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PT-7-18-1959, 10690 NE 5 AveORES D� 4'FCOR10p' Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 10690 NE 5 Avenue Number: SCHOOL 1122310430010 Miami Shores, FL Block: Lot: ST ROSE OF LIMA CATHOLIC Ci -,l Owner Information Address ST ROSE OF LIMA CATHOLIC CHURCH 9401 BISC BLVD MIAMI FL 33138-2970 Contractor(s) Phone Cell Phone MIDSOUTH PAINTING INC (954)974-7199 Phone Cell (305)758-0539 Valuation: $ 39,525.00 Total Sq Feet: 44000 a Type of Work: Exterior Color: GOLDEN FLEECE, BAGUETTE & WHITE Additional Info: PAINTING THE EXTERIOR OF THE SCHOOL Classification: Commercial Color: GOLDEN FLEECE, BAGUETTE & WHITE —Approve Code Comments: Color: GOLDEN FLEECE, BAGUETTE & WHITE_Approve Color: GOLDEN FLEECE, BAGUETTE & WHITE_De Fees Due Amount CCF $24.00 Education Surcharge $8.00 Permit Fee $60.00 Technology Fee $32.00 Total: $124.00 Pay Date Pay Type Amt Paid Amt Due Invoice # PT-7-18-68296 07/20/2018 Credit Card $ 124.00 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify, that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction aril zoning. Futh rmore, I authorize the above -named cot#actor to do the work stated. July 20, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FB C 20 Permit Type: PAINT �EJVED J L202018 Permit No. Master Permit No. 31—T1 19 OWNER: Name (Fee Simple Titleholder): St. Rose of Llma School Phone#:305-751-4257 o,,,,rA _425 NE 105th Street City: Miami Shores Tenant/Lessee Name: Email: JOB ADDRESS: 425 NE 105th Street City: Miami Folio/Parcel#: Is the Building Historically Designated: Yes State: FL Zip: 33138 )(0130 � S_ Miami Dade , Zip: 33138 NO Flood Zone: CONTRACTOR: Company Name: Mid South Painting, Inc Phone#: 954-974-7199 Address: 2077 North Powerline Road Suite #1 City: Pompano Beach State: FL Zip: 33306 Qualifier Name: Gabriela Stefanic Phone#: 954-974-7199 State Certification or Registration #: Certificate of Competency #: OOBS00529 Contact Phone#: 954-974-7199 Email Address: John@midsouthpainting.net Value of Work for this Permit: $ 39,525.00 Square/Linear Footage of Work: 44,000 Description of Work: Painting the exterior of the school Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good,faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property- is subject to attachment. Also, a certified copy of'the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absenee oJ' such posted notice, the inspection will not be approved and an inspection fee will be charged. Permit Fee $ CCF $ Notary $ Training/Education Fee $ l Technology Fee $ Double Fee $ TOTAL FEE NOW DUE $ ► 2 00 PAINT COLOR APPROVAL AND AGREEMENT ` All elements on the site must be listed and indicate the color to be painted DIRECTIONS: Please circle corresponding number to appropriate color sample. Walls: 1 2 3 4 Fascia: 1 2 3 4 Drip edge: 1 2 3 4 Soffit: 1 2 3 4 Roof: 1 2 3 4 Flower Bins: 1 2 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 Chimney: 1 2 3 4 Doors & Jambs:1 2 3 4 Garage Doors: 1 2 3 4 Railings: I C 3 4 Fences: 1 2 3 4 All Brick: 1 2 3 4 Stucco Bands: 1 2 3 4 Other Stucco Feature: Accessory Bldg:•l 2 3 4 Att ch color sample ith name and number I�GGU 0.��-�l a✓_ 2. �j i� j _ f��' rat 3. 4. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and applicable laws regulating construction and zoning. Signature: Signature: all work will be done in compliance with all ,/1 Owner o Agent i Contractor The foregoing instrument was acknowledged before me this The foregoing instr u ent was acknowledged before me this day of J Lg20 A by ��S�Z✓ ivy day of , 20 1 b/, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. s identification and wh�� `-tltj', NOTARY PUBLIC: NOT Y P BLIC: ,o",R ///X�% 'Q,JP(tY 14 ?o Sign: Sig s " ' a Print:c� I)w Pri t: t: PC•R-., KATi�1l EEN M S ST y � •. vPubiic�° •' Q �� My Commission Expires: -' ?, < = i My Commission Expires: \� 41Y CUPJit tlr>S:ON FF21P,�2fi �— //J �"UBUC,S�P \\\� z- z 9 ° �_ y�'/J U � ! r'e,x• a` EXPIRES April 02. 2019 *:�*��x:t<:�**�:* �**:�****���:x��;�x���,*c��s��*�x��s�s�s�w�?��x�x�*xx�:x*xxx**x**:��:xxx*x�:�:x:xx�:�*�✓�:x,���**x***=� APPROVED BY: Code Official Preservation Board ti Mid Painting Inc. Submitted by: Florida's Premium Coatings Specialist Since 1979 Condo • HOA • Residential • Commercial • Industrial 2077 N. Powerline Road, Suite #1, Pompano Beach, FL 33069 (0) 954-974-7199 • (F) 954-974-0163 • (800) 706-5643 I W �ffl �0 - St. Rose of Lima Catholic School 415 NE 105t' Street, Miami Shores, FL 33138 Attention: Michele Pinder 386-259-3056 John Kelly Sales Representative Mid South Painting, Inc. Office: 954-974-7199 Mobile: 954-541-7219 john@midsouthpainting.net Miami -Dade CC# OOBS00529 Broward CC# 82-3246-P-X Palm Beach # U-18842 Brevard CC# PT 485 Collier CC# 23462 t Mid South •,., Painting Inc. June 8, 2018 Description of Property: Multi - Story School Buildings and all surfaces listed under "INCLUDED," below. Property Information: St. Rose of Lima Catholic School 415 NE 105" Street, Miami Shores, FL 33138 Attention: Michele Pinder 386-259-3056 SCOPE OF WORK The scope of work includes pressure cleaning, surface preparation (scraping/wire brushing, repair, etc.), sealing, patching and conventional repainting of the Property described above. Surfaces will be prepared in accordance with accepted industry - standard procedures to provide proper adhesion of specified coatings. All work will be performed as per strict conformance to meet or exceed Manufacturer's Specifications. Materials will be applied evenly, free of runs and sags. All surfaces not being coated will be protected with covering. Any overspray, drips or spills will be the responsibility of Mid South Painting. Proper safety precautions will be observed at all times. INCLUDED (AREAS TO BE PAINTED): • All exterior masonry and stucco surfaces, including all walls, columns and exposed ceilings on all the school and auditorium buildings • All school classroom column walls (both sides) (excluding the school classroom corridor OPTION: walls and ceilings) • All metal round columns at front of school building • All gutters and downspouts • All rooftop A/C unit railings • Repainting of the black building signs and the excellence in education sign • All previously coated electric boxes, conduit and pipes • Pressure cleaning of the barrel roof tiles • Application of Roof a Cide 2 year mildew preventative to the barrel roof tiles EXCLUDED (AREAS NOT PAINTED): • Convent building • All doors and deck surfaces • Perimeter wall and fence • All interior surfaces • All decorative brick work • All window and slider frames • All light fixtures All surfaces not listed in "INCLUDED" above. z Mid South '�� Painting Inc. PROVISIONS Y WORK TO BE PERFORMED: The contract includes only those items designated for work. You acknowledge that items not explicitly stated in the contract, whether omitted or overlooked, are not included. It is mutually understood that issues not presented to Mid South Painting are not included in the contract. Any and all extras or additions not included in the original contract must be approved by a written change order prior to the start of work on the extras. The change order will include an itemized accounting and corresponding charges for all additional work to be performed. SCHEDULING AND DELAYS: Mid South Painting makes every effort to accommodate each customer and properly schedule all painting projects. We guarantee that each project is continual from start -to -finish. Our first responsibility is to complete all current projects while maintaining the highest quality service to our customers. Weather Permitting Delay: Our exterior painting schedule can be delayed due to inclement weather conditions. Every day of inclement weather affects each of our scheduled projects in consecutive order. Proiect Over-Run/Additional Work Requests: Occasionally, there may be a situation where a prior project may exceed the estimated time allocated, or requires additional work at the customer's request. When this occurs, every day of over -runs and additional work affects each of our scheduled projects in consequent order. Start and End Dates: Commencement date is estimated to be no longer than 3 weeks from receipt of the deposit (permits permitting), together with this signed contract unless otherwise noted by the owner. We estimate that your project shall be completed in 5. 9 weeks after commencement. The above dates are contingent upon labor disputes, fire, unusual delays in deliveries, adverse weather conditions, unavoidable events, any other causes beyond the Contractor's control, changes in the work ordered in writing by the Owner, or by other causes which the Owner and Contractor agree in writing. Commencement of work delayed by customer may incur price adjustments due to increases in material and labor. ➢ NUMBER OF CREW AND PROJECT DURATION: The size of our crew is determined by the scope of your project. Duration is based on your requirements. We can tailor our schedule to reflect your timetable. Our workforce can accommodate demanding schedules and obligations. ➢ WINDOW CLEANING: Pressure cleaning the exterior of every building is essential for lasting paint protection. An infrequent by-product of the washing process is that windows may become covered with a thin, soapy film. We rinse all windows thoroughly with clean water but, on occasion, some unavoidable soap hazing may occur. Window cleaning is not included in our contracted price. i> COLORS: At your request, we will assist you with recommendations or support for choosing colors. However, your choice of color is a personal preference and Mid South Painting will not be held responsible for any final color selections. There is a charge for color samples of more than two colors, or over I gallon per color. Color samples will be applied only upon receipt of this signed contract. NOTE: A color change may require city or county permits. We will be happy to procure and complete any necessary paperwork, and invest whatever time may be necessary to obtain such permit(s), however any out-of-pocket charges paid to a city or county is your responsibility and we expect to be reimbursed upon presentation of any receipt(s) for such permit(s). Any paint material remaining from the project will be left at the work site upon completion. COVERAGE: All contracts are written per coat, not per coverage. We use our expertise to best determine the appropriate number of coats required for adequate coverage. However, there are many variables involved in determining the number of coats necessary to achieve proper paint coverage. Therefore, our price quote is based solely on the number of coats stated on the contract and does not include the cost of any additional coats that may be required. A change to lighter colors on masonry and stucco surfaces may require an additional second finish coat, which is not included in this contract. (NOTE: A change of color on wood and metal surfaces requires 2 full coats. At the time this contract was written, a change of color had not been indicated for any wood or metal surfaces and therefore, 1 full coat has been included for all wood and metal.) A change to darker colors may incur additional cost(s) for tinting, depending on the manufacturer. 3 '`---Mid South .....