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JVA ENGINEERING CONTRACTOR, INCi '.: I I f. 1 SUBMITTED TO: City of South Miami PROJECT NAME: Sidewalk Upgrade Dante Fascell Park - Tennis Center NAME Maria M. Menendez, CIVIC ADDRESS: ADDRESS: 6130 Sunset Drive CITY /STATE: City of South Miami CITY/STATE: South Miami, FL 33143 DATE: 09/07/12 @ 10:OOAM PHONE: Install 4" of LBR -40 (200'X7') backfill on existing sidewalk footprint E -Mail FAX: 160 1,920.00 DESCRIPTION OF WORK TO BE PERFORMED Upgrade sidewalk area located at Dante Fascell Tennis Center, Remove and dispose existing asphalt sidewalk, backfill, regrade and compact to LBR -40, install new 1" asphalt sidewalk (S -III) and compact. Regrade and sod Swale between sidealk and tennis caly courts, backfill and regrade 6 feet from south edge of sidewalk and harmonize to existinq grade. 101 -1 Barricade and Secure Work Areas LS 1 4,600.00 102 -1 Remove Asphalt (200'X5') SY 111 999.00 110 -1 -2 Install 4" of LBR -40 (200'X7') backfill on existing sidewalk footprint SY 160 1,920.00 120 -1 Install 1" of Type S -III Surface Mix to Excavated Are and Compact SY 160 2,880.00 Regrade and Extend Backf ill 6 Feet fro South Edge of Sidewalk and 160 -4 Harmonize to SY 135 1,350.00 Re grade existing swale (200'X6') situated between tennis court and 285 -706 sidewalk SY 135 1,350.00 337 -7 -32 Isnstall Floratam Sod From South Edge of Sidewalk SY 270 1,215.00 425 -1 -311 Remove and Haul away any related debris from site LS 1 500.00 TOTAL 14A14.00 NOTE SPECIFICATIONS, FOR THF FourteeolThous nd Eight Hundred Fourteen Dollars and Zero Cents $14,814.00 Authorized Signature: CITY OF SOUTH MIAMI somih mMal PUBLIC WORKS /CAPITAL IMPROVEMENTS AND CENTRAL SERVICES bctbd INVITATION TO QUOTE LUMP SUM PROPOSAL 10#1 S L a SUBMITTED TO: Cit clerk's Office PROJECT: Sidewalk Upgrade at Dante,5r., II „_ NAME: Maria Menendez, CIVIC ADDRESS: 8606 Red Road ADDRESS: 6136 Sunset Drive CITY /STATE. Miami, Florida 33143 CITY /STATE: _Miami, Florida 33:1.34 DATE: Au ust 24, 2012 PHONE: 365 - 6636339 E -MAIL: skulick@sotithmiamiff.gov MANDATORY PRE-QUOTE MEETING: NiitdE +. DUE DATE: FNpy,'etember,TXt7li,lik 6NiAM '.'f *BIDDERS ARE ENCOURAGED TO VISIT THE PROJECT SITE PRIOR TO THE QUOTE DUE DATE. QUOTE SUBMISSION REQUIREMENT Quotes submitted after 10:00arn on the due date will not be accepted unless otherwise specified in the quote document of a time change. All quotes will be submitted to the City Clerks Office in a seated envelope. The label on the envelope needs to read as follows: City of South Miami Maria M. Menendez, CIVIC 6130 Sunset Drive South Miami, Ff. 33143 Project Name. "Sidewalk Upgrade Dante Fascell Park - Tennis Center” Must input project name, if label and envelop does not have all information above your quote will not be accepted. 1. INSURANCE REQUIREMENTS The CITY'S insurance requirements area ttached (Exhibit 1), Asa condition of award, the awarded vendor must provide a certificate of insurance narning the city as additional insured. 2. AFFIDAVITS TO BE COMPLETED BY BIRDER: (Exhibit #2) 3. SCOPE OF WORK DESCRIPTION (TO BE COMPLETED BY CITY). Upgrade sidewalk area located at Dante Fasceli's Tennis Center. Remove and dispose existing asphalt sidewalk, backfili, et racte and compact to L8R -40, Install new 1'' asphalt sidewalk #5 -Iii) and compact. iiegrade and snd Swale between sidewalk and tennis clay courts, b ckf ! and r <frade 6 Beer from south ed P of sidewalk and harrnoiiize to existlde. 4. DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR. Item Number Item Description Unit Qty 1.01 -1 Barricade and secure work areas L5 1 102 -1 Remove and dispose asphalt poo'XO SY 111 :110 -1 -2 iAstall4" Of LBR- 40(200'xl'y backfili cn existin. ; dewaik footprint SY 160 120 -1 Install 1" of Type S -111 surface rrtIX to excavated area and compact 5Y 160 160 -4 Regrade and extend backfi116 feet from south edge of sidewalk and harmonize to SY 135 285 -706 lRe grade existing swale (200'x6') situated between tennis court and sidewalk SY 135 337 -7 -32 linstalil i loratarn sod (from south edge of sidewalk) SY 270 425.:1..311 Rernove and haul away any related debris from site LS 1 LUMP SUM TOTAL , Contractor shall furnish all materials and equ compensatedaccordin tothe ote -so bmiti 1001/6 Performance and Payment Bond requi Contractor may choose to submit a quote on Deadline to submit is FRIDAY: September 7; Print /Type Name: . ,... OSC VrArQ , E -mail: wJ h1C� �/ )Yl� 0 Firm Name: �JVWr:Urk ° ,) Addre ss: Date: li`°t 07 THE EXECUTION OF THIS FORM CONSTITUTE$ THE UNEQUIVOCAL OFFER OF PROPOSER TO BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION W14ERE INDICATED ABOVE BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON- RESPONSIVE. THE CITY MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY PROPOSAL THAT INCLUDES AN EXECUTED DOCUMENT WHICH UNEQUIVOCALLY BINDS THE PROPOSER TO THE TERMS OF ITS OFFER. THE CITY'S REQUEST FOR QUOTES IS FOR THE LOWEST AND MOST RESPONSIVE PRICE, THE CITY RESERVES THE RIGHT TO AWARD THE PROJECT TO THE FIRM Exhibit # I Insurance and Indemnification I. Insurance and Indemnification Without limiting its liability, the proposing firm shall be required to procure and maintain at its own expense during the life of the Contract, insurance of the types and in the minimum amounts stated below as will protect the proposing firm, from claims which may arise out of or result from the proposing firm's execution of a contract with the City of South Miami for Performance Based Audits, whether such execution by the firm or by any sub - consultant, or by anyone directly or indirectly employed by any of them or by anyone for whose acts any of them may be liable. The CONTRACTOR/COMPANY shall not commence WORK on this Agreement until he has obtained all insurance required by the City. The CONTRACTOR/COMPANY shall indemnify and save the City harmless from any and all damages, claims, liability, losses and causes of actions of any kind or nature arising out of a negligent error, omission, or act of the CONTRACTOR/COMPANY, its agents, representatives, employees, Sub - Contractor, or