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CORELAND CONSTRUCTION1 1107 SBA 8(a) Certified Woman-Owned Aisiness SBA Cei-tiftedStiiallDivadia?itagedBtisitieys State of Florida Minority Business Entetprise (MBE) Miand-Dade Courtly Coiwnwd y Sinedl 8tisiness Enterprise (CSBE) 0 WMAI 0 Project Name: SYLVA MARTIN DRAINAGE IMPROVEMENTS - LUMP SUM QUOTE Due Date: Tuesday, March 26, 2013 / 10:00 a.m. EST Submitted By: CORELAND CONSTRUCTION CORP. Point of Contact: Monica Hernandez Address: 12301 SW 128TH Court, #107 Miami, FL 33186 Phone Number: 305-233-1709 E-Mail: mhemandez@corelandconstruction-com Submitted to: CITY OF SOUTH MIAMI CITY CLERKS OFFICE Attn: Maria Menendez, CMC 6130 Sunset Drive Miami, FL 33143 12301 S.W. 128 'Court, Suite 107 • Miami, FL 33186 0 305-233-1709 Office • 305-233-1809 Fax www.corelatidconstruction.com tour„ Item Description CITY OF SOUTH MIAMI UtA SouthMiami 1 INVITATION TO QUOTE d 03 LUMP SUM QUOTE Clearing and Grubbing (including asph and Cont. Demo, disposal A3 r ,6D ` Sylva Martin Drainage Improvements zai„ ffi SUBMITTED TO: City Clerk PROJECT: Sylva Martin Drainage Improvements NAME: Maria Menendez, CMC ! ADDRESS: 6130 Sunset Dr ADDRESS: 6130 Sunset Drive connections and installation CITY /STATE: South Miami, FL 33143 CITY /STATE: Miami, Florida 33143 4 DATE: March 18, 2013 PHONE: 305- 663 -6339 E -MAIL: skulickesouthmiamifl.gov MANDATORY PRE -QUOTE MEETING: Thursday, March 21,1013, at 10 AM DUE DATE: Tuesday, March 26, 2013 at 10 4M QUOTE SUBMISSION REQUIREMENTS: 6 C Y fl J,g—o , All bidders must attend Mandatory Pre -quote Meeting (If Applicable) to submit a quote. Quotes submitted after 3:00 PM 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 sealed envelope. The label on the envelope needs to read as follows: City of South Miami Maria M. Menendez, CIVIC 6130 Sunset Drive South Miami, Fl. 33143 Project Name: Sylva Martin Drainage Improvements - Lump Sum Quote Must input project name. If label does not have all information above your quote will not be accepted 1) INSURANCE REQUIREMENTS: The City's insurance requirements are attached (EXHIBIT #1). As a condition of award, the awarded vendor must provide a certificate of insurance naming the city as additional insured. 2) Affidavits and Forms to BE COMPLETED BY BIDDER: (EXHIBIT #2) 3) SCOPE OF WORK DESCRIPTION (TO BE COMPLETED BY CITY): (Refer to EXHIBIT #3, City of South Miami Sylva Martin Drainage Improvements Plans ") The purpose of this ITQ is to solicit quotes from vendors that can perform dainage work around the perimeter of the Sylva Martin building. Work covered under this contract shall include and is not limited to the "Item Descriptions" below. Additional work may be assigned under this contract pursuant to the award. The contractor is responsible to make all field dimensions, and make comparison to plans and provide a detail schedule of values upon Notice of Award. Modifications can be made to the schedule of values. Reference plans are prepared by Palm Engineering, entiltled " Sylva Martin Drainage Improvements" dated revised 3/6/13. SCHEDULE OF VALUES Item Item Description UtA 1 Mobilization. 2 Clearing and Grubbing (including asph and Cont. Demo, disposal A3 r ,6D ` Al - s Sao . oc of material for darinage area) 3 Yard Drain (inlet and /or drain basin, Incl. grates, aprons fittings ! GA ItcO,", 'fit c connections and installation 4 Core drill and connect to existing catch basin l i r 5 Pipe culvert 4" Dia. (HDPE)(F &I) 0 I?.— pc> - 6 Pipe Culvert 6" Dia. (HDPE)(F &I) 6 C Y fl J,g—o , fa). G6 7 Asphalt pvmt restoration and replacement of pavmt marking / 64- 1; o 10 8 Foundation Drain 12" (Intl. excavation, fitting, rock, filter fabric geotextile and connections) 9 Furnish and install commercial F -style rain gutter w/ downspouts y+-) Lf Vii' 31 cc' e)f" 10 Saw cut and reconstruct sidewalk as per plan Z : 4 He, 6C, sit g,,A 146. 11 New sodding and hedge as needed (match existing) i � 5 i3,` "` -A; 8.5-6, °, 12 Overhead and Profit 1 t 415Zoc^, `" 416 ,e>, 13 1 Performance and payment bond 4, 9 c c, .j) j,b( c;o LUMP SUM TOTALI ' 11, Ct '" Contractor shall furnish all materials and equipment necessary to secure completion of the work. Contractor shall be compensated according to the quote submitted. A Pre -quote meeting shall be conducted for this lob on Thursday, March 21, 2013 at 10 AM. Contractor is responsible to secure all permits and reflected in the Lump Sum quote. Contractor may choose to submit a quote on company letterhead but must be attached with this form. Deadline to submit is Tues ayk4arch 26, 2013 at 10 rk's office at 6130 Sunset Drive, South Miami, F133143 Print /Type Name: eZ. Phone: 305-233 -1709 Signatur Date: March 26, 2013 E-mail: mh@c;orelanc1c;Qkff5c;ti6n.com Fax: 305 -233 -1809 Firm Name: Corel nd Construction Co r F.E.I.N. No.: 6/ 5 - ���� -- - Address: 12301 SW 128th Court #157 / Miami FL 331 city: Miami State: Florida THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER To BE BOUND BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE 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 CONSIDERED THE BEST TO SERVE THE CITY'S INTEREST. ~ **SEE ATTACHED CHART & LIST REFERENCES The following is a list of at least four (4) references that Proposer has provided similar service in the past ten (1O)years. Government agency references are preferred. 1. Name of Firm, City, County orAgency: Address: Contact: Title: Telephone:( Location: Scope of Work: 3 Name of Firm, City, County orAgency:______ Address: Contact: Title:_____ Location' 4. Name of Firm, City, County orAXency:_ Address' Contact: Title: Location: NOTE: Additional references may be attached and provided. Telephone: Scope of Work: ___ Telephone:( Scope ofWork: r moll 0 mA F koll 0TW-A 'i N C a N 0 <D 'D w E t E E E E E E E c E E 15 6; CQ t Q w Z Z 0 2 Z Z m Z 0- 0 00 co m �2 m �2 C'! 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E CL 'a E c 0 U) 0 0) 2(o 0 a_ .2 0 0 m U) LL LIJ u >1 0 0 LL Of SBA 8(q) Certified Woman-Owned Business SBA Cerlijied Small Disadvantaged Business Stale of Florida lfhiorily Business EIrIePPISe (IIBE') Aliami-Dade Counly Communily Small Business Enterprise (CSBE) Customer Reference Listing Mr. Jerry Lopez, Contracting Officer United States Coast Guard BSU Miami (fp) 909 SE First Avenue, Suite 512 Miami, FL 33159 Phone: 305-415-7085 Fax: 305-415-7092 JERRY.LOPEZ@LSCG. , Mr. Kevin Mosca, Contracting Officer United States Coast Guard BSU Miami (fp) 909 SE First Avenue, Suite 512 Miami, FL 33159 Phone: 305-415-7087 KEVIN.A.MOSCAna,USCG.MIL 12301 S.W. 128 Court, Suite 107 • Miami, FL 33186. 305-233-1709 Office • 305-233-1809 Fax www.corelandconstruction.com EXHIBIT 2 AFFIDAVITS AND FORMS SUBMISSION REQUIREMENTS I. 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 individual(s) /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 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 or repair of a public building or public work, may not submit bids on leases of 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. A This sworn statement is submitted to City of South Miami [print name of the public entity] [print individual's name and title] for Coreland Construction, Corp. [print name of entity submitting sworn statement] whose business address is 12301 SW 128th Court #107 Miami., EL 33JE5 and (if applicable) its Federal Employer Identification Number (FEIN) is 65-0073665 (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 2. 1 understand that a "public entity crime" as defined in Paragraph 287.133 (1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States, including, but not limited to , any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133 (1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or Page 2 of 10 without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July I, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contender. 4. 1 understand that an "affiliate" as defined in Paragraph 287.133 (1)(a), Florida Statutes, FI ITr?o TIT,* (a) A predecessor or successor of a person convicted of a public entity crime; or (b) An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in any person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. 