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Platinum Performance Group Bid 03-00-03-17Tel: (863) 467-1933 GrOUPs SECTION IV PW 03-00-03-17 BID FORM City Council City of Okeechobee 55 SE 3`d Avenue Okeechobee, FL 34974 lax: (8631 467-0820 Platinum Performance Group, Inc. (8/DOER's COMPANY NAME) I have received the documents titled Okeechobee Fire Station Overhead Door Replacement, Project No. PW 03-00-03-17, I have also received addendum number I through 1 and have included these provisions in my Bid. I have examined both the Bid documents and the construction site and submit the following Bid in which I agree: To hold my Bid open until an agreement has been executed between the City of Okeechobee and accepted Bidder, including receipt of the Public Construction and Maintenance Bonds, or until ninety (90) days after Bids are opened, whichever is longer. 2. Regarding the Disposition of Bid Security: to accept the provisions of the Instructions to the Bidders. 3. To enter into and execute a Contract on the basis of this Bid and to furnish a 100 percent (100%) Public Construction Bond in accordance with the Instructions to Bidders to guarantee my workmanship and materials to be free from construction defects for a period of not less than one (1) year, if this Bid is accepted. 4, To accomplish the work included in, and in accordance with the Contract Documents, if this Bid is accepted. 5. To start work within ten (10) calendar days from the date of the Notice to Proceed and thereafter to complete the work within ninety (30) calendar days, unless the time is modified by provisions of the contract, if this Bid is accepted. 6. Regarding Compensation for the proposed work: if this Bid is accepted, I will construct this project on a unit price basis as reflected in the Bid Unit Price Schedule on page 6 of this Bid. 7. Regarding the Award of the Contract: if I am awarded a contract for this project, I understand that the award may be for all or any portion thereof of the items listed under the Bid Unit Price Schedule, City of Okeechobee Public Works Department 5 221 NE Park. Street, Okeechobee, FL. 34972 Project No. PW 03-00-03-17 Lie. i1CRC058 i 111 '114: (1163) 467-1933 �-, , ,: Lc'Ll'll.l.l.tl:�:1. I.' e,-l..f.oi.in:� i cc (l c.:,1,..O U I.> >. 1:i • ��:e: BID UNIT PRICE SCHEDULE PW 03-00-03-17 OKEECHOBEE FIRE STATION OVERHEAD DOOR REPLACEMENT SEGMENT NO. 1 DESCRIPTION UNIT MEASURE EST. QTY. F (863) 467.0820 111 UNIT PRICE AMOUNT ENLARGE DOOR OPENING AND PROVIDE A REPLACEMENT OVERHEAD DOOR PER PROJECT SPECIFICATIONS. EACH 1 $17,988.0 TOTAL BID AMOUNT (Based on Bid Unit Prices & Estimated Quantities) $17,988.00 $17,988.00 Bidders Company Name Platinum Performance Group, Inc. NOTE: This Bid is on a unit price basis. The total estimated amount is for Bid comparison purposes only. The Contractor should field verify the actual site conditions prior to time of bidding and before submitting the Bid proposal. The Contractor should read the special conditions and the requirements for insurance before submitting a Bid proposal. The Contractor should verify the quantities to be included in the construction contract. The Contractor shall furnish the City of Okeechobee with a Public Construction Bond in 100 percent (100%) of the total estimated amount of the contract. The Public Construction Bond shall continue in effect for one (1) year after completion and acceptance of the work as guarantee against construction defects. The Contractor in his Bid shall include the cost of said bond. Density testing shall be at the expense of the City of Okeechobee, except for failing tests, which shall be charged to the Contractor. I have attached the required 5 percent (5%) Bid Security to this Bid. Bidder: Platinum Performance Group, Inc. Date: 4/20/2017 �� // �(Company Name) By: ( ice'- „" (Signaluwe) F. Alan Nelson (Pnnlee Name( Title: Owner/Director Email: loriplatbuilders@gmail.com Mailing Address: 221 NE Park Street Okeechobee, Fl. 34972 Office Number: 863-467-1933 City of Okeechobee Public Works Department Fax Number:. 