grubbing.
• Concrete Removal — Square Yards to remove existing concrete pavement within the limits defined by
documents, Miami-Dade County Public Works Standard Details or as directed by the City. The price
bid shall be full compensation for furnishing all necessary labor, materials, tools and equipment for
performing all work required for the demolition of existing concrete sidewalk the loading, transporting
and proper disposal of the concrete debris. Payment will be based on the quantity of square yards of
removed existing concrete pavement times the unit price.
Concrete Sidewalk 4" Thick — Square yards to install new sidewalks and pedestrian ramps (when
possible), V thick within the limits defined by FDOT specifications and/or Miami-Dade County Public
Works standards. The bid price shall be full compensation for furnishing all necessary labor, materials,
tools and equipment and performing all work required for preparing and transporting mixture,
formwork, placing, compacting and testing for a complete sidewalk and pedestrian ramps (when
possible). Payment will be based on the number of square yards of new installed concrete sidewalks and
pedestrian ramps, 4" thick times the unit bid price.
Installation of Root Barriers/Liner — Linear Feet to install root barrier or root liners to restrict the
intrusion of root growth that will impact the sidewalk. The bid price shall be full compensation for
furnishing all necessary labor, materials, tools and equipment and performing all work required for root
removal, preparing and installing the root barrier or liner. Payment will be based on the number of
linear feet of newly installed barrier/liner times the unit bid price.
Performance and Payment Bond - lump sum for prepatory work on the project, including moving of
equipment, materials, supplies and incidentals to and from the project site, including all setup and
breakdown, the cost for safety equipment, first aid supplies, sanitary and other facilities, rental of
storage areas, off site cleanup. All other costs incurred to commence and terminate construction, as
described in the General Conditions, shall be considered incidental and necessary as part of the lump
sum amount Include the cost of bonds, permits and any required insurance and any other
reconstruction expense necessary for the start of the work. Partial payment Will be in accordance with
FDOT Section 10'1 schedule.
• Contingency — An amount that is 10% of the Subtotal for items I through 6. The contractor is not
entitled to these funds unless a request is submitted in writing to the City or designee for review and
approval.
BID BOND
SIN 64th Street Corridor improvements - Phase I
STATE OF FLORIDA
COUNTY OF MIAMI -BADE
KNOW ALL MEN BY THESE PRESENTS, thatwe, MAGGOLC, INC.
,,,Pindpl,and DEVELOPERS SURETY AND INDEMNITY COMPANY
as Surety, are held and firmly bound unto the City of South Miami, a
OP%at,4of Fk Ida
ft�rl1?ERVTffw8F AOA T in the sum of
($ 5 AMT OF E JDAul money of
the United States, for the payment of which sum well and truly to be nude, we bind ourselves, our
heirs, executors, administrators and successors jointly and severally, firrnly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH that
WHEREAS, the Principal has submitted the accompanying Bid dated OCTOBER 14, 2011
for the SW 64th Street Corridor Improvements - Phase I it was a condition precedent to the
submission of said Bid that a Bid Bond in the amount of five percent (5%) of the Base Bid be submitted
with said Bid as a guarantee that the BIDDER would, fulfill the obligations of the Invitation to bid and bid
documents;
NOW THEREFORE
A. If the principal shall not withdraw said bid Within ninety (90) days after the date for opening of the
same, and shall, within ten (10) days after the prescribed forms are presented to it for signature,
enter into a written contract with the Owner in accordance with the bid as accepted, and give
bonds with good and sufficient surety or sureties, as may be required, for the faithful performance
and proper fulfillment of such contract, then the above obligations shall be void and of no effect
otherwise to remain in full force and effect
B. However;; in the event of the principars unauthorized withdrawal of said bid within ninety (90) days
after the date of the opening of the same or the failure to enter into a written contract with the
Owner in accordance with the bid as accepted, and/or the failure to provide the City with bonds
issued from good and sufficient surety or sureties, as may be required, for the faithful performance
and proper fulfillment of such Contract within ten (10) days after the prescribed forms are
presented to It for signature andior in the event that the principal is not awarded the bit but falls to
waive all claims that arose or might have arisen out of the bid process in the event that the bid is
not awarded to the principal, then the above obligations shall remain in full force and effect and the
bond shall thereafter be disburse, by court order, to the Owner in the full amount of the bond if the
Bid Documents provide for liquidated damages under the circumstance of the case or, if liquidated
damages are not applicable. then In an amount that is adequate to fully compensate the Owner for
all of its damages incurred due to the breach of the terms of this Bond, including all attorney fees.
court costs and legal expense incurred by the City for any and all proceedings required to obtain the
court order of disbursement. including the cost of all appeals or other proceedings, as well as the
fees and costs incurred to collect these damages.
IN WITNESS WHEREOF, the above bonded parties have executed this instrument under their
several seals this 14TH Clay of OCTOBER - 2011, the name and the corporate
sea[ of each corporate party being hereto affixed and these presents being duly signed by its undersigned
representative.
a thomastoepe-09-08-11 TABLE OF Page I I
IN
SECOND PAGE OF ATWO (2) PAGE
BID BOND
ATTEST,
(S-0
MAGGOLC, INC.
(individual or paraiership principal)
11020 SW 55 STREET
(Business Address)
MIAMI, FL 33165
(City/State/Zip)
786-291-2949
(Business Phone)
DEVELOPERS SURETY AND INDEMNITY COMPANY
Secretary (Corporate Surety)*
By.
Impress Corporate Surety Seal RAMON A RODRIGUEZ ATTY-IN-FACT & FLA RES
IMPORTANT surety companies executing bonds must appear on the Treasury Department7s most AGENT
current list (circular 570 as amended) and be authorized to transact business in the
State of Florida.
FA]WRE TO COMPLETE SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
0 thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 12
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
PO Box 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY, does hereby make, constituteend appoint:
***Ramon A. Rodriguez, Eric D. Sheesley, jointly or severally—
as its true and lawful Aftorney(s)-m-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporation, as surety, bonds, undertakings and contracts ol'suretyship
giving and granting unto said Aftomey(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of said
corporation could do, but reserving to each of said corporation full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these presents, are
hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority, of the following resolution adopted by the Board of Directors of DEVELOPERS SURETY AND INDEK
N ITY COMPANY, effective as of January I st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, any Executive Vice-President, Senior Vice-President or Vice-President of the corpo-
ration be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attomey(s) named in the Power of Attorney to execute, on behalf of the corporation;
bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of
any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which iris attached,
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and attested by its Secretary or Assistant Secre-
tary this January 1 st, 2008,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in histheritheir authorized
JENW TT "WOM capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
COMM. Al 17916"0 which the person(s) acted, executed the instrument.
140TARYPUBWCAUFOORMNA I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is
011"E COUft
e and correct.
60ft FW 1k2M tru
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Je TT Ng I ary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power of Attorney
remains in full force and has not been revoked and, furthermore, that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power ofAttomey are in
force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California; this 144hof 0--bobw, 2M
By
Gregg Okur tent Secretary
ID-1438(Rev.11/09)
BY:
AND
Daniel Young, Vice- President
OCT
By:
10
Stephen T Pate, Senior Vice- President
1936
State of California
. . . . . .
County of Orange
.......
On August 13th. 2008 before me,
1-- T Nguyen Notary Publid
Date
Here Insert Name and Tide of the Officer
personally appeared
D.M.1 Young -- Stephen
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in histheritheir authorized
JENW TT "WOM capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
COMM. Al 17916"0 which the person(s) acted, executed the instrument.
140TARYPUBWCAUFOORMNA I certify under PENALTY OF PERJURY under the laws of the State of Califomia that the foregoing paragraph is
011"E COUft
e and correct.
60ft FW 1k2M tru
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Je TT Ng I ary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY does hereby certify that the foregoing Power of Attorney
remains in full force and has not been revoked and, furthermore, that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power ofAttomey are in
force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California; this 144hof 0--bobw, 2M
By
Gregg Okur tent Secretary
ID-1438(Rev.11/09)
BIDDER QUALIFICATION STATEMENT
SW 64th Street Corridor Improvements - Phase I
The BIDDERs response to this questionnaire shall be utilized as part of the CITY'S overall Bid
Evaluation and Contractor selection.
1. Number of similar construction projects completed,
Al
a) In the past 5 years
On Schedule
b) In the past 10 years
On Schedule
2, List the last three (3) completed similar projects.
a) Project Name:
Owner Name:
Owner Address:
Owner Telephone:
Original Contract Completion
Time (Days):
Original Contract Completion
Date:
Actual Final Contract
Completion Date:
Original Contract Price:
Actual Final Contract Price:
b) Project Name:
Owner Name:
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 13
Owner Address:
Owner Telephone:
Original Contract Completion
Time (Days):
Original Contract Completion
Date:
Actual Final Contract
Completion Date:
Original Contract Price:
Actual Final Contract Price:
c) Project Name:
Owner Name:
Owner Address:
Owner Telephone:
Original Contract Completion
Time (Days):
Original Contract Completion
Date:
Actual Final Contract
Completion Date:
Original Contract Price.
Actual Final Contract Price:
thomasfpepe-09-08-1 I TABLE OF CONTENTS Page
71
3. Current workload Z e_ 4cffa 4
Project Name Owner Name Telephone Number Conti-act Price
4. The following information shall be provided for this project.
a) Estimated total demolition man-hours 36,0 A r—s -
Percent man-hours to be performed by Contractor's
b) permanent staff / no 07d
Permanent man-hours to be performed by direct hired
c) employees for this project 46 -M&-Co 44,)-e-
d) Percent man-hours to be performed by Subcontractors
S. The following information shall be attached to the bid.
a) Contractor's home office organization chart.
b) Contractor's proposed project organizational chart.
c) Resumes of proposed key project personnel, including on-site Superintendent.
6, List and describe any.
a) Bankruptcy petitions filed by or against the BIDDER or any predecessor organizations,
b) Any arbitration or civil or criminal proceedings, or A) /,4
Suspension of contracts or debarring from Bidding by any public agency brought
C) against the BIDDER in the last five (5) years. A)1A
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 15
7. Government References:
List other Government Agencies or Quasi-government Agencies for which you have done business
within the past five (5) years.
Name of Agency:
(
Address:
Telephone No.:
Contact Person:
Type of Project
Name of Agency:
Address:
Telephone No
Contact Person:
Type of Project
Name of Agency:
Address:
Telephone No.:
Contact Person:
Type of Project:
FAILURE TO COMPLETE, SIGN, A RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 16
MAUG1*111
ENGINEERING CONTRACTOR — LIC: E-251302
11020 SW 55 ST., MIAMI, FL 33165
PHONE, 786-291-2949 FAX: 786472-8831
magnoicAvaboo.com
1-Drainage Improvement for NW 22 CT from NW 107 ST to NW 112 ST, ($318,000) (Miami-
Dade County Public Works Dept., Completed Dec. 2007). (Alberto Estevez 786 256 2627).
(esteva@miamidade.gov)
2- Various Park Parking Lot Re-striping & Wheel Stop Replace. ($24,500) (Miami-Dade Park
and Recreation Dept. Completed March 2008). (305 596 4460)
3-Seal Coat and Re-striping of Station 131 Logistics Parking Area. ($19,000) (Miami-Dade
Fire Rescue Dept. Completed July 2008). (786 331 4529)
4-Norman and Jean Reach Park/Foul ball Netting. ($25,000) (Miami-Dade Park and
Recreation Dept., Completed June 2008). (305 596 4460)
5-01ympic Park Concrete Sidewalk Construction. ($184,000) (Miami-Dade Park and
Recreation Dept., Completed July 2008). (Dan Crawford 305 596 4460)
(dc93@miamidade.gov)
6-Dolphin Archaelogical Site Concrete Sidewalk Construction., ($114,084) (Miami-Dade
Park and Recreation Dept., Completed July 2008). (Dan Crawford 305 596 4460)
(dc93@miamidade.gov)
7-Countywide Repair of Existing Asphalt Pavement. (Milling & Resurfacing) ($949,990)
(Florida Department of Transportation, Dist. Six, Executed the year 2008 and renewed for to
year 2009 and 2010, Completed June 2011). (Janice Corn 305 256 6359)
(Janice. corn @dot. state.fl. us)
8-Countywide Intersections Improvement, Roadway and Drainage. ($443,637) (Miami-
Dade County Public Works Dept., Completed Dec. 2008). (Joaquin Rabassa 305 299 9822)
ara@miamidade.gov)
9-West Perrino Park Concrete Slabs, Sidewalks and Poured in Place. ($34,000) (Miami-
Dade Park and Recreation Dept., Completed January 2009). (305 596 4460)
1 O-West Little River Asphalt Driveways Phase IV-B. ($68,000) (Miami-Dade County Office of
Community and Economic Development, Completed January 2009). (Mario Berrios 786 469
2112) (mberr@miamidade.gov)
11-Brentwood Pool Park New Asphalt Walkways. ($34,000) (City
Completed April 2009). (305 622 8000) (fallen@miamigardens-fl.gov)
12- Country Club of Miami Parcel 1169 & 1168 -E New Asphalt Walkways. ($178,000)
(Miami -Dade Park and Recreation Dept., Completed July 2009). (Dan Crawford 305 596 4460)
(dc93 @miamidade.gov)
13- Country Club of Miami Grading, Sitework & Greens. ($107,000) (Miami -Dade Park and
Recreation Dept., Completed August 2009). (305 596 4460)
14 -SR 907 (Alton Rd) at Allison Dr. for Drainage and Retention Improvements. ($134,000)
(FDOT, Completed December 2009) (305 256 6380) ( anthony.sabbag @dot.state.fl.us)
15- West Little River Asphalt Driveways Phase IV -D. ($35,000) (Miami -Dade County Office
of Community and Economic Development, Completed December 2009). (786 469 2112)
(mberr @miam idade.gov)
16- District 2 Sidewalk Repair Project II ($75,300) (Public Works Dep. City of Miami,
Completed March 2010) (305 416 1755) (fdubuisson @miamigov.com)
17 -Blue Road Roundabouts Re -Bid ($145,000) (Public Works Dep. City of Coral Gables,
Completed March 2010) ( 305 460 5018) (epino @coralgables.com)
18- Harbor Drive Lighting and Resurfacing Improvement ($270,000) (Public Works Dep.
Village of Key Biscayne April 2010) (786 255 6765) (anunez @keybiscayne.fl.gov)
19- District 1- Sidewalk Repair Project 11 ($95,990) (Public Works Dep. City of Miami,
Completed September 2010) (305 416 1755) (fdubuisson @miamigov.com)
20- Golden Shore Park Pavers Sidewalk ($23,895.00) (Public Works Dep. City of Sunny Isles
Beach, November 2010) ( 305 947 0606) (gbatista @sibfi.net)
21 -AD Barnes Park Asphalt Walkways ($86,615.00) (Miami -Dade Park and Recreation Dept.,
Completed December 2010) (305 755 7985) (rttolon @miamidade.gov)
22- Installation of Sidewalks and Ramps along NE 12 Ave ($123,750.00) (Public Works Dep.
City of North Miami, Completed December 2010) (305 893 6511)
(ghernandez @northmiamifl.gov)
23- Intersection Realignment SW 139 Terr & SW 140 Dr. and East Guava Street One Way
Street Conversion ($36,775) (Public Works Dep., Village of Palmetto Bay, Completed
December 2010) (305 969 5011) (dcasals @palmettobay- fl.gov)
24- District #3 Citywide ADA Sidewalk Improvements, ($107,414) (Public Works Dep. City of
Miami, Completed February 2011) (305 416 1755) (fdubuisson @miamigov.com)
25- District #1 Citywide ADA Sidewalk improvements, ($155,523) (Public Works Dep. City
of Miami, Completed May 2011) (305 416 1755) (fdubuisson @miamigov.com)
r
26- MIA Building 3050 Parking Lot Drainage & Asphalt Improvement ($103,000) (Aviation
Department Miami -Dade County; Completed May 2011) (305 876 8444)
(gtai@mikegconst.com)
27- MIA- NW 67 Ave & NW 36 Street- Intersection Improvements ($65,000), (concrete
works) (Aviation Department Miami Dade County, Complete July 2011) (305 622 8000)
Opet @mikegconst.com)
28- District #4 Citywide ADA Sidewalk Improvements, ($149,397) (Public Works Dep. City
of Miami, Completed October 2011) (305 416 1755) (fdubuisson @miamigov.com)
29- Tamiami Canal Miccosukee Linear Park, Tamiami Trail and SW 122 Ave. ($87,703)
(Miami Dade Park & Recreation Department, Completed October 2011) (305 755 7985)
(rttolon @miamidade.gov)
mmac Aq 0
ENGINEERING CONTRACTOR — LIC: E-261302
11020 SW 66 ST., MIAMI, FL 33165
PHONE: 786-291-2949 FAX: 786-472-8831
mag oIc9byahoo.com
1- Citywide ADA Sidewalk Improvements, Dist. 2 (Owner: City of Miami, $ 105,305.00)
(pendind to New Work Orders) (Executed 55 %)
2- CDBG- SW 19 Terr Improvements. (Owner City of Miami, Capital Improvements
Depatment, $ 179,040.50) (Executed 85 %)
3- Citywide Sidewalk Repair Project (Owner City of South Miami, Public Works. $15,878)
(Executed 100 %)
4- General Roadway Repairs and Minor Constructions (Owner Town of Miami Lakes,
Public Works Dep. $ 96,800) (Executed 15 %)
m3aggGo lez
I
olc I . /President
7TT
ENGINEERING CONTRACTOR — LIC: E-251302
11020 SW 56 ST., MIAMI, FL 33166
PHONE: 786-291-2949 FAX: 786-472-8831
mag olqOyahooxom
MAGGOLC REFERENCE LISTING
1) Company Name: Miami Dade County Public Works Department.
Address: 111 NW 1st ST 14 Floor, Miami, FL 33128
Contact Person: Pedro Estopinan Telephone # 305 934 6294
2) Company Name: Miami Dade Park & Recreation Department.
Address:275 NW 2nd Street, 4th Floor, Miami, FL 33128
Contact Person: Ruben Teurbe Tolon Telephone # 305 755 5465
3) Company Name: Office of Community & Economic Development M -D' County
Address:701 NW 1t CT 14 Floor Miami, FL 33136
Contact Person: Mario Berrios Telephone # 786 469 2112
4) Company Name: Florida Department of Transportation
Address: 14655 SW 122 Ave Miami, FL 33186
Contact Person: Janice Corn Telephone # 305 986 1581
5) Company Name: City of Miami Gardens
Address:1515 NW 167 ST Bldg 5 Suite 200 Miami Gardens FL, 33169
Contact Person: Willian Garviso Telephone # 305 662 8031
6) Company Name: City of Miami
Address:444 SW 2nd Ave, 8 Floor, Miami FL 33130
Contact Person: Fabiola Dubuisson Telephone # 305 416 1755
7) Company Name: City of North Miami
Address:776 NE 125 Street, North Miami, FL 33161
Contact Person: Gerardo Hernandez Telephone # 305 895 9831
8) Company Name: Village of Key Biscayne
Address:88 West McIntyre Street, Suite 220 Key Biscayne, FL 33149
Contact Person: Armando Nunez Telephone # 305 365 7574
9) Company Name: City of Coral Gables
Address:2800 SW 72 Ave Miami, FL 33155
Contact Person: Esther Zabalo Telephone # 305 460 5004
+TB
Construction Trades`( lualifying Board
;INESS CERTIFICATE OF COMPETENCY
E251302
kGISMIC INC,
GONZALIEZ MARI 3
Is certified under the provisions of Chapter 10 of Miami -Dade County
t MIAMFDADE COUNTY
- 2017, LOCAL.$USINESS,TAX RECEIPT -2012
FIRST -CLASS
1 TAX COLLECTOR
MIAMt DARE S`OUNTl STATE F f1.ORIDA-
U.S. POSTAGE
140 W. FLAGLER ST.
EXPIRES SEPT0 20 2
PAID
1st FLOOR
MUST BE DISPLAYED AT PLACE OBUSINESS
MIAMI, FL
MIAMI, FL 33130
PURSUANT TO COUNTY GORE 4*E + t 10
PERMIT NO. 231
THIS IS NOT A BILL- DO NOT PAY
568406-4
RENEWAL
BUSINESS NAME / LOCATION
RECEIPT NO. 592848 -7
MAGGOLC INC
CC # E251302
11020 SW 55 ST
33165 UNIN DADE
COUNTY
OWNER
MAGGOLC INC
Sea.T eafBir S$
WORKER /S
1 SPECIALTY ENGINEERING
CONTRACT 1
.THIS. IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOE$ :NOT PERMIT THE
.HOLDER TO VIOLATE ANY
ZONINGG LAWS AOFR THE
DO NOT FORWARD.
:COUNTY OR CITIES, NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMR OR LICENSE
REQUIRED BY LAW, THIS 1$
MAGGOLC INC
NOT THE HOIDER'S�OUALOIFICA -.
MARIO GONZALEZ PRES
TIONS.
11020 SW 55 ST
PAYMENT RECEIVED
MIAMI-DA DE COUNTY TAX.
MIAMI: Ft 33165
COLLECTOR:
07/07/2011
09010077001
000075.00
1, sll, til(,,,, IIr�, rrltlrrll� , #Ittl,tl�,�a�sst�af�irs7l3i3
SEE OTHER SIDE
STATE OF FLORIDA,
DSPARTMRNT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY ,LICENSING BOARD (550) 487 -1395
1440 NORTH XON";� STRUT
TALLAHASSU VL 32399 -0783
GONZALEZ MARIO H
MAGGi7LC iNC
11020 SW 55 ST
MIAMI FL 33165
Congrstulnt ions! With tlris Howse you become one of the nearly one million
Floridians licensed by the Department of Business and professional Ftegu.W.0n,
Our professionals and businesses range from ardlvi e* to yacht brokers, from
boxers to bad"ue restaurants, and they keep Florida's econornystrong.
Every day we work to lmorove the wav we do business in order to setvis you bet
impact you, subscribe to dapaitrtierit newsletters aril learn more about the
Department's initiatives,
Our mission at the department is, License Efficiently, Regulate Fairly, e
carrstaniiy strive to serve you baited sec chat yyoouu can serve your custatrs,
Thank you for doing busiitese in Florida,. and congratulations on your new Howse)::
DETACI.1 HERE
mxftc W1.
