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FLORIDA ENGINEERING & DEVELOPMENT, CORPp} Wh)LeMAJh IAA� kVt-Z =; City of South Miami Construction Contract OSouth Miami ' AWAMMMUN I I if 2001 Progress Road Improvements From SW 68th Street to SW 70th Street CITY COMMISSION Mayor: Vice Mayor: Commissioner: Commissioner: Commissioner: CHARTERED OFFICIALS City Manager: City Attorney: City Clerk: Philip K. Stoddard, PhD Josh Liebman Valerie Newman Walter Harris Bob Welsh Hector Mirabile, PhD Thomas Pepe, Esq. Maria M. Menendez, CMC Public Works Operations Manager: Keith A. Ng, CFM Capital Improvements Program City of South Miami "Excellence, Integrity and Inclusion" 1( SMCRA A South Miami Community Redevelopment Agency Funded Project Submittal Checklist Form This checklist indicates the forms and documents required to be submitted for this solicitation to be presented by the deadline set for within the solicitation. Fulfillment of all solicitation requirements listed is mandatory for consideration of response to the solicitation. The response shall include the following items: Bond and Power of Attorney Qualification Statement ' Non- Collusion Affidavit `� Pyblic Entity Crimes and Conflicts of Interest 7 23 / Drug Free Workplace 26 Acknowledgement of Conformance with OSHA Standards 27 List of Proposed Subcontractors and Principal Suppliers 28 Submit this checklist along with your -proposal indicating the completion and submission of each required forms and/or documents. © thomasfpepe- 09- 28- 11(Updated 04 -30 -2012) Page 7 Bid Form Progress Road Improvements 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 EAC Consulting, Inc. 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: 6 ,11 1� Addendum No. Dated: 0- Addendum No. Dated: 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, © thomasfpepe -09 -28.1 I (Updated 04 -30 -2012) Page 8 ADDENDUM No. 2 Project Name: Progress Road Improvements RFP NO. Not Applicable Date: June 18, 2012 Sent: Fax /E- mail /webpage This addendum submission is issued to clarify, supplement and /or modify the previously issued Request for Proposals (RFP) Documents, and is hereby made part of the Documents. All requirements of the Documents not modified herein shall remain in full force and effect as originally set forth. It shall be the sole responsibility of the bidder to secure Addendums that may be issued for a specific solicitation. • Line item (#11) was added to the bid tabulation sheet for disposal of any contaminated soils that may be encountered during construction. For bidding purposes, the quantity for this line item is 30 CY. • There are no staging areas established for this project. All excavated material must be disposed at the end of each day. • The attached updated Schedule of Values must be included as part of the bid submittal to render a responsive bid. • The contractor is responsible for ensuring that construction does not interfere with local businesses in the area. For this reason, the contractor must coordinate with the City on all construction activities, communicating with local businesses on construction schedules, providing customer access to business properties, installing detour and information signs to advise customers when entering business properties. The cost of these activities shall be included in the "Maintenance of Traffic line item ( #23). Temporary signs shall be provided and installed within 24 hours of the City's request. f� ADDENDUM No. I Project Name: Progress Road Improvements RFP NO. Not Applicable Date: June 11, 2012 Sent: Fax /E- mail /webpage This addendum submission is issued to clarify, supplement and /or modify the previously issued Request for Proposals (RFP) Documents, and is hereby made part of the Documents. All requirements of the Documents not modified herein shall remain in full force and effect as originally set forth. It shall be the sole responsibility of the bidder to secure Addendums that may be issued for a specific solicitation. The Bid Submittal due date has been rescheduled to June 27, 2012 at 10 AM. • Attached is the updated engineering drawings dated April 2012 and is to be used for the purpose of estimating, bidding and construction of the project. • Attached is the drainage calculation report for reference. There were no environmental studies conducted for this project. • Line item (#11) was added to the bid tabulation sheet for disposal of any contaminated soils that maybe encountered during construction. The contractor shall abide by all procedures as set. forth in the construction documents and appropriate permit documents in the event that contaminated soils are encountered. • The project has been budgeted for a maximum contract ceiling amount of $180,000 that includes the 10% Contingency. • Line item ( #27) was added to the bid tabulation sheet for police escort. The quantity is 220 hours at $45 /hr.; The not to exceed'amount for this item is $9,900. Page 1 of 2 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 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. 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 written notice of all conflicts, errors or discrepancies that it has discovered in the Contract Documents and, if any conflicts, errors or discrepancies have been found and notice given, the BIDDER represents, by submitting its bid to the City, that the BIDDER has received sufficient notice of the resolution thereof by Consultant, that such resolution is acceptable to BIDDER and the BIDDER waives any claim regarding the conflicts, errors or discrepancies. 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: ,f j LUMP SUM BASE BID: (�ytQ �19►ZIA l' °r �Kh �Uil/f ��: NptC(/ %^0d dollars and cents Alternates: #1 #5 #2 #6 ©thomasfpepe- 09- 28- 1I(Updated 04 -30 -2012) Page 9 #3 #7 #4 #8 A fee breakdown for each task must be completed in the table shown above. Failure to complete this information shall render the proposal non - responsive. 5. The ENTIRE WORK shall be completed, in full, within 240 Calendar Days 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: T wX4 VHA ",A1CU4 6/ FWYf°t4'&_XJ1rj COAP Address: 17,A 7A Afp 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 137% DAY OF Okr_ - 20 12_.. BID SUBMITTED BY: '7tq17,pPA.cWT' Opp. Company fin: �w�nr f Title 3oS- na - 85a3 Telephone Number Fax Number mail Acmress FAILURE TO COMPLETE. SIGN. & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE © thoma0pepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 10 ,a City of South Miami Progress Road Improvements Project Revised Schedule of Values dated 6/12/2012 �.... �. (... l Item# Description Unit qty Unit Price Amount ' n. tuamo-e: n 1 !.f °9fi. 113. i a �1, Mobilization LS ! Kell T, 1.00 y' w, � � ', ,w,�nI ��5�/.GO 3 � 1� €,off 1� g € ; a NOW; /.6 go. 00 2 Dust Control LS 1.00 (',� �Q�• 3 Project Sign EA 2.00 1 lq0•00 4 Removal of Existing One (1 ") Inch Asphal SY - 2,225.00 3.30 3Q. 5 Removal of Existing Drainage Structure EA 3.00 1060•Ce 180.00 6 Type 5 -III (One (1 ") Inch of) Asphalt SY 2,225.00 6 • bfj• 7 Limerock Base Cy 20.00 g • 0 11630-00 8 Subgrade CY 30.00 6)'2- .00 h -co 9 Embankment CV 240.00 33.00 11Z-V• 10 Curb Ramp EA 1.00 1, 56o Pu 1;5;0 11 Disposal of Contaminated Soils (if Enou,kn�tered) CV 3000 ?01 �t% 21/00,00 F .e 5 - � iried.ili• 1TT' 3..l.3 P �jw i • vt fi. :N�i. l t j'i�i{vjill9i €ji 1 €l j S1 € D j� ((Ml' '. a 111 N 9; 1 110,11 3 f 1 12 15" HOPE pipe LF 52.00 61.00 31112.00 13 18 "HDPEPipe LF 42.00 6.0. 