863-467-0728 6 221 NE Park. Street, Okeechobee, FL 34972 Project No. PW 03-00-03-17 hie. t/CRC0S8I0, Tel: (863) 467-1933 111 Pl.aU.11.uin P C-1. ft 1' ina1:1cL Group r-- Fax: ,Fax: (863) 467.0820 SECTION V PW 03-00-03-17 BIDDER'S QUALIFICATION QUESTIONNAIRE 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? 13 years - June 1, 2004 2. What is the last project of this nature that you have completed? FWC - Crew Canopy Addition - Estero Florida 3. Have you ever failed to complete work awarded to you? If so, where and why? No 4. The following are named as three (3) Corporations or Individuals for which you have performed work and to which you refer. FWC - Crew Canopy Addition - 813-416-6441 Blue Cypress Golf & RV Resort - 863-467-5774 Seacoast National Bank - ATM - 863-697-1962 5. Have you personally inspected the proposed work and have you a complete plan or schedule for its performance? Provide schedule to describe the amount of work per month that is to be completed. Yes, Day 1 - Remove door & mask off the work area, remove fixtures as necessary. Day 2 - Install steel "C" channels. 4 - Install pressure treated lumber, move electric as needed. Day5 -Stucco & finish work. Day 6 - Install door and operator Day 7 - Fianl clean up & punch out fld -o - rirtal - - 6, Will you sublet part of this work? If so, give details. Yes, conrete cutting, garage door install, electrical hookup City of Okeechobee Project No. PW 03-00-03-17 Public Works Department 7 221 NE Park Street, Okeechobee, FL 34972 LIC. ti CB000832 'fcl: (803) 107-1033 1' laii.nui.1.1 J_' c~ i' f o i 11' )rick. BIDDER'S QUALIFICATION QUESTIONNAIRE (cont'd) 7. What equipment do you own that is available for the work? Scaffolding 8. What equipment will you purchase for the proposed work? None 9. What equipment will you rent for the proposed work? None 10. The following is given as a summary of the financial statement of the undersigned: (List assets and liabilities and insert sheets if necessary) 11. Please provide proof of State Certification and/or State Registration by attaching copies of State Certifications. State Registrations shall also be accompanied by proof of Okeechobee County Certificate(s) of Competency by attaching copies of County Certificate(s). Possession of either a State Certification or County Competency card must be attained prior to Bid submittal. See attached 12. State the true, exact, correct, and complete name of the Partnership, Corporation, or trade name under which you do business. (If Corporation, state the name of the President and Secretary. If a Partnership, state the name of all Partners. If a trade name, state the name of the Individuals who do business under the trade name). Platinum Performance Group, Inc. (CORRECT NAME OF BIDDER) (a.) The business is a Corporation City of Okeechobee Public Works Department 8 221 NI-: Park Street, Okeechobee, FL 34972 Fax: (863) 467-0820 I� Project No, PW 03-00-03-17 Uc. q C8C00832 Tel: (863) 4167-1033 P1(1triu1.1:1 Group, It.ic c-1 Fax: (863) 467-0820 1 (b.) The address of the principal place of business is: 221 NE Park Street Okeechobee, Fl. 34972 (c.) The names of the Corporate Officers, Partners, or Individuals doing business under a trade name are as follows: F. Alan Nelson - Owner/Director City of Okeechobee Public Works Department 9 221 NE Park Street, Okeechobee, FL 34972 Project No. PW 03-00-03-17 Uc, # CE3C00832 8:25 AM, 04/21/17 Cash Basis PLATINUM PERFORMANCE GROUP, INC. Balance Sheet As of April 21, 2017 ASSETS Current Assets Checking/Savings 1 CHECKING Total Checking/Savings Accounts Receivable Accounts Receivable Total Accounts Receivable Apr 21, 17 145,962.80 145,962.80 -51,535.52 -51,535.52 Total Current Assets 94,427.28 Fixed Assets 2011 Chevy Truck -PCH. from BILE 20,000.00 1999 Ford Truck 8,962.00 2005 ISU Box Truck 19,500.00 2013 Ford F150 35,295.37 2014 F-350 49,829.33 Office Furniture and Fixtures File Cabinet 197.93 5 Office Chairs 1,702.99 Printer 1,796.87 SAFE 743.65 Laptop Computer 1,479.25 Fax 300.09 Copier 788.85 Xerox 3030 Copier 4,004.28 File cabinets 236.44 Desk & file Cabinets 1,199.28 New Desk 654.07 Computer Hardware 6,174.91 Office Furniture and Fixtures - 0... 