HomeMy WebLinkAboutThe New Floirda Industrial Electric, INC. Mandatory Bid Forms
(Mandatory forms must be submitted with the bid.Failure to submit forms will disqualify the bidder from the ITB)
ITB#03-23 PH MICHAEL BLAKE BLVD SIGNALIZATION PROJECT 13
BIDDER INFORMATION FORM
FOR
BID#:03-23 PH
MICHAEL BLAKE BLVD SIGNALIZATION PROJECT
The Undersigned:
A. Acknowledges receipt of:
1. ITB 03-23 PH—MICHAEL BLAKE BLVD SIGNALIZATION PROJECT
2. Attachment A: Approved Construction Plan
3. Attachment B: Approved Geotechnical Report
4. Attachment C: Approved Florida Department of Transportation (FDOT)Permit
B. Has examined the site and all Bidding Documents and understands that in submitting his Bid,he waives all right to plead
any misunderstanding regarding the same.
C. Agrees:
1. To hold this Bid open for 60 calendar days after the bid opening date.
2. To furnish the goods and/or services specified in this ITB at the prices quoted in my responsive bid and in
compliance with the Bidding Documents.
3. To accept the provisions of the Instructions to Bidders.
4. To enter into and execute a contract with the OWNER incorporating the bid amounts, if selected on the basis of
this Bid.
5. To accept a City Purchase Order issued by the OWNER at the submitted Bid Price.
6. To accomplish the work in accordance with the contract documents and this Project Manual.
D. Certifies:
1. That all information contained in this bid is truthful to the best of my knowledge and belief.
2. That I am duly authorized to submit this bid on behalf of the vendor and that the vendor is ready,willing, and able
to perform if awarded the bid.
IT IS THE BIDDERS RESPONSIBILITY TO CHECK www.demandstar.com
FOR FINAL DOCUMENTS AND ADDENDUMS BEFORE SUBMITTAL
THIS BID MUST BE SIGNED BY THE PRINCIPAL OR DIRECTOR AS INDICATED BY THE FLORIDA
DEPARTMENT OF STATE,DIVISION OF CORPORATIONS (www.sunbiz.or )Proof of corporate signer must be
submitted with Proposal.If not submitted,proposer will be considered non-responsive.Use Sunbiz website screen shot or
copy of Corporate Resolution.
BIDDER NAME: The New Florida Industrial Electric, Inc.
TAX ID# SNN or EIN: 20-2950491
PROPOSER ADDRESS: 104 Commerce St, Lake Mary Florida, 34746
PURCHASE ORDER
ADDRESS: 104 Commerce St, Lake Mary Florida,34746
PHONE NUMBER: 407-331-1551
COMPANY WEBSITE:
COMPANY CONTACT
(REP): Michael J. Scharf, Executive Vice President
CONTACT EMAIL
ADDRESS: dotestimating@fie-inc.com
TOTAL BID AMOUNT: 812.2,1+5, 0
If
NAME&TITLE: Michael J. Scharf, Executive Vice President
SIGNATURE: �_, _
REFERENCE INFORMATION FORM
BID#:03-23 PH
MICHAEL BLAKE BLVD SICNALIZATION PROJECT
Organization: Board of County Commissioners Orange County Florida
Contact Person: Frank Yokiel
Address: 4200 S.John Young Pkwy
City: Orlando State: Florida Zip: 32839
Phone Number: ( ) 407-836-8073
Project Cost: $3,809,807.82 Date Performed: 12/5/2022
Organization: Central Florida Expressway Authority
Contact Person: Brent Dustin
Address: 525 Technology Pkwy, Suite 153
City: Lake Mary State: Florida Zips 32746
Phone Number: ( )407-885-9120
Project Cost: $332,305.44 Date Performed: 3/27/2020
Organization: FDOT/Seminole County
Contact Person: Tony Mozick
Address: 140 Bush Loop
City: Sanford _ State: Florida Zip: 32773
Phone Number: ( ) 407-665-5588
Project Cost: $572,344.64 Date Performed: 6/18/2019
Representative Typed Name/Title Anne Fitzgerald, Secretary
Rcprescntativc Signature U11, - Lr - - -_
Finn The New Florida Industrial Electric, Inc.
INSURANCE REQUIREMENT FORM
Insurance Type Required Limits
Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government
Worker's Compensation Statutory Limits
Employer's Liability $1,000,000 each accident, single limit per occurrence
Commercial General $1,000,000 single limit per occurrence
Liability $3,000,000 aggregate for Bodily Injury Liability&Property Damage Liability.
(Occurrence Form) This shall include Premises and Operations; Independent Contractors; Products
patterned after the current & Completed Operations &Contractual Liability.
