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HomeMy WebLinkAboutCalvin, Giordano & Assoc US 1 Beautification Landscape PlanCathv Testa From: Jennifer Smith Sent: Tuesday, April 18, 2017 3:25 PM To: Cathy Testa Subject: Research List Hi Cathy, Here is what I came up with from the list you gave me: Asphalt Recycling Englar Drive Improvements 2013 Project P0001—Completed in 2013 Calvin, Giordano & Assoc US 1 Beautification 2015 Project A1538 — Work completed by vendor in 2015 but project was ultimately cancelled Camp Dresser & McKee completed in July 2002 Stormwater Master Plan Camp Dresser & McKee Consulting Services project but we haven't paid this vendor anything since 2008 Computer Golf Software -Nevada Software Support Deaf Services Center Sign Language Advanced Recreational Concepts Riverview Park Pavilion Eastern Aviation Fuels Inc Aviation Fuel sure of location of current agreement though) E.J. Breneman Pavement Overlay Environmental Research & Design Water Quality Harris Cotherman Jones Price Accounts 9/1/12—they are our current contracted auditors Jennifer Smith City of Sebastian Accounting Services Manager (772)388-8207 1 2001 Project appears to have been 2004 Unable to determine a specific 2003 No longer using this vendor at the GC 1993 Could not find anything 2011 Project 01122 — Completed in 2011 2007 Currently using this vendor (not 2010 Project C1031— Completed in 2011 2001 Could not find anything 2012 Merged to become Rehman on Building Code Services Coastal Engineering Code Enforcement Construction Engineering & Inspection Construction Services Contract Government Data Technologies & Developments Emergency ^emem Services Engineering Governmental Services Indoor Air Quality Landscape Architecture & Environmental Services Municipal Engineering Planning Public Administration Redevelopment & Urban Design Renewable Energy Resort Development Surveying & Mapping Transportation Planning & Traffic Engineering Utility & Community Maintenance Services Water Resources Management 1800 Eller Drive. Suite 600 fort Lauderdale, FL 33316 Phone: 954.921.7781 rax: 954.921.8807 W W W.Cgasnlutions.com Calvin, Giordano & Associates, Inc. E X C E P T I O N A L S O L U T I O N S January 5, 2015 Mr. Frank Watanbe Public Works Director City of Sebastian 1225 Main Street Sebastian, FL 32967 RE: City of Sebatian - Florida Highway Beautification Council Grant - U.S. 1 CGA Proposal No. 14-7463 Dear Mr. Watanbe, We are pleased to submit this proposal for Professional Services on the above referenced project. 1. Professional Landscape Architecture Services A. Prepare Final Landscape Plans for the project, including a Key Sheet, Tabulation of Quantities, General Notes, Tree Protection and Relocation Plans, Planting Plan Sheets, and Planting Notes & Details. These plans shall meet all of the requirements of FDOT for plans preparation and design standards. B. Prepare Final Iaigation Plans for the project, including an Irrigation Plan Sheets and Irrigation Notes & Details. These plans shall meet all of the requirements of FDOT for plans preparation and design standards. C. Prepare a Final Cost Estimate for all project costs. D. Prepare a Maintenance Plan that is descriptive in nature to guide the maintenance activities in the future to ensure that the design intent of the planting is sustained. E. Prepare a Submittal Package for the FDOT District Landscape Architect to review. Fort Lauderdale West Palm Beach Port St. Lucie Homestead Clearwater lacksonville Atlanta January 5, 2015 Page 2 of 10 F. Incorporate any revisions into the plans based on the comments from the FDOT District Landscape Architect. G. Preparation of the materials lists, cost estimates, and any other exhibits necessary for inclusion in the Joint Participation Agreement (JPA) between FDOT and the City. H. Preparation of the maintenance maps and any other exhibits necessary for inclusion in the Maintenance Memorandum of Agreement (MMOA) between FDOT and the City. I. Outdoor Advertising Analysis and Statement - Evaluate the billboards in the area and then prepare a statement letter to send to the Outdoor Advertising Companies and FDOT. J. Coordination with Underground Utility Companies, including calling in a Design Ticket to Sunshine One Call Center; Prepare letters and plan packages to mail to all utility companies; Review the responses from the all of the utility companies; Follow-up with the utility companies that do not respond; and plot the underground utility locations on the plans. K. Contact the local Traffic Engineering Agency with regard the traffic signals within the project limits. Confirm that the traffic signals operate 24 hours a day, and do not go into flashing mode late at night. L. Prepare a submittal package to FDOT for their formal ERC Review process with other FDOT departmental staff. Review and respond to all ERC comments. Prepare revisions to the plans as necessary in order to address all of the ERC comments. M. This proposal is based on the following conditions and exceptions: 1. The City of Sebastian or FDOT shall provide AutoCAD, or Microstation, files of the roadway plans for this portion of U.S. 1 to Calvin, Giordano & Associates, Inc. for the purposes of preparing these plans. The City staff shall also provide copies of the plans for the preliminary planting design that was included in the grant application to CGA for the assistance in preparing these plans. January 5, 2015 Page 3 of 10 2. The preparation of an application for a Consumptive Water Use Permit from the South Florida Water Management District for the installation of a new irrigation system, or any modifications to an existing irrigation system, is NOT included. This new permit, or permit modification, if required, shall either be the responsibility of the City of Sebastian, or shall be considered an extra service to this contract, if prepared by CGA. 3. This proposal does not include any Construction Administration services, inspections, or post design services, other than providing bidding services. 