assigns, incident to arising out of or resulting from the performance of the CONTRACTOR/COMPANY'S professional services under this Agreement. The CONTRACTOR/COMPANY shall pay all claims and losses of any kind or nature whatsoever, in connection therewith, including the City's attorney's fees and expenses in the defense of any action in law or equity brought against the City arising from the negligent error, omission, or act of the CONTRACTOR/COMPANY, its agents, representatives, employees, Sub - Contractor, or assigns, incident to, arising out of or resulting from the performance of the CONTRACTOR/COMPANY'S professional services under this Agreement.. The CONTRACTOR/COMPANY agrees and recognizes that the City shall not be held liable or responsible for any claims, including the costs and expenses of defending such claims which may result from or arise out of actions or omissions of the CONTRACTOR/COMPANY, its agents, representatives, employees, Sub - Contractors, sub - contractors, or assigns. In reviewing, approving or rejecting any submissions or acts of the CONTRACTORICOMPANY, the City in no way assumes or shares responsibility or liability of the CONTRACTOR/COMPANYS, Sub - Contractors, their agents or assigns. The CONTRACTOR/COMPANY shall maintain during the term of this Agreement the following insurance: A. Professional Liability Insurance on a Florida approved form in the amount of $1,000,000 with deductible per claim if any, not to exceed S% of the limit of liability providing for all sums which the CONTRACTOR/COMPANY shall become legally obligated to pay as damages for claims arising out of the services or work performed by the CONTRACTOR/COMPANY its agents, representatives, Sub- Insurance and Indemnification July 25, 2012 Contractors or assigns, or by any person employed or retained by him in connection with this Agreement. This insurance shall be maintained for four years after completion of the construction and acceptance of any Project covered by this Agreement. However, the CONTRACTOR/COMPANY may purchase Specific Project Professional Liability Insurance, in the amount and under the terms specified above, which is also acceptable. B. Comprehensive general liability insurance with broad form endorsement, on a Florida approved form including automobile liability, completed operations and products liability, contractual liability, severability of interest with cross liability provision, and personal injury and property damage liability with limits of $1,000,000 combined single limit per occurrence and $2,000,000 aggregate, including: ® Personal Injury: $1,000,000; Medical Insurance $25,000 per person; • Property Damage: $500,000 each occurrence; • Automobile Liability: $1,000,000 each accident/occurrence, C. Umbrella Commercial General Liability insurance on a Florida approved form with the same coverage as the primary insurance policy but in the amount of $1,000,000 per claim. The City must be named as additional "named" insured for all except Workers' Compensation, and reflect the indemnification and hold harmless provision contained herein. Policy must specify whether it is primary or excess /umbrella coverage. City must receive 10 days advance written notice of any policy modification and 30 days advance written notice of cancellation, including cancellation for non - payment of premiums. All insurance must remain in full force and effect for the duration of the contract period with the City. The CONTRACTOR /COMPANY must provide not only a "certified copy" of the Binder but also the Policy itself with the name, address and phone number of the agent and agency procuring the insurance. D. Workman's Compensation Insurance in compliance with Chapter 440, Florida Statutes, as presently written or hereafter amended. E. The policies shall contain waiver of subrogation against City where applicable, shall expressly provide that such policy or policies are primary over any other collective insurance that City may have. The City reserves the right at any time to request a copy of the required policies for review. All policies shall contain a "severability of interest" or "cross liability" clause without obligation for premium payment of the City. Insurance and Indemnification July 25, 2012 F. All of the above insurance required to be provided by the CONTRACTOR/COMPANY is to be placed with BEST rated A -8 (A -VIII) or better insurance companies, qualified to do business under the laws of the State of Florida on approved Florida forms. The CONTRACTOR /COMPANY shall furnish certified copies of all "Binders" or certificates of insurance to the City prior to the commencement of operations, which "Binders" or certificates shall clearly indicate that the CONTRACTOR/COMPANY has obtained insurance in the type, amount, and classification as required for strict compliance with this Section and that no reduction in limits by endorsement during the policy term, or cancellation of this insurance shall be effective without thirty (30) days prior written notice to the CITY. Compliance with the foregoing requirements shall not relieve the CONTRACTOR/COMPANY of his liability and obligations under this Section or under any other portion of this Agreement. CONTRACTOR/COMPANY agrees to supply copies of certificates of insurance to the City verifying the above - mentioned insurance coverage. CONTRACTOR/COMPANY agrees to list City as an Additional Insured of the CONTRACTOR/COMPANY Is General liability insurance and shall provide the City quarterly reports concerning any and all claims. Insurance and Indemnification July 25, 2012 I :_4wIHo A • (. Respondent's Sworn Statement Under Section 287.133(3)(A), Florida Statutes, on Attachment #1 "Public Entity Crimes and Conflicts of Interest Affidavit," shall be completed and provided with the proposal submittal. 2. Neither the individuals) /firm, nor any of his /her /its employees shall be permitted to represent any client before the Commission or any Committee, department or agency of the City, and shall agree not to undertake any other private representation which might create a conflict of interest with the City. The individual(s) /firm may not represent any Commission member, individually, or, any member of their family or any business in which the Commission member of their family has an interest. 3. All proposals received will be considered public records. The City will consider all quotations using such criteria as the Commission or City Manager may adopt at either of their sole discretion. The individual(s) /firm selected will be required to enter into a formal agreement with the City in a form satisfactory to the City, prior to the execution of which the City shall reserve all rights, including the right to change its selection. 4. Respondent's Attachment #2 "Drug; Free Workplace" form shall be completed and provided with the proposal submittal. 5. Respondent's Attachment #3 "No Conflict of Interest/Non Collusion Affidavit," shall be completed and provided with the proposal submittal. 6. Respondent's Attachment #4 "Acknowledgement and Conformance with OSHA Standards," shall be completed and provided with the proposal submittal. 7. Respondent's Attachment #5 "Related Party Transaction Verification Form" shall be completed and provided with the proposal submittal. Page 1 of 10 ,: .. ♦ 1. 9110.1mi • oil Page 2 of 10 without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or polo contender. 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. 5. 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 led by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applie .] Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July I, 19890 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 I, 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.] Page 3 of 10 Continuation of Attachment #2 Public Entity Crimes and Conflicts Sworn to and subscribed before me this Th day of Personally known or Produced identification (Type of identification) zzsna�� IMMMMEMM= RM A -A?401�2 I�2 I' (Printed, typed or stamped commissioned name of notary public) Form PUR 7068 (Rev.06/11192) \&4 EXP"*.. 201, S At NIP S % PUBO OMIPIO� Page 4 of 10 As the person authorized to sign the statement, I ce above requirements. PROPOSER's Signature: Print Name: jos4- K Date: Page 5 of 10 The Bidder/Proposer agrees if this response/submission is accepted, to execute an appropriate CITY wsw i RaMs IRME101 no MMMI U-MM a Loin it is ftmquol Of I The Bidder/Proposer states that this response is based upon the documents identified by the following number: Bid/RFP Signature: Title:---r asldtn4— Telephone: Company Name JVA Engineering Contractor, Inc. Continuation of Attachment No Conflict of inter /Non - Collusion Certification Thetre oinjinstrument was acknowledged before me this day Tf �O �Wi XK 20 12— by '11' ::] 6� (name of M. person hose signature is being notarized) who is Personally known to me, or Personal identification: Type of Identification Produced % id take an oath, or ....... . .... id Not e a oath. C> SEAL ondp iff I = - M - M M� L01MY I I I I a I gm In Im-111tsia 03 "Ok I . skulagan1mgm. I Rage 7 of 10 r-J;Wl "7i.CW'j7%T 'T STANDARDS" Ko BY: 7T lifk Name Tide illill � ljlr�lrp� li� MrA Pill I ! ll '::Illl�ill'illi�����;l�ll�l�l lli i! AID� WIMMM U ^''^w~z individually and on behalf of (!,�t k) ') Name have read the City of South Miami ("City)'a Code of Ethics, Section 8A-| of the CityuCode of Ordinances and | hereby certify, under penalty ofperjury that uo the best ofmy knowledge, information and belief. (|) neither | nor the Firm have any conflict mf interest (as defined in section BA- |) with regard tothe contract or business that 1, and/or the Firm, am(are) about to perform for, or to transact with, the City, and (3) neither I nor any employees, officers, directors of the Firm, nor anyone who has a financial interest greater than 5%in the Firm, has any relmtive(g).as defined in section 8A-|, who isunemployee of the City or who is(are)anappointed or elected official of the City, or who is(are)a member of any public body created by the City Commission, ie.`m board mr committee of the City, and (3) neither I nor the Firm, nor anyone who has a financial interest greater than 5% in the Firm, nor any member of those persons' immediate family (i.e., spouse, parents, children, brothers and sisters) has transacted or entered into any comtraut(s)with the City mr has a financial interest, direct or indirect, in any business being transacted with the city, or with any person or agency acting for the city, other than asfollows: separate sheet to supply additional information that will not fit on this line but make reference to the additional sheet which must be signed under math). (4) nm elected and/or appointed official or employee of the City of Miami, or any mftheir immediate family members (i.e` spouse, parents, children, brothers and sisters) has a financially interest, di t| or indirectly, 0n the contract between you and/or your Firm and the City other than the following individuals whose interest is set forth following their names: (use a separate sheet to supply additional information that will not fit on this line but make reference to the additional sheet which must be signed under oath). The names of all City employees and that of all elected and/or appointed city officials or board members, who own, directly or indirectly, an interest of five percent (5%) or more of the total assets of capital stock in the firm are as follows: (use a separate sheet to supply additional information that will not fit on this line but make reference to the additional sheet which must be signed under (5) | and the Firm further agree not tmuse or attempt tm use any knowledge, property or resource which may come to us through our position of trus� or through our performance of our duties under the terms of the contract with the City, to secure a special privilege, benefit, or exemption for ourselves, or others, We agree that we may not disclose or use information, not available mo members of the general public, for our personal gain or benefit nr for the personal gain or benefit of any th rperoonor6us1nmosendty,ou,siJoofthenorma|gainorbenefit anticipated through the performance of the contract. (6) | and the Firm hereby acknowledge that wwe have not contracted or transacted any business with the City or any person mr agency acting for the City, and that we have not appeared in representation of any third party before any board, commission or agency of the City within the past two years other than ax6/U ea separate sheet to supply additional information that will not fit on this line but make reference to the additional sheet which must be signed under om6). Neither | nor any employees, offimers.or directors ofthe Firm, nor any of their immediate family (i.e., as a spouse, son, daughter, parent, brother or sister) is related by blood or marriage to: (i) any member of the City Commission; (ii) any city employee; or (iii) any member cf any board ur agency mf the City other than asfollows: (umeu separate sheet to supply additional information that will not fit on this line but make reference to the additional sheet which must be signed under (7) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial interest greater than 51 in that Other Firm, nor any member of those persons' immediate family (i.e., spouse, parents, children, brothers and sisters) nor any of my immediate family members (hereinafter referred to as "Related Parties") has responded to a solicitation by the City in which I or the Firm that I represent or anyone who has a financial interest greater than 5% in the Firm, or any member of those persons' immediate family (i.e. spouse, parents, children, brothers and sisters) have also responded, other than the following: (use a separate sheet to supply additional information that WiFn`ot fit on this line but make reference to the additional sheet which must be signed under oath). (8) 1 and the Firm agree that we are obligated to supplement this Verification Form and inform the City of any change in circumstances that would change our answers to this document. Specifically, after the opening of any responses to a solicitation, I and the Firm have an obligation to supplement this Verification Form with the name of all Related Parties who have also responded to the same solicitation and to disclose the relationship of those parties to me and the Firm. (9) A violation of the City's Ethics Code, the giving of any false information or the failure to supplement this V ification rF, may subject me or the Firm to immediate termination of any ' v r agreement with he City, an the mposition of the maximum fine and/or any penalties allowed y by law. Additt rhally, viol�ati ns ma be considered by and subject to action by the Miami-Dade I,,: County Comr fission on JE ics. Page 10 of 10 IvMunicode Page Y of4 Sec. W1. - Conflict of interest and code of ethics ordinance. (a) Designation. This section shall be designated an Code of Ethics Ordinance." This section shall be also constitute a standard of ethical conduct and personnel, advisory personnel and departmental cumulative manner. By way of example, and not same contract or transaction. d known as the "City of South Miami Conflict of Interest and applicable to all city personnel as defined below, and shall behavior for all autonomous personnel, quasi - judicial personnel. The provisions of this section shall be applied in as a limitation, subsections (c) and (d) may be applied to the (b) Definitions. For the purposes of this section the following definitions shall be effective: (1) The term "commission members" shall refer to the mayor and the members of the city commission. (2) The term "autonomous personnel" shall refer to the members of autonomous authorities, boards and agencies, such as the city community redevelopment agency and the health facilities authority. (3) The term "quasi- judicial personnel" shall refer to the members of the planning board, the environmental review and preservation board, the code enforcement board and such other Individuals, boards and agencies of the city as perform quasi-judicial functions. (4) The term "advisory personnel" shall refer to the members of those city advisory boards and agencies whose sole or primary responsibility is to recommend legislation or give advice to the city commission. (6) The term "departmental personnel" shall refer to the city clerk, the city manager, department heads, the city attorney, and all assistants to the city clerk, city manager and city attorney, however titled. (B) The term "employees" shall refer to all other personnel employed by the city. (T) The term "compensation" shall refer to any money, gift, favor, thing of value or financial benefit conferred, or to be conferred, in return for services rendered or to be rendered. (8) The term "controlling financial interest" shall refer to ownership, directly or indirectly, of ten percent or more of the outstanding capital stock in any corporation or a direct or indirect interest of ten percent or more in a firm, partnership, or other business entity at the time of transacting business with the city. (9) The term "immediate family" shall refer to the spouse, parents, children, brothers and sisters of the person involved. (10) The tern "transact any business" shall refer to the purchase or sale by the city of specific goods or services for consideration and to submitting a bid, a proposal in response to a RFP, a statement of qualifications in response to a request by the city, or entering into contract negotiations for the provision on any goods or services, whichever first occurs. (c) Prohibition on transacting business with the city. No person included in the terms defined in paragraphs (b)(1) through (6) and in paragraph (b)(9) shall enter into any contract or transact any business in which that person or a member of the immediate family has a financial interest, direct or indirect with the city or any person or agency acting for the city, and any such contract, agreement or business engagement entered in violation of this subsection shall render the transaction voidable. Willful violation of this subsection shall constitute malfeasance in office and shall effect forfeiture of office or