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HomeMy WebLinkAboutBid ResponseBID FORM (Page 1 of 11) SECTION 5 — Bid Form Submitted: 6/1 412 01 7 City of Miami, Florida Office of the City Clerk City Hall, 15t Floor 3500 Pan American Drive Miami, Florida 33133-5504 Date 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 municipal corporation 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, the specified Work covered by the Contract Documents for the Project entitled: Bid No: 16-17-038 Title: DORSEY MEMORIAL LIBRARY RESTORATION - D2 Project No.: B-30531 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 and fails to furnish the required Performance Bond and Payment Bond as well as 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. Note: Bidders are bidding on estimated quantities for the purpose of determining the lowest responsive and responsible Bidder. Payments will be made based on unit prices of actual quantities installed. Where a discrepancy exists between the unit price and the extended price the unit price will prevail. Where there is a discrepancy between the numerical and written Bid amount, the written Bid amount will prevail, City 78 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 SID FORM (Page 2 of 11) Form SU must be submitted with Bidder's Bid. The SU Form can be found posted on the webpage with the Bid Documents. The Bidder's Total Bid Construction Cost includes the total cost for the Work specified in this solicitation, consisting of furnishing all materials, labor, equipment, supervision, mobilization, overhead and profit required in accordance with the Bid specifications. Scope of Work: The Scope of work involves the restoration of the historic Dorsey Memorial Library. The building includes approximately 1,900 gross square feet and has one open room, a computer lab, restrooms, a reception/foyer area, and an open garden in the outside area. TOTAL BID CONSTRUCTION COST: $ 872,663.52 WRITTEN TOTAL BID CONSTRUCTION COST; (r Eight Hundred Seventy TwoThousand Six Hundred Sixty Three Do4lars & Fifty Two Cents ,uu 79 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITS No.: 16-17-038 B-30531 BID FORM (Page 3 of 11) TOTAL I B=(Pga Epogaguuz 80 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 Click here to enter text. Line Pay Item No. Pay Item Description Unit Quantity Unit Cost Cost No. 1 2 2 3 3 4 4 5 5 OR A 6 6 7 7 10 10 TOTAL I B=(Pga Epogaguuz 80 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 BID FORM (Page 4 of 11) DIRECTIONS: COMPLETE PART I OR PART II, WHICHEVER APPLIES, AND PARTS III AND IV (if applicable) Part I: Listed below are the dates of issue for each Addendum received in connection with this Bid: Addendum No. 1, Dated May 12, 2017 Addendum No. 2, Dated June 7, 2017 Addendum No. 3, Dated June 8, 2017 Addendum No. 4, Dated Part Il: 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. Community Small Business Enterprise "CSBE" Requirements Bidder certifies that it has read and understood the provisions of City of Miami Ordinance 13331, codified as Section 18-89 of the City Code, pertaining to the implementation of a "Community Small Business Enterprise" requirement. Evaluation of Bidder's responsiveness to Ordinance Section 13331 shall be a consideration in the award of a Contract. 2. 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. Bidder certifies that the selected independent third -party verifier will verify and certify compliance data and reports honestly and accurately. 3, 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. (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 &l DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITS No.: 16-17-038 B-30531 BID FORM (Page 5 of 11) (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, (7) Making a good faith effort to maintain a drug-free workplace program through implementation of subparagraphs (1) through (6). 4. 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 loam, 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. (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 ten thousand dollars ($10,000.00) and not more than one hundred thousand dollars ($100,000.00) for each such failure. 82 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 15-17-038 B-30531 BID FORM (Page 6 of 11) " 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 one hundred thousand dollars ($100,000.00) (per QMB). 5. 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 Bid 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 had one or more public transactions (Federal, State, or local) terminated for cause or default. (e) In addition, factors to be considered in determining responsibility of prospective Contractual parties shall include but not be limited to: (1) Bidder does have availability of appropriate financial, material, equipment, facility, and personnel resources and expertise, or the ability to obtain them, to meet all Contractual requirements; (2) Bidder does have a satisfactory record of performance; (3) Bidder does have a satisfactory record of integrity; (4) Bidder does possess qualified legal standing to Contract with the City; and (5) Bidder will be in compliance in supplying all requested information connected with the inquiry concerning responsibility. (f) Bidder has not had a termination, suspension, or cancellation of a City Contract, in whole or in part, for cause, due to a default by the Bidder or Offeror, within the past five (5) years, which has not been reversed on appeal by a court of competent jurisdiction; or (g) Bidder has not withheld a payment or nonpayment of moneys due the City from the Bidder or Offeror, within the past five (5) years, unless the full amount of such moneys due the City. (h) Have been deposited with a court of competent jurisdiction in Miami -Dade County, Florida, pursuant to the provisions of Fla. R. Civ. P. 1.600 titled "Deposits in Court", as amended, or other applicable Federal, State or Local Rules of Court, and are subject to distribution to the City or withdrawal by the City by order of the court. (i) The Bidder shall provide any information requested by the Chief Procurement Officer or purchasing agent concerning responsibility. If such Contractual party fails to provide the requested information, the determination of responsibility may be made upon available 83 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-3053'1 BID FORM (Page 7 of 11) information or the prospective Contractual party may be found non -responsible. The prospective Contractual party may demonstrate the availability of necessary financial, equipment, facility, and personnel resources by submitting; (1) Bidder will, upon request, furbish evidence that the Contractual party possesses such necessary resources; (2) Bidder affirms it has acceptable plans to subcontract for such necessary resources; or (3) Bidder will, upon request, submit a documented commitment for, or explicit arrangement with, satisfactory sources to provide such necessary resources. 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 in writing. 6. Local Workforce Participation Reouirements The Bidder certifies to the best of its knowledge and belief, that it and its principals: (a) have read and understood the provisions of City of Miami Ordinance 13332, codified as Section 18-89 of the City Code pertaining to the Local Workforce Participation requirements on a quarterly basis; (b) have identified in City Form Subcontractor Utilization ("SU") a third party independent who verifies and is properly licensed under the provisions of F.S. 454,471,473, or 481 and who is not with the Contractor; and (c) the selected third party, who independently verifies compliance with this section, must have a minimum of 2 years of experience as required in Ordinance No. 13332, codified as Section 18-89 of the City Code. Part IV: Certification —Trench Safety Act The Bidder, by virtue of signing the Bid Form, affirms that the Bidder is aware of Section 553.60, et. seq., Florida Statutes, 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 Bid 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. 84 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No,: 16-17-038 B-30531 BID FORM (Page 8 of 11) The Bidder further identifies the costs and methods summarized below: Quantity Unit Description Unit Price Price Extended Box Shoring LF 17 100.00 1700.00 Total $ 1700.00 Method Box Shoring Attached is a Bid Bond [x], 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 for the sum of Dollars ($ The Bidder hereby acknowledges and affirms to the contents of this Bid Form and its' response(s) thereto including without limitations Part I through IV have been, read, understood, and agree to by signing and completing the spaces provided below. Bidder Name: E.L.C.I. Construction Group, Inc. Signature; Printed N, e: Fortuna M. Bichachi, President City/State/Zip: North Miami, FL 33131 Telephone No.: 305-891-7990 Facsimile No.: 305-891-7994 E -Mail Address: molses@elciconstructior.com Social Security No. of Federal Dun and I.D. No.: 65-1134265 Bradstreet No.: 103319617 (If applicable) If a partnership, names and addresses of partners: 85 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 BID FORM (Page g of 11) CERTIFICATE OF AUTHORITY (IF CORPORATION) I HEREBY CERTIFY that at a meeting of the Board of Directors of E.L.C.I. Construction Group, Inc. , a corporation organized and existing under the laws of the State of Florida 'held on the 14 day of June , 2017 , a resolution was duly passed and adopted authorizing (Name) Fortuna M. Bichachi 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 WI NES VI EREOF, I have hereunto set my hand this 14 , day of June 20 17 Secretary: Print: Moises B. Bichachi CERTIFICATE OF AUTHORITY (IF PARTNERSHIP) 1 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 CERTIFICATE OF AUTHORITY (IF JOINT VENTURE) Joint ventures must submit a joint venture agreement indicating that the person signing this Bid is authorized to sign Bid Documents on behalf of the joint venture. If 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). 86 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 BID FORM (Page 10 of 11) CERTIFICATE OF AUTHORITY (IF INDIVIDUAL) I HEREBY CERTIFY that, I (Name) individually and doing business as (dlbla) (If Applicable) have executed and am bound by the terms of the Bid to which this attestation is attached. Signed: Print: IN WITNESS WHEREOF, I have hereunto set my hand this , day of , 20 87 DORSEY MEMORIAL, LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 r BID FORM (Page 11 of 11) NOTARIZATION STATE OF Florida COUNTY OF Miami -Dade The foregoing instrument was acknowledged before me this 14 day of June 17 Moises B. Bichachi, Vice President 20 by who is personalty known to o me or who has produced as identification and who (did / did not) take an oath. SIGNATURE OF NOTARY PUBL STATE it .`.n: Jnr°r�NFGRQ S�°w .`�. Nulalr ul: rich r Comillsslorl A - 'J `9' �a;•' My Comm. Expires'co ip 202"i P Rf f�}T ' NAME OF NOTARY PUBLfC 88 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.; 16-17-038 B-30531 Section 6 - Attachments Executed in 1 Counterpart BID BOND FORM (Page 1 of 3) State of Florida County of Miami -Dade City of Miami E.L.C.I. Construction KNOWN ALL PERSONS BY THESE PRESENTS, that _ Group, Inc. as Principal, United Fire & Casual Com an ----------- —---------------------------- -------------------------- as Surety, are held and firmly bound unto the City of Miami, in the penal sum of Five Percent of 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 June 14th , 2017 , for: DORSEY MEMORIAL LIBRARY RESTORATION - D2 B-3053'1 NOW THEREFORE: (a) If the Principal shall not withdraw said Bid within one hundred eighty (180) days after date of opening the same, and shall within ten (10) calendar 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. 89 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 BID BOND FORM (Page 2 of 3) IN WITNESS WHEREOF, the above bound parties have executed this instrument under their several seals, this 14th day of June, 2017 , 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 Cor or tion, Secretary only ill ttest and affix seal.) S (Surety Secretary Susan L. Reich Principal: E.L.C.1. Construction Group, Inc. (Name of Firm) Affix Seal k(S—toure f horized officer) (Title) 626 NE 124th Street (Business Address) (City/State/Zip Code) Surety: United Fire_ & Casualty Company (Corporate Surety) Affix Seal (Signature of Authorized Officer) Teresa L. Durham, Attorney -In -Fact and FL. Lic. Resident Aaent (Title) PO BOX 73909 (Business Address) Cedar Rapids. [A 52407-39.09 (City/State/Zip Code) 90 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 BID BOND FORM (Page 3 of 3) CERTIFICATE AS TO CORPORATE PRINCIPAL I, R fib- —b , certify that I am the Secretary of the Corporation named as Principal in the within bond; thatt�, fsA of said corporation; that I know his 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 body. WYbA, " C rporate Seal) STATE OF Florida COUNTY OF Orange CITY OF Maitland Before me, a Notary Public duly commissioned, and qualified, personally appeared. Teresa L. Durham , _ to me well known, who being by me first duly sworn upon oath, says that helms is the attorney-in-fact, for the United Fire !& Casualty Comp@par= and that he/,.lie has been authorized by United RrP & Casualty rnmpany 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 this 14th day of June, //2017 INSTRUCTIONS: Bid BondsC must be accompanied by Notary Public, State of Florida at Large a Power of Attorney, in Sarah M. Drinnan compliance with Instructions to Bidders My Commission Expires: 09/01/2019 $&,jg oe� Notary Public State of Florida Sarah M. Drinnan r c My Cornmission FF 914823 y'P on moo- Expires 09101121119 91 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 KNTOlV ALI, PERSIP&IS B the laws of the Stttte of loo U`'ITED FIRE & CASUALTY GOAMANY CEpAR RAPIDSr IA Ua\]TED FIRE R: €1 BEA1t�1TI' Ct714fPA14',1�ttEBST'ER, TX Sur et�,.Deltnrtn ent `. F'IN'ANCIAL PACIFIC INSURXNCE CONIPANY, ROCKLIiN, CA fI8 Second Ave 8�' CERTIFIED COPY OF POWER OF ATTOMNEY Csclar Rapids, fA 52401 4iginat on -Ie at HoA,Office of Corn} ah&—.— Sec Ceriiftc attar;) ;`MSE MESENTS, That UNITED:13IR -& CASUALTY COi QANY, a:c )pratioa duly.. &ga tizeii andexisting muter WITED TIRE &IND)aMLAITY COMPANY a co-porationAuly orgatliaed au¢ exisdng ttnderthe Way of the State of tCIFIC INST)RANCE COIIIPANY, a corporation duly organized and existing tinder the taws of the Sate of California herein collectively 6411 Ilio Come and 1),win their corporate headquarters rii Cedar R1T1 Ids State of lou>a, does i lftke coitstttnte-and appoint pp tl-li g C q G Kr:M E; NIV, JEF.FREY..W. RE IC SUSAN 1 ,,'REI H,:TERESA L. DURI-iAit�, LOi�IA` A _ RTCHARDS, DdN SRAMLAGE, LISA ROSELAND, CHERYL FOLEY, GLENN ARVANITIS, SONJA AMANDA FIOREE HARRIS, EACH INDIVIDUALLY of ;NAI TLAND, FL their true anei'lawful Attorney(sJan-Dart with power and authority hereby conferred to sign, seal and execute ist its behalf all tam, ill bor+ds, nndertakiitgs' and other obligatory instrnntents of similar natrrre provided that no single obligation sliall exceed $1 OO, 000, 000.00 and to .bipd the Carrilianies thereby as. fully and. to the sauce extent as ;tfsuch iustrviaiettts were signed by the, duty authorized officers...of the Companies and all of the acts of said Aliarrlcy, lltlrsualit to the aulIlority her6y..give, ri;and herel�, ratified tend toitftrzned. The Aulltoril}= ltzreby granted is eoittititvirus and shall remain in fbtl forte a ►d effect ,untiL revoked 4y UNITED FIRE & CASI.IAUfY COMPANY, UNITED FIRE & INDi141 1 I' COMPANY;ASD FfNIANCIAI PACIFIC INSURAh?CE COMPANY- This OMPANYThis Power of Attorney is made and exeetited pursuant to and by authority of the following bylaw`diily adopted on May 15,:m`131 by the Boards Vf Directors of UNITED FIRE & CASUALTY COMPANY, UNITED FIRE & INDEMNITY COMPANY, and F1le°AN1CIAI. PACIFIC INSURANCE COMPAhII'. >; "Article III — Surety Bonds and Umlertnkings" Section 2; Appointment of Attorney in -Fact. "The ]'resident or any Vice President, or any other officer of the Companies inay; flab time to tintz, appoint by written certificates attorneys -in -fact to act in behalf of the Companies lar the execution of policies of insurance,;bonds, utidertakutgs and other obligatory inslnuttents of like mature_ The signature of any officer authorized hereby, and the Corporate seal, ntay, be_ af?ixtd by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby; such signatureArid seal, wheii s r used, being adapted by the Companies as the original signature of such officer and the original seal of the Companies ;to be vatidlatid binding upon the Companies with the sante force and effect as though manually affixed. Such attorneys -iii -fact, subject to the limitations set forth iriAheir respective certificates of authority shall have fit[[ pow=er to bind the Companies by their signature acrd execution ID any,:sElch >:iastr a *its and to attach the seal of the Companies therelo. The President or any Fire President, the Board of Directors or ii4y,other oyicer of the Coihr anies may at any time revoke all power and authority previously given to any attorney-isl-fact. \,ee Fntll /!f! ,\\\\5\lihtl�l%!!f!!! \ 115N11111IPh,j '! IN WITNESS WHEREOF, the COMPANIES have each caused these presents to bestgn�d by I k\�oy�%,oil......... ��`'�, vice president and its corporate seal to are hereto affixed this 11th [fay of October , 2013 _ COItY(7Ra7E r� �' V CUNfORAIE - �'�' ;� _ F_ _= 4 o = UNITED FIRE & CASUALTY COMPANY SF�L r. :7 sfaL Yr = a: €sz6 a� UNITED FIRE & INDEMNITY CDNIPANY s'%.