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Contractor Prequalification Application System via the following link:. www3. dot. state- fl. us/ ContractorPreQualification/ Once loggod in, select " View" for the most recently approved application, and then click the " Manage" and " Application Summary" tabs. FOOT APPROVED WORK CLASSES: MINOR BRIDGES MOT APPROVED SPECIALITY CLASSES OF WORK: RIP RAP please be advised the Department of Transportation has considered your company' s qualification in all work classes requested. We have evaluated your company' s organization, management, work experience, work performance and adequacy of equipment as directed by section 14- 22. 003, Florida Administrative Code. Based on this evaluation,. the Department is not able, at this time., to prequalify your enmoanv for the work clas Seat BASCULE BRIDGE REHABILITATION* BRIDGE DECK www. dol. state. 11. Os 7uawyoeiltl le loco SWISIx3 jo; uawaoeldaa Cl O- El Oil : ZOZZ) ' oul uopepunoj aupajoyg - 419 £ LO- EL N M a m uam SHORELINE FOUNDATION, INC. December -10, 2012 Page two You may apply, in writing, for aRevised Certificate of Qualification at any time prior to the expiration date of this certificate according to Section 14 - 22.. 0091( 3), Florida Administrative Code. Please be advised if certification in additional classes of work is desired', documentation is needed to show that your company has done such work with your own forces and equipment or that experience was gained with another contractor and that you have the necessary equipment for each additional class of work requested. Sincerely, du.. its Moore, Manager Contracts Administration Office JM: cj Le Hoop 6upslx3 to Luawaoelday £ LO-£ L 811 : ZOZZ) ' oul uopepunoj awla oyS - 418 £ LO-£ L , luawyoe33tl N O am a UA a Exhibit " C" Proof of Insurance luawyoelTd le 11Dap Bullslx3 to ivaula3eldea CLO-£ L 811 : ZOZZ) . Out uopepunoj aupatoyS - 018 £ L0 -£ L . nN SHOHEFOU Cllenl %:25089 oArt tusteonxrYi ACORD- CERTIFICAT" LIABILITY INSURANCE 12/ 12/ 2012 U IS CERTFICATE 5UE0 AS A ATTERF, ONLY AND CONFEflS NO RIGHTS UPON THE CEPTIFlCATEHOLOEfl. THIS CERTIFICATE ODES NOTAFFIRMATVELY OR NEMEND,WEND OP ALTERTHE COVERAGE AFFORDED BY THE POLICIES M- EOWTHIS CEATIFICAT. OF INSURANCE If DEP DOETITUTE A OONTPACT BETWEEN THE ISSUINOINSURER(S), AUiHOflRED ER, AND THE CEROLDER. IMPORTANTeJl the nniheab halderis en ADOIEO t,M1e pPliry(ie57 mOSt ba end rsed. lf SUBROGATION IS WAIVED, sublect to theiermsalMeomOttamolthePolicy; eeA. I. poliuire an andorsameN, Astolement on this certiligle does nP4conler HBhtzaD the certificate holder In lieu of such endonemenUs6 pashas. I wue iaserei X 305 669 -6000 SAC rro:. USI Insurance Services, LLCICL P. O. Box 141916 I A6 INCn Coral Cables, FL 33114 -1g18 wwnemq? rsonoaccoVEnAee 1. Shoreline Foundation Inc 2701 SW 56 Ave Pembroke Park, FL 33023. 6166 THE DA.. PE B lexo eurLOraisuaewi'r. " "" USL &H x":r,. aiil °- dRPeAPC: E„aecirtNEn',n C Leasedlflented 51, 000, 00 RISK SN OLD ANY OFTHE ABOVE DESCRIBED MUCIEZ BELANOELLED RE ORE Shoreline Foundation Inc THE EXPIRATION DATE THEREOF, t, Ones \ NLL BE DELIVERED IN ACCOROANOE WITH THE POLICY PBOVSIDNS. 2781 SV766 Ave - Pembroke Park,_FL 33023. 4166 NlnloR ° A "+ rtrRDiam" NE ACORD 1! B ( 201005) 1 of TheACORD name and logo are regislsadmor" of ACORD KSPZP S91063211M9107607 In Inop Oupsix3 to luawooeldaa Eto- EL 911 : ZOZZ) . nut uopepunoj euparo4S - ale £t0-EI : luawgoellV N a N M a n INVIFATIONTO BID 913L13 REPLACENTEN7 OF ExISII G BPLTDOLB AT FORT WALTON LANnlvO Y SECTION 1— INSTRUCTIONS FOR SUBMITTING BID RESPONSE FOR ITB 13 -013: a 1. 1 Bidders are expected to examine this bid form and all instructions. Failure to do so will be at the bidder' s risk. 1. 2 All prices and notations must be in ink or typewritten. No erasures are permitted. Mistakes may be crossed out and corrections Typed adjacent and must be initialed and dated in ink by person signing bid. All bids most be signed with the fine name and by a responsible officer or employee. 1. 3 Each bidder shall furnish all the information required on the bid form and each accompanying sheet on which he/she makes an entry. 1. 4 Unit price for each unit bid shall be shown. A total shall be entered in the amount column for each item bid. In case of discrepancy between a unit price and extended nrice, the unit prices will be presumed to be correct. Failure to show unit prices may render bid as non -responsive. 1. 5 Although the City generally awards bids based on a " lump sum" basis to the bidder submitting the lowest responsive and responsible total bid as shown on the Invitation to bid cover sheet, the City may choose to award on a " per group" or " per item" basis. Therefore, bidders must submit with their bids, all pricing pages on the forms provided, clearly indicating which items are bid and which are not. Failure to submit these pages will render such bid non -responsive. 1. 6 Persons with disabilities needing a special accommodation to participate in this Invitation to Bid should contact the City Clerk, 107 Miracle Strip Parkway, Fort Walton Beach, Florida 32548, 850) 833 -9509, at least seven days before the date the accommodation is necessary. SECTION 2 —FORMS BID CHECKLIST: Bidders are cautioned to assemble the bid packet using this check list: x Invitation to bid Cover Sheet with Total Amount of bid Stated on It x Signed bidder' s Certification Page x Addendum Page x References Completed x Drug Free Workplace Form x Public Entities Crime Form x Invitation to Bid Price Schedule, Unit Price and Total Price Columns Completed X Bid Envelope Prepared as Specified N/ A Bid Bond SPECIAL ITEMS (APPLICABLE TO THIS BID ONLY): XX Insurance ( See Special Conditions) XX Exceptions to Specifications on company letterhead (See General Conditions 3. 5) Product Specifications ( See General Conditions 3. 6) NOTE: PLEASE ENSURE THAT ALL DOCUMENTS ARE COMPLETED AND SUBMITTED WITH YOUR BID IN ACCORDANCE WITH THIS INSTRUCTION SHEET. FAILURE. TO DO SO MAY RESULT IN YOUR BID NOT BEING CONSIDERED FOR AWARD. Page 4 of 28 In Hoop 6ugsix310 Iuaum3eldaa £ LO-£ L 911: ZOZZ) out uopepunoj au0a3o4S - ala ELO-EL auawyoeliy m LF 7 LL I ffATIONTOBiD #13-013 REPLMIEM1T OF EIISTBNG BOAT DOCK AT FORTWALTON LiNn3NG COVER SHEET a ITB TITLE: REPLACEMENT OF EXISTING BOAT DOCK AT THE FORT WALTON LANDING BID NO: ITB 13 -013 ISSUE DATE: JANUARY 17, 2013 This completed form most appear as the top sheet for all bids submitted. _ NO BID BOND REQUMED FOR THIS BID. Total Amount of bid or Base bid $ INDICATE METHOD OF RED BOND FURNISHED BELOW

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