JVA RFP#PR-2015-16 Drainage Improvements at Dante Fascell ParkMaria M. Menendez, CMC
City Clerk, City of South Miami
• i • M i
Drainage Improvements Dante
The Scope of Services and the Schedule of Values, if any, are set forth in the attached EXHIBIT I
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SCHEDULE OF EVENTS
Drainage
No
ern
� Date*
I
(Time* t
F
dvertisemend Distribution of Solicitation & Cone of
!
,SHence begins
7t 1 S
12 :0 M
.nd Pre- F Pre-RFP Meeting
1f2
t
beadline to Sub:-nit Questions
8/61/2015
10,00 AM
4
Deadline to City Responses to Questions
8/10/2015
10:00
S
I
`
Deadline to Submit RFP Response
/ 14/201 5
.
1 1 0:00 AM
q
t 6
Projected Announcernent of selected Contractor/Cone of
z
E
1
1
Silence ends
; 9/1/2015
7 :00 PM
END OF SECTION
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• • • 01TRITMX41 =WPIMT4 i
i !
This checklist Indicates the forms and documents required to be submitted for this solicitation and to be presented
by the deadline set for within the solicitation. Fulfillment of all solicitation requirements listed is mandatary for
consideration of response to the solicitation, Additional documents may be required and, if so, they will be
identified in an addendum to this Solicitation. The response shall include the following items:
x
Indemnification and Insurance Documents EXHIBIT 2
Bid Form EXHIBIT
Signed Contract Docurnents (All including General Conditions
and Suprplernentaqy Condi6ons if a ac. /e j) EXHIBIT 4# 5
Performance and Payment Bonds EXHIBIT T erj r c
Bond: Required as a Condition of Award and Prior to the
Contractor Receiving a Notice to Proceed.. Not Required
with Submittal
Respondents Qualification Statement
X
List Proposed Subcontractors Principal Suppliers
of and
X
Non-Collusion Affidavit
x
Public Entity Crimes and Conflicts of Interest
Drug Free Workplace
X
Acknowledgement of Conformance with OSHA Standards
Affidavit Concerning Federal & State Vendor Listings
Related Party Transaction Verification Fare
LZ
Presentation Team Declaration /Affidavit of Representation
Submit this checklist along with your proposal indicating the completion and submission of each required farts
and/or documents.
END OF SECTION
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RESPONDENT QUALIFICATION STATEMENT
Drainage improvements at Dante Fascell Park
RFP #PR-2015-16
The response to this questionnaire shall be utilized as part of the CITY'S overall Proposal Evaluation and
RESPONDENT selection.
1. Number of similar proiects completed,
a) In the past 5 years
In the past 5 years On Schedule
b) In the past 10 years
In the past 10 years On Schedule
IL List the last three (3) completed similar protects.
a) Proiect Name:
a
Owner Name-,
Owner Address,
Owner Telephone-,
12
is
2013 Dra�4nage Tmpro. ement Proiect for
MU1D"
ie S�4tes-NE 91 Street and NE 87t_-i
Street F_-om NE 10 C-_ t_o Nor-lh Baysho-re Dr
20130156
Works Denat-me-
MlaM4
_U
OHginal Contract Completion Time
(Days): 1-80 Da vs
Original Contract Completion Date: May, 2 014
Actual Final Contract Completion
Date:
Mwy,, 20-14
Original Contract Price:
$632,909.70
Actual Final Contract Price:
$632,909,70
201-3 Garden Sr-orm Sewers-P-1liase I
Project Name:
Pro-ect No,-. 13301,83
Owner Name:
Cil-v of Miami
Owner Address:
444 NW 2nd Ave,Mi =gym i, FL 331-
Owner Telephone-
305- 724-8840
Original Contract Completion Time
(Days):
180, Days
Original Contract Completion Date,
June, 201-4
Actual Final Contract Completion
Date: j untie , 2 0 14
Original Contract Price: $776,678.50
Actual Final Contract Price S776,678,50
2015- Englewood Road Storm Sewer
Improvements Phase II
C) Project Name: Project No: B30011
Owner Name: City of Miami
Owner Address: 444 NW 2nd Ave, Miami, FL 33131
Owner Telephone: 305- 724 -8840
Original Contract Completion Time
(Days): 150 Days
Original Contract Completion Date: May-_ 2 015
Actual Final Contract Completion
Date: May, 2015
Original Contract Price. $1, 896, 806.72
Actual Final Contract Price: $1,896,806.72
Ill. Current workload
Project Name
015- NW 33rd Street
oadwa. Improvements
Owner
City of Miami
305- 416 -2588 $5,899,864.98
014- PTP Roadway
mprovements for NW
Miami Dade County
Public Works
786 - 375 -0003
$6,447,929.22
74th Street
Northeast Transit HUM
Enhancements 163rd
Miami -Dade County
Transit
786- 473 -5250
$1,374,797.43
St Mall
IV. The following information shall be attached to the proposal.
a) RESPONDENT's home office organization chart. See Attached
b) RESPONDENT's proposed project organizational chart. See Attached
c) Resumes of proposed key project personnel, including on -site Superintendent.
See Attached
V. List and describe any:
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Address: 444 NW 2nd Avenue, M_J.ami, IFIL, 3'3131,1
Telephone No,: 305-416-1298
Contact Person: Robert Fenton (786-263-2133), Eric Rush (954-682-9063)
Type of Project: Multiple Pro-jects
Name of Agency: City of I-Iollywood
Address: 2600 Hollywood Blvd, Hollywood, FL 33125
Telephone No.: 954-80S-3681
Contact Person: Clese Aurelus
Type of Project: 8-Inch Water Main and Siz:e Restoration
Name of Agency- Miami-Dade County
Address: Miami-Dade County Park,Recreation and Open Spaces
LIST OF PROPOSED SUBCONTRACTORS AND PRINCIPAL SUPPLIERS
Drainage Improvements at Dante Fascell Park
RFP #PR- 2015 -I6
Respondent shall list all proposed subcontractors, if subcontractors are allowed by the terms of this Solicitation to
be used on this project if they are awarded the Contract
-
Classification
Landscape
.. .' . i
Address
5700 SW 123 Ave
Miami, FL 33183
Email
305- 275 -7100
.-:ctionsodgbellsouth
Sodding and Turf Work
Electrical
Irrigation
Paving
Park Amenities
Graphics
Utilities
Excavation
Building
Structures
Plumbing
Painting
Testing Laboratory
Soil Fumigator
Signs
Other.
