HomeMy WebLinkAbout2019 - ContractCITY OF SEBASTIAN – BID
As Needed Concrete Services
BID PROPOSAL PRICE
After having examined all specifications, Contract/Agreement Documents, and other documents relative
to the hrvitation to Bid, I the undersigned hereby propose to perform everything required to be performed
in strict conformity with the requirements of these documents, and to provide mid furnish all the
equipment, labor, and materials necessary to provide annual concrete work meeting or exceeding the
specifications as set forth herein for die unit prices as stated below. The price quoted below includes any
addenda which may be issued. If there is our item von wish not to bid on olease write "NO BID" in
the Price oer Samara Yard column.
I. ANNUAL CONCRETE WORK AS DESCRIBED:
Concrete
Quantity)
Price per Square Yard �f
Concrete saw and Removal (4")
1- 60
SY
$175.00
Concrete saw and Removal 4"
_
61-100
SY
$14.00 I
Concrete saw and Removal (4")
_ _101 <
SY
$+400
Concrete Removal and replace W/Fiber(4")*
1- 60
SY
$375.00
Concrete Removal and replace W/Flber(4")*
61.100
SY
$52.00
Concrete Removal and replace W/F(ber(4")*
101<
SY
$50.00 I
Concrete W/Fiber(4")"
1-60
SY
$200.00
Concrete W/Fiber(4")*
61-100
SY
$36.00
Concrete W/F1ber(4")*
101<
SY
$36.o0
Concrete saw and Removal (6")
1-60
SY
$180.0o
Concrete saw and Removal (6")
61-100
SY
$16.00
Concrete saw and Removal (60)
101<
SY
$16.00
Concrete Removal and replace W/Fiber(6")*
1-60
SY
$390.00 I
Concrete Removal and replace W/Fiber 6")*
61-100
SY
$7400
Concrete Removal and replace W/Flber�6")*
301<
SY_
_
$70.00
Concrete W/Fiber(6")*
1-60
SY
$a4z.0o
Concrete W/Fiber(6")*
61-100
SY
$46_0o
Concrete W/Fiber(6")*
101<
SY
$98.00
I
MISCConcrete*
1-5
I CY
5750.00
MISC Concrete*
5.5-10
CY
$65o.oa
( MISCConcrete*
10.5-15
CY
$600.00
MISC Concrete* _
15.5-20
CY
$57500
MISC Concrete*
_ 20<
CY
$550.00
_
Driveway Culvert Replacement (8" ADS")
1
LF
$10.00
Driveway Culvert Replacement (10" ADS")
1
LF
_
$11.00
Driveway Culvert Replacement 12' ADS'
1
LF
$g.00
_
Driveway Culvert Replacement IS- ADS )
1
LF
$16.00
Driveway Culvert Replacement (18" ADS")
1
LF
$19.00
- — _.
'ilhr tR05[ C�NyPRvCire�t
•AII concrete is formed, poured in place and finished Per FDOT Standard Specifications 2018 or latest
version.
By the signature affixed below, the contractor agrees that this bid is made without any other
understanding, agreement, or connection with any person, corporation, or firm submitting a bid for the
same purpose, and that the bid is in all respects fair and without collusion or fraud. If awarded this bid, 1
agree to execute/enter into said agreement within (IS) consecutive calendar days notice by the City, and
agree to all the teras and conditions of all documents stated herein, with the City of Sebastian, for the
above stipulated price.
liinothynose
�Aut oriz>�ature Prnted Name
I imothy Rose Contracting President
Firm Name & Address Title
1360 SW Did Dixie Hwy Suite 106 772.564.7800
Phone Number
Vero Beach FL 32962 Date Signed o3.2o.1q
DRUG-FREE WORKPLACE FORM
The undersigned Contractor, in accordance with Florida Statute 287.087 hereby certifies
that l MO illy Rose Contracting does:
1. Publish a statement notifying employees that die 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 ding abuse
violations.
3. Give each employee engagedin providing the commodities or contractmd 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 conunodities or contractual services that the employee will abide by the terns 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 commtmity, by any employee who is
so convicted.
6. Make a good faith effort to continue to maintain a drug fi•ee workplace through implementation of
Paragraph 1 through 5.
As the person authorized to sign this statement, I certify that this fum complies fully with the
above requirements.
Date: 03.20.19
Signature
ll
PUBLIC ENTITY CRIMES FORM
Any person submitting a quote, bid, or proposal in response to this invitation or Agreement, most
execute the enclosed form sworn statement under section 287.133(3)(a), Fjr,Q$IDA STATUTES, ON
PUBLIC ENTITY CRIMES, including proper cheek(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(les) 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)(1), 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 $10,000 to provide goods or services to THE CITY
OF SEBASTIAN, a person shall file a sworn statement with the ContmcUAgreement officer or
Purchasing Director, as applicable. The attached statement or affidavit will be the form to be utilized and
must be properly signed in the presence of a notary public or other officer authorized to administer oaths
and properly executed.
THE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE SUBMITTED
CoNcDOCUMENT MAY NECESSITNTLy WITH ATE RE�C'CION bF YOUR 0 E OR BED. OF Tffi$
SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
12
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. 19-02 for
THE CITY OF SEBASTIAN.
2. This sworn statement is submitted by Timothy Rose Contracting _
(name of entity submitting sworn statement) whose business address is
136o SW Old Dixie Hwy Suite tot, Vera Beach FL ;1962 and (if applicable) its Federal Employer Identification
(FEIN) is. (If the entity has no FEIN, include the Social
Security I _ lual signing this sworn statement:
3. My name is Timothy Rose . (please print name of individual
signing) and my relationship to the entity named above is
President
4. 1 understand that a "public entity crime" as defined in Paragraph 287.133(t)(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 many 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(t)(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. 1 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 natuml 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 larowingly 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. 1 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 IU by a public entity, or which otherwise transacts or applies to
transact business with a public entity. The tern "person" includes those officers, directors,
executives, partners, shareholders, employees, members, mid agents who are active in
management of an entity.
13
Basal on information and belief, the statement which I have marked below is true in relation to
the entity submitting this sworn statement. (Please indicate which statement applies.)
xx 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, AN (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 affiliate has not been placed on the convicted vendor list. (Please describe
any action taken by or pending with the Department of General Services.)
(Signature
Date: 03,20.19
STATE OF FLORIDA
COUNTY OF Indian River
2019
The foregoing instrument was acknowledged before me this Both day of March 2048 by
i®mothv Rose I presideet (title) on behalf of
Timothy Rose Contracting (name of partnership), a partnership. He/she is personally known to me or has
produced as identification and did ( ) did not () take an oath.
Name: DeboUh Wes
prr+nt> di My Couunission Expires: October 03, 2019
]•�'' r�Tpn= cc.,,_.y,u. zm: FFg0M1578
Commission Number:,_
14
BIDDER QUALIFICATION QUEsnONNAIRE
(This form is not required to be inoludel in the bid proposal sabmival. However, prior to any Contract Award, such Bidder
Qualification Questionnaire must be completed and submitted by ilia Bidder, and reviewed and approved by the City.)
Submitted by Timothy Rose Contracting
Name of Bidder
General Contractor's License # CGCO52940
O An individual
() A Partnership
(x) A Corporation
Federal Identification #
Principal Office Address:
1360 SW Old Dixie Hwy Suite toff
Vero Beach FL32962
(I) How many years has your organization been in business as a contractor under your
present name?
29
(2) How many years experience in road and utility construction work has your organization
had as a contractor?
29
As a Subcontractor?
29
(3) List below the requested information concerning projects your organization has;
completed in the last five (S) years for the type of work required in this project. (Use
additional sheets if necessary). Include the type of work similar to the work included in
this contract if possible.
Project Contract Required Actual Name/Address/Tel
Title Amount Completion Date Completion Date of Owner
See Attached
Is
(h) Have you ever failed to complete any work awarded to you? If so, where and why?