4. No other Civil Engineering services are included in this Agreement other than the preparation of the Maintenance of Traffic (MOT) plans. N. Prepare the submittal packages for the City or the Contractor to apply for a FDOT Landscape Permit. O. Prepare bid documents and assist the City staff with the bidding of this project. BASIS OF PROPOSAL Any opinion of the construction cost prepared by Calvin, Giordano & Associates, Inc. represents its judgment as a design professional and is supplied for the general guidance of the CLIENT since Calvin, Giordano & Associates, Inc. has no control over the cost of labor and material, or over competitive bidding or market conditions. Calvin, Giordano & Associates, Inc. does not guarantee the accuracy of such opinions as compared to contractor bids or actual cost to the CLIENT. Any outside engineering services, studies, or laboratory testing not specifically mentioned in the Scope of Services will be the responsibility of the CLIENT. All municipal, permit, and agency fees as well as Title Certificates will be paid by the CLIENT. Basic services outlined within this proposal shall be considered complete when the project plans are submitted to the regulatory agencies for Certification. • Calvin, Giordano & Associates, Inc. is performing the consultant services set forth in this Agreement strictly as a professional consultant to CLIENT. Nothing contained in this Agreement shall create any contractual relationship between Calvin, Giordano & Associates, Inc. and any contractor or subcontractor performing construction activities on the project, or any of CLIENT's other professional consultants. January 5, 2015 Page 4 of 10 • Calvin, Giordano & Associates, Inc. shall not be responsible for the contractor's schedules or failure to carry out the construction in accordance with the construction documents. Calvin, Giordano & Associates, Inc. shall not have control over or charge of acts or omissions of the contractor, subcontractors, or their agents or employees, or of any other persons performing portions of the construction. • Calvin, Giordano & Associates, Inc. will require that all consultants carry proper insurance, including professional liability insurance, if appropriate. • Permit construction certification will include one partial and one final inspection. ADDITIONAL FEES The following services are NOT included in this proposal and will be considered Additional Services, which will be addressed in a separate contractual agreement. The services include but are not limited to: • Architectural, structural (i.e., retaining walls, bridges, docks), mechanical (i.e., fire pumps), fire protection, geotechnical and testing, environmental assessment, power, gas, telephone, cable television, site lighting services. • Calculations for needed fire flow for site demands, based on building type use and size, if required. • Calculations of off-site flood stages. • Construction quality control inspections. • Off-site engineering and negotiations for off-site easements, if required (other than as specified in the Scope of Services). • Permit application or negotiation with permitting authorities other than those specifically listed herein. • Preparation of construction contract documents, other than drawings and technical specifications (e.g., bid schedule, project manual); • Professional land surveying not included in the scope of services (i.e., buried utility investigation, easement research, condominium documents, project stake- out and as -built drawings). • Professional services required due to conditions different from those itemized under the Scope of Services or due to events beyond the control of Calvin, Giordano & Associates, Inc. • Professional services required, due to changes in the site plan initiated by the CLIENT, their representatives or other consultants (e.g., architects, landscape architects, etc.) after either design or preparation of the construction drawings has commenced. • Re -review of rejected shop drawings. • Review and approval of Contractor pay requests. January 5. 2015 Page 5 of 10 • Review of Data supplied by the CLIENT (i.e. GIS data sets, databases, aerial images, etc.) required for integration into this project. • Review of shop drawings for contractor or Client selected alternatives, materials, products, etc. • Special shop drawing annotation and modification to expedite shop drawing approval process. • Updated boundary survey, site evaluation or closing assistance work, unless specified above. REIMBURSABLE EXPENSES Calvin, Giordano & Associates, Inc. and its consultants will be reimbursed for the printing of drawings and specifications, deliveries, Federal Express services, required travel time and travel expenses, long distance telephone calls, fax transmittals, postage, fees paid for securing approval of authorities having jurisdiction over the project, renderings, models and mock-ups required by CLIENT, as required. Reimbursable expenses and sub -consultant invoices will be billed directly to the CLIENT at a multiplier of 1.25. MEETING ATTENDANCE Due to the difficulties of predicting the number or duration of meetings, no meetings other than those listed above, are included in the Schedule of Fees shown below. Preparation for and meeting attendance, as necessary, will be provided on a time and materials basis and will be billed at the standard hourly rates in accordance with the attached Hourly Rate Schedule. SCHEDULE OF FEES Calvin, Giordano & Associates, Inc. will perform the Scope of Services for a lump sum fee as shown in the proposed Schedule of Fees: II January 5, 2015 Page 6of10 PROPOSED SCHEDULE OF FEES Professional Landscape Architecture Services $139975.00 Final Landscape Architecture $7,575.00 Landscape Architecture Permitting $680.00 Other Landscape Architecture Work Activity $51,720.00 Meetings not included in I thru I TOTAL (Plus Hourly Services) $ TERMS OF THE AGREEMENT • Calvin, Giordano & Associates, Inc. and the CLIENT agree by their signatures on this document that each party will not hire or attempt to hire any staff from the other party while under contract together. • Calvin, Giordano & Associates, Inc. is preparing and providing drawings, plans, specifications and other documents as outlined in the scope of services for this Agreement for use in the construction of this project, based upon design and construction criteria prepared and provided by others, including but not limited to the CLIENT and CLIENT's consultants. Calvin, Giordano & Associates, Inc. is not responsible for any errors and omissions in the aforesaid design and construction criteria provided by others. • CLIENT agrees to indemnify, hold harmless and, at Calvin, Giordano & Associates, Inc.'s option, defend or pay for an attorney selected by Calvin, Giordano & Associates, Inc., to defend Calvin, Giordano & Associates, Inc., its officers, agents, servants, and employees against any and all claims, losses, liabilities, and expenditures of any kind, including attorney fees, any appellate attorney costs, court costs, and expenses, caused by, arising from, or related to any acts, omissions or negligence of CLIENT or its consultants. • CLIENT agrees to limit Calvin, Giordano, & Associates, Inc.'s liability for any and all claims that CLIENT may assert on its own behalf or on behalf of another, including but not limited to claims for breach of contract or breach of warranty, to the amount of fees paid to Calvin, Giordano & Associates, Inc., pursuant to this Agreement. January 5, 2015 Page 7 of 10 • Drawings, specifications, and other documents and electronic data furnished by Calvin, Giordano & Associates, Inc. in connection with this project are instruments of service. All original instruments of service shall be retained by Calvin, Giordano & Associates, Inc. and will remain their property, with all common law, statutory and other reserved rights, including copyright, in those instruments. This information provided in the instruments of service is proprietary and will not be shared with others without prior written consent. The CLIENT may request reproducible copies, and all original documents upon payment of all outstanding invoices, and expenses. • In the event of termination in accordance with this Agreement or termination not the fault of Calvin, Giordano & Associates, Inc., Calvin, Giordano & Associates, Inc. shall be compensated for services properly performed prior to receipt of notice of termination, together with Reimbursable Expenses then due. • Invoices for work accomplished to date will be submitted monthly and are payable within thirty (30) days. The CLIENT will pay invoices upon receipt and understands interest charges of 1.5% per month will be applied to any unpaid balance past thirty (30) days. Calvin, Giordano & Associates, Inc. may elect to stop work until payment is received. If work is stopped for thirty (30) days or more, Calvin, Giordano & Associates, Inc. may request compensation for start-up costs when work resumes. • The CLIENT or their representative shall be available to meet with Calvin, Giordano & Associates, Inc. and provide decisions in a timely manner throughout the course of the project. The CLIENT will provide all plans and other pertinent information, which are necessary for Calvin, Giordano & Associates, Inc. to provide complete professional services as outlined in this contract. • The terms of Agreement shall be valid for the Client's acceptance for a period of thirty (30) days from the date of execution by Calvin, Giordano & Associates, Inc. after which time this contract offer becomes null and void if not accepted formally (evidenced by receipt of an executed copy of this document). All rates and fees quoted in this document shall be effective for a period of six (6) months, after which time they may be renegotiated with the CLIENT. • This Agreement may be terminated by either party upon not less than seven (7) days written notice should the other party fail substantially to perform in accordance with the terms of this Agreement through no fault of the party initiating the termination. Failure of CLIENT to make payments to Calvin, Giordano & Associates, Inc., in accordance with this Agreement, shall be considered substantial nonperformance and cause for termination. January 5, 2015 Page 8 of 10 MISCELLANEOUS PROVISIONS • CLIENT and Calvin, Giordano & Associates, Inc., respectively, bind themselves, their