1,479.67 Total Office Furniture and Fixtures 20,758.28 Signs 481.00 UTILITY TRAILER 2,500.00 Accumulated Depreciation -84,904.83 Total Fixed Assets 72,421.15 Other Assets Intangible Assets Computer Software 5,960.25 Architectural CAD Software 2,985.00 Loan Cost 25,917.07 Total Intangible Assets 34,862.32 Accumulated Amortization -34,517.99 PLAT. DEVELOPER 59,932.10 Suspense 74.64 Total Other Assets 60,351.07 TOTAL ASSETS 227,199.50 LIABILITIES & EQUITY Liabilities Long Term Liabilities Notes Payable/0425 10,998.24 N/P Ford Credit 2013 6,128.59 N/P Brother -In -Law, INC 274,053.23 Total Long Term Liabilities 291,180.06 Total Liabilities Equity Common Stock 291,180.06 100.00 Page 1 8:25 AM, 04/21/17 Cash Basis PLATINUM PERFORMANCE GROUP, INC. Balance Sheet As of April 21, 2017 Apr 21,17 Additional Paid In Capital Nelson 268,330.00 Total Additional Paid In Capital 268,330.00 OWNERS DRAW ALAN NELSON- DRAW -180,573.33 Total OWNERS DRAW -180,573.33 Retained Earnings -132,610.97 Net Income -19,226.26 Total Equity -63,980.56 TOTAL LIABILITIES & EQUITY 227,199.50 Page 2 1� Tel: (863) 467-1933 Pelformance Group., i):).c . rl Fax: (863) 467-0820 ll1 ATTACHMENT A PW 03-00-03-17 NO LOBBYING AFFIDAVIT STATE OF FLORIDA COUNTY OF Okeechobee This 20th day of April , 2017, F,Alan Nelson being first duly sworn, deposes and says that he/she is the authorized representative of Platinum Performance Group, Inc. (Name of Contractor, Firm or Individual) respondent to the attached request for Bid, proposal or qualifications and/or any other solicitation released by City of Okeechobee, and that the Bidder and any of its agents agrees to abide by the City of Okeechobee no lobbying restrictions in regard to this solicitation. Platinum Performance Group, Inc. Affiant The foregoing instrument was acknowledged and subscribed before me this 20th day of April , 20 17 , by F. Alan Nelson , who is personally, kn wn OR produced as identification. City of Okeechobee Public Works Department Signature of Notary P-ulloncCtih°4 Lori Bundy Name of Notary Typed, Printed, or Stamped Commission No. FF904191 33 LORI A BUNDY MY COMMISSION # FF904191 EXPIRES July 28, 2019 9 FWrwlallota Sery ce.00m Project No. PW 03-00-03-17 221 NE Park Street, Okeechobee, FL 34972 Lic. #CRC058I OC Tel: (863) 467-1933 1:111:11111Ce. GTO Up ATTACHMENT B PW 03-00-03-17 ANTI -COLLUSION STATEMENT AND NO GIFTS STATEMENT Date: April 20, 2017 Fax: (863) 467-0820 Anti -collusion statement: The below -signed Bidder has not divulged to, discussed, or compared his/her Bid with other Bidders and has not colluded with any other Bidder or parties to a Bid whatsoever. No gifts statement: No premiums, rebates, gifts or gratuities are permitted with, prior to, or after submission of the Bid. Any such violation will result in rejection of the Bid and removal from the Bid list(s). Firm Name: By (printed/typed): By (signature): Title: Mailing Address: City, State, Zip: Telephone No.: City of Okeechobee Public Works Department Platinum Performance Group, Inc. F.Alan Nelson Faa,) Owner/Director 221 NE Park Street Okeechobee, Fl. 34972 863-467-1933 Project No. PW 03-00-03-17 34 221 NE Park Street, Okeechobee, FL 3497 Lic, OCRC058 10, Tot: VN3>46'1-|933 PLUM ��� h^u4: � �`/11l]/f[lCV- (3 \ ATTACHMENT C PW 03-00-03-17 PROPOSER'S CERTIFICATION Fax: (863)467-082V I have carefully examined this Request for Bids (BID)/Request for Proposals (RFP)/ Requesfor Qualifications (RFQ), which includes soope, requirements for submiooion, general information and the evaluation and award process. I acknowledge receipt of the following addenda Addendum # 1 Date: April 18,2O17 Addendum # Date: Addendum #_ Date: Addendum # Date: Addendum# Date: Addondum# Date: I hereby propose to provide the services requested in the City's BID/RFP/RFQ and, if awarded, to enter into the attached draft contract, I agree that the terms and conditions of the City's BID/RFP/RFQ shall take precedence over any conflicting terms and conditions submitted with my proposal and agree to abide by all conditions of the BID/RFP/RFQ, unless a properly completed Exceptions to BID/RFP/RFQ form is submitted. I acknowledge that the City may not accept the proposal due to any exceptions. .1 certify that all information contained in my proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the Company as its agent and that the Company is ready, willing and able to perform if awarded a contract. I further oeMfy, under oath, that this proposal is made without prior understonding, agnaomen1, conneo1ion, discussion or collusion with any other peruon. Company or Corporation submitting a proposal for the same product or service; no gnatu|VeG, gifts or kick -backs were offered or given by the Bidder or anyone on its behalf to gain favorable treatment concerning this procurement; no City Council member, employee or agent of City of Okeechobee or of any other Company is interested in said Bid; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. Platinum Performance Group, Inc. 221 NE Park Street Name of Business Mailing Address Okeechobee, Fl. m97" rae‘•J Authorized Signature F. Alan Nelson - Owner/Director Name & Title, Typed STATE OF FLORIDA COUNTY OF Okeechobee City uoT'4o/'.��o��R���e Telephone Number/Fax Number |ohp|atbui|derG@gnloi|.cnm Email Address April The instrument was acknowledged and subscribed before me this _20th day of produced F. Alan NelsonOR City of Okeechobee Public Works Department as identification, Signature of Notary Public Name ol Notary Typed, Printed. or Stamped a . Itzlei 4 ".-8 ccrAci Commission No � / LORI A BUNDY Y COMMISSION # FF904191 EXPIRES July 28.201e Project No. PW 03-00-03-17 22|NCPark Street, Okeechobee, 1LJ4Y7 Tel: (063) 467-1033 P latinum 1? c-rfolmonce Group ,. tnr ATTACHMENT D PW 03-00-03-17 SWORN STATEMENT PURSUANT TO SECTION 287.133 (2)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES Fax: (863) 467-0820 THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to CITY OF OKEECHOBEE, FLORIDA by: F. Alan Nelson - Owner/Director Platinum Performance Group, Inc. (print Individual's name and title) for: (print name of entity submitting sworn statement) whose business address is: 221 NE Park Street Okeechobee, Fl. 34972 and (if applicable) its Federal Employer Identification Number (FEIN) is: 14-1887160 (If the entity has no FEIN, include the Social Security Number of the Individual signing this sworn statement: .) 2. I 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 of 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 misrepresentations. 3. I 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, non -jury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. 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. City of Okeechobee Public Works Department Project No, PW 03-00-03-17 36 221 NE Park Street, Okeechobee, FL. 3497' IICRC058l0(. Tel: (863) 467-'1933 Group,. o.uj.) y. Inc I lIx: (863) 467-0820 X11 5. I 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, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies). Neither the entity submitting ' this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. E The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the 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. I The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the 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. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Signature STATE OF FLORIDA COUNTY OF Okeechobee The foregoing instrument was acknowledged and subscribed before me this . 