� Painting Inc. ➢ SIGNS: As a standard practice, and only with your permission, Mid South Painting displays a company lawn sign on each project site for the duration of the project. r EQUIPMENT STORAGE: We request that you provide us with a parking area for a mobile trailer, which we supply and use for storage of our equipment and materials. Otherwise, we request that you provide a secure, properly ventilated area for the purpose of receiving and storage. WATER, ELECTRICITY, AND FACILITY USE: It is understood that you will provide water and electricity as necessary for the completion of the work to be performed. We request that you provide use of a bathroom. Y GROUNDS: NOTE: Please have your landscape service cut back all foliage at least 12 inches from areas to be coated prior to pressure cleaning and subsequent preparation procedures. It will also be necessary for you to remove all wall hangings, plants and other movable items from yards and patio areas prior to project commmencement. Windows must be closed during workdays. We request that you cease watering of the lawn near the work area 2 weeks prior to the commencement date. Wet lawns will create a muddy environment while we are working around the project areas. Although we take precautions and use materials to reduce damage, on occasion, due to the weight of aerial equipment that may be used on your lawn, tire indentation marks may result. This is an inevitable circumstance and therefore, Mid South Painting cannot be held responsible for impact caused by such equipment. Generally, the grass will return to normal levels after a few cuttings. All vehicles must be parked well away from the work area. Mid South Painting, Inc. will not be held responsible for any damage that may incur as a result of vehicles not parked well away from the work area. In the unlikely event of any damage to property, Mid South Painting requires that you notify us within 24 hours to inspect and correct any issues. Without the opportunity to inspect and repair such items, we cannot be held responsible. Mid South Painting will take every precaution to avoid damage to items on the property but will not be responsible for any damage due to the following reasons: Failure by the owner/resident to remove items where painting and/or pressure cleaning is to occur. Items that are currently in poor condition, such as screens, rotted wood, leaking areas, open or broken windows, etc. ➢ INSURANCE: Mid South Painting, Inc. maintains up-to-date coverage of Commercial General Liability, Worker's Compensation and Employer's Liability, Automobile Liability, and Equipment insurance. Copies of these certificates were provided to you with our original proposal. At your request (and only upon receipt of this signed contract, together with listed deposit), we will provide you with a copy of our General Liability Insurance Certificate with your "legal entity" (name and address) listed as an "Additional Insured." Any damage to any property must be documented and Mid South Painting needs to be notified immediately. ➢ UNFORESEEN CONDITIONS: Occasionally, during preparation or general production we will come upon conditions that could not be anticipated at the time of estimation and are not covered in the scope of work. If a condition arises that will alter this contract in any way, it will be immediately brought to the attention of the board/association liaison. ➢ PER HOUR CHARGES: On occasion, the specifications of a project require us to charge by the hour. If we are charging by the hour, the hourly rate and the work to which it applies will be detailed clearly on the contract. Hourly rates are charged per worker, per hour, and specified as "per man hour." ➢ PAYMENT SCHEDULE: Our flexible payment schedule requires periodic progress payments, decided by mutual agreement before the contract is signed. Final payment is due upon successful completion of the project, unless other arrangements were made before the contract was signed. y CANCELLATIONS: Our customers will receive full refund of any deposit if a contract is canceled within 3 business days from the date a contract is signed. Any cancellation of a contract by a customer after 3 business days from the date a contract is signed shall result in the forfeiture of all deposits. If a contract is canceled by Mid South Painting prior to the commencement of Mid South s . Painting Inc. work, the deposit will be refunded in full. In the event a deposit has not been made, cancellation of a contract by a customer after 3 business days from the date a contract is signed shall result in a charge of 20% of the contract price. Mid South Painting, Inc. reserves the right to cancel this contract for any reason at any time without penalty. ➢ WALK-THRU After completion of the project or a specific section of buildings, a walk-thri shall be performed by a representative of Mid South Painting and a liaison of the property. The purpose of the walk-thru is to identify touch-ups to be done, or areas that were missed. As items to be corrected are identified, they will either be marked to be corrected later or corrected on the spot. Once those areas are corrected and verified by the liaison, that section or project is complete. Any future items come up, they will be handled as warranty issues. r WARRANTY: Our longstanding goal to build a strong relationship with every customer includes our commitment to service after each project has been completed. Our warranty protects you for any reasonable problem(s) that may occur due to workmanship. If, for any reason, after the job has been completed, any material we apply faults within the timetables outlined below, and can be reasonably attributed to our workmanship, we will correct the fault in a timely fashion without inconvenience or additional charge to you. The warranty will only be in effect if the final payment has been made. All labor and material warranties are authorized by the manufacturer. Manufacturer warrants that the material has been manufactured without defect and will not peel, crack or blister for the period of time specified, following application. • WARRANTY TIMETABLE: ✓ Masonry and stucco: Sherwin Williams Super Paint 7 Year Labor and Material SPECIFICATIONS PRESSURE CLEANING SURFACES: If necessary, foliage will be protected with plastic and/or cloth coverage. All exterior surfaces to be coated will be thoroughly high pressure cleaned according to industry cleaning standards with a minimum of 3,000 — 4,200 P.S.I. of water pressure to remove excessive chalking, peeling paint, dirt, grease, and other foreign surface contamination, salt deposits, mildew and algae growth. Remaining mildew/algae will be treated with an appropriate mildew remover. Oscillating tip will be used on severe surfaces, as necessary and if possible. All foliage and grounds adjacent to cleaned surfaces which may have been in contact with cleaning solution will be thoroughly rinsed. Surface will be thoroughly rinsed and allowed to dry completely before proceeding. Occasionally, even after thorough cleaning, certain stains and/or residue may remain on some areas and surface types. If they cannot be removed due to labor necessary beyond industry standards, potential damage to surface, and pose a potential risk to the integrity of the paint job, the board/management will be notified. (Although others may state differently, unfortunately it is not possible to guarantee the removal of penetrated mildew, algae and rust stains.) 