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HomeMy WebLinkAboutExhibit 4ATTACHMENT B SCOPE OF WORK SUB -CONTRACTORS Contractor shall identify below all Sub -Contractors. Categories shall be added as necessary. If no Subcontractors are to be used, insert the word "Self' in the spaces under "Name of Subcontractor". NAME OF TYPE OF WORK SUB -CONTRACTORS 1. Landscaping/Planting �/A 2. Irrigation N 3. 4. 5. 6- 7. Bid No. 07-08-022 SUBCONTRACTOR'S COUNTY -MUNICIPAL OCCUPATIONAL LICENSE NUMBER Airy i 00500. SUPPLEMENT TO BID FORM: QUESTIONNAIRE THIS COMPLETED FORM SHOULD BE SUBMITTED WITH THE BID, HOWEVER, SUBMISSION OF THE FORM OR ANY ADDITIONAL INFORMATION NOT INCLUDED IN THE SUBMITTED FORM AS DETERMINED IN THE SOLE DISCRETION OF THE CITY, MAY BE SUBMITTED WITHIN SEVEN (7) CALENDAR DAYS OF THE CITY'S REQUEST. FAILURE TO SUBMIT THE FORM OR ADDITIONAL INFORMATION UPON REQUEST BY THE CITY SHALL RESULT 1N THE REJECTION OF THE BID AS NON-RESPONSIVE. The undersigned authorized representative of the Bidder certifies the truth and accuracy of all statements and the answers contained herein. 1. How many years has your organization been in business while possessing one of the licenses, certifications, or registrations? Lic nse/Certification/Registration Name and Number # Years f) 009 1 006 jis 6q 1A. What business are you in? 2. What is the last project of tth"is' nature that you have completed? 3. Have you ever failed to complete any work awarded to you? If so, where and why? 4. Give owner names, addresses and telephone numbers, and Surety and project names, for all projects for which you have performed work, where your Surety has intervened to assist in completion of the project, whether or not a claim was made. 3 6 /u '5 1 z8 5. Give names, addresses and telephone numbers of three individuals, corporations, agencies, or institutions for which you have performed work: SSI tz� K' &RG bm f oPm&) uL till ry orzys c, (name) (address) (phone #) ,moiy'o 40txg 0NPA- '706- 3 � 6 - -76S- (name) (address) (phone #) 866- 455 -9 - (name) (address) (phone #) o;A K1- n7_na_n" Pape 31 6. List the following information concerning all contracts in progress as of the date of submission of (Continue list on insert sheet, if necessary.) 7. Has a representative of the Bidder completely inspected the proposed project and does the Bidder have a complete plan for its performance? Yes No 8. Will you subcontract any part of this Work? If so, provide the following details for each subcontractor(s) that will perform work in excess of ten percent (10%) of the contract amount. (Attach additional sheets if necessary) Subcontractor Approx. M/WBE Description of Work Name Percentage Status The foregoing list of Subcontractor(s) may not be amended after award of the Contract without the prior written approval of the Contract Administrator, whose approval shall not be unreasonably withheld. 9. What equipment do you own that is available for the Work? 10. What equipment will. you purchase.for the proposed Work? 0a.4 ni„ m_nn_n'Y)' Page 32 this bid. (In case of co -venture, list the information for all co -venturers.) TOTAL DATE OF % OF NAME OF OWNER & CONTRACT COMPLETION COMPLETION PROJECT PHONE # VALUE PER CONTRACT TO DATE '3Qaib-ffib � ?� Qy /1 -r� q116 C7y�F,s,rJ,rV �t-i'� ' �{5�, Do jt�—-c`7 IX Q-0 � nn FM"4-- 6 �d , y � 0'16 Ci � p - I�uvN£k y n14 t� u►�, X116 - i`i S-8 39D. 0-3 1-29 � Karn d L`m : l ?Di-ul J,-rA-P L GSL. 'i i n i� � ` -7�� t (On 1/0 (Continue list on insert sheet, if necessary.) 7. Has a representative of the Bidder completely inspected the proposed project and does the Bidder have a complete plan for its performance? Yes No 8. Will you subcontract any part of this Work? If so, provide the following details for each subcontractor(s) that will perform work in excess of ten percent (10%) of the contract amount. (Attach additional sheets if necessary) Subcontractor Approx. M/WBE Description of Work Name Percentage Status The foregoing list of Subcontractor(s) may not be amended after award of the Contract without the prior written approval of the Contract Administrator, whose approval shall not be unreasonably withheld. 9. What equipment do you own that is available for the Work? 10. What equipment will. you purchase.for the proposed Work? 0a.4 ni„ m_nn_n'Y)' Page 32 11. What equipment will you rent for the proposed Work? 12. State the name of your proposed project .manager and superintendent and give details of his or her qualifications and experience in managing similar work. 13. State the true, exact, correct and complete name of the partnership, corporation or trade name under which you do business and the address of the place of business. (if a corporation, state the name of the president and secretary. If a partnership, state the names of all partners. If a trade name, state the names of the individuals who do business under the trade name). 