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Home My WebLink About2005 11 08 Bid Proposal Price FormFrom: Darlene SWWan At Sltdeenst nre C,tauP FaxID: c§Me UK== Grou To: M-OMAIRA MUDRAK OR DALE MUDRAH ACORN. CERTIFICATE OF LIABILITY INSURANCE SIDE Itlg;uf NCE GROUP, INC. HOLDER. THIS CERTIFICATE DOES NOT AN P. 0. BOX 160398 ALTER THE COVERAGE AFFORDED BY THE PRIHtiB E'b 32716 GATE (MWOONWO 05/05/05 OF INFORMATIC CERTIFICATE ND, EXTEND OR XOLIC1ES BELOV AI+TAMI3ili'B S Phone: 407-869-0962 x=:407-774-0936 INSURERS AFFORDING COVERAGE NAIC # j DISURM Ii A: Scoott odole lna=nnm CC=PnMi 91SUFIER B: xmCOUP 8sofarrcd ins==co Co, %idrak Bn iaeeriag & Coast Co { - ` 21522 yPL 32709 wsu�D: INSURSt E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN {SUED TO TFC WSURED NAMED ABOVE FOR THE POUCY PERIOD DMICATED. NOr4V THSTANDING ' ANY REQUMEMENT. TERM OR OF ANY CONTRACT OR OM* R DOCi�iV E T WITH RESPECT T O VMC" TMS CERTIFICATE MAY BE 1SWED OR { _ -- _ — — --- '--� ......�......... rw rr~ qPW% A.. �.4=nuc GYfN r lCtAitC AWn f`i-OM T'M M AF a tf _N MAY POLICIES. rm IHW. In& lnwunwa.c n w-%.nmarw--- AGGREGATE UNITS Stili MAY KWE BM REDUCED BY PAID CLAIMS. LTR TYPE OF G�isURA = POLTCY MAMM a1TE (6Atf�VYY) DATE LBQTS Gi8�°M UABt MFED EACH OCCURRENCE $2,000,000 T A X COMMERCIAL GENERAL LL4BLtrY CLS1060972 09/17/04 09/17/05 PFOOSES (Faoearersce) $100,000 i CLAWS MADE ® OCCUR MED IDP (Any also parse,) $5,000 t PERSONAL a ADN UJJURY $1,000,000 BLANKET ADDL . INS OLS -150S ORERAL AccI;IEcATE $2,000,000 GENL AGGREGATE LWT APPLIES PER PRODUCTS - ComploP AcG $2,000,000 POLICY PRO- LOC Ej AUTOMOBILE L[ABILrrY COMBINED SINGLE LIMIT $ (t:e wddat) ANY AUTO - -- - t ALL OWNED AUTOS BODILY INJURY ` S (Per pagan) SCHEDULED AUTOS BODAY H A RY HIREDAUTOS (Per ewftt) — NON-OWNW AUTOS PROPERTY DAMAGE $ (Perms goy GARAGEANY AUTO ONLY -EAACCIDENT S AUTO OTHER THAN EA ACC $ AUTO ONLY' AGG S EXCES&qA9Wd3JA LIABRM EACH OCCLIRJRENMS AGCREGAIE S OCCUR M C LAWS MADE ]DEDUCTIBLE RETENTION s $ WORKERS COiG43MT[DN AND X ITORY LWOS I ER E L. EACHACCIOENT $100000 B NCV7049774 12/15/03 12/15/04 ANY PROPOOROPTNEWEXECUTIVE ET JI OFFTCFR&EM3ERExcLuOED7 12/15/04 12/15/05 EL. DISEASE -EAEnIPL0YEE $100000 tt AL 4dMP a unser S txta, sT�aROVRSlON E L. DIS - POLICY LMT $ 500000 ortt�R i DESCRtPiTOTi OPSWTt0ES rLOCATICONS r VEHICLES t EXCLUSKM ADOty BVENDORSEMENrISPECtALPROVISIONS ii SHOULD ANY OF THE ABOVE BE CANCELLED BEFORE MME EXPRAMOV DATE Tim. Ti(E ISSI M oiS RM VYJLL ENDEAVOR TO &M 10 DAYS WRITTEN K=CE TO THE CERT01CATE HOLOSt MWEO TO THE LEFT. BUT FAILURE TO DO SO SMALL WOSE MOOBLi[iAMM OR WBILnV OF ANY 100 UPON THE Y=RF3k TTS AGENTS CR tiATNEI 9 g f, DRUG-FREE WORKPLACE FORM The unde5signed Contractor, in accogdance with Florida Statute 287.087 hereby certifies thatMudiri�t �i�'rr •�+A. 1,CmJ A4 oes: 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 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. 