2. SCRAPE WIRE BRUSHING HAND/MECHANICAL TOOLING SURFACES: NOTE: References to "SSPC" (Steel Strictures Painting Council) is defined as: SP-1 = Solvent Cleaning; SP-2 = Hand Tool Cleaning; SP-3 = Power Tool Cleaning. All areas of scaling, peeling, chipping, blistering and/or rust will be scraped, wire brushed, sanded and/or mechanically abraded until achieving an industry -standard, feathered smooth, sound surface (per SSPC-SP3, as necessary). Exposed metal will be cleaned and wire brushed thoroughly (per SSPC-SP1/2, as necessary). An anti -corrosive nest arrestor will be applied to all exposed metal and spot primed with alkyd metal primer. Loose rust will be removed from all rusted corner beads, then cleaned and primed as above. (Although others may state differently, unfortunately it is not possible to guarantee that rusting will not reoccur.) 3. MASONRY (EXPOSED BLOCK, POURED CONCRETE) AND STUCCO REPAIR: Static cracks (less than 1/16") will be raked out with a knife to a "V" shape, wire brushed clean to remove dust, dirt, and loose, failing material, then sealed and patched with textured or smooth elastomeric sealant, brush and knife grade, bridged approximately 2" on each side and crowned approximately 1/16" at center, appropriately spread by brush or knife to match existing texture as closely as possible. ^�. 5 Mid South "''��: Painting Inc. Dynamic cracks (greater than 1/16") will be cut out to an approximate %4" x %4" "V" shape, wire brushed clean to remove dust, dirt, and loose, failing material, primed with exterior sealer/conditioner, filled with an appropriate size backer rod (i.e. neoprene rope) or bond breaker tape if necessary, then filled with textured or smooth elastomeric brush and knife grade sealant (to meet TT-S-00230C, Type I1, Class A, USDA and FDA approved, as necessary). After complete curing, the area will be patched with textured or smooth elastomeric sealant and/or an alkyd -based one -component urethane sealant (per Federal TT-S-00230C, Type II, Class A, USDA and FDA approved, as necessary), brush and knife grade, bridged approximately 2" on each side and crowned approximately 1/8" at center, appropriately spread by brush or knife to match existing texture as closely as possible. Delaminated or missing stucco and loose deteriorated, old patched areas will be chipped out and removed. All dust, dirt and failing material will be cleaned from the area. Exposed reinforcing rods will be wire brushed thoroughly to remove rust scales, primed with an anti -corrosive rust inhibitor/converter, and bonded with a bonding agent. Fully dried area will be patched with new stucco patching compound and/or elastomeric patching compound and a bonding agent, properly tooled and spread to match existing texture as closely as possible. New stucco will be allowed to cure for a minimum of three days and then primed with exterior sealer/conditioner. Any "new" concrete will be allowed to cure for 30 days. After which, a test for alkali presence will be performed. All repaired stucco areas will be spot primed prior to full application of exterior sealer/conditioner. NOTE: This proposal includes repairs to all hairline cracks. A hairline crack is defined as any visible crack no wider than 1/16" or less. Also included is up to 5 square feet of stucco repair to areas considered larger than hairline cracks. Any repairs exceeding 5 square feet per building that may become visible during the cleaning process will be at an additional charge. By law, any structural repair must be performed by a professional, licensed masonry contractor and cannot be performed by a painting contractor. Material safety data sheets (MSDS) are available upon request. 4. SEALANTS (CAULKING): Window and door frames will be carefully inspected for cracks, loss of adhesion, deterioration of caulk, and any other faulting. Areas displaying failed caulk will be removed and the surfaces cleaned to assure adhesion of inner wall surfaces. All loose hardened, non -flexible, deteriorated caulking caused by failure of cohesion or adhesion at the edges of stucco -to - stucco, stucco -to -metal, at window and door frames, and at 90-degree areas will be removed. All areas where there has been penetration of the wall surface, such as downspouts, gutter straps, roof scuppers, conduit, etc., shall be sealed. Xylene or another appropriate solvent will be used to remove surface dirt and any other substance that may adversely affect or interfere with the bonding process (mineral spirits or turpentine will not be used). Sherwin Williams Pro -Select Caulk (or equal) will be applied in one thorough, continuous bead. 5. MASONRY AND STUCCO EXTERIOR ACRYLIC SEALER/PRIMER/CONDITIONER: Apply by brush, roller and/or airless spray, one complete coat of Sherwin Williams' recommended Sealer/Conditioner (LOXON) per the manufacturer's specifications. When there is a change of color on masonry (exposed block, poured concrete) and stucco surfaces, for proper coverage (hide), we suggest the use of a white (pigmented) exterior sealer/conditioner/primer that is tinted 30% — 40% of the finish coat (color). 