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Job Order Contracting Agmt with AGC Electrical, Inc JOB ORDER CONTRACTING AGREEMENT BETIIVEEN CITY OF MIAMI BEACH, FLORIDA AND AGC ELECTRICAL, INC. FOR ELECTRICAL PROJECTS FOR THE CITY OF MIAMI BEACH, FLORIDA INVITATION TO BID NO.24-08/09 Project Manual Contract 00800 CONTRACT CONTRACT THIS CONTRACT, is entered into this ? - - .day of~ X~! 2009 (Effective Date), by and between the CITY OF MIAMI BEACH, a political subdivision of the State of Florida, hereinafter referred to as CITY, and AGC ELECTRIC, INC., hereinafter referred to as CONTRACTOR. W I T N E S S E T H, that CONTRACTOR and CITY, for the considerations hereinafter named, agree as follows: ARTICLE 1 SCOPE OF WORK 1.1. The scope of work under this Contract shall be determined by individual Job Orders issued hereunder. Upon receipt of a Notice to Proceed, the CONTRACTOR shall furnish any and all labor, materials, equipment; services and incidentals necessary to perform all of the work for the Project described in the Job Order. ARTICLE 2 CONTRACT TIME 2.1. This Contract shall be for an initial term of one (1) year, commencing upon the Effective Date. The Contract may be renewed, at the City's option, for four (4) additional twelve (12) month terms, subject to the requirements of Section 3 of the JOC Supplemental Conditions. The Maximum Contract Duration shall be no more than five (5) years, or when the Maximum Not to Exceed Contract Value is reached, whichever is first 2.1.1. Once the Contract is in place, individual Job Orders will be issued through Blanket Purchase Orders and Notices to Proceed, issued by the Contract Administrator. The time for completion of individual Job Orders will be contained in the Notice to Proceed. CONTRACTOR shall not begin work without a signed Blanket Purchase Order and Notice to Proceed. 2.2. Time is of the essence throughout this Contract. Job Orders shall be substantially completed within the specified calendar days listed on each individual Notice to Proceed, and completed and ready for final payment in accordance with Article 5 hereof within the time specified on each individual Notice to Proceed. Project Manual 2.3. Liquidated Damages may be applied to individual Job Orders at the discretion of the CITY. The dollar amounts} relative to Liquidated Damages are not intended to be applied as penalties, but rather to be applied as damages to the CITY for its inability to obtain full beneficial occupancy and/or use of the Project. Liquidated Damages on construction projects other than streetscape or utility uroiects are hereby fixed at $1,000 per day and agreed upon between the parties, recognizing the impossibility of precisely ascertaining the amount of damages that will be sustained by the CITY as a consequence of such delay, and both parties desiring to obviate any question of dispute concerning the amount of said damages and the cost and effect of the failure of the CONTRACTOR to complete the Project on time. 2.3.1 Liquidated Damages relative to a streetscape or utility project. The additional cost realized by the CITY consists of the following components: Additional construction administration by CITY, Program Manager, and/or Consultant. Additional resident observation by CITY and/or Program Manager. Loss of use of facilities, including, without limitation, loss of parking revenue, sidewalk cafe fees, etc. The cost realized by the CITY for extended Project milestone completion consists of the sum of the Program Management (PM) fee; the City Construction Management (CM) cost; additional Consultant fees that would be incurred by the CITY for each day that the Project completion is delayed; and those costs realized by the CITY for loss of facility use. It is estimated that the PM component of CITY incurred expense could reasonably consist of one resident observer ($75 per hour for 8 hours per day = $600), one Project Coordinator ($125 per hour for 4 hour per day = $500), and one Project Administrator ($50 per hour for 4 hours per day = $200). Hence, the estimated PM component of the liquidated damage value to be used on streetscape or utility projects would be $1,300 per day. It is estimated that the Construction Management component of CITY incurred expense would be based on the recognized rate of 4% of total Project cost. Hence, a $5,000,000 Project that has construction duration of 300 working days would result in a CM cost component of $800 per day. This value will vary by Project. Loss of Parking Revenue: If applicable, will be incorporated in the Job Order/Notice to Proceed. Contract Project Manual 2.4. CITY is authorized to deduct liquidated damages from monies due to CONTRACTOR for the Work under the Job Order or as much thereof as CITY may, in its sole discretion, deem iust and reasonable. 2.5. CONTRACTOR shall be responsible for reimbursing CITY, in addition to liquidated damages, for all costs incurred by the CITY in administering the construction of the Project beyond the completion date specified in the Notice to Proceed, plus approved time extensions. All such costs shall be deducted from the monies due CONTRACTOR for performance of Work under the Job Order by means of unilateral credit change orders issued by CITY as costs are incurred. ARTICLE 3 THE CONTRACT SUM AND ADJUSTMENT FACTORS 3.1. The Contract is an indefinite-quantity contract with no minimum values. The Estimated Contract Term Value for ITB No. 24-08/09 -ELECTRICAL is One Million Dollars ($1,000,000) per term. The Maximum Not To Exceed Contract Value for ITB No. 24-08/09 -ELECTRICAL is Five Million Dollars ($5,000,000). 3.2. Payment shall be at the lump sum price stated in the Notice to Proceed for each Job Order. This price shall be full compensation for all costs, including overhead and profit, associated with completion of all Work in full conformity with the requirements as stated or shown (or both) in the Contract Documents using the following Adjustment Factors: 3.2.1. Normal Working Hours Construction: CONTRACTOR shall perform any or all functions called for in the Contract Documents and the Detailed Scope of Work, scheduled during Normal Working Hours, in the quantities specified in individual Job Orders against this Contract, for the unit price sum specified in the Construction Task Catalog® multiplied times the Adjustment Factor of: 0 9 2 9 8 3.2.2. Other Than Normal Working Hours Construction: CONTRACTOR shall perform any or all functions called for in the Contract Documents and the Detailed Scope of Work, scheduled during Normal Working Hours in the quantities specified in individual Job Orders against this Contract, for the unit price sum specified in the Construction Task Catalog® multiplied times the Adjustment Factor of: Contract Project Manual 1 0 6 9 3 3.2.3. Non Pre-priced Work Tasks: CONTRACTOR shall perform any or all functions called for in the Contract Documents and the Detailed Scope of Work that are Non Prepriced Tasks multiplied times the Adjustment Factor of: 1 0 0 0 0 ARTICLE 4 PROGRESS PAYMENTS 4.1. For Job Orders intended to have a duration of thirty (30) days or less, CITY will make only one final payment. For Job Orders intended to have a duration of more than thirty (30) days the CONTRACTOR may make Application for Payment for Work completed during the Project at intervals of not more than once a month. CONTRACTOR'S application shall show a complete breakdown of the Project components; the quantities completed and the amount due; and such other supporting evidence as may be required by CITY. CONTRACTOR shall include with each Application for Payment, an updated Progress Schedule acceptable to CITY (and as required by the Contract Documents), and a release of liens and consent of surety relative to the Work which is the subject of the Application. Each Application for Payment shall be submitted in triplicate. CITY shall make payment to CONTRACTOR within thirty (30) days after approval by CITY of CONTRACTOR'S Application for Payment and submission of an acceptable updated Progress Schedule. 4.2. Ten percent (10%) of all monies earned by CONTRACTOR shall be retained by CITY until Final Completion and acceptance by CITY, in accordance with Article 5 hereof, except that after ninety percent (90%) of the Work has been completed, the Contract Administrator may reduce the retainage to five percent (5%) of all monies previously earned and all monies earned thereafter. Any reduction in retainage shall be in the sole discretion of the CITY and shall be recommended by the Contract Administrator. CONTRACTOR shall have no entitlement to a reduction. Any interest earned on retainage shall accrue to the benefit of CITY. All requests for retainage reduction shall be in writing in a separate stand- alone document. 4.3. CITY may withhold, in whole or in part, payment to such extent as may be necessary to protect itself from loss on account of: Contract Project Manual 4.3.1. Defective work not remedied. 4.3.2. Claims filed, or reasonable evidence indicating probable filing of claims by other parties, against CONTRACTOR or CITY because of CONTRACTOR'S performance. 4.3.3. Failure of CONTRACTOR to make payments properly to subcontractors, or other failure to pay materials or labor. 4.3.4. Damage to another contractor not remedied. 4.3.5. Liquidated damages and costs incurred by CITY, as noted in Section 2.3. 4.3.6 Failure of CONTRACTOR to provide any and all documents required by the Contract Documents. ARTICLE 5 ACCEPTANCE AND FINAL PAYMENT 5.1. Upon receipt of written notice from CONTRACTOR that the Project is ready for final inspection and acceptance, CITY shall, within ten (10) calendar days, make an inspection thereof. If the CITY finds that the Work is acceptable; the requisite documents have been submitted; the requirements of the Contract Documents have been fully satisfied; and all conditions of the permits and regulatory agencies have been met, a Final Certificate of Payment (Form 00922) shall be issued by CITY stating that the requirements of the Contract Documents have been performed and the Work is ready for acceptance under the terms and conditions thereof. 5.2. Before issuance of the Final Certificate for Payment, CONTRACTOR shall deliver to the CITY a complete release of all liens arising out of the Job Order (or at the CITY's sole discretion, receipts in full in lieu thereof); an affidavit certifying that all suppliers and subcontractors have been paid in full and that all other indebtedness connected with the Work has been paid; a consent of the surety to final payment; the final corrected as-built drawings; and a final invoice. 5.3. If, after the Work has been substantially completed, full completion thereof is materially delayed through no fault of CONTRACTOR, and the CITY so certifies, CITY shall, upon certification of the CITY and without terminating the Job Order, make payment of the balance due for that portion of the Work fully completed and accepted. Such payment shall be made under the terms and conditions governing final payment, except that it shall not constitute a waiver of claims. 5.4. Final payment shall be made only after the City Manager or his designee has reviewed a written evaluation of the performance of CONTRACTOR (prepared by the Contract Administrator) and approved final payment. The acceptance of final payment by CONTRACTOR shall constitute a waiver Contract Project Manual of all claims by CONTRACTOR, except those previously made in strict accordance with the provisions of the General Conditions and identified by CONTRACTOR as unsettled at the time of application for final payment. ARTICLE 6 MISCELLANEOUS 6.1. This Contract is part of, and incorporated into, the Contract Documents, as defined herein. Accordingly, all of the documents incorporated into the Contract Documents shall govern this Project. 6.2. Where there is a conflict between any provision set forth within the Contract Documents and a more stringent State or federal provision which is applicable to the Project, the more stringent State or federal provision shall prevail. 6.3. Public Entity Crimes: 6.3.1. In accordance with the Public Crimes Act, Section 287.133, Florida Statutes, a person or affiliate who is a contractor, consultant or other provider, 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 the CITY, may not submit a bid on a contract with the CITY for the construction or repair of a public building or public work, may not submit bids on leases of real property to the CITY, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with the CITY, and may not transact any business with the CITY in excess of the threshold amount provided in Section 287.017, Florida Statutes, for category two purchases for a period of 36 months from the date of being placed on the convicted vendor list. Violation of this section by CONTRACTOR shall result in cancellation of the CITY purchase and may result in CONTRACTOR debarment. 6.4. Independent Contractor: 6.4.1. CONTRACTOR is an independent contractor under this Contract. Any and all work and/or services provided by CONTRACTOR pursuant to this Contract shall be subject to the supervision of CONTRACTOR. In providing such work and/or services, neither CONTRACTOR nor its officials, employees, contractors and/or agents shall act, or purport to act, as officers, employees, contractors and/or agents of the CITY. This Contract shall not constitute or make the parties a partnership or joint venture. Contract Project Manual 6.5. Third Party Beneficiaries: 6.5.1. Neither CONTRACTOR nor CITY intends to directly or substantially benefit a third party by this Contract. Therefore, the parties agree that there are no third party beneficiaries to this Contract and that no third party shall be entitled to assert a claim against either of them based upon this Contract. The parties expressly acknowledge that it is not their intent to create any rights or obligations in any third person or entity under this Contract. 6.6. Notices: 6.6.1. Whenever either party desires to give notice to the other, such notice must be in writing, sent by certified United States Mail, postage prepaid, return receipt requested, or by hand-delivery with a request for a written receipt of acknowledgment of delivery, addressed to the party for whom it is intended at the place last specified. The place for giving notice shall remain the same as set forth herein until changed in writing in the manner provided in this section. For the present, the parties designate the following: For CITY: City of Miami Beach Procurement Division Attn: Gus Lopez, Procurement Director 1700 Convention Center Drive Miami Beach, Florida 33139 With copies to: City Attorney City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 For CONTRACTOR: AGC Electric, Inc. Attn: Tomas Curbelo 2660 W. 79 Street Hialeah, Florida 33016 6.7. Assignment and Performance: 6.7.1. Neither this Contract nor any interest herein shall be assigned, transferred, or encumbered by either party. In addition, CONTRACTOR shall not subcontract any portion of the work or services required by this Contract except as authorized by Contract Project Manual Section 18 of the General Conditions. CONTRACTOR represents that all persons delivering any work and/or services required by this Contract have the knowledge and skills, either by training, experience, education, or a combination thereof, to adequately and competently perform the duties, obligations, and services set forth in the scope of work for the particular Job Order, and to provide and perform such work and/or services, to CITY'S satisfaction, for the agreed compensation. 6.7.2. CONTRACTOR shall perform its duties, obligations, and any work and services under this Contract, in a skillful and respectable manner. The quality of CONTRACTOR'S performance and all interim and final product(s) provided to or on behalf of CITY shall be comparable to the best local and national standards. 6.8 Materiality and Waiver of Breach: 6.8.1. CITY and CONTRACTOR agree that each requirement, duty, and obligation set forth in the Contract Documents is substantial and important to the formation of this Contract and, therefore, is a material term hereof. 6.8.2. CITY'S failure to enforce any provision of this Contract shall not be deemed a waiver of such provision or modification of this Contract. A waiver of any breach of a provision of this Contract shall not be deemed a waiver of any subsequent breach and shall not be construed to be a modification of the terms of this Contract. 6.9. Severance: 6.9.1. In the event a portion of this Contract is found by a court of competent jurisdiction to be invalid, the remaining provisions shall continue to be effective unless CITY or CONTRACTOR elects to terminate this Contract. An election to terminate this Contract based upon this provision shall be made within seven (7) days after the finding by the court becomes final. 