Loading...
MC-11-2125Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166733 Permit Number: MC -11 -11 -2125 Scheduled Inspection Date: November 30, 2011 Inspector: Perez, JanPierre Owner: BROOKE, TATIANA Job Address: 129 NW 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: A&L SERVICES INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)754 -5123 Parcel Number 1131010250100 Phone: (305)481 -8764 Building Department Comments A/C CHANGE OUT \-)p t Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 29, 2011 For Inspections please call: (305)762 -4949 Page 24 of 38 Miami Shores Village Building Department 10050 N.E2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. BUILDING PERMIT APPLICATION FBC 20 t, NOV 1 5 ZG11 I8 "Vo -- °°°°memo - ------ Master Permit No. Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Washington Mutual Bank Address: 129 NW 96 Street City: Miami Shores Phone#: state: FL Zip: 33150 Tenant/Lessee Name: N/A Phone#: Email: JOB ADDRESS: 129 NW 96 Street City: Miami Shores Folio/Parce►#: 11- 3101- 025 -0100 Is the Building Historically Designated: Yes County: Miami Dade Zip: NO X Flood Zone: CONTRACTOR: Company Name: A & L Services Inc. Phone#: 305 -481 -8764 Address: 6395 SW 136 Court, # K110 city: Miami state: FL Zip: 33183 Qualifier Name: Orlando Glaria Phone#: 305 -481 -8764 State Certification or Registration #: CAC 1816233 Cercifipate of Competency #: Contact Phone#: 305 -481 -8764 Email Address: 09144o, L a yak oo ° G Oil - DESIGNER: Architect/Engineer: N/A Phone#: Value of Work for this Permit: $ #2 oO ` 00 Square/Linear Footage of Work: Type of Work: DAddress DAlteration DNew DRepair/Replace DDemolition Description of Work: NC change out * * * * * * * * * * * * * * * ** * * * * * * * **** * *** t Submittal Fee $ Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ TOTAL FEE NOW DUE $ ( l 6 Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State Zip 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 OWNER'S 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 and zoning. "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. I the absenFe of such posted notice, the inspection will riiot be approved and a re inspection fee will be charged. Signature The fore :oi day of `0, \ \W4.AW who is perso 41 P9'( PU0� bf 0 X30 CELLESTE S, SIRES t OF W'Sv *"..* .got n:5 dnmission Expires: Signature Owner or Agent Contractor instrument 1w1as acknowledged before me this 4 The foregoing instrument was acknowledged before me this 1 OJi,by to me ced As iden,i did take an oath. who has pro cation and wh day of , 20 L., by who is , pally kno , to me or who has produced ;r•, :,;.,n .I 44140641.trtillifileah. 'OMISSION # DD907255 EXPIRES: JUL. 14, 2013 wrrw.AARONNOTAR'Gaom fb APPROVED BY My Commiss' . n Expires: 0, *5 • •►( Y►►►►►► a►►►►►►►►►► ►►►t►t► ►►l ► ►►► ►►► ► ►►►►►► ►►►►t►► a • ne Zoning Structural Review (Revised 07 /10/07)(Revised 06/102009XRevised 3/13109) Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 129 NW 96 Street City: Miami Shores Village) County: Miami Dade Zip Code: 33 150 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES @ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER ood 1-t1 *) AHU or PKG. UNIT MODEL # AsCOF363 /b COND. UNIT MODEL # V.S )C /:30.3(®/ KW HEAT ICitg NOM TONS .a Tom AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3 VOLTS ® a .r i, Vert AHU CU PKG PKG UNIT / / PKG UNIT / / EERISEER /3 YES NO REPLACING DUCTS YES ad) YES NO REPLACING THERMOSTAT EYES" NO YES NO NEW 4 °CONCRETE SLAB " S NO YES NO NEW ROOF STAND YES p,:9 YES NO NEW RETURN PLENUM BOX YES tO 1. Minimum Circuit Ampacity (Wire Size): 2. 3. Voltage of Circu /480): 4. Size Disconnecting Means: Phone: 3or '$I -810 4 k) -14 i l0 and. digf Maximum Overcurrent Protection (Fuse/Breaker Size): 40 AMR / E 4 0 o Contractor's Company Name: L Ucce.S sac State Certificate or R- .lion N. ( S r (2 4 Certificate of Competency N. Signature (Qua signature only) Date: II (Ic.f/n Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM, ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 4X L Sii1' C �� C Kilo BUSINESS ADDRESS: (361.5" Ski ( (c1 CITY nib' STATE FL ZIP CODE 3 /8� BUSINESS PHONE: ( ins ) `'(3 I— S76 710 q FAX NUMBER ( ) l 2I -12 35- CELL PHONE ( 34S) Lf 8) --8761 QUALIFIER'S NAME: O (4(4 C 6(eI I QUALIFIER'S LIC NUMBER: C/-< (8/ GZ 33 E -MAIL ADDRESS (IF APPLICABLE): ©:9 Iclk 4 �` Vet j 9Orcok1 Created on 3119109 BY MLDV! RV 3126109 MLDV JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE PERSON: FEIN: 07/30/2011 EXPIRATION DATE: 07/29/2013 GLARIA ORLANDO 203586079 BUSINESS NAME AND ADDRESS: A & L SERVICES INC 6396 SW 136 COURT K110 MIAMI FL 33183 SCOPES OF BUSINESS OR TRADE: 1- AIR CONDITIONING 2- VENTILATION IMPORTANT: Pursuant to Chapter 440 . 051141, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election hinder this section may not recover benefits or compensation under this chapter. Pursuant to Clingier 440.05112), F.S., Certificates of election to be exempt... apply only within Ilia scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certiftcates of election to be exempt shall be subject to revocatiou if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-161 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO SE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 07/30/2011 EXPIRATION DATE: 07/29/2013 PERSON: ORLANDO GLARIA FEIN 203586079 BUSINESS NAME AND ADDRESS: A & L SERVICES INC 6395 SW 136 COURT K110 MIAMI, FL 33183 SCOPE OF BUSINESS OR TRADE 1- AIR CONDITIONING 2- VENTILATION IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person nand on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 GLARIA, ORLANDO A & L SERVICES INC 13291 SW 71ST ST MIAMI FL 33183 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department ls: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license DETACH HERE (850) 487 -1395 TCH NUMBER 644228 -9 Bu�INF,�SSLNA � X Q�7 ionic H6395 SW 136 CT 33183 UNIN DADE COUNTY THIS IS NOT A BILL - DO NOT PAY RENEWAL STATE6g16233 K110 D L SERVICE INC 1PRCHANICAL CONTRACTOR WORKER/S THIS Hi ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT fl1E HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CMS. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S OUALLPIICA- THINS. PAYMENT RECEIVED MAUI-DADE COUNTY TAX COLLECTOR: 07/12/2011 60120000446 000075.00 SEE OTHER SIDE DO NOT FORWARD A & L SERVICE INC ALEJANDRO GLARIA PRES 6395 SW 136 CT K110 MIAMI FL 33183 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 671078-5 111111 „1111, Jill III 1 1111111 ,1111111111,Iff1 „11fH11,111f -Nov. 14. 2011 3:16PM Insurance ACCORD' CERTIFICATE OF LIABILITY INSURANCE No. 2846 P. 1 OP10 :YA DATE Wfast ITTYY) 10/25/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF WFORMATION 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 POUCIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT; tf the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. If SUBROGATION 1S WAIVED, subject tR the terms and conditions of the policy, Cevisin panties may require an endorsement. A statement an tfils certificate does not confer rights to the certificate holder In Neu of such endorsem s). PRODDER Financtal Insurance Brokers 2665 Ponce de Leon Blvd 0 200 Coral Gables, FL 33134 All Insurance Depot INSURED A & L Services Inc. 6395 SW 136 CT APT K110 Miami, FL 33183 COVERAGES 305.441 -993 305-441 -863 , Rte _ INSURER A: Granada Insurance Co INSURER 9: INSURER C INSURER D ; INSURER E I RERP: CERTIFICATE NUMBER THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. L p TYPE OF W$URANC4 ' 100 ma NOUN POLICY NUMBER LI. BFI 19/18111 - pIrpp IMAM 10/15/12 UNITS EACH OCCURRENC: s 500,00 A II NEIRAL mangy COMMERCIAL GENERAL LIABILITY OCCUR 0185FL00030138 X PREMI s Np, RENTED coeurreme) $ 100,000 CL■IMS -MADE X MEDE1iP (Any one person) $ 6,1100 PERSONAL & NOV INJURY $ 600,000 GENERAL AGGREGATE s 500,000 Gest AGGREGATE LIMIT APPLIES PER fwwc PRODUCTS - COMIPtOP AGS $ 2300. 000 X TI $ AUTOMOBILE LIABILITY ANY AUTO ALL ONINED AUTOS SCHEDULED AUTOS /IRED AUTOS NON- OWNEOAUTO$ COMBINED SINGLE LINT (Es coNident) • $ — — _ — — BODILY INJURY (Per perm) 3 MET INJURY (Pm waked) $ PROPERTY aad1 $ S UMBRELLA LIAa EXCESS LIAR OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ _ DEDUCTIBLE RETENTION $ 8 $ WORKERS COSU'6NSATIDN AND EMPLOYERS' LULMUTY ANY PROPRIErORPARTNERIEXECUINE OFFICERIIMEMI)ER EXCLUDED? (Mwldetery In NN) aYs describe under DESCRIPTION OF OP BINS YIN N I A yyC I TORY�I AATU- l E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE s below EL DISEASE • POLICY LIMIT $ DE$cpipuoN Rip oPsiATIONS I LOQATIOPIS I VEHICLES peace ACORD 1®I. AQQWwoI Ram* BMWs n mom ape b requbvd) Air Condition Installation & Repair CERTIFICATE HOLDER CANOE City of Miami Shares Vida Villages SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BB DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2 Ave AUTHORIZED R1RE>D:IRrATNE -__� Miami Shores, FL 33135 All Insurance Depot J(A „ - J4 0-451291AL. ACORD 25 (2009109) G 19504009 ACORD CORPORATION. All rights rase . The ACORD name and logo are registered mark of ACORD Nov 15 11 05:06p R &1 Services $ UDIN •- •r..,.d (,ERTIFIED, 3054081235 1 ,4c 11— 2112s Certificate of Product Ratings AHRI Certified Reference Number: 4717991 Date: 11/15/2011 Product: Spilt System: Air - Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: VSX1303S1D• Indoor Unit Model Number: AR *P3BetilaCa Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand e=arn: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERRE5T, ONE HOUR AIR CONDITIONING AND HEATING, ENERCI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows Iri accordance with AHRI Standard 210/240-2008 for Unitary Air - Conditioning and Air•Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI• sponsored, independent, third party tasting: Cooling Capacity (Bich): 33000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 • Ratings fdbwad by an Welsh Imitate s valumory neat• trf offtiout ryoueushad dem unless atxvirpanted with a WAS. rich indiums an lrivolania y term. DISCLAIMER ARM dons notBodarsa iM produe9s) Mod oath!, Cortillaato one mom Ma topomatioCono, wstr an orgasm/Moen to, Intl sanantu no rappnsLlby fan the products) listed onthllCsAMcmAM111aapnall3t Malmo all lability for damps orsll,,�yy� Mod Adobe a tetho two orpaiornolCOofiheptoduagsl .artl* v, autbonaa. akeratIsr, ddudtieden Otto CarWHeata .Cartibedr tb,easoval.ontoforn�adhendcenI ur t1 nsM* edInOw diracbyatwwwahrklreatontgg TERMS AND CONDITIONS This COMM* end No contents ern }Mroprlrtay products WARM. TM COMM* CM only So Load for tetlM(t1uMl. Pomona! Ind conittlatl sl *MFRS pu tual& 7/11. camonto WM Is Cortfflosto maw ovi, In %Oats orb psi% ramoducolli coped; dIsiemlnilat* WRNS Into • computer detsbaste orotherwiseutllesd,Many Reno a *manse or by say mom, mime for tlw,.ar$ Individual: parsenalard conntlsaeel mammoth CERTIFICATE VERIFICATION The Infotnte rim toga mQOdi mad on seta C$ ifi re ante to We nd at enve dlecloy or , � gwCondttonIng, Hean, tlek on Wotfy CLAIHOitr link cod enter tw AM ,n d Relme is Number and he de er on J� Wm II and Refrigeration Institute which Ohs catrnestevwM isstretIoahloli 1M Soled above, and thy Curtlfeet• No.,whklh Misted belour. 6201 1 Air - Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 1268sesee 12215649 Nov 15 11 05:07p F1 &1 Services 3054091235 pk ; t o�vto, A &LService 6395 SW 136 Ct. K -110 Miami, Fl. 33183 (305) 970 -1538, (305) 408 -1235 LIC #: CAC 1816233 Insurance # GL- 0000012500 -00 Ric - vz5 Date: 11/09/2011 PROPOSAL Proposal Submitted To: Work To Be Performed: GTE Builders Inc GTF Builders Inc Miami, Fl. p.2 We hereby propose to furnish the materials and perform the labor necessary for the completion of: Units have been stolen. Recommend install new Goodman 13.00 Seer, 3 Tons R410a and replace thermostat Total: $2400.00 Warranty: 10 years compressor and parts and 1 year labor Note: This price includes equipments, labor, tax, ac stand, filter dryer, thermostats, and disposal of old units, duct work and permit fees. All material is guarantee to be specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a substantial work like manner for the sum noted above. Any alterations of deviations from the above specifications involving extra cost, will be executed only upon written orders, and will become and extra charge over and above estimate. All agreements contingent upon delays beyond our control. Acceptance of Proposal The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. This proposal may be withdrawn by us if not accepted in 30 days DATE: 11/09/201.1_ SIGNATURE: SIGNATURE: