Original Submittal, PW-05-11-07-23 (ADEC) h; ;n q
SECTION III
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
BID DOCUMENTATION
American Design Engineering
Construction Inc
(BIDDER'S COMPANY NAME)
City Council
City of Okeechobee
55 S.E. 3rd Avenue
Okeechobee, FL 34974
I have received the documents titled CITY OF OKEECHOBEE 2023 SIDEWALK
IMPROVEMENTS Project No. PW 05-11-07-23. I have also received addendum number
0 through 0 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:
1. To hold my Bid open until an agreement has been executed between the
City of Okeechobee and accepted Bidder, 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 accomplish the work included in, and in accordance with the Contract
Documents, if this Bid is accepted.
4. To start work within in accordance with the start date specified in the Notice
to Proceed.
5. 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, Exhibit B of this agreement. Payment will be made upon invoice
after completion of all work. NOTE: The City shall not be liable to pay interest
on any unpaid balance. Vendor is solely responsible for all taxes,
withholding, or social security obligations.
6. 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 Project No. PW 05-11-07-23
Public Works Department 4
American Design Engineering
Bidder: Construction Inc Date: 7/25/2023
(Company Name)
By: 5' - - ( Title: VP
( ignature)
Yainier Steven Espinal Email:steven.espinak@adeconstructioninc.com
(Printed Name)
Mailing Address: 2200 N Commerce Parkway Suite 200 Weston Fl 33326
Office Number. 954 740 7777 Fax Number:
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department 5
SECTION IV
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
MINIMUM QUALIFICATIONS FOR BIDDERS
Minimum Qualifications:
1.0 Experience
1.1 Bidder must have at least 3 years of experience in providing commercial
concrete services including sidewalks and other flat work, roadway curbing, and
roadway concrete pavement.
1.2 Bidder has successfully completed at least 12 concrete projects including at
least one project in each of the following categories:
1.2.1 Sidewalk installation
1.2.2 Roadway curbing
2.0 References
2.1 Bidder must provide at least 3 verifiable references of similar prior concrete
services including sidewalks and other flat work, and roadway curbing.
2.2 For each reference, Bidder shall submit a completed Reference Form provided
in Attachment H. provide the client's name, client phone number, and client e-
mail address.
2.3 Bidder shall provide a written description of the services performed in sufficient
detail as they directly relate to the work of this Request for Bid. The description
shall include the dates of the period that the Bidder provided the services as
well as the contractual amount of the services provided.
2.4 The City, in its sole discretion, may reject any and all bids if the City is not able
to verify the references provided.
3.0 Discriminatory Vendor List
3.1 In accordance with Section 287.134, Florida Statutes, an entity or affiliate who
has been placed on the Discriminatory Vendor List, kept by the Florida
Department of Management Services, may not submit a bid on a contract to
provide goods or services to a public entity; may not submit a bid on a contract
with a public entity for the construction or repair of a public building or public
work; may not submit bids on leases of real property to a public entity; may not
be awarded or perform work as a contractor, supplier, subcontractor or
consultant under a contract with any public entity; and may not transact
business with any public entity.
4.0 Bidder certifies that
4.1 Bidder meets the qualifications listed in Section IV, 1.0 above.
4.2 Bidder has never failed to complete work awarded under a contract due to
circumstances that were under Bidder's control.
4.3 The Bidder has not been placed on the Discriminatory Vendor List kept by the
Florida Department of Management Services as listed in section 3.0 above.
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department 6
American Design Engineering
Bidder: Construction Inc Date: 7/25/2023
(Company Name)
By: cae.4./-424t, r�� Title: VP
Signature)
Yainier Steven Espinal ErnaiLsteven.espinal@adeconstructioninc.com
(Printed Name)
Mailing Address: 2200 N Commerce Parkway Suite 200 Weston Fl 33326
Office Number: 954 740 7777 Fax Number:
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department 7
, r
BID BOND
American Design Engineering
KNOW ALL MEN BY THESE PRESENTS, that we, Construction, Inc. as
Principal and Frankenmuth Insurance Company , as Surety, are held and firmly bound
unto the City of Okeechobee (the "City"), in the penal sum of$5%of Amount Bid lawful
money of the United States, for the payment of which sum, well and truly to be made,
we bind ourselves, our heirs, executors, administrators, and successors, jointly and
severally, firmly by these presents.
THE CONDITION OF THE OBLIGATION IS SUCH, that whereas the Principal has
submitted the accompanying bid, dated July 26 , 2023.
for the Contract Documents:
Contract Number: PW 05-11-07-23
Contract Title: CITY OF OKEECHOBEE 2023 SIDEWALK
IMPROVEMENTS
NOW, THEREFORE,
1. If the Principai,
a. Within seven (7) business days after the date of the Notice of Apparent Low
Bidder, provides a Statutory Payment Bond and a Common Law
Performance Bond as specified in the General Terms & Conditions or, in
lieu of the Statutory Payment Bond or Common Law Performance Bond,
provides an alternate form of security as specified in the Contract
Documents; and provides the insurance certificate required under the
Contract Documents, completed by a lawfully authorized insurance agent;
and
b. Within seven (7) business days of receipt of the Contract Documents, enters
into a written contract with the City, in accordance with the Bid, as accepted.
then the above obligations of the Principal and Surety shall be null and
void.
2. However, should the Principal fail to fully comply with the conditions of
paragraph 1 above, then the Principal and Surety, jointly and severally, shall
be liable to the City for the full penal sum of this Bond which shall be forfeited
to the City as liquidated damage, but not a penalty, as a result of the
Principal's failure to comply with the bid instructions and conditions,
regardless of whether the City ultimately decides to change the project
requirements or resolicit bids.
3. The remedies provided herein are not to be construed as the City's exclusive
remedies for the principal's failure to enter into a contract with the City but
shall be deemed supplemental to all remedies available to the City at law or
otherwise.
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department 16
1
ON JUIy zo . 2026 .
FOR NON-CORPORATE BIDDERS:
by:
(Witness) (Signature of Principal)
(Print Name)
(Print Name and Title)
(Witness)
(Print Name) Business Address
FOR CORPORATE BIDDERS: American Design Engineering Construction, Inc.
ATTEST:
(Signature of orporate Principal)
Yainier Steven Espinal VP
Secretary (Print Name and Title)
2200 N Commerce Parkway Suite 202,
Weston.Fl 33326
Business Address
SURETY:
ATTEST:
(Corporate Seal) Frankenmuth Insurance Company
(Corporate Surety)
As Per Attached Power of Attorney
Secretary (Print Name and Title)
`/41D"� One Mutual Avenue,Frankenmuth,MI 48787
Business Address
5979 NW 151 st ST,Suite 202,Miami Lakes,FL 33014
Florida Address for Service of Process
305-517-3803
Telephone Number
(Surety shall provide evidence of signature authority such as a certified copy of
Power of Attorney.)
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department 17
.
FRANKENMUTH INSURANCE COMPANY
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,that Frankenmuth Insurance Company(the"Company"),a corporation duly organized
and existing under the laws of the State of Michigan, having its principal office at 1 Mutual Avenue, Frankenmuth, Michigan 48787,
does hereby nominate,constitute and appoint:
Warren M. Alter. Jonathan A. Bursevich. David T. Satine. Dawn Ausoitz
Their true and lawful attorney(s)-in-fact, each in their separate capacity if more than one is named above, to make, execute, seal.
acknowledge and deliver any and all bonds, contracts and undertakings of suretyship, with the exception of Financial Guaranty
Insurance, provided,however, that the penal sum of any one such instrument shall not exceed the sum of:
Fifty Million and 00/100 Dollars($50,000,000)
This Power of Attorney is granted pursuant to the following Resolution duly adopted at a meeting of the Board of Directors of
Frankenmuth Insurance Company:
"RESOLVED, that the President. Senior Vice President or Vice President and each of them under their respective
designations, hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile
signature, which may he attested or acknowledged by any officer of the Company, qualifying the attorney(s) named in the
given power of attorney, to execute on behalf of, and acknowledge as the act and deed of Frankenmuth Insurance Company
on all bonds,contracts and undertakings of suretyship,and to affix the corporate seal thereto."
IN WITNESS WHEREOF,the Company has caused these presents to be signed and attested by its appropriate officers and its corporate
seal hereunto' 'tecl,this 15th day of December, 2022.
C .^ c. Frankenmuth Insurance Company
(§
�,�r1 Frederick A. Edmond,Jr.,President and Chief Executive Officer
S TE ),IlZ
CO Y OFh AW ) ss:
Sworn to before me,a Notary Public in the State of Michigan,by Frederick A. Edmond,Jr.,to me personally known to be the individual
and officer described in,and who executed the preceding instrument, deposed and said the Corporate Seal and his signatumF$ F r
were affixed and subscribed to said instrument by the authority of the Company. e� 1 41i,,
• '+4�
IN TESTIMONY WHEREOF, I have set my hand,and affixed my Official Seal this 15th day of December,2022.E O 4 40)
(Seal) )- �
Susan L.Fresorger,Notary Pu lie ' �►� ;'' a " C
Saginaw County,State of Michigan Z'r :;. ,
My Commission Expires: April 3.2028 S
I,the undersigned,Executive Vtce President of Frankenmuth Insurance Company,do hereby certify that the foregoing is a true,correct
and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and is in full force
and effect as of this date.
25th July 2023
IN WITNESS WHEREOF. I have set my hand and affixed the Seal of the Company, this day of
I
Andrew H. Knudsen,Executive Vice President,
Chief Operating Officer and Secretary
ALL CORRESPONDENCE RELATED TO BOND VALIDATION AND/OR A CLAIM SHOULD BE DIRECTED TO
VP SURETY, 701 U.S.ROUTE ONE,SUITE 1, YARMOUTH,ME 04096
Fr ankenmuth Insurance Company
Frarikernnuth Ansur America Insurance Company
Patriot Life Insurance Company
INSURANCE Patriot Insurance Company
SURETY BOND SEAL ADDENDUM
Frankenmuth Insurance Company
Due to logistical issues associated with the use of traditional seals during the COVID-19
pandemic, Frankenmuth Insurance Company has authorized its Attorneys-in-Fact to affix
Frankenmuth Insurance Company's, corporate seal to any bond executed on behalf of
Frankenmuth Insurance Company, by any such Attorney-in-Fact, by attaching this
Addendum to said bond.
Through December 31,2023,to the extent this Addendum is attached to a bond that is
executed on behalf of Frankenmuth Insurance Company, by its Attorney-in-Fact,
Frankenmuth Insurance Company, hereby agrees that the seal below shall be
deemed affixed to said bond to the same extent as if its raised corporate seal was
physically affixed to the face of the bond.
25th
Dated this day of U - , 2023.
%,sN INSURANC
F
``�' QORATFS COS
\\N..............
786E
\ ' CH I Gif
.....",)
Sign: /--L-)--�e--
Attorney-in-fact Jonathan A. Bursevich
1 Mutual Avenue Frankenmuth,MI 48787 General:989.652.6121 Toll Free:800.234.1133 Claims:800.234.1133 www.fmins.com
EXHIBIT B
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
BID UNIT PRICE SCHEDULE
ITEM UNIT
NO. DESCRIPTION MEASURE EST.QTY. UNIT PRICE AMOUNT
REMOVE EXISTING SIDEWALK AND INSTALL NEW
ADA CURB RAMP CR-C PER FDOT INDEXES 300
CURB&CURB AND GUTTER,AND 304 DETECTABLE
WARNINGS AND SIDEWALK CURB RAMPS. $7,150.00 $21,450.00
1 EA 3
CONCRETE SHALL BE 3,000 PSI WITH FIBER OF
OTHER APPROPRIATE REINFORCEMENT MATERIAL.
DETECTABLE WARNING MAT COLOR SHALL BE
BRICK RED.
REMOVE EXISTING SIDEWALK AND INSTALL NEW
ADA CURB RAMP CR-L PER FDOT INDEXES 300 CURB
&CURB AND GUTTER,AND 304 DETECTABLE
WARNINGS AND SIDEWALK CURB RAMPS.
2 CONCRETE SHALL BE 3,000 PSI WITH FIBER OF EA 4 $7,150.00 $28,600.00
OTHER APPROPRIATE REINFORCEMENT MATERIAL.
DETECTABLE WARNING MAT COLOR SHALL BE
BRICK RED.
REMOVE AND REPLACE EXISTING 4-INCH THICK,
3 FIVE(5)FOOT WIDE CONCRETE SIDEWALK.TEN(10) LF 650 $50.00 $32,500.00
YARD TOTAL.
REMOVE AND REPLACE EXISTING 4-INCH THICK
4 FIVE-FOOT-WIDE CONCRETE SIDEWALK.LESS THAN LF 100 $70.00 $7,000.00
TEN(10)YARD TOTAL
REMOVE EXISTING 4-INCH THICK FIVE(5)FOOT
WIDE CONCRETE SIDEWALK,REPLACE WITH 6-INCH LF 750 $50.00 $37,500.00
THICK CONCRETE SIDEWALK.TEN(10)YARD TOTAL
REMOVE AND REPLACE EXISTING CONCRETE"F"
5 CURB.TEN(10)YARD TOTAL LF 100 $40.00 $4,000.00
REMOVE AND REPLACE EXISTING CONCRETE"F"
6 CURB.LESS THAN TEN(10)YARD TOTAL LF 100 $60.00 $6,000.00
7 INSTALL NEW CONCRETE"F"CURB.TEN(10)YARD LF 100
OR GREATER TOTAL $35.00 $3,500.00
8 INSTALL NEW CONCRETE"F"CURB.LESS THAN TEN LF 50 $60.00 $3,000.00
(10)YARD TOTAL
INSTALL NEW CONCRETE"D"CURB.TEN(10)YARD
9 OR GREATER TOTAL LF 100 $35.00 $3,500.00
10 INSTALL NEW CONCRETE"D"CURB.LESS THAN LF 100 $65.00 $6,500.00
TEN(10)YARD TOTAL
11 INSTALL NEW 4-INCH-THICK CONCRETE SLAB SQUARE 100 $25.00 $2,500.00
FOOT
12 INSTALL NEW 6-INCH-THICK CONCRETE SLAB SQUARE 100 $30.00 $3,000.00
FOOT
TOTAL BID AMOUNT $159,050.00
(Based on Bid Unit Prices&Estimated Quantities)
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
42
Bidders Company Name American Design Engineering Construction 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 shall furnish the City of Okeechobee with a Payment and Performance Bond
in 100 percent (100%) of the total estimated amount of the contract. The Payment and
Performance 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.
I have attached the required 5 percent (5%) Bid Security to this Bid.
Bidder: American Design Engineering Construction Inc Date: 7/25/2023
(Company Name)
By: 3'i Title: VP
�
( ignature)
Yainier Steven Espinal Email: steven.espinal@adeconstructioninc.com
(Punted Name)
Mailing Address: 2200 N Commerce Parkway Suite 200 Weston Fl 33326
Office Number: 954 740 7777 Fax Number:
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
43
ATTACHMENT A
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEVVALK IMPROVEMENTS
NO LOBBYING AFFIDAVIT
STATE OF FLORIDA
COUNTY OF Broward
This 26 day of July , 20 23 , Yainier Steven Espinal being first duly sworn,
deposes and says that he/she is the authorized representative of
American Design Engineering Construction Inc (Name of Contractor, Firm or Individual)
respondent to the attached request for Bid, 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 ity of
Okeechobee no lobbying restrictions in regard to this solicitation. -) r
i-NOAffiant
The foregoing instrument was acknowledged before me by means of M'physical presence or 11
online notarization, this 26 day of July , 2C) 23 , by Yaini teven Es inal who is
personally known to me or produced Driver License /as identti#ication.
�,�SY ALB 'i, Notary Pub ignatur
`‘. � ,/
Ts Commission No. A- /) Or �✓
�
My Comm.Expires:
:December 13,2024: _ 11 \4 1 i J '1 l S
No.HH 71323
1,„6'O F `;O`\"
"illio1
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
44
ATTACHMENT B
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
ANTI-COLLUSION STATEMENT AND NO GIFT STATEMENT
Date: July 26, 2023
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: American Design Engineering Construction Inc
By (printed/typed): Yainier Steven Espinal
By (signature): SZ r're;tal
Title: VP
Mailing Address: 2200 N Commerce Parkway Suite 200
City, State, Zip: Weston Fl 33326
Telephone No.: 954 740 7777
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
45
ATTACHMENT C
PW 05-11-0 7-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
PROPOSER'S CERTIFICATION
I have carefully examined this Request for Bid (BID)!Request for Proposals (REP)/ Request for
Qualifications (RFQ), which includes scope, requirements for submission, general information
and the evaluation and award process.