6. MASONRY STUCCO AND EIFS EXTERIOR ACRYLIC FLAT/SATIN FINISH: Apply by brush, roller and/or airless spray, one complete coat of Sherwin Williams Exterior Latex Flat or Satin per the manufacturer's specifications. Comprehensive back -rolling will be performed if necessary to assure full coverage of the naturally uneven stucco surfaces (one man sprays while a second man follows and rolls). NOTE..: When there is not going to be a change of color on masonry (exposed block, poured concrete) and stucco surfaces, we recommend the use of a clear exterior sealer/conditioner/primer. When there is a change of color on masonry (exposed block, poured concrete) and stucco surfaces, for proper coverage (hide), we suggest the use of a white (pigmented) exterior sealer/conditioner/primer that is tinted 30% — 40% of the finish coat (color). This process will provide, and Mid South Painting Inc. guarantees, frill color coverage of these surfaces. We also recommend the use of a satin finish coat: The strong UV rays in South Florida cause the pigment in paint to break down (chalk), creating a "faded" surface. A flat finish starts out looking flat (or "faded"), absorbs UV rays, and will retain dirt more than a satin finish. Satin finishes are more likely to reflect UV rays, provide a durable, longer lasting "sheen" and, consequently, a satin finish is more washable than a flat finish (we have listed a satin finish in this contract). ;`--- Mid South Painting Inc. Additionally, a change of color on wood and metal surfaces may require 2 coats for proper coverage (hide). Often, after complete curing (drying), when a change of color is made to wood surfaces with only a one -coat application, bleeding of the previous color may be visible through the new color. With a color change and only a one -coat application on metal surfaces, streaks (shadowing) of the previous color may be visible. This is usually true regardless of the color change: either from light to dark or dark to light. If you are changing color on wood, metal, or walkway surfaces, Mid South Painting recommends that we apply one coat, and the Association can then make the decision to add a second coat, if necessary. Unless otherwise noted, this contract presumes no change of color on all metal, wood and floor surfaces. 7. NON-FERROUS METAL (ALUMINUM, COPPER, GALVANIZED, ETC.): Dirt, oil, mildew and other contaminates will be cleaned with a solvent (per SSPC-SP1/2, as necessary. Mineral spirits or hydro -based solvents will not be used). All loose and flaking paint will be lightly sanded. Rusted areas will be mechanically sanded where necessary and spot primed with Sherwin-Williams alkyd universal metal bonding primer. All metal surfaces to be coated will be sanded by hand to provide better adhesion, and spot primed with Sherwin-Williams universal rust inhibitive primer or Sherwin-Williams B66 Series industrial D-T-M (Direct -To -Metal) acrylic primer/finish, per Sherwin-Williams' written specifications. One complete coat of Sherwin-Williams B66 Series industrial D-T-M (Direct -To -Metal) acrylic primer/finish will be applied by brush, roller and/or airless spray to all metal doors and frames to be coated, per Sherwin-Williams' written specifications. One complete coat of Sherwin-Williams A24 Series clear or white (pigmented) Loxon® exterior sealer/primer/conditioner and one complete coat of Sherwin-Williams exterior acrylic satin finish will be applied by brush, roller and/or airless spray to all other aluminum or galvanized metal surfaces to be coated, per Sherwin-Williams' written specifications. NOTE: To blend in (or "hide") with adjoining surfaces, gutters will be finished with the same color as adjacent wood fascias and downspouts will be finished with the same color as adjacent wall surfaces. 8. WOOD: Areas of loose, peeling, flaking, blistering and scaling paint will be scraped, wire brushed and lightly sanded until achieving an industry -standard, smooth, sound surface. Holes and cracks will be filled with putty. Rusty nail heads will be treated with a phosphoric acid based solution (i.e. OSPHO), and prepared as above or with Sherwin-Williams universal rust inhibitive primer, as necessary, to prevent further bleed. All new or bare wood surfaces to be coated will be spot primed, as necessary, with Sherwin-Williams exterior alkyd wood bonding primer. One complete coat of Sherwin- Williams exterior acrylic gloss enamel finish will be applied by brush, roller and/or airless spray to all wood doors and frames to be coated. One complete coat of Sherwin-Williams Acrylic Satin finish will be applied by brush, roller and/or airless spray to all other wood surfaces to be coated, per Sherwin-Williams' written specifications. (NOTE: All missing, broken and rotting wood should be replaced prior to cleaning, and subsequent coating, and is not subject to this proposal.) 9. PREVIOUSLY COATED DECKS, WALKWAYS, CATWALKS, STAIRS, AND LANDINGS: (if applicable) Thoroughly high pressure clean with a minimum of 3,000 P.S.1. of water pressure and/or a dilute solution of 1 gallon chlorine bleach and 3 gallons of water to remove any loose coatings, dirt, grease and other foreign surface contamination, salt deposits, mildew and algae growth. Oscillating tip will be used where necessary. Areas displaying sprinkler rust will be treated with sprinkler rust remover. Surface will be allowed to dry thoroughly before proceeding. One coat of the manufacturer's highest quality latex acrylic masonry floor finish will be applied to all previously coated walkways, catwalk, stairs and landings to be coated. The application will include an anti-skid aggregate additive. Additionally, a safety yellow stripe will be applied to the stairs, if presently exists. During the pressure cleaning, all loose paint will be removed, but depending on the total layers of paint that have accumulated over the years, the finished product may still show signs of where the peeling occurred. The only way to eliminate this is to completely remove the previous coatings. NOTE: With deck surfaces that are over a certain age (20-40 years) certain issues may exist due to the accumulation of paint layers over time. While we do our best to identify these prior to the project, they do not always present themselves until aver another layer of paint is applied. Some of these issues include bubbles appearing due to moisture getting trapped beneath the surface of the deck and the thickness of the multiple coats of paint do not allow the moisture to escape therefore causing the bubbling and eventual peeling. Peeling where water ponds in low areas, which will soften any acrylic (water based) coating. Cracks in concrete allowing moisture to penetrate into the surface, not allowing the moisture to escape. Build up of previous coatings where at some point in time, there become too many layers of paint and the coating can just pull itself off the original surface as the newest coating dries and tightens. 