Engineering Contractor — Lie. E-261302
11020 SW 66 ST., Miami, FL 33165
Phone: 786-291-2949 Fax: 786-472-8831
mamolc9byahoo.com
RESUME:
MARIO GONZALEZ
Superintendent of Maggok Inc.
Gonzalez is a Roadway Construction and Civil Engineer with over 24 years of
progressive experience in the fields of highway and railway design, construction,
maintenance, and operations.
EDUCATION:
Instituto Superior Polit6cnico (Higher Polytechnic Institute) "Julio Antonio Mella",
Santiago de Cuba, Cuba.
Degree: INGENIERO VIAL (Roadway Construction Engineer), July 1988. This is
equivalent to a Bachelor of Science in Civil Engineering (BSCE) from a regionally
accredited institution of higher education in the United States.
Universidad Central de Venezuela, Caracas, Venezuela.
Degree: INGENIERO CIVIL (Civil Engineer), July 1997.
CERTIFICATIONS:
- TROXLER Electronics Lab - Nuclear Gauge Safety Training, (2001 & 2004)
- FDOT — MUTCD/Maintenance of Traffic, Intermediate Level (2008)
- ASPHALT PAVING TECHNICIAN — Level 1 (2004)
- EARTHWORK CONSTRUCTION INSPECTION — Level 1 (2005)
- ACI, Concrete Field Testing Technician- Grade 1. (2005)
- FDOT Concrete Field Inspector Specifications. (2005)
LICENSES (General Engineering Contractor, Miami-Dade County Public Works):
-Plant Construction. (2005)
-Paving Engineering. (2005)
-Excavation and Grading. (2005)
-Structural. (2005)
-Registered and Certificate State of Florida Undergraund Utilities Contractor.
WORK EXPERIENCE:
MAGGOLC INC., Miami, Florida, USA. (June 2005 to Present).
Gonzalez is the owner and president of Maggolc Inc., this is an Engineering Contractor
Company. Specialized in Drainage Systems, Pavement and Concrete.
Work Executed:
- Tamiami Canal Miccosukee Linear Park (Miami-Dade County, Park & Recreation
Dep) 2011.
-District #4 Citywide ADA Sidewalk Improvements (City of Miami) 2011
-MIA NW 36 Street & 67 Ave Intersection Improvement (concrete ) (Aviation
Department M-D County) 2011
-MIA Building 3050 Parking Lot Improvements (Aviation Department M-D County)
2011
-District #1 Citywide ADA Sidewalk Improvements (City of Miami) 2011
-District #3 Citywide ADA Sidewalk Improvements (City of Miami) 2011
-Intersection Realignment SW 139 Terr. & SW 140 Dr. and Esat Guava ST One
Way Street Conversion. (Village of Palmetto Bay) 2010
-Installation of Sidewalks and Ramps <along NE 12 Ave. (City of North Miami) 2010.
-AD Barnes Park Asphalt Walkways.. (M-D County Park & Recreation) 2010.
-Golden Shore Park Pavers Sidewalks. (City of Sunny Isles). 2010
-District 1, Sidewalks Repair. (City of Miami). 2010
-Crandon Park ADA Parking Space Striping and Signs. (M-D County Park &
Recreation) 2010.
-District 11, Sidewalks Repair. (City of Miami). 2010
-Harbor Drive Lighting and Resurfacing Improv. (Village of Key Biscayne) 2010
-Blue Road Roundabouts and Drainage. (City of Coral Gables) 2010
-Drainage Retention Improvements of State Rd. 907 (Alton Rd.) at Allison Drive.
Milling and Asphalt Resurfacing. (FDOT, District 6) 2009
-Country Club of Miami Park Concrete and Asphalt Walkway (Miami-Dade
County, Park & Recreation Dep.) 2009.
-Brendwood Park Asphalt Walkway. (City of Miami Gardens) 2009.
-West Little River Improve Asphalt Driveways. (Miami-Dade County Office of
Community and Economic Development) 2008.
-West Perrine Park Concrete Slabs and Poured Safety Surface. (M-D C Park and
Recreation) 2008
- Asphalt Pavement Repair. Florida Department of Transportation (District 6). 2008-
2009, 2009-2010 and 2010-2011.
-Improve Intersections Countywide Project, include Milling and Asphalt
Resurfacing. (Sidewalk, Handicap Ramps, Curb & Gutters, Pavers, New Pavement,
Drainage, Sodding (M-D County Public Work Dep.) 2008
-Seal Coat and Restriping of Station 13 and Logistics Parking Area. (MD County
Fire Rescue Department) 2008
-Dolphin Archaeological Site Sidewalk Construction. (M-D County Park and
Recreation) 2008.
-Olympic Park Sidewalks Construction. (M-D County Park and Recreation) 2007
-Norman & Jean Reach Park Foul Ball Netting. (M-D County Park and Recreation)
2007
-Drainage Improvement Project for NW 22 Court from NW 107 ST to NW 112 ST.
(M-D County Public Work Dep.). 2006, etc
Others Places where Gonzalez was working:
SRS ENGINEERING, INC., Miami, Florida, USA. (August 2006 to July 2007).
Construction Field Inspector of Drainage and Roadway Restoration. (Public Work
Department, Miami-Dade County Projects).
-Allaphatta Phase 1.
-Hardwood Village Phase 11.
BERMELLO, AJAMIL & PARTNERS, INC., Miami, Florida, USA. (May 2005 to
July 2006).
Quality Control (QC) Construction Inspector (DOT Projects): (Earthwork, Concrete and
Asphalt).
-Okeechobee Road. (W 12 Ave to Palmetto Expwy)
-Miami Garden Drive. (NW 2 Ave to NW 17 Ave.)
-Biscayne Blvd. (NW 96 ST to NW 104 ST)
-Golden Gate Pkwy (Naples)
-Florida's Turnpike (Griffin Rd to Sunrise Blvd).
-A- I -A (Key West),
MARLIN ENGINEERING INC., Miami, Florida, USA. (October 2000 —May 2005).
February 2004 to May 2005.
Construction Field Inspector of Drainage and Roadway (FEMA-DERM, Miami-Dade
County Projects).
Activities Included:
Verify of storm drainage structures in accordance with the approved shop drawings,
installation of drainage and pollution control structures, drainage pipe inverts, joints,
seals, French Drain Systems, solid pipe placement and bedding material,. Check the
Contractor's compliance with all Maintenance of Traffic.
Reconstruction of Pavement, Roadway Milling and Resurfacing; reconstruction of Curb
and Gutter and Sidewalks; Site Restoration, including Grading of Swales, Sod Placement,
etc.
Requirements:
- Ensure the quality of the construction work, as per the Public Works Department
Manual, FDOT Standards, and Project Contract Documents.
- Ensure the full restoration of the project, including site cleanliness, swale grading,
and sod placement.
- Keep records of daily activities, daily production, site testing, and progress of the work.
- Resolve complaints by residents resulting from construction activities.
March 2001 to February 2004: Project Engineer
Project Engineer for the design, roadway restoration, and storm drainage systems
improvement, including independent sites and community. (DERM/FEMA Program
administered by the Division of Recovery and Mitigation-DORM) in Miami-Dade
County and City of Miami Storm Drainage Inaprovement Program). Working closely
with Microstation and AutoCAD software.
October 2000 to March 2001 and October 2002 to February 2003: Roadway Inspector.
Surveying, inspecting and drawing sketches for roadway restoration projects in Q.N.I.P,
Public Work Department of Miami-Dade County. Inspecting and supervising
construction of asphalt patching, milling and resurfacing operations.
NON-COLLUSION AFFIDAVIT
SW 64th Street Corridor Improvements - Phase I
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
0/ being first duly sworn, deposes and states
that: f
(1) He/She/They is/are the OW�
Xel (Owner, Partner, Officer, Representative or Agent)
of
A-640(-C- - the PROPOSER that has submitted the attached BID;
(2) He/She/They is/are fully informed with respect to the preparation and contents of the attached BID
and of all pertinent circumstances concerning such BID;
(3) Such BID is genuine and is not a collusive or sham BID;
(4) Neither the said PROPOSER nor any of its officers, partners, owners, agents, representatives,
employees or parties in interest, including this affiant, have in any way colluded, conspired, connived
or agreed, directly or indirectly, with any other PROPOSER, firm, or person to submit a collusive or
sham BID in connection with the Work for which the attached BID has been submitted; or to
refrain from PROPOSING in connection with such Work; or have in any manner, directly or
indirectly, sought by agreement or collusion, or communication, or conference with any
PROPOSER, firm, or person to fix any overhead, profit, or cost elements of the BID or of any other
PROPOSER, or to fix any overhead, profit, or cost elements of the BID Price or the BID Price of
any other PROPOSER, or to secure through any collusion, conspiracy, connivance, or unlawful
agreement any advantage against (Recipient), or any person interested in the proposed Work;
(5) The price or prices quoted in the attached BID a
collusion, conspiracy, connivance, or unlawful, agr
other of its agents, representatives, owners, e 'I
Signed, sp4led & delivered in the presence of B.
Subscribed and sworn to before me this 14
PAIRICIA A RWA
MY COMMISSION #EE73340
EXPIRES; MAR 13, 2015'
Bowed Rough 131 state Imme
per and are not tainted by any
part of the PROPOSER or any
'interest, including this affiant,
13
,20 11
Notary t-utiiic (bignature)
My Commission Expires: .:3 _i:3-201f
FAILURE TO COMPLETE, SIGN, & RETURN FORM MAY DISQUALIFY YOUR RESPONSE
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 17
PUBLIC ENTITY CRIMES AND CONFLICTS OF INTEREST
SW 64th Street Corridor Improvements - Phase I
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 of repair of a public building or public
work, may not submit bids on leases or real property to a public entity, may not be awarded to perform
Work as a Contractor, supplier, Subcontractor, 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
Section 287.017, Florida Statutes, for thirty six (36) months from the date of being placed on the
convicted vendor list".
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State
Statutes. BIDDERS 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 South Miami or its agencies.
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTE OATHS.
I. This sworn statement is submitted to ee 74-11
[print name of the public entity]
by
[print individual's name and title]
for A 660 T-Jr—,
[print name of entity submitting sworn statement]
whose business address is 9L-0 *-w 5ti 5- X��
[print full mailing address]
and (if Wplicable) its Federal Employer Identification Number (FEIN) is
ZO _ 3 , 5 (If the entity has no FEIN, include the Social Security Number of
the individual signing this sworn statement., ---
2. 1 understand that a "public entity crime" as defined in Paragraph 287.133 (1)(g), Florida Statutes
means a violation of any state or federal law by a person with respect to and directly related to the
transaction of business with any public entity or with an agency or political subdivision of any other
state or of the United States, including, but not limited to, any bid or contract for goods or services
to be provided to any public entity or an agency or political subdivision of any other state or of the
United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or
material misrepresentation.
3, 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133 (1) (b), Florida
Statutes means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in any federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989, as a result of a jury verdict, non-jury trial, or entry of a
plea of guilty or nolo contendere.
4. 1 understand that an "affiliate" as defined in Paragraph 287.133 (1) (a), Florida Statutes means:
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 18
(a) A predecessor or successor of a person convicted of a public entity crime; or
(b) An entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime. The term "affiliate" includes those officers,
directors, executives, partners, shareholders, employees, members, and agents who are active in
the management of an affiliate. The ownership by one person of shares constituting a
controlling interest in any person, or a pooling of equipment or income among persons when
not for fair market value under an arm's length agreement, shall be a prima facie case that
one person controls another person. A person who knowingly enters into a joint venture
with a person who has been convicted of a public entity crime in Florida during the
preceding 36 months shall be considered an affiliate.
5. 1 understand that a "person" as defined in Paragraph 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 "person" includes those officers, directors,
executives, partners, shareholders, employees, members, and agents who are active in management
of an entity.
6. Based on information and belief, the statement which I have marked below is true in relation to the
entity
7 b itting this sworn statement, [indicate which statement applies.]
"Neither the entity submitting this sworn statement, nor any of its 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 of 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 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 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.
0 thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 19
Signed, sealed & delivered in the presence of.- By:
Subscribed and sworn to before me this A- Ur day of, C) — 1 20 Ll
PATRICIA& R I Not,*y Public (Signhture)
MY COMMISSION #=El� VIO
EXPIRES: MAR 13,2015
Bonded ftough jet SW Insurance
My Commission Expires: 3-J'3-0tjf
l
Public Entity Crimes and Conflicts of Interest
FAILURE TO COMPLETE, SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 20
DRUG FREE WORKPLACE
SW 64th Street Corridor Improvements - Phase I
Whenever two or more Bids which are equal with respect to price, quality and service are received by
the State or by any political subdivisions for the procurement of commodities or contractual services, a
Bid received from a business that certifies that it has implemented a drug-free workplace program shall
be given preference in the award process. Established procedures for processing tie Bids shall be
followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free
workplace program, a business shall:
1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the
actions that shall be taken against employees for violations of such prohibition.
2) Inform employees about the dangers of drug abuse in the workplace, the business' policy of
maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3) Give each employee engaged in providing the commodities or contractual services that are under
Bid a copy of the statement specified in Subsection (1).
4) In the statement specified in Subsection (1), notify the employees, that, as a condition of working of
the commodities or contractual services that are under Bid, he employee shall abide by the terms of
the statement and shall notify the employee of any conviction of, or plea of guilty or nolo contendere
to, any violation of Chapter 893 or of any controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program, if such is available in the employee's community, by any employee who is so
convicted.
6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of
this section.
As the person authorized to sign the statement I certify that this firm complies fully with the above
requirements.
BIDDER'S Signature.
Print Name:
Date:
FAILURE TO COMPLETE, SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 21
ACKNOWLEDGEMENT OF CONFORMANCE WITH OSHA STANDARDS
SW 64th Street Corridor Improvements - Phase I
TO THE CITY OF SOUTH MIAMI
We, MAGGOtC TJ& - , (Name of Contractor), hereby acknowledge and agree that
as Contractors for the SW 64th Street Corridor Improvements - Phase 1, as specified have the sole
responsibility for compliance with all the requirements of the Federal Occupational Safety and Health
Act of 1970, and all State and local safety and health regulations, and agree to indemnify and hold
harmless the City of South Miami against any and all liability, claims, damages, losses and expenses they
may incur due to the failure of (subcontractor's names):
e-�.—
Name
6-4
Title
Wit pE'e- ss
FAILURE TO COMPLETE, SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 22
LIST OF PROPOSED SUBCONTRACTORS AND PRINCIPAL SUPPLIERS
SW 64th Street Corridor Improvements - Phase I
BIDDER shall list all Proposed Subcontractors to be used on this project if they are awarded the
Contract.
Classification of
Work
Landscape
Subcontractor
Name
Address
Telephone, Fax &
Email
Sodding and Turf Work
Electrical
Irrigation
Paving
Park Amenities
Graphics
Utilities
Excavation
Building
Structures
Plumbing
Painting
Testing Laboratory
Soil Fumigator
Signs
Other:
'1' 4- #4 q �". z V 1
F1 33 1,9
jo-r- f
3?C— Z-Go (e 900
This list shall be provided to the Eity of South Miami by the apparent lowest responsive and responsible
bidder within five (5) calendar days after Bid Opening.
— TQ 4.
Few
@ thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 23
mwacltqo
ENGINEERING CONTRACTOR — LIC: E- 251302
11020 SW 55 ST., MIAMI, FL 33165
PHONE: 786 -291 -2949 FAX: 786. 472 -8831
maaaolctalvahoo.com
NU1 4
INDEMNIFICATION AND INSURANCE
SW 64th Street Corridor Improvements - Phase I
Successful Proposer shall indemnify, defend and hold harmless the CITY and its officials, employees and
agents (collectively referred to as "Indemnities") and each of them from and against all loss, cost,
penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to
as "Liabilities") by reason of any injury to or death of any person or damage to or. destruction or loss of
any property arising out of, resulting from, or in connection with (i) the performance or
nonperformance of the services contemplated by the Contract which is or 'is alleged to be directly or
indirectly caused, in whole or in part, by any act, omission, default or negligence (whether active' or
passive) of Successful Proposer or' its employees,' , agents, or subcontractors (collectively referred to as
"Proposer"), regardless of whether it is, or is alleged to be, caused in whole, or part (whether joint,
concurrent, or contributing) by any act, omission, default or negligence (Whether active or passive) of
the Indemnities, or any of, them or (ii) the failure of the Successful Proposer to comply with any at-the
provisions in the Contract or the failure of the Successful Proposer to conform to statutes, ordinances
or other regulations ex requirements of any governmental authority, federal or state, in connection with
the performance' of the Contract. Successful Proposer(s) expressly agrees to indemnify and hold
harmless the Indemnities, or any of them, from and against all liabilities which may be asserted by an
employee' or former employee of Proposer, or any of its subcontractors, as provided above, for which
the Successful Proposer's liability to such employee or former employee would otherwise be limited to
payments under state Workers' Compensation or similar laws.
Successful Proposer further agrees to indemnify,' defend and hold harmless the Indemnities from and
against (i) any and all Liabilities imposed on account of the violation of any law, ordinance, order, rule,
regulation, condition, or requirement, in any way related" directly or indirectly, to Successful Proposer's
performance under the Contract, compliance with which is left by the Contract to the Proposer, and (ii)
any and all claims, and/or suits for labor and materials furnished by the Successful Proposer or utilized in
the performance of the Contract or otherwise.
Where not specifically prohibited by law, Successful Proposer further specifically agrees to indemnify,
defend and hold harmless the Indemnities from all claims and suits for any liability, including, but not
limited to, injury, death, or dam8:ge to any person or property whatsoever, caused by, arising from,
incident to, connected with or growing out of the performance or non-performance of the Contract
which is, or is alleged to be, caused in part (whether joint, concurrent or contributing) or in whole by
any act, omission, default, or negligence .(whether active or passive) of the indemnities. The foregoing
indemnity shall also include liability. The Successful Proposer(s) shall furnish to CITY c/o Procurement
Department, 6130 Sunset Drive, Miami, Florida 33143 Certificate(s) of Insurance prior to contract
execution which indicate that insurance coverage has been obtained which meets the requirements as
outlined below:
1. COMMERCIAL GENERAL LIABILITY
A. Limits of Liability
Bodily Injury and Property
Combined Single Limit
Each Occurrence
$1,000,000
General Aggregate Limit
$2,000,000
Personal and Adv. Injury
$1,000,000
Products/Completed Operations,
$1,000,000
B. Endorsements Required
CITY and The City of Miami included as an Additional Insured
Employees included as insured'
C thomasfpepe-09-08-1 I TABLE OF CONTENTS
Page 24
Contractual Liability
11. AUTOMOBILE BUSINESS
A. Limits of Liability
Bodily Injury and Property Damage Liability
Combined Single Limit,
Any Auto
Including Hired, Borrowed or Non-Owned Autos
Any One Accident $ 1,000,000
B. Endorsements Required
CITY and The.City of Miami included as an Additional Insured
111. WORKER'S COMPENSATION
Limits of Uability
Statutory-State of Florida
IV. 'EMPLOYER'S LIABILITY
Limits of Liability
$ 100,000 for bodily injury caused by an accident, each accident
$ 100,000 for bodily injury caused by disease, each employee
$500,000 for bodily injury caused by disease, policy limit
The City is required to be named as additional insure. BINDERS ARE"
UNACCEPTABLE
The insurance coverage required shall include those classifications, as listed' in standard liability insurance
manuals, which most nearly reflect the operations of the Successful Proposer.
All insurance policies required above snail be issued by companies authorized to do business under the
laws of the State of Florida, with the following qualifications:
The Company must be rated no less than "A" as to management, and no less than
"Class W as to financial strength, by the latest edition of Best's Insurance Guide,
Published by A.M. Best Company Oldwick New Jersey, or its equivalent. All policies
and/ or certificates of, insurance are subject to review and verification by the City of
Miami Risk Management Department prior to insurance approval.
The above policies shall provide the City of South Miami with written notice of cancellation or material
change from the insurer not less than (30) days prior to any such cancellation or material change.
NOTE:' CITY RFP NUMBER AND /OR TITLE OF RFP MUST APPEAR ON EACH CERTIFICATE.
Compliance with the foregoing requirements shall not relieve the Successful Proposer(s) of his liability
and obligation under this section or under any other section of this Agreement.
The Successful proposer shall be responsible' for 'assuring that the insurance certificates required in
conjunction with this Section remain in force for the duration of the contractual period; including any
and all option terms that may be granted to the Successful Proposer.
• If insurance certificates are scheduled to expire during the contractual period, the Successful
Proposer(s) shall be responsible for submitting new or renewed insurance certificates to the
CITY at a minimum of ten (10) calendar days in advance of such expiration.
• In the event that expired certificates are not 'replaced with new or renewed certificates which
cover the contractual period, the CITY shall:
thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 25
A) Suspend the Contract until such time as the new or renewed certificates are received by the CITY
in the manner prescribed in the RFP.
B) The CITY may, at its sole discretion, terminate the Contract for cause and seek re-procurement
damages from the Successful Proposer(s) in conjunction with the violation of the terms and
conditions of the .Contract:
The undersigned Proposer acknowledges that they have rea
comply with all the above CITY requirements.
Proposer: Signature:
Date: —to b Print Name:
Notary Public
to
0
SVOIN. Ted AN O SUBSCRIBED before me, the under signed authority,
[name of individual signing] who, after first being sworn
by ;OfiV hisi%er gnature inI jhe space provided above on this day of
20
Personally known to me, or
PATRICIA A. RKRA
Signatur440 Personal identification:
SEAL mYcOMMWION#EE7&W
EXPIRES: MAR 13, 2015 tTt
Bonded through let Slate HIS-13-
Type of Identification Produced
FAILURE TO COMPLETE SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
C thomasfpepe-09-08-1 I TABLE OF CONTENTS Page 26
---e-1 .
AC40RO CERTIFICATE OF LIABILITY INSURANCE E
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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer eights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Eastern Insurance Group, Inc.
9570 SW 107 Avenue
Suite 104
Miami FL 33176
CONTACT David M. Lopez
-NAME:
PHONE
(305) 595-3323 pax al: (305)595-7135
ADDRESS:csr@easterninsurance.net
POLICY NUMBER
INSURER(S) AFFORDING: COVERAGE
NAIC #
INSURER A Mid-Continent Casualty Company
INSURED
Maggolc, Inc.