I acknowledge receipt of the following addenda.
Addendum # 0 Date: Addendum # Date:
Addendum # Date: Addendum # Date:
Addendum # Date: Addendum # 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.
I 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.
further certify, under oath, that this proposal is made without prior understanding, agreement,
connection, discussion or collusion with any other person, Company or Corporation submitting a
proposal for the same product or service; no gratuities, 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.
American Design Engineering Construction Inc 2200 N Commerce Parkway Suite 200
Name of Business Mailing Address
Weston Fl 33326
/p�) � City, State & Zip Code
/i 954 740 7777
Authorized Signature Telephone Number/Fax Number
Yainier Steven Espinal VP steven.espinal(a)adeconstructioninc.com
Name & Title, Typed Ernail Address
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before me by means of'physical presence or
online notarization, this 26 day of July , 20 23, by Yainier Steven Espinal , who
is personally known to me or p[A 1ucac ,Driver License f as identification.
`\`'‘-cg.. q4 '�
\�Q NOTARy G�� Notary lic/Si ature
r MY Comm Ex ' m= Ccmmi ion No { 71 Sa3
Dece Pires
(P No. Hr713 3024;
City of Okeechobee '', OF FLO� `` Project No. PW 05-11-07-23
Public Works Department r�"r/r;t00‘�
46
ATTACHMENT D
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
SWORN STATEMENT PURSUANT TO SECTION 287.133 (3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
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:
Yainier Steven Espinal VP (print Individual's name and title)for:
American Design Engineering Construction Inc
(print name of entity submitting sworn statement)whose business address is
2200 N Commerce Parkway Suite 200 Weston FI 33326 and (if
applicable) its Federal Employer Identification Number(FEIN) is: 26-0713097
(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 Project No. PW 05-11-07-23
Public Works Department
47
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.
6. 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.
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.
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 % OF ANY C ANGE IN �{`1E INFORMATION CONTAINED IN THIS FORM.
•
Signature Ar ./,.M)(4AfriA
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before me by means of IVphysical presence or
online notarization, this 26 day of July , 20 23, by Yainier Steven Espinal , who
is personally known to me or produced Driver License identification.
��..NoyRy..F,p� Notary ubf Signature
•
:My Comm.Expires�m
�, = Commission NO.
713c
December 13,2024:
• No.HH 71323
i -•,
PUL.C:✓'•�Q:
City of Okeechobee .0,,,OF "° 'N Project No. PW 05 11 07 23
►=
Public Works Department
48
ATTACHMENT E
PW 05-11-07-2:3
CITY OF OKEECHOBEE 2023 SIDEVVALK IMPROVEMENTS
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 X
Name(s) Position(s)
Firm Name: American Design Engineering Construction Inc
By (Printed): Yainier Steven Espinal
By (Signature): c ZJ
Title: VP
Address: 2200 N Commerce Parkway Suite 200 Weston Fl 33326
Phone Number: 954 740 7777
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
49
ATTACHMENT F
PW 05-11-07-2:3
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
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.
American Design Engineering Cons ction Inc
/ ompany lie
Signature
VP
Title
July 26, 2023
Date
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before me by means of Vphysical presence or
online notarization, this 26 day of July , 20 23, by YainiierSteven Espinal , who
is personally known to me or produced Driver License / identification.
��•‘,0SY. ;°;... kAC, Notary Pu ignatur
• • m - Commission No. ill )
- My Comm.Expires:
December 13.2024:
No.HH 71323
No
OF F
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
50
ATTACHMENT G
PW 05-11-07-23
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
DRUG-FREE WORKPLACE CERTIFICATION
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 workplace 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.
3. 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.
5. 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: ,5)- , � Date: July 26, 2023
Company: American Design Engineering Construction Inc Name: Yainier Steven Espinal
Address: 2200 N Commerce Parkway Suite 200 Title: VP
Weston Fl 33326 Phone Number: 954 740 7777
City of Okeechobee Project No. PW 05-11-07-23
Public Works Department
51
ATTACHMENT H
CITY OF OKEECHIOBEE
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
PW 05-11-07-23
REFERENCE FORM
Client Name: City of Auburndale, Fl
Client Phone Number: Steve Lawson 863 618 6207
Client E-mail: SLawsonauburndalefl.com
Service Dates: Beginning 2018 End 2018
Estimated Annual Contract Amount: $164,000.00
Description of the services performed as they directly relate to the work of this Reaues:
for Bid:
Grading, Sidewalk Improvement
City of Okeechobee Project No. PW 05-11-07-2='
Public Works Deoartmen:
5
ATTACHMENT H
CITY OF OKEECHOBEE
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
PW 05-11-07-23
REFERENCE FORM
Client Name: FDOT Central OfficeT1791
Client Phone Number: Tracy Fluke 863 581 0024
Client E-mail: Tracy.Fluke@dot.state.fl.us
Service Dates: Beginning 2021 End 2021
Estimated Annual Contract Amount: $600,000.00
Description of the services performed as they directly relate to the work of this ReaueE.'
for Bid:
Grading, Sidewalk Improvement, Pipe & Structures, Flexible Paving, Pavement
Markings, Sign Installation, Sod
City of Okeechobee Project No. PW 05-11-07-27
Public Works Deoartmen
ATTACHMENT H
CITY OF OKEECHOBEE
CITY OF OKEECHOBEE 2023 SIDEWALK IMPROVEMENTS
PW 05-11-07-23
REFERENCE FORM
Client Name: City of Miramar
Client Phone Number: Leah DeRiel 305 219 4035
Client E-mail: Ideriel(a miramarfl.gov
Service Dates: Beginning 2022 End 2022
Estimated Annual Contract Amount: $190,000.00
Description of the services performed as they directly relate to the work of this ReaueE
for Bid:
Grading, Sidewalk Improvement, Pipe & Structures, Flexible Paving, Pavement
Markings, Sign Installation. Sod
City of Okeechobee Proiect No. PW 05-11-07-T
Public Works Deoartmer-
3;_
FDOT
Florida Department of Transportation
RON DESANTIS 605 Suwannee Street JARED W.PERDUE,P.E.
GOVERNOR Tallahassee,FL 32399-0450 SECRETARY
May 17,2023
AMERICAN DESIGN ENGINEERING CONSTRUCTION INC.
2200 NORTH COMMERCE PARKWAY
WESTON, FLORIDA 33326
RE: CERTIFICATE OF QUALIFICATION
The Department of Transportation has qualified your company for the type of work indicated
below.
FDOT APPROVED WORK CLASSES:
DRAINAGE, FLEXIBLE PAVING, GRADING, GRASSING, SEEDING AND SODDING, PAVEMENT MARKING,
ROADWAY SIGNING, SIDEWALK, Curb & Gutter, Driveways, Retaining wall, Tree Removal.
Unless notified otherwise, this Certificate of Qualification will expire 6/30/2024.
In accordance with Section 337.14(4) , Florida Statutes, changes to Ability Factor or Maximum
Capacity Rating will not take effect until after the expiration of the current certificate
of prequalification (if applicable) .
In accordance with Section 337.14(1) , Florida Statutes, an application for qualification
must be filed within (4) months of the ending date of the applicant's audited annual financial
statements.
If the company's maximum capacity has been revised, it may be accessed by logging into the
Contractor Prequalification Application System via the following link:
HTTPS://fdotwpl.dot.state.fl.us/ContractorPreQualification
Once logged in, select "View" for the most recently approved application, and then click
the "Manage" and "Application Summary" tabs.
The company may apply for a Revised Certificate of Qualification at any time prior to the
expiration date of this certificate according to Section 14-22.0041(3), Florida
Administrative Code (F.A.C.) , by accessing the most recently approved application as shown
above and choosing "Update" instead of "View." If certification in additional classes of
work is desired, documentation is needed to show that the company has performed such work.
All prequalified contractors are required by Section 14-22.006(3) , F.A.C., to certify their
work underway monthly in order to 'adjust maximum bidding capacity to available bidding
capacity. You can find the link to this report at the website shown above.
Sincerely, iY`Y/� /�
James E. Taylor II, Prequalification Supervisor
Contracts Administration Office
JTll:cg
Improve Safety, Enhance Mobility, Inspire Innovation
www.fdot.gov