+z .gs° yS''eatrFo�`e_' FINANCIAL PACIFIC INSURANCE COMPANY I3y: Statz;of Io tia,.Cot my ofLitut, ss: ice President Drt =t.i.thd i:y .6f, October, 2013, before me personally came Dennis J. Richmartn to we'RS o •n, -thio beizrg Uy in didy.sworn, did deposz,arid say; that he resides in Codas' ]Rapids, S1aGe: of law a; tlrat.he is a..Yice Prestderit of UIti'ITED FIRE & CASUALTY COMPANY, a Vice President of UNITED FIRE &K 31\'DEMNITY COMPANY, and a Vice President t of FINIAOXE PACIFIC INSURANCE COMPANY the corporations described ut.and w=]rich. executed the: above instnunettt; that lie. know=s the _seal of said corporations; that the seal`aliiNed to die. said: instrninent is smell corlii3Cale, seat fliat it ,was so ,.Axed pursuant to aiilhbrity,given by t]te Board ofDireciors of said corporations Ali fiat ase signed his dame thereto pili sifxnt to elate authority, and; acTCnaltitledgesatrt@ to l7e.tltt act arid.deed of said eorporatzans lox diidith A t]avis - - itssi NotanatSeal Comtt:tssian number i73Q4� t Notary Ni IYty Gpntmission Exlittes tt4i�3tzais " meat t �1 tC Myce "s`c'an expires: 04/23/20I8 d;. David A Lange, Secretary of UNITED FIRE & CASUALTY COMPANY. and Assistant Secretary of I' ED. III )3E & ID MN COMPANY,.. and Assistant: Secretary of FJNANCML;PACIFIC II SURARTCE C}MPAItW do hit izhy certify that l have caritp re:ei the foregvipg cola} of the Patin er. of Atto.Mey atzii aiisi#ayst, and lite copy o .tate Seetion ai tl c.bylaws anti xe§alulions of s td-orporat[otis-as set forth ill said. Pmt r of.At orneti , °ilh tate' 6AICrIINTALS t?I�T f lU IN T14E DOME OFFICE OF SAID CORPORATIONS, and that the;sarrt� are -'correct transcripts there oli ailed of the whole of tlta said origrnalsz-:and flexr the said' Pvu er Qi'Attatney leas na't been7e\iokecf and is nova° i€i fttii farce and cIi`ect: In testtniort Where Z:ltav� h reunta subscrzbi d my nt€tae and affiseci the enrporate seal of taro said Corporations day.of .. 2p . ++Fteu+€lr7U utulr+smr - ``���sGsry,�r�i��r \`\Q4Yi�ydtcytrr! G\F1G 1NSfI�r - �Y�' ._ ^- a Secretary, CJI&C' - !'/r/�fR,tYlllS �t\1 rlir�SIC4 ZF{;\+ - V ,. fk+trlttn+++\ frrltt�ntte4+ rl.Inllliiuiu - .. Assistant Secrethry, Ill: �I�FI�1C' BPOA0049 0115 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 all information contained herein. A. 1. F, Business Information How many years has Bidder been in business under its current name and ownership? Professional Licenses/Certifications (include name and number)* Issuance Date Certified General Contractor CGC 016729 715116 Small Business Enterprise/Miami-Dede County $SO/ 5105 7114116 ("include active certifications of community small business enterprise and name of certifying entity) b. Date Bidder licensed by Dept. of Professional Regulation: 7/5/2016 c. Qualified Business License: RYes ❑No If Yes, Date Issued 7/5/2016 d. What is Bidder's business? General Contractor (This answer should be specific. For example: paving, drainage, schools, interior renovations, etc.) e. Name of Qualifier, license number, and relationship to Bidder: Moises B. Bichachi, CGC 016729, vice President f. Names of previous Qualifiers during the past five (5) years including, license numbers, relationship to Bidder and years as qualifier for the Bidder: Moises B. Bichachi, CGC 016729, vice President Name and Licenses of any prior companies: Name of Company License No. Issuance Date None 3. Type of Business Entity: El Corporation 0"S" Corporation❑LLC❑Sole Proprietorship❑Other: (Corporations will be required to provide a copy of their corporate resolution prior to executing a Contract) " 4. Business Entity Ownership: a. Identify all owners of the Business Entity. 92 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.. 16-17-038 B-30531 Name Title % of ownership Fortuna M. Bichachi, President, 90% Moises B. Bichachi, Vice President. 10% b. Is any owner identified above an owner in another company? ❑ Yes ❑x No If yes, identify the name of the owner, other company names, and % ownership c. Identify all individuals authorized to sign for the Business Entity, indicating the level of their authority (check applicable boxes and for other provide specific levels of authority). Name Title Signatory Authority All Cost No -Cost Other Fortuna M. Bichachi, President ❑ ❑ ❑ ❑ Moises B. Bichachi, Vice President 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Explanation for Other: (Note. "All" refers to any type of document including but not limited to Contracts, amendment, change proposai requests (CPR), change orders (CO), notices, claims, disputes, etc. "Cost" refers to CPRS, COs. No -cost refers to RFIs, Notices, and other similar documents) 5. Employee Information Total No. of Employees: 12 Number of Managerial/Admin. Employees: 12 Number of Trades Personnel and total number per classification: (Apprentices must be listed separately for each classification) 2 9uperintendant, 2 Carpenter, 1 Laborer How many employees are working under H2B visas? No 6. Has any owner or employee of the Bidder been convicted of a federal offense or moral turpitude? If yes, please explain: Yes, Moises Bichachi, Date of Conviction 1/20/1995, invoice Forgery, Probation Completed 2001 93 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 7. Insurance and Bond Information: a. Insurance Carrier name and address: Lions insurance Company, 2739 US Hwy 19 North, Holiday, FL 34691 b. Insurance Contact Name, telephone, and a -mail: Grant Dalgleish, 727-938-5552 c. Insurance Experience Modification Rating (BMR): -97 (If no EMR rating please explain why) d. Number of Insurance Claims paid out in last five (5) years and their corresponding value: 0 e. Bond Carrier name and address: Florida surety Bonds 620 Wymore Rd, Suite 200, Maitland, FL 32751 f. Bond Carrier Contact Name, telephone, and e-mail: Jeff Reich, 407-478-6833, jeff@iloridasuretybonds.com g. Number of Bond Claims paid out in last five (5) years and their corresponding value: a 8. Have any claims lawsuits been file against the &dder in the past five (5) years? If yes, identify all Bidder has either settled or an adversejudgment has been issued against Bidder. Identify the year, basis for the claim or judgment, and settlement; unless the value of the settlement is covered by a written confidentiality agreement. No 9. To the best of Bidder's knowledge, is Bidder or any of Bidder's officers currently under investigation by any law enforcement agency or public entity? If yes, provide details: No 10. Has Bidder been assessed liquidated damages or defaulted on a Project in the past five (5) years? Yes ❑ No x❑ If yes, provide an attachment that provides an explanation of the Project. 11. Has Bidder 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 five thousand dollars ($5,000.00) or greater, owned by the Bidder. B., Project Management and Subcontract Details 1. Bidder's Project Manager for this Project: a. Name; Moises B. Bichachi 94 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 b. Years employed by Bidder: 16 Years c. Licenses/Certifications: Certified General Contractor CGC 016729 d. Last three (3) Projects with the company including role, Scope of Work, and value of Project: Moises B. Bichachi has been the project manager for ail the project ELCI is involved with. 2. Subcontractors: Name Trade % of Work License No. Certification* Al Duran, Roofing, 4%, To Be Provided Sigler Advanced Solutions, Electrical, 15%, To Be Provided KPS Contractors Group Corp, Plumbing, 4%, To Be Provided MAC Mechanical, Mechanical, 4%, To Be Provided (`active certifications of community small business enterprise and name of certifying entity) 3. Scope of physical labor construction Work to be performed by Bidder 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) Concrete, Masonry, Carpentry 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). 