ISO form
To the maximum extent permitted by Florida law,the
ContractorNendor/Consultant shall indemnify and hold harmless City of Winter
Indemnification Springs, its officers and employees from any and all liabilities, damages, losses
and costs, including,but not limited to,reasonable attorneys' fees and
paralegals' fees,to the extent caused by the negligence,recklessness, or
intentional wrongful conduct of the ContractorNendor/Consultant or anyone
employed or utilized by the ContractorNendor/Consultant in the performance of
the Agreement. This indemnification obligation shall not be construed to negate,
abridge or reduce any other rights or remedies which otherwise may be available
to an indemnified party or person described in this paragraph. This section does
not pertain to any incident arising from the sole negligence of the City of Winter
Springs.
Automobile Liability $1,000,000 each person; Bodily Injury&Property Damage, Owned/Non-
owned/Hired;Automobile Included.
Other
Vendor shall ensure that all subcontractors comply with the same insurance requirements that he/she is required to
meet. The same Vendor shall provide the City with certificates of insurance meeting the required insurance
provisions.
The City of Winter Springs must be named as "Additional Insured"on the Insurance Certificate for Commercial
General Liability where required.
The Certificate Holder shall be named as City of Winter Springs.
Thirty(30) days cancellation notice required.
The undersigned firm agrees to obtainprior to award if selected insurance as stated above.
The New Florida Industrial Electric, Inc
Bidder
A orized ure
Michael J. Scharf, Executive Vice President
Officer Title
3/30/2023
Date
SCRUTINIZED COMPANY CERTIFICATION
Florida Statutes, Sections 287.135 and 215.473
Pursuant to Section 287.135, Florida Statutes (2017), a company is ineligible to, and may not,bid on, submit a proposal for, or
enter into or renew a contract with the City for goods or services of:
a. Any amount if, at the time of bidding on, submitting a proposal for, or entering into or renewing such contract,the
company is on the Scrutinized Companies that Boycott Israel List, created pursuant to s. 215.4725, or is engaged in a
boycott of Israel; or
b. One million dollars or more if, at the time of bidding on, submitting a proposal for,or entering into or renewing such
contract,the company:
Is on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector List, created pursuant to s. 215.473; or Is engaged in business operations in Cuba or Syria.
Subject to limited exceptions provided in state law,the City will not contract for the provision of goods or services with any
scrutinized company referred to above. The Contractor must submit this required certification form attesting that it is not a
scrutinized company and is not engaging in prohibited business operations.
The following shall be grounds for termination of the contract at the option of the awarding body:
a. The company is found to have submitted a false certification; been placed on the Scrutinized Companies with Activities in
Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List;
b. Been placed on the Scrutinized Companies that Boycott Israel List or
c. Is engaged in a boycott of Israel; or
d. Been engaged in business operations in Cuba or Syria.
The City shall provide notice, in writing,to the Contractor of any determination concerning a false certification.
a. The Contractor shall have five (5) days from receipt of notice to refute the false certification allegation.
b. If such false certification is discovered during the active contract term, the Contractor shall have ninety(90)days
following receipt of the notice to respond in writing and demonstrate that the determination of false certification was
made in error.
c. If the Contractor does not demonstrate that the City's determination of false certification was made in error then the City
shall have the right to terminate the contract and seek civil remedies pursuant to Section 287.135, Florida Statutes.
THIS CERTIFICATION FORM MUST BE COMPLETED AND INCLUDED IN YOUR BID RESPONSE.FAILURE
TO SUBMIT THIS FORM AS INSTRUCTED SHALL RENDER YOUR BID SUBMITTAL NON-RESPONSIVE.
a. The Vendor, owners, or principals are aware of the requirements of Section 287.135, Florida Statutes; and
b. The Vendor, owners, or principals are eligible to participate in this solicitation and not listed on the Scrutinized
Companies that Boycott Israel List or engaged in a boycott of Israel; and
c. For contracts of one million dollars or more,the Vendor, owners, or principals are eligible to participate in this
solicitation and not listed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with
Activities in the Iran Petroleum Energy Sector List and,further, are not engaged in business operations in Cuba or Syria;
and
d. If awarded the Contract,the Vendor, owners, or principals will immediately notify the City in writing if any of its
company, owners, or principals: are placed on the Scrutinized Companies that Boycott Israel List,the Scrutinized
Companies with Activities in Sudan List, or the Scrutinized Companies with Activities in the Iran Petroleum Energy
Sector List; engage in a boycott of Israel; or engage in business operations in Cuba or Syria.
(Aut rixed Si re)
Michael J. Scharf, Executive Vice President
(Printed Name and Title)
The New Florida Industrial Electric, Inc.
(Name of Vendor)
STATE OF Florida
COUNTY OF Seminole
The foregoing instrument was acknowledged before me by means of physical presence or( ) online notarization,
this
30th day of March 2023,by
Michael J. Scharf the Executive Vice Presidentof The New Florida Industrial Electric, Inc , a Corporation
who is personally known to me or who produced as identification.
Notary Public C r rnJ INARRTFfASCHAR4IN Print Name. ]G+�l�t•�c /l
;,• ,; MY COMMISSION#HH 15W33
f=][Pif?ES:August 4, 0 S
QF:o.•' 8onde�lThmNotaryPubiclTnderwritars My Commission Expires: `� Z
NON-COLLUSION AFFIDAVIT) OF PRIME RESPONDENT
STATE OF Florida }
COUNTY OF Seminole }
Michael J. Scharf being duly sworn, deposes and says that:
(1) He/she is Executive Vice President of The New Florida Industrial Electric, Inc.
Title Firm/Company
The respondent that has submitted the attached response.
(2) He/she is fully informed respecting the preparation and contents of the attached solicitation and of all pertinent circumstances
respecting such solicitation.
(3) Such solicitation is genuine and is not a collusive or sham solicitation.
(4)Neither the said respondent nor any of its officers,partners, owners, agent representatives, employees or parties in interest
including this affiant,has in any way, colluded, conspired, or agreed, directly or indirectly,with any other respondent,firm or
person, to submit a collusive or sham response in connection with the Agreement for which the attached response has been
submitted or to refrain from proposing in connection with such Agreement, or has in any manner, directly or indirectly, sought
by Agreement or collusion or communication or conference with any other responder, firm or person to fix the price or prices in
the attached solicitation or of any other respondent, or to fix any overhead,profit or cost element of the proposed price or the
proposed price of any other responder, or to secure through any collusion, conspiracy, connivance or unlawful Agreement any
advantage against the City of Winter Springs, Florida, or any person interested in the proposed Agreement.
(5)The price or prices quoted in the attached response are fair and proper and are not tainted by any collusion, conspiracy, or
unlawful Agreement on the part of the proposer or any of its agents,representatives, owners, employees, or parties of interest,
including affiant.
Executive Vice President
(Sig d (Title)
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged before me this 30th day of March 2023 by Michael J.Scharf, Executive Vice President
who is
personally known to me or who has produced _ as identification and who did(did not)take
an�oa .
ff (Signature of Notary Public)
Flu e I (Name of Notary Typed, Printed or Stamped)Notary Public
� MAR
ASCHARnIH� 3 ''w) . ',
HtY COMMISSION p Hg 155033
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UrtdBllYrIICM
DRUG FREE WORKPLACE FORM
The undersigned proposer, in accordance with Florida Statute 287.087 hereby certifies that
The New Florida Industrial Electric, Inc. does:
(Name of Business)
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'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 contract a copy
of the Drug-Free statement.
4. Notify the employees that as a condition of working on the commodities or contractual services that are under
contract, 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 893 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 this section.
As the person authorized to sign the statement,I certify that this business complies fully with the above requirements.
VERIFICATION OF EMPLOYMENT STATUS The New Florida Industrial Electric, Inc.
Company Name:
USING ENERIFY
i
The undersigned proposer, in accordance with Florida tllorize 'gnature:
Statute 448.09 and 448.095 hereby certifies that
Michael J. Scharf
Print Name:
Executive Vice President
Title:
3/30/2023
Date:
The New Florida Industrial Electric, Inc. _ IS:
(Name of Business)
1. Currently registered with the U.S. Department of Homeland Security's E-Verify system, and is compliant with the
requirements of Sections 448.09 and 448.095,Florida Statutes.
2. Has not had any contracts terminated as a result of violations of Sections 448.09 or 448.095,Florida Statutes,that
prohibit it from contracting with a public agency.
3. Aware that if it enters into an agreement with a subcontractor, an express provision shall be included in all of its
subcontracts requiring subcontractors,who perform work or provide services pursuant to the contract,to use the
E-Verify system to verify employment eligibility of all new employees hired by the subcontractor during the
contract term.
4. Aware that any subcontractor must provide the contractor with an affidavit stating that the subcontractor does not
employ, contract with, or subcontract with an unauthorized alien, and the contractor understands it shall maintain
any such affidavits for the duration of the contract, and the contract with the subcontractor must be immediately
terminated if the City has a good faith belief that the subcontractor knowingly violated Section 448.09(1),Florida
Statutes.
5. Aware that in the event the City has a good faith belief that the contractor has knowingly violated Section 448.09
(1),Florida Statutes,the City shall terminate the contract, and the contractor may not be awarded a public contract
for a period of at least one (1)year after the date of termination. The contractor may be held liable for any
additional costs incurred by the City as a result of termination of the contract.