6.10. Applicable Law and Venue: 6.10.1. This Contract shall be enforceable in Miami-Dade County, Florida, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein exclusive venue for the enforcement of same shall lie in Miami- Dade County, Florida. By entering into this Contract, CONTRACTOR and CITY hereby expressly waive any rights either party may have to a trial by jury of any civil litigation related to, or arising out of, the Contract. Contract 6.11. CONTRACTOR shall specifically bind its sub-contractors to the provisions of this Contract. Project Manual 6.12. Amendments: 6.12.1. No modification, amendment, or alteration in the terms or conditions contained herein shall be effective unless contained in a written document prepared with the same or similar formality as this Contract and executed by CITY and CONTRACTOR. 6.13. Prior Agreements: 6.13.1. This document incorporates and includes all prior negotiations, correspondence, conversations, agreements, and understandings applicable to the matters contained herein and the parties agree that there are no commitments, agreements or understandings concerning the subject matter of this Contract that are not contained in this document. Accordingly, the parties agree that no deviation from the terms hereof shall be predicated upon any prior representations or agreements, whether oral or written. tt is further agreed that no modification, amendment or alteration in the terms or conditions contained herein shall be effective unless set forth in writing in accordance with Section 6.12 above. Contract [REMAINDER OF THIS PAGE LEFT INTENTIONALLY BLANK] Pre~iect Manual IN WITNESS WHEREOF, the parties have set their hands and seals the day and year first above written. Contract ATT ST: k p D CITY OF MIAMI BEA H, FL RIDA U I ~~tt~ Robert Parcher, City Clerk Ma ti He era Bower, Mayor CONTRACTOR MUST EXECUTE THIS CONTRACT AS INDICATED BELOW. USE CORPORATION OR NON-CORPORATION FORMAT, AS APPLICABLE. [If incorporated sign below.] ATTEST: ,~ ~4. '~"~ f. ~ 0 I w %~3~u_L (Secretary) CONTRALTO ~i~- AGC ELBC~T_ IC, INC. nature and Title) Corporate Seal) o w.a S V r `v rbe.\d (fT'~C llw~~~ (Type Name/Title Signed Above) 26 day of ~~7"5 ~ , 20 o H (If not incorporated sign below.] CONTRACTOR WITNESSES: (Name) ----a By (Signatur ~'~r~c~(n ~~~~~~~~ (Type Name Signed Above) ~~~ day of~`"~, 20c~~ CITY REQUIRES FIVE (5) FULLY-EXECUTED CONTRACT~P~~NGUA E DISTRIBUTION. 8~F EXECUTION ~ ~~ ~~ ate EXHIBIT 5 CO NTRACTO R BID SUBMISSION City of Miami Beach JOB ORDER CONTRACT ITB: 24-08/09- Electrical AGC ELECTRIC INCORPORATED BID DIJE 04-24-209 at 3:00 PM Company Address: 2660 W 79 Street, Hialeah, FL. 22016 Email: a~c~a~agcelectric.com and tomas@agcelectric.com Web: www.agcelectric.com Phone: 305-823-2280 Fax: 305 828-4515 FEIN: 650806153 Florida Corporation si Au ignature Date: 04-24-2009 Tomas V. Curbelo (President) TABLE OF CONTENTS 1- BID/'I'ENDER FORM 00900 2- BID BOND (AIA document A310) 3- Supplement to Bid/Tender Form 00901 4- Non-Collusion Certificate 00902 5-Drug Free Workplace Certificate 00903 6- Trench Safety Aet 00904 7- Declaration of Non-Discrimination in Contracts & Benefits 00907 and support documents 8- Qualification Statement 00908 and support documents. 9- Bidder's Past Projects-Customer Reference List 00910 r _.,._ Electric ~nc_ BID/TENDER FORM 00900 1660 West 79 Street, Hialeah, Fl. 33016 Phone (305) 82 ~-2280 FaY (305) 828-45 ] 5 e-mail: agc@agcelectric.com - gLpppp-76,~ Project Manual 00900 BID/TENDER FORM City of Miami Beach, Florida 1700 Convention Center Drive Miami Beach, Florida 33139 Bid/Tender Form Submitted: Q~ I2~+-~ Zoa9 Date The undersigned, as Bidder, hereby declares that the only persons interested in this bid as principal are named herein and that no person other than herein mentioned has any interest in this bid or in the Contract to be entered into; that this bid is made without connection with any other person, firm, or parties making a bid; and that it is, in all respects, made fairly and in good faith without collusion or fraud. The Bidder further declares that it has examined the ITB Documents and all addenda thereto furnished before the opening of the bids, as acknowledged below on Bid/Tender Form, Page 6; and that it has satisfied itself about the Work to be performed; and all other required information with the bid; and that this bid is submitted voluntarily and willingly. The Bidder agrees, if this bid is accepted, to contract with the City, a political subdivision of the State of Florida, pursuant to the terms and conditions of the Contract Documents and to furnish all necessary materials, equipment, machinery, tools, apparatus, means of transportation, and all labor necessary to construct and complete within the time limits specified the Work covered by the Contract Documents for the Project entitled: ITB#: ~ ~ _ ~ ~' ~~ The Bidder also agrees to furnish the required Performance Bond and Payment Bond or alternative form of security, if permitted by the City, each for not less than the required amounts as specified in the Contract Documents, and to furnish the required Certificate(s) of Insurance. The undersigned further agrees that the bid guaranty accompanying the bid shall be forfeited if Bidder fails to execute said Contract, or fails to furnish the required Performance Bond and Payment Bond, or fails to furnish the required Certificate(s) of Insurance within seven (7) calendar days after being notified of the award of the Contract. BID/TENDER FARM RAGE 1 March 2009 City of Miami Beach Page 119 of 1$5 Project Manual SCHEDULE OF PRICES ITB #: '2~ - ~~ ~Oq Bid/Tender Form The Bidder hereby proposes to furnish all labor, materials, equipment, transportation, supervision, incidental scope documentation services as required, and facilities necessary to complete in a workmanlike manner and in accordance with the Contract Documents, all Work ordered under a particular Job Order for the compensation in accordance with the following schedule of prices: The Contractor bids three (3) Adjustment Factors. Two will be applied against the prices set forth in the Construction Task Catalog® (CTC). The first Adjustment Factor will be for work performed during normal working hours. The second Adjustment Factor will be for work performed during other than normal working hours. The third Adjustment Factor will be used for Non Prepriced Work Tasks. These Adjustment Factors will be in effect for total duration of the contract. Line 1 Normal Working Hours Construction: Contractor shall perform any or all functions called for in the Contract Documents and the individual project Detailed Scope of Work, scheduled during normal working hours in the quantities specified in individual Job Orders against this contract for the. unit price sum specified in the Construction Task Catalog° (CTC) multiplied times the Adjustment Factor of: O g 2 q 8 (Specify to four (4) decimal places) Line 2 Other Than Normal Working Hours Construction: Contractor shall perform any or all functions called for in the Contract Documents and the individual project Detailed Scope of Work, scheduled during other than normal working hours in the quantities specified in individual Job Orders against this contract for the unit price sum specified in the Construction Task Catalog® (CTC) multiplied times the Adjustment Factor of: ~ 0 6 g 3 (Specify to four (4) decimal places) BID/TENDER FORM PAGE 2 March 2049 City of Miami Beach Page 12Q of 185 Project Manual BidITender Form Line 3 Non Prepriced Work Tasks: Contractor shall perform any or all functions called for in the Contract Documents and the individual project Detailed Scope of Work, that are considered Non Prepriced Work Tasks multiplied times the Adjustment Factor of: I ~ 0 ~ d (Specify to four (4) decimal places) Line 4 Award Criteria Figure (From Line 7, Bid/Tender Form, Page 4) 1 ~ Q (Specify to four (4) decimal places) EXAMPLE: Write the Adjustment Factor to four decimal places as the following example illustrates. 1 1 8 9 8 OR 0 9 9 9 4 BID/TENDER FARM PAGE 3 March 2QQ9 City of Miami Beach Page 121 of 185 Manuat Bid/Tender Form AWARD CRITERIA FIGURE WORKSHEET ITB #: 2 ~" 0 $ ~ ~~ For the purposes of determining the low bid the Contractor shall complete the following worksheet. (Specify to four (4) decimal places). 1. Normal Working Hours Construction Adjustment Factor .................... . y' ~29~ (Found on Bid/Tender Form, Page 2, Line 1) 2. Multiply Line 1 by (.80) ........................................................................ U.~y?)~ 3. Other Than Normal Working Hours Construction Adjustment Factor... I X69 3 (Found on Bid/Tender Form, Page 2, Line 2) 4. Multiply Line 3 by (.10) ......................................................................... y. (~~ 5. Non Prepriced Work Tasks Adjustment Factor .................................... ~, 0000 (Found on Bid/Tender Form, Page 3, Line 3) 6. Multiply Line 5 by (.10) ......................................................................... y, (0~ 7. Add lines 2 + 4 + 6 ............... q 50~ ................................................................ , (Award Criteria Figure) The Bidder shall complete this Award Criteria Figure Worksheet and transfer the Bid Adjustment Factors, (Lines 1, 3, and 5,) and Final Award Criteria Figure (Line 7) to the space provided on the Bid/Tender Form, Page 3, Line 4 of this proposal. The lowest Award Criteria Figure will be deemed the lowest bid. The City of Miami Beach reserves the right to revise all arithmetic calculations for correctness. Note: Should there exist a discrepancy in the Adjustment Factors bid on the Schedule of Prices (Bid/Tender Form Page 2 and Bid/Tender Form Page 3) with the Award Criteria Figure Worksheet (Bid/Tender Form Page 4), the Schedule of Prices (Bid/Tender Form Page 2 and Bid/Tender Form Page 3) shall take precedence. BID/TENDER FORM PAGE 4 Marsh 2QQ9 City of Miami Beach Page 122 of 185 Project Manual Bid/Tender Form ITB #: 2 y - Off, D N The Bidder shall acknowledge this bid by signing and completing the spaces provided below. Name of Bidder: _ A' G~ ~-'P ~ ~f ~ „~ t City/State/Zip: Z ~ 6 O U..J }~°~ S~ ~Q~:t' .~ C . 33 o 16 Telephone No.: _ ~ o S g 2 ~ 22 ~ O Social Security No. 6~ d~ 06 1 S 3 or Federal Dun and Bradstreet No.: (if applicable) 1. D. No.: Bradstreet No.: (~ 2 ~ ~ 3 ~ ~3 2 (if applicable) If a partnership, names and addresses of partners: (Sign below if not incorporated} WITNESSES: (Type or Print Name of Bidder) (Signature) (Type or Print Name Signed Above) (Sign below if incorporated) ATTEST: -;.~,~,,=..1~ (Secretary) (Type I~am of Corporation) re and Title) CORPORATE SEAL) (Type or Print Name Signed Above) Incorporated under the laws ofi the State of: ~ t o M t ~ ~ BID/TENDER FORM PAGE 5 March 2009 Gity of Miami Beach Page 123 of 185 Manual Acknowledgement of Addenda Directions: Complete Part I or Part II, whichever applies. Bid/Tender Form Part I: Listed below are the dates of issue for each Addendum received in connection with this Bid: Addendum No. 1, Dated Addendum No. 2, Dated Addendum No. 3, Dated Addendum No. 4, Dated Addendum No. 5, Dated Part II: ~ No addendum was received in connection with this Bid. Verified with Procurement staff 1 ow.ag ~~ Cvr~Q~d Name of Staff -- /'f~C- ~~~ ~r~c ~ ~hC Bidders- Name nature BID/TENDER FARM PAGE 6 0 `t ~2 `f f Zod ~ Date 04 /2 Y ~ 2oa~~ Date March 2009 Cit of Miami Beach Page 124 of 185 - ~! - 'Electric inc. BID BOND (AIA document A310) 2660 ~~4'est 79 Strcet, Hialeah. FL 33016 Phone (305) 823-2280 Fay (305) 828-4515 e-mail: agcL?agcelectric.com - E0000076a THE AMERICAN INSTITUTE OF ARCHITECTS AdA Document A31(~ ~It~ BC)11~ KhltaW ALL MEfV BY THESE PRESE('~TS, that we A.GC Electric, Inc, - 2660 West ~9 Street, Hialeah, FL 33016 (Ncre insert full name and address or legal title of Contractor) as Princippal, hereinafter called the Principa~lr and Westfield Insurance Company - 10245 Centurion Pkwy. "North, 4104, Jacksonville; ,N'h 32256, (Here insert full name and address or legal Gde of Surety) a corporation duty organized tinder the laws of the State ofOhio as Surety, hereinafter called the Surety, are held and firmly bound unto City of Miami Beach - 1700 Convention Center, Dr. 3rd. Floor, (Mere insert fuH name bnd address or legal tlUe o! Owner) Miami Beach, FL 33139 as Obligee, hereinafter called the Obligee, in the sum of Twenty Thousand Dollars Dollars x$20,000.00) for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid fo.r Electric JOC ITB 424-08/09 Can renew up to 5 years (Here insert full name, address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shalt enter into a Contract with the Obligee in accordance with the terms of such bid, and give suth bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faPthful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amounk specified in said bfd and such larger amount for which the Obligee may 'in good faith contract Lvith another party to perform the Work covered by said bid, then this obligation shalE be null and void, otherwise to remain to full force and effect. C~ ~/~ ~. day of April, 2e o9 AGC Ele ic, Tnc. (PrincDipal) 1 (Seat) "1/'r' Sr JCS t (Title) (Sea! j Jg~'ix~i ~ -----~• ~arl"'7.g ,~t~ ooct.)~xEr~~' .~s~a ~ ~tt~ ao~~ rr,it~tT'dttr r7 r- ~,RChtIT€CTS. 17'15 hl1lA ~~ FBR~'Ai~A1o7 ED a TFiE nktERECA;N Strftf(G7C>F~I, D. C'_ 2tKKk~ (litre) A.ttorney~in.--Fact .t Signed and sealt~rt this ~i. ~-,, General ~ - - powEi=~ No. osss252 00 Power Westfield Insurance Co. of tittorney Westfield National Insurance Co. ~CRTiFiED COPY Ohio Farmers insurance Co. Westfield Center, Ohio Know Alf Men 'by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporatloris, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having 'Its principal office in Westfield Center, Medina County, Ohio, de by these presents make, constitute and appoint JOHN S, HARRIS, CARA L. HARRIS, JOINTLY OR SEVERALLY of WELLINGTON and State of FL Its true and lawful Attorney(s)-in-Fact, .with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any snd all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - _ _ _ _ _ _ _ . LIMITATION: THI$ POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, IORTGAGE G AR 'N EE, OR BANK DEPOSITORY BONDS, and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the- applicable Company. and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the .following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "ee ft Resolved, that the President; any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shalt be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. inay be given tull power and authority for and Ih the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of Indemnity and other conditional or obligatory undertakings and any and all notices acid documents canceling or terminating the Company's liability thereunder, and any such -instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as If signed by the President and sealed and attested by the .Cdrporate Secretary." "Be it Further Resolved, that the signature of any such designated person aril the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be .valid and bihding upon the Company with respect to any bohd or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000). In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 27th day of DECEMBER A.D., 2004 , w.•.•w Corporate ~'" ~"w,,, Seals ~~as~~~C~: ffixed ~~ „.~'~~,q,~~''~p'n tai State of Ohfo "•» County of Medina as._ ,`~oaPSlnNgr; rtsG,P , u~i`'•, .'SEAL •:: n,: ~'• •`o ''4nu',,,,,..d '~~~~~~~~~"" WESTFIELD INSURANCE COMPANY WESTFIELD NATIONAL INSURANCE COMPANY ~~~~~~~ _~~~,.`'CN~TE~~~~ OHIO FARMERS INSURANCE COMPANY ~~:. 1648 .'~ F ~ .. y J? Richard L. Kinnaird, Jr., Senior Executive On this 27th day of DECEMBER A. D., 2004 ,before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say, that he resides In Medina, Ohio; that he is Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY the companies described in and which executed the above Instrument; that he knows the seats of said Companies; that the seals affixed to said Instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies, and that he signed his name thereto by like order. Notarial . Seal ~•,,,.""•""'N.,, Affixed ~Pg1 A l S ,. /~ . , C7:~t~~l~l~~% z °--~ ~ State of Ohio ; ~ ~ My~o William J. Kahelin, A rney at Law, Notary Public. County of Medina ss.: •=, 9 ~Ir`~~, My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) ,rf OF ~,` I, Franlt A. Carrfno, Secretary of WESTFIELD INSURANCE COMPANY. WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby. certify that the above and foregoing Is a true and correct co In full force and effect: py of a Power of Attorney, executed by said Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are Agri 7 , A.C..,. 2C}CIQ In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this L4`: '",«....~w.»,,, ~ h day of r ..*.. ~ ~': f 16 4 ~ ~: ! i~~' r 8 Frank A. Car°rino~~ Sec tart, ' ~.