1 understand that a "person" as defined in Paragraph 287.133 (1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services 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 applies.] XXX 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 Page 4 of 10 ATTACHMENT #2" RUG FREE WORKPLACE" 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 will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will 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 on the commodities or contractual services that are under Bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contender 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. Z Print *ate: March 26. 2013 E Page 5 of 10 Submitted this 26th day of March .20 13 The undersigned, as Bidder/Proposer, declares that the only persons interested in this RFP are named herein; that no other person has any interest in this RFP or in the Contract to which this RFP pertains; that this response is made without connection or arrangement with any other person; and that this response is in every respect fair and made in good faith, without collusion or fraud. The Bidder /Proposer agrees if this responselsubmission is accepted, to execute an appropriate CITY document for the purpose of establishing a formal contractual relationship between the Bidder/Proposer and the CITY, for the performance of all requirements to which the response/submission pertains. The Bidder/Proposer states that this response is based upon the documents identified by the following number: Bid/RFP The full-names and residences of persons and firms interested in the foregoing bid/proposal, as principals, are as follows: The Bidder/Proposer further certifies that this response/submission complies with section 4(c) of the Charter of the City of Miami, Florida, that, to the best of its knowledge and belief, no Commissioner, Mayor, or other officer or employee of the CITY has an interest directly or indirectly in the profits or emoluments of the Contract, job, work or service to which the response/submission-pertains. Printed Nam(� Monica Hernandez Title: President Telephone: 305-233-1709 Company Name Coreland Construction, Corp. Continuation ofAttachment #3No Conflict of interlNon-Collusion Certification Page 6 of 14 STATE OF Florida COUNTY • Miarni-Qadg The foregoing instrument was acknowledged before me this day of March .2013 by Monica Hernandez (name of person whose signature is being notarized) who is M! XXX Personally known to me, or Personal identification: Type of Identification Produced Did take an oath, or 0 009 A 1,11II111111 joilipplipilliqi" 1! [ 11 -4 ZAVIVIML9 Page 7 of 10 ATTACHMENT .. "ACKNOWLEDGEMENT r CONFORMANCE STANDARDS" • • • . r 11 id We, Coreland Construction, Corp. (Name of Contractor), hereby acknowledge and agree that as Contractors for the Janitorial Services RFP, as specified have the sole responsibility for compliance with all the requirements of the Federal Occupational Safety and Health Act of 1970, and all State and local safety and health regulations, and agree to indemnify and hold harmless the City of South Miami against any and all liability, claims, damages, losses and expenses they may incur due to the failure of (subcontractor's names): to comply with such act or regulation, President, Title i A i Y Y 4 t f 6R d # 6 @ M yh Page 8 of 10 A i Monica Hernandez individually and on behalf OiCoreland Construction, COERJ'Tirm") Nome of Representative CompanylVendorlEntity have read the City of South Miami ("City")'s Code of Ethics, Section 8A- I of the City's Code of Ordinances and I hereby certify, under penalty of perjury that to the best of my knowledge, information and belief: (1) neither I nor the Firm have any conflict of interest (as defined in section 8A -1) with regard to the contract or business that 1, and/or the Firm, am(are) about to perform for, or to transact with, the City, and (2) 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 rellative(s), as defined in section 8A =1, who is an employee of the City or who is(are) an appointed or elected official of the City, or who is(are) a member of any public body created by the City Commission, i.e., a board or 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 contract(s) with the City or 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 as follows: N/A (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), (4) no elected and/or appointed official or employee of the City of Miami, or any of their immediate family members (i.e., spouse, parents, children, brothers and sisters) has a