As the person authorized to sign the statement, I certify that this business complies fully with the above requirements
BID BOND FORM
KNOW ALL MEN BY THESE PRESENTS,that we, Company Name:
the undersigned, as
Principal, and as
Surety, are hereby and firmly bound unto the CITY OF Authorized Signature:
WINTER
SPRINGS as OWNER, in the penal sum of
Dollars Print Name:
($ �) for the payments of which,well
and truly to be made,we hereby jointly and severally
bind ourselves, our heirs, executors, administrators,
successors, and assigns. Title:
The condition of the above obligation is such that Date:
whereas the Principal has submitted to the CITY OF
WINTER SPRINGS a certain Bid, attached hereto and hereby made a part hereof to enter into a contract in writing, for
the Work described as:
NTICIIAE1, BI.AKE BLVD SIGNALIZATION PROJECT
NOW, THEREFORE, if the Principal shall not withdraw said Bid within 90 days after the opening of the same, or in the
alternate, if said Bid shall be accepted and the Principal shall execute and deliver required certificates of insurance and a
contract that, at minimum, includes the terms of the Form of Agreement attached hereto (properly completed in
accordance with said Bid), and shall give bond with good and sufficient surety or sureties, as may be required,for the
faithful performance and proper fulfillment of such contract,then this obligation shall be void; otherwise the same shall
remain in force and effect and the sum herein stated shall be due and payable to the CITY OF WINTER SPRINGS and
the Surety herein agrees to pay said sum immediately,upon demand of the CITY OF WINTER SPRINGS, in good and
lawful money of the United States of America, as liquidated damages for failure of the Principal; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal
amount of this obligation as herein stated.
The Surety, for value received, hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no
way impaired or affected by an extension of the time within which the OWNER may accept such Bid; and said Surety
does hereby give waive notice of any such extension.
IN WITNESS WHEREOF,the above bounded parties have executed this instrument under their several seals this
. day of , 20=,the name and corporate seal of each corporate body being hereto
affixed and these presents duly signed by its undersigned representative,pursuant to authority of its governing body.
� 1tI� i��at�t,'1A1
(leas) {f►�aart )
R'It�1J tc�;,tt�i�1
(Itmdpi i,l)
1. Currently registered with the U.S.Department of Homeland Security's E-Verify system,and is compliant with the
requirements of Sections 448.09 and 448.095,Florida Statutes.
2. Has not had any contracts terminated as a result of violations of Sections 448.09 or 448.095,Florida Statutes,that
prohibit it from contracting with a public agency.
3. Aware that if it enters into an agreement with a subcontractor, an express provision shall be included in all of its
subcontracts requiring subcontractors,who perform work or provide services pursuant to the contract,to use the
E-Verify system to verify employment eligibility of all new employees hired by the subcontractor during the
contract term.
4. Aware that any subcontractor must provide the contractor with an affidavit stating that the subcontractor does not
employ,contract with, or subcontract with an unauthorized alien, and the contractor understands it shall maintain
any such affidavits for the duration of the contract,and the contract with the subcontractor must be immediately
terminated if the City has a good faith belief that the subcontractor knowingly violated Section 448.09(1), Florida
Statutes.
5. Aware that in the event the City has a good faith belief that the contractor has knowingly violated Section 448.09
(1),Florida Statutes,the City shall terminate the contract,and the contractor may not be awarded a public contract
for a period of at least one(1)year after the date of termination.The contractor may be held liable for any
additional costs incurred by the City as a result of termination of the contract.
As the person authorized to sign the statement, I certify that this business complies fully with the above requirements
BID BOND FORM
The New Florida Industrial Electric, Inc. .�` 1ec t r,� ''•.
•
KNOW ALL MEN BY THESE PRESENTS,that we, Company Name: �t�► A
the undersigned, The New Florida Industrial Electric, Inc. as v. rf 0;
r LLJ Q ir: f.
Principal,and Great American Insurance Company as � rV I7.
Surety,are hereby and firmly bound unto the CITY OF Au iorized Si re:
WINTER ��� .M a�• �v .
SPRINGS as OWNER, in the penal sum of
Five Percent of Amount Bid Dollars Print Name.
($5%amt bid )for the payments of which,well
and truly to be made,we hereby jointly and severally ,
bind ourselves,our heirs, executors, administrators,
successors,and assigns. Title:
March 31,2023
The condition of the above obligation is such that Date:
whereas the Principal has submitted to the CITY OF
WINTER SPRINGS a certain Bid,attached hereto and hereby made a part hereof to enter into a contract in writing, for
the Work described as:
MICHAEL BLAKE BLVD SIGNALIZATION PROJECT
NOW,THEREFORE, if the Principal shall not withdraw said Bid within 90 days after the opening of the same,or in the
alternate, if said Bid shall be accepted and the Principal shall execute and deliver required certificates of insurance and a
contract that,at minimum, includes the terms of the Form of Agreement attached hereto(properly completed in
accordance with said Bid), and shall give bond with good and sufficient surety or sureties, as may be required, for the
faithful performance and proper fulfillment of such contract,then this obligation shall be void; otherwise the same shall
remain in force and effect and the sum herein stated shall be due and payable to the CITY OF WINTER SPRINGS and
the Surety herein agrees to pay said sum immediately, upon demand of the CITY OF WINTER SPRINGS,in good and
lawful money of the United States of America,as liquidated damages for failure of the Principal; it being expressly
understood and agreed that the liability of the Surety for any and all claims hereunder shall, in no event, exceed the penal
amount of this obligation as herein stated.
The Surety, for value received,hereby stipulates and agrees that the obligations of said Surety and its bond shall be in no
way impaired or affected by an extension of the time within which the OWNER may accept such Bid;and said Surety
does hereby give waive notice of any such extension.