20th day of April 20 17 , by F. Alan Nelson ., who is eersonally known OR produced as identification. City of Okeechobee Public Works Department Signature of Notary Public y� Name of Notary Typed, Printed, or Stamped % I- • `6LL.4' ,/ n Commission No. /" //' �Ls_./ V:'"ts�; LORI A BUNDY o • = MY COMMISSION # FF904191 ` •- EXPIRES July 28, 2019 L_...--.-:: v• D3 Ftorballote Servtce.cor► Project No. PW 03-00-03-17 221 NI? Park Street, Okeechobee, NL 34972 Lie, //CIZC(10t 10, c- 1 Tel: (663) (167-1933 -rN j ' C.,. f Ol.1;i).Ci,:).L( MI ■■:a (;rOU ,s: L-11.1 Fax; (863) 467.0820 111 ATTACHMENT E PW 03-00-03-17 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all Bidders must disclose if any City of Okeechobee employee(s), elected official(s), or any of its agents is also an owner, corporate officer, director, agent, employee, etc., of their business. Indicate either "yes" (a City employee, elected official or agent is associated with your business), or "no". If yes, give person(s) name(s) and position(s) with your business. YES NO xx Name(s) Position(s) Firm Name: Platinum Performance Group, Inc. By (Printed): F. Alan Nelson By (Signature): Title: Owner/Director Address: 221 NE Park Street Okeechobee, Fl. 34972 Phone Number: 863-467-1933 City of Okeechobee Project No. PW 03-00-03-17 Public Works Department 38 221 NE Park Street, Okeechobee, H. Lie. IIC1t.0O3Ii 10 Tel: (663) 467-1933 Performance Group,. 1:11.c. (8(3) 467-0820 ATTACHMENT F PW 03-00-03-17 IMMIGRATION LAW CERTIFICATION City of Okeechobee will not intentionally award City contracts to any Contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324 a(e) (Section 274a(e) of the immigration and nationality act ("INA")). City of Okeechobee may consider the employment by any Contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the recipient of the employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral cancellation of the contract by City of Okeechobee. Respondent attests that it is fully compliant with all applicable immigration laws, specifically relating to the 1986 immigration act and subsequent amendments. Platinum Performance Group, Inc. STATE OF FLORIDA COUNTY OF Okeechobee Company Signature Owner/Director Title April 20, 2017 Date The foregoing instrument was acknowledged and subscribed before me this 20thday of April 20J7, by F. Alan Nelson who is personally known OR produced as identification. City of Okeechobee Public Works Department Signature of Notary Public Name of Notary Typed, Printed, or Stamped I3t i4 ia/culdji Commission No FE_969_1 q / LORI A BUNDY Ni COMMISSION # FF904191 EXPIRES July 28, 2019 FkxiclatioteryServiccecen 221 NE Project No. PW 03-00-03-17 39 'ark Street, Okeechobee, FL 34972 Lie. liCIL(..:0:i810( ThI: (863) 467-1933 1'e:l. f.b.i,.i,la:«ia.ce Gl:0U)) 1:n.c ATTACHMENT G PW 03-00-03-17 DRUG-FREE WORKPLACE CERTIFICATION FM; (863)467-0820 THE BELOW SIGNED Bidder/proposer CERTIFIES that it has implemented a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the work place and specifying the actions that will be taken against employees for violation of such prohibition. 2, Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. 4. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction or plea of guilty or nolo contendere to any violation occurring in the workplace no later than five (5) days after such conviction. Impose a sanction on, or require the satisfactory participation in, drug abuse assistance or rehabilitation program if such is available in the employee's community, by an employee who is convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign this statement, I certify that this Firm complies fully with the above requirements. Signature: Company: Platinum Performance Group, Inc. Address: 221 NE Park Street Okeechobee, FI. 34972 Date: April 20, 2017 Name: F. Alan Nelson Title: Owner/Director 863-467-1933 Phone Number: City of Okeechobee Project No. PW 03-00-03-17 Public Works Department 40 221 NL Park Strati, Okeechobee, 1'1.34972 ,Y. Lit:, W1(.0015111' 111.