position. Nothing in this subsection shall prohibit or make illegal: (1) The payment of taxes, special assessments or fees for services provided by the city government; (2) The purchase of bonds, anticipation notes or other securities that may be issued by the city through underwriters or directly from time to time. Waiver of prohibition. The requirements of this subsection may be waived for a particular transaction only by four affirmative votes of the city commission after public hearing upon finding that: (1) An open -to -all seated competitive proposal has been submitted by a city person as defined in paragraphs (b)(2), (3) and (4); (2) The proposal has been submitted by a person or firm offering services within the scope of the practice of architecture, professional engineering, or registered sand surveying, as defined by the laws of the state and pursuant to the provisions of the Consultants' Competitive Negotiation Act, and when the proposal has been submitted by a city person defined in paragraphs (b)(2), (3) and (4); (3) The property or services to be involved in the proposed transaction are unique and the city cannot avail itself of such property or services without entering a transaction which would violate this subsection but for waiver of its requirements; and (4) That the proposed transaction will be in the best interest of the city. This subsection shall be applicable only to prospective transactions, and the city commission may in no case ratify a transaction entered in violation of this subsection. Provisions cumulative. This subsection shall be taken to be cumulative and shall not be construed to amend or repeal any other law pertaining to the same subject matter. Municode Page 2 of 4 (d) Furtherprohibition on transacting business with the city. No person included in the terms defined in paragraphs (b)(1) through (6) and in paragraph (b)(9) shall enter into any contract or transact any business through a firm, corporation, partnership or business entity in which that person or any member of the immediate family has a controlling financial interest, direct or indirect, with the city or any person or agency acting for the city, and any such contract, agreement or business engagement entered in violation of this subsection shall render the transaction voidable. The remaining provisions of subsection (c) will also be applicable to this subsection as though incorporated by recitation. Additionally, no person included in the term defined in paragraph (b)(1) shall vote on or participate in any way in any matter presented to the city commission if that person has any of the following relationships with any of the persons or entities which would be or might be directly or indirectly affected by any action of the city commission: (1) Officer, director, partner, of counsel, consultant, employee, fiduciary or beneficiary; or (2) Stockholder, bondholder, debtor, or creditor, if in any instance the transaction or matter would affect the person defined in paragraph (b)(1) in a manner distinct from the manner in which it would affect the public generally. Any person included in the term defined in paragraph (b)(1) who has any of the specified relationships or who would or might, directly or indirectly, realize a profit by the action of the city commission shall not vote on or participate in any way in the matter. (e) Gifts. (1) Definition. The term "gift" shall refer to the transfer of anything of economic value, whether in the form of money, service, loan, travel, entertainment, hospitality, item or promise, or in any other form, without adequate and lawful consideration. (2) Exceptions. The provisions of paragraph (e)(1) shall not apply to: a. Political contributions specifically authorized by state law; b. Gifts from relatives or members of one's household, unless the person is a conduit on behalf of a third party to the delivery of a gift that is prohibited under paragraph (3); C. Awards for professional or civic achievement; d. Material such as books, reports, periodicals or pamphlets which are solely informational or of an advertising nature. (3) Prohibitions. A person described in paragraphs (b)(1) through (6) shall neither solicit nor demand any gift. It is also unlawful for any person or entity to offer, give or agree to give to any person included in the terms defined in paragraphs (b)(1) through (6), or for any person included in the terms defined in paragraphs (b)(1) through (6) to accept or agree to accept from another person or entity, any gift for or because of a. An official public action taken, or to be taken, or which could be taken, or an omission or failure to take a public action; b. A legal duty performed or to be performed, or which could be performed, or an omission or failure to perform a legal duty; c. A legal duty violated or to be violated, or which could be violated by any person included in the term defined in paragraph (b)(1); or d. Attendance or absence from a public meeting at which official action is to be taken. (4) Disclosure. Any person included in the term defined in paragraphs (b)(1) through (6) shall disclose any gift, or series of gifts from any one person or entity, having a value in excess of $25.00. The disclosure shall be made by filing a copy of the disclosure form required by chapter 112, Florida Statutes, for "local officers" with the city clerk simultaneously with the fling of the form with the clerk of the county and with the Florida Secretary of State. (f) Compulsory disclosure by employees of firms doing business with the city. Should any person included in the terms defined in paragraphs (b)(1) through (6) be employed by a corporation, firm, partnership or business entity in which that person or the immediate family does not have a controlling financial interest, and should the corporation, firm, partnership or business entity have substantial business commitments to or from the city or any city agency, or be subject to direct regulation by the city or a city agency, then the person shall file a sworn statement disclosing such employment and interest with the clerk of the