This list shall be provided to the City of South Miami by the apparent lowest responsive and responsible Bidder
within five (5) business days after Bid Opening.
END OF SECTION
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net
ATE OF FLORIDA
COUNTY OF MIAMI -D DE
Jose M Alvarez being first duly sworn, deposes and states that.
(I j I-I .'Sheffhey is/are the President
(Owner, Partner, Officer, Representative or Agent) of
k ib Engineering Contractor,lnc, the Respondent that has t5 `mi to the
attached Proposal;
Signed., sealed and delivered in the presence of
1►
t t
Jose M. i v ", ops?de C
Print Dame and We
8/14/2015
Late
On this the !4t:h day of ` gus z , 20 1 L , before me, the undersigned Notary Public of the State
of Florida, personally appeared (Name( of individual(s) who appeared before
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Jose M. Alvarez
and whose narne(s) is are Subscribed to the
within instrument; and he/she/they acknowledge that he.fshelth y ex to it~
WITNESS my hand and official seal. ~;
Nota?y Public, tate of
NOTARY PUBLIC: o,
SEAL OF OFFICE:
(Nar ne of Notary Nblic. Print„ St2mp or a e as commissioned)
x Personally known to nee, or
Personal identification:
N/A
Type of identification Produced
d take an oath, or
Did Not take an oath.
NARYARAMOYA
otl
L-1
R€" O OCt =beer S 4 01
: sa
(Nar ne of Notary Nblic. Print„ St2mp or a e as commissioned)
x Personally known to nee, or
Personal identification:
N/A
Type of identification Produced
d take an oath, or
Did Not take an oath.
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes.
Respondents must disclose with their Proposals, tlhe name of any officer, director, partner, associate or agent who
is also are officer or employee of the 11.1ity of South Miami or its agencies.
SWORN STATEMENT PU S t � TO SECTIO N 287,13301 (a),
E .O 1 �5 i S. ?' PUBLIC T lT `RIMES
THIS FORM SV4 BE SIGNED AND SWOR N TO IN THE PRESENCE OF A NOTARY PUBLIC
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
I understand chat "convicted" or "conviction" as defined in Paragraph 287.133 ( 1) lb), Florida
Statutes, means a finding of wilt or a conviction of a public entity crime, with or without an adjudication
of guilt, in any federal or state trial court of record relating to charges brought by indictment or
information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or
nolo conten re.
Based on information and belief the statement which 1 have marked beiow is tree in relation to the
entity submitting this sworn statement, (Indicate which statement appfi° s]
Neither the ent ?.�, -» fit..;- m;tt,ng this sworn sgaterrlen_ .icer any of s offi:.`:,.,c. , directors executives,
pa..rtS;ers, shareholders, employees, members. or ag nt:s who are active in the management of the ent t'
nor any affiliate of the entil -y 'has been charged with and convicted of a pu fic endry 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
1, 1989,
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING O FICER FOVIHE PUBiLIC ENTITY
INL ENTIFIED IN PARAGRAPH I (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY, AND THAT'THIS FOKM IS VALID
THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I d SO Ut41C tSTAN } �I HAT I AM
REQUIRED T INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A C iNT Cpl` -I EXCESS OF THE
THRESHOLD AMOUNT PROVIDED SE IN SECTION 287.017, FLORIDA STATUTES. F iR CA ' RY 3 OF ANY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM, /
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CON -O.. Rt
Y,
ELY: Dose M Alvarez
Name
President
Title
e
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The person, or entity, who is responding to the City's solicitation, hereinafter referred to as "Respondent", must
certify that the Respondent's name Does Not appear on the State of Florida, Department of Management Services,
"CONVICTED, SUSPENDED, DISCRIMINATORY FEDERAL EXCLUDED PARTIES and COMPLAINTS VENDOR
LISTINGS".
If the Respondent's name Does appear on one or all the -Listings" summarized below, Respondents must "Check
if Applies" next to the applicable "Listing," The "Listings" can be accessed through the following link to the Florida
Department of Management Services rye ?site:
ended vendcor lists
93
ACKNOWLEDGEMENT
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
On this the 14 thday of
Auciust 20 -L 5- . before me, the undersigned authority, personally
appeared Jose M. Alvarez
who is pefsonally know to me or who provided the
following identification N /A
foregoing Affidavit Declarant.
and who took an th or "(firmed that that he; he/ y executed the
as the
WITNESS my hand and official seal.
No li State of F o , a-
NOTARY PUBLIC:
SEAL
Naryar a Mg—a
(Name of Notary Public- Print,
Stamp or ty s rtrissio ed.'
A� NA MOYA
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r I "A, Y C 0 tv4k!
Thomas F. Pepe
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d EXF11FqES Octobar 1, 2018
(4 ) 918_i) 1 5,�, jdallozaryserjirp
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; however, you must
make reference, on the above line, to the additional sheet and the additional sheet must be signed under oath),
K\PurchasingWendor Registration\ 12.28,12 RELATED PARTY TRANSACTION VERIFICATION FORM [3].docx
(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 Fir.. .
ics Coe, the giving of any false information or the failure to supplement this
ie or tide Firm to immediate termination of any agreement with the City, and the
9
andlor�ny penalties allowed by law, Additionally, violations may be considered by
'ni-Da* County Commission on Ethics. Under penalty of perjury, I declare that 1
restig#e the matters to which I am attesting hereinabove and that the statements
:orr�ct to the best of my knowledge, information and belief,
,varez, Tres dent
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"Ord. No, 6 -99 -1680, § 2, 3-2-99)
Editor's note- Ord, No, 6- 99- 1680, § 1, adapted -2 -99, repealed §§ 8A -I and 8A-2 in their entirety and replaced
theca with new §§
A_ I and 8A -2. Farmer §§ 8A- I and 8A -2 pertained to declaration of policy and definitions, respectively, and
derived from Card. No. 634, s§ i (I A -1), 1 ( I A -2) adapted Jan. 11, 1969.
t # • V W
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PRESENTATION TEAM
Pursuant to '92.5251.2), Florida Statutes, the undersigned', makes the following
declaration under peg aity of penurlv:
I I
Listed below are all individuals who may make a presentation on behalf of the entity that the affiant
represents. Please note; No person shall appear before any committee on behalf of anyone unless he
or she has been listed as part of the firm's presentation team pursuant to this paragraph or unless he
or she is registered with the Clerk's office as a lobbyist and has paid all applicable lobbyist registration
fees.
NAME TITLE
Jose M. Alvarez
-i Pres-ident
For the purpose of this Affidavit of Representation only, the listed members of the presentation team,
with the exception of any person otherwise required to register as a lobbyist, shall not be required to
pay any registration fees,� The Affidavit of Representation shall be filed with the City Clerk's office at the
time the 'himiite) prop qsal is submitted to the City as part of the procurement process.
Under Penalties ry, declare that I have read the foregoing declaration and that the facts stated
P S ofterj
in it a4 true and S ecificall that the persons listed above are the members of the presentation team of
the enAtv listed b4l w
Print Name and Title Print name of entity being represented
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NOTICE • AWARD
RFP #PR-2015-16
The City has considered the Proposal submitted by your firm for the Drainage Improvements at Dante Fa ell Park
in response to its advertisement for Request for Proposal and Instructions to Respondents.
You are hereby notified that your Proposal has been accepted for the Drainage Improvements at Dante Fa ell
Park in the lump sum amount of,
$ , broken down as follows,
Base Proposal:
Alternate #1:
Alternate #2:
Alternate #3,-
M
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s a
RFP t
T7: '?ATE:
PROJECT DESCRIPTION: Drainage Improvements at Dante Fascell Farb in accordance with Plans and
specifications, if any, as may be prepared in whole or in part by CONSULTANT, referenced in the Supplementary
Conditions and Contract Documents.
You are hereby acetified to commence Work in accordance with the Contract dated on or before
You are to complete the work Within 6-0 workin a s. The date= of wom et:on of all � l i=rk is
therefore 20
Qvy of South Miami
(print naame)
City Manager, or deis nee
can this day of 20
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EXHISIT#1
!�CO• E OF SERVICES
Attachment A
Drainage Improvements at Dante Fascell Park
RFP #PR-2015-16
The Cit)es Parks and Recreation Department is soliciting proposals from qualified companies to
perform drainage improvements in Dante Fascell Park, located at 8600 SVV 57 Avenue, South
Miami, Florida, 33143. This project aims to improve and resolve the ponding caused by the run-
off from the existing tennis courts located at Dante Fascell Park,
The site is located within the City of South Miami; Dante Fascell Park, 8600 SW 57 Avenue,
South Miami, Florida, 33143.
Dante Fascell Park Drainage Improvements and Drainage Calculations, prepared by Milian, Swain
and Associates, Inc., dated June 25, 2015, are included and are part of this RFP by way of
reference; Exhibit 1, Attachment B. The work shall be completed within 60 working days.
I. Warranty:
If equipment is being provided, the standard manufacturer's warranty information must be
provided in writing for all equipment being proposed, including installation by an authorized
dealer before final payment is made.
QNNGSM��
This project is funded with City of South Miami Capital improvement Funds.
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9?177"
RFP #PR-2015-16
MEMO=
4
I �ii!ill��ili�ll�������� � 1pllljllpll!�1;1�11;11
ESEEMMEMEWMM
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NKIZIIAIM
EMM32���
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END OF SECTION
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EXHIBIT 3
Drainage Improvements at Dante Fascell Park
RFP #PR-2015-16
THIS PROPOSAL IS SUBMITTED TO:
Steven Alexander
City Manager
City of South Miami
6130 Sunset Drive
South Miami, FL 33143
Addendum No. Dated: 7/28/2015
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A fee breakdown for each task included in the lump sum contract price, if applicable, must be provided,
Failure to provide this information shall render the proposal non-responsive.
5, The ENTIRE WORK shall be completed, in full. within 60w_Q_rk_ ire Z_days from the commencement date
set forth in the NOTICE TO PROCEED, Failure to complete the entire work during the described time
period shall result in the assessment of liquidated damages as may be set forth in the Contract,
6, Insert the following information for future communication with you concerning this Proposal:
RESPONDENT,- jVA Enqineerinq Contractor, inc.
Address: 6600 NAI 32nd Avenue, M.4amii, —
FL 33147
Telephone: 1-055-696-70,02
Facsimile: 305 -696-7903
Contact Person Jose M. A1varez
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wU €CEP 1S sth DAY F
_v `�
PROP OS SUBS
___r 11 �-- _ _
COMDany r _
, elephone Number
Name of Person Aui orized-,to ubmit Proposal
Fax Number
�rz a
jmari jvaenqineer1nq,coT,,,
Signature
Email Address
Title
� i t
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EXHIBIT 4
r
THIS N made and entered into on this day of by
and between (hereafter referred to as
"Contractor"), and the City of € rtx Miami er ea ter referred to as "Owner"), through its City Manager hereafter
referred to "City')
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IN ITN WHEREOF, the parties hereto have executed this ontr*t on the 4y and date set forth
next to heir name below and may be signed in one or more counterparts, each f which ail, witho4t proof or
accounting for the other counterpart. be deemed an original Contract-
CONTRACTOR: IVA
Signzture�
Print Signatory's Name:
I itie of Signatory:
Signature:
Maria Menendez
City Clerk
Read and Approved as to Farm, Language
Legality, and Execution Thereof-
OWNER,- CITE' OF SOUTH MIAMI
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_ . _ . _ n c
CONSTRUCTION C■ RACT
GENERAL CONDITIONS
.
.F-.'• , . .
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ARTICLE 2 — —PRELIMINARY MATTERS'
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Representatives, CONTRACTOR and its Superintendent.
ARTI .. — R Contractor shall comply with the insurance requirements set forth in the
Supplementary Conditions to the Contract,
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are specified or approved, such materials shall be delivered to the site in their original packages or
containers with seats unbroken and labels intact.
6,5 All materials and equipment shall be applied, installed. connected, erected, used, cleaned and conditioned
in accordance with the instructions of the applicable manufacturer, fabricator, or processors, except as
otherwise provided in the Contract Documents,
cont A
Concerning Su r et
,--b---,-ors.
61 The CONTRACTOR shall not employ any Subcontractor, against whom the CITY or the
CONSULTANT may have reasonable objection, nor will the CONTRACTOR be required to employ any
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Miami Police Department before the street is closed and again as soon as it is opened. Access to fire
hydrants and other fire extinguishing equipment shall be provided and maintained at all ornes-
SanitaEy Provisions-
6,31 The CONTRACTOR shall provide on-site office, and necessary toilet facilities, secluded from public
observation, for use of all personnel on the Work Site, whether or not in his employ. They shalt be kept
in a clean and sanitary condition and shall comply with the requirements and regulations of the Public
Authorities having jurisdiction. They shall commit no public nuisance. Temporary field office and sanitary
facilities shall be removed upon completion of the Work and the premises shall be left clean,
6.38 CONTRACTOR shall confine its apparatus. storage ofmaterials, and operations of its workmen to the
7.1 The CITY may perform additional Work related to the Project or may let other direct contracts therefor
assurance for the OWNER and all applicable regulatory agencies that construction is in compliance with
the Construction Documents and applicable laws, rules and regulations. On the bads of these on site-
observations as an experienced and qualified design professional, he shall keep the CITY informed of the
progress of the Work and shall guard the OWNER against defects and deficiencies in the Work of
CONTRACTOR.
a • � � s
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CCONTRACT
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end or to compensation of any kind. Rejection for Non-conforming Work or failure to meet delivery
schedules may result in the Contract being found in default.
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credit card account number to keep on file. This card has unique security features, with $0 of available
funds until an invoice is approved for payment. After an invoice has received proper and complete
approval, an electronic remittance advice will be sent via e-mail, or fax, which notifies the
CONTRACTOR that the funds have been transferred in to the account linked to the card for the amount
listed on the invoice and/or remittance email, Please refer to the ePayables Questions & Answers Form
contained in this RFP or contact the OWNER's Finance department at (305) 663-6343 with any questions,
15.1 The CITY may, at any time and without cause, suspend the Work or any portion thereof for a period of
not more than ninety (90) calendar days by notice in writing to the CONTRACTOR and the
CONSULTANT, which shall fix the date on vvhich Work shall be resumed. The CONTRACTOR shall be
allowed an increase in the Contract Price or an extension of the Contract Time, or both, directly
attributable to any suspension and if a claim is timely made and if it is allowed under the terms of Articles
I I or Article 12.
for additional professional services, such excess shall be paid to the CONTRACTOR. If such costs
exceed such urim-aid balan-ce, the CONTRACTOR or the Suretti on the Performance Bond shall "—the
difference to the OWNER. Such costs incurred by the OWNER shall be determined by the
CONSULTANT and incorporated in a Change Order.
If after termination of the CONTRACTOR under this Section, it is determined by a court of competent
jurisdiction for any reason that the CONTRACTOR was not in default, the rights and obligations of the
OWNER and the CONTRACTOR shall be the same as if the termination had been issued pursuant to
Section 15.5
iiiili all 1 i 11 !1 !Ill I iiiiiiiii ill liiiiiiiiiii I
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R OF URY TRUIAL
l I l OWNER and CONTRACTOR knowingly, , :-revocably voluntarily and i tent onally waive any rift either
may have t o trial by jury in Sate or Federal legal ou proceedings in respect to any actin, proceeding,
lawsuit or cou nterclaim arising out of the Contract Documents or the perfor a ice of the Work
thereunder.
•° =s a•s
19.6 The CITY shall have right to inspect and copy during regular business hours at OWNER'S expense, the
M , I If any provision of the Contract or the application thereof to any person or situation shall to any extent,
be held invalid or unenforceable, the remainder of the Contract, and the application of such provisions to
persons or situations other than those as to which it shall have been held invalid or unenforceable shall
not be affected thereby, and shall continue in full force and effect, and be enforced to lie fullest extent
permitted by law.
21.1 The CONTRACTOR is an independent CONTRACTOR under the Contract. Services provided by the
'CONTRACTOR shall be by employees of the C pl i RAC. R and subject to supervision by the
—ON-MACTOR, and not as officers, employees, or agents. of th-le OWNER, Personnel pohicies, n-x
IN WITNESS WHEREOF, the parties hereto have executed thel
inclusion as part of the Contract Documents on this _
CONTRACTOR: JVA En p e:ic ng Contractor, Inc.
Print Signatory's Name: -- ni <Jazrez
Title of i ate ry: P r es —wdert
• 4
Supplementary Conditions
CONTRACTOR: JIVA En24—,inji(erin, Contractor, Inc,
Signature:
Print Signatory's Name: jo—e �ar -eZ °.
Title of Signatory: President
ATTESTED: OWNER: CITY OF SOUTH MIAMI
Signature: Signature:
Maria Menendez Steven Alexander
City Clerk City Manager
Read and Approved as to Form, Language,
Legality, and Execution Thereof.
Wage 68 of 7
Thomas F. Pepe
02-23-15
WHEREAS, Contractor has entered into a Contract, for the Drainage Improvements at Dante Fascell
Park Pro'ect awarded on the day of 20�
I _, under Contract Number
by the City for the construction oF (bHef description of the
Work) in accordance with drawings (plans) and specifications prepared by . -which Contract is
hereby made a part hereof by reference, and is hereafter referred to as the "Contract";
Page 69 of 74
Thomas F. Pepe
02-23-15
(Individual, President, Managing Member or General a; tner, etc.)
(,Business Address)
C t Slateizip)
iBusiness € eieD-hon _...._�,
(Corporate Name)
(President) _
Secretary (Business Address)
IN THE PRESENCE OF:
Agent and Attorney -in -fact Signature)
STATE OF FLORIDA
COUNTY OF MIAMI -I ADD
(Business Telephone)
INSURANCE COMPANY:
Y: (SEAL)
(Business Telephone)
Can this, the clay of 20_, before me, the undersigned notary public of the State of
Florida, the foregoing performance bond was acknowledged by (Corporate Officer),
(Title), of (Name of Corporation,), a
(State of Incorporation) corporation, on behalf of the corporation,
WITNESS my hand and official seal,
Notary Public, State of Florida
(Dame of Notary Public: Print, Stamp
or Type as commissioned.)
Personally !mown to rte, or
Personal identification:
Type of Identification Produced
Did take an oath. or Did Not take an oath.
Page 70 of 7
Thomas F. Pepe
02-23-15
Condition 4W W
Drainage Improvements at Dante Fascell Park
(Required as a ..
Proceed. Submittal)
That, pursuant to the requirements of Florida Statute 255.01, et se q., Florida Statutes, we,.
. whose business address is and whose
(individual, President, Managing Member or General Partner, etr )
(Otylstatel i )
(Business Telephone)
NIS
(Corporate Name)
ATTEST:
(president)
Secretary (Business Address)
IN THE PRESENCE E.