2. Prior Projects of a similar size, scope and: Provide an attachment to this Questionnaire that includes Completed Projects the Bidder considers of a similar, size, scope and complexity that the City should consider in determining the Bidders responsiveness and responsibility, This attachment must include the Project that meets the minimum number of Projects identified by the Bid solicitation. Information provided must include the owner's name, address and contact person, including telephone and 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. D. Bidder's References Bidders are to include a minimum of three (3) references from completed Projects listed in C.2 above. The attached form is to be used and is to be included with the Bid submission. The City, at its sole discretion may allow the Bidder to submit the references after the specified date for Bid submission. 95 DORSEY MEMORIAL LIBRARY RESTORATION -_D2 ITB No.: 16-17-038 B-30531 REVISED SUPPLEMENT TO BID FORM (6/8/17) CUSTOMER REFERENCE LISTING (Page 1 of 1) Bidders may furnish the names, addresses, and telephone numbers of firms or government organizations for which the Bidder has provided services in addition to the required minimum three (3) historic restoration projects specified in the Minimum Requirements on page 6, above. 1) Company Name PLEASE SEE ATTACHED DOCUMENT Address Contact Person/Contract Amount Telephone No./Email 2) Company Name Address Contact Person/Contract Amount Telephone No,/Email 3) Company Name 4) 5) Address Contact Person/Contract Amount Telephone No./Email Company Name Address Contact Person/Contract Amount Telephone NodEmail Company Name Address Contact PersonlContract Amount Telephone No./Email We HISTORICAL RESTORATION PROJECT - 41 Project Name: Hurt Building Repairs & Jessie Trice Community Health Center Company Name: Opa Locka Community Development Corp Address: 490 Opa-locka Boulevard, suite 20, Opa-locka, FL 33054 Contact Person/Contract Amount: Stephanie Willams-Baldwin, $531,099 Telephone Number/Email: 305-687-3545, stephanie@olcdc.org HISTORICAL RESTORATION PROJECT - 42 Hillsboro Lighthouse Repairs Company Name: U.S. Coast Guard Address: 15608 S.W. 117th Avenue, Miami, FL 33177-1630 Contact Person/Contract Amount: Odalys McGee, $236,000 Telephone Number/Email: 305-278-6727, Odalys.McGce@uscg.mil HISTORICAL RESTORATION PROJECT - 93 Naval Research Labs Building 49 Renovations Company Name: Department of the U.S. Navy Address: NAVFAC Washington FWD, 1013 O Street SE, Washington, DC 20374 Contact Person/Contract Amount: Jillita Bulluck, $714,474 Telephone Number/Email: 202-685-8168, jillita.bulluck@navy.mil RELEVANT PROJECTS - #1 Name of project and contract/order number: Design/Build Federal Protective Services Office Renovation, GS -04P -15 -EX -C-0023 Type of contract/order: Fixed Price Period of performance: 0412015 — 05/2017 Place of contract performance: Miami, FL Name and address of customer or Government Agency: General Services Administration, PBS, Acquisition Division, 77 Forsyth'Street, Room TS, Atlanta, GA 30303 Contracting Officer: Bryan Pyle / 954-356-7783 /Bryan.pyle(ftsa.gov Project Manager or customer equivalent: Damien Horn / 404-331-0425 / Damien.horn@gsa.gov Value at contract/order completion: $1,314,094.38 Dollar value initially awarded: $961,913.38 Scope of work: E.L.C.I. was responsible for the design/build of the tenant build out for the Department of Homeland Security Federal Protective Service Miami Office, located on the 4th floor of the Claude Pepper Federal Building in downtown Miami, Florida. This law enforcement office included office space for the FPS Officers, K9 and Special Agents, break room, conference room, filing room, storage space, armory, evidence room, mat room, and interrogation room. Scope includes Asbestos abatement, furniture disposal, demolition of existing flooring, walls, and ceiling. Work also included construction of new offices with new ceiling, VCT and carpet flooring, demountable glass partitions, electrical, IT, intrusion detection, CCTV, access control systems, mechanical, and plumbing. Significant accomplishments or aspects of projects that are considered beneficial to the customer: No problems were encountered with this project. The Government tenant had additional requirements after the project was awarded. E.L.C.I. and their design team worked closely with GSA and their tenant to ensure all the requirements were met. It was resolved with a contract modification and the work was completed without delay. The team worked extremely well together_ in a collaborative effort, and resulted in a top-notch finished product. RELEVANT PROJECTS - #2 Name of project and contract/order number: Design/Build Joint Interagency Task Force South Bldg. 290 Rm 123 SCIF Repair, W912PX-14-C-0004 Type of contract/order: Fixed Price Period of performance: 09/2014 - 1212015 Place of contract performance: NAS Key West, FL Name and address of customer or Government Agency: Joint Interagency Task Force South Regional Contracting Office,,Truman.Annex, Bldg. 1279, NAS Key West, FL 33040 Contracting Officer: Paula Claudio / 305-293-53851 Paula.Claudio.civ@mail.mil Project Manager or customer equivalent: Bobby Allen / 305-293-5285 bobby.p.allen2.civ@mail.mil Value at contract/order completion: $3,020,777.00 Dollar value initially awarded: $3,020,777.00 Scope of work: This LEED project was a design/build of an interior build-out/repair of a portion of the building damaged by Hurricane Wilma. At the center portion of the first floor of Building 290 was created an open office SCIF and several secure support spaces for up to 40 persons at the existing room 123. Within room 123, the project will involve an extensive selective demolition/removal of all non- active piping, utilities, ceiling grids and other items attached to the existing space, which were no longer functional. Grounding of all metallic piping penetrations were required prior to installation of the required partition systems, as well as grounding of all metallic penetrations through new SCIF partitions. This project also included a new UPS System. Construction trades involved in this project included structural, masonry, concrete, drywall, painting, windows, and doors, mechanical, electrical, and plumbing. Project was in a secure facility, where E.L.C.I. provided escorts at the Secret level. Significant accomplishments or aspects of projects that are considered beneficial to the customer: No problems were encountered with this project. The contract was completed on schedule. E.L.C.I. continually worked with the Government on value engineering to get the best project for the best price. E.L.C.I. was compliant with all required regulatory standards of safety, satisfied all contract obligations and the Government compliance requirement. RELEVANT PROJECTS - #3 Name of project and contract/order number: Design/Build Joint Interagency Task Force South Bldg. 1279 UPS Room Addition, W912PX-13-C-0004 Type of contract/order: Fixed Price Period of performance: 09/2013 - 07/2015 Place of contract performance: NAS Key West, FL Name and address of customer or Government Agency: Joint Interagency Task Force South Regional Contracting Office, Truman Annex, Bldg. 1279, NAS Key West, FL 33040 Contracting Officer: James Hill / 305-293-53851 james.w.hi112.civ@mail.mil Project Manager or customer equivalent: Bobby Allen / 305-293-5285 bobby.p.allen2.civ@a mail.mil Value at contract/order completion: $1,583,414.88 Dollar value initially awarded: $1,299,536.88 Scope of work: E.L.C.I was responsible for this design/build project of a 2nd UPS System to augment to an existing UPS System in Building 1279. In order to support the installation of the UPS system in the existing room in Building 1279, a new building was constructed to house the batteries. This new battery room addition to the existing building is located on the south side of Building 1279. ELCI was also responsible for making repairs to the existing electrical infrastructure to support expanding JIATFS requirements. Construction trades involved in this project included structural, masonry, concrete, drywall, painting, windows, and doors, roofing, mechanical, electrical, and plumbing. Toward the end of the construction the client realized the UPS did not have the breakers that they wanted, nor was not it specified on the original RFP. The owner requested . changes to the system that required a UPS System