city. (g) Exploitation of official position prohibited. No person included in the terms defined in paragraphs (b)(1) through (6) shall corruptly use or attempt to use an official position to secure special privileges or exemptions for that person or others. (h) Prohibition on use of confidential information. No person included in the terms defined in paragraphs (b)(1) through (6) shall accept employment or engage in any business or professional activity which one might reasonably expect would require or induce one to disclose confidential information acquired by reason of an official position, nor shall that person in fact ever disclose confidential information garnered or gained through an official position with the city, nor shall that person ever use such information, directly or indirectly, for personal gain or benefit. (1) Conflicting employment prohibited. No person included in the terms defined in paragraphs (b)(1) through (6) shall accept other employment which would impair independence of judgment in the performance of any public duties. Municode Page 3 of 4 (j) Prohibition on outside employment. (1) No person included in the terms defined in paragraphs (b)(6) shall receive any compensation for services as an officer or employee of the city from any source other than the city, except as may be permitted as follows: a. Generally prohibited. No full -time city employee shall accept outside employment, either incidental, occasional or otherwise, where city time, equipment or material is to be used or where such employment or any part thereof is to be performed on city time. b, When permitted. A full -time city employee may accept incidental or occasional outside employment so long as such employment is not contrary, detrimental or adverse to the interest of the city or any of its departments and the approval required in subparagraph c. is obtained. C. Approval of department head required. Any outside employment by any full -time city employee must first be approved in writing by the employee's department head who shall maintain a complete record of such employment. d. Penalty. Any person convicted of violating any provision of this subsection shall be punished as provided in section 1 -11 of the Code of Miami -Dade County and, in addition shall be subject to dismissal by the appointing authority. The city may also assess against a violator a fine not to exceed $500.00 and the costs of investigation incurred by the city. (2) All full -time city employees engaged in any outside employment for any person, finn, corporation or entity other than the city, or any of its agencies or instrumentalities, shall file, under oath, an annual report indicating the source of the outside employment, the nature of the work being done and any amount of money or other consideration received by the employee from the outside employment. City employee reports shall be filed with the city clerk. The reports shall be available at a reasonable time and place for inspection by the public. The city manager may require monthly reports from individual employees or groups of employees for good cause. (k) Prohibited investments. No person included in the terms defined in paragraphs (b)(1) through (6) or a member of the immediate family shall have personal investments in any enterprise which will create a substantial conflict between private interests and the public interest. (1) Certain appearances and payment prohibited. (1) No person included in the terms defined in paragraphs (b)(1), (5) and (6) shall appear before any city board or agency and make a presentation on behalf of a third person with respect to any matter, license, contract, certificate, ruling, decision, opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall the person receive any compensation or gift, directly or indirectly, for services rendered to a third person, who has applied for or is seeking some benefit from the city or a city agency, in connection with the particular benefit sought by the third person. Nor shall the person appear in any court or before any administrative tribunal as counsel or legal advisor to a party who seeks legal relief from the city or a city agency through the suit in question. (2) No person included in the terms defined in paragraphs (b)(2), (3) and (4) shall appear before the city commission or agency on which the person serves, either directly or through an associate, and make a presentation on behalf of a third person with respect to any matter, license, contract, certificate, ruling, decision, opinion, rate schedule, franchise, or other benefit sought by the third person. Nor shall such person receive any compensation or gift, directly or indirectly, for services rendered to a third party who has applied for or is seeking some benefit from the city commission or agency on which the person serves in connection with the particular benefit sought by the third party. Nor shall the person appear in any court or before any administrative tribunal as counsel or legal advisor to a third party who seeks legal relief from the city commission or agency on which such person serves through the suit in question. (m) Actions prohibited when financial interests involved. No person included in the terms defined in paragraphs (b) (1) through (6) shall participate in any official action directly or indirectly affecting a business in which that person or any member of the immediate family has a financial interest. A financial interest is defined in this subsection to include, but not be limited to, any direct or indirect interest in any investment, equity, or debt. (n) Acquiring financial interests. No person included in the terms defined in paragraphs (b)(1) through (6) shall acquire a financial interest in a project, business entity or property at a time when the person believes or has reason to believe that the financial interest may be directly affected by official actions or by official actions by the city or city agency of which the person is an official, officer or employee. (o) Recommending professional services. No person included in the terms defined in paragraphs (b)(1) through (4) may recommend the services of any lawyer or law firm, architect or architectural firm, public relations firm, or any other person or firm, professional or otherwise, to assist in any transaction involving the city or any of its agencies, provided that a recommendation may properly be made when required to be made by the duties of office and in advance at a public meeting attended by other city officials, officers or employees. (p) Continuing application after city service. (1) No person included in the terms defined in paragraphs (b)(1), (5) and (6) shall, for a period of two years after his or her city service or employment has ceased, lobby any city official (as defined in paragraphs (b)(1) through (6)) in connection with any judicial or other proceeding, application, RFP, RFQ, bid, Municode Page 4 of 4 request for ruling or other determination, contract, claim, controversy, charge, accusation, arrest or other particular subject matter in which the city or one of its agencies is a party or has any interest whatever, whether direct or indirect. Nothing contained in this subsection shall prohibit any individual from submitting a routine administrative request or application to a city department or agency during the two -year period after his or her service has ceased. (2) The provisions of the subsection shall not apply to persons who become employed by governmental entities, 501(c)(3) non - profit entities or educational institutions or entities, and who lobby on behalf of those entities in their official capacities. (3) The provisions of this subsection shall apply to all persons described in paragraph (p)(1) whose city service or employment ceased after the effective date of the ordinance from which this section derives. (4) No person described in paragraph (p)(1) whose city service or employment ceased within two years prior to the effective date of this ordinance shall for a period of two years after his or her service or employment enter into a lobbying contract to lobby any city official in connection with any subject described in paragraph (p)(1) in which the city or one of its agencies is a party or has any direct and substantial interest; and in which he or she participated directly or indirectly through decision, approval, disapproval, recommendation, the rendering of advice, investigation, or otherwise, during his or her city service or employment, A person participated "directly" where he or she was substantially involved in the particular subject matter through decision, approval, disapproval, recommendation, the rendering of advice, investigation, or otherwise, during his or her city service or employment. A person participated "indirectly" where he or she knowingly participated in any way in the particular subject matter through decision, approval, disapproval, recommendation, the rendering of advice, investigation, or otherwise, during his or her city service or employment. All persons covered by this paragraph shall execute an affidavit on a form approved by the city attorney prior to lobbying any city official attesting that the requirements of this subsection do not preclude the person from lobbying city officials. (5) Any person who violates this subsection shall be subject to the penalties provided in section 8A -2(p). (q) City attorney to render opinions on request. Whenever any person included in the terms defined in paragraphs (b)(1) through (6) and paragraph (b)(9) is in doubt as to the proper interpretation or application of this conflict of interest and code of ethics ordinance, or whenever any person who renders services to the city is in doubt as to the applicability of the ordinance that person, may submit to the city attorney a full written statement of the facts and questions. The city attorney shall then render an opinion to such person and shall publish these opinions without use of the name of the person advised unless the person permits the use of a name. (Ord. No. 6 -99 -1080, § 2, 3 -2 -99) Editor's note— Ord. No. 6- 99- 1680, § 1, adopted 3 -2 -99, repealed % SAA and 8A -2 in their entirety and replaced them with new §§ $$a and BA-2. Former % BA-1 and 8P 2 pertained to declaration of policy and definitions, respectively, and derived from Ord. No. 634, §§ 1(1A -1), 1(1A -2) adopted Jan. 21, 1969. c. ,� Canshuctloq�Fadq QwAlyk+� 9oard SINESS CERTIFICATE OF COMPETENCY E221300 JVA MwLtf!luw CONTwTOil IN* If rftk� a Y Is ce►tNNd iu�du the prm f d Ch" 10 of Min*Dsd"Ce y,hr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ALVAREZ, JOSE M JVA ENGINEERING CONTRACTOR INC 6600 NW 32ND AVE MIAMI FL 33147 i,. Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better't For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (85 0) 487 -1395 STATE OF FLORIDA AC# 6 2 5 5 9 0 0 DEPARTMENT OF BUSINESS AND PROFESSIONAL. REGULATION CUC1224696 08/08/12 118208900 CERT UNDERGROUND & EXCAV CNTR ALVAREZ, JOSE M JVA ENGINEERING CONTRACTOR INC IS CERTIFIED under the provisions of Ch.489 FS Expiration date: AUG 31, 2014 L12080801925 AC# 6255900 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L120808019 25 NUMBER DATE BATCH LICENSE NBR 08/08/.2012 1118208900 ICUC1224696, 111rd UiVJJL rLUXUU1VU U'1'lL111'Y & EXCAVATION CO Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 ALVAREZ, JOSE M JVA ENGINEERING CONTRACTOR INC 6600 NW 32ND AVE MIAMI FL 33147 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY I i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ALVAREZ, JOSE M JVA ENGINEERING CONTRACTOR INC 6600 NW 32ND AVE MIAMI FL 33147 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you belt For information about our services, please log onto www.myfloridalicense.com There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. (850) 487 -1395 STATE OF FLORIDA AC# 6 2 5 5 4 6 3 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1516849 08/08/12 118208900 CERTIFIED GENERAL CONTRACTOR ALVAREZ, JOSS M' JVA ENGINEERING CONTRACTOR INC Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! Is CERTIFIED under the Provisions of Ch.489 Fs Expiration date: AUG 31, 2014 