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HomeMy WebLinkAboutBid Form(Page 1of 8) Section 4 - BID FORM Submitted: November 19, 2008 Date City of Miami, Florida Office of the City Clerk City Hall, 1 't Floor 3500 Pan American Drive Miami, Florida 33133-5504 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 site of the Work and informed itself fully of all conditions pertaining to the place where the Work is to be done; that it has examined the Contract Documents and all addenda thereto furnished before the opening of the bids, as acknowledged below; and that it has satisfied itself about the Work to be performed; and that it has submitted the required Bid Guaranty; 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(s) entitled: Bid No: 07-08-021 Title: MiaMarina Pier No. 5 Repairs & Dinner Key Marina Pier No. 3 Repairs, B-30325 and B -60474A 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 total Bid price plus alternates, if any, 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 falls to execute said Contract, or falls to furnish the required Performance Bond and Payment Bond or fails to furnish the required Certificate(s) of Insurance within fifteen (15) calendar days after being notified of the award of the Contract. in the event of arithmetical errors, the Bidder agrees that these errors are errors which may be corrected by the City. In the event of a discrepancy between the price Bid in figures and the price Bid in words, the price in words shall govern. Bidder agrees that any unit price listed in the Bid is to be multiplied by the stated quantity requirements in order to arrive at the total. 72 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 2 of 8) Note: Bidders are bidding on a lump sum basis for the purpose of determining the lowest responsive and responsible Bidder. The City shall determine the apparent lowest Bidder by adding together the lump sum Bids for the two Projects. Bidder must Bid on both Proiects. Proiect #1— MiaMarina Pier No. S Repairs Our LUMP SUM BID includes the total cost for the Work specified in this solicitation, consisting of furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit required, in accordance with the Bid Specifications. Lump Sum: $ 923,800.00 Nine hundred twenty three thousand eight hundred Dollars 00/100 Written Amount Project #2 — Dinner Key Marina Pier No. 3 Repairs Our LUMP SUM BID includes the total cost for the Work specified in this solicitation, consisting of furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit required, in accordance with the Bid Specifications. Lump Sum: $ 161, 700.00 One hundred sixty one thousand seven hundred Dollars 00/100 Combined Total Bid Price (Project #1+Project #2) Our Combined Total Bid Price for both Projects includes the total cost for the Work specified in this solicitation, consisting of furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit required, in accordance with the Bid Specifications. Lump Sum: $ 1,085,500.00 one million eighty five thousand five hundred Dollars 00/loo 73 HaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 3 of 8) DIRECTIONS: COMPLETE PART I OR PART 11, WHICHEVER APPLIES, AND PARTS III AND IV. Part I: Listed below are the dates of issue for each Addendum received in connection with this Bid: Addendum No. 1, Dated October 24, 2009 Addendum No. 2, Dated November 14, 2008 Addendum No. 3, Dated November 18, 2008 Addendum No. 4, Dated November 20, 2008 Part II: No addendum was received in connection with this Bid. Part III; Certifications The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of the following, and shall comply with all the stated requirements. 1. Affirmative Action Plan Successful bidder(s) shall establish an Affirmative Action Plan or an Affirmative Action Policy pursuant to Ordinance #10062 as amended. Effective date of implementation must be indicated on the policy: and 2. First Source Hiring Bidder certifies that it has read and understood the provisions of City of Miami Ordinance Section 18-110, pertaining to the implementation of a "First Source Hiring Agreement". Evaluation of bidder's responsiveness to Ordinance Section 18-110 may be a consideration in the award of a contract. 3. Non -Collusion Bidder certifies that the only persons interested in this Bid are named herein; that no other person has any interest in this Bid or in the Contract to which this Bid pertains; that this Bid is made without connection or arrangement with any other person; and 4. Drua Free Workplace The undersigned Bidder hereby certifies 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 Bidder'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; 74 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 4 of 8) (H)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; (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 the City 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: (1) Taking appropriate personnel action against such employee, up to and including termination; or (H)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 (7) Making a good faith effort to maintain a drug-free workplace program through implementation of subparagraphs(1) through (6); and Lobbying The undersigned certifies to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid, or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 75 HaMadna Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 5 of 8) (3)This undersigned shall require that the language of this certification be included in the award documents for "All" sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a pre -requisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure; and * Note: In these instances, "All" in the Final Rule is expected to be clarified to show that it applies to covered contract/grant transactions over $100,000 (per QMB). 6. Debarment, Suspension and Other Responsibility Matters The Bidder certifies to the best of its knowledge and belief, that it and its principals: a. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency. b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph 1.b of this certification; and d. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default. Where the prospective Bidder is unable to certify to any of the statements in this certification, such Bidder shall submit an explanation to the City of Miami. Part IV; Certification — Trench Safety Act The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of the Trench Safety 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 various items of the proposal and in the total Bid price are costs for complying with the Florida Trench Safety Act. These items are a breakout of the respective items involving trenching and will not be paid separately. They are not to be confused with bid items in the schedule of prices, nor be considered additional Work. 76 KaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 6 of 8) The Bidder further identifies the costs and methods summarized below: Quantity Unit Description Unit Price Price Extended . ZQ �Cad'P.S 406 Total $ 11 40 D Method Attached is a Bid Bond [x], Cash [ ], Money Order [ ], Unconditional/Irrevocable Letter of Credit [ ], Treasurer's Check [ ], Bank Draft j ], Cashier's Check [ ], Bid Bond Voucher [ ] or Certified Check [ ] No. N/A Bank of N/A for the sum of Fifty four thousand two hundred seventy five Dollars ($ 54,275. 00 ), The Bidder shall acknowledge this Bid and certifies to the above stated in Part III and IV by signing and completing the spaces provided below. Firm's Name: Shoreline Foundation, Inc. Signature:. � � Printed Name/ :,/James A. (Poyor-_P*residen__ City/State271p: Pembroke Park, FL 33023 Telephone No.: (954) 985-0460 Facsimile No.: (954) 985-0462 E -Mail Address: Jklion®shorelinefoundation.com Social Security No. or Federal Dun and I.D.No.: 59-2695595 Bradstreet No.: 154650147 (if applicable) If a partnership, names and addresses of partners: N/A 77 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 7 of 8) CERTIFICATE OF AUTHORITY (IF CORPORATION) I HEREBY CERTIFY that at a meeting of the Board of Directors of Shoreline Foundation, Inc. , a corporation organized and existing under the laws of the State of Florida , held on the 17 day of November , 2oos , a resolution was duly passed and adopted authorizing (Name) James A. Royo as (Title) President of the corporation to execute bids on behalf of the corporation and providing that his/her execution thereof, attested by the secretary of the corporation, shall be the official act and deed of the corporation. I further certify that said resolution remains in full force and effect. IN WITNE.SSAN-H-EBEOF, I havo-hereunto set my hand this 17 , day of November , 20 08 . Print: Bay s. N/A CERTIFICATE OF AUTHORITY (IF PARTNERSHIP) I HEREBY CERTIFY that at a meeting of the Board of Directors of , a partnership organized and existing under the laws of the State of held on the _day of , a resolution was duly passed and adopted authorizing (Name) as (Title) of the to execute bids on behalf of the partnership and provides that his/her execution thereof, attested by a partner, shall be the official act and deed of the partnership. I further certify that said partnership agreement remains in full force and effect. Partner: Print: IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 20 N/A CERTIFICATE OF AUTHORITY IF JOINT VENTURE) Joint ventures must submit a joint venture agreement indicating that the person signing this Bid is au onzed to sign bid documents on benait of trie joint venture. It there is no joint venture agreement each member of the joint venture must sign the Bid and submit the appropriate Certificate of Authority (corporate, partnership, or individual). N/A CERTIFICATE OF AUTHORITY (IF INDIVIDUAL) I HEREBY CERTIFY that, I (Name) , individually and doing business as (d/b/a) (If Applicable) have executed and am bound by the terms of the Bid to which this attestation is attached. IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 20. Signed: Print: 78 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID FORM: (Page 8 of 8) NOTARIZATION STATE OF Vubv � N ) ) SS: COUNTY ..