11020 SW 55 Street
,Miami FL 33165
INSURER s -Praetorian Insurance Company
iNSURERc-.CastlePoint Florida Insurance
INSURER D:
EACH OCCURRENCE
INSURERE:
A
INSURER F;
X
141w11J;q;f_Ae1 12L0f_A I =0 III J, 1:1:3
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,
INSR
LTR
TYPE OF INSURANCE
ADDLSUBR
POLICY NUMBER
POLICY EFF
(MwR=1
POLICY EXP
(Mw
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
GENERAL LIABILITY
X COMMERCIALFX
CLAIMS-MADE OCCUR
X
D4-GL-000831227
9/22/2011
9/22/2012
PR IS I
ESE TO REN.Tr.11
E . . an.,
$ 100,000
MED XP(Anyonepemon)
$ Excluded
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER'
-1
PRODUCTS - COMP/OP AGG
$ 2,000,000
F PRO- F
POLICY LOG
jFC1
$
AUTOMOBILE
LIABILITY
Mff1NEDSI LE LIMIT
(Ea coldent)
$ 1,000 000
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED SCHEDULED
S AUTS
O
PICFL0002022
7/17/2011
7/17/2012
BODILY INJURY (Per accident)
$
X
NON-OWNED
HIRED AUTOS AUTOS
M
PROPERTY DAMAGE
(Per wt)
$
PIP-Basic
$ 10,000
X
U =LA UAB
H
:OCCUR
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
A
E IUAB
CLAIMS-MADE
DED PETE
$
—
04-XS-173211
9/22/2011
�/22/2012
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE L
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
lfs, desscribe under
DESCRIPTION OF OPERATIONS Below
N/A
WCP760908400
9/22/2011
9/22/2012
X I �OREIA I RER'
E.L. EACH ACCIDENT
$ 1,000,000
_
E.L. DISEASE -EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Asphalt paving, Concrete construction and drainage construction
City of South Miami is listed as an additional insured.
City of South Miami
Building & Zoning Department
6130 Sunset Drive
Miami, FL 33143
ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Lopez/AMANDA
1988-2010 ACORD CORPORATION. All riahts reserved.
Th. Arnon . i I-.^ — u. m AnrNpm
0 i • Dili,.
Project Name: SW 64- Street Improvements Project Phase I
RFP NO. SM -20`I 1 -12 -PW
Date: September 23; 2011
Sent: Fax/E- mail/webpage
This addendum submission is issued to clarify; supplement and /or modify the previously issued BID
Documents, and is hereby made part of the BID Documents. All requirements of the BID Documents
not modified herein shall remain in full force and effect as originally set forth. Receipt of this Addendum
shall be acknowledged on the Bid Form.
The following changes, additions, and deletions amend the above - captioned Bid /Contract
documents, and shall become an integral part of the Request for Proposal responses and the
subsequent Contract. Please note the contents herein and affix same to the documents you
have on hand.
The following attachments are to be incorporated as part of the bid documents:
As a clarification, the dates for the Pre -Bid Meeting and Bid Opening are October
7m, 2011 and October 14 3011 respectively. The time for Pre -Bid meeting has
been scheduled for 10 :00 am at City Chambers located at 6130 Sunset Drive.
THIS ADDENDUM SHOULD BE SIGNED AND DATED BY THE BIDDER AND SUBMITTED
AS PROOF OF RECEIPT WITH THE SUBMISSION OF BIDS. THE BIDDER BY IDENTIFYING
THE ADDENDUM NUMBER IN THE BID PROPOSAL AND BY SIGNING AND
SUBMISSION OF T)-IEIR BID SHALL SERVE AS PROOF OF RECEIPT OF THIS ADDENDUM.
' + tYLtl�iti�rii[ ►��i �
MOARAITI *wIllo -
Project Name: SW 64- Street Improvements Project Phase I
RFP NO. SM-2011-12-PW
Date: October 7, 2011
Sent: Fax/E-mail/webpage
This addendum submission is issued to clarify, supplement and/or modify the previously issued BID
Documents, and is hereby made part of the BID Documents. All requirements of the BID Documents not
modified herein shall remain in full force and effect as originally set forth. Receipt of this Addendum shall
be acknowledged on the Bid Form.
The following changes, additions, and deletions amend the above-captioned Bid/Contract
documents, and shall become an integral part of the Request for Proposal responses and the
subsequent Contract. Please note the contents herein and affix same to the documents you have
on hand.
The following attachments are to be incorporated as part of the bid documents:
1. Bid Form with Pay Item Description, Attendees, Questions and Answers
2. Sidewalk Construction Detail — Miami-Dade County R 13.1
3. MDPHA Section 3 Certified Vendors June 2011
4. ATTACHEMT A - SW 64 Street
THIS ADDENDUM SHOULD BE SIGNED AND DATED BY THE BIDDER AND SUBMITTED AS
PROOF OF RECEIPT WITH THE SUBMISSION OF BIDS. IDENTIFICATION OF THE
ADDENDUM NUMBER IN THE BID PROPOSAL, AND SIGNATURE AND SUBMISSION OF
THE BID :S'!H��A
FIRM.
.7RVE AS PROOF OF RECEIPT OF THIS ADDENDUM.
NAME 01 FIRM: 1"AG601-C, --tA)ft,
orlm
Project Name: SW 64- Street Improvements Project Phase I
RFP NO. SM-2011-12-PW
Date: October 12, 2011
Sent: Fax/E-mail/webpage
This addendum submission is issued to clarify, supplement and/or modify the previously issued BID
Documents, and is hereby made part of the BID Documents. All requirements of the BID Documents not
modified herein shall remain in full force and effect as originally set forth. Receipt of this Addendum shall
be acknowledged on the Bid Form.
The following changes, additions, and deletions amend the above-captioned Bid/Contract
documents, and shall become an integral part of the Request for Proposal responses and the
subsequent Contract Please note the contents herein and affix same to the documents you have -
on hand,
The following attachments are to be incorporated as part of the bid documents:
1. Bid Form with Pay Item Description, Attendees, Questions and Answers
2. MIDPHA Section 3 Certified Vendors June 2011
3. ATTACHEMT A - SW 64 Street
THIS ADDENDUM SHOULD BE SIGNED AND DATED BY THE BIDDER AND SUBMITTED AS
PROOF OF RECEIPT WITH THE SUBMISSION OF BIDS. THE BIDDER BY IDENTIFYING THE
ADDENDUM NUMBER IN THE BID PROPOSAL AND BY SIGNING AND SUBMISSION OF
THEIR BID SHALL SERVE AS PROOF OF RECEIPT OF THIS ADDENDUM.
NAME OF
DATE: \-/ '71 1 101k3 / r
As a clarification, the bid is not to exceed $60,0000. The bid will be awarded to the most responsive and
responsible bidder. In the event that there is a remaining capacity in the contract, additional areas may be
issued at the time of construction.
Corrected List of Attendees to the Mandatory Pre-Bid Meeting
Horizon Construction, Inc
Brian Randa,
305-828-2050
branda(ahcimail.net
Maggoic Inc.
Mario Gonzalez
786-291-2949
Maaolc@,yahoo.com
Miguel Lopez Jr., Inc
Adolfo Arenas
305-884-0767
adolfo@lopezinc.com
Quality Paving Corp.
Richard Gonzalez
305-5251456
Williams Paving Co., Inc
Alan Rodriguez
305-882-1950
arodrigueze-williamspaving..com
Wrangler Construction, Inc
Jose Perez de Corcho
305-467-6883
jose@_wrangler-construgtion.com
ATTACHMENT A
TO BID PACKAGE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
AND FEDERAL LABOR REQUIREMENTS DOCUMENTS
Project Name: City of South Miami — SW 60 Street Corridor Improvements PH-1
Project Address: SW 641h Street from SW 57th Avenue to SW 62nd Avenue, South
Miami, Florida 33143
ATTACHMENT A
k�. = �
Federal Labor Requirements Documents that must be incorporated in the submittal of
the bid package:
• Notice to Bidders / Prospective Contractor(s)
• Statement of Bidders Construction Experience
• Certification Receipt
• Davis-Bacon Wage Decision FL20100325 04/01/2011 FL325
• Federal Labor Standards Provisions (Form HUD-4010)
• Insurance Requirements
• Provisions to be Incorporated in Construction Contracts:
0 1) Davis-Bacon Act,
0 2) Termination,
o 3) Access to Records and Record Retention,
• Non-Collusion Affidavit
• Certification Regarding Lobbying
• Affirmative Action Standards
• Certification of Compliance with Part 60-2: Affirmative Action Programs
• Other Required Certifications:
0 1) Equal Employment Opportunity,
0 2) Affirmative Action,
0 3) Americans with Disabilities Act,
o 4) Copeland Anti-Kickback,
o 5) Byrd Anti-Lobbying Amendment,
o 6) Full Disclosure by the Contractor/Bidder,
0 7) Non-Discrimination Clause,
o 8) Age Discrimination Act of 1975 as Amended, and
o 9) Section 504 of the Rehabilitation Act of 1973 as Amended.
• Certification Regarding Drug Free Workplace (Grantees Other than Individuals)
• Assurance of Compliance (Section 3, HUD Act of 1968)
• Section 3 Requirements
• Section 3 Clause
• Bidder's Initial Section 3 Goals
• Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier
Transactions (Certification Document and Instructions)
• Equal Employment Opportunity (EEO) Clause for Contractors Not Subject to Executive Order
(ED 11246)
• Equal Opportunity for Special Disabled Veterans and Veterans of the Vietnam Era
• Equal Opportunity for Workers with Disabilities
• Notice of Requirement for Affirmative Action to Ensure Equal Employment Opportunity
(EO 11246)
• Equal Employment Opportunity (EEO) Clause for Contractors Subject to EO 11246
• Certification of Nonsegregated Facilities
• Notice to Prospective Subcontractors of Requirements for Certification of Nonsegregated Facilities
• Notice of Requirement -Clean Water, Clean Air, EO 11738 and EPA Regulations Provision
• Certification of Compliance with Federal Regulations
o Clean Air Act,
o Federal Water Pollution Control Act, and
0 Lead-Based Paint Poisoning Prevention Act
• Certification Regarding Debarment, Suspension, and Other Responsibility Matters (Direct Recipient)
• Public Entity Crimes Affidavit
9 -BID PACKAGE
Miaru -Dade County DHCD
Page 2
NOTICE TO BIDDERS/PROSPECTIVE CONTRACTOR (S)
This project in part will be federally assisted through the Miami-Dade County Department of
Housing and Community Development with Community Development Block Grant funds and
as such bidder must comply with Presidential Executive Order 11246, as amended; by
Executive Order 11375; Title VII of the Civil Rights Act of 1964 as amended; the Davis-Bacon
Act of 1968, as amended; the Copeland Anti-Kickback Act; the Contract Work Hours and
Safety Standards Act and all other applicable federal, state and local ordinance.
Note that bidder is required to pay workers on this project the minimum wages as determined
in the Wage Determination Decision` included in the Bidder's package; and that the contractor
must ensure that employees are not discriminated because of race, color, religion, sex or
national origin.
This project is also a Section 3 covered activity. Section 3 requires that job training,
employment and contracting opportunities be directed to very-low and low income persons or
business owners who live in the project's area.
(Please use this language in the advertisement of the project)
Initials
2- NOTICE TO BIDDERS/PROSPECTA/E CONTRACTOR (S) [CDBGI
Miami-Dade County. DHCD
STATEMENT OF BIDDER'S CONSTRUCTION EXPERIENCE
To be submitted by each Bidder with requested information and documentation with the Bid
package
All questions must be answered and the data given must be clear and comprehensive. This
statement must be notarized. If necessary, add separate sheets for items marked
1. Prime Contractor: 1J.412-60,C-
2. Prime Contractor Address:
b= L 73
3. Name of each principal officer of corporation, partner, firm or individual:
lVa,t.�o
4. Gender and Ethnicity of Principals: /Lfo-k-p— 4 ttl -5 h-M44 C-
* Company Qualifier:_ AAV'42 �. -Z." Z./
* Years in Business:--Co . . . ..... y exf-,5
1
7. U.S. Treasury Number. (Employers Identification number; Federal Social Security
number used on Emper's quarterly Federal Tax/return, U.S. Treasury Department.
20- 334s337
License Number: C- 7-P 36) Z- State:
Cdc / Z Z 4 9 9 � Oml:T
8. Contractor's Certification Categories: 01
9. Contracts completed in the last five years (include the months and year completed,
use additional pages, if needed) L
10. Contractor's on-going construction projects (Schedule these, showing gross amount of
each contract and the approximate anticipated dates of completion).
11. Have you ever failed to complete any work awarded to your company?
If so, where and Why? )
'Jo
Page 1 of .2
3- STATEMENT OF BIDDER'S CONS"
Miami-Dade County
Page 4
12. Have you ever defaulted on a Contract? .44J 0 Please explain on a separate sheet.
13. Through what personnel or affiliations do you propose to provide knowledge of local
ClEgon and corkstruqtipn problems and methods? I I I
14. a) The undersigned has attached a detailed financial statement and furnish any
other information that may be required by Miami-Dade Office of Community and
Economic Development?
(inME -
itial$)
The Bidder promises to defend, indemnify and hold harmless the
(agency name) and Miami-Dade County with regard to any disclosurei or information
I
receivet' 4 whether at trial, in arbitration or on appeal.
2 A-
(initials)
15. The Bidder authorizes any person, firm corporation, organization or governmental unit
to act on a copy of the submitted financial statement.
(initials)
17. The undersigned hereby authorizes and requests any person, =a
,*n r4(,
governmental unit, to furnish any information requested by the _ name
of agency) in verification of the recitals comprising this statement of bidder's
experience)
(initials)
SUBSCRIBED AND SWORN TO (or affirmed) before me on
By He/She is personally known to me or has presented
UAW as identification.
(Type of I t'ficat'on PATRICIA A. RKRA
(Signature of N (Serial Number) My COMMISSION #EE73340
�09;§�M 5w,09:00 WIRES: MAR 13, 2015
Rimililid"nugh 1st stale 1munwe
(UP-t or Stamp) Npme of Notary) (Expiration Date)
9CdS-
Notary Notary Seal
Public
(State)
Page 2 of 2
3- `STATEMENT OF BIDDER'S CONSTRUCTION EXPERIENCE
Miami-Dade County DHCD
Page 5
CERTIFICATION RECEIPT
This is to acknowledge receipt of a copy of the U.S. Department of Housing and Urban
Development Federal Labor Standards Provisions (HUD Form 4010) concerning the
project City of South Miami — SW 60 Street Corridor Improvements PH -1.
(Name of project)
Further, I hereby certify that I have on this date, read, examined, understood and
acknowledge the contents of U.S. Department of Labor requirements, particularly the
requirements contained in Wage General Decision Number FL20100325 0410112011
FL325 that is applicable to this project.
I hereby agree to abide by the requirements of the Federal Labor Standards Provision
issued by the United States Department of Housing and Urban Development and
described in Form HUD-4010 and those requirements contained in Wage General
Decision Number FL20100326 04101/2011 FL326 for this project.
Name: NA�,.7 65VA, i.:t_., TAX
(Name of Firm)
Employer ID # 3 3'Sr
Authorized Signature:
Print Name: 7/
Title: a-4
Date: /o
Full Address (including Zip Code) ,r--
O� .7
Telephone Number: (1 J
Chec one, as applicable:
7Contractor
Subcontractor
Other
Page 6
GENERAL DECISION: FL20100325 04/01/2011 FL325
Date: April 1, 2011
General Decision Number: FL20100325 04/01/2011
Superseded General Decision Number: FL20080325
State: Florida
Construction Type: Highway
County: Miami -Dade County in Florida.
HIGHWAY CONSTRUCTION PROJECTS
Modification Number Publication Date
0 03/12/2010
1 04/01/2011
ELEC0349 -008 08/31/2009
Rates Fringes
ELECTRICIAN .......... .........._$ 25.05 7.56
----- ------------------ - - - - -- ----------------------------
* ENGI0487 -018 01/01/2010
Rates Fringes
OPERATOR: Crane
Group 1 - All Tower Cranes
Mobile, Rail, Climbers,
Static - Mount; All Cranes
with Boom Length 150 Feet
& Over (With or without
jib) Friction, Hydro,
Electric or Otherwise;
Cranes 150 Tons & Over ¢
Cranes with 3 Drums (When
3rd drum is rigged for
work) ; Gantry & Overhead
Cranes; Hydro Cranes Over
25 Tons but not more than
50 Tons ; Hydro /Friction
Cranes; All Type of
Flying Cranes; Finish
Grader; Concrete Pumping
Machine with Boom
Attachments .......... ......$ 28.30 8.78;
Group 2 - Cranes with Boom
Length Less than 150 Feet
(With or without jib);
Hydro Cranes 25 Tons &
Under, & Over 50 Tons .......$ 27.57 8.78
OPERATOR: Oiler .................$ 22.2`4 8.78
IRON0272 -006 10/01/2006
Rates Fringes
IRONWORKER, STRUCTURAL ........... $ 26.70' 6.43
------------------------------------------- ---- - - - - --
* SUFL2`009 -222 08/05/2009
http: / /frwebgate.access.gpo.govlcgi- binlgetdoc.cgi ?dbname= Davis - Bacon &docid =FL20100325[6 /13 /2011 9 :10:19 AM]
Rates
Fringes
CARPENTER, Includes Form Work ....
$ 15.50
2.19
CEMENT MASON /CONCRETE FINISHER ...
$ 15.00
8.64
HIGHWAY /PARKING LOT STRIPING:
Operator (Striping Machine) .....
$ 11.97
2.23
HIGHWAY /PARKING LOT STRIPING:
Painter .......................$
14.38
1.73
IRONWORKER, REINFORCING ..........
$ 15.00
2.45
LABORER: Asphalt Raker ..........
$ 10.47
1.76
http: / /frwebgate.access.gpo.govlcgi- binlgetdoc.cgi ?dbname= Davis - Bacon &docid =FL20100325[6 /13 /2011 9 :10:19 AM]
LABORER:,
Asphalt Shoveler .......
$ 10.70
0.00
LABORER:
Common or General ......
$ 10.01
3.46
LABORER:
Flagger ..... .............$
11.00
3.7
LABORER:
Grade Checker ..........
$ 10.50
0.55
LABORER:
Landscape and
Irrigation
.......................
$ 9.98
0.00
LABORER:
Luteman ...............$
10.32
0.00
LABORER:
Mason Tender=
Cement/Concrete
..................
$ 12.00
1.80
LABORER,:
Pipelayer ..............$
16.00
0.00
LABORER:
Power Tool Operator
(Hand Held
Drills /Saws,
Jackhammer
and Power Saws ........
$ 10.00
2.30
OPERATOR:
Asphalt Paver .........
$ 11.92'
2.09
OPERATOR:
Asphalt Plant .........
$ 12.20
0.00
OPERATOR:
Asphalt Spreader ......$
10.76
0.00
OPERATOR:
Auger .................
19.40
0.44
OPERATOR:
Baekhoe Loader
Combo.. .....
................__..... -.$
18.00
1.39
OPERATOR;:
Baekhoe /Excavator .....
$ 14.69
2.22'
OPERATOR:
Boom ..................$
16.61
0.00
OPERATOR:
Bulldozer .............
$ 16.50
2.22
OPERATOR:
Distributor ...........
$ 12.33
0.00
OPERATOR:
Drill ..................$
13.00'
1.59
OPERATOR:
Grader/Blade ..........
$ 16.11
1.65
OPERATOR:
Loader ................
$ 9.68
3.02
OPERATOR:
Mechanic ..............$
16.20
3.2`5
OPERATOR:
Milling Machine .......
$ 11.50
1.68
OPERATOR:
Oil Distributor .......
$ 11.15
0.48
OPERATOR:
Paver .................$
12.85
0.00
OPERATOR:
Piledriver ............
$ 14.50
2.16
OPERATOR:
Roller ................$
10.31
2.00
OPERATOR:
Scraper ...............
$ 12.31
1.83
OPERATOR:
Screed ................
$ 10.29
0.00
OPERATOR::
Tractor ...............$
13.00
1.00
OPERATOR:
Trencher., .............$
12.56
0.2
PAINTER:
Spray and Steel .........
$ 16.62
0.00
TRAFFIC SIGNALIZATION:
Traffic Signal Installation ......
$ 14.58
0.65
TRUCK DRIVER: 10 Yard Haul
Away Truck .......................$
12.50
0.00
TRUCK DRIVER: 3 Axle Truck ......
$ 9.81
0.00
TRUCK DRIVER: 4 Axle Truck ......
$ 13.33'
0.00
TRUCK DRIVER: Distributor .......
$ 13.22
2.01
http: / /frwebgate.access gpo .gov /cgi- binlgetdoc.cgi ?dbname =.Davis- Bacon& docid= FL20100325[6113120119:10:19 AM]
TRUCK DRIVER: Dump Truck ........ $ 10.29 4.25
TRUCK DRIVER: Lowboy Truck ...... $ 12.00 0.00
TRUCK DRIVER: Material Truck .... $ 13.15 9.80
TRUCK DRIVER: Tractor Haul
Truck ............................$ 10.64 0.00
TRUCK DRIVER: Water Truck ....... $ 10.50 0.00
TRUCK DRIVER .....................$ 9.76 0.34
----------------------------------------------------------------
WELDERS- Receive rate prescribed for craft performing
operation to which welding is incidental.
Unlisted classifications needed for work not included within
the scope of the
classifications listed may be added after award only as
provided in the labor
standards contract clauses (29 CFR 5.5(a)(1)(ii)).
----------------------------------------------------------------
In the listing above, the "SU" designation means that rates
listed under the
identifier do not reflect collectively bargained wage and
fringe benefit
rates. Other designations indicate unions whose rates have
been determined
to be prevailing.
----------------------------------------------------------------
WAGE DETERMINATION APPEALS PROCESS
1.) Has there been an initial decision in the matter? This can
be:
an existing published wage determination
a survey underlying a wage determination
a Wage and Hour Division letter setting forth a position on
a wage
determination matter
a conformance (additional classification and rate) ruling
On survey related matters, initial contact, including requests
for summaries
of surveys, should be with the Wage and Hour Regional Office
for the area in
which the survey was conducted because those Regional Offices
have
responsibility for the Davis-Bacon survey program. If the
response from this
initial contact is not satisfactory, then the process described
in 2.) and
3.) should be followed.