IN WITNESS WHEREOF,the above bounded parties have executed this instrument under their several seals this
31 st day of March , 2023 ,the name and corporate seal of each corporate body being hereto
affixed and these presents duly signed by its undersigned representative,pursuant to authority of its governing body.
ly.l llllflli,
The New Florida Industrial Electric, Inc. '
(1'fincipal) (Seafk4
(Witness)
CGe7i ��Q r .C►' G:��� �J:
05
104 Commerce St, Lake Mary FL 32746 .. .......... ►
Great American Insurance Company
(S rety (Seal)
(WitncsS) Eileen Heard,Surety Witness I It le)
Kevin Wojtowicz, Attorney-in-fact and
Florida Licensed Resident Agent
(Addre:+s Nielson WojtMcx Neu&Associates
1000 Central Ave#200,St.Petersburg A 33705
0
'` I
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than THREE
No.O 21600
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY,a corporation organized and existing under
and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than
one is named,its true and lawful attomey-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds,
undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
KEVIN WOJTOWICZ ALL OF ALL
EILEEN C.HEARD ST.PETERSBURG,FLORIDA $100,000,000
JESSICA P.RENO
This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 9TH day of FEBRUARY 2021
Attest GREAT AMERICAN INSU ANCF COMPAN
f.� a
Assistant Secretary Divisional Senior Vice President
STATE OF OHIO,COUNTY OF HAMILTON-ss: MARKwcARio(e77-377-2405)
On this 9TH day of FEBRUARY 2021 ,before me personally appeared MARK VICARIO,tome known,
being duly swom,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American
Insurance Company,the Company described in and which executed the above instrument;that he knows the seal of the said Company;that the seal affixed to the
said instrument is such corporate seal;that it was so affixed by authority of his office under the By-Laws of said Company,and that he signed his name thereto
by like authority.
SUSAN A KOHORST
•' Notary Public
$ State of Ohio ,t
My Comm.Expires
May 18,2025
This Power ofAttomey is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated June 9,2008.
RESOLVED: That the Divisional President,the several Divisional Senior rice Presidents,Divisional Vice Presidents and Divisonal Assistant Vice
Presidents,or any one of them, be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,
as surety,any and all bonds,undertakings and contracts ofsuretyship,or other written obligations in the nature thereof,to prescribe their respective ditties and
the respective limits of their authority,and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company maybe affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking, contract of sur•elvship,
or other written obligation in the nature thereof,such signature and seal when so used being herebv adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Conipany lvith the same force and effect as though manually affixed.
CERTIFICATION
1,STEPHEN C.BERAHA,Assistant Secretary.of Great American Insurance Company,do hereby certify that the foregoing Power of Attorney and
the Resolutions of the Board of Directors cfJune•9,.2Q08•haat hqt been revoked and are n w in fuii force and effect.
Signed and scaled this'3f day,CT c:2()3
Assistant Secretary
51029AH(03/20)
FLORIDA TRENCH SAFETY ACT CERTIFICATION
Bidder acknowledges that the Bidder must comply with the Florida Trench Safety Act and applicable trench safety
standards. Included in the various items of the proposal and in the Total Bid Price are costs for complying with the
Florida Trench Safety Act(90-96,Laws of Florida)effective October 1, 1990. The bidder further identifies the costs to be
summarized below. The separate item identifying the cost of compliance with trench safety standards shall be based on
the linear feet of trench to be excavated. The separate item for special shoring requirements,if any, shall be based on the
square feet of shoring used. Every separate item shall indicate the specific method of compliance as well as the cost of
that method.
Item Trench Safety Measure Unit of Unit Unit Cost Extended
Description Measure Cost
A N/A N/A N/A N/A N/A N/A
B
C
D
This amount disclosed as the cost of compliance with the applicable trench safety requirement does not constitute the
extent of the Contractor's obligation to comply with said standards. The contractor shall expend additional sums, at no
additional cost to the OWNER(except as may otherwise be provided),which are necessary to so comply.
Acceptance of the bid to which this certification and disclosure applies in no way represents that the OWNER or its
representatives have evaluated and thereby determined that the above costs are adequate to comply with the applicable
trench safety requirements nor does it in any way relieve the bidder, as Contractor, of its sole responsibility to comply
with the applicable trench safety requirements.
The New Florida Industrial Electric, Inc.
Name of Firm
Authorized Sig Lure
Michael J. Scharf, Executive Vice President
3/30/2023
Date
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Detail by Entity Name
Florida Profit Corporation
THE NEW FLORIDA INDUSTRIAL ELECTRIC, INC.
ftg-tnformation
Document Number P05000078601
FEI/EIN Number 20-2950491
Date Filed 05/31/2005
Effective Date 06/01/2005
State FL
Status ACTIVE
Last Event AMENDMENT
Event Date Filed 10/06/2006
Event Effective Date NONE
Principal Address
104 Commerce Street
Lake Mary, FL 32746
Changed: 01/21/2019
Mailing Address
104 Commerce Street
Lake Mary, FL 32746
Changed: 01/21/2019
eagis-temd Agent Name& ess
EIGENMANN, CONRAD DJR.