STATE F FLORIDA
COUNTY OF MIAMI-DA DE
(City/State/zip)
(Business Telephone)
INSURANCE COMPANY:
€ Y: (SEAL)
(Agent and Attorney-in-fact Signature)
(Business Address)
)City /Stately
(Business Telephone)
On this, the day of 20— before rice appeared
when is the f`Title}, of _ (Name of legal entity), a
(State of Incorporation) company or partnership, on behalf of the corporation and who is
personally known by me or who provided me with the following type of Identification and who took
are oath or affirmed that he /she is the person who signed the foregoing payment bond.
WITNESS my hand and official seal,
NOTARY PUBLIC:
SEAL
*Power of Attorney must be attached.
Game of Notary Public: Print, Scamp
or Type as commissioned.)
END OF SECTION
Page 77 of
Thomas F, Pepe
02-23-IS
s s
r
IN
i i i'
The following procedures shall be used for resolution of protested solicitations and awards.
The word "bid ", as well as all of its derivations, sh mean a response to solicitation, in uding
requests fir proposals, requests for a letter of interest and requests for qualifications.
Fags 73 of
ThomAs F. Pepe
02-23-15
described in and attached to the Protest Letter at the time of its filing shall be permitted
or considered in support of the protest.
(c) Computation of time. No time will be added to the above time limits for service by
mail. The last day of the period so computed shall be included unless it is a Saturday,
Sunday, or legal holiday in which event the period shall run until the next day which is
not a Saturday, Sunday, or legal holiday.
(d) Challenges. The written protest may not challenge the relative weight of the evaluation
criteria or any formula used for assigning points in making an award determination, nor
shall it challenge the City's determination of what is in the City's best interest which is
one of the criteria for selecting a bidder whose offer may not be the lowest bid price.
Page 74 of 74
Thomas F. Pepe
02-23-15
Bid Bond
Drainage ImprovemeMs at Dante
Fascell Park - RFP No, PR-20115-16
STATE OF FLORIDA
IN WITNESS WHEREOF, the above bonded parties have executed this instrument under
their several seats this 12th — day of August f 2015 , the name and
the corporate seat • each corporate party being hereto affixed and these presents being duly
signed by its undersigned representative.
0 dhomasfpepe-09-28 1 I (Updated 05=1 -2012
SECOND ` PAGE
BID BOND
long
Olga Iglesias
JVA Engineiring gnrar, Inc.
(Seat)
0A
6600 N,W, 32nd Avenue
(Business Address
Miami FL 33147
i tt /Zip)
(305) 696-7902
i ness Phone�)����
Dawn National Assurance Corn Danv
By:
Charles J. Nie( on Attorney -c -Fact
IMPQRTA�!T Surety companies executing bonds must appear on the Treasury Department's
most 1 as amended) and be * to transact
business in the State of * e
0 f -28-11 (Updated 5 -16 -2012)
DARWIN i ASSURANCE COMPANY
30 & 17'h St Suite 810, Philadelphia, PA 19103
.# 0 so
s e N 21, 25'14 No, 5 =5 E io � ra,: Asa t oin 1-;m t 15, 2, 0Q
KNOW ALL MEP BY THESE PRESENTS:
Darwin National Assurance Company, a Delay *are € ati (the 'Company"' hereby appoint
NAME(s): Charles J Nielson David R. Hcoy r
FI � I -I sir ICE' I` �`a" t' e r 11 €te 1. n r +i 3C 11
:€ P €e,rJ,= ; 1•uS;ate v Pub. old ! t , c. €.! e5, (6
±`C: twe and £aY&l Attomep"s"'n-Fact, elt1,, full autt: nity to x--cute. on ilts C? h l, l totnds, undertakings, ,Pooj t , cfe and other . contracts o s indemnity
ty
and } i..g_ obligatory in the ;ic"ite.., thereof issued in th-, ocourse of I's uu,: ' ; and to bind uh- y €_, by Po,v .. of Aftorney shall ;e.,,at„
fi to force and Wt far one y �, r the issued-1 � i a 1 ,� . f6rencr and shall expire on bse f b { sE, ss d t first anniversary o s � sas e
Data.
IN WITNESS WHEREOF, DARWIN NATIONAL AS i NCE COMPANY has caused tffsse oressents to ire execut 1b y the officer na.; ed, te.o;*t,
h dull au� niiiZed and emposiere to execute on ompan;1 behalf,
This 21= day of Jam, 2014
Name: Robert E. Staples
Title: Senior "lice President
Notary: Michael W, Za€ odski
My Commission Expires. "1 -18 -2014
Excerpt of Resoiut o., adopted by the Board of Directos of the DARWIN NATIONAL ASSURANCE COMPANY. on Cecernbe 012:
`RESOLVED, that the President, or any dice President be, and hereby is, authorized to appoint Attorneys-In-Fact to represent and act for and on behalf Cf the Company to
execute bonds, undertakings, ?e iogni antes and other contracts of indemr^ t ) and 'writings rtb!igatory ;, the C tu're thereof, and s) attach h thereto ;` e :corporate Seal of the
Company, in the transact or atS su e y busiress:
`RESOLVED, that the signatures and of estations of such officers and the sea! o, the Company may be affixed to any SUCh Power .of Aftor =ey orto any rh cate relating thereto
ey facsimile and any such Power of Attorney or cedificatte bearing st rih€ facsirnils signatures or fa imi!e, seal shati be valid and bindimig upor, the Company when so affixed `Thin;
respect to any bor ld, (undertaking, rer, o it arlce or other contract of € ,:errinity br fisting obligatory in the nature thereof:
'RESOLVED, the, the facsimile of mechanically reproduced signature of the Secretary of the Company, whetbe. made heret f ra or r erea ter. wherever appearing gip-o a ropy
of any Power of Atrrneey ^. tfea Company, with signatures affixed as next above noted, Shull be, valid and brn ng uPon the Company votri the Sarnia fir and 0ecl as though
manually affixed -'
'RESOLVED, he, any such Anbrney ,., Fact delivering a seclefarial cedificatien that the foregoirlg .esoii vionz Still, be in e;feC. , ay imoot in such certfication t`le date there-of,
vaid date to, hen t satei than the date of de iver} thereof by such tttome in_Fa'cft'
g
CURRY, TIMOTHY J. t y ; � N A I * r, aCE C'L%
m t fry � ee t�tr, it fid t t the e E Poixe a rtiw,,
Go .?"amt <, a^ e P t� rJF � ,: €�j?'a�lt°° �! ,;ir �.,a;1t � °� , 1r truce a'1C Wit, �, "�� a .?� �'�t,�rvn and N'a � c�•., „7 +�; ,.i1..
