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H&R PAVING BID PACKAGEMIAMI SHORES VILLAGE 10050 NE 2nd AVENUE MIAMI SHORES, FLORIDA 33138 BID NUMBER 2018- APR -01 BID DOCUMENTS AND SPECIFICATIONS FOR CITYWIDE ROADWAY RESURFACING PROJECT MAYOR AND VILLAGE COUNCIL VILLAGE MAYOR: VILLAGE VICE - MAYOR: COUNCILWOMAN: COUNCILMAN: COUNCILMAN: VILLAGE MANAGER: VILLAGE CLERK: PUBLIC WORKS DIRECTOR: PUBLIC WORKS ASSIST DIRECTOR: MACADAM GLINN SEAN BRADY ALICE BURCH JONATHAN MELTZ STEVEN ZELKOWITZ THOMAS J. BENTON YSABELY RODRIGUEZ SCOTT W DAVIS CHRISTOPHER MIRANDA BID FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 BID TO: Village Hall Submitted: 10050 NE 2nd Avenue Miami Shores, FL 33138 The undersigned, as Bidder, hereby declares that he /she has examined the sample construction site and has fully acquainted himself /herself with the work to be done; that he /she has thoroughly examined the Drawings, Specifications, if any, and all Contract Documents pertaining thereto; including the Notice to Bidders, Instructions to Bidders, Bid Bond, Contract, Construction Payment Bond, Construction Performance Bond, General Conditions and Supplementary Conditions and has read any and all Addenda issued prior to the opening of bids; and that he /she has satisfied himself /herself relative to the work to be performed and the time within which it is to be completed as designated under the Miami Shores Village Bid Number 2018 - APR -01. The Bidder agrees to accept the Total Sum Bid Amount as full compensation for all labor, transportation, materials, equipment, Safety, Maintenance of Traffic, removal of excess material and all other tasks necessary for the completion and acceptance of this project. The Bidder acknowledges that the Total Sum Bid Amount includes costs for complying with the Florida Trench Safety Act of 1990. The Bidder agrees that, if Awarded the Contract, he will sign the Contract Documents within seven (7) calendar days of the Notice of Award; that he will commence the work on the date stated in the Notice to Proceed; and that he will have the work complete for the Owner's use within ninety (90) calendar days from said date. The Bidder acknowledges receipt of the following Addenda: Addendum No. 1 Addendum No. _ Addendum No Addendum No. 2 Addendum No. Addendum No. Addendum No. _ Addendum No. _ Addendum No. _ Addendum No. _ Addendum No. Addendum No. Failure to acknowledge addenda shall not relieve such bidder from its obligation under this bid. OWNER: MIAMI SHORES VILLAGE PROJECT: Citywide Road Resurfacing Project. The undersigned bidder proposes to furnish all labor, tools, materials and supplies, and to sustain all the expense incurred in doing the work set forth below that may be awarded through work orders by the Miami Shores Village, Florida, through its proper officers, and to do the same strictly in accordance with the drawings and contract documents herein and made a part hereof, at the following unit and lump sum prices, to -wit: Refer to sheet 00300 -3 for a list of Bid Schedule. TOTAL BASE BID AMOUNT: $"',. r TOTAL BASE BID AMOUNT (in words): Dollars MIAMI SHORES VILLAGE 00300 -1 -A2 Citywide Road Resurfacing Project Bid Form ADDENDA CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 ADDENDA Addendum #1 Replace Section "00300 -1 thru 00300 -3 Bid Form" with "00300 -1 -A1 thru 00300 -3 -A1 Bid Form" Supplied in email dated 4/13/2018. END OF DOCUMENT MIAMI SHORES VILLAGE 00900 -1 -A1 Citywide Roadway Resurfacing Project ADDENDA ADDENDA CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018- APR -01 ADDENDA Addendum #1 Replace Section "00300 -1 thru 00300 -3 Bid Form" with "00300 -1 -A1 thru 00300 -3 -A1 Bid Form" Supplied in email dated 4/13/2018. Addendum #2 Replace Section "00300 -1 thru 00300 -3 Bid Form" with "00300 -1 -A2 thru 00300 -3 -A2 Bid Form ". Item #4 "Milling of Asphalt where Directed" added to Bid Proposal. END OF DOCUMENT MIAMI SHORES VILLAGE 00900 -1 -A2 Citywide Roadway Resurfacing Project ADDENDA M U) m m c a M= zc a z x WHRE 9AR5 1. __ .. 0 z 1 y 1 1 yHrTE 1 0 0' 153' 1 3.73' 6' :s RPMe m of RPMe m ;13 1 1 m�� o C)l 3 A T o ; �.. 4w gXUI �> 0 m mm mN00m �.0— 3; n XZ nco Z0 NN s m r RR NOZ `orn o In v Z D �4 ES Zx C 2: O%� O \(n C x O D m 0 Z G D\ J T e T Vi O rr D m m a T D m N D S p m Zm oZO � N D T r Z N ,Cp En m O� 3 c m m 3 K3 m z 'n mm v CA I 0 p . 0 v fF m Z my n m iTV M c m mm rOe 3 V n m FO m -1 a OT 0 °m y �1 - m A °z H 0 A nm z m OD Z Z En y 0 ~ snO y n y N m z n c � 0 ti w 0 z:d �,O N2 m to D Ld i' ti Ca O) V m m v c ic �10 GI m z m r m Cl) y c `. t � Dy y = H and tl m ;13 1 1 m�� o C)l 3 A T o ; �.. 4w gXUI �> 0 m mm mN00m �.0— 3; n XZ nco Z0 NN s m r RR NOZ `orn o In v Z D �4 ES Zx C 2: O%� O \(n C x O D m 0 Z G D\ J T e T Vi O rr D m m a T D m N D S p m Zm oZO � N D T r Z N ,Cp En m O� 3 c m m 3 K3 m z 'n mm v CA I 0 p . 