104 Commerce Street
Lake Mary, FL 32746
Address Changed: 01/21/2019
Officer/Director Detail
Name&Address
Title PD
EIGENMANN, CONRAD DJR.
104 Commerce Street
Lake Mary, FL 32746
Title EVPD
SCHARF, MICHAEL J
104 Commerce Street
Lake Mary, FL 32746
Title Secretary
FITZGERALD,ANNE
104 Commerce Street
Lake Mary, FL 32746
Annual Reports
Report Year Filed Date
2021 01/06/2021
2022 01/27/2022
2023 02/02/2023
Document Image_4
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FLORIDA IND USr ' R i A L ELJECTRtC
291 Specialty Point
Sanford, FL 32771
5'"`e,993 (407)331-1551
,y
THE NEW FLORIDA INDUSTRIAL ELECTRIC, INC., DBA
FLORIDA INDUSTRIAL ELECTRIC
CORPORATE RESOLUTION
CORPORATE SIGNATURE AUTHORIZATION
BE IT RESOLVED: That the President, Conrad D. Eigemann, Jr., Executive Vice President, Michael J.
Scharf and Secretary Anne Fitzgerald and any one of them acting individually, be and they are hereby
authorized to sign any and all bids or other securities now or hereafter in the name of this Corporation.
I, Anne Fitzgerald, Secretary to The New Florida Industrial Electric, Inc., dba Florida Industrial Electric,
hereby certify that the foregoing is true and a complete copy of a resolution duly adopted by the Board
of Directors of the said corporation at a meeting duly held on July 20, 2012 at which a quorum was
present and voting throughout, and that the same has not been repealed or amended, and remains in full
force and effect and does not conflict with the by-laws of said corporation.
A_jj�2--v
C!
Printed Name
L,
- 2- -_. r1
ZS/ I9---j
Secretary i)C11C
(CORPORATE SEAL)
FDOT
Florida Department of'Transportation
RON DESANTIS 605 Suwannee Street KEVIN J.THIBAULT,P.E.
GOVERNOR Tallahassee, FL 32399-0450 SECRETARY
January 31, 2022
NEW FLORIDA INDUSTRIAL ELECTRIC, INC. (THE)
104 COMMERCE STREET
LAKE MARY, FLORIDA 32746
RE: CERTIFICATE OF QUALIFICATION
The Department of Transportation has qualified your company for the type of work
indicated below.
FDOT APPROVED WORK CLASSES:
COMPUTERIZED TRAFFIC CONTROL, ELECTRICAL WORK, INTELLIGENT TRANSPORTATION SYSTEMS,
ROADWAY SIGNING, TRAFFIC SIGNAL
Unless notified otherwise, this Certificate of Qualification will expire 3/30/2023.
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://fdotL#pl.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, ,N/�,�/�
gak".4- (�— /l% 2 `Y` Y
Alan Autry, Manager
Contracts Administration Office
AA:cg
Improve Safety, Enhance Mobility, hupire Innovation
www.fdot.gov
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tt\�1 SEMINOLE COUNTY BUSINESS TAX RECEIPT
�. . PO BOX 630, SANFORD, FL 32772 • 407-665-1000
WWW.SEMINOLECOUNTY.TAX
VALID THROUGH 09/30/23
FLORIDA INDUSTRIAL ELECTRIC
104 COMMERCE ST Account #: 126831
LAKE MARY, FL 32746
REGULATED
CONRAD D EIGENMANN JR (OFFICER) License#- EC13003619
Qualifier- EIGENMANN CONRAD D JR
"*LAKE MARY CITY LICENSE REQUIRED **
Receipt #: WEB#2022082426898 Amount Paid: $ 45.00 Date Paid: 08/24/2022
BUSINESS OWNER, PLEASE NOTE THE FOLLOWING:
• DISPLAY THE ABOVE RECEIPT PROMINENTLY: This Business Tax Receipt shall be displayed
conspicuously at the place of business in such a manner that it can be open to the view of the public and
subject to inspection by all duly authorized officers of the County. Upon failure to do so the business shall be
subject to the payment of another business tax for the same business or profession.
• RENEW THIS TAX BEFORE IT EXPIRES: Pursuant to Florida Statutes, all Business Tax Receipts shall
be issued by the Tax Collector beginning July 1 st of each year, and it shall expire on September 30th of the
succeeding year. Those Business Tax Receipts issued as renewal accounts beginning October 1st shall
be delinquent and subject to a delinquency penalty of 10% for the month of October, plus an additional 5%
penalty for each month of delinquency thereafter until paid; provided that the total penalty shall not exceed
25% of the business tax for the delinquent establishment (Florida Statute [FS] 205.053 [11).
A 25% penalty shall be imposed on any individual engaged In any new business or profession without first
obtaining a Seminole County Business Tax receipt ([FS] 205.053 [2]).