financially interest, directly or indirectly, in the contract between you and/or your Firm and the City other than the following individuals whose interest is set forth following their names: N/A _(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: N/A -(use a separate sheet to supply additional information that will not fit on this fine but make reference to the additional sheet which must be signed under oath). (5) 1 and the Firm further agree not to use or attempt to use any knowledge, property or resource which may come to us through our position of trust, 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 to members of the general public, for our personal gain or benefit or for the personal gain or benefit of any other person or business entity, outside of the normal gain or benefit anticipated through the performance of the contract. (6) 1 and the Firm hereby acknowledge that we have not contracted or transacted any business with the City or any person or 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 as follows: N/A (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). Neither I nor any employees, officers, or directors of the 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 of any board or agency of the City other than as follows: N/A _(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). (7) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial Page 9 of 10 interest greater than 5% 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: N/A 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). (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 Verification Form, may subject me or the Firm to immediate termination of any agreement with the City, and the imposition of the maximum fine and/or any penalties allowed by law. Additionally, violations may be considered by and subject to action by the Miami-Dade County Commission on Ethics. Under penalty of perjury, I declare that I am attesting hereinabove ;dd thatSh tements knowledge, inform atiof:, Print made a diligent effort to investigate the matters to which I hereinabove arey-up and correct to the best of my ATTACHED: Sec. 8A- I - Conflict of interest and code of ethics ordinance. Page 10 of 10 CORECON -01 MIKE CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 2/111 1112 /2013 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. POLICY EFF MMIDD/YYYY 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). AUTHORIZED REPRESENTATIVE PRODUCER InSource, Inc. P.O. Box 561567 Miami, FL 33256 -1567 CONTACT NAME: PHONE A/C No Ext : (305) 670 -6111 FAX A/c, No : (305) 670 -9699 E -MAIL ADDRESS: DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Starr Indemnity & Liability Co $ 2,0003000 38318 PRODUCTS - COMP /OP AGG INSURED INSURERB:The Phoenix Insurance Company $ 25623 INSURERC:FCCI Insurance Company LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS 10178 Coreland Construction Corp. 12301 SW 128 Court, Suite 107 Miami, FL 33186 INSURER D : 3/22/2012 3/22/2013 Ea aBINEDtSINGLE LIMIT $ 13000,000 X BODILY INJURY (Per person) INSURER E : BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE PERACCIDENT $ 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 ADDL INSR SO _BR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AUTHORIZED REPRESENTATIVE SIPGGL0012601 3/22/2012 3/22/2013 EACH OCCURRENCE $ 110005000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,0003000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X PRO JECT LOC PRODUCTS - COMP /OP AGG $ 23000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS BA682SX86812SEL 3/22/2012 3/22/2013 Ea aBINEDtSINGLE LIMIT $ 13000,000 X BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE PERACCIDENT $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 001 WC12A63907 3/22/2012 3/2212013 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 19000,000 E.L. DISEASE - EA EMPLOYE $ 1,0002000 E.L. DISEASE - POLICY LIMIT $ 13000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER rANr F=l I ATIOM © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of South Miami THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 6130 Sunset Drive ACCORDANCE WITH THE POLICY PROVISIONS. South Miami, FL 33143 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD