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Home My WebLink AboutCertification Statement2Certification Statement Please quote on this form, if applicable, net prices for the item(s) listed. Return signed original and retain a copy for your files. Prices should include all costs, including transportation to destination. The City reserves the right to accept or reject all or any part of this submission. Prices should be firm for a minimum of 120 days following the time set for closing of the submissions. In the event of errors in extension of totals, the unit prices shall govern in determining the quoted prices. We (I) certify that we have read your solicitation, completed the necessary documents, and propose to furnish and deliver, F.O.B. DESTINATION, the items or services specified herein. The undersigned hereby certifies that neither the contractual party nor any of its principal owners or personnel have been convicted of any of the violations, or debarred or suspended as set in section 18-107 or Ordinance No. 12271. All exceptions to this submission have been documented in the section below (refer to paragraph and section). EXCEPTIONS: N ON E We (I) certify that any and all information contained in this submission is true; and we (I) further certify that this submission is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a submission for the same materials, supplies, equipment, or service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and conditions of this solicitation and certify that I am authorized to sign this submission for the submitter. Please print the following and sign your name: SUPPLIER NAME• EhEhk CORP ADDRESS. 1002 t S> , 9 ellVENUE Iv )Ala1, FL 3317(c PHONE: 1 o-S2 k" I qv' FAX 305- 4 ZB - 3.724 EMAIL: zifnleQns-1 ur 1W 3mO i I' COM BEEPER. SIGNED BY. TITLE: P RS't Mt DATE- FAILURE TO COMPLETE. SIGN. AND RETURN THIS FORM SHALL DISQUALIFY THIS BID, Page 2 of 48 Certifications Legal Name of Firm: CbCM Ca.P Entity Type: Partnership, Sole Proprietorship, Corporation, etc. (� c?'i.PO iderri a N Year Established: `aGu Office Location: City of Miami, Miami -Dade County, or Other u(Ftu+ -paDE eou9 Occupational License Number: C6Ca947-Lt Occupational License Issuing Agency: STATE o V CLo kt b \ Occupational License Expiration Date: ckyi* Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No. 10032 (Section 18-105 of the City Code) pertaining to the implementation of a "First Source Hiring Agreement.": (Yes or No) yEc Do you expect to create new positions in your company in the event your company was awarded a Contract by the City? (Yes or No) In the event your answer to question above is yes, how many new positions would you create to perform this work? 'DF,P ENb ‘146 aN 1ivGe4 fV !» IU E Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration of all hew positions which might be created as a result of this award of a Contract. AS PEQ SPECS Minority/Women Business Affairs Registration Status: Hispanic, Female, Black or None, Page 3 of 48 ';QAN1C woNt Will Subcontractor(s) be used? (Yes or No) 1. Name and Address of Subcontractor: FtYE C'YR ► � AL H c NI ICA L 1. Description of Work to be Performed E,Ee U YL 't ►Fe, klAWiQ AL 2. Name and Address of Subcontractor Uratio N AS OF 6Ab. OPCit 2. Description of Work to be Performed elAc G`riz t c,Y L � Nt EC! t-1 A N te-Pc Does the City of Miami Living Wage Ordinance apply to this formal solicitation? ( See Section 1.40 of the General Terms and Condtions) (Yes or No) M S Service Total Contract Amount( which includes base term and renewal options): Is this service contract a citywide contract? (Yes or No) If the above answer is no, please indicate the name of the city (end user) department that your contract will serve: VtaT OE Pal +Ecrt Provide brief description of the project or service to be provided P)EtMI E l NSThLi G-iEVvE(LLtti S P t �'i E OEPRRATIE(T( I/We hereby state compliance with the City of Miami Living Wage Ordinance, Section 18-556 through Section 18-559 as summarized in Section 1.40 of the General Terms and Condtions? (Yes or No) Nits Name and Address of Company to Service Generator