13.1 The correct name of the Bidder is 13.2 The business is a (Sole Proprietorship) (Partnersh Cor oration . 13.3 The address of principal place of business is 13.4 The names of the corporate officers, or partners, or individuals doing business under a trade name, are as follows: Bid No. 07-08-022 Pape 33 � IL- �a�S /� A -S aJ��.. IS �l��tiS ��.P iz.>✓�C_.C: 13. State the true, exact, correct and complete name of the partnership, corporation or trade name under which you do business and the address of the place of business. (if a corporation, state the name of the president and secretary. If a partnership, state the names of all partners. If a trade name, state the names of the individuals who do business under the trade name). 13.1 The correct name of the Bidder is 13.2 The business is a (Sole Proprietorship) (Partnersh Cor oration . 13.3 The address of principal place of business is 13.4 The names of the corporate officers, or partners, or individuals doing business under a trade name, are as follows: Bid No. 07-08-022 Pape 33 13.5 List all organizations which were predecessors to Bidder or in which the principals or officers of the Bidder were principals or officers. 13.6. List and describe all bankruptcy petitions (voluntary or involuntary) which have been filed by or against the Bidder, its parent or subsidiaries or predecessor organizations during the past five (5) years. Include in the description the disposition of each such petition. F 13.7. List and describe all successful Performance or Payment Bond claims made to your surety(ies) during the last five (5) years. The list and descriptions should include claims against the bond of the -Bidder and its predecessor organization(s). 13.8 List all claims, arbitrations, mediations, civil actions, administrative hearings and lawsuits brought by or against the Bidder or its predecessor organization(s) during the last five (5) years. The list shall include all case names; case, arbitration or hearing identification numbers; the name of the project over which the dispute arose; a description of the subject matter of the dispute; and the final outcome of the claim. 13.9. List and describe all criminal proceedings or hearings concerning business related offenses in which the Bidder, its principals or officers or predecessor organization(s) were defendants. Bid No. 07-08-022 Pape 34 13.10. Has the Bidder, its principals, officers or predecessor organization(s) been debarred or suspended from bidding by any government during the last five (5) years? If yes, provide details. 13.11. Under what conditions does the Bidder request Change Orders? Al A10 13.12. What is the nature and amount of the three largest change orders submitted by the bidder within the past five years, and their disposition? Riri Nn n7_nn_m9 Page 35 Contractors shall furnish the names, addresses, and telephone numbers of a minimum of five (5) firms or government organizations for which the Contractor has provided services for projects of similar size,' scope and complexity over a three (3) year period. 1) Company Name L'r'I W x ,A; - AiI� Address f �� �� l�U� M'�`� t� ` Contact Person/Contract Am® _ 4 k f ' fir - Telephone No. /Fax No.S�6� '' f� / 2) Company Name' ik IP 44 *r,,t � - f � �� ��.SCUt Address }lS- Ifit Contact Person/Contract Amount ;AAl - I e—IQ Telephone No. /Fax No.� 3) Company Name i ©�. M:kXPA"- Ke\"94 Get&4R 1 tt Address L( 00 SG 2.� VIA Contact Person/Contract Amount � VOAJiU(5 Telephone No. /Fax No. S' 't i 3 7 Z -Z j 4) Company Name Address ()D /Vuc> Contact Person/Contract Amount._..