7 Mid South wr► ..m Painting Inc. In most of these cases, the only way to properly solve future issues is to completely remove al the coatings down to bare concrete using a process called waterblasting, and apply a solvent base concrete stain which will penetrate into the concrete. While this process is more costly than the conventional preparation, over time it will eliminate most of the issues we experience with older painted decks. Regardless of what others may tell you, just use common sense: Any material applied over a coating that is not adhering to the concrete will not correct the adhesion problem that exists with the very first coating that has never adhered. A change of color on floor surfaces (walkways, catwalks, stairs, landings, decks, etc.) often requires two coats. If you are changing color on horizontal floor surfaces, Mid South Painting recommends that we apply one coat, and the Association can then make the decision to add a second coat, if necessary. An additional charge for the second coat would be required. Due to the nature of the potential deck issues outlined above, owners must sign to acknowledge that they have read and understand the floor painting section Owners Signature 47 10. CLEAN-UP: Tape, paper, plastic and other remains from our processes shall be removed and the site left in a clean and tidy condition. Our warranty, backed by the manufacturer on labor and materials: masonry and stucco = Sherwin Williams Super Paint 7 year labor and material. PRICING: We hereby propose to furnish material and labor for surfaces listed in SCOPE OF WORK and INCLUDED - complete in accordance with the above specifications, for the sum(s) specified: - $329750.00 OPTIONS: We hereby propose to furnish material and labor —complete in accordance with the above specifications and listed in the Options Section, for the sum of: 1) Pressure cleaning of the barrel tile roofs 2) Application of Roof a Cide to the barrel tile roofs - $2,875.00 - $3,900.00 Total Contract Amount (Add pricing and Options) NOTE: This proposal may be altered or withdrawn by us if not accepted within 30 days. Thank you for considering Mid South Painting for your painting project. We look forward to serving you. x Mid South `aaw Painting Inc. initial .-4 �itial Mid South Painting cannot warranty adhesion/faulting of coatings previously applied by others. Our services include industry standard preparation, which consists of scraping and/or sanding coated areas that display signs of chipping, peeling or flaking. Stripping previous applications will not be performed unless specifically proposed. All material is guaranteed to be as specified. All work to be completed in a professional manner according to industry standards. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the contract price. Mid South Painting, Inc. does not in anyway express or imply any guarantee or warranty on waterproofing or moisture penetration. Both parties understand and hereby agree and hold harmless Mid South Painting, Inc. from all liability, damage, cost or expense for any incidental, indirect or consequential damages caused by moisture penetration that may result from work under this contract. All agreements are contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. All of our workers are employed by Mid South Painting, Inc. and are fully covered by Worker's Compensation Insurance. This Contract supersedes all previous proposals, contracts and offerings, written or otherwise. Payment to be made as follows: $3,275.00 due upon signing of this proposal $3,275.00 due upon mobilization of equipment Progress payments to be made via bi-weekly invoice and satisfactory walk-thru of areas completed $3,275.00 Balance due upon project completion and satisfactory walk-thru. NOTE: Mid South Painting, Inc. requests payment within a reasonable time of completion and satisfactory walk-thru. Please have checks made out in advance of each scheduled payment so that your payment can be made on time. Payments received beyond I week from completion and satisfactory walk-thru will incur a charge of 1.5% interest/month. In the event of any litigation and or arbitration or mediation related to or arising from this agreement, the prevailing party shall be entitled to attorney fees, including appe nd T pursuing claimp for entitlement and amount of attorney fees. Authorized Signature: �b' Af NOTE: This Contract may be altered or withdrawn by us if not accepted within 30 days. Acceptance of Contract —The above process, specifications and conditions are satisfactory and are hereby accepted. Mid South Painting, Inc. is authorized to do the work as specified. Date of Acceptance: Authorized Signature: Authorized Signature: COLORS: MFG CODE NAME INITIALS DATE Stucco: Wood: Trim: Doors: 9 `�--�— Mid South `Z =wx Painting Inc. 0 OWN-FFR, S SIGN IIIERF PROJECT COORDINATION During the course of the project, Mid South Painting will have a Foreman on the job and will have a Project Manager coordinating certain aspects of the project such as materials and scheduling. These parties will need to be able to communicate with a liaison from the Association/ Management Company. Please fill out the following information: Association Liaison # 1 Name: Phone #: #2Name: Phone #: Mid South Representatives: Mid South Office: 954-974-7199 Title: Email: Title: Email: Sales Rep: John Kelly 954-541-7219 Email: john@midsouthpainting.net Project Foreman: Project Manager: la Mid South "`r� ... Painting Inc. Mid South Painting Inc. 6/8/2018 Michele Pinder FLORIDA'S PREMIUM COATINGS SPECIALIST FOR OVER 39 YEARS CONDO & 1IOME ASSOCIATIONS COMMERCIAL. & INDUSTRIAL: 2077 N. Powerline Road. Suite #1, Pompano Beach, FL 33069 Office:954-974-7199 * Fax:954-974-016') * wwnv.midsouthpaintinpiet St. Rose of Lima Catholic School 415 NE 1051h Street Miami Shores, FL 33138 Dear Michele, Thank you for allowing Mid South Painting to assist you with your repainting project. As you may know, Mid South Painting is family owned and has been in Business for over 39 years serving the South Florida Community. We and have remained successful by providing quality craftsmanship at a reasonable price. We specialize in commercial and residential properties of all sizes. We own our 10,000 Sq. Ft. building and all of the necessary equipment to provide you with a top quality job. All crew members who apply coatings for Mid South Painting are completely covered by worker's compensation Insurance under the guidelines established by the state of Florida. Our services include meeting with you and making a thorough assessment of all areas to be painted, developing a comprehensive set of specifications and a detailed proposal. We supply you with more than just a quality paint job. When you choose Mid South Painting, you get: • A 39 year track record of quality all in the same market • Over 100 years of combined paint experience with our qualified sales and technical staff • Continued service long after the project has been completed. ...and most of all, Peace of Mind Mid South Painting has a history of continued service to the same customers for decades and we strive to build relationships with customers that last for many years. Please review the enclosed materials and if you have any questions, feel free to contact me directly at 954-541-7219. We look forward to serving you. Yours truly, John Kelly Sales Representative 954-541-7219 For more information on our company or a complete set of references, contact us directly at 954-974-7199 or visit our website at www.midsouthpainting.net t www.facebook.com/midsouthpaintingfl POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, has made, constituted and appointed, and by these presents does hereby make, constitute and appoint Sister Elizabeth A. Worley, C.O.O., his true and lawful attorney for him and in his name, place, and stead. Giving and granting unto Sister Elizabeth A. Worley, C.O.O., his said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as he might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that Sister Elizabeth A. Worley, C.O.O., his said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, I have hereunto set my hand and seal this 20 day of February, A.D., 2015. Signed, sealed and delivered in the presence of: Witnes r Witness ignature qpvni Le a(, �IJua i Printed Name Witness Signature F 1 / / QJp lea .7G' Fr„a ,, 0 6' L Printed Name STATE OF FLORIDA SS: COUNTY OF DADE The Most Reverend Thomas Wenski As Archbishop of the Archdiocese of Miami his successors in office, a corporation sole I hereby certify that on this day, before me, an officer duly authorized to administer oaths and take acknowledgements, personally appeared The Most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, known to me to be the person described in and who executed the forgoing instrument, who acknowledged before me that he executed the forgoing ins ment, who acknowledged before me that he executed the same, and en an oath was not tak. ins person is personally known to me Said person provided the following type of identification: Witness my hand and official seal in the County and State last aforesaid this 20 day of February, A.D., 2015. My Commission Expires: �sr Noe PuM8W@ofFbnft i' Mayra Nwhns Rond My Commiaion FF 190149 y to Expkrt =10#2019 STEFAN Is certified 0036 Jaime D. Gascon, P.E. Secretary ofthe Board IJ QUALIFYING TRADE(S) PAINTNG & WATERPRFG all property rights herein. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYV) 7(MM/DD$ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Shanae Roberts Bowen, Miclette & Britt of FL PHONE FAX 1020 N. Orlando Avenue N Ext : 407-647-1616 vc No : 407-628-1635 ADDRESS: certificates@bmbinc.com Suite #200 AFFORDING COVERAGE NAIC # Maitland FL 32751 _INSURERS INSURER A: FCCI Advantage Insurance Company 10178 INSURED MIDSOUTHPA INSURER B : Mid South Painting, Inc. 2077 N. Powerline Rd, Suite 1 INSURER C : INSURER D : Pompano Beach FL 33069 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 610692059 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea or $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ NEN'L POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE ac Per cident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLALWB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y 001WC18A76126 4/2/2018 4/2/2019 x PER OTH- STATUTE ER OFFICERIMEMBER EXCLUDED' PROPRIETOR/PARTNER/EXECUTIVE a ANY N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing: certificates@bmbinc.com When required by written contract, a Waiver of Subrogation is granted with respect to the Worker's Compensation to those parties listed in said contract, including the Certificate Holder. Certificate Holder Includes: Archbishop Thomas Wenski IIa:Lollqola:l Archdiocese of Miami, Inc. 9401 Biscane Blvd. Miami FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD QUALIFYING TRADE(S) 0036 PAINTNG & WATERPRFG M3aM Jaime D. Oascon, P.E. Secretary of file Board Miami -Dade County Maine all property rights herein. miamiddde.gw/economy 008330 Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 5502167 BUSINESS NAME/LOCATION MID SOUTH PAINTING INC DOING BUSINESS IN DADE COUNTY RECEIPT NO. RENEWAL 5742458 EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED MID SOUTH PAINTING INC 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR C/O GABRIELA STEFANIC, PRIES OOBS00529 $75.00 ,09/21/2017 Worker(s) 10 - CHECK21-17=090690 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec Ba-276. For more information, visit www.miamidade.gov/taxcollector �Q,��Vf W�AA- UA A�' I M uni ci pal Contractor's Tax Fbcei pt M iami-Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY CC NO: OOBS00529 BUSINESS NAM E/LOCATION RECEIPT NO. MID SOUTH PAINTING INC DOING BUSINESS INDADECOUNTY 7547258 mc EXPIRES SEPTEMBER 30, 2018 OWNER TYPE OF BUSINESS MID SOUTH PAINTING INC SPECIALTY BUILDING CONTRACTOR C/O GABRIELA STE ANIC, PRES Restricted to City of Miami Shores MIAM I.d4DE AFor more i nformati on, sit www.rnianidad@.qov/taxcoI I ector Pursuant to County Code Sec 10-24 PAYM ENT RECEIVED BY TAX COLLECTOR 18.75 07/20/2018 0200-18-005055 ACCO " CERTIFICATE OF LIABILITY INSURANCE DAr7/13/2018 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Bateman Gordon and Sands 3050 North Federal Hwy Lighthouse Point FL 33064 CONTACT NAME:PHONE FAX A/C No Ext : 954-941-0900 A/c No): 954-941-2006 ADDRESS: mzielinski@bgsagency.com INSURER(S) AFFORDING COVERAGE NAIC # __ wsURERA: Evanston Insurance Company 35378 ___ INSURED MIDSO Mid South Painting, Inc. 2077 N Powerline Rd, Suite 1 INSURER B: Travelers IndemnityCompany 25658 INSURERC: INSURERD: Pompano Beach FL 33069 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1896535890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLiSUBRI POLICY NUMBER MM DD/YYYYI (MM/DDIYYYYI LIMITS A GENERAL LIABILITY Y Y 3CO8354 1/7/2018 517/2019 EACH OCCURRENCE $ 1,000,000 X1 COMMERCIAL GENERAL LIABILITY _ CLAIMS -MADE Ix I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) _ _ $ 5 000 5,000 PERSONAL & ADV INJURY $ 11000,000 _ Contractual Liab GENERAL AGGREGATE $2,000,000L HGEN'AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 j 1 POLICY FX I PR& 7 LOC S B AUTOMOBILE LIABILITY Y Y BA7J696932 8/10/2017 8/10/2018 COMBINED SINGLE LIMIT Ea accident 1 $ 1 000 000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PF , Pe c?OPERdentTY DAMAGE $ li X HIRED AUTOS AUTONONS $ A UMBRELLA LIAB X OCCUR Y Y MKLV2EUL102477 5/7/2018 5/7/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE _ S 5,000,000 X EXCESS LIAB CLAIMS -MADE DED ! X RETENTIONS 0 S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WC STATUOTH- ��RY LIMIT- ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE — $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - - S I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) DOCUMENTS ARE NOT COMPLETE UNLESS ACCOMPANIED BY THE ACCORD 101 General Liability: Blanket Additional Insured including for On -going Operations, as required by written contract, per FORM CG2010 0413; Blanket Additional Insured including for Completed Operations, as required by written contract, per FORM CG2037 0413; Primary and Non -Contributory, as required by written contract, for FORM CG2001 0413; Blanket Waiver of Subrogation, as required by written contract, per FORM MEGL0241-01 0516. Umbrella Liability - Follow Form ALL COVERAGES SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS Additional insured: Miami Shored Village Building Department See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department 11050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: MIDSO LOC #: AnnITInNIAI REMARKS SC:I-Ii=ni n F AGENCY NAMED INSURED Bateman Gordon and Sands Mid South Painting, Inc. 2077 N Powerline Rd, Suite 1 POLICY NUMBER Pompano Beach FL 33069 CARRIER 1 NAIC CODE EFFECTIVE DATE: ,DDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Miami Dade License #OOBS00529 Paae 1 of 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD A�oRo�' CERTIFICATE OF LIABILITY INSURANCE DIY YYY) D E (MMID/Y DATE 018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Shanae Roberts Bowen, Miclette &Britt of FL PHONE FAX 1020 N. Orlando Avenue A/C No Ext : 407-647-1616 (A/C,No): 407-628-1635 ADDRESS: certificates@bmbine.com Suite #200 INSURER(S) AFFORDING COVERAGE NAIC # Maitland FL 32751 INSURERA: FCCI Advantage Insurance Company 10178 INSURED MIDSOUTHPA INSURER B : Mid South Painting, Inc. _ 2077 N. Powerline Rd, Suite 1 INsuRERc: — INSURER D : Pompano Beach FL 33069 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1358517846 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE 17 OCCUR _ DAMAGE To RENTED PREM SES (Ea occu ence) $ MED EXP (Any one person) $ I PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER III GENERAL AGGREGATE_ $ POLICY iI- I PRO JECT El LOC PRODUCTS - COMP/OP AGG $ 1 S OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ NON -OWNED HIREDAUTOS AUTOS r _ $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE S $ EXCESS LAB CLAIMS -MADE' 1 _ - ;AGGREGATE _ DED RETENTION S $ 1 A WORKERS COMPENSATION A I Y / N Y AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE N❑N / A OFFICER/MEMBER EXCLUDED? . 001 WCl SA76126 4/2/2018 4/2/2019 X I STATUTE EORH E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing: certificates@bmbinc.com When required by written contract, a Waiver of Subrogation is granted with respect to the Worker's Compensation to those parties listed in said contract, including the Certificate Holder. RE: Miami Dade License #OOBS00529 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department 11050 NE 2nd Avenue Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Insured Name: Mid South Painting Inc Policy Number: 001WC18A76126 Agency Name: Bowen Miclette & Britt of FL LLC WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE All persons or organizations that, in a written contract executed by both parties prior to the date of the injury covered by this policy, require you to obtain this agreement from us. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise noted. Issued by: FCCz insurance company 24570 Endorsement Number: 0000013 Effective Date: 4/2/2018 Date Issued: 4/2/2018 Countersigned by Authorized Representative WC 00 03 13 Copyright 1983 National Council on Compensation Insurance EZ0201, 6/04