HomeMy WebLinkAboutBid FormTran Construction, Inc.
1000 N.W. 541h Street
Miami, Florida 33127
CGC# 060092
00400. PROPOSAL BID FORM: (Page 1of 10) Firm's Name:
Submitted on: P-') Jo 9
Date
City of Miami, Florida
Office of the City Clerk
City Hall, 1st 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 State of Florida municipal
corporation, 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 entitled:
Bid No: 09-10-002
Title: CORAL WAY MEDIANS LANDSCAPING CONTRACT (2"d Bidding),
M-0057
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
fails to execute said Contract, or fails 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. In case of an error in the extension of prices,
the numerical unit price will govern.
Bid No. 09-10-002 Page 17
00400. PROPOSAL BID FORM: (Page 2 of 10)
Note: Bidders are bidding on a total bid cost basis for the purpose of determining the lowest
responsive and responsible bidder. However, Bidders will be paid based on the line item
breakdown, contained in the Bid Form, with payments based on actual work performed. Bidders
must submit bid prices for all items. Failure to bid on all items will result in the bid being rejected
as non -responsive. The City will award a Contract to the lowest responsive responsible Bidder
based on any of the Combined Bid Price stated below. Refer to Section 01000 - Supplemental
Conditions.
Our items and lump sum bid prices include the total cost for the work specified in this bid, consisting of
furnishing all materials, labor, equipment, supervision, mobilization, overhead & profit required, in
accordance with the Bid Specifications.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
BASE BID A: The sum of item 1 and item 10 based
on a two (2) year completion time
Landscaping A intxiance W rk A $ I g 2
cf-
live itvvw-t v ,-fra ef►' a i.4 `ni, e �i ".e:w /
-Qvry 4 %o0 -
Written Amount
BASE BID B: The sum of items 8 and 9 based on a
two (2) year completion time
Electrical Work $ 1 4 �4 •
-tivo tkuka,VI o e o itifc
Written Amount
TOTAL BID: The sum of items 1 through 10
based on a two (2) year completion time
tief
"eetote 6 ak1/5
Written Amount
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Note to Bidders:
The City, at its sole discretion, may award either BASE BID A, BASE BID B, or TOTAL BID, whichever
arrangement is best to the City's advantage The City reserves the right to reject any and all bids.
The two (2) years completion time shall be the total time for whichever bid arrangement is awarded by the
City. And the City may opt to renew (OTR) the Contract for three (3) additional one (1) year term pending
on the availability of funding and the contractor's performance.
Bid No. 09-10-002
Page 18
00400. PROPOSAL BID FORM: (Page 314 of 10)
DIRECTIONS: COMPLETE PART 1 OR PART II, WHICHEVER APPLIES, AND PART III.
Part I: Listed below are the dates of issue for each Addendum received in connection with this Bid:
Addendum No. 1, Dated
Addendum No. 2, Dated
Addendum No. 3, Dated
Addendum Afb. 4, Dated
Part I1: No addendum was received in connection with this Bid.
Part 11I; 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 (s)he has read and understood the provisions of City of Miami Ordinance No.
10032, pertaining to the implementation of a "First Source Hiring Agreement". Evaluation of bidder's
responsiveness to Ordinance No. 10032 may be a consideration in the award of a contract.
Violations of this Ordinance may be considered cause for annulment of a contract between the
successful bidder and the City of Miami; and
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. Drug 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;
Bid No. 09-10-002 Page 19
00400. PROPOSAL BID FORM: (Page 5 of 10)
(2) Establishing a continuing drug -free awareness program to inform its employees about:
(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;
(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:
(i) Taking appropriate personnel action against such employee, up to and including termination;
or
(ii) 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
5. 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.
Bid No. 09-10-002 Page 20
00400. PROPOSAL BID FORM: (Page 6 of 10)
(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.
(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.
* 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 $100,000 (per QMB).
6. Debarment, Suspension and Other Responsibility Matters
The Bidder certifies to the best of its knowledge and belief, that it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by any Federal department or agency.
b. Have not within a three-year period preceding this proposal been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or
contract under a public transaction; violation of Federal or State antitrust statutes or falsification
or destruction of records, making false statements, or receiving stolen property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph 1.b of
this certification; and
d. Have not within a three-year period preceding this application/proposal had one or more public
transactions (Federal, State, or local) terminated for cause or default.
Where the prospective Bidder is unable to certify to any of the statements in this certification, such Bidder
shall submit an explanation to the City of Miami.
Bid No. 09-10-002
Page 21
00400. PROPOSAL BID FORM: (Page 7 of 10)
Attached is a Bid Bond ,Pki, Cash [ ], Money Order [ ], Unconditional/Irrevocable Letter of Credit [ ],
Treasurer's Check [ ], Bank Draft [ ], Cashier's Check [ ], Bid Bond Voucher [ ] or Certified Check [ ]
No. Bank of
.S f 01(1. gonC4 Dollars ($
).
for the sum of
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: -MO (r' s -u c hcn , 4)1C,
Signature:
Printed Name/Title: Hein " I T. CoL-t Lp4 Pt -es- f r & +
City/State/zip: i�i�r�i , Flan c 33/d7
Telephone No.: 30S-7S (O - 7 %S(o
Facsimile No.: 30S-7sG-7 % E-Mail Address: h n • corn
Social Security
No. or Federal
I.D.No.: 6o5-O'/(, O(
Dun and
Bradstreet No.: 0 -a8-Z4953
(if applicable)
If a partnership, names and addr ses of partners:
Bid No. 09-10-002 Page 22
00400. PROPOSAL BID FORM: (Page 8 of 10)
CERTIFICATE OF AUTHORITY
(IF CORPORATION)
I HEREBY CERTIFY that at a meeting of the Board of Directors of
-ror1 Cor st --C br> ,.MC . a corporation organized and existing under the laws of the State
of'Bonito, held on the (s� day of December , a resolution was duly passed and adopted
authorizing (Name) f'jealr\--it T Lou1oudor) as (Title) ' iErri- 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 co ration. I further certify that said resolution remains in
full force and effect.
IN WITNESS WHEREOF, I hav
Secretary:
Print:
c.
CERTIFICATE OF AUTHORITY
I HEREBY CERTIFY th
of , held on the
authorizing (Name)
the partnership and provides that his
the partnership.
ereu,Pet my hand this 1.51" , day of wCemb.er, , 20b9 .
(IF PARTNERSHIP)
at a meeting of the Board of Directors of
, a partnership organized and existing under the laws of the State
, a resolution was duly passed and adopted
die) of the to execute bids on behalf of
n thereof, attested by a partner, shall be the official act and deed of
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
Joint venturers must su
authorized to sign bid documents
of the joint venture must sign the bid
individual).
RTIFICATE OF AUTHORITY
(IF JOINT VENTURE)
t venture agreement indicating that the person signing this bid is
the joint venture. If there is no joint venture agreement each member
dtsubmit the appropriate Certificate of Authority (corporate, partnership, or
I HEREBY CERTIFY that, I (
to which this attestation is attach
IN WITNESS WHEREOF, I havr-u to set my hand this
Signed:
CERTIFICATE OF AUTHORITY
(IF INDIVIDUAL)
, individually and doing business as (d/b/a)
' (If Applicable) have executed and am bound by the terms of the bid
Print:
, day of
,20
Bid No. 09-10-002
Page 23
00400. PROPOSAL BID FORM: (Page 9 of 10)
STATE OF FlOn C.1)
NOTARIZATION
) SS:
COUNTY OF Doicke.)
The foregoing instrument was acknowledged before me this 1LP- day of OreCc,m6-ef- , 20t9 , by
t+e/nr‘4 T LOLA. ct-ei-) , who is ersonally kno to me or who has produced
as identification and w o not) take an oath.
av-i,Axkk, TolVtuQA,,,L:
SIGNATURE OF NOTARY PUBLIC
STATE OF FLORIDA
PRINTED, STAMPED OR TY
NAME OF NOTARY PUBLIC
=7:=-td.JER.;1 '' I
0,i1SS0i; :in 55i537 Ir
1. . • . IV
Bcmcieo .,;riervvriters
Bid No. 09-10-002
Page 24
Note: Approval of this contract for use by the City of Miami means acceptant - of th
Approved: Check one 1E/YE5 OR [J NO By:
Henry Lc ' r1, sident
Iran Co �t ctlon
tract unit prices not n9cessarlly the quantities shown
Date:
00400. PROPOSAL
Une
No.
1
2
BID FORM: (Pape 10 of 101
CORAL WAY MEDIANS LANDSCAPING CONTRACT, M-0057 Page 1 of 1
•
Parities•Deecriptlon
Raking, leaf
Unite
Item
Quantity
item
Cost
Frequency
PerYa .
Total Cost 10 -
thbita:'
Cost
"frequency
removal and Utter pick up, mowing, weeding, trimming, herbicide spraying
insect spraying, mulching, and watering the Landscaping as indicated in sheet LD-2.
130,000
Square
foot
t
$14y
�
24
-1- `
�� )^i`\i la .,
S ( 7
plan All
maintenance of the 130,000 square feet of median area including all the existing
landscaping, on a bi-weekly basis, for the entire length of the project (2.96 acres) along
evtry two
weeks
3
Furnishing all labor, materials and equipment necessary for the planting of 1,000 shrub/plant
including removal of deceased plant, planting a new one of same species and size,
1,000 •
Each
14"(1-gal)
$ �/''
1
t 1, I �� i/
$ 4) I- '
Furnishing all labor, materials and equipment necessary for the planting of 1,000 shrub/plant
(3-gal) including removal of deceased plant, planting a new one of same species and size,
watering, and mulching for a one year period, along the entire length of the median.
1,000
Each
$
1
.-
i � `
G
4
Re -installation of 100 linear feet of root guard system at the medians, if needed.
100
Linear
fool
$ .•�
1
(�, I %
5
For furnishing all labor, material and equipment necessary for the installation of 500 cubic
yards of shredded Spanish Gold mulch - 2" deep,or approved�q
equal.
500
Cubic
yardo�)"I
$ Ij� /
2
s"hko6
For furnishing all labor, material and equipment necessary for the installation of 100 cubic
yards of top soil 50-50'mix, or approved equal.
100
Cubic
yard
$ g� t�
%
2
r / t/
$�' (..1,‘
7
For furnishingall labor,' materials and equipment
q pmenl necessary for the installation of 1,500
square feet of St. Augustine (Fioratam) Solid Sod, including fine sand, water, etc. Refer to
1,500
Square
foot.
$ t
1
= (`� �t
8
Maintenance of approximately 423 existing light fixtures including all appurtenances, on a
monthly basis, for a complete working electrical/ lighting system, Division 2C.
423
Each
a13a7 ,10
12
$ ���� 45
per month
9
Complete Installation of five (5) new light Postures, it needed, as shown in detail Division 2C
including all electrical work and installation for a complete working system.
5
Each
S 1
il./
1
i
$ I 4c/
10
SPECIAL PROVISION = Contingency Allowance
$50,000
•
r•a1 nn/
Bid No. 09-10.002
Page 25
One Year Total:
Two Year Total:
;4'
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
( &C. 0(0o0Ra 1 I
rt4 C i?2ycala
1A. What business are you in? (, x—pra 1 Cord -MC -Or
j 2. J What is the last project of this nature that you have completed?
tlwal Way( J c----4.6;11---
3. Have you ever failed to complete any work awarded to you? If so, where and why?
NO
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
5completion of the pr ject, whether or not a claim was made.
Li) D N
Give names, addresses and telephone numbers of three individuals, corporations, agencies, or
institutions for which you have performed work:
(name) (address) (phone #)
(name) (address)
(phone #)
(name)
(address) (phone #)
Bid No. 09-10-002
Page 29
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
11 j I
, S P e G, i-cf c � �C� 6 4- `,
(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 pI for its performance?
No
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
6f go
r4fAt 41-0,fvele._ 10
f
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?
�S e oftockPci- Ii&+"
What equipment ill you purchase for the proposed Work?
Bid No. 09-10-002
Page 30
What equipment will you rent for the proposed Work?
State the name of your proposed project manager and superintendent and give details of his or
her qualifications and experience in managing similar work.
4e'w4/
04,14 afro (o 5�--r
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 Iron tohS t4C i I o v)
13.2 The business is a (Sole Proprietorship) (Partnership) Corporation).
13.3 The address of principal place of business is
I000 W. S14) Cfre,- iG►ti,i, for, c, 33)a- 7
13.4 The names of the corporate officers, or partners, or individuals doing business under a
trade name, are as. follows: Ir
HC/h r\.4 I Loy-[ d , Pre, st Gte rr -
i
H f ;h n T) o u c k LS-e c Pe+ G r�.1
4 ,ifthAti/tit F.
Bid No. 09-10-002
Page 31
List all organizations which were predecessors to Bidder or in which the principals or
officers of th 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.
Jon e
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).
No k).
/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.
rclioal
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. 09-10-002 Page 32
J
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.
NO
Under what conditions does the Bidder request Change Orders?
get v dd. mew'
1 p�
#c ! ': e E,
What is the nature and amount of the three largest change orders submitted by the
bidder within the past five years, and their disposition?
Po w L ei. a a it I/41k te>ke 144.f �ef
Bid No. 09-10-002 Page 33
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 three (3) year period. 11 j f_
1) Company Name ce r? G3 IGt �� P d ► 57 "
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
2) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
3) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
4) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
Bid No. 09-10-002 Page 34
00502. SUPPLEMENT TO BID FORM:
CUSTOMER REFERENCE LISTING (Page 2 of 2)
5) Company Name ,S10,(9, +Ic chP_ d h S+,/
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
6) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
7) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
8) Company Name
Address
Contact Person/Contract Amount
Telephone No. /Fax No.
Bid No. 09-10-002
Page 35
00510. 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.
Tron Cons ruction , c .
Legal Name of Firm:
Entity Type: (Check One) Partnership Sole ProprietorshipC6rporation
?c O000 )5 _g o
Corporation Document No:
HISS-�-1.-9
Occupational License No:
Date Established
q-<30- 05
Date of Issuance
PRESENT
Street Address:
City: H i G ry,
ffice'" Lo at 6n, (stab`Ushmentb'f e;bidde
00o hl v . sN St)^6
State: nor\ cl G
�t-1f9vs
How long at this location:
PREVIOUS ++
Street Address:1-i'20 L- t co I rl f<oG cl
City: Mc'Grni B-e.cich
(o L Y S
State Mon How long at this location:
According to Section 18-85 of the City of Miami Code, as amended:
"If the amount of a bid submitted by a bidder who maintains a local office is not more than ten percent in
excess of the lowest other responsive and responsible bidder, such local bidder may be offered the
opportunity of accepting the contract at the low bid amount."
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.
Bid No. 09-10-002
Page 36
00510. OFFICE LOCATION AF ADAVIT (Page 2 of 2)
Authorize Si d Signature
j T
ken n-I' T LoL f Ct e_n 1 �� 1�'' I ' 10vb /1r�
Print Name
Print Name
Proms e-n+
(Corporate 'eal) Title
Authorized Signature
Ti e
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: ex) rt4 in 1 d personally appeared before me
and acknowledged the foregoing instrument as his/her act and deed.
That he/she has produced 17-e rS no 11 La kr»vir> as identification.
NOTARY PUBLIC: Li�yti>?� -- —-.:•
CnfiISTiNE . Ii: LHi,,
MY COMMISS O a C.:
My Commission Expires: EXPIRES: June i =: `
e OFF oe Bonded Thru Notary Put, Under:
Please submit with your bid copies of Occupational License, profession for ra a icense 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.
Bid No. 09-10-002
Page 37