��..r�yy The foregoing instrument was acknowledged before me this J1�day of 20, byZO,-4n, who is personally known to me or who has produced as identification and who did i no a e an oat . 1 ATURE OF NOTARY PU C NOTARY PUBLIC -STATE OFFLORIDA "" Elizabeth London STATE OF FLORIDA :Commission#DDS17001 Expires, AUG. 21, 2012 t 2 e { Lp BONDED MRU ATLANTIC BONDING CO., INC. PRINTED, STAMPED OR TYPED NAME OF NOTARY PUBLIC 79 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 a Section 5- Attachments BID BOND FORM (Page 1 of 3) State of Florida ) County of Dade ) SS City of Miami ) KNOWN ALL PERSONS BY THESE PRESENTS, that SHORELINE FOUNDATION, INc. as Principal, TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA as Surety, are held and firmly bound unto The City of Miami, in the penal sum of FIVE PERCENT OF THE AMOUNT BID Dollars ($5%-------------------- ) lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the Principal has submitted the accompanying Bid, dated NOVEMBER 20TH , 2008 , for: MiaMarina Pier No. 5 Repairs & Dinner Key Marina Pier No. 3 Repairs, B-30325 and B -60474A NOW THEREFORE: (a) If the principal shall not withdraw said Bid within one hundred twenty (120) days after date of opening the same, and shall within ten (10) days after the prescribed forms are presented to him for signature, enter into a written contract with the City, in accordance with the bid as accepted, and give bond with good and sufficient Surety or Sureties, as may be required, for the faithful performance and proper fulfillment of such contract; or, (b) In the event if the withdrawal of said Bid within the period specified, or the failure to enter into such contract and give such bond within the time specified, if the principal shall pay the City the difference between the amount specified in said Bid and the amount for which the -City may procure the required Work and supplies, if the latter amount be in excess of the former, then the above obligation shall be void and of no effect, otherwise to remain in full force and virtue. 80 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 BID BOND FORM (Page 2 of 3) IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals, this 20TH day of NOVEMBER A. D., 2008 the name and corporate seal of each party being hereto affixed and these presents duly signed by its undersigned representative, pursuant to authority of its governing body. WITNESS: (If Sole Ownership, Partnership, or Joint Venture, two (2) Witnesses are required. If Corpora 105 Secretary onl ,,wi( a st and affix eal.) sl MiaMarina Pier 5 & Dinner Key Pier 3 PRINCIPAL; SHORELINE FOUNDATION, INC. Affix Seal officer) 781 S. W. 56 AVENUE (Business Address) PEMBROKE PARK, FL 33023 City State Zip Surety, TRAVELERS CASUALTY AND SURETY (Corporate Surety) Affix COMPANY OF AMERICA Seal (Signature of Authorized Officer) D. W. MATSON III, ATTORNEY-IN-FACT (Title) 2420 LAKEMOUNT AVENUE, 4TH FL (Business Address) ORLANDO, FL 32814 City State Zip Bid No.: 07-08-021 BID BOND FORM (Page 3 of 3) CERTIFICATE AS TO CORPORATE PRINCIPAL certify that I am the Secretary of the Corporation named as Principal in the with bond; that of said corporation; that I knowehis signature, and the signature hereto is genuine; and that said bond was .duly signed, sealed and attested for and in behalf of said corporation by authority of its governing bAdy Seal) STATE OF FLORIDA) COUNTY OF DADE ) SS City OF MIAMI ) Before me, a Notary Public duly commissioned, and qualified, personally appeared D. W. MATSON III to me well known, who being by me first duly sworn upon oath, says that he/she is the attorney-in-fact, for the TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA and that he/she has been authorized by ITS PRESIDENT to execute the foregoing bond on behalf of the Contractor named therein in favor of The City of Miami, Florida. Subscribed and sworn to before me INSTRUCTIONS: Bid Bonds must be accompanied by a Power of Attorney, in compliance with Instructions to Bidders JUNE 19:2012 DINIACAVALIERE BE .+; COMMISSlon DD 783579 � M EXPIMS June 19, 2012 91nd9dr=7rtyFai IMMIMSoo385.mM2 82 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOLITTHE RED BORDER This PoweAttorne r ofy is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St, Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or thg Board, of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may he affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kori M. Johanson, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., Seaboard Surety Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Palrl Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Sureet ofnpanty-of America -and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power•.o]( rney<exeeut�d by`saz�l)Companies, which is in full force and effect and has not been revoked. . 0 J, IN TESTIMONY WHEREOF, I have hereunto set my hand and A, he the-se1 of said C mo pknies this 20th day of NOVEMBER 2�8 Kori M. Johans Assistant Secretary To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. WADMIKIM•T411Q Dn%Mt:D r)M A1-rrN0KIFV IQ IAIUAI In WITI-Int ITTI-IC mr:n PnDnr=m SUPPLEMENT TO BID FORM: QUESTIONNAIRE This Completed Form Must Be Submitted With The Bid, The City May, At Its Sole Discretion, Require That The Bidder Submit Additional Information Not Included In The Submitted Form. Such Information Must 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 In The Rejection Of The Bid As Non -Responsive. Additional Pages May Be Used Following The Same Format And Numbering. By submitting its Bid the Bidder certifies the truth and accuracy of the following information. A. Business Information 1. How many years has your company been in business under its current name and ownership? 22 Years a. Professional Licenses/Certifications (include name and number)* Issuance Date Jose Manuel Gonzalez CGCO61258 05/03/D7 James A.Royo - Broward 88-1022 James A. Royo - Miami Dade E1922 (Include active certifications of small or disadvantage business & name of certifying entity) 08/31/08 09/30/08 b. Date company licensed by Dept. Of Professional Regulation: June 2, 1986 c. Qualified Business License: ® Yes❑ No If Yes, Date Issued: 7/21/06 c. What is your primary business? Marine construction (This answer should be specific. For example; paving, drainage, schools, interior renovations, etc.) d. Name of Qualifier, license number, and relationship to company: James A. Royo QB44481 President e. Names of previous Qualifiers during the past five (5) years including, license numbers, relationship to company and years as qualifier for the company James A. Royo - Miami Dade E1922 President 22 years 2. Name and Licenses of any prior companies Name of Company License No. Issuance Date N/A 3. Type of Company: ® Corporation ❑"S" Corporation ❑LLC❑Sole Proprietorship❑Other: (Corporations will be required to provide a copy of their corporate resolution prior to executing a contract) 83 MiaMadna Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 4. Company Ownership a. identify all owners of the company Name Title % of ownership James A. Royo President 33% Barry S. Reed V. President/ Secretary 330 John R. McGee V. President/ Treasurer 33%- b 3% b . Is any owner identified above an owner in another company? ❑ Yes [� No If yes, identify the name of the owner, other company names, and % ownership N/A 5. Employee Information Total No. of Employees: 108 Number of Managerial/Admin. Employees: 15 Number of Trades Personnel and total number per classification: (Apprentices must be listed separately for each classification) Operators Union 10 employees 6. Has any owner or employee of the company ever been convicted of a federal offense or moral turpitude: If yes, please explain: No N/A 7. Insurance & Bond Information a. Insurance Carrier name & address: us, P.O. Box 141916, Coral Gables, FL 33114-1916 b. Insurance Contact Name, telephone, & e-mail: Wendy Lundry (305) 357-2467 c. Insurance Experience Modification Rating (EMR): .86 ('rf no EMR rating please explain why) 84 MlaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 d. Number of Insurance Claims paid out in last 5 years & value: 0 e. Bond Carrier name & address: Matson -Charlton Surety Group 700 South Dixie Highway, Suite 101, Coral Gables, FL 33146 f. Bond Carrier Contact Name, telephone, & e-mail: Duffy Matson (305) 662-3852 g. Number of Bond Claims paid out in last 5 years & value: 0 8. Have any claims lawsuits been file against your company in the past 5 years, If yes, identify all where your company has either settle or an adverse judgment has been issued against your company. Identify the year basis for the claim or judgment & settlement unless the value of the settlement is covered by a written confidentiality agreement. No 9. To the best of your knowledge is your company or any officers of your company currently under investigation by any law enforcement agency or public entity. If yes, provide details: No 10. Has your company been assessed liquidated damages or defaulted on a project in the past five (5) years? ❑ Yes ® No (If yes, provide an attachment that provides an explanation of the project and an explanation. N/A 11. Has your company been cited for any OSHA violations in the past five (5) years. If yes, please provide an attachment including all details on each citation, No 12. Provide an attachment listing all of the equipment, with a value of $5,000 or greater, owned by your company. See Attached "EXHIBIT All B. Project Management & Subcontract Details 1. Project Manager for this Project: a. Name: Carlos Varrela b. Years with Company: 4 years c Licenses/Certifications: Electrical Engineer d. Last 3 projects with the company including role, scope of work, & value of project: Bicentennial Park Steel Sheet Pile, Bulkhead Construction $6,984,097.00 85 MiaMadna Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 Haulover Park Marina Marina Expansion $3,450,000.00 New Port Tampa Bay Steel Steel Pile, Bulkhead $2,738,583.00 2. Subcontractors: Name Trade % of Work License No. Certification* SERRL Electric Electrical 40%r MD CSBE 4759 TBA Plumbing 0 (*active certifications of small or disadvantage business & name of certifying entity) 3. Scope of actual construction work to be performed by your company and the corresponding percentage of the work: (This does not include such items as insurance * bonds, dumpsters, trailers, and other similar non -construction work items) Demolition, pile cap repairs, installation of new pre -cast elements,pile driving, accessory installation. Approximately 50!� of the required work will be performed by SFI C. Current and Prior Experience: 1. Current Experience including projects currently under construction, recently awarded, or pending award (Provide an attachment to this questionnaire that lists all such projects, including the owner's name, title and value of project, scope of work, projected or actual start date, projected completion date, and number of company trades personnel assigned to the project) See Attached "EXHIBIT B11 2. Prior Projects of a similar size, scope and complexity: Provide an attachment to this questionnaire that complies with the minimum number of projects identified by the bid solicitation. Information provided must include the owner's name , address and contract person, including telephone & e-mail, title of project, location, of project, scope, initial value and final cost of the project, projected and final timeframes for completion in calendar days and the number of company trades personnel, by classification, that were assigned to the project. The delivery method, including, but not limited to; design -build, CM@Risk, Design -Bid -Build, etc. is to be identified for each Project. If there is a difference between the initial and final cost or initial and actual timeframe provide details - on why the differences exist. A reference letter is to be completed by the owner of the Project and submitted as part of the Bid submission. see Attached "EXHIBIT C11 86 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 Haulover Park Marina Marina Expansion $3,450,000.00 New Port Tampa Bay Steel Steel Pile, Bulkhead $2,738,583.00 2. Subcontractors: Name Trade % of Work License No. Certification* SERRL Electric Electrical 40% TBA Plumbing 4% (*active certMoations of small or disadvantage business & name of certgying entity) 3. Scope of actual construction work to be performed by your company and the corresponding percentage of the work: (This does not include such items as insurance' bonds, dumpsters, trailers, and other similar non -construction work items) Demolition, pile cap repairs, installation of new pre -cast elements,pile driving, accessory installation. Approximately 50% of the required work will be performed by SFi. C. Current and Prior Experience: 1. Current Experience including projects currently under construction, recently awarded, or pending award (Provide an attachment to this questionnaire that lists all such projects, including the owner's name, title and value of project, scope of work, projected or actual start date, projected completion date, and number of company trades personnel assigned to the project) See Attached "EXHIBIT B" 2. Prior Projects of a similar size, scope and complexity: Provide an attachment to this questionnaire that complies with the minimum number of projects identified by the bid solicitation. Information provided must include the owner's name , address and contract person, including telephone & e-mail, title of project, location