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OKABREMAProposal Suboo That ch"kflst €ndkaws fhe }Print and docam ftu redid by The :deadline Set fw, MEMO the a 4odadavi. f'uf?ilk wmidvaWn of ropwre w the Sofkirniert. Addi d afenditd in an addendum to this RFR The response d Sid form S Pr sal Sid Bond `e hHormance bond Power of Atud nep:. SiDDER QuaHfleaeaan Statement Non-CoNOwtAffidwit :. Puklk Entity Crimp and:Confficn of fni Drug Free Workplace k Acknow€edgemmat of Conformance wit 1 List of Pro nttautm and Pr u Mows Party Transaction VerMcumn F tndemnitmetion and nsumme Oat~ Now A proposal Bid bond Retinas require origins may be xxxvt Are all for a specific solicitation. fees waived? Isgiffl—L&I Documents. All ce and effect as Adderalums that h Miami, Permit agoicies. The Palmer Park U1 (a South0i iaml ',,I 1�1 , ",I'll "," , "',' ADDENDUM No. #1 Project Name: Bathroom Remodeling at Dante Faweli and Palmer Park RFP NO, PW2014•00 Date: August 5, 2014 Sent: Fax/E.-nuol/webpage This artiondnm Rnfwni qinn is ivuapd In clarify aimnlement and/or modiN the Previously issued Retinas require origins may be xxxvt Are all for a specific solicitation. fees waived? Isgiffl—L&I Documents. All ce and effect as Adderalums that h Miami, Permit agoicies. The Palmer Park U1 ( A Soatho iami 6-1ADUM No' #2 Project Namc� Bathroom Remodeling at Darac Faseell and Palmer Park RFP NOi PW2014,06 Date: Atewt 6, 2014 Sent: Fax/E-mm1/webpa&c flOsaddendum submission is issued to ekirify, supplement waVor nrodify the previously istuied Reqnest bor Qualifications (RFQ) Documents, and is hereby made part of the Documents. All requirements of the Documents not modified herein shall remain in full force and effeet as orpninifly 'Net Fortir, It thall be the sole responsibility ofthe bidder to secure Addendunis that may be issued firre specific solicitation. Question #1: on huge 4 (4`73 last paragraph stated "Note: A proposal bond is N01'required fier this project," Questiow is payment and performance bond required? AMA—er-1-09-00tiOn #L Please refer to page I I of the RFP, "Proposal Submittal Checklist Form" Payment and Performance Been are required ka this project, IT SHALL DE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE ADDENDUMSTUATMAY BE ISSUED FOR A SPECIFIC SOIACITATION, llagC 1 .11 A fee bre kdow, if 4pphcabte, for each Usk mst be compktod ift the table she" AWM, FWflum TO DAY Of AITCUP,r PROPOSAL SUBMITTED SY: OKABREMA CORP (305)4W6680 OCfAVIO MANIGLIA -(V4 1418-7434 a�W add )OKAI -.0MANILGIA =0 Addrft% PRESIDENT END OF SECTON V, TNm ,F Pep., 2914 429'VT4 .kSp. Se 14 of 73 RESPONDeNT QUALIFICATION STATEMENT The response to this ehe donnahv shag be utiked as part at the CITY'S overall Pro 1 Eusluadon and CON .. TOR neiecdon. 1. Number of shrotar eoncer awnprbuecm m a) to the PAU S y"m 30 W the past S yean on Schedule 30 b) IA the past 10 YeOM dK 10 d* Past 10 Yam 07 use 2 tint ft Fast thram (a) waVeted "Her prom. a) 'Project NSMC`... 2gWLA S 41ftyLn, Untana Ur, WesUln FL. "Oww Nam, D&P Contrastor.0VICTOR DF, CHIARA ' 21015 NE C r, MIAMI FL 33179 Oymer Address: 19 Tolepbo m: _L3t S 3Q- q-AI46 ._. Or%ml Coroma ConsIe tion Time {payx): i -( IU oftow Contract Co on dam: 10 /13 Actual Real Coovect Co"Waon Date: . 10113 Orlinal Cantract prise: 24{ih Acaual Ptnaf Contract Price: 250K U) Prolmct Name, 6 q sglt New Adult Center, Hialeah P1 pw 91 ores 6 382035 Owner Nanan CITY OF HIAI EAH Cavw Address: 501 PAS.M AVE HIALEAH R, Owner Tekoonw, (:105)687-26211 Qrtiinat Contract Cdity ctiun Time 1 0 !lays :.. Original Cororria Camplenon Due: 02113 Actea# find. Contract Completion Date: 02J 3 Original Contract Rice: 38K Aczonl Final Cantma Price 40K Fro*t Naaww, 2100,sgft Eirl<ksilfi2y_Iknve liw`ickPtl %i. Chnner Name: T1 orna3 Lund H,anwnci Owner Address: : Be keil Ran Drive, FL. Clornor TeWphova, (813)27U -38ci7 Original Contract Completion Time (Clays): #28 lay o rigi"I Gonna Completion Datw, 10112 Annual Final: Contract Com Dam......i_f91J. .. __...... .mac....._.._._ ._ ............... Par 12 of 71 C flnou {r lire 2014 .. 4 to 2014 List othw Gowvomm Agencies or Agerress for which y*u have disee business within the past five (S) yvars. Na" of Agency: CITY OF PALM BEACH GARDENS Address: IMO N MILITARY TRAIL, PHG 33410 Telephone N*,-, (560804-7010 Coacm Peroso: ANGELA BW)WN Type Of PM*V ,50,00(), LT ill; -ROOF & W�ATDRPRO(�FING Nam of Aipeicy., CITYOFHIALEAII Address: 501 PALM AVENUE, HIALEAH FI, Telephone, No.: _JILSL _?„620 6�:/- Convict persto• VICENTE, RODRIGUEZ Typeotprolect _§M_§q_ELNLW�,t?NSTRUCTION Nam of Ateocy ... 10 N��ff P • Addrevc Telephone No,,. Conaa Person: Type of Project --U-R(—)OF Pigs 24 of 73 NON-COLLUSION AFFIDAVIT STATE Of FLOAM I COUNTY Of MMMI•DADE beat first duty ovaro, dopwas and stares code (1) yfidSheffhey offire the (Otvvww. yarlvier, Officer, Raprasantativo or Agent) of the Ram seculent that has sulenduld the Reached Proposal: (2) H~hey Ware fully inferined cooversing the pt"arader, and contents of the alumheit Proposal and of all pertinent circurnewces concerning such Propoulk (3) Such proposal is Paul"* and is M A coil m or sham Pr at: (4) Neither dw said fintiatiment net any of in offeafts, parrareas, anvam, spore M*Ym " forces In kovolt, knelunfing this affiant have M any say wituded, ormared, connived w agrood, detatly or indcwly, With any other Respondent, firon, Or person on submit a coMisloo Or sham pro to caftw6w with the Work for which the Attached Propsucal his been submei w to refrain froor gWdln$ cu, pr sing 0, with seen Work; or never in my movear, dWft* or inecrowly, sought by <agreemens or coffiselo", w Cnmrntmieaston, or confers wim any firm or Person id fix any ovsrhftd, prok or seat elawyeals, of TM Proposal or of any other Respondent or or oar any mcwhead, make or mat elements of the Proposal Prime Or the Proposal Price of any other fresismilem, or to Word through any collusion, consimacy, owthummer or umawful Aleetwom any wdareffife Winat lReckowed, at any person interested kt this proposed Work, (S) The once or pew" quawd in the assumed Proposed are lair and prosed, Me we A" elected by any collision, wassanoy. Connivance, Or wdswfid Wresesch on the part of me Respondent or zany adw Of Its Woes, roortatreadvos. Ownerc, employees or across of imaresc include% this affisht Siped, waled and dalwared in the sweverme of, wimeass, go OCTAVIO MANIGLIA lMrLness —K;Wt Name and Ti&---- 08112114 bate Iffign is of 11 4 28'-N"4 STATE OF FLOR40A COUNTY OF MIAMkDADE On this the day of 20—s 6 M, the urWeifigned Nmry Pubk of the Sum of Feirift e'emium4f, appeared cS4aniefs)pf indhidual(s) 4,ho appeerod before ftwaryy �11 - and whose. name(s) Ahiro subscribed to the within inumneent and hallhelthey ;;ibefthey ow;eused It. WITNESS rq hand and oftal smiL Notary Pubk, Soon of FIM14% NOTARY PUBUC: SM OF OFfICE VZ.' (Nione of Noury Public: Print, Swrei or type ee Portonfly kno" w M, or P&MMI ldwdfinthk e Monica Novhky 0 State of Fbyidtf Type of Wmljfi-tl- Fred-od MY Commission Expires 01/09/2018 ... Did take .eafror cDmmiwon No, i` $213D Del Not uke an "th. Pw 26 of 7) +; Itxrmmxi N, 2014 and dwthecw cact:or 9i imtcwasc greater r Chy or who blare).: :ed by she Lief k mr Fry roomber M %acted Or " envved n being tmmwud tt maw rakrame eiti. rrence to chrs odor oath). or !"T"ote famaiy . or hsdireedy, in the m interest is sat (b) Ind the Firm hereby ackaowl