0 v fF m Z my n m iTV M c m mm rOe 3 V n m FO m -1 a OT 0 °m y �1 - m A °z H 0 A nm z m OD Z Z En y 0 ~ snO y n y N m z n c � 0 ti w 0 z:d �,O N2 m to D Ld i' ti Ca O) V m m v c ic �10 GI m z m r m Cl) BID FROM: An Individual By: BID FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 IF BIDDER is: (Individual's Name) Doing business as: Business address: Phone No.: A Partnership By: (SEAL) (Firm Name) Business address: Phone No.: A Corporation By: %r /fi �,4 ✓ /.t/ ,,I (Corr)oration Name (General Partner) .��✓C ; lel--,z By: l C-.q (,/Z (Name of Person Authorized to Sign) Phone No.: /.' a#e of Incorporation) (Title) Business address: % ��✓ �+ i'�fi� �f'��� Phone No.: A Joint Venture 2 By: (Name) (Address) (Name) (Address) (Each joint venture must sign. The manner of signing for each individual, partnership and corporation that is a party to the joint venture should be in the manner indicated above.) MIAMI SHORES VILLAGE 00300 -2 -A2 Citywide Road Resurfacing Project Bid Form BID FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 BID PROPOSAL Item No. Description Unit Quantity Unit Price Price 1 General Conditions and Mobilization LS 1 Q� • N GtOd- 2 Maintenance of Traffic per FDOT Design Standards LS 1 000. 00• `= 3 Asphalt Paving Type "SP" SY 20,000 fp, /670,coo.it 4 Milling of Asphalt where Directed (minimum of 3 ft. wide) SY 1000 A -3,000.0- 5 8" Limerock Base with 12" sub -base SY 150 ja. °= 000 • `• 6 Type "D" Curb & Gutter LF 50 7 Adjust Valve Box (any size) EA 25 8 Type "D" Inlet EA 1 / 00 • �' 9 French Drain 15" Perf. Pipe LF 1 25 /00 0• 10 6" Yellow Thermoplastic Paint LF 500 A0�• 11 12" White Thermoplastic Paint LF 50 . 2° �?pi0• 12 24" White Thermoplastic Paint LF 150 � O D• Q 13 Sharrows EA 30 p00 14 Speed Hump as per approved Miami -Dade PWWMD Details EA 13 d TOTAL BASE BID AMOUNT Notes: MIAMI SHORES VILLAGE 00300 -3 -A2 Citywide Road Resurfacing Project Bid Form BID BOND CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018- APR -01 BIDDER l kM2 acrd AddresS): H R Paving, Ind 1955 NW 110 Avenue, Miami, FL 33172 SURETY LName and Address of Principal Place of Businassj: _ Philadglch a Indemnity Insurance Company One Bala Plaza, Suite 100 9515 Cynwyd, PA 19004 - nWNE&l+Jame and Address }: Miami Shores Village Council 10050 NE 211d Avenue Miami Shores, Florida 33138 BID BID DUE DATE: April 18, 2018 Citywide Roadway Resurfacing Project, Bid #2018- APR -01 PROJECT (Brief Qescription including Location): BOND BOND NUMBER: 9587 DATE: (Not later than Bid Due Date): Apri11 a, 201 s PENAL SUM: 5% Bid Amount IN WITNESS WHEREOF, Surely and Bidder, intending to be legally bound hereby, subject to the terms printed on the reverse side hereof, do each cause this Bid Bond to be duly executed on Its behalf by its authorised officer, agent, or representative. BIDDER SURETY H & R Paving, Inc. (Seal) Philadelphia lndemnr y Insurance Company (SeaD Bidder's Na nd Seat Sur s Name ad C(rate Seal Rv- S Ig n Title Warren M. Alter, Signature and Title Attomey-in-Fact (Attalch Power of Attorney) Attest w� Attest: As per attached power of attomey Signature and Title Signature and Title MIAMI SHORES VILLAGE 00401 -1 Citywide Road Resurfacing Project BID BOND CITYWIDE ROADWAY RESURFACING PROJE;0 i BID # 2018- APR-01 Note; (1) Above addresses are to be used for giving required notice. (2) Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. Bidder and Surety, jointly and . severally, bind themselves, their heirs, executors, administrators, successors and assigns to pay to Owner upon default of Bidder any difference between the total amount of Bidder's bid and the total amount of the bid of the next lowest, responsible and responsive bidder as determined by Owner for the Work required by the Contract Documents, provided that 1.1. If there is no such next lowest, responsible and responsive bidder, and Owner does not abandon the Project, than Bidder and Surety shag pay to Owner the penal sum set filth on the face of this Bond, and 1.2. In no event shall Bidders and Surety's obligation hereunder exoDeds lie penal sum set forth an the I= of this Bond. 2 DEAult of Bidder shall occur upon the failure of Bidder b deliver within the time requlmd by the Bkkgrtg Documents (or any extension thereof agreed b In writing by Owner) the executed Agreement requW by the Bldd'mg Documents and any parformance and payment bonds required by the Bidding Documents and Contract Documents. 3. This oblation shag be null and void lE 3.1. Owner accepts B'dder's bid and Bidder delivers vuithin the time required by the Bidding Documents (or any extension thereof agreed to In writing by Owner) the exeeirted Agreement raquired by the Bidding Documents and any performance and went bonds requ'sed by the Bidding Documents and Contract Documents, or 32 All bids are rejected by Owner, or 3.1 Owner fails to Issue a notfoo of award to Bidder within the time specified in the Blddng Wauments (or any extension MOW agreed to in writing by Bidder and, ff anpflcable, Consented to by Surety when required by paragraph 5 hereof). 4. Payment wider this Band will be due and playable upon ddmk by Bidder and within thirty (30) calendar days after naciso by Bidder and within thirty (30) calendar days after receipt by Bidder and Surety of wilten notice MIAMI SHORES VILLAGE Citywide Road Resurfacing Project of default from Owner, which nollca will be given with reasonable promptness, identifying this Bond and the Project and Including a statement of the amount due. 5. Surety waives notice of and any and all defenses based on or arising out of any be extension to issue notice of award agreed to in writing by Owner and Bidder, provided that the total time for issuing notice of award Including extensions shall not in the aggregate exceed one hundred eighty (180) days from Bid Due Date without Surety's written consent. ti, No out or action gall be commenced under this Bond prior to thirty (30) calendar days after the notice of default. required in paragraph 4 abave is received by Bidder and Surety and In no case later than one (1) year after Bid Due pate. 7. Arty suit or action under this Bond shat be commenced only In a court of competent jurisdiction located in the state In which the Project is located. 8. Notices required hereunder shall be In writing and sent to Bidder and Surety A their respective addresses shown on the face of this Bond. Such notices may be sent by personal delivery, commercial courier or by United States Registered or cerlitied Mail, return receipt requested, postage pre -paid, and shall be deemed effective upon receipt by the party concerned. 9. Surety shall cause to be attached to this Bond a current and effective Power of Attorney evidencing the authority of the officer, agent or representative who executed this Bond on behalf of Surety to execute, seal and deliver such Bond and mind (he Surety thereby. 10. Thle Bond Is Mended to conform to all applicable statutory requirements, Any applicable 1equirement of any applicalole mute that he been omitted from this Bend shall be deemed to be included herein as if sat forth at length, if any provision of this Bond conflicts with any applicable pmislon of U Bond conflicts with any eppflcable provision of any applicable statute, then the provision of Bald statute shall govern and the remainder of Ibis Bond Brat Is not In cm W therewith shag oontlnue in full farce aril affect. 11. The berm "bler as used hereln Includes a bid, offer or proposal as applIcable. 00.401 -2 :e PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 -0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organmv d and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Warren M. Alter, David T. Saline and Jonathan A. Bursevich of Alter Surety Group, Inc. its true and lawful Attorney -in -Pact with full authority to execute on its behalf bonds, undertakings, recognizatices and other contracts of iandcamaty and writings obligatory in the nature thereof issued is the course of its business and to bind the Company thereby, in an amount not to exceed 25S 'Ii00,000. This Power of Attorney is granted and is siguod and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 146 ofNovcmber. 2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attomey tar executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the firlure with respect to any bond or undmiakizg to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFDC;D BY ITS AUTHORIZED OFFICE THIS 27h.. DAY OF OCTOBER, 2017. On this 276 day of October, 2017, before me came the individual who executed die preceding kstrtmient, to me personally known, and being by me duly swom swirl that he is the therein de scribed and authorized officer of the PHILADELPHIA INDEMINITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. Notary Public: xyc�,w,c wL w �arsri ,an residing at; (Notary Seal) My commission expires: r t , ,x Bala Cvnwvd PA 25 2021 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 276 day of October, 2017 are true and correct and are still in full force and effect I do further certify that Robert D. 01.mry Jr -, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PI-IILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my time and affixed the facsimile seal of each Company this 18th day of 1927 2i April Edward Sayago, Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 18 ,20 (Seal) Robert D. O'Leary Jr., President & CEO Philadelphia, indemnity Insurance Company On this 276 day of October, 2017, before me came the individual who executed die preceding kstrtmient, to me personally known, and being by me duly swom swirl that he is the therein de scribed and authorized officer of the PHILADELPHIA INDEMINITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. Notary Public: xyc�,w,c wL w �arsri ,an residing at; (Notary Seal) My commission expires: r t , ,x Bala Cvnwvd PA 25 2021 I, Edward Sayago, Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 276 day of October, 2017 are true and correct and are still in full force and effect I do further certify that Robert D. 01.mry Jr -, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PI-IILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my time and affixed the facsimile seal of each Company this 18th day of 1927 2i April Edward Sayago, Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 18 ,20 PUBLIC ENTITY CRIMES FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 SWORN STATEMENT UNDER SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted with Bid Number # for 2. This sworn statement is submitted by (name of entityy submiin worn statement) whose business address is N +� ,✓ �� •'�� ,.�' /.�' / /��''"tl� and (if applicable) its Federal Employer Identification Number (FEIN) (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: My name isf%v�G-r� �''' �' and my relationship to the entity name above (please/jirint a of'ndividual signing) is: 4. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. 1 understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record, relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 6. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: 1. A predecessor successor of a person convicted of a public entity crime: or 2. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. MIAMI SHORES VILLAGE 00402 -1 Citywide Road Resurfacing Project Instructions to Bidders PUBLIC ENTITY CRIMES FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 7. 1 understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, director, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 8. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement (Please indicate which statement applies.) Neither the entity submitting this sworn statement, nor any officers, directors, executives, p rtners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement applies.) There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Department of General Services f /{Si Xpure) Date: ' STATE OF -/ COUNTY OF 01-41&7 PER&ONALLY APPEARED BEFORE ME, the undersigned authority, ,"' 117 who, after first being sworn by me, affix i er signat (name of individual signing) �4 space provided above on the _ �- day of !'/ , 20 NOTAR My commission expires: Ad.�- MIAMI SHORES VILLAGE Citywide Road Resurfacing Project Y PUBLIC Abe Rodriguez Commission # GG16M67 Expires, 3anuary 11, 2022 Bonded bu MOR Notary 00402 -2 Instructions to Bidders ANTI - KICKBACK AFFIDAVIT CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 STATE OF FLORIDA ) : SS COUNTY OF MIAMI -DADE ) I, the undersigned hereby duly sworn, depose and say that no portion of the sum herein bid will be paid to any employees of the Village of Miami Shores as a commission, kickback, reward of gift, directly or indirectly by me or any member of my firm or by an officer of the corporation. I hereby certify that to the best of my knowledge and belief all the foregoing facts are true and correct. g k Y• Name - Signaf . re / �s /z Date: �Zmk/_/_p STATE OF �G COUNTY OF /✓`t/ — y�� PERSONALLY APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me, affixed his/her signature in the (name of individual signing))/ �l space provided above on the /� day of I 20 F NOTARY PUBLIC, State of Florida My commission expires: ,%o� be Rpdrrguex "OFFICIAL NOTARY SEAL" STAMP zffl e Commission # GG160467 "= Expires; January 11, 21322 Bonded thru Aaron Notary �'j�1f71111t \ \\ MIAMI SHORES VILLAGE 00403 -1 Citywide Road Resurfacing Project ANTI - KICKBACK AFFIDAVIT BIDDERS QUALIFICATION FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 The undersigned guarantees the truth and accuracy of all statements and answers herein contained. 1. How many years has your organization been in business as a General Contractor? -12 2. W at is the last pro ect of this ture yop have completed? ft ZJ 3. Have you ever failed to complete work awarded to you: If so, where and why? A10 4. Name three individuals or corporations for which you have performed work and to which you refer: 5. List the following information concerning all contracts on hand as of the date of submission of this proposal. (In case of co- venture, list the information for all co- ventures). NAME OF TOTAL CONTRACTED % PROJECT OWNER CONTRACT DATE OF COMPLETION VALUE COMPLETION TO DATE V <37� -41 (Continue list on insert sheet, if necessary.) MIAMI SHORES VILLAGE 00420 -1 Citywide Road Resurfacing Project BIDDERS QUALIFICATION FORM I � L71 1 I N M r to 0o 69 O M' z I M o a O O 9 o 0\ r- m O o 7 a m O O W m N Vt' Vi Vi 10 N r N '�•� W N F z O U u■ v1 of cs rn sv cs vi ra rn cs n ' cs cv O a o e a e a 10 o o e o e e e O. O O W F a Q � A O U e 0 r•1 �O O Vl M 0 O O m m M 0 N O V1 O 0 �/1 D; N eq 0 V1 N l� 0 O O M 0 M [� b 0 .N-� m h 0 O O O h o O\ .Mr b 0 •--� t•1 h 0 �O O1 0 O\ cl O .M-� N 0 O • h m F z F ¢ N N O N O N O N N N N N N N O N N Q N N N C • N b N O N N .�i .r-�• m N p 0 o p N p .0 A O O z EW., d vi O �n •-' vi O vi O in O a O Vl o N .--i O N V1 o h O O Vl o � N V1 N Q F N N N b N •'• N 'N' N N 'N" N .00 N N P N p ° w z A z y w v & i> .& p° UpU p p UpU pp�10 UpU a o , ai c UpU °° UpU pO UpU °° UpU UpU d q A wq3w gwq3gwq qwq -W q3 ° = q � c Ex•° E3 gwq3w gwq3w gqw3w gwq3w ¢U� q3w 6U� W pp pp aU� Q�L] dU� �?A dU� Q.]�1 U a p q U � O 7 � a ¢U� AQ dU� q�(a dU� QaA AaCI '�-•l� qaA i�`-+7 i- :L'-+1 W v a a m <n I, e m N N 0 a O\ N a N a C� N a N a T N �1 [� Vl [� r, V1 � N N N m O � T N N N m Vl � O O\ N N N m vl q O a\ h V1 N [, vt � O cm [� O � vl er m V1 Vl N O N I� [e V1 � O N N m Vl � O C\ N N m Vl q O N N m Vl � O C, N N m h O, O N N m O a m m M M M M m M M M M M M M ¢ ¢ a m a a a a a u > T T T T T 79 T 3� '�o T 9O T *qo 0 3� aE a# a# c o E•, d a a a# fx# c �¢ '� � �' � O h O O ^" 0 0� O N� '"" r J C '� C C V ^J C m 7 C M •� C N w F •pd ea a� en a� eo '� Q� `� �o UUo a� eo '� UUo a� oc UUoo a� m '9 a� u o w '9 0 ba a� m •� Q i O W •� •� •C [y w V]' C.0 aa�i •G •C .C� ,G ,C w� A�a�a Aa N aaaa e N M r to 0o 69 BIDDERS QUALIFICATION FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 6. The Bidder is licensed as a General Contractor to perform the work contemplated by this bid and holds License No. (Bidder shall provide photocopy of General Contractor's License.) 7. Will you sublet any part of this work? If so, please list subcontractors, including name, address, phone number, contractor's license and parts of work to be performed. / i y �i� Ski• �� �. J v�a /Vle�o 7� �15� /Ws� //&z 4 / r-� 33 15�7 ,36 S= Y.3 �-- ,Pe3 3 8. The following is given as a summary of the Financial Statement of the undersigned: (List Assets and Liabilities and use insert sheet if necessary.) MIAMI SHORES VILLAGE 00420 -2 Citywide Road Resurfacing Project BIDDERS QUALIFICATION FORM FINANCIAL STATEMENTS AND INDEPENDENT ACCOUNTANTS' COMPILATION REPORT H & R Paving, Inc. June 30, 2017 I CONTENTS INDEPENDENT ACCUNTANTS' COMPILATION REPORT FINANCIAL STATEMENTS Balance Sheet Statement of Income Statement of Stockholders' Equity Statement of Cash Flows Notes to Financial Statements SUPPLEMENTARY INFORMATION Schedule I — Analysis of Earnings from Contracts Schedule II — Analysis of Completed Contracts Schedule III —Analysis of Contracts in Progress Schedule IV — General and Administrative Expenses Page No. 1 3 4 5 6 7 13 14 15 16 HERivAivDEZ & TACORONTE, P.A. Certified Public Accountants INDEPENDENT ACCOUNTANTS' COMPILATION REPORT To the Board of Directors of H & R Paving, Inc. Miami, Florida. Management is responsible for the accompanying financial statements of H & R Paving, Inc. which comprise the balance sheet as of June 30, 2017, and the related statements of income and retained earnings and cash flows for the six months then ended, in accordance with accounting principles generally accepted in the United States of America. We have performed a compilation engagement in accordance with Statements on Standards for Accounting and Review Services promulgated by the Accounting and Review Services Committee of the AICPA. We did not audit or review the financial statements nor were we required to perform any procedures to verify the accuracy or completeness of the information provided by management. Accordingly, we do not express an opinion, a conclusion, nor provide any form of assurance on these financial statements. The schedules I, II, III and IV are presented for purposes of additional analysis and are not a required part of the basic financial statements. The information is the representation of management. We have performed a compilation engagement on the information. We have not audited or reviewed the information and, accordingly, do not express an opinion, a conclusion, or provide any assurance on such information. Miami, Florida September 26, 2017 8500 West Flagler Street • Suite B -208 • Miami, Florida 33144 Tel: (305) 225 -8646 • Fag: (305) 226 -2446 H & R Paving, Inc. Balance Sheet June 30, 2017 (See independent accountants' compilation report) ASSETS CURRENT ASSETS Cash and cash equivalents $ 8,171,883 Contracts receivable - net 3,093,312 Cost and estimated earnings in excess of billings 1.495.321 on uncompleted contracts 507,703 Prepaid expenses 516,811 Inventory 112,226 Total current assets 12,401,935 PROPERTY, PLANT AND EQUIPMENT — NET 773,705 OTHER ASSETS _ 179,122 Investments in marketable securities 1,810,948 Deposits 22,709 ,_ 1,833,657 Total assets S 15.009.297 LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES Accounts payable and other current liabilities $ 1,783,990 Billings in excess of cost and estimated earnings on uncompleted contracts 1.495.321 Total current liabilities 3,279,311 STOCKHOLDERS' EQUITY Common stock — $10 par value, 50 shares authorized, issued and outstanding 500 Retained earnings 11,550,364 Accumulated other comprehensive income _ 179,122 Total stockholders' equity. 11.729,986 Total liabilities and stockholders' equity $ 15.009.297 The accompanying notes are an integral part of this statement. 3 H & R Paving, Inc. Statement of Income For the six months ended June 30, 2017 (See independent accountants' compilation report) Contract revenues earned and sales of asphalt $ 13,836,419 Cost of revenues earned 9,120,867 Gross profit 4,715 552 General and administrative expenses 574,110 Income from operations 4,141,442 Other (expenses) income Interest income 45,405 Dividends income 16,170 Miscellaneous income 12.073 73,648 Net income 4,215,090 Other comprehensive income (loss) Realized during the period 61,469 Total Comprehensive Income $ 4,276.559 The accompanying notes are an integral part of this statement 4 H & R Paving, Inc. Statement of Stockholders' Equity For the six months ended June 30, 2017 (See independent accountants' compilation report) Common stock - $10.00 par value, 50 shares; authorized, issued and outstanding Retained earnings, January 1, 2017 Net income Distributions to stockholders Retained earnings, June 30, 2017 Accumulated other comprehensive income: Balance January 1, 2017 Other comprehensive income (loss) Balance June 30, 2017 Stockholders' equity, June 30, 2017 The accompanying notes are an integral part of this statement 5 $ 500 15,540,652 4,215,090 (8.205.376) 11.550.364 73,991 105,131 179.122 1 729,986 H & R Paving, Inc. Statement of Cash Flows For the year six months ended June 30, 2017 (See independent accountants' compilation report) Cash flows from operating activities Net income $ 4,215,090 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation 197,082 Changes in assets and liabilities (Increase) decrease: Contracts receivable 50,245 Cost and estimated earnings in excess of billings on uncompleted contracts (124,849) Inventory (17,150) Prepaid Expenses (326,283) Deposits (3,290) Increase (decrease): Accounts payable 445,767 Billings in excess of cost and estimated earnings on uncompleted contracts 235,586 Net cash provided by operating activities 4,672,198 Cash flows from investing activities Investments (121, 301) Net cash used in investing activities (121,301) Cash flows from financing activities Net income on sale of available- for -sale securities 105,131 Distributions (8,205,378) Net cash used in financing activities (8,100,247) DECREASE IN CASH (3,549,350) Cash at January 1, 2017 11,721,283 Cash at June 30, 2017 $8,171 883 Supplemental cash flow information: Cash paid for interest $ _ - The accompanying notes are an integral part of this statement 6 H & R Paving, Inc. Notes to Financial Statements June 30, 2017 (See independent accountants' compilation report) NOTE A — ORGANIZATION AND NATURE OF OPERATIONS The financial statements include the accounts of H & R Paving, Inc., a Florida corporation organized in 1976, collectively referred to as the "Company." H & R Paving, Inc. is engaged in general contracting work and manufacturing and the sale and handling of asphalt. The length of the contracts varies but is typically between one and two years. In accordance with normal practice in the construction industry, the Company includes asset and liability accounts relating to construction contracts in current assets and liabilities even when such amounts are realizable or payable over a period in excess of one year. NOTE B — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES This summary of significant accounting policies of the Company is presented to assist in understanding its financial statements. These financial statements are representations of the Company's management who is responsible for their integrity and objectivity. These accounting policies conform to generally accepted accounting principles and have been consistently applied in the preparation of the financial statements. 1. Revenue Recognition The Company recognizes revenues on contracts using the percentage -of- completion method. Under this method, the percentage of contract revenue to be recognized currently is computed as that percentage of estimated total revenue that incurred costs to date bear to total estimated costs, after giving effect to the most recent estimates of cost to complete. It is reasonably possible that changes in cost and revenue estimates may occur in the near term. Revisions in cost and revenue are reflected in the period in which the facts which require the revision become known. When the revised cost estimates indicate a loss on an individual contract, the total estimated loss is provided for currently in its entirety without regard to the percentage of completion. Contract costs include direct material and labor costs and those indirect costs related to contract performance, such as indirect labor, supplies, equipment rental, repairs and subcontractor costs. Selling, general and administrative expenses are charged to operations as incurred. The asset, "costs and estimated earnings in excess of billings on uncompleted contracts," represents revenues recognized in excess of amounts billed. The liability "billings in excess of costs and estimated earnings on uncompleted contracts," represents billings in excess of revenues recognized. The Company recognizes revenues on sales of asphalt upon delivery of asphalt products to customers. H & R Paving, Inc. Notes to Financial Statements - Continued June 30, 2017 (See independent accountants' compilation report) NOTE B — CONTINUED 2. Concentration of Credit Risk Financial instruments which potentially subject the Company to concentration of credit risk consist principally of bank deposits. The Company maintains bank deposits in excess of FDIC coverage. Contracts receivable are primarily from local municipal governments and Florida Department of Transportation. The Company performs ongoing evaluations of its accounts receivable and monitors its exposure for credit losses. 3. pLoj2erty, E ui went and Depreciation Property and equipment are stated at cost. Depreciation is provided on the straight -line basis over the estimated service lives of the assets, ranging from five to ten years. 4. Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. NOTE C — CONTRACTS RECEIVABLE At June 30, 2017, contracts receivable billed consisted of the following: Billed Completed contracts Contracts in progress Due Retainage Sub -total paving Due asphalt Total receivables Allowance for bad debts Net receivables C] $ 1,034,885 640.176 $ 211,474 1.675.061 1,886,535 1.935.043 3,821,578 (728,266) 3.093.31 H & R Paving, Inc. Notes to Financial Statements - Continued June 30, 2017 (See independent accountants' compilation report) NOTE C — CONTINUED These receivables are aged as follows: 0 - 30 days $ 1,634,532 31 - 60 days 351,232 61 - 90 days 402,926 Over 90 days 792,712 Retainage 640,176 3.821.578 The Company collected approximately $1,417,581 of the receivables through August 1, 2017, which includes approximately $237,048 of receivables older than 90 days. NOTE D — PROPERTY AND EQUIPMENT At June 30, 2017, property and equipment consisted of the following: Machinery and equipment $ 4,905,179 Autos and trucks 573,500 Furniture and fixtures 6,471 5,485,150 Less accumulated depreciation 4,711,445 $ 773.705 During the six months ended June 30, 2017, depreciation expense of $197,082 was charged to operations. NOTE E — INVESTMENTS IN MARKETABLE SECURITIES The cost and fair value of investments in marketable securities consist of the following at June 30, 2017: 4 Gross Gross Unrealized Unrealized Fair Cost Gain Losses Value Cash $ 34,417 $ - $ - $ 34,417 Mutual 1,478,054 174,047 - 1,652,101 Equity 119,355 5.075 - 124.430 Total $ 1._631.826 22 $ 1, 810, 948 4 H & R Paving, Inc. Notes to Financial Statements - Continued June 30, 2017 (See independent accountants' compilation report) NOTE F — COSTS AND ESTIMATED EARNINGS ON UNCOMPLETED CONTRACTS At June 30, 2017, cost and estimated earnings on uncompleted contracts consisted of the following: Costs incurred on uncompleted contracts $ 14,942,454 Estimated earnings 2,037,726 16,980,180 Less billings to date 17,967,798 Presented in the accompanying balance sheet under the following caption: Costs and estimated earnings in excess of billings on uncompleted contracts $ 507,703 Billings in excess of costs and estimated earnings on uncompleted contracts (1,495.321) R, VIIIYARJ "; NOTE G — LINE OF CREDIT The Company has an unsecured line of credit with a bank in the amount of $1,000,000 at prime interest rate plus 2.00 %. Principal is payable on demand and interest is payable monthly. Renewals are at the lender's discretion. At June 30, 2017, there were no advances under this line of credit. NOTE H — ECONOMIC DEPENDENCY For the period ended June 30, 2017, two customers accounted for approximately 56% of total paving revenues, amounting to approximately $5,100,000. On the asphalt activity, two customers accounted for approximately 72% of total sales, amounting to approximately $4,800,000. 10 H & R Paving, Inc. Notes to Financial Statements - Continued June 30, 2017 (See independent accountants' compilation report) NOTE I — INCOME TAXES The Company uses the percentage of completion method of reporting income from long- term construction contracts for financial statement purposes and for income tax purposes. The Company has elected to be treated as a Subchapter S- Corporation. As an S- Corporation, the Company passes through items of income and expense to the stockholder each year, and thus pays no federal corporate income tax itself. However, the Company generally distributes funds to the shareholder through bonuses and /or capital distributions to pay income taxes attributable to corporate earnings. At June 30, 2017, current federal income tax liabilities passed through to the shareholder using an estimated effective rate of 40% are summarized as follows: Estimated taxable income pass- through to stockholders $ 4,100,000 Estimated effective tax rate 40% Estimated stockholders' current tax liability 1,640,000 Less: estimated tax deposits and credits 2.000.000 Net stockholders' current federal tax overpayment $ 360.000 Although not accrued in the accompanying financial statements, deferred federal income taxes passed through to the stockholder at June 30, 2017 are summarized as follows: Differences in depreciation methods Differences in revenue recognition related to the completed contract method for long -term contracts Net deferred federal tax liability pass- through Current Long-Term Total $ (30,000) $ 237,000 $ 207,000 The U.S. Federal Jurisdiction and Florida are the major tax jurisdictions where the Company files income tax returns. The Company is generally no longer subject to U.S. Federal or State examinations by tax authorities for years before 2014. 11 H & R Paving, Inc. Notes to Financial Statements - Continued June 30, 2017 (See independent accountants' compilation report) NOTE J — ASSIGNMENT OF RIGHTS AND PROPERTY UNDER INDEMNITY AGREEMENT In order to procure a bonding line, the Company has assigned certain rights and property collateral to secure its obligations under the indemnity agreements. These rights consist principally of rights under construction contracts, subcontracts, insurance policies and legal claims. The property assigned consists of all property and equipment and cash and accounts receivable. NOTE K — BACKLOG The following schedule summarizes changes in backlog on contracts during the year ended June 30, 2017. Backlog represents the amount of revenue the Company expects to realize from uncompleted contracts in progress at period end and from contractual agreements on which work has not yet begun: Balance at January 1, 2017 $ 32,248,005 New contracts 9.434.283 41,682,288 Less: revenues earned during the period _ 9,163.968 Balance at June 30, 2017 $ 32.518.320 NOTE L — SUBSEQUENT EVENTS In preparing the financial statements, the Company has evaluated events and transactions for potential recognition or disclosure through September 26, 2017, the date the financial statements were available to be issued. 12 SUPPLEMENTARY INFORMATION H & R Paving, Inc. SCHEDULE I -ANALYSIS OF EARNINGS FROM CONTRACTS For the six months ended June 30, 2017 (See independent accountants' compilation report) i CONSTRUCTION - PAVING Completed Contracts i Uncompleted contracts Sub -total Paving ASPHALT ACTIVITY Sales Transfers to paving Sub -total Asphalt Totals Revenues Gross Profit Cost of (Loss) Revenues Gross Profit 2016 $ 931,176 $ 653,172 $ 278,004 $ 70,028 8,232,792 7,069,796 1,162,996 874,730 9,163,968 7,722,968 1,441,000 $ 944,758 6,794,986 3,520,434 3,274,552 (2,122,535) (2,122,535) - 4,672,451 1,397,899 3,274,552 $ 13,836,419 $ 9,120,867 $ 4,715,552 13 CJ Z O Z Q a Q' U H U W Z a ix o N a Z_ U � � O � LL W o Z m O � n m N cn a O co m N N ' V r V O R C J t` 00 r n � r N N. 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Schedule IV — General and Administrative Expenses For the six months ended June 30, 2017 (See independent accountants' compilation report) Advertising $ 4,480 Alarm and security services 29,237 Business gift 11,931 Cleaning — supplies 2,197 Collection fees 352 Contributions — charitable 10,000 Employee benefits 29,299 Medicines and medical expenses 6,852 Membership fees 9,377 Miscellaneous 4,599 Office expenses and supplies 12,993 Payroll processing fees 5,463 Professional fees 52,095 Repairs and maintenance 1,213 Salaries and payroll taxes 326,761 Telephone 12,888 Training and seminars 1,047 Travel and entertainment 45,931 Utilities 4,688 Waste and disposal expenses 2,707 Total $--5Z4--j 10 The accompanying notes are an integral part of this statement 16 N °o Q K/ h a O C c U0 LU cc < ro U I X�° om U3 C Wa m a U a aN W Cl) i 0 z i F. 0) Q Lu Z Lw1 co w W P% Q U ¢ CC co O¢ � F•- 0 CZ +� f 7 U z N •/A 4 00 (U y V O 1�r�jl W u W 2 Z Q N r G u o ern � Z Z ^ M 1/��ii��! W W ? 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Vta 8°•�twnins WS q e +tY t5 Js M 'x. -- " s BIDDERS QUALIFICATION FORM CITYWIDE ROADWAY RESURFACING PROJECT BID # 2018 - APR -01 9. 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 name of all the partners. If a trade name, state the names of the individuals who do business under the trade name. It is absolutely necessary that this information be furnished.) Correct Name45f Bidder (a) The business is a (Solee "P�� roprietorship) (Partnership) (Corporation) (b) The address of principal place of business is ,.) Z"/ 116')14LIe 3 317 (c) The names of the corporate officers, or partners, or individuals doing business under a trade name, are as follows: 4,-,l v?.cI�P 7 LU( /ze-14 MIAMI SHORES VILLAGE 00420 -3 Citywide Road Resurfacing Project BIDDERS QUALIFICATION FORM :i ACKNOWLEDGEMENT OF CONFORMANCE WITH OSHA STANDARDS BID # 2018- APR -01 CITYWIDE ROADWAY RESURFACING PROJECT TO MIAMI SHORES VILLAGE We /'/7/0, t ��'"�'' hereby acknowledge and agree that as Contractors for furnishing fKe following: BID # 2018 - APR -01 Citywide Roadway Resurfacing Project within the limits of the Miami Shores Village, Florida, that we have the sole responsibility for compliance with all requirements of the Federal Occupational Safety and Health Act of 1970, and all State and Local Safety and Health regulations, and agree to indemnify and hold harmless the Miami Shores Village against any and all legal liability or loss the Owner may incur due to failure to comply with such act. Signature of A thorized lRepresentative Name and Title of Authorized Representative (Type or Print) STATE OF J? COUNTY OF Sworn to and subscribeJ before me in the State and County first menti abov on the _ day of __, 20UeP Notary Public MIAMI SHORES VILLAGE Citywide Road Resurfacing Project (Affix seal) My Commission Expires: %Z I cr=y a c n GG160467 Commission Expires: January 11, 2022 ,'�° ... , -4 �rrntiSNt Bonded thru Aaron Notary 00650 -1