L12080801488 qC #6255463 DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12080801488 DUMXMTEWLICE NBR. 08/08/20121118208900 ICGC1516849 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 F5. Expiration date: AUG 31, 2014 ALVAREZ, JOSE M JVA ENGINEERING CONTRACTOR INC 6600 NW 32ND AVE MIAMI FL 33147 RICK SCOTT GOVERNOR _-_ 1 _- _ - - - - -- -- -- ---- -- -- - --- --- --., - - - -___ _ -- - -- _- --- - -- _DISPLAY AS REOt11RFn RY I AW KEN LAWSON SECRETARY THIS IS NOT A BILL- DO NOT PAY RECEIPT NO, 30."5141858 CC NO: E221300 BUSINESS NAME /LOCATION RECEIPT HOLD BUSINESS AS A JVA ENGINEERING CONTRACTOR, INC AS SPECIFIED I 6600 NW 32 AVE OWNER :JVA ENGINEERING: CONTRACTOR INC SEE BACK OF RECEIPT FOR SPECIALTY ENGINEERING Col A LIST OF NONPARTICIPATING MUNICIPALITIES Receipt holder must ' DO NOT FORWARD whererokIstoy . JVA ENGINEERING CONTRACTOR INC where work is to be done. JOSE M ALVAREZ PRES 6600 NW 32 AVE MIAMI FL 33147 PAYMENT RECEIVED MIAMI.OADE COUNTY TAX CoL4"9R24/2012 02240005004 " 3 000250.00 492516 -1 BUSINESS NAME / LOCATION JVA ENGINEERING 6600 NW 32 AVE 33147 UNIN DADE THIS IS NOT A BILL — DO NOT PAY CONTRACTOR INC COUNTY OWNER JVA ENGINEERING CONTRACTOR INC Sec. Type of Business iHIS IS 196 SPECIALTY ENGINEERING CONTRACT ONLY A LOCAL BUSINESS TAX REGFIPT. IT DOES NOT PEANUT THE iiGL.OER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR GOES IT iVEMPT THE HOLOER FROM ANY OTHER ?F.RPAIT OR LICENSE `t E'7UIRED BY LAW. THIS IS for A CERTIFICATION OF THE HOL CER 5 OUALIFICA• IIONS. PAN MEW I110ENFLI MIAMI[ CADE COUNTY TAX COLLECTOR' 07/24/2012 02240005003 RENEWAL RECEIPT NO, 514 CC # E221300 WORKER /S 1 DO NOT FORWARD JVA ENGINEERING CONTRACTOR INC JOSE M ALVAREZ PRES 6600 NW 32 AVE MIAMI FL 33147 656211 -1 THIS IS NOT A BILL - DO NOT PAY RENEWAL BUSINESS NAME/ LOCATION JVA ENGINEERING CONTRACTOR INC 6600 NW 32 AVE 33147 UNIN DADE COUNTY OWNER JVA ENGINEERING CONTRACTOR INC ee. Ty Te of Business 19Y GENERAL +itI S IS UNLY A LOCAL BUS!NFSS fAX RECEIPT. IT i.,OES NOT PERMIT THE HULUER TO VIOLATE ANY E413TING REGULATORY OR /-LINING LAWS OF THE :OUN7Y OR CITIES. NOR I)fiFS !T EXEMPT THE MOLDER FICM ANY OTHt -A ?ERh!iT OR LICENSE REOWRE.D BY I.AW. THIS IS JIOT A C8ITIIFICATION OF THE IV(OLDE H'S '')UALIFICA- !'.ONS. PAYMFNT !TECEIVI 1) 'IfAMIAM.DE CUUNTY FAX COI I. EC OR: 07/24/2012 02240005001 000075.00 :',EE OTHFA SIDE BUILDING CONTRACTOR RECEIPT NO, 68327 STATE# CGC1516849 WORKER /S 1 DO NOT FORWARD JVA ENGINEERING JOSE M ALVAREZ 6600 NW 32 AVE MIAMI FL 33147 CONTRACTOR INC FIRES 656212 -9 BUSINESS NAME IT LOCATION JVA ENGINEERING 6600 NW 32 AVE 33147 UNIN DADE THIS IS NOT A BILL - DO NOT PAY CONTRACTOR INC COUNTY RENEWAL RECEIPT NO, 68327 STATE# CUC1224696 OWNER JVA ENGINEERING CONTRACTOR INC Sce. Type Of Business WORKER /S THIS Is 120 ASFKCIALTY ENGINEERING CONTRACT 1 - 31,)SINESS TAX RECEIPT. IT POLS NOT PEWIT THE 11OLOER TO VIOLATE ANY EXISTING REGULATORY OR 'JNLNG LAWS OF THE COUNTY OR CITIES. NOR GOES IT FXEMPT IIIE HOLDER FROM ANY OTHER : FRS11T OR LICENSE ZILQUIRED BY LAW. THIS IS 'IOT A CERTIFICATION OF TIE HOLDER'S OUAI-IFICA- 1IONS. PAYMENT RECEIVED DO NOT FORWARD JVA ENGINEERING CONTRACTOR INC JOSE M ALVAREZ FIRES 6600 NW 32 AVE MTALAT 01 77147 193 656212 -9 BUSINESS NAME IT LOCATION JVA ENGINEERING 6600 NW 32 AVE 33147 UNIN DADE THIS IS NOT A BILL - DO NOT PAY CONTRACTOR INC COUNTY RENEWAL RECEIPT NO, 68327 STATE# CUC1224696 OWNER JVA ENGINEERING CONTRACTOR INC Sce. Type Of Business WORKER /S THIS Is 120 ASFKCIALTY ENGINEERING CONTRACT 1 - 31,)SINESS TAX RECEIPT. IT POLS NOT PEWIT THE 11OLOER TO VIOLATE ANY EXISTING REGULATORY OR 'JNLNG LAWS OF THE COUNTY OR CITIES. NOR GOES IT FXEMPT IIIE HOLDER FROM ANY OTHER : FRS11T OR LICENSE ZILQUIRED BY LAW. THIS IS 'IOT A CERTIFICATION OF TIE HOLDER'S OUAI-IFICA- 1IONS. PAYMENT RECEIVED DO NOT FORWARD JVA ENGINEERING CONTRACTOR INC JOSE M ALVAREZ FIRES 6600 NW 32 AVE MTALAT 01 77147 ACORQM CERTIFICATE OF LIABILITY INSURANCE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH D12/12 /2/011) PRODUCER (305)822 -7800 FAX (305) 558 -4294 Collinsworth, Alter, Fowler & French LLC 8000 Governors Square Blvd q Suite 301 Miami Lakes, FL 33016 AOD'L THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED IVA Engineering Contractor, Inc. 6600 SW 32nd Ave Miami, FL 33147 LIMITS INSURER A: National Trust Insurance Co 20141 INSURER B: FCCI Insurance Company 12/13/2011 10178 INSURERc: Federal Insurance Company $ 11000100 20281 INSURER D: X COMMERCIAL GENERAL LIABILITY INSURER E: DAMAGE TO RENTED 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY GL0009584 12/13/2011 12/13/2012 EACH OCCURRENCE $ 11000100 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100, 0O CLAIMS MADE FX OCCUR MED EXP (Any one person) $ 5 OO A X BLANKET ADDTL INSD PERSONAL & ADV INJURY $ 11 000, 00 X WAIVER OF SUBRO GENERAL AGGREGATE $ 2 , OOO, OO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FR PR LOC PRODUCTS - COMP /OP AGG $ 2 , 000 , OO XCU NOT EXCLUDED AUTOMOBILE LIABILITY ANY AUTO CA0014904 12/13/2011 12/13/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS/UMBRELLALIABILITY _x1 OCCUR II CLAIMS MADE UMB0009901 12/13/2011 12/13/2012 EACH OCCURRENCE $ 11000900 AGGREGATE $ 19000,000 $ $ EDUCTIBLE F RETENTION $ 10,000 xD $ WORKERS COMPENSATION AND 001WC11A63078 12/13/2011 12/13/2012 X WCSTATU- LIMITS OTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 r OOO, OO E.L. DISEASE - EA EMPLOYE $ 1 , 000, 00 OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 , 000, 00 1THER MARINE � 4546 -50 -46 12/13/2011 12/13/2012 LEASED /RENTED EQPT $10090006 C SCHEDULED EQPT $1,1689400. MISC. TOOLS $109000. DESCRIDTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADnED BY ENDORSEMENT / SPECIAL PROVISIONS Aty of Soutn Miami is named as additional insured with respect to general liability. Leased/Rented coverage term 6 months. After 6 months equipment needs to be scheduled on the policy. City of South Miami 6130 Sunset Drive South Miami. FL 33143 SHOULD ANY OF THE 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Nielson /E[ ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)