distwra have not recommend or transacted any busemss with the Cky or any parson or aptity saying for the Croy, and that wm taro not appeared in ne"entathas of any third party before any board, convention or agency of the City whole the put two years cokuw-down ea f ekyvas: (ff eti ffi additlmrial lnformahan that m9i mstftt antnsx IMa but ,rake roforcw5ca on the fans above ter sire separate street. IA., a ti n,a the lima vi e A., "stn alsechod natitwnaPInformation" and nuke reference to this notorious and this pa 'spar on the adonsevai social whkh additional ieemt must be sighted under can). (7) Nobtfor t nor any trade", officare; or dir %of:eha Firm, nor any of recd, Imbandflases lately (Le., As a spaces, son, daughter, paraat, brathce or father) is reacted by Which or marriage ter: (i) atry member of the City Conmidi eag, (ii) spry ekp empioyeo: ar (fill any member of any hantird or agency of the City tome, than at ha (it We sary use a race sheet to SoPply sddd snaf nomination, that will net At im this here hot bases Mererea an the bite above an the separdse, sandy i.e. "`: attached addkimnat hifornmton' and make refenvow, to this permanent acrd this pataf nth as the atiditionai shame which additional now east be signed under sts m ISOO haver M hisfnti ); and. (a) No Odam Firm, nor any officers er d'rsectws of that Older Firm or anyone who has a Anarnist modest jactater, than S% In that Orher Firrm nor any member of thone persons" Increases family Ike,, spro eap puma, coif brothers and before) our any of my Imahmilave heady" heathers (horxanafter referred to 6% "Related Parolee') hat responded to a sobakaxam by Nte City in which I or the Firm that I represent or anyment who hat afxzsncial 1"W"t greater than ` in the Firm, or any member of those parsons* immediate steady do, became, Parents, chhham . brothers and %laws) have aim respwtded, other dean the iallowiog: ._...m— �.—.._ r.._.. —_._ fi{ necessary use a vendors, sheet to supply addreimnaY Mfrrrmaetan last wdi rwoflt on this IXne but make reference an the flare above to the selywava shm i m.. "am aveathed addhosetaf fnftrv)tantn" and make reforount, as this document and this paraVvish ca the uncertain theme . which add'afon d decd; meet be signed under oedd. 1whis, the stoles code still appdas, if the person exasming taus form is domig so me behalf of a firm whose areas is pcblidy traded, the wee meta In deft wadon (E) seen be homed ready an the ssStxtwy "s meava of knowkMge and hmkhe Is not required on make an mdepirmaket tnvoidgedyin intoe she Other Firm, or the Firm net" represents, ax to their offiners, die h rs or anyone among a firmncfal Interim in third Fnins or any of their any member of those porfpns" muredate fidmflyj fig I and the Firm agree that we are maligned to supplement this Verification Farm and fniorre the City at any change in cinuivar ndais;chat wheat ohs';. mar answers on this decumem, Smicefthoilly, After the opening of any reeporties to a folkkabom l and the Firm have an obligation to supplement this Verifewskin Form with the metes of ap Related Perneta who Fars she mmumded to tea mma sa ous7an and consensus nsus the unattended of shhse portrasto be and the firm. (10) R vas alias of the Cloys Ethics Cade, the gK of any falte information or the bikee to Suppondent this Vortfitacinn Ports, may %apart me or the Firm to its ace Domination of any abeessaybe with the City, and the tradesman of has medrotiwn had modfor any pentaftes allowed by few. Additheralhy, viola may be considered by and subject to season by the leasmDade County Cananisson on Ethics Under deaths of perjury, t declare that I Mao mono a dRefdo affen an Inw onapo r the masters to whMe f am wasting hervinabow, and that the sea c€ made '. xo are area amt correct to the best of toy Johmiledgm iahe nmem and befiel, SKgnaeura; Print Name R Tire: _OtMAV1{2AAbUCj rn Man —DWIXII- 33 of 9 n rtmoo.'r k$p'a'14 4 29 9014 UrUVAL .. .. .. ..........._ .,.... »aria „a�,a.. and they keep Pimiento econanry tarony; . Every day we work to rmlaruve try' way we do businaas €n Order to CGC: 152 suave you baiter , For Information abOuk Our se "Kv ra noose log arrin f:FCiTtl�1E� www.mytiarideliaensc.com There You caa find done inde meant rr CERTI t E Obow our dessiaas and tare rvguefions that Woodd Yetr.'>utrsCrtse ,MANIG[E) to w R,,a,,e newsletters and learn mare about the Depatimerds kabaives. r mission at toe [hrryaddreat la t kothoe Erfire illy, Regulate fairly, constantly stove to serve YOU better W tout you can serve your Is c erri avvrM d W,gr m trtiomtaannks y owrt Your onear I- nnseeer s+n Flgvrdn, � ,,,Re,nn DETACH HERE RICK SCOTS GOVERNOR STATE OF FLORIDA SEPART ENT OFF BUSINESS AND PROFESSIONAL I reyN aTRuSTION INDUSTRY LICENSING 80 d AND )N }201+3 WON r AWFYIN OFMETARY reaffirGt once Or CrOsluu mm[ tic saecurue eotne<unu }.,, anal arf inwframe, of rtc rmwaler systems after cun,tnocmin is Completed Amac ed Yon will find your xxmnbcied certificate ak rl mallet card. Plegse: ler ry i cc 6ficaw m cars!, or in rho grading, or your c am, If i ma be of tear then av rstarree't ptesse do ncrt i-tc^duak, to Contact kne at E;`0/2,A.S € 294 or vssa rned3: lvatrrxiri( stns[ irrc§fee,�tfaazat,rra:.it.uv:.. Octavio Masiptia sroi 0kabrenta Corp. 6708 Saki Vicente tit. l: (form Cable& F G 33146 QUA'. . r % .1 y• 3 tr U & P S ml Y t t �x (t QUALIFIED __ _ "✓ t Inspector Number 31176 .alai /I ;rr r Asa» r �. iti s?' xa* . ar *� xa?.z ts"✓ e �„�� -�"`^ ^,,��'y�'�", r ?,y'�t'v 1„t,' I, operation � crrore in the ENT OF cacenv�rrprxnc a is Numbe, 6 K RPM A Corp fma t Cantor Swouk Group rest Enorsoor Avu MW cxrrx 11WI n. t and to the gsality specified. .ubeontractor and vendor: rotations. �ti0$i49$1d38 ,states, Venezuela `:' Class of IHPR MANIGIIA,(X7iAV ktL Doing Rumness Ac: OKAti. Inf[ac9 /x svu.47r }ftviidaliccnce rrnsR .icenscf)stti�LaaErf�,ll7 -.gi 4 67 06 PM &?11M14 Laeess ee Detail Licensee Information Name; MANIGLIA, OCTAVIO (primary Name) OKA8l2EMA CORP, Cara Name) Main Address: 6708 SAN VICENTE STREET CORAL GABLES Florida 33146 Ccwnty. DADE License Mailing: LicenseLocatten: License Information License fypc: Certified General Contractor Rnnk:: Cart Generale- License Number CGC1521381 Status: Current,Active Licensure Date: 04/04/2013 Expires: 08/31/2016 Special Qualifications Qualification Effective Construction Business 04/04/2013.; View Related Liminse Lnfaa6¢nat0are V" I,q N �x,Lrn "Eain tS1A,NOt2ki HOrrrns Strnhm„sSea PRf3X3 &4 hn�a;I'CV4tovneo COn4nai Ce•nher� 4'uC[nmer L'nniaCt C.ei fe,: SSq ��D>t355 1 ,, ,a.l,-ot vtl ,la efn nntrtn We t `n L,�rL 5?tea- .5a ?±aW UN1P, F' @itiJ t)W ¢il'$t1](F. rSU PUub ,n5 ((4cAflt'luP l4hnl yY.. F,.P. Mh RM""d ,, I PUd{5t,bf<eiUN'+ Ic2filHt ego e e trk7l ch. call to it's< tYy tn+luf f ttdteCfirval h,"I"', " h}i,atl tb tmtl Ifywet}f"", queSfian rklr.Wftnt# Ml) 071 WI, 111 IM tu`:.ee[t i'15S 2F5(1) I"Ida t,wu tPkRCE OrWb,t 1, 201.,Aieet uW 11 r d""' eF„pLL Ji., tS nu1G tide ifre l)ctl (miORa he. n: IWdeea [Hexehavtu t:I 1,1tn p oIIh },nnY IW US1`G iUY 1 a utYt C ePl the lt..i cNC e e'NlWd,t,y PIWr t Y,llLL Ytd F10 W4 W eptr n pI1,r 1 ed[nv.; pl(ase (it I d, tI11 }le-r ,t v. 'M,ox;W6i to n. @. ANA h bIt tribe"um'I to Yi+tt'au' $ . n i, pdgY Wd, htn �tydu A. .Hett9d 0}kfvbttlae p¢ i or I Bf11/1 t4:57 PM t14?SiRC rUCNiE ].SY'G4t4A,W2LtJAM #, iMiap Hwim<ac Ar W6R hE ks't kti 9t f\iM1 "t %4FJFtR INf,fl v�e�ed bkc