[uli (11(i:3) 467-1933 SEE ATTACHED 1?Luan.um. croup.,. ATTACHMENT H PW 03-00-03-17 PROJECT LOCATION MAPS 1.:(ix.: (8(3) 467-0820 it City of Okeechobee Project No. PW 03-00-03-17 Public Works Department 221 NI Park Street, Okeeehobee, FI, 34972 //C 'OSH ADDENDUM NO. 'I OKEECHOBEE FIRE STATION OVERHEAD DOOR REPLACEMENT City of Okeechobee project PW 03-00-03-17 Issue Date April 18, 2017 Subject: Pre-bid meeting notes and question clarification The pre-bid discussion notes from the architect are attached. Two questions were submitted before yesterday's deadline with the following response. Question #1 Is the sectional garage door to be impact rated? Response from Architect: Yes the door needs to be impact rated. Question #2 On the plan the beam shows to be 8" wide- measuring on site at walk thru shows to be 12", please clarify. Response from Architect: Field verify beam width, plans indicate 8" width but may have been built 12" wide. Sincerely, David Allen Public Works Director Bid # PW 03-00-03-17 Addendum #1 Page 1 of 2 To: City of Okeechobee Re: Fire Station Tie Beam Modification Attn: Patty Burnette David Allen Prebid Meeting Notes Okeechobee Fire Station Tie Beam Modification April 11, 2017 The following items were discussed at the Prebid meeting: 1) Provide visqueen dust curtain across three openings in back of apparatus room along column beam line and at door opening along west wall. 2) Relocate existing speaker and light at soffit that must be moved due to the new built down soffit. 3) Reuse wiring to overhead door opener switch, reconnect to new opener. 4) Provide a new, properly sized overhead door operator complete with 3 remotes. 5) Remove existing fire station signage over overhead doors. Sign to be replaced by Owner. 6) A low profile overhead sectional door must be used which meets wind pressure/wind code requirements. Field measure overhead door space clearance prior to ordering the door. 7) Stucco built down soffits to conceal steel channels will have stucco returns on each end. If you have questions or further revisions, please contact us. Also, please send us a copy of an addendum issued. Respectfully submitted, John F. Binkley, AlA Architect Bid # PW 03-00-03-17 Addendum #1 Page 2 of 2 ARO unt:cm EDLUND . ©RITENBAS . EINKLEY ARCHITECTS AND' ASSOCIATES, P.A. 65 Raul Palmi Poirito, Ste D Vero Beach, FL 32980 Ph: (772)5E44320 Fat {772) 551:4-J20S iii - F. - . ,,14.1.44,1.::ta _. To: City of Okeechobee Re: Fire Station Tie Beam Modification Attn: Patty Burnette David Allen Prebid Meeting Notes Okeechobee Fire Station Tie Beam Modification April 11, 2017 The following items were discussed at the Prebid meeting: 1) Provide visqueen dust curtain across three openings in back of apparatus room along column beam line and at door opening along west wall. 2) Relocate existing speaker and light at soffit that must be moved due to the new built down soffit. 3) Reuse wiring to overhead door opener switch, reconnect to new opener. 4) Provide a new, properly sized overhead door operator complete with 3 remotes. 5) Remove existing fire station signage over overhead doors. Sign to be replaced by Owner. 6) A low profile overhead sectional door must be used which meets wind pressure/wind code requirements. Field measure overhead door space clearance prior to ordering the door. 7) Stucco built down soffits to conceal steel channels will have stucco returns on each end. If you have questions or further revisions, please contact us. Also, please send us a copy of an addendum issued. Respectfully submitted, John F. Binkley, AlA Architect Bid # PW 03-00-03-17 Addendum #1 Page 2 of 2 A� o® CERTIFICATE OF LIABILITY INSURANCE DATE /25/2/YYYY) 04/25/2017 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 have ADDITIONAL INSURED provisions or 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 Berger Insurance Associates, Lk 425 SW Park Street Okeechobee, FL 34974 Phone (863) 763-6411 Fax (863) 763-4569 CONTACT Olivia Arnold NAME: (AIC. o. Exn: (863) 763-6411 FAX , No): (863) 763-4569 ADDRESS: office@berger(nsurance.com