This Business Tax Receipt is only a receipt for business taxes paid. It does not permit the taxpayer to violate
any existing regulatory or zoning laws of the state, county, or municipality, nor does it exempt the taxpayer
from any other required licenses, registrations, certifications, or permits. Business Tax requirements are
subject to legislative change.
REPORT ALL CHANGES: The holder of this Business Tax Receipt is required to report a change in the
following: Ownership, Business Location, Mailing Address, or any other information that would alter the
status of the current year's information. This includes, but is not limited to, the loss of or a change in a State
or Regulatory License which was used to qualify for the business identified on the current County Business
Tax Receipt. If you have any changes to report, contact the Business Tax Department at 407-665-7636.
THE NEW FLORIDA INDUSTRIAL ELECTRIC INC
104 COMMERCE ST #'
LAKE MARY, FL 32746
~ k 2022 - 2023 Receipt # 23 00009679
City of Lake Mary THIS RECEIPT MUST BE POSTED
CONSPICUOUSLY IN YOUR PLACE OF
Post Office Box 958445, Lake Mary, FL 32795-8445 BUSINESS.
LOCAL BUSINESS TAX
LOCATION: 104 COMMERCE ST This receipt expires 9130123.
Classification: CONTRACTORS/SUBS, CONS1'1ILJC3 YGiti RI;LA!1_0 Receipt Fee $ 75 . 00
Delinquent Penalty $ . 00
For: THE NEW FLORIDA INDUSTRIAL Interest $ . 00
ELECTRIC, INC DBA FL ELECTR:1.r
104 COMMERCE ST - TOTAL$ 75.00
LAKE MARY FL 32746
Comments:
ELECTRICAL CONTRACTOR
City Clerk
BUSINESS SHALL COMPLY WITH ALL CITY CODES OR BE SUBJECT TO NON-RENEWAL OR REVOCATION.
BY THE ISSUANCE OF THIS BUSINESS TAX RECEIPT,THE CITY IS NOT APPROVING THE USE OF THE PROPERTY OR THAT THE PROPERTY 15 COMPLIANT WITH CODE IN ANY WAY.
THE NEW FLORIDA INDUSTRIAL
ELECTRIC, INC DBA FL ELECTRIC
104 COMMERCE ST
LAKE MARY FL 32746
6/24/2021 SBA-SBA Profile
SBA Profile
Primacy Statement
(Back to Profile List, or use Back button)
Identification, Location & Contacts
This profile was last updated: 10/30/2020
Status: Active
User ID: P0723325
Name of Firm: New Florida Industrial Electric, Inc., The
Trade Name ("Doing Business Florida Industrial Electric
As ..."):
DUNS Number: 602925583
Parent DUNS Number:
Address, line 1: 104 COMMERCE ST
Address, line 2:
City: LAKE MARY
State: FL
Zip: 32746-6206
Phone Number: 407-379-1722
Fax Number:
E-mail Address: mike.scharf fie-inc.com
WWW Page: http://www.fie-inc.com
E-Commerce Website:
Contact Person: Michael Scharf
County Code (3 digit): 117
Congressional District: 07
Metropolitan Statistical Arco: 5960
CAGE Code: 036Y8
Year Established: 1983
Accepts Government Credit [X] Yes [ ] No
Card?:
GSA Advantage Contract(s):
(Note: Size information is now under "NAICS Codes with Size Determinations by NAICS", below.)
(Organization, Ownership & Certifications
Legal Structure:
Ownership and Self- Self-Certified Small Disadvantaged Business
Certifications:
Current Principals
(none given)
"Business Development Servicing Office" (for certifications)
https://web.sba.gov/pro-net/search/dsp_profile.cfm?RequestTimeout=60&DUNS=602925583 1/4
6/24/2021 SBA-SBA Profile
NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
SBA Federal Certifications
8(a) Certification:
SBA 8(a) Case Number:
SBA 8(a) Entrance Date:
SBA 8(a) Exit Date:
HUBZone Certification:
HUBZone Certified?: [ ] Yes [X] No
HUBZone Certification Date:
8(a) Joint Venture Certification:
8(a) JV Entrance Date:
8(a) IV Exit Date:
Women Owned - SBA Certified:
WOSB Certified?: [ ] Yes [X] No
WOSB Certification Date:
Economically Disadvantaged Women Owned - SBA Certified:
EDWOSB Certified?: [ ] Yes [X] No
EDWOSB Certification Date:
E
her Certifications
Non-Federal-Government Certifications:
(none given)
Products &=Services
Capabilities Narrative:
(none given)
Special Equipment/Materials:
(none given)
Business Type Percentages:
https://web.sba.gov/pro-net/search/dsp_profile.cfm?RequestT!meout=60&DUNS=602925583 214
6/24/2021 SBA-SBA Profile
(none given)
Bonding Levels
Construction Bonding Level (per (none given)
contract)
Construction Bonding Level (none given)
(aggregate)
Service Bonding Level (per (none given)
contract)
Service Bonding Level (none given)
(aggregate)
NAICS Codes with Size Determinations by NAICS:
® Primary? Code NAICS_Code's Description "Buy Green"? cl) Smalll? [2�
I�n Yes 238210 Electrical Contractors and Other Wiring iff7771
Installation Contractors
[2 221112 Fossil Fuel Electric Power Generation Yes
L] jElectric Bulk Power Transmission and Control _ Yes
[4 221122 Electric Power Distribution Yes
�5 221320 Sewage Treatment Facilities Yes
R lIndustrial Building Construction JYes
��237110 Water and Sewer Line and Related Structures Yes
Construction
nS 237130 Power and Communication Line and Related Yes
�J Structures Construction
F9 E7-71 237310 Highway, Street, and Bridge Construction Yes
F(g2)i
By entering Yes for"Buy Green",the firm asserts that it obeys EPA guidelines for environmental friendliness for this NAICS code. Note,EPA
delines do not exist for every NAICS code.
If Yes,the firm's revenues/number of employees do not exceed the NAICS code's small business size standard.
Keywords:
(none given)
Miscellaneous:
Quality Assurance Standards: (none given)
Electronic Data Interchange [ ] Yes [ ] No
capable?:
Export Profile (Trade Mission Online)
Exporter?: (firm hasn't answered this question yet)
Export Business Activities: (none given)
Exporting to: (none given)
Desired Export Business (none given)
Relationships:
Description of Export (none given)
Objective(s):
https://web.sba.gov/pro-net/search/dsp_profile.cfm?RequestTimeout=60&DUNS=602925583 3/4
6/24/2021 SBA-SBA Profile
Performance History (References)
(none given)
The structure of this page was last updated 02/01/2013,as part of SBSS 8.1.1.
https://web.sba.gov/pro-net/search/dsp_profile.cfm?RequestTimeout=60&DUNS=602925583 4/4
Form W.9 Request for Taxpayer Give Form to the
(Rev.October2018) identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal iievenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information.
t Name(as shown on your inr.orne tax return).Name:s required on this line;do not leave this line blank.
The New Florida Industrial Electric,Inc.
2 Business name/disregarded entity name,if different from above —-
Florida Industrial Electric
m 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the4 Exemptions(codes apply only to
Qfollowing seven boxes. i certain entitles,not individuals;see
CI instructions on page 3):
o ❑ Individual/sole proprietor or ❑✓ El Corporation S Corporation Partnership ElTrust/estate
c single-member LLC Exempt payee code(if any)
t ❑ Limited flabilily company.Enter the fax cimsiffeation(C=C corporation,S.$corporation,P=Partnership)Y
o J Note:Check the appropriate box In the lino above for the tax classification of the single-member owner. Do not Check Exemption from FATCA reporting
LLC it the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
a another LLC that Is not disregarded from the owner for U.S.federal lax purposes.Otherwise,a single"member LLC that code(If any)
Is disregarded from the owner should check the appropriate box for the tax classification of Its owner.
V Other(see instructions)►
__ _ (Applies to accounts maintained outside the U.S)
y 5 Address(number,street,and apt,or suite no.)See instructions. Requester's name and address(optional)
104 Commerce Street
e City,state,and ZIP code
Lake Mary,FL 32746
7 List account number(s)here(optional) -
Taxpayer Identification Number(TIN)
Enter your TIN In the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding. For individuals,this Is generally your social security number(SSN). However,fora ,.
resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other
e TIN, later.ntities,it is your employer identification number(EIN). If you do not have a number,see How to get a
or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number
Number To Give the Requester for guidelines on whose number to enter.
M2O
Certification
Under penalties of perjury,I certify that:
1.The number shown on this fort Is my correct taxpayer Identification number(or I am wafting for a number to be issued to me);and
2.1 ale not subject to backup withholding because:(a)I am exempt from backup withholding,or(h)I Insive not been notified by the Internal Rovanue
Service(IH5)that I am subject to backup withholding as a result of a failure to report all Interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding;and
3.1 am a U.S.citizen or other U.S,person(defined below);and
4.The FAT CA code(s)entered on this farm(it any)Indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above it you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not appty.For mortgage interest paid,
acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments
other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Fart 11,later.
Sign Signature of t
Here_ U.S.person■ Date I. L3
Genera! instructions •Form 1099-DIV(dividends,including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise - l funds)
1 oo9-MISC various
noted. ( types or income,prizes,awards,or gross
proceeds)
Future developments.For the latest information about developments e Form 1099-B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to www.irs.gov/FormW9.
•Form 1099-8(proceeds from real estate transactions)
Purpose of Form •Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number .Form 1099-C(canceled debt)
(SSN),individual taxpayer Identification number(ITIN),adoption
taxpayer ideritifioallon number(ATIN),or employer-idaiallieatlon number Form 1099-A(acquisition or abandonment of secured property)
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
returns include,but are not limited to,the following. It you do not return Form W-9 to the requester with a TIN,you might
•Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding,
later,
Cat.No.10231X Form W-9(Rev.10-2018)