Avanti's Construction Co ITQ PD2015-02MANDATORY PRE -QUOTE MEETING: Thursday, February 5, 2015 at 10 AM DUE DATE:
QUOTE SUBMISSION REQUIREMENTS:
Police Department Communications Area
Renovation
6130 Sunset Drive
South Miami, Fl 33143
Tuesday, January 27, 2015
skulick @southmiamifl.sov_.
Wednesday, February 11, 2015 at 10 AM
Quotes submitted after 10 AM 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 on the
envelope needs to read as follows:
City of South Miami
Maria M. Menendez, CMC
6130 Sunset Drive
South Miami, Fl. 33143
Project Name: Police Department Communications Area Renovation
Must input project name. If label does not have all information above your quote will not be accepted.
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.
AFFIDAVITS REQUIRED WITH SUBMITTAL: (Exhibit 2)
Respondents must complete and submit with your quote affidavits provided in Exhibit 2.
QUESTIONS:
Any Requests for additional information or questions must be in writing, emailed by 10 AM local time on February 9, 2015 to the
attention of Mr. Steven Kulick, Purchasing Manager at skulick @southmiamifl.gov.
SCOPE OF SERVICES DESCRIPTION: (TO BE COMPLETED BY CITY)
REFER TO "SCOPE OF SERVICES," COPY ATTACHED
Bids will only be accepted that include quotations during regular working hours.
DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR:
Item Number
CITY OF SOUTH MIAMI
Unit Qty
TO QUOTE
SouthINVITATION
JCJu�
ITQ#PD2015 -02
n ft rn, 1 . ni.vsMrr LA+M
LUMP SUM PROPOSAL
SUBMITTED TO: City Clerk
PROJECT:
NAME: Maria Menendez, CIVIC
ADDRESS:
ADDRESS: 6130 Sunset Drive
CITY /STATE:
CITY /STATE: Miami, Florida 33134
ISSUE DATE:
PHONE: 305- 663 -6339
E -MAIL:
MANDATORY PRE -QUOTE MEETING: Thursday, February 5, 2015 at 10 AM DUE DATE:
QUOTE SUBMISSION REQUIREMENTS:
Police Department Communications Area
Renovation
6130 Sunset Drive
South Miami, Fl 33143
Tuesday, January 27, 2015
skulick @southmiamifl.sov_.
Wednesday, February 11, 2015 at 10 AM
Quotes submitted after 10 AM 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 on the
envelope needs to read as follows:
City of South Miami
Maria M. Menendez, CMC
6130 Sunset Drive
South Miami, Fl. 33143
Project Name: Police Department Communications Area Renovation
Must input project name. If label does not have all information above your quote will not be accepted.
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.
AFFIDAVITS REQUIRED WITH SUBMITTAL: (Exhibit 2)
Respondents must complete and submit with your quote affidavits provided in Exhibit 2.
QUESTIONS:
Any Requests for additional information or questions must be in writing, emailed by 10 AM local time on February 9, 2015 to the
attention of Mr. Steven Kulick, Purchasing Manager at skulick @southmiamifl.gov.
SCOPE OF SERVICES DESCRIPTION: (TO BE COMPLETED BY CITY)
REFER TO "SCOPE OF SERVICES," COPY ATTACHED
Bids will only be accepted that include quotations during regular working hours.
DESCRIPTION OF WORK TO BE PERFORMED BY CONTRACTOR:
Item Number
Item Description
Unit Qty
Amount
Signature:
Refer to "Scope of Services." Copy Attached
I
02/10/2015
E -mail:
LIN70@ O.COM
Fax:
1
LUMP SUM PROPOSAL
AVANTI'S CONSTRUCTION—COMPANY LL
F.E.I.N. No.:-46-
3587188
Address:
Street
City:
State:
DA -' r
Contractor shall furnish all materials and equipment necessary to secure completion of the work. Contractor shall be
compensated according to the quote submitted. Contractor is responsible to secure all permits and should be reflected
in the Lump Sum quote. Contractor may choose to submit a quote on company letterhead but must be attached to this form.
Mandatory Pre -Quote Meeting is scheduled February S, 2015 at 10 AM at City Hall Chambers, 6130 Sunset Drive,
South Miami, FL 33143. Deadii to submit is: February 11, 2015
t
Print/Type Name:
w' IILIAMS CQRACE TN
Phone:
Signature:
! ' 1
Date:
02/10/2015
E -mail:
LIN70@ O.COM
Fax:
954-272 -6391
Firm Name:
AVANTI'S CONSTRUCTION—COMPANY LL
F.E.I.N. No.:-46-
3587188
Address:
Street
City:
State:
114 4 S NO
CORAL SPRINGS, FL 33065
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 CRY RESERVES THE RIGHT TO AWARD THE PROJECT
TO THE FIRM CONSIDERED THE BEST TO SERVE THE CITY's INTEREST.
SCOPE OF SERVICES
"South Miami Police Department Communications Area Renovation"
"Lump Sum Proposal"
The City of South Miami is seeking quotations from experienced and capable parties to remove
existing open shelving units, countertops, desk drawers and two mailbox areas located in the
South Miami Police Department's Communications Room located at 6130 Sunset Drive, South
Miami, FL 33143.
The work performed by the Respondent will consist of furnishing all labor (including
subcontractors), machinery, tools, means of transportation, supplies, equipment, materials,
permits, disposal of materials and services necessary to perform the following Work and should
be reflected in Respondents Lump Sum Quote. Permit fees are waived for permits issued by
the City of South Miami. Permit fees from other government entities, if required, shall be the
reasonability of the Respondent however, in all cases; it is the responsibility of Respondents to
secure any and all permits that may be required for this project.