IN WITNESS WHEREOF, ! f lave hereunto Set my ha .d arnd affived nol `acsint te seal ol tne rpo aton t = day f -AL_ , t Q 20;
lit
SUR 05501 00 (11,'2(`12,
� r
+ 10 a 0
Project Name:
Drainage Improvements at Dante Fascell Park
Date- July 2, 201
Sent- Fax/E-mafl/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
scale responsibility of the bidder to secure Addendums that may be issued for a specific
solicitation,
We are participating in bid 2011 -16. Therefore, we would like to know if there is an
estimated budget for this project.
•
The City does not have a budget line item amount for this project in the City's Adapted
Budget for FY 2014 -- 2015.
c • •• • r*
=66 *A MONMAKUd •
Page 1 of i
ELV="J
ENC-3INC-=C-="I"G
CONTRACTOR . I N C .
August 14, 2015
City of South Miami
City Hall
6130 Sunset Drive
South Miami, FL 33143
Attn: City Clerk
Re.: JVA Engineering Contractors' Past Experience and Corporate
References
Please allow this letter to serve as an official listing of our active and completed
jobs for the past five years. The following list provides corporate References for
each project that can speak of our professional competency, manpower and
financial capability to perform your project:
PROJECT: Drainage Improvements at Dante Fascell Park.
RFP #PR- 2015 -16
The following is an official list of IVA's COMPLETED and ACTIVE projects for
private and government sectors and corporate references that can verify our
competency and reliability. All of the projects below were fully executed and
submitted on a timely manner. IVA Engineering Contractor, Inc. provided all
manpower, equipment, and maintenance facilities for the completion of these:
Tri -C Construction Co., Inc.
100 W. Cypress Creek Rd.
Ft. Lauderdale, FL 33309
Contact: Chris Lawrence
Phone: (954) 677 -0356
Fax: (954) 677 -0359
2005 Tri - C Construction Co, Inc. - CVS Pharmacy #589737`" & 199"1
Completion Date: January 2006
Amount: $371,260.00
6600 NW 32"d Ave
Miami, FL 33147
Tel: 305- 696- 7902`Fax: 305 - 696 -7903
Scope • work: Water Distribution, Storm Water Dist. Sewer Dist., Excavation &
Grading, Asphalt Pavement, Concrete Pavement.
2007 T - C Construction Co, inc. - CVS Pharmacy # 671352 87'x` & Flagler
Grading, Asphalt Pavement, Concrete Pavement
Amount: $288,359.00
Scope of work- Water Distribution, Storm Water Dist. Sewer Dist., Excavation &
Grading, Asphalt Pavement, Concrete Pavement.
Amount- $ 298,024.00
Scope of work: Water Distribution, Storm Water Dist. Sewer Dist., Excavation &
Grading, Asphalt Pavement, Concrete Pavement.
2006 Trademark Metal Recycling
Completion Date: January 2007
Amount: $365,820.00
Scope of work: Asphalt Pavement, Drainage Distribution.
2007 3939 NW 25 1h Street
Completion Date- August 2007
Amount-, $91.600-00
Scope of work- Storm Water Dist., Excavation & Grading, Asphalt Pavement,
Concrete Pavement.
2007 Various Locations Improvements (Drainage, Concrete & Asphalt
Pavement).
Amount: $55,786.25
Completion Date: July 2007
Amount- $3,500,000
Scope of work- Water Distribution, Storm Water Dist. Sewer Dist., Excavation &
Grading, Asphalt Pavement, Concrete Pavement.
# 669-6919
2007 SW 791h Ave Roadway
Completion Date: November 2007 1
Amount: $280,196.50
;scope of work: Storm Aster System, Asphalt Pavement, o r t Pavement,
2007 SW 7t' Ave Improvements
Completion Date: August 2007
Amount: $10,700.000
Scope of work- Storm Water System; Asphalt Pavement, Concrete Pavement,
2013 Pine Needle Leas & Rock Garden Storm Water Improvements
Completion Cate: March 201 (Active)
Amount- $1,012,000.00
Scope of Work: Storm Water System, Asphalt, Concrete Pavement
Date: 2007 Town Center One at Dadeland
Completion
Amount- !!
work- Scope of • Dist., Sewer
& Grading, Asphalt Pavement, Concrete Pavement.
MIA- NW 67"' Ave & NW 36" Street Intersection Improvements
Completion Date: October 2011
Value: $977,000.00
Scope- Storm Sewer Distribution and Roadway Reconstruction
Miami-Dade County-Parks, Recreation, and Open Spaces Department
275 NW 2nd Street, 4th Floor
2007 Biscayne Garden Park Improvement
Completion Date: November 2007
Amount: $329,601.10
Scope of we Storm Water Dist., Sewer Dist., Excavation & Grading, Asphalt
Pavement, Concrete Pavement
Completion Date- August 2013
Amount- $2,054,514.45
Scope of Work: New Construction and Reconstruction of Bike Path,
fl 11 111111PUIM!, 0
111 NW I Street
Miami, FL 33128
Contact: Jesus Gonzalez
Phone: 305 375 2172
2008 WASD Roadway Rehabilitation Contract
Completion Date: June 2008
Amount: $323,000.00
Scope of work, Asphalt Pavement
I 11 NW 1 Street
Miami, FL 33128
Contact: Nestor Melian
Phone: 786-375-0004 1
Contact: Rakeshpal Singh Gill
Phone: 786-375-0003
PTP Pavement Marking Installation
Completion Date: October 2011
Amouft $ 356,572.78
Scope of Work, Pavement Markings
Install 24" DI Water Main
Project Number: ER# 15865
Amount: $698,858.67
Scope of work: Water Distribution, Asphalt Pavement
NAP Misc.-12 Sanitary Sewer Improvements
Project Number, PP Q Ti 025
Amount, $ 838,558.25
Scope of work: Gravity Sever, Farce Main, Asphalt Pavement Restoration,
Concrete
Northeast Transit HUB Enhancements 153rd St Mall
OMP'etin fat: February, 215
Project Number, CIP101
Amount- $1,374£797.43
Scope f W rk: Drainage & Roadway Improvements
City Nail 2 -Inch dater Main Extension
Amount: $217,851.15
Scope of work: Water Distribution, Asphalt Pavement
Citywide Resurfacing Project Phase
Project Number- SM-201 1 -
Amount: $195,788.34
Scope of clerk: Read Resurfacing, Billing, Clearing and Grubbing, ing, Asphalt
Placement, Retru Reflective Pavement Markers and Striping
Contact: # i
Phone: i • •
E-mail: rfenton@m1arn'
Contact: Maurice Hardie
Phone: e`i,
Contact: # # #
Phone:
2011 Kinloch Storm Sewer Improvements Phi -ll
Completion Date: November 2011
.mount: $393,330.00
Scope of Work- Storm Sewer Distribution and Roadway Reconstruction
2013 Citywide Storm Sewer Repair Contract
Project
Completion
$995,855.00
• - of Work Storm Sewer Repair
013 Silver Bluff Drainage Improvements
is
Project No.: S ®30776
Completion Date: September 2013
Amount- $557,677.50'
;cope of ork: Construction of New Drainage System
2015- Englewood Road Storm Sewer Improvements Phase It
Project No: B30011
Completion Date- May, 2015
Amount: $1 ,896,806.72
Scope of Work- Drainage & Roadway Improvements
2015- NW 33Street Roadway Improvements
Project No: B30724
Completion Date- September. 2016
Amount- $5,899,864,98
Scope of Work- Water Main & Roadway Improvement
Phone: 305-347-3235 or 305-905-2714
E-mail: kari@miamidadP_n v
Scope of work: Various Site and Marine Construction
Opa -Loo ka Head Start Facility
Amount: $165,000.00
Scope of work- Water Distribution, Storm Water Dist., Excavation & Grading,
Asphalt Pavement.