No
(5) Has any officer or partner of your orgaltization ever been an officer or partner of some
other organization that failed to complete a construction contract? If so, state name of
individual, name of other organization, and reason therefore.
No
(6i Has any officer or partner of your organization ever failed to complete any construction
contract handled in his own name? If so, state name of individual, name of owner and
reason therefore.
No
(7) Give below any information which would indicate the size and capacity of your
organization, including number of employees, equipment owned by your organization,
etc„ which are available for utilization on this Contract.
35 Employees
Equipment - see attached
(8) What is your bonding capacity? tomillion
(9) What amount of your bonding capacity has been used as of the date of this bid?
See attached letter from Westfield Insurance Conan,
16
(10) How marry applications for performance slid payment bonds have you made
in the last three (3) years?
25
(11) How many of these applications were not approved?
None
(12) Have any claims been filed against your surety bond company in the last five (5) years? If
so, describe die nature of the claims and give the names of the surety companies, dates of
each claim, identifying numbers of each claim, amounts of each claim, and the status of
each claim. (Use additional sheets if necessary.)
None
(13) Have your company been in disputes or litigations in the last five (5) years over
construction projects which are completed or still pending for completion? if so, describe
the nature of the disputes or litigations and state the Owner's Name, Address, Telephone,
and amount of disputes or litigations. (Use additional sheets if necessary.)
None
1, the undersigned, do hereby declare that the foregoing statements are true and correct, all as of
the date hereinafter set forth, and that those examining this document have my permission to
contact any or all of those parties listed in this questionnaire. Incorrect or misleading statements
in this questionnaire shall be grounds for a determination of non- responsibility with respect to
such contractor.
#kk
17
(SIONATURE OF BIDDER)
Timothy Rose Contacting
(TYPE OR PRINT COMPANY NAME)
136o SW Old Dixie Hwy Suite m6 Vern Beach FL 32962
(TYPE OR PRINT ADDRESS)
18
AGREEMENT
THIS AGREEMENT, made fids __I()Lh day of Pail 2019 20341 by and between
the City of Sebastian, a municipality in Indian River County, Florida (hereinafter called the "City"), and
T iorift R� tnstrtrdfar Or its successors, executors, administrators, and assigns (hereafter called
"Contractor.
WITNESSETH:
The City and Contractor for good and valuable consideration as hereinafter set forth, do mutually agree as
follows:
Scope oJServices
Contractor agrees to furnish concrete work meeting the requirements described in the TECHNICAL
SPECIFICATIONS attached hereto as Exhibit "A", on an "as needed" basis in accordance with all
applicable codes pursuant to Work Orders issued by the City.
2. Contract Sum and Payment to Contractor:
(a) Contract sum: During the term of this Agreement, the city shall pay Contractor the
following unit prices for work as proposed in the Contractors bid proposal.
(b) The City agrees to make payment within 30 days of proper invoicing.
Contractor's Obligations:
(a) Contractor shall supervise and have control over means, methods, techniques, sequences
and procedures for performing the Work Orders, unless the terms of this Agreement give
other specific instructions concerning these matters.
(b) Unless otherwise provided in the Agreement, Contractor shall pay all sales, use and other
similar taxes and shall secure and pay for all permits and governmental fees, licenses and
inspections necessary for proper execution and completion of its obligations hereunder.
The failure of my of the parties at any time to require performance of any provision of the
Agreement shall in no manner affect the right ofsucb party at my later time to enforce or
require the same unless waived in writing. No waiver by my party of my condition or breach
shall be construed or deemed to be a waiver of any other condition or nay other breach of my
term, covenant or warranty contained in the Agreement
Indemnification and HoldHormless
The Contractor shall indemnify and hold the City harmless from my and all personal
injury or property damage claims, liabilities, losses or causes of action which may arise
out of the use and occupancy of the property by the Contractor, its family, associates,
contractors, agents, employees, customers and attendees. Nothing in this agreement shall
be construed as the City waiving its immunity pursuant to §768.28, at seq., Florida
Statutes, or my other sovereign or governmental immunity.
