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Lauderdale, FL 33312 CLIENT'S PHONE: 754-321-1602 FAX: 754-321-1683 OVERALL DESCRIPTION OF THE PROJECT: S. Plantation High School new concession bldg, storage building, new athletic field, parking lot, Press Box, sports lighting, bleachers, landscaping, and irrigation. TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Electrical, Concrete. masonry, plumbing, civil, mechanical, roofing. track surfacing, bleachers, landscaping. flooring. drywall, framers, asphalt. SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment'and or Beach/Bay front Vicinity: Project was at a highschool with over 4,000 students where all construction personnel had to be screened and_ approved by the School Board, worked around school schedule and school events. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Athletic Field and storage Building was shifted, addition to number of bleachers, re- routed water lines. add fire hydrants. additions and upgrades to landscaping, new electrical for future score board, modified press box, new lighting protection system laser grading, fence and gates around Athletic Facility. additions to fixtures of Athletic Field. May 2007 City of Miami Beach Page 41 Project Manual (SAMPLE Project 1, Continued) How did those changes/modifications affect the schedule? Project was extended 1 year to allow for new design and permitting of chanes. Burrowing owls stopped project for almost 7 months. CONTRACT AWARD AMOUNT $ 2,300,000 FINAL COST AT COMPLETION $4,200,000 VALUE OF WORK PERFORMED AS THE PRIME: $1,300,000 TOTAL VALUE OF SUBCONTRACT: $2,900,000 SCHEDULE START DATE: March 2004 SCHEDULE COMPLETION DATE: Mav 2005 ACTUAL START DATE: March 2004 ACTUAL COMPLETION DATE: October 2006 PROJECT MANAGER: Claudio Rodriguez DESIGNER: Architecture Inc. PROJECT MANAGER: Robert Bellot/ Bernie Eischen TELEPHONE NO: 954-835-2223 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 42 City of Miami Beach May 2007 Project Manual SAMPLE Project 2 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: Miami Dade County Parks & Recreation CLIENT'S CONTACT NAME: Malka Rodriguez CLIENT'S ADDRESS: 111 NW 1" St., Ste. 1510, Miami, FL 33128 CLIENT'S PHONE: 305-375-2180 FAX: 305-375-4505 OVERALL DESCRIPTION OF THE PROJECT: Tropical Park., new field house with restrooms, Press Box elevator and ticket booth, emergency fire/rescue turn around. asphalt, and landscaping TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: concrete, masonry. roofing, 21azin2, electrical, plumbing, mechanical, civil, elevator, flooring, painting, drywall, framing SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Project was at a very busy park used by athletic teams of nearby high schools, safety measures were taken to safeguard the project and citizens using the park during training and weekend events. Coordination was necessary to stay on schedule. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Press Box modifications, unforeseen underground structure found where new building was to be erected. storm windows. May 2007 City of Miami Beach Page 43 Project Manual (SAMPLE Project 2, Continued) How did those changes/modifications affect the schedule? Project was completed on time CONTRACT AWARD AMOUNT S 1,150.000 FINAL COST AT COMPLETION $1.300.000 VALUE OF WORK PERFORMED AS THE PRIME: $400,000 TOTAL VALUE OF SUBCONTRACT: $900,000 SCHEDULE START DATE: January 2002 SCHEDULE COMPLETION DATE: March 2003 ACTUAL START DATE: January 2002 ACTUAL COMPLETION DATE: March 2003 PROJECT MANAGER: Claudio Rodri2uez DESIGNER: Suzanne Martinson Architects PROJECT MANAGER: Suzanne Martinson TELEPHONE NO: 305-667-3944 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 44 City of Miami Beach May 2007 Project Manual SAMPLE Project 3 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: City of Weston CLIENT'S CONTACT NAME: Manuel Svnalovski CLIENT'S ADDRESS: 1800 Eller Drive, Suite 500, Ft. Lauderdale, FL 33316 CLIENT'S PHONE: 954-961-6806 FAX: 954-961-6807 OVERALL DESCRIPTION OF THE PROJECT: New 1,200 Su. Ft. Public Works building, site work, civil, new parking lot, outdoor lighting, landscaping TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: concrete, masonry, civil, asphalt, electrical, plumbing, metal erector. mechanical. roofing, cabinetry, flooring, 21azing, storefront, structural concrete, drywall, framing. painting SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Project was conducted adjacent to the current city Public Works Facility. All City vehicles had access through our construction site along with a separate contractor to build a fuel station., both construction projects coordinated all movement on site. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Minor changes. Electrical, paint, discovery of FPL fiber optic line running on our construction path. May 2007 City of Miami Beach Page 45 Project Manual (SAMPLE Project 3, Continued) How did those changes/modifications affect the schedule? Fiber optic line halted construction for 3 months until federal and local agencies issued directives on how to proceed CONTRACT AWARD AMOUNT $ 3,700,000 FINAL COST AT COMPLETION $3,760,000 VALUE OF WORK PERFORMED AS THE PRIME: $1,160,000 TOTAL VALUE OF SUBCONTRACT: $2,600,000 SCHEDULE START DATE: April 2006 SCHEDULE COMPLETION DATE: July 2007 ACTUAL START DATE: July 2006 ACTUAL COMPLETION DATE: July 2007 PROJECT MANAGER: Claudio Rodriguez, Sandy Urrea DESIGNER: Cubellis PROJECT MANAGER: Manny Synaloyski TELEPHONE NO: 954-961-6806 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 46 City of Miami Beach May 2007 Project Manual SAMPLE Project 4 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: Miami Dade County Public Schools CLIENT'S CONTACT NAME: Jorge Rodriguez CLIENT'S ADDRESS: 1450 NE 2°`' Ave., Suite 318, Miami, FL 33132 CLIENT'S PHONE: 305-995-4540 FAX: 305-995-4599 OVERALL DESCRIPTION OF THE PROJECT: Merrick Educational Center. Window replacement, new flooring. ceiling. electrical, parking lot, new breezeway. building with 8 restrooms, and elevator TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Concrete, masonry, electrical, plumbing, mechanical, elevator. glazing, roofing, flooring, painting, fire alarm. SPECIAL FEATURES OF THE PROJECT (describe how work was perfoillied in City/ Urban environment and or Beach/Bay front Vicinity: work was performed in a school with disabled children, many in delicate health, extreme measures were taken to keep site free of dust and accessible to wheelchairs. worked primarily after school hours and weekends. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Changes were primarily caused due to such old buildings. Many unforeseen conditions, found a pool underground. all window openings needed reinforcing, proiect done in small phases to accommodate special -need children and high school students. May 2007 City of Miami Beach Page 47 Project Manual (SAMPLE Project 4, Continued) How did those changes/modifications affect the schedule? Proiect has been delayed 6 moths: we expect to complete by July, 2007 CONTRACT AWARD AMOUNT $ L900,000 FINAL COST AT COMPLETION $2,100,000 Approx. VALUE OF WORK PERFORMED AS THE PRIME: $900,000 TOTAL VALUE OF SUBCONTRACT: $1,200,000 SCHEDULE START DATE: October 2005 SCHEDULE COMPLETION DATE: January 2007 ACTUAL START DATE: October 2005 ACTUAL COMPLETION DATE: July 2007 PROJECT MANAGER: Maria Dona , Sandy Urrea DESIGNER: Architeknics, Inc. PROJECT MANAGER: Lourdes Rodriguez TELEPHONE NO: 305-661-5392 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 48 City of Miami Beach May 2007 Project Manual SAMPLE Project 5 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: City of Miami Beach CLIENT'S CONTACT NAME: Nury Menicucci CLIENT'S ADDRESS: 1700 Convention Center Drive. Miami Beach, FL 33139 CLIENT'S PHONE: 305-673-7071 FAX: 305-673-7073 OVERALL DESCRIPTION OF THE PROJECT: Jackie Gleason Theater. Complete interior renovation of theater, lobby. restrooms, Patrons Lounge, dressing rooms. bars. ADA renovations. TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Electrical, plumbing. mechanical, cabinetry, framing, marble. tile work, specialty painting, glazing, concrete. SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Work was performed while the Theater was in season with shows: Worked around busy Broadway Shows and other programs. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Unforeseen conditions due to lack of available information. Old building. May 2007 City of Miami Beach Page 49 Project Manual (SAMPLE Project 5, Continued) How did those changes/modifications affect the schedule? 2 million dollars worth of work was executed in 6 months while theater was in operation: Completed project on time. CONTRACT AWARD AMOUNT $ 2,000,000 FINAL COST AT COMPLETION $2,150,000 VALUE OF WORK PERFORMED AS THE PRIME: $850,000 TOTAL VALUE OF SUBCONTRACT: $1,300,000 SCHEDULE START DATE: June 2004 SCHEDULE COMPLETION DATE: December 2004 ACTUAL START DATE: June 2004 ACTUAL COMPLETION DATE: December 2004 PROJECT MANAGER: Claudio Rodriguez, Maria Dona DESIGNER: Sklarchitecture, Inc. PROJECT MANAGER: Ari Sklar TELEPHONE NO: 954-925-9292 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 50 City of Miami Beach May 2007 0 xis rn nC7 y0Z � oa mZ COO 3 17.rn IN c W N G m O V O) 00 .. 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TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Electrical, Concrete, masonry, plumbing, civil, mechanical, roofing, track surfacing, bleachers, landscaping, flooring, drywall, framers, asphalt. SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment.and or Beach/Bay front Vicinity: Project was at a highschool with over 4,000 students where all construction personnel had to be screened and approved by the School Board. worked around school schedule and school events. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Athletic Field and storage Building was shifted, addition to number of bleachers. re- routed water lines. add fire hydrants, additions and upgrades to landscaping, new electrical for future score board, modified press box, new lighting protection system laser grading, fence and gates around Athletic Facility. additions to fixtures of Athletic Field. May 2007 City of Miami Beach Page 41 Project Manual (SAMPLE Project 1, Continued) How did those changes/modifications affect the schedule? Proiect was extended 1 year to allow for new design and permitting of changes. Burrowing owls stopped project for almost 7 months. CONTRACT AWARD AMOUNT $ 2300,000 FINAL COST AT COMPLETION $4,200.000 VALUE OF WORK PERFORMED AS THE PRIME: $1,300,000 TOTAL VALUE OF SUBCONTRACT: $2,900,000 SCHEDULE START DATE: March 2004 SCHEDULE COMPLETION DATE: Mav 2005 ACTUAL START DATE: March 2004 ACTUAL COMPLETION DATE: October 2006 PROJECT MANAGER: Claudio Rodriguez DESIGNER: Architecture Inc. PROJECT MANAGER: Robert Bellot/ Bernie Eischen TELEPHONE NO: 954-835-2223 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 42 City of Miami Beach May 2007 Project Manual SAMPLE Project 2 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: Miami Dade County Parks & Recreation CLIENT'S CONTACT NAME: Malka Rodriguez CLIENT'S ADDRESS: 111 NW lst St., Ste. 1510 Miami, FL 33128 CLIENT'S PHONE: 305-375-2180 FAX: 305-375-4505 OVERALL DESCRIPTION OF THE PROJECT: Tropical Park, new field house with restrooms, Press Box elevator and ticket booth. emergency fire/rescue turn around, asphalt, and landscaping TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: concrete, masonry, roofing, glazing, electrical, plumbing, mechanical, civil, elevator, flooring, painting, drywall, framing SPECIAL FEATURES OF THE PROJECT (describehow work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Proiect was at a very busy park used by athletic teams of nearby high schools. safety measures were taken to safeguard the proiect and citizens using the park during training and weekend events. Coordination was necessary to stay on schedule. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Press Box modifications, unforeseen underground structure found where new building was to be erected. storm windows. May 2007 City of Miami Beach Page 43 Project Manual (SAMPLE Project 2, Continued) How did those changes/modifications affect the schedule? Project was completed on time CONTRACT AWARD AMOUNT $ 1,150,000 FINAL COST AT COMPLETION $1,300,000 VALUE OF WORK PERFORMED AS THE PRIME: $400,000 TOTAL VALUE OF SUBCONTRACT: $900,000 SCHEDULE START DATE: January 2002 SCHEDULE COMPLETION DATE: March 2003 ACTUAL START DATE: January 2002 ACTUAL COMPLETION DATE: March 2003 PROJECT MANAGER: Claudio Rodriguez DESIGNER: Suzanne Martinson Architects PROJECT MANAGER: Suzanne Martinson TELEPHONE NO: 305-667-3944 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 44 City of Miami Beach May 2007 Project Manual SAMPLE Project 3 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: City of Weston CLIENT'S CONTACT NAME: Manuel Svnalovski CLIENT'S ADDRESS: 1800 Eller Drive, Suite 500, Ft. Lauderdale, FL 33316 CLIENT'S PHONE: 954-961-6806 FAX: 954-961-6807 OVERALL DESCRIPTION OF THE PROJECT: New 1,200 Su. Ft. Public Works building. site work. civil. new parking lot, outdoor lighting, landscaping TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: concrete, masonry, civil, asphalt, electrical. plumbing, metal erector, mechanical. roofing. cabinetry. flooring, glazing, storefront, structural concrete, drywall, framing, painting SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Project was conducted adjacent to the current city Public Works Facility. All City vehicles had access through our construction site along with a separate contractor to build a fuel station, both construction projects coordinated all movement on site. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Minor changes. Electrical. paint, discovery of FPL fiber optic line running on our construction path. May 2007 City of Miami Beach Page 45 Project Manual (SAMPLE Project 3, Continued) How did those changes/modifications affect the schedule? Fiber optic line halted construction for 3 months until federal and local agencies issued directives on how to proceed CONTRACT AWARD AMOUNT $ 3,700,000 FINAL COST AT COMPLETION $3,760,000 VALUE OF WORK PERFORMED AS THE PRIME: $1,160,000 TOTAL VALUE OF SUBCONTRACT: $2,600,000 SCHEDULE START DATE: April 2006 SCHEDULE COMPLETION DATE: July 2007 ACTUAL START DATE: July 2006 ACTUAL COMPLETION DATE: July 2007 PROJECT MANAGER: Claudio Rodriguez, Sandy Urrea DESIGNER: Cubellis PROJECT MANAGER: Manny Svnalovski TELEPHONE NO: 954-961-6806 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 46 City of Miami Beach May 2007 Project Manual SAMPLE Project 4 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: Miami Dade County Public Schools CLIENT'S CONTACT NAME: Jorge Rodriguez CLIENT'S ADDRESS: 1450 NE 21d Ave., Suite 318, Miami, FL 33132 CLIENT'S PHONE: 305-995-4540 FAX: 305-995-4599 OVERALL DESCRIPTION OF THE PROJECT: Merrick Educational Center. Window replacement, new flooring, ceiling, electrical, parking lot, new breezeway building with 8 restrooms, and elevator TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Concrete, masonry, electrical, plumbing, mechanical, elevator, glazing, roofing, flooring, painting, fire alarm. SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: work was performed in a school with disabled children, many in delicate health, extreme measures were taken to keep site free of dust and accessible to wheelchairs, worked primarily after school hours and weekends. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Changes were primarily caused due to such old buildings. Many unforeseen conditions, found a pool underground, all window openings needed reinforcing, project done in small phases to accommodate special -need children and high school students. May 2007 City of Miami Beach Page 47 Project Manual (SAMPLE Project 4, Continued) How did those changes/modifications affect the schedule? Project has been delayed 6 moths: we expect to complete by July, 2007 CONTRACT AWARD AMOUNT $ 1,900,000 FINAL COST AT COMPLETION $2,100,000 Approx. VALUE OF WORK PERFORMED AS THE PRIME: S900,000 TOTAL VALUE OF SUBCONTRACT: $1,200,000 SCHEDULE START DATE: October 2005 SCHEDULE COMPLETION DATE: January 2007 ACTUAL START DATE: October 2005 ACTUAL COMPLETION DATE: July 2007 PROJECT MANAGER: Maria Dona , Sandy Urrea DESIGNER: Architeknics, Inc. PROJECT MANAGER: Lourdes Rodriguez TELEPHONE NO: 305-661-5392 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 48 City of Miami Beach May 2007 Project Manual SAMPLE Project 5 of 5 CONTRACTOR'S NAME: Miami Skyline Construction Corp. CLIENT'S NAME: City of Miami Beach CLIENT'S CONTACT NAME: Nury Menicucci CLIENT'S ADDRESS: 1700 Convention Center Drive, Miami Beach, FL 33139 CLIENT'S PHONE: 305-673-7071 FAX: 305-673-7073 OVERALL DESCRIPTION OF THE PROJECT: Jackie Gleason Theater. Complete interior renovation of theater, lobby, restrooms, Patrons Lounge, dressing rooms, bars, ADA renovations. TYPE OF CONSTRUCTION PROVIDED: General Contractor CONSTRUCTION TRADES PROVIDED ON THE PROJECT: Electrical, plumbing, mechanical, cabinetry, framing, marble, tile work, specialty painting, glazing. concrete. SPECIAL FEATURES OF THE PROJECT (describe how work was performed in City/ Urban environment and or Beach/Bay front Vicinity: Work was performed while the Theater was in season with shows: Worked around busy Broadway Shows and other programs. Was the experience described above as a Prime Contractor or as a Subcontractor? Prime X Sub -Contractor What changes and/or modifications were experienced during the course of the project? Unforeseen conditions due to lack of available information. Old building. May 2007 City of Miami Beach Page 49 Project Manual (SAMPLE Project 5, Continued) How did those changes/modifications affect the schedule? 