• ~'~~ -` ecreta ~h A n n e _ ~'. Electric Inc. Supplement to Bid/Tender Form. 00901 2660 Vl-est 79 Strect, Hialeah_ Fl. 33016 Phone (305) 823-2280 Fay (305) 828-4515 e-mail: agc@agcelectric.com - EC000076a Project Manual Supplement to Bid/Tender Form 00901 SUPPLEMENT TO BID/TENDER FORM THIS COMPLETED FORM SHOULD BE SUBMITTED WITH THE BID, HOWEVER, ANY ADDITIONAL INFORMATION NOT INCLUDED IN THE SUBMITTED FORM AS DETERMINED IN THE SOLE DISCRETION OF THE CITY, SHALL BE SUBMITTED WITHIN THREE (3) CALENDAR DAYS OF THE CITY'S REQUEST. s~ March 2aos of Miami Beach Page 125 of 185 J l ~ ~ j Electric Inc. Non-Collusion Certificate 00902 2660 Wcst 79 Street, Hialeah, Fl, 33016 Phone {305) 823-22$0 Fax (305) 828-4515 e-mail: agcLagcelectric.com - E00000764 Project Manual Non-Collusion Certificate 00902 NON-COLLUSION CERTIFICATE Submitted this ~-~`1h day of ~ ~w~ ` 2009 The undersigned, as Bidder, declares that the only persons interested in this proposal are named herein; that no other person has any interest in this proposal or in the contract to which this proposal pertains; that this proposal is made without connection or arrangement with any other person; and that this proposal is in every respect fair and made in good faith, without collusion or fraud. The Bidder agrees if this proposal is accepted, to execute an appropriate City of Miami Beach document for the purpose of establishing a formal contractual relationship between the Bidder and the City of Miami Beach, Florida, for the performance of all requirements to which the Bid pertains. The Bidder states that this proposal is based upon the documents identified by the following number: Bid No. 2 4 - D ~ ~ ~ `~ /t/~~~ S Tl.IR.E -- PRINTED NAME Pre S'1~ P~ TITLE (IF CORPORATION) March 2009 City of Miami Beach Page 126 of 185 f Electric Inc. Drug Free Workplace Certificate 00903 2660 West 79 Street, Hialeah, Fl. 33016 Phone (305) 823-2280 Fay (305) R28-4515 e-mail: agc@agcelectric.com - EC'0000764 Manual Drug Free Workplace Certification 00903 DRUG FREE WORKPLACE CERTIFICATION The undersigned Bidder hereby certified that it will provide adrug-free workplace program by: (1) Publishing a statement notifying its employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the offeror's workplace, and specifying the actions that will be taken against employees for violations of such prohibition; (2) Establishing a continuing drug-free awareness program to inform its employees about: (i) The dangers of drug abuse in the workplace; (ii) The Bidder's policy of maintaining adrug-free workplace; (iii) Any available drug counseling, rehabilitation, and employee assistance programs; and (iv) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. (3) Giving all employees engaged in performance of the Contract a copy of the statement required by subparagraph (1). (4) Notifying all employees, in writing, of the statement required by subparagraph (1), that as a condition of employment on a covered Contract, the employee shall: (i) Abide by the terms of the statement; and (ii) Notify the employer in writing of the employee's conviction under a criminal drug statute for a violation occurring in the workplace no later than five (5) calendar days after such conviction; (5) Notifying City government in writing within ten (10) calendar days after receiving notice under subdivision (4) (ii) above, from an employee or otherwise receiving actual notice of such conviction. The notice shall include the position title of the employee. (6) Within thirty (30) calendar days after receiving notice under subparagraph (4) of a conviction, taking one of the following actions with respect to an employee who is convicted of a drug abuse violation occurring in the workplace: (i) Taking appropriate personnel action against such employee, up to and including termination; or (ii) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state, or focal health, law enforcement, or other appropriate agency; and March 2009 City of Miami Beach Rage 127 of 185 Project Manual Drug Free Workplace Certification (7) Making a good faith effort to maintain adrug-free, wslkialaee--program through implementation of subparagraphs (1 }through (6). er Signature) TT G-G ~~pc,`rtc ~ ~ C ^ 1 STATE OF _ ~[) i~ ~ ~ ~ (Print Vendor Name) COUNTY OF ~ ~.~>~~ The foregoin mstrument was acknowledged before me this ~ ~ day of, 1~1 ~ 20c~ by ~vYYY%t S dill -~ as ~'~. (title) of ,~j L C • (name of person whose signature is being notarized) (name of cotporation/company), known to me to be the person described herein, or who produced as identification, and who did/did not take an oath. ~r~r ~ ~ ~ ~ ~~-~ ~ Yl~ ~G1 I ~1 (Print Name) o`r"~ Pv~ Notary Public State of Florida s r rr"arech Bernardin y gmmissian QD50C~2r 1 M comm s ~ ' ~ ~ pi~~S March 20Q9 City of Miami Beach Page 12$ of 185 NOTARY Pi ~Ri ir• _ _ Electric Inc. 2660 V1-'cst 79 Street, Hialeah, Fl. 33016 Phone (305) 823_2280 I~a~ (305) 828_4515 e-mail: agCLagcelectric.com - 1:;00000764 Trench Safety Act 00904 Project Manual Trench Safety Act Acknowledgment 00904 TRENCH SAFETY AGT ACKNOWLEDGMENT On October 1, 1990 House Bill 3181, known as the Trench Safety Act became law. This incorporates the Occupational Safety & Health Administration (OSHA) revised excavation safety standards, citation 29 CFR.S.1926.650, as Florida's own standards. The Bidder, by virtue of the signature below, affirms that the Bidder is aware of this Act, and will comply with all applicable trench safety standards. Such assurance shall be legally binding on all persons employed by the Bidder and subcontractors. The Bidder is also obligated to identify the anticipated method and cost of compliance with the applicable trench safety standards. BIDDER ACKNOWLEDGES THAT INCLUDED IN THE ADJUSTMENT FACTORS OF THE PROPOSAL ARE COSTS FOR COMPLYING WITH THE FLORIDA TRENCH SAFETY ACT. IN ORDER TO BE CONSIDERED RESPONSIVE. THE BIDDER MUST COMPLETE THIS FORM. SIGN AND SUBMIT IT WITH THEIR BID DOCUMENT. AG-~ -~Q _ Name of Bid /~ Auth ized nat Bidder March 20f}9 City of Miami Beach Page '129 of 185 Electric ~nc_ Declaration ofNon-Discrimination in Contracts & Benefits 00907 anal Support Documents 2660 West 79 Street, Hialeah, Fl. 33016 Phone (305) 823 ?280 Fax (305) 828-4515 e-mail agc~a?agcelectric.com - E00000764 Project Manual Nondiscrimination Declaration 00907 NONDISCRIMINATION DECLARATION CITY OF MIAMI BEACH DECLARATION: NONDISCRIMINATION IN CONTRACTS AND BENEFITS Section 1. Vendor Infnormatiorn Name of Company: A ~ ~%~ ~~r ~c , T,v,< Name of Company Contact Person: ~ °i'"'0`~ V ~ ~ ur~Q.I v Phone Number: 3e~ 1623 22 ~D Vendor Number (if known): Fax Number: 3tS iSZ~'~YIS E-mail: dy~c Q~ce ~°c~r~c . c o.+~. Federal ID or Social Security Number: GS y~06 (~~ Approximate Number of Employees in the U.S.: 3~ (If 50 or less, skip to Section 4, date and sign) Are any of your employees covered by a collective bargaining agreement or union trust fund? _Yes /No Union name(s): Section 2. Compliance Questions Question 1. Nondiscrimination -Protected Classes A. Does your company agree #o not discriminate against your employees, applicants for employment, employees of the City, or members of the public on the basis of the fact or perception of a person's membership in the categories listed below? Please note: a "YES" answer means your company agrees it will not discriminate; a "NO" answer means your company refuses to agree that it will not discriminate. Please answer yes or no to each category. ^ Race ~_ Yes _ No ^ Sex ~ Yes No ^ Color /_ Yes _ No ^ Sexual orientation _ /Yes _ No ^ Creed /_ Yes _ No ^ Gender identity (transgender status) /Yes _ No ^ Religion /Yes _ No ^ Domestic partner status _ ~ Yes No ^ National origin /_ Yes _ No ^ Marital status _ _ ~ Yes No ^ Ancestry ~ Yes _ No ^ Disability _ _ ~ Yes No ^ Age ~ Yes _ No ^ AIDS/HIV s#atus _ _ ./ Yes No ^ Height /Yes _ No ^ Weight _ Yes No B. Does your company agree to insert a similar nondiscrimination provision in any subcontract you enter into for the performance of a substantial portion of the contract you have with the City? Please note: you must answer this question even if you do not intend to enter into any subcontracts. Yes No March 2009 City of Miami Beach Page 132 of 185 Project Manual Nondiscrimination Declaration Question 2. Nondiscrimination -Equal Benefits for Employees with Spouses and Employees with Domestic Partners Questions 2A and 2B should be answered YES even if your employees must pay some or all of the cost of spousal or domestic partner benefits A. Does your company provide or offer access to any benefits to employees with spouses or to spouses of employees? Yes No B. Does your company provide or offer access to any benefits to employees with (same or opposite sex) domestic partners* or to domestic partners of emp~royees? _Yesra/No ~Y ~v`Svv-a .,,r~ cd~.xr~t~v5 ~o (-hor .ry r~ ov *The term Domestic Partner shall mean any iwo (2) adults of the same or different sex, who have registered as domestic partners with a government body pursuant to state or local law authorizing such registration, or with an internal registry maintained by the employer of at least one of the domestic partners. A Contractor may institute an intemal registry to allow for the provision of equal benefits to employees with domestic partner who do not register their partnerships pursuant to a govemmental body authorizing such registration, or who are located in a jurisdiction where no such governmental domestic partnership exists. A Contractor that institutes such registry shall not impose criteria for registration that are more stringent than those required for domestic partnership registration by the City of Miami Beach. If you answered °NO" to both Questions 2A and 26, go to Section 4 (at the bottom of this page), complete and sign the form, filling in all items requested. If you answered "YES" to either or both Questions 2A and 26, please continue to Question 2C below. C. Please check all benefits that apply to your answers above and list in the "other" section any additional benefits not already specified. Note: some benefits are provided to employees because they have a spouse or domestic partner, such as bereavement leave; other benefits are provided directly to the spouse or domestic partner, such as medical insurance. Benefit Yes for Yes for Employees No, this Documentation is Employees with Domestic Benefit is Not Submitted with this BENEFIT with S ouses Partners Offered Form Health Dental ~ ^ ° ~ ^ ^ Vision ~ ^ Retirement (Pension, ^ ^ ^ ~ ~ 401 k ,etc. ^ Bereavement ^ ^ Famil Leave ~ ~ ~~ ~ ^ ^ ^ Parental Leave .rr ~ ~ ^ ^ Employee Assistance ^ ^ ^ ^ Pro ram rr ^ Relocation & Travel ^ ^ Company Discount, ^ ^ r~/ ^ Facilities & Events ^ Credit Union ^ ^ ~ Child Care ^ ^ s~ ^ Other: ~ ~ ^ ^ ^ ~ P°II~Y - A~p~O we,~a 5~~~~~ Note: !f you cannot offer a benefit in a nondiscriminatory manner because of reasons outside your control, (e.g., there are no insurance providers in your area willing to offer domestic partner coverage) you may March 2Qd9 City of Miami Beach Page 133 of 185 Project Manual Nondiscrimination Declaration be eligible for Reasonable Measures compliance. To comply on this basis, you must agree to pay a cash equivalent, submit a completed Reasonable Measures Application with all necessary attachments, and have your application approved by the City Manager, or his designee. Section 3. Required Documentation YOU MUST SUBMIT SUPPORTING DOCUMENTATION to verify each benefit marked in Question 2C. Without proper documentation, your company cannot be certified as complying with the City's Equal Benefits Requirement for Domestic Partner Ordinance. For example, to document medical insurance submit a statement from your insurance provider or a copy of the eligibility section of your plan document; to document leave programs, submit a copy of your company's employee handbook. If documentation for a particular benefit does not exist, attach an explanation. Have you submitted supporting documentation for each benefit offered? +~Yes No Section 4. Executing the Document I declare under penalty of perjury under the laws of the State of Florida that the foregoing is true and correct, and that I am authorized to bind this entity contractually. Executed this 1-`r of !-FPrr ~ , in the year 100' , at ~~w~~a~ F{. _ (City) (State) Sigriatur.~_/ Mailing Address Name of Signatory (please print) City, State, Zip Code ~5+~'~~ Title March 2009 City of Miamr Beach Page 134 of 185 ° - - FOR BILLING INQUIRES: 1-800-656-9323 ~ BILL TO: 0 ao AGC ELECTRIC ~" LCL 2660 W 79 STREET MIAMI LAKES, FL 33016- $TLL~'NG YNVOTCE ATTENTION: RICARDO BEJARAMO INVOICE DATE ACCOUNT ID CONTRACT TYPE PERIOD COVERED DUEDATE INVOICE NUMBER 04/11/2009 106938 05/01/09 - 05/31/09 05/01/09 CMM100056961 AMOUNT TOTAL CONTRACTS TOTAL MEMBERS 58 ~ 76 PREVIOUS BALANCE $37,916.19 MEMOS TOTAL ADJUSTMENTS $0.00 AMOUNT PAID $0.00 ($19,573.47) BALANCE FORWARD $18,342.72 CURRENT PREMIUMS $18,849.99 PLEASE PAY THIS AMOUNT $37,192.71 ~ NOTICE: Please be advised that this invoice serves as notice that continuing to accrue a balance forward will result in termination of your coverage. Please pay all overdue premium amounts immediately to ensure continuation of your coverage. ***PLEASE PAY INVOICE IN FULL*** AvMed is a pre-paid health plan, with payments due on the first day of the month for which services are contracted. Any payments, additions, changes in coverage and terminations that are not received by the 5th will be reflected on a subsequent invoice. Please submit all additions via an Employee Enrollment Form and changes via an Employee Status Form to our Enrollment Services Department. Please return this portion with your payment to : 1 " 1 " „ ~ 1 ~ ~ r r ~ INVOICE NUMBER CMM100056961 n ~ ACCOUDTT.ID 106938 E A L T H F L .A ~' S ~ PAYMENT: DUE DATE 05/01/09 PAI'MENT AMOUNT DUE $37, 192.71 If your payment differs from the amount due on the AV-MED INC invoice, please complete the enclosed Premium D860363 Adjustment form and forward with your payment. ^'RLANDO,FL 32886-0363 PERIOD COVERED PAYMENT DUE DATE ACCOUNT ID INVOICE NUMBER 05/01/09-05/31/09 05/01/09 106938 CM M100056961 EMPLOYEE NAME ALVARADO SALVADOR A ASCANIO MARCEL S BARCELO LEOSBEL BEJERANO RICARDO BERNARDIN FARACH L BETANCOURT JULIO E CABRERA CARLOS F CABRERA EDUARDO CARMONAJESUS CELADA LAZARO CRUZ ERNESTO CRUZ MAURICIO CURBELOJUAN CURBELO ROBERTO CURBELO TOMAS V CURBELO YENEISY DAVILA MANUEL A DE LA SIERRA JUAN C DIAZ OSMANY DURAN DIONISIO FANJUL VICTOR FRAGA CARLOS FRIAS ARMANDO FRIAS YORDAN GALDO ALEXEY GARRIDO LUIS T GONZALES DOUGLAS GONZALEZ AGUSTIN GUTIERREZ YOAN HERNANDEZ HECTOR E HERNANDEZ WILFREDO HERRERA DIEGO J LAUZARDO EDGARDO LINARES ORLANDO LOPEZ JOEL R LOPEZJOSE PAZ JORGE PENATE JORGE L PERAZA YAMEL PEREZ ALEXANDER T PEREZ ANTONIO PEREZ MAIKEL PEREZ OSVALDO PEREZ OSVANY RODRIGUEZ CARLOS M RODRIGUEZ DANIEL A RODRIGUEZ LAZARO H ROMEU ALBERTO SIERRA JORGE TAMARGO LEONEL S TEJERA IVONNE J VALDIVIA WILFREDO VALDIVIA WILLIAM VELAZOUEZ FELIX DIVISION 1069380001 BILLING INVOICE DETAIL PAGE 1 CONTRACT# I EFFECTIVE I CONT.TYPE FAM5IZE TOTAL A10647003 A10624065 A52038156 A70624082 A10624084 A10624033 A10635880 A10624040 A10624069 A10624078 A10610476 A10624074 A10624058 A10624083 A10624024 A10646948 A10624015 A10624048 A10624086 A10624050 A10624052 A10624060 A10647785 A52046152 A10624031 A10624075 A10624085 A10647786 A10624072 A10639453 A52036787 A10624066 A10624080 A10624067 A10624064 A10631476 A10624039 A10624037 A52038735 A10624073 A10624077 A10624030 A10624059 A10624087 A10624038 A10624044 A10624061 A10624049 A10635881 A10624046 A10624063 A10624042 A52036269 A10624062 A10200314 A10624051 A10624053 A10624016 11/01/08 11/01/07 11/01/08 11/01/07 11/01/07 11/01/07 EE EE EE EE EE FA EE EE EE EE EE EE EE FA FA EE ES EE EE EE FA FA FA EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE EE 01 01 01 01 01 04 01 Oi 01 01 01 01 01 05 04 01 02 01 01 01 03 03 04 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 7.00 7.00 7.00 7.00 7.00 1.60 7.00 7.00 7.00 7.00 x.00 x.00 x.00 I.60 1.60 '.00 Total AL ~ $1 18,849.99 Henr.rx r. tia~ OASIC aPr~aN~~~ sa~~aU~~ o~ aE~E~irS ao~T ra ~EMa~a 250-DAY OUT-OF-POC~(ET MAl{IMUM $1,500 INDIVIDUAL _ Per Calendar Year $3,000 FAMILY AVMEO PRIMARY CARE Services at Participating Physicians' offices include, but are not ~ $15 per visit PBYSIGiAN limited to: ^ Routine office visits /annual gynecological examination when performed by a Primary Care Physician ^ Pediatric care and well-child care ^ Periodic health evaluation and immunizations ^ Diagnostic imaging, laboratory or other diagnostic services ^ Minor surgical procedures ^ Vision and hearing examinations for children under 18 MATERNITY CARE Initial visit $15 Co-payment ^ Subsequent visits NO CHARGE AVMED SPECIALISTS' Office visits $35 per visit SERVICES Annual gynecological examination when performed by a participating Specialty Health Care Physician Additional Co-payments will apply if Outpatient Diagnostic Test are performed in the Specialist Office HOSPITAL Inpatient care at Participating Hospitals includes: $250 per day for the first ^ Room and board -unlimited days (semi-private) 5 days, per admission; ^ Physicians', specialists' and surgeons' services 100% coverage • Anesthesia, use of operating and recovery rooms, oxygen, thereafter drugs and medication • Intensive care unit and other special units, general and special duty nursing ^ Laboratory and diagnostic imaging ^ Required special diets • Radiation and inhalation therapies OUTPATIENT SERVICES Outpatient surgeries, including cardiac catheterizations $250 Co-payment and angioplasty • Outpatient therapeutic services, including: • Drug infusion therapy $100 Co-payment • Injectable Drugs (Co-payment for Injectable $75 Co-payment Drug waived if incidental to same-day drug infusion theranvl OUTPATIENT DIAGNOSTIC CAT Scan, PET Scan, MRI $25 per test TESTS Other diagnostic imaging tests $10 per test Co-payments for office visits will also apply if services are _ performed in a Specialist's office EMERGENCY SERVICES An emergency is the sudden and unexpected onset of a condition $100 Co-payment requiring immediate medical or surgical care. (Co-payment waived if admitted) • Emergency services at Participating Hospitals ^ Emergency services at non-participating Hospitals, facilities and/or physicians AvMed must be notified within 24 hours of inpatient admission following emergency services or as soon as reasonably possible AV-BASIC/35-250D-07 MP-3417 (10/07) URGENTfiMMEDIATE CARE ^ Medical Services at a participating Urgent/Immediate Care $40 Co-payment facility or services rendered after hours in your Primary Care Physician's office ^ Medical Services at anon-participating Urgent/Immediate $60 Co-payment ___ Care facility _ _ __ ____ _ _ MENTAL HEALTH ^ 20 outpatient visits ~ $25 per visit FAMILY PLANNING ^ Voluntary family planning services $ I S per visit ~~ ^ Sterilization (In addition to any Outpatient Facility Co- $250 Co-payment ALLERGY TREATMENTS Injections $10 per visit Skin testing $50 per course of testing AMBULANCE ^ Ambulance transport for emergency services $100 Co-payment ^ Non-emergent ambulance services are covered when the skill of medically trained personnel is required and the Member cannot be safely transported by other means PHYSICAL, SPEECH AND ^ Short-term physical, speech or occupational therapy for $20 per visit OCCUPATIQNAL THERAPIES acute conditions Coverage is limited to 30 visits per calendar year for a^ services combined SKILLED NURSING Up to 20 days post-hospitalization care per calendar year $50 per day FACILITIES AND when prescribed by physician and authorized by AvMed _ REHABILITATIDN CENTERS CARDIAC REHABILITATION Cardiac rehabilitation is covered for the following conditions: $20 per visit ^ Acute myocardial infarction ^ Percutaneous transluminal coronary angioplasty (PTCA) ^ Repair or replacement of heart valves Benefits limited ^ Coronary artery bypass graft (CABG), or to $1,500 per ^ Heart transplant calendar year Coverage is limited to 18 visits per calendar year HOME HEALTH CARE Limited to 60 skilled visits per calendar year NO CHARGE DURABLE MEDICAL Equipment includes: $50 per episode of illness EQUIPMENT AND Hospital beds ORTHDTIG APPLIANCES Wallcers ^ Crutches Benefits limited ^ Wheelchairs to $500 per Orthotic appliances are limited to: calendar year ^ Leg, arm, back and neck custom-made braces PROSTHETIC DEVICES Prosthetic devices are limited to: NO CHARGE ^ Artificial limbs ^ Artificial joints ^ Ocular prostheses FUR ADDITItINAL INFiIRtVIAT1UN, PLEASE CALL: 1-80Q-l3$-AVMED (1-80Q-882-8s33~ THIS SCHEDULE OF BENEFITS IS NOT A CONTRACT. FOR SPECIFIC INFORMATION ON BENEFITS, EXCLUSIONS AND LIMITATIONS, PLEASE SEE YOUR AVMED GROUP MEDICAL AND HOSPITAL SERVICE CONTRACT. AV-BASIC/3S-2SOD-07 M?-3417 (10/07) Th~Starldardo P O Box 82588 / Lincoln, NE 68501-2588 Claims 800-547-9515 / Administration 877-490-9991 Posftfve~ydifferern. Administration Fax 402-467-7338 STATEMENT OF PREMIUMS FDR COVERAGE FROM: 05-01-2009 THROUGH 05-31-2009 ~~~~ PREVIOUS AMOUNT DUE . PAYMENT RECEIVED PRIOR 04-09-2009 THANK YOUR. . POLICY 160-147432-00001 AGC ELECTRIC, INC. PAGE: 2 OF 3 PREPARED: 04-09-2009 360.00- .00 PLEASE NOTE LAST DAY WORKED OR TYPE OF COVERAGE CHANGE AND CURRENT MONTH'S PREMIUM EFFECTIVE DATE (IF APPLICABLE) . CERT # NAME CLASS PREMIUMS TOTAL 42 ALVARADO,SALVADOR A DEP O1A EE- 48 DEP- 21 33 ASCANIO,MARCEL O1A 26.04 26.04 12 BALDELOMAR-BERNARDIN,FARA CH L O1A 26.04 26.04 29 BARCELO,LEOSBEL 01B 26.04 26.04 39 BEJERAND RICARDO 26.04 30.12 56.16 , 25 BETANCOURT,JULIO E O1A 01B 26.04 26.04 6 CABRERA,CARLOS F O1A 26.04 30.12 56.16 10 CABRERA,EDUARDO O1B 26.04 26.04 17 CARMONA UESUS 26.04 30.12 56.16 , 26 CELADA LAZARO O1D 26.04 68.28 94.32 , 11 CRUZ ERNESTO O1A 26.04 26.04 , 34 CRUZ MAURICIO 01B 26.04 30.12 56.16 , 23 CURBELO JUAN A O1A 26.04 26.04 , 40 CURBELO ROBERTO O1B 26.04 30.12 56.16 , 43 CURBELO TOMAS V O1D 26.04 68.28 94.32 , 32 DAVILA MANUEL O1D 26.04 68.28 94.32 , 24 DE LA SIERRA,JUAN CARLOS 016 O1A 26.04 30.12 56.16 35 DIAZ,OSMANY 26.04 26.04 44 FANJUL VICTOR O1B 26.04 30.12 56.16 , 7 FRAGA CARLOS O1A 26.04 26.04 , 5 FRIAS ARMANCO O1A 26.04 26.04 , 3 GALDO ALEXEY O1D 26.04 68.28 94.32 , 18 GARRIDO,JOEL R LOPEZ O1B O1A 26.04 30.12 56.16 30 GARRIDO,LUIS 016 26.04 26.04 48 GUTIERREZ,YOAN O1A 26.04 30.12 56.16 15 HERNANDEZ HECTOR ~ 26.04 26.04 , 45 HERNANDEZ WILFREDO O1A 26.04 26.04 , 9 HERRERA DIEGO J 016 26.04 30.12 56.16 , 36 LOPEZ OSUALDO P O1A ~ 26.04 26.04 , 14 MANTILLA FERNANDO O1A 26.04 26.04 , 37 MARRERO OSVALDO O1C 26.04 38.16 64.20 , 1 MARTINEZ ADOLFO O1A 26.04 26.04 , 22 MARTINEZ J05E O1A 26.04 26.04 , 41 MORENO RUBISNEL O1A 26'04 26.04 , 20 PAZ,JORGE O1A 26.04 26.04 19 PENATE,JORGE L O1A 26.04 26.04 4 PEREZ ANTONIO OiA 26.04 26.04 , 31 PEREZ MAIKEL OiA 26.04 26.04 , 38 PEREZ,OSVANY O1A 26.04 26.04 8 RODRIDUEZ CARLOS M O1A 26.04 26 04 , 27 RODRIGUEZ LAZARO H 016 26.04 50.12 56.16 , 2 ROMEU,ALBERTD 016 26.04 30.12 56.16 21 SIERRA,JORGE O1B 26.04 30.12 56.16 28 TAMARGO,LEONEL O1A 26.04 26.04 01C~ 26.04 30.12 56.16 siioRe~,.s-os ~~CIX1~~{ ~ ~f~~C1QOCil, Tn~~tandard® Positively different. CERT k NAME 16 TEUERA,IVONNE J 46 VALDIVIA,WILFREDO 47 VALDIVIA,WILLIAM 13 VELAZgUEZ,FELIX P.O. Box 82588 / Lincoln, NE 68501-2588 Claims 800-547-9515 / Administration 877-490-9991 Administration Fax 402-467-7338 PDLICY 160-147432-00001 AGC ELECTRIC, INC. PAGE: 3 OF 3 PREPARED: 04-09-2009 STATEMENT OF PREMIUMS FOR COVERAGE FROM: 05-01-2009 THROUGH 05-31-2009 CLA55 DEP EE- O1B O1A 01B O1A PREMIUMS 48 DEP- 21 26.04 30.12 26.04 26.04 30.12 26.04 PREMIUM TOTAL: TOTAL DUE: TOTAL 56.16 26.04 56.16 26.04 2,043.12 1,683.12 siloRe~.s-o~ ~,6C1~`1~47~i3c~CsC~[1C11, STANDARD INSURANCE COMPANY A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 97204-1282 ['~ (503) 321-7000 Lt~ CERTIFICATE AND SUMMARY PLAN DESCRIPTION GROUP LIFE INSURANCE Policyholder: Policy Number: Effective Date: AGC Electric, Inc. 147432-A April 1, 2009 A Group Policy has been issued to the Policyholder. We certify that you will be insured as provided by the terms of the Group Policy. If your coverage is changed by an amendment to the Group Policy, we will provide the Policyholder with a revised Certificate or other notice to be given to you. This policy includes an Accelerated Benefit. Death benefits will be reduced if an Accelerated Benefit is paid. The receipt of this benefit may be taxable and may affect your eligibility for Medicaid or other government benefits or entitlements. However, if you meet the definition of terminally ill individual" according to the Internal Revenue Code Section 101. your Accelerated Benefit may be non-taxable. You should consult your personal tax and/or legal advisor before you apply for an Accelerated Benefit. Possession of this Certificate does not necessarily mean you are insured. You are insured only if you meet the requirements set out in this Certificate. If the terms of the Certificate differ from the Group Policy, the terms stated in the Group Policy will govern. "We", "us" and "our" mean Standard Insurance Company. "You" and "your" mean the Member. All other defined terms appear with the initial letter capitalized. Section headings, and references to them, appear in boldface type. This certificate provides life insurance for employees and dependents, if applicable, of AGC Electric, Inc., 2660 W. 79th Street, Hialeah FL, 33016, under 147432-A. The employee shall be given a copy of the group enrollment application. The benefits are payable to the beneficiaries of record designated by the employee. GC 190-LIFE/5399 /~ ~~~ C/ President If you become a Member after the Group Policy Effective Date, you are eligible on the first day following 90 consecutive days as a Member. Your Eligibility Waiting Period will be reduced by any continuous period as an employee of the Employer immediately prior to the date you become a Member. Evidence of Insurability: Required: a. For late application for Contributory insurance. b. For reinstatements if required. c. For Members eligible but not insured under the Prior Plan. PREMIUM CONTRIBUTIONS Life Insurance: Noncontributory AD&D Insurance: Noncontributory SCHEDULE OF INSURANCE SCHEDULE OF LIFE INSURANCE For you: Life Insurance Benefit: $10,000 Repatriation Benefit: The expenses incurred to transport your body to a mortuary near your primary place of residence, but not to exceed $5,000 or 10% of the Life Insurance Benefit, whichever is less. SCHEDULE OF AD&D INSURANCE For you: AD&D Insurance Benefit: The amount of your AD&D Insurance Benefit is equal to the amount of your Life Insurance Benefit. The amount payable for certain Losses is less than 100% of the AD&D Insurance Benefit. See AD&D Table Of Losses. Seat Belt Benefit: The amount of the Seat Belt Benefit is the lesser of (1) $10,000 or (2) the amount of AD&D Insurance Benefit payable for loss of life. Air Bag Benefit: The amount of the Air Bag Benefit is the lesser of (1) $5,000; or (2) the amount of AD&D Insurance Benefit payable for Loss of your life. Career Adjustment Benefit: The tuition expenses for training incurred by your Spouse within 36 months after the date of your death, exclusive of board and room, books, fees, supplies and other expenses, but not to exceed $5,000 per year, or the cumulative total of $10,000 or 25% of the AD&D Insurance Benefit, whichever is less. Printed. 04 %08 /2009 _ 2 - 14'7432-A A.G.C. Electric Employee Handbook: Medical Attention Compensation Overtime Commissioned Sales Wage and Salary Disclosure Payroll Schedules (4 options) Your Paycheck Payroll Deductions for Federal Tax, State Tax, FICA and Medicare IRA's -Individual Retirement Accounts Working Away From the Office Performance 8~ Evaluation Reviews (3 options) Reimbursement of Expenses Reporting Personal Information Changes Gifts, Entertainment & Meals Visitors Personal Property Personal Safety Food & Beverage Smoking (3 options) Company Property Confidential Information Security Facilities Security (2 options) Office Supplies, Postage ~ Company Accounts Company Vehicles (2 options) Company Equipment Phone Systems, Voice Mail and Personal Calls Conservation and Recyc{ing Computer Related Computers and Related Equipment Internet E-Mail 8~ Electronic Communication Policies for Leave of Absence Eligibility `, Personal Leave of Absence Sick Leave Short-Term Disability Leave Unpaid Family 8~ Medical Leave Funeral Leave Jury Duty Military Duty Severe Weather Closings Benefits Overview Eligibility A.G.C. Electric Employee Handbook: For protection of A.G.C. Electric's network and proprietary information, security measures have been installed on the system. No employee shall, under any circumstances, attempt to disable or circumvent these security measures. ~nllail Electrr~nic Con~rnunication Company provided email is provided for business purposes only. Personal use should be kept to an absolute minimum. All emails, sent or received, are company records and as such, are accessible to appropriate staff members. No anonymous emails can be sent from company systems. All employees are required to identify themselves by name and email address. Chat room participation is prohibited except for business related forums which require approval from your immediate supervisor. F~c~~i~i~s far L~aive cal Absence Eligilaility Paid and non-paid leave of absence is a benefit of working at A.G.C. Electric. To qualify for these leave of absence benefits the employee must be a full time employee and have completed a minimum of ninety (90) days continuous employment with A.G.C. Electric. Full time employees are employees who have been assigned a regular 40 hour per week work shift. Employees scheduled for less than 40 hours weekly are not eligible. A.G.C. Electric reserves the right to, without notice, revise these leave of absence policies. If you have questions contact the Human Resources department. A.G.C. Electric will make every reasonable effort to consider personal leave of absence. Apply for unpaid personal leave of absence authorization from the Human Resources department. Many factors are considered when determining eligibility for personal leave of absence and is granted or denied solely at the discretion of A.G.C. Electric. When granted, the maximum allowable is 30 days per calendar year. ~t~eartrTerr~n [~isabilil A.G.C. Electric offers short-term disability benefits to eligible employees for extended illness or injury when the employee is deemed unable to perform their job duties for more than 5 consecutive scheduled workdays. Short-term disability leave benefits are earned at a rate of one day of paid leave for every 2 completed calendar months worked. Eligible employees can earn up to six days of short-term disability leave per year. Unused short-term disability leave may not be carried to the next year. At the end of employment with A.G.C. Electric, employees will not be paid for unused short term disability leave days. 16 A.G.C. Electric Employee Handbook: Notify your immediate supervisor or the Human Resources department in advance when you plan to use short-term disability leave for scheduled medical procedures or pregnancy related disability. A Certified Professional Physician must recommend short-term disability and paper work must be signed by the physician. A.G.C. Electric reserves the right to verify any employee's inability to perform job duties through consultation of medical experts selected by A.G.C. Electric liai~I I~aar~ii~ & Medical I-ear A.G.C. Electric employees are eligible to take unpaid leave as per the terms of The Family and Medical Leave Act of 1993. Consult the Human Resources department for details and notify your immediate supervisor if you choose to take this unpaid leave of absence. ~lury Duty Notify your immediate supervisor if you are summoned for jury duty. Time off from work will be granted as necessary in compliance with applicable law. In accordance with requirements of law, A.G.C. Electric will provide military leave of absence and reinstatement for qualifying employees. A.G.C. Electric will provide eligible employees up to two weeks paid leave for military leave of absence. In the event the company must close for the day due to severe weather or emergencies, the company will make every reasonable effort to notify you. Employees will be paid for the day up to a maximum of three days. If weather conditions are so severe that you are unable to travel to work, contact your immediate supervisor. Employees will be paid for the day when these instances arise and travel restrictions can be independently confirmed. Gvc~rviev+~ Benefits provided to employees are provide at the will of A.G.C. Electric and A.G.C. Electric reserves the right to modify or eliminate benefits without notice under conditions of law. The benefits listed herein are intended to be a general description only. Details of specific benefits are outlined in the documentation for the benefit program. 17 ~~ ~ r ~' Electric inc. Qualification Statement 00908 and Support Documents. 2660 West 79 Street, Hialeah, Fl. 33016 Phone (305) R23-2?RO Fay (305) R2R-4515 e-mail: age ar agcelectric.co~n - E(~0000764 3rR11FWD DnuDO CI~WDFVItr's 4 uDd11FD'Vi~ 6VdV~p Fi~W 00908 C21 75 AC72 5'6 4 8 AL, F, CA7, 21 67A7 EO E 1 7 ITB Number: 2y' o ~ 0 °) Contractor Name: e~ ~~ ~~ The undersigned certifies under oath that the information provided herein is true and sufficiently complete as not to be misleading: Submitted By: ~ dw~s ~ , ~ v r,Q~~ (Name) (Title) Address: 26 6 o w ~ ~ STrP~~C Corporation ~ Partnership ^ individual ^ Joint Venture ^ Other ^ Principal Office Location GAD U..1 ~~ „vN~~ ~ NIa~~Qo.~ ~ F~. 7~~(6 Name of the Project: Job Order Contract -ITB No.: 2 ~ ~ ~~ID4 ~~ ~ p~~~ Ca 1. Organization 1.1 How many years has your organization been in business as a contractor? l 7- 1.2 How many years has your organization been in business under its present business name? ~ 2 1.2.1 Under what other names has your organization operated? (Viarch 2009 City of Miami Beach Rage 141 of 185 3rRlilFVW DnuDO Cl~WDFVRr's 4 uDaNFDSIi~ 6WIl~p FhW 1.3 If your organization is a corporation, answer the following: 1.3.1 Date of incorporation 0 ~ ~ 21 ' (q q } 1.3.2 State of incorporation F' Lo Y-~~~, 1.3.3 President's Name ~ ~ w.aS y , C.~ ~-~~\ ~ 1.3.4 Vice President's Name_ ~, v.r~$vE Z ~p-~'LtiwA/~ 1.3.5 Secretary's Name _ e ~ ~rre'~ Q , Q ~,.. S ~errc~. 1.3.6 Treasurer's Name 1.4 If your organization is a partnership, answer the following: 1.4.1 Date of organization 1.4.2 Type of partnership (if applicable) 1.4.4 Name(s) of General partner(s) 1.5 If your organization is individually owned, answer the following: 1.5.1 Date of organization 1.5.2 Name of Owner 1.6 If the form of your organization is other than those listed above, describe it and name the principals: N ~~} March 2Q09 City of Miami Beach Page 142 of 185 3 rFtl'IFVIp Dn u D0 2. Licensing C I~ WDFVItr~'s 4 u D01 lF DVi~ 6 VOV~p Hn W 2.1 List licensing evidencing your organization is legally qualified to conduct business in Florida and perform the scope of work described in this ITB respective to the Job Order Contract that you are bidding (see Invitation To Bid -Bid Table), and indicate registration or license numbers (also attach photocopy of license(s)): _ S~a~e oar`tt~~~~ ~~ec-~rtCa\ ~+~ra~oy L~~pv,SQ ~ ~~6`f 3. Experience 3.1 List the categories of work ~trc t!'dlrv~n S~~t Cax-J ~cCPSS S nor~+(m(~~ally perforC~{ls with its opwn\forces. ro. ~t"tC ~ 1 ~ ~.w \ l 20,1 O N ( F oo~! lvay ~~ v~~slo.~ ~eC~~tto~ _ Syslew, . C'0.~ra vv ve t\k vtC ~ 'Q.N~S hpa ca~ ~..t ~~ ~K a S y ^~ ` / wt 1 ~~ --`~~ME^'~~\IoK awl? (o~LTlr~-~S 3.2 Claims and suits. (If answer to any of the questions below is yes, please attach details). 3.2.1 Has your organization ever failed to complete work awarded to it? ~~ 3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? A~0 3.2.3 Has your organization filed any law suits or request arbitration with regard to construction contracts within the last five (5) years? Yes 3.3 Within the last five (5) years, has any officer or principal of your organization ever been an officer or principal of another organization when it failed to complete a construction contract? (If the answer is yes, please attach details). ~ C>~ IMarch 20Q9 City of Miami Beach Rage 143 of 185 ~~+` ~ w x N H 01 n ° n rt o Q1 C .. w a ~ o ry ,~ ~ ` t7 ~ • ; 4 C .. ~ ~p y V. ~ a ~ y t ~ W h3 ~ ~ y c ~ ~ H (H] f~ a ~ n I o ~ o O w d ~ . G z ~ ' QY ~ ~i r ~ ~ n H n 5' a O ~ ~ N `` ~ ~ o ~ ~~j ~ _p ¢~ Q ~ R ~ ~ T ~ ~ ~ r~ `i7 -1 rr~~ r7 ,. ~ ~ w ~ *G ~` s ~ ~ ,~ ' "~ _ ~ y n. 0 eo ~ ` ~ - o. ~ ~• x ~ b ~ O y ~ o ~ ~~ y C ~ ~ m ~ N ~ .. w 0 ~J ~i Q ~, ?. 0 O a n C Q ~_ .~ ~~ ~~ N '~ ~ n O R C1 O c O n~ n c ry /~' o` b. 4 Y: F~... BZy~ j ~'~''~ Fes: . ~"F- O }-h w~ ~" N O -' O ,~, Ta-x A~~' zovs sn-se ar` ~oRInA r.ao,~ t THIS IS NOT q 81LL-00 NOT PAY ' 452&~~8-3 ~ - }, an~r~ ~~~~STg~C ~~. , .: r ~. STAT~~~TO ~: 33Oa 6 N 1<A'L EAH ~x ~, ~ ow ~~ ELECTR.IC INC ~`l~`~~CAI CONTRACTOR WORKER/S .THL$i5 ONLY A LUGI =~c~ '+~~ '. HUStNE55 TAlt1iECE1PPf;'R ~ bOES NOS PEgp PT T;HE ~,- HOLUEgTO AIOLATE~ ANY ~aTtyY OR REOIt(:ATORY ORZON NO'LA{yg'OPTHE COUNTY~OR Cl7jE5. NOR DO NOT FORWARD 6OES~1T_EXESM,pTFk.E A6C ELECTRIC INC NoenER FROr>ANr OTHER P:Efl Y.LT O~q~RET EtPT -NEOfttREbBVLAw,7Hlsls TOMAS CURBELO PRES NOTA CERTIFICATION OF THEttOLDER'S O(bWFlCA- 2660 W 79 ST n""- HIALEAN FL 33016 - .. .. a v,7 L:v.t 6_QD3DD403 ? 000069_Ot SEE OT"11ER StpE !/,li, 1,1!,!1,,,1, ,111!!1 / l l 1111! ,,11!1!,1, t J!, li„!ll,,,l~,4! FIRST-CLASS U.S. POSTAGE PAID MIAMI, F[. PEAMIT N0.23 -0 State of Florida Department of Slate I certify from the records of this office that AGC ELECTRIC, INC. is a corporation organized under the laws of the State of Florida, filed on August 21, 1997. The document number of this corporation is P97000072705. I further certify that said corporation has paid all fees due this office through December 31, 2009, that its most recent annual report was filed on March 24, 2009, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Seventeenth day of April, 2009 1 Secreta~~ o. f State Authentication ID: 700150973747-041709-P97000072705 To authenticate this certificate,visit the folla~n~iu~ site. ester this ID, and then follo~~~ the nth uctions displayed. hops: //efile.s unbiz.org/certa uth~~er. html 3rRI1FVIp DnuDO 4. Attach Organizational Chart hereto. 5. Attach Staffing Plan hereto. Cf~WDFV~'s 4 uD01MFD'V~~ 6VOVrp Fi~W March 2QQ9 city of Miami Beach Page 144 of 185 A.N[~~CAN .~.RBT'TRATION ASSOCIATION Colmtncrcial Arbitration Tributaal Tn the Matter of the Arbttratwn between Re:32 110E 00769 07 AGC Electric, Inc. (Claimant) and ATC International, T.nc. {Respondent} A~'~ARD OF ARI3ITR~4TOR 1, THE 1:INDERSIGNED ARBITRATOR, having been designated in accordance with the arbitration agreement entered itrto between the above-named parties and dated May 15, 2006, and having been duty sworn, and having duly heard the proofs and allegations of the Parties, do hereby, AWARD, as follows: To Claimant, AGC Electric, Inc. (a) the amount of 569,497.39, plus (b) interest on $46,077.05 at the legal rate from January 14, 2007 and on $23,420.34 from February 25, 2007, and (c! the costs and fees of this proceeding as set forth below. This matter arises from a dispute abotrt the performance of electrical infrastructure work on three separate subcontracts under three separate eontt•scts between Respondent and tho Miami-Dade Public School Board for three separate school projects, Giades, Palmetto and McMillan Middle Schools. It was undisputed that Respondent paid Claimant for one of the subcontracts in full (C:lades), paid 50% on one subcontract (McMillan) and nothing on the third subcot~traet. Respondent claimed it was entitled to set- offthe unpaid amounts beea~use Claimant did not paint the exposed conduit it installed; Claimant denied that it was obligated to paint the conduit. Both parties rely on the terms of the subcontracts, each of which incorporated the provisions of the MDi'S CCTV Installation Requirements. !t is clear that the Miami- pade School Board SCS-CCTV Supplemental Installation Requirements 6.0, paragraph 11, which states: "It is the responsibility of the ~•ondor/contractor to sleeve all interior vrall penetrations. Sleeves are to extend 2" from the wall and shall have bushings, a set screw bushing is acceptable. Wall penetrations shall be fire caulked, patched and painted to match existin=g building. Paint will be provided at the site. Sleeves shali be sealed with fire-stop approved material. Powder activated fasteners are not allowed for us{:." does not require that the entire length ofthe conduit spanning wall penetrations be painted. Further, if the Respondent and the owner agreed that tl'iis painting was required, the painting :s not within the scope of Claimant's work. If there was confusion, Respondent failed to clarify the matter until after Claimant had performed its work. The contracts both provided for payment as follows: "50":~u payment upon completion and project acceptance by ivTDPS, 50% payment 30 days after." (Exhibits J-l and J-2) There was no evidence that the term "project" referred to only a portion of each sehoc>I project. Claimant introduced Exhibits CL-I amd CL-2 over the objection of Respondent, which s'iow that McMillan Middle School project was closed on January 24, 2007 and that Palmetto Middle School project was closed on December 15, 2006. Accordingly, final payment on each became due 30 days later. The Claimant, AGC Electric, Inc, is determined to be the prevailing parry in this matter. The award of attorney's fees, if any, is not the subjec# of this arbitration, and is to be determined by a court of competent jurisdiction. Z00([j %~~ i~C=LT 6002/5Z/CO The administrative filing and ra.Qe service fees and expenses of the American t1~-bitration Association totaling $1,250 shall be born: equally; the other administrative fees of the AAA, totaling $200.00, shall be borne equal]y. The compensation and expenses of the arbitrator totaling $1,20.00, shall be borne equally. Therefore, ATC International, Inc. shalt reimburse AGC Electric, Inc. the sum of $1,255.00, representing that portion of said fees and expenses in excess of the apportioned costs previously incurred by AGC Electric, Inc. This Award is in full settlement of all claims and counterclaims submitted to this Arbitration. All claims not expressly grantEd herein are hereby, denied. Date ~ Deborah B varnicl<Mastin, A itrator C00 ~ %B3 SC~LT 6002/5Z/CO ._~~ !~ Electric Inc. 2660 West 79 Street, Hialeah, Fl. 33016 Phone (305 823-2280 Fax <3p5~ 828-451 e-mail: age@agcelectric_com - $00000764 ORGANIZATION CHART for City of Miami Beach project ITB No. 24- 08/09 1. President: Tomas V. Curbelo is in Charge of all Operations. a. Electrical Engineer bachelor degree. IMSA Traffic Signal Level III. IMSA Traffic Signal Inspector. Traffic Signal Bench Technician level II. Traffic Controller CT-BI Tran System Certified. MOT Intermediate. OSHA certified. Roadway lighting level I. NFPA and BICSI membership. Fire Alarm System Agent Certified. (see resume attached) 2. Vice President: Enrique Guzman is responsible for ensuring the quality of every job. a. Master Electrician. State Certified Unlimited Electrical. State Certified Electrical Inspector. State Plan Examiner Certified. (see resume attached) 3. Roberto Curbelo: Project Manager, Field Operations, Safety Manager. a. IMSA Traffic Signal Level III. IMSA Traffic Signal Inspector. Traffic Signal Bench Technician level II. MOT Intermediate. OSHA certified. Roadway lighting level I. Fire Alarm System Agent Certified. Miami Dade Journeyman Electrician course. 3rd year on electrical engineering. b. 12 year Experiences in all type of electrical, fire alarms, roadway and parking lot lighting, traffic signalization, clock~'intercom, instruction detection; stage lighting, access control, CCTV, ITV, and dimming systems. Some Electrical Work Experiences as project manager: - City of Miami Beach projects; Roney Palace Hotel-Condo. 777 Building Main Electrical Upgrade, Ocean Front Auditorium HVAC Upgrade. Victor Hotel Front Lighting, Temple Beth School Phase II renovation). Broward County projects : SBBC Whiddon Rogers Education Center. Home Diagnostic, Minimed Medical. Fire Sattion Headquarter fort Lauderdale. Bank of America Fort Lauderdale. Pediatric Associates. 4th Court of Appeals WPB upgrades Miami Dade County ;Johnson &Johnson-Gordis Building 7N.. Johnson &Johnson-Gordis Building 7M. Miami Dade College Science Building.. Martin Luther King Boulevard Lighting. MDCPW Project 20060346 Traffic signal. MDC Wolfson 1000 Fire alarm. WLRN Antenna. SBAB MDCPS and Anna Brenner Fire alarm system. Horace Mann School Clock/lntercom. Several Miami Dade College Projects. Several FN projects (example Wolfe Center, OWA EHAN renovation, etc). Centro Mater West, Beckman Coulter. Baxter Corporation. Altin Corporation. GOYA products. 4. Juan Carlos de la Sierra: Project superintendent for public right of way work. a. Commercial/Industrial Journeyman electrician. IMSA Traffic Signal Level III. IMSA Traffic Signal Inspector. Traffic Signal Bench Technician level II . MOT Intermediate. OSHA certified. Traffic Controller CT-BI Tran System Certified. Roadway lighting electrician level I. IMSA Traffic Signal electrician Level II. IMSA Traffic Signal Electrician Level I. b. 10 year Experiences in all type of electrical work, fire alarms, roadway and parking lot lighting, traffic signalization. Some Electrical Work Experiences as project manager: - MDCPW Project 20060401 Traffic Signal County wide. - MDCPW Project 20060402 Traffic Signal County wide - MDCPW Project 20060401 Traffic Signal County wide - MDCPW Project 20080115 Loop Installation County wide - MDCPW Project 2008060 Traffic Signal County wide - Brickell Avenue Lighting. - North Broward Hospital parking lot. - MNA properties Building and Parking Lot. - Intel FAB 12- Arizona. - Arizona University. S. Manuel Davila: Project Superintendent for mayor building work. a. Journeyman electrician. IMSA Traffic Signal Electrician Level II. MOT Intermediate. OSHA trained. Certified. Roadway Lighting Electrician level I. Fire Alarm System Agent Certified. IMSA Traffic Signal Electrician Level I b. 10 year experience as project superintendent in on all type of electrical, fire alarms, clock/intercom, instruction detection, stage lighting, access control, CCTV, ITV, and dimming Some Electrical Work Experiences as project superintendent for mayor building work: - OJUS Elementary. - Norland Elementary. - MDC Student Life building. - MDC Kendall Computer Courtyard. - School of Entertainment North. - Several MDCPS CCTV projects. - Several MDCPS fire alarm projects. - Beckman Coulter projects. 6. Rolando Hernandez: Project Superintendent for minor building and right of way work. a. Journeyman electrician. IMSA Traffic Signal Electrician Level I. MOT Intermediate. OSHA. trained. Certified. I b. 8 year experience as project superintendent in on all type of electrical, traffic signal. Fire alarms, clock/intercom, instruction detection, stage lighting, access control, CCTV, ITV, and dimming. Some Electrical Work Experiences: - MDCPW 20080115 loop Installation County wide. - S W 1 S7 Ave. & S W 47 St (6678} traffic signal. - NW 32 Avenue & NW 33 Street (4707) - MDC Computer Courtyard North. - Howard McMillan Middle ADA - Skanska USA. Dania Office. - MI)C Sciencc l3ttildutg 2660 West 79 Street, Hialeah, Fl. 33016 Phone (305) 823-2280 - Fax (305) 828-4515 e-mail: agc@agcelecMc.com - EC0000764 COMPANY STAFFING 1. President: Tomas V. Curbelo is in Charge of all Operations, Estimating and Cash Management of the firm. 2. Vice President: Enrique Guzman is in charge of qualifying AGC Electric, Inc, and is responsible for ensuring the quality of every job. Enrique Guzman is also a Sales Representative for AGC Electric, Inc. 3. Pierrete De La Sierra: Primarily function of Ms. De La Sierra is Sales , Financing ,and receivables 4. Juan Curbelo: Dispatch, Field Personnel, Field Operations, Project Manager. 5. Roberto Curbelo: Safety Manager, Project Manager, Field Operations 6. Farach Bernardin: Offiee Manager and Account Payable 7. Juan Carlos de la Sierra: Project Manager and Personnel Qualifications Administrator. 8. Dimitri Curbelo: Engineering and drafting. 9. William and Adrian Curbelo: Estimating 10. Ivonne Tejera: Customer Sen~ice I1. Armando Frias: Purchasing and Stock Manager. 12. Rigardo Bejerano :Support Department and. Permitting Electric Ine_ 13. Seven Project Superintendents 14. Fifty Five Field Electricians PRIMARY CONTACTS for City of Miami Beach ITB 04-08/09: Roberto Curbelo Office: 305-823-2280 Fax: 305-828-4515 Mobile: 305-803-4012 Email: Roberto a7a~celectric.cotn Tomas V. Curbelo Office: 305-823-2280 Fax: 305-828-4515 Mobile: 305-803-4010 Email: tomas(a,a~celectric.com AGC owns a large inventory of service trucks, construction equipment, testing equipment and tools to perform the scope of work under this contract Service Trucks; 1- IHC 57' Hi-Ranger Two Man Bucket Truck 2- IHC 66' AZTEC Two Man Bucket Truck 3- IHC Commander Digger Derrick and 42' One Man Bucket. 4- Chevy C70 Terex Pressure Auger 5- Chevy 30' Platform Lift Truck 6- Chevy 47' AZTEC Bucket Truck 7- ISUZLI NPR 18' Cube Truck 8- GMC 5500 20' BOX TRUCK 9- IHC 1998 Extended Cab Dump Truck 10- Ingersoll Rand 180 Compressor. 11- Nissan UDT`K 18' Cube Truck 12- 3 Service Chevy 2007 Express Vans 13- 11 Service Chevy Astros 2005 Service Vans 14- 5 Chevy 1500 Pick-up Trucks Construction I 1- 2- 3- 4- 5- 6- 7- $- 9- ;quipment BOBCAT EXCAVATOR 331 John Deere 2002 Backhoe Caterpillar 426 4X4 Backhoe/Loader BOBCAT B 100 2005 Excavator Vermeer 4750 Backhoe and Trenchers. Bobcat 753 with Pole Boom; Hammer, Digger, Dozer, and Fork attachments IHC 2006 Mini-excavator Two 15000 ton and one 1.0000 ton equipment trailers JI1G IIT49 Trailer 2004 10- Vermeer V 1150 Walk Behind Trencher 2004 11- Allmand Eclipse Solar Powered Arrow Board I2- Genie AWP36 push around lifter 13- 3015 Man lift 14- TWO SKYJACK SJIlI3226 AERIAL SCISSOR LIFT BOOM MANLIFT 15- JLG 1930ES 2004 Scissor Lift Mayor Tools and Miscellaneous Equipment 1- Electric Cable Pullers, hydraulic crimpers, hydraulic pipe benders, threading machines, demolition hammers, Core Drilling Machines 2- IIVIER 350G GSA WORKMAN MIXER 3- PDQG400 Walk Behind 16 HP Gas Power Concrete Saw Cutter 16 4- Coleman 2005 Plate Compactor. 5- Walker 2004 BS6021 Jumping Jack 6- MT-74FA RAMIVIER CONCRETE DIlZT STAMPER 7- Stihl Concrete-Asphalt- Steel Cutting Saw Model TS460 w/ water tank and push around car. 8- Husgvarna 125BT Backpack Leaf 9- BOSCH BRUTE 11304 DEMOLITION HAIvIMER WITH HAULER& 3 BITS 10- MP SUPER DUTY 4000 PRESSURE WASHER 11- TARGET FS 400 Loop Gutting Machine, Asphalt and Concrete Cutting. 12- 2 STII~IL 400 14 Concrete Saw 13- POWERMAX 2 Portable Gas Pump 14- MTS 30 KW TRAILER GENSET. 15- 6 Portable Generators Testing equipment 1- L-155 Loop Analyzer. 2- Two EDI ORACLE2 loop testers. 3- Amprobe DGC-1000A Clamp on ground tester. 4- Extech 3821 S2 Earth Ground Resistance Tester. 5- Fluke 43B Load Analyzer and recorder. 6- OMNI Scanner-analyzer(Fiber optic and copper communication). 7- 2 Greenlee rotation meters. 8- Metrotech 9890 Triple Fred Sonde Utility Locator 9- Digital Meg-ohmmeter. Megger Insulation tester DC 1000 10- AEMC 1250N Meg-ohmmeter Hand Crank 11- SIl1dPSON 408 ILLUMINATION LEVEL METER Certifications and Licenses: 1-Florida Unlimited Electrical State Certified. 2- Low voltage state license technician 3- 1 FL Certified Electrical Inspectors 4- 4 Certif ed Traffic Signal Inspectors 5- 3 Certified Traffic Signal Level III IMSA-FOOT Field Technicians 6- 7 Cert:ifed Traffic Signal Level II IMSA-FOOT Field Technicians 7- 5 Certified Traffic Signal Level II IMSA-FOOT Bench Technicians $- 3 Certified. 'T`raffic Control Operation, BI-IRAN Systems, and Controller Software 9- 18 Certified Traffic Signal Level I IMSA-FDOT Field Technicians 10- 34 Certified MOT-FDOT. Maintenance of Traffic Technicians 11- S IMSA-FDOT Certified Level I Technicians for Roadway Lighting 12- 42 Certified MOT Flagmen's 13- 26 Fire Alarm System Agents 14- 4 OSHA 30 hrs Certified Employees 15- MBE Certified with Broward County and. Florida State. 16- 14 Certified Fire Proofing Technicians. 17- 6 Journeyman Electricians 18- 1 RCDD 19- 4 BICSI certified technician (one PM, two level 1 and one level 2) 20- 4 Fiber Optic certified. Enrique I. Guzman _. 14780 SW 98~' Avenue, Miami FL 33176 • (305) 234-5214 Employment Chief Electrical Official & Plans Examiner Years Employed (2008- present) City of Key Biscayne, (Building and Zoning Key Biscayne, Florida Review and process electrical plans for residential and commercial properties for permitting. Responsible for all permits given or denied within city limits. Responsible for giving information and support to organizations investigating emergencies, re: electrical hazards, mishaps, and violations. Visit job sites to clarify and explain electrical code insecurities of electrical contractors. Supervise the electrical division staff and distribution of daily inspections. Chief Electrical Official & Plans Examiner Years Employed (1987- 2008) City of Coral Gables, (Building and Zoning Coral Gables, Florida Retired on 2008 after more that 20 years of service Review and process electrical plans for residential and commercial properties for permitting. Responsible for all permits given or denied within city limits. Responsible for giving information and support to organizations investigating emergencies, re: electrical hazards, mishaps, and violations. Visit job sites to clarify and explain electrical code insecurities of electrical contractors. Supervise the electrical division staff and distribution of daily inspections. Vice President and Qualifier AGC Electric, Inc. As of (1997- Present) Miami, Florida Prepare bids and estimates for future electrical contracts. Supervise job site progress. President and Qualifier ARC Electric, Corp. (Commercial and Industrial electrical contractor) (1978-1990) Sole proprietor, supervision of entire staff, preparation of estimates and bids, and supervise job site progress. Qualifications Master Electricia~i. State Certified Unlunited Electrical. State Certified Electrical Inspector.. State Plan Examiner Certified. lducation Degree Earned or Major Technical school (Escuela Superior de Artes y ~cios) Degree earned or Major New York City College Enrique Guzman Years Attended (EX:1956-60) Habana. Cube Years Attended (EX:1970-72) New Yorl~ New York __ _. 14790 SW 98th Avenue, Miami FL 33176 • (305) 234-5214 Skills _.. ~ _ • Electrical Estimator . • Computer Literate • Farniliaz with CAD programs • Fluent in English and Spanish • Familiar with electrical computer programs (dos & Windows) Jobs Completed and Supervised _.~_ ALL Projects Completed by AGC since 1997 which includes several government, cities. and privates agencies (Miami Dade school Board , Browazd County School Board Projects, Miami Dade College ,Florida international University. Johnson and Johnson Company, Miami Dade Public Work, City of Miami Beach, City of Miami, City of Hialeah gardens, Beckman Coulter, Mini-med, Home Diagnostic, Baxter Corporation, Regions banks, Sprint PCS, Bank of America Bank, Union Planters Bank, GOYA products, etc) Channe151 (Telemundo) located in Hialeah, FL. (1989) NBC News Located in Biscayne Blvd, Miami, FL. (1988) Medley Industrial Pazk in Medley, FL. (1987-89) Sedanos Market & Pharmacy, others at the Americas in Coral Way, FL. (1983-84) Miramar Plaza. Shopping Center in Miami, FL. (1983) Barto Industrial Warehouse. In Miami, FL (1981-82) References Available upon request. ~N~ L., va vi..wN C11111{UC vucrnan 3Ub-234-5215 p,1 ~i STATE OF FLOR1i)A ACr~` O ~ ~ ~ ~~ ~~ DEPARTMENT OF $USINESS AND PROFESSIONAL REGULATION EC0000764 08/24/08 078171271 CERTIFSED ELECTRICAL CONTi~ACTOR GUZMAN; ENRZQIIE I AGC ELECTRIC, INC. TS CERTIFIED under the provisions of ch.489 Fs sxpization date: AIIG 31, 2010 ~ r.,08D$2400208 ~ - - .. - STATE DF FLORIDA AC# ~ 5 L- i~ ~ 5 ~ - DEPARTMENT OF BIISIN$SS AND PROFESSIONAL REGULATION } HN1557 12,~Z5/07 078091163 j4 STANDARD INSPECTOR ~~ cUxMaN, ENRIQUE x i 1 1 I5 CERTIFIED under rho provisions of Cb.458 ?s II ~'- socpiretioa dates NOV 30, 2009 L071.21500329 ~ •' l STATE OF FLOR~IA AC>~ 3 5 6 ~~ ~ ~1 DSPARTMRNT.OF BUSINESS AND PROFSSSI~NAL REGULATION --=PX703 12/15/07 076091163 STANDARD PLANS EXAMINER "~ ~ ' ' GUZMAN; ENRIQUj3 I .,~, IS CERTIFIED under the pravisiane of ch.4fiB aS -~ Sxyiration o..tei I70V 30, 2009 L0 71215 0 0 3 3 0 ~~ ~. _.-.-..-. z .._~ Tomas V. Curbelo 801 S. W 172 Terrace Pembroke Pines, FL. 33029 (954) 392-8397 Education Higher Polytechnic Institute "Jose A. Echeverria", Habana, Cuba. Graduated in July 15, 1985 as an Electrical Engineer. Bachelor degree evaluation in USA(1995) English language course in Miami Dade Community College OSHA certification course. Fire alarm system agent course. Fire proofing certification course. Roadway lighting certification course Traffic signal certification courses. Control cabinet certification course Computer Window 98,Exce1, Quickbooks Pro,CAD Programs,DOS. Skills Electrical estimator, Electrical planner, Electrical supervisor, Electrical design, Bilingual (English and Spanish). Employment 1997-Present AGC Electric Ino,Hialeah FL. Owner/President. Estimating, Chief of operation, supervising job sites. 1995-1997 ~ecialty Electrical Contractor Inc Miami FL Electrician, Foreman and Protect manager. 2/1995-5/1995 O. Electric Inc. Hialeah FL. Electrician. 1990-1994 EnerQV Project Enterprise Habana, Cuba. Electrical design, Electrical planner and project manager. 1985-1990 International Airport "Jose Marti" Habana Cuba. Electrical engineer, field supervisor and project manager. Tomas V. Curbelo 801 S.W 172 Terrace Pembroke Pines, FL. 33029 (954)392-8397 Some Jobs Completed 2008-present Miami Dade Public Work Traffic Signal Countywide 200$0060 2007-2009 Miami Dade College Science Building. Miami Dade, FL. 2009 D.A Dorsey Elementary .Miami Dade, FL. 2009 Haulover Marina. Miami Dade, FL. 2008 Christopher Columbus High School. Miami, FL. 2008 Miami Dade Public Work Traffic Signal Countywide 20080401. 2007 FIU WOLFS CENTER. Miami Dade, FL. 2006 Marquis at Coral Way, Miami, FL. 2006 Regions Bank. Several sites. Miami Dade, FL. 2005 MDC 600 Building. Miami Dade, FL. 2004 ~~'hiddon -Rogers Education (::enter. Braward, FL,, 2004 FXP Corp., Miami, FL. City of Hollywood Air Dist. Center '004 Turner Construction, Miami, FL. Skyway Elementary 2003 Union Planters Bank. Hialeah, FL. 2001-2003 Roney Palace Interior Renovations. Miami Beach, FL 2002 Baxter World Trade, Ft. Lauderdale FL. Baxter Health Care 2000-2002 Sprint PCS Antennas. Miami-Dade. FL, 2000-2001 Johnson & Johnson .Cordis SC Phase I, II, and II 1998 Cordis Corporation CES Offices, Miami Lakes, FL. 1998 Cordis Corporation 7F ,Miami Lakes, FL. 1997 Centro Mater West. Hialeah, FL. 1997 Sierra Construction, Hialeah, FL. Dade Marine Institute in N. Miami 1996 Sierra Construction, Hialeah, FL. Teletronics pacing System. 1995 Biltmore Crroup, Miami, FL. Medley Warehouse located in Medley. References Available upon request. :,/ ~~.~ Report of Evaluation of Educational Credentials Name: Tomas V. Curbelo Putpose of Evaluation: Employ . Country: Cuba January 21, 1998 The following is a response to Mr. Curbelo's request for an evaluation of his academic credentials from Cuba. Mr. Curbelo attended the "Jose Antonio Echeverria" Higher Polytechnic Institute (Instituto Superior Politecnico "Jose Antonio Echeverria") from 1980 to 1985. Founded in 1900, the "Jose Antonio Echeverria" Higher Polytechnic Institute is a recognized (accredited) public institution of higher education in Cuba. In order to be accepted into the "Jose Antonio Echeverria" Higher Polytechnic Institute, applicants must have the Bachillerato diploma. This is the equivalent of graduation from a college preparatory program at an accredited U.S. high school. Mr. Curbelo was awarded the degree of Electrical Engineer (Ingeniero Electricista) by the "Jose Antonio Echeverria" Higher Polytechnic Institute on July 15, 1985. This is the equivalent of the U.S. degree of Bachelor of Science in Electrical Engineering awarded by a regionally accredited U.S. institution of higher education. Below is the course-by-course evaluation of Mr. Curbelo's study at the "Jose Antonio Echeverria" Higher Polytechnic Institute in terms of U.S. courses, semester credit hours and grades: COURSES Mathematical Analysis I CREDITS GRADES Physics I 4 B Linear Algebra 4 A Descriptive Geometry 3 A English I 3 A Marxist-Leninist Philosophy I * 3 A Introduction to Specialty A Mathematical Analysis II 3 A 4 A Josef Silny & Associates, Inc. International Education Consultants P.O. Box 248233 Coral Gables, Florida 33124 Tel: (305) 666-0233 ~50.~ 2 Physics II 4 A Chemistry 4 A Basic Drawing 3 C Marxist-Leninist Philosophy II * 3 B English II 3 B Physical Education 1 B Production Practice * 0 Passed Mathematical Analysis III 4 A Physics III 4 C English III 3 B Introduction to Computer Science 3 B Mathematical Analysis IV (Differential Equations) 4 A Physics IV 4 A English IV 3 A Complements of Mechanics I 3 A Electrical Circuits I 3 B Elements of Simulation 3 A Production Practice * 0 Passed Elements of Work Hygiene, Protection and Safety 3 A Physical Education 1 A Political Economics I * 3 g Political Economics II * 3 C Electrical Circuits II 3 C Electrical Machines I 3 g Electrical Measurements I 3 A Electrical Circuits III 3 C Electrical Machines II 3 A Electrical Measurements II 3 g Industrial Electronics I 3 B Production Practice * 0 Passed Technical Cybernetics 3 B History of the Labor Movement I * 3 B History of the Labor Movement II * 3 A Electrical Machines III 3 C Industrial Electronics III 3 A Josef Silny & Associates, Inc. International Education Consultants P.O. Box 248233 Coral Gables, Florida 33124 Tel: (305) 666-0233 Fax: (305) 666-4133 ~~.~ 3 Electric Propelling System 3 Production Practice * 0 Electrical Systems 3 A Automated Management and Component 3 C Industrial Electrical Supply 3 A Civil Defense * 0 A Industrial System Processes 3 A Economics of Energetics * 3 A Advanced Topics of Specialization 3 A Electrotechnical Materials 3 B Thermal Technology 3 B Graduation Project 3 A * These courses do not have the same academic content as courses with similar names offered at U.S. institutions of higher education. This evaluation is of an advisory nature. Each institution will decide which of the above mentioned courses are transferable. This evaluation is a statement solely of educational equivalence; only the qualified authorities can determine whether an individual educated abroad can be licensed in the United States. In summary, it is the judgment of Josef Silny & Associates, Inc., International Education Consultants, that Mr. Curbelo has the equivalent of the U.S. degree of Bachelor of Science in Electrical Engineering awarded by a regionally accredited U.S. institution of higher education. S'ncerely, ~~/ N y a E. Zibi is Inte ational E NZ:20_ Consultant Josef Silny & Associates. Inc. International Education Consultants P.O. Box 248233 Coral Gables, Florida 33124 Tel: (305) 666-0233 Fax: (305) 666-4133 JOSEF SILNY & ASSOCIATES, Inc. (JS&A) Founded in 1987, Josef Silny & Associates is a Member of the National A Credential Evaluation Services (MACES). Evaluations prepared by JS&A ~.e anon of recognized and accepted by many organizations. See the back page for a detailed listing. JOSEF SILNY, M.A., President June 1980 -September 1991 Director of International Admissions University of Miami February 1973 to May 1980 Director of International and Transfer Admissions The City University of New York Mr. Silny has participated as a panelist or a workshop director at national professional conferences annually since 1974. He has held numerous committee chairmanships and memberships in national professional organizations as well as memberships on Boards of Directors and Advisory Boards of distinguished educational organizations and corporations. Mr. Silny has published a book and numerous articles in the field of international education. JS&A EVALUATORS & ASSOCIATES: Shihab Asfour, Ph.D., Prof. of Industrial Engineering, Univ. of Miami; Leah Bacon, B.A., Foreign Credential Evaluator; Jennifer Barney, M.A., Foreign Credential Evaluator; Harold W. Berkman, Ph.D., Vice-Dean of School of Business Administration, Univ. of Miami; Aaron Bixler, M.A., Foreign Credential Evaluator; Hilda Caputo, B.A., Foreign Credential Evaluator; B.B.A., Foreign Credential Evaluator; Kassim M. Dakhlallah, MeA ,Foreign Credential Evaluator; Carol M. Davis, Ed.D., P.T. Assoc. Professor of Physical Therapy, Univ. of Miami; Marisa di Giovanni, B.A., Director of Translation; Adam Grotsky, M.A., Foreign Credential Evaluator; James Foley, Ph.D., Assoc. Dean of School of Business Administration, Univ. of Miami; Oscar Holzmann, Ph.D., Assoc. Prof. of Accounting, Univ. of Miami; Paul N. Lazarus, III, J.D., Director of Motion Pictures Program, Univ. of Miami; Philip S. Liu, Ph.D., Prof. of Elect. and Comp. Engineering, Univ. of Miami; Charles H. Mallery, Ph.D., Assoc. Prof. of Biology, Univ. of Miami; Robert F. Moore, Ed.D. Assoc. Prof. of Education, Univ. of Miami; Nancy C. Ortiz, B.Ed., Assoc. Director of International Admissions, Univ. of Miami; Katherine Parry, Ph.D. , P.T. , Assoc. Professor of Physical Therapy, Nova Southeastern University; Carol Raab, B.A., Foreign Credential Evaluator; Mark G. Reid, B.A., Director of International Admissions, Univ. of Miami; Robert Parker, Ph.D., Assoc. Dean of School of Music, Univ. of Miami; Kenneth C. Pohlmann, M.S., Chairman, Music Media and Industry, Univ. of Miami; Christy Samford, B.A., Foreign Credential Evaluator; Michael B. Salwen, Ph.D., Assoc. Prof. of Journalism, Univ. of Miami; Carl H. Snyder, Ph.D., Prof. of Chemistry, Univ. of Miami; Joel D. Stutz, Ph.D., Chairman of Computer Information Systems, Univ. of Miami; Moiez A. Tapia, Ph.D., Prof. of Elect. and Comp. Engineering, Univ. of Miami; Kau Fui Vincent Wong, Ph.D., Assoc. Prof. of Mechanical Engineering, Univ. of Miami; Ronald F. Zollo, Ph.D., Prof. of Civil Engineering, Univ. of Miami; Peter A. Zorn, Jr., M.F.A., former Prof. of Art, Univ. of Miami; Neyda E. Zibilich, B.A., Foreign Credential Evaluator. 2 ~ ORGANIZATIONS WHICH ACCEPT EVALUATIONS DONE BY JS&A ~. U.S. FEDERAL GOVERNMENT The United States Immigration and Naturalization Service The United States Department of Agriculture The United States Department of Defense The United States Office of Personnel Management The United States Labor Department Federal Bureau of Prisons Health Care Financing Administration 2. U.S. ARMED FORCES Air Force, Army, Marines 3. LICENSING BOARDS 1 Accounting: Alaska, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Mexico, Ohio, Oregon, South Carolina, Virginia, Washington, Wisconsin, Wyoming Architecture: California Clinical Social Work, Marriage and Family Therapy, Mental Health: Florida Dentistry: Arizona, Colorado Engineering: Florida, Kentucky, Ohio, Vermont, Wisconsin Law: California, Florida Medical Laboratory: American Medical Technologists, American Society of Clinical Pathologists, Health Care Financing Administration, Connecticut, Florida, Georgia, Nevada, Tennessee Midwifery: Florida Physical Therapy: California, Florida, Georgia, Maine, Mississippi, New Hampshire, Pennsylvania, Tennessee, Vermont Psychology: Maryland Respiratory Care: National Board for Respiratory Care, California, Florida 4. STATE DEPARTMENTS OF EDUCATION Arkansas, Connecticut, District of Columbia, Florida, Georgia, Maryland, Missouri, New Jersey, New Mexico, Ohio, Oklahoma, Rhode Island, Tennessee, Virginia, Wisconsin 5. OTHER GOVERN~NTAL AND PRIVATE AGENCIES American Association of Colleges of Osteopathic Medicine American Association of Colleges of Podiatric Medicine Association of American Veterinary Medical Colleges Bermuda Department of Health Broward County Sheriffs Office Florida Department of Health and Rehabilitative Services NCAA New York State Department of Civil Service Offices of Personnel: the City of Miami, Miami Beach, Ft. Lauderdale, New York Ciry 6. NUMEROUS COLLEGES AND UMVERSIT)FS ~~:ll TRANSLATION SERVICE Corporate Member of the American Translators Association STATE OF FLORIDA COUNTY OF DADE CERTIFICATION I hereby certify that the attached is a true and correct copy of the original instrument presented to me. I have compared this photocopy to the original document, and both are identical. I further certify that the attached is, to the best of our knowledge and belief, a true and accurate translation into English of the attached document(s) in S ish. Marisa di Giovanni Director of Translation Sworn and subscribed before me this / ~ ~da of Y L 19~ °~Y'~~,y B.41f8ARA GEORGlNA GtlE j ,,~ ~'" yam, COMMISSION tI CC 297 I ~-~ .~Z, ~, EXPIRES APR 73, ~ ,.- 3". X~v.f~~ BONDFt7 7118 ~ '~ ~~fj~~~~~`~.,,. Al1NlTiC BONDI O., INC ~~./~~~~ ,C~, 11 // ~ ~1 .~ ., it .. _ 1 N~Stary Public Sta e of Florida at Large Personally known x OR Produced Identification Type of Identification None is required Josef Silny & Associates, Inc. International Education Consultants P.O. Box 248233 Coral Gables, Florida 33124 Tel: (305) 666-0233 Fax: (305) 666-4133 ~w [Cuban Coat of Arms] REPUBLIC OF CUBA MINISTRY OF HIGHER EDUCATION The Rector of the "Jose Antonio Echeverria" Higher Polytechnic Institute by virtue of the powers vested in him, and upon recommendation of the Faculty Dean, grants this Diploma of Electrical Engineer to Tomas V. Curbelo de la Sierra for having fulfilled all the established requirements for this specialization, and taken all the corresponding actions in order to complete his studies, on July 15, 1985 In witness whereof, this document is signed in the City of Havana, on the fifteenth day of the month of July, one thousand nine hundred and eighty-five. [illegible signature] [illegible signature] Dean Rector Countersigned: [illegible signature) General Secretary Entered on folio 359, number 013949 of the book of records kept at the Secretariat of this Higher Education Center. Entered on folio 071, number 7156 of the book of records kept at the Energetics. ,~ ~~..• ~ F. fi: _~ r ~f, 1 ~ j ~ ~~'. ;~.., .. ';k„ e,a e.z,u~so de .~~e.~p eot~,r..~a~.~$y ~ ~Yio~zuP~J~2 Q~ Zp~ q~i.C22 ~jGU~t/~d~C~yZtQG ~G ~ihPiJPntrf ~/.y2LO~IQ~ ClG ~ngeniern ~lertrirista ~.n, ~ Z4nmas ~. (IIarbda de la £~ferra oszaT~ncidna~uet`.~.rESmo•-~i~ct~na~i~.~ai~ri~~'ei~ aala~i~e~i~os~ra~ieri.~o~ eo~iiai'os cue ~tgseaialiaac~,~ ,laada.~ai edroi.,clcios covu~nmu~.x~~..~ .fLCU~wr~aoovct~.l~l~ni~„:o1, e~~ ~P ~lt~{O ~ ~~ ~~rv-~i~inoruac~e .~aua~ ~ .occo~tc~i ess~~ii --.~ . / -~~ ~~ newt ,, ~.~aawi..l ~. ~a9 ...:...... Gasv9 ~.[ 1tb. .....y.,.st...t. . 1. db.«t.+t. •. «« 4wu. ~. li.r.+.1. Srr.t~+ -.. .... ~/SlE tat lth. a«+a.Mwdlawt~. ~ 1. ~...tt~/ h .7"-~`i z d N a ~ ~ ~ ~ ~ ~U \~ ~~ ~~ ~~ ~~ 4 0 ~; a U Q .~ V U w ~, ~o ~~ _~ ty U Q 7 2 O c~ A. 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(Date) ROBERTO CURBELO 0 d L .,.~ ~~ 0 Ca d .~ ~ O O s ~~ a 0 V ..~ ,..~ .S7 O V d 'L~ ..~ .~ w ~~ .~ `~ C o~ V O 1 W ~ o Nz .~ ~ z .~ a ~ ~ w o , ~ ~ o ~. ~ ~ ~ ° a~ u ~ .~ z v o~ U O d ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ .~ '' ~ ~ O ~~~ V ~ C ,~, ~ L ~ 0 c ~ ~ ~ ~~ a. ~ o ~ ~ '~ ~ p ~ ~ G ~ X ~= ~ V .~ ~~ ~ ..~ t e .~ ~ , z ~ Q ~_ c~ ~ do ~ o a k ~ o, 8 O ~. ~ ~ ~ ~ ~ o ~ ~ ~ x ~. ~ ~ ~ A x U ~ ~ ~ ~ ~ `: SZ d '' i C is-.,° C ~~ _~ w O ~ t`~ N N ~NI 1 l L V L 0 0 `~ ~~ •~ • ^( ~~ ~! O a~ .~ /~~ O v O (_~~ (~ nO ~~.~.} 1" 'Y ^ `~ yy....~~~ W 1) .-nJ O ~\V ^^~`` ~1.! tt~ ~--~ "'F"1 ~^ ' O W o •~ ~ *~ U O ~ U ~ ~"{ ~--~ F+-1 H ^~ ~/ ~~ ~~ '~ - ~ ~F . 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Q i 0 U ~ O O N ~ ~ O _~ - c ~~ > S ~ O O ^ , C U ~~ .fir . . .~ ~ ~ ,~ ~ F- nV%, ~ _ ~ Q c~ ~ ~ ~ ~ •_` ~ U ~ I _ W ~ °' _ !i~ V V Q >, pVj O i '~ _o 4) ~ca ~ -r--+ L .~ v ~ ~ ~ ~ ~ ~ .. 41 ~ O ca ~ ~~ ~` ~ ~~ ~ o ~ ~ 0 0 N O ~ J -fl LL C Q ~ N E N > ~ O ~ ~ ~ ~ Z_ O I H ~, n o¢ ~= oa a Z 0 L cB N U _U o ~ a ~ ~ ~ ~ U Y o c°', ~ -~ a~ -Q m ~ ~ .~ R O ~ ~ r U J >C ~ O .~ a ~ ~ ~ a v ~ i a~ W ~ ~, a .~ ~ ~. ti ~ ~ ,~ .~ ~ ~ ~ ~ O C? "" O Q ~ ~ ~ N ~ U 0 ~I 0 v a .~ d w 0 0 ~ a ~ i o M ~ ~ ~ WI ~ ~ m , a j ~~ `(y`~\~ ~Q V W \~ 1 v N ~ a ~' ~~ V o O ~`~i ' W "~ M \~ N ~` { "V ` C'~ ~V O ~,; ~;~ ~\"'~:~+ 0 V d w Q ~~ V w n Z ~11 Wf U m 7 JUAN C. DE LA SIE1~;R.A A. a i as ~ y ~ ti -- ~ C) ~ h ~~ ~~ ~. ~~ ~. ~s ~~ -~ 0 r 0 a .~ d k W ~o z~ ~ °~ _~ ~y U Q Z O 2 H J .~ a i ~ y ~ V ~ ~ ~ N V ~V €~ ~ a E~ ~, ~ ~ ~' ti 0 l w V Q .~ d w ~. z `~ W ~ ~~ U Z U °v m N O c C v h ei z 0 H w a o~ a 0 ~~ ~Zw ~~O U Owa E..., H U U wQQ Q M (s,i \p N zQ~ o~~ N~"~ a ~ H Q ~ 0 ~ ~ w ,..a N zoo U w H a 0 x H 0 U i 0 N N w w 0 ~-+ d, ~' 0 a .~ U ~, Q Z O S H ~~ i V O O Q~ U ~~ J i c° ~ ~ ~ ~ c~ ~ v~ a ~_ Y a U -Q 00 ~ ~ ,~ O .C d ~ i J ~ 'Q v.. ~ ,~ a ~ ~ ~ o .~ ~ ~ Q ~ a ~ ~ +~_. ~, ~ ~ c •~ z 'r a ~ .=' J ~ ~ O ~ ~ ~ a ~ Q U O ;,; ~ O U N ~, U ~ o 0 0 N N a ~~ O V m Q .~ V W a~ z O ~~ ~~ U z U v N O C7 c o° O Q N a ti V 0 0 ~~ ~~ 3 d ` 4 2. yo 0 N 1 L ti Q .~ w ~ N Z OO ~ ~I m U m ftf~•F w T 4' Y f 11 `" ~- t `a d F Y G Z 0 ~~ `v 0 O ~_ U c~ .~ i c~ ~ .~ ~ ~ y ~ 3 ~ Y a U -a 00 ~ ~ ,~ 1\ O O W ,~ J k ~ C ~ ~~ ~ o v .~ c~ _~ ~ ~ W E a .~ z ~ ~ '~ ~` ~ c .~ `~ o y ~ o ~ ~ »~ Q U ~ U ~ ~, U ~ i 0 0 N N i a ~t 0 U d Q U d fl w a N z O ~~ I W U m z ~~ N _, ~G Q Z_ O F- `~ N .~ ~~ .~ N v 0 O.S .~ .~ 0 ~~ ._ J 0 ~ u U ~ "a U O ~ ~ ~ ~ ~ ~ ~ ~ Oi 'c . > S U H W .~ ~ ~ nW' y ..}.I L O u ~ ~ ~ ~, ._ o ' ` V W ~ ~ Q y ~ ~ ~ ' 0 L. ~ 0 ~ ~ ~ ~ ~ ~ Q y (~ _O LL 0 0 N O L N -Q ~ J LL C - O ~ ~ O (Q Z Q (~6 U ~ ~ ~L ~v W ~ ~¢ U- m~ C 4 O O ~ N ~ ,O ~ m cB O ,C ~ j x C1 N O ~ L RS 'J a >, ;~, „_, ~ ~n C ~ co ~ ~ ~ ~ .~ ~ a ~ ~ ~ ~ ~ s 3 ~ r ~; ~ ~ ~ ~ U Y ~ " ~ '~ a V ~ ~ ~ ~ ~ = i ~ L ~ m ~ Z ~ ~ Z ~ y ~, o c ~ ~ o ~ a~ U i 0 O 0 N ti a 0 a .~ H w a~ Z° Q~ Q U p MANUEL DAVILA. L Q I Q U ~ ~ O ~ ~ ~ ~ 3 ~ ~ > w = ~ v J\ ~ °3 ~ ~ ~ ~ ~ U oaj - >' y •~ ~\ O ~, ~ ~ C~ ~- N ~ ~ ca ~~ ~ 'L o ~ ~ 0 0 N O i N J ~ LL C ~ - O ~ ~ ~~ ~~ O ~p > ~ O Z Q ~ ~ 1 ~~ d 0 ~O O cB U v c~ ~ co ~ C 0 o Q Y ~ ~ ~ ~ m ~ _ O N cB ,C ~ E ~ J k ,Q N C ~ ,~ ~ o v ~ c~ ~ ~ ~ W ~ w a .~ ~ ~ ~ ~ ~ O .~ ~ ~ ~ .~ ~ ,~ ,O V ~ Q U ~ O ~ ~ U ~ ~ O ~L 0 0 a i ti j ~~ 0 U L Q .~ i V V k W .°'o N a O '~ W ~ m U z Ny ~- ~ fi (~ v Q N Z_ O H J I~\ ~~~ `v ~O ,O ca N U .~ J c~ O c~ ~ ~ N o a Y ~ ~ m ~ .~ 1 '~ N .c ~ ~ J ~ 'Q w ~ ~ o V ~ cB VQj ~ -c ~ ~ c = a y J ~ ~ 0 •~ .o ~ ~ O Q ;~ ~ o ~ U N ~, U ~ ~ 0 0 0 a ti a L 0 V d l Q .~ .~. V w M N 2 ~ ~~ ~~ U Z U v d- N O .., Q ~ N ~ O ~ ~~ ~ '~ ~ cp C1 ~ O ~ c~ -i a ~, .~ ,~ N ~. C C M ~ .~ ``^^ ~! ~ -' vJ •~ ~ c .o ~ ~ O U U 4, ~ ~ ~ ~ U i 0 0 0 M i ~,; 0 a .~ d k w a M z Q~ U Q C r 0 U ~ Q U ~-~_ Q~ N O U Q 2 cn O Q r-~ O O ~ W ~ } ~ ~ ~ ~ O ~ ~- Q o ~ ~ ~ N rr 11 o ~ ~ ~ a ~ ~ ll N 0 ~ ~ o ~ -- ~ ~ ~ ~ ~ a~ ~ i a~ ~ W ~ W ~ ~ ~ ~ UO (~ v~ Q ~ ~ , u U O -,- U Q a~ ~ .~ ~n o, ~ ~ ~Q 00 U~ ~ ~ a o U O U N ~U c r °~, 8 0 ~~p ~ ~~ 0 ~8 ~~ ~ ~ ~~ .~ 0 •i•r a E 0 U 0 4~ G~ V •,•r .o ~. c~ ~ °~ ~A ~ ~ 0 ~ ~ •~ '•; O~ n ~~ N ~ p v •© U d A a~ w ~° 0 .~-' o a A O 0 ~. U 0 '~ •d ~° ~~ ~,~.~ ~~~"~' •~ .~ a ~ ~' ~~ ~~~~ ~~ ~~ .~~~~ ~ _~ ~ ~ ~' ~ ~ `~ o~ o ~~~U ~an~,~ .~ ~ V ~ U VuV....IIII ~~ b ~ ~~~ ~~ a~ ~ ~ p b Q ca .~ H a~ ~ ~ *~ O c~ o w ~ Q' E-+ C ~~ ~a n~ ~~ o ~ ~~ .O +.~ ~ ~ a ~ ~ Q U 1~` ,~' ~;.~. it .. :' r' r#` .. 2049-04-2318:47 Davila's Family (305)624-8769» IMSA ~..,'_' Treh7c Slgnar CeRification Pmgrefn ' ~ "~ v~ r Manuel A. Davila 1 ~i`~~~ C' ,,. ~~P It3 Nertiby Ce/tilied sea Trarfic Signal Field EleMdcien Level 1l AYOZs by Completing tl// mgWrementa and 9xarnination, B~E~B 023 ~~ ~~~ 2ATB/10 h.;YSCUlIVId!)!R(;(')Y)k 30582$4515 _--------IMSA ~~.~_. _~.. sr Roadway Lighting CeRtfication Program ~' ~~~4~ Manuel A. Davila ~%.~ ,.~ ~~~`` is Hereby Gertilbd es a ero2a Roadway Lightr'ng Speciatiaf Level I by completing all requirements end examination. IMSA TrEln"rc Slgnel CertlRcetian Program ~ " •~ Manuel A. Davila ~,~~~ is Hereby Cert/fkd ea e c " SP Trstr'rc SlQna/ 7echt-fcisn Level t aro?9 by compratir~ el! roqu/romanta end examinetion. ~ D~At ~~~ AA 8)'023 01/y`yp7 Oi/13r10 /:X6('t'Tl1'L'!)/RF.'CI'()R RR 87023 07/b9~D7 pyDD/10 L',YfC'(iTll'li DfKF_'C'fOK +a.iw.~ .:'~ AMERICAN TRAFFIC SAFETY • ~ SERVICES ASSOCIAtION _~ lAFEA IIAIt IAIE lllll This is to a,(~r•nl that Ill #37 Mr. Manue} Davila has satufsct<~rily completed the Florida Intermediate Work Zone Traffic Control Course ;Date Campleted:ll/7r2006 Status:Passed Final ;~. ;~'.LOCat10El:Mif,mi, Fl, instructor:M-, RirA^rdC^brrr^ P.E. ~,~ pate ReR•esherCoutse Required:ll/7/ZOIU h g~'i ,S. ~,rY,tr' /YR11~JfR~f,U4~'~~~\.~R~V{'+°_'Rkc,~`++• ,~1~~- y:.\1 ~ '' ~~~Y.~c~.'t~' '~:~:~~' ! Q1) C. -fit F~~ ll)h'~, • './~~!'.}::' ti. ~ ~ ~ ~ ACT l)~~~~tit..,~ ~'` `,r. ," rtl~'~ 1~ i,r.~ ., ~s C:Pti1-. ytt•1~~• - Eqs="~ Y- :E\~.• ~^ ' ~ ':F <~C y.~C'Si'.1.) t'.9~~ C.L)F) •„1,~1~1 ,, 4r. !, ,` <_1. t,~1 j,C i.7= r't:':t,~FL~.S!\L/'l,.~C-\i(t(~~~~~t~~(f:U~..,.1 ~t,~'~,t.1,LC,,"t ..~.'t`~lt~tt:. C.P ,.,.?t;p ~ )~} ~ ~ ~ CJ i':C.:3;~",4 '~c.Uy1)i'^ •` ~ E~R`:)~~;1 ~ ,mil R~cr , . ~. 4~~'S~~,~,rh1 ~~K_1- ~ . . ..e 1f~. P 1/1 2009-04-2318;48 Oavila`s Family (305)624-8769» 3058284515 P 1!1 .y~~yp: --;fir,.,-- ,~.A,- ••y~5,,:,--; •~s.• .. .-- ~ 'i w \'r~~-{ G~ ue w a a ~ ~; y-: 1-,~~ ``w+s~x.y~ cn - M~ V ~- =_~:! ~ Q (~ ~' F^"{ e r~ ~ k W yd,~~, E~~k..! U t»? +e~tkJ4~ 1L1 E~:,..t;~ «~. F-~kMl~f3 td.l W 0 W r U N Z in Q N J ~ a m O u-~ U o W `~ UN ~o Z ~ ow J ~ m~ z cp O~.T oQm Q LL t1 } 0 4 ~~ c ~ . c~. m V O ~ .. ~ ~ - ~ E 3a3H a-to~ ». o ~q AEA ~ . C ~1 ~ d~.l. ~ FW1 ro o t~. ~;J U ~ ~ ~ C 1'' ~ : ~ ( j ~ry"'t . y y~ ~ /^ '1k *rJ LL p~ i~i~1` ~.ii°iR 'm r.y 11,E I > m 4J.J ^~'~ o m ~' ra ~~ C' • w E C.i h-s 6~; y+J U ~ ~r+ ¢k^ ~ ~ , e o :~~. 2 ROLANDO HERNANDEZ q _.._.. _.,,~,..._ _....., ...._._ Ml~~,.pl1 I ~ ~~ Construction Trades Qualifying Board PERSONA((L~CERQQT~F((I~~CA++~~T~7OF(~^c~>`MpETENCY 2VUVV ! t~ M41 1 I ,~~ ,ro : ~ cxp. Date: 09/30/2009 QUALIFYING T `~ ~~ RADE(S) - -~ .1oURNEYMAfv a oao~ ELECTRICF~ i _ MI®~ Is certified under the provisions of Chapter 10 of Miami,pade County Herminio Gor~zatez p E ~,~,p~ Secretaryot the Boartl f~"~"'-a ~'~'w.miamida de. pov/bufldingcdde n 6~> - . ~~~y ti :;»s u .:. ~ t~~ a. '~ N ~ _~ ~ X c~ i ~ N ~ ~ co d J ~ a c ,Q ~ ~ ~ U ~, cB ~ = ~ ~ ca ~ ~ ,~ v t~ ~ O o . c ~ U ~ Y Z o U ,, ~ N '~ ~ Z ~ ~, a _ .~ ~ ~ ~ ~ _~ .~ .~ m O ~ y ~ o ~ ~ ~~ ~ ,~ ~ ~ o ~ ~ ~ o ~' U ~ ~ 0 0 0 N N i ti ~~i s u i A .~ d k W ~ N 2 ~ ~I rQ U Q Q r w 0 nL` W }~MM nT'S `' J W ` ~! TQ fn T 0 O U~ ~ ~ a .o ~~ . U O ,-. U N ~U ~- N l ~ t Electrie one. Bidder's Past Projects-Customer Reference List 00910 2660 ~~ est 79 Street, Hialeah, Fl. 33016 Phone {30~) 823_2280 Fay (305) 828-515 e-mail: agc~agcelectric.com - F,(`.0000^76,4 3 rR11FVW Dn u DO B IL~Gf~'s 3 DsIK3 rRIrIFVlE 00910 B, DDE5'6 3A67 352 JEC76 Related Project Experience: Complete the forms on the following and provide five (5) sample construction projects that your company has completed or that are in progress, that are similar and of the same complexity to the types of work required under this Contract. March 2Q09 Gity of Miami Beach Page 147 of 185 Project Manual Bidder's Past Projects CONTRACTOR'S NAME: SAMPLE PROJECT 1 OF 5 ~(~C ~~~ac.lytC i,l,rt CLIENT'S NAME: I~tawi p~e p~~,`,t Wo1K ~erN1 w,o.,ti~ CLIENT'S CONTACT NAME: U S ta-v f~~~w CLIENT'S ADDRESS: ~~ ~ IJ41 I ST ~T~rte~ i 1'~ta-w.- ,~~ ~~j ~ 2 CLIENT'S PHONE: 3oS ' SK2 Y`(Z'~ Q~T 2~~ FAX ~°~~ `~~'~ 6`~ L2 CLIENT'S EMAIL ADDRESS: v~r 8 t^^`~"+t~~Q . qov OVERALL DESCRIPTION OF THE PROJECT: ~ ~~t« ~ tqh~-~t1~~o~ Q.-o~ ~ e ~ t ~ W ~ v ~- O tr,e.r ~o ~ n~cc ~ ~ e ~ ~~`(w tc~ Q R~~ 'Lo~6 o~FOI , 2yo60Y~Z, 2da6o~a 3 TYPE OF CONTRUCTION PROVIDED: ~ r.~~~~ ~ ~9,nal ~ ~5 ~~~~ t~H CONSTRUCTION TRADES PROVIDED ON THE PROJECT: _- irr~p~Crt~a1 ~ 1r'a~fi-tc S~yha_1 SPECIAL FEATURES OF THE PROJECT (descr' a /h~ow work was perform din Cit /Urban environment and\/or Beach/Ba1y Front Vicinity): ev~r+NeJ ~ Q.~ Q ret.~ ~o~,,.'~to.,c (O aJ V-~y W 1 C~ Q 1 hC ~ v d 1 M C 5 sue ref f l~ l P C C 1~ ~s.w i ~E e~c ~I ~~ u o~-~ 7 ~ rn , ^~. r- \1 ? Was the experience described above as a Prime Contractor or as a subcontractor? Prime t,/ Sub-Contractor What chaetngersr and/or modificat^i~ons were_ experienced during the urse of the prOfeCt?__ 1w-~'t~t D~p~ ~r~ora-\tohS a~~Qv Gf~E ~~t~t~lei wptt~~lw,~~ ~._. ~?~~Mv_ +ut v~or 1N.vitFlla~~o~gs ,VP ,O .~4.ov E~-1orS March 2009 City of Miami Beach Page 148 of 185 Project Manual Bidder's Past Projects (SAMPLE PROJECT 1 OF 5, CONTINUED) How did those changes/modifications affect the scheduie~ IU• ~ ~~ u, er~~ ar~ey wlte ~ow.p~i~nd ws f c"`~`~~~ r.~ w.o~ ea{1~eY ~t ~r ^~ r ~~ ~ V Py+o~rcA `~w~ wUcP e~F1~w ~~ vr~Nr ~o v5! YQvwL~rlMy C-vv.a~ `T~. wQ~rp ho Coypye.l ~r ~~e wer~ ~kcP~- ~~vbulola~J CONTRACT AWARD AMOUNT $ 3 i O d~ ~ O d0 , o v FINAL COST AT COMPLETION: $ 2 I q~S ~,6~ 3, a ~ VALUE OF WORK PERFORMED AS THE PRIME: $ ~ Ott a/ ~ TOTAL VALUE OF SUBCONTRACT: $ O a( v SCHEDULE START DATE: l0 1 / S J 10 ~ SCHEDULE COMPLETION DATE: ~~ / ~ ~~-~~9' ACTUAL START DATE: I D ~~~ ~ 2ov } ACTUAL COMPLETION DATE: '~'~ ~ '`e w`°` ~''''°"~ Y Q y PROJECT MANAGER: /4 +~~Co ~~ o t, wu• a.J DESIGNER: ~~a-~w` p~Q Qo~\~c ~1.~1or ~C PROJECT MANAGER: ~ v~To ~ t m ~ v~Q TELEPHONE NO: ~° S S`~2 `6~{ZS QkT Z~SC *ATTACH ADDITIONAL SHEETS IF NECESSARY* 3i~.~a ~~ srA Q~P~~ \~ WQ Y~CQ\ve ~!w ,a,) ~ r ~C a r, !.a- 5 March 2009 Cit of Miami Beach Page 149 of 185 Project Manual Bidder's Past Projects SAMPLE PROJECT 2 OF 5 CONTRACTOR'S NAME: ~t"~ C. ~ec~1r'tc. i ~, v~ C CLIENT'S NAME: ~~ ~w`t ~a.JC~ p~~`~L S c~o' goa.r~ CLIENT'S CONTACT NAME: ~-~ ~S ~~t~-e'!. CLIENT'S ADDRESS: I~S~ N~ ~-'^"~ ~" e`^ "e ~ ~~a-w+~ ~ ~~ . 33 i 32 CLIENT'S PHONE: ~ oS~ 2`{'~ '~ }';t~ FAX ~j ?J S 2y'Z ~3~6 CLIENT'S EMAIL ADDRESS: ~ 1~~-~/~trneZ ~ ~Q S~~«~~S ~ he~ OVERALL DESCRIPTION OF nnTHE PROJECT: RQ ~ ~~y ' FFO~ 1!! Yr" D~~~ a-~ Qvw~a~ 5 1 Qyw. C~~~ ~C7a - F~ag TYPE OF CONTRU~CTION PROVIDED: ~ o ~ ~ ~r,o v Ce +~t~t., a ~n S! v! Y'a I ~~~pO~ S l\QS ~~`'ey~o~ t~~ Z~~~~or a~~e~l '^~ CONSTRUCTION TRArrDES PROVIDED ON THE PROJECT: ~ ~ ec~~rt ta) ~ F t r~ I~~~Yw. ~ („ `oct~ / I v~~.r+r o v~ { ~~ '~ l~~ S! c ~vt~~/ ~ SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/Urban environment and/or Beach/Bay Front Vicinity): Was the expelience described above as a Prime Contractor or as a subcontractor? Prime ,/" Sub-Contractor What changes and/or modifications were experienced during the course of the project? March 2009 City of Miami Beach Page 150 of 185 Project Manual Bidders Past Projects (SAMPLE PROJECT 2 OF 5, CONTINUED How did those changes/modifications affect the schedule? IV • matte, c~Q CONTRACT AWARD AMOUNT $ ~(o - FFd9 - z , Lp~r Sao, o 0 FINAL COST AT COMPLETION: $ Z- ~ 3d6~ ~ 3Z , 5 ~ ~p ~v a ~ZQ VALUE OF WORK PERFORMED AS THE PRIME: $ ~ D0 ~~D TOTAL VALUE OF SUBCONTRACT: $_ _ D % ~v~ - Cfvq - X61 ~.o°s SCHEDULE START DATE: i -v _ ~Fod - ~/1oy 6 ioq-ffoq - ~/~~6 SCHEDULE COMPLETION DATE: ~ r o -(-441 - tt~to+~Qa ~v fti ~'t~a9 coq - f Fva - 8 /'b° S ACTUAL START DATE: 110 - FFOd - $ /2o D 6 ~ v 9 -FFO4 - B 2 oc)6 ACTUAL COMPLETION DATE: _ ~ ~o_Fk~9 - -~ pr.gres S ~~a~ PROJECT MANAGER:-.- fS~w.rS Cw~»~~e r - ~vS ~-~~ ~~'~-~ DESIGNER: P~~eyerT F ~yw-s ~>P , I.~VS ~ ~SS•~ . ~~S"~° ~ ~~~, ~v,~N \ PROJECT MANAGER: G~c~ta.vo ~~rr`o~, p'Z _ ~° j Q1S~ ~2~ TELEPHONE NO: I~""^~~~° C~tua 4.~ - 3° S 2`t}~ 30 ~6 ~~~Qh eh~na - aS ~3y-12 '`ATTACH ADDITIONAL HEFTS IF NECESSARY* March 20Q9 City of Miami Beach Page 151 of 185 Project Manual Bidder's Past Projects SAMPLE PROJECT 3 OF ~ CONTRACTOR'S NAME: ~(~-~ ~~PC\r~r,~~~ CLIENT'S NAME: M i a w.~ peat? (o CLIENT'S CONTACT NAME: ~ v~ p t, e. Q~ ~r~2 CLIENT'S ADDRESS: ~~ ~ I~ S~ '~~`~ S~Ype1 ~ ~~a-+M~ ~ ~C CLIENT'S PHONE: ~oS 23~ 0~ ~6 FAX 30~ 2 3~ 0~~ 0 CLIENT'S EMAIL ADDRESS: ~ P~'~ 1 ~ uw, u . Qly OVERALL DESCRIPTION OF TH E PROJECT: M ~ ~ "~ ~ U~ ~ (~ ~ I ~~P ~jctCrtl' 1~~~~d~v.~ TYPE OF CONTRUCTION PROVIDED: N Q `~ ~ ~ ^ ~r~ cl t o ~ CONSTRUCTION TRADES PROVIDED ONpTHE PROJECT: (}tpc~r«a~ ~ ~iwtllhtKq Prro~pc~to~ . ~~ re (ar•-n ~ StTp ~.~~~~ t ~y ~ ~~rp e~ l.~ y1n1, N ~, , G-e ~r~~ r . __ SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/Urban environment and/or Beach/Bay Front Vicinity): Ur~~.~ DQS1gY~ f!o,~S~,ete~ ~~Q ~~q~~S1 S~e..~.1~.Y~ ~,.,~~~t~ti ~l ~ t~ • c` 1 l-w~ Was the experience described above Prime Contractor or as a subcontractor? Prime Sub-Contractor What chap s and/or modifications wer ~perienced during the course of the project? ~~~e~~ ~a 5«n rw~~~.ra.l e~Mc aS p~ ~ o pro ~ .~~ r e ~.~., ~ 5 March 20Q9 City of Miami Beach Page 152 of 185 3rR11FVW DnuDO BI©Gtt's 3DsIK3rR11FNt (SAMPLE PROJECT 3 OF 5, CONTINUED) How did those changes/modifications affect the schedule? Iyd CONTRACT AWARD AMOUNT $ Z ~ ~~ , ~ ~y' - ~ O FINAL COST AT COMPLETION: $ 2 ~ Oy }~ y ~ q , o c~ ~, ~+v~ ~ r+ ~~~ W~r• °~~ ver ~ov •uvwev 1a1~ 9+~wr~ ov VALUE OF WORK PERFORMED AS THE PRIME: $ U TOTAL VALUE OF SUBCONTRACT: $ 2 i UO 3 ~y-Zc{, ate - ~oc~ ~w SCHEDULE START DATE: _ I I ~ ~d } SCHEDULE COMPLETION DATE: S~2oo q ACTUAL START DATE: ~ ~ / 1-00} ACTUAL COMPLETION DATE: _ q9% C'ow~p~oTe.~ PROJECT MANAGER:_ ,!o r o vex ~ fi ~ y ve ~ory Q ~--- DESIGNER: Mc~~vr~ g 145Svc ~~~+5 PROJECT MANAGER: TELEPHONE NO: ~4~ ~~ ( ~ 6 qZ *ATTACH ADDITIONAL SHEETS IF NECESSARY* March 2009 ~ City of Miami Beach Page 153 of 185 3rRlM~VIp DnuDO B tOGi1r's 3 Ds1Ki rRI~FV!! SAMP/LE/PRrOJEC~T 4 OF 5 CONTRACTOR'S NAME: ~(1'C.. l~I ac-try ~c ~ ~N C CLIENT'S NAME: ~ t ~YVO, C o ~g `~ uc~tuh SQ V v1Yo i CLIENT'S CONTACT NAME: R e-~~ a~ `a ~ to r roe CLIENT'S ADDRESS: Z6 ~S W ~ ~ ~~ ~ N,a~R~, ~ ~ 33 p16 CLIENT'S PHONE: zjoS S5 ~ Z't`F~i FAX 3oS ~~ CLIENT'S EMAIL ADDRESS: Y~"1 eYVo.x p Sw~Qpy ~s~ , heT OVpERALL\\ DESCRIPTION OF THE PROJECT: ~ N V ~ ~ jlav. S to h ~ ~n~ti~ n O ~ oY~r.c,o n - ~ot ~ ~ S TYPE OF CONTRUCTION PROVIDED: ~ v,~e~r~vu 1`~ ~ode.~~ w~ CONSTRUCTION TRADES PROVIDED ON THE PROJECT: I'~p~~~._~ ~r~ ~~ayhn SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/Urban environment and/or Beach/Bay Front Vicinity): Iv ~~ Was the experience described above as a Prime Contractor or as a subcontractor? Prime Sub-Contractor ~/ What changes and/or modifications were experienced during the course of the project?_ AJU March 20b9 Gity of Miami Beach Page 154 of 185 3 rR14FNp Dn u DO BtGC#ir's 3DsVY3rR1~IFVlt (SAMPLE PROJECT 4 OF 5, CONTINUED) How did those changes/modifications affect the schedule? rruV CONTRACT AWARD AMOUNT $ (~4 ~ ~2~ , ~ 6 FINAL COST AT COMPLETION: $ `f`~ L ~- VALUE OF WORK PERFORMED AS THE PRIME: $ U '~y TOTAL VALUE OF SUBCONTRACT: $_ I `1'`F~ ~~.1. , o~ - ~pv`~v SCHEDULE START DATE: _ U~ 1(a 1'Lpv~ SCHEDULE COMPLETION DATE: U~ I ~d ~~° ~ ACTUAL START DATE: ~i ~I9 ~ 1O°I ACTUAL COMPLETION DATE: ~~ 13y ~ Z°" ~ PROJECT MANAGER: Rw•-~ , ~ ~~ StC Y r DESIGNER:_ ~ ~ vhe ~~ 2 - ~C Dew@ ~~ PROJECT MANAGER: TELEPHONE NO: 3° ~ S ~ 7 1 ~ ~~ *ATTACH ADDITIONAL SHEETS IF NECESSARY* March 20U9 Gaty ct6 M6:~Fltt Beach Page 155 of 185 3rWIFV1D DnuDO BILiGFF's 3DsVY3rRIMFVlt SAMPLE PROJECT 5 OF 5 CONTRACTOR'S NAME: ~ G-~ ~ ~ rc,~v ~ c ~ ~ „o c CLIENT'S NAME: ~ `~ ~ C o y pave td /~ CLIENT'S CONTACT NAME: ~va v~~ ~5ro Q~ t(Q 2 CLIENT'S ADDRESS: Z~ ~ ~ S uJ 6~~ ~ ~o ~Y ~ I M ~ a.w. ~ ~ ~ , 3 ~ ~ S'S CLIENT'S PHONE: 3d S 26 ~ ~ ~ ~ ~ FAX ~ d ~ 26 ~ ~~I CLIENT'S EMAIL ADDRESS: ~ De.re~ O G~~ coy e , c~ rv+ OVERALL DESCRIPTION OF TH E PROJECT: I~ ~^v~n~ 17eoKln P~~~l Q ~U~}~ ~r alp Q w.~.~fi TYPE OF CONTRUCTION PROVIDED: .~ ~~Q y Gov lie r`e VI~t o v~ CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Cf ~ oCw i C a~ SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/Urban environment and/or Beach/Bay Front Vicinity): w ~~ Was the experience described above as a Prime Contractor or as a subcontractor? Prime Sub-Contractor L/ What changes and/or modifications were experienced during the course of the project? ~ y March 2009 City of Miami Beach Page 156 of 185 3 rRl~lFVIA Dn u DO B~f'~S 3QSV1C~rRI11~uM (SAMPLE PROJECT 5 OF 5, CONTINUED) How did those changes/modifications affect the schedule? N v CONTRACT AWARD AMOUNT $ I Z , `f6~,o~ FINAL COST AT COMPLETION: $ (Z , ~f6 ~, o v VALUE OF WORK PERFORMED AS THE PRIME: $ V. ov TOTAL VALUE OF SUBCONTRACT: $ I Z~ ~6; , oy - SCHEDULE START DATE: 5 ~~~~ Zoy(~ SCHEDULE COMPLETION DATE: _ 6 I2 ~ I Z`'' ° S ACTUAL START DATE: S ~/ ~ l2o v S ACTUAL COMPLETION DATE: ~ ~ 2 ~ l Z ° v PROJECT MANAGER: ~r~~ ~ BSc o P~ v~ 2 DESIGNER:_ I"`~avMi plac~ PrnPw~Y ~~.w~Sow.~~ ~~u~Y~ov1 PROJECT MANAGER: TELEPHONE NO: ~v~ 2 6 ~ ~ ~ ~{ *ATTACH ADDITIONAL SHEETS IF NECESSARY* March 2009 City of Miami Beach Page 157 of 185 EXHIBIT6 PERFORMANCE BOND f ' PERFORMANCE & PAYMENT BOND (Public Work) in compliance with U.S. Chapter 255.05(1)(a) Bond No. 0077585 Contractor: AGC Electric, Inc. Name: 2660 West 79 St. Address: Hialeah, FL 33016 Phone No. (305).'823-2280 Surety: Westfield Insurance Company ' Name: 10245 Centurion Pkwy. North, 4104 Phone No. (904) 642-2144 Address: Jacksonville, FL 32256 Owner: City of Miami Beach Name: 1700 Convention Center Dr. Address: Miami Beach, FL 33139 Phone No. (305) 673-7234 Obligee: (If contracting entity is different from the owner, the contracting public entity) Name: Address: Same Phone No. Bond Amount: $ 500,000.00 Contract No. (if applicable): ITB No. 24-08/09 Description of Work: Electrical Citywide Construction Services Project Location: Legal Description: Citywide FRONT PAGE All other page(s) are deemed subsequent to this page regardless of any page number(s) that may be re- printed thereon. Project Manual Form of Performance Band 00914 FORM OF PERFORMANCE B01~D Bond ~~0077585 BY THIS BOND, We AGC Electric, Inc. as Principal, hereinafter called CONTRACTOR, and Westfield Insurance Company as Surety, are bound to the City of Miami Beach, Florida, as Obligee, hereinafter called CITY, in the amount of an initial Two Million Dollars ($2,000,000) for VERTICAL CITYWIDE, an initial Two Million ($2,000,000.00) for HORIZONTAL ROW, an initial Five Hundred Thousand Dollars ($500,000) for ELECTRICAL, an initial Five Hundred Thousand Dollars ($500,000) for MECHANICAL, an initial Five Hundred Thousand Dollars ($500,000) for WATERPROOFING/PAINTING, and an initial Five Hundred Thousand Dollars ($500,000) for ROOFING for the payment whereof CONTRACTOR and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally. WHEREAS, CONTRACTOR has by written agreement entered into a Contract, ITB No.: ITB No. 24-08/09 ,awarded the 15th. day of July , 20 09 with CITY which Contract Documents are by reference incorporated herein and made a part hereof, and specifically include provision for liquidated damages, and other damages identified, and for the purposes of this Bond are hereafter referred to as the "Contract"; THE CONDITION OF THIS BOND is that if CONTRACTOR: 1. Performs the Contract between CONTRACTOR and CITY for construction of Job Order Contract ITB No. 24-08/09 the Contract being made a part of this Band by reference, at the times and in the manner prescribed in the Contract; and 2. Pays CITY all losses, liquidated damages, expenses, costs and attorneys fees including appellate proceedings, that CITY sustains as a result of default by CONTRACTOR under the Contract; and 3. Performs the guarantee of all work and materials furnished under the Contract for the time specified in the Contract; then THIS BAND IS VOID, OTHERWISE IT REMAINS IN FULL FORCE AND EFFECT. Whenever CONTRACTOR shall be, and declared by CITY to be, in default under the Contract, CITY having performed CITY obligations thereunder, the Surety may promptly remedy the default, or shall promptly: March 2009 City a~ a~mi Beach Page 761 of 785 Project Manual Form of Performance Bond 3.1. Complete the Project in accordance with the terms and conditions of the Contract Documents; or 3.2. Obtain a bid or bids for completing the Project in accordance with the terms and conditions of the Contract Documents, and upon determination by Surety of the lowest responsible Bidder, or, if CITY elects, upon determination by CITY and Surety jointly of the lowest responsible Bidder, arrange for a contract between such Bidder and CITY, and make available as work progresses (even though there should be a default or a succession of defaults under the Contract or Contracts of completion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the Job Order Amount; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the Job Order Amount," as used in this paragraph, shall mean the total amount payable by CITY to CONTRACTOR under the Contract and any amendments thereto, less the amount properly paid by CITY to CONTRACTOR. No right of action shall accrue on this bond to or for the use of any person or corporation other than CITY named herein. The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and compliance or noncompliance with any formalities connected with the Contract or the changes does not affect Surety's obligation under this Bond. Signed and sealed this 21st . day of July , 20 09 March 2009 City of Miami Beach Page 162 of 185 Project Manual Form of Performance Bond AGC Electric, Inc. Name of Corp ~ ' By (S re and Title) I ~ w.®~ ~ . ~ ~ ~~:'~~ d 1. f r-a S ~~~( J (Type Name/Titie Signed Above) 21sa . day of July , 20 09 IN THE PRESENCE OF: INSURANCE C,,~MP Westfield .insurance ~~ ~ omp any A and Attorney-in-Fact John s . Harris 11924 Forest Hill Blvd., Suite 22-323 (Address: Street) Wellington, FL 33414 (City/State/Zip) Telephone No.: (561) 753-5547 March 2009 City of Miami Beach Page 163 of 185 (CORPORATE SEAL) EXHIBIT 7 PAYMENT BOND Project Manual Form of Payment Bond 00915 FORM OF PAYMENT BOND Bond X60077585 BY THIS BOND, We AGC Electric, Inc. aS Westfield Principal, hereinafter called CONTRACTOR, and I„G,,,-ance Com~anX as Surety, are bound to the City of Miami Beach, Florida, as Obligee, hereinafter called CITY, in the amount of an initial Two Million Dollars ($2,000,000) for VERTICAL CITYWIDE, an initial Two Million Dollars ($2,000,000.00) for HORIZONTAL ROW, an initial Five Hundred Thous nd Dollars ($500,000) for ELECTRICAL, an initial Five Hundred Thousand Dollars ($500, 00) for MECHANICAL, an initial Five Hundred Thousand Dollars ($500,000) for WATE PROOFING/PAINTING, and an initial Five Hundred Thousand Dollars ($500,000) for RO FING for the payment whereof CONTRACTOR and Surety bind themselves, their heirs, a ecutors, administrators, successors and assigns, jointly and severally. :AS, CONTRACTOR has by written agreement entered into a Contract, No.: z'r6 No. 24-o8/offawarded the 15th.day of July , 20 09 with CITY hich Contract Documents are by reference incorporated herein and made a part hereof, and specifically include provision for liquidated damages, and other damages and for the purposes of this Bond are hereafter referred to as the "Contract"; THE CONDITION OF THIS BOND is that if CONTRACTOR: 1. ays CITY all losses, liquidated damages, expenses, costs and attorneys fees i cluding appellate proceedings, that CITY sustains because of default by ONTRACTOR under the Contract; and 2. romptly makes payments to all claimants as defined by Florida Statute 255.05(1) r all labor, materials and supplies used directly or indirectly by CONTRACTOR in t e performance of the Contract; THEN CONTRACTOR'S OBLIGATION SHALL BE VOID; OTHERWISE, IT SHALL REMAI IN FULL FORCE AND EFFECT SUBJECT, HOWEVER, TO THE FOLLOWING CONDI IONS: 1. A claimant, except a laborer, who is not in privity with CONTRACTOR and who has not received payment for its labor, materials, or supplies shall, within forty-five (45) days after beginning to furnish labor, materials, or supplies for the prosecution of the work, furnish to CONTRACTOR a notice that he intends to look to the bond for protection. 2.2. A claimant who is not in privity with CONTRACTOR and who has not received payment for its labor, materials, or supplies shall, within ninety (90) days after performance of the labor or after complete delivery of the materials or supplies, deliver to CONTRACTOR and to the Surety, written March 2008 City of Miami Beach Page 164 of 185 Project Manual Form of Payment Bond notice of the performance of the labor or delivery of the materials or supplies and of the nonpayment. 2.3. No action for the labor, materials, or supplies may be instituted against CONTRACTOR or the Surety unless the notices stated under the preceding conditions (2.1) and (2.2) have been given. 2.4. Any action under this Bond must be instituted in accordance with the Notice and Time Limitations provisions prescribed in Section 255.05(2), Florida Statutes. The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and compliance or noncompliance with any formalities connected with the Contract or the changes does not affect the Surety's obligation under this Bond. Signed and sealed this 21st . day of July , 20 09 WITNES ~..._.-~ etary) (CORPORATE SEAL) IN THE PRESENCE OF: AGC Electric, In -- Name of Cor " ion) By ~~~, ure and Title) ~Gw-a5 ~i ~ C v v1ee.~~ l I'r^ 51~~ ~-tt (Type Name/Title Signed Above) INSURANCE COMP~PPdY Westfield I Telephone No.: (561) 753-5547 -----~ p any By ,:..~ Age t and Attorney-in-Fact John 1192 Forest Hill Blvd., Suite 22 (Address: Street) Wellington, FL 33414 (City/State/Zip) assurance S. Harris -323 March 2009 City of Miami Beach Page 165 of 185 • POWER NO. 0996252 00 • •General ~ - - Power ~ ~ Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers insurance Co. Westfield Center, Ohio Know All `Man by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMI'QNY, corporatioris, hereinafter referred to individually as a "Company" and collectively as "companies,' duly organized and existing under the laws of the State of Ohio, and having 'Its principal office in Westfield Center, Medina County, Ohio, do by these presents ntake, constitute and appoint JOHN S. HARRIS, CARA L. HARRIS, JOINTLY OR SEVERALLY of WELUN(3TON and State of FL Its true and lawful Attorney(s)-In-Fact, .with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretvshio- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ LIMITATION: THI$ POWfR OF• ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE ~1`1'e~`; OR BANK DEPOSITORY BONDS. and to bled any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company. and duly-attested by Its Secretary, hereby ratifying and confirming ail that the said Attorney(s)-in-Fact may do in 'the premises, Said appointment is made under and by. authority of the following resolution adopted by the l3oard of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be /t Re§o/ved, that the President; any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys}-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-In-Fact may be given full power and authority for and ih the name of and on behalf of the Company, to execute, acknowledge anq dellver,'any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices grid documents canceling or terminat(ng the Company's ilab(lity thereunder, and any such .instruments so executed by any such AttorneyIn-Fact shall be as binding upon the.Company as if signed by the President and sealed and attested by the .Cdrporate Secretary.` "Be it Further Resolved,. that the signature of any such designated person ahd the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be .valid and bihding upon the Company with respect to any bohd or undertaking to which it is attached." (Each adopted at a meeting held on February 8, 2000). In Witness Whereof; WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 27th day of DECEMBER A:D., 2004. Corporate ....... ,,,~,,uu Un,,,~ , seats v ~as~A~IpcP ~ ,~,,,aP.~inNAC /^,SG's Affixed; ,~ r .q- p'1~ ;' O, c /~ T ..p State of Ohio .,,,~~" ~,,,,•~`' County of Medina ss.: ""'~~~~~~"""•~, WESTFIELD INSURANCE COMPANY ~'' ~~;~ WESTFIELD NATIONAL INSURANCE COMPANY s~.Yi~E••••%: '~ OHIO FARMERS INSURANCE COMPANY ~z~: 1648 i,}$= ~.4 ~ e •' y; •'''~' ` 4 .. .. •' s By: Richard L. Kinnafrd, Jr., Senior Executive On this 27th day of DECEMBER A.D., 2004 ,before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly sworn, did depose and say, that he resjdas in Medina, Ohio; that he Is Senior Executive of WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above Instrument; that he knows the seals of said Companies; that the seals affixed to said instrument are such corporate seals; that they were so affixed by order of the Boards of Directors of said Companies; and that he signed his name thereto by like order. Notarial , Seal '~""'~. Affixed a1 A f~ ~~ a~- ~~ ~ State of Ohio ; N ~~ 41r William J. Kahelin, A rney at Law, Notary Public, County of Medina ss.: 9 r~o My Commission Does Not Expire (Sec. 147.03 Ohio Revised Code) ,Tf O F C~ . I, Franlr A. Carrfno,' Secretary of WESTFIELD INSURANCE COMPANY,, WESTFIELD NATIONAL INSURAIV~E COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby certity that the above and foregoing Is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; and furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are In full force. ahp,affact: In.Wliness birharav/, I have hereunto set my hand and affixed the seals of sa(d Companies at Westfield Center, Ohio, this 2lstday of J~lY ~ a•D•, 2009 . _ w„ ! , Nul~nn„q~ . ~~~, ~ vO`~ai~t~~ ~~,,P'(4nNAC ~~, ~ •••,w•.•rn,q~~ ' F rr .~iv. O~ w t3Pr~er+~ i..,.~.ti:.,..,,~ ,~~ ;' Or'~ 'S,G,p '~~~ SEAL, .m-` :y: ;zi.. .'o ~... =is~•CNMTEf~EO': '~~ ~r '~~'• 16~-8 :': ~` Frank A. Carrino' Secret SP~~' ~~ •.. .•. EXHIBIT8 INSURANCE CERTIFICATE AcaRV CERTIFICATE OF LIABILITY INSURANCE OP ID F6 DATE(MM/DDlYYYY) AGCEL-2 07 31 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5900 N. Andrews Ave . #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O. Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ft. Lauderdale FL 33310-5727 Phone: 954-776-2222 Fax: 954-776-4446 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Amer].SUre Mutual Ins. Co.+ 23396 INSURER B: +Ameziaura Insurance Compeay+ 19488 A G C Electric Ina. Attn: Farach Bernardin INSURER C: 2660 West 79th Street Hialeah FL 33016 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC IVE DATE MM/DD/YY POLICY EXP RATI DATE MM/DD/YY LIMBS GENERAL LIABILRY EACH OCCURRENCE $ 1, OOO, OOO A X X COMMERCIAL GENERAL LIABILITY GL205729800 10/01/08 10/01/09 PREMtsES(Eaoccurence) $ 300, 000 CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10, 000 }( XCU PERSONAL&ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2, 000, 000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2, 000, 000 POLICY PRO- JECT LOC Ben. 1, 000, 000 AUT OMOBILE LIABILRY COMBINED SINGLE LIMIT $ 1 000 000 A X X ANY AUTO CA205729600 10/01/08 10/01/09 (Ea accident) ~ ~ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON-OWNED AUTOS ~ ~ / ~ ~/~ ~ UUU"' BODILY INJURY (Per accident) $ ' / / PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILRY EACH OCCURRENCE $ 3, 000, 000 A X OCCUR ~ CLAIMSMADE CU205729900 10/01/08 10/01/09 AGGREGATE $ 3, 000, 000 DEDUCTIBLE $ }{ RETENTION $ O $ WORKERS COMPENSATION AND EMP E ' X TORY LIMITS ER B LOY RS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC205730000 10/01/08 10/01/09 E.L. EACHACCIDEN7 $500 000 r OFFICER/MEMBER EXCLUDED? If d ib d E.L. DISEASE - EA EMPLOYEE $ 500, 000 yes, escr e un er SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500 000 OTHER A Equipment Floater CPP2057297 10/01/08 10/01/09 Scheduled $73,805 Leased/Re $50,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Ref: JOB ORDER CONTRACT ITB:24-08/09-Electrical - The City of Miami Beach is named additional insured with respects to General Liability & Automobile Liability as required by written contract. Umbrella follows form *10 days notice of cancellation applies for non-payment of premium. MIAMIBE ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO. City of Miami Beach 1700 Convention Center Drive Miami Beach FL 33139 ACORD 25 (2001/08) DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~o~~~~~ SARA IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. r2nm roar i