partners, successors, assigns, and legal representatives to the other party to this Agreement and to the partners, successors, assigns, and legal representatives of such other party with respect to all covenants of this Agreement. Neither CLIENT nor Calvin, Giordano & Associates, Inc. shall assign this Agreement without written consent of the other. • This Agreement represents the entire and integrated agreement between the CLIENT and Calvin, Giordano & Associates, Inc. and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both Calvin, Giordano & Associates, Inc. and the CLIENT. • Unless otherwise provided, this Agreement shall be governed by the law of the place where the project is located. TERMINATION OF THE AGREEMENT This Agreement may be terminated by either party upon not less than seven (7) days written notice should the other party fail substantially to perform in accordance with the terms of this Agreement through no fault of the party initiating the termination. Failure of CLIENT to make payments to Calvin, Giordano & Associates, Inc., in accordance with this Agreement, shall be considered substantial nonperformance and cause for termination. • In the event of termination in accordance with this Agreement or termination not the fault of Calvin, Giordano & Associates, Inc., Calvin, Giordano & Associates, Inc. shall be compensated for services properly performed prior to receipt of notice of termination, together with Reimbursable Expenses then due. We appreciate the opportunity to submit this proposal. Calvin, Giordano & Associates, Inc. is prepared with the necessary manpower to proceed with the proposed scope of services upon receipt of the executed authorization. Our personnel are committed to completing the project in a timely manner. Please indicate your acceptance of this proposal by signing below and returning one executed copy of the contract to this office. We look forward to working with you in making this project a success. January 5, 2015 Page 9 of 10 Sincerely, CALVIN, GIORDANO & ASSOCIATES, INC. Dennis J. Giordano President January 5, 2015 Page 10 of 10 Cost of these services are $13,975.00 plus hourly as noted in fee breakdown. ACCEPTANCE OF CONTRACT CALVIN, GIORDANO & ASSOCIATES, INC. By: �. Date: Name: Dennis J. Giordano Title: President By: Date: 5 Name: Mr. Frank Watanbe Title: Public Works Director Cost of service are $13.975.00 plus any hourly as noted in fee breakdown. ACCEPTANCE OF CONTRACT AGREED: ENGINEERING CONSULTANT: Date: 02 Calvin, Giordano & Associates Attest: � — i Sally A. Maio, C, City Clerk January 5, 2015 Page 10 of 10 CITY OF SEBASTIAN: ` Date: -2 Joe Griffin City Manager Approved as to Form and Content for Reliance by the City of Sebastian Only: dz Robert A. Ginsburg, City Atto Key HOLD HARMLESS Calvin, Giordano & Associates, Inc. shall defend, hold harmless, and indemnify the City, including the City's council members, employees, and agents, from and against all claims, causes of action, losses, damages, expenses, including reasonable attorney's fees and other liabilities arising out of or relating to Calvin, Giordano & Associates, Inc., professional landscape architectural activities whether negligent or intentional, including the negligent or intentional acts of Calvin, Giordano & Associates, Inc., employees, agents, contractors or subcontractors. PUBLIC RECORDS FORM Contract Name: Agreement between the City of Sebastian and Calvin, Giordano & Associates, Inc. Project Description: Professional Landscape Architecture Service In accordance with the requirements of Chapter 119 Florida statutes, as amended, the contract between the City of Sebastian and the Contractor shall require the contractor to: a) Comply with the public records law of the State of Florida, as the same may be amended from time to time. b) Keep and maintain public records that ordinarily and necessarily would be required by the City in order to perform services, and c) Provide the public with access to public records on the same terms and conditions that the City would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law, and e) Meet all requirements of retaining public records and transfer, at no cost, to the City all public records in possession of the contractor upon termination of the contact and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the City in a format that is compatible with the information technology systems of the City. Authorized Signature: Print lLj '10PAO Title: Company/Firm: ��Vfp 411)~ DRUG-FREE WORKPLACE FORM The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies that does: 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 violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of maintaining a drug free workplace, any available drug counseling, rehabilitation, 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 bid a copy of the statement specified in Paragraph 1. 4. In the statement specified in Paragraph 1, notify the employees that, as a condition of working on the commodities or contractual services that the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to any violation of Chapter 1893 or of any controlled substance law of the United States or any state, for a 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 a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug free workplace through implementation of Paragraph 1 through 5. As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. Date: 3 �6-15 Signature PUBLIC ENTITY CRIMES FORM Any person submitting a quote, bid, or proposal in response to this invitation or Agreement, must execute the enclosed form sworn statement under section 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including proper check(s), in the space(s) provided, and enclose it with his quote, bid, or proposal. If you are submitting a quote, bid or proposal on behalf of dealers or suppliers who will ship commodities and receive payment from the resulting Agreement, it is your responsibility to see that copy(ies) of the form are executed by them and are included with your quote, bid, or proposal. Corrections to the form will not be allowed after the quote, bid, or proposal opening time and date. Failure to complete this form in every detail and submit it with your quote, bid, or proposal may result in immediate disqualification of your bid or proposal. The 1989 Florida Legislature passed Senate Bill 458 creating Sections 287.132 - 133, Florida Statutes, effective July 1, 1989. Section 287.132(3)(d), Florida Statutes, requires the Florida Department of General Services to maintain and make available to other political entities a "convicted vendor" list consisting of persons and affiliates who are disqualified from public and purchasing process because they have been found guilty of a public entity crime. A public entity crime is described by Section 287.133, Florida Statutes, as 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 in Florida or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or Agreement for goods or services to be provided to any public entity or with an agency or political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. By law no public entity shall accept any bid from, award any Agreement to, or transact any business in excess of the threshold amount provided in Section 287.017, Florida Statutes, for category two (currently $10,000) with any person or affiliate on the convicted vendor list for a period of 36 months from the date that person or affiliate was placed on the convicted vendor list unless that person or affiliate has been removed from the list pursuant to Section 287.133(3)(f), Florida Statutes. Therefore, effective October 1, 1990, prior to entering into an Agreement (formal Agreement or purchase order) in excess of the threshold amount of $10,000 to provide goods or services to THE CITY OF SEBASTIAN, a person shall file a sworn statement with the Contract/Agreement officer or Purchasing Director, as applicable. The attached statement or affidavit will be the form to be utilized and must be properly signed in the presence of a notary public or other officer authorized to administer oaths and properly executed. THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE SUBMITTED CONCURRENTLY WITH YOUR QUOTE OR BID DOCUMENTS. NON-INCLUSION OF THIS DOCUMENT MAY NECESSITATE REJECTION OF YOUR QUOTE OR BID. SWORN STATEMENT UNDER SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. This sworn statement is submitted with Bid, Proposal or Agreement No. L 5A —1 for THE CITY OF SEBASTIAN. 2. This sworn statement is submitted by Psi NP5 41012-D/b 0 sworn Soo F" me of entity address is Fi- ON- and (if applicable) its Federal Employer Identification (FEIN) is 66-001 MGq (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: 3. My name is PWN14 6/0"''ge, (please print name of individual signing) and my relationship to the entity named above is hJrMrl 4. 1 understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including, but not limited to, any bid or Agreement for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 5. 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, nonjury trial, or entry of a plea of guilty or nolo contendere. 6. I understand that an "affiliate" as defined in Paragraph 287.133(l)(a), Florida Statutes, means: (1) A predecessor or successor of a person convicted of a public entity crime; or (2) An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 7. 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 Agreement and which bids or applies to bid on Agreements 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. 8. Based on information and belief, the statement which I have marked below is hue in relation to the entity submitting this sworn statement. (Please indicate which statement applies.) �1 Neither the entity submitting this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, nor any affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, members or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please indicate which additional statement applies.) There has been a proceeding concerning the conviction before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affiliate on the convicted vendor list. (Please attach a copy of the final order.) The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.) The person or (Please describe any Services.) affiliate has not been placed on the convicted vendor list. action taken by or pending with the Department of General (Signature) 3-d(9 -P9 STATE OF FLORIDA COUNTY OF 13r6k)ard The foregoing instrument was acknowledged before /me this _( day of Much , 2015 by aiowkno 1 I fzidejli (title) on behalf of (tho 6ioydft4. W • (name of partnership), a partnership. Whe is personally known to me or has produced as identification and did ( ) did not ( ) take an oath. My Commission Expires: Commission Number: F Y" • Sheila Taina Jackson Py Commalon#FF158978 :�' 'Expires: SEP 04, 2018 4 80MMO TNRUpY 1ST FLORIDA NOTA, LLC