Sets and Transfer Switches at all Locations Page 4 of 48 rLOP1DA QEit.o1T DIESEL Name and Telephone Number of Technician Servicing Generator Sets and Transfer Switches at all Locations 305E 1voRiE6 A ,P•E.. (305) (03- 53C Reference #1: Name and Address of Company G T( OF rktPrtt CAP MDEPRairnE(nT ( ) 41to-taco Reference #1: Contact Name and Telephone Number VAat00S (3oS) ytc9- 1avu Reference #1: Amount of Contract Sic Si oto.00 16AyneoNT PAR.U- Reference #1: Detailed Description of Work Performed ACTAooELEb emi-Is &utul" ExTCRioR. e01%1C S -A,c Reference #2: Name and Address of Company �q�Rt1\- 0 E C..E�xny Reference #2: Contact Name and Telephone Number Reference #2: Amount of Contract (01CXZ . 00 Reference #2: Detailed Description of Work Performed PP.ovuuco AC, vvti\loo N S AT t'ou3N ()Ake- 3b uN 1T5 Reference #3: Name and Address of Company C'r9Of N11t° -4 CQMMV.NtTU OevELOPfENT Reference #3: Contact Name and Telephone Number Cam) \kr) - Iql� Reference #3: Amount of Contract 9PLI►c,cm tikA V(2$ \) S t-% - e S {)(0 (x7, COO. DD Reference #3: Detailed Description of Work Performed Page 5 of 48 Njrw C ENDVRjoP•. Al" 4 Ft2= ivioN S Generator Set / Transfer Switch Service: Company Name and Address FL0gtpp PETROIT ES5L Dal-) Nvv o411+ sT. µu t-t11 FL 331QS Generator Set / Transfer Switch Service: Service Technician Contact Name and Telephone Number Jc6E NoczIse►A jDie• [3O5) (03R -53o° Have you ever failed to complete any work awarded to you? If so, where and why Give owner names, email, phone #'s, surety, and project names for projects where your surety has intervened to assist in completion of the project. tvON E Name of your proposed project manager and supervisor and give detail of their qualifications and experience in managing similar work FERNANZO P . CkoogicyuEZ) &.S- Me HITEC(L(RVM eltrriztmcr 1 q-19 List and describe Performance or Payment Bond claims made to your surety during the last 5 years. (\AWE List all claims, arbitrations, mediations, civil actions, administrative hearings and lawsuits brought by or against the bidder during the last 5 years. gr E What is the nature and amount of the 3 largest change orders submitted by the bidder within the last 5 years. rC ADDEl7 VX-[R.A Have you ever failed to complete any work awarded to you? If so, where and why. ;40 Page 6 of 48 Line: 1 Description: Fire Rescue Headquarters, 1151 NW 7 St., Remove Old Generator, Furnish and Install New Generator, Manufacturer: Cummins/Onan (OR EQUAL) Category: 28539-00 Unit of Measure: Each Unit Price: $ l 51500 Number of Units: 1 Total: $ iQS, �C0 Manufacturer QE-f RO T PIES E L Model Number aim RS C lvof 3 Warranty Period on Generator bENER-i'cWP- 5`JS and Installation 1 N STA LL T1 o N AS PE e SPEC S Line: 2 Description: Fire Station #2, 1901 N. Miami Avenue, Remove Old Generator, Furnish and Install New Generator, Manufacturer: Cummins/Onan (OR EQUAL) Category: 28539-00 Unit of Measure: Each Unit Price: $ t .k, Ce0 Number of Units: 1 Total: $ \ i'COO Manufacturer 1)51120 - Model Number \ 00 Q 3 (` G tt 3 Warranty Period on Generator 6ElvE{t A r O''R- SY R- and Installation i?'S TAUSJ(%T0 N AS P FC.S Line: 3 Description: Fire Station #5, 1200 NW 20th St., Remove Old Generator, Furnish and Install New Generator, Manufacturer: Cummins/Onan (OR EQUAL) Category: 28539-00 Unit of Measure: Each Unit Price: $ \CRICCO Number of Units: 1 Total: $ \ova) Manufacturer neTpr T 0IV-SEL- Page 7 of 48 Model Number Warranty Period on Generator and Installation Line: 4 too PJ(QDr3 G ,Ew rr e. sy�s I St tl.rifON gs V. SPECS Description: Fire Station #7, 314 Beacom Blvd., Remove Old Generator, Furnish and Install New Generator, Manufacturer: Cummins/Onan (OR EQUAL) Category: 28539-00 Unit of Measure: Each Unit Price: $ ICAp30 Manufacturer Model Number Warranty Period on Generator and Installation Line: 5 Number of Units: 1 bEclZolT D tt`St; l., wP7eD-r3 C FN TO SyrZS tt csThur rtoly PS PEA SP1= as Total: $ 109IV) Description: Generator Set and Transfer Switch Training - 4 hours -10 trainees Category: 28539-00 Unit of Measure: Each Unit Price: $ a$co Number of Units: 1 Total: s sr Page 8 of 48