The Contractor is responsible for the following:
New Open Shelving Units:
Removal of existing shelving and installation of new shelving units. Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Counter Tops and Desk Drawers:
Removal of existing counter tops in all areas including desk drawers and
installation of new counter tops and desk drawers. All related hardware shall be
included, including but not limited to, latches, screws, nuts, bolts, pulls, knobs,
etc., including all related hardware to open and close the drawers. Materials
quoted shall be plywood with Formica overlay, no exceptions.
New Mailboxes:
Provide mailboxes with multiple slots, 7 rows with 8 sections in each row
containing a slot measuring 3 "h x 8.5 "w for the Primary area. The Secondary
area contains slots with the same dimensions however with 4 rows with 5
sections in each row.
All work shall be performed during the following hours; Monday — Friday from 6:00 AM — 5:00
PM, and all furniture to be installed must be built offsite and brought to our location ready to
install to minimize downtime in the Police Communication work area.
The City reserves the right to award the project to the contractor with the lowest, most
responsive, responsible Proposal, as determined by the City, subject to the right of the City, or
the City Commission, to reject any and all proposals, and the right of the City to waive any
irregularity in the Proposals or RFP procedure and subject also to the right of the City to award
the Project, and execute a contract with a Respondent or Respondents, other than to one who
provided the lowest Proposal Price.
CONTRACT FOR
South Miami Police Department Communications Area Renovation
THIS CONTRACT, entered into this 10 day of FEBRUARY 20 15 by the CITY OF SOUTH MIAMI
through its Manager, both of whom shall be hereinafter referred to as the "CITY" where applicable; located at
6130 Sunset Drive, South Miami, FL. I E -mail: salexander (cbsouthmiamifl.gov and
AVANTIS CONSTRCTION COMPANY with an office and principal place of business located at
11976 NW 24th Strmsd:an e-mail address of (hereinafter called the "CONTRACTOR ").
coracelin7o@yahoo.com
WITNESSETH:
WHEREAS, the CITY is in need of South Miami Police Department Communications Area Renovijafli on and
WHEREAS, the CITY desires to retain the CONTRACTOR to provide the required good and /or services
based on the CONTRACTOR's representations that it is qualified and capable of providing said goods and /or
services in a professional and timely manner and in accordance with the CITY's goals and requirements; and
WHEREAS, the CONTRACTOR has agreed to provide the required goods and /or services in accordance
with the terms and conditions set forth herein.
NOW, THEREFORE, in consideration of the mutual covenants and agreements herein contained, the
parties agree as follows:
1) Engagement Of Contractor: Based on the representations of the CONTRACTOR as set out in the
following "checked" documents the CITY hereby retains the CONTRACTOR to provide the goods and /or services set
forth in said proposal, quote or response to solicitation, whichever is applicable, as modified by the Contract
Documents defined below (all of which is hereinafter referred to as the Work ").
(Check the box immediately preceding the document described below to indicate that such document is part of this contract)
• Contractor's response to the CITY's written solicitation; or
• Contractor's proposal or quote, or if none,
• As described in paragraph 2 below.
2) Contract Documents: The Contract Documents shall include this Contract and the following
"checked documents ", as well as any attachments or exhibits that are made a part of any of the "checked
documents ".
(Check the box immediately preceding the document described below to indicate that such document is part of this contract)
• General Conditions to Contract,
• Supplementary Conditions,
• "Other Documents" referring to in this contract and signed by the parties,
• Solicitation documents ( "hereinafter referred to as "Bid Documents" including
any request for bid, request for proposal or similar request)
• Scope of Services,
• Contractor's response to the CITY's Bid Documents,
• Contractor's proposal or quote,
• CITY's Insurance & Indemnification Requirements,
• Payment Bond,
• Performance Bond,
This Contract and the General Conditions to Contract, Supplementary Conditions, the Solicitation, Scope of
Services and "Other Documents ", if any are "checked documents ", shall take precedent over the response to the
CITY's Bid Documents, the proposal or the quote, if any. The "checked documents" are attached hereto and made
a part hereof by reference.
3) Date of Commencement: The CONTRACTOR shall commence the performance of the Work under this
Contract on or if no date is set then on a date to be specified in a Notice to Proceed, or
Purchase Order, (hereinafter referred to as the "Work Commencement Date "), and shall complete the
performance hereunder within days or the length of time set forth in the Contract Documents,
whichever is the shorter period of time. Time is of the essence.
4) Primary Contacts: The Primary Contact Person in charge of administering this Contract on behalf of
the CITY is the City Manager ( "Manager "), assistant Manager, or the Manager's designee, who shall be designated
in a writing signed by the Manager. The Primary Contact Person for the CONTRACTOR and his /her contact
information is as follows: Name: e-mail: ; Fax: Street Address:
5) Scope of Services: The goods and /or services to be provided are as set forth in the "checked
documents ".
6) Compensation: The CONTRACTOR's compensation for the performance of this contract (hereinafter
referred to as the Contract Price) shall be one of the following indicated by a checked box ❑ $ or as
set forth in ❑ CONTRACTOR's response to the City's written solicitation, if any, or, if none, then as set out in ❑
CONTRACTOR's proposal or quote, whichever is applicable, and as modified by the Contract Documents.