of project, scope, initial value and final cost of the project, projected and final timeframes for completion in calendar days and the number of company trades personnel, by classification, that were assigned to the project. The delivery method, including, but not limited to; design -build, CM@Risk, Design -Bid -Build, etc. is to be identified for each Project. If there is a difference between the initial and final cost or initial and actual timeframe provide details on why the differences exist. A reference letter is to be completed by the owner of the Project and submitted as part of the Bid submission. See Attached "EXHIBIT C" 86 MiaMadna Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 CCitp 'oi At"amt tom: �;,�: PEDRO G. HERNANDEZ, P.E. 4� City.Manager To Whom It May Concern Subject: Reference Letter Name of Bidder: Shoreline Foundation, Inc. The above referenced contractor is submitting on a bid solicitation that has been issued by the City of Miami. We require that the Bidder provide written references with their Bid submission and by providing you with this document the Contractor is requesting that you provide the Following reference information. We would appreciate you providing the information requested below as well as any other information your feel is pertinent: Name of Project: Islamorada Founders Park Marina Rehabilitation Scope of work: Complete renovation of a 92 -slip marina to include all concrete, wood construction, electrical, lighting and fuel tank replacement plus 2,_300 foot 8" water main as part of the project. Value of project: $ 4,113,029.00 Date Completed: 8/31/2008 Was project completed on time & within budget: - YES If no, was the contractor at fault or contribute to the delay(s) or increased cost? El Yes Q No If yes, please provide details: The Village of Islamorada and Shoreline Foundation had a very good relationship for almost one year. Shoreline Foundation was very good about working around the existing marina customers and worked very well with the Village in staying within our budget and the project came in on time. Comments: I have worked in government for thirty-seven years and can say this project was one of the smoothest operations I can remember. Everything we did together went very well. Thank you for your assistance in helping us in evaluating our bid solicitation. Name of individual completing this form: Myles Milander Date: November 4, 2008. Signature: ` • Title: Direct Public Works, Utilities, & Capital Projects, Islamorada Village of Islands Sincerely, Gary Fabrikant Assistant Director 87 Cf Citp of -ffitamt' PEDRO G. HERNANDEZ, P.E. t".... City Manager To Whom it May Concern Subject: Reference Letter Name of Bidder: Shoreline Foundation, Inc. The above referenced contractor is submitting on a bid solicitation that has been issued by the City of Miami. We require that the Bidder provide written references with their Bid submission and by providing you with this document the Contractor is requesting that you provide the following reference information. We would appreciate you providing the information requested below as well as any other information your feel is pertinent: Name of Project: Riverwalk Lagoon Bridge Scope of work: Construction of a public use pedestrian bridge with utilities Value of project: $1,935,175 Date Completed: October 2008 Was project completed on time & within budget: X Yes ❑ No If no, was the contractor at fault or contribute to the delay(s) or increased cost? ❑ Yes X No If yes, please provide details: Comments: Unfortunately, the Town of Jupiter policy prohibits the generation of reference letters for contractors. However, Mr. Tom Lepore of the city's Engineering Department is willing to discussing this project verbally. Thank you for your assistance in helping us in evaluating our bid solicitation. Name of individual completing this form: Signature: Title: Sincerely, Gary Fabrikant Assistant Director 87 Date: Nov 26 08 01:50p City of Miami ftp of 'ftartYf To Whom it May Concern Subject: Reference Letter Name of Bidder: Shoreline Foundation, Inc. 3054162152 PEDRO G. HERNANDEZ, CCity Manager The above referenced contractor is submitting on a bid solicitation that has been issued by the City of Miami. We require that the Bidder provide written references with their Bid submissio-. and by providing you with this document the Contractor is requesting that you provide the following reference information. We would appreciate you providing the information requested below as well as any other information your feel is pertinent: Name of Project: &kt-tAc+w� ?