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 S. As the person authorized to sign this statement, I certify that this firm complies fully with the above requirements. Date:a 0 e� 15 Contractor Mudrak Engineering and Construction Company M Lic # CB -C060403 21522 Hobby Horse Ln. Cluistmas, Florida 32709 407-568-1833 C CProposed Sub -Contractors City of Sebastian 1) Electrical: State Electric Mark Evans- 407-295-8770 2) Concrete Tarmac 800-520-2083 3) Concrete Pumping C&C Concrete Pump: Vera 352-429-7867 4) Equipment Rental Sunbelt Rental- 407-382-2747 5) Survey Southeastern Survey Gary Krick 407-292-8580 Dale V. Mudrak, P.E. 407-568-1833 M C C Mudrak Engineering and Construction Companc Lic # CB -C060403 21522 Hobby Horse Ln. Christmas. Florida 32709 407-568-1833 Splashpads and Water Playgrounds Project Summary Projects: 1. St Mary Magdalin Church and Daycare Type: Drainaway Number Features: 5 Area Square Feet: 500 Scope: installation Contact: Vince Telephone: 407-831-1212 2. City of Pahokee Type: Re -circulation Number Features: 15 Area Square Feet: 2500 Scope: Design, permitting, installation Contact: Herbert Crawford Telephone: 561-924-2972 3. Monaco Arms Apartments Type: Drainaway Number Features: 7 Area Square Feet: 1500 Scope: Design, Permitting, installation Contact: Debra Telephone: 904-757-5585 4. City of Deltona, Wes -Crile Community Center Type: Re -circulation Number Features: 17 Area Square Feet: 2500 Scope: Design, permitting, installation Contact: Kit- City of Deltona Telephone: 386-561-0421 Dale V. Mudrak P.E. 407-568-1833 Mudrak Engineering and Construction Company Lic # CB -C060403 21522 Hobby Horse Ln. Christmas. Florida 32709 407-568-1833 5. Poinciana Daycare and Summer Camp Type: Re -circulation Number Features: 15 Area Square Feet: 2500 Scope: Design, permitting, installation 6. Town of Surfside Type: Re -circulation Number Features: 12 Area Square Feet: 1700 Scope: Design, permitting Contact : Jamie, Dacon Construction Telephone: 305-362-5358 7. City of St. Cloud Type: Re -circulation Number Features: 12 Area Square Feet: 1700 Scope: Installation Contact: Sean Stanford, Wharton -Smith Telephone: 407-402-1053 Dale V. Mudrak, P.E. 407-568-1833 Mudrak Engineering and Construction Company M Lie # CB -0060403 21522 Hobby Horse Ln. Chrishms, Florida 32709 407-568-1833 C CBidder Qualifications Owner: Dale V Mudrak- Licensed Engineer (FL PE # 42669) Licensed Contractor (CBC060403) Jan, 2002- present: President Mudrak Engineering And Construction Company Jan 1997 - Jan, 2002: Senior Engineer, Orange County Parks and Recreation Department. Oversaw the design, planning, acquisition, permitting and construction of parks capital improvements. Annual Capital budget -$8,000,000 References: 1) Tanner Industries: Neal, 407-295-8770 2) Hoenstine Enterprises- Clarence Hoenstine 321-689-3346 3) City of Maitland: Chuck 407-539-6264 4) Brevard County Schools: David Martin, 321-403-2419 5) Gregory Architecture- Chuck Gregory 407-679-8737 Business Associates: 1) Vortex Aquatic structures International Stephen Votta US Sales Manager Office 678-867-0376 CELL 770-367-0884 2) Commercial Energy Specialists Al Mendoza 1-800-940-1557 3) REP's Play Equipment JT Almond- 407-831-9658 Suppliers: 1) Tarmac Concrete- Gary, 800-520-2083 2) C&C Concrete Pump: Vera 352-429-7867 3) Sunbelt Rental- 407-382-2747 Dale V. Mudrak, P.E. 407-568-1833 Qrq .4w w C z10 x A cn r D X m 0 C A m 0 -c cab Cs! 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