HomeMy WebLinkAboutLicenses Permits Fees00405. City OF MIAMI LICENSES, PERMITS AND FEES:
Pursuant to the Public Bid Disclosure Act, each license, permit or fee REQUIRED BY THE CITY
AND PAYABLE TO THE CITY by virtue of this construction as part of the Contract is waived as
follows:
"City of Miami Master Permit Fee and applicable Major Trade Permit fees
(Le. Mech., Plumbing, Elec., & Fire) are waived. Any other permit fees not
directly related to the actual construction of the project (Le. Permits for
dumpsters, job trailers) are not waived"..."Licenses, permits and fees
which may be required by Miami -Dade County, the State of Florida, or other
governmental entities are not waivable."
LICENSES, PERMITS AND FEES WHICH MAY BE REQUIRED BY MIAMI-
DADE COUNTY THE STATE OF FLORIDA, OR OTHER GOVERNMENTAL
ENTITIES ARE NOT INCLUDED IN THE ABOVE LIST.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-1 17
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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 IN 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?
License/Certification/Registration Name and Number # Years
Path nca -En c)inefzei E t Z.
(lanky-0J C`cr,trcc( 0 r 0135-
1A. What business are you in? rr)(� VI flc3 -bicti n
2. What is the last project of this nature that you have completed?
r.P0-0
i ,n nn sp Pf a w,
3. Have you ever failed to complete any work awarded to you? If so, where and why?
AJ O
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.
Nary
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
Page 34
5. Give names, addresses and telephone numbers of three individuals, corporations,
agencies, or institutions for which you have performed work:
WL. L' c VIOS 1�-ta ne 96 1 — N z Ave, (�L)c- z )14
(name) (address) (phone #)
NOC-di Netilarn i)0orken u at Cam N) .12. Pve, (Q22z,
(name) (address) (phone #)
ecorwGn Qim' s1-.
(name)
1 z 'zZ - C40zy
(a dress) (phone #)
6. List the following information concerning all contracts in progress as of the date of
submission of 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
(vieq
'�.t'( a-0 r Sr��,,taaf)3t0if U ,pz '4 DG DC
ciitbs matrthz D
t Q�n Vonr rn ICCL.
((� E1Q rY.
apdvit &a
2L4 t �e c oLQ
291 i eo De.G OtP C 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 subco tract 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. MNVBE Description of Work
Name Percentage Status
Po
The foregoing ii$1 of Subcontractor(s) may not be amended after award of the Contract
without the prior written approval of the Project Manager, whose approval shall not be
unreasonably withheld.
9. What equipment do you own that is available for the. Work?
34(110,11INNe 6t0X. ‘')(.12,_. VA Paoli %Ai, i-Ackeik \r/
3 L LQ, sw-efLp-e- ' .
i
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-1 17
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10. What equipment will you purchase for the proposed Work?
N1
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.
p , I o[ o ESL. ¥\0 0 O. prop4 Po nCv--/
Jpstin oiga.+ C-of 1(D IALcoS U0y
D{ CexNet P
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 ( Leila z J p- 1 nG
13,2 The business is a (Sole Proprietorship) (Partnership) ( tiot..)
o laPia-"G t:�n
13.3 The address of principal place of business is
111 1 1. vJ • 14 A-v,e, ec I -e `/
13.4 The names of the corporate officers, or partners, or individuals doing business
under a trade name, are as follows:
H.; Le.I Lopez- Ja.. Lescieferx
Orange Bowl Parking Lot Repairs —ADA, B-30521 Sid No.: 05-06-1 17
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eAUCtrcPb Lojn " V I (1t PrxSidrn t
13.5 List all organizations which were predecessors to Bidder or in which the
principals ar officers of the Bidder were principals ar officers.
N
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.
!JC `(U2-,
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.
Orange Bowl Parking Lot Repairs --ADA, B-30521 Bid No.: 05-06-117
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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.
i) 0
13.11. Under what conditions does the Bidder request Change Orders?
T airi ll i n o 6-r- ,ravia
.,
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n o Lon ,e-) n nS.
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?
7-8(1) a,pprr, QU
si GOO �j ►vim'
Orange Bowl Parking Lot Repairs --ADA, B-30521 Bid No.: 05-06-] 17
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4) Company Name
Address
00502. SUPPLEMENT TO BID FORM:
CUSTOMER REFERENCE LISTING (Page 1 of 2)
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 five (5) year period.
1) Company Name CCOl'"- r C1 1
Address tic r ouS LOCC.+ OnS CSiCL vuotiV}
Contact Person/Contract Amount t-Ll r -e ( r all 1.
Telephone No. /Fax No. (Cr11)4514 72300 I(CISLO f " 13U5
2) Company Name `Royi (I Q P II upri-
Address S45S NE 2 pwaL,
Gay os "f4� r W 3 �c°
Contact PersanlContract Amount � '� �Z� , �25
Telephone No. /Fax No. C3 )''Ea.-.217 1('-e,152-' 317 $
3) Company Name C' A C , C rnns&UGC tin
Address
D.5 L( Cc <t .-) (j ShLQQ I
Contact Person/Contract Amount 0121 £ 1rL1 2 1 ;62 2 , 260 ' 49.
Telephone No. /Fax No. t -(QL�S /64 8S5 ^' 100g
e)raCa., iV OUQ 1r h
55 Ai/c2._.
Contact Person/Contract Amount PO m UCa 191 / ti 2 COO
Telephone No. /Fax No. (327i /6) S7^(9aas'
Orange Bow] Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
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00502. SUPPLEMENT TO BID FORM:
CUSTOMER REFERENCE LISTING (Page 2 of 2)
6) Company Name
Address
?J1 OL) 'nja - rL4 akk,
Contact Person/Contract Amount 1-1-e047.1 I,Y}p z1 4 1 7
Telephone No. /Fax No. 05-1)140 .91 (IQ /(ctL) L sku, 3
6) Company Name
Address
Contact Person/Contract Amount
Telephone No. IFax No.
7) Company Name
Address
Contact Person/Contract Amount
Telephone No. IFax No.
Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
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00510, 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.
L&icAku Lc n
Legal Namt of Firm:
Entity Type: (Check One) ❑ Partnership ❑ Sole Proprietorship ❑ Corporation
K LOD2$i lRig
Corporation Document No: Date Established
a F t rip -
Occupational License No:
a 10
c
i.a
PRESENT �U
Street Address: 1'1 d I \ , VJ 1
Date of Issuance
City: djt n 1 State:
How tong at this location: l .3 y r�
PREVIOUS
Street Address:
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/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.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
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00510. SUPPLEMENT TO BID FORM:
OFFICE LOCATION AFFIDAVIT (ye 2 of 2)
nature
/1164, et ApeL.
Print Name
paii.L404-
(Cor, .. ' itle
t.
Au
(Must be signe il/y 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.)
Authorized Signature
IJ✓elfecioJct°—
Print Name
5c c ferTivet,
Title
ignature Authoriz-sSignature
NOTARIZATION
STATE OF FLORIDA, COUNTY OF DADE
That: t�= y�� LL -.. ��`� personally appeared
before me and acknowledged the foregoing instrument as his/her act and deed.
That he/she has produced
NOTARY PUBLICc7-,Ar
as identification.
My Commission Expires: -
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.
NOTARY PUBLIC -STATE Oil FLORIDA
Robert Alonso
,;, Commission # DD383222
',,„,,,,,a Expires: JAN. 03, 2009
BONDED THRU ATLANTIC BONDING CO., INC.
Orange Bowl Parking Lot Repairs —ADA, B-30521 Bid No.: 05-06-117
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