INSURER(S) AFFORDING COVERAGE NAIC f1 INSURER A : United Specialty Insurance Company Y INSURED Platinum Performance Group, Inc 221 NE Park Street Okeechobee FL 34972 INSURER B : 10/30/2016 INSURER C : EACH OCCURRENCE INSURER D : El CLAIMS -MADE Q OCCUR • INSURER E : S 100,000 INSURER F: S 5,000 COVERAGES CERTIFICATE NUMBER: 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 W iTH 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 ADDLSUBR INSR WVD_ POLICY NUMBER POLICY EFF (MM/DDFYYYY) POLICY EXP (MMIDD/YYYY) LIMITS A Q COMMERCIAL GENERAL LIABILITY Y DCG00470-02 10/30/2016 10/30/2017 EACH OCCURRENCE S 500,000 El CLAIMS -MADE Q OCCUR • DAMAGE TO RENTED PREMISES (Ea occurrence) S 100,000 MED EXP (Any one person) S 5,000 • PERSONAL a ADV INJURY S 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: 0 POLICY • 2E8i • LOC • OTHER GENERAL AGGREGATE S 1,000,000 PRODUCTS - COMP/OP AGG S 1,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S II ANY AUTO SCHEDULED BODILY INJURY (Per person) S OWNED m • AUTOS ONLY AUTOS BODILY INJURY (Per accident) S ■ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident) $ ■ ■ $ II UMBRELLA LIAB fl OCCUR • EXCESS UAB 0 CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S • DED .1 RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YI N N I A STATUTE ERH E.L. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE) OFFICER/MEMBER EXCLUDED? I I E.L. DISEASE - EA EMPLOYE S (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate Holder is Jisted as'Additional Insured Contractors- Executive supervisors or executive superintendents. Contractors- subcontracted work- in connection with building construction, reconstruction, repair or erection- one or two family dwellings. Carpentry- construction of residential property not exceeding three stories in height. CERTIFICATE HOLDER CANCELLATION Additionallnsured City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 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 Olivia Arnold ACORD 25 (2016103) QF ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD® `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/25/2017 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 have ADDITIONAL INSURED provisions or 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 .. •_...._ Gretchen Robertson Ins Agency Inc ' 309 NE 2nd St �f ` ' Okeechobee,Florida 34972 CONT CT Lindsey (A/C No Eat 863-763-5561 aC. No): 863-763-1161 ADDRESS: Lindsey©Gretchenrobertson.com INSURER(S) AFFORDING COVERAGE NAIC U INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Platinum Performance Group Inc 221 NE Park St Okeechobee, Florida 34972-2923 INSURER B : INSURER C : INSURER D : S INSURER E : CLAIMS -MADE INSURER F : S COVERAGES CERTIFICATE NUMBER: 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. ITR TYPE OF INSURANCE �NRD ADDL SUER WVD POLICY NUMBER POLICY EFF (MMIDD/YYYYI POLICY EXP (61MIDDIYYYYI OMITS COMMERCIAL GENERAL UABILITY OCCUR EACH OCCURRENCE S CLAIMS -MADE AMAGE D PREM SES (EaEocNcErrence) S MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S POLICY ❑ jEa LOC ____IS PRODUCTS -COMP/OP AGG S OTHER: A AUTOMOBILE UABIUTY ANY AUTO OWNED R SCHEDULED AUTOS ONLY AUTOS -OWNED ONLY 675 2302 -F19 -59D 676 9429 -F19 -59B 6769432 -F19 -59B 12/19/2016 12/19/2016 12/19/2016 06/19/2017 06/1912017 06/19/2017PROPERTY IEBideINED COMcaaNED SINGLE LIMIT $ BODILY INJURY (Per person) $ 1,000,000 BODILY INJURY (Per accident) DAMAGE (Per accident) S 1,000,000 HIRED NON AUTOS ONLY AUTOS S 1,000,000 S UMBREU-A UAB EXCESS UM— OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED RETENTIONS I S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS YIN NIA PER OTH- STATUTE Eft E.L. EACH ACCIDENT S EL. DISEASE - EA EMPLOYEE S bek,N EL DISEASE- POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is requl ed) CERTIFICATE HOLDER CANCELLATION THE CITY OF OKEECHOBEE 55 SE 3rd Ave Okeechobee, Florida 34972 ACORD 25 (2016103) 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 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016 .- ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/11/2016 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(les) 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 Jack Rice Insurance 13080 S Belcher Rd Largo FL 33773 INSURED Modern Business Associates, Inc. ETAL L/C/F Platinum Performance Group Inc, 9455 Koger Blvd., Suite 200 St. Petersburg FL 33702 CONTACT Commercial Lines Division NAME: PHONE (727) 530-0684 FAX (727)532-9602 _.M..kiv„E IL_ ....__... — (AIC, No),_ E•MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC B INsuRERA:Bridgefield Casualty. Ins.. C .. 10335 INSURER B : INSURER C: INSURER 0: INSURERE: ., _ • INSURER F: ;Platinum Performance 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD • POLICY NUMBER IMM/DDIYYYYI (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR PREM SESO(Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - POLICY ) PRO- LOC PRODUCTS-COMP/OPAGG $ ' OTHER: ... .. _..S AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $ 1 (Ea accident) ANY AUTO BODILY INJURY (Per person) S i ALL OWNED SCHEDULED BODILY INJURY (Per accident) ; $ Per, c id ntDAMAGE $ ~ HIRED AUTOS ! AUTOS NON -OWNED , PROPERTY accident) $ UMBRELLA LIAB OCCUR i EACH OCCURRENCE $ EXCESS LIAB J: CLAIMS -MADE I AGGREGATE $ 1DED . RETENTION $ WORKERS COMPENSATION Xv PER H STATUTE ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N ! A E.L EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? A (Mandatory In NH) 0196-06932 1/1/2017 1/1/2018 E L DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE • POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS ! LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Workers' Compensation coverage is provided by contract to all employees of Modern Business Associates, Inc. and its wholly owned subsidiaries assigned to Platinum Performance Group Inc. Coverage does not apply to any employees not approved & assigned by Modern Business Associates, Inc. and its wholly owned subsidiaries, Platinum Performance Group Inc, Effective 01/01/2017. , City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34974 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 Cynthia Webster/LPW i ACORD 25 (2014/01) 1NS025 (201401) © 1988.2014 ACURo cUKNUI(M I IUN. Au rlgnts reserved. The ACORD name and logo are registered marks of ACORD Fax: (863) 461-0820 RICK SCOTT, GOVERNOR KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTONINDUS i RY LICENSING BOARD LICENSE NUMBER The1311ILDING CONTRACTOR Nano below l5 CERTIFIED • Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 BATTON, ELBERT ROY - PLATINUM PERFORMANGEZ6110UP, _ . 221 NE PARK ST ' OKEECHOB-EE--4 972 - ISSUED. 06/19/2016 DISPLAY AS REQUIRED BY LAW ••• SEQ 11606190000757 OKEECHOBEE COUNTY 11l STATE OF FLORIDA li l: (1{03) zI67-I933 •IN CONSIDERATION of the TOTAL SUM OF MONEY shown hereon, the receipt of which is hereby acknowledged. Company ID #:,7530 >s' Tax Receipt ):'l 7 No. 835 8(th ,3 l)t21c1 r Contractor (0015A) (01-10 Employees) $18.00 TOTAL $18.00 PLATINUM PERFORMANCE GROUP INC Is hereby licensed to engage in the business, profession or occupation of Contractor (0015A);(01.1.0 Employees) (General) Lic.#'CBC008329 at 221 N.E. PARK STREET in Okeechobee, Florida, for the period beginning the 1st day of October 2016 and ending on the 30th day of September, 2017 Celeste Watford, C.F.0 - Tax Collector HUGGINS JULIAN A 467-1933 CITY OF OKEECHOBEE BUSINESS TAX RECEIPT 55 SE 3rd Avenue, Okeechobee, FL 34974 OCTOBER 1, 2016. - SEPTEMBER 30, 2017 STATE LICENSE REQUIRED FOR RENEWAL Address: 221 NE PARK STREET OKEECHOBEE, FL 34974 Activity: 201 CONTRACTOR - CERTIFIED BUILDE PLATIMNUM PERFORMANCE GROUP, HUGGINS JULIAN A 221 NE PARK STREET OKEECHOBEE, FL 34974 A No: 1424 Date: 8/30/16 RECEIPT PENALTY NEW/TRANS BLDG INSP FIRE INSP Total Paid 78.75 78.75 BUSINESS TAX RECEIPT OFFICIAL 221 NE Park Streel, Okeechobee, 11, 34972 1.ie, IICKC:OStt I l