19
5. Terns of Contract
(a) Contract term is for three (3) years, commencing ou Apd l t ,gland ending on
hri7. 9, 4021 . At its discretion, The City of Sebastian may-,r:er and with
mutual agreement of the Parties, two (2) additional one (t) year extensions to this
Agreement under the same terms and conditions.
(b) Rate adjustments may be requested one time each year of the agreement based on the
Consumer Price Index. The Contractor may request additional rate changes based on
extreme circumstances beyond the Contractors control. The City in its sole discretion
may approve or deny such request.
6. City's Rigid To Terminate Contract And Complete Work
In the event of any default by the Contractor, the City shall have the right to immediately
terminate the Contract upon issuance of written notice of termination to the Contractor
stating the cause for such action. This Agreement may be terminated by the City without
cause provided at least thirty (30) days written notice of such temrination shall be given
to the Contractor. In the event of termination, the City may take possession of the Work
and of all materials, tools and equipment thereon and may finish the Work by whatever
method and means it may select.
It shall be considered a default by the Contractor whenever Contractor shall:
(a) Declare bankruptcy, become insolvent or assign his assets for the benefit of his
creditors.
(b) Disregard or violate the provisions of the Contract Documents or City's written
instructions, or fail to prosecute the Work according to the agreed schedule of completion
including extensions thereof.
(c) Fail to provide a qualified superintendent, competent workmen or subcontractors,
or proper materials, or fail to make prompt payment for same.
7. Conflict
In the event of any conflict between the provisions of this Agreement and any
attachments hereto, the provisions of this Agreement shall prevail.
S. Public Records Form
Contract Name: As Needed Concrete Services
Project Description: As Needed Concrete Services
In accordance with the requirements of Chapter 119 Florida statutes, as amended, the
contract between the City of Sebastian and the Contractor shall:
20
IN WITNI38S WHEREOF, the City has hereunto subscribed avid Contractor has affixed its
name on the date first set forth above.
jST: THE CITY OF SEBASTIAN
-_ - n'It' Williams, duvlC and E. Ca 9isle, City onager
-ity Clet'k
;Approved as to Form and Legality for
Rebance by the City of Sebastian only:
Ja . Stokettorney
CORPORATE SEAL:
By: Secretary
(Rest of Page Left Intentionally Blank)
22
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 flus 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.
9. Governing LawNenue: This Agreement shall be governed and construed hr accordance
with Florida Law. In the event that litigation arises involving the parties to this
Agreement, venue for such litigation shall be in Indian River County, Florida. The parties
hereto shall, and they hereby do, waive trial by jury in any action, proceeding or
counterclaim brought by either of the parties hereto against the other on any matters
whatsoever arising out of or in any way related to this Agreement.
10. Integration: The drafting, execution and delivery of this Agreement by the parties have
been induced by no representations, statements, warranties or agreements other than those
expressed in it. This Agreement including the Contractors Bid Proposal contains the
entire agreement between the parties and there are no further or other agreements or
understandings written or oral in effect between the parties relating to its subject matter.
This Agreement cannot be changed or modified except by written instrument executed by
all parties hereto. This Agreement and the terms and conditions hereto apply to, and are
binding upon, the legal representatives, successors, and assigns of both parties.
11. Severability: if any hemi of this Agreement or the application thereof to any person or
circumstances shall be determined by a court of competent jurisdiction to be invalid or
unenforceable, the remainder of this Agreement, or the application of such term to persons
or circumstances other than those as to which it is invalid or unenforceable, shall not be
affected thereby, and each term of this Agreement shall be valid and enforceable to the
fullest extent permitted by law.
Authorized /r
Signamre� Date: 03.20.19
Print frothy Rose _
Title: President _
Company/Firm: Timothy Rose Contracting
(Following Page for Signatures)
Timothy Rose Contracting References
William Johnson, P.E.
Scott Baker- Public Facilities Director
Roadway Production Engineer
1225 Main Street
Indian River County, Engineering Division
Sebastian, FL 32958
Office: 772-226-1986
772-633-0897
wjohnson@ircgov.com
RBaker@CityotSebastian.org
John M. Boyer, P.E. -Utilities Engineer
IRC Department of Utility Services
1801 27th Street - Building A
Vero Beach, FL 32960
Phone: 772-226-1823
jboyer@ircgov.com
James Ennis, PE PMP County Engineer
Indian River County
180127 1h Street, Bldg. A
Vero Beach, FL 32960
jennis@ircgov.com
(772)226-1221
Kirstin Leiendecker, P.E.
Project Engineer
Indian River County
1801 27th Street, Bldg. A
Vero Beach, FL 32960
(772) 226-1377
kleiendeckei@ircgov.com
Tracy S. Telle Assistant City Engineer
City of Fort Pierce
Engineering Department
too North U.S.1 Fort Pierce, FL 34950
Phone: 772.4673776
TTelle@City-FtPierce.Com
Thomas Baker
The City of Melbourne
goo East Strawbridge Avenue
Melbourne, FL 32901
Thomas. Ba ker@m I bfl.org
321.608.7310
1 odd A. Young
Senior Engineering Designer
17 -17th Street
PO Box 1389
Vero Beach, Florida 32961-1389
772-978-5209
tyoung@covb.org
Timothy Rose Contracting have provided services for the above references for at least 5 years,
doing numerous projects of different work.
CITY OF SEBASTIAN, FLORIDA
SEBASTIAN CONTRACTOR LICENSE
1225 MAIN STREET, SEBASTIAN, FL32958
COMP CARD VALID OCTOBER 1, 2018 TO SEPTEMBER 30, 2019
License: 1260 Expires: 913 012 01 9 Type: UNDERGRND.UTILITIES I
Qualifier: TIMOTHY W. ROSE Ph: (772)564-7300
Registration: R00066532 Expires: 813112017 Insurance: CMM6079889 Expires: 6/06/2019
Workers Comp: WCPEO000016405 Expires: 10/01/2018 Fee Paid: 33.00 9/21/2018
Grim
TIMOTHY ROSE CONTRACTING, INC -�
1360 SW OLD DIXIE HWY. C
VERO BEACH FL 32962 xO.� Of z _1 -MI :BLi IL, -
LICENSING SPECIALIST
NON -TRANSFERABLE
.i
RICK SCOTT. GOVERNOR JONATHAN ZACHEM, SECRETARY
db'iD-r
STATE OF FL OMDA
DEPARTMENT OF BUSNESS-ANE-ROFESS�ONAL REGULA T SON
THE GENERAL CONTRACTOR HEREIN 1S CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489 -FLORIDA STATUTES
ROSE, TWOUITHLY11MLLL-11A .
TIMOTHY ROSE CONTRACTING INC ,
1360 SVA/ OLD DIXIE HIGHWA-
SUITE 106
VERO LEACH FL 32962
Ij �--p_tlCENSERI'EJG�iEG �:: �GC052940 = _
EXPIRAT�®N-:DATE A-,Ut !Sa 3!,2020
Always verify licenses online at MyFloridal-icense.com
Do not after this document in any form.
This is your license. It is unlawful for anyone other than the licensee to use this document.
12
H19 FLORIDA PROFIT CORPORATION ANNUAL REPORT
DOCUMI'_IVTit 57.5343
Entity Namo: TIMOTHY ROSE CONTRACTING, INC.
Current Principal Place of Business:
1360 011] DIXIE i MN SW
STE 106
VER08FACH, FL 32962
Current Mailing Address:
1360 OLD DIXIE HWY SW
STE 106
VERO BEACH, FL 32962 US
FEI Number: 65-8284242
Name and Address. of Current Registered Agent
ROSE, TIMOTHY W
1360 OLD DIXIE HIGHWAY SW
106
VERO BEACH, FL 32962 US
FILED
Jan 22, 2019
Secreiary of Stato
9093647305CC
Certificate of Status Desired: No
The ahovanapod anhiysohmds PoesOeemeotN the pvrpose of chm,ging its reghteredcfti orregisfwed Ogen( orhodr, in the 81W, NFA114O
SIGNATURE
Electronic Sgnalure of Registered Agent
OfficerlDirector Detail
Title
p
Name
ROSE, I IMOTHY W.
Address
1360 OLD DIXIE HWY SURE 105
City-StMe-Zip:
VERO BEACH FL 32962
TIt1e
TREA
Name
ROSE, USA
MOM.
1360 SW OLD DIXIE HWY #106
CilyShte-Zip:
VERO BEACH FL 32962
Title
SEC
Name
ROSE, RONALD
Addrass
1360 SW OLD DIXIE HWY #106
City -Slate Zip.
VERO REACH FL 32962
Dale
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SIGNATURE TIMOTHY W. ROSE PRESIDENT 01/22/2019
Eleclmmc Sgndtu a of Sgnnl9 O6icer0rector DOOR Oate
./1 TIMOR -1 OP ID: TJ
,Ac.cJRJ�' CERTIFICATE OF LIABILITY INSIMANCE DA......U."YY,
0513112018
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 held., is an ADDITIONAL INSURED, the PDliey US.) must have ADDITIONAL INSURED provisions or be endorsed.
It 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 772-286-4334 CONTACT Tani Jacobson
Snmrtlnsurance, InAME_c. PHONIC 772-286-4334 -- - rI'Ax 772-286-9389
3070 S W Mapp IAn M. al : _ ' N- _
Palm Cit FL 34990 E-MAIL tjaco>f son shlartmsuradce.net
Rick Haliamb, GIC, ARM DDREss; _.
MUSSELS AFFORDING COVERAGE _ BRIG IT _
_ INSURE. A: Westfield Insurance Co. 24112
Insuveu Timothy Rose Contracting Inc INSURER D Travelers
Old❑ Dixie SW, Ste 106
Vero "_-
Vero Beach, FL 32952 iNsuxeao-
COVERAGES CERTIFI
THIS IS TO CERTIFY THAT THE POLICIES OF
INDICATED. NOTWITHSTANDING ANY REQUII
C PURMCATE MAY REISSUED OR MAY PERI
6C USIONS AND CONDITIONS OF SUCH'OLI
INIRR TYPE of INSURANCE 1Pp
A. X COMMERGIALGENERAL LIABILITY
CLAIMSMAOE ❑X OCCUR Y
X Contractual Lum
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G EN'L AGUREGATE LIgMOIT APPLIES PER:
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X PIP $10000
B X UM... A. X OCCUR
EXCESS LAB GLANS MADE
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NUMBER: REVISION NUMBER
ANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
JT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
HHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
POLICY NDM1fa ERIPCLICIAPI
MMIOOIYYYYI IMMOIVYYYYI LIMITS
-CHOCCURHENCE 5
DAMAGE TO ftEHTEO
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OE=MPDON OF OPERATIONS ILOCAnONS I VEIIICLES (REGIME 101, AM11ional R -arks schaaalo, May IM PIIacOod IT mom space E MgUIMM
-City of Sebastian Is additional insured with respect to general liability
for ongoing and completed operations when required by written contract.
CERTIFICATE HOLDER
City of Sebastian
1225 Main SIT set
Sebastian, FL 32958
ACORO 25 (2016103)
CITSE-1
CANCELLATION
5,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AmPORIZEO BEPRESPNTATVE
/
NJ 1988--2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo Bre registered marks of ACORD
A ROC Oe CER"fIFICA'I' F: OF LIABILITY INSURANCE I OAT9n9201a
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 he endorsed.
If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an
this certificate docs not confer rights to the certificate holder in lieu of such enciorsement(s).
PRODUCEaco1RACr
SUNZ Insurance Solutions, LLC ID: (Essential) =0 E- Jennifer I lauaor
c/o Essential HR, Inc. dba First Star HR PSUD xoxE 972AO4-0295 _ iac, NaL
4455 LBJ Freeway, Suite 1080 ExAALL
Dallas, TX 75244 aDDREss: lennifer.hauaar0filststartucem
INSURERLSLAFFORUINGCOVERAGE
IusunER a: SUNZ Insu2nce-0om0anv 3a]G2
INSURED INSURER a:
Essentialntial HR Inc.
FOR HR INSURERS.
4455 -BJ Freeway INSURER D.
Suite 1080 INSURETI
Dallas TX 75244
INSURER F:
COVERAGES CERTIFICATE NUMBER: 44300493 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 'ERTAW THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO FlLL THE TERMS,
E:.CLUSIONS AND CONDITIONS OF SUCH e01 AES. LIMI r5 SI IOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS.
INSR ANDL SURF PO.47EFF POLICY E%P
LT0. TYPEOFINSURANCE Fn WN' POLICY NUMBER (MMIanIWYY11MMlanryYYYI ICMD.
COMMERCIALGExEMLUSUALrtY EACx UCCURNENCE//x 5
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CLAIMSMWEJOCCUn PREMISESIEn a¢ism,rol S
MED P M ma 1 S
PEfl50NAL E%AAOVIWURY S
GENLAGGREWTHUMITAPFULSPER GENERALAGGREGATE Is
PpUCT ❑,IRfC{ LIaG PRODUCTS COMP/OPAGC Is
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OTHER' S 1
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GNNEO SCHEGULFn WD4y1WURY (PeramW/) S
AUTOS ONLY AUTOS
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AUTOS ONLY AUTOS ONLY
6
UNSREl1AlLV OLLUN IEACHOCCURRENCE Is
E%CRSLIAe LWMSMAUE AGGRlGA T! E
DEO REIEMNHI6 6
A ERs i]M ERSARUT WCPEODOMI848 10/12018 10112019 J TAME IUPON-
AND
EMPL... WBLLITY Ylll wcPEooa001eaos iD/12017 10f1201a
ANYPRONorI. P/F. r%FLUiNE I— NIA EL FAWIACCIOENT 51000,000
(MammumeNinF%CLVDED] IJ —
Itovad.W...N EL.OI6FASE EA EMPLOYE $1000000
Nyw.de TIONOFw
OESCRIPiION tlF OPEMTIOHS WIcw a EL.OIbkASE_POLICY LIMn E109B BB0
DESCRIPTION OF OPERATIONS ILOCA DONSI VEHICLES (ACORN 101, AOdIIbNI Ramads eesedulq may to mmohed Irmomtpae h IogIAUJI
Coverageprovided for all leased mnployees but not subcome.lors oL Timothy Rose Coalracting, Inc. 1360 SW OLD DIXIE HWM SUITE 105
Effective date: 10/12013
CERTIFICATE HOLDER CANCELLATION
62200099
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Citi of Sebastian THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
1225 Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Sebastian FL 32958
AUINOIeLFUREPPESFLRATNE / _ /// � q
GIenJDisintmm /IJAfMJry'/J/^ _:7
W 1988-2015 ACORD CORPORATION. All rights reserVEL
ACCORD 25 (2016103) The.ACORD name and logo are registered marks of ACORI]
Timothy Rose Contracting Completed Jobs
DOLLAR
Job Name
AMOUNT OF
Completion
Completed
NAME AND ADDRESS OF OFFICIAL TO WHOM YOU REFER
WORK
Date
Date
PERFORMED
Presidential
$864,94214
0212015
02/2015
City Of Sebastian 1225 Main St Sebastian FL32958
Coolidge
5466,161.28
03/2015
0312015
City Of Sebastian 1225 Main St Sebastian FL 32958
Old Dixie 38th
5129,14482
0612015
0612015
Indian River County 1800 27th St Vero Beach FL32960
Omni
$30,87900
11/2015
1112015
Builders Showcase PO Box 12o6 Vero Beach FL32962
211Havana
$384,561.07
12/2015
1212015
City of Fort Pierce PO Box 1480 Ft Pierce FL 34954
23rd St Culvert
$300,15o.67
of/2ol6
o1/2o16
City of Vero Beach 3455 Airport West Dr Vero Beach FL 32960
Shell SF
$510,034.21
07/2016
0712016
City of Satellite Beach 565 Cassia Blvd Satellite Beach FL 32957
12111127th
$1,424,900.79
o8/2o16
0812016
Indian River -County 1800 27th St Vero Beach FL32960
Ay Jalisco
$42,000.00
o8/2o16
0812016
Mike Schlitt 17o8 Old Dixie Hwy Vero Beach FL 32962
2oth / 16th
$1,070,912.48
111zo16
1112ol6
Indian River County 1800 27th St Vero Beach FL 32960
Lincoln Pk
5592,328.15
1212016
12/2016
ICity of Fort Pierce PO Box 1480 Ft Pierce FL 34954
GaVCOrp
s313,549.8o
a/2016
12/2016
(City, Of Sebastian 1225 Main St Sebastian FL 32958
Outback
$292,312.22
03/2017
03/2017
I Buffalo Construction 2700 Stanley Gault Pkwy Louisville KY 40223
Go Line
5473673.24
0512017
05/2017
Barth Construction 1717 Indian River Blvd Vero Beach FL 32960
Old Dixie 74th
$2,195986.52
06/2017
0612017
Indian River County 1800 27th St Vero Beach FL 32960
43rd Ave Sidewalks
543'-,833.o9
0812017
08/2017
Indian River County 180027th St Vero Beach FL 32960
Jackson St
$363,843.63
1012017
10/2017
Birchmier Construction 549 N Wymore Rd Maitland FL 32751
Med Express
$225.268.00
03/2018
03/2018
Welsh Construction 5845W. Eau Gallie Blvd Melbourne FL 32934
GOIf Course
$11,320.00
o5/2018
o5/2018
City Of Sebastian 1225 Main St Sebastian FL32958
Samo Road
$520,994-39
06/2o18
0612o18
City of Melbourne goo E Strawbridge Av Melbourne FL32901
River Drivel5378,260.70
1212018
12/2018
City Of Sebastian 1225 Main St Sebastian FL32958
IIndian
IR Blvd Sidewalks 1
$540,13554
02/2019
02/2019
Indian River County 1800 27th St Vero Beach FL 32960
Timothy Rose Contracting
Excavator
Case 330
Grader
Caterpiller 135H
Grader
Sany SMG200
Grader
John Deere 770BH
Loader
John Deere 5441
Loader
Komatsu WA270-7
Mixer
Wirtgen 2401
Roller
HyPack 840 C 14 Tons
Roller
Bomag
Roller
9Wheel Traffic
Skid Steer
BohCat T650
Water Tanker
2500 Gallon
Water Tanker
7000 Gallon
Roller
Sakai Vibratory Asphalt
Cement Spreader
Stoltz (if needed)
Dump Trucks
Several
WESTFIELD
II, h; RA1i t 1
Lubbq Irar& Jr. euimvy OwC
March 19, 2019
To: City of Sebastian
1225 Main Street
Sebastian, FL 32958
RE: Timothy Rose Contracting, Inc.
1360 Old Dixie Hwy. SW, Suite 106
Vero Beach, FL 32962
Westfield Insurance Company serves as surety for Timothy Rose Contracting, Inc. We would
consider single projects up to $6,000,000, with an overall work program of $12,000,000 to be
routine parameters for this quality contractor. They currently have approximately$1,000,000
in outstanding bonded liability. We consider Timothy Rose Contracting, Inc. to be a highly
qualified construction firm and valued surety client. These limits and any specific approval
would be conditioned upon applicable underwriting considerations at the time of the bond
request. We have issued this letter only as a bonding reference requested by our client.
Westfield Insurance Company has an A.M. Best rating of "A" XV and a U.S. Treasury Listing of
$127,843,000 as of 7-1-18. Feel free to call (904) 661-4700 If you have any questions or need
additional information.
Sincerely, / y�
Daniel J. Sheehan
Regional Bond Leader
10245 Cent union Pkwy. N.. Sic. 104. Mekennytik R 32256 / )904) 6614708/ FAX (404) W2-1585