7) Hours of Work: In the event that this contract requires the performance of services, the cost of
performing the Work after regular working hours, and on Sunday and legal holidays, if required by the City, at any
time during the course of the Work, is included in the Contract Price and no additional compensation shall be
received in such event. However, nothing contained herein shall authorize work on days and during hours that are
otherwise prohibited by ordinance unless specifically authorized or instructed in writing by the Director, the
Director's assistant or designee.
8) Time Provisions: The term of this Contract shall commence on the Work Commencement Date and
shall continue for _ days or until or unless earlier terminated according to the Contract Documents.
Notwithstanding the foregoing, this Contract may be extended if the extension is in writing and signed by the City
Manager. An extension of the term of this Contract is at the CITY's sole and absolute discretion but in no event
may the term of the contract exceed five years.
9) Termination: This contract may be terminated without cause by the CITY with 30 days of advanced
written notice. This provision supersedes and takes precedence over any contrary provisions for termination
contained in the Contract Documents.
10) Applicable Law and Venue: Florida law shall apply to the interpretation and enforcement of this
Contract. Venue for all proceedings shall be in Miami -Dade County, Florida.
11) Insurance, Indemnification & Bonding: CONTRACTOR shall comply with the insurance,
indemnification and bonding requirements set forth in the Contract Documents.
12) Liquidated Damages: In the event that the CONTRACTOR shall fail to complete the Work within the
time limit set forth in the Contract Documents, or the extended time limit agreed upon, in accordance with the
procedure as more particularly set forth in the Contract Documents, liquidated damages shall be paid at the rate of
N A dollars per day until the Work is completed.
13) Jury Trial Waiver: The parties waive their right to jury trial.
14) Entire Agreement, Modification, and Non - waiver: The Contract Documents constitute the entire
agreement of the parties and supersedes any prior agreements, written or oral. The Contract Documents may not
be modified or amended except in writing, signed by both parties hereto. The Contract Documents, in general, and
this paragraph, in particular, shall not be modified or amended by any acts or omissions of the parties. No failure
to exercise and no delay in exercising any right, power or privilege shall operate as a waiver. No waiver of the
Contract Documents, in whole or part, including the provisions of this paragraph, may be implied by any act or
omission.
15) Public Records: CONTRACTOR and all of its subcontractors are required to comply with the public
records law (s.119.0701) while providing goods and /or Services on behalf of the CITY and the CONTRACTOR, under
such conditions, shall incorporate this paragraph in all of its subcontracts for this Project.
16) Background Screening. All personnel and volunteers that will provide any service that might occur
within 100 feet of any children involved in any City or its Agency's related activity must be in compliance with Level
II Background Screening and fingerprinting requirements as per, Florida Statute Ch. 435 prior to the scheduled
start of any employee or volunteer. CONTRACTOR shall prevent any and all of its personnel, including volunteers,
from engaging in any related activities without having passed a background screening to the satisfaction of the
City.
17) Drug Free Workplace. The CONTRACTOR shall comply with the Drug Free Workplace policy set forth
in the City of South Miami's Personnel Manual which is made a part of this Contract by reference.
18) TRANSFER AND ASSIGNMENT. None of the Work under this contract shall be subcontracted or
assigned without prior written consent from the City which may be denied without cause.
19) NOTICES. All notices given or required under this contract shall be deemed sufficient if sent by a
method that provides written evidence of delivery, including e-mail and facsimile transmission and delivered to the
CONTRACTOR or his designated contact person. Return of mail, sent to the address contained herein for the
parties or their contact persons, as not deliverable or for failure to claim the mail shall be deemed received on the
date that the mail is returned to sender.
IN WITNESS WHEREOF, the parties, have executed this Contract, on or before the date first above
written, with full knowledge of its content and significance and intending to be legally bound by the terms hereof.
[Individual or entity's name]
Witnessed:
By:
ATTESTED:
By:
Maria Menendez
City Clerk
Read and Approved as to Form, Language,
Legality and Execution Thereof:
By:
City Attorney
By.
[name of signatory]
CITY OF SOUTH MIAMI
By:
Steven Alexander
City Manager
EXHIBIT I
Insurance Requirements
1.01 Insurance
A. Without limiting its liability, the contractor, consultant or consulting firm (hereinafter referred to as
"FIRM" with regard to Insurance and Indemnification requirements) 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 FIRM, from claims which may arise out of or result from the
contract or the performance of the contract with the City of South Miami, whether such claim is against
the FIRM or any sub - contractor, or by anyone directly or indirectly employed by any of them or by
anyone for whose acts any of them may be liable.
B. No insurance required by the CITY shall be issued or written by a surplus lines carrier unless authorized
in writing by the CITY and such authorization shall be at the CITY's sole and absolute discretion. The
FIRM shall purchase insurance from and shall maintain the insurance with a company or companies
lawfully authorized to sell insurance in the State of Florida, on forms approved by the State of Florida, as
will protect the FIRM, at a minimum, from all claims as set forth below which may arise out of or result
from the FIRM's operations under the Contract and for which the FIRM may be legally liable, whether
such operations be by the FIRM or by a Subcontractor or by anyone directly or indirectly employed by
any of them, or by anyone for whose acts any of them may be liable: (a) claims under workers'
compensation, disability benefit and other similar employee benefit acts which are applicable to the Work
to be performed; (b) claims for damages because of bodily injury, occupational sickness or disease, or
death of the FIRM's employees; (c) claims for damages because of bodily injury, sickness or disease, or
death of any person other than the FIRM's employees; (d) claims for damages insured by usual personal
injury liability coverage; (e) claims for damages, other than to the Work itself, because of injury to or
destruction of tangible property, including loss of use resulting there from; (f) claims for damages because
of bodily injury, death of a person or property damage arising out of ownership, maintenance or use of a
motor vehicle; (g) claims for bodily injury or property damage arising out of completed operations; and
(h) claims involving contractual liability insurance applicable to the FIRM's obligations under the Contract.