-,L. 49A(LIC f 'vA,,c's I iZ ,"-) Scope of work: Construction of 4,200 feet of cantilevered bulkhead Value of project: $_15,000,000.00 Date Completed: _May 2007 Was project completed on time & within budget: X Yes ❑ No If no, was the contractor at fault or contribute to the delay(s) or increased cost? ❑ Yes ❑ K provide details: p.1 Thank you for your assistance in helping us in evaluating our bid solicitation. Name of individupl,completing this form: _Sandra Vega Date: Nov 26, 20C-8 Signature: ` Title: _Project Manager Sincerely, Gary >+abrikant Assistant Director 87 MiaMadna Pier 5 & Unner Key Pier 3 Bid No.: 07-08-a2 i Nov 25` 08 —lb.03 ; OSE...., BbBc _... _. .____..__ 3058580488 _ _ P„ 2 _ PEDRO G. HERNANDEZ, P.E. w CCity Manager To Whom it May Concem Subject: Reference Letter Name of Bidder. Shoreline Foundation, lnc- The above referenced contractor is submitting on a bid solicitation that has been issued by the City of Miami. We require that the Bidder provide written references with their Bid submission and by providing you with this document the Contractor is requesting that you provide the following reference information. We would appreciate you providing the Information requested below as ++veil as any other information your feel is pertinent- Name ertinent Name of Project: tt Scope of work- Value orkValue of project: Date Camptated: , 2 C b -4- _._I..�.... r. Was project completed on time & within budget: V Yes 0 No If no, was the contractor at fault or contribute to the delay(s) or increased cost? 0 Yes a No If yes, please provide details: Con Tents_ «k 15 s 'thank you for your assistance in helping us in evaluating our, bid solicitation., Name Of Istdividua! Completing this form: t�4��i�s� r.Sc�►--� pate: 1 t �-• SignatugziaL Title: °i- C.., Sincerely, Gary Fabrikant u� Assistant Director o B7 MiaMa r�atS Dinner Kgy Pier 3 �o O A �'`� "" - Bid No : 07-08-021 SUPPLEMENT TO BID FORM: CUSTOMER REFERENCE LISTING (Page 1 of 1) Bidders may furnish the names, addresses, and telephone numbers of firms or government organizations for which the Contractor has provided services in addition to the minimum five (5) projects of a similar size, scope, and complexity. The information below is to correspond to Item C2 above. 1) Company Name village of islamorada Address P.O. Box 568, Islamorada, FL 33036 Contact Person/Contract Amount Myles Milander $4,113,029 Telephone No. /Fax No. (305)852-6933,(305)852-9523 2) Company Name Balfour Beatty Construction Address 4 Harvard Circle, Suite 200 West Palm Beach, FL 33408 Contact Person/Contract Amount William Cottle $7, 709, 724 Telephone No. /Fax No. (561) 478-0381, (561) 478-9145 3) Company Name Biscayne Bay Yacht club Address 2540 S. Bayshore Drive, Miami, FL 33133 Contact Person/Contract Amount Jeff Williamson $3, 000, 000 Telephone No. /Fax No. (30S)374-3898,(305) 858-0489 4) Company Name Town of Jupiter (Engineering Division) Address 210 Military Trail, Jupiter, FL 33458 Contact Person/Contract Amount Tom Lepore $1,935,17S Telephone No. /Fax No. (561) 741-2680, (561) 741-2515 5) Company Name City of Miami Address 444 S.W. 2nd Ave, Miami, FL 33130 Contact Person/Contract Amount Sandra Vega $15, 000, 000 Telephone No. /Fax No. (305) 416-1100 88 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 SUPPLEMENT TO BID FORM: OFFICE LOCATION AFFIDAVIT (Page 1 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. Shoreline Foundation, Inc. Legal Name of Firm: Entity Type: (Check One) ❑ Partnership ❑ Sole Proprietorship [K Corporation J17125 Corporation Document 91922 Occupational License No: June 2, 1986 Date Established July 14, 2008 Date of Issuance PRESENT Street Address: 2781 SW 56th Ave. Pembroke Park Florida 10 Years City: State: How long at this location: PREVIOUS Street Address: 3221 W. Hallandale Beach Blvd. Hallandale Florida 5 Years City: State 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/Bidders 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/Bidders by this section. 89 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021 (Page 2 of 2) Authorized Signature Barry S. Reed Print Name President Secretary (Corporate Seal) Title e Authodby ature Authorized Signature .(Mt be siga corporate secretary of a Corporation or one general partner of a artnership or the proprietor of a sole proprietorship or all partners of a joint venture.) NOTARIZATION STATE OF FLORIDA, COUNTY OF DADE That: -34A7- S -'-L 24 C-� personally appeared before me and acknowledged the foregoing instrument as his/her act and deed. That he/she has produced as identification. -'oTARYPUBLrC,4TATEOFFLORID4 NOTARYPUBLIC- Elizabeth London Expmrss3AUG 21 2001 My Commission Expires: � z i [� Z uONDEDTaaun ,2012 TI.ANTgC BONDING CD.MC. Please submit with your Bid copies of 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. 90 MiaMarina Pier 5 & Dinner Key Pier 3 Bid No.: 07-08-021