With regard to any other matter not yet ripe for the formal
process
described here, initial contact should be with the Branch of
Construction
Wage Determinations. Write for
Branch of Construction Wage Determinations
Wage and Hour Division
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DO 20210
2.) If the answer to the question in 1.) is yes, then an
interested party
(those affected by the action) can request review and
reconsideration from
the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR
http://frwebgate.access.gpo.govlcgi-Vinlgetdoc.cgi?dbname=Davis-Bacon&doeid=FL2o100325[611312011 9:10:19 AM]
Part 7) .
Write to;
Wage and Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
The request should be accompanied by a full statement of the
interested
party's position and by any information (wage payment data,
project
description, area practice material, etc.) that the requestor
considers
relevant to the issue.
3.) If the decision of the Administrator is not favorable, an
interested
party may appeal directly to the Administrative Review Board
(formerly the
Wage Appeals Board). Write to:
Administrative Review Board
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
4.) All decisions by the Administrative Review Board are final.
END OF GENERAL DECISION
http://frwebgate,access.gpo.govlcgi-binlgetdoc.cgi?dbname=Davis-Bacon&docid=FL20100325[611312011 9:10:19 AM]
Federal Labor Standards Provisions U.S. Department of Housing
and Urban Development
Office of Labor Relations
Applicability
The Project or Program to which the construction work
covered by this contract pertains is being assisted by the
United States of America and the following Federal Labor
Standards Provisions are included in this Contract
pursuant to the provisions applicable to such Federal
assistance.
A. 1. (1) Minimum Wages. All laborers and mechanics
employed or working upon the site of the work, will be paid
unconditionally and not less often than once a week, and
without subsequent deduction or rebate on any account
(except such payroll deductions as are permitted by
regulations issued by the Secretary of Labor under the
Copeland Act (29 CFR Part 3), the full amount of wages
and bona fide fringe benefits (or cash equivalents thereof)
due at time of payment computed at rates not less than
those contained in the wage determination of the
Secretary of Labor which is attached hereto and made a
part hereof, regardless of any contractual relationship
which may be alleged to exist between the contractor and
such laborers and mechanics. Contributions made or
costs reasonably anticipated for bona fide fringe benefits
under Section I(b)(2) of the Davis-Bacon Act on behalf of
laborers or mechanics are considered wages paid to such
laborers or mechanics, subject to the provisions of 29 CFR
5.5(a)(1)(iv); also, regular contributions made or costs
incurred for more than a weekly period (but not less often
than quarterly) under plans, funds, or programs, which
cover the particular weekly period, are deemed to be
constructively made or incurred during such weekly period.
Such laborers and mechanics shall be paid the appropriate
wage rate and fringe benefits on the wage determination
for the classification of work actually performed, without
regard to skill, except as provided in 29 CFR 5.5(a)(4).
Laborers or mechanics performing work in more than one
classification may be compensated at the rate specified for
each classification for the time actually worked therein:
Provided, That the employer's payroll records accurately
set forth the time spent in each classification in which
work is performed. The wage determination (including any
additional classification and wage rates conformed under
29 CFR 5.5(a)(1)(ii) and the Davis-Bacon poster (WH-
1321) shall be posted at all times by the contractor and its
subcontractors at the site of the work in a prominent and
accessible, place where it can be easily seen by the
workers.
(if) (a) Any class of laborers or mechanics which is not
listed in the wage determination and which is to be
employed under the contract shall be classified in
conformance with the wage determination. HUD shall
approve an additional classification and wage rate and
fringe benefits therefor only when the following criteria
have been met:
(1) The work to be performed by the classification
requested is not performed by a classification in the wage
determination; and
(2) The classification is utilized in the area by the
construction industry; and
(3) The proposed wage rate, including any bona fide
fringe benefits, bears a reasonable relationship to the
wage rates contained in the wage determination.
(b) If the contractor and the laborers and mechanics to be
employed in the classification (if known), or their
representatives, and HUD or its designee agree on the
classification and wage rate (including the amount
designated for fringe benefits where appropriate), a report
of the action taken shall be sent by HUD or its designee to
the Administrator of the Wage and Hour Division,
Employment Standards Administration, U.S. Department of
Labor, Washington, D.C. 20210. The Administrator, or an
authorized representative, will approve, modify, or
disapprove every additional classification action within 30
days of receipt and so advise HUD or its designee or will
notify HUD or its designee within the 30-day period that
additional time is necessary. (Approved by the Office of
Management and Budget under OMB control number 1215 -
0 40. )
(c) In the event the contractor, the laborers or mechanics
to be employed in the classification or their
representatives, and HUD or its designee do not agree on
the proposed classification and wage rate (including the
amount designated for fringe benefits, where appropriate),
HUD or its designee shall refer the questions, including
the views of all interested parties and the recommendation
of HUD or its designee, to the Administrator for
determination. The Administrator, or an authorized
representative, will issue a determination within 30 days of
receipt and so advise HUD or its designee or will notify
HUD or its designee within the 30-day period that
additional time is necessary. (Approved by the Office of
Management and Budget under OMB Control Number
1215-01140.)
(d) The wage rate (including fringe benefits where
appropriate) determined pursuant to subparagraphs
(1)(ii)(b) or (c) of this paragraph, shall be paid to all
workers performing work in the classification under this
contract from the first day on which work is performed in
the classification.
(111) Whenever the minimum wage rate prescribed in the
contract for a class of laborers or mechanics includes a
fringe benefit which is not expressed as an hourly rate, the
contractor shall either pay the benefit as stated in the
wage determination or shall pay another bona fide fringe
benefit or an hourly cash equivalent thereof.
(Iv) If the contractor does not make payments to a trustee
or other third person, the contractor may consider as part
form HUD-4010 (06/2009)
Previous editions are obsolete Page 1 of 5 ref. Handbook 13441
of the wages of any laborer or mechanic the amount of any
costs reasonably anticipated in providing bona fide fringe
benefits under a plan or program, Provided, That the
Secretary of Labor has found, upon the written request of
the contractor, that the applicable standards of the Davis
Bacon Act have been met. The Secretary of Labor may
require the contractor to set aside in a separate account
assets for the meeting of obligations under the plan or
program. (Approved by the Office of Management and
Budget under OMB Control Number 1215-0140.)
2. Withholding, HUD or its designee shall upon its own
action or upon written request of an authorized
representative of the Department of Labor withhold or
cause to be withheld from the contractor under this
contract or any other Federal contract with the same prime
contractor, or any other Federal ly-assisted contract
subject to Davis-Bacon prevailing wage requirements,
which is held by the same prime contractor so much of the
accrued payments or advances as may be considered
necessary to pay laborers and mechanics, including
apprentices, trainees and helpers, employed by the
contractor or any subcontractor the full amount of wages
required by the contract In the event of failure to pay any
laborer or mechanic, including any apprentice, trainee or
helper, employed or working on the site of the work, all or
part of the wages required by the contract, HUD or its
designee may, after written notice to the contractor,
sponsor, applicant, or owner, take such action as may be
necessary to cause the suspension of any further
payment, advance, or guarantee of funds until such
violations have ceased. HUD or its designee may, after
written notice to the contractor, disburse such amounts
withheld for and on account of the contractor or
subcontractor to the respective employees to whom they
are due. The Comptroller General shall make such
disbursements in the case of direct Davis-Bacon Act
contracts,
3. (1) Payrolls and basic records. Payrolls and basic
records relating thereto shall be maintained by the
contractor during the course of the work preserved for a
period of three years thereafter for all laborers and
mechanics working at the site of the work. Such records
shall contain the name, address, and social security
number of each such worker, his or her correct
classification, hourly rates of wages paid (including rates
of contributions or costs anticipated for bona fide fringe
benefits or cash equivalents thereof of the types described
in Section I(b)(2)(B) of the Davis-bacon Act), daily and
weekly number of hours worked, deductions made and
actual wages paid. Whenever the Secretary of Labor has
found under 29 CFR 5.5 (a)(1)(iv) that the wages of any
laborer or mechanic include the amount of any costs
reasonably anticipated in providing benefits under a plan
or program described in Section I(b)(2)(B) of the Davis-
Bacon Act, the contractor shall maintain records which
show that the commitment to provide such benefits is
enforceable, that the plan or program is financially
responsible, and that the plan or program has been
Previous editions are obsolete
P
communicated in writing to the laborers or mechanics
affected, and records which show the costs anticipated or
the actual cost incurred in providing such benefits.
Contractors employing apprentices or trainees under
approved programs shall maintain written evidence of the
registration of apprenticeship programs and certification of
trainee programs, the registration of the apprentices and
trainees, and the ratios and wage rates prescribed in the
applicable programs. (Approved by the Office of
Management and Budget under OMB Control Numbers
1215-0140 and 1215-0017.)
(III) (a) The contractor shall submit weekly for each week
in which any contract work is performed a copy of all
payrolls to HUD or its designee if the agency is a party to
the contract, but if the agency is not such a party, the
contractor will submit the payrolls to the applicant
sponsor, or owner, as the case may be, for transmission to
HUD or its designee. The payrolls submitted shall set out
accurately and completely all of the information required
to be maintained under 29 CFR 5.5(a)(3)(i) except that full
social security numbers and home addresses shall not be
included on weekly transmittals. Instead the payrolls shall
only need to include an individually identifying number for
each employee (e.g., the last four digits of the employee's
social security number). The required weekly payroll
information may be submitted in any form desired,
Optional Form WH-347 is available for this purpose from
the Wage and Hour Division Web site at
http://Www.dol.govlesalwhdlformslwh347instr.htm or its
successor site. The prime contractor is responsible for
the submission of copies of payrolls by all subcontractors.
Contractors and subcontractors shall maintain the full
social security number and current address of each
covered worker, and shall provide them upon request to
HUD or its designee if the agency is a party to the
contract, but if the agency is not such a party, the
contractor will submit the payrolls to the applicant
sponsor, or owner, as the case may be, for transmission to
HUD or its designee, the contractor, or the Wage and Hour
Division of the Department of Labor for purposes of an
investigation or audit of compliance with prevailing wage
requirements. It is not a violation of this subparagraph for
a prime contractor to require a subcontractor to provide
addresses and social security numbers to the prime
contractor for its own records, without weekly submission
to HUD or its designee. (Approved by the Office of
Management and Budget under OMB Control Number
1215-0149.)
(b) Each payroll submitted shall be accompanied by a
"Statement of Compliance," signed by the contractor or
subcontractor or his or her agent who pays or supervises
the payment of the persons employed under the contract
and shall certify the following:
(1) That the payroll for the payroll period contains the
information required to be provided under 29 CFR 5.5
(a)(3)(il), the appropriate information is being maintained
under 29 CFR 5.5(a)(3)(i), and that such information is
correct and complete;
form HUD-4010 (0672009)
age 2 of 5 ref. Handbook 1344.1
(2) That each laborer or mechanic (including each helper,
apprentice, and trainee) employed on the contract during
the payroll period has been paid the full weekly wages
earned, without rebate, either directly or indirectly, and
that no deductions have been made either directly or
indirectly from the full wages earned, other than
permissible deductions as set forth in 29 GFIR Part 3;
(3) That each laborer or mechanic has been paid not less
than the applicable wage rates and fringe benefits or cash
equivalents for the classification of work performed, as
specified in the applicable wage determination
incorporated into the contract.
(c) The weekly submission of a property executed
certification set forth on the reverse side of Optional Form
WH-347 shall satisfy the requirement for submission of the
"Statement of Compliance" required by subparagraph
A. 3 . (i i) (b).
(d) The falsification of any of the above certifications may
subject the contractor or subcontractor to civil or criminal
prosecution under Section 1001 of Title 18 and Section
231 of Title 31 of the United States Code.
(it!) The contractor or subcontractor shall make the
records required under subparagraph A.3.(i) available for
inspection, copying, or transcription by authorized
representatives of HUD or its designee or the Department
of Labor, and shall permit such representatives to
interview employees during working hours on the job. If
the contractor or subcontractor fails to submit the required
records or to make them available, HUD or its designee
may, after written notice to the contractor, sponsor,
applicant or owner, take such action as may be necessary
to cause the suspension of any further payment, advance,
or guarantee of funds. Furthermore, failure to submit the
required records upon request or to make such records
available may be grounds for debarment action pursuant to
29 CFR 5.12.
4. Apprentices and Trainees.
(1) Apprentices. Apprentices will be permitted to work at
less than the predetermined rate for the work they
performed when they are employed pursuant to and
individually registered in a bona fide apprenticeship
program registered with the U.S. Department of Labor,
Employment and Training Administration, Office of
Apprenticeship Training, Employer and Labor Services, or
with a State Apprenticeship Agency recognized by the
Office, or if a person is employed in his or her first 90
days of probationary employment as an apprentice in such
an apprenticeship program, who is not individually
registered in the program, but who has been certified by
the Office of Apprenticeship Training, Employer and Labor
Services or a State Apprenticeship Agency (where
appropriate) to be eligible for probationary employment as
an apprentice. The allowable ratio of apprentices to
journeymen on the job site in any craft classification shall
not be greater than the ratio permitted to the contractor as
to the entire work force under the registered program. Any
worker listed on a payroll at an apprentice wane rate who
is not registered or otherwise employed as stated above,
shall be paid not less than the applicable wage rate on the
wage determination for the classification of work actually
performed. In addition, any apprentice performing work on
the job site in excess of the ratio permitted under the
registered program shall be paid not less than the
applicable wage rate on the wage determination for the
work actually performed. Where a contractor is performing
construction on a project in a locality other than that in
which its program is registered, the ratios and wage rates
(expressed in percentages of the journeyman's hourly
rate) specified in the contractor's or subcontractor's
registered program shall be observed. Every apprentice
must be paid at not less than the rate specified in the
registered program for the apprentice's level of progress,
expressed as a percentage of the journeymen hourly rate
specified in the applicable wage determination.
Apprentices shall be paid fringe benefits in accordance
with the provisions of the apprenticeship program. If the
apprenticeship program does not specify fringe benefits,
apprentices must be paid the full amount of fringe benefits
listed on the wage determination for the applicable
classification. If the Administrator determines that a
different practice prevails for the applicable apprentice
classification, fringes shall be paid in accordance with that
determination. In the event the Office of Apprenticeship
Training, Employer and Labor Services, or a State
Apprenticeship Agency recognized by the Office,
withdraws approval of an apprenticeship program, the
contractor will no longer be permitted to utilize
apprentices at less than the applicable predetermined rate
for the work performed until an acceptable program is
approved,
(It) Trainees. Except as provided in 29 CFR 5.16,
trainees will not be permitted to work at less than the
predetermined rate for the work performed unless they are
employed pursuant %to and individually registered in a
program which has received prior approval, evidenced by
formal certification by the U.S: Department of Labor,
Employment and Training Administration. The ratio of
trainees to journeymen on the job site shall not be greater
than permitted under the plan approved by the
Employment and Training Administration. Every trainee
must be paid at not less than the rate specified in the
approved program for the trainee's level of progress,
expressed as a percentage of the journeyman hourly rate
specified in the applicable wage determination. Trainees
shall be paid fringe benefits in accordance with the
provisions of the trainee program. If the trainee program
does not mention fringe benefits, trainees shall be paid
the full amount of fringe benefits listed on the wage
determination unless the Administrator of the Wage and
Hour Division determines that there is an apprenticeship
program associated with the corresponding journeyman
wage rate on the wage determination which provides for
less than full fringe benefits for apprentices. Any
employee listed on the payroll at a trainee rate who is not
registered and participating in a training plan approved by
Previous editions are obsolete form HUD-4010 (06/2009)
Page 3 of 5 ref. Handbook 1344.1
the Employment and Training Administration shalt be paid
not less than the applicable wage rate on the wage,
determination for the work actually performed. In addition,
any trainee performing work on the job site in excess of
the ratio permitted under the registered program shall be
paid not less than the applicable wage rate on the wage
determination for the 'work actually performed_ In the
event the Employment and Training Administration
withdraws approval of a training program, the contractor
will no longer be permitted to utilize trainees at less than
the applicable predetermined rate for the work performed
until an acceptable program is approved:
(iii) Equal employment opportunity. The utilization of
apprentices, trainees and journeymen under 29 CFR Part 5
shall be in conformity with the equal employment
opportunity requirements of Executive Order 11246, as
amended, and 29 CFR Part 30.
5. Compliance with Copeland Act requirements. The
contractor shall comply with the requirements of 29 CFR
Part 3 which are incorporated by reference in this contract
8. Subcontracts. The contractor or subcontractor will
insert in any subcontracts the clauses contained in
subparagraphs 1 through 11 in this paragraph A and such
other clauses as HUD or its designee may by appropriate
instructions require, and a copy of the applicable
prevailing wage decision, and also a clause requiring the
subcontractors to include these clauses in any tower tier
subcontracts. The prime contractor shall be responsible
for the compliance by any subcontractor or lower tier
subcontractor with all the contract clauses in this
paragraph.
7. Contract termination; debarment. A breach of the
contract clauses in 29 CFR 5.5 may be grounds for
termination of the contract and for debarment as a
contractor and a subcontractor as provided in 29 CFR
5.12.
8. Compliance with Davis -Bacon and Related Act Requirements.
All rulings and interpretations of the Davis- Bacon and
Related Acts contained in 29 CFR Parts 1„ 3, and 5 are
herein incorporated by reference in this contract
9. Disputes concerning labor standards. Disputes
arising out of the labor standards provisions of this
contract shall not be subject to the general disputes
clause of this contract. Such disputes shall be resolved in
accordance with the procedures of the Department of
Labor set forth in 29 CFR Parts 5, 6, and 7. 'Disputes
within the meaning of this clause include disputes between
the contractor (or any of its subcontractors) and HUD or
its designee, the U.S. Department of Labor, or the
employees or their representatives.
10. () Certification of Eligibility. By entering into this
contract the contractor certifies that neither it (nor he or
she) nor any person or firm who has an interest in the
contractor's firm is a person or firm ineligible to be
awarded Government contracts by virtue of Section 3(a) of
the Davis -Bacon Act or 29 CFR 5.12(a)(1) or to be
awarded HUD contracts or participate in HUD programs
pursuant to 24 CFR Part 24.
(it) No part of this contract shall be subcontracted to any
person of firm ineligible for award of a Government
contract by virtue of Section 3(a) of the Davis -Bacon Act
or 29 CFR 5.12(a)(1) or to be awarded HUD contracts or
participate in HUD programs pursuant to 24 CFR Part 24.
()ii) The penalty for making false statements is prescribed
in the U.S. Criminal Code, 18 U.S.C. 1001. Additionally,
U.S. Criminal Code, Section 1 01 0, Title 18, U.S.C.,
".Federal Housing Administration transactions provides in
part: "Whoever; for the purpose of , influencing in any
way the action of such Administration..... makes, utters or
publishes any statement knowing the same to be false._...
shall be fined not more than $5,040 or imprisoned not
more than two years, or both:"
11. Complaints; Proceedings, or Testimony by
Employees. No laborer or mechanic to whom the wage;
salary, or other labor standards provisions of this Contract
are applicable shall be discharged or in any other manner
discriminated against by the Contractor or any
subcontractor because such employee has filed any
complaint or instituted or caused to be instituted any
proceeding or has testified or is about to testify in any
proceeding under or relating to the labor standards
applicable under this Contract to his employer.
B. Contract Work Hours and Safety Standards Act The
provisions of this paragraph B are applicable where the amount of the
prime contract exceeds $100,000, As used in this paragraph, the
terms "laborers" and "mechanics" include watchmen and guards.
(1) Overtime requirements. No contractor or subcontractor
contracting for any part of the contract work which may require or
involve the employment of laborers or mechanics shall require or
permit any such laborer or mechanic in any workweek in which the
individual is employed on such work to work in excess of 40 hours in
such workweek unless such laborer or mechanic receives
compensation at a rate not less than one and one -half times the basic
rate of pay for all hours worked in excess of 40 hours in such
workweek.
(2) Violation; liability for unpaid wages; liquidated
damages. In the event of any violation of the clause set
forth in subparagraph (1) of this paragraph, the contractor
and any subcontractor responsible therefor shall be liable
for the unpaid wages. in addition; such contractor and
subcontractor shall be liable to the United States (in the
case of work done under contract for the District of
Columbia or a territory, to such District or to such
territory), for liquidated damages. Such liquidated
damages shall be computed with respect to each individual
laborer or mechanic, including watchmen and guards,
employed in violation of the clause set forth in
subparagraph (1) of this paragraph; in the sum of $10 for each
calendar day on which such individual was required or permitted to
work in excess of the standard workweek of 40 hours without payment
of the overtime wages required by the clause set forth in sub
paragraph (1) of this paragraph.
Previous editions are obsolete form HUD -4010 (06/2009)
Page 4 of 5 ref: Handbook 1344.1
(3) Withholding for unpaid wages and liquidated
damages. HUD or its designee shall upon its own action
or upon written request of an authorized representative of
the Department of Labor withhold or cause to be withheld,
from any moneys payable on account of work performed by
the contractor or subcontractor under any such contract or
any other Federal contract with the same prime contract,
or any other Federally-assisted contract subject to the
Contract Work Hours and Safety Standards Act which is
held by the same prime contractor such sums as may be
determined to be necessary to satisfy any liabilities of
such contractor or subcontractor for unpaid wages and
liquidated damages as provided in the clause set forth in
subparagraph (2) ofthis paragraph.
(4) Subcontracts. The contractor or subcontractor shall
insert in any subcontracts the clauses set forth in
subparagraph (1) through (4) of this paragraph and also a
clause requiring the subcontractors to include these
clauses in any lower tier subcontracts. The prime
contractor shall be responsible for compliance by any
subcontractor or lower tier subcontractor with the clauses
set forth in subparagraphs (1) through (4) of this
paragraph,
C. Health and Safety. The provisions of this paragraph C are
applicable where the amount of the prime contract exceeds $100,000.
(1) No laborer or mechanic shall be required to work in
surroundings or under working conditions which are
unsanitary, hazardous, or dangerous to his health and
safety as determined under construction safety and health
standards promulgated by the Secretary of Labor by
regulation.
(2) The Contractor shall comply with all regulations
issued by the Secretary of Labor pursuant to Title 29 Part
1926 and failure to comply may result in imposition of
sanctions pursuant to the Contract Work Hours and Safety
Standards Act, (Public Law 91-54, 83 Stat 96). 40 USC
3701 et seg.
(3) The contractor shall include the provisions of this
paragraph in every subcontract so that such provisions will
be binding on each subcontractor. The contractor shall
take such action with respect to any subcontractor as the
Secretary of Housing and Urban Development or the
Secretary of Labor shall direct as a means of enforcing
such provisions.