2012 Surface Lot E Taxi & Overflow Parking Lot
Amount: $216,470.00
Completion late. January 2013
Scope of work: Parking lot reconstruction, Asphalt Milling, New Asphalt, New
Concrete
Project loo.: 2008-032,0
Amount: $6,196,835.57
Completion late: February 2015
Scope of Work: Upgrading Existing utility Infrastructure and Pavement for
Approximately 8 Acres
Coral Way Offices
Amount: $105,067.50
Scope of work; Storm Water Gist. Sewer [fist., Excavation & Grading, Asphalt
Pavement, Concrete Pavement,
Community Bible Baptist Church
Amount* 214,417.00
Scope of work; dater Distribution, Storm Water mist. Sewer Dist,, Excavation
Grading, Asphalt Pavement, Concrete Pavement.
VP Construction
Ri I i, . w " #
ON i "Wall
• 7WI - M•M
Phone: (305) •• 7- 6060
Valencia Village
Amount- $218,276.50
Scope of work: Water Distribution, Storm Water Dist. Sewer Dist., Excavation &
Grading, Asphalt Pavement, Concrete Pavement.
Contact: Sunday Enegieru
Phone: 305-640-7103
Cell- 305-986-2754
Roadway Improvements on SR 959 Coral Way to SW 22n Street
Amount $73,932.00
Scope of Work: Drainage, and Asphalt Restoration, Striping and Signage.
Golden Glades Interchange Park & Ride Lot
Project Number: E6110
Amount: $1,336,493.07
Completion Date: September 2014
Scope of Work- Rehabilitation and Improvement of Parking Lot
Waterstone Way
Amount S1,054,313.50
Scope of ! Concrete, ! Manhole, !
Sanitary Sewer, and •
•
Beacon Tradeport Development i tr t
Amount $120,000
Scope of Work: Concrete
City • Hollywood
2600 Hollywood Blvd.
Hollywood, FL
Contact: Clece Aurelus
Phone: 954-805-3681
Fax: 954-921-3258
201 New Port Fishing Pier and Restaurant Utilities
Completion Date, June 2013
Amouft $174,230.00
Scope of Work: 8" PVC Water Main
Federal Highway Administration
Eastern Federal Lands Highway Divisiol
21400 ••- •• Circle
Sterling VA 20166-6511
Contact: Donald McIntosh
Phone: 305-242-7771
E-mail: donaid.macintosh@dot.gov
2013 Everglades National Park
Completion Date, December 2013
Scope of Work: Resurfacing & Rehabilitation • 1.09 miles of A-Loop Road (NPS
Route 220), 1,26 miles of Long Pine Key Access Road (NPS Route 228),
Superpave Asphalt Concrete Pavement Overlay, Pavement Markings and other
Miscellaneous Work.
North Miami, LF 33161-4116
Contact: Wisler Pierre Louis
Phone: 305-895-9838
i i'1111 111111 �11�1 � ram m9aw
Sincerely,
Jose M. Alvarez, President
JVA Engineering Contractor, Inc.
Miami - -Deck Pr m h Ph: (30 6-7902
6600 Not 32 Ave pax: ( 305) 696-7903
Miami, FL 33147 e-mail: cra�� ngi er n;c3.com
EVwieme 2009- Present JVA Engineering Contractor, Inc.
2009 Port of Miami, Fender /Curb/Pad Eye 'late Repairs And Installation-
Gantry Area Installation of fenders, pad eyes, and curbs for seawall.
System and eater Distribution
i tt -PO + Brag Pb: (305) 696 -7902
6,600 NW 32 Ave Fax: (265) 696.7903
Miami, FL 33147 e-mail: jma@jvaengineedng,com
• mom
Expeiet" 2002 - Current JVA Engineering Contractor, Inc.
cetfificabons 2009 -2012
2:010
Array Corp of Engineers- Quality Control Manager
Certified General Contractor ##CGC1 516849
Certified Underground utility Contractor #CUC 1224696
Primary Pipelines License # 02- 14144-
Major Roads License # 02 -3 - 14148 - C
Miami DadeCounty License
Engineering Contractor for € ices ' E221300
Educabw 2002—Current Miami bade Community College
Associate in Arts
1090 -2002 South east High School Diploma
High School Diploma
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STATE OF FLORIDA
r %►`_ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
? CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
ALVAREZ, JOSE M
JVA ENGINEERING CONTRACTOR INC
6600 NW 32ND AVE
MIAMI FL 33147
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to
serve you better. For information about our services, please log onto
www.myftoridalir-ense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and team more about the Department's
initiatives.
Our mission at the Department is- License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT, GOVERNOR
(850) 487 -1395
STATE OF FLORIDA
s DEPARTMENT OF BUSINESS AND
PROFE ,N•�L REGULATION
CGC1516849. C4 N ISSLE❑ ;K 08110/2014
CERTIFIED f'tiFiA? G <, "ItRACrl
ALVAREZ, JQ,iE U
JVA ENGINEER' I,iC; C ;% i F.,i —L i. R dNC
iS CERTIFIES) under the provisions or Ch 489 FS.