redesign. E.L.C.I. worked closely with' the client to ensure that they were receiving the finished product as anticipated. The changes required additional time and money. In the end the client was satisfied with the finished product. Significant accomplishments or aspects of projects that are considered beneficial to the customer: E.L.C.I. received a Very Good CPARS Rating. E.L.C.I. oversaw the designers during the construction phase of the job. Also, reviewed shop drawings, submittals, responded to RFIs, site visits, attended construction progress meetings, and prepared closeout documents. RELEVANT PROJECTS - #4 Name of project and contract/order number: Design/Build Joint Interagency Task Force South Bldg. 289 Interior Buildout of SCIF, W912PX-12-C-0004 Type of contract/order: Fixed Price Period of performance: 09/2012 — 03/2014 Place of contract performance: NAS Key West, FL Name and address of customer or Government Agency: Joint Interagency Task Force South Regional Contracting Office, Truman Annex, Bldg. 1279, NAS Key West, FL 33040 Contracting Officer: Jon Martel / 305-293-58211 jon.p.martel.eiv@maii.mil Project Manager or customer equivalent: Bobby Allen / 305-293-5285 bobby.p.allen2.civ@mail.mil Value at contract/order completion: $1,771,009.00 Dollar value initially awarded: $1,711,578.00 Scope of work: E.L.C.I. was responsible for the successful interior alteration designlbuild of a vacant area at the east end of the second floor of Building 289 to create the Joint Interagency Task Force (JIATF) South Integration Center, or "JSIC." This project was a design/build interior and exterior renovation including form and place exterior concrete stairs, air barrier insulation system on all exterior walls, installation of drywall, doors, (STC Rated walls and doors for a secure facility), access flooring, floor finish, and acoustical ceilings. MEP included fully functional AC system (water chillers), men's and woman's bathrooms, electrical, fire suppression system, fire alarm, low voltage for Data, telephone, computers and intrusion. The project was in a secure facility, where E.L.C.I. provided escorts at the Secret level. The new JSIC consisted of permanent office space for 24 people as well as a series of reconfigurable spaces for testing and new equipment and includes SCIF space and restroo ms. Construction trades involved in this project included demolition, structural, masonry, concrete, drywall, painting, windows, doors, mechanical, electrical, and plumbing. Significant accomplishments or aspects of projects that are considered beneficial to the customer: E.L.C.I. received an Above Average CPARS Rating. E.L.C.I, oversaw the designers during the construction phase of the job. Also, reviewed shop drawings, submittals, responded to RFIs, site visits, attended construction progress meetings, and prepare closeout documents. RELEVANT PROJECTS - #5 Name of project and contract/order number: Design/Build Naval Research Labs B49 Offices & Restrooms Renovations, N40080 -16-R-2007 Task Order 008 Type of contract/order: Fixed Price Period of performance: 09/2016 — 06/2017 Place of contract performance: Washington, DC Name and address of customer or Government Agency: NAVFAC Washington PWD, Washington Navy Yard, FEAD, 1013.0 Street 1st Floor, Washington, DC 20374 Contracting Officer: Erikka Robinson / 202-655-0530 / erikka.robinson@navy.mil Project Manager or customer equivalent: LT Ren Zheng / 917-656-30661 rensheng.zh6ng@navy.mil Value at contract/order completion: $714,474.00 Dollar value initially awarded: $714,474.00 Scope of work: E.L.C.I. was responsible for the successful completion of designing, demolition and reconstructing roams 101D, 101E, 101F 102,102A, 102B, 102C. This design -build project included renovating rooms 101, 101A, 101B, 101C in building 49 at the Naval Research Laboratory. Restrooms 101D & 101E renovation created an ADA. accessible space. Room 101F was constructed to be used as a kitchenette break room. A new mechanical/electrical room was added into the project, and the new mechanical HVAC unit which serviced the newly constructed rooms was mounted on the ceiling / floor lid above the spaces on the roof. Significant accomplishments or aspects of projects that are considered beneficial to the customer: E.L.C.I. worked closely with Navy and their tenant to ensure all the requirements were met. The team worked extremely well together in a collaborative effort, and resulted in a tog -notch finished product. E.L.C.I. was compliant with all required regulatory standards of safety, satisfied all contract obligations and the Government compliance requirement. RELEVANT PROJECTS - #6 Name of project and contract/order number: NAVFAC Washington WNY 1.05 and 112 Navy Band Building Renovations, Contract Number: N40080 -16-D-2007 TO Number: 0006 Type of contract/order: Design -Build Period of performance: 09/30/16 — 05/17/17 Place of contract performance: Washington Navy Yard, Washington, District of Columbia Name and address of customer or Government Agency: NAVFAC Washington, 1314 Harwood Street, SE. Washington Navy Yard, DC 20374-5018 Contracting Officer: Osvaldo Rodriquez / 202-685-8240 / Osvaldo.rodriguezl@navy.mil Project Manager or customer equivalent: Osvaldo Rodriquez / 202-685-8240 / Osvaldo.rodriguezl@navy.mil Value at contract/order completion: $570,000.00 Dollar value initially awarded: $570,000.00 Scope of work: The purpose of the renovation was to maximize utilization in existing office suites and provide additional storage. Renovations to the second deck included reconfiguring office spaces in Building 105 to consolidate group suites while maintaining collaborative spaces. Additionally, reconfiguring the office spaces in Building 112 ensure that Unit Leaders maintained proximity to band practice spaces. The current Sail Loft shall remained operational during demolition and renovation. Significant accomplishments or aspects of projects that are considered beneficial to the customer: This project required close coordination between the NAVFAC, E.L.C.I. and Cooper to ensure milestones and requirements were met. The team worked extremely well together in a collaborative effort, and resulted in a top-notch finished product. The work was completed on time and within budget. The key to this project was identifying and adapting to the owner's evolving needs and delivering beyond their expectations. The project is relevant as it was design -build, phased construction interior renovation to an existing facility which we coordinated framing, painting, mechanical, plumbing and electrical upgrades was necessary to successfully complete the SOW. We implement the needed end user changes while maintaining safety and quality. l 5 To Whom It May Concern Subject: Reference Letter Name of Bidder: E.L.C.I. Construction Group, Inc. Daniel J. Alfonso City Manager The above referenced Bidder is responding to a Bid that has been issued by the City of Miami. The City requires that the Bidder provide written references with their Bid submission. By providing you with this document, the Bidder is requesting that you provide the following reference information. The City would appreciate you providing the information requested below, as well as any other information you feel is pertinent: Name of Referenced Project: Dorsey Memorial Library Restoration Scope of Referenced Work: Did the Scope involve the construction, installation, repair and/or replacement of a historical commercial or institutional building of at least 5,000 sguare feet? ❑ Yes ❑ No Value of Project: $. Date Completed: Percentage of physical construction Work self -performed by Bidder: % Was Project completed on time and within budget: ❑ Yes ❑ No If no, was the Bidder at fault or contribute to the delay(s) or increased cost? ❑ Yes ❑ No If yes, please provide details: Comments: Name of Project Owner: Signature of Project Owner's Representative: Title: Telephone: Sincerely, Annie Perez, CPPO, Director Department of Procurement E-mail: 47 Date: DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 SUPPLEMENT TO BID FORM: Not Applicabie OFFICE LOCATION AFFIDAVIT (Page 1 of 3) 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 AS DEFINED BY CITY CODE SECTION 18-73. Legal Name of Firm: Entity Type: (Check One) ❑ Parknership ❑ Sole Proprietorship ❑ Corporation Corporation Document No: Occupational License No: PRESENT Street Address: City: State: PREVIOUS Street Address: Date Established Date of Issuance Office Location (Establishment of the Bidder) 9 Years How long at this location: City: State: How long at this location: According to Section 18-73 of the City of Miami Code, as amended: City of Miami "Local Office" means a business within the City which meets ail of the following criteria; 1) Has had a staffed and fixed office or distribution point, operating within a permanent structure with a verifiable street address that is located within the corporate limits of the City for a minimum of twelve (12) months immediately preceding to the date Bids were received for the purchase or Contract at issue; for purposes of this section, "staffed" shall mean verifiable, full-time, onsite employment at the local office for a minimum of forty (40) hours per calendar week, whether as a duly authorized employee, officer, principal or owner of the local business; a post office box shall not be sufficient to constitute a local office within the City; and 2) if the business is located in the permanent structure pursuant to a lease, such lease must be in writing, for a term of no less than twelve (12) months been in effect for no less than the twelve (12) months immediately preceding the date Bids were received, and be available for review and approval by the Chief Procurement Officer or its designee; for recently executed leases that have been in effect for any period less than the twelve (12) months immediately preceding the date Bids were received, a prior fully executed lease within the corporate limits of the City that documents in writing continuous business residence within the corporate limits of the City for a term of no less than twelve (12) months immediately preceding the date Bids were received shall be acceptable to satisfy the requirements of this section, and shall be available for review and approval by the Chief Procurement Officer or its designee; further requiring that historical, cleared rent checks or other rent payment documentation in writing that 98 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-34531 SUPPLEMENT TO BID FORM: OFFICE LOCATION AFFIDAVIT (Page 2 of 3) documents local office tenancy shall be available for review and approval by the Chief Procurement Officer or its designee; and 3) Has had for a minimum of twelve (12) months immediately preceding the date Bids were received for the purchase or Contract at issue, a current Business Tax Receipt issued by both the City and Miami - Dade County, if applicable; and 4) Has had, for a minimum of twelve (12) months immediately preceding the date Bids were received for the purchase or Contract at issue, any license or certificate of competency and certificate of use required by either the City or Miami -Dade County that authorizes the performance of said business operations; and 5) Has certified in writing its compliance with the foregoing at the time of submitting its Bid to be eligible for consideration under this section; provided, however, that the burden of proof to provide all supporting documentation in support of this local office certification is borne by the business applicant submitting a Bid. According to Section 18-85(a) of the City of Miami Code, as amended: "when a responsive, responsible non -local Bidder submits the lowest Bid price, and the Bid submitted by one or more responsive, responsible local Bidders who maintain a local office, as defined in City Code Section 18-73, is within fifteen percent (15%) of the price submitted by the non -local Bidder, then that non -local Bidder and each of the aforementioned responsive, responsible local Bidders shall have the opportunity to submit a best and final Bid equal to or lower than the amount of the low Bid previously submitted by the non -local Bidder. Contract award shall be made to the lowest responsive, responsible Bidder submitting the lowest best and final Bid. In the case of a tie in the best and final Bid between a local Bidder and a non -local Bidder, Contract award shall be made to the local Bidder." The intention of this section is to benefit local bona fide 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 by this section. Authorize Signature Print Name Title Authorized Signature 99 DORSEY MEMORIAL LIBRARY RESTORATION - D2 B-30531 Authorized Signature Print Name Title Authorized Signature ITS No.: 16-17-038 SUPPLEMENT TO BID FORM: OFFICE LOCATION AFFIDAVIT (Page 3 of 3) (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: me and acknowledged the foregoing instrument as his/her act and deed. That he/she has produced NOTARY PUBLIC: My Commission Expires: personally appeared before as identification, Please submit with Bid Form copies of Occupational License, City of Miami and Miami -Dade County Business Licenses, professional and/or trade License to verify local office preference. 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. 100 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 CERTIFICATE OF COMPLIANCE CITY CODE SECTIONS 18-87,18-89 and 18.120 1 Fortuna M. Bichachi I, Fortuna M. Bichachi hereby certify that: am the Presiders ecretary or Principal) of E-L.C.I. Construction Group, Inc. (Bidder's Firm); I have read Sections 18-87, 18-89 and 18-120 of the City of Miami Procurement Code; a, (Bidder) hereby acknowledges that the awarded Contract has anon -site labor component greater than or equal to twenty-five percent (25%), and therefore agrees to assign a minimum of fifteen percent (15%) of the Contract value to firms currently certified by Miami -Dade County as a Community Small Business Enterprise ("CSBE"); OR b. (Bidder) E.L.C.I. Construction Group, Inc hereby is certified by Miami- Dade County as a CSBE firm and will self -perform to meet the minimum fifteen percent (15%) CSBE requirement. An active copy of the Bidder's CSBE certification must be included in the Bid document. iii) (Bidder) E.L.C.I. Construction Group, Inc. hereby agrees to comply with the Local Workforce Participation Requirements stated in Section 18-89 of the City of Miami Procurement Code. iv) (Bidder) E.L.C.I. Construction Group, Inc. hereby agrees to comply with the Responsible Wages and Benefits Requirements stated in Section 18-120 of the City of Miami Procurement Code. OPTIONAL: V) (Bidder) hereby agrees to make assignments pursuant to Item iii), above, to certified CSBE firms who maintain a "Local Office", as defined in City Code Section 18-73. STATE OF Florida ) COUNTY OF Miami -Dade ) Before me, a Notary Public duly commissioned, qualified and acting personally, appeared Fortuna M. Bichachi, President to me well known, who being by me first duly sworn upon oath says that he/she has been authorized to execute the foregoing Certificate of Compliance with Sections 18-87, 18-89 and 18-120 of the City of Miami Procurement Code on behalf of Bidder named therein in favor of the City. Subscribed and Sworn to before me this 14 day of June My commission expires: Bonded by, 101 20 17 4,0MM1511 n W RH Wiwi c7 My Comm. Exor" Oct 10, 2020 80nded 1hrou" NitiarNi Wily Assn DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 THIS FORM MIDST BE COMPLETED BY BIDDERS FOR PROJECTS WITH CSBE REQUIREMENTS SCHEDULE OF INTENT AFFIDAVIT (SOI) COMMUNITY SMALL BUSINESS ENTERPRISE PROGRAM ("CSBE" Name of Bidder. E1.Ci C003ST1 AAGL DAA xb. r, , Contact Person: Fo94- gN +-1. 131044,, .cN'1 Address: (;P N_ IZ4 Phone No.: �roS-f0°!!-qq C7 Project Name: 17ott4 Mfc,►kR A4- L409AN 14,iVVZ4T10-1J Project Number: 1p- 1.1-03F& Contract Dollar Amount: # 67.2, aoa cv 15% CSBE Dollar Amountcl 130letp The undersigned intends to perform the following Worl�in connection with the above Contract: Name of Subcontractor Name of Prime Bidder Certification Certification Type of CSBE Work to be Bidder's self Total Dollar ($) Amount of No. No. (if Expiration Date performed by the Bidder (if performance Bidder's self performance applicable) (if applicable) applicable) percentage (%) a of Contract Value $.V•e-T- C04 -c" 000 610+3 7U 1 rcru&* %0a[b4.14CO The undersigned intends to perform the following Worl�in connection with the above Contract: Name of Subcontractor Certification Certification Type of CSBE Work to be Subcontractor Total Dollar ($) Amount of No. Expiration Date performed by the percentage (%) Subcontractor's CSBE Subcontractor of Contract Value requirement a I certify thaethe representations contained in this form are true and accurate to the best of my knowledge_ I affirm that f will enter into sub -contractual agreement(s) with the above listed CSBE S�bcontractor(s) if awafded this Contract. Copies of the agreement(s) will be immediately made available to the City of Miami as required. u dA. 0. 13ioN Bidder Print Name Title The undersigned has reasonable and uncommitted capacity sufficient to provide the required goods or services, all licenses and permits necessary to provide such goods or services, ability to obtain bonding that is reasonably required to provide such goods consistent with.normal industry practice, and the ability to otherwise meet the Bid specifications, ri ure Date Subcontractor Print Name 102 DORSEY MEMORIAL LIBRARY RESTORATION - D2 1TB No.: 16-17-038 B-30531 REQUIRED SUBMISSION WITH BIDDER'S BID LOCAL WORKFORCE PARTICIPATION BID QUESTION: List all Contracts Bidder has performed for the City of Miami in the past three (3) years which included Local Workforce Participation requirements. The City will review all Contracts Bidder has performed for the City in the past three (3) years in accordance with Section 18-89 of the City Code, which requires that "the City shall consider the Bidder's adherence to the City's Local Workforce Participation requirements within the past three (3) years in making any future Contract awards. The solicitation documents will include the Contractor's past compliance with these requirements of the City." As such, the Bidder must list and describe all Work performed for the City of Miami in the past three (3) years. Please provide factually detailed responses for each Project, and address each of the important items below. (i) Contract number, name and brief description of Work; (ii) total dollar value of the Contract; (iii) dates covering the term of the Contract; (iv) percentage of Local Workforce Participation requirements met by Bidder; (v) breakdown of local workforce used to meet the requirements (number of persons broken down by trade and category); (vi) if Bidder's company was unable to meet the Local Workforce Participation requirements, explain the reasons why, and what efforts, if any, were utilized by Bidder to attempt to meet these requirements; (vii) if the Project was over one million dollars ($1,000,000.00) did Bidder hold a job fair(s), if yes, provide the date and location of the job fair(s), number of attendees; (viii) was a third party hired to verify and certify compliance with the Local Workforce Participation requirements, if yes were all requirements met, what was the third party's name and provide their current contact information; (ix) was the five percent (5%) retainage fee released to Bidder by the City upon Project completion; and (x) if Bidder did not meet the goals, did you seek a waiver of the program requirements from any City officials? Please explain in detail. 103 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No.: 16-17-038 B-30531 .4, STATE OF F'LORIC DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION V 15. CONSTRUCTION INDUSTRY LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 BICHACHI, MOISES B E.L.C.I. CONSTRUCTION GROUP, INC. 1075 NORTH SHORE DRIVE. MIAMI BEACH FL 33141 Congratulations! With this license you become one of the nearty one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. a Every day we work to improve the way we do business in order to serve you better. For information about our services, please to onto www.myfloridalicense.com. There you can find more in�ormalion about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. (850) 487-1395 '�► STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGCO16729 ISSUED, 0710512016 CERTIFIED GENERAL CONTRACTOR BICHACHI. 1610ISES B E-L.C.I. CONSTRUCTION GROUP, INC. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, i5 CERTIFIED unaar the ,provisions of Ch 489 F5. and congratulations on your new license! s"''a"==2 AJG3'.20+9 Li6G, aoc as RICK SCOTT, GOVERNOR CGC016725 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date- AUG 31, 2018 BICHACHI, MOISES B E.L.C.I. CONSTRUCTION GROUR INC. 626 NE 124TH STREET _ NORTH MIAMI FL 33161 _- ISSUED. 07/05/2016 DISPLAY AS REQUIRED BY LANE SEQ # 1-160705000f253 City of fcidnii Daniel J. Alfonso City Manager To Whom It May Concern Subject: Reference letter Following. Name of Bidder: E.L.C.I, Construction Group, Inc. The above referenced Bidder is responding to a Bid that has been issued by the City of Miami. The City requires that the Bidder provide written references with their Bid submission. By providing you with this document, the Bidder is requesting that you provide the following reference information. The City would appreciate you providing the information requested below, as well as any other information you feel is pertinent: Name of Referenced Project: Hurt Building Repairs & Jessie Trice Community Health Center Scope of Referenced Work: Interior & Extrior Renovations to a Historical Buildin Did the Scope involve the construction, insta)lation, repair and/or replacement of a historical commercial or institutional building of at least 5,000 square feet? [R Yes F� No Value of Project: $ 531,099.00 Date Completed: 02/2016 Percentage of physical construction Work self -performed by Bidder: 30 % Was Project completed on time and within budget: CR Yes ❑ No If no, was the Bidder at fault or contribute to the delay(s) or increased cost? El Yes El No If yes, please provide details: Comments: Name of Project Owner: Opa Locka Community Development Corp Date; 77 312017 Signature of Project Owner's Representative: t 7W,�(r� 2 11:� Title: Marc€a Grant, Assistant Project Manager Telephone: 305-687-3545 E-mail: marciacilolcdc.org Sincerely, Annie Perez, CPPD, Director Department of Procurement 97 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITB No,: 16-17-038 B-30531 C-0 of 'ATIC-11111 Daniel J. Alfonso City Manager To Whom It May Concern Subject: Reference Letter Name of Bidder: E.L.C_I. Construction Group, Inc. The above referenced Bidder is responding to a Bid that has been issued by the City of Miami. The City requires that the Bidder provide written references with their Bid submission. By providing you with this document, the Ridder is requesting that you provide the following reference information. The City would appreciate you providing the information requested below, as well as any other information you feel is pertinent: Name of References! Project: Hillsboro Lighthouse Repairs Scope of Referenced Work: Historical Repairs of a Lighthouse Did the Scope involve the construction, installation, repair andlor replacement of a historical commercial or institutional building of at least 5,000 square feet? [2 Yes ❑ No Value of Project: $ 236,000 Date Completed: 412012 Percentage of physical construction Work self -performed by Bidder: 25 % Was Project completed on time and within budget: 2 Yes ❑ No If no, was the Bidder at fault or contribute to the delay(s) or increased cost? ❑ Yes ❑ No If yes, please provide details: The US Coast Guard uses a performance evaluation document that is signed by the Comments: contracting officer. Please see attached. Name of Project Owner: Date: Signature of Project Owner's Representative: Title: Telephone: Sincerely, Annie Perez, CPP®, Director Department of Procurement E-mail: 97 DORSEY MEMORIAL LIBRARY RESTORATION - D2 ITS No.: 16-17-038 B-30531 cna nrPiriat 1igF nNI v I CnI mr-r- CM Pr.TrnN INFl1RMATION - SEE FAR 2.101.3.104. AND 42.1503 DD FORM 2626, JUN 94 (EG) EXCEPTION TO SF 1420 APPROVED BY GSAIIRMS 6-94 1. CONTRACT NUMBER IsSCGE21122M%'A22 PERFORMANCE EVALUATION H5CG8212CPMV008 2. CEC NUMBER (CONSTRUCTION) 10331.9617 IMPORTANT: Be sure to complete Part III - Evaluation of Performance Elements on reverse. PART I - GENERAL CONTRACT DATA 3, TYPE OF EVALUATION (X ane) 4. TERMINATED FOR DEFAULT INTERIM (List percentage 10.0 %) X FINAL AMENDED 5. CONTRACTOR (Name. Address, and ZIP Cade) B.a. PROCUREMENT METHOD;X one) E.L.C.I. CONSTRUCTION GROUP, INC. 626 NE 124TH ST NORTH IITATNIZ X_ SEALED SIC) NEGOTIATED b. TYPE OF CONTRACT (X one) F:j 331615523 LISA X FIRM FIXED PRICE = COST REIMBURSEMENT NAICS Cade: 238990 OTHER (Specify) 7. DESCRIPTION AND LOCATION OF WORK RE2AIRS TO HILLSBORO LIGHTHOUSE., POMPONO BEACH FL 8. TYPE AND PERCENT OF SUBCONTRACTING a. AMOUNT OF BASIC b. TOTAL AMOUNT OF c. LIQUIDATED d. NET AMOUNT PAID 9. FISCAL DATA 1101 CONTRACTMODIFICATIONS DAMAGES ASSESSED CONTRACTOR X236,000 $236,000 a. DATE OF AWARD b. ORIGINAL CONTRACT c, REVISED CONTRACT d. DATE WORK 10, SIGNIFICANT 011. COMPLETION DATE COMPLETION DATE ACCEPTED DATES 11/23/2011 04/16/2012 04/02/2012 PART II - PERFORMANCE EVALUATION OF CONTRACTOR 11. OVERALL RATING (X appropriate block) C OUTSTANDING ABOVE AVERAGEF] SATISFACTORY MARGINAL UNSATISFACTORY (Explain in Item 20 cn reverse) 12. EVALUATED BY a. ORGANIZATION (Name and Address (Include ZIP Code)) b. TELEPHONE NUMBER (Include Area Cade) CEU MIAM-1 3052786724 c. NAMEANOTITLE d. SIGNATURE e. DATE ADA HOGGAR7 //E1er ronically Signed// CONTRACT SPECIALIST 09/18/2013 13. EVALUATION REVIEWED BY a. ORGANIZATION (Name and Address (Include ZIP Code)) b. TELEPHONE NUMBER (Include Area Cade) CEU MIAMT 3052785'127 a, NAME AND TITLE d. SIGNATURE e. DATE MALYS MCGRE ' //Electronically Signed// CONTRACTING QF'FICER u6/1j/2DlA 14. AGENCY USE (Distribution, etc.) DD FORM 2626, JUN 94 (EG) EXCEPTION TO SF 1420 APPROVED BY GSAIIRMS 6-94 FOR OFFICIAL. USE ONLY I SOURCE SELECTION INFORMATION - SEE FAR 2.101, 3,104, AND 42.1543 PART III - EVALUATION OF PERFORMANCE ELEMENTS NIA = NOT APPLICABLE 0 - OUTSTANDING A m ABOVE AVERAGE S w SATISFACTORY M = MARGINAL U = UNSATISFACTORY 15. QUALITY CONTROL N/A O A S M U 16. EFFECTIVENESS OF MANAGEMENT N/A 0 A S M U a. QUALITY OF WORKMANSHIP X a. COOPERATION AND RESPONSIVENESS X b. ADFQUACY OF THE CQC PLAN X b. MANAGEMENT OF RESOURCES/ PERSONNEL X c. IMPLEMENTATION OF THE CQC X PLAN c. COORDINATION AND CONTROL OF SUBCONTRACTOR(S) X d. QUALITY or QC X DOCUMENTATION d. ADEQUACY OF SITE CLEAN-UP X e. STORAGE OF MATERIALS X e. EFFECTIVENESS OF JOB -SITE SUPERVISION X ?. ADEQUACY OF MATERIALS X ADEQUACY OF SUBMITTALS X f COMPLIANCE WITH LAWS AND REGULATIONS X h. ADEQUACY OF OC TESTING X i. ADEQUACY OF AS -BU ILTS X g. PROFESSIONAL CONDUCT IX j. USE OF SPECIFIED MATERIALS X h. REVIEWIRESOLUTION OF SUBCONTRACTOR'S ISSUES X k. IDENTIFICATIOWCORRECTION OF X DEFICIENT WORK IN A TIMELY i. IMPLEMENTATION OF X MANNER SUBCONTRACTING PLAN 17. TIMELY PERFORMANCE 18. COMPLIANCE WITH LABOR STANDARDS a. ADEQUACY OF INITIAL PROGRESS X 77a. SCHEDULE X CORRECTION OF NOTED DEFICIENCIES b. ADHERENCE TO APPROVED X b. PAYROLLS PROPERLY COMPLETED X SCHEDULE I AND SUBMITTED c. RESOLUTION OF DELAYS X c. COMPLIANCE WITH.LABOR LAWS AND REGULATIONS WITH SPECIF.0 ATTENTION TO THE DAVIS-BACON T AND EEO REQUIEEMFNTS X d. SUBMISSION OF REQUIRED DOCUMENTATION X e. COMPLETION OF PUNCHLIST X 19, COMPLIANCE WITH SAFETY ITEMS STANDARDS I. SUBMISSION OF UPDATED AND X a. ADEQUACY OF SAFETY PLAN X REVISED PROGRESS SCHEDULES b. IMPLEMENTATION OF SAFETY PLAN X c�. WARRANTY RESPONSE X c. CORRECTION OF NOTED DEFICIENCIES X 20. REMARKS (Expfana,Uon of unsatisfactory evaluation is required. 011ier comments are optional. Provide facts concerning specific events oractfons to justify the evaluation. These data mus; bo in sufficient detail to assist contracting officers in determining the contractor's responsibility. Continue on separate sheet(s), if needed) Small Business Utilization. Does this contract include a subcontracting plan? No Date of last Tndividual Subcontracting Report (ISR) / Summary Subcontracting Deport (SSR): N,`A EVALUATOR REMARKS: ELCI performed flawlessly during the duration of the project. Their attention to detail, responsiveness to any unforeseen issues was remarkable. The project was very simple; repaint a historic lighthouse while maintaining its historic qualities that will not cause the structure to lose its classification. CONTRACTOR REMARKS. T was a pleasure working with USCG Miami. CEU. I look forward to our next project together. CONCURRENCE: I concur with this evaluation. CONTRACTOR NAME_ ELZAS A. BICHACIil TITLE: PROJECT MANAGER PHONE, 3058917990 DATE: 10/09/2013 REVIEWER REMARKS: Very professional firm and great to work with. DD FORM 2626 (BACK), JUN 94 To Whom It May Concern Subject: Reference Letter C -to o 41tatili _4 Name of Bidder: E.L.C.I. Construction Group, Inc. Daniel J. Alfonso City Manager The above referenced Bidder is responding to a Bid that has been issued by the City of Miami. The City requires that the Bidder provide written references with their Bid submission. By providing you with this document, the Bidder is requesting that you provide the following reference information. The City would appreciate you providing the information requested below, as well as any other information you feel is pertinent: Name of Referenced Project: Tesla on Lincoln Road Mall, Miami Beach, FI Scope of Referenced Work: Interior & Extrior Renovations and Build Out to a Historical Buildi Did the Scope involve the construction, installation, repair and/or replacement of a historical commercial or institutional building of at least 5,000 sguare feet? ® Yes ❑ No Value of Project: $ 500,000.00 Date Completed: 0212013 Percentage of physical construction Work self -performed by Bidder: 25 Was Project completed on time and within budget: ER Yes ❑ No If no, was the Bidder at fault or contribute to the delay(s) or increased cost? ❑ Yes ❑ No If yes, please provide details: Comments: Name of Project Owner: Lincoln 511 LLC Signature of Project Owner's Representative: Title: Cristina Minelo, Owner's Representative Telephone: 305-494-0944 Sincerely, Annie Perez, CPPO, Director Department of Procurement Date: 7/133/2017 E-mail: cristina@cba-realty com 97 DORSEY MEMORIAL LIBRARY RESTORATION - X32 1TB No.: 16-17-038 8-30531 City of North Miami NORT lr 775 N E.125 Street + North Miami, FL 33161 • 305-893-6511 hMIAMI Business Tax/Certificate of Use Receipt Issued Date. 101112016 Expiration Date: 9/30/2017 Business Tax Receipt #: ST -002145 E L C I CONSTRUCTION GROUP INC 1075 N SHORE DR MIAMI. FL 33141 GENERAL CONTRACTOR (OFFICE ONLY) Business Name I Address: E L C I CONSTRUCTION GROUP INC 626 NE 124 ST NORTH MIAMI, FL 33161.1552 Michael A. Etienne, Esquire, City Clerk NON -TRANSFERABLE • POST IN A CONSPICUOUS PEACE . NON-TRANSFFRASLF 002777 Local Business Tex Receipt Miami -Dade County, State of Florida -THIS IS +ICT A BILL - DO NOT RAY 4616612 LBT BUSINESS NAME/LOCATION RECEIPT NO, EXPIRES E L C I CONSTRUCTION GROUP INC RENEWAL SEPTEMBER 30, 2017 626 NE 124 ST 5098249 Must be displayed at plata of dusirvess NORTH MIAMI FL 33161 Isi rsuant to Coe.nty Cada Chapter SA - Ar'. 9 & 10 OWNER SEG. TYRE OF BUSINESS PAYMENT RECEIVED E E C I CONSTRUCTION GROUP INC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR Worket(s) I CGC016729 $45.00 Cel'04/2016 CHECK21-16-108616 Thk Local Business Tax Receipt only eaefirms payment of the Local Businosa Tax. The Rece,pt is not a ticensa. parmra. or a Corti#s:arian of the holdor"s qualification& to do business (folder most comply wire aoy governmental or nongovernmental reguiatury laws and requirements which apply to the busin*%S,. The RECEIPT NO. above must he displayed en ail commercial vehicles - Miarai-bade Cade San &a -Z76. For more information, visit wyalif miamidadnTanyfigftar CITY OF MIAMI CAPITAL IMPROVEMENTS PROGRAM SUBCONTRACTOR UTILIZATION FORM Sheet No. 1 Project No. B- 30531 Project Title: Dorsey Memorial Library Restoration - D2 of 1 This Form should be submitted with a bidder's bid form submittal. Failure to submit this Form with the bid may result in the bid being rejected as non-responsive. The City in its reasonable discretion may allow, in the interest of the competition, the Bidder to submit the Form after bids are due (as supplemental information). Provide the following information for each subcontractor regardless of tier.* Attach additional sheets if necessary. Name of Business Portion of Work Dollar Amount Percent AddresslCity]State/Zip License Information'" T pe Number Miami-DadeCertification* CBE CSBE NIA Accura Flectrical Contractors Electric 112,000.00 12.8 6187 NW 167 Street, Q Q ED Miami Lakes FL 33015 Electrical EC13002953 Q Q Q Miami Mechanical Contractors Mechanical 33,000,00 3.8 5005 Collins Avenue, 0 0 Miami FL 33140 Mechanical 12M000023 ® El El Roval Plumbing Plumbing 39,7$0.00 4.5 3525 NW 79 Street ID Q EJ Miami FL 33147 Plumbing FC1426991 F-1 M Q Southern Coating Roofing 16,935.00 1.9 2241 NW 22 Street, Q Q Pompano Beach FL 33069 Roofing CCO43994 Q Luis S 1-09i Shell 75,710,00 8,6 8785 SW 165 Avenue, Miami FL 33193 General Contractor GC1524962 Q [✓ Mahogany Doors & Windows Doors & Windows 89,095.00 10.2 6801 NNd 71 avenue, Miami FL 33166 Q 0 0 ED * Must be certified by Miami -Dade County. All tiers must be shown, including multiple sub -tiers, if permitted by the Contract Documents. **List only those relevant to this Project. **-`Check NIA if the listed SU does not have a CBE/CSBE certification (e.g., independent third party verifier) Form SU