- (Z' S fk-JASDA1- I SDOD Telephone No. /Fax No. 30S-- 63 i- 3�5 a„l Mn n7_r1R_r17q Pace 1F 00502. SUPPLEMENT TO BID FORM: CUSTOMER REFERENCE �LISTING (Page 2 of 2) 5) Company Name L 0'tX4" , i�1NXCV %44,2,�v Address 3yco Pw 1'aju VC Contact Person/Contract Amount,9ky" --S VA-,AJ 600 i Telephone No. /Fax No.S 6) Company Name /� lmz� 4omesoP m ► +mow i' Address Contact Person/Contract Amount Nk` o VIV44 _ jZ DDZ> Telephone No. /Fax No. 06- -'3 Li � —i b S` j 7) Company Name F 12G 1� f VtW &i4i LLC Address /--7 1-7 NOP -4 O IS�Pe% b P'V ir, -4 Contact Person/Contract Amount L kV;d (A,/1 1St374—�' )'rB3�; 00 Telephone No. /Fax No. 8) Company Name Address Contact Person/Contract Amount Telephone No. /Fax No. MA K1., n-7 na n")) Page 37 00510. OFFICE LOCATION AFFIDAVIT (Pagel of 2) Please type or print clearly. This Affidavit must be completed in full, signed and notarized ONLY IF YOU MAINTAIN AN OFFICE WITHIN THE CORPORATE LIMITS OF THE CITY OF MIAMI. Legal Name of Firm: Entity Type: (Check One) Partnership Sole Proprietorship r o D a� 2,136q Corporation Document No: Date Established 6?05i3q-ooS713-b Occupational License No: PRESENT Street Address: ��—'2- f) S of Issuance City: State: How long at tb(ipNocation: PREVIOUS Street Address: + 4105 :� ./ILc-1 17 Xe 2y� (WL -S City: S. to How long at this location: According to Section 18-85 of the City of Miami Code, as amended: The "City Commission may offer to a responsible and responsive local bidder, who maintains an office in the City of Miami, the opportunity of accepting a bid at the low bid amount, if the original bid amount submitted by the local bidder does not exceed 110 percent of the lowest other responsible and responsive bidder." The intention of this section is to benefit local bona fide bidders/proposers to promote economic development within the corporate limits of the City of Miami. I (we) certify, under penalty of perjury, that the office location of our firm has not been established with the sole purpose of obtaining the advantage granted bona fide local bidders/proposers by this section. n:J 111- n-7 no n7-) Pace IR i (Page 2 of 2) Authorized Signature Print Name Title TAuthorized ynature/ Authorized Signature (Must be signed by the corporate secretary of a Corporation or one general partner of a partnership or the proprietor of a sole proprietorship or all partners of a joint venture.) NOTARIZATION STATE OF FLORIDA, COUNTY OF MIAMI-DADE That: YO LA IJ fl q IUIKN 1G447_- dL(t—z5 personally appeared before me and acknowledged the foregoing instrument as his/her act and deed. That a/she has produced ��� GC �Z -q l? ��5� as identification. NOTARY PUBLIC: '•amara;n - 'DID 17E46,5 � ; ? JFr�; Ffi. LX i-E:,ar�„?5 .^, My Commission Expires: Be;re •••` Tnr�F�etryFani;cUnd=,r,riN-re Please submit with your bi co" sof Occupational License, professional and/or trade License to verify local status. The City of Miami also reserves the right to request a copy of the corporate charter, corporate income tax filing return and any other documents(s) to verify the location of the firm's office. Rid No. 07-08-022 Pace 39 Project No.: Title: fX- M L Bidder/Contractor: 4-n , L As previously stated in the Contract Documents, the City encourages the participation of local, small and minority owned businesses. Based on this ongoing effort the City requires that with the submission of the bid, first payment requisition, and at the request of City representative, the Contractor shall submit this report entitled. Failure to submit the report may delay the issuance of payment to the Contractor. Contractor shall submit an updated report when a subcontractor has been added or changed. The following certified local, small, disadvantaged,.minority or women owned firms have been awarded subcontracts for this Project. The legend is to be used in comoletina the aDorooriate columns. Name of Firm (Bidder and Certifvinq Entities Certifying Agency Value of Percentage Subcontractors) Business Designation (Agencies) Work of Total Local - Local Firm (within City of Miami city limits) (check all that apply) List all applicable AssignedlA Work or Other — please identify SBE -Small Business.Enterprise warded Contract BBE CSBE or SBE DBE HBE ) N Local MBE WBE None BBE CSBE or SBE DBE HBE Local MBE WBE None BBE CSBEorSBE DBE HBE Local MBE WBE None BBE CSBE or SBE DBE HBE Local MBE WBE None BBE CSBE or SBE DBE HBE Local MBE WBE None BBE CSBE or SBE DBE HBE Local MBE WBE None LEGEND of Firm Certifvinq Entities -Tyl2es BBE - Black- African-American) owned Business Enterprise CM - City of Miami CSBE - Community Small Business BC - Broward Coun DBE - Disadvantaged Business Enterprise FDOT - Florida Department of Transportation HBE - Hispanic Owned Business Enterprise FG - Federal Government Local - Local Firm (within City of Miami city limits) MD - Miami Dade Count MBE - Minority Business Enterprise MDPS - Miami Dade Public Schools None — no special designation Other — please identify SBE -Small Business.Enterprise WBE — Woman -Owned Business Enterprise NUIE:COPIES UFCERIIFICAIIUNSMUS/6EATTACHEU. LOCAL t-IMMJbHALLAIIACH1Ht:LUGALUrrIGt AFFIDAVIT Bid No. 07-08-022 Paee 40