Expyatbn dais , AUG 31, 2616 L14081C"2263
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
LICENSE NUMBER
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
ALVAREZ, JOSE M
JVA ENGINEERING .CONTRACTOR INC
6600 NW 32N13 AVE
MIAMI Fla 33't47 `
❑Qti. F.❑
mCt tcn nwinigni i nv;PI AY AS RFr)! IIRF-n RY I AW SF0 4 t 140R1nn0n2 ?(;3
STATE OF FLORIDA
-A— DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
ALVAREZ, JOSE M
JVA ENGINEERING CONTRACTOR INC
6600 NW 32ND AVE
MIAMI FL 33147
Congratulations' With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque restaurants,
and they keep Flo(ida's economy strong.
Every day we work to improve the way we do business in order to
serve you better, For information about our services. please log onto
www.myftoridalicense.com. There you can find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and team more about the Department's
initiatives.
Our mission at the Department is- License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT, GOVERNOR
(850) 487 -1395
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSX)NAL REGULATION
CUC1224696.. r�ISSUED ,- 08110/2014
CERT UNDER.,R0uN0 $ EXCASI' CI+ITR
ALVAREZ, JC 5L kA r, ` -
jVA ENGINE3rRiN. G Cc-N7- V
IS CERTIFIED under the provisions or Ch 489 FS.
E.i:xmt tt date AUG 11, 2618 L1406100002931
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
cuc122ass6 t
The UNDERGROUND UTILITY & EXCAVATION CO
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
ALVAREZ, JOSE M -
JVA ENGINEERING COWMACTOR INC
�m
6600 NW 32ND AVE
MIAMI FL 3314'
gar tFn nat�nr�nta niCPt AY AC RFC7i iiRFll RY l AW
❑ ❑
SFO # 1 1408100002937
Local Business Tax Receipt
W LBT�
4„ N t <,�- A -Cft nFGpi.f *40 EXPIRES
a FNGINFF 14 Go SEPTEMBER 30, 2015
':0N T F4ACTt'?f2 ,Nr-
rkF NW 32 •:vE
t.►iA , ;L ij 141
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CONTRACTOR 75 -00 09108t2G34
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SEPTEMBER 30, 2015
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EP-GINEZRING 75.00 09108/201A
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Local Business Tax Receipt OT
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JVA ENGINEERING CONTPACT R-S INC
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INSURERC: SCO,-��SDALEINSliRAN�CECOP-�IPANY
6600 NW 32nd Ave
INSURERD� BRIDGERELD CASUAL �Y INS COM
-- --------
10335
MIAMI, FL 33147 305) 696-79,02
WSURER E: . . ........
- - --- ------------
JNSURER F:
RIEMSION NUMBER:
- - - ---------
y
THIS IS T CERT, HF THAT HE PO� 10ES OF �NSURANCE LISTED BELOW I-,-AVE BEEN
ISSUER-- T THE INSURED NANIED ABOVE FOR THE POLICY
'0
- - ----- --------------- -
PERIOD
1NMCATED. N07-V'fl-rHSTANDMGA,?-4Y REQWREP,,F-FH JERM r)R�n-ONDfT�ONOFA,�,,,YCO�--,TRAC-,
OR OTHER DOCUNIENTWIIH RESPECT TC)WHICH
THIS
CERTtFICATIE MAY BE ISSUEDOR NIAY PERTAIN, THE INSUR,AINCE AFFORD ED BY
-HE P01-10ES DESCRIE10 -'�EREIN IS SUBjECT TO ALL 'HE -I-ERMS,
EXCLUS I ON S AN D GCND� Ti CONS QDF SUC H POL 1C 1E S, U IRM TS S HOW N NILAY HAVE B E EN REDUCE 0, BY PAiD CLA !,As -
- ------- ------ ---- -- -
A000 --- --------------------
MSIS UBW
LTR TYPE OF INSURANCE POLICY NUMBER
------------------------------ ----- -----------------
---- - - - — -- ----- -------------- - ---------------- ------- ----------------- ------ ----------------------
POLICYEFF POLICYEXP i
9 LIMITS
PAIDUP
-ncryl � -11, --------------------- - --- ------ -------------- - - - --------
-- - - - - ------ - ------------------- -
- - - - --------- - ------------ ---
GENERAL LiABIL-1-f
EAC HH.-RCC URR -P NC E
COMINIERCIA L GENERAL UABILITY
DTAZAi�-E —TO ED
100,0000 00
CLAIMS-MADE OCCUR
A y i CPS1905935
MED EXP �AW emorl,
y,:�ne P
1 Z!1 312014 12,11312015
5,000�00
xcu
PERSONAL & ADA NjURY s
1,000,000.00
!ND CONTRACTOR
-
GENERAL AGGREGATE s,
— --------
2,000,000.00
GEN'L AGGREGATE UNUT APPLIES PER:
EPODUCTS - COVIYOP AGG S
-000,000,00
_J NO—UCYV!
----- -- ------
_7
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
iEa acaderm
1�000,300'00
ANY AUTO
BODiF v'N IUPV�Pe-, pw;--') 11 —5
ALL OW NED SCHEDW ED CA00-149045
B AUTOS V AUTOS
BODILY INJURY (Peer acc.,aenzy
12/13/2014 12/1 a]2015
N 0 N - 0 WNI E D,
i HIRED AUTOS VUi-
i0s
PROPEPTY DAMAGE $
- — -- ----- -
UMBRELLA LIAR OCCUR
XBS000035533
- - - - - -------------
--A CH OCCURRENCE
3 00qQQ0 00
C EXCESS LIAB CLAIIAS-IVADE
12/13/2014 1211312015 i AGGREGATE i s
3DO(01,000DO
RETtriTIS,
WORKERS COMPENSATION
1110 oTATU OTHL
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNEPiEXECUTIVE �83053174
:::_R
E L EACH ACCIDENT $
l'o00,000,0no
D OFFICERIMENMER EXCLLFDED?
121113/21014 12/13/2015
-- -- - - -------
dil.ndabary in NH)
E,L DISEASE - EA EVrLOYE S
1,000,000,010
if vescrPe urdF
----- -
E
D RIPTION OF OPERATHONS below
E,L [ASEASE - POLICY LIMIT S,
1,000,000 00
DESCRIPTiON OF OPEqATIONSILOCATIONS t VEHICLES (Aqach ACORD 101, Additional Remarks
Schedule, If more space is required)
Certr5cate holder as additional insured with espect ot general & automobile liability.
CERTIFICATE HOLDER
CANCELLATION