Previous editions are obsolete form HUD-4010 (0612009)
Page 5 of 5 ref, Handbook 1344A
RECEIPT
INSURANCE REQUIREMENTS
The term "Contractor", as used in this document, refers to the entity providing construction
type services. The terms "owner" and "sub- recipient" are used interchangeably.
Based on the type of project, the Contractor shall acquire the following insurance and submit
necessary certificate(s) and original policies described hereunder.
A. Construction and Major Rehabilitation projects including new structures, additions to existing
structures, and comprehensive modernization/renovation. The contractor shall obtain the
insurance specified in Section 11.
B. Emergency Shelter, Housing and Minor Rehab, Acquisition of Land and Commercial
Revitalization projects including renovation or roofing only of existing structures. The
contractor shall obtain the insurance specified in Section 11.
11. Types of Insurance
REQUIRED CERTIFICATE(S) OF
PROJECT TYPE
INSURANCE
A.
Construction and Major
Worker's Compensation Insurance - for all
Rehabilitation
employees of the Contractor as required by
B.
Emergency Shelter, Housing and
Florida Statute 440.
Minor Rehab, Acquisition of Land &
Commercial Revitalization
Public Liability Insurance - on a
comprehensive basis in an amount not less
A
Construction and Major
than $500,000 combined single limit per
Rehabilitation
occurrence for bodily injury and property
B.
Emergency Shelter, Housing and
damage.. Miami - Dade County must be
Minor Rehab, Acquisition of Land &
shown as an additional insured with
Commercial Revitalization
respect to this coverage.
Automobile Liability Insurance- covering all
A.
Construction and Major
owned, non -owned and hired vehicles used
Rehabilitation
in connection with the work, in an amount not
B.
Emergency Shelter, Housing and
less than $500,000 combined single limit per
Minor Rehab, Acquisition of Land &
occurrence for bodily injury and property
Commercial Revitalization
damage;
Completed Value Builder's Risk
Insurance - on al "All Risk" basis in an
amount not less than one hundred (100 %)
percent of the insurable value of the
A.
Construction and Major Rehabilitation
building(s) or structure(s). The policy shall be
in the name of the sub - recipient and the
Contractor, and Miami -Dade County must
be listed as a loss payee.
Please verify insurance .requirements at time of pre - construction meeting.
Page i of 2
Miami-Dade County
lll. All insurance policies required above all shall be issued by companies authorized to do
business under the laws of the State of Florida, with the following qualifications:
The company must be rated no less than "B" as to management, and no less than
"Class V" as to financial strength, by the latest edition of Best's Insurance Guide,
published by A.M. Best Company, Oldwick, New Jersey, or its equivalent, subject to the
approval of the County Risk; Management Division.
Or
The company must hold a valid Florida Certificate of Authority as shown in the latest
"List of All Insurance Companies Authorized or Approved to Do Business in Florida"
issued by the State of Florida Department of Insurance and are members of the Florida
Guaranty Fund.
IV. All insurance required by the contract must stay in force until final acceptance except,
"Completed Value Builders Risk" which maybe dropped after substantial completion.
The Contractor shall also keep all insurance required by contract, except "Completed
Value Builder's Risk", in force when performing any work during the guarantee
period(s).
The Contractor shall furnish certificates of insurance and insurance policies to the
owner prior to commencing any operation under this contract, which certificates shall
clearly indicate that the Contractor has obtained insurance, in the type, amount, and
classifications, as required for strict compliance with the contract.
NOTE: Certificates will indicate no modification or change in insurance shall be made
without thirty (30) days in advance notice to the certificate holder.
Compliance with the foregoing requirements as to the carrying of insurance shall not
relieve the Contractor from his liability under any other portion of this contract.
V. Cancellation of any insurance or bonds, or non-payment by the contractor of any
premium for any insurance policies or bonds required by this contract shall constitute a
breach of this contract. In addition to any other legal remedies, the owner at its sole
option may terminate this contract or pay such premiums, and deduct the costs thereof
from any amount, which are or may be due to the Contractor.
0
Page 8
PROVISIONS TO BE INCORPORATED IN CONSTRUCTION
CONTRACTS
K "DAVIS- BACON" ACT PROVISION
As stated in 24 CFR Part 85.36
When required by the Federal grant program legislation, all construction contracts in excess of
$2,000 awarded by grantees and sub grantees shall include a provision for compliance with the
Davis-Bacon Act (40 USC 276a to a-7) as supplemented by Department of Labor regulations (29
CFR Part 5). Under this Act contractors shall be required to pay wages to laborers and
mechanics at a rate not less than the minimum wages specified in a wage determination made
by the Secretary of Labor. The grantee shall place a copy of the current prevailing wage
determination issued by the Department of Labor for this solicitation and the award of the
contract shall be conditioned upon the acceptance of the attached wage determination.
Further, the provision listed below must be included in each set of bid documents and
incorporated in each contract, subcontract, and any lower-tier subcontract:
"The contractor hereby agrees that it will abide by the requirements of the Federal Labor
Standards Provisions issued by the United States Department of Housing and Urban
Development and described in Form HUD-4010 and those requirements contained in Wage
General Decision Number FL20100326 0410112011 FL326for this project."
B. TERMINATION PROVISION & LEGAL REMEDIES
As stated in 24 CFR Part 85.36
All contracts in excess of $10,000 shall contain suitable provisions for termination by the grantee
including the manner which it will be affected and the basis for settlement. In addition, such
contracts shall describe conditions under which the contract may be terminated for default as
well as conditions where the contract may be terminated because of circumstances beyond the
control of the contractor.
Contracts other than small purchases shall contain provisions or conditions which will allow for
administrative, contractual, or legal remedies in instances where contractors violate or breach
contract terms, and provide for such sanctions and penalties as may be appropriate.
Provisions for termination are as follows:
1. Termination at Will
This contract, in whole or in part, may be terminated by the Principal Contractor/Owner
upon no less than ten (10) working days notice when the Principal Contractor/Owner
determines that it would be in the best interest of the Principal Contractor/Owner and
the Department of Housing and Community Development (OCED). Said notice shall be
delivered by certified mail, return receipt requested, or in person with proof of defivpg/.
Page i of 3
7 - PROVISIONS TO BE INCORPORATED IN CONSTRUCTION CONTRACTS
Miami-Dade County DHCD
2. Termination for Convenience
The Principal Contractor/Owner may terminate this contract, in whole part, when both
parties agree that the continuation of the activities would not produce beneficial results
commensurate with the further expenditure of funds. Both parties shall agree upon the
termination conditions. The Principal Contractor/Owner, at its sole discretion, reserves
the right to terminate this contract without cause upon thirty (30) days written notice.
Upon receipt of such notice, the Contractor shall not incur any additional costs under
this contract. The Principal Contractor/Owner shall be liable only for reasonable costs
incurred by the Contractor prior to notice of termination. The Principal Contractor/Owner
shall be the sole judge of "reasonable costs."
3. Termination Because of Lack of Funds
In the event of a funding short-fall, or a reduction in federal appropriations, or should
funds to finance this contract become unavailable, the Principal Contractor/Owner may
terminate this contract upon no less than twenty-four (24) hours written notification to
the Contractor. Said notice shall be delivered by certified mail, return receipt requested,
or in person with proof of delivery. The Principal Contractor/Owner shall be the final
authority to determine whether or not funds are available, The Principal
Contractor/Owner may at its discretion terminate, renegotiate and/or adjust the contract
award whichever is in the best interest of the Principal Contractor/Owner.
4. Termination for Substantial Funding Reduction
In the event of a substantial funding reduction of the allocation to the Principal
Contractor/Owner through Board of County Commissioners' action, the Principal
ContractorlOwner may, at its discretion, request in writing from the Director of OCED a
release from its contractual obligations to the County. The Director of OCED will review
the effect of the request on the community and the County prior to making a final
determination.
5. Termination for Breach
The Principal Contractor/Owner may terminate this contract, in whole or in part, when
the Principal Contractor/Owner determines, in its sole and absolute discretion that the
Contractor is not making sufficient progress thereby endangering ultimate contract
performance, or is not materially complying with any term or provision of this contract.
Unless the Contractors breach is waived by the Principal Contractor/Owner in writing,
the Principal ContractorlOwner may, by written notice to the Contractor, terminate this
contract upon no less than twenty-four (24) hours notice. Said notice shall be delivered
by certified mail, return receipt requested, or in person with proof of delivery.
Waiver of breach of any provision of this contract shall not be deemed to be a waiver of
any other breach and shall not be construed to be a modification of the terms of this
contract. The provisions herein do not limit the Principal Contractor's/Owner's right to
legal or equitable remedies.
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Page 10
Miarn-Dade County DHCD
6. Penalties for Fraud Misrepresentation or Material Misstatement
In accordance with the Code of Miami-Dade County, Section 2-8.4.1, any individual or
corporation or other entity that attempts to meet its contractual obligations with the
County through fraud, misrepresentation or material misstatement, shall have its
contract with the County terminated, whenever practicable, as determined by the
County. The County may terminate or cancel any other contracts which such individual
or other subcontracted entity has with the County. Such individual or entity shall be
responsible for all direct and indirect costs associated with such termination or
cancellation, including attorney's fees. The foregoing notwithstanding, any individual or
entity who attempts to meet it contractual obligations with the County through fraud,
misrepresentation or material misstatement may be disbarred from County contracting
for up to five (5) years.
7: Payment Settlement
If termination occurs, the Contractor will be paid for allowable costs incurred in carrying
out activities required by this contract up to the date and time of termination.
C. ACCESS TO RECORDS AND RECORD RETENTION PROVISION
All official project records and documents must be maintained during the operation of this
project and for a period of three (3) years following close out in compliance With 4 NCAC 19L
Rule .0911, Recordkeeping.
The Miami-Dade Department of Housing and Community Development, the U.S. Department
of Housing and Urban Development, and the Comptroller General of the United States, or
any of their duly authorized representatives, shall have access to any books, documents,
papers and records of the implementing agency which are pertinent to this contract, for the
purpose of making audits, examinations, excerpts and transcriptions in compliance with the
above,
Page 3 of 3
Page 11
NONCOLLUSION AFFIDAVIT
STATE OF
CON OF -- L-/
being first duly sworn, deposes and says that:
(1 He /she is e c�aC L of a- r✓ tf✓ ' ,, the Bidder
that has submitted the attached Bid.
(2) Bidder has been fully informed regarding the preparation and contents of the attached Bid
and of all pertinent circumstances regarding such Bid;
(3) Such Bid is genuine and is not a collusion or sham Bid;
(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives,
employees or parties in interest, including this affjant has in any way colluded, conspired;
connived or agreed, directly or indirectly with any other Bidder, firm or person to submit a
collusive or sham Bid in connection with the contractor for which the attached Bid has been
submitted or to refrain from bidding in connection with such contract, or has in any manner;
directly or indirectly, sought by agreement or collusion or communication or conference with
any other Bidder; firm or person to fix the price or prices, profit or cost element of the Bid
e or the B' pr' f any, other Bidder, or to secure through advantage against the
R..a�.:tl_ocal Public Agency) or any person interested in the
proposed Contract; and
(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by
any collusion, conspiracy, connivance or unlawful afire n e part of the Bidder or
any of its agents, representatives, owners, emr�f"o ees� �Jrtoieslihn interest, ;including this
affiant. f � a
Title
Supscribed d rn to befWe e this
day of 20 ¢rr,� PATRICIA A RIVERA
rf MY COMMISSION #EE73340
EXPIRES: MAR 13, 2015
80r*1 th"401st $10 insurance
My commission expires:.
Page 1'2
8 - NONCOLLUSION AFFIDAI
Miami-Dade County DHCD
CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans and Cooperative Agreements
in excess of $100,000
The undersigned certifies, to the best of his or her knowledge and belief, that:
I No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.
2. If any of the funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report
Lobbying," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreement in excess of $100,000) and that all subrecipients
shall certify and disclose accordingly. This certification is a material representation of fact upon
which reliance was placed when this transaction was made or entered into. Submission of this
certification is a prerequisite for making or entering into this transaction imposed by section
1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject
to a civil penalty of got less than $10,000 and not more than $100,000 for each such failure.
By: .
Print:
Title:
Date:
Business Address:
Page 13
9— CERTIFICATION. REGARDING L1
Miami-Dade County DHCD
AFFIRMATIVE ACTION STANDARDS
Contracts covered by the Notice and Specifications shall take affirmative action to insure equal
employment opportunity. Evaluation of contractor's compliance with the affirmative action standards
shall be based on contractor's efforts to achieve maximum results from their actions. The contractor
shall be required to provide documentary evidence of efforts to implement each of the 16 affirmative
action steps outlined in the Specifications. Listed below are the 16 essential affirmative action steps,
the efforts required to implement them and the records that should be maintained to document the
contractor's efforts.
1. Contractors must maintain a working environment free of harassment, intimidation, and coercion at
all sites and in all facilities at which the contractor's employees are assigned to work. The
contractor, where possible, must assign 2 or more women to each construction project. The
contractor shall specifically insure that all forepersons, superintendents, and other on-site
supervisory personnel are aware of and carry out the contractor's obligation to maintain such a
working environment, with specific attention to minorities or women working at such sites or in
such facilities.
To Demonstrate Compliance:
Contractor must have copies of memoranda to supervisory staff, or minutes or notes of staff
meeting or EEO officer's meetings with supervisors to inform them of the contractor's obligation to
maintain a working environment free of harassment, intimidation, and coercion and to where
possible, assign two or more women to each construction project. Monitoring of work environment
by EEO officer.
2. Contractors must establish and maintain a current list of minority and women's recruitment
sources, provide written notification to minority and women's recruitment sources and to
community organizations when the contractor or its unions have employment opportunities
available, and maintain a record of the organization's responses.
To Demonstrate Compliance:
Contractors must have a current listing of recruitment sources for minority and women craft
workers. It must have copies of recent letters to community resource groups or agencies
specifying the contractors employment opportunities and the procedures one should follow when
seeking employment. It must note the responses receive and the results on the bottom or reverse
of the letters or establish a follow-up file for each organization notified.
1 Contractors must maintain a current file of the name, address, and telephone number of each
minority and/or women off-the-street applicant and minority and/or women referred from a union,
recruitment source, or community organization, and of the action that was taken with respect to
each individual. If such individual was sent to the union hiring hall for referral and was not referred
back to the contractor by the union or, if referred, was not employed by the contractor, this shall be
documented in the file with the reason, along with whatever additional actions the contractor may
have taken.
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Page 14
To Demonstrate Compliance:
Contractors must have a file of the names, addresses, telephone numbers, and crafts of each
minority and/or woman applicant showing the date of contact and whether or not the person was
hired and (if not) the reason; whether or not the person was sent to a union for referral and what
happened; and follow-up contracts when the contractor was hiring.
4. Contractors must provide immediate written notification to the Director when the union or unions
with which the contractor has a collective bargaining agreement failed to refer to the Contractor a
minority or woman sent by the contractor, or when the contractor has other information that the
union referral process impeded the contractor's efforts to meet its obligations.
To Demonstrate Compliance:
Contractors must have copies of letters sent to verify claim that the union is impeding the
contractors efforts to comply.
& Contractors must develop on-the-job training opportunities or participate in training programs for
the area that expressly includes minorities and women, including upgrading programs and
apprenticeship and trainee programs relevant to the contractors employment needs, especially
those programs funded or approved by the Department of Labor, The contractor shall provide
notices of those programs to the sources compiled under Item 2, above.
To Demonstrate Compliance:
Contractors must have records of contributions in cash, equipment supplied or contractor
personnel provided as instructors for approved Bureau of Apprenticeship and Training or
Department of Labor funded training programs and records of the hiring and training of minorities
and women from such programs. Supply copies of letters informing minority and women's
recruitment sources or schools providing these training programs.
6. Contractors must disseminate their EEO policies by providing notices of the policy to unions and
training program ' s and requesting their help in meeting its EEO obligations; by including it in any
policy manual and collective bargaining agreement; by publicizing it in the company newspaper or
annual report; by specific review of the policy with all management personnel and with all minority
and women employees at least once a year; and by posting the company EEO policy on bulleting
boards accessible to all employees at each location where construction work is performed.
To Demonstrate Compliance:
Contractors must have written EEO policies that include the name and contact information on the
contractor's EEO officer and must (a) include the policy in any company policy manuals-, (b) post a
copy of the policy on all company bulletin boards (in the office and on all job sites); (c) put in
records, such as reports or diaries, that each minority and woman employee is aware of the policy
and that it has been discussed with them; (d) record that the policy has been discussed regularly at
staff meetings; (e) make copies of newsletters and annual reports that include the policy; and (f)
make copies of letters to unions and training programs requesting their cooperation in helping the
contractor meet its EEO obligations.
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Page 2 of 5
Page 15
T Contractors must review, at least annually; the company's EEO policy and affirmative action
obligations under these specifications with all employees having any responsibility for hiring,
assignment, layoff; termination, or other employment decisions, including specific review of these
items with on -site supervisory personnel such as superintendents and general forepersons prior to
the initiation of work at any job site. Contractors must make and maintain a written record and
maintain it to identify the time and place of these meetings, persons attending, subject matter
discussed, and disposition of the subject matter.
To Demonstrate Compliances
Contractors must have written records (memoranda, diaries, minutes of meetings) identifying the
time and place of meeting; persons attending, subject matter discussed, and disposition of subject
matter.
8. Contractors must disseminate their EEO policies externally by including it in any advertising in the
news media, specifically including minority and women's policy with other contractors and
subcontractors with whom the contractor does or anticipates doing business.
To Demonstrate Compliances
Contractors must have copies of (a) letters sent, at least every 6 months or at the start of each new
major contract, to all recruiting sources (including labor unions and training programs) requiring
compliance with the policy; (b) advertisement that has the EEO "tagline" on the bottom; and (c)
letters to subcontractors and suppliers, at least at the time of the subcontract is signed, requiring
compliance with the policy.
9. Contractors must direct recruitment efforts, both oral and written, to ;minority; women and
community organizations, to schools with minority and women students, and to minority and
women's recruitment and 'training organizations serving the contractor's recruitment area and
employment needs. Not later than one (1) month prior to the date for acceptance of applications
for apprenticeship or other training by any recruitment source, the contractor will send written
notification to such organizations, describing the openings, screening procedures, and tests to be
used in the selection process.
To Demonstrate Compliances
Contractors must have written records of contacts (written communications; telephone calls, or
personal meetings) with minority and women's community organizations and recruitment's
sources, and schools and training organizations, specifying the date(s), individuals contacted,
results of the contact, and any follow -up. It must have copies of letters sent to these organizations
at least one (1) month prior to the acceptance of applications for training (apprenticeship or other)
describing the openings, screening procedures, and tests to be used in the selection process.
10. Contractors must encourage minority and women employees to recruit other minority persons and
women and provide, where reasonable, school, summer and vacation employment to minority and
female youth both on -site and in other areas of the workforces.
i't C9
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Page '3 of 5
.s-
To Demonstrate Compliance:
Contractors must have copies of diaries, telephone logs, or memoranda indicating contacts (written
and oral) with minority and women employees requesting their assistance in recruiting other
minorities and women, and record results. If contractors normally provide after - school, summer,
and vacation employment, it must have copies of letters to organizations under Item 9 describing
those opportunities and must have responses received and results noted on letters or in a follow-
up file.
11. Contractors must validate all tests and other selection requirements where there is an obligation to
do so under CFR 60 -3.
To Demonstrate Compliance:
Contractors must have evidence in the form of correspondence, or certificates that all tests,
interviews and selection procedures used by the contractor; a craft union, or Joint Apprenticeship
Committee meet the requirements in the OFCCP testing and selection guidelines,
12. Contractors must conduct, at least annually, an inventory evaluation (at least) of all minority and
women personnel for promotional opportunities and encourage these employees to seek or to
prepare for such opportunities by appropriate training.
To Demonstrate Compliance:
Contractors must have written records (memo, letters, personnel files, etc.) showing that the
company conducts annual reviews of minority and female personnel for promotional opportunities
and notifies these employees of training opportunities (formal or on-the-job) and encourages their
participation.
13. Contractors must ensure that seniority practices, job classifications, work assignments, and other
personnel practices do not have a discriminatory effect, by continually monitoring all personnel and
employment related activities to insure that the EEO policy and the Contractor's obligations under
these specifications are being carried out.
To Demonstrate Compliance:
Contractors must have evidence (letter, memos, personnel files, reports) that: (a) the activity
under Item 12, above, has been carried out; (b) any collective bargaining agreements have an
EEO clause and the provisions do not operate to exclude minorities and women; (c) the EEO
officer reviews all monthly workforce reports, hiring; terminations, and training provided on the job;
(d) the EEO officer's job description identifies his or her responsibility for monitoring all
employment activities for discriminatory effects; and (e) the contractor has initiated corrective
action whenever the contractor has identified a possible discriminatory effect.
14. Contractors must insure that all facilities and company activities are nonsegregated, except for
providing separate or single -user toilets and necessary changing facilities to assure privacy
between the sexes.
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Page 17
:Miami-Dade County DHCD
To Demonstrate Compliance:
Contractors must have incorporated the "Certification of Nonsegregated Facilities" from the
contractors federally involved contract documents into all subcontracts and purchase order; have
records that announcements of parties, picnics, etc. have been posted and have been available to
all employees; have written copies of contracts (written or verbal) with supervisory staff regarding
the provision of adequate toilet and changing facilities to assure privacy between the sexes.
15. Contractors must document and maintain a record of all solicitations of offers for subcontractors
from minority and female construction contractors and suppliers, including circulation of
solicitations to minority and women's contractor associations and other business associations.
To Demonstrate Compliance:
Contractors must have copies of letters or other direct solicitation of bids for subcontractors or joint
ventures from minority or women contractors with a record of specific responses and any follow -up
the contractor has done to obtain a price quotation or to assist a minority or female contractor in
preparing or reducing a price quotation; have a list of all minority or female subcontracts awarded
or joint ventures participated in with dollar amounts; have copies of solicitations sent to minority
and women's contractor associations or other business associations.
16. Contractors must conduct a review, at least annually, of all supervisors' adherence to and
performance under the contractor's EEO policies and affirmative action obligations.
To Demonstrate Compliance:
Contractors must have copies of memos, letters, reports, minutes of meeting, or interviews with
supervisors regarding their employment practices as they relate to the contractor's EEO policy and
affirmative action obligations; and written evidence that supervisors were notified when their
employment practices adversely or positively impacted on the contractor's EEO and affirmative
action posture.
H
Initials
Page 5 of 5'
Page 18
10- :AFFIRMATIVE ACTION STANDARDS
Miami-Dade County DHCD
CERTIFICATION OF COMPLIANCE WITH PART 60-2
AFFIRMATIVE ACTION PROGRAMS
The bidder represents that he has (V has not ( ), participated in a previous contract or
subcontract suoect to the Equal Opportunity Clause prescribed by Executive Order 11246;
that he has (V) has not ( ) developed a wri!Wn affirmative action compliance program for
each of his establishments; that he has V) has not ( ), filed with the Joint Reporting
Committee, the Office of Federal Contract Compliance Programs (OFCCP) or the Equal
Employment Opportunity Commission (EEOC) all reports due under the applicable filing
requirements; and that representations indicating submission of required compliance
reports, signed by proposed subcontractors, will be obtained prior to contract and/or
subcontract award,
9NO
The penally for making false statement in offers is prescribed in 18 U.S.C. 1001
llodll� c9LO) 5_,5*'_
Address (including Zip Code)
11 - CERTIFICATION OF COMPLIANCE WITH PART 60-2
Page 19
DHCD
nnz=zjg����
Bidder, by submission of this quotation represents:
The undersigned has -Zhas not _, participated in a previous contract or subcontract
subject to the Equal Opportunity clause herein or the clause originally contained in Section
301 of Executive Order No. X0925, or the clause contained in Section 201 of Executive Order
No. 11114; that it has V , has not_ filed all required compliance reports; and that
representations indicating submission of the required compliance reports, signed by
proposed subcontractors, will be obtained prior to subcontract awards. (The above
representation need not be submitted in connection with contracts or subcontracts which are
exempt from the clause.)
B. AFFIRMATIVE ACTION
The bidder represents that (a) it has _L/developed and has on file, has not _ developed
and does not have on file, at each establishment an affirmative action program as required by
the rules and regulation of the Secretary of Labor (41 CFR 60-1 and 60-2), or (b) it has not -_
previously had contracts subject to written affirmative action program requirements of the rules
and regulations of the Secretary of Labor,
C. AMERICANS WITH DISABILITIES ACT
The contractor represents and certifies the following as part of its offer:
By submission of an offer, the bidder certifies that it complies with the American with
Disabilities Act, 42 U.S.C., and 12101 et. seq., and will maintain compliance throughout the life
of the Contract. By commencing performance of the Contract work, the selected contractor
certifies to the American with Disabilities Act compliance.
By submission of a bid, the bidder certifies that it has read and complies with the General
Provision entitled "Anti-Kickback Procedures" as stated in 24 CFR part 85.36 as follows:
All contracts and subcontracts for construction or repair shall include a provision for compliance
with the Copeland "Anti-Kickback" Act (18 USC 874) as supplemented in Department of
Regulations (29 CFR, Part 3). This Act provides that each contractor or subcontractor shall be
prohibited from inducing, by any means, any person employed in the construction, completion,
or repair of public work, to give up any part of the compensation to which he is otherwise
entitled.
By submission of this bid, the bidder attests that neither it nor any of its employees has
performed or participated in any prohibited actions, as defined in this provision.
Page I of 3
Page 20
Miami-Dade County DHCD
kills pligill IN III 11111111 115iII 1111i III �� I
This certification applies to those contractors who apply for award of bid of $100,000 or
more:
Each tier certifies to the tier above that it will not and has not used Federal appropriated funds
to any person or organization for influencing or attempting to influence an officer or employee
of any agency, a member of Congress, officer or employee of Congress, or an employee of a
member of Congress in connection with obtaining any Federal contract, grant or any other
award covered by 31 U.S.C. 1352. Each tier shall also disclose any lobbying with non-Federal
funds that takes place in connection with obtaining any Federal award. Such disclosures are
forwarded from tier to tier up to the recipient.
ME"I gnus
This certification applies to a contract or subcontract in excess of $25,000
slubmiss
�IjonAof LoAffr the bidder certifies that it has provided full disclosure in writing to
a��a��(name of implementing agency) whether as of the
anticipated time of award of any contract resulting from this solicitation; it anticipates
that it or its principals will be debarred, or proposed for debarment by the Federal
Government, State of Florida, or Miami-Dade County.
By commencing performance of the Conic work, the s ece contractor certifies that it
has made full disclosure in writing to 6V a-"me of implementing
agency) as to whether as of the time of award it or any of its principals is debarred,
suspended, or proposed for debarment by the Federal Government, State of Florida, or
Miami-Dade County.
Section 109, Housing and Community Development Act of 1974
No person in the United States shall on the ground of race, color, national origin or sex be
excluded from participation in, be denied the benefits of, or be subjected to discrimination under
any program or activity funded in whole or in part with funds available under Section 109,
Housing and Community Development Act of 1974-
Page 2 of 3
-OTHER CERTIFICATIONS
Miami-Dade County DHCD
H. AGE DISCRIMINATION ACT OF 1975, AS AMENDED
Non-discrimination on the Basis of Age
No qualified person shall on the basis of age be excluded from participation in, be denied the
benefits of, or otherwise be subjected to discrimination under any program or activity which
receives or benefits from Federal assistance.
I. SECTION 504 OF THE REHABILITATION ACT OF 1973, AS AMENDED
Non-discrimination on the Basis of Handicap
No qualified handicapped person shall, on the basis of handicap be excluded from participation in,
be denied the benelits of, or otherwise be subjected to discrimination under any program or activity
which recgiVes oyyer*fits from Federal assistance.
Title:
Date:
Business Address:
Page 3 of 3
12 - OTHER CERTIFICATIONS
Page 22
Miami-Dade County DHCD
CERTIFICATION REGARDING
DRUG-FREE WORKPLACE
(GRANTEES OTHER THAN INDIVIDUALS)
As required by the Drug-Free Workplace Act of 1988, and implemented at 28 CFR Part
67, subpart F, for grantees, as defined at 28 CFR part 67 Sections 67.615 and 67.620-
A.The applicant certifies that it will or will continue to provide a drug-free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is
prohibited in the grantee's workplace and specifying the actions that will be
taken against employees for violation of such prohibition;
(b) Establishing an on-going drug-free awareness program to inform employees
about:
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy of maintaining a drug-free workplace;
(3) Any available drug counseling, rehabilitation, and employee assistance
programs; and
(4) The penalties that may be imposed upon employees for drug abuse
violations occurring in the workplace;
(c) Making it a requirement that each employee to be engaged in the
performance of the grant be given a copy of the statement required by
paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a
condition of employment under the grant, the employee will
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her conviction for a violation of a
criminal drug statute occurring in the workplace no later than five
calendar days after such conviction;
(e) Notifying the agency in writing, within 10 calendar days after receiving notice
under subparagraph (d)(2) from an employee or otherwise receiving actual
notice of such conviction
(f) Taking one of the following actions, within 30 calendar days of receiving
notice under subparagraph (d)(2), with respect to any employee who is so
convicted
Page toff 2
13- CERTIFICATION REGARDING DRUG-FREE WORKPLACE
Miami-Dade County DHCD
Page 23
(1) Taking appropriate personnel action against such an employee, up to and
including termination, consistent with the requirements of the
Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a
Federal, State, or local health, law enforcement, or other appropriate
agency;
Making a good faith effort to continue to maintain a drug-free workplace through
implementation of paragraphs (a), (b), (c), (d), (e), and (f).
B. The Grantee may insert in the space provided below the site(s) for the performance
of work done in connection with the specific grant:
Place of Performance (Street address, city, county, state, zip code)
/ 10 9 0 A10J 5-,5- 5A AJ,'&.-
Check ❑ if there are workplaces on file that are not identified here.
'& &"J., ?__
0
Ila 4 27
Official Address (including Zip Code)
P,( 3011 J,
Page 2 of '2
13 - CERTIFICATION. REGARDING DRUG-FREE WORKPLACE
Miami-Dade County DHCD
Page 24
ASSURANCE OF COMPLIANCE tSection 3, HUD ACT of 1968)
TRAINING, EMPLOYMENT, AND CONTRACTING OPPORTUNITIES FOR BUSINESS AND LOWER INCOME PERSONS
A. The project assisted under this (contract) (agreement) is subject to the requirements of
Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S'. G.
170U. Section 3 requires that to the greatest extent feasible opportunities for training and
employment be given to lower income residents of the project area and contracts for work in
connection with the project be awarded to business concerns which are located in or owned
in substantial part by persons residing in the area of the project.
B. Notwithstanding any other provision of this (contract) (agreement), the (applicant) (recipient)
shall carry out the provisions of said Section 3 and the regulations issued pursuant thereto by
the Secretary set forth in 24 CFR Part 135 (published in 38 Federal Register 29220, October
23, 1973), and all applicable rules and orders of the Secretary issued there under prior to the
execution of this (contract) (agreement). The requirements of said regulations include but
are not limited to development and implementation of an affirmative action plan for utilizing
business concerns located within or owned in substantial part by persons residing in the area
of the project; the making of a good faith effort, as defined by the regulation, to provide
training, employment and business opportunities required by Section 3; and incorporation Of
the "Section 3 Clause" specified by Section 135.20 (b) of the regulations in all contracts for
work in connection with the project. The (applicant) (recipient) certifies and agrees that it is
under no contractual or other disability which would prevent it from complying with these
requirements.
C. Compliance with the provision of Section 3, the regulations set forth in 24 CFR Part 135; and
all applicable rules and orders of the Secretary issued there under prior to approval by the
Government of the application for this (contract) (agreement), shall be a condition of the
Federal financial assistance provided to the project, binding upon the (applicant) (recipient),
its successors and assigns. Failure to fulfill these requirements shall subject the (applicant)
(recipient), its contractors and subcontractors, its successors, and assigns to the sanctions
specified by the (contract) (agreement), and to such sanctions as are specified by 24 CFR
Section 135
s
dl
DATE:
14 - ASSURANCE OF COMPLIANCE (Section 3, HUD ACT of 1968)
Miami -Dade County DHCD
Page 25
SECTION 3 REQUIREMENTS
I. ASSURANCE STATEMENT
Each applicant, recipient, contractor, and subcontractor on a Section 3 covered project shall
sign the attached Section 3 Assurance of Compliance.
11. AFFIRMATIVE ACTION PLAN FOR UTILIZATION OF PROJECT AREA BUSINESSES
Each applicant, recipient, contractor, and subcontractor preparing to undertake work pursuant
to a Section 3 covered contract shall develop and implement an affirmative action plan, which
shall:
a. Set forth the approximated number and dollar value of all contracts proposed to be
awarded to all businesses within each category (type or profession) over the duration of
the Section 3 covered project.
b. Analyze the information set forth in paragraph (a) and the availability of eligible
business concerns within the project area doing business in professions or occupations
identified as needed in paragraph (a) and set forth a goal or target number and
each category over the duration of the Section 3 covered project.
c. Outline the anticipated program to be used to achieve the goals for each business
and/or professional category identified. This program should include but not be limited
to the following actions:
Insertion in the bid documents, if any, of the affirmative action plan of the
applicant, recipient, contractor, or subcontractor letting the contract; and
Identification within the bid documents, if any, of the applicable Section 3 project
area.
iii. Ensuring that the appropriate business concerns are notified of pending
contractual opportunities either personally or through locally utilized media.
Every applicant and recipient shall require prospective contractors for work in connection with
Section 3 covered projects to provide, prior to the signing of the contract, a Preliminary
statement of work force needs (skilled, semi-skilled, unskilled labor and trainees by category)
where known; where not known, such information shall be supplied prior to the signed of any
contract between contractors and their subcontractors. Consideration should be given to those
contractors who will have training and employment opportunities for project area residents.
When a bidding procedure is used to let the contract, the invitation or solicitation for bids shall
advise prospective contractors of the requirements of these regulations. . I -
Pagel of 2
IS - SECTION 3 REQUIREMENTS
Miami Dade County DHCD
Applicant, recipient and contractors should insert plan for utilization of project area business in
the bid documents. The recipient must have indicated therein that Section 3 applies to the
project and what is expected of them. All contractors who bid a job just show in their bid what
they will do to implement Section 3. They must in this bid commit themselves to a goal and
show what they intend to do to reach that goal. When the bids are opened, they must be
evaluated in terms of the bidder's responsiveness to Section 3. A bid which lacks a
commitment to Section 3 or which lacks a goal or plan to reach a goal may be judged
nonresponsive.
Applicants, recipients and contractors will ensure that the attached Section 3 Clause and
Assurance of Compliance are made a part of all contracts.
In implementing its affirmative action plan, each applicant, recipient, contractor, or
subcontractor shall make a good faith effort to achieve its goal or target number and estimated
dollar amount of contracts to be awarded to the eligible businesses and entrepreneurs within
each category over the duration of the Section 3 covered project.
IV. UTILIZATION OF LOWER INCOME RESIDENTS AS TRAINEES AND EMPLOYEES
Each applicant, recipient, contractor or subcontractor undertaking work in connection with a
Section 3 covered project shall make a good faith effort to fill all vacant training and
occupational category positions with lower income project area residents.
M
Page 2 of 2
15 - SECTION 3 REQUIREMENTS
Miami-Dade County DHCD
Page 27
SECTION 3 CLAUSE
A. The work to be performed under this contract is subject to the requirements of section 3 of the
Housing and Urban Development Act of 1968, as amended, 12 U.S. C. 170lu (section 3). The
purpose of section 3 is to ensure that employment and other economic opportunities generated
by HUD assistance of HUD- assisted projects covered by section 3, shall, to the greatest extent
feasible, be directed to low- and very low - income persons, particularly persons who are
recipients of HUD assistance for housing.
B. The parties to this contract agree to comply with HUD's regulations in 24 CFR part 135, which
implement section 3. As evidenced by their execution of this contract; the parties to this contract
certify that they are under no contractual or other impediment that would prevent them from
complying with the part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with which
the contractor has a collective bargaining agreement or other understanding, if any, a notice
advising the labor organization or workers' representative of the contractor's commitments under
this section 3 clause, and will post copies of the notice in conspicuous places at the work site
where both employees and applicants for training and employment positions can see the notice.
The notice shall describe the section 3 preference, shall set forth minimum number and job titles
subject to hire, availability of apprenticeship and training positions, the qualifications for each;
and the name and location of the person(s) taking applications for each of the positions; and the
anticipated date the work shall begin.
D. The contractor agrees to include this section 3 clause in every subcontract subject to compliance
with regulations in 24 CFR part 135, and agrees to take appropriate action, as provided in an
applicable provision of the subcontract or in this section 3 clause, upon a finding that the
subcontractor is in violation of the regulations in 24 CFR part 135. The contractor will not
subcontract with any subcontractor where the contractor has notice or knowledge that the
subcontractor has been found in violation of the regulations in 24 CFR part 135.
E: The contractor will certify that any vacant employment positions, including training positions; that
are filled (1) after the contractor is selected but before the contract is executed, and (2) with
persons other than those to whom the regulations of 24 CFR part 135 require employment
opportunities to be directed, were not filled to circumvent the contractor's obligations under CFR
part 135.
F. Noncompliance with HUD's regulations in 24 CFR part 135 may result in sanctions, termination
of this contract for default, and debarment or suspension from future HUD assisted contracts.
Initials
16 - SECTION 3 CLAUSE
Miami -Dade Gounty DHGD
Page 28
BIDDER'S INITIAL SECTION 3 GOALS
1: The Bidder agrees to comply with Section 3 of the Housing and Urban Development Act of
1968, as amended.
2. The Bidder estimates that there will be new employees hired during the performance
of this contract. Furthermore, should this contract be let to the Bidder, the Bidder agrees to
delineate work force needs (skilled, semiskilled, unskilled, labor, and trainees) by category.
3. Of these new employees, the Bidder plans to hire at least 0 percent ( %) from the Section 3
Covered Area (Dade County, Florida).
4. The Bidder estimates that _/O percent (%) of those materials purchased for use on this
project will be from business located in the Section 3 Covered Area (Dade County, Florida)
6 7A<,.-,& 7,/ (please print), as an authorized Officer of the Bidder, do
her4by kknowledge that we are aware of the requirements under Section 3 of the Housing and Urban
Development Act of 1968, as amended, and will abide by them. We further agree to abide by this
Affirmative Action Plan to the greatest extent feasible and realize that should we be awarded the
contract, it becomes subject to monitoring for compliance with this plan by Miami-Dade County
Department of HousinqAffilp Cor/I�ity Development.
Authorized Signatt�e
Title
Company xb,'� Z'
ff v
Employer (IRS) ID# P-0 — ✓
Date /0 114-111
17 = BIDDER'S INITIAL SECTION 3 GOALS
Miami-Dade County DHCD
Page 29
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION — LOWER TIER COVERED TRANSACTIONS
INSTRUCTIONS FOR CERTIFICATION
1. By signing and submitting this proposal, the prospective lower tier participant is
providing the certification set out below.
2. The certification in this clause is a material representation of fact upon which
reliance was placed when this transaction was entered into. If it is later determined
that the prospective lower tier participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal Government, the
department or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the
person to whom this proposal is submitted if at anytime the prospective lower tier
participant learns that its certification was erroneous when submitted or has
become erroneous by reason of changed circumstances.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered
transaction, participant, person, primary covered transaction, principal, proposal
and voluntarily excluded, as used in this clause, have the meanings set out in the
Definitions and Coverage sections of rules implementing Executive Order 12549.
You may contract the person to which this proposal is submitted for assistance in
obtaining a copy of those regulations,
5. The prospective lower tier participant agrees by submitting this proposal that,
should the proposed covered transaction be entered into, it shall not knowingly
enter into any lower tier covered transaction with a person who is debarred,
suspended, declared ineligible, or voluntarily excluded from participation in this
covered transaction, unless authorized by the department or agency with which this
transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that
it will include this clause titled "Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion — Lower Tier Covered Transaction, without
modification, in all lower tier covered transactions.
Page 1 of 3
18 - :CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILTY AND VOLUNTARY EXCLUSION - LOWER TIERED COVERED
TRANSACTIONS
Miami-Dade County DHCD
Page 30
7. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that it is not debarred, suspended,
ineligible, or voluntarily excluded from the covered transaction, unless it knows that
the certification is erroneous. A participant may decide the method and frequency
by which it determines the eligibility of its principals.
8. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this
clause. The knowledge and information of a participant is not required to exceed
that which is normally possessed by a prudent person in the ordinary course of
business dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered
transaction with a person who is suspended, debarred, ineligible, or voluntarily
excluded from participation in this transactions in addition, to other remedies
available to the Federal Government, the department or agency with which this
transaction originated may pursue available remedies, including suspension and/or
debarment.
Page 2 of 3
18 - CERTIFICATION REGARDING DEBARMENT, SUSPENSION, I NELIGIB ILTY AND VOLUNTARY EXCLUSION - LOWER TIERED COVERED
TRANSACTIONS
Miami-Dade County DHCD
Page 31
CERTIFICA'
REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION — LOWER TIER TRANSACTIONS
By submission of the proposal, the prospective lower tier participant certifies,
that:
1. Neither it nor its principals is presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction, by any Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of
the statements in this certification, such prospective participant shall
atlLyi an explanation to this proposal.
Print:
r,, r -
Title:
Date-
Business Address: "A_r
— a/ wl , "-'�
_4412i -10 ft/ 33
Page 3 of 3
18 - CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBIi AND VOLUNTARY EXCLUSION - LOWER TIERED COVERED
TRANSACTIONS
Miami-Dade County DHCD
Page 32
I ilk 1191 IM .1111 X" IIIII LOW
In carrying out the contract, the contractor shall not discriminate against any
employee or applicant for employment because of race, color, religion, sex, or
national origin. The contractor shall take affirmative action to insure that applicants
for employment are employed, and that employees are treated during employment,
without regard to their race, color religion, sex, or national origin. Such action shall
include, but not limited to, advertising; layoff or termination, rates of pay or other
forms of compensation, and selection for training, including apprenticeship. The
contractor shall post in conspicuous places, available to employees and applicants
for employment, notices to be provided by the Government setting for the provisions
of the nondiscri "ination clause. The contractor shall state that all qualified
candidates wil07tional eive consideration for employment without regard to race, color,
religiony"x, o origin.
Print:
Title:
Date;
Business Address: f C4,
M
19- EQUAL EMPLOYMENT OPPORTUNITY CLAUSE FOR CONTRRCS NOT SUBJECT TO EXECUTIVE ORDER 11246.
Miami -Dade County DHCD
Page 33
a
1) The contractor will not discriminate against any employee or applicant for employment because
he or she is a disabled veteran or veteran of the Vietnam era in regard to any position for which
the employee or applicant for employment is qualified. The contractor agrees to take
affirmative action to employ, advance in employment and otherwise treat qualified individuals
Without discrimination based on their status as a special disabled veteran or veteran of the
Vietnam era in all employment practices, including the following:
i. recruitment, advertising, and job application procedures;
ii. hiring, upgrading, promotion, award of tenure, demotion, transfer, layoff;
termination, right of return from layoff and rehiring;
iii, rates of pay or any other form of compensation and changes in compensations
iv. job assignments, job classifications, organizational structures, position descriptions,
lines of progression; and seniority lists;
V. leaves of absence, sick leave, or any other leave;
vi: fringe benefits available by virtue of employment, whether or not administered by
the contractor,
Vii, selection and financial support fortraining, including apprenticeship, and on-the-job
training under 38 U.S.C. 3687, professional meeting, conferences, and other related
activities, and selection for leaves of absence to pursue training;
viii; activities sponsored by the contractor including social or recreational programs; and
ix. any other term, condition, or privilege of employment.
2) The contractor agrees to immediately list all employment openings which exist at the time of
the execution of this contract, including those not generated by this contract and including
those occurring at an establishment of the contractor other that the one wherein the contract is
being performed, but excluding those of independently operated corporate affiliates, at an
appropriate local employment service office of the state employment security agency wherein
the opening occurs. Listing employment openings with the U.S. Department of Labor's
America's Job Bank shall satisfy the requirement to list jobs with the local employment service
office.
3) Listing of employment openings with the employment service office pursuant to this clause
shall be made at least concurrently with the use of any other recruitment source or effort and
shall involve the normal obligations which attach to the placing of a bona fide job order,
including the acceptance of referrals of veterans and non- veterans. The listing of employment
openings does not require the hiring of any particular job applicants or from any particular
group of job applicants, and nothing herein is intended to relieve the contractor from any
requirements in Executive orders or regulations regarding nondiscrimination in employment.
Page 1 of 3
20 -EQUAL OPPORTUNITY FOR SPECIAL DISABLED VETERANS AND VETERANS OF THE VIETNAM. ERA.
Miami -Dade County DHCD
Page 34
4) Whenever the Contractor becomes contractually bound to the listing provisions in paragraphs 2
and 3 of this clause, it shall advise the employment service agency in each State where it has
establishments of the name and location of each hiring location in the state: Provided, that this
requirement shall not apply to state and local governmental contractors. As long as the
Contractor is contractually bound to these provisions and has so advised that state agency,
there is no need to advise the state agency of subsequent contracts. The Contractor may
advise the state agency when it is no longer bound by this contract clause.
5) The provisions of paragraphs 2 and 3 of this clause do not apply to the listing of employment
openings which occur and are filed outside of the 50 States, the District of Columbia, the
Commonwealth of Puerto Rico, Guam and the Virgin Islands.
6) As used in this clause:
All employment openings includes all positions except executive and top management,
those positions that will be filled from within the contractor's organization, and positions
lasting three days or less. This term includes full-time employment, temporary employment
of more that three days' duration, and part time employment.
Executive and top management means any employee: (a) whose primary duty consists of
the management of the enterprise in which he or she is employed or of a customarily
recognized department of subdivision thereof; and (b) who customarily and regularly directs
the work of two or more other employees therein; and (c) who has the authority to hire or
fire other employees or whose suggestions and recommendations as to the hiring or firing
and as to the advancement and promotion or any other change of status of other
employees will be given particular weight; and (d) who customarily and regularly exercises
discretionary powers; and (e) who does not devote more than 20 percent, or, in the case of
an employee or a retail or service establishment who does not devote as much as 40
percent, of his or her hours of work in the work week to activities which are not directly and
closely related to the performance of the work described in (a) through (d) of this paragraph
6, ii.; Provided, that (e) of this paragraph 6.4. shall not apply in the case of an employee
who is in sole charge of an independent branch establishment, or who owns at least a 20-
percent interest in the enterprise in which he or she is employed.
Positions that will be filled from within the contractor's organization means employment
openings for which no consideration will be given to persons outside the contractor's
organization (including any affiliates, subsidiaries, and parent companies) and includes any
openings which the contractor proposes to fill from regularly established "recall" lists, The
exception does not apply to a particular opening once an employer decides to consider
applicants outside of his or her own organization.
7) The Contractor agrees to comply with the rules, regulations, and relevant orders of the
Secretary of Labor issued pursuant to the Act.
8) In the event of the Contractors non-compliance with the requirements of this clause, actions for
non-compliance may be taken in accordance with the rules, regulations, and relevant orders of
the Secretary of Labor issued pursuant to the Act.
Page 2 of 3
20 - EQUAL OPPORTUNITY FOR SPECIAL DISABLED VETERANS AND VETERANS OF THE VIETNAM ERA
Miami-Dade County DHCD
Page 35
9) The Contractor. agrees to post in conspicuous places, available to employees and applicants
for employment, notices in a form to be prescribed by the Deputy Assistance Secretary for
Federal Contract Compliance Programs, Director, provided by or through the contracting
officer. Such notice shall state the rights of applicants and employees as well as the
contractor's obligation under the law to take affirmative action to employ and advance in
employment qualified employees and applicants who are special disabled veterans or
veterans of the Vietnam era. The contractor must ensure that applicants or employees who
are special disabled veterans are informed of the contents of the notice (e.g., the contractor
may have the notice read to a visually disabled individual, or may lower the posted notice so
that it might be read by a person in a wheelchair).
10) The Contractor will notify each labor union or representative of workers with which it has a
collective bargaining agreement or other contract understanding, that the contractor is bound
by the terms of the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended,
and is committed to take affirmative action to employ and advance in employment qualified
special disabled veterans and veterans of the Vietnam era.
11) The Contractor will include the provisions of this clause in every subcontract or purchase order
of $10,000 or more unless exempted by rules; regulations, or orders of the Secretary issued
pursuant to the Act, so that such provisions will be binding upon each subcontractor or vendor.
The Contractor will take such action with respect to any subcontract or purchase order as the
Deputy (stance Secretary for Federal Contract Compliance Programs may direct to enforce
,teach pr) i;ions, including action for non - compliance.
Title:
Date:
Business Address:
v� Ld
Page 3 of a:
20 = EQUAL OPPORTUNITY FOR SPECIAL DISABLED VETERANS AND VETERANS OF THE VIETNAM ERA
Miami -Dade County DHCD
Rage 36
1) The contractor will not discriminate against any employee or applicant for employment
because he or she is a physical or mental disability in regard to any position for which
the employee or applicant for employment is qualified. The contractor agrees to take
affirmative action to employ, advance in employment and otherwise treat qualified
individuals with disabilities without discrimination based on their physical or mental
disability in all employment practices, including the following:
X. Recruitment, advertising, and job application procedures;
xi. Hiring, upgrading, promotion, award of tenure; demotion, transfer, layoff;
termination, right of return from layoff and rehiring;
xii. Rates of pay or any other form of compensation and changes in
compensation;
xiii. Job assignments, job classifications, organizational structures, position
descriptions„ lines of progression; and seniority lists;
xiv. Leaves of absence, sick leave, or any other leave;
xv. Fringe benefits available by virtue of employment, whether or not
administered by the contractor;
xvi. Selection and financial support for training; including apprenticeship;
professional meetings, conferences, and other related activities, and
selection for leaves of absence to pursue training;
xvii. Activities sponsored by the contractor including social or recreational
programs; and
xviii. Any other term, condition, or privilege of employment.
2) The Contractor agrees to comply with the rules, regulations, and relevant orders of the
Secretary of Labor issued pursuant to the Act.
3) In the event of the Contractor's non- compliance with the requirements of this clause,
actions for non- compliance may be taken in accordance with the rules, regulations, and
relevant orders of the Secretary of Labor issued pursuant to the Act.
4); The Contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices in a form to be prescribed by the Deputy Assistance
Secretary for Federal Contract Compliance Programs, provided by or through the
contracting officer. Such notice shall state the rights of applicants and employees as
well as the contractor's obligation under the law to take affirmative action to employ
and advance in employment qualified employees and applicants with disabilities. The
contractor must ensure that applicants or employees with disabilities are informed of
the contents of the notice (e.g., the contractor may have the notice read to a visually
disabled individual, or may lower the posted notice so that it might be read by a person
in a wheelchair).
Page 1 of 2
21 = EQUAL: OPPORTUNITY FOR WORKERS WITH: DISABILITIES
Miami -Dade County DHCD
Page 37'
5) The Contractor will notify each labor union or representative of workers with which it
has a collective bargaining agreement or other contract understanding, that the
contractor is bound by the terms of Section 503 of the Rehabilitation Act of 1973, as
amended, and is committed to take affirmative action to employ and advance in
employment individuals with physical or mental disabilities.
6) The Contractor will include the provisions of this clause in every subcontract or
purchase order in excess of $10,000, unless exempted by rules, regulations, or orders
of the Secretary issued pursuant to Section 503 of the Act, as amended, so that such
provisions will be binding upon each subcontractor or vendor. The Contractor will take
such action with respect to any subcontract or purchase order as the Deputy
Assistance Secretary for Federal Contract Compliance Programs may direct to enforce
such provisiq#ps, including action for non-compliance
Title:
Date: /a//
Business Address:
Page 2 of 2
21 - EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES
Miami-Dade Gounty DHCD
Page 38
• • a • - -•-
60-4.2 (d) THE NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION
1.. The Offeror's or Bidder's attention is called to the "Equal Opportunity Clause"
and the "Standard Federal Equal Employment Opportunity Construction
Contract Specifications" set forth herein.
2 The goals and timetables for minority and female participation, expressed in
percentage terms for the Contractor's aggregate workforce in all trades on all
construction work in the covered area, are as follows:
A. GOALS FOR MINORITY UTILIZATION, All Trades:
Area Covered: Dade County; Florida
Goals and Timetables
Timetable Trade Goal
Until Further Notice All 39.5%
B. GOALS FOR FEMALE UTILIZATION, All Trades:
Area Covered: Goals for Women apply nationwide.
Goals and Timetables *
Timetable Trade Goal
Until Further Notice All 6.9%
THESE GOALS ARE APPLICABLE TO ALL THE CONSTRUCTION WORK
CONTRACTORS (WHETHER OR NOT IT IS FEDERAL OR FEDERALLY ASSISTED)
PERFORMED IN THE COVERED AREA.
46'
Initials
Page 1 Of 10
22= NOTICE OF REQUIREMENT FOR AFFIRMATIVE: ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami -Dade County DHCD'
Page 39
The Contractor's compliance with the Executive Order and the regulations in 41
CFR Part 60-4 shall be based on its implementation of the Equal Opportunity
Clause, specific affirmative action obligations required by the specifications set
forth in 41 CFR 60- 4.3(a), and its efforts to meet the goals established for the
geographical area where the contract resulting from this solicitation is to be
performed. The hours of minority and female employment and training must be
substantially uniform throughout the length of the contract, and in each trade,
and the Contractor shalt make a good faith effort to employ minorities and
women evenly on each of its projects. The transfer of minority or female
employees or trainees from Contractor to Contractor or from project to project
for the sole purpose of meeting the Contractor's goals shall be a violation of the
contract, the Executive Order and the regulations in 41 CFR Part 60 -4.
Compliance with the goals will be measured against the total work hours
performed.
3 The Contractor shall provide written notification to the Director of the Office of
Federal Contract Compliance Programs within 10 working days of award of any
construction subcontract in excess of $10,000, at any tier for construction work
under the contract resulting from this solicitation. The notification shall list the
name, address and telephone number of the subcontractor, employer
identification number, estimated dollar amount of the subcontract; estimated
starting and completion dates of the subcontract; and the geographical area in
which the contract is to be performed.
4. As used in this Notice, and in the contract resulting from this solicitation, the
"covered area" is Miami -Dade County, Florida (insert description of the
geographical areas where the contract is to be performed giving the state,
county and city, if any).
60-4.3 (a) EQUAL OPPORTUNITY CLAUSE'
During the performances of this contract, the Contractor agrees as follows:
1: The Contractor will not discriminate against any employee or applicant for
employment because of race, color, religion, sex; or national origin. The
Contractor will take affirmative action to ensure that applicants are employed;
and that employees are treated during employment; without regard to their race,
color, religion, sex or national origin. Such action shall include, but not be
limited to the following: employment, upgrading, demotion, or transfer
recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The
Contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices to be provided setting forth the provisions of
this Equal Opportunity Clause.
.Page lot 10
22- NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EOUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami-Dade County DHCD
Page 40
2. The Contractor will, in all solicitations or advertisements for employees placed
by or on behalf of the Contractor, state that all qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, or
national origin.
3. The Contractor will send to each labor union or representative of workers with
which he has a collective bargaining agreement or other contract or
understanding, a notice to be provided advising the labor union or workers'
representative of the Contractor's commitments under this Equal Opportunity
clause and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
4. The Contractor will comply with all provisions of Executive Order 11246 of
September 24, 1965, and of the rules, regulations, and relevant orders of the
Secretary of Labor.
5. The Contractor will furnish all information and reports required by Executive
Order 11246 of September 24, 1965, and by the rules, regulations, and orders of
the Secretary of Labor or pursuant thereto, and will permit access to his books,
records and accounts by HUD and the Secretary of Labor for purposes of
investigation to ascertain compliance with such rules, regulations, and orders.
6. In the event of the Contractors noncompliance with the nondiscrimination
clauses of this Contract or with any of the said rules, regulations, or orders, this
Contract may be canceled, terminated, or suspended in whole or in part and the
Contractor may be declared ineligible for further contracts in accordance with
procedures authorized in Executive Order 11246 of September 24, 1965, and
such other sanctions may be imposed and remedies invoked as provided in
Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of
the Secretary of Labor, or as otherwise provided by law.
7. The Contractor will include the statement preceding subparagraph (1) and the
provisions of subparagraph (1) through (7) in every subcontract or purchases
order unless exempted by rules, regulations, or orders of the Secretary of Labor
issued pursuant to Section 20 of Executive Order 11246 of September 24, 1965,
so that such provisions will be binding upon each subcontractor or vendor, The
Contractor will take such action with respect to any subcontract or purchase
order as HUD many direct as a means of enforcing such provisions including
sanctions for noncompliance; provided, however, that in the event the
Contractor becomes involved in or is threatened with litigation with a
subcontractor or vendor as a result of such direction by HUD, the Contractor
may request the United States to enter into such litigation to protect the United
States.
Iq--&l
InMals
Page 3: of 10
22- NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Mlami Dade County DHCD
Page 41
1ARD FEDERAL EQUAL EMPLOYMENT OPPORTUNITY
CONSTRUCTION CONTRACT SPECIFICATIONS
(EXECUTIVE ORDER 11246)
1. As used in these specifications:
a. "Covered area" means the geographical area described in the solicitation
from which this contract resulted.
b. "Director" means Director, Office of Federal Contract Compliance
Programs, United States Department of Labor, or any person to whom
the Director delegates authority.
C. "Employer Identification number" means the Federal Social Security
number used on the Employees Quarterly Federal Tax Return, U.S.
Treasury Department Form 941.
d. "Minority" includes:
- Black (all persons having origins in any of the Black African racial
groups not of Hispanic origin).
- Hispanic (all persons of Mexican, Puerto Rican, Cuban, Central or
South American or other Spanish Culture or origin regardless of race).
- Asian and Pacific Islander (all persons having origins in any of the
original peoples of the Far East, Southeast Asia, the Indian Subcontinent,
or the Pacific Islands); and
- American Indian or Alaskan Native (all persons having origins in any of
the original peoples of North America and maintaining identifiable tribal
affiliations through membership and participation or community
identification).
2. Whenever the Contractor, or any Subcontractor at any tier, subcontracts a
portion of the work involving any construction trade, it shall physically include in
each subcontract in excess of $10,000, the provisions of these specifications
and the Notice which contains the applicable goals for minority and female
participation and which is set forth in the solicitations from which this contract
resulted.
9--ik
Initials
Page 4 of 10
22 - NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami-Dade County DHCD
Page 42
3. If the Contractor is participating (pursuant to 41 CFR 60-4.5) in a Hometown
Plan approved by the U.S. Department of Labor in the covered area either
individually or through an association, its affirmative action obligations on all
work in the Plan area (including goals and timetables) shall be in accordance
with that Plan for those trades which have unions participating in the Plan.
Contractors must be able to demonstrate their participation in and compliance
With the provisions of any such Hometown Plan. Each Contractor or
Subcontractor participating in an approved Plan is individually required to
comply with its obligations under the EEO clause, and to make a good faith
effort to achieve each goal under the Plan in each trade in which it has
employees. The overall good faith performance by other Contractors or
Subcontractors toward a goal in an approved Plan does not excuse any covered
Contractor or Subcontractor's failure to take good faith efforts to achieve the
Plan goals and timetables.
4. The Contractor shall implement the specific affirmative action standards
provided in paragraphs 7a through 7p of these specifications. The goals set
forth in the solicitation from which this contract resulted are expressed as
percentages of the total hours of employment and training of minority and
female utilization the Contractor should reasonably be able to achieve in each
construction trade in which it has employees in the covered area. The
Contractor is expected to make substantially uniform progress toward its goals
in each craft during the period specified.
5: Neither the provisions of any collective bargaining agreement, nor the failure by
a union with whom the Contractor has a collective bargaining agreement, to
refer either minorities or women shall excuse the Contractor's obligations under
these specifications, Executive Order 11240, nor the regulations promulgated
pursuant thereto.
6. In order for the nonworking training hours of apprentices and trainees to be
counted in meeting the goals, the Contractor must employ such apprentices and
trainees during the training period, and the Contractor must have a commitment
to employ the apprentices and trainees at the completion of their training,
subject to the availability of employment opportunities. Trainees must be trained
in training programs approved by U.S. Department of Labor.
7. The Contractor shall take specific affirmative actions to ensure equal
employment opportunity. The evaluation of the Contractor's compliance with
these specifications shall be based upon its effort to achieve maximum results
from its actions. The Contractor shall document these efforts fully, and shall
implement affirmative action steps at least as extensive as the following:
Initials
Page 5 of 10
22 -- NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami-Dade County DHCD
Page 43
a. Ensure and maintain a working environment free of harassment,
intimidation, and coercion at all sites, and in all facilities at which the
Contractor's employees are assigned to work. The Contractor, where
possible, will assign two or more women to each construction project.
The Contractor shall specifically ensure that all foremen, superintendents,
and ocher on-site supervisory personnel are aware of and carry out the
Contractor's obligation to maintain such a working environment, with
specific attention to minority or female individual working at such sites or
in such facilities.
b. Establish and maintain a current list of minority and female recruitment
sources, provide written notification to minority and female recruitment
sources and to community organizations when the Contractor or its
unions have employment opportunities available, and maintain a record
of the organizations' responses.
C. Maintain a current file of the names, addresses and telephone numbers
of each minority and female off-the-street applicant and minority or
female referral from a union, a recruitment source of community
organization and of what action was taken with respect to each such
individual. If such individual was sent to the union hiring hall for referral
and was n ' ot referred back to the Contractor by the union, if referred, not
employed by the Contractor, this shall be documented in the file with the
reason therefore, along with whatever additional actions the Contractor
may have taken.
d. Provide immediate written notification to the Director when the union or
unions with which the Contractor has a collective bargaining agreement
has not referred to the Contractor a minority person or woman sent by the
Contractor, or when the Contractor has other information that the union
referral process has impeded the Contractor's efforts to meet its
obligations.
e. Develop on-the-job training opportunities and/or participate in training
programs for the area which expressly include minorities and women,
including upgrading programs and apprenticeship and trainee programs
relevant to the Contractors employment needs, especially those
programs funded or approved by the Department of Labor. The
Contractor shall provide notice of these programs to the sources
complied under (7) b above.
Page 6 of 10
22:- NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami-Dade County DHCD
Page 44
Disseminate the Contractor's EEO policy by providing notice of the policy
to unions and training programs and requesting their cooperation in
assisting the Contractor in meeting its EEO obligations; by including it in
any policy manual and collective bargaining agreement; by publicizing it
in the company newspaper, annual report, etc.; by specific review of the
policy with all management personnel and with all minority and female
employees at least once a year; and by posting the company EEO policy
on bulletin boards accessible to all employees at each location where
construction work is performed.
9. Review, at least annually, the company's EEO policy and affirmative
action obligations under these specifications with all employees having
any responsibility for hiring, assignment, layoff, termination or other
employment decisions including specific review of these items with onsite
supervisory personnel such as Superintendents, General Foremen, etc.,
prior to the initiation of construction work at any job site. A written record
shall be made and maintained identifying the time and place of these
meetings, persons attending, subject matter discussed, and disposition of
the subject matter.
h. Disseminate the Contractor's EEO policy externally by including it in any
advertising in the news media, specifically including minority and female
news media, and providing written notification to and discussing the
Contractor's EEO policy with other Contractors and Subcontractors with
whom the Contractor does or anticipates doing business.
Direct its recruitment efforts, both oral and written, to minority, female and
community organizations, to schools with minority and female students
and to minority and female recruitment and training organizations serving
the Contractor's recruitment area and employment needs. Not later than
one month prior to the date for the acceptance of applications for
apprenticeship or other training by any recruitment source, the Contractor
shall send written notification to organizations such as the above,
describing the openings, screening procedures, and tests to be used in
the selection process.
Encourage present minority and female employees to recruit other
minority persons and women and, where reasonable, provide after
school, summer and vacation employment to minority and female youth
both on the site and in other areas of a Contractor's workforce.
k. Validate all tests and other selection requirements where there is an
obligation to do so under 41 CFR Part 60-3.
PC—
Initials
Page 7 of 10
22 - NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami-Dade County DHCD
Page 45
I. Conduct, at least annually, an inventory and evaluation at least of all
minority and female personnel for promotional opportunities and
encourage these employees to seek or to prepare for, through
appropriate training, etc., such opportunities.
m. Ensure that seniority practices, job classifications, work assignments and
other personnel practices, do not have a discriminatory effect by
continually monitoring all personnel and employment related activities to
ensure that the EEO policy and the Contractor's obligations under these
specifications are being carried out.
n. Ensure that all facilities and company activities are non - segregated
except that separate or single -user toilet and necessary changing
facilities shall be provided to assure privacy between the sexes.
o. Document and maintain a record of all solicitations or offers for
subcontracts from minority and female construction contractors and
suppliers, including circulation of solicitations to minority and female
contractor associations and other business associations.
P. Conduct a review, at least annually, of all supervisors' adherence to and
performance under the Contractor's EEO policies and affirmative action
obligations.
8. Contractors are encouraged to participate in associations that assist in
fulfilling one or more of their affirmative action obligations (7) a. through (7) p.
The efforts of a contractor association, joint contractor - union, contractor-
community, or other similar group of which the contractor is a member and
participant, may be asserted as fulfilling any one or more of its obligations under
(7) a. through (7) p. of these Specifications provided that the contractor actively
participates in the group, makes every effort to assure that the group has a
positive impact on the employment of minorities and women in the industry,
ensures that the concrete benefits of the program are reflected in the
Contractor's minority and female workforce participation, makes a good faith
effort to meet its individual goals and timetables, and can provide access to
documentation which demonstrates the effectiveness of actions taken on behalf
of the Contractor. The obligation to comply, however, is the Contractor's and
failure of such a group to fulfill an obligation shall not be a defense for the
Contractor's noncompliance.
Initials
Page 8 of 10
22= NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE: EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Mianl -Dade County DHCD
Page 46
9. A single goal for minorities and a separate single goal for women have been
established. The Contractor, however, is required to provide equal employment
opportunity and to take affirmative action for all minority groups, both male and
female, and all women, both minority and non- minority. Consequently, the
Contractor may be in violation of the Executive Order if a particular group is
employed in a substantially disparate manner (for example, evert 'though the
Contractor has achieved its goals for women generally, the Contractor may be in
violation of the Executive Order if a specific minority group of women is
underutilized).
10. The Contractor shall not use the goals and timetables or affirmative action
standards to discriminate against any person because of race, color, religion;
sex, or national origin.
11 The Contractor shall not enter into any Subcontract with any person or firm
debarred from Government contracts pursuant to Executive Order 11246
12. The Contractor shall carry out such sanctions and penalties for violation of these
specifications and of the Equal Opportunity Clause, ,including suspension,
termination and cancellation of existing subcontracts as may be imposed or
ordered pursuant to Executive Order 11246, as amended, and its ;implementing
regulations, by the Office of Federal Contract Compliance Programs. Any
Contractor who fails to carry out such sanctions and penalties shall be in
violation of these specifications and Executive Order 11246, as amended.
13. The Contractor, in fulfilling its obligations under these specifications; shall
implement specific affirmative action steps, at least as extensive as those
standards prescribed in paragraph (7) of these specifications, so as to achieve
maximum results from its efforts to ensure equal employment opportunity. If the
Contractor fails to comply with the requirements of the Executive Order; the
implementing regulations, or these specifications, the Director shall proceed in
accordance with 41 CFR 60 -4.8.
14 The Contractor shall designate a responsible official to monitor all employment
related activity to ensure that the company EEO policy is being carried out, to
submit reports relating to the provisions hereof as may be required by the
Government and to keep records. Records shall at least include for each
employee the name; address, telephone numbers, construction trade, union
affiliation if any, employee identification number when assigned; social security
number, race, sex, status (e.g. mechanic, apprentice; trainee; helper, or
laborer), dates of changes in status, hours worked per week in the indicated
trade, rate of pay, and locations at which the work was performed. Records
shall be maintained in an easily understandable and retrievable form; however,
to the degree that existing records satisfy this requirement; contractors shall not
be required to maintain separate records. , ,
Initials
:Page 8 of 10
22- NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miama•Dade County DHCD
Page 47
15. Nothing herein provided shall be construed as a limitation upon the application
of other laws that establish different standards of compliance or upon the
application of requirements for the hiring of local or other area residents (e.g.,
these under the Public Works Employment Act of 1977 and the Community
Development Block Grant Program).
Page 10 of 10
22— NOTICE OF REQUIREMENT FOR AFFIRMATIVE ACTION TO ENSURE EQUAL EMPLOYMENT OPPORTUNITY
(EXECUTIVE ORDER 11246)
Miami -Dade GountyDHCD
Page 48
EQUAL EMPLOYMENT OPPORTUNITY CLAUSE
FOR CONTRACTORS SUBJECT TO EXECUTIVE ORDER 11246
The applicant hereby agrees that it will incorporate or cause to be incorporated into any
contract for construction work, or modification thereof, as defined in the regulations of the
Secretary of Labor at 41 CFR Chapter 60, which is paid in whole or in part with funds
obtained from the Federal Government or borrowed on the credit of the Federal
Government pursuant to a grant, contract, loan insurance, or guarantee, or undertaken
pursuant to any federal program involving such grant, contract, loan, insurance, or
guarantee, the following equal employment opportunity clauses:
During the performance of this contract, the contractor agrees as follows:
The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex or national origin, The contractor will take
affirmative action to ensure that applicants are employed, and that employees are
treated during employment without regard to their race, color, religion, sex or national
origin; such action shall include, but not be limited to the following: Employment,
upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or
termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. The contractor agrees to post in conspicuous place,
available to employee and applicants for employment, notices to be provided setting
forth the provision of this nondiscrimination clause.
2. The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants Will receive considerations for
employment without regard to race, color, religion, sex or national origin.
3. The contractor will send to each labor union or representative of workers with which he
has a collective bargaining agreement to other contract or understanding, a notice to
be provided advising the said labor union or worker's representatives of the
contractor's commitments under section 202 of Executive Order 11246 of September
24, 1965, and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
4. The contractor will comply with all provisions of Executive Order 11246 of September
24, 1965, and of the rules regulations, and relevant orders of the Secretary of Labor.
Page I aft
23— EQUAL EMPLOYMENT OPPORTUNITY CLAUSE FOR CONTRACTORS SUBJECTTO EXECUTIVE ORDER 11246
Miami-Dade County 0HCD
Page 49
5. The contractor will furnish all information and reports required by Executive Order
11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the
Secretary of Labor, or pursuant thereto, and will permit access to his books, records,
and accounts by the contracting agency and the Secretary of Labor for purposes of
investigation to ascertain compliance with such rules, regulations and orders.
6. In the event of the contractor's noncompliance with the non-discrimination clauses of
this contract or with any of such rules, regulations, or orders, the contract may be
canceled, terminated, or suspended in whole or in part and the contractor may be
declared ineligible for further Government contracts in accordance with procedures
authorized in Executive Order 11246 of September 24, 1965, or by rule, regulation, or
order of the Secretary of Labor, or as otherwise provided by law.
7. The contractor will include the portion of the sentence immediately preceding
paragraph 1 and the provisions of paragraphs I through 7 in every subcontract or
purchase order unless exempted by rules, regulations or orders of the Secretary of
Labor issued pursuant to Section 204 of Executive Order 11246 of September 24,
1965, so that such provisions will be binding upon each subcontractor or vendor. The
contractor will take such action with respect to any subcontractor or purchase order as
the contracting agency may direct as a means of enforcing such provisions including
sanctions for noncompliance. Provided, however, that in the event the contract
becomes i n n or threatened with, litigation with a subcontractor or vendor as
suc i a
result A v in, by the contracting agency, the contractor may request the
Unite/J Sjat�agn i c er into such litigation to protect the interests of the United States.
BMWFAIVA■ M
V
ML pii�
I
Date:
Business Address:
16. i .1-
Page 2 of .2
23- EQUAL EMPLOYMENT OPPORTUNITY CLAUSE FOR CONTRACTORS SUBJECT TO EXECUTrVE ORDER 11246
Miami-Dade County DHCD
Page 50
1 . "Segregated facilities," as used in this provision, means any waiting rooms, work areas,
rest rooms and wash rooms, restaurants and other eating areas, time clocks, locker
rooms and other storage or dressing areas, parking lots, drinking fountains, recreation
or entertainment areas, transportation, and housing facilities provided for employees,
that are segregated by explicit directive or are in fact segregated on the basis of race,
color, religion, or national origin, because of habit, local custom, or otherwise.
2. By the submission of an offer, the bidder certifies that it does not and will not maintain
or provide for its employees any segregated facilities at any of its establishment, and
that it does not and will not permit its employees to perform their services at any
location under its control where segregated facilities are maintained. The bidder
agrees that a breach of this certification is a violation of the Equal Opportunity clause of
the contract.
3. By submission of the bid, the bidder further agrees that (except where it has obtained
identical certifications from proposed subcontractors for specific time periods) it will:
a. Obtain identical certifications from proposed subcontractors before the award of
subcontracts under which the subcontractor will be subject to the Equal
Opportunity clause;
b. Retain such certifications in its files-, and
c. Forward this certification and the attached NOTICE TO PROSPECTIVE
SUBCONTRACTORS OF REQUIREMENT FOR CERTIFICATION OF
NONSEGREGATED FACILITIES to proposed subcontractors.
d. By commencing performance of the Contract work, the selected contractor
certifies to the Nonsegregated Facilities provisions above.
Note: ;(h� peQt} for making false statements in offers is prescribed in 18 U:&C.
By' M�ifL�`
Print*
Title: ldwtzi'_ 'Lak
Date,
Business Address:
24 - CERTIFICATION OF NONSEGREGATED FACILITIES
Miami-Dade County DHCD
Page 51
NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR
-CERTIFICATION OF NON SEGREGATED FACILITIES I]
A Certification of Nonsegregated Facilities, as required by the May 9, 1967, order (32 FR
7439, May 19, 1967) on Elimination of Segregated Facilities by the Secretary of Labor, must
be submitted prior to the award of a subcontract exceeding $10,000, which is not exempt from
the provisions of the Equal Opportunity Clause. The certification may be submitted either for
each subcontract or for all subcontracts during a period (i.e., quarterly, semiannually,
annually).
Note: The pen for g false statements in offers is prescribed in 18 U.S.C. 1001
By:
Print:
Title:
Date: C7 Ll
Business Address:
25 - NOTICE TO PROSPECTIVE SUBCONTRACTORS OF REQUIREMENT FOR CERTIFICATION OF NONSEGREGATED FACILITIES
MiamkDade County DHCD
Page 52
NOTICE OF REQUIREMENT
CLEAN WATER, CLEAN AIR, EXECUTIVE ORDER (E.O.) 11738
AND EPA REGULATIONS PROVISION
This agreement is subject to the requirements of the Clean Air Act, as amended, 42 USC 1857 et
seq., the Federal Pollution Control Act, as amended, 33 USC 1251 et seq, and the regulations of the
Environmental Protection Agency with respect thereto, at 40 CFR Part 15, as amended from time to
time.
The Contractor and any of its subcontractors for work funded under this Agreement which is in excess
of $100,000, agree to the following requirements:
1. AW facility to be utilized in the performance of this proposed contract has ( ), has not
{been listed on the Environmental Protection Agency List of Violating Facilities;
2. The contractor or any of its subcontractors agree to comply with all the requirements of
Section 114 of the Clean Air Act, as amended (42 ISC 1857c-8) and Section 308 of the
Federal Water Pollution Control Act, as amended, (33 USC 1318) relating to
inspection, monitoring, entry, reports, and information, as well as all other requirements
specified in said Section 114 and Section 308, and all regulations and guidelines
issued thereunder,
3. The contractor or any of its subcontractors agree that, as a condition for the award of
the contract, prompt notice Will be given of any notification received from the Director,
Office of Federal Activities, Environmental Protection Agency (EPA) indicating that a
facility utilized or to be utilized for the contract is under consideration to be listed on the
EPA list of Violating Facilities; and
4. The Contractor or any of its subcontractors agree that he wilt include or cause to be
included the criteria and requirements in paragraph 1 through 4 of this section in every
nonexempt sub-contract and that the Contractor will take such action as the
I Government may direct as a means of enforcing such provisions.
26 -NOTICE OF REQUIREMENT FOR CLEAN WATER, CLEAN AIR, EXCEUTIVE ORDER (E.O.) 11738 AND EPA REGULATIONS PROVISION
Page 53
CERTIFICATION OF COMPLIANCE
WITH FEDERAL REGULATIONS
The bidder certifies that he/she will comply with all applicable standards, orders or
regulations issued pursuant to the clean Air Act of 1970 (42 U.S.C. 1857 et seq.) and
the Federal Water Pollution Control Act (33 U.S.C. 1251 et seq.) as amended and with
the Lead-Based Paint Poisoning Prevention Act (Public Law 91-696). All applicable
rules and orders of the Federal Government issued there under prior to the execution
of the contract, shall be binding upon the prime bidder, its subcontractors, and
assignees. Violations by contractors will be reported to the U.S. Department of
Housing and Urban Development and the Regional Office of the Environmental
Protection Agency.
Iq I Cc-
Name of Bid
Signature
10114711
Date
1qtq'q1j(C-"
owcm ore eluding Zip Code)
-i-Ad"
27 =CERTIFICATION OF COMPLIANCE WITH FEDERAL REGULATIONS
Miami-Dade County DHCD
Page 54
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
As required by Executive Order 12549, Debarment and Suspension, and
implemented at 28 CFR Part 67, for prospective participants in primary covered
transactions, as defined at 28 CFR Part 67, Section 67.510-
1. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared
ineligible, sentenced to a denial of Federal benefits by a State or Federal court, or
voluntarily excluded from covered transactions by any Federal department or
agency;
(b) Have not within a three-year period preceding this application been convicted of or
had a civil judgment rendered against them for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a public
(Federal, State, or local) transaction or contract under a public transaction; violation
of Federal or State antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false statements, or receiving
stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
(d) Have not within a three-year period preceding this application had one or more
public transactions (Federal, State, or local) terminated for cause or default; and
I Where the applicant is unable to certify to any of the statements in this
celtifij6ation, he or sbe shall attach an explanation to this application.
,(a / /�/ //
Date
1'67
" s— C5
Official Addr a (including Zip Code)
trJ
OLA,
28- CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT)
Miami-Dade County DHCD
Page 55
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3) (a)
FLORIDA STATUTES ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A
NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER
OATHS
1. This form statement is submitted to ( C) --F-
by zV
am 6
(Print individual's name and titte)
For 0 (G -
(Print name of entity submitting sworn statement)
whose business address Ili "` t -33
20,3
and if applicable its Federal Employer Identification Number (FEIN) is a entity
has not FEIN, include the Social Security Number of the individual signing this sworn statement
I understand that a 'public entity crime', as defined in paragraph 287. 1 33(l)(g), Florida Statues,
means a violation of any state or federal law by a person with respect to an directly related to
the transactions 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 public entity or agency or political subdivision of any other
state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misinterpretation.
3, 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1) (b), Florid
Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an
adjudication of guilt, in an federal or state trial court of record relating to charges brought by
indictment or information after July 1, 1989; as a result of a jury verdict, non jury trial, or entry
of a plea of guilty or nolo contendere.
4, 1 understand that an "Affiliate" as defined in paragraph 287.133(1) (a), Florida Statutes
means:
a) A predecessor or successor of a person convicted of a public entity crime, or
Page I of 3
29- PUBLIC ENTITIY CRIMES AFFIDAVIT
Miami -Dade County DHCD
Page 56
1(,,r
An entity under the control of any natural person who is active in the management of
the entity and who has been convicted of a public entity crime. The term "affiliate"
includes those officers, directors, executives, partners, shareholders, employees,
members, and agents who are active in the management of an affiliate. The ownership
by one person of shares constituting a controlling interest in another person, or a
pooling of equipment or income among persons when not for fair market value under an
arm's length agreement, shall be a prima facie case that one person controls another
person. A person who knowingly enters into a joint venture with a person who has been
convicted of a public entity crime in Florida during the preceding 36 months shall be
considered an affiliate.
5. 1 understand that a "person" as defined in Paragraph 287.133(1) (e), Florida Statues, means
any natural person or entity organized under the laws of any state or of the United
States within the legal power to enter into a binding contract and which bids or applies
to bid on contracts for the provision of goods or entity. The term "person" includes those
officers, executives, partners, shareholders, employees, members, and agents who are
active in management of an entity
6. Based on information and belief, the statement which I have marked below is true in relation to
the e ti submitting this sworn statement. (Please indicate which statement applies.)
- \7Neither the entity submitting sworn statement, nor any of its officers, director,
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, 19M
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, or an affiliate of the entity had been charged
with and convicted of a public entity crime subsequent to July 1, 1989, AND (please indicate which
additional statement applies.
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, nor any affiliate of the entity has been charged with and convicted of a
public entity crime subsequent proceeding before a Hearing Officer of the State 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),
Page 2 of 3
29= PUBLIC ENTITIY CRIMES AFFIDAVIT
Miami-Dade County DHCD
Page 57
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 OR THE
CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO
INFORM THAT PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF
THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017 FLORIDA STATUTES FOR A
CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINETHIS FORM.
(Signature)
Sworn to and subscribed before me this day of 20
Personally known _
roduced itlen_ ^ tification ��i.�1 � �. � Notary Public-State of
Or p
--
My commission expires
(Type of identification)
z.earPATRICIA A RNERA
del MY COMMISSION #tEE73340
EXPIRES: MAR 13, 2015
through 1st State Ma mice
(Printed, typed or stamped commissioned
name of notary public)
Page .3 of 3`
29 PUBLIC ENTITIY CRIMES AFFIDAVrr
Miami -Dade County. DHCD
a ' s
Ms" G app
ENGINEERING CONTRACTOR — LIC: E-251302
11020 SW 55 ST., MIAMI, FL 33166
PHONE: 786-291-2949 FAX: 786-472-8831
mag olcftahooxom
L Ij 0 •
1- Drainage Improvement for NW 22 CT from NW 107 ST to NW 112 ST, ($318,000) (Miami-
Dade County Public Works Dept., Completed Dec. 2007). (Alberto Estevez 786 256 2627).
(esteva@miamidade.gov)
2-Various Park Parking Lot Re-striping & Wheel Stop Replace. ($24,500) (Miami-Dade Park
and Recreation Dept. Completed March 2008). (305 596 4460)
3-Seal Coat and Re-striping of Station 13/ Logistics Parking Area, ($19,000) (Miami-Dade
Fire Rescue Dept. Completed July 2008). (786 331 4529)
4-Norman and Joan Reach Park/Foul ball Netting. ($25,000) (Miami-Dade Park and
Recreation Dept., Completed June 2008). (305 596 4460)
5-Olympic Park Concrete Sidewalk Construction. ($184,000) (Miami-Dade Park and
Recreation Dept., Completed July 2008). (Dan Crawford 305 596 4460)
(dc93@miamidade.gov)
6-Dolphin Archaelogical Site Concrete Sidewalk Construction., ($114,084) (Miami-Dade
Park and Recreation Dept., Completed July 2008). (Dan Crawford 305 596 4460)
(dc93@miamidade.gov)
7-Countywide Repair of Existing Asphalt Pavement. (Milling & Resurfacing) ($949,990)
(Florida Department of Transportation, Dist. Six, Executed the year 2008 and renewed for to
year 2009 and 2010, Completed June 2011). (Janice Corn 305 256 6359)
(Jan ice.corn@dot.state.fl.us)
8-Countywide Intersections Improvement, Roadway and Drainage. ($443,637) (Miami-
Dade County Public Works Dept., Completed Dec, 2008). (Joaquin Rabassa 305 299 9822)
ora@miamidade.gov)
9-West Perrino Park Concrete Slabs, Sidewalks and Poured in Place. ($34,000) (Miami-
Dade Park and Recreation Dept., Completed January 2009). (305 596 4460)
10 -West Little River Asphalt Driveways Phase IV-B. ($68,000) (Miami-Dade County Office of
Community and Economic Development, Completed January 2009). (Mario Berrios 786 469
2112) (mberr@miamidade.gov)
11-Brentwood Pool Park Now Asphalt Walkways. ($34,000) (City of Miami Gardens,
Completed April 2009).(305 622 8000) (fallen@miamigardens-fl.gov)
12-Country Club of Miami Parcel 1169 & 1168-E New Asphalt Walkways. ($178,000)
(Miami-Dade Park and Recreation Dept., Completed July 2009). (Dan Crawford 305 596 4460)
(dc93@miamidade.gov)
13-Country Club of Miami Grading, Sitework & Greens. ($107,000) (Miami-Dade Park and
Recreation Dept., Completed August 2009). (305 596 4460)
14-SR 907 (Alton Rd) at Allison Dr. for Drainage and Retention Improvements. ($134,000)
(FDOT, Completed December 2009) (305 256 6380) (anthony.sabbag@dot.state.fl.us)
15- West Little River Asphalt Driveways Phase IV-D. ($35,000) (Miami-Dade County Office
of Community and Economic Development, Completed December 2009). (786 469 2112)
(mberr@miamidade.gov)
16-District 2- Sidewalk Repair Project 11 ($76,300) (Public Works Dep. City of Miami,
Completed March 2010) (305 416 1755) (fdubuisson@miamigov.com)
17-Blue Road Roundabouts Re-Bid ($145,000) (Public Works Dep. City of Coral Gables,
Completed March 2010) ( 305 460 5018) (epino@coraigables.com)
18-Harbor Drive Lighting and Resurfacing Improvement ($270,000) (Public Works Dep.
Village of Key Biscayne April 2010) (786 255 6765) (anunez@keybiscayne.fl.gov)
19-District I- Sidewalk Repair Project 11 ($95,990) (Public Works Dep. City of Miami,
Completed September 2010) (305 416 1755) (fdubuisson@miamigov.com)
20-Golden Shore Park Pavers Sidewalk ($23,895.00) (Public Works Dep. City of Sunny Isles
Beach, November 2010) ( 305 947 0606) (gbatista@sibfi.net)
21 -AD Barnes Park Asphalt Walkways ($86,616.00) (Miami-Dade Park and Recreation Dept.,
Completed December 2010) (305 755 7985) (rttolon@miamidade.gov)
22-Installation of Sidewalks and Ramps along NE 12 Ave ($123,750.00) (Public Works Dep.
City of North Miami, Completed December 2010) (305 893 6511)
(ghernandez@northmiamifl.gov)
23-Intersection Realignment SW 139 Terr & SW 140 Dr. and East Guava Street One Way
Street Conversion ($36,775) (Public Works Dep., Village of Palmetto Bay, Completed
December 2010) (305 969 5011) (dcasals@paimeffobay-fl.gov)
24-District #3 Citywide ADA Sidewalk Improvements, ($107,414) (Public Works Dep. City of
Miami, Completed February 2011) (305 416 1755) (fdubuisson@miamigov.com)
25- District #1 Citywide ADA Sidewalk Improvements, ($165,623) (Public Works Dep. City
of Miami, Completed May 2011) (305 416 1755) (fdubuisson@miamigov.com)
26 MIA Building 3050 Parking Lot Drainage & Asphalt Improvement ($103,000) (Aviation
Department Miami -Dade County, Completed May 2011) (305 876 8444)
(gtai @'mikegconst.com)
27- MIA NW 67 Ave & NW 36 Street Intersection Improvements ($65,000), (concrete
works) (Aviation Department Miami Dade County, Complete July 2011) (305 622 8000)
o pet @m ikeg const. com)
28- District #4 Citywide ADA Sidewalk Improvements, ($149,397) (Public Works Dep. City
of Miami, Completed October 2011) (305 416 1755) (fdubuisson @miamigov com)
29- Tamiami Canal Miccosukee Linear Park, Tamiami Trail and SW 122 Ave, ($87,703)
(Miami Dade Park & Recreation Department, Completed October 2011) (305 755 7985)
(rttolon @miamidade.gov)
MMAG IF 0
ENGINEERING CONTRACTOR — LIC: E-251302
11020 SW 65 ST., MIAMI, FL 33165
PHONE: 786-291-2949 FAX: 786-472-8831
maggolcOvahoo.com
CONTRACTS ON HAND (All as a Prime Contractor)
1- Citywide ADA Sidewalk Improvements, Dist. 2 (Owner: City of Miami, $ 105,305.00)
(pendind to New Work Orders) (Executed 55 %) (Completion: January 2012)
2- CDBG- SW 19 Terr Improvements. (Owner City of Miami, Capital Improvements
Depatment, $ 179,040.50) (Executed 85 %) Completion: October 2011)
3- Citywide Sidewalk Repair Project (Owner City of South Miami, Public Works. $15,878)
(Executed 100 %) (Completion: October 2011)
4- General Roadway Repairs and Minor Constructions (Owner Town of Miami Lakes,
Public Works Dep. $ 96,800) (Executed 15 %) (Completion: May 2012)
resident