1.02 Firm's Insurance Generally. The FIRM shall provide and maintain in force and effect until all the Work to
be performed under this Contract has been completed and accepted by CITY (or for such duration as is otherwise
specified hereinafter), the insurance coverage written on Florida approved forms and as set forth below:
1.03 Workers' Compensation Insurance at the statutory amount as to all employees in compliance with the
"Workers' Compensation Law" of the State of Florida including Chapter 440, Florida Statutes, as presently written
or hereafter amended, and all applicable federal laws. In addition, the policy (ies) must include: Employers' Liability
at the statutory coverage amount. The FIRM shall further insure that all of its Subcontractors maintain appropriate
levels of Worker's Compensation Insurance.
1.04 Commercial Comprehensive General Liability insurance with broad form endorsement, as well as
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: $5,000 per person;
• Property Damage: $500,000 each occurrence;
• Automobile Liability: $1,000,000 each accident/occurrence.
• Umbrella: $1,000,000 per claim
1.05 Umbrella Commercial Comprehensive General Liability insurance shall be written on a Florida approved
form with the same coverage as the primary insurance policy but in the amount of $1,000,000 per claim and
$2,000,000 Annual Aggregate. Coverage must be afforded on a form no more restrictive than the latest edition of
the Comprehensive General Liability policy, without restrictive endorsements, as filed by the Insurance Services
Office, and must include:
(a) Premises and Operation
(b) Independent Contractors
(c) Products and /or Completed Operations Hazard
(d) Explosion, Collapse and Underground Hazard Coverage
(e) Broad Form Property Damage
(f) Broad Form Contractual Coverage applicable to this specific Contract, including any hold harmless
and /or indemnification agreement.
(g) Personal Injury Coverage with Employee and Contractual Exclusions removed, with minimum limits of
coverage equal to those required for Bodily Injury Liability and Property Damage Liability.
1.06 Business Automobile Liability with minimum limits of One Million Dollars ($1,000,000.00) plus an
additional One Million Dollar ($1,000,000.00) umbrella per occurrence combined single limit for Bodily Injury
Liability and Property Damage Liability. Umbrella coverage must be afforded on a form no more restrictive than
the latest edition of the Business Automobile Liability policy, without restrictive endorsements, as flied by with the
state of Florida, and must include:
(a) Owned Vehicles.
(b) Hired and Non -Owned Vehicles
(c) Employers' Non - Ownership
1.07 SUBCONTRACTS: The FIRM agrees that if any part of the Work under the Contract is sublet, the
subcontract shall contain the same insurance provision as set forth in section 5.1 above and 5.4 below and
substituting the word Subcontractor for the word FIRM and substituting the word FIRM for CITY where
applicable.
1.08 Fire and Extended Covera (Builders' Risk F APPLICABLE:
A. In the event that this contract involves the construction of a structure, the CONTRACTOR shall
maintain, with an Insurance Company or Insurance Companies acceptable to the CITY, "Broad" form /All
Risk Insurance on buildings and structures, including Vandalism & Malicious Mischief coverage, while in the
course of construction, including foundations, additions, attachments and all permanent fixtures belonging
to and constituting a part of said buildings or structures. The policy or policies shall also cover
machinery, if the cost of machinery is included in the Contract, or if the machinery is located in a building
that is being renovated by reason of this contract. The amount of insurance must, at all times, be at least
equal to the replacement and actual cash value of the insured property. The policy shall be in the name of
the CITY and the CONTRACTOR, as their interest may appear, and shall also cover the interests of all
Subcontractors performing Work.
B. All of the provisions set forth in Section 5.4 herein below shall apply to this coverage unless it would be
clearly not applicable.
1.09 Miscellaneous:
A. If any notice of cancellation of insurance or change in coverage is issued by the insurance company or
should any insurance have an expiration date that will occur during the period of this contract, the FIRM
shall be responsible for securing other acceptable insurance prior to such cancellation, change, or
expiration so as to provide continuous coverage as specified in this section and so as to maintain
coverage during the life of this Contract.
B. All deductibles must be declared by the FIRM and must be approved by the CITY. At the option of the
CITY, either the FIRM shall eliminate or reduce such deductible or the FIRM shall procure a Bond, in a
form satisfactory to the CITY covering the same.
C. The policies shall contain waiver of subrogation against CITY where applicable, shall expressly provide
that such policy or policies are primary over any other collectible 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 as well as contractual liability provision covering the Contractors duty to indemnify
the City as provided in this Agreement.
D. Before starting the Work, the FIRM shall deliver to the CITY and CONSULTANT certificates of such
insurance, acceptable to the CITY, as well as the insurance binder, if one is issued, the insurance policy,
including the declaration page and all applicable endorsements and provide the name, address and
telephone number of the insurance agent or broker through whom the policy was obtained. The insurer
shall be rated ANII or better per A.M. Best's Key Rating Guide, latest edition and authorized to issue
insurance in the State of Florida. All insurance policies must be written on forms approved by the State
of Florida and they must remain in full force and effect for the duration of the contract period with the
CITY. The FIRM may be required by the CITY, at its sole discretion, to provide a "certified copy" of the
Policy (as defined in Article I of this document) which shall include the declaration page and all required
endorsements. In addition, the FIRM shall deliver, at the time of delivery of the insurance certificate, the
following endorsements:
(1) a policy provision or an endorsement with substantially similar provisions as follows:
"The City of South Miami is an additional insured. The insurer shall pay all sums that the City of
South Miami becomes legally obligated to pay as damages because of 'bodily injury", 'property
damage' , or "personal and advertising injury" and it will provide to the City all of the coverage
that is typically provided under the standard Florida approved forms for commercial general
liability coverage A and coverage B ";
(2) a policy provision or an endorsement with substantially similar provisions as follows:
"This policy shall not be cancelled (including cancellation for non - payment of premium),
terminated or materially modified without first giving the City of South Miami ten (10) days
advanced written notice of the intent to materially modify the policy or to cancel or terminate
the policy for any reason. The notification shall be delivered to the City by certified mail, with
proof of delivery to the City."
Indemnification Requirement
A. The Contractor accepts and voluntarily incurs all risks of any injuries, damages, or harm which
might arise during the work or event that is occurring on the CITY's property due to the negligence or other fault
of the Contractor or anyone acting through or on behalf of the Contractor.
B. The Contractor shall indemnify, defend, save and hold CITY, its officers, affiliates, employees,
successors and assigns, harmless from any and all damages, claims, liability, losses, claims, demands, suits, fines,
judgments or cost and expenses, including reasonable attorney's fees, paralegal fees and investigative costs
incidental there to and incurred prior to, during or following any litigation, mediation, arbitration and at all
appellate levels, which may be suffered by, or accrued against, charged to or recoverable from the City of South
Miami, its officers, affiliates, employees, successors and assigns, by reason of any causes of actions or claim of any
kind or nature, including claims for injury to, or death of any person or persons and for the loss or damage to any
property arising out of a negligent error, omission, misconduct, or any gross negligence, intentional act or harmful
conduct of the Contractor, its contractor /subcontractor or any of their officers, directors, agents, representatives,
employees, or assigns, or anyone acting through or on behalf of any of them, arising out of this Agreement,
incident to it, or resulting from the performance or non - performance of the Contractor's obligations under this
AGREEMENT.
C. The Contractor shall pay all claims, losses and expenses of any kind or nature whatsoever, in
connection therewith, including the expense or loss of the CITY and /or its affected officers, affiliates, employees,
successors and assigns, including their attorney's fees, in the defense of any action in law or equity brought against
them and arising from the negligent error, omission, or act of the Contractor, its Sub - Contractor or any of their
agents, representatives, employees, or assigns, and /or arising out of, or incident to, this Agreement, or incident to
or resulting from the performance or non - performance of the Contractor's obligations under this AGREEMENT.
D. The Contractor agrees and recognizes that neither the CITY nor its officers, affiliates,
employees, successors and assigns shall 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,
its contractor /subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting
through or on behalf of the them, and arising out of or concerning the work or event that is occurring on the
CITY's property. In reviewing, approving or rejecting any submissions or acts of the Contractor, CITY in no way
assumes or shares responsibility or liability for the acts or omissions of the Contractor, its
contractor /subcontractor or any of their agents, representatives, employees, or assigns, or anyone acting through
or on behalf of them.
E. The Contractor has the duty to provide a defense with an attorney or law firm approved by the
City of South Miami, which approval will not be unreasonably withheld.
Contractor's Responsibility Prior to Receiving a Notice to Proceed
Prior to the City issuing a Notice to Proceed, the contractor shall deliver a copy (either hard copy or, preferably,
electronically) of the policy, including the declaration page of the policy and all endorsements to the policy and that
the contractor shall provide the City with the name, address, including email address, and phone number of the
contractor's insurance agent.
The Contractor's insurance agent must provide the City with evidence that the insurer issuing the policy, is
licensed and authorized to do business in Florida, with policy documents that have been approved by the State of
Florida and that the insurance carrier is not issuing the policy as a surplus lines carrier. It shall also request a
citation to the page number of the policy, or the form number of the endorsement that meets the following City
insurance requirements, and request that he or she highlight the relevant language of the portion of the policy
and /or the endorsements that, in his or her estimation, meets these requirements:
4
The endorsements or the policy must provide or show that:
a) the city is an additional insured;
b) coverage includes contractual liability;
c) the City will be provided at least 10 days advanced notice of any cancellation of the policy, including cancelation
for non - payment of premium and at least 30 days' advanced notice of any material changes to the policy or of
cancellation for any reason other than non - payment; and
d) either policy provision or an endorsement providing that the policy is primary and non - contributory, such as an
endorsement that provides that the vendor's policy is primary over all of the city's applicable insurance and that
treats the city's policies as excess coverage.
It may be that some of these provisions are combined into one endorsement or contained in the policy itself.
If the policy does not have an advanced notice of cancellation provision that supplies the City with advanced
notice, the contractor can still comply with the insurance requirement if the contractor provides the city with
proof that the policy premium has been paid in full and provided the contractor pays a monitoring fee, currently
set at $25 per month.
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.
S. 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 #b "Related Party Transaction Verification
Form" shall be completed and provided with the proposal submittal.
Page 1 of 10
ATTACHMENT##1 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 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.
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 sworn statement is Submitted to, AVANTII
o ,AVANTI' S CONSTRUCTION COMPANY LLC
[print name of the public entity]
by WILLIAMS CORACELIN, PROJECT MANAGER
(print individual's name and title]
forAVANTI'S CONSTRUCTION COMPANY LLC
[print name of entity submitting sworn statement]
whose business address is 11976 NW 24th Street Coral Springs, FL 33065
and (if applicable) its Federal Employer Identification Number (FEIN) is 46- 3587188
(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,
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. 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.]
" 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 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
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 1 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.
Lsignature]
Sworn to and subscribed before me this lo, day of February , 20 15
X Personally known or
Produced identification Notary Public — State of�;
3
My commission expires '
(Type of identification)
(Printed, typed or stampe blic)
Form PUR 7068 (Rev.06 /1 1/92) `' '�: MARCANTHONY TULLOCH
MY COMMISSION 0 EE852059
,
EXPIRES November 15, 2018
(4p7j38861s3 FWc1daN"gSWftv.cWn
Page 4 of 10
ATTACHMENT #2 "DRUG 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:
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 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.
PROPOSER's r
Signature: ,_,,J_
Print Name: WILLIAMS CORACELIN
Date: 02/10 /2015
Page 5 of 10
ATTACHMENT #3 "NO CONFLICT OF INTEREST /NON COLLUSION AFFIDAVIT"
Submitted this 10 Clay of FEBRUARY , 20 15
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 response /submission 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.
r
Signature:
Printed Name: WILLIAMS CORACELIN
Title: OWNER
Telephone: 954- 668 -3043
Company Name AVANTI' S CONSTRUCTION COMPANY LLC
Continuation of Attachment #3No Conflict of inter/Non- Collusion Certification
Page 6 of 10
NOTARY PUBLIC;
STATE OF FLORIDA
MIAMI DADE
COUNTY OF
The forcing instrument was acknowledged before me this 10 day of
FEHRI U elf 15 WILLIAMS COR�rc�cilr
�y (name of
person whose signature is being notarized) who is
x Personally known to me, or
SEAL
Personal identification:
Type of Identification Produced
j Did take an oath, or
BOC"
MARCANTHONY TULLE
MY COMMISSIoN S E
' EXPIRES November ami
Did Not rake anf,dath.
it
x6tary Public: Print, Stamp
commissioned.)
Page 7 of 10
ATTACHMENT #4 "ACKNOWLEDGEMENT AND CONFORMANCE WITH OSHA
STANDARDS"
TO THE CITY OF SOUTH MIAMI
We, AVANTI I S CONSTRUCTION COMPANY (N,¢me of Contractor), hereby acknowledge and agree that
as Contractors for this Solicitation, 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.
CO NT ACTOR
Witness
BY: WILLIAMS CORACELIN
Name
OPERATIONS MANAGER
Title
FAILURE TO COMPLETE. SIGN. & RETURN THIS FORM MAY DISQUALIFY YOUR RESPONSE
Page 8of10
ATTACHMENT #5 "RELATED PARTY TRANSACTION VERIFICATION FORM"
I WILLIAMS CORACELIN , individually and on behalf of AVANTI' S CONSTRUCTION COMPANY LLC
( "Firm ")have Name of Representative CompanylVendor /Entity 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 I, 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 relative(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[See Note #1 below], 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:
(if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note #I below]; and
(4) no elected and /or appointed official or employee of the City of South Miami, or any of their immediate family
members (i.e., spouse, parents, children, brothers and sisters) has a financial 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 use a separate names:
(if necessary use a separate
sheet to supply additional information that will not fit on this line but make reference on the line above to the
separate sheet, i.e., "see attached additional information" and make reference to this document and this paragraph
on to the additional sheet which additional sheet 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:
(if
necessary use a separate sheet to supply additional information that will not fit on this line but make reference on
the line above to the separate sheet, i.e., "see attached additional information" and make reference to this
document and this paragraph on to the additional sheet which additional sheet must be signed under oath). [See
Note #I below]
(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
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm Is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
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:
(if necessary use a separate sheet to supply
additional information that will not fit on this line but make reference on the line above to the separate sheet, i.e.,
"see attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath).
(7) 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:
(if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [See Note #1 below]; and.
(8) No Other Firm, nor any officers or directors of that Other Firm or anyone who has a financial 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:
(if necessary use a separate sheet to supply additional
information that will not fit on this line but make reference on the line above to the separate sheet, i.e., "see
attached additional information" and make reference to this document and this paragraph on to the additional
sheet which additional sheet must be signed under oath). [while the ethics code still applies, if the person executing
this form is doing so on behalf of a firm whose stock is publicly traded, the statement in this section (8) shall be
based solely on the signatory's personal knowledge and he /she is not required to make an independent
investigation into the Other Firm, or the Firm he /she represents, as to their officers, directors or anyone having a
financial interest in those Firms or any of their any member of those persons' immediate family.]
(9) 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.
(10) 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
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he /she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
have made a diligent effort to investigate the matters to which I am attesting hereinabove and that the statements
made hereinabove ajretrue and correct to the best of my knowledge, information and belief.
Signature:
Print Name & Title:WILLIAMS CORACELIN , OPS MANAGER
Date: 02/10/2015
ATTACHED:
Sec. 8A -I - Conflict of interest and code of ethics ordinance.
Municode Page 104
Sec. 8A -1. - Conflict of interest and code of ethics ordinance.
(a) Designation.
This section shall be designated and known as the "City of South Miami Conflict of Interest and Code of Ethics
Ordinance." This section shall be applicable to all city personnel as defined below, and shall also constitute a
standard of ethical conduct and behavior for all autonomous personnel, quasi - judicial personnel, advisory
personnel and departmental personnel. The provisions of this section shall be applied in a cumulative manner. By
way of example, and not as a limitation, subsections (c) and (d) may be applied to the same contract or transaction.
(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.
(5) 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.
(6) The term "employees" shall refer to all other personnel employed by the city.
(7) 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 term "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.
Note # 1: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
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 affect 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 sealed 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 land 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.
(d) Further 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 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.
(I)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;
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he /she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
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 anyone 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 filing 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.
(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.
Note # 1: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their Immediate family to any appointed or elected officials of the City, or to their immediate family members.
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 I -I I 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, firm, 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
counselor 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
counselor 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.
(0) Recommending professional services.
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
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, 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 -1680, § 2, 3 -2 -99)
Editor's note- Ord. No. 6 -99 -1680, § I, adopted 3 -2 -99, repealed §§ 8A -I and 8A -2 in their entirety and replaced
them with new §§
8A -I and 8A -2. Former §§ 8A -I and 8A -2 pertained to declaration of policy and definitions, respectively, and
derived from Ord. No. 634, §§ I (I A -1), 1 (1 A -2) adopted Jan ...11, 1969.
Note # I: While the ethics code still applies, if the person executing this form is doing so on behalf of a firm with more than
15 employees, the statement in this section shall be based solely on the signatory's personal knowledge and he/she is not
required to make an independent investigation as to the relationship of employees; if the firm is a publicly traded company,
the statement in this section shall be based solely on the signatory's personal knowledge and he /she is not required to make
an independent investigation as to the relationship of employees or of those who have a financial interest in the Firm or of
the financial interest in the Firm of city employees, appointed officials or the immediate family members of elected and/or
appointed official or employee or as to the relationship by blood or marriage of employees, officers, or directors of the Firm,
or of any of their immediate family to any appointed or elected officials of the City, or to their immediate family members.
South Miami
THE CITY OF I' WAKT LIVING
ADDENDUM No. #1
Project Name: Police Department Communications Area
ITQ NO. PD2015 -02
Date: February 5, 2015
Sent: Fax/E- mail /webpage
This addendum submission is issued to clarify, supplement and /or modify the previously issued
Solicitation, 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.
Ouestion #I•
Is there a completion time for the work to be completed?
Answer to Question # 1:
The Communications Area is a 24/7 operation and it is the intention for the work to be completed in a
two (2) day period; one (1) day for tear -down and, one (1) day for installation. It is recommended the
contractor build the furniture off -site and scheduled a time and date for installation with the City's
Project Manager, (South Miami's Police Department's Communications Supervisor.), herein referred to
as "Project Manager."
Question #2:
Are the mail slots outside of the Communications Area included into the "Scope of Services ?"
Answer to Question #2:
Yes, the mail slots are included and are listed in the Scope of Services as "New Mailboxes.
Ouestion #3:
Are you open to a new design to the existing shelving, counter tops and desk drawers?
Answer to Question #3:
For the purposes of preparing your quotation, the existing design will apply. After a contractor has
been awarded the project, minimal design changes are possible but cannot exceed the contractors
"Lump Sum Proposal" and, must be approved by the Project Manager.
z
Question #4:
Will the contractor be responsible for painting and touch -up of the walls?
Answer to Question #4:
No, the City will be responsible for repainting and touch -up. If there is significant damage to the walls
and general areas caused by the contractor, the Project Manager will make the determination if the
contractor is responsible to repair the damage at no cost to the City.
Ouestion #5
Is the visitor's lobby entrance to the Police Department and the counter top included into the Scope of
Services?
Answer to Question #5:
Yes, the visitor's lobby entrance and counter top under the protective glass is included into the Scope
of Services. Photographs are included of this area and are a part of Addendum No. 1. The bullet -proof
glass will not be removed so the counter top is not to be replaced. This counter top will be sanded, if
necessary, and the contractor will "Re- Formica" to match the same material and color as installed
inside the Communications Area.
The following estimated dimensions for the visitor's lobby entrance to the Police Department are
provided below:
• Counter Top:
• Pass - through window and counter top is:
• Right -side Counter:
• Left -side Counter:
• Trim:
• Left -side:
• Right -side
90 '/z ' L & 2 '/Z H (Photo No. 1);
13 '' /z" D (Photo No. 2);
1 1 /4" D (Photo No. 3);
11 /4" D (Photo No. 4);
4 "Hx3 /4 "D
141/2 L (Photo No.5);
15 3/4" L (Photo No. 6)
Note: The measurements provided in the Scope of Services are estimated, does not
represent a firm commitment and should be used for planning purposes only. The
contractor is responsible for their own measurements.
Question #6
How many access points to the Communication Area exist?
Answer to Question #6:
Three access points exist: (1) Visitor's Lobby Entrance; (2) Parking Lot Entrance; (3) Sally Port Covered
Entrance. The City's Project Manager will coordinate entry points with the contractor during the
project.
Ouestion #7•
Is a floor plan of the Communications Area available?
Answer to Question #7:
Yes attached to Addendum No. 1, is a floor plan of the entire first (I st) floor and Communications
Area.
Ouestion #8:
Does the City require a specific color for the new Formica?
Answer to Question #8
The City's Project Manager will select colors, textures, etc., after a contractor has been awarded the
project. The contractor shall present color and texture options, if available, to the Project Manager
that does not exceed the contractors "Lump Sum Proposal."
IT SHALL BE THE SOLE RESPONSIBILITY OF THE BIDDER TO SECURE
ADDENDUMS THAT MAY BE ISSUED FOR A SPECIFIC SOLICITATION.
s
�w
RENOVATO
' W�i�.I.c�ltii'IS'.COC�C��ITI.. -•
y 165 SLY 69 . ;r, lKra har, ft" 3i11I3
Da:e of S,OI IXt8har I L. 18711
voi
'�` .has sii[tx sfr+lf�r comPktM an Fnglah--
- f 8 -Iluu Lr'ifal Aenm+ati7n, RaPml � $ Palgtlpg rnurse
lnC f+as P+�d eti eiarnlry�d�in an r6 =ay 13
Saauutl EnYiranmerl�! lTanca4mvn! Company. Inc.
certitles that this course connPlles with
40 CFR PART 745.225
Certll{calMirl Fx4lrnc: 4
Ali, Id, 1019 �•rso IFO.: SE.l3IG CerZficaie = 154787
" romp Rr{dress: �
sou xw:f rVr sgrs 4el.d,t., Fl, 7"A! .
' Gulls Ini}r�cSd JIV•ea �: Sarnp, Yralrfnp }IaN pd7rl vl[ipJ InrYrcr�
tic. r— -s9 sldv for celtillca:B ••enfisatlrn in[orrra6 on,7
115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000
VALID OCTOBER 1, 20,3 THROUGH SEPTEMBER 30, 2014
DBA: AVANTTS CONSTRUCTION COMPANY LLC Receipt #:GENERAL CONTRACTOR
Business Name. Business Type: CONTRACTOR)
Owner Name: PURNimA AVANTI MAHARAJH Business Opened:04 /17/2014
Business Location: 11976 NW 24 ST State /County /Cert/Reg:CGC1513253
CORAL SPRINGS Exemption Code:
Business Phone:
Rooms seats Employees Machines. Professionals
For Vending BusldBes Only'
Number of Machines: Vandinn Tuna:
Tax Amount
I Transfer f=ee
NSF Fee
Re11913y Prior Years
Collection Cost
I Total paid
13.501
0.00.:.;
°; :r'..:cz " 0 UQ t
' : ?.?; };' ;: ,<;[':0„ ': ".:::.' .;::. =,"_ <;;A: O.O E
0.00
13.50
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and Is
non - regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not Indicate that the business Is legal or that
it is in compliance with Stale or local laws and regulations.
Mailing Address:
AVANTIS CONSTRUCTION COMPANY LLC Receipt #02H -13- 00007632
11976 NW 24 ST Paid 04/17/2014 13.50
CORAL SPRINGS, FL 33065
2013 -2014
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
"CERTIFICATE CERTIFICATE OF ELEC'T'ION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the Individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 4/1012014 EXPIRATION DATE: 4/9/2016
PERSON: MAHARAJH PURNIMA A
FEIN: 463587188
BUSINESS NAME AND ADDRESS:
AVANTI'S CONSTRUCTION CC
11976 NW 24TH STREET
CORAL SPRINGS FL 33065
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
Pursuant to Chapter 440.05(14}, F.S., an officer or a corporation who elects exemption from this Chapter by fling a certificate of election under this section may
not recover benefits orcompensation under this chapter. Pursuant to Chapier440.05(12), F.S„ Certificates or electlon to be exempt.., apply only vrithin the scope
of Ste busyness or trade fisted on the notice of efectlon to be exempt. Pursuant to Chaplet 440.05(13), F.S., Noakes of election to be exempt and cerbircates of
election to be exempt shag be subject to revocation If, at arty time after the fling of the notice or the Issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for tssuance of a certificate. The department shall revoke a certificate at any Um for faaure of the
person named on the certficale to meet the reWltementsof this section.
DFS- F2 -OWC -262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISEO 0712 QUESTIONS? (850)413 -1609
,
.zz
z
0
0 In
rn
of-
> X
.0
�z
YY
CD
all
"OD
Ql)
Om
z 2
ell
ow
.zz
z
0
0 In
rn
of-
> X
.0
�z
YY
__.......
f4
7
W LO
�0 a,
o
i V C p
'' z
C) 01H V M
O. MO 04 r-1 to V%
in 'U O O N �O
Q. ODQ U
N " a t- LO a o a m
w ow H -1 V
W
V O HO U o V ti
ui ti rn m
to
i 0) to CL >% c Ir O Q
F" o Ir
M Li. c w CL
N m wo a ?
W
mow
Z m�
���/ N 0
L 3
V LL 0 U UU > O
4 N z h
J ° O p D
LU
aw u
�m a 4
O cEn" a.
Q NV o n W
U Wp
a Q U) c~n
r-
N LL M ru
no(6 m E E a V
m °z z S o W
�- W :: o
ACf -C i6
N �} LO iJ
o
2 0 OL
c Q E o a c 1 N M,
�_�� ~
f 8T a W
yU� t3 a'v ��
ac�fnc
•� b
rn;°�'mCro�n aw'
a)
tsE,NEy�
c N 'I
o a o 0
gE
•a rl
i
-- N � :
OL
a r}
1 O
Y ,
o C D J
�Ccryp o
2 EV
� c �8
iNt]CC U
fq C -p •N N t � "
N
:C O
w � r
uu C,
w �--
b �� M
cn" E
w Q Z rA 4
o o o f,
mdC
,ti isvlwU�c4��`1vw�l