50 IZI• 14 18" French Drain LF 150.00 1 *( -00 2411300-00 is Type A Inlet with P Bottom EA 6.00 3 wo. 1 1 OX. 16 Storm Manhole EA 5.00 600• g 000 PO 4 Sp Sfg� ' 17 Atli 0111,11111 7 vl a • a.: a.....: - '�N -. _1 . a f �i i° "ii a 1?'.?11 4� i 24" White Thermoplastic Stripe : t .�_. %E!1 ,I! � LF ,. .. �. � . .� 1 . i ,i 1'I 150.00 a 1 i � ,1' � .. =IiI J°�aNlsj 6iy0 ' #�'diSanualL'ft6!4'd.Ioffl�tlli IIIUi!i Wo- 18 12" Wh i to Th a rmopl asti c Stri pe LF 340.00 2• 60 .00 19 4" White Thermoplastic Stripe LF 1,995.00 2.39 20 6" Yellow Thermoplastic Stripe, Skip GM 0.14 �QO• IQ• 21 6" Double Yellow Thermoplastic Stripe LF 150.00 3��• 22 Reflective Pavement Markings (RPMs) EA 28.00 •OD 02- - 23 Maintenance of Traffic LS 1.00 CO 2-. 24 Detectable Warning Surface EA 4.00 3%. Q• 25 Sign�ag.�e? LS 1.00 2 00 Pv ro- ^al��'§•i3�iva1 } i!f11i111v3i�y13i 13!?if " "''�v "11v "1 {�1 ;�i;o-�..k, u�. 5p �Ip, iii ?iis111{i!iPr i1ii;vv?333 €i 71 €?1 €3 nI �j )L /�] /i✓G CIO 26 Performance and Payment Bond (100 %) LS 1.00 IS'ubtotal •f• • 200.00 27 Police Escort HR 220.00 91900.00 28 PermitNts Insurance LS 1.00 55D 00 65o.00 (i§ fl;91 ?I�pat vi,=,.IS °;i Land @ pp}�' �3 Yp 4i , t f ' tf� a a! r 1 t vI I , 1' l tf � = cif R calf a li °�� [ ;{ q € i. ��.II# .liNl €�a ik1t € {p ®rA fE 11 #Plat a Total 0 FA The revised Schedule of Values must be used to render a responsive bid. IT SHALL BE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE ADDENDUMS THAT MAY BE ISSUED FOR A SPECIFIC SOLICITATION. PAY ITEM DESCRIPTION • Mobilization and Dust Control- This item shall include the 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. • Removal of Asphalt/Milling- Square yards- This item shall include the milling of the existing asphalt pavement within the limits defined by detail on the plans, and the FDOT specifications. Greater widths are at the contractor's option and expense. The price bid shall be full compensation for furnishing all necessary labor, materials, tools and equipment and for permitting all work required for milling of the existing asphaltic concrete surface, including the cost of removal and disposal of milled material from the project site. Payment will be based on the number of square yards of milled asphalt times the unit bid price, however, the area to be milled shall be designated on a map or drawing and any areas not so designated that are milled and /or asphalted shall be at the contractor's expense. • Removal of Existing Drainage Structure — This item shall include the the existing drainage structures as shown in the engineering drawings and shall be removed only in accordance with the plans and drawings. 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 of existing drainage structures and any necessary associated piping, the loading, transporting, and proper disposal of the structures and associated piping. Payment will be based on the number of structures removed times the unit bid price. • Type III Asphaltic Concrete- Square Yards. This item shall include the furnishing and installing Type S -III Asphaltic concrete (1 ") for permanent paving repairs within the limits defined by details on the plans, the FDOT specifications and /or the Standard Details and the map or drawing designation. Placement of asphalt must be placed in a manner that maintains the existing crown and the grade. Greater widths are at the contractor's option (provided an adequate subsurface exists) and at the contractor's expense, either for the installation or for removal of unauthorized work. The price shall be full compensation for furnishing all that is necessary for a complete asphaltic concrete surface course installation including but not limited to supplying all labor, materials, tools, and equipment and for performing all work required for preparing and transporting mixture, tack cost application, placing, compacting, and testing. Payment will be based on the number of square yards of Type S -III asphaltic concrete required to perform the contracted work. • IS" HDPE Pipe- This item shall include the linear feet for furnishing and installing 15" HDPE pipe at any depth of cut within the limits defined by details on the plan and Miami Dade County Standard Details or in accordance with the FDOT specifications. The price bid shall be full compensation for the contracted work required for the complete installation of the pipe, ready for service including but not limited to the furnishing all necessary labor, materials, tools, and equipment and performing all necessary exploratory excavation; any sheeting, shoring or bracing; dewatering; disposing of excess or unsuitable fill material; placing the pipe in the trench; cutting and installing plugs; furnishing joint materials including lubricant; protecting existing utilities; making all pipe connections; cleaning and testing; placing and compacting backfill (including rock bed); installing additional suitable backfill material and temporary paving, replacing water and sanitary services, trees, shrubs, sod, sidewalks, mail boxes, fences, walls, sprinkler systems, and all other similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous ©thomasfpepe- 09- 28- II(Updated 04 -30 -2012) Page 12 items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading, and transport costs ditch side. Payment will be based on the number of authorized linear feet of HDPE Pipe times the unit bid price. All lineal feet authorization shall be in writing signed by the City Manager or his designee. • 18" HDPE Pipe- This item shall include the linear feet for furnishing and installing 18" HDPE pipe at any depth of cut within the limits defined by details on the plan and, Miami Dade County Standard Details or in accordance with the FDOT specifications. The price bid shall be full compensation for the contracted work required for the complete installation of the pipe, ready for service including but not limited to the furnishing all necessary labor, materials, tools, and equipment and performing all necessary exploratory excavation; any sheeting, shoring or bracing; dewatering; disposing of excess or unsuitable fill material; placing the pipe in the trench; cutting and installing plugs; furnishing joint materials including lubricant; protecting existing utilities; making all pipe connections; cleaning and testing; placing and compacting backfill (including rock bed); installing additional suitable backfill material and temporary paving, replacing water and sanitary services, trees, shrubs, sod, sidewalks, mail boxes, fences, walls, sprinkler systems, and all other similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading, and transport costs ditch side. Payment will be based on the number of authorized linear feet of HDPE Pipe times the unit bid price. All lineal feet authorization shall be in writing signed by the City Manager or his designee. • 18" French Drain - This item shall include the Linear feet for furnishing and installing 18" French Drain within the limits defined by details on the plan and Miami Dade County Standard Details or in accordance with the FDOT specifications. The price bid shall be full compensation for for the contracted work required for the complete installation of the pipe, ready for service including but not limited to the furnishing all necessary labor, materials, tools, and equipment and performing all necessary exploratory excavation; any sheeting, shoring or bracing; dewatering; disposing of excess or unsuitable fill material; placing the pipe in the trench; cutting and installing plugs; furnishing joint materials including lubricant; protecting existing utilities; making all pipe connections; cleaning and testing; placing and compacting backfill (including rock bed); installing additional suitable backfill material and temporary paving, replacing water and sanitary services, trees, shrubs, sod, sidewalks, mail boxes, fences, walls, sprinkler systems, and all other similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading, and transport costs ditch side. Payment will be based on the number of authorized linear feet of HDPE Pipe times the unit bid price. All lineal feet authorization shall be in writing signed by the City Manager or his designee. • A Inlet with P Bottom - This item shall include the installation of concrete curb inlets with P bottoms as set forth in the plans, and in accordance with the FDOT Specifications, Miami Dade County Standard Details and in the quantity identified in the plans and as directed, in writing, by the City. The Price bid shall be full compensation for furnishing all required Curb Inlets with P Bottoms including but not limited to all necessary labor, materials, tools, and equipment and for performing all work required including but not limited to preparing and transporting mixture, formwork and placement . Payment will be based on the number of authorized linear feet of concrete curbs times the unit bid price. All lineal feet authorization shall be in writing signed by the City Manager or his designee. • Manhole- This item shall include the furnishing and installing of manhole Type f and P at any depth of cut within the limits defined by the plans and details and in accordance with ©thomasfpepe- 09- 28- II(Updated 04 -30 -2012) Page 13 the Miami Dade County Standard Details and FDOT specifications. The price bid shall be full compensation for performing all work required for the complete installation of the manholes, ready for service, including but not limited to the furnishing of all necessary labor, materials, tools, and equipment and including exploratory excavation; any sheeting, shoring or bracing; dewatering; disposing of excess or unsuitable fill material; placing the structures in the trench; all rims, manhole covers, and anchors are required; protecting existing utilities; making all pipe connections; cleaning and testing; placing and compacting backfill (including rock bed); installing additional suitable backfiill material and temporary paving, replacing water and sanitary services, trees, shrubs, sod, sidewalks, mail boxes, fences, walls, sprinkler systems, and all other similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading, and transport costs. Payment will be based on the authorized number of Manhole times the unit bid price. The number of Manholes authorized shall be in writing signed by the City Manager or his designee. • Solid Traffic White Stripe (for all widths)- This item shall include the Linear Feet for furnishing and installing Solid Traffic Stripe (6 ", I2 ", 18 ", 24 ") within the limits defined by details on the plans, the specifications, FDOT specifications. The price bid shall be full compensation for performing all work required for the complete installation of solid traffic stripe (6 ", I2 ", 18 ", 24 "), ready for service including but not limited to the furnishing all necessary labor, materials, tools and equipment and shall include temporary paving, pavement markings, pedestrian crossings markings and all others similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals and shop drawing work; all loading, unloading, and transport costs to installation location. Payment will be based on the number of authorized linear feet of solid traffic stripe times the unit bid price. The number of authorized linear feet shall be in writing signed by the City Manager or his designee. • Solid Traffic Yellow Stripe (for all widths) - This item shall include the Linear Feet Furnishing and installing solid traffic stripe within the limits defined by details on the plans, the specifications and /or 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 complete installation of solid traffic stripe, ready for service, and shall include temporary paving, pavement markings, pedestrians crossings markings and all other similar items as required or necessary, to original locations and to equal or better than original conditions; and all other appurtenant and miscellaneous items and work. Included In the unit cost are all the survey, submittals, and shop drawing work; all loading, unloading and transport costs to installation location. Payment will be based on the number of authorized linear feet of solid stripe. The number of authorized linear feet shall be in writing signed by the City Manager or his designee. • Retro- Reflective Pavement Markers - This item shall include the furnishing and installing Retro- Reflective pavement Marker within the limits defined by details on the plans, the specifications, and /or 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 complete furnishing and installation of Retro- Reflective pavement Marker, ready for service and all to other similar items as required or necessary, to original locations and to equal or better than original conditions, and all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading, and transport costs to installation location. Payment will be based on the authorized number of installed Retro- Reflective Pavement marker times the unit bid price. The number of authorized Retro- © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 14 Reflective Pavement Markers shall be in writing signed 'by the City Manager or his designee. • Maintenance of Traffic — This item shall include the Lump sum price for furnishing all necessary 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. • Detectable Warning Surface — This item shall include the furnishing and installing detectable warning surfaces (DWS) within the limits defined by details on the plans, the specifications and FDOT specifications. The price bid shall be full compensation for all work required for the complete installation of the DWS including but not limited to the furnishing of all necessary labor, materials, tools and equipment.. Payment will be based on the authorized number of DWS times the unit bid price. The number of authorized DWS shall be in writing signed by the City Manager or his designee. • Sign - This item shall include the furnishing and installing pedestrian crossing signs within the limits defined by details on the plans, the specifications, the Miami Dade County Standard Details and FDOT specifications. The price bid shall be full compensation for the complete installation of pedestrian crossing signage for each pedestrian crossing, ready for service, and all other similar items as required or necessary, to original locations and to equal or better than original conditions including the furnishing of all necessary labor, materials, tools and equipment and for performing all work required as well as all other appurtenant and miscellaneous items and work. Included in the unit cost are all survey, submittals, and shop drawing work; all loading, unloading and transport costs to install at each location. Payment will be based on a lump sum unit bid price. • Performance and Payment Bond - This item shall include the lump sum price for the cost of bonds. • Permits and Insurance — This item shall include a lump sum for all permits and any required insurance. ©thomasfpepe- 09- 28- II(Updated 04 -30 -2012) Page 15 Bid Bond Progress Road Improvements STATE OF FLORIDA COUNTY OF MIAMI -DADE ) KNOW ALL MEN BY THESE PRESENTS, that we, Florida Engineering and Development Corp. as Principal, and Berkley Regional Insurance Company as Surety, are held and firmly bound unto the City of South Miami, a municipal corporation of the State of Florida in the sum of Five Percent of Amount Bid Dollars ($ 5% of Amount Bid ), lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH that: WHEREAS, the Principal has submitted the accompanying Bid dated June 13, 2012 , for the Progress Road lm�rovements. it was a condition precedent to the submission of said Bid that a Bid Bond in the amount of five percent (SY*) 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 principal's 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 and /or in the event that the principal is not awarded the bit but fails 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 13th day of June , 2012, the name and the corporate seal of each corporate party being hereto affixed and these presents being duly signed by Its undersigned representative. 0 awm1s1pepe4a9.2e -1 I (updated 04- 30-2012) Page 16 IN PRESENCE OF. ATTEST- As per attached power of attorney Secretary *Impress Corporate Surety Seal (Seal) Florida Engineering and Development Corp. (Individual ershi rincipal) 12076 N.W. 98th Avenue (Business Address) Hialeah Gardens, FL 33018 (City /State/Zip) (305) 820 -8333 (Business Phone) Berkley Re ionalInsurance Company (Corporate y)* By Warren M. Alter, AttomeyTn -Fact IMPORTANT Surety companies executing bonds must appear on the Treasury Department's most current list (circular 570 as amended) and be authorized to transact business in the State of Florida. 0 thomasrpepe4MG -II (Updated 0430.2012) Page 17 No. 7959 POWER OF ATTORNEY 13ERKLEY REGIONAL INSURANCE COMPANY WILMINGTON, DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. F KNOW ALL MEN BY THESE PRESENTS, that BERKLEY REGIONAL INSURANCE COMPANY (the "Company "), a R corporation duly organized and existing under the laws of the State of Delaware, having its principal office in Urbandale, Iowa, has made, constituted and appointed, and does by these presents make, constitute and appoint: Warren M. Alter, David T. Satine Ror Dawn Auspitz of Alter Surety Group, Inc. of Miami Lakes, FLits true and lawful Attomey -in -Fact, to sign its name as surety v only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million and 00 /100 Dollars x ($50,000,000.00), to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers N of the Company at its principal office in their own proper persons. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, o without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following V resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on August 21, 2000: "RESOLVED, that the proper officers of the Company are hereby authorized to execute powers of attorney authorizing and F qualifying the attorney -in -fact named therein to execute bonds, undertakings, recognizances, or other suretyship obligations i on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; o c and further RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, 0 2 or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated; and further H RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attomey -in -fact named; and d o further RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or a ,G other suretyship obligation of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any v person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have E c ceased to be such at the time when such instruments shall be issued." U q � E IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its s c corporate seal hereunto affixed this/'C —day of 09. o ° Attest: t Berkley nal Ins ance Company G � o � � M (Seal) By BY Ira . Lederman Robert P. Cole O F Senior Vice President & Secretary Senior Vice President o .ti o y WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE ` BERKLEY" SECURITY PAPER. U � n E STATE OF CONNECTICUT) ay )ss: E COUNTY OF FAIRFIELD ) c o o Sworn to before me, a Notary Public in the State of Connecticut, this day of�z. cr w Gw 2009, by Robert P. Cole and Ira o S. Lederman who are swom to me to be the Senior Vice President, and the Senior Vice Presidentaiid'Secretay, respectively, of Berkley Regional Insurance Company. Notary Public, State ofCot8*UORA.C.hltL4P I o CERTIFICATE ply NaTAaxC . PRl`Ct]PANI {JS {�� {�:)l, 7 I, the undersigned, Assistant Secretary of BERKLEY REGIONAL INSURANCE COMPANY, DO HEREBY CERTIFY that the Z foregoing is a true, correct and complete copy of the original Power of Attorney; that said Power_bf Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bQY",undertaking to which this 3 Y Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and seal of the Company, this 13 tbday of June 2012 (Seal) Andr . Tuma Bidder Qualification Statement Progress Road Improvements The BIDDER's response to this questionnaire shall be utilized as part of the CITY'S overall Bid Evaluation and Contractor selection. I. Number of similar construction projects completed, a) In the past 5 years � &CW � 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: Owner Address: © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 18 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- 28- 1I(Updated 04 -30 -2012) Page 19 3. Current workload 4. The following information shall be provided for this project. a) Estimated total demolition man -hours 20 o Percent man -hours to be performed by Contractor's o b) permanent staff Colo Permanent man -hours to be performed by direct hired c) employees for this project d) Percent man -hours to be performed by Subcontractors i 5. The following information shall be attached to the bid. a) Contractor's home office organization chart. b) Contractor's proposed project organizational chart. d11 c) Resumes of proposed key project personnel, including on -site Su erin endent. 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 Suspension of contracts or debarring from Bidding by any public agency brought C) against the BIDDER in the last five (5) years. ©thoma0pepe- 09- 28- II(Updated 04 -30 -2012) Page 20 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: 1 i I FAILURE TO COMPLETE SIGN. & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 21 • H Z W 2 CL 0 J W W G Z_ 2 W W Z_ a Z W Q D 0 J LL H Q 2 U W U LL 0 U) U) LU °rLU O OWL¢ "oar n i V N Z W Z 2 L CL > Ow >CL W- oQ °� O C7 � zN �U) W W W Ix Z 0 30 Z W W a LU Q H 0 O O J w LL a aa¢ oar OMAR A. MEDINA 41 s8 SAPPHIRE TERRACE Weston FL 33331 Home (954) 3840577 Cell (954) 297 1148 Email omarm26 @hotmail.com EDUCATION Bachelor of Science in Civil Engineering — Universidad de la Salle Colombia, 1996 Seminar for updates in sewage system design- Pontificia Universidad Javeriana, 1996 FDOT Course Maintenance of Traffic — Miramar Florida, 2003 Primavera Expedition — Schedule — Miami Florida, 2006 SUMMARY Mr. Medina has over 12 years experience in the fields of Engineering and Project /Construction Management. His career has been focused in the construction sector and municipal design. His background includes Construction Management, inspections, design and construction of pipelines, drainage, pump stations and highways. He has excellent organizational and works well with others. Mr. Medina's project experience and technical expertise includes the following: EXPERIENCE FCE Enrineerinz March 2008 to Present Project Manager managed the following projects: Aviation Project City of Opalocka Include: Drainage System, Water Systems, Sewer System, Force Main System, FPL Ducts, AT &T Ducts, Signalization System, concrete sidewalks, Asphalts Roadways. Work inspected by FDOT, DADE County, WASD, DERM. Building Expansion 3505 Warehouse at city of Doral the work include: Building pad, water main, sewer main, Drainage System, Asphalts, concretes, etc. South Side Elementary site contractors the work include: mass excavation for underground parking lot, Well Drainage, Drainage collection system, ejector pump, water system, sewer system, asphalts, concretes, etc. AMEnzineerinQ Contractors January 2007 to March 2008 Vice President managed the following projects: Ferguson High School, Site contractors the work include: Demolition, Building Pad, water system, sewer system, Drainage system, special sidewalks for schools, etc. Leewood Elementary School, Site contractors the work include: Demolition, Building Pad, water system, sewer system, Drainage system, special sidewalks for schools, etc. Mary Brickell Village Project Include five (5) Lift stations, drainage systems, sewer systems, concretes and asphalt restoration. Petro Hydro Inc.. Miami, FL. May 1999 to September 2007 Project Manager responsible for profitably managing all administrative and field construction activities include preparing procedures and/or job progress reports monitoring job cost & work status, preparing projects safety, maintaining a working relationship with publics works, owners, architects, vendors, subcontractors, creating project schedules and change orders management. He exercises considerable independent judgment in the application of the principles and practices of planning, design, construction and administration of a variety of construction projects. As Project Manager, Mr. Medina has been responsible for managing and requisitioning over $800,000 monthly. He has been instrumental with negotiating subcontractor contracts and maintaining relationships with city, county and governmental officials. His responsibilities include the mentoring of several site project engineers and managing several construction crews with a minimum production of $500,000 monthly. He is responsible for scheduling projects from their inception to final close out. Managing work orders and staying on track with schedules and budgets as well as conduct on -site client and team meetings. Mr. Medina's project technical expertise includes the following: • Jardack Construction, Shakill Investment Center Drainage, Paving, and Water system. • City of Fort Lauderdale, Progresso Project, Sanitary sewer, water mains, drainage system. • Broward County, Broward Gardens, Sanitary Sewer, Lift Station. Improvements. • Town of Medley. Roadway Restorations, Drainage, Sidewalks. • FDOT Push Bottoms. Asphalt, Milling, Drainage, Sidewalks. • FDOT NE 6 AVE. Drainage System and Asphalt Roadway over 1.5 miles. • FDOT Al A. Asphalt Roadway over 2.0 miles, special sidewalks and stamp crosswalk city of Miami Beach. • City of Palmetto Bay. Drainage Improvements. • City of Coral Springs. Water mains improvement. • City of South Miami. • Miami Dade County, PTP People Transportation Plan. • City of Miami Road Rehabilitation Project. FEMMA SW 147 Ave and 88 Street. • City of Lauderhill Culvert Replacement Project. DERM Storm water Improvement Project. Project Estimator responsible for completing estimated for construction projects including quantity of materials, pricing, budgeting, value analysis, prepare square foot estimates, detail conceptual estimated, working drawing estimates, proposal/bid or GPM estimates, systems comparisons, historical cost reports, and value engineering alternatives. Dade County, Palm beach County, FDOT projects, Broward County, City of Miami, City of Lauderhill, City of Miami Beach, City of South Miami, City of West Palm Beach, Omar Medina (Various) — Colombia, May 1997— Februarv1999 Construction Management and Resident Engineer responsible for coordination of the design consultant and construction contractor, administration of change orders, claims, clarifications, inspections, pay request, general documentation and shop drawings review. Construction projects include force main, raw water transmissions mains, pavement and sidewalk restoration. Expansion of the Water Treatment Plant including flocculation/sedimentation basins, deep bed anthracite filters, clear -well tank, water intake and pump station rehabilitation. Projects also include the construction of a Tourist Pier located at the town of Puerto -los Guamos. Responsible for civil /mechanical design, construction drawings using CAD, cost estimate analysis and summary of bill of materials. Projects include force main design, drainage design, water and wastewater facilities for the city of Riohacha — Colombia, pump station design for the City of Valledupar — Colombia, Master Plan design for the City of El Banco Magdalena — Colombia. Computer Aided Design (CAD): Microstation J AutoCad Corel Draw (Presentation Graphics) Other Computer Software Used: Primavera Contractor Primavera Expedition Outlook. Microsoft Project (Scheduling) Primavera Contractor (Scheduling) Microsoft Excel (Spreadsheet) Microsoft Word (Word Processing) Microsoft PowerPoint (Presentation) Windows NT (Operating System @ Administrator Level) Z .�, �/ or \ }\ � \ } \. o { 0 \ \ \ Q, El \\) \ §}\ f§s —�9 \ }\ '5'< o { CD < \f \J[^ f)«2 k \}f ® /)\ \.) }§ R±f ?m 0w ƒ\]� \$§ 0 \ {\ / \ \ \ ƒ2 !{]» { @ \ ! Cu 2 » a \ \_ ~ f/ = 0 ) )E E %{ # ./ { . / / \2 \ [u- 0 j (D /.J5 Non - Collusion Affidavit Progress Road Improvements STATE OF FLORIDA COUNTY OF MIAMI -DADE JO being first duly sworn, deposes and�s�tes that: �p (IY HefShe /They is /are the �� —�y �" �� (Owner, Partner, Officer, Representative or Agent) of rwl r %�i(I �CZL�% the BIDDER that has submitted the attached 41she/They (2) 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 BIDDER 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 BIDDER, 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 bidding or 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 BIDDER, firm, or person to fix any overhead, profit, or cost elements of the BID or of any other BIDDER, or to fix any overhead, profit, or cost elements of the BID Price or the BID Price of any other BIDDER, 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 are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the BIDDER or any other of its agents, representatives, owners, employees or parties of interest, including this affiant. Signed, sealed & delivered in the presence of: By: Si re -A-If a—micAr- Print Name and Title Subscribed and sworn to before me this <1 day of Notary Pu ' (Si MY COMMISSION 4DD924448 My Commission Expir # EXPIPES: November 29,2013 FAILURE TO COMPLETE. SIGN. & RETURN FORM MAY DISQUALIFY YOUR RESPONSE © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 22 Public Entity Crimes and Conflicts of Interest 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 ADMINISTER OATHS. I. This sgorJ statement s submitted to [print of`the public entity] �- by V thv FIF ru —C4 t [print individual's name and title] for - ,60"M ov"D [print name of entity submitting sworn statement] "qQ [print full mailing address] ate! (if applicable) its Federal Employer )J.i j� �s{-.S6gO (If the entity has Number of the individual signing 18 is Identification Number (FEIN) is no FEIN, include the Social Security 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 ©thomasfpepe- 09 -28 -11 (Updated 04 -30 -2012) Page 23 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 (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. S. I 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 ent�it ��mltting 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 I, 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 I, 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. © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 24 Signed, sealed & delivered in the presence of: By: Sign Pr1n't Name and Title Subscribed and sworn to before me this M day of x_20 /j-iL— i Meal kJign s.usc) XIY COMMISSION #DD 924448 My Commis fires* * EXPIAES:November29,2013 �'✓h__., nP� one ry u ery Services FAILURE TO COMPLETE. SIGN. & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 25 Drug Free Workplace Progress Road Improvements — -_ 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: I) 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 Sigr Print Name: Date: FAILURE TO COMPLETE- SIGN, & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE © thomasfpepe- 09 -28 -1 I (Updated 04 -30 -2012) Page 26 of Conformance with OSHA Standards TO THE CITY OF SOUTH MIAMI We, Yt°� �NZN ✓ (Name of Contractor), hereby acknowledge and agree that as Contractors for th4 Progress Road Improvements, 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 exp se ttheXa nc ur'drue(�to the failure of (subcontr ctor's names): to comply with such act or regulation. CONTRACTOR BY: "K V Name 9 6e�"e ®wWr Title FAILURE TO COMPLETE. SIGN. & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE 0 thomasfpepe- 09 -28 -11 (Updated 04 -30 -2012) Page 27 List of Proposed Subcontractors and Principal Suppliers Progress 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 Email Sodding & Turf Work Electrical Irrigation Paving Park Amenities Graphics datilities CQAWk ,►� >7rlca¢�n pe6 32-2AmfrdiiJ?f 00 Excavation Building Structures Plumbing r Testing Laboratory Soil Fumigator Signs 1 1111 / J �� I � #!� �l 33 d s 784 Zjd _ � °1- 0 .11 Other: ! ' anti -0 is-Pr fe This list shall be provided to the City of South Miami by the apparent lowest responsive and responsible bidder within five (5) calendar days after Bid Opening. L -C-M co-m Cut &M ©thomasfpepe- 09- 28- II(Updated 04 -30 -2012) Page 28 CTQB Construction Trades Qualifying Board 1 BUSINESS CERTIFICATE OF COMPETENCY E0900376 FLORIDA ENGINEERING 8 DEVELOPMENT CORP i S, RIM �D.B.A.: IOM R Is certified under the rovisionsol Chapter 10 of Miami -Dade County !, QUALIFYING TRADES) 000? GENERAL ENGINEERING MIRM4 Sep�Naey n11M1e BoseE amlW CapoNPm Y, S 1 ATE OF FLORI° 1 6, DEPARTMENT OF "BUSINESS AND PROFSSSIpNAL kkdULATION CONSTRUCTION INDUSTRY LICENSING HOARD 1940 NORTH MONROE STREET `0p °fi TALLAHASSEE . FL 32399 -0783 VEGA, JOSE ANTONIO FLORIDA ENGINEERING AND DEVELOPMENT CORP 12076 NW 98TH AVENUE HIALEAH GARDENS FL 33018 gratulations! With this license you become one of the nearly one million dians licensed by the Department of Business and Professional Regulation. professionals and businesses range from architects to yacht brokers, from =.rs to barbeque restaurants, and they keep Florida's economy strong. -y day we work to improve the way we do business in order to serve you better. information about our services, please log onto www.myfloridalicense.com, ,e you can find more information about our divisions and the regulations that act you, subscribe to department newsletters and learn more about the artmenl's initiatives. mission at the Department is: License Efficiently, Regulate Fairly. We stantly strive to serve you better so that you can serve your customers. nk you for doing business in Florida, and congratulations on your new license! DETACH HERE c7 �aA'1Ntr'3 ,'3 d 1 r3;'. an u ► T4; It 1 * • •. �,,..,., �I `A ...'- - f7ISPl A',Y AC RF61 IIRFfI`2 (850) 487 -1395 Florida Engineering & Development Corp. 12076 NW 98th Ave. Hialeah Gardens FI. 33018 List of major constrution projects completed in the last three (5) years Project Name & Location Owner (Name, Address, Architect/Engmeer Contract % Com letion P Phone, and Contract person) P ) Amount Completed Date AB Knight Construction Spillis and Partners Miami Lakes Office Village Miami Lakes FI. 800 South Douglas Rd Miami Lakes Fl. Paul Seltzer Ph Miami FI 33134 305 986 0984 Ph. 305 444 4691 $514,700.00 100% 8130/2006 Pirtle Construction Spillis and Partners Lawton Chiles Elementary School PM Vladimir Gutmann 800 South Douglas Rd Miami Florida Ph 305 593 745f; Miami FI 33134 Ph. 305 444 4691 $575,187.00 100% 12/20/2006 Pirtle C t - onstruc.n Spillis and Partners John F Kennedy Elementary PM Jose Rovirosa 800 South Douglas Rd School oh 305 5937456 Miami FI 33134 Ph. 305 444 4691 $1,450,000.00 100% 8/30/2006 Dural Palms Development Terracon Group SRS Engineering Miami Florida Mike Gomez 5001 SW 74th Ct. Ste 201 Ph. 305 418 9291 Miami Fl. 33155 $620,000.00 100% 12/1/2007 Aviation & Commerce Center CPF Investment Group VSN Engineering Phase to Miami Al Hernandez PE Rudy Vargas Florida Phone 305 460 6262 Ph 305 551 7118 $3,900,000.00 100% 6/15/2009 Aviation & Commerce Center CPF Investment Group VSN Engineering Phase 1B Miami Al Hernandez PE Rudy Vargas Florida Phone 305 460 6262 Ph 305 551 7118 $2,270,000.00 100% 10/8/2009 Aviation & Commerce Center CPF Investment Group VSN Engineering Phase 2 Miami At Hernandez PE Rudy Vargas Florida Phone 305 460 6262 Ph 305 551 7118 $2,115,000.00 100% 5125/2010 Devon Aire Elementary Pirtle Construction Wolfberg Alvarez PM Lazaro Villar PE Jorge Maldonado Miami Florida Ph 786 247 5048 Ph. 305 666 5474 $1,792,672.00 100% 12/8/2008 Adsum Group Wolfberg Alvarez Mary Brickell PM Mario Pons PE Jorge Maldonado Miami Florida Phone 305 577 9949 Ph. 305 666 5474 $2.400,000.00 100% 6/5/2009 Aviation & Commerce Center CPF Investment Group RLC Architects 137 Bldg, N At Hernandez W Royal Palm Rd. Miami Florida Phone 3054606262 Boca Raton FL 33432 $1,681,000.00 100% 2/8/2009 Ferguson Sr High School Pirtle Construction Corp, Wolfberg Alvarez PM Rudy Gonzalez PE Jorge Maldonado Miami Florida Ph 305 593 7456 Ph. 305 666 5474 $950,000,00 95% 8/1/2009 3505 Bldg Expansion Terracon Group VSN Engineering 3505 NW 107th Ave. Mike Gomez Ph. PE Rudy Vargas Doral Florida 305 418 9291 Ph 305 551 7118 $510,000.00 100% 5/912009 Coastal Construction Wolfberg Alvarez South Side Elementary School PM Lazaro Villar PE Jorge Maldonado Miami Florida Ph. 954 445 7212 Ph. 305 666 5474 $650,000.00 80% 7/30/2009 Hialeah Hospital Parking Lot Terracon Group Astur Engineering Addition Hialeah, 8181 NW 14th Street Ste 300A Luis -Vazquez 305 962 Florida Dural FI. 33126 0572 Miami Florida $462,645.00 70% 7/30/2009 MICC 1900 Terracon Group VSN Engineering NW 79th Ave. Doral 8181 NW 14th Street Ste 300A PE Rudy Vargas Florida 33126 Doral FI. 33126 Ph 305 551 7118 $620,000.00 2°/ 1/30/2010 City of South Miami Drainage4 City of Saoulh Miami City's T -Y -LIN International Project No. C109 -0601 PM Roque A. Rokovich Improvements PW Director Jose Olivo PE Phone: 305 567 1888 $155,703.00 100% 8/4/2009 City or Miami Springs Basin City of Miami Springs Robert PBS &J PM 35 Drainage Improvements T Williams PW Director Phone 305 805 5170 Vanis J aurelien Phone 305 514 3532 $336,221.00 95% 8111/2010 City of North Miami Beach, NE 18th Street Roadway Florida City Chen & Associates Improvements Bid Engineer Hiep B. PM Michael Buick P.E. No. 2009 -16 Huynh, P.E. Phone 305 Phone 786 497 1500 9482967 ._ 012 2011 List of prolectxlsx $114,119.00 100% 12/8/2009 Page 1 Florida Engineering & Development Corp. 12076 NW 98th Ave. Hialeah Gardens Fl. 33018 List of major constrution projects under construction in Year 2011 Project Name & Location Owner (Name, Address, Phone, and Architect/Engmeer Contract % Completion Contract person) Amount Completed Date Camillus House Site Development Water Main Extension Coastal Construction PM Wolfberg Alvarez Sanitary Sewer Paul Bessell Ph. PE Jorge Maldonado Site Drauinage 305 324 3701 Ph. 305 666 5474 $800,000.00 95% 9/30/2011 General Funding Site Development Water Main Extension Coastal Construction _ VSN Engineering Sanitary Sewer PM Mike Yahraus PE Rudy Vargas Site Drauinage Ph. 305 476 0352 Ph 305 551 7118 $325,000.00 95% 9/15/2011 Biscayne Trail Segment New Saphalt Path Miami Dade County Parks URS Corporation Signage ADA Dan Crawford Phone 561 994 6500 PM Ramps Phone 305 5964460 x 239 David soler $365,000.00 100% 6/30/2011 Roadway Improvements Ph. IV Storm Drainage Paving City of North Miami Beach, Fla URS Corporation and Stripping Concrete Curb City Engineer Hiep B. Huynh, P.E. Phone 561 994 6500 PM $139,000.00 100% 2/2812011 and Sidewalk Phone 305 948 2967 Juaquin Barnes Sunkist Grove Road Improvements Paving and Stripping City of North Miami - Sunkist URS Corporation $423,000.00 100% 4/30/2011 Concrete Curb and Sidewalk Gerardo Hernandez Phone 561 994 6500 PM Landscaping 305 542 5500 David solar Star Island Sewer System Water Coastal Construction Kobi Karp Phone: System Drainage PM Jason Anderson 305 573 1818 Robert J $181,000.00 95% 5/25/2011 S stm Ph. 305 495 2236 ross Leewood Elementary School Pirtle Construction Corp. PM Wolfberg Alvarez Miami Florida Rudy Gonzalez PE Jorge Maldonado Ph 305 593 7456 Ph. 305 666 5474 $1,400,000.00 95% 0730/2011 Florida Engineering & Development Corp. 12076 NW 98th Ave. Hialeah Gardens Fl. 33018 List of major constrution projects Completed in the last 3 Years Project Name &Location Owner (Name, Address, Phone, Architect/Engineer Contract % —Completion and Contract arson P ) Amount Completed Date Aviation & Commerce Center CPF Investment Group Phase 1A Al Hernandez VSN Engineering Miami Florida Phone 305 460 6262 PE Rudy Vargas Ph 305 551 7118 $3,900,000.00 100% 6/15/2009 Aviation & Commerce Center CPF Investment Group VSN Engineering Phase 1B AI Hernandez PE Rudy Vargas Miami Florida Phone 305 460 6262 Ph 305 551 7118 $2,600,000.00 100% 10/8/2009 Aviation & Commerce Center CPF Investment Group VSN Engineering Phase 2 At Hernandez PE Rudy Vargas Miami Florida Phone 305 460 6262 Ph 305 551 7118 $2,500,000.00 100% 5/25/2010 Devon Aire Elementary Pirtle Construction Wolfberg Alvarez Miami Florida PM Lazaro Villar Ph PE Jorge Maldonado 786 247 5048 Ph. 305 666 5474 $1,792,672.00 100% 12/812008 Mary Brickell Adsum Group Wolfberg Alvarez Miami Florida PM Mario Pons PE Jorge Maldonado Phone 305 577 9949 Ph. 305 666 5474 $2,900,000.00 100% 615/2009 Aviation & Commerce CPF Investment Group RLC Architects Center Bldg. N At Hernandez 137 W Royal Palm Rd. Miami Florida Phone 305 460 6262 Boca Raton Fl. 33432 $1,681,000.00 100% 2/8/2009 Ferguson Sr High School Pirtle Construction Corp. Wolfberg Alvarez Miami Florida PM Rudy Gonzalez PE Jorge Maldonado Ph 305 593 7456 Ph. 305 666 5474 $950,000.00 100% 8/1/2009 3505 Bldg Expansion Terracon Group VSN Engineering 3505 NW 107th Ave. Mike Gomez Ph. PE Rudy Vargas Dural Florida 305 418 9291 Ph 305 551 7118 $510,000.00 100% 5/9/2009 South Side Elementary Coastal Construction Wolfberg Alvarez School Miami PM Lazaro Villar PE Jorge Maldonado Florida Ph. 954 445 7212 Ph. 305 666 5474 $650,000.00 100% 7/3012009 Hialeah Hospital Parking Lot Terracon Group 8181 Astur Engineering Addition Hialeah, NW 14th Street Ste 300A Doral Luis L Vlazquez 305 962 Florida FI. 33126 0572 Miami Florida $462,645.00 100% 7/30/2009 MICC 1900 Terracon Group 8181 VSN Engineering NW 79th Ave. Doral Florida NW 14th Street Ste 300A Doral PE Rudy Vargas 33126 Fl. 33126 Ph 305 551 7118 $1,095,000.00 100% 1/30/2010 City of Saouth Miami City's T -Y -LIN International of South Miami City of South City Project No. C109 -0601 PM Roque A. Rokovich PW Director Jose Olivo PE Phone: 305 567 1888 $155,703.00 100% 8/4/2009 NE 18th Street Roadway City of North Miami Beach, Fla Chen & Associates Improvements City Engineer Hiep B. Huynh, PM Michael Buick P.E. $114,119.00 100% 12/812009 Bid No. 2009 -16 P.E. Phone 305 948 2967 Phone 786 497 1500 Auction House New Building Site CPF Investment Group RLC Architects Development At Hernandez Carlo Mendoza. $2,568,900.00 100% 4/30/2010 Water System Phone 305 460 6262 561 393 6555 x22 Sanitary System Drainage System Calvin Giordano & Force Main Extension City of Dania Beach Miriam Nasser Associates $125,000.00 100% 8/30/2010 Paving Phone 954 924 6800 Jenna Chamberlain Phone 954 921 7781 City of Miami Gardens City of Miami Gardens URS Corporation Drainage Improvements Mariana Pitirictu Phone 561 994 6500 $168,500.00 100% 10/30/2010 Paving and Stripping PH. 305 622 3p00 PM David solar Page 1 01202011 List of project.xlsx City of Miami Springs Basin City of Miami Springs PBS &J 35 Storm Drainage Robert T Williams PW Director PM Victor Herrera 1$336,221.00 Paving Phone 305 805 5170 Phone 305 5143451 100% 8/11/2010 Page 2 0 120201 1 list of project.xlsx Florida Engineering & Development Corp. 12076 NW 98th Ave. Hialeah Gardens Fl. 33018 Equipment List ITEM EXCAVATOR BACKHOE DOZER LOADER ROLLER PICKUP TRUCKS DUMP TRUCKS SKID STEER FUELTRUCK SCREENERS Trailers Pur.Date Purchased From 2/5/2006 Alex Lyon & Son 12/13/2006 Alex Lyon & Son 5/27/2008 Alex Lyon & Son 6/26/1905 Alex Lyon & Son 5/25/2005 Alex Lyon & Son 5/25/2005 Alex Lyon & Son 10/9/2007 Alex Lyon & Son 12/11/2007 Alex Lyon & Son 8/7/2008 Alex Lyon & Son 12/10/2008 Alex Lyon & Son 5/23/2005 Brigs Equipment 12/11/2007 Alex Lyon & Son 6/22/1999 Alex Lyon & Son 10/9/2007 Alex Lyon & Son 8/7/2008 Alex Lyon & Son 12/4/1998 Alex Lyon & Son 10/9/2007 Alex Lyon & Son 12/10/2009 Alex Lyon & Son 10/9/2007 Alex Lyon & Son 12/10/2008 Alex Lyon & Son 12/10/2008 Alex Lyon & Son Ford 12/10/2009 Alex Lyon & Son 9/22/2009 Mayra Nursery 12/10/2009 Alex Lyon & Son 10/10/1998 Alex Lyon & Son 12/23/2010 Alex Lyon & Son 12/23/2009 Alex Lyon & Son 4/20/2005 NRJ Imports Memo Make - Model Excavator Komatsu PC 240LC Excavator Hitachi EX -100 -2 Excavator Kobelco SK 330LC Excavator John Deere 892 ELC Backhoe JCB 214e Backhoe JCB 214e Backhoe Case 580 L Backhoe John Deere 3106 Backhoe JCB 214e Backhoe John Deere .310G Dozer Case 550H Dozer John Deere 650H Loader John Deere 5446 Loader John Deere 544H Loader John Deere 5441 Roller Bomag BW 213D Roller Bomag BW 124 Asphalt Roller Dynapac Pick Up Ford F -250 Pick up Ford F -150 Pick up Ford F -150 Pick Up Ford F -150 Dump Truck Peterbilt Truck Inernational Skid Steer Bobcat 863 Skid Steer Case 1845C International Truc International Screener READ RD40B Tag Along Trailer Year 2000 1993 2003 1990 1999 1999 1999 2003 2004 2004 2000 2002 1994 1999 2005 1985 2000 2005 2004 2003 1995 Service Trucks Water Truck Grader Sweeper Trucks - Tactor Forklift Steel Road Plates Plate Compactors Chipping Hammers Trench Box Sidewalk Forms Buckets Trencher Container 2/21/2006 Yoder F, Frey 12/13/2006 Alex Lyon & Son 5/27/2008 Alex Lyon & Son 5/27/2008 Alex Lyon & Son 12/13/2006 Alex Lyon & Son 8/7/2008 Alex Lyon & Son 10/4/2005 Nations Rent 12/10/2009 Alex Lyon & Son 10/27/2010 Ritchie Bros. 12/10/2009 Alex Lyon & Son 3/3/2011 Albeiro Mejias 10/2/2007 Orlando Garcia 3/25/2005 Briggs Equipment 6/20/2006 Alex Lyon & Son 8/19/2010 Alex Lyon & Son 8/19/2010 Alex Lyon & Son 2/1/2011 Independent 2/18/2011 Independent 3/18/2005 Independent 3/28/2005 1/17/2006 Trench Tech of Fla. 4/7/2005 John Abell 12/15/2006 NRJ Import 8/7/2008 Alex Lyon & Son 9/22/2009 NRJ Imports 3/11/2011 Albeiro Mejias Lowboy Roger Service Truck Ford F -550 Service Pick up Ford F -450 Water Truck International Water Tank Grader Chanpion 710A Grader Champion C50A Sweeper Bobcat 2001 Freight Liner Low Boy Truck Forklift Clark Steel Road Plates Road Plates Plate Compactor Small Compactor Plate Compactor Jumping lack Compactor Shipping Hammer Small Shipping Hammer Trench Box Trench Boxes and Road Plates 8x5 Trench Box Spreaders Sidewalk Forms Bucket Buckets JCB (Digging) Bucket Trencher 1987 2002 1992 1996 2000 Survey Equipment Hydrostatic Test Pump Water Pump Generators Small Support Equipment 3/3/2011 Albeiro Mejias 5/25/2005 Alex Lyon & Son 8/28/2006 Survey Supplies 9/28/2006 Survey Supplies 8/19/2010 Alex Lyon & Son 4/7/2006 Ferguson Ent 8/7/2008 Alex Leon & Son 9/18/2008 United 11/20/2005 United Rentals 11/2/2005 Jorge diaz 2/5/2006 Alex Lyon & Son 2/5/2006 Alex Lyon & Son 1/28/2007 12/10/2008 Alex Lyon & Son 8/18/2009 Office System Inter 10/22/2009 LG Construction 10/22/2009 Intl Parts 12/10/2009 Alex Lyon & Son 8/19/2010 Alex Lyon & Son 8/19/2010 Alex Lyon & Son 4/12/2011 Albeiro Mejias Container 20 ft Rubu Lase Level Survey Equipment Survey Equipment Laser Level Gas Hydrostatic Test Pump Water Pump Pump Generator (2) John Deere Trash Pump Battery Charger Konica Copier Honda Pressure Washer Oil Cooler Golf Cart E -Z Go New Copier Konica Miscellaneous Const Eqpt. Air compressor Miscellaneous Const Eqpt. Concrete Walk Behind Cutter Heavy Duty Small Tools 2005 2007 ACORO° FLORENG -03 VPLUMLEY01 CERTIFICATE OF LIABILITY INSURANCE DAT 2 /8/2OD/YYYY) 2/6/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Collinsworth, Alter, Square &French, LLC 8000 Governors Square Blvd Suite 307 Miami Lakes, FL 33016 NAME: Raysa Gomez, AAI,AIAM,CRIS PHONE FAx 305 362 -2443 A/C, NO E.n�(305) 822 -7800 _.�_No No): ( ) aDORIEss: rgomez@caffllc.com _ INSURER(S) AFFORDING COVERAGE NAICk _ INSURER A: First Mercury Insurance Co INSURED INSURERS :FCCI Commercial Insurance Co 33472 INSURER C:Alterra Excess & Surplus Ins Florida Engineering & Development Corp INSURER D:FCCI Insurance Company 10178 W 98th Avenue Gardens , FL 33018 LJ7 _ --- INSURER E INSURER F: COVERAGES _ _ CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE _INR WVO, POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE u OCCUR X FCGL042759 8/30/2011 813012012 R PREMISES (Ea occurrence) $ Sp,QQp MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,060 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE _ LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY (Per person) $ B ANY AUTO CA0011672 813012011 8/30/2012 ALL O SCHEDULED AUU TOS S AUTOS NON -OWNED HIREDAUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4.000,000 AGGREGATE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE MAX3EC50000009 813012011 8/30/2012 DED X I RETENTION$ 10,000 - $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOMPARTNEP /EXECUTIVE Y/N M MandaoMEnNH)E %CLUDED? u NIA 001WClOA61390 219/2012 311512012 X WC STATU- 0TH T RV LIMIT ER - E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE _ $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: Ritz Plaza Annex Operations: Underground Utilities Contractor City of Miami Beach is named additional Insured on the general . liability policy for operations peformed by the insured as repsects to the above project. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A J- © 1988 -2010 ACORD CORPORATION- All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE Data 3/12/2012 Producer: Plymouth Insurance Agency, Inc. This Certificate is issued as a matter of Information only and Confers tiro rights upon the Certificate Holder. This Certifacate does not amend, extend 2739 US Highway 19 N or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIL # Holiday, fl 34691 (727) 938-5562 insurer A: Lion Insurance Company 11075 Insured: Insurer B: Insurer C: Florida Engineering and Development Corp. Insurer D: 12076 NW 98th Avenue Insurer E: Hialeah Gardens, FL 33018 Coverages 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 brother 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, explosions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance yP P011 Number Policy Effective Date Policy Expiration Date Limits (MM /DD/YY) (MM /DD/YY) GENERAL LIABILITY Each Occurrence t Commercial General Liability Claims Made ❑ Occur Damage to rented premises (EA occurence) Mod Exp b Personal Adv Injury eneral aggregate limit applies per: Policy ❑ Project 11 LOO General Aggregate Products . ComplCp Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) t _ Bodily Injury Any Auto All Owned Autos (Per Person) Bodily Injury Scheduled Autos Hired Autos Per Accident) Property Damage (Per Acpltlenl) Non -Owned Autos EXCESS /UMBRELLA LIABILITY Each Occurrence Aggregate ' occur ❑ Claims Made Deductible A Workers Compensation and Employers' Liability WC12014 2/26/2012 2/26/2013 X I WC Statu- to Limits oTH- ER Any proprietor /partner /executive officer /member E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee 51,000,000 excluded? If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,000,000 ocher i Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMR At 12616 Descriptions of Operations /LocationsIVehicles /Exclusions added by EndomementiSpecial Provisions: Project Name: This is a minimum premium policy based on an "if any" basis. Issue 03 -12 -12 (CF) CERTIFICATE HOLDER CANCELLATION Should any W me above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. I Business Name: FLORIDA ENGINEERING AND C 12076 NW 98 AVENUE HIALEAH GARDENS, FL 33018 Business Type: CONTRACTOR LICENSE NO.: BL11745 Delinquency Fee: A 10 percent each month thereafter with total NOTES: CONTRACTOR OTI MECHANICAL REPAIRS, NO INISIDE BUILDING. City License cial CITY OF HIALEAH GARDENS. 10001 N.W. 87TH AVENUE - HIALEAH GARDENS, FLORIDA 33016 BUSINESS TAX RECEIPT E MUST BE EXHIBITED DATE: 9/12/2011 Issued To: JOSE ANTONIO VEGA 7956 SW 78 STREET MIAMI, FL 33143 677.50 fee is charged for STORAGE OR JUNK YARD, NO LL WORK SHALL BE DONE LICENSE YEAR 2011 -2012 JUR PLACE OF BUSINESS THIS IS NOT A BILL - DO NOT PAY 589113 -1 JSINESS NAME / LOCATION FLORIDA ENGINEERING AND DEVELOPMENT CORP 12076 NW 98 AVE 33018 HIALEAH GARDENS NNER FLORIDA ENGINEERING AND Ic. Type of Business onI ?r6A gT,�A[ERAL BUILDING CONTRACTOR. FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RENEWAL RECEIPT NO. 610496 -8 STATE# CGC1511029 WORKER /S 12 '.S TAX RECEIPT. IT IOT PERMIT THE TO VIOLATE ANY 3 REGULATORY OR LAWS of DO NOT FORWARD OR CITIE NOR S. NOR E XEMPT THE FROM ANY E OR LICENSE 0 BY LAW. THIS Is CERTIFICATION OF FLORIDA ENGINEERING AND .O ER S OUALIFICA" DEVELOPMENT CORP VEGA JOSE PRES T RECEIVED 12076 NW 98 AVE IOE COUNT TAx fOfl: HIALEAH GARDENS FL 33018 09/12/2011 60040000073 j } jj {{ 000051.00 III II IIIIIIIIIIIIIIII' 11IIII', 11A 111 IIIIIIIIIIIIIIIII 11171111' SEE OTHER SIDE I