2 million dollars worth of work was executed in 6 months while theater was in operation: Completed project on time. CONTRACT AWARD AMOUNT $ 2,000,000 FINAL COST AT COMPLETION $2,150,000 VALUE OF WORK PERFORMED AS THE PRIME: $850,000 TOTAL VALUE OF SUBCONTRACT: $1,300,000 SCHEDULE START DATE: June 2004 SCHEDULE COMPLETION DATE: December 2004 ACTUAL START DATE: June 2004 ACTUAL COMPLETION DATE: December 2004 PROJECT MANAGER: Claudio Rodriguez, Maria Dona DESIGNER: Sklarchitecture, Inc. PROJECT MANAGER: Ari Sklar TELEPHONE NO: 954-925-9292 *ATTACH ADDITIONAL SHEETS IF NECESSARY* Page 50 City of Miami Beach May 2007 L 0 03 0 Zs z rn y0 A30)" i= rnZ ,y \0 On ..vc3 03 Z n --I ` J 0 CO CD O C) CO COV CTO A W N O W ▪ N ▪ i ▪ O m 73. °' O ? > v m m s z z �+ • �. 3 E m o 0 0 c d m D A Q. c cc 0n c is. 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CITY OF MIAMI BEACH Gus Lopez, CPPO Procurement Director Bid # 0705 -001 -Job Order Contract, ITB No. 35-06/07 and ITB No. 36-06/07 Addendum #1 6/8/2007 Page 1 of 1 On an annual basis (one year from the effective date of the contract), the City and successful (contract awarded) Contractors will sit down to discuss at a minimum: 1) any increase to the adjustment factors bid (i.e., profit and overhead) pursuant to the Engineering News Record's 20 City average report; and 2) whether the contract(s) should be renewed for an additional year. Should your respective surety companies have any issue or need clarification relative to this addendum, please do not hesitate on providing them my point of contact information: phone: 305.673.7495; fax: 786-394-4007 ; or e-mail: ouslooez a( miamibeachfi.00v. Thank you, CITY OF MIAMI BEACH Gus Lopez, CPPO Procurement Director t' C c i�CL V�biaf luca� MIAMI BEACH CITY OF MIAMI BEACH DECLARATION: NONDISCRIMINATION IN CONTRACTS AND BENEFITS Section 1. Vendor Information McA,MtSkyliNE Name of Company:C,na,ST• CO12-9 Name of Company Contact Person: CA Aonic,- ir"t; 16z. - Phone Number:. -%qq -91ER(9 Fax Number: 3 -?W -8840 E-mail: Mt/aMISi...ytm . ( BE `-‘13i'H• Vendor Number (if known): Federal 10 or Social Security Number: G 5 -05 q gC`5C)a1 Approximate Number of Employees in the U.S.: (off `- 14 Are any of your employees covered by a collective bargaining agreement or union trust fund? _Yes _N�' o Union name(s): Section 2. Compliance Questions Question 1. Nondiscrimination - Protected Classes A. Does your company agree to 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 Color Creed Religion National origin Ancestry Age Height Page 58 Yes _No _ _Yes _No 7Yes _No 7Yes _No 7Yes _No ,Yes _No ✓Yes No ✓Yes _No Sex Sexual orientation Gender identity (transgender status) Domestic partner status Marital status Disability AIDS/HIV status Weight City of Miami Beach '"Yes _No ./Yes _No ../Yes _No v/Yes _No :Yes _No ✓Yes _No —"Yes _No 7 -Yes No May 2007 Project Manuai 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 e er into any subcontracts. Yes No May 2007 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 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 employees? Yes✓No The term Domestic Partner shall mean any two (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 internal registry to allow for the provision of equal benefits to employees with domestic partner who do not register their partnerships pursuant to a governmental 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 vou answered "NO" to both Questions 2A and 2B, go to Section 4 (at the bottom of this page), complete and sign the form, filling in all items requested. If vou answered "YES" to either or both Questions 2A and 2B, please continue to Question 2C below. Question 2. (continued) 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. City of Miami Beach Page 59 Proiect ivianuai (BENEFIT Health Dental Vision Retirement (Pension, 401(k), etc.) Bereavement Family Leave Parental Leave Employee Assistance Program Relocation.& Travel Company Discount, Facilities & Events Credit Union Child Care Other Yes for Yes for No, this Employees Employees withBenefit is Not with Domestic Offered Spouses Partners Li [1 [1 [] [1 [] [] [1 [] [] [1 [] [] [1 [1 [1 [] [1 [] [] [] [] [] [] [] [] Documentation of this Benefit is Submitted with this Form Note: If you can not 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 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. Page 60 City of Miami Beach May 2007 Proiect Manual 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. Executedi �yN day of �31,3 in the yearn l'f?, at NA l i kyvkl City State Si ature C.)1 P.0 i(,:2__�Q 1 UP'? . Name of Signatory (please print) Title May 2007 —ICY5 iii\. 13 iArl. Mailing Address IN\A1 , F'° 33(631 City, State, Zip Code City of Miami Beach Page 61 rroiect i��anuai MIAMI BEACH CITY OF MIAMI BEACH REASONABLE MEASURES APPLICATION Declaration: Nondiscrimination in Contracts and Benefits Submit this form and supporting documentation to the City's Procurement Division ONLY IF you: a. Have taken all reasonable measures to end discrimination in benefits; and b. Are unable to do so; and c. Intend to offer a cash equivalent to employees for whom equal benefits are not available. You must submit the following information with this form: 1. The names, contact persons and telephone numbers of benefits providers contacted for the purpose of acquiring nondiscriminatory benefits; 2. The dates on which such benefits providers were contacted; 3. Copies of any written response(s) you received from such benefits providers, and if written responses are unavailable, summaries of oral responses; and 4. Any other information you feel is relevant to documenting your inability to end discrimination in benefits, including, but not limited to, reference to federal or state laws which preclude the ending of discrimination in benefits. I declare (or certify) 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. •' Com.= Si. ature E c og_p ase print) C.)I`t A<aD 90 kO[ I61()F,7. Name of Signatory (please print) Title Page 62 `1t L\t= Re> Ai S -i- • Mailing Address of Company OtifVVII \.33`(tii City, State, Zip Code -Rq4-gtog I Telephone Number Date City of Miami Beach May 2007 Definition of Terms A. REASONABLEMEASURES Project klianuai The City of Miami Beach will determine whether a City Contractor has taken all reasonable measures provided by the City Contractor that demonstrates that it is not possible for the City Contractor to end discrimination in benefits. A determination that it is not possible for the City Contractor to end discrimination in benefits shall be based upon a consideration of such factors as: (1) The number of benefits providers identified and contacted, in writing, by the City Contractor, and written documentation from these providers that they will not provide equal benefits; (2) The existence of benefits providers willing to offer equal benefits to the City Contractor; and (3) The existence of federal or state laws which preclude the City Contractor from ending discrimination in benefits. B. CASH EQUIVALENT "Cash Equivalent" means the amount of money paid to an employee with a Domestic Partner (or spouse, if applicable) in lieu of providing Benefits to the employees' Domestic partner (or spouse, if applicable). The Cash Equivalent is equal to the employer's direct expense of providing Benefits to an employee for his or her spouse. Cash Equivalent. The cash equivalent of the following benefits apply: a. For bereavement leave, cash payment for the number of days that would be allowed as paid time off for death of a spouse. Cash payment would be in the form of wages of the domestic partner employee for the number of days allowed. b. For health benefits, the cost to the Contractor of the Contractor's share of the single monthly premiums that are being paid for the domestic partner employee, to be paid on a regular basis while the domestic partner employee maintains the such insurance in force for himself or herself. c. For family medical leave, cash payments for the number of days that would be allowed as time off for an employee to care for a spouse that has a serious health condition. Cash payment would be in the form of wages of the domestic partner employee for the number of days allowed. May 2007 City of Miami Beach Page 63 rroject Manuai In the event of arithmetical errors, the Bidder agrees that these errors are errors which may be corrected by the City. Acknowledgment is hereby made of the following addenda (identified by number) received since issuance of the Project Manual: Addendum Number Date i a re i q� CAW.,. 75. c %'1 c) t x XL- 1 o.) 1 f "l l 'L Q 3 � camas_ 19, a70-7 1; d rt The Bidder shall acknowledge this bid by signing and completing the spaces provided below. Name of Bidder: Mk ..i(..11\iL Cxxx--TanOt.1 C t -p City/State/Zip: / 1c ►�� r30 -w• mit. x.11 4-1 1\Ai 41\i b , f1. 3 31 /01 Telephone No.: 30.6- - ©D Q Ccs Social Security No. or Federal Dun and Bradstreet No.: (if applicable) I. D. No.: (n`7-05ggC5na1 Bradstreet No.: (if applicable) If a partnership, names and addresses of partners: May 2007 City of Miami Beach Page 65 I` I olocl 1v anuQi (Sign below if not incorporated) WITNES (Signature) (Sign below if incorporated) (Secretary) CORPORATE SEAL) (Type or Print Name of Bidder) (Type or Print Name Signed Above) M ► NvkAl co ,n\ . Cnnn-Ts. iav Crap (Type or int am:• of Corporation) (Si. -.ture and Title)t��tSC ( ,A.`an�C� KC�iIC�UE,Z, (Type or Print Name Signed Above) Incorporated under the laws of the State of: t(tNA. Page 66 City of Miami Beach May 2007 Project Manual 00405 CITY OF MIAMI BEACH LICENSES' PERMITS AND FEES Pursuant to the Public Bid Disclosure Act, each license, permit or fee a Contractor will have to pay the City before or during construction or the percentage method or unit method of all licenses, permits and fees REQUIRED BY THE CITY AND PAYABLE TO THE CITY by virtue of this construction as part of the Contract is as follows: Building Permits, Public Works Permits, Zoning Permits, and Fees required by the City for Construction will be reimbursed to the Contractor by the City for the cost of the Permit/Fee only as a Reimbursable task item 01204-1001 with no marked -ups, meaning using a Adjustment Factor of 1.0000. The cost for obtaining these Permits is to be included in the Contractor's Adjustment Factor. LICENSES, PERMITS AND FEES WHICH MAY BE REQUIRED BY MIAMI-DADE COUNTY, THE STATE OF FLORIDA, STATE OR OTHER AGENCIES THAT ARE NOT INCLUDED IN THE ABOVE LIST SHALL BE REIMBURSED BY THE CITY. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO OBTAIN ALL PERMITS AND REQUIRED DOCUMENTS. 1 Occupational licenses from City of Miami Beach firms will be required to be submitted within fifteen (15) days of notification of intent to award. 2 Occupational licenses will be required pursuant to Chapter 205.065 Florida Statutes. May 2007 City of Miami Beach Page 67 r rGICCi IYlarlUal 00407 FORM OF BED BID FORM 1 SCHEDULE OF PRICES FOR CONTRACT NUMBER ITB The Bidder hereby proposes to furnish all labor, materials, equipment, transportation, supervision, scope documentation services, as required, and facilities necessary to complete in a workmanlike manner and in accordance with the Contract Documents, all Job Order Work ordered 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). One will be for work performed during normal working hours. The second set will be for work performed during other normal hours and the third adjustment factors will be used for Non Prepriced Work Tasks.. These adjustment factors will be considered for the Term Period (12 months from date of contract award) 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: i. Co 44 0 (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: OGOO (Specify to four (4) decimal places) Page 68 City of Miami Beach May 2007 Project Manual 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 a Non Prepriced Work Tasks multiplied times the adjustment factor of: O 5 O O (Specify to four (4) decimal places) Line 4 Combined Adjustment Factor (From Line 7 on Bid Form 2) 0450 (Specify to four (4) decimal places) EXAMPLE: Write the Adjustment Factor to four decimal places as the following example illustrates. Or May 2007 City of Miami Beach Page 69 Proieci Manual BID FORM 2 COMBINED ADJUSTMENT FACTOR WORKSHEET FOR CONTRACT NUMBER ITB ii -(``�`nQ'� V4Y�e.DA 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 t • (1f(`t) (Found on Bid Form (1) line 1) 2. Multiply Line 1 by (.70) (1• i 3. Other Than Normal Working Hours Construction Adjustment Factor) • d(0( (Found on Bid Form (1) line 2) 4. Multiply Line 3 by (.20) (i• rQoQ 5. Non Prepriced Work Tasks Adjustment Factor l • O'~CO (Found on Bid Form (1) line 3) 6. Multiply Line 5 by (.10) 7. Add lines 2+4+6 • (4,6(, (Combined Adjustment Factor) Page 70 City of Miami Beach May 2007 Project Manual The Bidder shall complete this Combined Adjustment Factor Worksheet and transfer the Bid Adjustment Factors, (Line 1, 3, 5,) and Final Combined Adjustment Factor (Line 7) to the space provided on the Bid Form 1 (Line 4) of this proposal. The lowest Combined Adjustment Factor will be deemed the lowest bid. The Owner reserves the right to revise all arithmetic calculations for correctness. Note: Should there exist a discrepancy in the adjustment factors bid on Bid Form (1) and Bid Form (2), Bid Form (1) shall take precedent. Contractor Name: Authorized Signature: w - ( c c;-rE a` i? Printed Name: CI %N1Nic) C�1�2.1 trstl�7. Date: (0 tOACri May 2007 City of Miami Beach Page 71 Proieci. ihanuai 00500 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 SEVEN (7) CALENDAR DAYS OF THE CITY'S REQUEST. Page 72 City of Miami Beach May 2007 Project Manual 00520 SUPPLEMENT TO BID/TENDER FORM - NON -COLLUSION CERTIFICATE Submitted this r'; n- day of )U k1c . , 2007 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.?�5-(ie --t 03 C i33M,be S NATURE PRINTED NAME �A t Cp • TITLE (IF CORP_ORATION) May 2007 City of Miami Beach Page 73 Proiec1 iikanuai 00530 SUPPLEMENT TO BID/TENDER FORM - DRUG FREE WORKPLACE CERTIFICATION The undersigned Bidder hereby certified that it will provide a drug-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 offer or'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: (3) (i) The dangers of drug abuse in the workplace; (ii) The Bidder's policy of maintaining a drug-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. 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) Page 74 Taking appropriate personnel action against such employee, up to and including termination; or City of Miami Beach May 2007 (7) Project Manual Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state, or local health, law enforcement, or other appropriate agency; and Making a good faith effort to maintain a drug-free workplace program through implementation of subparagraphs (1) through ) (Bidder Signature) 1\A1i,um5 Ikt..VEC \S—‘12L.--TkONC.xQ. STATE OF C` (P int Vendor Name) COUNTY OF Nl 6.\\ xt The foregoing instrument was acknowledged before me this o -r day of,,_\0.1...1F=. 2009, by (,i 11\ r? ‘65\ )Cel. as 1-+-L UN= WV- (title) T(title) ofj J 1 two, (name of person whose signature is being notarized) (name of corporation/company), known to me to be the person described herein, or who produced as identification, and who did/did not take an oath. NOTARY PUBLIC: May 2007 (Signature) MAYLIN Y. MADRID ,'17:17N1 �Y o� Corms { 00O M S% Expires 21/1004 •Bond.d M1%1(800)432-4254 ;,aha•Florida Notary Aeon.. Inc F1p1)etr (Print Name) My commission expires: City of Miami Beach Page 75 Proieca ifiar uai 00540 SUPPLEMENT TO BID/TENDER FORM-TREr CE -K SAFETY ACT 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, Page 76 Al NamBid l ‘i` s-1-2 l C c f Ad'fhorized Signature of Bidder City of Miami Beach May 2007 Project Manual 00500 RECYCLED CONTENT INFORMATION In support of the Florida Waste Management Law, Bidders are encouraged to supply with their bid, any information available regarding recycled material content in the products bid. The City is particularly interested in the type of recycled material used (such as paper, plastic, glass, metal, etc.); and the percentage of recycled material contained in the product. The City also requests information regarding any known or potential material content in the product that may be extracted and recycled after the product has served its intended purpose. May 2007 City of Miami Beach Page 77 Project iv►anuai 00708 FORM CERTIFICATE OF INSURANCE INSURANCE CHECK LIST XXX 1. Workers' Compensation and Employer's Liability per the statutory limits of the State of Florida. XXX 2. Comprehensive General Liability (occurrence form), limits of liability $1,000,000.00 per occurrence for bodily injury property damage to include Premises/Operations; Products, Completed Operations and Contractual Liability. Contractual Liability and Contractual Indemnity (Hold harmless endorsement exactly as written in "insurance requirements" of specifications). XXX 3. Automobile Liability - $1,000,000 each occurrence — owned/non-owned/hired automobiles included. 4. Excess Liability - $ .00 per occurrence to follow the primary coverages. XXX 5. The City must be named as and additional insured on the liability policies; and it must be stated on the certificate. XXX 6. Other Insurance as indicated: Builders Risk completed value $ .00 Liquor Liability $ .00 Fire Legal Liability $ .00 Protection and Indemnity $ .00 Employee Dishonesty Bond $ .00 Professional Liability $ .00 XXX 7. Thirty (30) days written cancellation notice required. XXX 8. Best's guide rating B+:VI or better, latest edition. XXX 9. The certificate must state the Quote number and title VENDOR AND INSURANCE AGENT STATEMENT: We understand the Insurance Requirements of these specifications and that evidence of this insurance may be required within five (5) days after Bid opening. M1FJ[A Contractor 1intF . er(r-Avt `e tat_ Signature of Contractor CA fk),, ‘o t2oD�iGv�.z May 2007 City of Miami Beach Page 89 ACORD CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305)822-7800 FAX Collinsworth, Alter, Fowler, Dowling & French P. 0. Box 9315 Miami Lakes, FL 33014-9315 INSURED Miami Skyline Construction Corp. 705 NE 130 Street North Miami, FL 33161 DATE (MM,iD/YYYY) 06/21/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURER A: Amerisure Insurance Co 09088 INSURER B: INSURER C: 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'LTYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I TR NSRI' DAT NM/DIVVY) DATF (MM n 1 GENERAL LIABILITY GL2008538020007 03/23/2007 03/23/2008 COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR A X GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n JE r n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR DEDUCTIBLE RETENTION CLAIMS MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER WC200853904 03/23/2007 03/23/2008 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PRFMISFS (Fa nrriiranral MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ 1,000,000 $ 50,000 $ 5,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EA ACC $ EACH OCCURRENCE AGGREGATE AGG $ WC STATU- I 1OTH- MITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ $ 1,000,000 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /,EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: JOC - Bid No. 35-06/07 Vertical Citywide / 36-0607 Horizontal Row, City of Miami Beach are named additional insured on General Liability policy. CERTIFICATE HOLDER City of Miami Beach Attn: Gus Lopez 1700 Convention Center Drive Miami, FL 33139 ACORD 25 (2001/08) FAX: (305)673-7073 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �f ��f'tm Lee Fowl er/GCM /`�f ..�0,r > iji, ©ACORDTCORPORATION 1988 PDF created with pdfFactory Pro trial version www.odffactorv.com IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) PDF created with pdfFactory Pro trial version www.pdffactory.conn 06-21-07 01:51pm From -Lisa & Steve Ent ield 954 370 1266 T-631 P. 002/002 F-481 i.CR 1 If 1''i . ' yr SUCH IN .LANCE AS RESPECTS THE INTEREST OF THE .ZTIFICATE HOLDER WILL NOT BE CANCELED OF 'HERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT IN NO EVENT SHALL. THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW_ This certifies that: ® STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington. Illinois, or El STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for the following Named Insured as shown below : Named Insured MIAMI SKYLINE CONSTRUCTION CORPORATION Address of Named Insured POLICY NUMBER EFFECTIVE DATE OF POLICY DESCRIPTION OF VEHICLE LIABILITY COVERAGE LIMITS OF LIABILITY a. Bodily injury Each Person a. Bodily Injury Each Accident b. Property Damage c. Bodily Injury & Property Damage Single Limit Each Accident PHYSICAL DAMAGE COVERAGES a. Comprehensive_ b. Collision EMPLOYERS NON -OWNERSHIP HIRED CAR'COVERAGE 705 NE 130TH STREET NORTH MIAMI, FL 33161-7526 0351169-005-591 415107-10/5/07 2002 FORD F150 P!U ®YES DNO $1,000,000.00 LINO $500.00 Deductible L IYES DNO $500.00 Deductible ®YES ONO EYES [,ONO --$janil lthQdzed.328 ntativ§ 162 6482 -E15 -59B 05115107-11115!07 2003 DODGE P!U NB ®YES ONO $1,000,000.00 Name and Address of Certificate Holder CITY OF MIAMI BEACH ATTN: GUS LOPEZ 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FL 33139 EYES ONO $500.00 Deductible ®YES DNO S500.00 Deductible ®YES ONO ®YES ONO AGENT Title 1 L_ DYES DNO DYES ENO_ DYES [JNO 50.00 Deductible OYES DNO Deductible DYES [INO OYES ONO 2220 Agent's Code Number VYES ONO Deductible DYES ONO Deductible OYES DYES Name and Address of Agent DNO ONO 06/21/07 Date STEVEN N ENFIELD, STATE FARM INS_ 8040 PETERS ROAD STE. H-105 PLANTATION, FLORIDA 33324 PHONE (954) 370-2345 DADE (305) 945-2345 Check if a permanent Certificate of Insurance for liability coverage is needed: ❑ Check if the Certificate Holder should be added as an Additional Insured: ($1 Remarks: RE: JOG BID NO. 35-06/07 BID NO. 36-06/07 VERTICAL CITYWIDE/ HORIZONTAL ROW INSURANCE Tuesday, May 29, 2007 Mr. Claudio Rodriguez Miami Skyline Construction Corp. 705 NE 130 Street North Miami, FL 33161 Brown & Brown 5900 N. Andrews Avenue, Suites 300 & 400 (Zip: 33309) P.O. Box 5727 Fort Lauderdale, FL 33310-5727 954/776-2222 • FAX 954/776-4446 To Whom It May Concern: This letter is to advise you that Miami Skyline Construction Corp., is bonded by Liberty Mutual, an A rated bonding company. Miami Skyline can qualify for individual bonds in excess of $5 million and a total program of approximately $10 million. Our agency has bonded Miami Skyline Construction Corp. for over four years and have found them to be an outstanding general contracting firm, with a very good reputation in the South Florida construction industry. If Miami Skyline Construction Corp. has a low bid acceptable to all parties, if adequate financing is confirmed, and if all other normal underwriting requirements are met, we look forward to providing additional bonds. As this is a letter of recommendation and not a bid bond, Brown & Brown, Inc., Liberty Mutual, it's agents and owners accept no liability for its contents. The Surety reserves the right to review each submission and base our final decision upon conditions which exist at that time. Please do not hesitate to contact me directly should you have any questions. Sincerely, Shawn Burton Surety Specialist May 11, 2007 To Whom It May Concern: SKLARchitecture Our firm has been working with Claudio Rodriguez and Maria Dona of Miami Skyline Construction Corp. on the Miami Beach Jackie Gleason Theater of Performing Arts project. We have found their company to be very professional and have met all the criteria to manage this successful project. Miami Skyline Construction is well staffed and understands the needs of everyone involved in the construction business. From the owner to the sub -contractors they go out of their way to get projects finished and I would certainly recommend them for any other projects that come our way. Should you have any questions, please call me. Sincerely, Ari L. Sklar, • , NCARB. President. S/jt 1 ARCHITECTURE Commercial & Residential Interior Architecture & Design Urban Renovation Architectural Design of Children's Environments Development Consulting 2310 Hollywood Blvd. Hollywood Florida 33020 Tel: 954.925.9292 Fax 954.925.6292 e-mail: mail@sklarchitect.com WEBSITE: www. s k 1 arc h i to c t. co m AA 0002849 IB 0000894 NCARB CERTIFIED Ari Sklar, A.I.A. Oscar Sklar, A.I.A. cubeHiis v architects interior designers engineers May 10m, 2007 To Whom It May Concern, Re: Miami Skyline Construction Corp. We are the Architect of Record of the Public Works facilities for the City of Weston. Said 4.16 acre campus includes a 12,071 s.f. administration/warehouse building as well as the City's fueling station, central communication tower and other exterior storage facilities. Said project was first awarded to Miami Skyline in the fall of 2004 and subsequently rescoped and redesigned during 2005. Since the start of construction in June. 2006 Miami Skyline has done a formidable job in completing the proposed improvements. In addition to assisting with rescoping and redesigning, as a pre -construction activity. they have successfully led the team and other vendors of the City under direct control of the City in developing a formidable project. All of the above occurring while the City still operates temporary facilities on-site. The on-site field staff as well as the office project management staff have performed extremely well and all of their sub -contractors have delivered a very valuable product. In our 20 year history of providing architectural services to the Municipal Sector of the South Florida Community, our experience with Miami Skyline allows us to consider them among the best in the industry. Further we strongly recommend them for any project they feel qualified to deliver. Should you need to further discuss this recommendation, do not hesitate to contact me personally. SAtia anuel alovski, AIA Principal cubellis sgr 1800 eller Drive Suite 500 Fort Lauderdale, FL 33316 t 954 961 6806 f 954 961 6807 License Number A426001049 www.cubellis.com ALLEN & ASSOCIATES, P.A• ;,)4tt S'Y/. 71 Street • Suite 201 tvl,aun • r l,.r,,l:, 33143 ( 1(15 1 6 6 1 • 7 6 i 4 X ( 305 1 l,6 1 2 388 5 September 2003 To Pre -qualification Review Committee Miami Dade County Public Schools RE Miami Skyline Construction Company, Inc •Phis letter is provided to address the character and capabilities of the firm mentioned above, with regard to their Construction and Administrative Competence. For the past year and a half. niy firm has c,„nduc1ed Constnlction .Administration Services on a large Dade County Park Contract in which This l•ir m is the General Contractor. The firm has demonstrated a keen degree of knowledge and competence in producing the work involved in the project. As owner of this fine, I am pleased to Ieconimend this fin» for future work with Miami Dade County as well as Miami Dade County Public Schools. l feel they will perform in a manner that will satisfy the School Districts' standards Should you have further questions, you may contact me at the above address and number. Sincerely. timmie .Allen, RA :\tchitect President; CLO :i I ile Arrt,itec rure • t_1it in Design 1'I; nnrtrf, AA i!JY7 September 5, 2003 To whom it may concern: MIAMI-DADE COUNTY, FLORIDA PARK & RECREATION OEPARTMENT PROJECT MANAGEMENT DIVISION 275 N. W. 2"` St. 4"' Floor, Miami, Florida 33125 TELEPHONE: (305) 755-7921 / FAX: (3051 755-7995 MIAMI SKYLINE CONSTRUCTION CORP. was the general contractor for the Tropical Park Field House, Press -box Elevator and Ticket Building, Miami Skyline Construction Corp. worked with us to develop and design excellent solutions to several difficult decisions. Miami Skyline Construction Corp. were courteous, conscientious, and customer responsive (always responsive to our request). The quality of work met our expectations. Most importantly, the job was completed as per contract requirements in spite of multiple constraints that affected the construction process, thus allowing the Park & Recreation Department to host a much coveted event (National Junior Olympics) in the delivered facilities. If you have any questions or need additional information, please feel free to contact me at (305) 755- 7921. Incerely, u e z Proles:1 anager Project Management Division Xc: Joel Aranao Construction Section Head rr n.�u on Qe-:�cea neem LEIZABITH F. MVO, P.A. Law Offices 328 Crandon Blvd., Suite 226 Key Biscayne, Florida 33149 September 5, 2003 Re: Recommendation letter for Miami Skyline Construction To Whom it May Concern, Telephone (305) 365-0902 Facsimile (305) 365-9760 E-mail lizt@calvopa.com Miami Skyline Construction has worked on a variety of projects for us. We have been very pleased with their work and their consistency on every project, we highly recommend them for your construction needs. Miami Skyline Construction has always completed the projects according to schedule and within the specified budget. Their professionalism makes it a pleasure to work with, and we hope to continue working with them for all our construction needs in the future. If you have any questions please do not hesitate to contact me at the above number. Sincerely, Liz •,th F. Calvo